Breastfeeding is known as the only one form of human feeding that formed during the biological evolution. However, when breastfeeding is impossible, the only solution is to use modern adapted milk formulas to nourish infants. One of the most challenging issues is the adaptation of the formula protein quantity and quality to those in breast milk. Reducing the protein content in the adapted formula "Malutka Premium" prevents protein overload of the immature metabolic system of the child. Fats also play an important role in the nutrition of children as they perform two main functions in the body: they serve as structural components of biological cell membranes and energy material. The fatty component of "Malutka Premium" adapted formula is represented by 50% vegetable oils, which provides the required level of polyunsaturated fatty acids. The carbohydrate component of the adapted formula "Malutka Premium1" is represented by lactose; the adapted formula "Malutka Premium 2" also contains dextrinmaltose (30%). Prebiotics oligosaccharides and five most important nucleotides are added to the composition of "Malutka Premium" that enables to normalize the composition of the intestinal microflora and to intensify the digestive processes. Clinical observations of children receiving formulas with oligosaccharides and nucleotides have shown their high efficacy. Children gained weight better and were found as less likely to have functional digestive disorders. Introducing "Malutka premium with the addition of cereals" formulas to the child's diet enables to choose the most appropriate formula taking into account the peculiarities of the child's digestion. Feeding infants with domestic milk formula ensures the balanced intake of all necessary substances required in accordance with the age and allows to parents and paediatricians solve many problems in the nutrition of both healthy children and children with special nutritional needs.
VEGETATIVE REACTIVITY AND VEGETATIVE SUPPLY IN DIFFERENT VARIANTS OF GASTROESOPHAGEAL REFLUX DISEASE IN YOUNG PATIENTS WITH AUTOIMMUNE INFLAMMATION Pasiieshvili T.M.Aim: to determine the state and role of autonomic reactivity and autonomic supply in patients with different manifestations of gastroesophageal reflux disease in combination with autoimmune thyroiditis through psychological testing by using a questionnaire of A.M. Vejn.Materials and methods. 87 patients with gastroesophageal reflux disease and autoimmune thyroiditis and 45 persons with an isolated gastroesophageal reflux disease were enrolled in the study. All the examined individuals were students.Results. It has been shown that the course of diseases is accompanied by a layering of clinical manifestations of autonomic dysfunction, which are more pronounced in cases of comorbidities. It has been found out that vegetative supply prevails in a number of indicators in the patients with an erosive form of gastroesophageal reflux disease. It has been proven that in almost all the cases of erosion (8 people -72.7%), the individuals experienced some clinical manifestations of vegetative provision, such as general weakness, increased fatigue, lability of the pulse and blood pressure, and palpitation. At the same time, the "vegetative tail" was recorded only in a third (34.7%) of the studied without erosive lesions of the esophageal mucous membrane. The patients with an erosive form of the disease have a long period of experiencing some manifestations of autonomic dysfunction (up to 3 months) that considerably affects the quality of their life.Conclusions. Coupling of autoimmune thyroiditis and gastroesophageal reflux disease leads to the emergence of autonomic reactivity. Vegetative "supply" of the course of comorbidity between gastroesophageal reflux disease and autoimmune thyroiditis becomes more pronounced in the presence of an erosive process in the mucous membrane, which is also known as one of the factors of its possible manifestations.
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