Chifukwa chiyani makanda osakayika amayamba kutsitsimuka ndi zomwe mungachitepo
Ana ambiri omwe ali ndi chithunzithunzi amapezeka, mwina pa NICU yawo kapena pambuyo pake, ndi Gastroesophageal Reflux (GER) , mwinamwake amadziwika ngati reflux. Adani ambiri ali ndi vutoli, kotero tiyeni tiwone zomwe zikukhudzidwa, zomwe tingayembekezere, ndi zomwe tingachitepo.
Kodi Reflux ndi chiyani?
Reflux imachitika pamene zomwe zili m'mimba ya mwana sizikhala m'mimba, koma zimalowa m'mimba (chubu imagwirizanitsa pakamwa ndi m'mimba) pang'onopang'ono kapenanso kuchuluka, nthawi zina amawoneka ngati kulavulira kapena kusanza.
Aliyense ali ndi minofu m'mimba mwawo - amatchedwa sophageal sphincter - yomwe imatseguka komanso imatseka kuti yameza, kupuma, ndi kusanza, ndipo ntchito yake ndiyo kusunga mkaka, chakudya, ndi m'mimba mwa asidi m'mimba. Pamene mmimba wa asidi ndi chakudya chodutswa pang'ono ndi zakumwa zimabwereranso mmwamba kupyolera mumtengowo, zimatchedwa reflux.
Aliyense amakumana ndi mitundu yochepa ya reflux. Koma asidi ameneyo amakhala ovuta pa minofu, ndipo zikachitika kawirikawiri kuti zimayambitsa kukwiya ndi kuwonongeka kwa mitsempha, ndi pamene mkhalidwe wa GER ulipo.
Nchifukwa chiani adani omwe amatha kupeza reflux?
Adani amatha kutengeka chifukwa cha zifukwa zikuluzikulu ziwiri:
Choyamba, adani adakhala ndi minofu yochepa kwambiri komanso amathyola minofu yochepa kuposa ana onse, ndipo ndizoona ngakhale m'mimba mwawo. Chifukwa cha kufooka kumeneku, sphincter sichikhoza mokwanira kuti asiye m'mimba zomwe zili m'mimba mwake.
Chifukwa china adani omwe amatha kutengeka ndi chifukwa chakuti adani nthawi zambiri amakhala ndi kupuma. Pamene adani amapuma mosavuta (kupuma mofulumira kapena zovuta) chifukwa cha matenda a m'mapapo, minofu yomwe ili pafupi ndi mimba imatha kukhudza, kutambasula kapangidwe kakang'ono ka m'mimba ndikuyambitsa kukhala yotseguka.
Chifukwa cha zinthu ziwiri izi, mimba ya asidi, ndi zakudya zopanda mphamvu zimaloledwa kuchokera m'mimba, mpaka kufika pamimba ndipo zimayambitsa kukwiya. Matupi athu akhoza kuthana ndi mimba, koma zikachitika kawirikawiri, tsiku ndi tsiku, asidi amachititsa kuti minofu iwonongeke, kuipitsa komanso kuipweteka.
Kusiyanitsa Pakati pa Reflux Wowonda Ndiponso Wofewa?
Reflux yofewa ndi yokongola kwambiri. Zina kusiyana ndi kupeza bwino pakubisa mwana wanu ndi kunyamula nsalu zambiri ndi inu ponseponse, moyo wanu sungasokonezedwe kwambiri ndi reflux. Mwana wanu adzalima bwino komanso akumva bwino.
Koma GER yowopsa kwambiri ingayambitse zovuta zambiri ndi zosasangalatsa zomwe zikuchitikira ndi mwana wanu, monga:
- kusokonezeka kwakukulu - panthawi yopatsa chakudya komanso / kapena pakati pa kudyetsa
- kukana kudya, kapena kungotenga zakudya zochepa
- kawirikawiri ndi / kapena lalikulu kulavulira
- kumakoka pakudyetsa
- apnea & bradycardia nthawi ndi pambuyo popereka chakudya
- magazi mu mpando
- chifuwa chafupipafupi ndi matenda
- Kulemera kochepa kokwanira
Ngati mwana wanu atapezeka kuti ali ndi GERD akadali mu NICU, muli ndi akatswiri anu a NICU kuti mukambirane ndi njira zowonjezera. Akhoza kuyesa mwana wanu mosiyana, kusinthasintha zakudya, mankhwala ndi zina zambiri.
Ngati muli kale kunyumba ndi preeme yanu, mukhoza kukhala osokonezeka komanso nokha pa zomwe mungachite. Simungadziwe ngakhale ngati mwana wanu watha .
Kotero ngati preemie wanu panyumba akuwoneka kuti ndi ovuta kwambiri, makamaka panthawi yopatsa chakudya kapena mwachitsulo choonekera, choyamba chofunika kwambiri ndi kukambirana ndi dokotala wanu wa ana.
Kodi preemie amatsutsidwa bwanji?
Chilichonse chomwe chidzasunga m'mimba mkati mmimba, ndipo osati mmwamba, ndi cholinga. Pamene m'mimba muli zinthu zomwe zimakhala, zida zowopsya zimayamba kuchiza ndipo aliyense amatha kukhala bwino.
Zonse mwa mankhwalawa zidzatenga nthawi kugwira ntchito chifukwa zimagwira ntchito mwa kulola minofu yowonongeka ndi yopweteka kuchiritsa.
Mwana wanu sangamve bwino kwambiri mpaka minofuyo imachiritsa, ndipo izi zimatenga nthawi (masiku kapena masabata). Khazikani mtima pansi.
Zosankha zambiri zilipo, kuyambira pa zosavuta kufikira zovuta. Izi zikuphatikizapo:
Malo abwino
Ana amafunika kukhala akugona kumbuyo kwawo pofuna kupewa HIV, koma mphamvu yokoka ikuwatsutsa. Ndikosavuta kuti mkaka umatuluke m'mimba mu malo apamwamba. Ana m'mipando yamagalimoto akhoza kukhala ndi nthawi yovuta kwambiri, chifukwa mpando wa galimoto umapangitsa kuti pakhale phokoso pamimba, ndikupanganso reflux.
Akatswiri ambiri a ana amalimbikitsa kuti mwana wanu azikhala pamalo oongoka, makamaka atatha kudya. Izi zikhoza kuchitidwa mwa kugwirizanitsa mwana wanu atatha kuyamwa. Pamene mwana wanu akusowa nthawi yowongoka kwambiri kuposa momwe mungagwiritsire ntchito m'manja mwanu, ganizirani kugwiritsa ntchito mphete yabwino komanso yowonjezera monga Kuwonjezera kwa Q-Q (yomwe ikugwiritsidwa ntchito ku NICU kapena kunyumba) zomwe zimapangitsa mwana kukhala bwinobwino ndipo amalola kuti mphamvu yokoka imuthandize mwana wanu.
Kugwiritsa Ntchito Nthawi Mobwerezabwereza & Pacifier
Makolo akulangizidwa kuti azidula nthawi zambiri panthawi ya chakudya kuti asunge mpweya wochuluka kuchokera m'mimba momwe zingathere kuti mitsempha yayikulu isabweretse mimba zambiri.
Makolo amapezanso kuti makanda omwe amayamwa pa pacifiers nthawi zambiri tsiku lonse, makamaka pambuyo potipatsa chakudya, sungani kayendedwe kowonongeka ndikuyenda m'njira yoyenera, kusunga zakuthupi mmalo momwemo.
Kudyetsa Kwambiri
Nthawi zina, makolo amalangizidwa kuti azigwiritsa ntchito mpunga wambiri monga mpunga womwe umaphatikizidwa ku mkaka, chifukwa chakuti zimbudzi zambiri ndi zakudya zimakhala zovuta kwambiri kudzuka ndi kutuluka mmimba. Komabe, njirayi ikugwiritsidwa ntchito mochepa masiku ano (onani American Academy of Pediatrics akuchenjeza apa).
Zoonadi, musayese izi popanda kulankhula poyamba ndi ana anu. Okhota amatha kupweteka kwambiri m'mimba ngati akugwiritsidwa ntchito mosayenera. Koma ndi chitsogozo choyenera, makolo ena apambana ndi kusintha zizindikiro za reflux.
Kusintha Kuyamwitsa Mayi Mayi, kapena Kusintha Makhalidwe
Nthawi zambiri reflux imakhudzana ndi mwana wosalekerera mapuloteni ena mkaka wawo. Amayi amene akuyamwitsa preemie ndi reflux akhoza kulangizidwa kuti athetse mavuto ena omwe amawoneka ngati mkaka, mazira, soya kapena nyama zina. Yesetsani kudya zakudya zowonongeka kapena funsani munthu wothandizira za lactation.
Pamene adani omwe ali ndi reflux akudyetsedwa, chinthu chomwecho chikhoza kukhala chowonadi - chinachake mwa njirayi chikhoza kuchititsa kuti munthu asasamalire bwino kapena asakwiyitse mwanayo. Njira yatsopano ikhoza kukhala yankho. Nthawi zonse funsani dokotala wanu asanayambe kupanga ma formula, komabe. Adani nthawi zambiri amafuna maulendo apadera, kotero simukuyenera kusintha mpaka mutapeza kuwala kobiriwira kuchokera kwa dokotala wanu.
Mankhwala a Reflux
Dokotala wa mwana wanu angapereke mankhwala kuti athandize, koma nthawizonse ndi kwanzeru kuyesa zopanda mankhwala, zomwe zatchulidwa pamwambapa, poyamba. Mankhwala omwe nthawi zambiri amawauza kuti GER mu makanda amagwira ntchito mwa kusintha kusintha kwa mimba m'mimba, kuwapangitsa kukhala ochepa. Izi zikutanthawuza kuti reflux ikuchitikabe, sizowonongeka kwambiri.
Komabe, asidi m'mimba mwathu ndi chifukwa chabwino - asidi m'mimba mwathu amathandiza kupha mabakiteriya. Choncho pogwiritsira ntchito mankhwala a reflux, ana angakhale pachiopsezo chachikulu cha matenda. Choncho, ikhoza kukhala yankho losangalatsa, ngati palibe njira zina zomwe zimagwirira ntchito, koma konzekerani kuti azitenga masiku ambiri kapena masabata kuti agwire ntchito.
Opaleshoni ya Reflux
Kuchita opaleshoni kumafunika kokha pamene mwana wakwiya kwambiri moti amalephera kulemera kapena amachititsa kuti thupi liziyenda bwino.
Ana omwe ali ndi reflux ali okwiya kwambiri, ndipo ndani angakhoze kuwaimba mlandu iwo? Zimapweteka! Poipitsaipira, chinthu chomwecho chomwe chiyenera kukhala chotonthoza kwambiri kwa iwo - kudyetsa - ndicho chomwe chimapweteka kwambiri. Kotero iwo ali mu ululu ndi wokhumudwitsidwa.
Izi zikutanthauza kuti makolo amakhumudwitsidwa. N'zovuta kusamalira mwana wokwiya. Chonde onetsetsani kuti muzisamalira nokha, ndipo musamvere chisoni chifukwa chofunikira kuchita zimenezo. Mwana wanu amafunikira kuti mukhale ndi thanzi labwino monga momwe mungathere, kotero kupeza bwenzi kuti muwone mwanayo mukamapuma mungagwire ntchito zodabwitsa. Kulankhula ndi makolo ena kungakhalenso.
Ndipo kumbukirani kuti mwana wanu si mwana woipa, koma mwana wovulaza angathandize. Iye sakuyesa kupangitsa moyo wanu kukhala womvetsa chisoni poyerekeza kwambiri kuposa momwe mukuyesera kuti moyo wake ukhale womvetsa chisoni pomudyetsa iye. Yesetsani kuthandizidwa ndi chithandizo cha ana anu, ndipo muzisamalira nokha!