Umbuzo weveki
Ngokomzimba, akufanele kulunge ukuba utshintshe iifom yakho yintsana, nje ngokuba unamathele kunye nensimbi eqinekileyo. Ezinye iintsana zinenkathazo encinci nge-diarrhea okanye i-constipation okanye zineengxaki zokusondeza njengoko zilungelelanisa ukuba zibe kwifom entsha, nangona kunjalo.
I-Spitter Eyoyolo
Ukuba isana lwakho selula nje kwaye lune-reflux ye-gastroesophageal, kodwa lufumana isisindo kakuhle kwaye alukho nezinye iimpawu, akufuneki ukuba uguqule ifomula yakhe .
Iingcali ziqikelela ukuba ngaphezu kwengxenye yeintsana eziselula zichithe ubuncinane enye okanye ngaphezulu kwezihlandlo ngosuku. Kwaye inxalenye eyoyikisayo kukuba loo mali ifom isoloko ikhangeleka kakhulu kunokuba yintoni xa iyenzayo.
Kule minyaka, iintsana ngokuqhelekileyo ziyafumana malunga ne-1/2 ukuya kwi-2 iipounds ngenyanga. Ukuba umntwana wakho uthola ubunzima, oko kukubonakalisa ukuba ukutshiza kwakhe akuyi kubangela ingxaki kuye.
Iintsana ezinjengalezi ezihlambulukanga ngaphandle kwezinye izibonakaliso okanye iimpawu zibizwa ngokuba 'zi-spitters ezivuya.' Ngokuqhelekileyo kunconywa ukuba ulinde ngaphandle kokuba bayeke ukutshiza njengoko bekhula.
Xa Ukuhlahlela Kukho Okugqithisileyo Kukho Umyalezo
Ukongezelela ubunzima bokufumana ubunzima okanye ukulahlekelwa ubunzima, iimpawu eziye zenza i-reflux ibangela ingxaki ibandakanya ukuba usana:
- idla ngokugqithiseleyo okanye inomsindo
- ihlala iphosa okanye iphefumula okanye iphefumula
- kaninzi ula ukudla (dysphagia)
- umqolo wakhe ngexesha okanye emva kokutya
- unomkhuhlane ongapheliyo
- inezwi elikhukhulayo okanye likhale
Ukuba umntwana uhlahlela kwaye unayo nayiphi na impawu ebhalwe apha ngasentla, unokufumana isifo se-reflux ye-gastroesophageal okanye i-GERD kwaye kufuneka ahlalutye kwaye ayenyango.
Ukutshintsha iFormu yeReflux
Ngaphandle kokuba umntwana wakho eneminye impawu yokungahambisani ne-formula, njengegesi eninzi, isifo sohudo, izigodlo zamanzi, ngaphezu kokuhlanza okanye ukuhlambalaza kunye nokutshatyalaliswa, i-formula yokutshintsha ayinakunceda.
Ukuba uya kuzama uhlobo oluthile, i-formula ye-hypoallergenic, njenge-Alimentum okanye i-Nutramigen, ingaba yinto ekhethekileyo, ekubeni iziphumo ezithile ziye zabonisa ukuphucula kwiintsana ezaziye zahlanza xa zitshintshile kule ndlela ifom.
Uhlobo lwe-AR okanye i-Similac ye-Spit-Up yiyakhethi ekhethekileyo enokuba luncedo kwiintsana eziye zaye zahlula, kwaye oko kunokuba ukhetho ukuba umntwana wakho akanalo iprotheni yobisi okanye ukunyamezela kwe-lactose.
Ukunyusa i-Reflux
Kwiintsana ezine-reflux kunye ne-GERD, unyango lunokubandakanya:
- Indlela yokuphila Iinguqu - ukwandisa ifomula yintsana yakho ngokufaka i-onepoxonful yerayisi yokutya i-rice nganye ngeyunithi yefomula (unokufuneka ukhulise umgobo we-ingono), ukuguqula indawo (gcina umntwana uthe tye ubuncinane imizuzu engama-30), kwaye unika imali encinci rhoqo , endaweni yokukhulula, ukutya okungekho rhoqo.
- Imishanguzo ye-Reflux - i-acid reduction, equka iZantac, Prevacid, neNexium. Iintsana 'ezinokutshatyalaliswa ngokutshatyalaliswa' kunye nokufumana ubunzima obunzima, kwaye abanakho ukukhala ngokugqithiseleyo, okanye ukutya okanye iingxaki zokuphefumula akufaneki ukuba baphathwe ngamachiza ngenxa yokungafuni.
Kwakhona kaninzi kunconywa ukuba ungaphinde uncelise umntwana wakho emva kokukhawuleza, oku kunokukhokelela ekugqithiseni kunye nokutshiza ngaphezulu.
Gcina ukhumbule ukuba ukuxilongwa kwe reflux ngokuqhelekileyo kwenziwa yimiqondiso yesimo. Uvavanyo, olunjenge-Upper GI ngamanye amaxesha lwenziwa, kodwa kaninzi luyenziwa ngakumbi ukuqinisekisa ukuba intsana ayinaso esinye isizathu sokuhlanza, njengomqobo, endaweni yokuqinisekisa ukuxilongwa kwe reflux. Olunye uvavanyo lunokubandakanya iProgram ye-PH, nangona oko kuvivinywa.
Kwiintsana ezinemiqondiso engapheliyo, ingakumbi ukuba ayifumananga kakuhle, i-Gastroenterologist yezilwanyana ingaba luncedo. Ngokuqhelekileyo, nangona emva kokulawulwa kwezonyango olufanelekileyo, unyango ogqityiweyo nge-Nissen fundoplication luphela kukuba yindlela yokonyango kuphela.
Imithombo:
Izigulane ze-Gastroesophageal Reflux Clinical Practice Guidelines: Iziphakamiso ezihlangeneyo zeNorth American Society ye-Gastroenterology, i-Hepatology, kunye neZondlo (NASPGHAN) kunye ne-European Society ye-Gastroenterology, i-Hepatology, kunye neZondlo (ESPGHAN). Umbhalo we-Gastroenterology kunye nesondlo 49: 498-547