Ingabe ingane yakho encane ithola ubisi lwebele? Ake sixoxe nge-baby reflux!

Ingabe ingane yakho encane iyakhafula kancane ngemva kokuphuza ubisi? Ngezinye izikhathi ihlanza. Njengomama noma ubaba, uma ubona lokhu, uzizwa wesaba kakhulu futhi ukhathazekile, akunjalo? Eqinisweni, omama nobaba abaningi babhekene nale nkinga. Ngakho-ke namuhla, ake sixoxe ngokuthi yini ebangela lokhu, ingabe lokhu kuvamile, nokuthi kufanele sikhathazeke nini ngalokhu.

Kuyini i-reflux yengane?

Kalula nje, i-reflux, noma lokho esikubiza ngokuthi i-reflux, ukudla okusesiswini somntwana, okungukuthi, ubisi aluphuzile, olubuyela emphinjeni, futhi ngezinye izikhathi luphuma emlonyeni. Yingakho izingane zikhafula ubisi noma ngezinye izikhathi zihlanza .

Kodwa isikhathi esiningi, i-reflux ayiyona inkinga enkulu ezinganeni. Isizathu ukuthi umgudu wazo wokugaya ukudla awukakhuli ngokugcwele. Okusho ukuthi, njengesitshalo esincane, usakhula.

Kukhona ezinye izingane ezikujabulela kakhulu ukukhafula ubisi usuku lonke ngaphandle kwezinkinga zempilo. Odokotela babiza izingane ezinjalo ngokuthi "ama-sprite ajabule". Lokhu kusho ukuthi azikhathali uma zikhafula ubisi oluncane. Zingase zikhale kancane, kodwa yikho lokho kuphela. Ngezinye izikhathi ziphilile. Esikhathini esiningi, le "(Reflux)" iba ngcono ngokwayo lapho ingane isinonyaka owodwa ubudala.

Kodwa-ke, kwabanye abantwana, i-reflux ingaba nzima kakhulu . Lokhu kusho ukuthi abakwazi ukumunca kahle izakhamzimba abazidingayo. Uma lokhu kwenzeka, bangase bahlanze igazi, bahluleke ukukhuluphala kahle, noma babe nezinye izimpawu ezifana nokukhwehlela okuqhubekayo. Odokotela babiza lezi zimpawu ngokuthi "izimpawu ezikhathazayo." Lezi zimpawu yizo ezihlukanisa phakathi kwe-reflux evamile ye-gastroesophageal (GER) nesifo se-reflux ye-gastroesophageal (GERD).

Uyini umehluko phakathi "kokukhafula" kanye "nokuhlanza"?

Uma uzibuza ukuthi ingane yakho ine-reflux, kubalulekile ukwazi umehluko phakathi "kokuphindela emuva" kanye "nokuhlanza."

• Ukukhafula: Lokhu kwenzeka lapho okuqukethwe esiswini somntwana kuphuma emlonyeni kalula futhi ngaphandle kobunzima. Kungenzeka ngisho nalapho umntwana evula umlomo wakhe. Inani elincane kuphela eliphuma ngesikhathi. Futhi, lokhu akuphumi sengathi imisipha yesisu iyafinyela ngokuqinile futhi iyayikhipha. Esikhathini esiningi, umntwana akazizwa engakhululekile ngalokhu.

• Ukuhlanza: Kulesi simo, imisipha yesisu iyafinyela. Imisipha ephakathi kwesisu somntwana iyafinyela, isunduze okuphakathi kwesisu kuphume njengokungathi ngenkani. Lokhu kuvame ukwenza umntwana azizwe engakhululekile futhi angaze akhale. Akufani nalapho ebeletha, kodwa lapho umntwana ehlanza, kuba nzima.

Isimo esivamile esibizwa ngokuthi i-GERD yilesi esibangela ukukhafula kanye/noma ukuhlanza ngezikhathi ezithile. Kodwa-ke, uma ingane yakho ihlanza kaningi kunalapho ikhafula, kungaba uphawu lwe-GERD noma esinye isimo.

Lesi simo sivame kangakanani ezinganeni?

Empeleni kuvamile kakhulu ukuthi izingane zibe ne-`(Reflux)`. Cishe u-50% wezingane ezinezinyanga ezi-3 ubudala zibonisa izimpawu ze-`(Reflux)`, njengokukhafula okungenani kanye ngosuku. Ngezinyanga ezi-4, leli nani licishe libe ngu-66%. Kodwa ngezinyanga ezi-7, leli nani liyancipha libe ngu-14%, futhi ngezinyanga eziyi-10-14, lingaphansi kuka-5%. Iningi lalezi zingane linesifo esijwayelekile esibizwa ngokuthi i-`(GER)`. Kuyinto eyenzeka phakathi nonyaka wokuqala futhi akukho okufanele uyesabe. Kodwa-ke, ezinye zalezi zingane zingase zibe nesimo esibizwa ngokuthi i-`(GERD)`.

Abacwaningi abazi kahle ukuthi zingaki izingane ezine-GERD. Lokhu kungenxa yokuthi izimpawu eziningi ze-GERD aziqondile. Okusho ukuthi, izimpawu aziqondile ku-GERD futhi zingabangelwa ezinye izimo noma izifo eziningi. Ngakho-ke, kunzima ukwazi ngokuqinisekile ukuthi ingane ine-GERD.

Kodwa-ke, abacwaningi bathole ukuthi amaqembu amaningana ezinsana asengozini enkulu yokuthinteka yilesi simo (i-GERD):

• Izingane ezine-hernia yokubeletha.
• Izingane ezinezinkinga ezithinta ubuchopho noma uhlelo lwezinzwa.
• Izingane ezinesifo esibizwa ngokuthi i-cystic fibrosis.
• Izingane ezine-epilepsy.
• Izingane zizalwa zinezimo ezithile emhubheni.
• Izingane ezine-asthma.
• Izingane ezizalwa ngaphambi kosuku lwazo lokuzalwa (ukuzalwa ngaphambi kwesikhathi).

Kuyini i-'GER` kanye ne-'GERD`? Uyini umehluko phakathi kwalokhu okubili?

Nakuba kokubili ``(GER)`` kanye ``(GERD)`` kubhekisela ku-``I-Acid Reflux``, isimo esingathinta abantu banoma yibuphi ubudala, kunomehluko obalulekile phakathi kwalokhu okubili.

• I-Gastroesophageal Reflux (GER): Lokhu ukugeleza kwe-asidi ngezikhathi ezithile ku-esophagus. Izingane ezindala kanye nabantu abadala bangase bakubize ngokuthi "ukugayeka kokudla" noma "isilungulela." Akuyona ingozi noma isifo. I-GERD ezinganeni ivame ukuba ngcono phakathi nonyaka wazo wokuqala. Okwamanje, ukwenza izinguquko ezincane emikhubeni yokudla yengane yakho kungasiza ekunciphiseni inani lokukhafulela.

• Isifo Sokuphindezela Kwesisu Esiphuma Emlonyeni (GERD): I-GERD yisimo esingamahlalakhona lapho kuvela khona i-acid reflux emphinjeni. Ingathinta ikhwalithi yokuphila komuntu futhi ilimaze umphimbo. Izingane ezine-GERD zidinga ukubhekwa eduze ngudokotela , futhi zingadinga ukwelashwa, njengemithi.

Ngakho-ke, njengomama noma ubaba okhathazekile, ubona kanjani umehluko? Akulula, ikakhulukazi njengoba ingane yakho ingakakwazi ukuchaza ukuthi izizwa kanjani.Uma ingane yakho ikhala njalo futhi ukhathazekile, kungcono ukukhuluma nodokotela wezingane ngakho. Udokotela uzobheka izimpawu zengane yakho kanye nomlando wezokwelapha ukuze anqume ukuthi i-GERD noma ezinye izimo zihilelekile.

Yiziphi izimpawu ezingabonisa ukuthi umntwana une-reflux?

Uphawu oluyinhloko lwe-reflux ukubhodla kanye/noma ukuhlanza ngemva kokuncelisa. Izingane zivame ukubhodla kancane bese ziqhubeka nomsebenzi wazo ojwayelekile. Lokhu kuvamile ezinganeni eziningi onyakeni wazo wokuqala. Kodwa-ke, uma kunezinye izimpawu, njengokwenqaba ukudla noma ukukhwehlela okuqhubekayo, kungaba yi-GERD.

Izimpawu zesimo esivamile se-'GER'

Uma kwenzeka `(GER)`, ungase ubone izimpawu ezifana nalezi:

• Ukucanuzela kanye/noma ukuhlanza ngemva kokuphuza ubisi.
• Ngezinye izikhathi, isikhathi sokuncelisa singase sibe side kunokujwayelekile noma ukuncelisa kungase kume phakathi nendawo ngenxa yokufakwa kwengono.

Lezi zimpawu zingabangelwa okungaphezu nje kokuhlushwa yi-reflux, kodwa lokho kungenzeka.

Izingane ezine-`(GER)` zithola isisindo ngokuvamile futhi ngokuvamile azibi nobunzima bokuncelisa. Futhi azibonakali zithintekile yi-`(Reflux)`.

I-Reflux ivame ukuqala ezinganeni ezineminyaka engaba ngu-2-3 ubudala, ifike esicongweni ezinyangeni ezingu-4-5. Kufanele iphele ngokuphelele ezinyangeni ezingu-9-12. Akuvamile ukuthi izimpawu ze-reflux ziqale esontweni lokuqala lokuphila komntwana, noma ukuthi ziqale ngemva kwezinyanga ezingu-6. Uma lokho kwenzeka, izimpawu zingase zihlobane ne-GERD noma esinye isimo.

Izimpawu ze-GERD (Lezi yizimpawu okufanele uziqaphele!)

Izinsana ezine-GERD zingase zibonise lezi zimpawu. Uma ingane yakho inesinye noma ngaphezulu kwalezi zimpawu, qiniseka ukuthi ubona udokotela wezingane.

• Uhudo kanye/noma ukuhlanza - kungaba ukuxoshwa okusheshayo nokuphoqelelwe .
• Ukungakhululeki noma ukungaphumuli - Ungase uzwe ukukhala nokugoba umhlane wakho ngesikhathi uncelisa.
• Ukwenqaba ukuncelisa noma ukuphuza ubisi oluvela ebhodleleni.
• Ukwehluleka ukukhuluphala noma ukwehluleka ukukhula.
• Ukuhlanza igazi .
• Ubunzima bokugwinya.
• Ukukhwehlela.
• Ukuphefumula.
• Umsindo ongajwayelekile (Stridor) lapho uphefumula.
• Ukusha kwezwi.

Khumbula, lezi zimpawu zingabangelwa ezinye izimo eziningi ngaphandle kwe-GERD. Ngakho-ke uma ubona noma yiziphi zalezi zimpawu enganeni yakho, khuluma nodokotela wezingane ngokushesha.

Kungani lokhu kwenzeka ezinganeni? Yiziphi izizathu?

Isizathu esiyinhloko sokuthi izingane zithole i-reflux ukuthi i-valve yemisipha ephakathi komphimbo nesisu ayikhuli ngokugcwele, noma ivuleka ngesikhathi esingafanele. Le valve iyisicubu esimise okwendandatho esibizwa ngokuthi i-Lower Esophageal Sphincter (LES).

Cabanga ngakho njengokuthi '(LES)' kufana nomnyango. Uma ingane iphuza ubisi, lo mnyango uyavuleka ukuze ubisi oluvela emhubheni lungene esiswini. Bese, lo mnyango uvaleka kahle ukuze uvimbele ubisi ukuthi lubuyele emhubheni. Kodwa, njenganoma iyiphi enye inyama emzimbeni womntwana, lo '(LES)' usakhula ngonyaka wabo wokuqala. Ngakho-ke, awuvalwanga kahle njengoba unjalo kumuntu omdala.

Futhi, ukudla kanye ne-asidi esiswini somntwana ngezinye izikhathi kungacindezela leli valve, okubangela ukuba livuleke ngesikhathi esingafanele. Lokhu kungenzeka lapho isisu somntwana sigcwele kakhulu, noma lapho isimo somntwana sishintsha ngokuzumayo (isibonelo, lapho umntwana ephenduka ngokuzumayo esuka ekuhlaleni eqonde phezulu aye elele phansi).

Ingabe lokhu kungabangela izinkinga?

Isimo esijwayelekile `(GER)` asibangeli izinkinga. Kodwa-ke, uma isimo `(GERD)` siqhubeka, izinkinga ezinjengalezi:

• Ukukhuluphala okuvamile kanye nokubuyela emuva ekukhuleni.
• I-Reflux esophagitis.
• Ukuqina komlomo wesibeletho.
• I-Barrett's esophagus (ushintsho kumaseli e-esophagus oluvame kakhulu kubantu abadala).
• Izinkinga zokuphefumula.

Odokotela bakuthola kanjani ngokunembile i-reflux?

Udokotela wakho wezingane uzobuyekeza umlando wezokwelapha wengane yakho futhi enze ukuhlolwa ngokomzimba. Bazofuna ukuthola ukuthi ingane yakho ine-GERD, isimo esizolulama ngokwaso ngokuhamba kwesikhathi, noma uma idinga ukwelashwa. Uma kusolwa ukuthi i-GERD, bazofuna nezimpawu zezinkinga ezingase zenzeke. Bazofuna futhi ukuqeda ezinye izimo ezinezimpawu nezimpawu ezifanayo ne-acid reflux. Nakhu ongakulindela:

Okokuqala, udokotela wakho wezingane uzokhuluma nawe ngalokho okubonayo. Bangase bakubuze imibuzo efana nale:

• Ingane yakho yaqala ukuba nezimpawu eneminyaka emingaki?
• Ingabe uncelisa ingane yakho ubisi lwebele noma ubisi lwebhodlela?
• Uma unikeza ubisi oluyimpuphu, hlobo luni lobisi oluyimpuphu olunikezayo? Ingabe kukhona okunye okwengezayo kulo?
• Uncelisa kangaki ingane yakho, futhi ihlala isikhathi esingakanani ngesikhathi?
• Uyinikela ubisi olungakanani ingane yakho?
• Yimaphi amaphethini owabonayo ngokuhlanza noma ukugabha kwengane yakho? Isibonelo, ingabe kuhlale kwenzeka ngemva kokuncelisa? Noma ebusuku?

Bazophinde bakhulume nawe ngomlando wezokwelapha wengane yakho kanye nanoma yiziphi izimo zezokwelapha umuntu emndenini wakho anazo.

Ngemuva kwalokho, udokotela wezingane uzohlola ingane yakho ukuze ahlole izimpawu zanoma yiziphi ezinye izimo zezokwelapha, okuhlanganisa nezimo ezithinta ubuchopho noma amaphaphu. Bazophinde balinganise ubude nesisindo sengane yakho ukuqinisekisa ukuthi intuthuko yayo ihlelwe ngesikhathi.

Lonke lolu lwazi luzosiza udokotela wakho wezingane ukuthi anqume ukuthi ingane yakho ine-GER, i-GERD, noma esinye isimo. Udokotela wakho wezingane angakudlulisela kudokotela wezifo zokugaya ukudla kwezingane , udokotela ogxile ezinhlelweni zokugaya ukudla zezingane . Angahlola nomntwana wakho futhi akusize uthole ukuxilongwa.

Yiziphi izivivinyo ezenziwayo?

Iningi lezinsana alidingi ukuhlolwa kokuxilonga. Abahlinzeki bezempilo ngezinye izikhathi basebenzisa ukuhlolwa ukuze:

• Uma bedinga ulwazi olwengeziwe ukuze bathole ukuxilongwa.
• Uma besola ukuthi ingane inenkinga yezokwelapha ngaphandle kwe-GERD.
• Uma befuna ukuhlola izimpawu zezinkinga.

Ukuhlolwa okungenziwa ezimweni ezinjalo yilokhu:

• I-Upper Endoscopy: Lokhu kuhlolwa kusebenzisa ikhamera ukubheka eduze indlela yokugaya ukudla engaphezulu kwengane yakho.
• Uchungechunge lwe-Upper GI: Lolu vivinyo lusebenzisa ama-X-ray ukuthatha izithombe zomminzo wengane yakho, isisu, kanye nengxenye engenhla yamathumbu amancane.
• Ucwaningo lwe-pH impedance: Lolu vivinyo lunganquma ukuthi okuqukethwe yisisu somntwana wakho kufakwa kangaki emphinjeni. Lungalinganisa ne-pH, noma i-acidity, yokuqukethwe okufakwe emphinjeni.

Yiziphi izindlela zokwelapha i-reflux ezinganeni?

Indlela yokwelashwa kwe-reflux yengane yakho kuzoncika ekutheni inzima kangakanani. Izingane ezine-GERD azidingi imithi. Kunalokho, zingazuza ezinguqukweni endleleni yazo yokudla. Izinguquko ezifanayo zingasiza nezinsana ezine-GERD, kodwa lezi zingane ngezinye izikhathi zidinga imithi. Akuvamile kakhulu, izingane ezine-GERD zingadinga ukuhlinzwa .

Udokotela wengane yakho uzolungisa ukwelashwa ngokwezidingo zayo. Ukwelashwa okungenzeka kungafaka:

• Ukondla okujiyile: Lokhu kuhilela ukufaka into ebisini lwebele noma efomini ukuze ijiyile. Ucwaningo luye lwabonisa ukuthi lokhu kungasiza ekunciphiseni izimpawu zokudabuka, njengokubuyela esimeni. Kodwa-ke, kufanele ukhulume nodokotela wezingane ngaphambi kokusebenzisa izithibisi.Bazokweluleka ngokuthi kufanele yini ingane yakho nokuthi hlobo luni lwesithako sokujiyisa okufanele usikhethe. Isibonelo, bangase batuse ukusebenzisa i-oatmeal ukuze ijiyise ifomula, noma isithako sokujiyisa ubhontshisi we-carob ubisi lwebele.

• Izinguquko zendlela yokondla: Ukondla ingane yakho njalo, kodwa kancane kancane, kungasiza ekuvuseleleni isisu. Ngaphambi kokwenza lezi zinguquko, kubalulekile ukukhuluma nodokotela wezingane ukuqinisekisa ukuthi ingane yakho isathola ukudla okunomsoco ekudingayo. Uma uncelisa, kufanele futhi ukhulume nomeluleki wokuncelisa noma uchwepheshe wokuncelisa.

• Ukususwa kwephrotheni yobisi lwenkomo: Izingane ezine-allergy kuphrotheni yobisi lwenkomo nazo ziba ne-reflux kanye nokuhlanza. Ngakho-ke, lokho okubukeka njenge-reflux kungaba yi-allergy. Udokotela wakho wezingane angakweluleka ukuthi ukhiphe ubisi lwenkomo amasonto amabili ukuze abone ukuthi izimpawu ziyathuthuka yini. Lokhu kusho ukuthi uma uncelisa, kuzodingeka ususe lonke ubisi ekudleni kwakho. Noma, uma uncelisa ubisi lwenkomo, kuzodingeka ushintshele kolunye uhlobo lwefomula. Udokotela wakho wezingane uzokuqondisa ngokusekelwe esimweni sakho esithile.

• Imithi: Abahlinzeki bezempilo bazonikeza kuphela imithi yezingane ezisobala ukuthi zine-GERD, futhi noma kunjalo, kuphela ezimweni ezithile. Imithi efana ne-proton pump inhibitors (PPIs) ingasiza ekuphatheni izinkinga ze-GERD, njenge-esophagitis. Kodwa inezingozi nemiphumela emibi, ngakho odokotela bayisebenzisa kuphela uma kudingeka, futhi ngesikhathi esifushane kakhulu.

• Ukuhlinzwa: Uma ezinye izindlela zokwelapha i-GERD noma izinkinga zayo zinganele, ukuhlinzwa kungaba yindlela ongakhetha kuyo. Udokotela wezifo zesisu ezinganeni angakutshela okwengeziwe ngezinketho zokuhlinzwa, okuhlanganisa ne-laparoscopic Nissen Fundoplication. Odokotela bacabangela ukuhlinzwa kwezinsana kuphela ezimweni ezithile.

Kwenzekani uma umntwana ene-reflux?

Iningi lezingane liyayeka ukuncela phakathi kwezinyanga ezingu-9 nezingu-12 ubudala. Kuyisikhathi esivamile abadlula kuso. Nakuba kungaba yinto edidayo kancane, ngokuvamile akukho okufanele ukhathazeke ngakho.

Kodwa-ke, i-GERD ingaba nzima ukuyixilonga nokwelapha. Udokotela wengane yakho angakunikeza ulwazi olwengeziwe mayelana nokuthi yini ongayilindela.

Ingabe zikhona izindlela zokuvimbela lokhu 'kuphindaphindeka'?

Akunakwenzeka njalo ukuvimbela i-reflux. Kodwa-ke, lezi zinguquko ezilula zingasiza ekunciphiseni ukuvama kwe-reflux yengane yakho:

• Gquma ingane yakho ngesikhathi sokuncelisa nangemva kokuyincelisa. Uma isisu sengane yakho sigcwele umoya omningi, ingase igqume. Ukugquma isisu sengane kungasiza ekuvimbeleni lo moya ukuthi ungaqongelelani.
• Bamba ingane yakho ime iqonde cishe imizuzu engama-30 ngemva kokuncelisa. Ungayibeki phansi ngokuzumayo "ngesikhathi sesisu."
• Khuluma nodokotela wakho wezingane mayelana nokondla ngokweqile nokuthi ungakuvimbela kanjani. Isisu somntwana wakho singabamba okuncane ngesikhathi esisodwa. Udokotela wakho wezingane angakusiza ukuthola izindlela zokuphatha ukondla ukuze umntwana wakho athole ukudla akudingayo, kodwa angadli ngokweqile.

Kufanele ubonane nini nodokotela wezingane?

Shayela udokotela wezingane kulezi zimo:

• Uma unemibuzo noma ukukhathazeka mayelana nokukhula kwe-reflux yengane yakho.
• Uma ingane yakho inezimpawu ze-`(GERD)`.
• Uma izimpawu zomntwana wakho ziba zimbi kakhulu.

Kubalulekile futhi ukuqaphela izimpawu ezingase zibonise ezinye izimo ngaphandle kwe-reflux. Uma ubona noma yiziphi zalezi zimpawu, shayela udokotela wezingane ngokushesha:

• Ukuqala kokuhlanza noma uhudo sekwephuzile (ngemva kwezinyanga eziyi-6).
• Isicanucanu noma ukuhlanza okuqhubekayo ngemva kwezinyanga ezingu-12.
• Ukuhlanza okuqhubekayo, okunamandla.
• Ukuhlanza ebusuku kuphela.
• Ukuhlanza igazi (ngezinye izikhathi kungase kubukeke sengathi kufakwe ikhofi ).
• Uhudo olungapheli.
• Ukopha okubangelwa yi-rectum.
• Isisu esivuvukile.
• Ukwehlisa isisindo.
• Ukulala ngokweqile noma ukozela.
• Imfiva.
• Ukuquleka.

Kunezimbangela eziningi ezingaba khona zalezi zimpawu, okuhlanganisa izimo ezithinta uhlelo lokugaya ukudla lwengane yakho noma ezinye izitho zomzimba. Yingakho kubalulekile ukufuna iseluleko sikadokotela.

Izimo ezidinga ukwelashwa okuphuthumayo! (Zinakekele ngokukhethekile lezi)

Uma ukuhlanza kwengane yakho kuluhlaza noma kuphuzi ngokumnyama, iya emnyangweni wezimo eziphuthumayo wesibhedlela ngokushesha. Lokhu kusho ukuthi ukuhlanza kwengane yakho kuqukethe inyongo. Kungaba uphawu lwesinye isimo esiphuthumayo sezokwelapha, njengokungalungi kahle.

Kuyini "i-Silent Reflux"?

"I-Silent Reflux" yilapho okunye kokudla esiswini somntwana wakho kungena emgudwini wokudla (umchamo) kodwa kungaphumi emlonyeni wakhe. Kunalokho, kubuyela esiswini sakhe. Ngezinye izikhathi lokhu kwenzeka ngoba umntwana wakho uyagwinya futhi. Ngezinye izikhathi, akuphumi kuze kufike emlonyeni wakhe.

I-"Silent Reflux" ayisho ukuthi ingane yakho ithule. Izingane ezine-silent reflux zingase zikhale, zikhwehlele, futhi zibe nezwi elihoshozelayo. Kodwa-ke, njengoba ungaboni ingane yakho ibhodla, ungase ungaqondi ukuthi kwenzekani. Ngakho-ke, i-"(Reflux)" "ithule" ngomqondo wokuthi awukwazi ukukubona. Udokotela wakho wezingane angakutshela okwengeziwe ngokuthi lokhu kungathinta kanjani ingane yakho.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Akekho owathi izinyanga zokuqala zokunakekela usana olusanda kuzalwa zazilula. Kodwa akukho okungasilungiselela ngempela ukukhathazeka nokucindezeleka okuhambisana nokunakekela umntwana. Ngakho-ke, akumangalisi ukuthi uma ubona ingane yakho ihlanza, ikakhulukazi uma kuyinto evamile, uyakhathazeka. Ingabe lokhu kuvamile? Ingabe ingane yami izothola ukudla okunomsoco ekudingayo? Lokhu kuzophela nini? Cishe uke waba nemibuzo efanayo.

Into ebalulekile okufanele uyazi ukuthi isikhathi esiningi, i-reflux ayiyona inkinga yezokwelapha. Futhi ngokuvamile ayidingi imithi. Kodwa-ke, uma ingane yakho inesifo se-reflux se-gastroesophageal (GERD), kunezindlela zokwelapha ezingasiza. Thatha imibuzo yakho nokukhathazeka kwakho kudokotela wezingane. Kungakhathaliseki ukuthi kwenzekani, bangakusiza ukudlula kulokhu. Uma unenkinga ngezimpawu zengane yakho, ungacabangi nje, thola iseluleko sezokwelapha. Kungcono kakhulu enganeni yakho nakuwe.

` Umntwana ukhafula, ukuhlanza umntwana, umntwana ukhafula ubisi, i-GERD, i-GER, i-reflux, ukuhlanza usana, i-asidi yesisu, izifo zezingane