{"id":1329,"date":"2021-09-19T15:40:17","date_gmt":"2021-09-19T15:40:17","guid":{"rendered":"https:\/\/www.jadflamande.ro\/blog\/?p=1329"},"modified":"2023-12-09T11:53:55","modified_gmt":"2023-12-09T11:53:55","slug":"cati-ml-de-lapte-mananca-un-bebe","status":"publish","type":"post","link":"https:\/\/www.jadflamande.ro\/blog\/cati-ml-de-lapte-mananca-un-bebe\/","title":{"rendered":"Cati ml de lapte mananca un bebe?"},"content":{"rendered":"\n

Cati ml de lapte mananca un nou nascut sau un bebe pana la varsta de 6 luni? Ne r\u0103spunde Roman-B\u0103rbu\u021bi Camelia, Medic primar Pediatrie \u0219i Neonatologie Spitalul Jude\u021bean de Urgen\u021b\u0103 T\u00e2rgu-Jiu.<\/p>\n\n\n\n

Alimenta\u021bia nou-n\u0103scutului \u0219i a sugarului reprezint\u0103 una dintre preocup\u0103rile principale ale p\u0103rin\u021bilor, cu at\u00e2t mai mult cu c\u00e2t recomand\u0103rile medicilor au suferit diverse modific\u0103ri de-a lungul timpului. Vom \u00eencerca, \u00een r\u00e2ndurile ce urmeaz\u0103, s\u0103 l\u0103murim c\u00e2teva aspecte legate de acest subiect.<\/p>\n\n\n\n

Alimenta\u021bia \u00een primele 6 luni de via\u021b\u0103 \u00een cazul nou-n\u0103scutului se recomand\u0103 alimenta\u021bia la s\u00e2n, cu lapte matern, ea trebuind \u00eenceput\u0103 c\u00e2t mai repede posibil. Laptele de mam\u0103 este alimentul ideal, av\u00e2nd o compozi\u021bie optim\u0103 \u00een principii nutritive, fiind u\u0219or digerabil \u0219i asimilabil, asigur\u00e2nd anticorpi \u0219i protec\u021bie antiinfec\u021bioas\u0103.<\/p>\n\n\n\n

Cati ml de lapte mananca un nou nascut pana la o saptamana?<\/strong><\/h2>\n\n\n\n

De regul\u0103 al\u0103ptarea se \u00eencepe la 2-6 ore dup\u0103 na\u0219tere. Exist\u0103 \u0219i contraindica\u021bii ale alimenta\u021biei naturale: suferin\u021be materne (tuberculoz\u0103 evolutiv\u0103, sifilis dob\u00e2ndit \u00een ultimele zile de sarcin\u0103, cardiopatii decompensate, anumite boli metabolice, tratamente cu anumite medicamente, boli psihice decompensate) sau suferin\u021be ale copilului (malforma\u021bii la nivelul cavita\u021bii bucale, traumatisme obstetricale, boli grave).<\/p>\n\n\n\n

Din ra\u021biuni ce \u021bin de profilaxia bolilor infec\u021bioase, se contraindic\u0103 alimenta\u021bia cu lapte provenit de la alt\u0103 mam\u0103. \u00cen cazul \u00een care al\u0103ptarea nu e posibil\u0103 din cauze ce \u021bin de mam\u0103, se vor administra formule de lapte praf adaptate v\u00e2rstei copilului. \u00cen situa\u021bia \u00een care al\u0103ptarea este posibil\u0103 dar exist\u0103 hipogalactie (adic\u0103 produc\u021bie sc\u0103zut\u0103 de lapte matern) se recomand\u0103 alimenta\u021bia mixt\u0103 (lapte matern \u0219i formul\u0103 de lapte praf \u00een completare).<\/p>\n\n\n\n

Nou-n\u0103scutul al\u0103ptat exclusiv la s\u00e2n va fi alimentat „la cerere”, \u00een func\u021bie de senza\u021bia sa de foame. Ra\u021bia alimentar\u0103 la copilul alimentat natural se apreciaza dup\u0103 cre\u0219terea \u00een greutate. \u00cen primele 3-4 zile dup\u0103 na\u0219tere se \u00eenregistreaz\u0103 o sc\u0103dere fiziologic\u0103 \u00een greutate care, dac\u0103 este de p\u00e2n\u0103 la 10% din greutatea avut\u0103 la na\u0219tere, nu trebuie s\u0103 \u00eengrijoreze m\u0103micile. Dup\u0103 aceast\u0103 perioad\u0103, cre\u0219terea trebuie s\u0103 fie \u00eentre 25-30 g\/zi \u00een primele 10 zile. \u00cen primele 10 zile de via\u021b\u0103, nevoile alimentare se pot aprecia \u00een func\u021bie de v\u00e2rsta \u00een zile \u0219i de greutate dup\u0103 urm\u0103toarea formul\u0103 \u00een care „n” reprezint\u0103 v\u00e2rsta \u00een zile: n\u00d760 pentru nou-n\u0103scutul \u00eentre 2500-3000 grame n\u00d780 pentru cel peste 3000 grame. Men\u021bion\u0103m \u00eenc\u0103 o dat\u0103 c\u0103 aceast\u0103 formul\u0103 este valabil\u0103 doar p\u00e2n\u0103 la v\u00e2rsta de 10 zile \u0219i are valoare orientativ\u0103. Dup\u0103 aceast\u0103 v\u00e2rst\u0103, necesarul de lapte este de 150-180 ml\/kg corp\/zi.<\/p>\n\n\n\n

Precocitatea introducerii primului supt (care nu trebuie s\u0103 dep\u0103\u0219easc\u0103 primele 24 de ore dup\u0103 na\u0219tere, ideal 2-6 ore dup\u0103 na\u0219tere cum am precizat mai sus) se coreleaz\u0103 cu cre\u0219terea duratei al\u0103pt\u0103rii. Nou-n\u0103scutul se pune de fiecare dat\u0103 la ambii s\u00e2ni pentru a stimula bilateral secre\u021bia lactat\u0103, la \u00eenceput timp mai scurt \u0219i mai des. Ulterior se va observa c\u0103 \u00ee\u0219i autoregleaza orarul alimentar, ajung\u00e2nd la aproximativ 7 mese\/24 ore. \u00cen primele 2 s\u0103pt\u0103m\u00e2ni de via\u021b\u0103 nou-n\u0103scutul suge 60-80 ml\/mas\u0103. <\/p>\n\n\n\n

Cati ml de lapte mananca un bebe de 1 luna pana la 2, 3, 4, 5, 6 luni?<\/strong><\/h2>\n\n\n\n

\u00centre 1-2 luni va suge 120-150 ml\/mas\u0103. \u00centre 2-3 luni cantitatea supt\u0103 va fi de 150-170 ml\/mas\u0103. Dup\u0103 v\u00e2rsta de 4 luni,cantitatea de lapte supt\u0103 este de 160-180 ml\/mas\u0103. Pentru c\u0103 foarte multe m\u0103mici sunt anxioase legat de cantitatea de lapte pe care noun\u0103scutul trebuie s\u0103 o m\u0103n\u00e2nce la o mas\u0103, trebuie precizat c\u0103 nou-n\u0103scutul NU inger\u0103 aceea\u0219i cantitate de lapte la toate mesele, exist\u00e2nd de fapt mari varia\u021bii. De exemplu,la o mas\u0103 el poate s\u0103 sug\u0103 60-70 ml, iar la alt\u0103 mas\u0103 200 ml. Din acest motiv, pentru aprecierea cantit\u0103\u021bii de secre\u021bie lactat\u0103 pe care o produce mama, nu se ia niciodat\u0103 \u00een considerare doar cantitatea de lapte supt\u0103 la o mas\u0103, ci se va face media cantit\u0103\u021bilor primite de-a lungul a 24 de ore.<\/p>\n\n\n\n

Desigur, v\u0103 \u00eentreba\u021bi cum putem aprecia c\u00e2t a supt un nou-n\u0103scut sau un sugar nediversificat la o mas\u0103. E simplu: dat fiind c\u0103 un copil alimentat exclusiv la s\u00e2n nu are nevoie s\u0103 primeasc\u0103 nici ap\u0103, nici ceai ci doar lapte matern, se va c\u00e2nt\u0103ri copilul \u00eenainte \u0219i imediat dup\u0103 ce a supt,iar diferen\u021ba o reprezint\u0103 cantitatea de lapte supt\u0103 (desigur, cu condi\u021bia s\u0103 avem \u00een dotare un c\u00e2ntar adecvat, de calitate). Cum precizam anterior, dac\u0103 secre\u021bia lactat\u0103 matern\u0103 e insuficient\u0103, \u00een completarea alimenta\u021biei naturale se folosesc formule de lapte praf pentru a asigura cantitatea de lapte necesar\u0103 zilnic \u0219i a asigura ritmul adecvat de cre\u0219tere. C\u00e2nd secre\u021bia lactat\u0103 e absent\u0103 sau exist\u0103 contraindica\u021bii ale al\u0103pt\u0103rii, se vor administra formule de lapte praf adaptate v\u00e2rstei \u0219i eventualelor probleme medicale ale copilului, la indica\u021bia \u0219i \u00een colaborare cu medicul.<\/p>\n\n\n\n

Nu se administreaz\u0103 copiilor p\u00e2n\u0103 la v\u00e2rsta de 1 an lapte de vac\u0103 sau de capr\u0103 \u00een loc de formul\u0103 de lapte praf,cum din nefericire \u00eenc\u0103 mai putem vedea \u00een anumite medii \u00een care mamele au acces redus la informa\u021bie. Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS) \u00eencurajeaz\u0103 al\u0103ptarea c\u00e2t mai mult posibil,dat fiind c\u0103 niciun alt aliment nu este at\u00e2t de bine tolerat de organism cum este laptele matern.<\/p>\n\n\n\n

Alimenta\u021bia bebelusului dup\u0103 v\u00e2rsta de 6 luni de via\u021b\u0103:<\/p>\n\n\n\n

<\/p>\n\n\n\n

Diversificarea copiilor este recomandat\u0103 a fi \u00eenceput\u0103 la v\u00e2rsta de 6 luni, cu condi\u021bia ca respectivul copil s\u0103 fie \u00eentr-o stare bun\u0103 de s\u0103n\u0103tate \u0219i s\u0103 poat\u0103 sta \u00een pozi\u021bie \u0219ez\u00e2nd \u00een scaunul special pentru luat masa,pe perioada \u00een care serve\u0219te masa.<\/p>\n\n\n\n

Diversificarea se va face progresiv, ini\u021bial o singur\u0103 mas\u0103 pe zi \u0219i anume pr\u00e2nzul  (timp de o lun\u0103), abia din luna a \u0219aptea de via\u021b\u0103 recurg\u00e2ndu-se la dou\u0103 mese pe zi (mic-dejun \u0219i pr\u00e2nz). Fiecare aliment ( ini\u021bial din categoria legume,ulterior din categoria fructe \u0219i anumite tipuri de carne) va fi introdus separat,test\u00e2ndu-se astfel toleran\u021ba alimentar\u0103 a copilului predispozi\u021bia la anumite alergii.<\/p>\n\n\n\n

De la 6 luni sugarul va primi ap\u0103 la cerere. Nu se recomand\u0103 sucurile de fructe sau de legume dat fiind c\u0103 acestea con\u021bin zaharuri dar nu \u0219i fibre necesare bunei digestii. Copilul alimentat natural,la s\u00e2n, va primi \u00een continuare lapte matern „la cerere”.<\/p>\n\n\n\n

Exist\u0103 diferite opinii legat de momentul \u00een care trebuie pus la s\u00e2n (\u00eenainte sau dup\u0103 masa solid\u0103). Mul\u021bi pediatrii recomand\u0103 punerea la s\u00e2n a sugarului \u00eenainte de masa solid\u0103 deoarece laptele matern con\u021bine anumite enzime ce ajut\u0103 digerarea alimentelor,iar copilul fiind \u00eenfometat suge intens,stimul\u00e2nd lacta\u021bia care astfel se va men\u021bine o perioad\u0103 mai lung\u0103 de timp,fapt util \u00een cazul mamelor ce vor s\u0103 al\u0103pteze c\u00e2t mai mult posibil.<\/p>\n\n\n\n

Cei care recomand\u0103 al\u0103ptarea dup\u0103 masa solid\u0103 \u00ee\u0219i argumenteaz\u0103 recomandarea prin faptul c\u0103 astfel copilul va accepta mai u\u0219or alimentele solide \u0219i diversificarea va progresa mai eficient dac\u0103 acestea \u00eei sunt servite c\u00e2nd e \u00eenfometat.<\/p>\n\n\n\n

\u00cen cazul copiilor alimenta\u021bi artificial,mesele de lapte se pot \u00eenlocui progresiv cu mese cu alimente solide pe m\u0103sur\u0103 ce diversificarea avanseaz\u0103, astfel \u00eenc\u00e2t la v\u00e2rsta de 1 an copilul va avea doar 3 mese de lapte\/24 de ore.<\/p>\n\n\n\n

De men\u021bionat  ar fi c\u0103, chiar dac\u0103 \u00een teorie se recomand\u0103 \u00eenlocuirea mesei de lapte praf cu masa de alimente solide,\u00een practic\u0103 nu \u00eentotdeauna acest lucru este posibil imediat, deoarece scopul diversificarii \u00een primele s\u0103pt\u0103m\u00e2ni de la debutul ei nu este ca sugarul s\u0103 m\u0103n\u00e2nce at\u00e2t de mult \u00eenc\u00e2t s\u0103 se sature,ci acela de a accepta \u0219i tolera noi alimente \u00een afar\u0103 de lapte.Astfel, este posibil ca sugarul la \u00eenceputul diversific\u0103rii s\u0103 m\u0103n\u00e2nce o cantitate foarte mic\u0103 de alimente solide \u0219i s\u0103 nu se sature astfel \u00eenc\u00e2t \u00een primele s\u0103pt\u0103m\u00e2ni de diversificare o mas\u0103 de lapte nu va fi total \u0219i brusc \u00eenlocuit\u0103 cu una de solide, ci, dac\u0103 copilul necesit\u0103, va fi \u00een continuare administrat\u0103 la distan\u021b\u0103 \u00een timp dup\u0103 masa de solide p\u00e2n\u0103 c\u00e2nd copilul va reu\u0219i s\u0103 m\u0103n\u00e2nce suficient la masa de pr\u00e2nz \u0219i ulterior \u0219i  la micul dejun \u00eenc\u00e2t s\u0103 se poat\u0103 renun\u021ba la masa de lapte respectiv\u0103.<\/p>\n\n\n\n

Ca o concluzie final\u0103 trebuie re\u021binut faptul c\u0103 alimenta\u021bia nou-n\u0103scutului \u0219i mai apoi a sugarului chiar dac\u0103 respect\u0103 anumite reguli trebuie adaptat\u0103 fiec\u0103rui copil \u00een parte \u0219i nevoilor acestuia ,iar colaborarea p\u0103rin\u021bilor cu medicul pediatru este extrem de important\u0103.<\/p>\n\n\n\n

Bibliografie articol: <\/p>\n\n\n\n

„Neonatologie – no\u021biuni fundamentale” autor Antonia Popescu<\/p>\n\n\n\n

„Esen\u021bialul \u00een Pediatrie” autori Carmen Ciofu, Eugen Ciofu<\/p>\n\n\n\n

„Ghidul pentru alaptare al doctorului Jack Newman”<\/p>\n","protected":false},"excerpt":{"rendered":"

Cati ml de lapte mananca un nou nascut …<\/p>\n","protected":false},"author":14,"featured_media":1332,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[212],"tags":[],"yoast_head":"\nCati ml de lapte mananca un bebe? - Blog jadflamande.ro<\/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:\/\/www.jadflamande.ro\/blog\/cati-ml-de-lapte-mananca-un-bebe\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cati ml de lapte mananca un bebe? - Blog jadflamande.ro\" \/>\n<meta property=\"og:description\" content=\"Cati ml de lapte mananca un nou nascut ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.jadflamande.ro\/blog\/cati-ml-de-lapte-mananca-un-bebe\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog jadflamande.ro\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/jadflamande\" \/>\n<meta property=\"article:published_time\" content=\"2021-09-19T15:40:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-12-09T11:53:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lh4.googleusercontent.com\/liPO8GNgraUIZCwaQZgp11xpYhk-cE6kzvjmP0LZVPO9vyTELkuACkKDG1pZeQViGCLkkYZYiKeFoL2dKAZYzZnQvE_ZSu_LjDDjyyHh-KcijPmFbnWH62Sn9XGheBvBewSlBqeC=s0\" \/>\n<meta name=\"author\" content=\"Jad Flamande\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.jadflamande.ro\/blog\/cati-ml-de-lapte-mananca-un-bebe\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.jadflamande.ro\/blog\/cati-ml-de-lapte-mananca-un-bebe\/\"},\"author\":{\"name\":\"Jad Flamande\",\"@id\":\"https:\/\/www.jadflamande.ro\/blog\/#\/schema\/person\/ff0b7483b20e14115ca560504e690a40\"},\"headline\":\"Cati ml de lapte mananca un bebe?\",\"datePublished\":\"2021-09-19T15:40:17+00:00\",\"dateModified\":\"2023-12-09T11:53:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.jadflamande.ro\/blog\/cati-ml-de-lapte-mananca-un-bebe\/\"},\"wordCount\":1543,\"publisher\":{\"@id\":\"https:\/\/www.jadflamande.ro\/blog\/#organization\"},\"articleSection\":[\"Parenting\"],\"inLanguage\":\"ro-RO\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.jadflamande.ro\/blog\/cati-ml-de-lapte-mananca-un-bebe\/\",\"url\":\"https:\/\/www.jadflamande.ro\/blog\/cati-ml-de-lapte-mananca-un-bebe\/\",\"name\":\"Cati ml de lapte mananca un bebe? 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