Ngaba umntwana wakho omncinci uhlala ekhala esithi, "Mama, isisu sam sibuhlungu"? Akatyi kakuhle? Ngaba akatyebi njengoko kulindelekile ngokweminyaka yakhe? Njengomzali, kufuneka ukhathazeke kakhulu ngezinto ezinje. Uninzi lwexesha, kukho ingxaki ethile kwinkqubo yokugaya yomntwana ebangela ezi ngxaki. Ngoko ke namhlanje siza kuthetha ngogqirha okhethekileyo onokukunceda wena nomntwana wakho ngexesha elinje. Lowo ngugqirha wezifo zabantwana.
Ngubani lo gqirha wezifo zabantwana?
Ngamafutshane, lo ngugqirha onolwazi olukhethekileyo noqeqesho kwizifo ezinxulumene nenkqubo yokugaya ukutya kwabantwana bethu, ukususela kwiintsana ezisandul’ ukuzalwa ukuya kubantwana abancinci.
Xa sithetha ngenkqubo yokwetyisa, ibandakanya amalungu amaninzi. Cinga nje, ukususela kwixesha lokutya esikutyayo kuphuma emlonyeni wethu, ukuya kwixesha lokugaywa kunye nexesha lokukhutshelwa emzimbeni wethu, kukho izinto ezininzi ezibandakanyekayo kule nkqubo. Aba gqirha abaziingcali banolwazi olunzulu malunga nayo yonke inxalenye yale nkqubo ebantwaneni.
Oko ikukuthi:
- Umlomo, umphimbo, isisu, amathumbu amancinci, kunye namathumbu amakhulu (oku kubizwa ngokuba yinkqubo yesisu - `Isisu` okanye `Indlela yesisu`).
- I-pancreas, isibindi, i-gallbladder, kunye ne-bile ducts.
Ngamanye amaxesha, izinto ezifana nokuphazamiseka kwesisu ebantwaneni zinokuba ncinci kwaye zibe ngcono kwiintsuku ezimbalwa. Kodwa ezinye iimeko zonyango zinokuba yingozi ngakumbi. Ezinye zinokuba yingozi ubomi bonke. Kodwa kubalulekile ukukhumbula ukuba ngonyango olufanelekileyo kunye nokusebenza neqela leengcali, umntwana angazilawula ezo meko aze aqhubeke nobomi bakhe bemihla ngemihla ngendlela eqhelekileyo aze aphile ubomi obuhle .
Yintoni kanye kanye eyenziwa zezi ngcali?
Aba gqirha bafana neengcali zezifo zesisu ezinyanga abantu abadala. Umahluko kukuba banikezela ngezi nkonzo kwiintsana, abantwana abancinci, nabantwana abancinci. Ngenxa yoko, bayiqonda kakuhle imizimba yabantwana, indlela abacinga ngayo, kunye nendlela ekhethekileyo abafanele baphathwe ngayo.
Imisebenzi yabo yemihla ngemihla ingabandakanya izinto ezifana nezi:
- Siza kuthetha nawe kunye nomntwana wakho size sibuze ngokweenkcukacha ngeempawu zomntwana wakho kunye nazo naziphi na izifo ezinokuba nazo kusapho lwakho.
- Bakuthumela kwiimvavanyo zomfanekiso ukuze bafumane ukuba siyintoni kanye kanye esi sifo.
- Unyango oluyimfuneko lunikezelwa ukulawula imeko.
- Kwixesha elizayo, oogqirha baza kufundisa baze baqeqeshe abanye ngale nto.
Eyona nto ibalulekileyo kukuba aba gqirha bazame ukunika intuthuzelo kungekuphela nje emzimbeni womntwana, kodwa nakwingqondo yakho njengomzali. Siyoyika kangakanani xa sisiva ukuba umntwana uyagula? Ngoko ke bayaqonda yonke into kwaye basebenza ngokukufundisa nawe.
Uvavanyo olukhethekileyo olufana ne-endoscopy
Kukho iimvavanyo ezininzi ezikhethekileyo kunye nonyango olunokwenziwa zezi ngcali. Enye yezona zibalulekileyo kwezi luvavanyo olubizwa ngokuba yi-endoscopy .
Usenokoyika kancinci xa usiva eli gama. Kodwa olu luvavanyo olukhuselekileyo kakhulu olwenziwa phantsi kwe-anesthesia ukuze umntwana angayiva intlungu. Okwenzekayo kukuba ityhubhu encinci, eguquguqukayo (endoscope) enekhamera encinci kakhulu idluliselwe emzimbeni womntwana kwaye ingaphakathi lenkqubo yokugaya ukutya lijongwa kwiscreen. Indawo apho le tyhubhu ifakwa khona iyahluka ngokuxhomekeke kwiimpawu.
| Uhlobo lwe-endoscopy | Amalungu omzimba ahlolwayo |
|---|---|
| I-endoscopy ephezulu | Ityhubhu ifakwa ngomlomo kwaye umphimbo, isisu, kwaye isiqalo samathumbu amancinci siyahlolwa. |
| I-Colonoscopy | Ityhubhu ifakwa nge-rectum kwaye ikholoni yonke iyahlolwa. |
| I-endoscopy yeCapsule | Oku kuquka ukuginya ikhaphu encinci enekhamera ngaphakathi. Ithatha imifanekiso njengoko ihamba emathunjini ize isithumelele yona. Oku kusenza sikwazi ukuhlola amathumbu amancinci ngokweenkcukacha. |
Olu vavanyo lwe-endoscopic lunceda kakhulu ekuxilongeni izifo ngokuchanekileyo. Kwakhona, ukuba kuyimfuneko, iqhekeza elincinci lesicwili (i-biopsy) linokuthathwa ngexesha lovavanyo kwaye lithunyelwe ukuze livavanywe ngakumbi. Ngamanye amaxesha, le ndlela ingasetyenziselwa nonyango.
Ukongeza, ezi ngcali:
- Ukuba kurhanelwa ukuba kukho isifo sesibindi, kuthathwa iqhekeza elincinci lesibindi lize lihlolwe (i-liver biopsy).
- Ukuba umntwana akakwazi ukutya kakuhle, unokufakwa ityhubhu yokumtyisa ukuze afumane izondlo ezifunekayo.
- Uvavanyo olukhethekileyo (uvavanyo lwe-Motility) lwenziwa ukuze kubonwe ukuba kukho ingxaki kwindlela izihlunu kunye nemithambo-luvo esebenza ngayo kwinkqubo yokugaya ukutya.
Ungenza nezinto ezinje.
Kutheni umntwana ethunyelwa kwingcali efana nale?
Rhoqo, isizathu esiphambili sokuba ugqirha wezingane ohlala nawe athumele umntwana wakho kwingcali kukuba umntwana wakho ukhalaza ngeentlungu zesisu ezihlala zisenzeka. Oku kukwabizwa ngokuba "yintlungu yesisu esebenzayo". Le ntlungu yesisu engapheliyo inokuphazamisana nomsebenzi wesikolo womntwana wakho kunye nokudlala kwakhe. Ekubeni zininzi izizathu, ezi ngcali zinokukunceda ufumane unobangela ochanekileyo.
Ngaphandle koko, aba gqirha banceda ekuxilongeni nasekunyangeni ezinye izifo ezahlukeneyo. Makhe sijonge ezinye zezona zixhaphakileyo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Isifo seCeliac | Umzimba une-allergy kwiproteni ebizwa ngokuba yi-gluten, efumaneka kwizinto ezifana nomgubo wengqolowa. |
| Isifo se-gastroesophageal reflux (GERD) | I-asidi yesisu iphuma kwi-esophagus. Oku kunokubangela izinto ezifana ne-heartburn kunye nobisi olugabhayo. |
| Isifo samathumbu esivuthayo (IBD) | Oku kubangela ukudumba ngaphakathi kwamathumbu. Isifo sikaCrohn kunye ne-ulcerative colitis ziintlobo ezimbini zesi sifo. |
| Ukunganyamezelani nokutya okanye ukunganyamezelani | Ukunganyamezelani nokutya okuthile. Umzekelo, ukungakwazi ukugaya i-lactose, efumaneka kubisi. |
| Ukukhula kuyawohloka | Ubunzima nobude bomntwana abunyuki ngokweminyaka yakhe. |
| Ukopha kwe-GI | Ukopha igazi kwindawo ethile kwinkqubo yokwetyisa. Ukuhlanza igazi okanye ukuphuma kwegazi esitulweni. |
| I-irritable bowel syndrome (IBS) | Iimpawu ezitshintshayo ezifana neentlungu zesisu, ukudumba, ukuqhina, okanye urhudo. |
Inkxaso oza kuyifumana wena nomntwana wakho kulo gqirha
Ungacinga ngezi ngcali njengoogqirha babantwana 'abanamandla akhethekileyo'. Banobuchule kakhulu ekuthetheni nabantwana, bebenza bakhululeke, njengoogqirha babantwana abaqhelekileyo. 'Amandla abo akhethekileyo' kukuba banokuxilonga baze banyange nayiphi na ingxaki enzima yokugaya ukutya.
Eyona nto ibalulekileyo kukuba aba gqirha bakho xa beninceda. Njengabazali, xa sisiva ukuba umntwana wethu uyagula, siyoyika kakhulu size sixhalabe. Asinakukwazi ukucinga ukuba kuza kwenzeka ntoni emva koko. Aba gqirha baza kukuchazela ngokulula okwenzekayo emzimbeni womntwana wakho. Basoloko bezama ukukugcina unolwazi kwaye bakwenze uzive ukhululekile kuyo yonke inyathelo.
Umyalezo Wokuya Ekhaya
- Ingcali yezifo zesisu zabantwana ngugqirha ofumene uqeqesho olukhethekileyo ekunyangeni izifo zenkqubo yokugaya ukutya kweentsana nabantwana.
- Ukuba umntwana wakho uhlala ekhalaza ngeentlungu zesisu, akatyi kakuhle, okanye akatyebi, qala ngokubonana nogqirha wabantwana wosapho lwakho. Uza kukuthumela kwingcali ukuba kuyimfuneko.
- Musa ukoyika iimvavanyo ezifana ne-endoscopy. Zenziwa ngokukhuselekileyo, phantsi kwe-anesthesia, kwaye azinantlungu kumntwana.
- Ezi ngcali azigcini nje ngokunyanga abantwana, kodwa zikwafundisa kwaye zikunika inkxaso yeemvakalelo kuwe, mzali. Ungaze woyike ukubuza imibuzo yakho nokucacisa amathandabuzo akho.
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