Kuyini ukuxilongwa kwakho?
Ungakhathazeki kancane ngezingane zakho ezisanda kuzalwa. Wazalwa ngesikhathi esigcwele futhi wayebeletha futhi ezuza isisindo kahle. Wadalulwa kumalumekazi ophethe i-pertussis (okhwehlela ukukhwehlela) futhi wabekwa phezu kwe-antibiotic i-erythromycin njengendlela yokuvimbela, kodwa kwakungekho okubonakala sengathi kuhle.
Umntanakho uhlahlela phezulu
Kulezi zinsuku ezimbalwa ezedlule, ubelokhu ehlahlela ngemuva kokudla kwakhe.
Nakuba lena yindodana yakho yokuqala, usuke usebenze ekunakekelweni kwezinsuku futhi usubonile eziningi izingane zikhahlela. Ukushaywa kwezingane zakho kubonakala kunamandla kakhulu, cishe kuhamba ekamelweni, futhi yingakho ukhathazekile.
Uya ukuyobona udokotela wakho wezingane, ongakhathazeki kakhulu ngoba akahlanza ngemuva kokudla konke futhi akalahlekelwa yisisindo. Usikisela ukuyeka ukumncelisa nokumnika i- formulaal elemental, njenge- Nutramigen noma i- Alimentum , kunalokho. Uphinde ucabange ukuthi ingane yakho ingaba nesisu esithukuthele ngenxa ye-erythromycin esithathile, ngakho-ke ibeka iZantac.
Uqinisekisiwe ukuthi akazange alahlekelwe isisindo, kodwa unqume ukuthi ukumisa ukuncelisa umqondo omubi ngakho-ke uyaqhubeka.
Ukunciphisa okuningi
Ezinsukwini ezimbalwa ezilandelayo, ukwanda kokuhlanza, kwenzeka ngemuva noma kungakapheli imizuzu engama-30 yokudla. I-Zantac ayibonakali isebenza futhi uphinde ukhathazeke ngoba ayibonakali ukuba nezinambuzane eziningi ezimanzi njengoba esebenzisa futhi elele ngaphezulu.
Ehhovisi lakho lezingane, bayaqaphela ukuthi ulahlekelwe amaphilisi angu-2, kodwa abahlanganyeli nokukhathazeka kwakho. Njengoba ephuza ama-ounces ambalwa e-Pedialyte ehhovisi, udokotela wezingane unomuzwa wokuthi inkinga ukubekezelelana ubisi nokuthi kufanele unqabe ukubelesa. Uchaza ukuthi ukulahlekelwa isisindo kungenzeka ngoba wayelinganiswe ngezinga elihlukile nokuthi awuqapheli amathayi amanzi ngoba izindiza zamanje zinamandla kakhulu.
Usukude uqinisekiswe manje futhi izeluleko zezingane zakho 'azizwanga kahle kuwe. Phela, usebenzisa ama-diapers afanayo owawusebenzisana nawo wonke futhi uma bebanamathele kakhulu, beza kanjani bazizwa beconsa ngaphambi?
Uyakhathazeka kakhulu ngoba umyeni wakho wayenenkinga efana naye njengengane futhi udinga ukuhlinzwa okuphuthumayo ukukulungisa.
Ngenxa yokuthi ingane yakho iye yahlanza i-projectile izinsuku eziningana ezilokhu ziba nzima, unquma ukuya ekamelweni eliphuthumayo esibhedlela sasezingane sendawo.
Kungani Lo Mntwana Enganakwa?
Lapho ufika, ngenxa yokunciphisa umchamo, umlomo owomile, kanye ne-fontanelle ebonisiwe, banomuzwa wokuthi uphelelwe amanzi futhi ubonakala ngokushesha.
Bakhetha ukungamvumeli ukuba adle (NPO) futhi baqale ukuphuma kwamanzi ngesikhathi bezama ukuthola ukuthi yini engalungile.
Bakubuza imibuzo eminingana, kuhlanganise:
- Ingabe uvele ehlwitha ngaphandle kobuqili noma ingabe iwukuhlanza kwangempela, okuphoqelela, ukuhlanza?
- Uma ehlanza, ingabe ibukeka nje njengebelefu noma ingabe iluhlaza okomnyama (emesis ebhaliwe)?
- Uye wahlanza kusukela ekuzalweni, noma lokhu kuyinto entsha?
- Ingabe unesifo sohudo?
- Ingabe omunye umuntu ekhaya uhlanza noma uhudo?
- Ingabe uzizwa sengathi unesifuba esihle futhi uyasilonda futhi ususe kahle?
Wena uphendula ngokuthi cha, akekho omunye oye wagula, akanalo isifo sohudo noma ukuhlanza okumnyama okwesibhakabhaka, nokuthi une-vomiting ye-projectile. Usho ukuthi uzizwa sengathi ubelethe kahle nokuthi unesisu esihle sebele.
Odokotela bathi okuthile ngokungazizwa "umnqumo," kodwa ukuthi bayiziqiniseko ukuthi bayazi ukuthi yini engalungile. Bayala ukuhlolwa ukuze baqinisekise ukuxilongwa.
Ngemuva kokuba ingane yakho ihlanza i-projectile yahlolwa ekamelweni eliphuthumayo, odokotela banquma ukwenza uhlolo ukuze baqinisekise ukuthi bacabanga ukuthi akulungile yini. Babecabanga ukuthi benza ukuhlolwa kwe-GI engenhla kodwa banquma ukuthi i-ultrasound yayiyoba yisinqumo esingcono.
I-Pyloric Stenosis
I-ultrasound yenziwe futhi ibonisa ukuthi imisipha yomntwana wakho isisindo esingaphezu kuka-4mm nobude be-pyloric obukhulu kune-16mm, okusho ukuthi une-hypertrophic pyloric stenosis, imbangela evamile yokuhlanza i-projectile ngalesi sikhathi.
Ufunda ukuthi i-pyloric stenosis yiyona imbangela evame kakhulu yokuvinjelwa kwe-gastroesophageal ezisanda kuzalwa, okwenzeka cishe ku-1 kuma-250 kuya ku-500 izinsana. Nakuba ngokuvamile kutholakala ukuthi cishe emasontweni amathathu ubudala, kungenzeka noma kuphi kusukela ngeviki elilodwa kuya ezinyangeni ezingu-5. Kule nkinga, i-pylorus, noma i-muscular outlet yesisu isanda, ukuze isifuba noma i-formula ikwazi ukuphuma ngaphakathi kwesisu futhi ihlanza esikhundleni.
Nakuba izinsana eziningi ezine-pyloric stenosis zinezinkinga ze-electrolyte, umsebenzi wegazi wengane yakho ujwayelekile, uvuselelwa kalula, futhi uhlelelwe ukuhlinzwa ukuze kulungiswe i-stenosis ye-pyloric.
Ngemuva kokuhlangana nodokotela ohlinzayo wezingane, ufunda ukuthi uzodinga i-pyloromyotomy, lapho imisipha ye-pyloric igawulwa khona noma isakazeka evulekile ukuyikhulisa.
Ukuhlinzwa kwengane yakho kuya kahle futhi ubuyela ekunceliseni ingane kahle futhi ihlala izinsuku ezimbalwa.
Nakuba imbangela ye-pyloric stenosis engaziwa, uthola ukuthi ingane yakho inezici eziningi eziyingozi, kufaka phakathi nokuba yizibulo (i-pyloric stenosis ivame kakhulu kubafana kunamantombazane), enomlando womndeni ongase ube khona kusukela ubaba kungenzeka futhi, futhi uthathe i-erythromycin, esanda kuhlotshaniswa ne-pyloric stenosis.
Nakuba icala elichazwe lapha laliyi-'klassic 'kakhulu ye-pyloric stenosis, ukuxilongwa akulula ngaso sonke isikhathi ukwenza.
Ngokuvamile, esikhundleni sokuhlanza i-projectile ngemuva kokudla kokudla nokunciphisa umzimba, lezi zingane zingabonisa ngokuhlanza ngezikhathi ezithile ze-projectile, kanye noma kabili ngosuku. Kulezi zimo ezinzima kakhulu ukuthi ukuxilongwa kungase kubambezeleke.
I-Projectile Vomiting
Phakathi kwezimo evame ukudideka nge-stenosis ye-pyloric:
- I-reflux ye-gastroesophageal - izinsana ezine-reflux zizovama ukuhlanza okungenamandla, okungekho-projectile. Kungenzeka futhi ukuthi bahlushwa futhi banomthwalo omubi uma bekhula i-GERD.
- Ukungahambisani nobisi / amakhemikhali - nakuba bezovame ukushisa igesi nokuhuda, izinsana ezinokungabekezelelani kwamakhemikhali zingase zihlume noma zihlanza.
- I-Gastroenteritis - ingabangela ukuhlanza, kodwa ungalindela nokuhuda kanye nabanye oxhumana nabo abagulayo abanezimpawu ezifanayo
- Ukuxhashazwa kwamathumbu emathunjini kanye nokuvinjelwa noma i-volvulus - kuleso simo, amathumbu omntana angakwazi ukuguqula nokuvinjelwa, abangela ubuhlungu, isisu esasiphakamisekile, nokuhlanza okwesibhakabhaka (obumnyama). Ngokungafani ne-reflux noma ngisho namabala amancane we-pyloric stenosis, i-volvulus yisimo esiphuthumayo sezokwelapha.
Leli cala libuye laluqokomise 'amaphutha' amanye amahlengikazi awenzayo, okufaka phakathi ukungaboni ukuthi amanzi aphelelwa amanzi ngenxa yokuthi inkolelo i-super-absorbent, ixwayisa ukuthi usana luyoba ngcono ekunceliseni isisu, hhayi ukuqaphela ukubaluleka kokulahlekelwa isisindo, okuyinto ayikaze ajwayelekile ezinganeni ezincane.
Uma ingane yakho inokuhlanza i-projectile ephikisanayo engaphenduli izincomo zezingane zakho, kuhlanganise nemithi efana neZantac noma izinguquko zefomula, ungase ubuze ukuthi ingabe i-GI engenhla noma i-ultrasound ye-pyloric ingadingeka ukusiza ukuxilongwa, ikakhulukazi uma ingane yakho ilahlekelwa isisindo noma nje ukungabi nesisindo kahle.