Ingabe ingane yakho encane ibonakala ivimbela ukukhula kwayo? Ake sixoxe ngalokhu (Ukukhula Okuwohlokayo)!

Ingabe uke ube nokungabaza noma ukwesaba ngokukhula kwengane yakho encane? Mhlawumbe uzizwa sengathi ingane yakho ayikhuli kahle, noma mhlawumbe ikhula kancane kakhulu. Empeleni lokhu kuyinkinga abazali abaningi abanayo. Ngakho-ke namuhla sizokhuluma ngalesi simo esibizwa ngokuthi "ukwehluleka ukukhula," noma njengoba sasibizwa kanjalo ngaphambili. Manje sibizwa ngokuthi "ukukhula okuntengantengayo."

Kuyini lokhu "Ukukhula Okuwohlokayo"?

Kalula nje, ukukhula okuntengantengayo kwenzeka lapho ingane yakho ingakhuli isisindo noma ubude ngokulingana nobudala bayo. Imbangela enkulu yalokhu ukungondleki kahle, okusho ukuthi ingane ayitholi izakhamzimba ezanele, ikakhulukazi amakhalori. Lesi simo singavela ezinganeni ezinceliswa ibele, kanye nasezinganeni ezindala, ngisho nezingane ezineminyaka embalwa ubudala.

Lokhu kwakubizwa ngokuthi "Ukwehluleka Ukuchuma". Ukuzwa lawo mazwi ngezinye izikhathi kungaba yinto eshaqisayo futhi ebangela usizi. Ungase ucabange nokuthi, "Ingabe kukhona okungahambanga kahle kimi?" Kodwa kunezinto eziningi ezingathinta ukukhula kwengane, eziningi zazo esingenakuzilawula. Yingakho odokotela manje besebenzisa igama elithi "Ukukhula Okuwohlokayo" esikhundleni selithi "Ukwehluleka Ukuchuma". Lokhu kubhekisela enkingeni yokukhula, hhayi ukuthi wena noma ingane yakho "iyahluleka." Ngezinye izikhathi kubizwa nangokuthi "Ukuncipha Kwesisindo", okubhekisela ekwehleni kwesisindo.

Udokotela wakho wezingane uzonquma imbangela bese eqala ukwelashwa kwengane yakho. Kungase kudingeke wenze izinguquko ezithile ekudleni kwengane yakho. Isibonelo, uma uncelisa, kungadingeka unike ingane yakho ubisi lwebele, noma kungadingeka ungeze izithako zokudla okunempilo kubisi lwebele lomntwana wakho, noma kungadingeka ungeze ukudla okunama-calorie amaningi. Futhi, uma kukhona isimo sezokwelapha esingaphansi esithinta ukukhula kwengane yakho, nabo bazokwelapha nalokho.

Iyini imbangela eyinhloko yokukhula okubambezelekile?

Ngokuvamile, isizathu esiyinhloko sokukhula okungapheli kwengane ukuthi ingane ayitholi inani elidingekayo lama-calories. Odokotela babiza lokhu ngokuthi "ukudla okunganele kwama-calories". Kungaba nezizathu eziningi zokuthi kungani ingane ingatholi inani elidingekayo lama-calories. Lezi zizathu ziyahlukahluka kuye ngobudala bengane.

Izizathu zokuthi kungani izingane ezincelisayo zingase zithole amakhalori ambalwa:

• Ukuncipha kokunikezwa kobisi kumama oncelisayo.
• Ingane inobunzima bokunamathela, okusho ukuthi ingane ayikwazi ukuncela ubisi oluningi ngangokunokwenzeka.
• Ifomula enikeziwe ayilungiswanga kahle.
• Ingane ayitholi ubisi olwanele usuku lonke.

Izizathu zokuthi kungani izingane ezindala zingase zithole amakhalori ambalwa:

• Izinkinga zokudla ezifana `(Ukuphazamiseka Kokudla Okungenawo Umkhawulo/Okungenawo Umkhawulo)`. Kalula nje, izinto ezifana nokungathandi noma ukwenqaba ukudla ukudla okuthile.
• Ezinye izinkinga zokudla.

Enye into ethinta izingane zabo bonke ubudala ukungavikeleki kokudla . Okusho ukuthi, ubunzima bokuthola ukudla okunomsoco. Lesi simo singabangela nokuthi ingane ingatholi amakhalori ewadingayo futhi sivimbele ukukhula kwayo.

Ingabe zikhona ezinye izizathu zokukhula okubambezelekile?

Ngaphandle kokungatholi amakhalori anele (lena yimbangela evame kakhulu), kunezinye izizathu eziningana zokuthi kungani izingane zingase zibe nokukhula okuphazamisekile:

• Ukumuncwa okwanele kwezakhamzimba: Lokhu kusho ukuthi noma ingane idla ukudla, izakhamzimba ezikulokho kudla azimuncwa kahle umzimba wengane. Ngakho inkinga akuyona inani lamakhalori adliwayo, kodwa ukuthi lawo makhalori athathwa kanjani futhi asetshenziswe kanjani ekukhuleni.
• Ezinye zezimo ezithinta lokhu yilezi:
• Isifo se-Celiac
• Izimo ezithinta isakhiwo sesistimu yokugaya ukudla, njenge-biliary atresia, i-pyloric stenosis, kanye ne-tracheoesophageal fistula
• I-cystic fibrosis
• Isifo samathumbu esivuvukalayo
• Ukungezwani komzimba namaprotheni obisi

• Ukwanda kwesidingo se-metabolic: Lokhu kusho ukuthi umzimba wengane udinga amakhalori amaningi kunokulindelekile ukuze isebenze kahle.
• Nazi ezinye izibonelo zalokhu:
• Umdlavuza
• Isifo senhliziyo esizalwa naso
• Izinkinga zamaphaphu azalwa nazo
• Ukutheleleka nge-HIV
• I-Hyperthyroidism
• Amaphutha azalwa nawo e-metabolism
• Isifo sezinso
• Isifo sofuba

Yiziphi izimpawu zokukhula okubambezelekile?

Ezinye zezimpawu ongase uzibone enganeni yakho zingase zihlanganise:

• Ukungakhuli njengoba bekulindelekile.
• Ukungakhuli noma ukungakhuli.
• Ukukhala ngaphezu kokulindelekile.
• Ukulala ngaphezu kokulindelekile, ngezinye izikhathi ngisho nalapho uncelisa.
• Ukungaxhumani nabanye ngendlela efanele isigaba sokukhula kwengane (isibonelo, ukungalingisi isimo sobuso bakho).

Ungase ungaqapheli ngokushesha ukuthi lezi yizimpawu zokulibaziseka kokukhula, kodwa ungase ucabange ukuthi, "Kukhona okungahambi kahle." Uma unenkinga ngengane yakho, ikakhulukazi uma inenkinga yokuvuka, bheka udokotela wezingane ngokushesha.

Ngezinye izikhathi ungase ungaboni noma yiziphi izinguquko enganeni yakho. Odokotela bathola lesi simo kuphela uma belinganisa isisindo nokuphakama kwengane emitholampilo evamile.

Yiziphi izinkinga ezingaba khona uma lesi simo singelashwa?

Uma ukukhubazeka kokukhula komntwana kungelashwa, izimo ezilandelayo zingase zivele:

• Ukutheleleka okuvamile.
• Ukuthuthukiswa kobuchopho kuyathinteka futhi ukukhubazeka kwengqondo kungenzeka.
• Njengoba sikhula, singaba nezifo ezingamahlalakhona , njengesifo senhliziyo kanye nesifo se-metabolic syndrome.
• Njengoba ukhula, ubude bakho bungaba bufushane kunalokho obekulindelekile.

Ucwaningo lukhombisile ukuthi ukwelapha lokhu kuphazamiseka kokukhula eminyakeni emibili yokuqala yokuphila kwengane kubaluleke kakhulu ukuvimbela izinkinga zesikhathi esizayo.

Odokotela bakuthola kanjani ukuthi ingane ikhula kancane kancane?

Odokotela banquma ukuthi ingane inokwephuza ukukhula ngokulinganisa isisindo sayo nokuphakama/ubude bese beqhathanisa lawo manani namashadi okukhula ajwayelekile. Lawa mashadi okukhula abonisa amazinga okukhula alindelekile ezingane ezineminyaka ehlukene. Amanye amashadi abuye avumelane nezici ezikhethekile, njengokuzalwa ngaphambi kwesikhathi noma izingane ezinezimo ezithile zofuzo.

Uma ukukhula kwengane yakho kuhamba kancane kunokulindelekile, udokotela wakho wezingane uzokhuluma nawe ngezimbangela ezingaba khona. Kuzodingeka athole ulwazi oluthile kuwe ukuze aqonde ukuthi yiziphi izici ezithinta ukukhula kwengane yakho. Kodwa khumbula, umgomo kadokotela akukhona ukukusola noma ukukwahlulela, kodwa ukusiza ingane yakho nokusekela umndeni wakho. Uma wabelana ngolwazi oluningi, kulapho udokotela engaba usizo kakhulu.

Nazi ezinye izinto ongakhuluma ngazo (ezinye zingase zingabalulekanga kuye ngeminyaka yengane):

• Kuhamba kanjani ukuncelisa , futhi ingabe unazo izinselelo?
• Uhlobo luni lwefomula olusetshenziswayo, futhi ulwenza kanjani?
• Ingabe ingane isiqalile ukudla ukudla okuqinile , futhi ingane isabela kanjani kukho?
• Noma yiziphi izimpawu oziqaphelayo lapho ingane yakho idla (isib. ukukhwehlela, ukuhlanza, ukuthambekela emuva).
• Imikhuba yokudla yengane kanye nezinto ezithandwa yiyo , okuhlanganisa ukudla okulula kanye nezinto ezingathandwa yiyo.
• Kuphakelwa kanjani ukudla? Ubani ohambisana nomntwana ngesikhathi edla?
• Imikhuba yamasiko yomndeni wakho mayelana nokudla.
• Umndeni wakho ukwazi kanjani ukuthola ukudla okunempilo ?

Udokotela wakho wezingane uzobuyekeza amarekhodi ezokwelapha engane yakho futhi abuze ngomlando wezokwelapha womndeni wakho. Lokhu kungenxa yokuthi ezinye izifo "ziyizakhi zofuzo," okusho ukuthi kungenzeka ukuthi uzithinte ingane yakho ungazazi zisencane. Ukwenza uhlu lwezifo ozaziyo ukuthi izihlobo zegazi zengane yakho zinazo kungasiza udokotela ukuthola isithombe esiphelele.

Ukuhlolwa komzimba

Udokotela wakho wezingane uzokwenza ukuhlolwa okuphelele ngokomzimba ukuze ahlole intuthuko yengane yakho futhi ahlole izimpawu zezimo zezokwelapha. Lokhu kuhlolwa kuzohlinzeka ngolwazi mayelana nengane yakho:

• Izimpawu ezibalulekile - njengokushaya kwenhliziyo kanye nomfutho wegazi.
• Ukusatshalaliswa kwemisipha kanye namafutha.
• Impilo yezinwele.
• Isimo sempilo yesikhumba.
• Umjikelezo wekhanda.

Ukuhlolwa

Odokotela bavame ukuxilonga imbangela yokwehluleka kokukhula ngaphandle kokuhlolwa. Kodwa-ke, ukuze bathole ukuthi kukhona yini isimo sezokwelapha esiyisisekelo, bangase ba-ode nokuhlolwa okufana nalokhu:

• Ukuhlolwa kwegazi.
• Ukuhlolwa komchamo.
• Ukuhlolwa kwendle.
• Ukuhlolwa kokuxilonga izimo ezithile zezokwelapha, isibonelo, ukuhlolwa kokujuluka kwe-cystic fibrosis.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kugxile ekuhlinzekeni ingane yakho izakhamzimba ezanele ukusekela ukukhula kwayo. Udokotela wakho wezingane angase akuncome okulandelayo:

• Uma unezinkinga zokuncelisa, funa usizo kumeluleki wobisi.
• Ukunikeza ubisi lwebele. Udokotela uzochaza ukuthi hlobo luni lwefomula okufanele alunikeze nokuthi angalunikeza kanjani.
• Ukwakha uhlelo lokudla olulinganiselayo oluhlanganisa zonke izakhamzimba ezidingwa yingane yakho.

Uma ingane yakho inesimo sezokwelapha esiyimfihlo, ithimba lakho lezokwelapha lizoncoma ukwelashwa okufanele kwaleso simo. Lokhu kungahluka kakhulu kuye ngokuthi kutholakale ini. Ithimba lezokwelapha lengane yakho lizokutshela okwengeziwe ngalokho okufanele ukulindele.

Udokotela wakho wezingane angakudlulisela kwabanye ochwepheshe - isibonelo, isazi sokudla, isisebenzi sezenhlalakahle, noma isazi sokusebenza kwengqondo yezingane - ukuze basekele izidingo zomndeni wakho. Bangakusiza futhi ukuthola izinhlelo ezisekelwe emphakathini ezingakusiza uma ungaphephile ngokudla noma unezinye izinsiza. Uma unenkinga ngempilo yengane yakho, ungangabazi ukutshela udokotela wakho.

Iningi lezingane liphathwa ngezinguquko ozenzayo ekhaya, ngokusekelwa odokotela bengane yakho (kanye nokuvakashelwa njalo kokulandelela). Kodwa ezinye izingane kungadingeka zilaliswe esibhedlela ngenxa yokwehluleka kokukhula. Lokhu kuvumela odokotela ukuthi baqaphe ukudla kwama-calories engane futhi bathole imbangela eqondile yokwehluleka kokukhula.

Ukulaliswa esibhedlela ngenxa yokwehluleka kokukhula

Ukulaliswa kwengane esibhedlela kungaba usizo ezimweni ezilandelayo:

• Uma ukwelashwa ekhaya kungasizi.
• Uma odokotela bedinga ukulinganisa ngokunembile izinhlobo nobungako bokudla okunomsoco ingane ekutholayo.
• OkwenganeUma unesifo esibucayi esingaqondakali.
• Uma ingane ingondlekile kahle noma iphelelwe amanzi emzimbeni .
• Uma unenkinga yokuphatha isimo sengane yakho ekhaya.
• Uma isibhedlela siyindawo ephephile yengane ngenxa yezimo ezithile ekhaya.

Uma ingane yami inenkinga yokukhula, yini okufanele ngiyilindele?

Kuzodingeka uye emitholampilo yokulandelela njalo ukuze uqaphe intuthuko yengane yakho. Lokhu kungaba njalo kanye ngesonto, kodwa lokhu kuzohluka kuye ngezidingo zengane.

Kungathatha izinyanga ezine kuya kweziyisishiyagalolunye ukuthi ingane ifinyelele izinga lokukhula elifunekayo. Udokotela wakho wezingane uzokutshela uma ingane yakho isifinyelele isisindo nokuphakama/ubude obufanele. Uma lelo zinga selifinyelelwe, ingane ayisakhuli kahle, bese ingane ingakhula ngendlela evamile.

Kodwa akuzona zonke izingane ezifanayo. Ezinye izingane zingase ziphinde zibuyele esimweni sazo. Lokhu kuncike embangela yokwehluleka kokukhula nokuthi imbangela iphathwe kahle yini. Udokotela wakho wezingane uzoqapha isimo eduze futhi anikeze ukwelashwa okwengeziwe uma kudingeka.

Ingabe lesi simo singavinjelwa?

Ukwehluleka kokukhula akunakuvinjelwa ngaso sonke isikhathi. Kunezizathu eziningi zokuthi kungani ingane yakho ingase ikhule kancane kunezinye izingane. Kodwa kunezinto eziningi ongazenza ukusekela ukukhula nentuthuko yengane yakho – ngisho nangaphambi kokuba izalwe:

• Yiya kuzo zonke izibhedlela ngesikhathi sokukhulelwa kwakho futhi ulandele imiyalelo kadokotela wakho yokuthi ungazinakekela kanjani ngesikhathi sokukhulelwa.
• Qiniseka ukuthi uyayihambisa ingane yakho kuzo zonke izinkonzo zokunakekelwa kwempilo.
• Funda ngezidingo zokudla okunempilo zengane yakho phakathi nonyaka wayo wokuqala nangaphezulu , bese ubuza udokotela wakho uma unemibuzo.
• Uma ubona noma yiziphi izimpawu ezingavamile enganeni yakho, noma uma unezinye izinto ezikukhathazayo ngempilo yengane yakho, tshela udokotela wakho.
• Uma umndeni wakho unezinkinga zokuvikeleka kokudla, yazisa udokotela wakho. Bavame ukwazi ngezinsiza zomphakathi ezingasiza ekuqinisekiseni ukuthi izingane zithola ukudla ezikudingayo.

Kufanele ngimbone nini udokotela?

Uma unenkinga ngokukhula kwengane yakho noma nganoma yisiphi esinye isici sokukhula kwayo, bona udokotela wezingane ngokushesha. Ukwehluleka kokukhula akubonisi njalo izimpawu ezisobala. Yingakho kubalulekile ukuyisa ingane yakho kuyo yonke imitholampilo evamile bese uvumela udokotela ukuthi aqaphe ukukhula kwengane yakho.

Uma ingane yakho inenkinga yokukhula, udokotela wakho uzokutshela ukuthi kufanele uze kangaki emitholampilo yokulandelela. Le mitholampilo ibaluleke kakhulu ukuhlola intuthuko yengane yakho nokulungisa uhlelo lokwelashwa njengoba kudingeka.

Cishe uye ehhovisi likadokotela ukuze ayohlolwa njalo, nsuku zonke. Kodwa-ke watshelwa ukuthi ingane yakho inokukhubazeka kokukhula. Kungazelelwe, imibuzo eminingi cishe yafika engqondweni yakho. "Kwenzeke kanjani lokhu? Ingabe ingane yami iyabathola abanye? Ingabe kukhona engikwenzile okungalungile?"

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Ungakhathazeki. Esikhathini esiningi, ukwehluleka kokukhula kubangelwa yizinto ongakwazi ukuzilawula. Ezinye izingane zidinga usizo olwengeziwe ukuze zikhule ngesivinini esifanele iminyaka yazo. Futhi akuwona wonke umndeni onezinsiza ezifanayo. Odokotela bayakwazi lokhu, futhi bakulungele ukusiza.

Udokotela wakho wezingane uzosebenzisana nawe nomndeni wakho ukuthola ukuthi yini wena nomntanakho eniyidingayo ukuze nisekele intuthuko yengane yakho. Kungathatha izinyanga ezimbalwa, kodwa ingane yakho izoyifinyelela bese ikhula njengoba kulindelekile kuyo yonke iminyaka yobuntwana. Uma udinga noma yini phakathi nalolu hambo, ungangabazi ukutshela udokotela wakho.

Ekugcineni, khumbula lokhu.

Ngakho-ke, cishe uyaqonda ukuthi yini `(Ukukhula Okuwohlokayo)` noma ukukhula okubambezelekile enganeni, izimbangela zayo, izimpawu kanye nokwelashwa kwayo. Into ebaluleke kakhulu ukuqonda ukuthi lokhu akulona iphutha lakho. Esikhathini esiningi, lezi zimo zenzeka ngezizathu ezingaphezu kwamandla ethu. Uma ungesabi, thola iseluleko sezokwelapha esifanele, futhi wenze lokho udokotela akushoyo, unganika ingane yakho ukwesekwa ekudingayo ukuze ikhule kahle futhi iphile kahle. Khuluma nodokotela nganoma yimiphi imibuzo noma ukungabaza onakho. Bakhona ukukusiza.

Ukwehluleka ukukhula, ukudla okunempilo kwengane, ukungondleki kahle, ukukhula kwengane, amakhalori, impilo yengane