{"id":1449,"date":"2021-04-15T21:52:10","date_gmt":"2021-04-15T19:52:10","guid":{"rendered":"https:\/\/codnib.es\/2021\/04\/15\/recom-dietet-diarrea-infantil\/"},"modified":"2025-06-13T10:35:34","modified_gmt":"2025-06-13T08:35:34","slug":"recom-dietet-diarrea-infantil","status":"publish","type":"post","link":"https:\/\/codnib.es\/ca\/recom-dietet-diarrea-infantil\/","title":{"rendered":"Recom. Dietet. Diarrea infantil"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"1449\" class=\"elementor elementor-1449\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c84eaf elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default sc_fly_static\" data-id=\"4c84eaf\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f545418 sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"f545418\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-99d8ca4 elementor-button-info sc_fly_static elementor-widget elementor-widget-button\" data-id=\"99d8ca4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/codnib.es\/ca\/intranet\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-hand-point-left\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Tornar a l&#039;\u00edndex de l&#039;apartat<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7a91762 sc_layouts_column_align_right sc_layouts_column sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"7a91762\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-951f20e elementor-button-success sc_fly_static elementor-widget elementor-widget-button\" data-id=\"951f20e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/codnib.es\/wp-content\/uploads\/2021\/04\/recom-dietet-diarrea-infantil.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-file-pdf\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Versi\u00f3 PDF<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-675cf777 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default sc_fly_static\" data-id=\"675cf777\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f631e78 sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"f631e78\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3b3bec7 sc_fly_static elementor-widget elementor-widget-spacer\" data-id=\"3b3bec7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d2c8b40 sc_fly_static elementor-widget elementor-widget-text-editor\" data-id=\"4d2c8b40\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1><span style=\"color: #ed1651;\">INFORMACI\u00d3 AL PACIENT \u2013 DIARREA AGUDA \u2013 INFANTIL<\/span><\/h1><h6><span style=\"color: inherit; font-size: 24px;\">Per qu\u00e8 \u00e9s important seguir aquests consells?<\/span><\/h6><p>Perqu\u00e8 a la diarrea aguda, la p\u00e8rdua continuada i abundant d&#039;aigua i minerals a trav\u00e9s de la femta, pot afectar la salut del nen.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bcfb27c sc_fly_static elementor-widget elementor-widget-spacer\" data-id=\"bcfb27c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-93b4c06 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default sc_fly_static\" data-id=\"93b4c06\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ea42e7e sc_content_align_inherit sc_layouts_column_icons_position_left sc_fly_static\" data-id=\"ea42e7e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-89a9c9e elementor-tabs-view-horizontal sc_fly_static elementor-widget elementor-widget-tabs\" data-id=\"89a9c9e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1441\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1441\" aria-expanded=\"false\">Recomanacions diet\u00e8tiques generals<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1442\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1442\" aria-expanded=\"false\">Men\u00fa exemple<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1443\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1443\" aria-expanded=\"false\">Aspectes culinaris i de compra<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1444\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1444\" aria-expanded=\"false\">Saber +<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1445\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1445\" aria-expanded=\"false\">Informaci\u00f3 professionals<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1441\" aria-expanded=\"false\">Recomanacions diet\u00e8tiques generals<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1441\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1441\" tabindex=\"0\" hidden=\"false\"><p>Les solucions de rehidrataci\u00f3 oral o s\u00e8rum oral, juntament amb una adequada alimentaci\u00f3 repartida en diverses preses, s\u00f3n les bases del tractament de la diarrea aguda a la inf\u00e0ncia. Aix\u00ed, la prioritat \u00e9s corregir la deshidrataci\u00f3 i despr\u00e9s recuperar l&#039;estat nutricional.<\/p><h5><strong>S\u00e8rum de rehidrataci\u00f3 oral (SRO) o s\u00e8rum oral:<\/strong><\/h5><ul><li>S&#039;utilitzen quan la diarrea s&#039;acompanya de deshidrataci\u00f3 (deca\u00efment, boca seca, pell p\u00e0l\u00b7lida) o per prevenir-la.<\/li><li>Contenen els l\u00edquids i sals minerals necess\u00e0ries per reposar el que es perd a trav\u00e9s de la femta.<\/li><li>S&#039;adquireixen a farm\u00e0cia i s\u00f3n aptes per a la inf\u00e0ncia.<\/li><li>Al vostre centre de salut us explicaran com preparar-les i com s&#039;han de prendre, en tot cas seguiu les del fabricant o consulteu amb el vostre farmac\u00e8utic.<\/li><li>L&#039;actuaci\u00f3 recomanada segons el grau de deshidrataci\u00f3 \u00e9s:<ul><li>Deshidrataci\u00f3 m\u00ednima o sense deshidrataci\u00f3:<br \/>En nens amb menys de 10 kg de pes: 60-120 mL de SRO per cada deposici\u00f3 diarreica. Als de m\u00e9s de 10 kg de pes: 120-240 mL de SRO per cada deposici\u00f3.<\/li><\/ul><\/li><\/ul><ul><li><ul><li>Deshidrataci\u00f3 lleu o moderada:<br \/>a) Ter\u00e0pia de rehidrataci\u00f3: 50-100 mL de SRO per kg de pes en 3-4 hores.<br \/>b) Reposici\u00f3 de p\u00e8rdues: igual que en cas de deshidrataci\u00f3 m\u00ednima.<\/li><\/ul><\/li><\/ul><ul><li>Es recomana acudir a un professional de la salut si els s\u00edmptomes empitjoren o no es resolen com s&#039;esperava.<\/li><\/ul><h5><strong>Alimentaci\u00f3:<\/strong><\/h5><ul><li>Es recomana mantenir l&#039;alimentaci\u00f3 habitual o reintroduir-la abans de les 5 hores d&#039;haver comen\u00e7at amb la presa de s\u00e8rum oral.<\/li><li>S&#039;ha de comen\u00e7ar amb petites quantitats de menjar respectant gustos i gana.<\/li><li>En nens amb lact\u00e0ncia materna:<ul><li>Continueu amb la lact\u00e0ncia materna a demanda oferint-li s\u00e8rum oral entre les preses si la diarrea continua, per\u00f2 sense for\u00e7ar.<\/li><li>La llet materna \u00e9s el millor s\u00e8rum de rehidrataci\u00f3 per a un lactant, aix\u00ed, si no vol s\u00e8rum per\u00f2 pren pit amb freq\u00fc\u00e8ncia, \u00e9s dif\u00edcil que es deshidrati.<\/li><\/ul><\/li><li>En nens que prenen llet de f\u00f3rmula:<ul><li>Seguiu amb la mateixa pauta i la mateixa llet. No la dilueixi ni la substitueixi per llets sense lactosa, hidrolitzats de prote\u00efnes o f\u00f3rmules de soja, tret que el seu pediatre els ho recomani.<\/li><li>Si la diarrea \u00e9s molt abundant, complementar amb s\u00e8rum oral entre preses, sense for\u00e7ar.<\/li><\/ul><\/li><li>Infants menors de 18 mesos:<ul><li>No hi ha una alimentaci\u00f3 espec\u00edfica per a la diarrea, per aix\u00f2 els aliments recomanats han de ser els mateixos que els de l&#039;alimentaci\u00f3 habitual del nad\u00f3 que li hagi indicat el pediatre.<\/li><li>Respecteu les prefer\u00e8ncies i costums familiars.<\/li><li>En general, es faran preparacions senzilles amb aliments de bona digestibilitat i toler\u00e0ncia. Per exemple, es poden incloure els aliments habituals cuinats amb poc greix, per exemple arr\u00f2s, pasta, pa no integrals, patates, hortalisses bullides com la pastanaga, carbassa, carbass\u00f3, porro; peixos blancs, ous o carns molt magres cuinats, brous o sopes desgreixats, fruites sense pell en compota o fresques segons toler\u00e0ncia, com ara poma, pera, pl\u00e0tan, iogurt, llet, formatge fresc, etc.<\/li><li>En general, hi sol haver p\u00e8rdua de la gana i no es deu for\u00e7ar a menjar, per\u00f2 \u00e9s recomanable oferir aliments en menjars principals i berenars.<\/li><li>Evitar els sucs de fruites, els greixos i fregits, la pastisseria i l\u00edquids ensucrats (com els refrescos i begudes per a esportistes).<\/li><\/ul><\/li><\/ul><h5><strong>Probi\u00f2tics:<\/strong><\/h5><ul><li>El seu professional sanitari de refer\u00e8ncia us pot recomanar l&#039;\u00fas de certs probi\u00f2tics (microorganismes vius) per afavorir la recuperaci\u00f3 de la flora intestinal que de vegades es veu alterada per la diarrea.<\/li><\/ul><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1442\" aria-expanded=\"false\">Men\u00fa exemple<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1442\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1442\" tabindex=\"0\" hidden=\"hidden\"><h3>Men\u00fa gen\u00e8ric<\/h3><table><tbody><tr><td class=\"bg-info\">\u00a0<\/td><td class=\"bg-info\"><p><strong>DILLUNS<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>DIMARTS<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>DIMECRES<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>DIJOUS<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>DIVENDRES<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>DISSABTE<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>DIUMENGE<\/strong><\/p><\/td><\/tr><tr><td><p><strong>DINAR<\/strong><\/p><\/td><td><p>Verdura<\/p><p>Patata<\/p><p>Peix<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Llegum<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Cerea<\/p><p>Ou<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Llegum<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Cereal Peix<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Patata<\/p><p>Carn<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Cereal<\/p><p>Carn<\/p><p>Fruita<\/p><\/td><\/tr><tr><td><p><strong>SOPAR<\/strong><\/p><\/td><td><p>Verdura<\/p><p>Cereal<\/p><p>Ou<\/p><p>Lacti<\/p><\/td><td><p>Verdura<\/p><p>Cereal<\/p><p>Carn<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Patata<\/p><p>Peix<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Cereal Carn<\/p><p>Lacti<\/p><\/td><td><p>Verdura<\/p><p>Patata<\/p><p>Ou<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Llegum<\/p><p>Fruita<\/p><\/td><td><p>Verdura<\/p><p>Cereal<\/p><p>Peix<\/p><p>Lacti<\/p><\/td><\/tr><\/tbody><\/table><h3>Ex. D&#039;un dia per a edats superiors a 18 mesos<\/h3><table><tbody><tr><td class=\"bg-info\"><p><strong>Esmorzar<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>Mig mat\u00ed<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>Menjar<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>Berenar<\/strong><\/p><\/td><td class=\"bg-info\"><p><strong>Sopar<\/strong><\/p><\/td><\/tr><tr><td><p>Got de llet desnatada amb cereals d&#039;esmorzar no integrals (sense sucres)<\/p><\/td><td><p>Pa blanc torrat amb oli, tom\u00e0quet i formatge fresc<\/p><\/td><td><p>Arr\u00f2s blanc cald\u00f3s<\/p><p>Filet de gall i verdures al vapor<\/p><p>Pera sense pell<\/p><\/td><td><p>Pl\u00e0tan i 3-4 galetes d&#039;oli no integrals<\/p><\/td><td><p>Sopa de pollastre amb fideus<\/p><p>Remenat d&#039;ous amb carbass\u00f3<\/p><p>Pa blanc torrat<\/p><p>Iogurt natural desnatat<\/p><\/td><\/tr><\/tbody><\/table><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1443\" aria-expanded=\"false\">Aspectes culinaris i de compra<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1443\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1443\" tabindex=\"0\" hidden=\"hidden\"><ul><li>Utilitzeu t\u00e8cniques culin\u00e0ries que no afegeixin gaire greix al plat: cuit, forn, microones, planxa, vapor, etc.<\/li><li>Extremeu les mesures higi\u00e8niques, entre d&#039;altres:<ul><li>Renteu b\u00e9 els aliments frescos com fruites i verdures.<\/li><li>Renteu-vos les mans quan cuini, especialment quan toqui aliments crus i manipuli aliments cuinats.<\/li><li>Cuini b\u00e9 les carns, peixos i ous, fins que estiguin ben fets.<\/li><li>Assegureu la neteja d&#039;utensilis i superf\u00edcies que estiguin en contacte amb els aliments<\/li><\/ul><\/li><\/ul><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1444\" aria-expanded=\"false\">Saber +<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1444\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1444\" tabindex=\"0\" hidden=\"hidden\"><ul><li>Informaci\u00f3 de salut https:\/\/medlineplus.gov\/spanish\/diarrhea.html#cat_8<\/li><li>Alimentaci\u00f3 saludable: <a href=\"http:\/\/e-alvac.caib.es\/guia.html\">http:\/\/e-alvac.caib.es\/guia.html<\/a><\/li><li>La diarrea infantil<\/li><li><a href=\"http:\/\/hospitaldenens.com\/es\/guia-de-salud-y-enfermedades\/la-diarrea-infantil-2\/\">http:\/\/hospitaldenens.com\/es\/guia-de-salud-y-enfermedades\/la-diarrea-infantil-2\/<\/a><\/li><li>S\u00edmptomes digestius <a href=\"http:\/\/www.familiaysalud.es\/sintomas-y-enfermedades\/aparato-digestivo\/sintomas-digestivos\">http:\/\/www.familiaysalud.es\/sintomas-y-enfermedades\/aparato-digestivo\/sintomas-digestivos<\/a><\/li><\/ul><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1445\" aria-expanded=\"false\">Informaci\u00f3 professionals<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1445\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1445\" tabindex=\"0\" hidden=\"hidden\"><blockquote><p><a href=\"https:\/\/codnib.es\/ca\/images\/intranet\/recom-dietet-diarrea-infantil-prof.pdf\/\" target=\"_blank\" rel=\"noopener\">(DESCARGAR) INFORMACI\u00d3 PER A PROFESSIONALS\u00a0<\/a><\/p><\/blockquote><h3>Justificaci\u00f3 de la ter\u00e0pia dieteticonutricional<\/h3><p>La diarrea aguda compromet l&#039;estat hidroelectrol\u00edtic i l&#039;estat nutricional. La rehidrataci\u00f3, alimentaci\u00f3 i tractament m\u00e8dic anir\u00e0 en funci\u00f3 de la gravetat de la deshidrataci\u00f3 i l&#039;estat general del pacient.<\/p><h3><strong>Objectiu del consell dieteticonutricional b\u00e0sic dirigit al pacient<\/strong><\/h3><ul><li>Prevenir i tractar la deshidrataci\u00f3.<\/li><li>Normalitzar el patr\u00f3 deposicional.<\/li><li>Mantenir \/ assolir una bona corba de creixement.<\/li><\/ul><h3 class=\"text-primary\">Caracter\u00edstiques de la dieta<\/h3><ul><li>Es recomana iniciar la rehidrataci\u00f3 oral durant 4-6 hores. Mantenir l&#039;alimentaci\u00f3 en els nens o reintroduir-la abans de les 5 h de la instauraci\u00f3 de la rehidrataci\u00f3 tret de deshidratacions greus, xoc o v\u00f2mits persistents que la impedeixin.<\/li><li>La rehidrataci\u00f3 es fa (en la majoria dels casos) amb una soluci\u00f3 de rehidrataci\u00f3 oral (SRO) hipot\u00f2nica (Na: 60 mmol\/L, glucosa: 74-111 mmol\/L). Hi ha diferents f\u00f3rmules disponibles al mercat amb diferents maneres de reconstituir; \u00e9s important explicar a la fam\u00edlia com reconstituir-les adequadament i com\/quant han de prendre. No s&#039;han d&#039;utilitzar preparats casolans ni begudes d&#039;esportistes pel risc de desequilibri en els seus components.<\/li><li>Si el nen rebia lact\u00e0ncia materna, aquesta no s&#039;ha de suspendre en cap moment. Si el nen rebia f\u00f3rmula, no s&#039;ha de diluir com a substituci\u00f3 de les f\u00f3rmules normals ni utilitzar f\u00f3rmules especials.<\/li><li>Es recomana reprendre l&#039;alimentaci\u00f3 habitual de manera preco\u00e7, inicialment amb aliments de f\u00e0cil digesti\u00f3, per promoure la recuperaci\u00f3 de la mucosa intestinal i l&#039;estat nutricional. No es recomanen dietes restrictives que sovint s\u00f3n hipocal\u00f2riques, sin\u00f3 escollir de la seva dieta habitual aliments energ\u00e8tics de f\u00e0cil digesti\u00f3 i fomentar ingestes freq\u00fcents ja que sovint hi ha p\u00e8rdua de gana. S&#039;ha de continuar la presa de SRO mantenint si persisteix la diarrea.<\/li><li>No est\u00e0 indicat l\u00fas de f\u00f3rmules l\u00e0cties especials ni diluir la llet. Es recomana evitar begudes ensucrades (com els refrescos), sucs (encara que siguin casolans) o postres a base de gelatina (.<\/li><li>Certs probi\u00f2tics, utilitzats a dosis apropiades, han mostrat beneficis com a ter\u00e0pia coadjuvant a la rehidrataci\u00f3: <em>Lactobacillus GG<\/em>, <em>Saccharomyces boulardii<\/em>, <em>Sacharomyces boulardii,<\/em>. Per\u00f2 no hi ha evid\u00e8ncia de la utilitat de probi\u00f2tics a la diarrea per <em>Clostridium difficile.<\/em><\/li><li>Tot i que UNICEF i l&#039;OMS recomanen l&#039;administraci\u00f3 de suplements de zinc per a la diarrea, no hi ha evid\u00e8ncies per recomanar-ne l&#039;\u00fas en nens europeus llevat que hi hagi malnutrici\u00f3. No \u00e9s recomanable l&#039;\u00e0cid f\u00f2lic per al tractament de la GEA en nens.<\/li><\/ul><h3 class=\"text-primary\">Temps estimat de tractament<\/h3><p>La diarrea aguda pot durar de 3 a 7 dies.<\/p><h3 class=\"text-primary\">Aspectes d&#039;atenci\u00f3 especial<\/h3><ul><li>Certs probi\u00f2tics pots ser \u00fatils en la prevenci\u00f3 de la diarrea associada a l&#039;\u00fas d&#039;antibi\u00f2tics; <em>Lactobacillus GG, Lactobacillus sporogens i S. boulardii<\/em><\/li><li>Explicar criteris d&#039;alarma per anar a urg\u00e8ncies.<\/li><li>Assegurar una correcta i suficient ingesta de l\u00edquids.<\/li><li>Dieta normal (l\u00edquids i s\u00f2lids), inicialment de f\u00e0cil digesti\u00f3 amb aportaci\u00f3 disminu\u00efda de sucres simples.<\/li><\/ul><h3 class=\"text-primary\">Criteris per a la derivaci\u00f3 al dietista-nutricionista<\/h3><p>Derivar un Dietista-Nutricionista immediatament despr\u00e9s de confirmar el diagn\u00f2stic, especialment en cas de deshidrataci\u00f3.<\/p><h3 class=\"text-primary\">Refer\u00e8ncies bibliogr\u00e0fiques<\/h3><ul><li>Bhutta ZA. Acute gastroenteritis in children. In: Kliegman RM, Stanton BF, St. Geme JW, et al, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:xap 340.<\/li><li>Schiller LR, Sellin JH. Diarrhea. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger &amp; Fordtran&#039;s Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:xap 16.<\/li><li>Macgillivray S, Fahey T, McGuire W. Lactose avoidance for young children with acute diarrhoea. Cochrane Database Syst Rev. 2013;10:CD005433.<\/li><li>American Academy of Pediatrics. Diarrhea. Last updated August 20, 2015. Available at: www.healthychildren.org\/English\/health-issues\/conditions\/abdominal\/Pages\/Diarrhea.aspx. Accessed December 1, 2017.<\/li><li>Guarino A, Albano F, Ashkenazi S, Gendrel D, Hoekstra JH, Shamir R, et al. European Society for Paediatric Gastroenterology, Hepatology, Nutrition\/European Society for Paediatric Infectious Diseases: Evidence-based guidelines per a la gesti\u00f3 d&#039;acute gastroenteritis in children in Europe. J Pediatr Gastroenterol Nutr 2008; 46(suppl 2): S81-S84.<\/li><li>Centers for Disease Control and Prevention. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. MMWR 2003;52(RR16):1-16. Available from:<a href=\"https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/rr5216a1.htmaccessed\">https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/rr5216a1.htmaccessed<\/a> 4 August 2005<\/li><li>Diarrhoea and vomiting in children overview. NICE Pathway lest updated: 03 April 2017<a href=\"http:\/\/pathways.nice.org.uk\/pathways\/diarrhoea-and-vomiting-in-children.\">http:\/\/pathways.nice.org.uk\/pathways\/diarrhoea-and-vomiting-in-children.<\/a><\/li><li>GUIA DE PR\u00c0CTICA CL\u00cdNICA. Gastroenteritis aguda al nen. <em>Guia multidisciplinar <\/em><em>SEGNHP-SEIP. 2010. <a href=\"http:\/\/www.guiasalud.es\/GPC\/GPC_464_Gastroenteritis.pdf\">http:\/\/www.guiasalud.es\/GPC\/GPC_464_Gastroenteritis.pdf<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Volver al \u00edndice del apartado Versi\u00f3n PDF INFORMACI\u00d3N AL PACIENTE &#8211; DIARREA AGUDA &#8211; INFANTIL \u00bfPor qu\u00e9 es importante seguir estos consejos? Porque en la diarrea aguda, la p\u00e9rdida continuada y abundante de agua y minerales a trav\u00e9s de las heces, puede afecta a la salud del ni\u00f1o. Recomendaciones diet\u00e9ticas generales Men\u00fa ejemplo Aspectos culinarios&hellip;<\/p>","protected":false},"author":2,"featured_media":1395,"comment_status":"open","ping_status":"closed","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[85],"tags":[],"class_list":["post-1449","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-repositorio-consejos-dieteticos"],"acf":[],"_links":{"self":[{"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/posts\/1449","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/comments?post=1449"}],"version-history":[{"count":12,"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/posts\/1449\/revisions"}],"predecessor-version":[{"id":3920,"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/posts\/1449\/revisions\/3920"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/media\/1395"}],"wp:attachment":[{"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/media?parent=1449"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/categories?post=1449"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/codnib.es\/ca\/wp-json\/wp\/v2\/tags?post=1449"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}