Baccha Khana Nahi Khata Aur Wajan Nahi Badh Raha? Asli Kaaran Aur Hal
Dr. Sandip Gupta
Ek podcast episode fussy eating aur weight gain par — bacche khana kyun band kar dete hain, parents kahan galti karte hain, aur ghar par ise kaise handle karein. Bacche khana kyun nahi khate — teen kaaran: 1. Age-appropriate behaviour (growth slow hona). Pehle saal mein growth ki speed bahut zyada hoti hai — 2.5 kg ka baccha 8–9 kg ho jaata hai, aur height kareeb 50 cm se 75 cm ho jaati hai. Pehle saal weight 6–7 kg aur height 25 cm badhti hai. Doosre saal weight sirf 2–3 kg aur height 12 cm badhti hai. Uske baad har saal weight sirf kareeb 2 kg aur height 5–6 cm badhti hai. Growth slow hone ki wajah se bacche ki bhookh utni nahi rehti, aur wo newborn ki tarah har do ghante feed nahi karega — 3 se 4 ghante ke gap ke baad hi khayega. Ye samajhna zaroori hai ki baccha har baar khana nahi khayega. 2. Zabardasti khilana — khane se nafrat. Parents aksar thoos-thoos kar zabardasti khilate hain, jisse bacche ko khane se nafrat ho jaati hai. Kisi ka mann na ho aur aap zabardasti karao to wo wo bhi nahi karega jo karta. Baccha chidh jaata hai, khana dekhte hi rona shuru kar deta hai, bhaagne lagta hai, pareshan karta hai. Jab baccha khana nahi khana chahta to kuch der uske chhod dijiye — bhale thodi der bhookha rahe, use baad mein bhookh lagegi aur wo khayega. Us waqt ye na karein ki baccha bhookha hai isliye zabardasti doodh pila do — doodh se pet to bhar jaayega lekin doodh mein saari nutrition nahi hoti. Solid food ke time solid food khilaiye, doodh ke time doodh pilaiye. Ye na sochein ki baccha bhookha rahega to bimar pad jaayega; use din mein 3-4 baar bhookh lagegi, aur khaali pet hone par wo khana khayega. Aapko thoda wait karna hai. 3. Iron deficiency — sabse common kaaran. India mein bacchon ko aksar iron ki deficiency rehti hai, aur isse bacche ki bhookh kam ho jaati hai. Agar aapka baccha khana nahi kha raha to iron par dhyan dein ki kahin iron deficiency to nahi. Doctor se baat karke test karayein — iron deficiency theek karne par bacche ko wapas bhookh lagna shuru ho jaati hai. Ye ek important factor hai jo bahut logon ko pata nahi hota. Iske alawa — constipation. Agar baccha constipated hai to uski intestine mein pehle se hi fecal matter loaded hai, isliye use utni bhookh nahi lagti. Constipation se bachne ke liye bacche ko age ke hisaab se sahi maatra mein paani dein, fibre rich green vegetables dein, aur kiwi, prunes, papita jaise fruits dein jo motion karne mein madad karte hain. Agar baccha regular motion karta hai to use bhookh lagti hai aur wo khana khata hai. Weight aur "mota matlab healthy" ki soch: India mein zyadatar log maante hain ki mota baccha healthy hai aur patla baccha unhealthy — ye ek psychological concept hai jo bahut dinon se hamare andar baitha hua hai. Agar parents khush bhi hon to dada-dadi, friends aur rishtedaar baar-baar kehte hain ki aapka baccha mota nahi dikh raha, isliye parents nervous aur confused ho jaate hain. Weight koi fixed number nahi hai — har age ke liye ek range hoti hai. 5 saal ka baccha kareeb 18 se 25 kg ke beech hai to theek hai. Range ke bahar jaane par hi hum use under- ya overweight kehte hain. Zabardasti khila kar bacche ko mota karne ka koi fayda nahi hai; obesity se bacchon ko bahut problems hoti hain. Underweight ka pata kaise chalega? Growth charting se — har 6 mahine ya saal mein age ke hisaab se weight graph par plot ki jaati hai. Agar range se bahut neeche hai to graph par dikhta hai aur doctor bata dete hain. Bacche underweight kyun hote hain: Aksar nutrition sahi nahi diya gaya hota. Har maa-baap khilane ki koshish karte hain, lekin weight gain tabhi sahi hota hai jab sahi nutrition mile aur balance maintain ho. Junk food aur nutritionally inadequate food na dein — chai-biscuit, doodh-biscuit, chips, burger, pizza. Bahar ka commercially made khana kareeb 10 guna zyada tasty hota hai, aur baccha instinctive hota hai: use jo tasty lagega wahi khana chahega. Bade logon mein self-control hota hai aur unhe pata hai ki wo healthy nahi hai; bacche mein wo self-realisation nahi hoti. Roz biscuit doge to baccha roti-chawal nahi khayega. Chips-kurkure doge to halwa nahi khayega. Maggi doge to khichdi nahi khayega. Phir parents ghar ka khana khilane ke liye struggle karte hain, baccha thoda-thoda khata hai, parents frustrate hote hain, aur weight nahi badhta. Sahi diet kaisi ho: Indian mixed thali concept — chawal, dal, sabzi, aur saath mein kuch halwa jaisa. Ek meal mein variety of food ho taaki bacche ko protein, carbohydrate, fat aur vitamins-minerals sab mile; salad ya fruit salad se minerals aur vitamins milte hain. Har tarah ka khana khayein, lekin ghar ka bana hua. Kya doodh mein powder milane se wajan badhta hai? Nahi. Agar aap roti, chawal, dal, sabzi — yaani major principal food jisme carbohydrate, protein, fat hai — nahi khila rahe ho to bacche ka wajan nahi badhega. Doodh mein powder milane se nahi hota; wo sirf ek additional supplement hai, jo normal khane ke gap ko bharne ke liye hota hai, uski jagah lene ke liye nahi. Saath hi iron deficiency theek karna ek critical point hai — iron theek kar do to bacche ko bhookh lagegi, wo khana khayega aur weight automatically badhega. Iron deficient bacche ko, jise bhookh hi nahi lag rahi, forcefully feed karne se baat nahi banti. Bacche ko junk food se kaise hataayein: Pehle parents ko junk food chhodna padega. Jab baccha paida hua to use pata hi nahi tha ki ye cheezein available hain — wo humein bahar ka khana khaate dekhta hai, isliye wo bhi khata hai aur aadat pad jaati hai. Agar aap khud par self-restraint nahi la sakte to bacche se expect karna beimani hai. Mahine mein ek baar, ya kahin ghoomne gaye to kha liya — that's okay; lekin har weekend regularly nahi. Wahi khana ghar par banayein. Agar bacche ko Maggi pasand hai to atta noodles mangwa kar khud ghar par bana kar khilayein. Agar french fries pasand hain to ghar par banayein — aap healthy cooking oil use karenge, quality behtar hogi, aur quantity bhi regulate kar sakte hain. Pizza, burger, cookies aur halwa ka home-based alternative banayein. Bacche ke taste preference ke hisaab se adjust karein. Spicy pasand hai to spicy banayein; meetha pasand hai to meetha; bland chahiye to bland — upma bland hota hai lekin healthy hai, aur usme blended vegetables, cabbage, carrot ya potato daal sakte hain jinme zyada taste nahi hota lekin nutrition mil jaati hai. Pasta pasand hai to aate ka pasta vegetables ke saath banayein. Biscuit pasand hai to ghar par cookies bana dein. Kinke liye relevant hai: wo parents jinka baccha khana nahi khata ya thook deta hai; jinke bacche ki bhookh pehle ya doosre saal ke baad kam ho gayi; jo zabardasti khilate hain ya solid na khane par doodh se pet bhar dete hain; jo poochhte hain ki iron deficiency se bhookh kam hoti hai ya nahi; jinke constipated bacche ko bhookh nahi lagti; jo pareshan hain ki unka baccha patla dikhta hai ya rishtedaar use underweight kehte hain; jo poochhte hain ki age ke hisaab se healthy weight range kya hai; jinke bacche sirf Maggi, chips, biscuit ya bahar ka khana khate hain; jo poochhte hain ki doodh mein weight-gain powder milane se fayda hota hai ya nahi; aur jo junk food ke gharelu alternatives dhoondh rahe hain. Disclaimer: Ye video sirf general information aur educational purpose ke liye hai. Ye kisi professional medical advice, diagnosis ya treatment ka vikalp nahi hai. Har baccha alag hota hai — iron deficiency ke shak par jaanch aur ilaaj ke liye, koi bhi supplement dene se pehle, aur agar bacche ka wajan growth chart par normal range se neeche hai to apne pediatrician se zaroor consult karein.