모유의 영양 성분은 시간이 지남에 따라 변하며 산모마다 다릅니다. 다량 영양소 함량을 모른 채 맹목적으로 우유를 강화하면 영양 목표를 놓치는 경우가 많아 유아가 영양 과잉 또는 영양 부족의 위험에 처하게 됩니다.
Miris HMA™는 모유의 에너지, 지방, 탄수화물 및 단백질 함량을 측정합니다. 이를 통해 임상의는 우유의 실제 다량 영양소 함량에 맞게 강화를 조정할 수 있으며, 이를 표적 강화라고 합니다
Neonatal care has made great strides in the care of preterm babies. Thanks to a better understanding of nutrition, we now know that human milk gives preterm babies the best start in life.
During the last trimester, the fetus has a growth rate three times greater than that of a term baby. Preterm babies are born during this phase and their nutritional needs are therefore much higher than that of a term baby. Furthermore, preterm babies are born with low reserves of macronutrients and individual metabolic status, organ maturity, and health can vary greatly. Therefore, milk feeds for these babies often needs to be fortified with additional macronutrients to ensure proper growth and development.
Current standard of practices is that clinicians assume that all breast milk contains the same level of macronutrients. This assumption is wrong as breastmilk content varies between mothers and for the same mother over time.
The variation in nutritional components of breast milk is higher between mothers than within a given mother, but both the between mothers and within mother difference is of clinical relevance. Fortifying blindly, without knowing the milk’s macronutrient content (so-called standard fortification), more often than not misses the nutritional target, leaving the infant at risk of over or under nutrition
Miris HMA™ measures the energy, fat, carbohydrate and protein content in human milk. This enables clinicians to adapt fortification to the actual macronutrient content of the milk, limiting the risk for over or under nutrition. This nutrition strategy is called target fortification.
신생아 치료는 조산아 치료에 큰 진전을 이루었습니다. 영양에 대한 더 나은 이해 덕분에, 우리는 이제 모유가 조산아에게 인생의 가장 좋은 출발을 제공한다는 것을 알고 있습니다.
임신 마지막 기간 동안 태아의 성장 속도는 만삭아보다 3배 더 빠릅니다. 조산아는 이 시기에 태어나기 때문에 영양 요구량이 만삭아보다 훨씬 높습니다. 또한 조산아는 다량 영양소 비축량이 적고 개인의 신진대사 상태, 장기 성숙도 및 건강 상태가 크게 다를 수 있습니다. 따라서 이러한 아기를 위한 모유 사료는 적절한 성장과 발달을 보장하기 위해 추가 다량 영양소로 강화되어야 하는 경우가 많습니다.
현재 진료 기준은 임상의가 모든 모유에 동일한 수준의 다량 영양소가 포함되어 있다고 가정하는 것입니다. 모유 함량은 엄마마다 다르고 시간이 지남에 따라 같은 엄마에게도 다르기 때문에 이 가정은 잘못된 것입니다.
모유의 영양 성분의 차이는 특정 어머니 내에서보다 어머니 사이에서 더 크지만, 어머니 간 차이와 어머니 내 차이 모두 임상적 관련성이 있습니다. 우유의 다량 영양소 함량을 모른 채 맹목적으로 강화(소위 표준 강화)하면 영양 목표를 놓치는 경우가 많아 유아가 영양 과다 또는 부족의 위험에 처하게 됩니다
Miris HMA®는 모유의 에너지, 지방, 탄수화물 및 단백질 함량을 측정합니다. 이를 통해 임상의는 우유의 실제 다량 영양소 함량에 맞게 강화를 조정하여 영양 과잉 또는 부족의 위험을 제한할 수 있습니다. 이 영양 전략을 표적 강화라고 합니다.
♠ 모유 단백질 변화
During the last trimester, the fetus has a growth rate that is three times greater than that of a term baby. The dilemma is that preterm babies are born with high energy requirements and low reserves of macronutrients. Furthermore, individual metabolic status, organ maturity and health can vary greatly. Because of this, one feeding regimen cannot be applied to all.
There are large variations in the macronutrient content of human milk used in neonatal care. Mother to mother variation, stage of lactation, and methods of storage and treatment can all affect composition. The only way to be certain of macronutrient composition is to analyse. Miris Human Milk Analyzer provides the information that clinicians need to decide optimal macronutrient composition to be given to each individual preterm infant.
The need to optimise nutrition
Although human milk boosts immunity it may not always meet the nutritional requirements of each individual. Miris Human Milk Analyzer helps develop individualised nutritional programmes that mimic intrauterine growth according to specific nutritional requirements of the three birth weight classes:
The concentration of protein in human milk declines significantly after birth. The ESPGHAN 2010 guidelines2 indicate that most preterm babies have a protein deficit that is linked to their weight and composition of their feed. Extreme and very low weight babies often need additional energy and protein to enable growth similar to intrauteri
There are large variations in the macronutrient content of human milk used in neonatal care. Mother to mother variation, stage of lactation, and methods of storage and treatment can all affect composition.
The only way to be certain of the macronutrient composition is to analyse. Miris Human Milk Analyzer provides the information that clinicians need to decide optimal macronutrient composition to be given to each individual preterm infant.
The macronutrient content of human milk used in neonatal care can vary greatly.1
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The concentration of protein in human milk declines significantly after birth. The ESPGHAN 2010 guidelines2 indicate that most preterm babies have a protein deficit that is linked to their weight and composition of their feed. Extreme and very low birth weight babies often need additional energy and protein to enable growth similar to intrauterine growth.
Left: Protein content of human milk declines after birth. 3 Right: The specific protein requirements of preterm babies.4