Ngenkathi abazali abathile abasha abanezinkinga zokuncelisa ukucabangela bacabanga ukuthi kuzoba bushelelezi ukuhamba uma beshintshela kumfomula, kubalulekile ukuqonda ukuthi abantwana bebhodlela ukuphuza ifomula nabo bangabangela izinkinga zokudla.
Ukwenqaba ukudla nokukhipha kungabangelwa yizinto ezivela ku-reflux ye-acid noma ukungahambisani kwamakhemikhali ezindabeni nebhokisi nengono.
Ukulungisa Izinkinga Zokuncelisa Ibhodlela
Ngaphambi kokuba ushintshe ifomula lomntanakho noma uthenge ibhodlela le-premium elifanele ukunciphisa i-colic negesi, kubalulekile ukucabanga ngeminye imibuzo elula, njengale:
- Ingabe ingane yakho inezinye izimpawu, njengekhala eligijima, ukukhwehlela, noma umkhuhlane, njll? Lezi zinhlobo zezimpawu zingase zibonise ukuthi ingane yakho igula futhi idinga ukuhlolwa okuqhubekayo futhi akuyona nje ibhodlela noma ifomula.
- Ingabe ingane yakho inenkinga ekudleni, noma ngezikhathi ezithile? Uma kungenayo yonke into noma ukunikezwa okuningi, khona-ke kungenzeka ukuthi ungachazi kahle izimpawu zakhe ezilambile futhi uzama ukumondla ngokushesha kakhulu, ukuze angalambile, noma aphuze kakhulu, kangangokuthi ukhululekile kakhulu ngoba ulambile kakhulu. Ukugcina idayari yokunakekelwa kwayo ngezinsuku ezimbalwa kungenza kube lula ukuthola isithombe esihle sokudla okungakanani usuku ngalunye nokuthi kaningi kangakanani.
- Ingabe kubonakala sengathi ifomula iphuma ensikeni ngokusheshisa noma ephuza kakhulu ingane yakho? Kungenzeka kuphazamise ezinye izingane. Uma uvula ibhodlela eliphelele lefomula, iphuma kanjani ifomula ngokushesha? Kufanele uthole ukwehla okwesibili ekuqaleni. Uma ihamba kancane noma ubona ukusakaza okusheshayo kakhulu, ungase uzame ingono ehlukile.
- Ingabe le fomula ibanda kakhulu noma ishisa kakhulu? Ingabe ukufudumala amabhodlela akhe? Uma kunjalo, uyakwenza kanjani?
- Ukungabekezelelani kwefomula kungabangela umntwana ukuba abe nesibindi ngesikhathi sokudla, nakuba lezi zingane zivame ukuba nezinye izimpawu, njengehudo noma igesi eningi. Uma lokhu kuyinkinga futhi umntwana wakho usefomini le-milk based based milk (e-Enfamil Lipil, Similac Advance, noma i-Gerber Good Start), khona-ke ushintsho kuya kwifomula ye-elemental (Enfamil Nutramigen noma i-Similac Alimentum) ingase ibe usizo. Qinisekisa ukuthi ukhuluma nodokotela wakho wezingane ngaphambi kokushintsha ifomula yengane yakho noma kunjalo.
Ngeshwa, abazali abaningi bazama zonke lezi zeluleko namasu ukulungisa izinkinga zokudla kwebhodlela labantwana ngaphandle kwempumelelo.
Reflux vs. Ezinye Izinkinga Zokudla
Ngakho-ke, yini enye engabangela ingane ukuba inqabe ukudla? Uma ingane ingumfana, ayifuni ukudla, futhi ayiphonsa okuningi, khona-ke kungenzeka kahle ukuthi abe ne-reflux ye-asidi .
Ukwelashwa kungase kuhlanganise:
- Ukushintshela kumfomula wengane onganciphisa ukuphalaza, njengo-Enfamil AR (wengezwa irayisi) noma i-Similac ye-Spit-Up
- Izinguquko zokuphila, ikakhulukazi ezondla imali encane kakhulu njalo
- Ukushaya ingane yakho njalo
- Imithi yokunciphisa i-asidi
Yiqiniso, ufuna futhi ukuqinisekisa ukuthi ingane yakho ithola isisindo kahle futhi ingenayo imfiva noma izimpawu zanoma yiziphi ezinye izinkinga.
Okufanele Ukwazi Ngenkinga Yokuncelisa Amathambo
Ezinye izinto zokwazi ngezinkinga zokudla amabhodlela zihlanganisa ukuthi:
- Funa ukunakekelwa okusheshayo uma ingane enenkinga yokudla ibuye ihlanza igazi noma i-green or yellow fluid.
- Ukwengeza isipuni se-rice cereal per ounce yefomula yikhambi lasekhaya lokuqinisa ifomula elisebenzela ezinye izinsana ezine-reflux ye-asidi ukuthi ezinye izingane zakudala zincoma.
- Uma usola ukuthi ingane yakho ine-reflux ye-asidi, ngokuvamile akufanele uphinde uyixhase ngemuva kokuphambanisa inani elikhulu lefomula noma isifuba. Ngokuvamile kunzima ukwahlulela ngokucacile ukuthi bayaphila futhi cishe uzophelisa ingane yakho ngokweqile, okuholela ekupheni okuningi. Esikhundleni salokho, linda kuze kube nokudla okulandelayo ukunikeza elinye ibhodlela.
- Khuluma nodokotela wakho wezingane ngaphambi kokushintsha ngokuqhubekayo amabhodlela, izingono, namafomula ekudleni izinkinga.
Ngaphandle kwesazi sesazi sakho, isisu sezingane esisiza izingane ukusiza ukuphatha izinsana ezinenkinga yokudla ibhodlela kanye nefomula.
Imithombo:
Umbiko wezokwelapha we-American Academy of Pediatrics. Ukusetshenziswa kwamafomu e-Soy Protein-Based Based In Feeding Child. I-PEDIATRICS Vol. 121 Meyi 2008, iphe. 1062-1068.
I-Vandenplas Y. Izifo Zengqondo Zomdlavuza we-Reflux Clinical Practice Guidelines: Izincomo Ezihlangene zeNorth American Society of Pediatric Gastroenterology, Hepatology, Nutrition and European Society of Pediatric Gastroenterology, Hepatology, kanye Nutrition. J Pediatr Gastroenterol Nutr 2009; 49: 498-547.