Ukuchonga kunye nokuNyanga ukuThula ngokuKhanya kwiintsana

Umxholo

• Cwaka kwakhona
• Ngaba usana lwam luthe cwaka?
• Isifo se-Reflux vs.Gastroesophageal Reflux disease (GERD)
• Yintoni ebangela ukuba kuthule cwaka?
• Ufuna nini uncedo
• Ndingenza ntoni ukulawula okanye ukuthintela i-reflux ethe cwaka?
• Ungayiphatha njani i-reflux ethe cwaka
• Kuthatha ixesha elingakanani ukusombulula ukuthula?
• Ngaba kufanelekile ukuba ndixhalabe malunga ne-reflux yomntwana wam?

Cwaka kwakhona

I-reflux ethe cwaka, ekwabizwa ngokuba yi-laryngopharyngeal reflux (LPR), luhlobo lwe-reflux apho isisu siqukuqelela ngasemva kwi-larynx (ibhokisi yezwi), umva womqala, kunye neempumlo zempumlo.

Igama elithi "cwaka" lidlala kuba i-reflux ayisoloko ibangela iimpawu zangaphandle.

Umxholo wesisu ohlaziyiweyo unokuphinda ubuyele esiswini endaweni yokugxothwa emlonyeni, onokwenza ukuba kubenzima ukufumanisa.

Kuqhelekile kwiintsana ezincinci njengeeveki ezimbalwa ubudala ukuba zibe ne-reflux. Xa i-reflux iqhubeka ngaphezulu konyaka, okanye ukuba ibangela iziphumo ebezingalindelekanga ezimbi kumntwana wakho, ugqirha wabantwana unokucebisa unyango.

Ngaba usana lwam luthe cwaka?

Isifo seReflux siyabonakala malunga nabantwana. Ngelixa isifo se-reflux se-gastroesophageal (GERD) kunye ne-LPR sinokubakho kunye, iimpawu ze-reflux ethe cwaka zahlukile kwezinye iintlobo ze-reflux.

Kwiintsana nabantwana abancinci, iimpawu eziqhelekileyo zibandakanya:

• iingxaki zokuphefumla, ezinje ngevili, ukuphefumla okunengxolo, okanye ukuphefumla (i-apnea)
• ukugoba
• ukuxinana kwempumlo
• ukukhwehlela okungapheliyo
• iimeko zokuphefumla ezingapheliyo (ezinjenge-bronchitis) kunye nosulelo lwendlebe
• ubunzima bokuphefumla (umntwana wakho angahlakulela isifuba)
• ubunzima bokutya
• Ukutshica
• ukungaphumeleli, okunokuthi kufunyaniswe ngugqirha ukuba umntwana wakho akakhuli kwaye ufumana ubunzima kwinqanaba elilindelekileyo kubudala babo

Iintsana ezinokuthula cwaka zisenokungaphalazi, nto leyo enokwenza kube nzima ukufumanisa unobangela woxinzelelo lwazo.

Abantwana abadala banokuchaza into evakala ngathi liqhu emqaleni wabo kwaye bakhalaze incasa ekrakra emlonyeni wabo.

Usenokubona ukungcungcutheka kwilizwi lomntwana wakho.

Isifo se-Reflux vs.Gastroesophageal Reflux disease (GERD)

I-LPR yahlukile kwi-GERD.

I-GERD ikakhulu ibangela ukucaphuka komqala, ngelixa i-reflux ethe cwaka icaphukisa umqala, impumlo, kunye nebhokisi yelizwi.

Yintoni ebangela ukuba kuthule cwaka?

Iintsana zihlala zithambekele ekubeni yi-GERD okanye i-LPR- ngenxa yenani lezinto.

Iintsana ziye zaphuhla kancinci kwimisipha ye-esophageal sphincter ngexesha lokuzalwa. Ezi zihlunu ekupheleni komqala ezivulekileyo kwaye zisondele ukuvumela ukuhamba kolwelo kunye nokutya.

Njengoko bekhula, izihlunu ziya zikhula ngakumbi kwaye zilungelelaniswe, zigcina imixholo yesisu apho ikhoyo. Kungenxa yoko le nto i-reflux ibonakala kakhulu kwiintsana ezincinci.

Iintsana zichitha ixesha elininzi emqolo, ngakumbi ngaphambi kokuba zifunde ukuziqengqa, ezinokwenzeka phakathi kweenyanga ezi-4 ukuya kwezi-6 ubudala.

Ukulala ngasemva kuthetha ukuba iintsana azinaso isibonelelo somxhuzulane ukunceda ukugcina ukutya esiswini. Nangona kunjalo, nakubantwana abane-reflux, kuya kufuneka usoloko ubeka umntwana wakho ebhedini emqolo-hayi esiswini-ukunciphisa umngcipheko wokuhlutha.

Ukutya okungamanzi ikakhulu kweentsana kunokuba negalelo kwi-reflux. Ulwelo kulula ukuphinda lubuye kunokutya okuqinileyo.

Umntwana wakho unokuba semngciphekweni okhulayo we-reflux ukuba:

• Bazalwa benomdla wokuzalwa
• unesifo sengqondo, njenge-cerebral palsy
• Unembali yosapho ye-Reflux

Ufuna nini uncedo

Uninzi lweentsana lunokuphumelela ngaphandle kokuthula cwaka. Kodwa khangela unyango ukuba umntwana wakho:

• ubunzima bokuphefumla (umzekelo, uyeva ukubethwa ngumoya, qaphela ukuphefumla okungasebenziyo, okanye imilebe yosana lwakho lujika luhlaza okwesibhakabhaka)
• ukukhohlela rhoqo
• Ukubandezeleka kwendlebe okungapheliyo (unokubona ukungakhathali kunye nokutsala ezindlebeni kusana)
• ubunzima bokutya
• ubunzima bokufumana ubunzima okanye ukwehla kobunzima obungachazwanga

Ndingenza ntoni ukulawula okanye ukuthintela i-reflux ethe cwaka?

Kukho amanyathelo aliqela onokuwathatha ukukunceda ukunciphisa i-reflux emntwaneni wakho.

Eyokuqala ibandakanya ukuguqula indlela otya ngayo ukuba uncelisa. Oku kunokunceda ukunciphisa ukuvezwa komntwana wakho kukutya okuthile abanokungabikho komzimba.

IAmerican Academy of Pediatrics (AAP) icebisa ukuba ususe amaqanda kunye nobisi ekudleni kwakho kangangeeveki ezimbini ukuya kwezine ukubona ukuba iimpawu ze-reflux ziyaphucuka na.

Unokucinga kwakhona ngokususa ukutya okune-asidi, njengeziqhamo zesitrasi kunye neetumato.

Ezinye iingcebiso zibandakanya:

• Ukuba umntwana wakho usela ifomula, tshintshela kwiprotein ene-hydrolyzed okanye ifomula esekwe kwi-amino-acid.
• Ukuba kunokwenzeka, gcina umntwana wakho eme nkqo kangangemizuzu engama-30 emva kokondla.
• Burp umntwana wakho amatyeli aliqela ngexesha lokondla.
• Ukuba utyisa ibhotile, bamba ibhotile ngekona evumela ingono ukuba ihlale igcwele ubisi. Oku kuya kunceda umntwana wakho akhuphe umoya omncinci. Ukuginya umoya kunokunyusa uxinzelelo lwamathumbu kwaye kukhokelele kwi-reflux.
• Zama iingono ezahlukileyo ukuze ubone ukuba yeyiphi na enika umntwana wakho olona tywina lujikeleze umlomo wabo.
• Nika umntwana wakho umthamo omncinci wokutya, kodwa rhoqo. Umzekelo, ukuba wondla umntwana wakho ii-ounces ezi-4 zobisi olungumgubo okanye ubisi lwebele rhoqo kwiiyure ezine, uzama ukubonelela ngee-ounces ezi-2 rhoqo kwiiyure ezimbini.

Ungayiphatha njani i-reflux ethe cwaka

Ukuba unyango luyafuneka, ugqirha wabantwana bomntwana wakho unokucebisa amayeza e-GERD, anje nge-H2 blockers okanye iproton pump inhibitors, ukunceda ukunciphisa inani le-asidi eyenziwe sisisu.

I-AAP ikwacebisa ukusetyenziswa kweearhente zeprokinetic.

Iiarhente zeprokinetic ngamachiza anceda ukunyusa intshukumo yamathumbu amancinci ukuze isisu sikwazi ukukhupha ngokukhawuleza. Oku kuthintela ukutya ekuhlaleni ixesha elide esiswini.

Kuthatha ixesha elingakanani ukusombulula ukuthula?

Uninzi lwabantwana luza kuphuma luthule cwaka ngexesha lokujika elinye.

Uninzi lwabantwana, ngakumbi abo baphathwa ngokukhawuleza ekhaya okanye ngoncedo lwezonyango, abanaziphumo zihlala zihleli. Kodwa ukuba umqala ocekeceke kunye neethambo zempumlo zihlala zichanekile kwisisu esiswini, kunokubangela iingxaki zexesha elide.

Iingxaki zexesha elide zokuqhubeka, okungalawulekiyo kweengxaki zokuphefumla ezinje:

• ukukrala kwemiphunga
• laryngitis engapheliyo
• ukukhohlela rhoqo

Rhoqo, kunokukhokelela kumhlaza welaryngeal.

Ngaba kufanelekile ukuba ndixhalabe malunga ne-reflux yomntwana wam?

I-Reflux, kubandakanya i-reflux ethe cwaka, ixhaphake kakhulu kwiintsana. Ngapha koko, kuqikelelwa ukuba ukuya kuthi ga kwiipesenti ezingama-50 zeentsana ezinamava kwiinyanga ezintathu zokuqala zobomi.

Uninzi lweentsana kunye nabantwana abancinci baphuma ngaphandle kwe-reflux ngaphandle komonakalo ongapheliyo kumqala wabo okanye emqaleni.

Xa iingxaki ze-reflux zinzima okanye zihlala ixesha elide, kukho iindlela ezahlukeneyo zonyango ukuze umntwana wakho abe sendleleni eya kugayiti esempilweni.