谷物有助于预防腹泻。

Mazingira Pub Date : 1984-07-01
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引用次数: 0

摘要

孟加拉国国际腹泻病研究中心(ICDDR,B)的研究人员已证明大米水是治疗腹泻的有效方法,他们表明,以谷物为基础的解决方案甚至比广为宣传的水、糖和盐的混合物更有效。每分钟就有8到9名5岁以下的儿童死于腹泻,通常只是因为他们排出了身体维持功能所需的水和盐。就在几年前,对重症病例的传统治疗方法是通过针头向患者的手臂上滴入生理盐水。但这需要住院治疗,而第三世界的孩子很少能进过医院。最近,“口服补液疗法”(ORT)作为一种简单、廉价和有效的治疗方法获得了世界的认可。口服补液疗法是一种由水、糖(或纯葡萄糖)、氯化钠和钾盐精心测量的混合物给儿童服用。一位农村母亲可以在家里用预先包装好的粉末加水或自己配制的溶液来服用。在腹泻期间,糖或身体将糖转化成的葡萄糖继续通过肠壁被吸收,而身体几乎没有吸收其他物质。这个过程有助于吸收所有重要的盐。一升水的标准ORT公式需要20克葡萄糖或40克家用糖。较新的以谷物为基础的ORT用米粉代替了糖。试验表明,80-86%的米粉被转化为葡萄糖并被吸收。据率先在ORT中使用米粉的ICDDR的A. Majid Molloa博士说,1升米粉溶液的效果是2升糖溶液的两倍。在ORT中使用米粉有几个优点。大米是世界上一半以上人口的主食,特别是在腹泻是致命疾病的地方。它在亚洲、拉丁美洲和非洲的许多地方都有种植和食用。一些大米在最贫穷的农村家庭通常可以买到,而糖则可能没有。大米溶液很容易准备,而且煮沸可以防止污染。下一步是将以谷物为基础的ORT推广到其他国家,并试验其他谷物,如小麦、玉米、高粱,以及土豆和木薯。印度尼西亚、印度、中国和肯尼亚已经朝这个方向迈出了第一步。
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Cereal aids fight against diarrhoea.

Ricewater has been proved to be an effective treatment of diarrhea by investigators at the International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), who have shown that cereal-based solutions are even more effective than the much publicized mixtures of water, sugar, and salts. Diarrhea kills 8 or 9 children under the age of 5 every minute, often simply by draining out of them the water and salts the body needs to keep functioning. Only a few years ago, the conventional treatment for severe cases was a drip of saline fluid into the patients arm through a needle. But this requires hospital treatment, and few 3rd world children ever see the inside of a hospital. Recently, "oral rehydration therapy" (ORT)--giving children a carefully measured mix of water, sugar (or pure glucose), and sodium chloride and potassium salts--has gained world recognition as a simple, cheap, and effective treatment. A village mother can give it in her home, either from a prepackaged powder mixed with water or from solution she mixes herself. Sugar, or the glucose into which the body converts sugar, continues to be absorbed across the intestinal walls during diarrhea--when the body is absorbing little else. This process aids the absorption of the all-important salts. The standard ORT formula for a liter of water calls for 20 g of glucose or 40 g of household sugar. The newer cereal-based ORT replaces the sugar with rice powder. Tests have shown that 80-86% of the rice powder is converted into glucose and absorbed. According to Dr. A. Majid Molloa of ICDDR,B who pioneered the use of rice powder in ORT, 1 liter of rice powder solution is twice as effective as 2 liters of sugar solution. There are several advantages in using rice powder in ORT. Rice is the staple food of more than 1/2 the world's population, particularly so where diarrhea is a killer. It is grown and eaten throughout Asia, and in many parts of Latin America and Africa. Some rice is usually available in the poorest village homes, whereas sugar may not be. The rice solution is easy to prepare, and boiling prevents contamination. The next step is to extend cereal-based ORT to other countries, and to experiment with other cereals, such as wheat, maize, sorghum, and also with potato and casasva. Indonesia, India, China, and Kenya have already made a beginning in this direction.

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