For the preservation of health, an active way of living, a high degree of preference and a life-like attitude, one of the main factors is a rational one. It is also important for the body to get lively words (drinks, fats, carbohydrates), microelements, mineral words and vitamins, which are necessary for normal living.
Ale the rhythm of a bitter life, if it’s dumb for an hour, I’m going to break it off normally, it’s a cause for ailments of the capital. Among that number, there were ailments that were tied to the wrong ones: for those who may appear to see the first signs of an infarction.

Unimportant to the magnificence of information, there are a lot of people who do not grasp the meaning, as it is possible for the health of the hour and the correct organization of the reception. And also the quality and versatility of the products, which are alive.

Causes of alimentary ailments

The reasons for the alimentary (knitted from implantation) are ill є:

1. Losing the quiet of the іnshіh mineral speeches and vіtamіnіv.
2. Bilkovo-energy deficiency.
3. The overmath of calorie content.
4. Destruction of the functions of the intestinal tract, for the rakhunok of what speech, it comes down to it, does not become absorbed by the organism.
5. The imbalance of the reception.
6. Destruction of the regime.

See zvoryuvan

Incorrect implantation of products in the development of non-profitable development, decrease in productivity, memory and rosy activity, and also to produce serious ill health.
Ailments of the wrong food can be distributed to those who have been found to be without a break in the regime and those that have appeared early.
To lay down the first group:

• Obesity. Tse of becoming ill can be seen through the discord of the endocrine system, or even a spadkovy character, even more than 75% of people who suffer at the price of sickness, pass.
• Gastritis and flare-ups are a direct result of improper harassment among schoolchildren, who go dry, during the day, when it is hot and childish, normal to the mode of the day.
• Diabetes mellitus can be a great success, obesity.

Before another group, there is a lot of trouble, which is a legacy of the wrong way of living, including irregular and disreputable food.

• Nirkova lack. Likuvannya can be more deprived of the most attractive children with a singular set of products.
• Sertsevo-Sudinni ailment. As a result of improper harassment, implantation of high-quality products, blood-bearing arteries to get bogged down, these tendencies to deteriorate, atherosclerosis to be repaired, and to lower the heart rate.
• Anorexia, dystrophy - loss of vagi.
• Bulimia is a conversation of vagi with an overwhelming appetite.
• Marasmus, cachexia, kvashіorkor - tied with a bilkovo-energetic deficiency in organism.
• Endemic goiter, the cause of which є non-intake of iodine.
• Alimentary anemia: a low level of hemoglobin appears in the blood as a result of inadequate maintenance of blood and low levels of life expectancy in the body.

Prevention

Prevention of ailments caused by improper habits, persh for all the problems in the learned problems. Step-by-step є literate pidhіd to harvest, and itself:

1. Programmable hacking from the most common races.
2. Vzhivannya in the most affordable versatile products for satisfying the needs of the body in lively words, minerals and vitamins.
3. Relevant to the regimen of the day and the graph of the intake - in the very hour when the regulation of the functions of the intestinal tract is taken.
4. Saving energy between energy, how to get along with it, and vitrate in the course of physical activity.

It is impossible not to mean that by the end of the day more and more people are devouring respect for their health. First of all, it’s right to organize a healthy way of living and preventing people from getting sick.

Zahvoryuvannya, tied from harchuvannyam, are called alimentary. Smells add to:

I. Ailments of improper eating.

II. Ailments, tied from the implantation of unkind people (food poisoning, infections, helmintosis).

ІІІ. Ailments, tied with individual features to the body (dropsy and nabuty fermentopathy, harchovy allergy).

Ailments of the wrong harachuvannya add to 4 groups:

· Pov'yazanі for general starvation and gallant malnutrition - an alimentary dystrophy.

· Po'yazany due to the partial lack of food - an obvious and absolute shortage of one and the same number of grubs.

· Pov'yazany with oversized food.

· Po'yazany from unbalanced grubs and the wrong mode of grubbing.

In case of starvation, malnutrition develops alimentary dystrophy, which is characterized by a decrease in the consumption of mass until hunger, disruption of the functions of all organs of the prosecutor's office and systems of “hunger filling”, a decrease in the efficiency of organisms.

Prior to the ailment of partial deficiencies, bear in mind:

· high energy deficiency(Kvashіorkor, alimentary marasmus, alimentary dwarfism, anemia, cachexia).

· Vitamin lack of- hypothesis of avitaminozi (scurvy, rickets, chicken slop, beri-beri, pelagra and in.).

· mineral deficiency- Endemic goiter, caries, rachitis and in.

· lack of fat- ailment of fatty deficiency.

· lack of PUFA

The ailments of the grudge deficiency of the widening of the middle of the poorly secured people of the population, especially in the regions. Їх the reason for the most often є lack of delivery, failure in the race of food drinks, fat, monotonous in carbohydrates, as well as the ruin of the process of getting wet speeches. At the same time, if you show grudge deficiencies, they do not come across immediately, but after the singing hour, because a wide range of functional mechanisms of biochemical adaptation.

As well as the energy value of the race, it does not cover the vitality of energy, protects of the speech, spring, and the energy of the tissues, the organisms are vicious as the energetic material; In case of trivial instability, the growth and development of the body is encouraged, the energy is reduced, the functions of endocrine cavities, liver, nervous system are damaged, blood is reduced, the functions of the immune processes, reproductive , the development of a deficiency of vit.A, group B, hypochromic anemia.

Klinic manifestations of BEN є cachexia, kvashіorkor, marasmus. Naybіlsh tough up to unstable children, especially during the period of breastfeeding the first years of life - from 6 months to 4 years.

For vіdsutnostі abo nestachі zhirіv in їzhі rozvivaєtsya since been called to come hvoroba "zhirovoї nedostatnostі" yak virazhaєtsya in zmenshennі masi tіla, upovіlnennі growth that rozvitku, porushennі funktsії pechіnki, nirok, endokrinnoї, nervovoї systems pіdvischennі proniknostі kapіlyarіv, prignіchennі reproduktivnoї funktsії, ekzemativnih urazhennyah shkіri right up to the necrotic, the decrease in stiffness to the number of unfriendly bureaucrats.

Vitamin deficiency to develop up to the development of a hypothesis of avitaminoses, in case of which a lot of problems are broken, the exchange of words, the function of quiet organs and systems. Specific ailments develop - scurvy, berі-berі, pelagra and іn.

Mineral deficiency can be spared for the lack of space in races of products, which are the main suppliers of mineral speech. In addition, you may be overwhelmed by the low volume of words in the products, in addition to the lack of ration in the waters, in the rural areas, tobto. bear the character of biochemical endemia, for example, endemic goiter, which develops when there is no iodine in the runt, and caries - when there is no fluoride and in.

In economically rooted lands, as well as in the middle of prosperous faiths, the population of the war is growing ailments of excess food. Ailments are brought before them, tied from:

· Oversized bіlkovy harchuvannyam;

Oversized fatty food;

· Over-excess in carbohydrate food;

Over-excess mineral food (fluorosis, calcification, nirkovo-і zhovchno-kam'yana ailment and іn);

· Overwhelming necessary vitamins - hypervitaminosis.

Above all, in carbohydrate consumption, to increase the development of fatty acids in carbohydrates, as well as the development of pathological breakdowns from the side of the liver, the digestive tract, the digestive tract and intestinal tract. So, the implantation of great quantities of easily consumed carbohydrates (tsukor, confectionery virobi). hyperglycemia, as a result of which, with a slurry zloza, there is an increase in the number of insulin, and for a trivial imposition on the zalose, a diabetic develops. In addition to fat intake, an excess of carbohydrates in the blood can cause high cholesterol levels, which can be seen as a factor in the development of atherosclerosis.

A change in the amount of carbohydrates in the race can lead to a decrease in appetite, suppression of the secretion of grass roots, the development of that fast progress of health. Above all, there is a great number of carbohydrates, especially a lack of food, in which there is a lot of soaking with herbal juices, because of whom you can rely on the pickling process, to go on over-picking up bites and fat B 1, 2, 3, gold and manganese. In addition, the processes of fermenting in the intestines will be accepted, flatulence will develop through the establishment of gases with microbes, which will open up the blood cells. In children, excess carbohydrate consumption can also lead to growth and development, lowering immunity.

Over-excess volume of blood in the yzhi also negatively influences the body. Establishment of a significant amount of nitrogenous slags for the purpose of supplying them to the oven. An excess of blood cells should be brought to the overwhelming malignancy of measles in the brain, as well as unpleasant reactions from the side of the nervous and cardiovascular systems. Replanting the intestine with a white blood sugar spritz the development of rotten microflora when toxic products are established as a drop of blood - phenol, indol, skatole, paracresol and in. Nadmіrne vzhivanie zhirіv only be sold to ozhirіnnya, rozvitku acidosis for rakhunok nakopichennya unoxidized produktіv, znizhennya zasvoєnnya bіlkіv growth that statevogo dozrіvannya, Rann rozvitku atherosclerosis, gіpertonіchnoї hvorobi, tsukrovogo dіabetu, zhovchnokam'yanoї hvorobi, prignіchennya protsesіv hematopoiesis, skorochennya trivalostі Zhittya. Fat tissue can be built up to the accumulation of good toxicity in fats;

In people from the overworldly mass, during the destruction of communication processes, the processes of healing of wounds, part of the judgment of acceleration, are relied upon.

Above all, mineral food is most often tied to the implantation of products, for example, in order to take revenge on the number of mineral words, for those introduced into the country by virtue of the ringtone of additional great, great quantities of salt. So, with a high concentration of fluorine in water, fluorosis can develop, the implantation of mineralized and hard waters can lead to the development of nirkovy and crustacean-cam'ian ailments, hypertension.

Hypervitaminosis in the main A, D, C is found in case of implantation of great number of natural products, rich in vitamins, as well as in case of overdose of vitamins.

Without people, people do not have to grasp the role and meaning of writing, but they stink. In a civilized suspension for the rest of the rock, growing interest to healthy food. One of the reasons for this interest is up to the people who are sick through the wrong harassment, tobto. May ailments, tied with food, how stinks live, їkh kіlkіstyu and yakіstyu. There is a row of ailments without a middle knitted from a harchuvannyam: obesity, diabetes, hypertension, atherosclerosis, heart disease, cancer.

Obesity

Obesity winykє, if the rate is higher, lower by 15% and is characterized by the loss of fat metabolism.

Diabetes mellitus

Diabetes mellitus - chronic illness, the basis of which is the deterioration of carbohydrate exchange, the main reason for which is sugar. Tsukor himself cannot eat up to his organism. At the end of the day, there is a foldable chemical speech - insulin, which is whirled around by a small creeper. Zakvoryuvannya vinikaє todі, if pіdshlunkova zloza is not viroblya enough insulin for the development of Sakharov. That is why all lively speeches, which come to organism, are transformed into zukor. There are two types of sweet diabetes: insulin-independent and insulin-independent. The very insulinous form of diabetes is hostile to children from 13-19 years of age and is characterized by those who are sick to the insulin. The first form of diabetes is hostile to older adults and is characterized by changes in the activity of the undergrowth from the insulin. This is a form of diabetes with hypoglycemic drugs such as tablets.

Hypertension

Hypertension - a high blood pressure. Lyudin's skin has a grip of blood in the Sudins. Zvuzhennya abo squeezing the arteries before the blood pressure. Vzagalі vono you can wagat with a stretch of finish. For example, if you get sick, if people get sick, they are nervous about being tied with important physical options. The grip of blood goes down in the middle, in the face of weakness, out of the way. Vіk people, also pouring in the grip of blood. So, in the sixth child, AT = 150/60, in the 11 - 18 rokiv - 100/75, in the older people it’s between 100/60–140/85, and before the elders it can move up to 160/90 mm Hg. Art.

Hypertensive ailments insist, if the pressure of blood pressure does not decrease.

Angina

Angina - even if the artery is to give shelter to the heart, slagged with fat speeches and blood streams to the heart chambers, one can hope for it. If there is a blockage (increase in part) of one of the vessels, the blood supply of the whole region, the heart will break down and the heart will go out. Tse infarction chi angina pectoris. Zmenshuyuchi salivation of fat, regulating the diet, you can get used to the rizik of ts'ogo zhvoryuvannya.

Atherosclerosis

Atherosclerosis - Still one ill-fated Sudin, tied up with kharchuvannya. There are two types of descriptions of the disease, or it can be done without them. For example, the pressure of bloodsheds is to the fact that a part of circulating fatty devices (lipids) with a great shvidkistyu can be included in the walls of arteries. Cy atherosclerotic plaques accumulate on the walls of the vessel. Creatures fatty produce before the establishment of cich plaques, for that it is important for the nobility, as the products of food to conceive of shkodi organism.

Cancer - it’s important to get sick, if it’s a winn’t, if you’re fixing normal cells and natomist or malignant growing defective, atypical cells. I have a lot of forms of tsyogo zhvoryuvannya. Until the last ten years they showed that there was a greater interconnection, which was less important than before, between those who became ill and hungry. There has been an increase in the number of fat and decrease in the number of children in the family in the last few years. Especially the intestinal tract.

Lack of food is one of the forms of deterioration of food. Lack of food may be the result of inadequate living of old speech, malabsorption, impaired metabolism, loss of nutrients when carried or more consumed in їzhі (as in case of cancer and infections). Lack of appetite for step-by-step progress; develop the skin stage takes a trivial hour, it will grow. There is a lot of change in the internal cells of the blood and tissues, then internal changes in the biochemical functions and structures are displayed. I dare say signs of that symptom.

Lack of vitality. Riziku factories

Lack of harassment associated with baggage and furnishings, including social and social dashing. Rizik of the first birthday is also more for a singing period of an hour (with a child, an early child, a pubertal period, with a vagina, a year of breastfeeding, with an old woman).

Nemovlya that dignity... Those children are not so big as they are especially sensitive to the lack of food through their high consumption in energy and the necessary lively speech. With a deficiency of vitamins K, new-born women may develop hemorrhagic ailments, which are not uncomfortable for life. In a nemovlya, as a result of breast milk, a deficiency of vitamins B12 may develop, while a mother is a vegetarian. Inadequate and indiscreetly dumb, who grow hungry, and children suffer from the risk of being diagnosed with a weak and energetic deficiency, deficiency of hair, folate acid, vitamins A and C, and their vitality. With a stretch of puberty, to grow to consume and to that, so that the pace of growth of all organisms is quickened. The lack of food in females and young females can be explained by the characteristic neurogenic anorexia.

Vigilance that year. Consume the living talkers to grow in the period of vaginosti and the year of the breast. By stretching the vaginosity, you can create a vision of a normal life, including the need for appetite (the development of non-grubby phrases like clay and active vugilla). Significantly widened zenichno-deficiency anemia, as well as folio-deficiency anemia, especially middle women who took oral contraceptives.

Old Vіk. Old - to find if there is ailment or the deficiency of food on the day - to bring up to the function of sarcopony (progressing at a loss of myazovaya mass), as it should be repaired after 40 rocky and, at the turn, turn around 10 kg at a rate of 22 kg (11 lb) for women. The reasons for the decrease in physical activity and the survival of the increase in cytokines (especially Interleukin-6). In choloviks, the cause of sarcopony is also a change in the level of androgens. With old age, the intensity of the main metabolism decreases (by the head rank, through a decrease in non-fatty mass of fat), the back mass of fat, growth, skeleton mass and the average mass of fat (at about 27-30% of fat) 40% from women.

Repairing from 20 years to 80, the decrease in living standards, especially among the choloviks. Anorexia through the aging process has many reasons:

• the adaptive slackness of the bottom of the slurry decreases,
• the secretion and activity of cholecystokinin increase, as a result of which the vicious
• і to increase the vision of leptin (anorexigenic hormone, which is violated by adipocytes).

Reducing the sense of smell and relish to reduce the satisfaction of the life, but don't forget to lower the number of the living life. Anorexia can be caused by other reasons (for example, self-reliance, unwillingness to buy products that can be used for food, dementia, chronic problems, implantation of drugs).

Typical reason for lack of food depression... In some cases, they overcome neurogenic anorexia, paranoia of chi maniacal conditions. Problems from teeth to encircle the zhuvati's building and then to overtravel and occupy the zhuvati. A wider cause є і difficult іs kovtannyam (for example, through attacks, insult, іnshі neurologic problems, candidiasis in the travocut or xerostomia). The availability of functional derailment is intertwined with the availability of lively conversations.

Accommodation in booths for people who have been kidnapped are especially sick until they develop the syndrome of energy deficiency syndrome (BEN). The stench is often disorienting and not healthy, but hungry or food products smell like a stink. The stench can be physically not healthy and independent. Zhuvannya, either for their co-operation, can be even more loyal, and for the people of it, they become staunchly blowing up their ample amount of money. Lack of living and lowering the moisture content of vitamin D, as well as lack of staying on sleep lead to osteomalacia.

Development of medical procedures. Diabetes, due to chronic changes in the intestinal tract, resection of the intestine, and in cases of surgical intervention on the intestinal tract to lead to the breakdown of fatty vitamins, saline tumors. Glutenic enteropathy, lack of slurry soil, or other problems, can lead to malabsorption. Decrease in wetness can lead to hypertension and osteoporosis. The improvement of the liver will reduce the accumulation of vitamins A and B and switch the metabolism of energy and energy. Nirkova lack of є a factor of deficiency of blood, health and vitamins D. The survival of inadequate numbers of patients may be the result of anorexia in patients with cancer, depression, and SNID. Infections, trauma, hyperthyroidism, great symptoms and trivial fever increase metabolic consumption.

Vegetarian children... Deficiency of hair growth can be observed in "egg-milk" vegetarians (if you want such a child, you can be constipated with dry health). In strict vegetarians, there may be a deficiency in vitamin B12, because the stench doesn’t cope with extracts of other foods, but food that is fermented in the Asian style. The stench is also reduced by the consumption of calcium, zaliza, zinc. Only fruit is not recommended, because there is a shortage of food, Na and bagatma microelements.

New fashion children. Deyakі fashionable children produce up to a deficit of vitamins, mineral speech and blood, heart, nirkovy, metabolic damage and even before death. Even low-calorie children.<400 ккал/сут) не могут поддерживать здоровье длительное время.

Likarsky preparations and food additives. Bagato drugs (for example, use, how to reduce appetite, digoxin) reduce appetite, and reduce the rate of metabolism. Deyak preparations (for example, stimulants of appetite) may cause catabolic effects. Singing drugs can ease the mobility of old-fashioned conversations, for example, the prototype can help loosen up the motions of vitamins.

Alcoholic chi likarska fallowness. Patients with alcoholic chi likarskoy fallowness can not hunt for their food needs. The metabolism of lively conversations can also be weakened. "Internal" drug addicts get used to being naughty, like alcoholics, who live more than a liter of alcoholic drinks today. Alcoholism can cause deficiency of magnesium, zinc and other vitamins, including thiamin.

Symptoms and diagnoses

Symptoms Warmly fallen asleep causes that type of lack of food.

Diagnosis Rule on the results of a medical anamnesis, as well as a mode of hankering, objectival conditioning, analysis of the structure of the body and vibrating laboratory dosages.

Anamnesis... The anamnesis is guilty of including food and drink (div. Fig. 1), recent changes at the vase and factor of the risk of lack of food, including the implantation of alcohol. I hate to spend more than 10% of the amount of food for three months, depending on the high degree of lack of food. The social anamnesis is guilty of avenge of food about those who are available pennies for the living and who can buy a patient and get ready.

Small. 1. The mini-scale of the assessment will be harvested. Guigoz Yand Garry PJ 1994. Mini nutritional assessment. Practical assessment of tools for nutritional status of elderly patients. Facts and Research in Gerontology. Dodatok 2: 15-59. Rubenstein LZ, Jarker J, Guigoz Y, і Vellas B. Doskonaliy heroicheskiy poppushennya (CGA) і MNA: Translated from CGA, nutritional assessment and development of shortened version of MNA. Do “Mini nutritional assessment (MNA): Research and practice in the elderly.” Vellas B, Garry PJ, ta Guigoz Y, editors. Nestle Nutrition Workshop Series. Clinical & Performance Program, vol. 1, Karger, Bale, 1997. ® Soci t des Produits Nestle SA, Vevey, Switzerland, trademark owners. Handled for permission.

For an hour, the patient's organs and systems need to be focused on the symptoms of deficiency in living words (Div. Table 1). For example, headache, boring and diplopia can be caused by V.A.

Table1. Signs and symptoms of lack of food

Scope / System	Chi sign symptom	Deficiency
Zagalny zvnishniy viglyad	Kakheksia	Energia
Shkirni pokrivi	Visip	Bagato vitamins, zinc, essential fatty acids
	Visip on dalyankas, vidcritical songs	Niacin (pelagra)
	Ease of "bruising"	Vitamin S abo K
Hair and nigty	Vitonchennya abo hair loss	Bіlok
	Before you start your hair	Selenium
	"Lіzhkopodіbni" нігті	Zalizo
Eyes	"Chicken Slipota"	Vitamin A
	Keratomap'yatsiya	Vitamin A
Mouth	Hailit ta gloss	Riboflavin, niacin, pyridoxin, zalizo
	The bleeding is clear	Vitamin C, riboflavin
Кінцівки	Nabareki	Bіlok
Nervous system	Paresthesia and oniminnya of feet and hands	Тіамін
	Sudomi	Ca, Mg
	Cognitive and sensorial rosters	Tiamin (beri-beri), niacin (pel-lagra), pyridoxine, vitamin V
	Dementia	Tiamin, niacin, vitamin V
Skeletal-myase system	Meat infusion	Bіlok
	Deformation of cysts ("0-podibny" legs, deformed colinny slopes, curved ridge)	Vitamin D, Ca
	The crispness of the stocks	Vitamin D
	Soreness and swelling of the loam	Vitamin S
ShKT	Diarrhea	Blok, niacin, folic acid, vitamin B
	Diarrhea and savor	Zinc
	Dysphagia and bile in case of kovtanny (Plummer-Winson syndrome)	Zalizo
Endocrine	Increased thyroid gland	Iodine

Behind the area of ​​the meat region in the middle of the upper part, before the start of the assessment, the meat masu tila. The area is growing out of the way of the trunk folds of the triceps (TKST) that cola in the middle of the front. The insult is carried out on the very same dilyantsi, the patient's right hand is at the relaxed position. The middle part of the middle of the upper part of the front is approximately 32 + 5 cm for people and 28 ± 6 cm for women. The formula for the size of the meat area in the middle of the upper part of the front in centimeters near the square is presented below.

On'єktivno obsozhennya. Objectively, the skinny can include the growth of that vagi, the growth of fat and the anthropometric value of the meat mass. Index of mass [IMT = wag (kg) / height (m)] in the regulation of wagons. Yaksho vaga patient<80 % должного, соответствующего росту, или если ИМТ < 18, то должна быть заподозрена недостаточность питания. Хотя эти данные полезны в диагностике недостаточности питания, они мало специфичны.

This formula corrects the area of ​​the meat area of ​​the upper part in front of the fat loss of the cyst. The middle value of the area of ​​the meat area of ​​the middle of the upper part before the bed becomes 54 ± 11 cm for the people and 30 ± 7 cm for the women. The value is less than 75% of the standard (fallen asleep), depending on the amount of meat oil (div. Table 2). On tsei vimir infused physical activity, genetic factors and vikov inlet of seed oil.

Table 2. The area of ​​the meat region in the middlethe upper part of the front for older adults

Middle meat mass of the middle of the upper part of the front ± 1 standard output. For the tribute of the 1st and 2nd National Programs for the provision of health and nutrition.

Objectively, I can focus on the specific symptoms of unstable living talk. It is necessary to reveal the symptoms of BEN (for example, nabryak, cachexia, visip). Obstezhennya also maosereditsya on signs of stanіv, which could cause the failure of living talk, for example, stomatologic problems. Psychic status is poor, therefore, depression and degradation of cognitive health can lead to the loss of vagueness.

Widely expanded Povna assessment(POSP) vicarious information from the patient's anamnesis (for example, the intake of vagina, changes in the pregnancy, gastrointestinal symptoms), data on the observational situation (for example, the intake of the malignancy of the patient) ... Vikoristovuyutsya hardened Minishkal assessment will become a patient (MOSP) of the patient, as it is also widely used when assessing the status of food for young patients (div. Fig. 1).

Diagnostics... A lot of necessary laboratory diagnostics and information about the patient's material condition. Even though the reason is obvious, and it may have been scored (for example, the situation in the middle of the vision), it’s still very hard to get it. Most patients will require a more detailed assessment.

Most frequent laboratory test vimir bilka sirovatki. A change in the number of albumens and others [for example, prealbum (transthyretin), transferin, retinol-absorbing block] can be caused by a deficiency of a bottle or a BEN. With the progress of the lack of food, the albumen decrease more and more; prealbumin, transferrin, retinolase-binding protein change quickly. The value of the albumen is to be delivered cheaply and it is possible to predict the rapidity of the risk, the mortality and lethality are more beautiful, the lower the increase in the number of bins. However, the correlation of the albumin with the risk of quickening and mortality can be tied to both non-cheeky and cheesy factors. When ignited, cytokines are set, which vibrate albumin and other markers of blood flow from the tissue, which change the ryvn of syrovats. Oskіlki prealbumin, transferrin and retinolizuyuyuyuyu block change in the process of hunger shvidshuyu, nіzh albumin, іkh vimіr іnіvіkoristovuyutsya for diagnostics or assessment of the severity of hunger hunger. However, it is still not clear whether the stench is more sensitive and specific, not albumin.

The number of lymphocytes can often be reduced by the hour of progression of lack of food. Lack of capacity for a significant decrease in CD4 + T-lymphocytes, which is the indicator of corysine in patients who are not sick on SNID.

Shkіrni probes for antigen testings add to the deterioration of cell immunity in case of BEN and some desecrated destructions due to lack of vitamins.

Інші laboratory tests(Vimіryuvannya іvnіvіtіmіnіvі mіneralnyh orechavinі) vykoryvuyutsya vibіrkovo, sob to diagnose іх specific types of stanіv, associated with a deficiency of that particular component.

Bilkovo-energy deficiency (BEN)

Bilkovo-energy deficiency (BEN) or high-caloric deficiency - even a deficiency of energy through chronic deficiency of macronutrients. Wonderful including deficiencies and bagatokh micronutrients. BEN can be a rapt one that is total (hunger) or a deed. The severity of varying from subclinical manifestations to obvious cachexia (with thickening, second hair and atrophying shkiri), multi-organ and multisystem deficiency are promoted. For diagnostics, be sure to check the laboratory dosage, zokrema assessment of syrovatovy albumin. Likuvannya includes the correction of the deficiency of birth and electrolysis by means of internal infusion of changes, and then the action of the introduction of lively talks orally, as if it is possible.

In the developed countries of BEN, we will expand the middle of the houses near the booth for people who have been kidnapped (if it often stinks at the same time they don’t take it) and the middle of the children in the distribution, as they lower their appetite or waste their metabolism. At the edge of the country, BEN is typical for children who do not have enough calories, for example.

Classification and ethology

BEN buvaє of a light, peaceful and important step. The stage is established by a path of growth in the number of real-life (ideal) patients who are growing up, vicarious and international standards (the norm is more important, 90-110%; easy, 75-90%; 85 75%).

BEN can be the first and second. Pervinna BEN is pummeled with inadequate hopefuls of living speeches, and the second for BEN is a lot of old problems, for a number of licars' medications, so it’s overwhelming for vicarious speeches.

Pervinna BEN. In all, Svitі is the first person, BEN is established to be the leading rank among children and especially the kidnapped person, to those who are quiet, who have an abundance of additional products, who want the most frequent reason in the summer - depression. There can be also a lot of post-consumer hunger and anorexia. This is also the reason why there can be a lot of nasty (zhorstoke) being born with children or children.

Children have three forms of chronic primordial BENCH: marasmus, kvashiorkor that form, which is characteristic of both (marasmus kvashiorkor). The BEN form is to be kept as a part of the business in the management of non-alcoholic and non-alcoholic energy sources. Hunger is a very important form of the primordial BEN.

Marasmus(also called the dry form of BEN) wiklikє in the waste of vagi and visnazhennya mu'azіv and fat reserve. In the countries of the world, marasmus is the most common form of BEN in children.

Kvashіorkor(also the title of a vologo, we’ll inflate it with a nabryakovy form) of bandaging with the foremost children’s calls from the breasts, as you call to be startled, if the young child’s pops up, “see” the older child’s breast. In such a rank, children from kvashіorkor are older, less than marasmus. Kvashiorkor can also be the result of a grievous illness, often gastroenteritis or an infectious disease (ymovirno, secondarily, through cytokines) in children who are already suffering from BEN. Dієta, yak a deficit for a bile, lower in energy, maybe with a lot of money, viclikati kvashіorkor, lower marasmus. Mensh often, nіzh marasmus, kvashіorkor maє tendencies to be surrounded by singing regions of the world, such as the sіlskі regions of Africa, the Caribbean and Pacific islands. In these regions, the main food products (for example, manioka, licorice, cartop, green bananas) are used for drinks and bagati for carbohydrates. When kvashіorkorі, the penetration of the cell membranes is increased, the transudation of the internal vascular line і bіlka changes, and it is brought up to the peripheral embryo.

Marasmic kvashіorkoru is characterized by total peculiarities of marasmus and kvashіorkoru. Children who are hostile to them are fat and may have more fat at the warehouse, less with marasmus.

Hunger is the main lack of lively talk. Some of the hunger is voluntary (like during the period of a religious post, or with neurogenic anorexia), but you will be surprised by the extraordinary factors (for example, spontaneous furnishings, moving in a wasteland).

Secondary BEN... The whole type depends on the result of disorders, it is infused into the function of the intestinal tract, chemical disorders and conditions, which increase metabolic consumption (for example, infection, hyperthyroidism, fever, phytochromycinoma) In case of cachectic changes (for example, SNID, cancer), and nirkovy lack of catabolic processes to produce an excess of cytokines, which leads to a lack of food. The heart's lack of the thermal stage can lead to cardial cachexia - an important form of lack of food, the mortality of which is especially high. Kakhektichesky rozladi can change the appetite and destruct the metabolism of the living words. Rozladi, which is infused into the function of the shlunkov-intestinal tract, can cause over-etching (for example, the lack of a shlunkovaya zalozi), moisture (e.g.

Pathophysiology

Pochatkova metabolic reaction - a change in the intensity of the exchange of rechovins. To protect the energy of the body, a lot of fatty tissue breaks down. However, because of the internal organizers and the media, they also repair the ruins, and the mass changes. The most "entrained" in the liver is the intestine, which, in the interim, will occupy the heart of that nirk, and the least intrude on the nervous system of the vase.

Symptomsthat signs

Symptoms of some kind of BEN can be external (systemic) or of the pathetic organisms of the system. Characteristic apathy and gratitude. Patient weakening, reduced patronage. Cognitive health has been damaged, but only one property. Timing lactose deficiency and achlorgidriyu are developing. Bring it in, and the stench will be susceptible to intestinal disaccharidase deficiency, especially lactase. The tissues of the gonads are atrophic. BEN can suffer amenorrhea in women and lose libido in men and women.

Rub in the fat and myazovoy masi є with an overbearing manifestation for all forms of BEN. In older volunteers, who were hungry for 30-40 days, they were clearly visible (25% of the cob). As hunger is trivial, then the loss of vagi can reach 50% in older adults and, perhaps, more in children.

Cachexia in older adults is most obvious in quiet areas, but in the norm it is very easy to see fat added. M'yazi will change in exchange, and the handles will be cleaned. The skin is old, thin, dry, not elastic, that cold wine. Hair is dry and easy to wear, melt dry. Weakened wound healing. Patients of a kidnapped person will have severe fractures of the stegna, bedsores, trophic fractures.

When hospr_y abo chron_chn_y important BEN, the size of the heart, the heart wikid change; pulse trust, lower arterial grip. The intensity of the atmosphere and life The number of legends decreases. The temperature is falling, and sometimes it causes death. There can be a rise in the nabryak, anemia, zhovtyanitsya and petekhi. You may have spontaneously pechinkov, nirkova or heart failure.

Clinny immunity of weakening, improve the visibility to infection. Bacterial infections (for example, pneumonia, gastroenteritis, otitis media, infections of the urogenital tract, sepsis) are characteristic of all forms of BEN. Infections to produce cytokines before activating the production of anorexia, to produce an even greater amount of meat mass and a significant reduction in the level of syrovatous albumin.

They do not feel the insanity of Viklikє, feeling hunger, waste of vagi, loss of growth, waste of pediatric fatty cells and myazovoy masi. The ribs of the face of the brush should be touched. V'yala, thin skin, scho "bounce", hang in folds.

Kvashіorkor is characterized by peripheral ridges. Vistupa lives, ale ascites is mute. The skin is dry, thin and wrinkled; won’t get hyperpigmentative, tremble, and then develop hypo-pigmentation, puffiness and atrophy. Shkira of the small regions of the country can be carried out at the winter hour. Hair is a hundred thin, we are boring or sivim. The hair on the head is easy to see, with a green light, melting away, and ale hair on the head can grow overwhelmingly. Cherguvannya lack of vitality and adequate vitality to produce before the hair of the ma viglyad "swarthy ensign". Children who are sick can be apathetic, they can become agile, as they get maddened.

Outside of hunger, it is deadly, as long as 8-12 times are trivial. In such a rank, the symptoms characteristic of BEN do not rise.

Diagnosis

Diagnosis of a history of ailments, if it is clearly inadequate to live with a disease. The reason for inadequate food, especially among children, is to be blamed. Children who are adolescents need to have a mother on the basis of the possibility of severe irritation and anorexia nervosa.

Table 3. Indicators for evaluating the severity of Bilkovo-Energetic Inadequacy (BEN)

Indicator	Norm	Easy	Pomirna	Vazhka
Normal vag (%)	90-110	85-90	75-85	<75
Index of Masi tila (IMT)	19-24	18-18,9	16-17,9	<16
Block of syrovatki (g / dl)		3,1-3,4	2,4-3,0	<2,4
Transferin syrovat (mg / dl)	220-400	201-219	150-200	<150
Number of lymphocytes (mm3)	2000-3500	1501-1999	800-1500	<800
Type-specific hypersensitivity index	2	2	1	0

The data of the ob'ktivnaya plazbezhennya zavisyay can confirm the diagnosis. To identify the cause of the secondary BEN, you need laboratory follow-up. Vimіryuvannya іvnya albumin plasm, extravagant counts of lymphocytes, CD4 + T-lymphocytes and reactions to shkinny antigens add to the significance of the severity of BEN (div. Table 3), or confirm the diagnosis Carrying out a test of the C-reactive cell of the interleukin-2 receptor may help to explain the reason for the lack of harassment in case of unclearness and confirmation of the damaged cytokine production. Bagato-dodatkovyh indicators can be deduced from normal values: for example, the characteristic decrease in hormones, vitamins, lipids, cholesterol, prealbumin, intact protein-like growth factor-1, Equivalent to creatine and methylhistidine in the section can be used to assess the criteria for assessing the level of the mass of compounds. Oscillations of catabolism begin to develop, the level of the sech is also changing. Tsі danі rіdko vrahoyuyutsya for an hour viborіv tactics lіkuvannya.

For additional laboratory tests, it is possible to identify and diagnose problems, which may require treatment. The blame is for the values ​​of electrolytes, indicators for creatinine, BUN, glucose, moss, Ca, Mg, Na phosphate. Equivalent blood glucose and electrolytes (especially K, Ca, Mg, phosphate, inodi Na) are very low. Indicators of severity and creatine, BUN in a large number of cases are at low values ​​until the development of a nircum deficiency. May cause metabolic acidosis. Conducted a zagalny blood analysis; develop є normocytic anemia (head-on through a deficiency of blood) or microcytic anemia (after an hour-long deficit).

In all, the best strategy for the prevention of BEN polyagi is that it will reduce the level of health, reduce the knowledge about the correctness of the treatment and the level of medical assistance.

It’s easy to live with BEN, including short-term hunger, to follow the path of victorious unbalanced children, especially orally. You can pick up some oral food supplements (as a rule, without lactose), as it’s hard, and you cannot adequately overtravel. Carrying often slower oral health, that is, the hunger for the sensibility of the PCT and the ingestion of bacteria in the peyur's plaques, causing the infection of the disease. When it comes to being tolerated to lactose, it’s based on yogurt, and not on the basis of milk, because people with a daily tolerance to lactose can tolerate yogurt and sour. Patients also require an approved polyvinylamine supplement.

Heavy BEN or trivial hunger vimagayut lіkuvannya in stationary minds with a controlled day. The main priorities are the correction of water and electrolyte balance and treatment of infections. By approaching є zapovnennya macronutrients orally or, once consumed, through a tube: nasogastric (sluggish) or shlunkovy. Parenteral feeding is indicated in cases of severe malabsorption.

For the correction of specific deficiencies in living words, which can be found when typing vagi, it can be known as well. To avoid micronutrient deficiencies, patients are guilty of continuing to take micronutrients at doses that are approximately 2 times the recommended dosage (RDA), before taking a dose.

Have children. Requirements for lying in the basis of a rooted pathological range of distribution. Children can be indented for 24-48 years in order to be able to carry them. Years are often carried out (6-12 times for dobos), even if they do not have enough health and wellness of the intestines until they are wet, they are guilty in small quantities (<100 мл). В течение первой недели молочные смеси с добавками обычно даются в прогрессивно увеличивающихся количествах; после недели можно давать полные количества из расчета 175 ккал/кг и 4 г белка/кг. Двойные дозы микронутриентов, превышающие рекомендации RDA, являются обязательными, для чего рекомендуется использование коммерческих поливитаминных добавок. После 4 недель молочная смесь может быть заменена цельным молоком, рыбьим жиром и твердыми пищевыми продуктами, включая яйца, фрукты, мясо и дрожжи.

Rospodil energy value of macronutrients is approximately: 16% of alcohol, 50% of fat and 34% of carbohydrates. Yak butt is induced by a combination of non-fat powdered cow's milk (110 g), sucrose (100 g), olії (70 g) and water (900 ml). You can pick up and rich dairy sums (for example, unbroken fatty milk plus corn olia and maltodextrin). Powdered milk, scho vikoristovutsya in milk sums, diluted with water.

Add additives to dairy sums: Mg 0.4 meq / kg / sug internally for 7 days; Vitamin groups In the sub-RDA, given parenterally for the first 3 days, add vitamins A, phosphorus, zinc, manganese, honey, iodine, fluorine, molybdenum and selenium. Oskіlki vzmoctuvannya gruzovogo zaliza in children іf BEN is difficult, it is recognized in supplements orally and internally. Batkіv instruct on the consumption of lively talk.

Have grown-ups. It is necessary to put the rosle on, tied from BEN. For example, if SNID can be produced before the production of cytokines, then megestrol acetate or hydroxyprogesterone can reduce life. On the other hand, some of the preparation's spikes will drastically change the testosterone intake in choloviks (you can drink the meat), you need to immediately vikoristovuvati testosterone. Oscillations of the preparation can lead to a decrease in the function of supra-nirkoval zalosis, the stench is guilty of vicoristovuvatsya only for a short time.<3 месяцев). У больных с функциональными ограничениями ключевыми моментами лечения являются доставка на дом пищи и помощь в кормлении.

Likarski zasobi, how to create an appetite (extract of hashishu - dronabinol), it is necessary to give patients with anorexia, if I am not aware of the reasons for their illness, or for the children who are suffering from anorexia Anabolic steroids may cause positive effects (for example, the improvement of the muscle mass, perhaps, the functional polypsy) in patients with cachexia, an increased amount of nutritional deficiencies, perhaps

The principles of the correction of BEN for older adults are similar to those of children. For those who are older and older, we are not guilty of being in line; it is recommended to make small obsjagi with the best reception. You can get a commercial milk sum for oral use. Lively speech is given at a rate of 60 kcal / kg and 1.2-2 g of a bottle / kg. As soon as some oral supplements are vicious with a solid man, then the stench of guilt was taken 1 year before, so, so, a bit of solid man, that’s not going to be reduced.

Likuvannya of children from BEN, who are housed at the booths for people who have been kidnapped, they are able to catch up on the powerless minds, including the wines of a lot of money (for example, robots are more addictive for a daily zone); additional help at the bath; changes in the day (for example, to make it harder for the food and calorie supplements to be added to the food); lіkuvannya depressions and іnshikh razladіv, which lie in the basis; victorian zasobiv, scho zbuzhuyut appetite, anabolic steroids abo dnannya. For patients with severe dysphagia, indispensable є trivial vikorystannya for a year of gastrostomy; I want a victorious person with ailments from a dementia spirne. I think it’s cinnamon to bring and seemingly unsatisfactory dietary meals (for example, low-salt, diabetic, low-cholesterol), fragments of the life of the child and can help life.

Folding lіkuvannya. Likuvannya BEN can cause accelerated disease (syndrome of repeated year of pregnancy), including replacement of age, deficiency of electrolytes, hyperglycemia, heart arrhythmias and transmission. Pronos - call up the peace and pass independently; protest in ailments with severe BEN INODI WIKLIKє severe dehydration or death. Such are the reasons for carrying it, like, for example, sorbitol, how to pick up when eating through a probe, or Clostridium difficile, if a patient has removed antibiotic therapy, it can be used by special entrants. Osmotic diarrhea, pummeled with the growth of calories, is rarely seen in older adults and can be seen as a reason for deprivation of those, if they are the cause of Ben's problems.

Oskilki BEN can destroy the heart and nirk function, then hydration can lead to the improvement of the internal volume of the family. Lіkuvannya lowering і concentration of pozaklіtinny and Mg. Reduction To abo Mg can cause arrhythmias. Activation of the exchange of carbohydrates during the course of treatment stimulates the consumption of insulin, so that it can bring phosphate up to the level of clitin to the appropriate level. Hypophosphatemia can cause weakness, paresthesia, paralysis, arrhythmias, comatose conditions. Rivine phosphate in the blood with parenteral feeding is responsible for regularly vimiruvatisya.

In the process of elimination, endogenous insulin can be ineffective and can lead to hyperglycemia. A touch of it can be dehydration and hyperosmolarity. Fatal arrhythmias may develop, which are characterized by an increase in the VID interval.

Forecast

In children, lethality varies from 5 to 40%. Mortality rates are lower in children with easy BEN and in those who received intensive therapy. Death in the first days of the disease is infused through a deficiency of electrolytes, sepsis, hypothermia or heart failure. Failure of svidomosty, zhovtyanitsya, petechia, hyponatrієmiya and persistent infiltration are ominous prognostic symptoms. Pinched apathy, and anorexia - pleasant symptoms. Shvidshe oduzhannya is meant for kvashіorkor, not for marasmus.

It has not been established yet, to what extent BEN is a trick in children. Children develop chronic malabsorption syndrome and pancreatic deficiency. Children of a young age have a lot of development of the world oligophrenia, as they can be spared right up to school age. You can spontaneously post-cognitive problems that lie in the form of triviality, gravity, and for whom Ben felt.

In grown-ups, BEN can lead to an accelerated recession and lethality (for example, the progression of the death rate increases by 10% in people who have been kidnapped in booths for people who have been kidnapped). Krym quietly, if the lack of organ systems develops, the use of BEN may be more successful. The patients of the kidnapped person, BEN, have an increased risk of mortality in case of surgical interventions, infections or other cases.

Carnitis deficiency

Deficiency of carnitine is a legacy of inadequate provision for the intake of amino acid carnitine. Carnitine deficiency is a heterogeneous group of depressions. The metabolism of musculoskeletal tissue goes down, leading to myopathy, hypoglycemia and cardiomyopathy. Most often, the polyagi was found at the recommendation of the child, with L-carnitine.

Amino acid carnitine is necessary for the transport of ethers to coenzyme (coenzyme) A and low-lanceous fatty acids, acetyl coenzyme A, to mitochondria of the myocyte, which is deoxidized due to rejection of energy. Carnitin is found in food products, especially in food, and is also synthesized in organisms.

Causes of deficiency of carnitine: inadequate appropriateness [for example, through fashionable children, inaccessibility of products, outside parenteral feeding (PPT)]; lack of uptake through enzyme deficiency (for example, deficiency of carnitin-palmitoyltransferase, methylmalonatlaciduria, propionatacidemia, izovaleriatemia); decrease in endogenous synthesis of carnitine in case of severe liver disease; overwhelming loss of carnitine in case of carrying, hardened duresis, hemodialis; spadkova pathology nirok, for which carnitin it is possible to be disclosed; increase in consumption in carnitine with ketosis, growth in the body's need for oxidized fatty acids; Vikoristannya valproate. Deficiency of carnitis can be generalized (systemic) or hostile to the head rank of myazi (myopathic).

Symptoms and symptoms, for which there are symptoms, lie in the cause of the deficiency of carnitis. Deficiency of carnitis can lead to necrosis of the muscles, myoglobinuria, so-called lipid myopathy, hypoglycemia, fatty liver and hypertension, as well as suffering from pain in weak muscles,

In newborn babies, the deficiency of carnitin-palmitoyltransferase is diagnosed by mass spectrometry. Prenatal diagnosis can be established by way of analysis of amnotic ridini (amnotic villous cells). In older adults, the residual diagnosis of carnitine deficiency is established at the end of the presentation of acylcarnitine in the blood, section of the tissues (in the myases and the liver for systemic deficiency; only in the cases of the disease)

Deficiency of carnitine, which develops through inadequate treatment of the skin, an increase in consumption in new, excess consumption, a decrease in the synthesis of that (inodi) through a deficiency of enzymes, it is possible to take 25 kg for an additional 6-year period.

Deficiency of basic [essential] fatty acids

Deficiency of essential fatty acids (EFAs) is very difficult to reach, most often in nemovlyats, who eat those deficiencies for EFAs. Symptoms include lusca dermatitis, alopecia, thrombocytopenia, and growth retardation in children. Diagnosis is established clinically. Improvement of the EZhK from the increase in the assimilation of the deficiency.

Linoleva and linolenic acid- EZhK - substrates for the endogenous synthesis of other fatty acids, which are necessary for the prevention of complex physiological processes, including the improvement of the integrity of the brain and cell membranes, the synthesis of prostaglandins and leucotrans. For example, eicosapentanic acid and decosahexaanic acid, which are synthesized from EFA, are essential components of the brain and cells.

For the development of the deficiency of EZhK їkh, the co-existence of a їzheyu maє will be even lower. Implanting small quantities of EZhK can help you develop a defect. In a cow's milk, approximately 25% of linoleic acid is taken away from human milk, if cow's milk is implanted in normal amounts, which is sufficient in the body of linoleic acid, and there is sufficient amount of linoleic acid. The home of fat in the Bagatio regions can be even low, a bit thin fat is often roe, with a great amount of linoleic and linolenic acids, and the abundance of tall fats is sufficient to prevent fat loss.

In nonmovly women, who lived with milk sums, with a formula, supplemented with linoleic acid (milk sum on the basis of "knowledgeable" milk), a powerful development of EZhK deficiency. EZhK deficiency can be a bit trivial PPT, but it didn’t include lipid. But in the Danish hour there are a lot of solutions for PPT, including fat emulsions for preventing EZhK deficiency. In patients with malabsorption syndrome, due to increased metabolic needs (for example, in case of surgical handicaps, multiple injuries, diagnoses), the diagnosis can be made on the basis of the appearance of the results of early laboratory deficiencies. Dermatitis, accumulation of EZhK deficiency, - generalization of thallus; at nemovlyat vіn can nagadati vrodzhenii іkhtioz, zbіlshu vnevodnennya shkіri.

Diagnosis is classy; Protest laboratory tests, which support the deficiency of EZhK, are now available at the great centers of the past. Lіkuvannya polyaga in obov'yazkovo nekhodnі EZhK s їzheya, so I will increase the stored іхній deficit.

When eating, inadequate needs of the body, the metabolism of clitin is impaired. Alimentary deficiency of the sutto reduces the health of the organisms synthesizing specific antibodies, the phagocytic activity of microscopic macrophages, the nonspecific resistance to bacterial toxins, the cause of the weakening of the intestinal reaction

Ailments of food deficiencies are supervised by strong changes in the biochemical constants of the internal medium to the body. Thoughtfulness to the deficit of old-fashioned speeches is a young body and an intensive growth. The ailments of lack of food are tied to non-stagnant races of bile, vitamins, mineral speech, and microelements.

Bilkovo-energy deficiency

Bilkovo-energetic lack of clinical practice to develop in viglyad kvashіorkor and alimentary marasmus.

Kvashіorkor buva in children wіkom 2-3 rokіv. The main reason for the ill-health is unbalanced food, especially the bile of foodstuffs. As a rule, energy storage ratsionu is baked in carbohydrates, so it is easy to get used. For a little while, practically nicoli kvashіorkor doesn’t have a grudge etiology: it’s even more frequent to take on the role of infection, psychological, cultural factor.

The transition from the chest vigoduvannya to the bedside table becomes a critical period for the child. On the 2-3rd of life, the demand in bilkas (essential amino acids) is especially great through the growth of the growth of the textile fabric. The need for babies for children of 1-3 births is 0.88-1.76 g / kg. Lack of reliable power supply to produce before the appearance of the ramps. Disruption of the synthesis of enzymes in the slurry zone is superseded by the disruption of etching and absorption (malabsorption) processes, in which case the disease is caused by diarrheal syndrome.

They develop symptoms of kvashіorkor, as they develop permanently: overload (the amount of the load permits the release of kvashіorkor, there is no sign) myase of hypotonia due to the safety of the pediatric cell and psychomotor breakdown (apathy, anxiety, inertia, indifferently placed until the midst of the age and loss of appetite).

Desquamation dermatosis due to hyperpigmentation is not common symptoms; splenosis of hepatomegaly; keratomalacia as a heritage of avitaminoza A; glosses, cheilitis and angular stomatitis as a legacy of lack of vitamins B2.

Another important syndrome of high energy deficiency alimentary marasmus (cachexia) . Winning an alimentary marasmus tied with a non-staunch one hour and a bile, and an energetically valuable life. The whole camp can develop in all groups, including those who are old, and more often to develop among children of the first rock of life. The reasons are social and economic officials (hunger), early breastfeeding without adequate piece of food. Insanity is often confused with the prevalence of infectious etiology and tuberculosis.

Alimentary marasmus is superfluous to the state of physical development (the increase in weight according to the current norms is 60%, due to growth) and malignant dystrophy due to the attendance of the adolescent fatty. At the loss of a childish klitkovini wiklikє I will appear a snake (denouncing the "little old" or "mavpi"),

The hypothesis of an avitaminozny camp. Due to autonomic disease, there is a growing increase in the amount of vitamins in the body, in case of hypovitaminosis, there is a sharp decrease instead of that of the same vitamins. In the rest of the world, there is another form of deficiency of vitamins - subnormal illness, which is a sign of marginal (biochemical) deficiency. Vona manifest itself in clinical symptoms of deficiency and increase the loss of biochemical damage.