Izinguquko zokuphila kanye nezinga-antiacids zingasiza
Amantombazane ngokuvamile ane-reflux ye-asidi, kodwa iningi aludingi ukwelashwa, njenge-Zantac. Uma behlamba ngemuva kokudla kodwa bezuza isisindo, belele kahle futhi bengekho fussy, cishe kungenzeka. Kodwa-ke, ezinye izinsana ezenza umonakalo emva kokuphakelayo zidinga ukungenelela. Izindlela eziningi zokwelashwa kwe-acid reflux ziyatholakala kulawa bantwana.
Izinguquko zokuphila
Enye yezinguquko zokuqala zokuphila abazali okufanele bayenze ukuvikela izingubo zabo kanye nefenisha kusukela ekuphambeni.
Lokho kungasho ukusebenzisa izigqoko zokugqoka kanye namalitha futhi uxwayise labo abamba ingane yakho ukuthi iyayichitha njalo. Kumele futhi ugweme ukubeka ingane yakho kuma-diapers aqinile nokuvimbela izingubo.
Olunye ushintsho lokuphila olubalulekile luhilela ukuthi ubeka kanjani ingane yakho ngemuva kokudla. Okumangalisa ukuthi iningi lezingane lenza okubi kakhulu uma lifakwa endaweni ehlezi ngemuva kokudla. Esikhundleni salokho, ingane yakho ingenza kahle kakhulu endaweni ethintekayo, njengokwesevisi yesithwathwa noma ukugqoka ingane, noma esiswini sayo.
Khumbula ukuthi ukuma kwesisu kumele kusetshenziswe kuphela lapho ingane yakho ivukile futhi ibonwa. Ngenxa yengozi ye-SIDS, ngisho nezingane ezine-reflux kufanele zilale ebusweni ngaphandle uma udokotela wezingane encoma ngenye indlela.
Enye indlela yokubeka okungasiza kakhulu ukuphakamisa ikhanda lesikhumba somntanakho mayelana nama-30 degrees. I-tucker sling, nge-or without a wedge, ingasiza futhi ukugcina ingane yakho isesimweni esihle uma ilele ukusiza ukunciphisa izimpawu zayo zokuziphendulela.
Kodwa-ke, isihlalo semoto empeleni akuyona indawo enhle yokubeka umntwana nge reflux ngemuva kokudla. Izihlalo zezimoto kufanele zigweme ngaphandle uma empeleni imoto yakho.
Ezinye izingane ziphuza ngaphezulu lapho ziphuza imali enkulu ngesikhathi esisodwa. Ukushintsha isimiso sokunakekela ingane yakho ukuze adle amanani amancane kaningi kunganciphisa izimpawu zakhe ze-reflux.
Ngokuvamile ukubhoboza ingane yakho, njengalawo wonke ama-ounces ambalwa, ngezinye izikhathi kuyasiza ezinganeni ezine-reflux. Abanye bakuthola umfutho lapho uphazamisa ukuphakelayo kwabo futhi baphelela ngaphezulu, ngakho-ke kungase kudingeke uzame ukubona ukuthi lokhu kuguqulwa kokuphila kusebenza kuwe.
'Reflux' Baby Formula
Sekuyisikhathi eside izingane zakudala zeluleka ukuthi abazali bezinsana bahlaziye isisu somntwana wabo. Ukwenza lokhu ngokungeza isipuni esisodwa se-rice cereal yonke i-ounce noma amabili yefomula iziphuzo zakho ezinganeni.
Ukwengeza ekubeni mkhulu, ngakho-ke ithemba ukuthi uhlala phansi kangcono, izinsana zingakwazi ukuphuza kancane kancane, ngoba le nhlanganisela inamakholori amaningi kunefomula evamile.
Kukhona amafomula amabili ebantwaneni angasiza izingane ezinama-reflux ukuze kungadingeki ukwengeze okusanhlamvu ngokwakho. Lokhu kufaka i-Enfamil AR (irayisi eyongeziwe) ne-Similac Sensitive RS (isitashi selayisi).
Abanye ochwepheshe bancoma ukuthi abantwana abane-reflux banesilingo sefomula eyisisekelo, njenge-Nutramigen noma i-Alimentum, amasonto ambalwa. Lokhu kwenzeka uma i-reflux isibonakaliso se-protein ye-allergies.
Imithi ye-Reflux ye-Acid
Ngisho nezinguquko zendlela yokuphila kanye namafomula e-reflux baby, okuyisisekelo samaphilisi e-reflux imishanguzo ye-reflux.
Le mithi ye- reflux ye-acidix yezingane ihlanganisa ama-antacids nama-acid reducers afana nalokhu:
- Ama-Antacids (ukusetshenziswa okufishane kakhulu)
- I-Maalox
- I-Mylanta
- Abaphikisi be-Histamine-2 receptor
- I-Zantac
- I-Axid
- I-Pepcid
- I-Tagamet
- I-Proton pump inhibitors (i-PPIs)
- I-Prevacid
- Prilosec
- I-Nexium
- Aciphex
- I-Protonix
Eminye imithi ihlanganisa i-Reglan, i-bethanechol, ne-erythromycin, echazwa njengama-prokinetic agents. Le mithi ingasisiza ngempela ukuthi isisu singabi nalutho kodwa asisetshenziswanga kakhulu ngoba bavame ukuba nemiphumela emibi eminingi.
Khumbula ukuthi iZantac yiyona kuphela imithi ye-reflux e- aca evunyelwe ukuphatha i-reflux ezinganeni. Kodwa ezinye imithi ngokuvamile isetshenziswa ngaphandle kwelebuli yezingane ezincane, kufaka phakathi i-Axid ne-Prevacid.
Izingane ezindala ezine-Reflux
Abazali abaningi bacabanga ukuthi i -acid reflux iyisifo 'somntwana,' kodwa izingane ezindala nezintsha zingathola reflux futhi. Ngezinye izikhathi kungasiza i-acid reflux uma ingane yakho endala igwema ukudla okunomsoco , kufaka phakathi utamatisi, ama-pickle, i-citrus, nechocolate. Kumele futhi bagweme iziphuzo ezinomsoco, ezifana namajusi, iziphuzo ze-carbonate ne-cafeinated, okusho ukuthi akukho soda futhi ayikho iziphuzo zamandla.
Ukugwema ukudla ngaphakathi kwamahora ambalwa okulala, ukulahlekelwa isisindo (uma ukwedlula ngokweqile) nokuhlafuna i-gum namanzi okuphuza kunganciphisa izimpawu ze-reflux. Njengabantwana abancane, kungasiza ukuphakamisa ikhanda lombhede wengane yakho, umkhuthaze ukuba adle ukudla okuncane njalo futhi azame imithi ye-acid reflux lapho izinguquko zendlela yokuphila enganele ukuvimba izimpawu ze-reflux.
Okunye Ukwelashwa Kwe-reflux
Kuzingane ezine-reflux ezinzima ezingaphenduli ukwelashwa okuphumelelayo, ukuxhaswa kwezikhwama , lapho ingxenye engenhla yesisu ihlanganiswe khona engxenyeni engezansi ye-esophagus, kuyindlela yokukhetha. Nakuba abanye abazali bebheka lokhu kuhlinzeka njengento engavamile, kungaba yindlela enhle kulabo abanezimpawu ezinzima ze- reflux , njengokungabi nesisindo esincane, ukulahlekelwa isisindo, ukukhipha izinkinga nokuphefumula noma ukucasuka njalo.
Udokotela ohlinzayo wezingane, kanye ne-gastroenterologist yezingane , angakusiza ukunquma ukuthi ingane yakho ene-reflux enzima ingumuntu ozobhapathizwa.
Okudingeka Ukwazi
Iningi lezingane likhuphule izimpawu zabo ze-reflux ngenkathi zinezinyanga ezingu-9 kuya kwezingu-12 ubudala, nakuba ngezinye izikhathi zihlala izinyanga ezingu-18.
I-Zantac iyindlela yokwelapha yokuqala ejwayelekile yezinsana ezine-reflux. Kodwa uma kungasebenzi, khuluma nodokotela wezingane ngokuzama i-PPI njengo-Prevacid.
Ingono enqamukile noma ingono emikhulu ingasiza uma uqinisa ifomula yengane yakho. Futhi, ungasheshi ukondla ingane yakho futhi uma ehlwitha. Esikhundleni salokho, linda kuze kube sekudleni okulandelayo ukuze ungadluli ingane yakho ngokungapheli.
Khuluma nodokotela wakho wezingane uma ucabanga ukuthi ingane yakho ayitholi ngokwanele ukudla ngoba igxuma kakhulu. I-gastroenterologist yezingane ingasiza ekuhloleni nasekulawuleni ingane yakho nge reflux.
> Imithombo:
> Behrman: uNelson Textbook of Pediatrics, 17th ed. Saunders.
Isifo se-reflux se-gastroesophageal: ukungenela ukungena ebuntwaneni kunganciphisa ingozi yezinkinga kamuva? I-Gold BD - Am J Med - 6-SEP-2004; 117 Suppl 5A: 23S-29S.
I-North American Society ye-Gastroenterology yezingane, I-Hepatology kanye neZondlo Zokudla kuGERD yezingane. J Pediatr Gastroenterol Nur, Vol 32, Suppl. 2, 2001.