PROBIOTICS FOR INFANTILE COLIC : A SYSTEMATIC REVIEW

Dea Nabila Ratu Alicia
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Abstract

Colic in infants is a self-limiting ailment; nonetheless, it can be unpleasant for parents and tough for doctors to treat. Approximately 20% of infants suffer from infantile colic, which typically reaches its peak between 5 and 6 weeks of age. The challenge for the medical staff is in making an accurate diagnosis and coming up with a treatment plan for the ailment. In order to give doctors with a full grasp of the problem, current advancements, and future possibilities, the purpose of this review article is to outline the pathophysiology of infantile colic, as well as the treatment choices and prognosis for the condition. There are a few potential treatments for infantile colic, the most prominent of which is the use of probiotics, specifically lactobacillus. The most compelling evidence in support of probiotics comes from the prevention or treatment of these five conditions: necrotizing enterocolitis, acute infectious diarrhea, acute respiratory tract infections, antibiotic-associated diarrhea, and newborn colic. Inhibition of bacterial adhesion, improvement of mucosal barrier function, manipulation of both the innate and adaptive immune systems, release of bioactive metabolites, and control of the enteric and central nervous systems are some of the mechanisms of action that probiotics exhibit.
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益生菌治疗婴儿绞痛:系统综述
婴儿肠绞痛是一种自限性疾病;尽管如此,这对父母来说可能是不愉快的,对医生来说也很难治疗。大约20%的婴儿患有婴儿绞痛,通常在5至6周大时达到高峰。医务人员面临的挑战是做出准确的诊断,并提出治疗方案。为了让医生充分掌握问题,目前的进展和未来的可能性,这篇综述文章的目的是概述婴儿绞痛的病理生理学,以及治疗选择和预后。婴儿绞痛有几种潜在的治疗方法,其中最突出的是使用益生菌,特别是乳酸菌。支持益生菌的最令人信服的证据来自以下五种疾病的预防或治疗:坏死性小肠结肠炎、急性感染性腹泻、急性呼吸道感染、抗生素相关性腹泻和新生儿绞痛。抑制细菌粘附,改善粘膜屏障功能,操纵先天和适应性免疫系统,释放生物活性代谢物,控制肠道和中枢神经系统是益生菌表现出的一些作用机制。
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