Beginning >> Diseases (children) >> Algorithm of treatment of children with nonspecific ulcer colitis depending on severity of a disease

Algorithm of treatment of children with nonspecific ulcer colitis depending on severity of a disease

Easy form (proctitis, proctosigmoiditis)

Medium-weight form (segmented colitis)

Severe form (total colitis)

Diet No. 5p at an aggravation, and No. 5 — during remission

Diets No. 4b-4v-5p-5; parenteral food (according to indications)

Parenteral food; during subsiding of inflammatory process — a diet No. 4b-4v-5p-5

Basic drugs

• Sulfasalazinum — to children is 5-7 years on 0,25 g of Z-6 of times a day, 7 years — on 0,5 g of Z-6 of times a day are more senior
or salofalk * — to children 12 years in candles on 1,5 g a day are more senior
• Enterosorbents
• Probiotics
• Oral regidratation

• Salofalk — 1,5 g a day in 3 receptions Sulfasalazinum * — 0,5 g of 4-6 times
in days.
At inefficiency of a salofalk — corticosteroids at the rate of 1-1,5 mg/kg a day 2-3 weeks with the subsequent decrease by 2,5 mg a week, before cancellation
• Enterosorbents
• Correction of disturbances of a water and electrolytic exchange and acid-base state
• Correction of an intestinal disbioz (microbic decontamination, probiotics)

• Corticosteroids — 1-1,5 mg/kg
a day 3-4 weeks with the subsequent decrease by 2,5 mg a week, before cancellation. At inefficiency of corticosteroids their combination to cytostatics (Azathioprinum of 0,5-1 mg/kg a day) or monotherapy by cytostatics in a dose of 1-1,5 mg/kg a day is possible.
• Prevention of recurrence is carried out by Sulfasalazinum or salofalky respectively 0,5-1,5 g a day are long in doses
• Correction of disturbances of a water and electrolytic exchange and acid-base state
• Correction of an intestinal disbioz (microbic decontamination, a probiotics or a probiotics in combination with prebiotics (lactulose)
• Enterosorbents

Supportive applications

• Reparanta (methyluracil, sea-buckthorn oil)
• Cytoprotectors
• Vitamins

• Spasmolysants
• Reparanta (methyluracil, sea-buckthorn oil, pentoxyl)
• Cytoprotectors
• Vitamins

• Spasmolysants, ganglioblokator, blockers of calcium channels
• Reparanta (pentoxyl, methyluracil, sea-buckthorn oil)

* At achievement of remission of a dose of Sulfasalazinum and salofalk reduce to minimum which appoint it is long for prevention of palindromias.

To article the modern principles of treatment of children with nonspecific ulcer colitis.

 
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