Ngaba umntwana wakho omncinci ubonakala ethintela ukukhula kwakhe? Makhe sithethe ngale nto ((Ukukhula Okuwohlokayo)!

Ngaba ukhe ube namathandabuzo okanye uloyiko malunga nokukhula komntwana wakho omncinci? Mhlawumbi uvakalelwa kukuba umntwana wakho akatyebi kakuhle, okanye mhlawumbi ukhula kancinci kakhulu. Le yingxaki abazali abaninzi abanayo. Ngoko ke namhlanje siza kuthetha ngale meko ibizwa ngokuba "kukusilela ukukhula," okanye njengoko yayibizwa ngaphambili. Ngoku ibizwa ngokuba "kukudodobala kokukhula."

Yintoni le "Ingxaki Yokukhula Okuwohlokayo"?

Ngamafutshane, ukukhula okudodobalayo kuxa umntwana wakho engatyebi okanye engakhuli ngokweminyaka yakhe. Isizathu esiphambili soku kukungabikho kokutya okunempilo, nto leyo ethetha ukuba umntwana akafumani izondlo ezaneleyo, ingakumbi iikhalori. Le meko inokwenzeka kwiintsana ezincanciswayo, kunye nabantwana abadala, kwanabantwana abaneminyaka embalwa ubudala.

Oku kwakubizwa ngokuba yi-"Failure to Prive". Ukuva loo mazwi ngamanye amaxesha kunokuba yinto eyoyikisayo nebangela usizi. Usenokucinga, "Ngaba kukho into engalunganga ngam?" Kodwa kukho izinto ezininzi ezinokuchaphazela ukukhula komntwana, uninzi lwazo esingenakuzilawula. Yiyo loo nto oogqirha ngoku besebenzisa igama elithi "Growth Faltering" endaweni yelithi "Failure to Prive". Oku kubhekisa kwingxaki yokukhula, kungekhona ukuba wena okanye umntwana wakho "uyasilela." Ngamanye amaxesha ikwabizwa ngokuba yi-"Weight Faltering", ebhekisa ekunciphiseni ubunzima.

Ugqirha wakho wezingane uza kufumanisa unobangela aze aqalise unyango lomntwana wakho. Kusenokufuneka wenze utshintsho oluthile kwindlela umntwana wakho atya ngayo. Umzekelo, ukuba uncancisa, kusenokufuneka unike umntwana wakho ubisi lwebele, okanye kusenokufuneka wongeze izongezo zesondlo kwifomyula yomntwana wakho, okanye kusenokufuneka wongeze ukutya okuneekhalori eziphezulu. Kwakhona, ukuba kukho imeko yezonyango echaphazela ukukhula komntwana wakho, baya kuyinyanga nayo loo nto.

Yintoni esona sizathu siphambili sokukhula okukhawulezileyo?

Amaxesha amaninzi, esona sizathu sokuba umntwana angakhuli kakuhle kukuba umntwana akafumani umlinganiselo ofunekayo weekhalori. Oogqirha bakwabiza oku ngokuthi "ukutya okunganelanga kweekhalori". Kunokubakho izizathu ezininzi zokuba umntwana angafumani umlinganiselo ofunekayo weekhalori. Ezi zizathu ziyahluka ngokuxhomekeke kubudala bomntwana.

Izizathu zokuba abantwana abancancisayo banokufumana iikhalori ezimbalwa:

• Ukuncipha kobisi olufumanekayo kumama oncancisayo.
• Umntwana uneengxaki zokubambelela, nto leyo ethetha ukuba umntwana akakwazi ukuncancisa ubisi oluninzi kangangoko kufuneka.
• Ifomula enikiweyo ayilungiswanga ngokuchanekileyo.
• Usana alufumani ubisi olwaneleyo imini yonke.

Izizathu zokuba kutheni abantwana abadala benokufumana iikhalori ezimbalwa:

• Iingxaki zokutya ezifana `(Ingxaki Yokuthintela/Yokuthintela Ukutya Okuthile)`. Ngamafutshane, izinto ezifana nokungathandi okanye ukwala ukutya ukutya okuthile.
• Ezinye iingxaki zokutya.

Enye into echaphazela abantwana bayo yonke iminyaka kukungondleki kakuhle kokutya . Oko kukuthi, ubunzima bokufumana ukutya okunesondlo. Le meko inokubangela ukuba umntwana angazifumani iikhalori azidingayo kwaye ithintele ukukhula kwakhe.

Ngaba zikho ezinye izizathu zokukhula okungalindelekanga?

Ngaphandle kokungafumani iikhalori ezaneleyo (le yeyona nto ixhaphakileyo), kukho ezinye izizathu zokuba abantwana bangakwazi ukukhula kakuhle:

• Ukufunxwa kwezondlo okungonelanga: Oku kuthetha ukuba nangona umntwana esitya ukutya, izondlo ezikuloo kutya azifunxwa ngokufanelekileyo ngumzimba womntwana. Ngoko ke ingxaki asikobungakanani beekhalori ezityiwayo, kodwa yindlela ezo khalori ezithathwa ngayo kwaye zisetyenziswe ngayo ekukhuleni.
• Ezinye zeemeko ezichaphazela oku zezi:
• Isifo seCeliac
• Iimeko ezichaphazela ulwakhiwo lwenkqubo yokugaya ukutya, ezifana ne-biliary atresia, i-pyloric stenosis, kunye ne-tracheoesophageal fistula
• Icystic fibrosis
• Isifo samathumbu esidumbileyo
• Ukunganyamezelani neproteni yobisi

• Ukwanda kwemfuno ye-metabolic: Oku kuthetha ukuba umzimba womntwana ufuna iikhalori ezingaphezulu kunezo bezilindelwe ukuze asebenze ngokuqhelekileyo.
• Nantsi eminye imizekelo yoku:
• Umhlaza
• Isifo sentliziyo esizalwa naso
• Izifo zemiphunga ezizalwa nazo
• Usulelo lwe-HIV
• I-Hyperthyroidism
• Iimpazamo ezizalwa nazo zemetabolism
• Isifo sezintso
• Isifo sephepha

Zithini iimpawu zokulibaziseka kokukhula?

Ezinye zeempawu onokuzibona kumntwana wakho zingabandakanya:

• Ukungatyebi njengoko bekulindelwe.
• Ukungadeli okanye ukungadeli.
• Ukulila ngaphezu kokuba bekulindelwe.
• Ukulala ngaphezu kokuba bekulindelwe, ngamanye amaxesha nangona uncancisa.
• Ukungasebenzisani nabanye abantu ngendlela efanelekileyo kwinqanaba lokukhula komntwana (umzekelo, ukungalingisi inkangeleko yobuso bakho).

Usenokungazi kwangoko ukuba ezi ziimpawu zokulibaziseka kokukhula, kodwa unokucinga ukuba, "Kukho into engalunganga." Ukuba unenkxalabo ngomntwana wakho, ingakumbi ukuba unengxaki yokuvuka, bonana nogqirha wezingane ngokukhawuleza.

Ngamanye amaxesha usenokungaluboni utshintsho kumntwana wakho. Oogqirha bafumanisa le meko kuphela xa belinganisa ubunzima nobude bomntwana kwiikliniki eziqhelekileyo.

Zeziphi iingxaki ezinokwenzeka ukuba le meko ayinyangwa?

Ukuba ukulibaziseka kokukhula komntwana akunyangwa, ezi meko zilandelayo zinokwenzeka:

• Usulelo oluqhelekileyo.
• Uphuhliso lobuchopho luyachaphazeleka kwaye ukukhubazeka kwengqondo kunokwenzeka.
• Njengoko sikhula, sinokuhlakulela izifo ezingapheliyo , ezifana nesifo sentliziyo kunye nesifo se-metabolic syndrome.
• Njengoko ukhula, ubude bakho bunokuba bufutshane kunokuba bekulindelwe.

Uphando lubonise ukuba ukunyanga oku kukhula okulibazisekayo kwiminyaka emibini yokuqala yobomi bomntwana kubaluleke kakhulu ukuthintela iingxaki ezizayo.

Oogqirha bafumanisa njani ukuba ukulibaziseka kokukhula?

Oogqirha bafumanisa ukuba umntwana unokulibaziseka ekukhuleni ngokulinganisa ubunzima bakhe, ubude/ubude, baze bathelekise loo maxabiso neetshathi zokukhula eziqhelekileyo. Ezi tshathi zokukhula zibonisa amazinga okukhula alindelekileyo kubantwana abakwiminyaka eyahlukeneyo. Ezinye iitshathi zikwalungelelanisa nezinto ezikhethekileyo, njengokuzalwa ngaphambi kwexesha okanye abantwana abaneemeko ezithile zemfuza.

Ukuba ukukhula komntwana wakho kuhamba kancinci kunokuba bekulindelwe, ugqirha wakho wabantwana uza kuthetha nawe ngezizathu ezinokubakho. Kuya kufuneka afumane ulwazi kuwe ukuze aqonde ukuba zeziphi izinto ezichaphazela ukukhula komntwana wakho. Kodwa khumbula, injongo kagqirha asikokukugxeka okanye ukukugweba, kodwa kukunceda umntwana wakho nokuxhasa usapho lwakho. Okukhona usabelana ngolwazi oluninzi, kokukhona ugqirha enokuba luncedo ngakumbi.

Nazi ezinye izinto onokuthetha ngazo (ezinye zisenokungabi namsebenzi kuxhomekeke kwiminyaka yomntwana):

• Kuhamba njani ukuncancisa , kwaye ngaba kukho imingeni onayo?
• Loluphi uhlobo lwefomula olusetyenziswayo, kwaye ulwenza njani?
• Ngaba umntwana uqalile ukutya ukutya okuqinileyo , kwaye umntwana usabela njani kuko?
• Naziphi na iimpawu oziqaphelayo xa umntwana wakho esitya (umz. ukukhohlela, ukuhlanza, ukugoba umqolo).
• Iindlela zokutya zomntwana kunye nezinto azithandayo , kuquka ukutya okulula kunye nezinto angazithandiyo.
• Kuphakelwa njani ukutya? Ngubani ohlala nomntwana xa esitya?
• Izithethe zentsapho yakho malunga nokutya.
• Usapho lwakho lukwazi njani ukufumana ukutya okunesondlo ?

Ugqirha wakho wezingane uza kujonga iirekhodi zonyango zomntwana wakho aze abuze ngembali yezonyango yosapho lwakho. Oku kungenxa yokuba ezinye izifo "ziyimfuza," oko kuthetha ukuba kusenokwenzeka ukuba umchaphazele umntwana wakho engazi kwasekuqaleni. Ukwenza uluhlu lwezinto ezixilongiweyo owaziyo ukuba izalamane zegazi lomntwana wakho zinazo kunokunceda ugqirha ukuba afumane umfanekiso opheleleyo.

Uvavanyo lomzimba

Ugqirha wakho wezingane uza kwenza uvavanyo olupheleleyo lomzimba ukuze ahlole ukukhula komntwana wakho aze ajonge iimpawu zeemeko zempilo. Olu vavanyo luza kubonelela ngolwazi malunga nomntwana wakho:

• Iimpawu ezibalulekileyo - ezifana nokubetha kwentliziyo kunye noxinzelelo lwegazi.
• Ubunzima bemisipha kunye nokusasazeka kwamafutha.
• Impilo yeenwele.
• Imeko yempilo yolusu.
• Umjikelezo wentloko.

Uvavanyo

Oogqirha badla ngokuxilonga unobangela wokungaphumeleli kokukhula ngaphandle kovavanyo. Nangona kunjalo, ukuze babone ukuba kukho ingxaki yempilo efihlakeleyo, banokuyalela iimvavanyo ezifana nezi:

• Uvavanyo lwegazi.
• Uvavanyo lomchamo.
• Uvavanyo lwesitulo.
• Uvavanyo lokufumanisa iimeko ezithile zonyango, umzekelo, uvavanyo lokubila lwe-cystic fibrosis.

Zithini iindlela zonyango zoku?

Unyango lugxile ekuboneleleni umntwana wakho ngezondlo ezaneleyo ukuxhasa ukukhula kwakhe. Ugqirha wakho wezingane unokucebisa oku kulandelayo:

• Ukuba uneengxaki zokuncancisa, cela uncedo kumcebisi woncanciso.
• Ukunika ubisi lwebele ukongeza kubisi lwebele. Ugqirha uza kuchaza ukuba loluphi uhlobo lwefomyula omawuyinike umntwana kunye nendlela yokumnika.
• Ukudala isicwangciso sokutya esilungeleleneyo nesiquka zonke izondlo ezidingwa ngumntwana wakho.

Ukuba umntwana wakho unesifo esithile, iqela lakho lezonyango liya kucebisa unyango olufanelekileyo lwaloo meko. Oku kunokwahluka kakhulu ngokuxhomekeke kwisifo eso. Iqela lezonyango lomntwana wakho liya kukuxelela okungakumbi malunga noko ukulindeleyo.

Ugqirha wakho wabantwana angakuthumela kwezinye iingcali - umzekelo, ingcali yokutya, umsebenzi wentlalontle, okanye ingcali yengqondo yabantwana - ukuxhasa iimfuno zosapho lwakho. Banokukunceda ufumane iinkqubo ezisekelwe kuluntu ezinokukunceda ukuba awuqinisekanga ngokutya okanye unezinye izixhobo. Ukuba unenkxalabo malunga nempilo yomntwana wakho, ungathandabuzi ukuxelela ugqirha wakho.

Uninzi lwabantwana lunyangwa ngotshintsho olwenzayo ekhaya, ngenkxaso yoogqirha bomntwana wakho (kunye notyelelo oluqhubekayo). Kodwa abanye abantwana banokufuna ukulaliswa esibhedlele ngenxa yokusilela kokukhula. Oku kuvumela oogqirha ukuba bajonge ukutya kweekhalori zomntwana baze bafumanise unobangela ochanekileyo wokusilela kokukhula.

Ukulaliswa esibhedlele ngenxa yokusilela kokukhula

Ukulaliswa komntwana esibhedlele kunokuba luncedo kwiimeko ezilandelayo:

• Ukuba unyango lwasekhaya aluncedi.
• Ukuba oogqirha kufuneka balinganise ngokuchanekileyo iintlobo kunye nobungakanani besondlo umntwana asifumanayo.
• YomntwanaUkuba unesifo esinzulu esingabonakaliyo.
• Ukuba umntwana akondlekanga kakhulu okanye uphelelwe ngamanzi emzimbeni .
• Ukuba unengxaki yokulawula imeko yomntwana wakho ekhaya.
• Ukuba isibhedlele yindawo ekhuselekileyo yomntwana ngenxa yeemeko ezithile ekhaya.

Ukuba umntwana wam unengxaki yokukhula kakuhle, ndimele ndilindele ntoni?

Kuya kufuneka uye kwiikliniki zokulandelela rhoqo ukuze ujonge uphuhliso lomntwana wakho. Oku kungenziwa rhoqo kanye ngeveki, kodwa oku kuya kwahluka ngokuxhomekeke kwiimfuno zomntwana.

Kungathatha iinyanga ezine ukuya kwezisithoba ukuba umntwana afikelele kwinqanaba lokukhula elifunekayo. Ugqirha wakho wezingane uza kukuxelela xa umntwana wakho efikelele kubunzima nobude/ubude obufanelekileyo. Nje ukuba elo nqanaba lifikelelwe, umntwana akasakwazi ukukhula kakuhle, aze umntwana akhule ngendlela eqhelekileyo.

Kodwa ayingabo bonke abantwana abafanayo. Abanye abantwana basenokuba nokubuyela umva kwesifo. Oku kuxhomekeke kwisizathu sokungaphumeleli kokukhula kunye nokuba unobangela unyangiwe ngokufanelekileyo na. Ugqirha wakho wezingane uza kuyijonga imeko ngokusondeleyo aze anikezele ngonyango olongezelelweyo ukuba kuyimfuneko.

Ngaba le meko ingathintelwa?

Ukungaphumeleli kokukhula akunakuthintelwa rhoqo. Zininzi izizathu zokuba umntwana wakho akhule kancinci kunabanye abantwana. Kodwa zininzi izinto onokuzenza ukuxhasa ukukhula nophuhliso lomntwana wakho – nangaphambi kokuba azalwe:

• Yiya kuzo zonke iikliniki ngexesha lokukhulelwa kwakho kwaye ulandele imiyalelo kagqirha wakho ngendlela yokuzinyamekela ngexesha lokukhulelwa.
• Qiniseka ukuba umsa umntwana wakho kuzo zonke iindawo zokutyelela izigulana.
• Funda ngeemfuno zesondlo somntwana wakho kunyaka wakhe wokuqala nangaphaya , uze ubuze ugqirha wakho ukuba unemibuzo.
• Ukuba ubona naziphi na iimpawu ezingaqhelekanga kumntwana wakho, okanye ukuba unezinye izinto ezikuxhalabisayo ngempilo yomntwana wakho, xelela ugqirha wakho.
• Ukuba usapho lwakho luneengxaki zokhuseleko lokutya, yazisa ugqirha wakho. Bahlala besazi ngezixhobo ezisetyenziswa kuluntu ezinokunceda ukuqinisekisa ukuba abantwana bafumana ukutya abakudingayo.

Ndifanele ndimbone nini ugqirha?

Ukuba unenkxalabo malunga nokukhula komntwana wakho okanye nayiphi na enye into echaphazela ukukhula kwakhe, bonana nogqirha wabantwana ngokukhawuleza. Ukungaphumeleli kokukhula akusoloko kubonisa iimpawu ezicacileyo. Yiyo loo nto kubalulekile ukuba umntwana wakho amse kwikliniki nganye eqhelekileyo kwaye uvumele ugqirha ukuba ajonge ukukhula komntwana wakho.

Ukuba umntwana wakho unengxaki yokukhula, ugqirha wakho uza kukuxelela ukuba uza kuza kangaphi kwiikliniki zokulandelela. Ezi kliniki zibaluleke kakhulu ukujonga ukukhula komntwana wakho kunye nokulungisa isicwangciso sonyango njengoko kufuneka.

Mhlawumbi uye waya kwiofisi kagqirha ukuze ahlolwe rhoqo imihla ngemihla. Kodwa ke waxelelwa ukuba umntwana wakho unengxaki yokukhula kakuhle. Ngequbuliso, imibuzo emininzi mhlawumbi yafika engqondweni yakho. "Kwenzeke njani oku? Ingaba umntwana wam uyabafumana abanye abantu? Ngaba kukho into engalunganga endiyenzileyo?"

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Musa ukukhathazeka. Uninzi lwexesha, ukusilela kokukhula kubangelwa zizinto ongenakukwazi ukuzilawula. Abanye abantwana bafuna uncedo olongezelelweyo ukuze bakhule ngesantya esifanelekileyo ngokweminyaka yabo. Kwaye ayizizo zonke iintsapho ezinezixhobo ezifanayo. Oogqirha bayayazi le nto, kwaye bakulungele ukunceda.

Ugqirha wakho wezingane uza kusebenzisana nawe kunye nosapho lwakho ukuze afumanise ukuba wena nomntwana wakho nifuna ntoni ukuxhasa uphuhliso lomntwana wakho. Kungathatha iinyanga ezimbalwa, kodwa umntwana wakho uza kukwazi aze akhule njengoko kulindelekile ebuntwaneni bakhe bonke. Ukuba ufuna nantoni na ngeli xesha lohambo, ungathandabuzi ukuxelela ugqirha wakho.

Okokugqibela, khumbula oku.

Ngoko ke, mhlawumbi uyaqonda ukuba yintoni `(Ukukhula Okuwayo)` okanye ukukhula okukhawulezileyo emntwaneni, izizathu, iimpawu kunye nonyango. Eyona nto ibalulekileyo kukuqonda ukuba oku akulona ityala lakho. Uninzi lwexesha, ezi meko zenzeka ngezizathu ezingaphaya kwamandla ethu. Ukuba awoyiki, fumana ingcebiso yezonyango efanelekileyo, kwaye wenze oko ugqirha akuthethayo, unganika umntwana wakho inkxaso ayifunayo ukuze akhule esempilweni kwaye ephilile. Thetha nogqirha ngayo nayiphi na imibuzo okanye amathandabuzo onawo. Bakho ukukunceda.

Ukusilela kokukhula , ukungaphumeleli ukukhula, ukondleka komntwana, ukungondleki kakuhle, uphuhliso lomntwana, iikhalori, impilo yomntwana