Журнал «Здоровье ребенка» (62) 2015. Тематический выпуск "Детская гастроэнтерология"
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Pediatric gastroenterology and nutritsiologiya – problems and prospects
Авторы: Shadrin O. G., Belousova O. Yu.
Institute of pediatrics, obstetrics and gynecology of Academy of medical sciences of Ukraine, Kharkov medical academy of postgraduate education, Ukraine
Рубрики: Педиатрия/Неонатология
Разделы: Клинические исследования
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Diseases of the digestive system at children in a type of their wideprevalence, features of a clinical current, high risk of the early demonstration and an disability represent serious the medico-social a problem. Sources of many chronic diseases of a gastrointestinal tract of the adults leading to temporary disability lie at children's and teenage age, that is value of prevention, timely diagnostics and treatment of these diseases at early stages of their development is obvious.
Now at anybody that fact doesn't raise doubts any more that it is expedient to look for the reasons of many chronic diseases of adult population in the period of the early childhood. Questions of prevention, diagnostics and treatment of the main diseases of a digestive tract peculiar both to children, and adults, are one of the most actual problems of modern pediatrics. Any doctor, especially local pediatrician and the general practitioner among other major questions has to own fundamentals of pediatric gastroenterology since from timely identification of initial manifestations of diseases of a digestive tract, first of all in the period of functional frustration which are reversible, depends not only success of treatment, but also further destiny of the sick child.
Now the independent scientific direction is allocated and the National Association of pediatricians gastroenterologists and nutritsiology of Ukraine which major tasks, along with the decision to actual problems of pathology of a digestive tract, development of fundamental positions of food of healthy children of all age groups, breastfeeding promotion, introduction in practice of organic products of baby food, development of the concept of rational feeding and influence of a way of life on development and a state of health of the person from conception till advanced age, prevention of an adverse effect of food on the child's organism, development of the principles of medical foods at the modern level is created. Need of creation of such society was dictated by problems and shortcomings of system of rendering the children's gastroenterology help and absence at that time of uniform normative documents on preventive foods. Today it was succeeded to develop and introduce standards of treatment of chronic diseases of digestive bodies in life “The unified clinical Protocols of medical care to children with diseases of the digestive system”. These recommendations published in the form of the Order of Ministry of Health of Ukraine № 59 of 29.01.2013 and developed according to the international practice and the principles of evidential medicine actively take root now into practical activities of gastroenterologists and resolve the numerous issues arising at all stages of diagnostics, treatment and prevention of gastroenterology pathology.
it is necessary to support continuous improvement of specialized gastroenterology service, to pay attention to high-quality training of doctors of primary link of health care and family doctors concerning children's gastroenterology, to keep development of the scientific researches devoted to questions of prevention, early identification and treatment of sick children. The role of pediatric gastroenterology will increase in structure of the major pediatric disciplines, this section of pediatric science deserves all attention and support since efficiency of the children's gastroenterology help in many respects defines indicators of health not only children's, but also adult population of Ukraine.