Ngabe Kufanele Ngingeze Izinhlamvu Zerayisi Ebhodleleni Lomntanami?
-Delile
Ukulala: Kuyinto eyenziwa yizingane ngokungahambisani futhi okuthile abazali abaningi bayakuntula. Yingakho iseluleko sikagogo sokufaka okusanhlamvu kwelayisi ebhodleleni lengane kuzwakala kulinga kakhulu - ikakhulukazi kumzali okhathele efuna isisombululo somlingo sokulalisa ingane ubusuku bonke.
Ngeshwa, ngisho nokwengeza inani elincane lokusanhlamvu welayisi ebhodleleni kungadala izinkinga zesikhashana nezesikhathi eside. Futhi yingakho ochwepheshe, kufaka phakathi i-American Academy of Pediatrics (AAP), bancoma ngokumelene nomkhuba wokwengeza okusanhlamvu welayisi ebhodleleni.
Kuphephile?
Ukwengeza okusanhlamvu kwelayisi ebhodleleni lomntwana kusihlwa kuwumkhuba ovamile ngabazali abaningi abafuna ukugcwalisa isisu somntwana wabo ngethemba lokuthi kuzobasiza balale ngokwengeziwe. Kodwa i-AAP, kanye nabanye ochwepheshe bezokudla, bancoma ngokumelene nalo mkhuba, ikakhulukazi njengoba uhlobene nendaba yokwenza ngcono izindlela zokulala kwezinsana.
UGina Posner, MD, udokotela wezingane e-MemorialCare Orange Coast Medical Centre eFountain Valley, eCalifornia, uthi enye yezinkinga ezinkulu azibonayo ngokufaka okusanhlamvu kwelayisi ebhodleleni ukuzuza isisindo.
"Ubisi lwefomula nobisi lwebele lunenani elithile lama-calories ngehora, futhi uma uqala ukwengeza okusanhlamvu kwelayisi, uwandisa kakhulu lawo makhalori," kuchaza yena.
Ukwengeza okusanhlamvu emabhodleleni nakho kungaba yingozi yokuchithwa kanye nengozi yokufisa, kusho uFlorencia Segura, MD, FAAP, udokotela wezingane eVienna, eVirginia, ikakhulukazi uma usana lungenawo amakhono okushayela ngomlomo kodwa lungagwinya ingxube ngokuphepha. Ukungeza okusanhlamvu emabhodleleni nakho kungabambezela ithuba lokufunda ukudla ngesipuni.
Ngokwengeziwe, ukufaka irayisi okusanhlamvu ebhodleleni kungadala ukuqunjelwa ngenxa yoshintsho kokungaguquguquki kwesitulo.
Umphumela wokulala
Naphezu kwalokho okungenzeka ukuthi uke wakuzwa, ukwengeza okusanhlamvu kwelayisi ebhodleleni lengane yakho akuyona impendulo yokulala okungcono.
I (CDC) ne-AAP bathi hhayi nje kuphela ukuthi akukho kuqinisekiswa kwalesi simangalo, kodwa ukwenza kanjalo kungakhuphula ingozi yengane yakho yokuklinywa, phakathi kwezinye izinto.
“Izinhlamvu zerayisi ngeke zisisize ingane yakho ilale isikhathi eside, njengoba ikhulile,” kusho uSegura.
Okubaluleke kakhulu, uthi ukulala kahle njalo kuqala ngesimiso sokulala ngaphambi kwezinyanga ezimbili kuya kwezi-4 ubudala, okuzosiza ingane yakho ukuthi ilungele ukuphumula, ikakhulukazi uma isiqala ukuhlobanisa inqubo nokulala.
Umphumela ku-Reflux
Uma ingane yakho ine-reflux, udokotela wakho angakhuluma nawe ngokungeza i-ejenti yokuqina ebhodleleni lefomula noma ubisi lwebele. Umqondo wukuthi ukwenza kanjalo kuzokwenza ubisi luhlale lusinda esiswini. Abazali abaningi baphendukela okusanhlamvu kwelayisi ukuze benze ukudla kwezingane zabo kube mkhulu.
Ukubuyekezwa kwezincwadi ezashicilelwa ku-American Family Physician ngo-2015 kubike ukuthi ukufaka izinto zokuqina ezifana nerayisi okusanhlamvu kuyanciphisa impela inani lokuvuselelwa okubonakalayo, kodwa futhi kwaveza ukuthi lo mkhuba ungaholela ekuzuzeni ngokweqile.
I-athikili ibuye yaphawula ukuthi ezinganeni ezondliwe ifomula, ukunikeza okuphakelayo okuncane noma okuvamile kufanele kube yindlela yokuqala abazali okufanele bazame ngayo ukunciphisa iziqephu ze-reflux.
USegura uthi ukwengeza okusanhlamvu kwelayisi ebhodleleni kufanele kusetshenziswe kuphela lapho kuboniswa ngokwelashwa kwesifo se-reflux se-gastroesophageal (GERD). "Isivivinyo sokuqina kokuphakelwa kwezinsana ezine-reflux enzima noma izingane ezitholwe zinokukhubazeka kokugwinya zingaphepha kepha kufanele zinconywe futhi zigadwe ngumhlinzeki wakho wezokwelapha," kuchaza yena.
Ngokwengeziwe, i-AAP muva nje isishintshe isimo sayo kusuka ekuncomeni okusanhlamvu kwelayisi kuya ekuqiniseni izifunzo lapho kudingekile ngokwezokwelapha ukusebenzisa i-oatmeal esikhundleni salokho, ngoba okusanhlamvu welayisi kwatholakala ukuthi kune-arsenic.
Ngenkathi irayisi (kufaka phakathi okusanhlamvu kwelayisi, okokunandisa, nobisi lwelayisi) kungaba namazinga aphezulu e-arsenic kunezinye izinhlamvu, kusengaba yingxenye yokudla okuqukethe okunye ukudla okuhlukahlukene
Yize kungasiza nge-GERD, uPosner uthi, ngenxa yokwanda kwama-calories, akayincomi. "Kukhona amafomula akhethekile laphaya asebenzisa okusanhlamvu kwelayisi ukuwaqinisa, kepha aqhubeke nokugcina isilinganiso esifanele samakholori, ngakho-ke lokho kuyindlela ephumelela kakhulu," kuchaza yena.
Ungayethula kanjani i-rice cereal
Abazali abaningi babheke phambili osukwini lapho bezokhipha khona okusanhlamvu okuphakela ngezipuni ezinganeni zabo. Akuyona nje ingqophamlando enkulu, kodwa futhi kumnandi ukubuka ukusabela kwabo njengoba bethatha ukuluma kwabo kokuqala kokudla okuqinile.
Kodwa-ke, njengoba amakhono emoto engane nohlelo lokugaya ukudla kudinga ukuvuthwa ngaphambi kokuba zilungele ukucubungula okusanhlamvu nokunye ukudla, lesi sigaba sokukhula kwengane yakho akufanele senzeke ngaphambi kwezinyanga eziyisithupha ubudala, ngokwe-AAP.
Lapho ingane yakho icishe ibe nezinyanga eziyisithupha ubudala, ilawula intamo nekhanda, ingahlala esihlalweni esiphakeme, futhi ikhombisa intshisekelo ekudleni okuqinile (aka ukudla kwakho), ungakhuluma nodokotela wakho ngokwethula ukudla okuqinile okufana okusanhlamvu kwelayisi.
I-AAP ithi akukho kudla okulungile ongaqala ngakho njengokudla kokuqala kwengane. Abanye odokotela bangaphakamisa imifino ehlanzekile noma izithelo.
Ngokwesiko, imindeni inikeze okusanhlamvu okusanhlamvu okukodwa, okufana nerayisi okusanhlamvu, kuqala. Uma uqala ngokusanhlamvu, ungakuxuba nefomula, ubisi lwebele, noma amanzi. Ngesikhathi ukudla okuqinile kunikezwa ngaphezu kwesisodwa ngosuku, ingane yakho kufanele ngabe idla ukudla okwahlukahlukene ngaphandle kokudla okusanhlamvu.
Njengoba uhambisa isipuni emlonyeni wengane yakho, khuluma nabo ngalokho okwenzayo, futhi unake ukuthi bahambisa kanjani okusanhlamvu uma sekusemlonyeni wabo.
Uma bekhiphela ngaphandle ukudla noma kudonsela phansi esilevini, kungenzeka bangakulungeli. Ungazama ukuxuba okusanhlamvu ngokwengeziwe futhi ukunikeze amahlandla ambalwa ngaphambi kokuthatha isinqumo sokuyeka isonto elilodwa noma amabili.
Ukuthatha
I-AAP, i-CDC, nochwepheshe abaningi bayavuma ukuthi ukwengeza okusanhlamvu kwelayisi ebhodleleni lengane yakho kuyingozi futhi akunikezi lutho kangako.
Ukwenzela ingane yakho inqubo yokulala enempilo kuzoyisiza ukuthi ithole amahora amaningi okuphumula futhi ikuvumele ukuba uthole nokulala okuningi. Kepha ukwengeza okusanhlamvu kwelayisi ebhodleleni labo akufanele kube yingxenye yalesi simiso.
Uma ingane yakho inesifo se-reflux se-gastroesophageal (GERD) noma ezinye izingqinamba zokugwinya, khuluma nodokotela wezingane. Bangakusiza ukuhlela isu lokuphatha i-reflux nokuletha ukukhululeka kwengane yakho.
Khumbula: Noma ingane yakho ingahle ilwe nobuthongo njengamanje, ekugcineni izokhula kulesi sigaba. Hlala lapho isikhashana, futhi ingane yakho izokhula kuyo ngaphambi kokuthi wazi.