Kolostrum: Özellikleri ve Prematüre Bebeğe Faydaları

Anne sütü bebeklerin sağlıklı büyümesi ve gelişmesi için en uygun ve eşi benzeri olmayan bir besindir. Doğumdan sonraki ortalama ilk 5 günde salgılanan süte “kolostrum” denir. Kolostrumun miktarı, görünümü ve içeriği daha sonra gelen olgun sütten farklıdır ve yenidoğanın ilk günlerdeki gereksinimlerini karşılaması açısından büyük önem taşımaktadır. Kolostrum, olgun süte kıyasla daha yüksek konsantrasyonlarda IgA, büyüme faktörleri ve diğer koruyucu bileşenlere sahiptir. Orofarenks ve bağırsaktaki lenfoid doku sayesinde, kolostrum bağışıklık gelişimini uyarır. Orofaringeal lenfatik doku uyarılması ve oral mikrobiyotanın gelişmesine katkı sağlamaktadır. Prematüre bebeklerin evrimsel olarak büyüme ve nörogelişimsel ihtiyaçları, en iyi anne sütünün sağlanması ile karşılanır. Bağışıklık güçlendirici faktörler, prematüre bebek doğuran annelerin kolostrumunda daha fazla yoğunlaşmıştır. Bu derleme de kolostrum: özellikleri ve prematüre bebeğe faydaları ele alınmıştır

Colostrum: Its Properties and Benefits to Premature Infants

Breast milk is the most appropriate and unique nutrient for healthy growth and development of infants. The milk secreted on average within the first 5 days after birth is called ‘colostrum’. The amount, appearance and content of colostrum are different from the mature milk that is secreted later and colostrum is of great importance in terms of meeting the needs of the new-born during the first days. Colostrum has higher concentrations of IgA, growth factors and other protective components compared to mature milk. It stimulates the development of immunity due to oropharynx and lymphoid tissue in the bowel. It contributes to the stimulation of oropharyngeal lymphatic tissue and the development of oral microbiota. The evolutionary growth and neurodevelopmental needs of premature infants are ideally met by the provision of breast milk. The immune-enhancing factors are more concentrated in the colostrum of mothers giving birth to premature infants. Colostrum: its properties and benefits to the premature infant were discussed in this review.

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