{"id":5570,"date":"2016-04-12T10:43:23","date_gmt":"2016-04-12T10:43:23","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=5570"},"modified":"2016-04-12T10:46:15","modified_gmt":"2016-04-12T10:46:15","slug":"dezordini-nutritionale-la-copil-si-complicatiile-lor","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/dezordini-nutritionale-la-copil-si-complicatiile-lor\/","title":{"rendered":"Dezordini nutri\u021bionale la copil \u0219i complica\u021biile lor"},"content":{"rendered":"<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5571\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2016\/04\/medic-butnaru-214x300.jpg\" alt=\"medic butnaru\" width=\"214\" height=\"300\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2016\/04\/medic-butnaru-214x300.jpg 214w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2016\/04\/medic-butnaru.jpg 500w\" sizes=\"auto, (max-width: 214px) 100vw, 214px\" \/>Conferen\u0163iar Dr. Angela Butnariu<\/strong><\/p>\n<p><strong>Spitalul Clinic de Urgen\u021b\u0103 pentru Copii Cluj-Napoca<\/strong><\/p>\n<p style=\"text-align: justify\">C\u00e2nd este vorba despre dezordini nutri\u021bionale, pediatrul se g\u00e2nde\u0219te \u00een primul r\u00eend la dou\u0103 extreme: obezitate \u0219i malnutri\u021bie.<\/p>\n<p style=\"text-align: justify\">Obezitatea se \u00eent\u00e2lne\u015fte frecvent \u00een \u0163\u0103rile cu nivel de trai ridicat \u015fi a cunoscut una dintre cele mai spectaculoase evolu\u0163ii, suprapun\u00e2ndu-se \u00een bun\u0103 m\u0103sur\u0103 evolu\u0163iei civiliza\u0163iei moderne. La ora actual\u0103, \u00een Rom\u00e2nia, este din ce \u00een ce mai frecvent\u0103. Intereseaz\u0103 12% dintre copiii cu v\u00e2rsta de peste 8 ani.<\/p>\n<p style=\"text-align: justify\">Deoarece complica\u021biile dau nota de severitate a bolii, le ilustr\u0103m \u00een continuare printr-un <strong>caz clinic<\/strong>.<\/p>\n<p style=\"text-align: justify\">Pacient\u0103 de 4 ani, unicul copil \u00een familie, este adus\u0103 \u00een clinic\u0103 de c\u0103tre apar\u021bin\u0103tori pentru \u00eencadrarea etiologic\u0103 a unui exces ponderal \u0219i terapie.<\/p>\n<p style=\"text-align: justify\"><strong><em>Anamnestic <\/em><\/strong>\u00eencerc\u0103m s\u0103 ob\u021binem date despre <em>starea de nutri\u0163ie a p\u0103rin\u0163ilor \u015fi a altor membri din familie<\/em>. Afirmativ, to\u021bi erau s\u0103n\u0103to\u0219i. Dar noi remarc\u0103m, \u00eenc\u0103 de la prima vizit\u0103, c\u0103 ambii p\u0103rin\u021bi aveau un exces ponderal, de\u0219i nu \u00eel recuno\u0219teau ca atare. Studiile au demonstrat c\u0103 provenien\u0163a din familii \u00een care ambii p\u0103rin\u0163i sunt obezi cre\u015fte riscul apari\u0163iei obezit\u0103\u0163ii din perioada de copil mic. De asemenea, anamnestic am solicitat date despre <em>obiceiurile alimentare \u00een familie<\/em>. Constat\u0103m c\u0103 exista o preocupare deosebit\u0103 pentru alimenta\u021bie, dar aceasta era incorect\u0103, cu exces de dulciuri \u0219i gr\u0103simi \u0219i exagerat\u0103 cantitativ.<\/p>\n<p style=\"text-align: justify\"><strong><em>Curba ponderal\u0103 \u015fi curba taliei<\/em><\/strong><\/p>\n<p style=\"text-align: justify\">Pacienta avea greutate de 35 kg, talie de 0,93 m, IMC de 40,697, peste percentila 95. IMC de peste 40 ne permite \u00eencadrarea pacientei \u00een gradul III de obezitate. Noi constat\u0103m c\u0103, \u00eencep\u00e2nd de la v\u00e2rsta de 1 an, pacienta intr\u0103 \u00een culoarul percentilei 90 pentru IMC.<\/p>\n<p style=\"text-align: justify\">Alte aspecte patologice la <strong><em>examenul obiectiv<\/em><\/strong> au fost: acanthosis nigricans (hiperpigmenta\u0163ia pielii la nivel axilar \u015fi al cefei), c\u00e2teva vergeturi pe fa\u021ba intern\u0103 a coapselor \u0219i genu valgum moderat. Tensiunea arterial\u0103 era \u00een limite normale pentru v\u00e2rst\u0103, sex \u0219i talie.<\/p>\n<p style=\"text-align: justify\">Odat\u0103 ce diagnosticul de obezitate a fost stabilit, am c\u0103utat <strong>complica\u0163iile<\/strong> acesteia \u0219i am identificat neobi\u0219nuit de multe la un singur caz: rezisten\u021b\u0103 la insulin\u0103, dislipidemie, steatoz\u0103 hepatic\u0103, genu valgum.<\/p>\n<p style=\"text-align: justify\">Acanthosis nigricans poate fi un semn \u00eent\u00e2lnit \u00een caz de <strong>rezisten\u021b\u0103 la insulin\u0103<\/strong>, pe care o \u0219i confirm\u0103m. Bioumoral am constatat insulinemie \u00e0 jeun &gt; 15 mUI\/ml \u0219i indice HOMA &gt; percentila 97, elemente definitorii pentru rezisten\u021ba la insulin\u0103.<\/p>\n<p style=\"text-align: justify\">\u00cen cazul copiilor sub 6 ani nu exist\u0103 o op\u0163iune terapeutic\u0103 medicamentoas\u0103 general admis\u0103 pentru insulinorezistenta.<\/p>\n<p style=\"text-align: justify\">\u00centre parametri bioumorali recolta\u021bi de la pacient\u0103 re\u021binem \u0219i elemente de <strong>dislipidemie:<\/strong> trigliceridemie 160 mg\/dl, HDL colesterol 39mg\/dl. Dislipidemia se define\u015fte ca valori crescute ale trigliceridelor serice &gt; 150 mg\/dl, a colesterolului total &gt; 200 mg\/dl sau sc\u0103derea valorilor HDL colesterolului sub 40 mg\/dl.<\/p>\n<p style=\"text-align: justify\">\u00cen ce prive\u0219te<strong> steatoza hepatic\u0103, <\/strong>diagnosticul la pacienta noastr\u0103 a fost sugerat de imaginile ecografice hepatice. Steatoza hepatic\u0103 poate fi confirmat\u0103 prin examenul histopatoligic al \u021besutului hepatic recoltat prin punc\u021bie-biopsie.<\/p>\n<p style=\"text-align: justify\">\u00cen sf\u00e2r\u0219it, <strong>genu valgum<\/strong> a reprezentat o alt\u0103 complica\u021bie a obezit\u0103\u021bii.<\/p>\n<p style=\"text-align: justify\"><strong>Tratament<\/strong><\/p>\n<p style=\"text-align: justify\">Pacienta a beneficiat de<strong><em> reeducare alimentar\u0103<\/em><\/strong> cu corec\u021bia tuturor erorilor dietetice<\/p>\n<p style=\"text-align: justify\">\u00cen general, \u00een cazul copiilor nu este nevoie de o diet\u0103 prea restrictiv\u0103 deoarece o astfel de diet\u0103 duce la e\u015fecuri.Orice copil obez are nevoie de trei mese principale echilibrate \u015fi dou\u0103 gust\u0103ri, repartizate pe parcursul zilei. Evitarea sucurilor de orice natur\u0103 \u015fi a alimentelor \u00eentre mese reprezint\u0103, al\u0103turi de evitarea sedentarismului, m\u0103suri eficiente \u00een foarte multe cazuri.<\/p>\n<p style=\"text-align: justify\"><strong><em>Activitatea fizic\u0103<\/em><\/strong> este esen\u021bial\u0103 \u00een terapia obezit\u0103\u021bii. Pacienta prezentat\u0103, fiind de v\u00e2rst\u0103 mic\u0103, a efectuat exerci\u021biu fizic adecvat sub \u00eendrumarea unui kinetoterapeut.<\/p>\n<p style=\"text-align: justify\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5507\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2016\/03\/Himlaya_MF-2-225x300.jpg\" alt=\"Himlaya_MF-2\" width=\"225\" height=\"300\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2016\/03\/Himlaya_MF-2-225x300.jpg 225w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2016\/03\/Himlaya_MF-2.jpg 600w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/>\u021ain\u00e2nd cont de complica\u021biile metabolice (rezisten\u021b\u0103 la insulin\u0103, dislipidemie, steatoz\u0103 hepatic\u0103) am ales administrarea unui produs care s\u0103 vizeze toate aceste aspecte. Astfel, pacienta a primit <strong>Liv.52<\/strong> sirop \u00een doz\u0103 de 2&#215;5 ml\/zi timp de 3 luni, cu toleran\u0163\u0103 clinic\u0103 foarte bun\u0103. Am contat pe rolul hepatoprotector, pe oprirea evolu\u021biei steatozei hepatice, pe efectul antioxidant, antiinflamator \u0219i de inhibi\u021bie a fibrogenezei.<\/p>\n<p style=\"text-align: justify\">Sub acest tratament, la evaluarea de la 6 luni am constatat o evolu\u021bie favorabil\u0103, cu reducerea semnificativ\u0103 a greut\u0103\u021bii (IMC 30) \u0219i dispari\u021bia complica\u021biilor metabolice.<\/p>\n<p style=\"text-align: justify\">Terapia dietetic\u0103 este de durat\u0103 \u0219i pacienta va fi monitorizat\u0103 \u00een continuare.<\/p>\n<p style=\"text-align: justify\">\n","protected":false},"excerpt":{"rendered":"<p>Conferen\u0163iar Dr. Angela Butnariu Spitalul Clinic de Urgen\u021b\u0103 pentru Copii Cluj-Napoca C\u00e2nd este vorba despre dezordini nutri\u021bionale, pediatrul se g\u00e2nde\u0219te \u00een primul r\u00eend la dou\u0103 extreme: obezitate \u0219i malnutri\u021bie. Obezitatea [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":5574,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[33,453],"tags":[426,161,267],"class_list":["post-5570","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-pediatrie","tag-himalaya","tag-liv-52","tag-steatoza"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dezordini nutri\u021bionale la copil \u0219i complica\u021biile lor - Jurmed - Medici<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/dezordini-nutritionale-la-copil-si-complicatiile-lor\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dezordini nutri\u021bionale la copil \u0219i complica\u021biile lor - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"Conferen\u0163iar Dr. Angela Butnariu Spitalul Clinic de Urgen\u021b\u0103 pentru Copii Cluj-Napoca C\u00e2nd este vorba despre dezordini nutri\u021bionale, pediatrul se g\u00e2nde\u0219te \u00een primul r\u00eend la dou\u0103 extreme: obezitate \u0219i malnutri\u021bie. 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