Child with Komarovsky clubfoot

The exercises should last 15-20 minutes a day. The exercises should not cause pain to the child. The child should be barefoot during the exercises. It is advisable to give the child a warm foot bath after the exercises.

Treatment of neuroses in children: the opinion of the pediatrician

A neurosis is a mental illness that is a reaction to psychological trauma. The symptoms of child neurosis depend on the psychological trauma itself and also on the personality of the child.

• Inadequate attention to the child is referred to as 'deficiency'.
• Excessive attention is known as 'overprotective care'.
• Abusive Parenting.
• oppressive upbringing.

As a general rule, poor upbringing can affect the development of a child's personality and temperament. As a result, negative character traits and inappropriate reactions of the child arise. Sooner or later this leads to a feeling of inferiority, against which any negative external influence can lead to neurosis. A negative factor can be a harsh word, a loud remark, a change in living conditions and many other things.

Due to the immaturity of their personalities, children rarely develop typical forms of neuroses. More often they develop simpler disorders - systemic neuroses. These can manifest in any organ or organ system. The choice of affected organ is believed to depend on the hereditary susceptibility (weakness) of the organ or body system in question. Such weaknesses in children are often the language and motor system (development of stuttering) and the urinary system (development of bedwetting).

There is another developmental mechanism: the combination of increased nervous tension and the performance of a specific activity or movement at a specific time. For example, a certain activity or movement can lead to the development of tics in a child. Tics, stuttering and bedwetting are the most common manifestations of neuroses in children. Untreated systemic neuroses often develop into 'classic' neuroses in adulthood.

Types and symptoms of neuroses

There are different types of systemic neuroses, such as e.g.:

• hysteria . In children, this condition is manifested by an excessive, inappropriate reaction to displeasure. Children with hysteria often just pretend. They may get what they want by manipulating their parents. The manipulation can consist of mimicking the symptoms of the disease. A doctor can examine the child and not find any objective symptoms of the disease.
• neurasthenia . In children, it is manifested by irritability and weakness. Violent reactions to insignificant words or actions are not uncommon. Also among the characteristic symptoms of neurasthenia are mood swings, increased fatigue, decreased working capacity, headache, palpitations, and sleep disturbances. When pediatricians see these children, it is not uncommon for a known heterogeneous disorder to be diagnosed.
• Compulsive states . They develop in children with certain psychological characteristics: shyness, hesitation, indecisiveness. Characteristic is the development of various fears from an early age. Most affected children show various defensive reactions in the form of compulsive behavior (hand clapping, frequent hand washing, jumping, etc.). In older age, intrusive thoughts, doubts, etc. can appear. At the same time, children can become aware of the absurdity of their actions and try to fight them.

The most common forms of neurosis in children are presented below:

• tic . They are often preceded by obsessions and actions. They are characterized by stereotyped contractions of specific muscle groups. Frequent blinking of the eyes is common from a young age. As the disease progresses, other muscle groups may also be affected (nose twitching, eye rolling, eyebrow raising, arm raising, and others). These children may experience respiratory tics (coughing, sputum production, nasal constriction, etc.) after an acute respiratory infection.

Mechanism of occurrence in children

There are different forecasts for the treatment of the disease. They depend on the severity of the pathology and the factors favoring its development. The elimination of the problem should be comprehensive in order to have the maximum effect.

Clubfoot develops more commonly in infancy. The pathology is manifested by:

The newborn is examined by a doctor. He or she can already make the diagnosis in the delivery room. The mild form of the disease can be treated quickly. The moderate form is corrected with great effort. Severe forms of clubfoot are treated surgically.

Acquired clubfoot is less commonly diagnosed. This deformity is caused by:

• a hereditary predisposition;
• a number of diseases (rickets, polio);
• Problems developing muscles and ligaments;
• lack of essential substances;
• inflammatory diseases;
• neurological disorders;
• ill-fitting footwear;
• fractures, trauma.

Symptoms and types of deformity

A slight deformity initially causes little discomfort to the child. If the situation is ignored, the condition can worsen. The characteristic symptomatology of the pathology is manifested in the middle phase of the development of clubfoot.

The severe form is corrected by surgery. The foot is badly deformed. It is impossible to fix the problem using conservative methods.

There is another classification of clubfoot types:

1. The idiopathic form. There is a shortening of the calf muscles, developmental anomalies, some vascular disorders.
2. syndrome form. A congenital pathology is diagnosed, which is complemented by diseases of the spine and joints.
3. Postural form in which the subluxation condition in the foot becomes habitual.
4. Bony form (soft tissue form). The disease affects bones or muscles.

A congenital pathology is diagnosed at birth or in the first months of a child's life. The anomalies are visually recognizable. Then the following symptoms appear:

• underdevelopment of the feet;
• bending of the foot towards the sole;
• presence of a transverse fold in the foot;
• incurvation of the toes;
• shortening of the foot;
• twisted alignment of the lower limbs;
• Poor development of the muscles of the lower limbs.

Parents notice when the child takes their first steps that they are trying to put pressure on the outside of the foot. Gradually, calluses and warts form on the foot. The child later complained of pain when walking.

The acquired form is characterized by these symptoms:

1. The abnormal position of the feet leads to visible changes when walking.
2. The toes are always turned inwards when moving.
3. Poor ankle mobility.
4. The knee joints are turned inwards.
5. Visually, the change is best seen during sleep when the muscles are completely relaxed.

Optimal age for learning to use the potty

dr According to Komarovsky, a child's ability to control its excretory functions develops by the age of 2.5-3 years. He doesn't deny that there are children who are successful much earlier, but in most cases parents should expect potty training to be successful by age 2. As for learning to use the potty, the well-known doctor advises that the optimal age for introducing children to the potty is between one and three years old.

To make the process easy and enjoyable, Komarovskiy recommends observing the child for some time to look for signs of readiness to learn. These should be both physiological and psychological in nature. It's time to start potty training when:

• the child is able to communicate the desire to go to the toilet in an accessible way (through gestures, words or sounds);
• the child's bowel movement routine is stable;
• is able to stay in a dry diaper for more than 1.5 hours;
• The child knows the parts of his body, their function and the names of the clothes;
• understands the meaning of the words 'poop' and 'pipi';
• The child shows negative feelings about a wet/dirty diaper and tries to remove it;
• The child is willing or able to go to and from the toilet independently.

Basic principles of potty training

Choice of potty. according to dr Komarovsky doesn't care too much about the shape, color, and capabilities of the potty when it comes to potty training. The most important thing is that it is comfortable and not just seen as a toy. The TV presenter advises to pay attention to the quality and environmental friendliness of the materials, as well as the size of the product.

According to the system. Evgeny Komarovsky notes that not only the child, but also his parents should be prepared for this difficult matter. It is important for them to decide in advance on a tactic for their behavior during the transition from the diaper to the toilet, realizing that communication with the child will take most of their time. She also advises constantly developing new skills, not just at times convenient for adults (evenings or weekends). Chaotic times would only confuse the child.

Choose the best time. Potty training should begin at a time that feels right for the child. Above all, everyone around the child should be healthy and in a good mood. The summer is the best time for this, as the child is then dressed as lightly as possible and changing does not take long. Potty training is best performed at times when the chances of a successful urination or defecation are particularly high. This is best done after a meal or before bed. You can also offer potty training to your child if their behavior indicates that they want to urinate.

Anchor success. When the child has done a good job, always praise them and celebrate success. If he has failed, do not show the child negative feelings; it is better to explain to him how to do it next time.

fixation of attention. Direct your child's attention not only to the potty itself, but also to everything related to it. Your child will be interested in how the parents take out and open the potty, how they teach him to take off his panties and put them back on. You can even show a curious child how to wash the potty and where to put it before the next 'date'. These activities are similar to gaming and therefore evoke positive emotions.

Follow

A premature birth with clubfoot leads to the following complications in the child:

• muscle wasting in the limbs,
• Common ankle dislocations,
• deformity of the knee and hip joints,
• curvature of the spine,
• Displacement of internal organs with impairment of their function.

If a child is 1.5 years old and has clubfoot on one leg, without treatment the problem will quickly develop on the other side. Complications develop within 1-2 years, since children's bones are very soft and prone to deformation.

Treatment according to Komarovsky

dr Komarovsky says about clubfoot in children that treatment should start as early as possible, even if the child cannot walk yet. The doctor recommends a comprehensive treatment, which includes a combination of different methods.

Shoes

If your child walks with clubfoot, Komarovskiy recommends wearing orthopedic shoes. These shoes help correct the position of the foot and prevent it from shifting.

Orthopedic shoes have an anatomical sole. On the inside there are supinators that prevent the foot from slipping. Therapeutic shoes should have a small heel and stiff buttocks. This footwear should be worn at all times.

massage

This method is effective in mild to moderate cases. The massage helps eliminate muscle hypertonicity and correct the alignment of the foot. Massage therapy should only be performed by a massage therapist who is familiar with the anatomical location of the bones, muscles, and ligaments in the child's foot.

The therapeutic massage treatment lasts until the foot is fully stabilized. It should be repeated from time to time to prevent recurrence. Clubfoot massage involves rubbing, kneading, twisting, and stretching the foot.

gymnastics

Therapeutic exercise is recommended for all forms of clubfoot. Depending on the age of the child, the doctor selects the exercises. The exercises are carried out in the form of a game:

• Draw a straight line on the floor and ask the child to walk along it so that toes and heels are level,
• Walk around the room on your heels
• Sit your child on a chair, hold a felt-tip pen in your fingers and draw a picture on a piece of paper,
• Sit your child in a chair, place a towel on the floor in front of them and place a toy at one end - you can use your fingers to pull the towel towards you with the toy,
• Encourage your child to goose step.

Aquadetrim composition

Let's start studying the drug using the instructions for use and compare the composition of the tablets and drops of 'Aquadetrim'

tabletsActive substance – vitamin D3 100 SD/S dry dose 500 IU in 1 tablet, excipients – D,L-α-tocopherol, modified starch, sucrose, crystalline sodium ascorbate, medium-chain triglycerides, silicon dioxide, mannitol, sodium benzoate.

Drops.Active substance – cholecalciferol (vitamin D3) at a dose of 500 IU per drop, excipients – glycerol macrogallate, sucrose, sodium hydrogen phosphate dodecahydrate, citric acid monohydrate, anise flavor, benzyl alcohol, purified water.

'Aquadetrim' delivery method

To find out how to take vitamin D correctly and in what amount, we refer to the clinical guidelines for vitamin D deficiency in adults developed by the Russian Association of Endocrinologists FGBU 'ENDOCRINOLOGICAL SCIENCE CENTER'. Ministry of Health of the Russian Federation.

It states that the recommended treatment for vitamin D deficiency is colecalciferol (D3).

Water and oil solutions should be taken according to the daily dose to treat or maintain normal vitamin D levels.

To correct vitamin D deficiency (less than 20 ng/ml) in adults, 50,000 IU of vitamin D (100 drops) should be administered weekly for 8 weeks. If the patient feels well, a vitamin D supplement can be taken daily, 6,000 to 8,000 IU (12 to 15 drops) for 8 weeks.

A dose of 50,000 IU of vitamin D every 2 weeks maintains blood cholecalciferol levels above 30 ng/ml (normal). There are no serious side effects. However, experts advise against taking more than 2,000 IU per day unless there are significant risk factors for vitamin D deficiency.

Calculation according to the time of ovulation

Originating in the second half of the 20th century, this technique is based on the claim that sperm cells carrying the male Y chromosome are more mobile but less viable. Sex cells that carry the X chromosome, on the other hand, move more slowly but can survive longer in the woman's body. So, if intercourse occurs at the time of ovulation, the chance of having a boy increases, while the chance of having a girl increases if ovulation takes place over a longer period of time. The change in the vaginal environment, which gradually changes from alkaline to acidic (ie more aggressive and harmful to Y-chromosomal sperm), also plays a role.

It is believed that an intense sex life favors the conception of a son while a moderate sex life favors the conception of a daughter. It is believed that sperm with a Y chromosome are less viable. This means that there are more X-chromosomal sperm in the man's ejaculate after a longer period of abstinence. In addition, with infrequent sexual intercourse, sperm motility decreases (which is why performing a spermogram requires some preparation, in particular abstinence of no more than a week), so there is an even greater chance that X-linked sperm will reach the oocytes first .

The French Diet

French experts Jacques Laurent and Joseph Stolkowski concluded that diet has a direct impact on the chances of conceiving a female or male child. As a result of their research, they developed a special diet. This method involves eating onions, eggplants, cucumbers, beets, carrots, green peas, chilies, nuts, and dairy products at least two months before conception. Couples dreaming of offspring should focus on meat dishes, mushrooms, potatoes and tropical fruits. In other words, the former should stock up on maximum calcium and magnesium, the latter on maximum sodium and potassium. According to anecdotal evidence, the effectiveness of this method is around eighty percent.

How do you calculate a child's sex 'by the stars'? If you want to have a daughter, the moon must be in one of the so-called female signs of the zodiac (Pisces, Taurus, Cancer, Virgo, Scorpio and Capricorn) at the time of conception. So if you dream of having a son, wait until the moon is in Aries, Gemini, Leo, Libra, Sagittarius or Aquarius.

Bathing a newborn baby

Upon returning home from the maternity hospital, the baby should be bathed, since it was bathed only there. The baby should be bathed in the evening (not immediately after breastfeeding).

The preparation of the bath consists of the following steps:

1. Boil the required amount of water (you need to boil the water until the navel boils);
2. Let the water cool down to 37°C;
3. wash the bath with soapy water;
4. Dilute the manganese solution in a separate bowl, strain and add to the bath (the water should turn slightly pink);
5. Prepare a ladle of boiled water for rinsing.

It's best to bathe the newborn together - one will support the baby and the other will bathe to keep the water out of the baby's mouth, nose and ears. When everything is ready for the bath, carefully place the newborn in the sling. A blanket is necessary so that it does not startle and does not feel the change in temperature too much. Make sure his head is above the water surface. Once your baby is in the water, you can unroll the sling and begin the bath. Gently lather your arms, legs, torso and head with soap. Now all you have to do is rinse your baby with the water from the ladle, wrap him in a warm towel and rock him. Important to know! The baby should be bathed every day. The first bath lasts only 5-10 minutes, but as the baby grows older, this time increases. Baby soap should only be used once a week (it dries out baby's delicate skin). Pay special attention to the folds on the baby's body, because dirt accumulates there. If your baby suffers from diaper rash or sweats, use a decoction of medicinal herbs (they are most often used with success). The bath is over, but the main hygiene measures are still ongoing and it's time to move on.

1. When the baby's body is soaked after the bath, bandage the umbilical wound. Take a cotton swab, moisten it with a 3%igen hydrogen peroxide solution and clean the wound, then wipe with green paint;
2. Now apply petroleum jelly or baby oil (warmed in a water bath) to all calf folds. Pay special attention to the groin area, and don't forget about the arms and legs;
3. Dress, change, feed and go to bed.

Baby's first morning at home

1. wash his face with cotton balls moistened with boiled water;
2. Wipe his eyes (each eye with a single cotton swab from the outer corner to the inner corner);
3. Clean his nose with cotton balls soaked in oil;
4. Treat the umbilical wound again with hydrogen peroxide and wipe with greens;
5. Take the temperature (in newborns, a temperature of 37.2 is normal);
6. Cut nails (making sure they are in a straight line).

Modern mothers are convinced that diapers were invented to facilitate baby care. While that's true, there are a few rules that not everyone knows.

1. Don't use diapers all the time;
2. Do not put a diaper on a baby in the first month of life while he is sleeping during the day;
3. Do not cover the umbilical wound with a diaper;
4. After the first month of life diapers should no longer be used and only when the baby is sleeping.

The day after discharge from the hospital, the newborn should be visited by the pediatrician and the health center nurse. The new mom has the opportunity to ask the doctor any questions she has when she arrives home. From that day on, the doctor and nurse will visit the child for a month and monitor its development. At your first visit, give the doctor the documents from the maternity hospital:

1. The discharge note from the maternity hospital with information about the vaccinations of the newborn;
2. the birth certificate.

Along with these documents, the child will receive an ambulance card for the health center, a vaccination card and a vaccination card 63. Write down a phone number where you can call the doctor at home. In the event of a medical emergency for your child, you should try to get all the documents as soon as possible:

1. Birth Certificate:
2. Registration of permanent residence;
3. health insurance policy.

What are the vitamins good for?

The first period after birth is particularly prone to vitamin deficiencies. The nursing mother has to give up many foods she is familiar with (fruit, fish, honey, some types of vegetables) that can trigger allergic reactions or colic in the baby.

The consequences of such a diet immediately affect the woman's body:

• bowel activity worsens
• rashes on the skin,
• hair loss,
• deterioration of tooth enamel,
• Tooth enamel weakens and tooth decay occurs
• The body's immunity decreases,
• Anemia occurs and weakness sets in.

During breastfeeding women are deprived of almost all vital micronutrients as everything that comes from breast milk passes into breast milk. Therefore, in the first months of breastfeeding, the state of health of the nursing mother deteriorates significantly. This stress on the body, combined with a poor diet, can lead to reduced milk production.

Some mothers, on the other hand, do not refuse normal food, arguing that in this way they compensate for the lack of micronutrients. But even this is not a panacea. Even if the baby is not allergic, using familiar foods may change the smell and taste of breast milk and the baby will refuse the breast.

The only sensible solution in this situation is to take special vitamins for breastfeeding mothers, which take into account the woman's daily need for essential micronutrients.

Which substances are needed during breastfeeding?

Vitamins B, A, C, D and E are used up very quickly during breastfeeding:

• A – forms bone tissue, is responsible for the development of the baby's vision; improves the condition of the nursing mother's skin, hair and nails;
• C – strengthens the immune system of mother and child;
• D - prevents the development of rickets in the child;
• E – important for the regulation of the hormone responsible for lactation;
• B1 – essential for the normal development of the baby's nervous system;
• B2 - essential for the formation of bone and muscle tissue and the baby's central nervous system;
• B6 - involved in the formation of the nervous system, including the brain and spinal cord;
• B12 - supports the full functioning of the nervous, circulatory and digestive systems of mother and child;
• PP – stabilizes blood pressure, normalizes the digestive tract and is involved in metabolism.

Breastfeeding mothers also need to consume the following micronutrients:

• Calcium – essential for the normal development of the baby's bones, central nervous system and skin; for nursing mothers, it is an essential element to prevent osteoporosis and strengthen teeth;
• Magnesium - important for the nervous system of mother and child;
• Phosphorus – contains part of bones and is involved in energy metabolism at the cellular level;
• Iron – affects the level of hemoglobin in the blood of mother and child;
• Iodine – is important for the proper functioning of the thyroid gland and activates mental activity.

Each element plays an important role in the body of a breastfeeding woman and her baby. The absence of even one 'building block' leads to dysfunctions in various organ systems.

In order to get the most benefit from the vitamins, it is important to choose the product responsibly and take it according to the package leaflet:

Dietary supplements for men's health

Dietary supplements are substances containing natural and healthy ingredients for human health. Their action differs from that of hormonal preparations and is aimed at activating the internal human resources responsible for hormone production and normalizing the hormonal balance. If the hormonal imbalance is severe enough, supplements won't solve the problem and the sufferer will need stronger treatment.

The most popular dietary supplements for men are:

1. 'Vitrix' restores male strength and promotes muscle growth.
2. 'Yohimbe places' stimulates testicular activity.
3. 'Alicaps Increases the quantity and quality of semen and stimulates testosterone production. It is quite a popular remedy that is widely used to improve the quality of sexual activity and is taken immediately before making love.
4. 'Selzinc Plus The body's production of male hormones is useful and effective.

It should be noted that sports preparations also stimulate testosterone synthesis. The most effective include Tribusterone 90, Brutal Anadrol Biotech, Tribulus. These preparations normalize the hormonal balance in men, contribute to building muscle mass, increase muscle tone and improve endurance during training.

When used as a sports supplement, the preparations have a positive effect on the health of men over 40. They are safe and help slow down the aging process and help maintain fitness and alertness.

General recommendations for increasing testosterone levels in men

Remember that the most important thing when solving any problem is a comprehensive approach to overcome it. In order for the medication to be effective, you should:

• get enough sleep A man needs at least 7-8 hours of adequate sleep per night to maintain health and vitality.
• Right nutrition. Eat more fresh fruits and vegetables and avoid fast food, canned food, fatty and fried foods, sweets and other food waste.
• Do you do sports regulary Exercise regularly. Choose your optimal level of physical activity to feel light and alert.
• Remember that regular sexual activity is essential for male health.
• Give up unhealthy habits.
• Monitor your body weight and general health.
• Avoid stress..
• Drink plenty of water and remember that the body needs it to function and cells to renew and rejuvenate.
• Rest, get some fresh air, take vitamins, go to the sauna and treat yourself.
• Treat chronic diseases in a timely manner. At the first signs of an endocrine disruption, go to the doctor, remembering that it is easier and faster to solve the problem at the beginning.

You don't have to resort to treatment with expensive drugs that have many side effects. There are a variety of natural ways to increase testosterone in men. A healthy lifestyle – a guarantee of quality of life and fullness of life.

• A child begins to have clubfoot between the ages of 1 and 5.
• Child with clubfoot aged 8 years.
• The child walks on its toes.
• How to correct a clubfoot in a child.
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• 1 year old child with clubfoot.
• What should you do if your child has tics?.
• What to do if your child has clubfoot?.