Latest AAP Recommendations

Kubva pazvigaro zvemotokari kuenda kumishonga, American Academy of Pediatrics inowanzobudisa mazano uye mazano ekubatsira vabereki kuchengeta vana vavo vakachengeteka uye vane utano hwakanaka.

Kutaura zvazviri, pane inogona kunge iri chirongwa cheAAP chematongerwo enyika pamusoro pezvinhu zvose zvekukura kwevana.

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Yepamusoro yeAmerican Academy yePediatrics Zvirongwa

IAAP inofunga nezvekuongororwa kwezvinodhaka muzvikoro here? Ehe saizvozvo. Kunyange zvazvo AAP iri yekudzivirira zvinodhaka uye zvirongwa zvekupindira, zvinopikisa "kupararira kwekushandiswa kwekuenzaniswa kwezvinodhaka senzira yekuwana zvinodhaka zvinopindira zvinodhaka nekuda kwekushayikwa kweuchapupu hwekubudirira kwayo." (Mazano ekuedza kuongororwa kwemishonga ekuyaruka muzvikoro)

Kunewo mazano ezvematongerwo enyika anotarisa kubata pamuviri kune vechidiki, kuchikoro nguva dzinotanga, nekukuvara kwekucherera.

Kuziva nezvemazwi ekupedzisira emitemo uye mirayiridzo kubva kuAAP kunogona kukubatsira kuita zvisarudzo zvakanakisisa zvevana vako.

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Vachengeti uye Kutevera Purogiramu Yokudzivirira

Zvirwere zvakave chikamu chinokosha chezvinyorwa zvehutano. Izvo hazvishamisi, sezvo vakawanda vane zvirwere zvinodzivirirwa zvirwere , zvakadai sechibhokisi, masero, polio, uye diphtheria, nezvimwewo, zvaimbova zvirwere zvinowanzosangana nehutano hwehupenyu.

Mukuwedzera pakubudisa sarudzo yegore negore pamwe neKomiti yeDare Rekudzivirira Kuzvidzivirira, American Academy of Family Physicians, neAmerican College of Obstetricians uye Gynecologists, Mutungamiri weAmerican Academy of Pediatrics, Sandra, G. Hassink, MD, FAAP inokurudzira kuti:

• vana vose "vanotevera chirongwa chekudzivirira chirwere"
• nhengo dzose dzeAAP "dzinotevera chirongwa chekuzvidzivirira chinogamuchirwa uye kubatsira kudzidzisa mhuri nezvekuchengetedzwa nekubudirira kwezvirwere zvehuduku"

Dr. Hassink zvakare anoti "kukurudzira kwekuregererwa kana kuti dzimwe nguva zvirongwa zvekudzivirira zvirwere zvinowedzera njodzi kuvana vose." Idzi ndidzo dzisiri dzisingaenzaniswi, dzinosarudzwa nevabereki, dzakanonoka kudzivirira zvirwere zvekudzivirira dzakagadzirirwa naDkt. Bob Sears, Dr. Jay Gordon, nevamwe vakawanda "vane chirwere chinorapa vachengeti vevana."

Kubvuma here kuti chirongwa chisina kuenzana chirongwa chekudzivirira chinowedzera ngozi chinoratidza kuchinja kwechinzvimbo cheAAP?

Mutsara we2005, "Kupindura Kuvhirwa Kwevabereki Kunorapwa kwevana," AAP yakarumbidza kuti vanachiremba vanoedza "kudzivisa kubudisa varwere kubva pamabasa avo chete nokuti mubereki anoramba kupomesa mwana wavo." Chirongwa cheAAP chevana vezvechirwere uye vachengeti-vasingadi vabereki vabereki chakanga chiri "sekuremekedza, kukurukurirana, uye ruzivo rwekuvaka pamusoro penguva muukama hwehutano, vabereki vanogona kunge vachida kufungisisa nezvekuvhara chirwere chakapfuura."

Chirongwa chacho chakanga chisati chiri chevana vevana kuti vashandire kutya kwevabereki nezvemishonga kana kunyange kugovera kwavari kunyange zvakadaro. Yakanga isina kumbobvira yakasimudzira pachena pane chimwe chinhu kunze kwekurudziro yehutano hwekudzivirira. Vanachiremba vakave 'vaccine-friendly' kana chirwere-vane ushamwari, vachikurudzira vabereki kudarika kana kunonoka zvirwere zvavaiva nezvinetso pamusoro, vakabatsira kugovera matambudziko edu ekudzivirira zvirwere.

Panzvimbo pokugadzira zvirongwa zvavo zvekudzivirira kana kupura varwere, vanachiremba vanofanirwa kunge vakagadzirira kupindura zvese zvenhema uye zvisiri izvo zvemazuva ano anti-vaccine movement .

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Kurwisa Kurayira

Kubva muna 1997, chirevo chepamutemo chepamutemo cheAAP chakataura kuti:

• Umukaka wevanhu ndiyo yekudya yakakosha kune vose vacheche, kusanganisira vana vasati vasvika uye vanorwara, vasingawaniki.
• Kunyanya kunwisa mukaka ndiko kudya kwakakwana kwakakwana uye kwakakwana kutsigira kukura kwakanaka uye kubudirira kwemazana matanhatu ekutanga pashure pokuberekwa.
• Zvinokurudzirwa kuti kuyamwisa kunopfuurira kwemwedzi gumi nembiri, uye shure kweiyo kwenguva yakareba sezvinodiwa.

Ikozvino chirevo chematongerwo enyika, "Kuyamwisa uye kushandiswa kweMweya Milk," yakabudiswa muna 2012, inotsigira pfungwa yokuti "Yakapiwa zvinyorwa zvenguva pfupi-uye kwenguva refu zvechiremba uye neurodevelopmental zvakakosha zvekuyamwisa, vana vekudya zvinovaka muviri vanofanira kuonekwa sehupenyu hwehutano uye kwete chete mararamiro ehupenyu. "

Mushure mezvose, "kuyamwisa uye mukaka wemunhu ndizvo zvinotarisirwa kuti vana vadye kudya uye kudya kunovaka muviri."

Kutsigira kuyamwisa nekubudirira uye kuwedzerwa kuyamwisa vana, AAP inotsigirawo WHO / UNICEF Gumi Matanho Okubudirira Kuzadza uye inokurudzirawo kuti:

• kunyanya kunwisa kwevana kwemwedzi mitanhatu
• kubatsira vanaamai vatsva kuyamwa nokukurumidza mushure mekubereka
• kupa pasina mishonga zvisingabatsiri zvinowedzera mumazuva ekuzvarwa
• kuongororwa kwenzira yekuyamwisa mwana wega muchechi paanenge ari muchipatara mushure mokunge mwana aberekwa kunyora zvakanaka nzvimbo uye chikwata, nezvimwewo.
• kudzivisa kugadzirisa kushandiswa kusvikira vacheche vari masvondo matatu kusvika mana uye vachiyamwisa zvakanaka
• kuti vana vanofanira kurara pedyo naamai vavo

Chirongwa cheAAP chinyorwa che "Kuziva uye Kudzivirira Kushaya Kwe Iron uye Kurema-Kushaya Anemia mucheche neVana Vechiduku" zvinoratidza kuti vana vakaberekwa necheche chete ndivo vanowedzera pamwe nemidziyo yemuromo kusvika vatanga kudya kudya kwakakwana kune-4 kusvika 6 mwedzi yezera.

Vitamini D inokurudzirwawo chete nevana vakatevedzana.

Ramba uchitarira kuti chimiro chekuyamwisa vana chinowedzerawo mavitamini D nematare - zvinowedzerwa pamagadzirirwo avo, kuwedzera kune zvizhinji zvezvinhu zvimwe zvinosanganiswa mumukaka wemucheche.

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Autism Screening

IAAPA AAP Policy Statement "Kuziva nekuongorora kwevana ne Autism Spectrum Disorders," yakakosha kuti "zvakakosha kuti vanachiremba vanokwanisa kuona zviratidzo nezviratidzo zvevhiringidzi yevidism uye vane zano rokuvadzidza nenzira yakarongeka."

Chikamu chegadziriro iyo inofanira kunge ichiita kuongororwa uye nguva dzose kugadzirisa autism spectrum chirwere chakanyatsoongorora kushandiswa kwezvinhu panguva dzose dzinoongorora 18 uye 24 mwedzi zvakanaka mwana. Izvi zviri kuwedzera pakuita "kutarisa pamwana wose anofamba-famba," achitarisa " mapegi ekutanga akajeka akajeka anoratidza kubvira kweA ASD."

Kana migumisiro yakanaka kana kuti pamusoro, vanachiremba vevana vanofanira kubva ipapo:

• anopa vabereki dzidzo pamusoro pevhisi
• rinotarisa mwana wacho kuti awane zvakakwana autism spectrum disorder kuongorora
• rinotaura mwana wacho kuti apindire munguva yepakutanga / dzidzo yehutano hwemwana
• rinotarisa mwana wacho kuti anzwe nezvekuongorora
• ronga purogiramu yekutevera

Chinonyanya kukosha, vanachiremba havafaniri kutora "kurindira-uye-kuona" nzira kana mwana ane chinyorwa chinobudirira chikonzero kana zviviri kana kupfuura zvimwe zvinokonzera ngozi, izvo zvingasanganisira kuva nehanzvadzi autistic kana mubereki, mumwe muchengeti, kana vanachiremba vana kunetseka pamusoro pomwana.

I-M-CHAT inowanzoshandiswa kuongorora autism kuongorora mazita ayo vanachiremba vevana vakawanda vanoshandisa.

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Zvirongwa zveGari Zvigaro

Mutemo we 2011 wekutaura pamusoro pe "Child Passenger Safety" wakavandudza mazano aAAP pamusoro pekuti vana vanofanira kufamba sei mumotokari zvakanaka, kusanganisira kuti vanofanira kukwira:

• iri mushure rinotarisana nemotokari kusvika kumakore maviri (chigaro checheche-chigaro kana chigaro chinotarisana chinotarisa motokari)
• iri muchitarisiko chakatarisana nemotokari kuburikidza nemakore anopfuura makore mana, kunyange zvazvo vana vachifanira kugara muchitima chemotokari nechisungo "kwenguva yakareba sezvinobvira, kusvika kuhupamhi hwepamusoro kana urefu hunobvumirwa nemuti." (mberi-inotarisana kutendeuka kana chigaro chema motokari)
• mune bhandi-kuisa chigaro chinokusimudzira kuburikidza nemakore gumi nemakore kusvika pamakore gumi nemaviri, pavanenge anenge masendimita 9 masendimita gumi, uye mabhanhire emakumbo angangodaro akakodzera
• vachishandisa bhanhire remaputi-uye-mapepa bhanhire kana vachinge vaenda kunze kwechigaro chekusimudzira, apo "chikamu chikamu chebhanhire chinofanira kukoderedzwa mumapapiro uye mapepa, uye chikamu chepfudzi chinofanira kufanana nepakati pefudzi nebhokisi apo mwana anogara nekumusana kwake pakatarisana nechigaro chemotokari.
• muchechi kumashure kusvikira vangave nemakore gumi nematanhatu

Nepo vabereki vachiwanzofunga nezvechikwata pavanotenga chigaro chemotokari, zvinokosha kuchengeta mupfungwa kuti "zvigaro zvemotokari zvakarongwa neHNTSA zvinosangana neHurumende Safety Standards uye zvakasimba kuparara kwemitemo." Zvimwe zviri nyore kushandisa pane vamwe, izvo zvinogona kuisa mukati mechigaro chamotokari chaunotenga.

Chinonyanya kukosha, kutenga chigaro chemotokari iyo yakareba uye inoyera zvakakodzera kumwana wako, iyo inokodzera mumotokari yako, uye iyo iri nyore kuti iwe uise uye ushandise.

Uyewo yeuka kuti hakuna mhedziso yakakwana paunofanira kushandura zvigaro. Aya ndiwo mazano, kwete nguva dzakare. Saka hausi iwe nguva dzose unofanidza mwana wako kubva kumashure-kutarisana nechigaro chinotarisana nemotokari pazera remakore 2-makore.

Funga zvose zvezera remwana wako nekukura paunofunga pamusoro pechigaro chipi chemotokari chakanakisisa uye chakachengeteka. Semuenzaniso, mwana muduku anogona kugara muchitsiko chemotokari chakatarisana kumashure kusvikira ava nemakore matatu, ane chigaro chepamotokari chakatarisana kusvikira asvika makore manomwe, uye chigaro chekusimudzira kusvikira ava nemakore gumi nemaviri- akare. Kune rumwe rutivi, vamwe vana vakakura vangave vakagadzirira kuva nechigaro chinotarisana nemotokari pazera remakore gumi nemaviri, chigaro chekusimudzira pazera remakore 4-makore, uye mabhanhire akagara pazera remakore 8.

Dennis Durbin, MD, FAAP, mutungamiri wenhepfenyuro yemitemo uye mushumo unobatsira unoti "Vabereki vanowanzotarisira kutendeuka kubva pane imwe nhanho kusvika kune imwe inotevera, asi kuchinja uku kunofanira kunge kwakanonoka kusvikira vangadikanwa, kana mwana akazara kunze kwemiganhu yenzvimbo yake yezvino. "

Chengetedza vana vako vakachengeteka pavanenge vakatasva mumotokari. Iva nechokwadi chokuti vari muchigaro chakanaka chinowanikwa zvakarurama nguva dzose pavanotasva mumotokari.

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Inotanga Kutanga Zvisikwa Zvevana

"Mumwedzi mitanhatu yekutanga, mvura, jisi, nezvimwewo kudya hazvidiwi zvevana vaduku."

Kuwedzerwa kwekupedzisira kwezvinhu zvakagadziriswa zvesimbi-zvakagadziriswa zvakasimba muhafu yepiri yegore rokutanga kunofanirwa kubatsiridza mukaka wemukaka.

Kudya kwechecheche kunwa mwana mucheche zvakare.

I "mitemo" yekuti nguva uye sei kutanga kudya kwakasimba sechikamu chekudya kwevana vako nguva yakashandura yakawanda pamusoro pemakore kunyange zvakadaro.

Chirongwa cheAAP chinyorwa che "Kuziva uye Kudzivirira Kushaya Kwe Iron uye Kushaya-Kukwana Anemia mucheche neVana Vechiduku" inoratidza kuti "kuiswa kwesimbi-ine zvine zvinyorwa zvinowanikwa pashure pemwedzi mina kusvika kumatanhatu" zvinogona kubatsira kusangana nesimbi yecheche zvinodiwa uye kuti "kana vacheche vachipiwa zvokudya zvakakwana, nyama yakatsvuka nemiriwo ine huwandu hwehutano hwepamusoro inofanira kuiswa pakutanga."

Simbi yakasimbiswa nezviyo ndiyo nzira yakanaka yekubatsira kusangana nechechecheche yako yecheche yesimbi panguva ino.

Zvakadini nekudzivirira 'zviratidzo zvezveruzhinji' nemimwe mitemo yekutanga zvakasimba?

Nenzira yakawanda, gore ra2008 ripoti remakiriniki kubva kuAAP, "Migumisiro yeKutanga Kwemazuva Ekutanga Mukuvandudzirwa kwezvirwere zvevana mucheche nevana: Basa reMabereki Zvokudya Zvokudya, Kuberekwa, Kuchengetedza Nguva Yokutanga kweZvokudya Zvokudya, uye Hydrolyzed Form," vakakanda kunze kwemazano akawanda. Vakagumisa kuti kwakanga kusina uchapupu hwokuti "kunonoka kuiswa kwezvokudya izvo zvinoonekwa sokuti zvakakosha, zvakadai sehove, mazai, uye zvokudya zvine peanut protein" zvingadzivirira mwana kubva pakukura kwehutachiona.

Saka pane mitemo yekudyisa vacheche ikozvino here?

Zvechokwadi pane uye dzinosanganisira kuti iwe:

• tanga kudya kwakasimba kana mwana wako ari mwedzi 4 kusvika ku6
• Zvokudya zvakaoma uye zvakasvibirira zvesimbi, zvinosanganisira zviyo zvesimbi zvakasimbiswa, nyama yakatsvuka, nemiriwo (bhinzi, michero, uye sipinashi, nezvimwewo) nehupamhi hwehuni zvinhu zvakanaka kudya kutanga
• ipa mwana wako wega wepamuviri mavhitamini ane iron kubva pamwedzi mina kusvikira vagara vachidya vana zvekudya zvine iron zuva rega rega
• Dzivisa kudya kwekugumbusa - yeuka kuti kupa mwana kana mucheche 'zvokudya zvine peanut protein' hazvirevi kuti kumupa mapeji akazara uye kupa nyama tsvuku hakurevi kupa chidimbu chebiki chaanofanira kuchera.
• kana uchinwa mushonga, usashandura mukaka wemukaka kusvikira mwana wako anenge mwedzi 12 yakwegura
• kana zvichidiwa, itai chete kusvika 4 kusvika ku 6 oz ye 100% juice yemuchero mumukombe kana mwana wenyu ane mwedzi mitanhatu (rangarirai kuti izvi zvakawanda zvemuganhu uye kwete zuva rose rinorayirwa mari - vana vazhinji havadi chero juice)
• kupa mamwe mvura inotonhora mvura zuva roga rokutanga pamwedzi 6
• tangai zvidya zvekudya uye zvokudya zvefurafura kana mwana wako aigona kugara ari iye oga uye nyore nyore kutora zvishoma, zviduku zviduku zvakagadzirwa zvakanaka uye zvakakoswa kana zvakatemwa

Sei uchitanga pamwedzi inenge 4 kusvika ku6 ?

Izvi zvinowanzoitika panguva iyo vana vakawanda varikugadzirira kugadzirira kudya kwakasimba.

Mwana wako akawedzera here kuberekwa kwake?

Ane hutano hwakanaka here kana agere?

Uye haaoneki akagutsikana nechipfuva kana chiraira zvakare?

Kana uchinge wafunga kuti mwana wako akagadzirira, mubvunzo wakakura unotevera uchava izvo zvokudya zvakasimba zvinotanga. Iwe unenge uchitsika uye utange neine jeri-rakasimbiswa mupunga wejisi kana iwe uchapa hukuru-ma mwoyo kurwisa uye utange nechibereko kana nyama?

Zvinotyisa, hazvina basa. Nepo vabereki vakawanda vachida kutanga newaini ndokuzoenda kumiriwo, michero, uye yekupedzisira nyama, unogona kusarudza chero kurongeka, chero bedzi mwana wako akawana kusanganiswa kwakanaka kwesimbi yakawanda yekudya.

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Kutanga Kokutanga Kwemwana Wako

Mukuwedzera pakudzidza nezvekunyemwerera kwekutanga kwemwana wako, mazwi okutanga, uye matanho ekutanga, chiremba wevana vako achabatanidzwa zvakananga mune zvimwe zvakawanda zvekutanga kutanga mwana wako ave noutano.

Yeuka kuti Kutarirwa Kwokutanga kuChiremba wevana inowanzoitika panguva iyo yava nemakore matatu kusvika kumashanu, zvichienderana nekukurumidzira kwakasunungurwa kubva kuchipatara. Kuwedzera kune chekuongorora chejeri , kushanyira uku kwekutanga kunogona kubatsira chiremba chevana vako kuti vaongorore kuti mwana wako ari kudya zvakadini nekuwana uremu, kana kuti kwete kutadza kurashika.

Zvimwe zvekutanga kune mwana wako zvinofanira kuva izvo:

• mwana wako ane hematocrit kana hemoglobin inotarisa pamakore gumi nemaviri kuti aongorore kuti iron inoshaya anemia
• mwana wako ane chimiro chemuviri wehuwandu hunoenzaniswa nezera remakore maviri kuti aongorore hutano hwehuduku
• mwana wako wepachikoro anotanga kuedzwa kwemaziso ake nemakore matatu
• mwana wako wepachikoro ane ropa rake rinotaridzirwa kwekutanga kana ava nemakore matatu
• mwana wako wepachikoro ane nzeve dzavo dzakaedzwa kwenguva yekutanga nemakore mana

Uye Kutarisa Kwokutanga Kumudzidzisi wemazino anofanira kuva ne1 gore remakore. Kunyange zvazvo vamwe vabereki, uye kunyange vamwe vemhuri madzinza, vanofunga kuti izvi zvakanyanya kare, yeuka mupfungwa kuti 2014 AAP mutemo wekutaura, "Kuchengetedza nekuvandudza Utano Hwakanaka hweVaduku Vana," inotaura kuti ne "kutanga kutumira kumunhu anopa mazino , kune mukana wekuchengetedza utano hwakanaka hwemuromo , kudzivirira zvirwere, uye kurapa zvirwere kare. "

Kutarirwa kwekutanga kune Gynecologist kunofanirwa kuva iyo apo chiremba wevana vako vanoona "kusagadzikana kwechikonzero chinotumirwa kune gynecologist," sevana vakawanda vevana ("Gynecologic Examination for Adolescents muChipatara Chekuisa Vana") inonzwa kuti "nechepachipiro yakakodzera kubva kune gynecologist, kunyanya Zvirwere zvezvechiremba zvinogona kutarisirwa nechiremba mune imwe nzvimbo yekuchengetedza hofisi yepamusoro. " IAmerican College of Obstetricians uye Gynecologists inorayira kuti "vasikana vanofanira kuva nehanzvadzi yavo yokutanga yekushanyira gynecologic pakati pemakore gumi nemakore nemakore gumi nemashanu." Zvisinei, mutsara wokutanga wepilvic haukwanisi kusvikira musikana ari kuita zvepabonde kana ane ropa risina kujairika, nezvimwewo.

Kutanga Kokutanga kune mumwe munhu asiri wevana kunofanirwa kuva kana mwana wako wechidiki ari pakati pezera remakore gumi nemasere nemakumi maviri. Kunyange zvazvo "kushanduka kwehutano hwehutano hwevana kusvika kune hukuru" kunoenderana nezvimwe zvinhu, zvakakosha kuchengeta mupfungwa kuti vazhinji vanachiremba vevana vanoramba vachiona vechidiki vakwegura nevamwe vechidiki, kunyanya kana vakave neukama hwakasimba ne ivo.

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Vechidiki Zvemitambo uye Kuedza Kudzidzira

IAAP ine zvinyorwa zvinyorwa zvepamusoro zvekubatsira kutungamirira vabereki uye kukurudzira vana kuti vatore mitezo mumitambo yakarongeka, vashande nesimba, asi kwete kuenda kure.

Pakati pezvirongwa ndezvi:

• mitambo yakarongeka haifaniri kutora nzvimbo yekutamba pasina
• vana vaduku "vanofanira kudzivisa matanho ekutanga emitambo" uye vana vanofanira "kukurudzirwa kuti vabatanidze mumabasa akasiyana-siyana akasiyana-siyana uye kukudziridza hutano hwakasiyana-siyana"

Vana vanoda kuve vakashanda kunyange zvakadaro.

Mutemo wehutano wa2006, "Active Healthy Living: Kudzivirira Kukura Kwevana Nokuwedzera Kwebasa Romuviri," akarayira kuti:

Chiito chepanyama chinofanira kukurudzirwa pamba, munharaunda, uye kuchikoro ...

Kubvira pakukurudzira vana vaduku kutamba kunze uye kuenda kumakwikwi uye kubatanidza mitambo uye kusununguka kutamba kwevana vepachikoro chesekondari kumakwikwi uye kusakwikwidzana mitambo yevechidiki kuvana vakwegura, basa rezuva nezuva rinokosha. Ichokwadi, nyanzvi dzinokurudzira kuti vana nevechiri kuyaruka vanofanira kutora chikamu pakuenzanisa kwakadzika kwekudzidzira kwemaminitsi makumi matanhatu zuva rega rega.

Kuti udzivise kukuvadzwa kwemitambo kunyange zvakadaro, zvinokoshawo kuti makosi, vabereki, uye vatambi vanoziva nekudzivirira:

• kushungurudzika mupfungwa - nekusimbiswa kwevana kupiwa kukwanisa "zvishoma nezvishoma nekuchengetedzeka zvakachengetedza kusangana nemaitiro ekufananidzira uye kutarisana, kutamba kwemitambo, kana zvimwe zvekuita mukati mokupisa kuburikidza nekukodzera uye nekufambira mberi kwekusimudzira" uye kuti "zvakakwana, zvakachena, uye zvakakodzera mumvura inofanira kunge iri nyore kusvika uye inopedzwa nguva dzose nguva, nguva, uye mushure mokunge mitambo inobatanidzwa pamwe nemamwe mabasa epanyama kuti abvise kusuruvara kurasikirwa uye kuchengeta hydration yakakwana pavanenge vasingadzi kunwa doro. "
• mhedziso - nevose vanonzwisisa kuti "vatambi vane kukwikwidza vanofanira kugara, zvose mumuviri nekunyatsoziva, kusvikira zviratidzo zvavo zvagadzirisa zvose zviri muzororo uye nekushingaira" uye kuti "havafaniri kudzorerwa kuzotamba pazuva rimwe chete rekukwikwidza, kunyange kana vanobva vangoita zvekuita. "
• Kukuvadzwa kwepamusoro-kusanganisira kuvharwa kwemajeri , kurwadziwa kwetsitsi, Osgood-Schlatter chirwere, nezvimwewo.

Vana venyu vari kushanda sei?

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Mhuri yeMutano Yevana

Muchitauriri chematongerwo enyika, "Kuchengetedza nekuvandudza Utano Hwenyama hweVaduku Vana," iyo yakabudiswa muna December 2014, AAP inokurudzira kuti vabereki vatevere maitiro aya mazino ane utano :

• tanga kusveta meno emwana wavo kaviri pazuva pakarepo pavanenge vawana, vachitanga ne-smear kana kuti zviyo-zve-rice zvakakura zvakakura zve fluoride menoji uye kuenderera mberi kusvika kune imwe pea yakawanda ye fluoride meno yepfupa nemakore matatu
• Ronga rushanyi rwokutanga kune chiremba wemazino nemwana wavo (ave neimba yemeno) nekutangira kwavo kwekutanga
• tanga kusvetuka kana mazino ari pedyo zvakakwana pamwe chete zvokuti iwe haugoni kuvhiringidza pakati pavo zvakanaka
• rubatsiro kana kutarisa vana vavo kushambadzira kusvikira vasvika makore 8
• funga kuva nachiremba wemazino achishandisa fluoride varnish kana sealant kana mwana wako ari pangozi yakakura yekuwana matanda

Zvinosuruvarisa, mitsetse (meno caries) inowanzoshamisa muvana. Inofungidzirwa kuti 24% yevana vaduku nevechikoro chekare uye anenge hafu yevana vakwegura vane mitsetse.

Kuti ubatsire kudzivirira matanda , mune zvinyorwa zviri pamusoro apa, AAP inokurudzirawo kuti vana:

• kunwisa
• inofanira kuva nemadzimai avo akacheneswa, kunyange vasati vatora mazino, nechisviniro chemafuro kana chechinocheche checheche rinoshandiswa nemvura uye mvura zuva rega rega
• Usapinda hope nehombodo uye unorumurwa kubva mumabhodhoro nekutanga kwekuzvarwa
• kunwa zvinokonzerwa ne fluoridated tap yemvura pakati pezvokudya uye kugadzirisa zvokudya zvekugarisa uye zvinwiwa panguva dzekudya
• Ipai muchero wezvibereko zana kubva muzana kusvika ma6 ounces zuva roga roga uye usapinda zvimwe zvinwiwa nehuta yakawedzerwa
• ramba uchiona chiremba wemazino mwedzi mitanhatu

Mwana kuchengeteka chikamu cheutano hwemuromo zvakare. Kuchengetedza kukuvara kwemazino, AAP inokurudzira kuti vabereki "vafukidze makona ekukwirira emidziyo yeimba pavanenge vachifamba vachiri vaduku, vaone kuti kushandiswa kwezvigaro zvekuchengetedza motokari, uye zivai nezvekugadzirwa kwemagetsi nekuda kwekukuvara komuromo." Kushanyirwa kwekutanga kwechiremba wemazino kunogonawo kubatsira kuti uve nechokwadi chokuti une chirongwa chakagadzirira kukurumidza kunetseka kwemazino.

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Childhood Obesity

Muhurukuro ya19757 hurukuro pamusoro pe "Kuwedzerwa kwehutano muKubata Kwemishonga," vatori vechikamu vakataura kuti "kuora mwoyo mumakore ekutanga kusati kwawanzoitika." Uye vakacherechedza kuti kunyange apo "vanotengesa vana" vanoisa mafuta mashoma mukati memakore echikoro, vazhinji vavo "vacharasikirwa nekunyanyisa kwavo uye vachabuda sevaduku vakura vane mvumo inogamuchirika."

Zvakawanda zvakachinja kubvira kuma1950.

Pakati pavo ndeyekuti mwana akaremara iye zvino "anomiririra dambudziko rakajeka uye iripo kune hutano hwevana nevechiri kuyaruka." Zvechokwadi, hazvina kuitika usiku hwose.

Kuti ubatsire kuchinja mararamiro aya, AAP inokurudzira kuti:

• vanachiremba vanobvunza kuti inguva yakawanda sei zuva nezuva vana vanopedza nemavhidhiyo evharidhi - havafaniri kuva maawa maviri zuva rimwe nerimwe uye nguva yekuvharidzira inofanira kudziviswa vose pamwe chete nechecheche uye vaduku vari pasi pemakore maviri
• vanachiremba vanobvunza kana vana vane TV kana kuti vasina kuvharidzirwa, kusinganzwisisiki kweInternet kupinda mumba uye mumubhedha wemwana - vana havafaniri kuva neTV kana kuwanika muIndaneti muimba yavo yekuvata, usiku hunovhidhiyo mhizha inofanira kunge isina kukwana, uye vabereki vanofanira kutarisa kuwana ( kuratidzira)
• vana vanove vakashanda mumuviri kwemaminitsi makumi matanhatu ezuva rimwe nerimwe - havafaniri kunge vasina kugadziriswa ( pasina kutamba ), kunakidza, uye kuita zvinhu zvine mwero, asi hazvifaniri kunge zvose panguva imwe chete
• vana vane zuva pezuva pekirasi kuchikoro
• vana vane nguva yekuzorora
• vabereki "vanokurudzira hutano hwakanaka hwekudya kuburikidza nekupa zvokudya zvinovaka muviri, zvakadai semiriwo nemichero , kudya kwakakwana kwemazi , uye zviyo zvose ; kukurudzira kuzvidzivirira kwevana mukuzvidzivirira kwezvokudya zvekudya nekuisa miganhu yakakodzera pane zvisarudzo;

Vana vanofanirwawo kuva neBMI yavo inoronga kumwana mumwe oga arikuongorora, kunze kwekunyora kukosha kwekuita kwemuviri wavo uye nguva yavanopedza mumabasa asina mabasa.

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Kugadzirisa Zvirongwa zveSvondo

Vabereki vanowanzonyunyutira kuti vana vavo vanoona TV yakawanda uye vanopedza nguva yakawanda pamberi pezvikwiriso, nguva yose ichivapa ruzivo rwakawedzerwa kune izvi.

Ndeapi maAAP anokurudzira pamusoro pezvirongwa zvekrini? Muna 2013 mutemo we "Children, Adolescents, uye Media," AAP yakakurudzira kuti:

• Vana vaduku nevana vaduku vasati vava nemakore maviri vanofanira kuora mwoyo kuti vave nechikwereti nguva
• vana vane makore anopfuura 2-vekare vanogona kunge vasingapfuuri maawa maviri kusvika kwemaawa maviri ezvezorodhi nguva yezorodhi zuva nezuva
• michina yemagetsi, kusanganisira TV yakagadzirirwa, iPad, kombiyuta, kana vhidhiyo game console (Xbox, PlayStation, kana Wii), nezvimwewo, inofanira kuchengetwa kunze kwekamuri remwana uye haifaniri kushandiswa panguva yekudya kana mushure mekurara
• Vabereki vanofanira kutarisa izvo vana vavo vari kutarisa uye vachitamba pazvidzidzo zvavo

Zvinotoshamisa ndezvokuti vazhinji vedu tinoshandira kuvhara firimu nguva pamba, vana vanoita sevanowedzera nguva yekuvhara pachikoro. Inguva yakawanda yeivharidzii vana vako vanoenda kuchikoro? Chii chavari kuita pane izvo zvikwangwani?

IAAP inotsigirawo:

• mitemo yakasimba yekudzivirira zvivako zvekudya zvinokurumidza uye zvokudya zvisina kudya kune vana
• mitemo mitsva inogona kurambidzwa kuparidzira doro paTV
• kuita mafirimu kusvuta-pasina
• kunowedzera hupenyu hwehuwandu hwemashoko uye kuderedza zvigaro zvinogona kukuvadza, zvakadai sechisimba uye vateereri vanonwa kana kusvuta

Mhuri yako inoda kudya kwemasvikiro here?

12 -

Broncholitis uye RSV

Kunyange zvazvo vabereki vakawanda vasingazivi nebronchiolitis, vanoziva nezveRVV, hutachiona hunowanzokonzera.

Kusiyana nehuwandu hwehutano, iyo yepamusoro yepamusoro yeutachiona, chirwere chinonzi bronchiolitis chiri chepamusoro chekupemha chetachiona chirwere. Inowanzokonzerwa nemapfupa ekufuridzira syncytial virus (RSV) nezvimwe zvirwere zvehutachiona, kazhinji munguva yekupedzisira yechando uye mangwanani ekutanga.

Saizvozvowo nechitonhora, vana vane bronchiolitis vanogona kuva nemumhino wemhino uye kukwezva, asi ivo vanogona zvakare kukura zvakaoma kufema uye kuputika. Izvi ndezvikamu zvakapfurikidza zvekufema zvinoratidza zviratidzo uye dzimwe nguva zvinotungamirira kumucheche ane bronchiolitis inoda kugara muchipatara, kunyanya avo vanongova imwe chete kana mwedzi miviri yekare.

Kunyange zvazvo RSV uye bronchiolitis ichiita seinovhundutsa vabereki vazhinji, zvinokosha kuchengeta mupfungwa kuti mune boka guru rekutengesa, vana vecheche nevana vaduku, 3% chete inoguma inoda kubhedhara. Uye zvipatara zvezvipatara zvinoderera zvikuru kune vakwegura nevana vaduku.

Kana mwana wako akawana bronchiolitis, AAP ine mamwe mazano akabudiswa munyaya yaNovember 2014 yePediatrics , kusanganisira iyo:

• Vana vakawanda vane bronchiolitis havawanzodi kuongororwa ma laboratory kana xrays. Bronchiolitis inowanzowanikwa yakawanikwa kubva pane zvakaitika kumwana wezviratidzo uye kuongorora muviri. Kuongorora nguva dzose kuona kana mwana ane RSV hainawo kukurudzirwa.
• Albuterol haisi chirongwa chinorayirwa chebronchiolitis. Vanachiremba vakashandisa kuedza kuberekwa kwe-albuterol muvana vane bronchiolitis, uye kana zvichiita sekubatsira, ipapo rambai muchidaro. Uyu muedzo we-albuterol haugoni kukurudzirwa kana kufunga kuti unobatsira.
• Mimwe mishonga isingabvumirwi inosanganisira epinephrine, nebulized hypertonic saline (kunze kwekuti mwana ari muchipatara), steroids, chifu chechipiotherapy (CPT), oksijeni kana kuwedzera kunopfuura 90%, kana kushandiswa kushandiswa kwemapurisa oximetry.

Aya mazano matsva akachinja zvakare mazano ekushandisa Synagis, kuvhara kwemwedzi kunogona kubatsira kudzivirira RSV muvana vasati vasvika. Iko zvino yakakurudzirwa kuti Synagis ingoshandiswa chete mucheche dzakaberekwa vasati vhiki makumi maviri nemasere, kunze kwekuti ivo vane chirwere chisingaperi chemapapu kana chirwere chemwoyo.

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Iodine yekuyamwisa vanaamai

Mutsara wemutemo we2014, "Kushayikwa kweIodine, Chemicals Inosvibisa, uye Utachiona: Nhau Itsva Dambudziko Rekare," AAP inokurudzira kuti vakadzi vane pamuviri nevanomwisa :

• tora muchengeti ne iodide yakakwana - inenge 150 μg ye iodide
• kudzivisa kuwedzera kune nitrate yakawandisa mumvura yokunwa (inogona kunge iri dambudziko nemvura yakanaka) uye yakawanda kwazvo yemidhari yemitrate (akawanda mashizha nemidzi midzi), kusanganisira celery, lettuce, sipinashi, karoti, beet, nezvimwewo.
• kudzivisa kusvibiswa ne thiocyanate nokusasvuta uye kudzivisa utsi hwechipiri, uye usingadyi zvakawanda zve cruciferous mishonga, kunyanya kana zvigadzirwa, kusanganisira kabichi, turnips, broccoli, brussels sproutes, nezvimwewo.
• shandisa iodized tafura yemunyu

Kunyange zvazvo vakadzi vane pamuviri vanofanira kuziva nezvenyaya yacho, AAP inotaura kuti "vashomanana vanodya zvakakwana zvakasvibiswa pamuchinjikwa, mashizha, kana midzi kuti zvive zvakakosha."

Kunyange zvazvo mahwendefa emunyu muUnited States ave achisimbiswa neodhi (kubva muna 1924), vanhu vazhinji vanoshamiswa kudzidza kuti:

• mhando dzakawanda dzeGungwa reMunyu haisi iodized (yakasimbiswa neododhi)
• Kosher munyu haisi iodizedhi
• Zvokudya zvinogadzirwa zvinowanzoitwa nemunyu usingawaniki
• tafura yemunyu haina kusimbiswa neodhomu munyika dzose, kunyanya Europe, umo mukaka, shuga, uye kunyange kubika mafuta, nezvimwewo, zvinogona kunge zvichinyanya kuve iodized panzvimbo

Chinonyanya kukosha, ramba uchifunga mupfungwa kuti zvishomanana kudya zvinowanzova zvakanaka kune iodine, asi zvinogona kusanganisira zvekudya zvegungwa, shellfish, uye gungwa. Iodine yehuwandu yezvokudya inobva pane kwavakabatwa kana kukura, asi, sezvinonzi iodine yemvura yegungwa uye ivhu inowanzosiyana munzvimbo. Nzvimbo huru yezvokudya zvinowanzogadziriswa ne iodine kana kuti iyo inosanganisira kushandiswa kwekudya kwemhuka yeiodized (nyama uye mishonga yemiti).

IAmerican Thyroid Association inokurudzirawo kuti vakadzi vane pamuviri uye vanokanganisa vanotora mupiro wokuwedzera ne iodide yakakwana.

14 -

Calcium uye Vitamin D yeBones Health

Vana venyu vari kushanda kuti vave nemapfupa akaremara mukukura kwavo here?

Vanowana kakoti yakakwana uye vitamini D mukudya kwavo here?

Vanoita zvinhu zvakawanda zvinorema-kutora maitiro uye mabasa here?

Vane chirwere chisingaperi here kana kurapa chero mishonga inogona kukonzera kuderedza bone mumana uye vechidiki?

Yegore ra2014 AAP Clinical Report "Kuvandudza Utano Hwevana muvana nevana vaduku," inokurudzira vana vanachiremba kuti:

• Bvunza kana vana vako vari kuwana calcium yakakwana uye vitamini D kubva pakudya (marisi uye nondairy zvitubu) kana kuwedzera, kunwa soda zvikuru, nekuwana muviri wakakwana, kunyanya pamakore matatu, gore regumi nemana, uye mwana achiri kuyaruka anotarisa.
• Kurudzira vana kuti vawane calcium yakakwana uye vitamini D ine zvikafu uye zvinwiwa mukudya kwavo zuva rega rega.
• Kurudzira vana kuti vatore chikamu mumabasa ekuremedza, kusanganisira kushanda, kutamba, uye kutamba, nezvimwe.

• Usawanzoongorora vitamini D mazinga evana vose vane utano.

Kana vana vako vasingadi kana vasingakwanisi kunwa mukaka, pane zvakawanda zvezvimwe zvakanaka zvinobva calcium uye vitamini D zvaunogona kufungira kubatsira vana vako kuvaka masimba ane utano. Uye sezvo "anenge 40% kusvika ku60% yevanhu vakuru vemafupa yakawanda yakawanda munguva yemakore ekuyaruka," hazvisi chinhu chekusiya nguva yakareba.

15 -

Vitamini D yekuyamwisa Vana

Kunyange zvazvo "kuyamwisa uye mukaka wemunhu ndizvo zvinowanzosimudzira mwana
kudya uye kudya kunovaka muviri, "iAAP mune zvinyorwa zvayo zvemazuva ano (2012 pamusoro" Breastfeeding and Use of Human Milk "yakataura kuti zvakakosha kuti:

vese vana vanoyamwisa nguva dzose vanofanira kugamuchira kuzowedzera mumuromo wa vitamini D, 400 U pazuva, kutanga kuchipatara.

Izvi zvinobatsira kuderedza kuwedzera kwekushaya kwevhitamiti D uye rickets, iro rave rakava dambudziko guru munguva pfupi yapfuura "semugumisiro wekudzikira kwezuva kusvibiswa kwechipiri kune kuchinja mune mararamiro, maitiro ekupfeka, uye kushandiswa kwemagadzirirwo emagetsi ezuva."

Ichi hachisi chaicho chikurudziro, asi seParamende yeAAP ya2008, "Kudzivirirwa kweRickets uye Vitamin D Kusakwana kwevana vacheche, Vana, nevana vaduku," vakataura chinhu chimwe chete:

Vana vane mazamu nevana vemazamu vanofanira kuwedzerwa ne 400 IU / zuva re vitamin D kutanga mumazuva mashomanana ekutanga ehupenyu.

Izvo zvisati zvaitika, mutemo wehutano wa2003, "Kudzivirira Rickets uye Vitamin D Kushayikwa: Zvitsva Zvitsva zveVhitamin D Kuwedzerwa," yakakurudzira 200 IU ye vitamini D pazuva.

Ramba uchifunga kuti haisi kungova nevana vemazamu kana kuti vacheche chete kana vanoda vitamini D.

Vana vasina kuberekwa, vana vaduku, uye vechidiki vanoda zvose vitamini D zvakare.

Vacheche uye vana vaduku vachavimba kuti vawane vitamini D yavo kubva kune mamwe mavitamini D akakomberedzwa nemasvingo asi, kusanganisira fomu uye vitamini D mukaka wakasimba. Nyaya yacho ndeyekuti kunyatsova nehombodo haisi chinhu chakanaka che vitamini D.

Vitamini D inowedzera kuyamwisa vana nevana ingasanganisira:

• Enfamil D-Vi-Sol
• Mwana D madonhesi

Tarisa kuti vitamini D yakasvibiswa inowedzera pamusana we 400IU nehope, uchiyeuka mupfungwa kuti zvikamu zvakakwirira zvinotengeswa zvakare.

16 -

AAP Mazano pamusoro pekudzingiswa

Nzvimbo yeAAP panyaya yekudzingiswa yakachinja zvishoma pamusoro pemakore:

• Izvo hazvina zviratidzo zvekurapa zvakakodzera zvekudzingiswa munguva yekutora nguva . (1971)
• Hakusi mhedziso yezvechiremba yakakwana yekudzingiswa kwekuzvarwa patsva. (1975)
• Kusadzingwa patsva kunogona kubatsira mune zvekurapa uye zvinobatsira pamwe nekukanganisa uye njodzi. Kana kudzingiswa kuri kuongororwa, zvikomborero uye njodzi dzinofanira kutsanangurwa kuvabereki uye kubvumirana kwakagadziriswa kwakawanikwa. (1989)
• Uchapupu hunoshandiswa nesayenzi hunoonekwa huripo huripo hwehutano hwekudzingiswa kwevarume; zvisinei, idzi data hazvikwanisi kutaurira chirongwa chekudzingiswa kwevana. Mumamiriro ezvinhu umo pane zvingave zvingabatsiri uye njodzi, asi nzira yacho haisi yezvinodiwa pakurarama kwezvino, vana vabereki vanofanira kusarudza kuti chii chiri chakanakira mwana wacho. (1999)
• Kuongororwa kwehuchapupu huripo hunoratidza kuti hutano hunobatsira hwekudzingiswa kwevarume vakaberekerwa vacheche hunopfuura mungozi uye kuti mararamiro ehutano anopa chikonzero chekuwana nzira iyi kumhuri inosarudza iyo. Zvimwe zvikomborero zvinowanikwa zvinosanganisira kudzivirira zvirwere zvekuvhenekera, kenza yepenile, uye kutapurirwa kwezvirwere zvepabonde , kusanganisira HIV. (2012)

Kunyange zvakadaro, kunyange munguva yavo yakadzingiswa Yokudzingiswa Kwematongerwo Enyika, AAP inotaurawo kuti "hutano huri nani hahuna hukuru hwekudzingisa kudzingiswa kwevanhu vose vacheche," kunyange zvazvo inowanzomirirwa zvakanaka nezvinetso zvisingaiti.

Vanokurudzira vabereki kuti "vaongorore ruzivo rwezvechiremba mumamiriro ekutenda kwavo, maitiro, uye tsika netsika ."

Uye zvechokwadi, AAP "inopesana nemhando dzose dzevakadzi vanocheka maitiro."

17 -

Zvibereko nemashira

Ko vana vako vanodya michero nemiriwo zvakakwana zuva rimwe nerimwe here?

Iwe unotoziva here kuti vangani vanofanirwa kudya?

Muzvizhinji, kuwana michero yakawanda uye mishonga, AAP inokurudzira kuti uite mazano eMiPlate uye ita hafu yako michero yeplate nemiriwo.

Kunyanya zvakanyanya, zvichienderana nebasa ravo remabasa, vana vanofanira kudya pamusoro pe:

• 1 kapu yemichero kana iri makore 2-3
• 1 kusvika 1 1/2 makapu emichero kana ava nemakore 4-8
• 1 1/2 makapu emichero kana ava nemakore 9-13
• 1 1/2 makapu (vasikana) kusvika 2 makapu (vakomana) vemichero pavanenge vane makore 14-18

Zvirongwa zvekudya miriwo zvakafanana, uye zvinosanganisira kuti vana vanofanira kudya:

• 1 kapu yemiriwo kana yava nemakore 2-3
• 1 1/2 makapu emiriwo kana ava nemakore 4-8
• 2 makapu (vasikana) kusvika 2 1/2 makapu (vakomana) yemiriwo pavanenge vane makore 9-13
• 2 1/2 makapu (vasikana) kusvika 3 makapu (vakomana) yemiriwo pavanenge vane makore 14-18

Zvakakoshawo kuti vana vadye marudzi akasiyana-siyana emiriwo vhiki imwe neimwe, kusanganisira miriwo miriwo yakajeka, miriwo mitsvuku uye yemarangi, nyemba uye mapepa, miriwo yemashizha, nemimwe miriwo, seyelery, makango, uye avocados.

18 -

Vana neCaffeine

Vabereki vakawanda vanofunga kuti havafungi kuti vana vavo vanowana kazhinji caffeine ... kusvikira vafunga nezvezvose zvewaini inodhakwa iyo vangave vachiwana, zvakadai se:

• sweet tea
• caffeinated soda - kunze kwekuti vari kuwana hove yekaseine-isina, zvakadai seRoot Beer, Sprite, 7-Up kana Ginger Ale, saka soda yavo inogona kunge inosanganisira caffeine
• zvinwiwa zvine simba - Red Bull, Monster uye Rockstar, nezvimwewo.
• caramel Frappuccino kana imwe howa kunwa kubva ku Starbucks

Zvichida kuti vana vako vari kutora caffeine yakawanda yaunofungidzira, iyo inosuruvarisa, sezvo AAP inokurudzira kuti kudya kwekudya kwe caffeine "kunofanira kuodzwa mwoyo kune vana vose."

Muhurukuro yavo yemakiriniki e "Sports Drinks uye Energy Drinks for Children uye Adolescents: Ndizvo Zvakakodzera here?" "AAP" yakanyevera zvakananga kuti zvinwiwa zvine simba "hazvina kukodzera vana nevechiri kuyaruka uye hazvifaniri kutongopera."

19 -

Zvimwi zveMitambo uye Simba Doro

Sezvo chiremba wevana vako achida kuti vana vako varege kutamba mitambo kana zvimwe zvinhu zvekuita zuva rega rega, iwe unofunga kuti zvinwiwa zvemitambo zvakanaka, zvakarurama?

Kwete.

Zvinwiwa zvemitambo, pamwe chete nema carbs avo uye makoriro, zvinowanzoshandiswa zvisina kunaka.

Mharidzo yechipatara ya2011, "Zvinwiwa zveMitambo uye Zvimwe Zvinyorwa Zvokudya zvevana nevana vaduku: Zvakakodzera Here ?," inotaura kuti haisi youtano hwakanaka kune soda uye haifaniri panguva kana mushure mekusava nesimba.

Simba rekumwa, sezvo vane caffeine, vane "zvinetso zvehutano" uye "havafaniri kutongopedzwa" nevana kana vari kuyaruka.

Pane kudaro, mushure mekukurudzirwa kwemazuva ose emukaka wakare-mafuta, mvura inofanira kuva "iyo inonyanya kubudisa hydration yevana nevechiri kuyaruka."

Zvinwiwa zvemitambo zvinogona kuva nenzvimbo yevana nevechidiki vanobatanidzwa "mukukwikwidzana kutsungirira, mitambo yakawanda-yepamusoro-soro," asi kuvana vazhinji vanobatanidzwa "muchiito chekuita," mvura inogona kunge yakasarudzwa.

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Lipid Screening muChidiki

I "chirwere chekuda kwehutano hwemwana nehuwandu hunowedzera huwandu hwechirwere chechirwere cheshuga mellitus, hutachiona hwehutano, uye chirwere chepfungwa muvana vakwegura nevakuru" zvakaita kuti AAP inotora nzira itsva kune "Lipid Kuchengeta uye Utano Hwehupenyu muhuduku" muna 2008 apo ivo vakatanga kutaurira kuti:

• vari pangozi yevana vane kufara kwepfungwa yakaitwa "mushure memakore maviri asi asi mushure memakore gumi."

Pakazosvika gore ra2011, AAP yakanga yakatsigira "Mharidzo yeGenzura reZviviso pamusoro peZvirevo zvakabatanidzwa zveMuviri weHIV uye Dambudziko rekuchera muvana nevana vaduku" kubva ku National Heart, Lung uye Blood Institute, uye takanga tine mazano matsva:

• pasi rose kuenzanisira kuongororwa kwecholesterol yakakura pakati pemakore 9 kusvika ku11 uye makore 17 kusvika ku21
• inotarisirwa kutsanya kufanana kwepfungwa yevana vari pakati pemakore maviri kusvika kumakore 8 kana vari pangozi yakanyanya

Zvinorevei kuva pangozi yakakura?

High risk kids vanogona:

• uve nomubereki ane cholesterol yakakura (cholesterol yakawanda kupfuura 240)
• Iva pamusoro pe 95th percentile ye BMI, ane chirwere cheshuga, kuwedzerwa kweropa, kana kusvuta fodya
• vane mubereki, vanasekuru, vanasekuru / vanun'una, kana mukoma waive nemukati mutezo, angina, chirwere, uye / kana koronary arter bypass graft (CABG) / stent / angioplasty vasati vava nemakore 55 (varume) kusvika makore 65 ( vakadzi) vekare

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Kuongorora mazvirwere zvepabonde (zvirwere zvepabonde)

Mutemo wePurogiramu yaJuly 2014 kubva kuAAP, "Kuongorora zvirwere zvisingabatsiri zvepabonde paVana Vechiduku neVaduku Vakuru," inorumbidza kuti vechidiki vanoita zvepabonde vanoedzwa gore negore:

• chlamydia uye gonorrhea - vakadzi vose vanoita zvepabonde (makore 25 uye pasi) uye varume vanoita zvepabonde nevarume (MSM)
• trichomoniasis - vakadzi vane njodzi yakakura, yakadai sekuva nevazhinji vakaroorana kana nhoroondo yezvirwere zvepabonde
• chirwere chekushaya hutachiwana - kana bedzi iine ngozi yakawanda (vakadzi nevarume) uye kazhinji inosanganisira kuongorora RPR kana VDRL, pamwe nekuedzwa kwakawedzerwa kana zvakakosha kusimbisa kuongororwa - kazhinji chirongwa che TP-PA.

Iyi kuedza kana kuongororwa kunoenderana nezvirongwa zveSDD neHIV kuongororwa kubva kuCDC uye kunogona kubatsira "kuziva nekubata vanhu vane zvirwere zvinoporesa, kuderedza kutapurirana kune vamwe, kudzivisa kana kuderedza migumisiro yenguva refu, kutsvaga vamwe vari pachena uye vanogona kunge vane utachiona , uye kuderedza kuwanda kwehutachiwana mune imwe nzvimbo. "

Izvi zvirwere zvinotapukira uye zvinogona kuitika dzimwe nguva pasina zviratidzo, kunyanya chlamydia.

Mutemo wemitemo unorayirawo kuti avo vane chirwere chechlamydia, gonorrhea, kana trichomoniasis vadzoserwe mumwedzi mitatu.

IAAP yakakurudzira (kubvira muna 2011) kana:

• chiito chekuongorora HIV kune vose vechidiki nemakore gumi nemasere kusvika kumakore gumi nemasere
• chiito chekuongorora HIV kune vose vechidiki vanoita zvepabonde kana kupararira kweHIV munharaunda yakaderera
• gore negore kuongororwa kweHIV kune vechidiki vane ngozi

Iwe uri kuyaruka zvepabonde here?

Ive vakave vakaongororwa nezvehutachiona hwepabonde here?