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العنوان
A NOREXIA IN INFANY AND HILDHOOD/
الناشر
elsaid elsaid mohamed,
المؤلف
MOHAMED ,ELSAID ELSAID.
هيئة الاعداد
باحث / El said el said mohamed
مشرف / Ahmed abd el moneim khashaba
مناقش / Abd el rahman el saadany
مناقش / Ahmed abd el moneim khashaba
الموضوع
PEDIATRIS
تاريخ النشر
1985 .
عدد الصفحات
متعدد الترقيم:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الأطفال ، الفترة المحيطة بالولادة وصحة الطفل
تاريخ الإجازة
1/1/1985
مكان الإجازة
جامعة بنها - كلية طب بشري - الاطفال
الفهرس
Only 14 pages are availabe for public view

from 111

from 111

Abstract

Anorexle (or loss of appetite) is a daily problem
Foor the parents and for the physician who treats children.
It is oharaoterized by one of the most frequent
Complaints in pediatrio practice ”my child -won•t eat.
111-though laok of in texoest in food is II normal ph3s:Lalog1c
phenom.enon. in moIJt oh1.1d:1’el1 .sp eois.11y ’roddlers
and preauhCl<ll ohi ldren. 1.t en us es frequent emotional
con:rl1ots between thl! mother Bn4!:l.1l:rsmall ohild. ”otbers
are al”,aye an.:xiOUBabout tb. poor appetite ot tb.e1.r
obi.ld:r’en.
The fogd intake :Le controll.d by two centres in the
h»othe.laaUB~ feed~ and ”ati.”t,v lumtreJI. !he limbic
syst eln-pro’lr.lde. an important path-7 by ••h.:1.ch higher 1ntluencelJ
88 em.at:1on.• fear, pun. or stTeSB may affect the
hypothalamic contyol of ap~et1t.. ~her~ are manY Rr~erent
Ilignall!l vary in the1.:r Jl.I!I.ture and Qrig1n lI\e.1 reAoh
the n,potbl).1smio oe:o.tru f4 appet1te and 1I1teJ’ their 8(1-
~i~t1..s. ~h.ae signals inolude gluo~BtBt1.0tthe~st8-
~ic and 11postRtle hYPothesis. signals fro~trointest1nal
traGt and other r~to~a.
_ PhPliologic anor.nll :i8 CODllllOinD tiLe 2!!9. ,.ear of
lit& and preaahool period due to the normal decelerated
rate of growth.
_ YS7cbogenic anorexial 1- the 1:oO”EllOD •• t typ. ur anorexia
in ohild;rd.
It :L8reb. ted to va.r.1ou PS:r(lhDbgiOI),l. f.cwrs
Yhioh 41.turb th. t.ed1B& beha~Gur and buoser-appeti
-te aeahaDi” 1D.the obi14. POD4foro1ng 111 the 00--
one8t 08a8 of’ P8,.chog ani 0 anDrexia. Other CIlUI’e8
auob. all disharmony of lIarent. - ohild reb:t:1onsb1p,
p a:ych~1trio d1.sesflB89 a1’01dIWClil ot 1l-,mp’to1l1” of cll-ronic
1.11neaaf IlI8ternal depri .•.•t.10n lmd. e.norerla nervesa
•.bleb is a severe fo.l”IIl or psychogenic anorexia in prEldol.
ssant gi:r1s. Anorllxia du.e to crganic dinBB9 infeotion
nutritional disease - renal disea •• - cardiac
disease _ gastrointestinal d1sea •• neurological disease
_ ~atabo110 disea.. - resp1ratDr.1 d1aease-bloQd
llisease _ drugs. Anor9%ia due -to lWute 11lne19l!1 is
transitory bnt prolonged if associated witb chrOnic
o1’ga.niI) 11lneal’l. .anag_en’t Qr uorerl.”~ In phyeiolQg1~
anorexia. phYs1e1an mUBt &~la1n to the mother
tb.e Tela.UODabip bet\lruu the ohilds appet1 te
- g.o
rate of growth, th.e fead1.ng behaviour of the child 1lluat
be ~espe~t8d. the sel~-dem~ud feeling for ~n~~ts io
eBl:<ElD tial. the perfe ct method .for weaning, let the ~bi ld
to ea~ ~hat he preferes, t$Ddly q~re19 must be solved
””••••.-y from. the child.
In snorexia due to oxgsnio illneSS tne peat approach
is treat>nent o-r -tbe Imderl;ring caUse. Iron theJ’8P1
is neCQS8ar1 ~or pi~n.
Trtcyo1.1e antidepreslIen:t d.rug. (e.Jd..triptyl1n)1.JDp):”
o’ll’e anorexia. du.e to dspressiotl b:r inoreasing the -rree
1evel ot noradrlnEl11ue in nnothalam1.1fl or t’etlU”’ll.lng the
arteriovenoua d1ffer«noe of glucose lev~lto normal.
oron1eB will not l’e_olve the p:r’Oblem of oppe”tite ~ement
of anore:da nervoBa needs both ps,ol1Otherap7 ta
impro’l’e pat1eut’B autonomy. etfecl1veneIJd and bis self’
.team and .eti.oal tbe).”IlP,” for .•eight &&1n.
The •.ediosl tberap:t 11101 u.a..’ correotion.1’ nuid
and elecrtro17t• u.etarb8ACeSt par_tal •.liaenb.Uon g:rad’l281
llIr •.l j’u<tL!l&t oeJ’”ta!D d.rtl&B 81JC1L.8 i:hl01”P:r~1D•
_4 1nsu].1.n plllycbothe1’8P;r inoludU indiTid_l plI;JOhothnpy.
:ram,1.l::rps:rchothe:raP7 enclllaregiDg the patient to
reeogniB& and &••ert biB ~eQliDg treel,., expla1n1ng the
111.portmoe ot: r”<ld. to 1mprove the db’turboed body tlDlOtiO:
D.. !l’be beba’l”iour IIlOdlfica t10n h useful method fOT
trea~ant of anorexia ner90Ba.
It depend~ on II- baseline 01’ oOlllplete deprivation
then posit1YB enforcement is edded by o~tain1ng rewards
for weight ga~n ~d nor.=al eat1ng bebavioura.
The behaT10ur lIIodlt1Ce. tiOD 1II beet con t:rolled by
wri t tening a cQll. traoi between the p.ai;1 ent and phy91.o1an.