Parenting Advice, माता-पिता टिप्स, आरोग्य, आहार लसीकरण आणि पोषण | Dr Arun Gachale| Ashish |Findingx
40:47 Share

To Ajay

Prashan Prashan

Thank you all for giving me this opportunity. My apologies. (Gestures with hands). Absolutely fantastic. Sir, I'm overwhelmed by your welcome. I'm also overwhelmed by your interest in Ironman. You're curious about my Ironman experience.

First of all, I'll introduce myself. I've been a pediatrician for over twenty years, serving in Pimpalgaon Baswant.

My education... I come from a farming family in a rural area. My education was in a rural setting. I entered medical college after my higher secondary education, specializing in science. I did my MBBS at Nashik Medical College and my PG in Mumbai. After working in Mumbai for some time, I started serving in Pimpalgaon Baswant. I've been here for over 20 years, running the hospital.

But in these 20 years, something happened that changed my life. I felt a need for something more. I felt a need to challenge myself. That's how it started.

I started thinking about what else I could do. I started focusing on fitness. I started running. I participated in the Nashik to Pandharpur pilgrimage run.

In 2017, our Nashik Police Commissioner, Dr. Ravindra Kumar Singhal, introduced me to the Ironman title. Ironman is one of the toughest single-day endurance events in the world.

It involves a 3.8-kilometer swim, a 180-kilometer cycling race, and a 42.2-kilometer marathon, all to be completed within 16-16.5 hours.

I completed three Ironman races in Pimpalgaon. I also completed the Comrades Marathon.

Comrades is another tough ultramarathon, covering 90 kilometers and requiring completion within 12 hours.

So, I've completed three Ironman races and one Comrades Marathon. My son is also the youngest Ironman in the world. He completed an Ironman at the age of 17. He's the only child in the world to have achieved this at that age. Sir, I just wanted to share that.

How do you manage both? What's the most important thing you'd like to share about managing both? How do you manage both? Well, when I have time, I give it my all. When I'm focused, nothing else matters.

Ironman's tagline is "Anything is possible." I believe anything is possible if you have the will.

When I train for Ironman, I don't compromise my work. Even when I'm tired, I give my best in rural areas. When a child needs me, it's not just a professional obligation; it's a commitment. I feel responsible for every child.

I spend the whole day seeing patients. To balance this, I dedicate a specific time for my training. I usually train in the evenings.

Please subscribe to get updates. I'll try to give you regular updates.

A common question from new parents, especially modern parents, is what common mistakes they make that affect their child's health.

If you delay having children, it can lead to difficulties.

Physical fitness... Physical fitness... (repeated several times, possibly a transcription error)

That's a big mistake. If I see a doctor, and if I see that you're delaying having children, I'll advise you to have them sooner. It will be very beneficial. What happens? There's a high risk of infertility. That's a big mistake. (repeated several times, possibly a transcription error)

I advise couples to have children as soon as possible after marriage. Once you have a child, you'll understand what to do. I tell newly married couples to have children early. (repeated several times, possibly a transcription error)

What about the government's guidelines? The minimum age for marriage is 21 for boys and 18-19 for girls. But nowadays, people get married later due to education, usually around 24-25 years old.

There's no specific rule about when to have children, but the government's minimum age is 21 for males and 18 for females because physical development is usually complete by then.

For boys, physical development is usually complete around 21-22 years, and for girls, the reproductive system is usually mature by 18. Ideally, if you get married around 23-24-25 and plan to have children, it's better to be prepared and healthy.

If you delay pregnancy, the risk of complications increases. There's a common question about when to introduce solid foods.

Mother's milk is the best food. I consider mother's milk to be nectar for the child. I recommend breastfeeding for 4.5-5 months.

If the mother is well-nourished, there's no need for supplements. In some villages, mothers don't eat enough. They think that if they eat more, they'll have problems. That's not true.

If the mother eats well, her milk supply will be good. The child's growth and development will be good. I suggest breastfeeding for 4.5-5 months.

After that, you can introduce complementary foods like cow's milk, water, rice porridge, etc. You can also add fruit juices.

Introduce complementary foods gradually. (repeated several times, possibly a transcription error)

If the mother has a cold, cough, or fever, she should still breastfeed. The infection is unlikely to pass through the breast milk. The mother should wear a mask and maintain hygiene.

If the mother is HIV positive and on antiretroviral therapy, breastfeeding is still an option, but there's a 30% chance of transmission.

If breastfeeding is possible, it's best because protein-energy malnutrition is a major cause of child mortality in India.

There are HIV-positive babies. If you adopt such a child, it's important to take precautions. I strongly recommend breastfeeding.

Start weaning early, around 4.5 months. Introduce cow's milk, rice porridge, etc. This will ensure proper physical and mental development.

Many people use packaged foods, thinking they are better than breast milk. But that's not true. Packaged foods are convenient, but not necessarily better.

Prepare traditional foods like rice porridge using millets. These are healthier options.

Please subscribe.

If the child is hungry, you can give them food. I suggest breastfeeding for the first five months, then cow's milk, rice porridge, etc. You can introduce other foods gradually.

In my opinion...

How much should the child eat? Will the child be hungry or not? (repeated several times, possibly a transcription error)

First, avoid giving the child junk food. Second, don't force-feed the child. Weaning should be gradual. (repeated several times, possibly a transcription error)

(repeated several times, possibly a transcription error)

Let the child eat one bite, then you eat one bite. This helps the child develop good eating habits. Don't force the child to eat. Make the food appealing.

Nowadays, many people use ready-made foods. This can lead to allergies and infections.

Please subscribe.

There's a lot of anxiety among doctors about the increasing number of children with allergies. Whether it's a boy or a girl, there's anxiety. If it's a girl, there's more anxiety. If it's a boy, there's also anxiety, but less. But it's not just about the gender. Gastritis, diarrhea, etc., are common.

Pasta, bottled water, etc., are not necessary. Breast milk is sufficient. After delivery, breast milk will come naturally. In normal delivery, breast milk comes immediately. In C-section, it may take some time.

If the initial milk is less, don't worry. The quantity will increase. I suggest giving only breast milk initially. There are many reasons why a mother may not have enough milk. But sometimes, it's due to deficiencies. You can use some supplements.

Don't give cow's milk, water, etc., unnecessarily.

We need to create awareness about mobile addiction. Please subscribe. I'm sharing my experience and knowledge. Nowadays, children are addicted to phones. What can we do about mobile addiction?

COVID-19 taught us many things. We became more health-conscious. Online meetings and online learning became common.

(repeated several times, possibly a transcription error)

Our lifestyle is changing. We need to adapt. We can't force children to follow old traditions. If you give children mobile phones, they'll be glued to them.

Children used to play outdoors, ride bicycles, etc. Nowadays, they are mostly indoors. They travel to school by bus. I used to walk to school, covering several kilometers.

Nowadays, children don't get enough physical activity. They should be encouraged to ride bicycles and play outdoors. The government should provide more facilities for outdoor activities.

Children's physical activity is decreasing. This leads to obesity and other health problems.

Fast food like pizza and burgers contribute to obesity. A sedentary lifestyle also contributes to obesity. This is a serious issue.

This part...

Vaccination is very important.

At birth, BCG, polio, and hepatitis B vaccines are given. Within a month, other vaccines like triple polio, rotavirus, pneumococcal, and IPV are given. The government provides these vaccines for free.

The government provides vaccines free of cost. Sometimes, there may be mild side effects like fever. But these are usually mild and temporary.

The government also provides other vaccines like influenza, MMR, typhoid, hepatitis, chickenpox, Japanese encephalitis, etc.

接种疫苗对人们来说非常有益。接种疫苗对我来说是一种经济负担，但随着时间的推移，这种负担越来越小。当我们开始接种疫苗时，腹泻的情况有所减少，轮状病毒腹泻在8到2岁儿童中尤其如此。接种轮状病毒疫苗后，腹泻的发生率大大降低。

（重复的“to to to to”，无实际意义）

因此，麻疹、腮腺炎、风疹等病毒性疾病的发生率显著下降。但对于脊髓灰质炎、百日咳和麻风病等疾病，疫苗接种的效果仍然非常显著，可以极大地降低发病率。我恳求大家尽可能多地接种疫苗，无论是在政府还是私立诊所。

在私立诊所接种疫苗可能会稍微贵一些，但如果出现抗原抗体反应，那是正常的。可能会有一些轻微的不适，但这只是暂时的，不会持续很长时间。

对于母乳喂养的婴儿来说，乳糖不耐受并不是一个大问题。如果婴儿出现不适，那可能是因为其他原因，而不是母乳。

如果母乳不足，可以使用配方奶粉作为补充。现在有很多不同种类的配方奶粉可供选择，可以根据婴儿的需求选择合适的奶粉。

我建议选择可靠的奶粉来源，确保奶粉的质量和安全性。

母乳中含有乳糖，有些人对乳糖不耐受。乳糖不耐受会导致腹胀、腹泻等症状。有些婴儿对乳糖不耐受，喝奶后会腹泻。

在这种情况下，需要采取一些措施。可能需要停止母乳喂养，改用无乳糖配方奶粉。

市场上有许多无乳糖配方奶粉，可以根据婴儿的具体情况选择合适的奶粉。如果婴儿对乳糖不耐受，需要避免摄入其他含有乳糖的食物。

如果能找到可靠的母乳来源，那是最好的。

有些孩子存在心理问题，他们无法理解自己的行为。

（重复的“बहुत बहुत बहुत”，无实际意义）

患有注意力缺陷多动障碍（ADHD）的孩子很难集中注意力，他们做事总是三心二意，难以坚持完成一件事情。

患有ADHD的孩子往往冲动、易怒。

自闭症谱系障碍（ASD）是一种神经发育障碍，没有治愈方法。早期干预非常重要。

我恳请各位家长，如果孩子有任何异常情况，请及时就医。

如果怀疑孩子患有ADHD，需要进行全面的检查，并制定相应的治疗方案。

很多人对儿童疾病有很多疑问。例如，发烧是否意味着孩子生病了？

发烧本身并不是一种疾病，它只是身体对感染或其他疾病的反应。一般来说，38.5-39摄氏度之间的体温属于正常范围。如果体温过高，需要采取相应的措施。

腹泻、呕吐等症状可能是由多种原因引起的，并不一定与出牙有关。

（重复的“अपने अपने अपने”，无实际意义）

在两岁以后，孩子就不再需要接种脊髓灰质炎疫苗了。如果孩子已经接种了脊髓灰质炎疫苗，就不需要再接种了。

疫苗接种可能会有一些副作用，但这些副作用通常是轻微的，而且是暂时的。

（重复的“अपना अपना अपना”，无实际意义）

两岁以下的儿童免疫系统发育还不完善，容易感染疾病。因此，需要采取一些措施来增强孩子的免疫力，例如接种疫苗、保持良好的卫生习惯等。

免疫力与体温没有直接关系。良好的生活习惯、卫生条件和锻炼可以增强免疫力。

现在很多家长会给孩子使用鼻油，但鼻油并不总是必要的。如果孩子鼻塞，可以使用生理盐水清洗鼻腔。

（重复的“बहुत बहुत बहुत”，无实际意义）

很多家长担心孩子的头发问题。其实，只要保持头发清洁卫生，一般不会出现什么问题。

婴儿的头发护理需要注意保持清洁卫生，避免使用刺激性强的洗发水。如果婴儿出现头皮感染，需要及时就医。

婴儿的头发护理需要注意保持清洁卫生，避免使用刺激性强的洗发水。

（重复的“काजड़ लावाई नहीं”，无实际意义）

我建议不要在婴儿的鼻孔、耳朵、头发等部位涂抹油膏。

婴儿油可以起到保湿和滋润的作用。建议使用天然的婴儿油，例如橄榄油或杏仁油。

婴儿油可以形成一层保护膜，防止皮肤水分流失，并起到保温的作用。婴儿油不会被皮肤完全吸收，可以保持婴儿皮肤的柔软和光滑。我推荐使用Parachute牌婴儿油。

（重复的“बाद चांग रहा है”，无实际意义）

（重复的“अब यह बार चाहिए”，无实际意义）

（重复的“जाने जाने जाने”，无实际意义）

如果孩子精力充沛，活动量很大，可能是因为他们比较活跃，也可能是患有ADHD。

如果孩子反应迟钝，行动缓慢，可能是因为他们身体不适，也可能是患有甲状腺疾病。

定期进行体检非常重要，可以及早发现和治疗儿童疾病。

建议在孩子2-3岁时进行一次全面的体检。

每年接种流感疫苗非常重要。此外，建议女孩接种HPV疫苗，以预防宫颈癌。

建议10岁以上的女孩接种HPV疫苗。

（重复的“बचल गड़ते हैं”，无实际意义）

补充维生素并非总是必要的。如果孩子营养均衡，一般不需要额外补充维生素。

我遇到过一些孩子食欲不振，这可能是由多种原因引起的。

我建议家长们多带孩子进行户外活动，增强孩子的体质。

我建议家长每天至少花一个小时的时间陪伴孩子，并鼓励孩子进行体育锻炼。这有助于增强孩子的免疫力，并促进孩子的健康成长。