Ingabe ingane yakho encane iyaqhuma ngemva kokuphuza ubisi? Ingabe iyaphendula intamo yayo? Ake sifunde ngeSandifer Syndrome!

Ingabe ingane yakho encane iyahambahamba ngendlela exakile, kungakhathaliseki ukuthi ngemva kokuncelisa noma ukudla? Ingabe ngezinye izikhathi ijika intamo yayo ibheke eceleni bese igoba umhlane wayo ngendlela exakile? Kuyesabeka kancane, akunjalo? Abazali abaningi bayakhathazeka uma bebona izinto ezinjengalezi. Kunengqondo ukucabanga, "Ingabe kukhona okungahambi kahle ngengane yami?" Ngakho-ke namuhla sizokhuluma ngesimo esibonisa lezi zimpawu, kodwa ngokuvamile esingesibi kangako, kodwa esidinga ukunakwa nakanjani. Leso yisimo esibizwa ngokuthi iSandifer Syndrome.

Iyini i-Sandifer Syndrome, odokotela?

Kalula nje, i-Sandifer Syndrome yisimo lapho ingane yakho inokunyakaza okungajwayelekile, okungalawuleki kwekhanda, intamo, kanye nomhlane. Lokhu kungazwakala njengokuqaqamba kwemisipha. Esikhathini esiningi, lokhu kunyakaza okungajwayelekile kubonakala ngemva kokuba ingane yakho incelise noma idlile.

Cabanga ngakho, ngezinye izikhathi sizwa ukushisa esifubeni sethu uma sidla okuthile okubabayo, akunjalo? Ngokufanayo, izingane nazo zizwa zingakhululekile lapho ubisi noma ukudla ezikuphuzayo kubuya esiswini kuya emphinjeni, okungukuthi, i-esophagus, okubizwa ngokuthi i-acid reflux . Kungenxa yalokhu kungakhululeki ukuthi lokhu kunyakaza okungajwayelekile kanye nokuqina komzimba kwenzeka emzimbeni wengane. Lokhu kuvame ukwenzeka lapho okuqukethwe esiswini kungahlali kahle.

Ubani onamathuba amaningi okuthola lesi simo?

Lesi simo, esibizwa ngokuthi i-Sandifer Syndrome, sibonakala kakhulu ezinsaneni nasezinganeni ezincane . Singenzeka nasezinganeni ezinezinkinga ezithile zokukhula.

Ngokuphathelene nokuthi lokhu kuvame kangakanani, ngokusho kocwaningo olwenziwe e-United States, cishe u-7% wezingane ezinceliswayo zinesifo se-gastroesophageal reflux (GERD). Kodwa-ke, ngaphansi kuka-1% wazo zibonisa izimpawu ezifana nokubuyela kwesisu okuhlobene ne-Sandifer syndrome. Lokhu kusho ukuthi akuzona zonke izingane ezine-GERD eziba naso.

Kungani lokhu kwenzeka enganeni yami? Kwenzekani ngempela ngaphakathi?

Uma ingane yakho ibonisa lezi zimpawu ngemva kokuphuza ubisi, kungenxa yokuthi okuqukethwe yisisu sayo (ubisi, ujusi wesisu) kubuyela phezulu emphinjeni . Njengoba nje sithola isilungulela uma sidla okuthile okubabayo, ingane nayo izwa ukungakhululeki kanye nobuhlungu obufanayo.

Ngakho-ke, umzimba womntwana usabela kulokhu kungakhululeki nobuhlungu ngokuzibamba okungahleliwe. Okusho ukuthi, umntwana ugoba umhlane wakhe, aphendule intamo yakhe, bese ejika umzimba wakhe ezama ukunciphisa lokhu kungakhululeki okuvela ngaphakathi . Lokhu kufana nokuthi uma sithinta into eshisayo singaqapheli, sisusa isandla sethu ngokushesha. Umntwana ushukumisa umzimba wakhe ngokushesha lapha nalaphaya ngale ndlela, njengokungathi uzama ukuvimba okuqukethwe yisisu ukuthi kuhambe ngendlela engafanele.

Ziyini izimpawu zeSandifer Syndrome?

Kulesi simo, amaqembu amathathu amakhulu ezimpawu angabonakala:

1. Izimpawu ezibangelwa yisifo se-gastroesophageal reflux (GERD):

Lokhu kuvame ukuba yimbangela. Uma i-asidi yesisu ifika emphinjeni, izinto ezinjengalezi zingenzeka:

• Ingane ikhafula ubisi .
• Isishiso siwumuzwa oshisayo esifubeni. Izingane ezincane zingase zikhale futhi zingahlaliseki ngoba azikwazi ukuveza lokhu.
• Ubuhlungu besifuba.
• Ukunambitheka okumuncu okungajwayelekile kuza emlonyeni wami.

2. Ukunyakaza okuguquguqukayo:

Lokhu ukunyakaza kwemisipha yengane okukhulunywe ngakho ngaphambili, okungalawuleki, okunyakazayo, nokusontayo. Lokhu kungenzeka njalo noma kube ngezikhathi ezithile. Isibonelo:

• Bagoba imihlane yabo.
• Umzimba uyathuthumela `(ukuthuthumela)`.
• Ukucwayiza okusheshayo.
• Ukugoqa intamo.
• Imisipha izwakala iqinile.

3. Ubunzima bokudla:

Ingane yakho ingase ibonise lezi zinhlobo zobunzima ngesikhathi incelisa noma idla:

• Ukukhala njalo.
• Ukukhuluma okungenangqondo, okubonisa ukuxakeka .
• Kuzwakala sengathi kukhona ukuvaleka emphinjeni, bese kukhwehlela sengathi ubisi luyaminywa (ukuqunjelwa).

Ingabe kukhona ezinye izinto ngaphandle kwalezi?

Yebo, ngaphezu kwalezi zimpawu eziyinhloko, i-Sandifer Syndrome ingabangela ezinye izinkinga. Kodwa lokhu akwenzeki kuwo wonke umuntu.

• I-anemia .
• Ukwehlisa isisindo - ngoba nje awukwazi ukuphuza ubisi.
• Umsindo ongajwayelekile lapho uphefumula (Stridor) kanye/noma umsindo wokushaya ikhwela ovela esifubeni (ukushaya umoya).
• Isimo lapho ingxenye engenhla yesisu ivuvukala khona, eyaziwa ngokuthi i-hiatal hernia.

Kungani lokhu kwenzeka?

Imbangela eqondile yeSandifer Syndrome ayaziwa okwamanje . Kodwa-ke, odokotela bakholelwa ukuthi ukuxhumana phakathi komphimbo nesisu ezinganeni ezincane, ingxenye efana ne-valve, akukathuthuki kahle, okuvumela okuqukethwe esiswini ukuthi kugeleze kalula kubuyele kumphimbo. Yilokhu okubangela i-GERD. Lokhu kucwaningwa kabanzi.

Ngakho-ke, ingane isabela ebuhlungwini nasekungakhululeki okubangelwa yi-GERD ngaleyo 'minyakazo eguquguqukayo', okungukuthi, ngokushukumisa imisipha. Ingane inyakazisa umzimba wayo ngokuzumayo lapha nalaphaya, igobe umhlane wayo, njengokungathi ilwa nalokhu kungakhululeki okuvela ngaphakathi.

Udokotela uyixilonga kanjani ngokunembile iSandifer Syndrome?

Uma ingane yakho inalezi zimpawu, into yokuqala udokotela angayenza ukukubuza ngezimpawu zengane yakho (umlando wezokwelapha) bese wenza ukuhlolwa ngokomzimba .

Ezimweni eziningi, akudingeki ukuhlolwa okukhethekile. Kodwa-ke, ngezinye izikhathi ukuhlolwa kungenziwa ukuze kukhishwe ezinye izimo ezibangela izimpawu ezifanayo futhi kuqinisekiswe ukuthi iSandifer Syndrome iyimbangela ngempela. Lokhu kuhlolwa kufaka phakathi:

• I-Endoscopy: Lokhu kuhilela ukufaka ipayipi elinekhamera encane emphinjeni nasesiswini somntwana ukuze abheke ngaphakathi.
• I-Esophagram (i-barium swallow): Kulolu vivinyo, umntwana unikezwa uketshezi olukhethekile (i-barium) ukuze aluphuze, bese kuthathwa izithombe ze-X-ray njengoba ludlula e-esophagus. Lokhu kuvumela ukuthi i-esophagus ibonakale isebenza.
• I-Electroencephalogram (EEG): Lokhu kuhlola kuhlola ukusebenza kukagesi kobuchopho bomntwana. Lokhu kusiza ekuvimbeleni ezinye izimo, njengesithuthwane, ezingabangela ukuxhuzula.

Yiziphi izindlela zokwelapha lokhu? Ingabe lokhu kuyinto okufanele ukhathazeke ngayo?

Okokuqala, akukho okufanele ukhathazeke kakhulu ngakho . I-Sandifer Syndrome ivame ukuba yisimo esilawulwa kahle.

Into eyinhloko lapho welapha lokhu ukulawula i-asidi yesisu ukuthi ingakhuphukeli emphinjeni, okungukuthi, isimo se-'GERD' . Kunezindlela ezimbili eziyinhloko zokwenza lokhu: ukwenza izinguquko ekudleni kanye, uma kudingeka, ukusebenzisa imithi.

1. Izinguquko ekudleni

Lena kungaba yindlela yokuqala udokotela ayizamayo.

• Ukujiyisa enye yefomula yakho: Ungajiyisa ifomula yakho ngokufaka cishe ithisipuni lokusanhlamvu kwelayisi ku-ounce ngayinye yefomula, noma ngokufaka esinye isijiyisi njengoba kuqondiswe udokotela wakho. Uma uncelisa, khuluma nodokotela wakho ngendlela yokwenza lokhu. Udokotela wakho uzokutshela nokuthi kufanele uphe okungakanani nokuthi kangaki.
• Ukugcina umntwana eqonde phezulu ngesikhathi nangemva kokumunca: Kubalulekile ukubeka umntwana eqonde phezulu esihlalweni noma othile abambe umntwana eqonde phezulu. Lokhu kuzonciphisa amathuba okuthi ukudla kubuye.
• Ukubhodla (ukubhodla) umntwana ngesikhathi sokuncelisa nangemva kokuncelisa: Lokhu kuvumela umntwana ukuba akhulule umoya ogwinyiwe.
• Ezinye izingane zingase zibe ne-allergy kumaprotheni asebisini lwenkomo . Noma zingase zibe ne-allergy kumafomula athile. Izimpawu zingase zibe zimbi kakhulu phakathi nalesi sikhathi. Uma kunjalo, kungadingeka ulawule ukudla kwakho uma uncelisa, noma ushintshele kwenye ifomula njengoba kunconywe udokotela wakho.

2. Imithi

Uma izinguquko zokudla zodwa zingasizi, udokotela angase anikeze imithi yokulwa ne-reflux enciphisa inani le-asidi yesisu ekhuphukela emphinjeni. Isibonelo:

• Izithibi zephampu yeproton
• Ama-blocker e-H2

Ngemva kokuqala lo muthi, izimpawu zomntwana kufanele zinciphe kancane kancane, futhi ngokuhamba kwesikhathi, zinyamalale ngokuphelele.

Okubalulekile: Uma ingane yakho ine-hernia, futhi izimpawu zingenakukwazi ukulawulwa ngemithi, ukuhlinzwa kungase kudingeke ngezinye izikhathi. Kodwa-ke, lokhu akudingekile ezimweni eziningi.

Ingane izolulama ngokushesha kangakanani ngemva kokuqala ukwelashwa?

Ngemva kokuqala kokwelashwa, izimpawu zomntwana kufanele zithuthuke kancane kancane futhi ekugcineni zelapheke ngokuphelele . Lokhu kungathatha noma yikuphi kusukela emavikini ambalwa kuya enyangeni. Ngesikhathi sokwelashwa, udokotela uzoqhubeka nokuqapha umntwana. Lokhu kusho ukuthi bazohlola ukuthi umntwana usabela kanjani ezinguqukweni zokudla neziphuzo, ukuthi umntwana uphilile futhi ukhula kahle yini.

Ingabe kukhona esingakwenza ukuvimbela lesi simo ukuthi singenzeki?

Nakuba singenakukwazi ukuvimbela zonke izici ezibangela lesi simo, kunezinto esingazenza ukuze sinciphise ingozi yokuthola i-Sandifer Syndrome:

• Unganiki ingane yakho ubisi/ukudla okuningi ngesikhathi esisodwa, kodwa yinike kancane kancane izikhathi eziningana phakathi nosuku .
• Khulisa ubisi/ukudla okunikezwa ingane kancane (ngokufaka okuthile okufana nofulawa welayisi).
• Gcina ingane yakho iqonde phezulu ngenkathi idla/incelisa.
• Vula amabele kahle ngesikhathi sokuncelisa nangemva kokuncelisa.

Uma ingane yakho ine-GERD, landela uhlelo lokwelashwa olunqunywe udokotela wakho ngqo. Lokhu kuzosiza izimpawu zengane yakho zithuthuke futhi kuyisize ithole ukudla okunomsoco ekudingayo ukuze ihlale iphilile.

Yini okufanele ngiyilindele uma ingane yami ine-Sandifer Syndrome?

I-Sandifer Syndrome yisimo sesikhashana kakhulu . Ngokuvamile iyaphela yodwa lapho ingane isinonyaka owodwa ubudala. Ngokwelashwa, kungaba ngokushintsha ukudla noma imithi, izimpawu zingancipha futhi isimo singaba ngcono ngokushesha.

Kodwa-ke, uma ingane ingelashwa futhi iqhubeka nokuba nobunzima bokuncelisa/ukuncelisa, kungaholela ezimweni ezifana nokungondleki kahle, okungaba nemiphumela ehlala njalo ebuntwaneni bonke. Kodwa-ke, lokhu akuvamile kakhulu. Ngakho-ke ungakhathazeki.

Ngingayibona nini udokotela?

Uma ingane yakho inanoma yiziphi zalezi zimpawu, qiniseka ukuthi ubona udokotela ngokushesha:

• Uma ingane ingakwazi ukuphuza ubisi/ukudla, noma uma ingakwazi ukugcina ukudla kwayo (uma ihlanza).
• Uma ingane yehlisa isisindo .
• Uma izimpawu ziba zimbi kakhulu ngemva kokuqala ukwelashwa, noma uma ukudikiza kwemisipha kukhulu kakhulu kunokujwayelekile .

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma uya kudokotela, ungakhohlwa ukubuza imibuzo efana nale:

• Kufanele nginike ingane yami ubisi/ukudla okungakanani? Kangaki ngosuku?
• Uhlobo luni lwesithambisi okufanele ngilusebenzise ukuze ngiqinise ubisi lwebele/ifomula?
• Ingabe ingane yami inezinkinga zokudla?
• Uma unikezwa umuthi wokwehlisa i-asidi, ingabe ikhona imiphumela emibi?

Ekugcineni, kufanele ngithi... (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa udabuke futhi wesaba lapho ingane yakho encane igxumagxuma futhi iphendula intamo yayo ngemva kokuphuza ubisi. Futhi, kuyinto ekhathazayo lapho ingane yakho ingadli kahle, akunjalo? Ngakho-ke, into ebaluleke kakhulu ukubona udokotela ngokushesha nje lapho ingane yakho iqala ukukhombisa izimpawu zeSandifer Syndrome. Lokhu kungavimbela ingane ekukhuleni kwezinto ezifana nokungondleki kahle futhi kunciphise ukungakhululeki kwengane.

Khumbula, lesi simo sivame ukuba ngcono lapho ingane yakho inonyaka owodwa ubudala, noma ngisho nangaphambi kwalokho ngokwelashwa udokotela wakho akunikezile. Ngakho-ke, ungesabi ngokungadingekile, khuluma nodokotela wakho, futhi ulandele imiyalelo yakhe ngokucophelela. Ingane yakho izolulama maduze!

I- Sandifer Syndrome, i-GERD, i-acid reflux, ukuqaqamba kwezinsana, ukugoba kwengane emuva, ubunzima bokudla ezinganeni, ukunyakaza okungapheli, i-Sandifer Syndrome, ubisi lokuhlanza ingane, i-asidi yesisu ekhuphukela emphinjeni