Confinement does not eat green vegetables 2 months baby girl cerebral hemorrhage
Qingyuan City People's Hospital pediatrician reminds that breastfeeding should eat fruits and vegetables every day
Recently, a special case was admitted to the Pediatrics Department of the People’s Hospital of Qingyuan City. The baby girl (a pseudonym) was only two months old. He had no brain injury before but suffered a cerebral hemorrhage. Coincidentally, there were similar cases as early as the previous few days.
"The reason for the baby girl's cerebral hemorrhage is due to lack of vitamin K." Dai Rujun, deputy chief physician of the Department of Pediatrics of Qingyuan People's Hospital, said that some mothers do not eat any vegetables during confinement, resulting in insufficient vitamin K intake by the baby. The synthesis of coagulation factors has an impact, so that cerebral hemorrhage.
Lack of vitamin K is easy to cause cerebral hemorrhage
It is understood that vitamin K deficiency, also known as acquired prothrombin hypothyroidism, refers to bleeding caused by vitamin K deficiency due to vitamin K-dependent coagulation factor activity, which can be corrected by vitamin K. There are underlying diseases that cause vitamin K deficiency, bleeding tendency, and vitamin K-dependent coagulation factor deficiency or decrease.
Late-onset vitamin K deficiency is a deficiency of vitamin K caused by breastfeeding babies due to insufficient intake of fresh green leafy vegetables by the mother during puerperium, which further causes a series of coagulopathy disorders. Vitamin K is a fat-soluble vitamin that participates in the production of blood coagulation factors Ⅱ, Ⅳ, Ⅸ, and X. Green leafy vegetables are the most abundant in food. Many cases of late-onset vitamin K deficiency occur every year. The disease often occurs in For infants who are mainly breastfed for 1-3 months, their mothers often stop eating green leafy vegetables during the puerperium due to traditional factors.
Dai Rujun said that taking Tongtong as an example, at the beginning of birth, it is mainly based on formula feeding. Milk powder contains vitamin K. Combined with breastfeeding, there is generally no vitamin K deficiency, and Tongtong does not suffer from cerebral hemorrhage. After 30 days, it is mainly breastfeeding, and the mother has not eaten green leafy vegetables and fruits since the puerperium. For a long time, it causes the baby to lack vitamin K, which leads to cerebral hemorrhage.
For a long time, it was believed that only babies with low birth weight, premature babies, and birth injuries are most susceptible to vitamin K deficiency, but now there is many evidence that even full-term children who are fully healthy may cause cranial deficiencies due to vitamin K deficiency. Internal bleeding, and more common in long-term breastfeeding babies. Children of this type usually go to the hospital because of poor eating, vomiting, jaundice or even convulsions. Most of them have cerebral hemorrhage when they are found, accompanied by systemic coagulation dysfunction such as skin petechiae, ecchymosis, bleeding at the wound or acupuncture point. Infants with cerebral hemorrhage are often accompanied by vomiting, jaundice, anemia, and convulsions, which can seriously cause death. Examination can find that the fontanelle is full and full. Coagulation test showed that APTT, PT and other times were significantly prolonged. In patients with cerebral hemorrhage, CT scan of the head showed subdural or high-density brain parenchyma.
Eating green vegetables in moderation during breastfeeding
Dai Rujun suggested that the mother should eat green leafy vegetables every day during confinement. The seemingly simple dietary recommendations are difficult to implement in many families.
For a long time, according to traditional thinking, some citizens have a prejudice about green vegetables: green vegetables are cold and cold, and the confinement of maternal consumption of green vegetables is not only not conducive to their own recovery, but also causes children to diarrhea. Therefore, many elderly people would recommend not to eat any vegetables or fruits during the confinement period.
"Once a baby's cerebral hemorrhage is found, the doctor's first reaction is where the baby's household registration address is, because some places still maintain the bad custom of confinement not to eat greens." Dai Rujun said that according to the daily exposure cases, one of the infants with cerebral hemorrhage The commonality is that "the mother has not eaten green leafy vegetables and fruits since the puerperium", and there are relatively many cases in a county in Qingyuan, which may be related to her diet and customs. "It is recommended that the mothers respect science and be brave to break down bad habits. Intake appropriate amount of green vegetables to avoid sequelae caused by cerebral hemorrhage."
What if the baby has late-onset vitamin K deficiency? It is understood that the treatment principle of late-onset vitamin K deficiency is to add vitamin K quickly by intravenous or intramuscular injection, and at the same time infusion of plasma to supplement blood coagulation factors. Those with cerebral hemorrhage can be treated by surgical hematoma removal and intracranial pressure reduction. The survivors of the disease caused by cerebral hemorrhage often have neurological sequelae, such as secondary epilepsy, cerebral palsy, and psychomotor retardation.
Of course, it is not that mothers who do not eat vegetables during confinement will definitely cause cerebral hemorrhage in babies. Dai Rujun said that this is related to the baby's personal sensitivity. If the baby has vitamin K deficiency, it will generally show some symptoms, such as vomiting, crying, convulsions, and ugly face. It is recommended that parents take the baby to the hospital in time.
Due to differences in economic and educational levels, backward medical conditions, low nutritional health levels of the population, lack of health awareness, insufficient popularization of relevant knowledge, and incomplete national policies, developing vitamin K deficiency in late-developed countries and rural cities is relatively late Has a high incidence. In view of the uneven economic development of various regions, this phenomenon is also very obvious in my country. The higher rate of exclusive breastfeeding in rural areas is also the reason for the high incidence of late-onset vitamin K deficiency.
Vitamin supplements are not a substitute for fruits and vegetables
Some parents believe that vitamin supplements are more convenient, and vitamin supplements are more convenient, so they use vitamin supplements instead of fruits and vegetables. The doctor said that as long as conditions permit, vitamins should be taken from food as much as possible. If it is because of some special circumstances that vitamins cannot be fully and effectively obtained, you can consider eating vitamin supplements.
It is understood that various vitamins in vegetables and fruits are natural ingredients that exist in a certain proportion and are a collection of multiple vitamins; while most vitamin preparations are artificially synthesized, the two will be different in nature.
In addition to vitamins, vegetables and fruits also contain some natural substances similar to vitamins, such as chlorophyll and carotene. In addition, vegetables contain minerals, trace elements, carbohydrates, cellulose and other non-vitamin nutrients.
Some parents are prone to fall into a misunderstanding, thinking that since they need to be supplemented, they should be supplemented more comprehensively and always give the baby comprehensive vitamins. Doctors said that vitamin supplements are not as many as possible. For babies who are particularly picky eaters, there are few varieties of food, you can choose to add comprehensive vitamins; if it is lack of certain vitamins, it is recommended to add targeted supplements; if only a certain vitamin is lacking, it is not necessary to add comprehensive vitamins Preparations, because some vitamins can produce accumulated poisoning.
It is necessary to pay attention to the amount of vitamin supplements for babies, especially those who are vitamin deficient, it is best for the doctor to judge how to supplement. If your baby lacks a certain vitamin, it is best to go back to the hospital after a period of supplementation to see how much the symptoms are, or to see the amount prescribed by the doctor, and then see the doctor for a check according to the situation to see if the symptoms have improved and if other symptoms have occurred , Make a choice based on comprehensive judgment.