Kungani izingane ezingakabiphi isikhathi zithola i-reflux nokuthi yini ongayenza ngakho
Amantombazane amaningi ase-preemie atholakala, noma ngesikhathi sokuhlala kwabo noma i-NICU, nge- Refastus ye-Gastroesophageal (GER) , okunye okuwaziwa nje njenge-reflux. Izigijimi eziningi zinalesi simo, ngakho-ke ake sibheke ukuthi yini ehilelekile, ukuthi yini okufanele siyilindele, nokuthi yini engenziwa ngayo.
Yini i-Reflux?
I-Reflux yenzeke uma okuqukethwe kwesisu somntwana akuhlali ngaphakathi esiswini, kodwa esikhundleni salokho, kungena emgodini (i-tube ehlanganisa umlomo nesisu) ngamanani amancane noma imali eningi, ngezinye izikhathi ibonakala njengegaxekile noma ihlanza.
Wonke umuntu unesisindo esiphakameni sesisu - okuthiwa i-sphincter esophageal - evulekile futhi ivala ukuvumela ukugwinya, ukugubha nokuhlanza, futhi umsebenzi wayo ukugcina ubisi, ukudla, nesisu esiswini esiswini. Lapho isisu esiswini nokudla okugayiwe kancane kanye neziphuzo zisuka emuva kuleso siphincter singene emgodleni, kubizwa ngokuthi i-reflux.
Wonke umuntu uhlangabezana namafomu amahle we-reflux. Kodwa leyo-asidi ilukhuni emathanjeni, futhi uma kwenzeka njalo ukuthi ibangela ukucasuka nokulimala kulesisindo, kungukuthi isimo se-GER sikhona.
Kungani izitha zingase zithole i-reflux?
Izithasiselo ziyakwazi ukucubungula izizathu ezimbili ezibalulekile:
Okokuqala, izitha zangaphambili zinezinhlanzi ezingahle zithuthuke kanye nezwi elibuthakathaka elincane kunezingane ezigcwele isikhathi eside, futhi kuyiqiniso ngisho nasesiswini somzimba esicindezelayo. Ngenxa yalokhu buthakathaka, i-sphincter ayinamandla ngokwanele ukuvimbela okuqukethwe kwesisu ukusuka ekukhuphukeni kuze kube seqenjini.
Esinye isizathu sezilwane ezithandwa kakhulu yi-reflux ingenxa yokuthi izitha zivame ukucindezeleka ngokuphefumula. Lapho izitha ziphefumula ngokungajwayelekile (ukuphefumula ngokushesha noma okukhudlwana) ngenxa yesifo se-lungs, imisipha eseduze nesiswini sangasithinteka, ilulaze i-sphincter esophageal futhi ibangele ihlale ivulekile.
Ngenxa yalezi zici ezimbili, isisu se-asidi, nokudla okungaxhunyiwe ku-intanethi kuvunyelwe ngaphandle kwesisu, kuze kube yilapho kubangela ukucasuka. Imizimba yethu ingakwazi ukusingatha okuqukethwe kwesisu esisodwa, kodwa uma kwenzeka njalo, usuku nosuku ngaphandle, i-asidi iyayicasula izicubu ze-esophagus, okwenza ivuke futhi ibuhlungu.
Umehluko Phakathi Kokufudumala Okumnene Nokukhulu?
I-reflux enhle ilula kakhulu ukuphatha. Ngaphandle kokuthola okuhle ekugubheni ingane yakho futhi uthwala izindwangu eziningi zokugqoka nawe yonke indawo, impilo yakho ingase ingathinteki kabi ngokususa i-reflux. Ingane yakho izokhula futhi izwe kahle.
Kodwa i-GER engathà sina ingabangela okuhlangenwe nakho okuningi okunzima nokungajabulisi nomntanakho, njengokuthi:
- ukukhathazeka okujulile - ngesikhathi sokudla kanye / noma phakathi kokuphakelayo
- ukwenqaba ukudla, noma ukuthatha kuphela ukudla okuncane kakhulu
- ukuqhuma okwejwayelekile kanye / noma okukhulu
- ukuchofoza ngesikhathi sokudla
- i-apnea ne-bradycardia ngesikhathi sokudla nokulandela
- igazi esitokisini
- ukukhwehlela njalo kanye nezifo
- inzuzo yesisindo esanele
Uma ngabe ingane yakho ithola ukuthi i-GERD ngenkathi ikhona ku-NICU, unabasebenzi bakho be-NICU ukukhuluma ngamasu okukwenza kube ngcono. Bangayama ukubeka ingane yakho ngokuhlukile, ukushintsha ukuphakelayo, imithi nokuningi.
Uma usuvele uhlala ekhaya nge-preemie yakho, ungase uzizwe udidekile futhi wedwa ngalokho okufanele ukwenze. Ngeke ukwazi ngisho noma ngabe ingane yakho ibuyele kahle.
Ngakho-ke uma i-preemie yakho ekhaya ibonakala sengathi ikhululekile kakhulu, ikakhulukazi ngesikhathi sokudla noma ngokuphahlazeka okubonakalayo, isinyathelo sokuqala esibaluleke kakhulu ukukhuluma nodokotela wezingane ngakho.
Kanjani ukuphathwa kwe-preemie reflux?
Noma yini ezogcina isisu esiswini ngaphakathi, futhi hhayi phezulu, kuyinhloso. Uma isisu sesiswini lapho uhlala khona, izicubu ezicasuliwe zingaqala ukuphulukisa futhi wonke umuntu angazizwa engcono.
Noma iyiphi yalezi zokwelapha kuzothatha isikhathi ukusebenza ngoba isebenza ngokuvumela izicubu ezilimazayo nezibuhlungu ukuba ziphulukise.
Umntanakho ngeke azizwe kangcono kuze kube yilapho lezo zicubu ziphilisa, futhi lokho kuthatha isikhathi (izinsuku noma amasonto). Iba nesineke.
Izinketho eziningi zikhona, kusukela kokulula kuya eziyinkimbinkimbi. Lokhu kufaka:
Isikhundla esiqondile
Izingane kufanele zilale phansi emhlane wazo nge-SIDS zokuvimbela, kepha zinegunya lokubamba amandla. Kulula kakhulu ubisi ukuvuza esiswini kuleso simo esiphansi. Amantombazane asezihlalo zezimoto angase abe nesikhathi esinzima nakakhulu, ngoba isihlalo semoto sibeka ingcindezi phezu kwesisu, okwenza i-reflux ibe khona nakakhulu.
Abahlengikazi abaningi bancoma ukugcina ingane yakho isikhundla esilungile ngangokunokwenzeka, ikakhulukazi emva kokusondeza. Lokhu kungafezwa ngokubamba ingane yakho iqondile ngemuva kokusondeza. Uma ingane yakho idinga isikhathi esiningi esilungile kunalokho ongakwenza ezandleni zakho, cabanga ukusebenzisa i-wedge ephephile futhi ephumelelayo njengokwenyuka kwe-Res-Q (okusetshenziselwa ku-NICU noma ekhaya) okugcina umntwana ephephile futhi evumela amandla adonsela phansi azisize ingane yakho.
Ukusetshenziswa kwe-Burping ne-Pacifier evamile
Abazali bayelulekwa ukuba baqhube njalo ngesikhathi sokudla ukuze bagcine umoya ophuma ngaphakathi esiswini ngangokunokwenzeka ukuze izigubhu ezinkulu zingakhulisi izinto eziningi zesisu.
Abazali futhi bathola ukuthi abantwana abanciphisa ama-pacifiers ngokuvamile ngosuku lonke, ikakhulukazi emva kokudla, ukugcina ukunyakaza nokugxila kuhamba ngendlela efanele, ukugcina okuqukethwe kwesisu endaweni.
Ukuphakelayo Okuqinisayo
Ngesinye isikhathi, abazali bayelulekwa ukuba basebenzise ama-thickening agents njenge-rice cereal added to the milk, ngenxa yokuthi izimbiza nokudla okunomsoco kunenkinga enzima ukuvuka nokuphuma esiswini. Kodwa-ke, lo mkhuba usetshenziswa kancane kancane kulezi zinsuku (bheka i-American Academy of Pediatrics isixwayiso lapha).
Ngokuqinisekile, ungazami lokhu ngaphandle kokukhuluma kuqala nodokotela wezingane zakho. Abaqashi bangabangela ukucasuka kwesisu uma kusetshenziswe ngendlela engafanele. Kodwa ngokuqondiswa okufanele, abanye abazali baye baphumelela ngokuthuthukisa izimpawu ze-reflux.
Ukushintsha Ukudla Kwamama Okuncelisayo, noma Ukushintsha Ifomu
Izikhathi eziningi i-reflux ihlobene nengane engeke ibekezelele amaprotheni athile ngobisi. Omama ababeletha i-preemie yabo ne-reflux bangacelwa ukuba basuse ukudla okufana nezinkinga zokudla okunjengama-milk, amaqanda, soy noma inyama ethile. Zama ukudla okuqedile noma ufune usizo lomxhumanisi we-lactation.
Lapho izitha ze-reflux zondla ifomula, into efanayo ingase ibe yinto eqinisile - into e-formula ingase ibangele ukugaya okungenamsoco noma ukucasula isisu somntanakho. Ifomula entsha ingaba impendulo. Hlola njalo nodokotela wezingane ngaphambi kokushintsha amafomula, noma kunjalo. Izitha eziningi zidinga amafomu akhethekile, ngakho-ke akufanele nje ushintshe uze uthole ukukhanya okuluhlaza kusuka kudokotela wakho.
Imithi ye-Reflux
Udokotela wengane yakho angase anikeze imithi yokusiza, kodwa kuhlale kuwukuhlakanipha ukuzama ukungenelela okungewona ukwelashwa, okubalwe ngenhla, kuqala. Imithi evamelelwe ukuthi i-GER ezinsaneni isebenza ngokushintsha okuqukethwe kwe-asidi yesisu, okwenza kube nzima. Lokho kusho ukuthi i-reflux isenzeka okwamanje, akuyona nje eyonakalisa isisindo.
Kodwa-ke, i-asidi yesisu yethu ingesizathu esihle - i-asidi esiswini sethu isiza ukubulala amabhaktheriya. Ngakho ngokusebenzisa imithi ye-reflux, izinsana zingase zibe yingozi enkulu yokutheleleka. Ngakho-ke, kungaba yisisombululo esihle, uma kungabikho amanye amasu asebenzayo, kodwa uzilungiselele ukuthatha izinsuku eziningi noma amasonto ukuze asebenze.
Ukuhlinzwa kwe-Reflux
Ukwelashwa kuvame ukudingeka kuphela lapho reflux yengane inzima kakhulu ukuthi kuvimbela ngokwanele ukuzuza isisindo noma kubangele ukuphefumula izinkinga.
Amantombazane ane-reflux ayathukuthela kakhulu, futhi ubani ongabeka icala? Zilimaza! Ukwenza kube kubi nakakhulu, into efanayo okufanele ibaduduza kakhulu kubo - ukudla - yilokho okubazwisa ubuhlungu kakhulu. Ngakho basuke bebuhlungu futhi bekhungathekile.
Lokhu kusho ukuthi nabazali bayaphungatheka. Kunzima ukunakekela ingane ethukuthele. Sicela uqiniseke ukuthi uzotlhogomela wena, futhi ungabi nomuzwa wokuthi kuyadingeka ukwenza kanjalo. Ingane yakho idinga ukuthi ugcine impilo yakho yengqondo kangcono ngangokunokwenzeka, ngakho ukuthola umngane ukuthi ubukele ingane ngenkathi usuphukile ungasebenzisa izimanga. Ukukhuluma nabanye abazali nakho, nakho.
Futhi khumbula ukuthi ingane yakho akuyona ingane embi, kodwa umntwana olimazayo angasiza. Akazami ukukwenza impilo yakho ihlupheke ngokuziphendulela okungaphezu kokuthi uzama ukwenza impilo yakhe ihlupheke ngokuyondla. Zama ukuthola i-reflux ngaphansi kokulawulwa ngosizo lwezingane zakho, futhi uzizinakekele kahle!