Enterosorbents for children with poisoning
The body of the child is less resistant to the effects of disease factors. Poisoning in children are more common than in adults, and is more severe. The most common food poisoning and intoxication accidental ingestion of various poisons: drugs, household and industrial chemicals. When a toxin is ingested, one of the first-aid measures is the intake of enterosorbent, a drug that fixes the toxin in the intestine and removes it from the body into the external environment.
Enterosorbents for children with poisoning have virtually no contraindications, since the drug acts at the local level, in the intestine, and does not enter the systemic circulation. And yet, each drug has its own characteristics. Precautions should use medication for newborns. Consider what sorbents exist for children under one year old and older, and when to use a particular drug.
Preparations sorbents for children
The following preparations from the group of intestinal sorbents can be prescribed to infants during the breast period:
- Polysorb MP;
The same drugs are used by other age groups. Activated carbon has no age limit on the instructions, but pediatricians do not recommend giving it to children who are under seven years old.
How to apply Polysorb MP children
One of the most effective enterosorbents for children is Polysorb MP. This is a Russian-made drug, its unique formula is unique. The main active ingredient is highly dispersed silicon dioxide.
The benefits of using Polysorb for children are as follows.
- The drug has a high adsorption capacity. It forms about 300 square meters of active-absorbing surface per 1 gram of powder. At the same time, the surface area of the human intestinal mucosa is about 200 square meters.
- A unique mechanism of sorption: fine particles of the drug surround the toxin from all sides, completely isolating its effect on the body before it is removed from the gastrointestinal tract. This property of POLYSORB is most important in cases of food allergy.
- Does not affect intestinal motility - peristalsis.
The powder is available in single-use bags and in a plastic jar. Before use, it must be diluted in a small amount of water to obtain a suspension. Doses for children on one reception:
- with a body weight of a child up to 10 kg - 0.5–1.5 teaspoons (daily dose);
- 10–20 kg - 1 teaspoon;
- 20–30 kg - 1.5 tsp;
- 30–40 kg — 2 tsp;
- 40–60 kg - 1–1.5 tablespoons.
Polysorb MP is taken 3-4 times a day for 3-5 days.
From side effects (rarely) allergic reactions and constipation are possible.
Another effective and safe sorbent that is suitable for children with poisoning is Enterosgel. It is a silicone substance called polymethylsiloxane polyhydrate. Enterosgel has selective adsorption, does not affect intestinal motility and has a large working surface (150 square meters per 1 gram). One of the advantages over the other sorbents is a convenient dosage form in the form of a gel.
"Enterosgel" for children applies without age restrictions.
- Dose for infants: 2.5 grams (½ teaspoon), divided into 6 doses.
- Children under 5 years old: 22.5 grams per three doses (½ tablespoon);
- Children from 5 to 14 years: 15 grams per three doses (1 tablespoon).
Smekta is an excellent antidiarrheal drug for children. The active ingredient is a natural natural mineral - diosmectite. Analogs "Smekty":
- "Neosmektin" (powder and suspension);
Smekta has good sorption qualities (100 square meters per 1 gram of substance) and practically has no contraindications. The main advantage - in addition to adsorbing properties, has an enveloping effect. By stabilizing the intestinal mucous barrier, diosmectite prevents irritation of the mucous membrane and protects it from the harmful effects of bacteria and toxins.
"Smektu" in children is used for poisoning with severe diarrhea (diarrhea). Doses for reception:
- at the age of one year - 1 sachet per day for 6 receptions;
- children 1–2 years old –– 1–2 sachets;
- Children over 2 years old - 2-3 bags per day.
An overdose of this sorbent can lead to constipation.
"Polyphepan" is available in the form of powder, granules and tablets. This medicine has analogues:
Active ingredient - natural polymer lignin of plant origin. It has not very high sorption properties - the active surface area is 16–20 square meters per 1 gram. But then "Polyphepan" is cheaper than other enterosorbents.
Doses for children on one reception:
- for babies - ½ – 1 teaspoon;
- children from 1 year to 7 years - 1.5 tsp;
- from 7 years - 1 tablespoon.
“Polyphepan” is taken 3-4 times a day for 3-5 days. With chronic intoxication and allergic diseases, the treatment course is extended to 2 weeks. In the case of the appointment of children of the first year of life should be careful - the drug can cause constipation and heaviness in the stomach.
Is it possible to give children activated carbon
Activated carbon for children is used as a one-off measure. Give it at the rate of 1 tablet per 5 kg of child weight. Before use, the tablets must be crushed into powder and diluted with a small amount of water (a suspension is formed).
Of all these sorbents, activated carbon has the lowest adsorption capacity. It does not have a selective effect and removes not only toxins from the intestines, but also nutrients. It is also not the best sorbent for babies, because hard particles of coal injure the intestinal wall. Activated carbon should not be given for chronic inflammatory diseases of the stomach and intestines.
The advantage of activated carbon is low cost and universal adsorption.
Adsorbents for children are used as part of a comprehensive treatment for poisoning, allergic diseases, and digestive disorders. Most of them have no other contraindications, except for individual intolerance and intestinal atony.
Small children are given a daily dose of enterosorbent in 5-6 doses, diluting the powder immediately before use. It is also taken into account that between giving other medicines and taking intestinal sorbent it is necessary to observe a break of at least one hour.
Sorbents are chosen depending on clinical signs: with strong diarrhea, it is better to give “Smektu”, because it has an additional enveloping effect and protects the intestinal wall from irritation. If the child has been poisoned by any potent substance, for example, with drugs, then it is better to give him a drug with a high adsorbing capacity - Polysorb MP or Enterosgel. For babies, any medicine is given only after consultation with the pediatrician. In addition, with diarrhea, it is important to remember that dehydration and electrolyte loss occur. To replenish the balance in the body, it is necessary to drink plenty of fluids and take rehydration preparations.