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发表于 2007-7-5 00:36:00
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贝妈的帖子相信已经让很多的母乳妈妈困惑，甚至恐慌了。
所以去找了些资料，供大家参考看看。
1、国际母乳会网站上的资料：
More and more states are requiring a blood test that will indicate if an infant is at risk for CF. Also, some infants manifest severe respiratory problems almost from birth, leading doctors to suspect CF.
There are emergency conditions that can arise with CF: severe electrolyte imbalance, usually from an episode of heat exhaustion (children with CF are prone to dehydration from heat because their sweat pores release a greater volume of water and salt than normal); severe deficiency of one or more of the fat soluble vitamins A, D, E, and K (which are not absorbed well due to the pancreatic insufficiency).
有一些伴随着CF发生紧急情况有：…………严重缺乏脂溶性维生素A、D、E、K中的一种或者多种（这些维生素由于胰腺不足造成吸收不良）。
A deficiency of vitamin K can lead to subcutaneous bleeding. If it occurs in the brain, the child may develop cerebral palsy as well. However, the most frequent reason for infants with pancreatic insufficient CF to be diagnosed is failure-to-thrive.
维生素K缺乏可能导致皮下出血。如果皮下出血发生在大脑，孩子也可能罹患大脑性
。然而，婴儿被诊断为囊肿性纤维化（属遗传性胰腺病）的最常见原因是发育不良。
Failure-to-thrive can be delayed in the breastfed baby with CF; it may begin insidiously and even seem to "sneak up" on the mother and health care providers. Because of the high digestibility of human milk, and the fact that human milk includes its own lipases (enzymes that break down fat), breastfed babies with CF may exhibit almost normal growth until four to six months of age, or about the time infants begin to eat solid foods. At that point, their growth begins to plateau. They develop a misleading puffiness that is actually protein edema (accumulation of excess fluid in body tissues, causing swelling) from malnutrition. Hair and fingernails may stop growing. The hair may turn re
ish from malnutrition. For example, one of my children with CF who had weighed a hefty 10 pounds, 1 ounce at birth, weighed only 15 pounds at 9 months after a steady gain to that point. Any breastfed infant weighing less than the 5th percentile for weight should probably be checked for CF.
患有囊肿性纤维化的母乳宝宝的发育不良可能会被推迟；他们的发育不良的情况开始的非常隐晦，妈妈和医生都不容易发出。因为母乳的易消化性
………………
Breastfeeding and Cystic Fibrosis
Breastfeeding the child with CF is a tremendous benefit with numerous advantages. Human milk is highly digestible, contains its own lipase, and makes smaller curds that decrease the chance of an intestinal blockage. Human milk has been shown to lessen the incidence and severity of respiratory and gastrointestinal infections, it has anti-inflammatory properties that help prevent allergic reactions, and it has antibacterial and antiviral properties. Human milk contains vitamins and minerals in maximally absorbable form, and is also very high in antioxidants and DHA (substances deficient in CF). Human milk also promotes the formation of healthy intestinal (gut) flora, which is essential to good digestion and the manufacture of vitamin K. Children with CF may often be on antibiotics. Breastfeeding helps reestablish the healthy gut environment that is disrupted by the antibiotics. In times past, CF clinics discouraged breastfeeding because the emphasis was on high weight gain. Seeing the larger role of breastfeeding in optimal health means that weight gain must also be looked at in the conte
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