Chapter 196: Malnutrition
Although Zhan Xiaogui insisted on training his skills in the past two days, so did his son.
There were no more ice crystals in the practice, and Zhan Xiaogui felt weak and weak.
Zhan Xiaogui's body can wear and take off the steel armor with his consciousness, and practicing upgrading requires absorbing a large amount of ice crystals to have obvious effects.
Zhan Xiaogui's son's wings are the same, and he needs to absorb a large amount of ice crystals to be more robust.
In the past few days, Zhan Xiaogui and his son have relied on the crystals on the crystalline tree in Wang Yueyue's storage box to make a living, but if this continues for a long time, they will be severely malnourished.
Zhan Xiaogui has been gritting his teeth and insisting in the past few days, and his body feels like dehydration: one of the main manifestations of dehydration is a decrease in urine output, his mental state is relatively poor, there will be dry lip mucosa, sunken eye sockets, and a depression in the fontanelle.
Zhan Xiaogui felt that his symptoms belonged to malnutrition.
Wang Yueyue looked like some kind of virus had invaded his body.
Wang Yueyue is worried that after a long time, Zhan Xiaogui said that this kind of self-judged malnutrition will worsen? What should I do if it is aggravated?
Wang Yueyue decided to activate the electrical attributes in his body, and searched for the symptoms of malnutrition and the treatment and prevention methods in his own powerful brain that he had cultivated.
Wang Yueyue searched for a long time, and only found the clinical manifestations of malnutrition in children, and other adults did not have it at all, so that's it, I will just take a look, analyze and analyze!
Wang Yueyue spent a lot of effort and shared the searched content with Zhan Xiaogui and Zhan Xiaogui's son with super brain waves.
Hoping that they will be alert, Wang Yueyue searched for the following contents:
"Treatment of primary diseases such as chronic digestive diseases and wasting diseases such as tuberculosis and heart, liver and kidney diseases. Promote scientific feeding knowledge to parents, encourage breastfeeding, add complementary foods appropriately, and wean in time. Change unhealthy eating habits such as picky eaters, picky eaters, etc.
In the treatment of the emergency period, the relationship between anti-infective malnutrition and infection is inextricably linked, most commonly gastrointestinal, respiratory, and/or skin infections, and sepsis is also common. Both require appropriate antibiotic therapy.
Correction of water and electrolyte imbalancesIn the first aid treatment of malnutrition, the management of dehydration and electrolyte imbalances is particularly important, especially in children with diarrhoea and malnutrition, and the following points should be noted: Attention should be paid to the amount of fluid entering to prevent heart failure. Adjust and maintain electrolyte balance: malnourished infants are often severely deficient in potassium, and potassium can be given daily for at least 5 days when urine output is normal. There are also deficiencies of calcium, magnesium, zinc, and phosphorus, which can be further exacerbated when hyperthermic and hypertonic parenteral nutrient solutions are given if not treated promptly.
Nutritional supportAfter the fluid and electrolyte imbalances have been corrected, the treatment of malnutrition depends on the degree of impairment of intestinal absorption, which can be used as needed, with central venous nutrition (the former being retained for a long time and the high concentration of the infusion), or peripheral intravenous nutrition, which can not exceed 5 days, as needed.
The composition and amount of parenteral nutrition solution should be based on maintaining the child's fluid requirements, generally. Protein is generally 2g (kg·d). Fat is the main source of heat energy, providing 60% of the total heat energy. Serum glucose should be monitored every 6 hours when parenteral intravenous nutrition is used to prevent hyperglycemia. Liver function tests should be followed weekly.
Convalescent treatment, providing adequate caloric energy and proteinCaloric and protein requirements should be calculated based on the average age-appropriate body weight (or P50) rather than the child's actual weight. The daily intake is the amount of calories and protein per kilogram of body weight multiplied by the ideal body weight.
Choose foods that are suitable for the child's digestive ability and nutritional needs, and choose foods that are high in protein and calories as much as possible, such as dairy products and animal proteins such as eggs, fish, meat, poultry and soy products, as well as fresh vegetables and fruits.
Functional drug treatment to promote digestion and improve metabolism: various digestive enzymes such as pepsin and pancreatic enzymes are given to aid digestion. Appropriate use of anabolic steroids such as nandrolone phenylpropionate can promote protein synthesis and increase appetite, but sufficient heat and protein should be supplied during the medication.
Complications treatment, hypoglycemia is more common especially in the emaciated type, generally after admission to the hospital after blood collection, 505 glucose 10ml can be intravenously injected for treatment, and 5% ~ 10% glucose solution can be used in the rehydration later.
Severe wasting with hypothermia has a high mortality rate, mainly due to caloric insufficiency. Pay attention to the ambient temperature (30~33 °C), keep warm with a hot water bottle or other methods (pay attention to burns), and monitor body temperature at the same time, once every 15 minutes if necessary.
Anemia severe anemia such as Hb40gL can be transfused, the emaciated type is generally 10~20mlkg, edema type except for collapse or heart failure due to anemia generally do not transfuse. Mild to moderate anemia can be treated with iron (·d) for 3 months.
Dietary therapy, emphasizing breastfeeding because the nutrition in breast milk is relatively comprehensive, but it is necessary to pay attention to let the nursing mother take enough vitamin A and vitamin D, and can also start from 1~2 weeks after the birth of the baby, give vitamin D every day, and take it continuously.
Infants and young children should be given supplementary foods rich in vitamin D and calcium, such as egg yolk, liver puree, cod liver oil preparation, shrimp skin, minced vegetables, fruit juice, rice soup, etc. Children over 1 year old should improve the quality of their diet and eat milk, eggs, tofu, green leafy vegetables, sugar and staple foods every day.
For easily digestible foods, eat more foods such as rice porridge, milk, chicken, duck, chicken liver, hawthorn, eel, quail, and whitebait. The diet should be soft, rotten and fine to facilitate digestion and absorption.
In order to prevent malnutrition, young children should eat less hard and indigestible foods such as beans, peanuts, and corn. Avoid fried, fried, smoked, grilled, fatty and overly sweet foods. Use less sesame seeds, sesame oil, green onions, ginger and a variety of fragrant seasonings.
prophylaxis
Strengthen nutritional guidance, encourage breastfeeding, breast milk is insufficient or no breast milk, should be supplemented with high-quality protein milk substitutes (cow, goat milk, soy milk, fish, etc.), to prevent simple starchy food, condensed milk or malt milk essence feeding. Older children should pay attention to the correct combination of food ingredients, properly supply meat, eggs, soy products, and supplement with enough vegetables.
Actively prevent and treat diseases, prevent infectious diseases, eliminate lesions, and correct congenital malformations.
Good habits, pay attention to physical exercise, correct poor hygiene and eating habits, eat regularly, and ensure adequate sleep. ”
When Zhan Xiaogui was reading the knowledge about malnutrition shared by Wang Yueyue, his and his son's bodies underwent earth-shaking changes.
"Oh my God! It's killing me! Is this malnutrition? Zhan Xiaogui looked at his body and said at a loss.