![](http://4.bp.blogspot.com/_siQFODzyk2c/TENc6UpdMCI/AAAAAAAAEsI/wQ09Dt9G98s/s200/Regurgitaci%C3%B3n.jpg)
Tengo la suerte de que muchas editoriales médicas me envían libros para revisar la parte técnica de las traducciones y hacer algunos prólogos. Aunque ello me hace pasar muchas horas leyendo aprendo un montón y, en muchas ocasiones. me obliga a repasar temas que tenía olvidados o aprendo trucos fruto de la experiencia de los autores.
Acabo de revisar un libro para padres de la psicóloga, Penélope Leach, una de las escritoras más conocidas en el mundo por sus libros de divulgación, tanto en Inglaterra como en EEUU, de los que se han vendido millones de ejemplares. En éste que próximamente saldrá al mercado me ha enseñado una truquillo muy sencillo para tranquilizar a los padres respecto a las regurgitaciones del recién nacido.
Los bebés regurgitan porque su aparato digestivo no ha alcanzado su plena madurez. El esófago está dotado de una fina musculatura gracias a la cual los alimentos pueden avanzar hacia el estómago. En su parte final, el esófago dispone de un pequeño músculo circular llamado "esfínter esofágico inferior". Normalmente, dicho músculo se contrae impidiendo que el contenido alimentario vuelva "en sentido contrario" al esófago. En el caso del bebé que regurgita a menudo, dicho músculo todavía no funciona correctamente y se relaja dejando pasar de vez en cuando el contenido del estómago al esófago. Es tan común que es considerado casi como algo normal.
Algunos bebés lo hacen en forma habitual, otros no tanto y es función del pediatra distinguir entre una regurgitación y un reflujo -dependerá de su frecuencia y de su intensidad, así como de los síntomas que provocan. Este fenómeno preocupa a los padres por si se puede tratar de algo anormal, por la molestia de cambiar constantemente su ropita cuando lo hemos dejado limpio y pulcro y porque los padres tienen los hombros de su ropa empapados de leche constantemente y pueden oler como el requesón.
Fisiológicamente, 1 de cada 2 lactantes regurgita, 1 lactante de cada 5 regurgita en exceso y la mayoría de las regurgitaciones desaparecen completamente entre los 12 y los 18 meses, edad en la que empiezan a andar. En ese momento, el esfínter esofágico inferior alcanza gradualmente su madurez, el esófago se estira y la evacuación gástrica mejora.
Como la leche es blanca y muy visible -como ocurre con la sangre- las cantidades que regurgita un bebé algunos padres les parecen muy grandes. Para tranquilizarlos la Dra. Leach propone la prueba de la cucharada de leche/requesón, sencillísima: Una vez el niño ha regurgitado en el hombro del padre o de la madre y lo ha puesto perdido han de llenar una cucharada de postre con leche y derramársela por el otro hombro -ya que se ha de lavar, ensuciarlo un poco más no molesta. Si la mancha es parecida de tamaño ha regurgitado sólo unos 3 ml de leche, si les parece que mancha más se tiran una cucharada sopera de leche y si es similar la cantidad regurgitada es de unos 13 ml, miseria comparada con la cantidad de leche que ha tomado.
Este test me parece tan ingenioso que parece tomado del CSI Miami y Horatio haya sido el promotor.
6 comentarios:
Mirad qué bebé más guapo, cabe en una sandía!
http://bit.ly/9dkqX7
Se acaba de acelerar el ritmo de mi útero!!
Doctor gracias por este sencillo truco!!! mi bebe de 6 semanas regurgita muy a menudo (yo cariñosamente le llamo el vomiton). Los otros 2 no lo habian hecho nunca. Cuando alguien de la familia me diga que regurgita demasiado les hare la prueba de la cuchara a ver si a si no se alarman tanto.
Trying to find an innovative and lucrative [B][URL=http://www.tiffanysfree.com]tiffany london[/URL][/B] business? A business on sterling silver jewelries may just be the one you are [U][B]tiffany jewellery[/U][/B] looking for. It's never that too difficult to find reasonably priced Tiffany wholesale jewelry to get you [U][B]pandora bracelets[/U][/B] started on your way to being financially independent. The Internet is actually a good place [B]pandora bracelets[/B] to start. You virtually spend nothing to find the supplier you are seeking. No need to be technically knowledgeable to find [U]tiffany rings][/U] your valuable information, a simple understanding of how to operate the computer and use a reliable search [B]tiffany pendants[/B] engine is all you need.
Once you find your tiffany wholesale supplier, your quest [U][B]pandora jewellery[/U][/B] doesn't end there. You need to understand jewelry selling basics and selecting the styles that are most appropriate [B]tiffany engagement rings[/B] for your niche market as well as having the eye for designs that will [U]tiffany rings][/U] most likely sell. You must also learn the tricks of finding out which jewelry pieces are [B]pandora jewellery[/B] of superior quality. There are an abundant source of suppliers for Tiffany wholesale jewelry, you just need [B][URL=http://www.pandoraforyou.com]pandora bangles[/URL][/B] to have that discriminating taste in ensuring you get to the best source. In this business, if you start with low quality [U]tiffany london][/U] pieces, your business will suffer.
The key to a profitable and lucrative business is to build a [U][B]pandora jewelry[/U][/B] large customer base. In order for you to get customers to comeback you must be [B][URL=http://www.tiffanysfree.com]tiffany rings[/URL][/B] able to please them with the quality of your items as well as the attractiveness of your designs. Always find unique [U][B]tiffany jewellery[/U][/B] and stylish designs, you wouldn't want to sell everybody else is selling. If your pieces are just ok and plain you may have difficulty [U][B]tiffany earrings[/U][/B] keeping faithful customers. Aside from having quality merchandise you [U][B]pandora bangles[/U][/B] also should be pricing them reasonably, not too expensive but not too cheap. Always make [B]tiffany jewellery[/B] your customers feel special in finding the best priced jewelries they [U][B]tiffany jewellery[/U][/B] can find.
A good plan is definitely in order, plunging head on [U]tiffany jewellery][/U] into a business is like committing financial suicide. If you [B]pandora jewellery[/B] want your business to workout you need to sit down and make [U][B]tiffany uk[/U][/B] a list of what you need to do to achieve your main goal [U]tiffany][/U] of being the vendor of choice. A supplier of good quality Tiffany wholesale jewelries [U]tiffany uk][/U] should top the list, after all you shouldn't start any business if your [U][B]pandora beads[/U][/B] merchandise is not good at all.
Trying to find an innovative and lucrative [B][URL=http://www.tiffanysfree.com]tiffany london[/URL][/B] business? A business on sterling silver jewelries may just be the one you are [U][B]tiffany bracelets[/U][/B] looking for. It's never that too difficult to find reasonably priced Tiffany wholesale jewelry to get you [U][B]pandora beads[/U][/B] started on your way to being financially independent. The Internet is actually a good place [B]pandora bracelet[/B] to start. You virtually spend nothing to find the supplier you are seeking. No need to be technically knowledgeable to find [U]tiffany london][/U] your valuable information, a simple understanding of how to operate the computer and use a reliable search [B]tiffany pendants[/B] engine is all you need.
Once you find your tiffany wholesale supplier, your quest [U][B]pandora beads[/U][/B] doesn't end there. You need to understand jewelry selling basics and selecting the styles that are most appropriate [B]tiffany sets[/B] for your niche market as well as having the eye for designs that will [U]tiffany uk][/U] most likely sell. You must also learn the tricks of finding out which jewelry pieces are [B]pandora beads[/B] of superior quality. There are an abundant source of suppliers for Tiffany wholesale jewelry, you just need [B][URL=http://www.pandoraforyou.com]pandora jewelry[/URL][/B] to have that discriminating taste in ensuring you get to the best source. In this business, if you start with low quality [U]tiffany earrings][/U] pieces, your business will suffer.
The key to a profitable and lucrative business is to build a [U][B]pandora beads[/U][/B] large customer base. In order for you to get customers to comeback you must be [B][URL=http://www.tiffanysfree.com]tiffany charms[/URL][/B] able to please them with the quality of your items as well as the attractiveness of your designs. Always find unique [U][B]tiffany[/U][/B] and stylish designs, you wouldn't want to sell everybody else is selling. If your pieces are just ok and plain you may have difficulty [U][B]tiffany[/U][/B] keeping faithful customers. Aside from having quality merchandise you [U][B]pandora beads[/U][/B] also should be pricing them reasonably, not too expensive but not too cheap. Always make [B]tiffany[/B] your customers feel special in finding the best priced jewelries they [U][B]tiffany & co[/U][/B] can find.
Finally you will have to decide how you want to sell [B]tiffany & co[/B] your items. E-commerce is of course very interesting but then in-store is also great [U][B]pandora beads[/U][/B] because nothing can beat the appeal of seeing the Tiffany jewelry pieces in person. It basically ends [U][B]tiffany jewellery[/U][/B] with how much you can invest in the business e-commerce will be favorable if you want to cut [U]pandora jewellery[/U] down on overhead expenses. On the other hand in-store selling may just make up for expenses of maintaining a [U]tiffany][/U] showroom because customer find tangible [B]pandora jewelry[/B] stores are easier to trust.
Tiffany's jewelry is world famous company [B][URL=http://www.tiffanysfree.com]tiffany & co[/URL][/B] and if you cannot afford the actual jewelry there are a lot of Tiffany inspired jewelry to choose [U]baltimore tiffany jewelry[/U] from. While Tiffany's has produced some more [B]best website to buy discounted tiffany jewelry[/B] affordable pieces like key chains and [U][B]buyers of tiffany jewelry sets[/U][/B] money clips for those wanting the elegant pieces without the price tag there are other options. Tiffany produces bracelets, rings, earrings [B]buyers of tiffany jewelry sets[/B] and necklaces.
Besides the traditional Tiffany's style, the jewelry [B][URL=http://www.etiffanystore.com]tiffany bracelets[/URL][/B] comes in the traditional blue box and you can even find Tiffany inspired jewelry [U]baltimore tiffany jewelry[/U] that reproduces the Tiffany style down to the box. Tiffany jewelry is traditionally sterling silver [U]fake tiffany jewelry[/U] as the Tiffany Company has produced a special blend of silver that is very [B]3tiffany & co jewellery[/B] strong and will last.
It is not a direct replica but it is inspired from the Tiffany style [U]baltimore tiffany jewelry[/U] so many of the pieces are very similar to Tiffany. Some companies may even [U][B]fake tiffany jewelry[/U][/B] produce direct replicas. The main difference between real Tiffany's jewelry and the inspired version [B]authentic tiffany jewelry monthly promotion[/B] jewelry is the price tag. They are just as beautiful and classic as the real ones [B]knockoff tiffany jewelry[/B] but at much more affordable prices. If you aspire for a piece of Tiffany's then you should [B][URL=http://www.tiffanysfree.com]tiffany sets[/URL][/B] investigate Tiffany inspired jewelry.
This jewelry can [U]buyers of tiffany jewelry sets[/U] be found in many places, in stores and online. You [U][B]cheap tiffany and co jewelry[/U][/B] can search the internet to discover the companies in your [B]tiffany jewelry boxes[/B] area that provide this type of jewelry. Their heart [B]tiffany jewelry boxes[/B] pendants are particularly popular. These floating [U][B]tiffany jewelry boxes[/U][/B] heart pendants come in silver, gold and with crystals. They also [B][URL=http://www.etiffanystore.com]tiffany co[/URL][/B] have the traditional Tiffany's circle of life pendant that resembles a [U]3tiffany & co jewellery[/U] circle of crystals on a chain.
Tiffany also offers men's jewelry and you can [B]replica tiffany jewelry[/B] find Tiffany's inspired jewelry from their men's line. There [U]discount tiffany jewelry[/U] is a huge array of cufflinks available with two tone [U]knockoff tiffany jewelry[/U] cufflinks, woven cufflinks and love knot cufflinks to name but a few. Other [U]tiffany jewelry store[/U] men's jewelry include pendants, chains, heavy [U][B]baltimore tiffany jewelry[/U][/B] mesh rings, eternal cross pendants, dice key chains, golf club money clip, sterling [B]authentic tiffany jewelry monthly promotion[/B] silver dollar sign money clips and dog tag pendants.
Publicar un comentario