Makolo nthawi zambiri amasokonezeka ndi zomwe angachite pamene ana awo amayamba kusanza ndi kutsekula m'mimba. Kodi amapereka mowa kwambiri popeza adasanza ndipo ali ndi ludzu, ngakhale kuti atha kungosiya? Kapena samalola kuti amwe, ngakhale kuti kupitiliza kusanza ndi kutsekula m'mimba kungapangitse ana kuti asatengedwe?
Mankhwala Opatsirana ndi Kutsekula m'mimba
Kawirikawiri, pamene mwana wanu akusanza kwambiri kapena amatha kutsegula m'mimba kuchokera kumtenda wina (gastroenteritis), muyenera:
- awapatse madzi kuti asatenge madzi m'thupi kapena awathandize kuti ayambe kusinthasintha
- Pitirizani kudyetsa mwamsanga mwamsanga ndikupereka thandizo la zakudya zoyambirira
- peŵani mankhwala osokoneza bongo monga mankhwala, monga gastroenteritis amayamba chifukwa cha mavairasi
- peŵani mankhwala ochepetsa antidiarralal ana
Pamene mukuyamba kuika mowa kuti amwe madzi ambiri kuti asatayike, akakhala akusunga madzi, mutha kuwapititsa ku chakudya chawo nthawi zonse.
Mankhwala Ovomerezedwa Chifukwa Chotsitsimula ndi Kutsekula m'mimba
Nthawi zambiri makolo amapereka madzi kapena madzi kwa ana awo akamatsekula m'mimba kapena kusanza, koma ndi bwino kugwiritsa ntchito njira yothetsera madzi m'thupi (ORS) m'malo mwake. Izi zili ndi kusakaniza bwino kwa shuga ndi electrolyte kuti muthandize mwana wanu, pamene shuga wambiri ndi kusowa kwa sodium m'madzi ena, monga madzi a apulo, zingapangitse mwana wanu kukhala ovuta kwambiri.
Ngakhale kuti bungwe la World Health Organisation Oral Rehydration solution (WHO-ORS) ndilo ndondomeko ya golide yoyang'anira gastroenteritis yovuta, makolo ambiri ndi ana a ana amagwiritsa ntchito njira zopezeka malonda monga Enfalyte kapena Pedialyte .
Zilipo m'masitolo ambiri ndi malo osokoneza bongo popanda mankhwala ndipo amayamba kuonetsera zabwino, ngakhale kuti mankhwala ena amamva bwino kuposa ena.
Ndi Zambiri Zomwe Mungapereke Mwana Wovuta
Kulakwitsa kwakukulu kumene makolo amapanga pamene ana awo ali ndi kutsekula m'mimba ndi kusanza, pafupi ndi kupereka madzi olakwika, akukwiya kwambiri ndipo amapatsa ana awo mowa kwambiri nthawi imodzi.
Makamaka ngati mwana wanu akusanza nthawi zambiri, mmalo mowalola kuti amwe chilichonse chimene akufuna, muyenera kuwaika pa supuni imodzi pokhapokha, pogwiritsira ntchito sirinji, mankhwala otsekemera, kapena supuni. Mutha kuonjezera pang'onopang'ono kuchuluka kwa ndalama zomwe mumapereka nthawi iliyonse pamene mwana wanu akuyamba kuzisiya.
Choyamba chabwino ndi supuni ya tiyi (5ml) kapena supuni (15ml) yamadzimadzi asanu kapena asanu kapena ochepa pa ola loyamba kapena awiri, kuwonjezeka ndi masipuni pang'ono pokhapokha kusanza kumachepa ndipo mwana wanu akusunga bwino madzi . Pedialyte popsicle angakhalenso bwino 'madzi' kuyamba ndi mwana wanu ngati sakufuna kapena sangamwe zakumwa zina.
Chiwerengero cha madzi omwe muyenera kukonzekera kupereka chimadalira momwe mwana wanu wataya madzi.
Ana omwe ali ndi:
- Kuchuluka kwa madzi pang'ono kapena kopanda madzi okwanira ayenera kupeza pafupifupi 2-4 ounces a ORS pachigawo chilichonse cha kusanza kapena kutsekula m'mimba ngati ali ndi mapaundi oposa 22 ndi ma ola 4-8 ngati ali oposa mapaundi 22. Kumbukirani kuti ounce imodzi ndi yofanana ndi 30ml, choncho ngakhale mutangopatsa mwana wanu supuni imodzi (15ml) iliyonse kapena mphindi khumi, mutha msanga kufika 120ml. (
- Kuchepa kwa madzi pang'ono , kuchepa kwa mkodzo, kuchepa pakamwa , kuchepa kwa misonzi, ndi 3-9 peresenti ya kulemera kwa thupi, ayenera kukhala 25 mpaka 50ml (osachepera 1 mpaka 2 ounces) a ORS pa mapaundi a thupi maola 2-4. Kuonjezera apo, amafunikiranso maola awiri ndi awiri a ORS pachigawo chilichonse cha kusanza kapena kutsekula m'mimba ngati ali ndi mapaundi oposa 22 ndi ma ola 4-8 ngati ali oposa mapaundi 22 kuti alowe m'malo owonongeka .
- Kuchepa kwa madzi okwanira , kwakukulu kuposa 9 peresenti ya kuwonongeka kwa thupi, kuthamanga mtima kwa mtima, kupuma kwakukulu, pakamwa pong'onongeka, maso openya kwambiri, misonzi yomwe ilipo, kuchepa kwa mkodzo, ndi mazira ozizira, adzafunikira chithandizo chamankhwala ndi madzimadzi a IV. Zingathe kusinthidwa kukhala ORS pokhapokha atayamba kusintha.
Ngakhale matenda ambiri a gastroenteritis, otsegula m'mimba ndi kusanza, angachiritsidwe kunyumba, muyenera kuchipatala ngati simungathe kusamalira mwana wanu kunyumba, makamaka ngati mwana wanu ali ndi zaka zosachepera 6, akukana kumwa ORS iliyonse , akupitiriza kusanza nthawi zambiri, amakhala ndi kutaya thupi kwambiri, kutentha thupi, kusintha kwa maganizo (monga kukhala otha msinkhu kapena kukwiya), kapena kutsegula m'magazi, kapena ngati kutaya thupi kwake kukupitirirabe.
Kudyetsa Kupyolera mu Virus ya Kumimba
Nthawi zambiri makolo amafuna kuti makolo asamalire mwana wawo, perekani zakudya za BRAT (banki, mpunga, apuloauce, ndi toast), kapena kuchepetsa zakudya za mwana wawo pamene akudwala. Pokhapokha ngati mwana wanu akusanza kwambiri kapena sakufuna kudya, nthawi zambiri sikofunikira, komabe.
Makamaka ngati mwana wanu ali ndi kutsegula m'mimba komanso / kapena kusanza kwanthawi zina, muyenera:
- Pitirizani kuyamwitsa
- Pitirizani kukonza chakudya cha mwana wanu, pogwiritsira ntchito ndondomeko yowonjezera mphamvu, mutatulutsanso
- Bwererani ku zakudya zosalekeza zakale mwamsanga
- Pewani kuthira mkaka (lactose) mwana wanu wamkulu kapena kusintha kusintha kwa mwana wanu
- Pewani zakudya ndi shuga zambiri zowonjezera, monga zakumwa za zipatso, madzi a zipatso, ndi zakumwa zofewa
Nanga bwanji maantibiotiki? Ngakhale kuti nthawi zambiri amagwiritsidwa ntchito, nthawi zambiri amawasokoneza kwambiri pamene ana akusanza ndi kutsekula m'mimba.
Zofran , mankhwala odana ndi kusanza ndi mwayi kwa ana ena amene akusanza kuti athetse kutaya madzi m'thupi.
Zotsatira:
CDC. Kusamalira Kachilombo ka Gastroenteritis Pakati pa Ana. Kutsekula Mthupi, Kusamalira, ndi Thandizo Labwino. MMWR. November 21, 2003/52 (RR16); 1-16
American Academy of Pediatrics. Lipoti lachipatala-Mapulojekiti ndi Prebiotics mu Matenda. PEDIATRICS Buku 126, Nambala 6, December 2010.