Nangona abanye abazali abatsha abaneengxaki zokuncelisa ukucamngca bacinga ukuba kuya kuhamba ngokuhamba ngokugqithiseleyo xa beshintshela kwifomula, kubalulekile ukuqonda ukuba ibhola lebhotile lokusela ifom elinokubangela iingxaki zokutya.
Ukungafuni ukutya kunye nokukhahlela kungabangelwa yiyiphi into ephuma kwi-acid reflux okanye ukunganyanzelani kwefomu kwimicimbi ebhotile kunye neengono.
Ukulungiswa kweengxaki zokuncelisa ibhola
Ngaphambi kokuba utshintshe ifomu lakho lomntwana okanye uthenge ibhotile yeprayim efunekayo ukunciphisa i-colic kunye negesi, kubalulekile ukucinga ngeminye imibuzo elula, njengale:
- Ingaba umntwana wakho unayo nayiphi na impawu, njengempumlo ehambayo, ukukhwehlela, okanye umkhuhlane, njl. Ezi ntlobo zeempawu zingabonisa ukuba umntwana wakho ugula kwaye ufuna iimvavanyo ezongezelelweyo kwaye akusiyo nje ibhotile okanye umbuzo wefomula.
- Ngaba umntwana wakho unenkathazo ngexesha lokutya, okanye ngezinye izihlandlo? Ukuba akusiyo yonke into okanye ukondliwa, ngoko unokuthi ungacacisekanga izibonakaliso zakhe zokulamba kwaye uzama ukumondla ngokukhawuleza, ukuze alambile, okanye aphelelwe ixesha, ukwenjenjalo ukuba ukhululekile ngenxa yokuba ndilambile kakhulu. Ukugcina idayari yokunyusa kwakhe iintsuku ezimbalwa kunokukwenza kube lula ukufumana umfanekiso omhle wokutya kwakhe kusuku ngalunye kwaye kaninzi kangakanani.
- Ngaba kubonakala sengathi ifomula iphuma kwiphonsi ngokukhawuleza okanye iphuze kakhulu umntwana wakho? Kungakhathaliseki ukuba kungabangela ukukhathazeka ngamanye abantwana. Xa uvula ibhotile epheleleyo yefomula ngaphaya kwayo, ukuphuma kwefomula ngokukhawuleza? Kufuneka ufumane umgangatho wesibini ekuqaleni. Ukuba ihamba ngokukhawuleza okanye ubona umjelo okhawuleza, unako ukuzama intonga ehlukile.
- Ngaba le fomula ibanda kakhulu okanye ishushu kakhulu? Ngaba utshisa iibhotile zakhe zefomula? Ukuba kunjalo, uyenza njani?
- Ukunganyanzeliseki kwefomula kunokubangela ukuba umntwana ahlale ekhuselekileyo ngexesha lokutya, nangona la bantwana bahlala beneminye impawu, njenge-diarrhea okanye igesi eninzi. Ukuba le ngxaki kwaye umntwana wakho usetyenziso lwe-milk-based based formula (Enfamil Lipil, iSimilac Advance, okanye i-Gerber Good Start), ngoko utshintsho kwi-formulaal element (Enfamil Nutramigen okanye i-Similac Alimentum) lunokuba luncedo. Qinisekisa ukuthetha nodokotela wakho wezingane ngaphambi kokuba utshintshe ifom yobantwana bakho.
Ngelishwa, abazali abaninzi bazama zonke ezi ngcebiso kunye neendlela zokulungisa iingxaki zabo zokuncelisa ibhotile ngaphandle kwempumelelo.
Reflux kunye nezinye iingxaki zokutya
Ngoko, yintoni enye enokubangela umntwana ukuba angayidli? Ukuba umntwana uswelekile, akafuni ukutya, kwaye uyaphonsa ngokubanzi, ngoko uya kuba ne- acid reflux .
Unyango lu no kuquka:
- Ukutshintshela kumfomfesane omntwana onokunciphisa ukutshatyalaliswa, njenge-Enfamil AR (eyongeziweyo irayisi) okanye i-Similac yeSpit-Up
- Ukutshintsha kwendlela yokuphila, ngokukodwa ukondla imali encinci rhoqo
- Ukutshintsha umntwana wakho rhoqo
- Iyeza yokunciphisa i-acid
Ngokuqinisekileyo, ufuna ukuqiniseka ukuba umntwana wakho uzuza isisindo kakuhle kwaye akanalo umkhuhlane okanye iimpawu zezinye iingxaki.
Yintoni Okumele Uyazi Ngeengxaki Zokutya Kweebhodlela
Ezinye izinto zokwazi malunga neengxaki zokutya kwebhotile ziquka ukuba:
- Khangela ingqalelo yonyango ngokukhawuleza ukuba umntwana usondeza ubunzima ukuhlanza igazi okanye uhlaza okomhlaza okanye ophuzi.
- Ukongeza ipoyiji ye-rice cereal nge-ounce yefomula yinkqubo yasemakhaya yokwenza umthamo ogqithisayo osebenza kwezinye iintsana ezine-acid reflux ukuba ezinye iidokotela zonyango zicebisa.
- Ukuba ukrokrela ukuba umntwana wakho une-acid reflux, ngokuqhelekileyo akufanele ubenxilise kwakhona emva kokuba baphala umthamo omkhulu wefomula okanye isifuba. Ngokusoloko kunzima ukugweba ngokuchanekileyo ukuba bachitha ngaphaya kangakanani kwaye mhlawumbi uya kugqiba ukugqithisa umntwana wakho, okukhokelela ekutshitsheni ngaphezulu. Endaweni yoko, lindela ukutya okulandelayo ukunika enye ibhotile.
- Xoxa nodokotela wezilwanyana ngaphambi kokuba uguqule ngokuqhubekayo iibhotile, iingxowa, kunye neifomula zokondla iingxaki.
Ukongeza kwinqanaba lakho lezingane, i-gastroenterologist yezilwanyana inokunceda ukuphatha iintsana ngeengxaki zebhotile kunye neenkomfa zokutya.
Imithombo:
I-American Academy ye-Pediatrics Clinical Report. Ukusetyenziswa kwee-protein ze-protein ezisekelwe kwi-Feeding Child. PEDIATRICS Vol. 121 No. 5 Meyi 2008, iphe. 1062-1068.
I-Vandenplas Y. Iintsholongwane ze-Gastroesophageal Reflux Clinical Practice Guidelines: Iziphakamiso ezihlangeneyo zeNorth American Society of Pediatric Gastroenterology, Hepatology, kunye neZondlo kunye ne-European Society ye-Pediatric Gastroenterology, Hepatology, kunye neZondlo. J Pediatr Gastroenterol Nutrition 2009; 49: 498-547.