# features of the anamnesis of patients depending on presence laktaznoj failures

Comparison of age of the beginning of manifestation FR at sick compared subgroups has shown some differences. At children with LN symptoms FR were shown not later than the first month of a life: at 5 (21,7 %) - since the first weeks, at 18 (78,3 %) - since 1 month.

Unlike them, at the majority of children without LN symptoms FR were shown from first month of a life - at 18 (46,1 %) or from first weeks - 13 (33,3 %), but at 6 (15,4 %) the beginning of symptoms FR became perceptible from 2 months, and at 2 (5,2 %) - from 3 months. Data about age of the beginning of symptoms FRZHKT in 2 subgroups are presented in a drawing 10.Drawing 10. Age of the beginning of symptoms FRZHKT in 2 subgroups

Thus, in subgroup FR with LN earlier beginning of symptoms FRZHKT - not later than the first month of a life became perceptible.

According to the obstetric anamnesis mothers of all children of KG did not have any pathology of pregnancy. Unlike them, at mothers of children OG it is taped, that only at 6 (9,7 %) pregnancy proceeded without complications, and at the others 56 (90,3 %) this or that pathology is taped: at 19 (30,6 %) mothers the toxicosis, at 15 (24,2 %) - discontinuing threat, at 3 (4,8 %) - a nephropathy, at 15 (24,2 %) - a foetus hypoxia, at 4 (6,4 %) - an urogenital infection became perceptible. Frequency of a pathology of pregnancy in subgroups is presented in a drawing 11.

Drawing 11. Frequency of a pathology of pregnancy in subgroups

The analysis of frequency and character of a pathology of pregnancy in subgroups of children with FR has shown, that the pregnancy pathology became perceptible at all mothers of patients with LN: the toxicosis dominated - 43 %, abortion threat - 26 %, a foetus hypoxia - 22 %, a nephropathy - 9 % less often became perceptible. At mothers of children with FR without LN the pregnancy pathology became perceptible in 85 %, among them the foetus hypoxia - 26 %, a toxicosis - 23 %, discontinuing threat - 23 %, an urogenital pathology - 10 %, a nephropathy - 3 % dominated.

All children of KG have been born natural by. Unlike them, 22 (35,5 %) child OG have been born by cesarean sections. In a drawing 12 frequency of natural sorts and cesarean sections in OG and KG is presented.

Drawing 12. Frequency of natural sorts and cesarean sections in OG and KG

In subgroup FR with LN 22 (95,7 %) the child were born by natural sorts, and 1 (4,3 %) the child - by cesarean sections. Unlike them, in subgroup FR without LN 21 (53,8 %) - were born by cesarean sections. In a drawing 13 frequency of natural sorts and cesarean sections in 2 subgroups is presented.

Drawing 13. Frequency of natural sorts and cesarean sections in subgroups

Thus, frequency of a birth by cesarean sections was authentically above at children with FR without LN.

At all mothers of children of KG of complications in sorts and an antibioticotherapia it did not become perceptible. Unlike them, only at half (56,5 %) mothers OG labours proceeded without complications and application of antibiotics, and 5 (8,1 %) to mothers the odynagogue, 22 (35,5 %) - an antibioticotherapia was spent.

In a drawing 14 frequency of complications and an antibioticotherapia in sorts in OG and KG is presented.

Drawing 14. Frequency of complications and an antibioticotherapia in sorts in OG and KG

In subgroup FR with LN at 18 (78,2 %) mothers labours proceeded without complications, at 4 (17,5 %) - the odynagogue, at 1 (4,3 %) - antibiotics was applied. Unlike them, in subgroup FR without LN at 17 (43,6 %) mothers were absent complications in sorts, but at 1 (2,6 %) the odynagogue was applied, and antibiotics were applied at 21 (53,8 %) mothers. In a drawing 15 frequency of complications is presented and

Antibioticotherapias in sorts in 2 subgroups.

Drawing 15. Frequency of complications and an antibioticotherapia in sorts in 2 subgroups

Thus, complications in sorts became perceptible at mothers in subgroup FR without LN is more often. Antibiotics in sorts also were more often applied at mothers in subgroup FR without LN.

The estimation on scale Apgar at children OG has on the average made 7,48±0,07 a point, in KG - 7,73±0,14 a point, authentic differences is not taped (t=1,76; p=0,082).

All children of KG have been born by the full-term. Unlike them, 5 (8,1 %) children OG were born not full-term: the prematurity of 1st degree became perceptible at 4 (6,5 %) children, a prematurity of 2nd degree - at 1 (1,6 %) the child. In subgroup FR with LN all children were born by the full-term. Unlike them, in subgroup FR without LN not full-term were born 5 (12,8 %) children: the prematurity of 1st degree became perceptible at 4 (10,2 %), a prematurity of 2nd degree - at 1 (2,6 %) the child.

All children of KG have been enclosed to a breast right after births. Unlike them, only 40 (64,5 %) children OG have been enclosed to a breast at once, 9 (14,5 %) - in the first days, 13 (21,0 %) - later. In subgroup FR with LN all children have been enclosed to a breast at once. Unlike them, in subgroup FR without LN than half at once are enclosed to a breast less - 17 (43,6 %) children, in the first days - 9 (23,0 %), after 1 days - 13 (33,4 %) children. In a drawing 16 applying time to a breast of children of 2 subgroups is shown.

Drawing 16. Applying time to a breast of children of 2 subgroups

The lactemia at all mothers of KG was established right after sorts. Unlike them, in OG at 21 (33,9 %) - the lactemia was insufficient. In subgroup FR with LN the lactemia was good at 22 (96 %) mothers, at 1 (4 %) - insufficient. Unlike them, in subgroup FR without LN the lactemia was good less, than at half - 19 (48,7 %) mothers and insufficient - at 20 (51,3 %).

Dokarmlivanie by an admixture in maternity home it was applied only at children with FR - 31 (50 %) the child from OG. Unlike them, all children of KG received exclusively thoracal milk in maternity home. In a drawing 17 frequency dokarmlivanija by an admixture in maternity home of children OG and KG is presented.

Drawing 17. Frequency dokarmlivanija an admixture in maternity home of children OG and KG

In subgroup FR with LN only at 1 (4,3 %) the child received an admixture in maternity home, and among children of subgroup FR without LN dokarmlivanie an admixture took place at 30 (76,9 %) children. In a drawing 18 frequency dokarmlivanija by an admixture of children of 2 subgroups in maternity home is presented.

Drawing 18. Frequency dokarmlivanija an admixture of children of 2 subgroups in maternity home

Thus, frequency dokarmlivanija an admixture in maternity home was authentically above at children with FR without LN.

Average duration of thoracal feeding in subgroups FR with LN has made 1,69±0,34 month, FR without LN - 2,64±0,26 month, authentic differences is not taped (p> 0,05).

The accompanying pathology is taped at 11 (17,7 %) children from OG: perinatalnaja an encephalopathy (PEP) - at 9 (14,5 %), a pathology of kidneys - at 2 (3,2 %). In KG of an accompanying pathology it is not taped. In subgroup FR with LN the accompanying pathology did not become perceptible. Unlike them, at 9 (23,0 %) children from subgroup FR without LN it became perceptible PEP, at 2 (5,2 %) children - a pathology of kidneys.

Analyzing clinico-anamnesticheskie features FRZHKT at children of early age, it is possible to make a following conclusion:

1. In structure FRZHKT at children of early age dominate MS (100 %), in 71 % are observed MKK, in 4 % - FZ, in 71 % of implication FR are combined.

2. Symptoms FRZHKT c are observed by the greatest frequency at the age of 1-2 months. Semiology FRZHKT caused LN, has earlier beginning - not later than 1 month, with the further reduction of implications. It is characterised by high frequency of combination MS and MKK (100 %). For children with FR in a combination with LN the feedings arising right after, the expressed abdominal distention and a passage of flatus, a frequent watery chair with an acidic smell and a slime small amount are characteristic MKK.

3. In clinical semiology FRZHKT at children without LN dominate MS (100 %), are a little bit less often observed MKK (53,9 %), at 7,7 % - FZ. Symptoms MS and MKK are as much as possible expressed in the first months. FZ are shown later, mainly on artificial feeding. MKK at FR without LN arise irrespective of feeding, are thus expressed an abdominal distention and the passage of flatus during a defecation is strengthened, more rare chair, a small amount of slime and greens in a chair is characteristic.

4. Highly authentic differences on frequency of a pathology perinatalnogo the period between OG and KG are established: a pathology of pregnancy of mother (90,3 %), a delivery by cesarean sections (35,5 %), application of antibiotics in sorts (35,5 %), a prematurity (8,1 %), dokarmlivanie an admixture in maternity home (50 %) which can be surveyed as risk factors of development FRZHKT.

**KUBALOVA Saida Sultanovna. CLINICAL VALUE LAKTAZNOJ of INSUFFICIENCY And MICROBIC DISTURBANCES AT FUNCTIONAL DISORDERS of the GASTROENTERIC TRACT At CHILDREN of EARLY AGE. The dissertation on competition of a scientific degree of the candidate of medical sciences. St.-Petersburg - 2014. 2014**

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## Other medical related information features of the anamnesis of patients depending on presence laktaznoj failures:

- THE TABLE OF CONTENTS
- features of the anamnesis of patients depending on presence laktaznoj failures
- THE TABLE OF CONTENTS
- the Characteristic of clinical semiology of functional disorders of a gastroenteric tract depending on a feeding kind