Ngaba umntwana wakho omncinci uhlala ehlanza emva kokutya? Okanye ukhalaza ngentlungu yesisu, ngokungathi isisu sakhe sigcwele? Ngamanye amaxesha, nokuba umnika ukutya okungakanani na, akatyebi. Namhlanje, siza kuthetha ngovavanyo olukhethekileyo olusetyenziswa ngoogqirha ukufumana unobangela wezi zinto. Oku kubizwa ngokuba yiGastric Emptying Study, okanye iGES ngamafutshane.
Yintoni iSifundo sokuKhupha iSisu (i-GES)?
Ngamafutshane, olu vavanyo lulinganisa ixesha elithathayo ukuba ukutya komntwana wakho kuhambe ukusuka esiswini (amathumbu) ukuya emathunjini amancinci. Oogqirha basebenzisa isixhobo esikhethekileyo sokuskena, esibizwa ngokuba yikhamera ye-gamma, ukuthatha imifanekiso yesisu somntwana emva kokuba etyile. Olu vavanyo lukwaziwa nangamanye amagama aliqela. Umzekelo:
- Uvavanyo lokukhupha isisu
- Iskeni yokukhupha isisu
- Uvavanyo lokukhupha isisu
- I-scintigraphy yokukhupha isisu
Nokuba yeyiphi na indlela, konke oku kuthetha uvavanyo olufanayo.
Zeziphi izifo ezinokufunyaniswa ngolu vavanyo?
Le yeyona ndlela ilungileyo nesebenzayo yokubona ukuba isisu somntwana sisebenza kakuhle kangakanani.
Olu vavanyo lubona ikakhulu imeko ebizwa ngokuba yi -gastroparesis . Oku kuthetha ukuba ukutya okusesiswini somntwana kuthatha ixesha elide kunesiqhelo ukuba kuphele. Ngokwesiqhelo, kuthatha malunga neyure enesiqingatha ukuya kwiiyure ezimbini ukuba ukutya esikutyayo kusuke esiswini kuye emathunjini amancinci. Kumntwana one-gastroparesis, le nkqubo yenzeka kancinci kakhulu.
Kwakhona, ngamanye amaxesha ukutya kudlula ngokukhawuleza kakhulu ukusuka esiswini ukuya emathunjini amancinci. Oku kubizwa ngokuba yi -dumping syndrome . Le meko inokubonwa nangolu vavanyo. Ukongeza, ngamanye amaxesha inokunceda ekufumaneni i-gastroesophageal reflux, imeko apho i-asidi yesisu ibuyela kwi-esophagus.
Ugqirha wakho unokucebisa olu vavanyo ukuba umntwana wakho unezinye zezi mpawu zilandelayo:
- Ukuba uhlanza rhoqo
- Ukuba uqhubeka uthetha ngentlungu yesisu
- Ukuba awutyebi ngendlela efanelekileyo ngokweminyaka yakho
- Ukuba uziva uhluthi nasemva kokutya ukutya okuncinci (oku kubizwa ngokuba kukutya kwangethuba)
Olu vavanyo lubaluleke kakhulu ekufumaneni unobangela weengxaki ezinjalo kwangethuba kwaye kuqalwe unyango.
Umlungiselela njani umntwana wakho uvavanyo?
Umntwana kufuneka alungiselele kancinci ngaphambi kolu vavanyo.
Eyona nto ibalulekileyo kukuba umntwana angatyi okanye asele nantoni na emva kweentsuku ezimnyama ngobusuku bangaphambi kovavanyo . Isisu somntwana masibe singenanto kwaphela.
Ukuba umntwana wakho usebenzisa amayeza, qiniseka ukuba uxelela ugqirha wakho ngawo. Ungacelwa ukuba uyeke ukusebenzisa amayeza athile kangangeentsuku ezimbalwa ngaphambi kovavanyo.
Kwakhona, fundisa umntwana wakho okuncinci ngale nto. Mxelele oku, "Siza kwenza uvavanyo oluncinci, sithathe iifoto, azizukumlimaza." Ekubeni uvavanyo luza kuthatha iiyure ezininzi, ungalibali ukuzisa into yokugcina umntwana wakho exakekile, njengethoyi, incwadi, okanye ithebhulethi, ngexesha lokuskena.
Kwenzeka ntoni ngexesha lovavanyo?
Masijonge amanyathelo okwenzekayo ngomhla wovavanyo. Ukuba uchazela umntwana wakho oku ngendlela elula, kuya kunciphisa uloyiko lwakhe.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukunxiba ilokhwe yesibhedlele | Ingcali ye-radiology okanye ingcali iya kuthatha umntwana iye kwicandelo lokuskena aze amnxibise ilokhwe ekhethekileyo ebonelelwe yisibhedlele. |
| 2. Isidlo esikhethekileyo | Emva koko, umntwana unikwa ukutya okuncinci. Oku kudla ngokuba yinto efana neqanda elimhlophe elibilisiweyo kunye nezilayi ezibini zesonka ezinejam. Banikwa namanzi okusela. |
| 3. Ukongeza 'ii-tracers' | La maqanda aqulathe inani elincinci kakhulu le-radioactive tracer engenabungozi. Ungakhathazeki, ayizukubangela monakalo. Umntwana akayi kubona mahluko kwincasa okanye kumbala. |
| 4. Ixesha lokutya | Oku kutya kufanele kutyiwe kwimizuzu eli-10 . Gcina umntwana enomdla kangangoko kwaye ugqibezele ukutya kwisithuba sexesha elo. Ukuba umntwana uyahlanza ngeli xesha, uvavanyo lunokufuneka lwenziwe ngolunye usuku. |
| 5. Ukuskena | Emva kokutya, bakusa kwigumbi lokuskena. Okokuqala, benza iskena malunga nomzuzu. Emva koko, ngeyure, ngeyure e-1, iiyure ezi-2, kunye neeyure ezi-4, bathatha iskena ezincinci malunga nomzuzu. Ngeli xesha, umntwana akufuneki ashukume. |
| 6. Ikhefu | Awunakubanika enye into yokutya okanye yokusela ngexesha lokuskena. Ngoko ke kufuneka uhlale ukufutshane. Kulapho ke ezo zinto zokudlala neencwadi oziphetheyo ziya kuba luncedo khona. |
Olu vavanyo luthatha ixesha elingakanani?
Uvavanyo lonke ludla ngokuthatha malunga neeyure ezine ukuya kwezintlanu , ngoko ke kungcono ukulungiselela kakuhle uze ubekele bucala usuku lonke.
Wenza ntoni emva kovavanyo?
Nje ukuba ugqibe ukuskena kokugqibela, ungagoduka. Akukho nto ikhethekileyo onokuyenza. Ungamvumela umntwana wakho atye, asele, adlale, aze aqhubeke nosuku lwakhe njengesiqhelo. Akukho miqathango.
Ngaba kukho umngcipheko kule nto?
Abazali abaninzi bayayoyika le radiation. Kodwa akukho nto yokoyika. Ubungakanani bezinto ezisebenzisa i-radioactive ezisetyenzisiweyo kolu vavanyo buncinci kakhulu. Oogqirha bathi aziyi kumenzakalisa umntwana. Ezi zinto ziyasuswa emzimbeni kwiiyure ezimbalwa.
Kodwa into enye ekufuneka uyikhumbule: Ukuba ungumama okhulelweyo okanye ukrokrela ukuba ukhulelwe, akufanele wenze olu vavanyo . Imitha inokuba yingozi kumntwana ongakazalwa.
Ndiza kuzazi nini iziphumo?
Ingcali ye-radiology iza kujonga ezi scans ize ibale ixesha elithathiweyo ukuze ukutya kuphume esiswini ize yenze ingxelo. Kwiintsuku ezimbalwa, ingxelo iya kuthunyelwa kugqirha womntwana wakho. Ugqirha uza kuxoxa nawe ngeziphumo aze akuchazele into omawuyenze ngokulandelayo ngokusekelwe kwiziphumo.
- Ithini isiphumo esiqhelekileyo? Kudla ngokuthatha malunga neyure enesiqingatha ukuya kwiiyure ezimbini ukuba ukutya esikutyayo kusuke esiswini kuye emathunjini amancinci. Ukuba isisu somntwana wakho siyaphela ngelo xesha, loo nto isiphumo esiqhelekileyo.
- Kuthekani ukuba iziphumo aziqhelekanga? Ukuba kukho umahluko kwiziphumo, njengokuba ukutya kuthatha ixesha elide ukukhupha isisu (iGastroparesis) okanye ukuba kukhupha ngokukhawuleza (iDumping Syndrome), ugqirha wakho uya kukuchazela iindlela zonyango ezifunekayo.
Ngaba olu vavanyo lunokufumanisa umhlaza?
Le yingxaki abantu abaninzi abanayo. Olu vavanyo lulinganisa ngokuthe ngqo isantya sokuphuma kokutya esiswini. Ukuphuma kancinci esiswini kunokuba luphawu lomhlaza, kodwa kunqabile kakhulu ebantwaneni . Ukuba kurhanelwa ukuba umhlaza ukhona, kwenziwa ezinye iimvavanyo ezikhethekileyo (umzekelo, i-endoscopy).
Ungamnceda njani umntwana wakho ukuba ajongane nolu vavanyo ngaphandle koloyiko?
Isibhedlele sinokuba yindawo eyoyikisayo emntwaneni. Nangona olu vavanyo lungenabuhlungu, kunokuba nzima kumntwana ukuhlala kwindawo enye kangangeeyure. Nantsi indlela onokunceda ngayo:
- Ukuqhela: Ngosuku olungaphambi kovavanyo, dlala umdlalo nomntwana wakho ukuze ahlale ezolile okwethutyana. Ngale ndlela, xa umcela ukuba ahlale ezolile ngexesha lokuskena, akuyi kubonakala ngathi yinto enkulu kuye.
- Inkxaso yakho: Ngokwesiqhelo, umama okanye utata uvumelekile ukuba ahambe nomntwana ukuya kuskena. Yinkxaso entle kakhulu kumntwana okuphela kwakhe.
- Into evela ekhaya: Zisa into ethandwa ngumntwana wakho, njengethoyi okanye incwadi. Oku kuya kumnceda azive esekhaya nokuba usesibhedlele.
- Xelela umntwana wakho ukuba akuyi kuba buhlungu: Mkhumbuze kaninzi ukuba oku akuyi kuba buhlungu konke konke. Mcacisele ngokulula, njengokuthi, "Siza kuthatha umfanekiso wesisu."
- Hlala uzolile: Ukuba uxhalabile, umntwana wakho usenokuba noloyiko olungakumbi. Ubuso bakho obuzolileyo nobuncumileyo buyinkuthazo enkulu kumntwana wakho.
Umyalezo Wokuya Ekhaya
- Uphononongo lokuKhupha Isisu (i-GES) luvavanyo olungenabuhlungu olulinganisa ixesha elithathwayo ukuze ukutya kuphume esiswini somntwana.
- Oku kunceda ekuchongeni iimeko ezifana ne-gastroparesis, ebangela iingxaki ezifana nokuhlanza rhoqo, iintlungu zesisu, kunye nokunciphisa umzimba.
- Ubungakanani bemitha esetyenzisiweyo kuvavanyo buphantsi kakhulu kwaye bukhuselekile ngokupheleleyo kumntwana.
- Ekubeni uvavanyo luthatha malunga neeyure ezi-4-5, kubalulekile ukuba uphathe amathoyizi okanye iincwadi ukuze umntwana wakho ahlale exakekile.
- Xoxa rhoqo nogqirha wakho ngeziphumo zovavanyo kunye namanyathelo alandelayo.
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