Ingaba umntwana wakho omncinci ufumana ubisi lwebele? Makhe sithethe ngesifo somhlaza wosana!

Ingaba umntwana wakho omncinci uyakhafula kancinci emva kokusela ubisi? Ngamanye amaxesha uhlanza. Njengomama okanye utata, xa ubona oku, uziva usoyika kwaye ukhathazekile, akunjalo? Enyanisweni, oomama nootata abaninzi bajongene nale ngxaki. Ngoko ke namhlanje, masithethe ngento ebangela oku, ingaba oku kuqhelekile, kwaye kufuneka sikhathazeke nini ngako oku.

Yintoni i-reflux yomntwana?

Ngamafutshane, i-reflux, okanye into esiyibiza ngokuba yi-reflux, kukutya okusesiswini somntwana, oko kukuthi, ubisi alusele, olubuyela emqaleni, kwaye ngamanye amaxesha luphume emlonyeni. Yiyo loo nto iintsana zikhupha ubisi okanye ngamanye amaxesha zihlanza .

Kodwa uninzi lwexesha, i-reflux ayiyongxaki inkulu kwiintsana. Isizathu kukuba indlela yabo yokugaya ukutya ayikakhuli ngokupheleleyo. Oko kukuthi, njengesityalo esincinci, isakhula.

Kukho abantwana abavuya kakhulu ukukhafula ubisi imini yonke ngaphandle kweengxaki zempilo. Oogqirha babiza abantwana abanjalo ngokuthi "abakhafulayo abavuyayo". Oku kuthetha ukuba ababonakali bekhathazekile ukuba bakhafula ubisi oluncinci. Basenokukhala kancinci, kodwa kuphelele apho. Ngamanye amaxesha baphilile. Uninzi lwexesha, le "(Reflux)" iba ngcono ngokwayo xa umntwana enonyaka ubudala.

Nangona kunjalo, kwabanye abantwana, i-reflux inokuba yingozi kakhulu . Oku kuthetha ukuba abakwazi ukufunxa kakuhle izondlo abazidingayo. Xa oku kusenzeka, banokuhlanza igazi, bangatyebi ngokufanelekileyo, okanye babe nezinye iimpawu ezifana nokukhwehlela okungapheliyo. Oogqirha babiza ezi mpawu ngokuthi "ziimpawu ezibangela ingxaki." Ezi mpawu zezona zahlula phakathi kwe-reflux eqhelekileyo ye-gastroesophageal (GER) kunye nesifo se-reflux ye-gastroesophageal (GERD).

Yintoni umahluko phakathi "kokukhafula" kunye "nokuhlanza"?

Xa uzibuza ukuba umntwana wakho une-reflux, kubalulekile ukwazi umahluko phakathi "kokugabha" kunye "nokugabha."

• Ukutshica: Oku kwenzeka xa okungaphakathi esiswini somntwana kuphuma emlonyeni ngokulula kwaye ngaphandle kobunzima. Oku kungenzeka naxa umntwana evula umlomo wakhe. Kuphuma intwana encinci ngexesha. Kwakhona, oku akuphumi ngokungathi izihlunu zesisu ziyafinyela ziqine kwaye ziyaphuma. Uninzi lwexesha, umntwana akaziva engonwabanga kangako yile nto.

• Ukuhlanza: Kwimeko enjalo, izihlunu zesisu ziyafinyela. Izihlunu eziphakathi kwesisu somntwana ziyafinyela, zityhala okungaphakathi kwesisu ngokungathi kunyanzeliswa. Oku kudla ngokwenza umntwana azive engakhululekanga aze akhale. Akufani naxa ebeleka, kodwa xa umntwana ehlanza, kuba nzima.

Imeko eqhelekileyo ebizwa ngokuba yi-GERD yimeko ebangela ukutshica okanye ukuhlanza ngamanye amaxesha. Nangona kunjalo, ukuba umntwana wakho uhlanza rhoqo kunaxa etshica, oko kungaba luphawu lwe-GERD okanye enye imeko.

Ixhaphake kangakanani le meko phakathi kweentsana?

Kuqhelekile kakhulu ukuba iintsana zibe ne-`(Reflux)`. Malunga ne-50% yeentsana ezimalunga neenyanga ezi-3 ubudala zibonisa iimpawu ze-`(Reflux)`, njengokutshica ubuncinci kanye ngemini. Kwiinyanga ezi-4, eli nani limalunga ne-66%. Kodwa kwiinyanga ezi-7, eli nani liyancipha liye kwi-14%, kwaye kwiinyanga ezili-10-14, lingaphantsi kwe-5%. Uninzi lwaba bantwana lunemeko eqhelekileyo ebizwa ngokuba yi-`(GER)`. Yinto eyenzeka kunyaka wokuqala kwaye akukho nto yokoyika. Nangona kunjalo, abanye baba bantwana banokuba nemeko ebizwa ngokuba yi-`(GERD)`.

Abaphandi abazi ukuba bangaphi abantwana abane-GERD. Oku kungenxa yokuba uninzi lweempawu ze-GERD azichazi ngqo. Oko kukuthi, iimpawu azichazi ngqo kwi-GERD kwaye zinokubangelwa zezinye iimeko okanye izifo ezininzi. Ngenxa yoko, kunzima ukwazi ngokuqinisekileyo ukuba umntwana une-GERD.

Nangona kunjalo, abaphandi bafumanise ukuba amaqela amaninzi eentsana achaphazeleka lula yile meko (i-GERD):

• Iintsana ezine-hernia yokuzala.
• Iintsana ezineengxaki ezichaphazela ingqondo okanye inkqubo yemithambo-luvo.
• Iintsana ezinesifo esibizwa ngokuba yi-cystic fibrosis.
• Iintsana ezine-epilepsy.
• Iintsana zizalwa zineemeko ezithile emqaleni.
• Iintsana ezine-asthma.
• Iintsana ezizelwe ngaphambi komhla wokuzalwa kwazo (ukuzalwa ngaphambi kwexesha).

Yintoni i-'GER` kunye ne-'GERD`? Yintoni umahluko phakathi kwezi zimbini?

Nangona zombini ``(GER)`` kunye ``(GERD)`` zibhekisa kwi ``Acid Reflux``, imeko enokuchaphazela abantu bayo nayiphi na iminyaka, kukho umahluko obalulekileyo phakathi kwezi zimbini.

• I-Gastroesophageal Reflux (GER): Oku kukubuyela kwe-asidi kwi-esophagus ngamanye amaxesha. Abantwana abadala kunye nabantu abadala banokuthi "ukungatyi kakuhle" okanye "isitshiso sentliziyo." Akuyongozi okanye sisifo. I-GERD kwiintsana idla ngokuba ngcono kunyaka wazo wokuqala. Okwangoku, ukwenza utshintsho oluncinci kwindlela umntwana wakho atya ngayo kunokunceda ukunciphisa inani lokutshiza.

• Isifo seGastroesophageal Reflux (GERD): I-GERD yimeko engapheliyo apho i-acid reflux ingena kwi-esophagus. Ingachaphazela umgangatho wobomi bomntu kwaye yonakalise i-esophagus. Iintsana ezine-GERD kufuneka zijongwe ngokusondeleyo ngugqirha , kwaye zinokufuna unyango, olufana namayeza.

Ngoko ke, njengomama okanye utata okhathazekileyo, uyibona njani umahluko? Akulula, ingakumbi kuba umntwana wakho akakakwazi ukuchaza oko akuvakalelwayo.Ukuba umntwana wakho uhlala ekhafula kwaye ukhathazekile, kungcono ukuthetha nogqirha wakho wezingane ngaloo nto. Ugqirha uza kujonga iimpawu zomntwana wakho kunye nembali yakhe yezonyango ukuze abone ukuba ngaba kukho i-GERD okanye ezinye iimeko ezibandakanyekileyo.

Ziziphi iimpawu ezinokubonisa ukuba umntwana une-reflux?

Uphawu oluphambili lwe-reflux kukubhodla okanye ukuhlanza emva kokuncancisa. Iintsana zihlala zibhodla kancinci zize ziqhubeke nemisebenzi yazo eqhelekileyo. Oku kuqhelekile kwiintsana ezininzi kunyaka wazo wokuqala. Nangona kunjalo, ukuba kukho ezinye iimpawu, ezifana nokwala ukutya okanye ukukhwehlela okungapheliyo, isenokuba yi-GERD.

Iimpawu zesifo esiqhelekileyo se-'GER'

Kwimeko ye-`(GER)`, ungabona iimpawu ezifana nezi:

• Isicaphucaphu kunye/okanye ukuhlanza emva kokusela ubisi.
• Ngamanye amaxesha, ixesha lokuncancisa linokuba lide kunesiqhelo okanye ukuncancisa kungaphela phakathi ngenxa yokufakwa kwengono.

Ezi mpawu zinokubangelwa zizinto ezingaphezulu nje kokuhla kwentliziyo, kodwa le yenye into enokwenzeka.

Iintsana ezine-`(GER)` zifumana ubunzima ngokuqhelekileyo kwaye azisoloko zinengxaki yokutyisa. Akubonakali ngathi ziyachaphazeleka yile `(Reflux)`.

I-Reflux idla ngokuqala kwiintsana ezimalunga neeveki ezi-2-3 ubudala, ifikelele kwinqanaba eliphezulu kwiinyanga ezi-4-5. Ifanele ukuba iphele ngokupheleleyo kwiinyanga ezi-9-12. Akuqhelekanga ukuba iimpawu ze-reflux ziqale kwiveki yokuqala yobomi bomntwana, okanye ziqale emva kweenyanga ezi-6. Ukuba oko kuyenzeka, iimpawu zinokunxulunyaniswa ne-GERD okanye enye imeko.

Iimpawu zeGERD (Ezi ziimpawu ekufuneka uziqaphele!)

Iintsana ezine-GERD zingabonakalisa ezi mpawu. Ukuba umntwana wakho unenye okanye ngaphezulu kwezi, qiniseka ukuba ubona ugqirha wabantwana.

• Urhudo kunye/okanye ukuhlanza - kusenokuba kukukhutshelwa ngaphandle ngokukhawuleza nangokunyanzelisayo .
• Ukungakhululeki okanye ukungazinzi - Usenokukhala nokugoba umqolo wakho ngelixa uncancisa.
• Ukwala ukuncancisa okanye ukusela ubisi oluvela ebhotileni.
• Ukungaphumeleli ukutyeba okanye ukungaphumeleli ekukhuleni.
• Ukuhlanza igazi .
• Ubunzima bokuginya.
• Ukukhwehlela.
• Ukuphefumla.
• Isandi esingaqhelekanga (iStridor) xa uphefumla.
• Ukurhawuzela.

Khumbula, ezi mpawu zinokubangelwa zezinye iimeko ezininzi ngaphandle kweGERD. Ngoko ke ukuba ubona naziphi na kwezi mpawu kumntwana wakho, thetha nogqirha wezingane ngokukhawuleza.

Kutheni oku kusenzeka kwiintsana? Zithini izizathu?

Eyona nto ibangela ukuba abantwana bafumane i-reflux kukuba ivalvu yemisipha ephakathi komphimbo nesisu ayikhuli ngokupheleleyo, okanye ivuleka ngexesha elingafanelekanga. Le valve sisiqwenga semisipha esimile okweringi esibizwa ngokuba yiLower Esophageal Sphincter (LES).

Cinga ngale nto `(LES)` ifana nocango. Xa umntwana esela ubisi, olu cango luvuleka ukuze ubisi oluvela kwi-esophagus lungene esiswini. Emva koko, olu cango luvaleka ngokuqinileyo ukuze ubisi lungabuyeli kwi-esophagus. Kodwa, njengayo yonke inyama emzimbeni womntwana, olu `(LES)` lusakhula kunyaka wakhe wokuqala. Ngoko ke, aluvalwanga kakhulu njengoko lunjalo kumntu omdala.

Kwakhona, ukutya kunye ne-asidi esiswini somntwana ngamanye amaxesha kunokubangela uxinzelelo kule valve, nto leyo ebangela ukuba ivuleke ngexesha elingafanelekanga. Oku kunokwenzeka xa isisu somntwana sigcwele kakhulu, okanye xa indawo yakhe itshintshe ngequbuliso (umzekelo, xa umntwana ejika ngequbuliso ukusuka ekuhlaleni ethe nkqo ukuya ekulaleni).

Ngaba oku kungabangela iingxaki?

Imeko eqhelekileyo ye-`(GER)` ayibangeli iingxaki. Nangona kunjalo, ukuba imeko ye-`(GERD)` iyaqhubeka, iingxaki ezifana nezi:

• Ukwanda kobunzima obuqhelekileyo kunye nokulibaziseka kokukhula.
• I-Reflux esophagitis.
• Ukuqina komlomo wesibeleko.
• I-Barrett's esophagus (utshintsho kwiiseli ze-esophagus oluqheleke kubantu abadala).
• Iingxaki zokuphefumla.

Oogqirha bafumanisa njani ngokuchanekileyo i-reflux?

Ugqirha wakho wezingane uza kuhlola imbali yezonyango yomntwana wakho aze enze uvavanyo lomzimba. Baza kufuna ukufumanisa ukuba umntwana wakho une-GERD, imeko eza kuba ngcono ngokwayo ngokuhamba kwexesha, okanye ukuba ufuna unyango. Ukuba kurhanelwa ukuba i-GERD inesifo, baza kukhangela neempawu zeengxaki ezinokubakho. Baza kufuna nokususa ezinye iimeko ezineempawu ezifanayo ne-acid reflux. Nantsi into onokuyilindela:

Okokuqala, ugqirha wakho wabantwana uza kuthetha nawe ngento oyibonayo. Basenokubuza imibuzo efana nale:

• Umntwana wakho waqala ukuba neempawu eneminyaka emingaphi?
• Ngaba uncancisa okanye unika umntwana wakho ubisi lwebele?
• Ukuba unika ubisi oluyimpuphu, loluphi uhlobo lobisi oluyimpuphu olunika lona? Ngaba kukho enye into oyongezayo kulo?
• Uncancisa kangaphi umntwana wakho, kwaye uhlala ixesha elingakanani ngexesha?
• Umnika ubisi olungakanani umntwana wakho?
• Ziziphi iipatheni ozibonayo xa umntwana wakho ehlanza okanye ephinda egabha? Umzekelo, ngaba oku kusoloko kwenzeka emva kokuncancisa? Okanye ebusuku?

Baza kuthetha nawe ngembali yempilo yomntwana wakho kunye nazo naziphi na iimeko zempilo anazo nabani na kusapho lwakho.

Emva koko, ugqirha wezingane uza kuhlola umntwana wakho ukuze ajonge iimpawu zezinye izifo, kuquka neemeko ezichaphazela ingqondo okanye imiphunga. Baza kulinganisa nobude nobunzima bomntwana wakho ukuqinisekisa ukuba uphuhliso lwakhe lukwixesha elifanelekileyo.

Lonke olu lwazi luya kunceda ugqirha wakho wabantwana ukuba agqibe ukuba umntwana wakho une-GER, i-GERD, okanye enye imeko. Ugqirha wakho wabantwana angakuthumela kwi-gastroenterologist yabantwana , ugqirha ogxile kwiinkqubo zokugaya ukutya kwabantwana . Angakuhlola nomntwana wakho aze akuncede ufumane ukuxilongwa.

Zeziphi iimvavanyo ezenziwayo?

Uninzi lweentsana aludingi vavanyo lokuxilonga. Ababoneleli bezempilo ngamanye amaxesha basebenzisa uvavanyo ukuze:

• Ukuba bafuna ulwazi oluthe kratya ukuze bafumane isigulo.
• Ukuba bacinga ukuba umntwana unesifo esingesiso i-GERD.
• Ukuba bafuna ukujonga iimpawu zeengxaki.

Uvavanyo olunokwenziwa kwiimeko ezinjalo zezi:

• I-Upper Endoscopy: Olu vavanyo lusebenzisa ikhamera ukujonga ngokusondeleyo indlela yokugaya engasentla yomntwana wakho.
• Uthotho lwe-Upper GI: Olu vavanyo lusebenzisa ii-X-rays ukuthatha imifanekiso yomqala womntwana wakho, isisu sakhe, kunye nenxalenye engentla yamathumbu amancinci.
• Uphononongo lwe-pH impedance: Olu vavanyo lunokumisela ukuba umxholo wesisu somntwana wakho uphinda ufakwe kangaphi kwi-esophagus. Lunokulinganisa ne-pH, okanye i-asidi, yomxholo ophinda ufakwe kwi-esophagus.

Ziziphi iindlela zonyango lwe-reflux kwiintsana?

Indlela enyangwa ngayo i-reflux yomntwana wakho iya kuxhomekeka ekubeni inzima kangakanani na. Iintsana ezine-GERD azidingi mayeza. Endaweni yoko, zinokungenelwa kutshintsho kwindlela yazo yokutya. Utshintsho olufanayo lunokunceda iintsana ezine-GERD, kodwa ezi ntsana ngamanye amaxesha ziyafuna amayeza. Amaxesha amaninzi, iintsana ezine-GERD zinokufuna utyando .

Ugqirha womntwana wakho uza kulungiselela unyango oluhambelana neemfuno zakhe. Unyango olunokwenzeka lungabandakanya:

• Ukutya okujiyileyo: Oku kuquka ukongeza into kubisi lwebele okanye kwifomyula ukuze ijiyile. Izifundo zibonise ukuba oku kunokunceda ukunciphisa iimpawu zokurhawuzelelwa, ezifana nokurhawuzelelwa. Nangona kunjalo, kufuneka uthethe nogqirha wakho wabantwana ngaphambi kokuba usebenzise izithambisi.Baza kukunika iingcebiso malunga nokuba ifanelekile na kumntwana wakho kunye nohlobo lwesithambisi omele ukhethe. Umzekelo, banokucebisa ukusebenzisa i-oatmeal ukwenza ifomula ibe nkulu, okanye isithambisi seembotyi ze-carob kubisi lwebele.

• Utshintsho kwindlela yokondla: Ukondla umntwana wakho rhoqo, kodwa rhoqo, kunokunceda ekuvuseleleni isisu. Ngaphambi kokuba wenze olu tshintsho, kubalulekile ukuthetha nogqirha wezingane ukuqinisekisa ukuba umntwana wakho usafumana isondlo asidingayo. Ukuba uncancisa, kufuneka uthethe nomcebisi wobisi okanye ingcali yokuncancisa.

• Ukususwa kweproteni yobisi lwenkomo: Iintsana ezine-allergy kwiproteni yobisi lwenkomo nazo zine-reflux kunye nokuhlanza. Ngoko ke, into ebonakala ngathi yi-reflux inokuba yi-allergy. Ugqirha wakho wezingane unokukucebisa ukuba ukhuphe ubisi lwenkomo kangangeeveki ezimbini ukuze ubone ukuba iimpawu ziyaphucuka na. Oku kuthetha ukuba ukuba uncancisa, kuya kufuneka ususe lonke ubisi ekutyeni kwakho. Okanye, ukuba unika ubisi oluyifomyula, kuya kufuneka utshintshele kuhlobo olwahlukileyo lwefomyula. Ugqirha wakho wezingane uya kukukhokela ngokusekelwe kwimeko yakho ethile.

• Amayeza: Ababoneleli ngeenkonzo zonyango baya kunika kuphela amayeza abantwana abacacileyo ukuba bane-GERD, kwaye nangona kunjalo, kuphela kwiimeko ezithile. Amayeza afana ne-proton pump inhibitors (PPIs) anokunceda ukulawula iingxaki ze-GERD, ezifana ne-esophagitis. Kodwa aneengozi kunye nemiphumo emibi, ngoko oogqirha bawasebenzisa kuphela xa kufuneka, kwaye ngexesha elifutshane kangangoko.

• Utyando: Ukuba ezinye iindlela zonyango zeGERD okanye iingxaki zayo azanelanga, utyando lunokuba lukhetho. Ingcali yezifo zesisu zabantwana ingakuxelela okungakumbi malunga neendlela zotyando, kuquka i-laparoscopic Nissen Fundoplication. Oogqirha bacinga ngotyando lweentsana kuphela kwiimeko ezithile.

Kwenzeka ntoni ukuba umntwana une-reflux?

Uninzi lweentsana ziyayeka ukuncanca phakathi kweenyanga ezili-9 ukuya kwezili-12 ubudala. Lixesha eliqhelekileyo abadlula kulo. Nangona linokuba yinto edidayo kancinci, ngokuqhelekileyo akukho nto ibalulekileyo.

Nangona kunjalo, i-GERD inokuba nzima ukuyixilonga nokunyanga. Ugqirha womntwana wakho unokukunika ulwazi oluthe kratya malunga noko unokukulindela.

Ngaba zikho iindlela zokuthintela le 'reflux' ukuba ingenzeki?

Akusoloko kusenzeka ukuthintela i-reflux. Nangona kunjalo, olu tshintsho lulula lunokunceda ukunciphisa ukuphindaphindeka kwe-reflux yomntwana wakho:

• Mbhodloze umntwana wakho ngexesha nasemva kokumtyisa. Xa isisu somntwana wakho sizele ngumoya omninzi, usenokubhodloza. Ukubhodloza isisu somntwana kunokunceda ukuthintela ukuba lo moya ungaqokeleli.
• Mbambe umntwana wakho ame nkqo kangangemizuzu engama-30 emva kokumncancisa. Musa ukumlahla phantsi ngequbuliso "ngexesha lesisu."
• Thetha nogqirha wakho wabantwana malunga nokondla kakhulu kunye nendlela yokukuthintela. Isisu somntwana wakho sinokubamba into ethile ngexesha elinye. Ugqirha wakho wabantwana angakunceda ufumane iindlela zokulawula ukondla ukuze umntwana wakho afumane isondlo asidingayo, kodwa angatyi kakhulu.

Ufanele uye nini kugqirha wabantwana?

Fowunela ugqirha wezingane kwezi meko zilandelayo:

• Ukuba unayo nayiphi na inkxalabo okanye imibuzo malunga nokubuyela kwesisu komntwana wakho.
• Ukuba umntwana wakho uneempawu ze-`(GERD)`.
• Ukuba iimpawu zomntwana wakho ziya zisiba mandundu.

Kubalulekile nokuba uqaphele iimpawu ezinokubonisa ezinye iimeko ngaphandle kwe-reflux. Ukuba ubona naziphi na kwezi mpawu, fowunela ugqirha wezingane ngokukhawuleza:

• Ukuqala kade kokuhlanza okanye urhudo (emva kweenyanga ezi-6).
• Isicaphucaphu okanye ukuhlanza okuqhubekayo emva kweenyanga ezili-12.
• Ukuhlanza okungapheliyo, okunamandla.
• Ukuhlanza ebusuku kuphela.
• Ukuhlanza igazi (ngamanye amaxesha kunokubonakala ngathi kukutya ikofu ).
• Urhudo olungapheliyo.
• Ukopha okuphuma emqolo.
• Isisu esidumbileyo.
• Ukuhla ukusinda.
• Ukulala kakhulu okanye ukozela.
• Ifiva.
• Ukuxhuzula.

Zininzi izinto ezinokubangela ezi mpawu, kuquka iimeko ezichaphazela indlela yokugaya ukutya komntwana wakho okanye amanye amalungu omzimba. Yiyo loo nto kubalulekile ukufuna ingcebiso kagqirha.

Iimeko ezifuna unyango olungxamisekileyo! (Zinyamekele ngokukodwa ezi)

Ukuba ukuhlanza komntwana wakho kuluhlaza okanye kutyheli kakhulu, yiya kwicandelo lezonyango ngokukhawuleza esibhedlele. Oku kuthetha ukuba ukuhlanza komntwana wakho kunenyongo. Kungaba luphawu lolunye ungxamiseko lwezonyango, olufana nokungalungi kakuhle.

Yintoni "iSilent Reflux"?

"I-Silent Reflux" kuxa ukutya okusesiswini somntwana wakho kunyuka kungene kumbhobho wokutya (umqala) kodwa kungaphumi emlonyeni wakhe. Endaweni yoko, kubuyela esiswini sakhe. Ngamanye amaxesha oku kwenzeka kuba umntwana wakho uyakuphinda akuginye. Ngamanye amaxesha, akuphumi emlonyeni wakhe.

"I-Silent Reflux" ayithethi ukuba umntwana wakho uthe cwaka. Iintsana ezine-silent reflux zinokukhala, zikhohlele, kwaye zibe nelizwi elirhabaxa. Nangona kunjalo, ekubeni ungenakumbona umntwana wakho ebhomboloza, usenokungaqondi ukuba kwenzeka ntoni. Ngoko ke, "(Reflux)" "uthule" ngengqiqo yokuba awukwazi ukuyibona. Ugqirha wakho wezingane unokukuxelela okungakumbi malunga nendlela oku okunokuchaphazela ngayo umntwana wakho.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Akukho mntu uthe iinyanga zokuqala zokunyamekela umntwana osandul’ ukuzalwa zazilula. Kodwa akukho nto inokusilungiselela ngokwenene ixhala kunye noxinzelelo oluza nokunyamekela umntwana. Ngoko ke, akumangalisi ukuba xa ubona umntwana wakho ehlanza, ingakumbi ukuba yinto eqhelekileyo, uyaxhalaba. Ngaba oku kuqhelekile? Ngaba umntwana wam uza kufumana izondlo azidingayo? Oku kuza kuphela nini? Mhlawumbi ukhe waba nemibuzo efanayo.

Into ebalulekileyo ekufuneka uyazi kukuba uninzi lwexesha, i-reflux ayiyongxaki yezonyango. Kwaye ayidingi mayeza. Nangona kunjalo, ukuba umntwana wakho unesifo se-reflux se-gastroesophageal (GERD), kukho unyango olunokunceda. Yisa imibuzo yakho kunye neenkxalabo kugqirha wezingane. Nokuba imeko injani na, banokukunceda udlule koku. Ukuba uneengxaki malunga neempawu zomntwana wakho, musa ukucinga nje, fumana ingcebiso kagqirha. Ilungele umntwana wakho nakuwe.

Usana lutshica, usana luhlanza, usana lutshica ubisi, i-GERD, i-GER, i-reflux, ukuhlanza kosana, i-asidi yesisu, izifo zabantwana