Ingaba umntwana wakho uyancwina emva kokusela ubisi? Ngaba uyajika intamo yakhe? Masifunde ngeSandifer Syndrome!

Ngaba umntwana wakho omncinci uhambahamba ngendlela engaqhelekanga, nokuba emva kokuncancisa okanye ukutya? Ngaba ngamanye amaxesha ujika intamo yakhe aye kwelinye icala aze agobe umqolo wakhe ngendlela engaqhelekanga? Kuyoyikisa kancinci, akunjalo? Abazali abaninzi bayaxhalaba xa bebona izinto ezinje. Kusengqiqweni ukucinga, "Ngaba kukho into engalunganga ngomntwana wam?" Ngoko ke namhlanje siza kuthetha ngemeko ebonisa ezi mpawu, kodwa idla ngokuba yingxaki, kodwa ngokuqinisekileyo ifuna ingqalelo. Leyo yimeko ebizwa ngokuba yiSandifer Syndrome.

Yintoni iSandifer Syndrome, gqirha?

Ngamafutshane, iSandifer Syndrome yimeko apho umntwana wakho eneentshukumo ezingaqhelekanga, ezingalawulekiyo zentloko yakhe, intamo, nomqolo. Oku kunokuvakala ngathi kukuxinana kwemisipha. Uninzi lwexesha, ezi ntshukumo zingaqhelekanga zibonakala emva kokuba umntwana wakho encancise okanye etye.

Cinga ngako, ngamanye amaxesha sifumana imvakalelo yokutsha esifubeni xa sisitya into eqholiweyo, akunjalo? Ngokufanayo, abantwana baziva bengakhululekanga xa ubisi okanye ukutya abakuselayo kubuya esiswini kuye emqaleni, oko kukuthi, kwi-esophagus, ebizwa ngokuba yi-acid reflux . Kukuphendula oku kungakhululeki apho ezi ntshukumo zingaqhelekanga kunye nokuxinana kwenzeka emzimbeni womntwana. Oku kwenzeka rhoqo xa umxholo wesisu ungahlali kakuhle.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Le meko, ebizwa ngokuba yiSandifer Syndrome, ibonakala kakhulu kwiintsana kunye nabantwana abancinci . Ingabonakala nakubantwana abaneengxaki ezithile zokukhula.

Ngokuphathelele ukuba oku kuqheleke kangakanani, ngokutsho kophando olwenziwe eMelika, malunga ne-7% yeentsana ezincanciswayo zinesifo se-gastroesophageal reflux (GERD). Nangona kunjalo, ngaphantsi kwe-1% yazo zibonisa iimpawu ezifana nokubuyela kwesisu okunxulunyaniswa ne-Sandifer syndrome. Oku kuthetha ukuba ayizizo zonke iintsana ezine-GERD eziba naso.

Kutheni oku kwenzeka kumntwana wam? Yintoni kanye kanye eyenzekayo ngaphakathi?

Ukuba umntwana wakho ubonakalisa ezi mpawu emva kokusela ubisi, kungenxa yokuba okungaphakathi esiswini sakhe (ubisi, iijusi zesisu) kubuyela phezulu ku-esophagus . Njengokuba sifumana isitshiso xa sisitya into eqholiweyo, umntwana naye uziva engonwabanga kwaye ebuhlungu ngendlela efanayo.

Ngoko ke, umzimba womntwana usabela koku kungakhululeki kunye nentlungu ngokuxhuzula okunganyanzelekanga. Oko kukuthi, umntwana ugoba umqolo wakhe, ajike intamo yakhe, aze ajike umzimba wakhe ezama ukunciphisa oku kungakhululeki okuvela ngaphakathi . Oku kufana nje xa sichukumisa into eshushu singaqondanga, sitsala isandla sethu ngokukhawuleza. Umntwana ushukumisa umzimba wakhe ngokukhawuleza apha naphaya ngale ndlela, ngokungathi lizamo lokuthintela okungaphakathi esiswini ukuba kungahambi ngendlela engalunganga.

Zithini iimpawu zeSandifer Syndrome?

Kule meko, amaqela amathathu aphambili eempawu angabonakala:

1. Iimpawu ezibangelwa sisifo se-gastroesophageal reflux (GERD):

Oku kudla ngokuba yimbangela. Xa i-asidi yesisu ifikelela emqaleni, izinto ezinje ngezi zinokwenzeka:

• Usana lukhupha ubisi .
• Isitshiso sentliziyo sisitshiso esivuthayo esifubeni. Iintsana ezincinci zinokukhala zize zingahlaliseki kuba zingazi ukuba zibonakalise njani oku.
• Iintlungu zesifuba.
• Incasa emuncu engaqhelekanga ifika emlonyeni wam.

2. Iintshukumo zeDystonic:

Ezi ziintshukumo ezingalawulekiyo, ezishukumayo, nezijikajikayo zemisipha yomntwana ezikhankanyiweyo ngaphambili. Ezi zinokwenzeka rhoqo okanye zingabi naxesha. Umzekelo:

• Bagobile umqolo .
• Umzimba uyangcangcazela `(ungcangcazela)`.
• Ukuqhwanyaza ngokukhawuleza.
• Ukuqengqeleka kwentamo.
• Izihlunu zivakala ziqinile.

3. Ubunzima bokutya:

Umntwana wakho angabonisa ezi ntlobo zobunzima xa encancisa okanye esitya:

• Ndisoloko ndilila .
• Ukuthetha izinto ezingenangqondo, ukubonisa ukuxakeka .
• Kuvakala ngathi kukho ukuvaleka komqala, kwaye kukho ukukhwehlela okungathi ubisi luyaminxeka (ukugabha).

Ngaba zikho ezinye izinto ngaphandle kwezi?

Ewe, ukongeza kwezi mpawu ziphambili, iSandifer Syndrome inokubangela ezinye iingxaki. Kodwa ezi azenzeki kuwo wonke umntu.

• I-anemia .
• Ukunciphisa umzimba - kuba nje ungakwazi ukusela ubisi.
• Isandi esingaqhelekanga xa uphefumla (iStridor) kunye/okanye isandi somlozi esiphuma esifubeni (ukuphefumla).
• I-hernia yokuzala yimeko apho inxalenye ephezulu yesisu ivuvukala ngaphandle.

Kutheni oku kusenzeka?

Isizathu esichanekileyo seSandifer Syndrome asikaziwa okwangoku . Nangona kunjalo, oogqirha bakholelwa ukuba unxibelelwano phakathi komqala kunye nesisu kwiintsana ezincinci, inxalenye efana nevalvu, alukakhuli ngokwaneleyo, nto leyo evumela ukuba umxholo wesisu ubuyele ngokulula kwi-esophagus. Yiyo le nto ibangela i-GERD. Oku kuphandwa ngakumbi.

Ngoko ke, umntwana usabela kwintlungu nokungonwabi okubangelwa yi-GERD ngaloo 'ntshukumo ye-dystonic', oko kukuthi, ngokushukumisa izihlunu. Umntwana ushukuma umzimba wakhe ngequbuliso apha naphaya, egoba umqolo wakhe, ngokungathi ulwa nokungonwabi okuvela ngaphakathi.

Ugqirha uyifumanisa njani ngokuchanekileyo iSandifer Syndrome?

Ukuba umntwana wakho unezi mpawu, into yokuqala ugqirha aza kuyenza kukubuza ngeempawu zomntwana wakho (imbali yakhe) aze emva koko enze uvavanyo lomzimba .

Kwiimeko ezininzi, akukho mfuneko yovavanyo olulodwa. Nangona kunjalo, ngamanye amaxesha uvavanyo lunokwenziwa ukuze kuthintelwe ezinye iimeko ezibangela iimpawu ezifanayo kwaye kuqinisekiswe ukuba iSandifer Syndrome yimbangela. Ezi mvavanyo ziquka:

• I-Endoscopy: Oku kuquka ukufaka ityhubhu enekhamera encinci kwi-esophagus nakwisisu somntwana ukuze ajonge ngaphakathi.
• I-Esophagram (i-barium swallow): Kolu vavanyo, umntwana unikwa ulwelo olukhethekileyo (i-barium) ukuba alusele, kwaye imifanekiso ye-X-ray ithathwa njengoko idlula kwi-esophagus. Oku kuvumela ukuba i-esophagus ibonakale isebenza.
• I-Electroencephalogram (EEG): Olu vavanyo lujonga ukusebenza kombane kwengqondo yomntwana. Oku kunceda ekuthinteleni ezinye iimeko, ezifana nesifo sokuwa, esinokubangela ukuxhuzula.

Zithini iindlela zonyango zoku? Ngaba le yinto ekufuneka ixhalatyelwe?

Okokuqala, akukho nto imele ikhathazeke kakhulu . I-Sandifer Syndrome idla ngokuba yimeko elawulwa kakuhle.

Eyona nto iphambili xa unyanga oku kukulawula i-asidi yesisu ukuba ingangeni emqaleni, oko kukuthi, imeko ye-'GERD' . Zimbini iindlela eziphambili zokwenza oku: ukwenza utshintsho kwindlela yokutya, kwaye ukuba kuyimfuneko, ukusebenzisa amayeza.

1. Utshintsho kwindlela yokutya

Le isenokuba yindlela yokuqala ugqirha ayizamayo.

• Ukujiyisa ifomyula yakho: Ungayijiyisa ifomyula yakho ngokongeza ithisipuni yecereal yerayisi kwi-ounce nganye yefomyula, okanye ngokongeza enye into ejiyisayo njengoko kuyalelwe ngugqirha wakho. Ukuba uncancisa, thetha nogqirha wakho malunga nendlela yokwenza oku. Ugqirha wakho uya kukuxelela nokuba wondle kangakanani kwaye kangaphi.
• Ukugcina umntwana eme nkqo ngexesha lokuncancisa nasemva kokumtyisa: Kubalulekile ukumbeka umntwana eme nkqo esitulweni okanye umntu ambambe eme nkqo. Oku kuya kunciphisa amathuba okuba ukutya kubuye.
• Ukubhodla (ukubhodla) umntwana ngexesha nasemva kokumncancisa: Oku kuvumela umntwana ukuba akhulule umoya oginyiweyo.
• Abanye abantwana banokuba ne-allergy kwiiproteni ezikubisi lwenkomo . Okanye banokuba ne-allergy kwezinye iifomyula. Iimpawu zinokuba mandundu ngeli xesha. Ukuba kunjalo, kunokufuneka ulawule ukutya kwakho xa uncancisa, okanye utshintshele kwenye ifomyula njengoko kucetyisiwe ngugqirha wakho.

2. Amayeza

Ukuba utshintsho lokutya lodwa aluncedi, ugqirha angakunika amayeza okulwa nokubuyela umva kwesisu anciphisa ubungakanani be-asidi yesisu enyukayo emphinjeni. Umzekelo:

• Izithinteli zempompo yeproton
• Izithinteli ze-H2

Emva kokuqalisa eli yeza, iimpawu zomntwana kufuneka zinciphe kancinci kancinci, kwaye ekuhambeni kwexesha, ziphele ngokupheleleyo.

Kubalulekile: Ukuba umntwana wakho une-hernia, kwaye iimpawu azinakulawulwa ngamayeza, utyando ngamanye amaxesha lunokufuneka. Nangona kunjalo, oku akufuneki kwiimeko ezininzi.

Umntwana uza kuphola nini emva kokuqala unyango?

Emva kokuba unyango luqalile, iimpawu zomntwana kufuneka ziphucuke kancinci kancinci kwaye ekugqibeleni ziphile ngokupheleleyo . Oku kungathatha naphi na ukusuka kwiiveki ezimbalwa ukuya kwinyanga. Ngexesha lonyango, ugqirha uya kuqhubeka nokujonga umntwana. Oku kuthetha ukuba baya kujonga indlela umntwana asabela ngayo kutshintsho ekutyeni nasekuseleni, nokuba umntwana usempilweni kwaye ukhula kakuhle na.

Ngaba ikho into esinokuyenza ukuthintela le meko ukuba ingenzeki?

Nangona singenakuthintela zonke izinto ezibangela le meko, kukho izinto esinokuzenza ukunciphisa umngcipheko wokufumana iSandifer Syndrome:

• Musa ukunika umntwana wakho ubisi/ukutya okuninzi ngaxeshanye, kodwa mnike kancinci kancinci amaxesha amaninzi emini .
• Yenza ubisi/ukutya okunikwe umntwana kube kunzinyana kancinci (ngokongeza into efana nomgubo werayisi).
• Gcina umntwana wakho eme nkqo ngelixa esitya/etyisa.
• Vula amabele kakuhle ngexesha lokuncancisa nasemva kokuncancisa.

Ukuba umntwana wakho une-GERD, landela isicwangciso sonyango esichazwe ngugqirha wakho ngokuchanekileyo. Oku kuya kunceda iimpawu zomntwana wakho ziphucuke kwaye kumncede afumane izondlo azidingayo ukuze ahlale esempilweni.

Yintoni endimele ndiyilindele ukuba umntwana wam uneSandifer Syndrome?

I-Sandifer Syndrome yimeko yexeshana . Idla ngokuziphelela xa umntwana enonyaka ubudala. Ngonyango, nokuba kukutshintsha indlela yokutya okanye amayeza, iimpawu zinokuncipha kwaye imeko inokuphila ngokukhawuleza.

Nangona kunjalo, ukuba umntwana akanyangwa kwaye uqhubeka enengxaki yokondla/yokutyisa, oko kunokukhokelela kwiimeko ezifana nokungondleki kakuhle, okunokuba nemiphumo ehlala ixesha elide ebuntwaneni. Nangona kunjalo, oku kunqabile kakhulu. Ngoko ke ungakhathazeki.

Ndifanele ndibonane nogqirha nini?

Ukuba umntwana wakho unezinye zezi mpawu, qiniseka ukuba ubona ugqirha ngoko nangoko:

• Ukuba umntwana akakwazi ukusela ubisi/ukutya, okanye ukuba akakwazi ukugcina ukutya kwakhe (ukuba uyagabha).
• Ukuba umntwana uncipha umzimba .
• Ukuba iimpawu ziya zisiba mandundu emva kokuqala unyango, okanye ukuba ukuxhuzula kwemisipha kukhulu kunesiqhelo .

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa usiya kugqirha, ungalibali ukubuza imibuzo efana nale:

• Ubisi/ukutya okungakanani endifanele ndimnike umntwana wam? Kangaphi ngemini?
• Luhlobo luni lwesithambisi ekufuneka ndilusebenzise ukwenza ubisi lwebele lube lukhuni/ifomyula?
• Ngaba umntwana wam une-aleji yokutya?
• Ukuba unikwa amayeza okunciphisa i-asidi, ngaba kukho naziphi na iziphumo ebezingalindelekanga?

Okokugqibela, kufuneka ndithi... (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuba lusizi kwaye woyike xa umntwana wakho omncinci ejika intamo yakhe emva kokusela ubisi. Kwakhona, kuyaxhalabisa xa umntwana wakho engatyi kakuhle, akunjalo? Ngoko ke, eyona nto ibalulekileyo kukubona ugqirha kwangoko xa umntwana wakho eqala ukubonisa iimpawu zeSandifer Syndrome. Oku kunokuthintela umntwana ekukhuleni kwezinto ezifana nokungondleki kakuhle kwaye kunciphise ukungonwabi komntwana.

Khumbula, le meko idla ngokuba ngcono xa umntwana wakho enonyaka omnye ubudala, okanye kwanangaphambi koko ngonyango oluyalelwe ngugqirha wakho. Ngoko ke, musa ukoyika ngokungeyomfuneko, thetha nogqirha wakho, kwaye ulandele imiyalelo yakhe ngononophelo. Umntwana wakho uza kuphila kungekudala!

Isifo sikaSandifer , iGERD, i-acid reflux, ukuqaqamba kweentsana, ukugoba komntwana, ubunzima bokutya kwiintsana, iintshukumo ezingaqhelekanga, iSandifer Syndrome, ubisi lokuhlanza umntwana, i-asidi yesisu enyuka iye emqaleni