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Adequacy of human milk viscosity to respond to infants with dysphagia: experimental study

机译:实验研究发现人乳粘度足以应对吞咽困难的婴儿

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Neonatal nutrition is an important subject in health in the short, medium and long term. In preterm newborns, nutrition assumes a predominant role for the child's overall development. Babies with uncoordinated swallowing or respiration may not have the necessary oral abilities to suck the mother's breast and will need to implement different feeding practices; one of them is changing the consistency of the milk offered. Objectives: Determine viscosity variations of untreated human and pasteurized milk without and with thickening to adapt the diet to the needs of dysphagic infants hospitalized in the Neonatal Intensive Cara Unit (NICU). Material and Methods: The authors altered the viscosity of natural infant powdered milk and, after thickening, determined and adopted a thickening standard for human milk. Untreated human and pasteurized milk was thickened in concentrations of 2%, 3%, 5% and 7% and the viscosity were determined every 20 minutes for a period of 60 minutes at a temperature of 37oC. Results: The infant lactose formula thickened at concentrations of 2% and 3% produced viscosities of 8.97cP and 27.73 cP, respectively. The increases were significantly different after 1 hour. Inversely, untreated human milk at 2%, 3%, 5% and 7% produced diminished viscosity over time; the changes were more accentuated in the first 20 minutes. In pasteurized human milk, the 2% concentration had no variation in viscosity, but with the 3%, 5% and 7% concentrations, there was a significant decrease in the first 20 minutes with stability observed in the subsequent times. Conclusion: In powdered milk, the viscosity increases over time; the viscosity in human milk diminishes. The results point out the importance not only of considering the concentration of the thickener but also the time being administered after its addition to effectively treat dysphagic infants.
机译:短期,中期和长期,新生儿营养是健康的重要课题。在早产新生儿中,营养对于孩子的整体发育起着主要作用。吞咽或呼吸不协调的婴儿可能没有必要的口服能力来吮吸母亲的乳房,因此需要采取不同的喂养方式;其中之一是改变所提供牛奶的稠度。目的:确定未经处理的人乳和经巴氏消毒的牛奶的粘度变化(不加稠化和不加稠化),以使饮食适应新生儿密集性卡拉OK室(NICU)住院的吞咽困难婴儿的需求。材料和方法:作者改变了天然婴儿奶粉的粘度,并在增稠后确定并采用了人乳的增稠标准。未经处理的人乳和巴氏灭菌奶的浓度分别为2%,3%,5%和7%,在37°C的温度下每20分钟测定粘度60分钟。结果:婴儿乳糖配方奶粉在2%和3%的浓度下增稠,分别产生了8.97cP和27.73 cP的粘度。 1小时后,增加幅度明显不同。相反,未经处理的人乳的含量分别为2%,3%,5%和7%,随着时间的流逝,粘度会降低。在前20分钟内,变化更加突出。在巴氏消毒的人乳中,浓度为2%的黏度没有变化,但是浓度为3%,5%和7%的情况下,在开始的20分钟内显着下降,并在随后的时间内观察到了稳定性。结论:奶粉中,粘度随时间增加;人乳中的粘度降低。结果指出,不仅要考虑增稠剂的浓度,而且还必须考虑添加增稠剂后有效治疗吞咽困难婴儿的时间。

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