Umbuzo weviki
Ngokwempilo, akufanele kube buhlungu ukushintsha njalo ifomula lesana lakho, uma nje unamathele kunoma iyiphi insimbi enamandla. Ezinye izinsana zinezinkinga ezincane ngesifo sohudo noma ukuqothulwa noma zinezinkinga zokudla njengoba zivumelanisa nokuba zifomula entsha, noma kunjalo.
I-Spitter Ejabulisayo
Uma ngabe usana lwakho luvele luhlwitha futhi lunomzimba we-reflux wesisu, kodwa uthola isisindo kahle futhi awunazo ezinye izimpawu, kungase kungadingeki ushintshe ifomula lakhe .
Ochwepheshe balinganisela ukuthi ngaphezu kwengxenye yezinsana ezisencane zikhahlela okungenani eyodwa noma ngaphezulu izikhathi ngosuku. Futhi ingxenye eyesabekayo yilelo inani lemfomula ngokuvamile libukeka sengathi likhulu kakhulu kunalokho eliyikho lapho liyenzayo.
Kule minyaka yobudala, izinsana zivame ukuthola ama-1 1/2 kuya ku-2 amakhilogremu ngenyanga. Uma ingane yakho ithola isisindo, lokho kuyisibonakaliso esihle sokuthi ukugawula kwakhe akubanga imbangela kuye.
Izinsana ezinjengalezi ezihlambalaza ngaphandle kwezinye izibonakaliso noma izimpawu zivame ukubizwa ngokuthi 'ama-spitters ajabulisayo.' Ngokuvamile kunconywa ukuthi umane ulinde kuze kube yilapho beyeka ukugawula lapho bekhula.
Lapho Ukupakaza Kungaphezu Kwesisindo
Ngaphezu kokubunzima ukuthola isisindo noma ukulahlekelwa isisindo, izimpawu zokuthi reflux ebangela inkinga zihlanganisa ukuthi usana:
- ngokuvamile kuvame ukucasuka noma kuthukuthele
- ivame ukuqhuma noma ukuphefumula noma ukuphefumula
- uvame ukula ukudla (dysphagia)
- uvala umhlane wakhe ngesikhathi noma ngemuva kokudla
- unomkhuhlane ongapheliyo
- inezwi elihlabayo noma likhale
Uma ingane ishaqa futhi inezifo ezibalwe ngenhla, kungenzeka ukuthi abe nesifo se-reflux ye-gastroesophageal noma i-GERD futhi adinga ukuhlolwa okuqhubekayo nokwelapha.
Ukushintsha Umshini We-Reflux
Ngaphandle kokuba ingane yakho inezinye izimpawu zokungahambisani nefomula, njengegesi eningi, isifo sohudo, izitofu zamanzi, ngaphezu kokuhlanza noma ukuphalaza futhi kube yinkimbinkimbi, khona-ke ukushintsha ifomula akusizi njalo.
Uma uzozama ifomula ehlukile, ifomu le-hypoallergenic, njenge-Alimentum noma i-Nutramigen, lingase libe yinto engcono kakhulu, ngoba izifundo ezithile zibonise ngcono ezinganeni ezisanda kuhlanza uma zishintshwa kuloluhlobo lwefomula.
I-Enfamil AR noma i-Similac ye-Spit-Up yizifomula ezikhethekile ezingaba usizo ezinsaneni eziye zahlaziya, futhi lokho kungaba yinketho uma ingane yakho ingenayo iprotheni yobisi yokungezwani komzimba noma ukungabekezelelani kwe-lactose.
Ukwelapha i-Reflux
Kuzinsana ezine-reflux ne-GERD, ukwelashwa kungafaka:
- Ukuguqula indlela yokuphila - ukwandisa ifomula yengane yakho ngokungeza ithini elilodwa le-rice cereal per ounce yefomula (kungase kudingeke ukwandise umgodi we-ingono), ukushintsha izinguquko (gcina ingane ihlezi okungenani imizuzu engama-30), futhi udla imali encane kaningi kaningi , esikhundleni sokukhudlwana, ukunikezwa okuncane kakhulu.
- Imithi ye-Reflux - ama-acid ahlaziyekile, kufaka phakathi i-Zantac, i-Prevacid ne-Nexium. Izinsana ezitholakala ngokuthi 'ama-spitters ajabulisayo' futhi zinezinzuzo ezinhle, futhi zingabi nokukhala ngokweqile, noma ukudla noma izinkinga zokuphefumula ngokuvamile akudingeki ziphathwe nemithi ye-reflux yazo, noma kunjalo.
Kaningi futhi kunconywa ukuba ungasondli kabusha ingane yakho ngemuva kokuphambanisa, okungaholela ekugqaseni nasekupheni ngaphezulu.
Khumbula ukuthi ukuxilongwa kwe-reflux kuvame ukwenza izibonakaliso zezici. Ukuhlolwa, njengokungathi nge-Upper GI ngezinye izikhathi kwenziwa, kodwa kuvame ukwenza okuningi ukuze uqiniseke ukuthi usana alukho esinye isizathu sokuhlanza, njengesivimbela, esikhundleni sokuqinisekisa ukuthi i-reflux iyatholakala yini. Okunye ukuhlolwa kungabandakanya i-PH Probe, nakuba lokho kuyilingo elimangalisa.
Ngezinsana ezinezimpawu eziphikisanayo, ikakhulukazi uma zingenaso isisindo kahle, i-Gastroenterologist yezingane ezisiza izingane ingaba usizo. Ngokuvamile, ngisho nangemva kokuphathwa kahle kwezokwelapha, ukwelashwa okuhlinzekwa nge-Nissen fundoplication kuphelela ukuba kube yindlela yokwelashwa kuphela.
Imithombo:
Imihlahlandlela Yokuzivocavoca Yokwelashwa Kwezinsana Zomntwana: Izincomo Ezihlangene zeNorth American Society for Gastroenterology Yezingane, I-Hepatology, Nutrition (NASPGHAN) ne-European Society ye-Pediatric Gastroenterology, Hepatology, kanye Nutrition (ESPGHAN). I-Journal ye-Gastroenterology yezingane kanye nesondlo 49: 498-547