Ukondla Okuvamile Nokunye Amacebiso Ukuze Kuncishiswe I-Reflux Yengane Yomntwana
Izinsana eziningi ziye zachitha izinkinga ezingadingi ukwelashwa. Ebhekwa ngokuthi "ama-spitters ajabulisayo," lezi zimpawu ngokuvamile zanyamalala ngemuva kwezinyanga eziyisithupha kuya kweziyisishiyagalombili. Nokho, kwezinye izinsana, izimpawu zabo ziyisibonakaliso sento engathí sina, njengesifo se-refux gastroesophageal (GERD) futhi badinga ukwelashwa. Kanye nezincomo ezivela kudokotela wakho, yini ongayenza ukuze unciphise izimpawu zomntanakho kungakhathaliseki ukuthi uchithe kabi noma udinga ukwelashwa kwe-reflux?
Ukuvimbela i-Acid Reflux ezinsaneni
Udokotela wakho wezingane uzokwazi ukuhlukanisa ukuthi izimpawu zomntanakho zivamile yini "ukuphalaza" noma uma kunesifo esingelapheki esidinga ukwelashwa. Uzokwazi ukukunikeza iseluleko ekuphatheni okungcono kakhulu kwengane yakho.
Uma ingane yakho ibhekene ne-reflux, amathiphu alandelayo angasiza ekunciphiseni ukukhathazeka kwakhe, futhi ngethemba lokuthi, uzomshaya.
Bamba umntwana ulungile
Ukubamba izingane endaweni evulekile kokubili ngesikhathi sokudla, okungenani imizuzu engama-30 ngemuva kokondla, kuzosiza ukunciphisa inani le-reflux esiswini. Ngenkathi ubamba ingane yakho, nokho, qiniseka ukuthi isisu sakhe asicindezeli, okungase kube kubi kakhulu.
Isikhathi sokulala ebusuku
Ngisho noma isimo sokulala esisezingeni eliphansi (esesiswini) sokunconywa sanconywa kubantana ngokucubungula esikhathini esidlule, lokhu akusekelwe. Eqinisweni, ubufakazi buqinile kakhulu ukuthi ukulala okuvamile kufanele kugwenywe uma kungenzeka.
Ezinganeni ezinesifo se-GERD , ingozi ye-SIDS ivame kakhulu ngaphezu kwezinzuzo ezingase zenzeke ngokulala. Ukubeka eceleni kokulala ngesikhathi sokulala (ukulala usana esiswini sakhe) kubhekwa kuphela ezimweni ezingavamile lapho ingozi yokufa ngenxa yezinkinga ze-GERD idlula ingozi engaba khona ye-SIDS.
Abanye odokotela bangase batusa ukuphakamisa ikhanda lesilwane somntanakho ukuze alale ekuthambekeni ukuze avumele amandla adonsela phansi ukuba asize ukugcina okuqukethwe kwesisu lapho kungokwakhe khona. Ngesikhathi izifundo zingabhekanga ngqo ezinganeni ezilele ezihlakalweni zabo, izifundo zabantwana abalele ekuhlaleni emotweni zithola ukuthi lo mkhuba uhlotshaniswa nengozi enkulu ye-SIDS. Kubaluleke kakhulu ukukhuluma nodokotela wengane yakho ngaphambi kokwenza noma yiziphi izinguquko ezikhundleni zokulala.
Zama Ukunciphisa Okuncane, Okunye Okuvamile
Ukondla njalo amahora amabili kuya kwamathathu ngenkathi usana lwakho luvukile luyokwenza ukunciphisa isifo se-reflux esiswini. Ukweqa ngokweqile kungakhuphula ingcindezi yesisu, okungabangela i-reflux yesisu.
I-Rice Cereal ingasiza
Uma ingane yakho isiqalile ukudla okuqinile (ngokuvamile kunconywa emva kwezinyanga ezine ubudala futhi kungekudala) irayisi cereal ingasiza ukunciphisa inani usana oluzophinde lubuyele. Qala nge-isipuni esisodwa se-rice okusanhlamvu ku-ounce ngayinye yefomula. Ukusebenzisa izinsipho ezinezimbobo ezincane zingasiza ngokunciphisa inani lomoya "iziphuzo" futhi ngenxa yalokho, ukuphazamisa isisu sakhe kuba yikhona (okuyinto eyandisa ukwanda kwe-reflux.) Uma ingane yakho isondliwe, zama ukupompa bese useza ilayisi isetshenziselwa ubisi lwebele.
Ukuguqulwa kokudla kwabamama ababelethisayo
Ukudla okunye-okufana ne-caffeine, ushokoledi, ne-garlic-kungakhuthaza i-reflux, ngakho-ke uma uncelisa ingane yakho, kufanele ucabange ukusika lezi zokudla ngaphandle kokudla kwakho. Ukuqeda ubisi noma amaqanda ekudleni kwabo nakho kuye kwaba usizo kwabanye omama abancuse.
Ezinye izici zingase zibe nomthelela ekufakeni izingane ezincelisayo. Uma une-reflux eqinile ye-down-down, ingane yakho ingahle ibambe lapho i-latching. Uma lokhu kwenzeka, abanye omama bapompa isikhashana ngaphambi kokuncelisa. Uma uhlanganiswa uma uqala ukudla, ingane yakho ingase ibe nobunzima bokugodla futhi ingagwinya umoya ngaphezulu.
Futhi, ukushaya isikhashana ngaphambi kokuthi ukuphasiswa kungasiza.
Isikhathi Sokuthula Nokudla
Njengoba nje abantu abadala bengakhuthaza futhi behlambalaza uma bezwa bekhathazekile, izinsana ezikhathazekayo noma ezingaphezu kweqile zingase zikhafulele futhi ngaphezulu. Yenza isikhathi sokudla sijabule ngokwengeziwe ngokuqeda ukukhala nokuphazamiseka okukhulu nokudambisa izibani. Ngokufanayo, gwema umsebenzi omkhulu futhi ukudlala okusebenzayo kuze kube amaminithi angu-30 ngemva kokudla.
Izihlalo zezingane kanye nezihlalo zezimoto
Indlela ingane yakho ehlelwe ngayo esihlalweni semoto ingabangela ukuphindaphinda kwandiswe. Uma usana lwakho seludlulela phezulu, lubangela ukucindezeleka kwesisu, okwandisa ingozi ye reflux. Ukusebenzisa ukwesekwa okulula ukugcina ingane yakho iqondile izokuvimbela lokhu.
Burping the Infant
Ukubhoboza ingane yakho izikhathi eziningana ngesikhathi sokudla (ngemva kokudla noma kokubili) kuzosiza ukunciphisa ukucindezeleka kwesisu, futhi i-reflux ingabangela. Ukulinda ukugubha usana lwakho kuze kube yilapho sesine isisu esiphelele singandisa amathuba okuphindaphinda.
Imithi
Udokotela wakho angancoma imithi (njenge- Prilosec (i-omeprazole) eyanciphisa isisu esiswini) uma ingane yakho inezimpawu ezinkulu ze-reflux ezifana nokuchofoza nokukhwehlela. Izifundo kuze kube manje zibonise inzuzo encane kulo lonke lo mkhuba, nakuba kungase kube usizo kwabanye abantwana. Ukunciphisa i-asidi yesisu kungakwandisa ingozi yokutheleleka (ngoba i-asidi ingawabulala amabhaktheriya ayingozi) ngakho le mithi kufanele isetshenziswe kuphela ngokuqondiswa ngokucophelela kudokotela wakho.
Ukuhlinzwa
Ngesinye isikhathi, ukuhlinzeka (ukuvula isikhwama sezimali se-Nissan noma i-ONF) kungahle kudingeke kubantwana abane-reflux enzima. Uma ucabangela le nqubo, qiniseka ukuthi ukhuluma nodokotela ohlinzayo wezingane oye wenza lezi zinqubo futhi angakutshela ukuthi yini ongayilindela ngokuhlinzwa.
Ezinye Izinto Ongayenza
Gwema ukuqina okuqinile emgqeni wengane yakho, futhi ugcine izindiza zivulekile. Futhi, unganiki izinsana zakho ze-caffeinated, i-orange juice noma amanye ama-citrus juices.
Ngezansi kokuvimbela i-Acidx ye-Acid ezinsaneni
I-Reflux ezinganeni zingabangela ukukhathazeka kakhulu, futhi akuvamile neze isinyathelo esisodwa esisiza. Ngaphezu kwalokho, wonke umntwana uhlukile, futhi amanye alawa macebiso angasebenza kangcono kunabanye. Ngenhlanhla, i-reflux ivame ukuthuthukisa njengoba ingane ikhula, futhi kulabo abaphikelela khona, kunezinketho ezihlukahlukene zokwelapha. Sicela ukhumbule ukuthi uma unemibuzo emayelana nempilo yengane yakho-kungakhathaliseki ukuthi ibonakala ibancanyana kangakanani-njalo kuyinto enhle yokubonisana nodokotela wezingane zakho.
> Imithombo:
> Chen, P., Soto-Ramirez, N., uZhang, H., noW. Karmaus. Ukuhlangana Phakathi Kwezindlela Zokuncelisa Amantombazane kanye ne-Reflux ye-Gastroesophageal: Ukuhlaziywa Kokuphindaphindiwe Kwendlela Yokufunda Yokudla Kwezingane Zesibili II. I-Journal of Human Lactation . 2017. 33 (2): 267-277.
> Kliegman, uRobert M., uBonita Stanton, uSt Geme III uJoseph W., uNine Felice. Schor, uRichard E. Behrman, noWaldo E. Nelson. UNelson Bookbook of Pediatrics. I-20th Edition. Philadelphia, PA: Elsevier, 2015. Phrinta.
> Lightdale, J., Gremse, D., Isigaba se-Gastroenterology, i-Hepatology, nesondlo. I-reflux ye-gastroesophageal: Isiqondiso Sokuphatha sezingane. Izingane zokwelapha . 2013. 131 (5): e1684-95.