Kutheni iintsana ezingenakusasa ziqala ukuhlaziya kunye nento ongayenza ngayo
Uninzi lwabantwana abancinci bafunyaniswa, mhlawumbi ngexesha leNICU yabo ihlala okanye emva kwayo, kunye ne- Gastroesophageal Reflux (GER) , enye into eyaziwa njenge-reflux. Iintshaba ezininzi zinalo mqathango, ngoko makhe sijonge oko kubandakanyekayo, ukuba ulindele ntoni, kwaye yintoni enokuyenza malunga nayo.
Yintoni iReflux?
I-reflux yenzeka xa iziqu zesisu zingasayi kuhlala esiswini, kodwa kunoko, zifike kwisigxina (ityhubhu edibanisa umlomo kwisisu) ngexabiso elincinci okanye ixabiso elincinci, ngamanye amaxesha libonakala likhupha okanye lihlanza.
Wonke umntu unesiphako esiphakamileyo sesisu - esibizwa ngokuba yi-sphincter esophageal - evula ngokuvakalayo kwaye ivale ukuvumela ukugwinya, ukugubha, nokuhlanza, kwaye umsebenzi wayo ukugcina ubisi, ukutya kunye nesisu esiswini esiswini. Xa isisu se-asidi kunye nokutya okutshitshiweyo kunye neengxube zikhupha emva kweso siphincter kwisigxina, kubizwa ngokuba yi-reflux.
Wonke umntu ufumana ezinye iifom ze-reflux. Kodwa loo asidi iyanzima kwiisisu ze-esophagus, kwaye xa kwenzeka njalo kangangokuthi kubangela ukucasula kunye nokulimala kwisisu, yilapho iimeko zeGER zikhoyo.
Kutheni ukuba iintshaba zikwazi ukuhlaziya?
Iintshaba ziyakwazi ukuhlaziya izizathu ezibini ezibalulekileyo:
Okokuqala, iintshaba ziye zahlakulela izihlunu kunye neetoni ezibuthakathaka kunezithuba ezizeleyo ezizeleyo, kwaye yinyani nakwi-sphincter muscle yabo. Ngenxa yobu buthathaka, i-sphincter ayinamandla ngokwaneleyo ukuyeka isisu esisuka kwi-back up to the hoop.
Esinye isizathu sokuba iintshaba zilungele ukuhlaziywa ngenxa yokuba iintshaba zihlala zinexinzelelo lokuphefumula. Xa iintshaba ziphefumula ngokungaqhelekanga (ukuphefumula ngokukhawuleza okanye kunzima) ngenxa yesifo seemiphunga, izihlunu ezikufuphi kwesisu zisenokuchaphazeleka, zolule i-sphincter esophageal kwaye ibangele zihlale zivulekile.
Ngenxa yezi zinto zibini, i-acid isisu, kunye nokutya okungapheliyo kuvunyelwe ngaphandle kwesisu, kuze kube yintlungu kwaye kubangela ukucasuka. Imizimba yethu inokusingatha isigxina sesisu esiswini, kodwa xa kwenzeka njalo, imini kunye nemini, i-asidi iyavutha izicubu ze-esophagus, eyenze ivuke kwaye ibuhlungu.
Ukwahlukana Phakathi Kwe-Reflux Enobumnandi Nobunzima?
Ukuhlaziya kancinci kulula kakhulu ukulawula. Ngaphandle kokuba ulungele ukutshitshisa umntwana wakho kwaye uthwele iingubo ezininzi kunye nawe yonke indawo, ubomi bakho abuyi kuphazamiseka ngokukrakra. Usana lwakho luya kukhula kakuhle kwaye luziva lukhululekile.
Kodwa i-GER engakumbi ingabangela amava amaninzi amaninzi kwaye angamnandi nomntwana wakho, njengale:
- Ubunzima obukhulu - ngexesha lokutya kunye / okanye phakathi kokutya
- wenqaba ukutya, okanye ukufumana ukutya okuncinane kakhulu
- rhoqo kwaye / okanye ezinkulu ukukhupha
- ukukhahlela ngexesha lokutya
- i-apnea kunye ne-bradycardia ngexesha nangemva kokutya
- igazi kwi-stool
- ukukhwehlela rhoqo kunye nezifo
- ukufumana ubunzima obunzima
Ukuba umntwana wakho ufunyaniswa neGERD ngelixa e-NICU, unabasebenzi bakho be-NICU ukuthetha kunye namaqhinga okwenza ngcono. Bayazama ukubeka umntwana wakho ngokwahlukileyo, ukutshintsha ukutya, amayeza kunye nokunye.
Ukuba usuhlala ekhaya kunye ne-preemie yakho, usenokuziva udidekile kwaye wedwa malunga noko ukwenze. Akunakukwazi nokuba ngaba umntwana wakho usenqabile.
Ngoko ukuba i-preemie yakho ekhaya ibonakala ibuhlungu kakhulu, ngokukodwa ngexesha lokutya okanye ngokukhawuleza, ukuqala ukuqala ukuthetha nodokotela wezingane malunga nayo.
I-preemie i-reflux iphathwa njani?
Nayiphi na into eya kugcina isisu ngaphakathi kwisisu, kwaye ingasenyuka kwipopu, yinjongo. Emva kokuba isisu sehlala apho zihlala khona, izicubu ezinomsindo ziqala ukuphilisa kwaye wonke umntu unokuziva ephucukileyo.
Naliphi na le zonyango luza kuthatha ixesha lokusebenza ngoba lusebenza ngokuvumela izicubu ezinobungozi nezibuhlungu ukuba ziphilise.
Ingane yakho ayiyi kuziva ibonakala kakuhle ngakumbi ukuba izifo ziphilise, kwaye kuthatha ixesha (iintsuku okanye iiveki). Linda.
Zininzi iindlela zokukhetha, ukusuka kwizinto ezilula ukuya kwiinkqubo ezinzima. Ezi ziquka:
Isikhundla esifanelekileyo
Iintsana kufuneka ukuba zilale ngokucwangcisa emacaleni abo ukuze zithintele ukukhusela i-SIDS, kodwa zithintela ngamandla. Kulula kakhulu ubisi ukuvuza emkhatsini kweso sigxina. Iintsana ezihlalweni zeemoto zinokuba nexesha elinzima kakhulu, kuba isihlalo seemoto sibeka uxinzelelo olusenyongweni kwisisu, okwenza i-reflux ibe yinto engakumbi.
Uninzi lwabahlengikazi bancoma ukugcina umntwana wakho kwindawo ebonakalayo ngokubanzi, ngokukodwa emva kokutya. Oku kuya kufezwa ngokubamba umntwana wakho ethe tye emva kokutya. Xa umntwana wakho efuna ixesha elide elithe tye kunokuba ungakwenza kwiingalo zakho, cinga ukusebenzisa i-wedge ekhuselekileyo neyosebenzayo njenge-Res-Q Wedge (ekusebenziseni kwi-NICU okanye ekhaya) elondolozela umntwana ngokukhuselekileyo kwaye uvumela ukunyanzela ukunceda umntwana wakho.
Ukusetyenziswa rhoqo kwe-Burping & Pacifier Usetyenziso
Abazali bacetyiswa ukuba baqhekeza ngokuphindaphindiweyo ngexesha lokutya ukuze kugcinwe umoya ophuma kwisisu ngangokunokwenzeka ukuze izibhulu ezinkulu zingabonakali izixa ezininzi zesisu.
Abazali banokufumanisa ukuba iintsana ezisondeza i-pacifiers rhoqo kwimini, ngokukodwa emva kokutya, gcina isilumko esiphazamisayo kunye nesigxina esihamba ngendlela elungileyo, ukugcina isisu ngaphakathi.
Ukunyusa okuNgciniweyo
Ngamanye amaxesha, abazali bayacetyiswa ukuba basebenzise ama-agentening thickening afana nelayisi yokutya okungezelelwe ebisi, ngesizathu sokuthi loo mveliso ekhudlwana kunye nokutya kunzima ukuvuka nokuphuma esiswini. Nangona kunjalo, lo mkhuba usetyenziswa kangangoko phantsi kwezi ntsuku (jonga i-American Academy ye-Pediatrics isilumkiso apha).
Ngokuqinisekileyo, ungazami oku ngaphandle kokuthetha kuqala nomntwana wakho. Abaqashi bangabangela ukuba isisu sikrakra xa sisetyenziswe ngokungafanelekanga. Kodwa ngoqeqesho olulungileyo, abanye abazali baye baphumelela ekuphuculeni iimpawu ze-reflux.
Ukutshintsha isidlo seMama sokutya, okanye ukutshintsha iFomula
Amaxesha amaninzi ukuxubusha kuhlobene nomntwana ongazibekezelele ezinye iiprotheni ebisi. Oomama abancancisayo i-preemie kunye ne-reflux banokucetyiswa ukuba banqunywe ukutya okufana neengxaki zobisi ezifana nobisi, amaqanda, i-soy okanye inyama ethile. Zama ukutya kokunciphisa okanye ufune uncedo lomcebisi we-lactation.
Xa iintshaba ze reflux zondla i-formula, into efanayo inokuba yinyani-into enokuthi ibangele i-digestion okanye ikhumbuze isisu sakho somntwana. Ifom entsha inokuba yimpendulo. Njalo qhasela isifo sakho sezingane ngaphambi kokutshintsha amafomula, nangona kunjalo. Iintshaba zifuna iifomula ezikhethekileyo, ngoko akufanele uguqule uze ufumane ukukhanya okuluhlaza kumgqirha wakho.
Imithi ye Reflux
Ugqirha wengane yakho unokunikezela ngamachiza ukuba ancede, kodwa kuhlale kuyingqiqo ukuzama ukungenelelo ngoncedo lwezonyango, kubhalwe ngasentla, kuqala. Amayeza aqhelekileyo axelwe ukuba i-GER kwiintsana isebenza ngokutshintsha i-asidi yesisu esiswini, okwenza kube nzima. Oko kuthetha ukuba i-reflux isenzekayo, ayikho nje into eyonakalisa isondlo.
Nangona kunjalo, i-asidi yesisu isisizathu esihle - i-asidi esiswini zethu inceda ukubulala ibhaktheriya. Ngoko ngokusebenzisa imishanguzo ye-reflux, iintsana zingase zibe yingozi enkulu yokusuleleka. Ngoko, inokuba isisombululo esihle, ukuba akukho naziphi ezinye izicwangciso zokusebenza, kodwa zilungele ukuba zithathe iintsuku ezininzi okanye iiveki ziphumelele.
Ukuguqulwa kwe-Reflux
Uphando luvakala kuphela xa kufuneka umntwana ahlasele kakhulu kangangokuthi uthintela ukufumana ubunzima obaneleyo okanye kubangele ukuphefumula.
Iintsana ezine-reflux ziyakhathazeka kakhulu, kwaye ngubani na onokuzigxeka? Ziyingozi! Ukwenza kube nzima ngakumbi, into eyona nto ifanele ukuba yintuthuzelo kubo - isondlo - yinto ebabangele kakhulu. Ngoko bayabuhlungu kwaye baxhalabile.
Oku kuthetha ukuba nabazali banokukhathazeka. Kunzima ukunyamekela umntwana onomsindo. Nceda uqiniseke ukuba uzikhathalele wena, kwaye ungaziva uzibi ngenxa yokufuna ukwenza njalo. Umntwana wakho ufuna ukuba ugcine impilo yakho yengqondo ngokufanelekileyo, ngoko ukufumana umhlobo ukuba ubukele umntwana xa usenza ikhefu ungasebenzisa izimanga. Ukuthetha nabanye abazali banako, nabo.
Yaye ukhumbule ukuba umntwana wakho akayintsana embi, kodwa umntwana omazayo unokunceda. Akazami ukwenza ubomi bakho bube buhlungu ngenxa yokuhlaziya ngaphezu kokuba uzama ukwenza ubomi bakhe bube buhlungu ngokumondla. Zama ukufumana i-reflux phantsi kolawulo ngoncedo lwabantwana bakho, kwaye uzikhathalele kakuhle!