Njengomama, ungase ujwayelene nalezi zinto. Uma uyopha ingane yakho ukudla, ingadla kancane bese ithi 'isuthi', ihlanze njalo, noma ikhale ngobuhlungu besisu. Ngezinye izikhathi ingane ingase ingakhuluphali kahle. Ezimweni ezinjalo, udokotela wakho angancoma ukuhlolwa okukhethekile ukuze abone ukuthi ukudla kwengane yakho kuhlala isikhathi esingakanani esiswini sayo nokuthi kuthatha isikhathi esingakanani ukuthi kudlulele emathunjini amancane. Yilokho esikubiza ngokuthi 'Ucwaningo Lokukhipha Ukudla Esiswini' (GES).
Kuyini Ucwaningo Lokukhipha Isisu (GES)?
Kalula nje, lokhu kulinganisa ukuthi kuthatha isikhathi esingakanani ukuthi ukudla kwengane yakho kuhambe kusuka esiswini sayo (emathunjini) kuye emathunjini ayo amancane. Cabanga ngale ndlela: Njengemoto ebhajwe emgwaqweni, ngezinye izikhathi ukudla esikudlayo kungabhajwa esiswini sethu futhi kuhambe kancane kakhulu. Noma, njengokusheshisa emgwaqweni omkhulu, ngezinye izikhathi ukudla kungaphuma esiswini sethu ngokushesha kakhulu. Kokubili lokhu kungaba yizinkinga. Lokhu kuhlola kulinganisa leso sivinini.
Lokhu kusebenzisa isithwebuli esikhethekile esibizwa ngokuthi ``Gamma Camera''. Ngemva kokuba umntwana edle, leli jubane lilinganiswa ngokuthatha izithombe zesisu somntwana ngale khamera. Lokhu kuhlolwa kunamanye amagama amaningana, kodwa igama elivame ukusetshenziswa kakhulu yi-'Gastric Emptying Study'.
Yiziphi izifo ezingatholakala ngalesi sivivinyo?
Lena yindlela engcono kakhulu newusizo yokuthola ukuthi isisu sengane yakho sisebenza kahle yini. Odokotela bavame ukusebenzisa lolu vivinyo ukuthola isimo esibizwa ngokuthi i-Gastroparesis .
I-Gastroparesis isho ukuthi isisu sengane yakho sithatha isikhathi eside kunokujwayelekile ukuthi siphele. Ngokuvamile, kuthatha cishe ihora nesigamu kuya emahoreni amabili ukuthi ukudla kusuke esiswini kuye emathunjini amancane.
Lokhu kuhlolwa kungabona nezinye izimo eziningana:
- I-Dumping Syndrome: Lokhu kwenzeka lapho ukudla esiswini kungena emathunjini amancane ngokushesha kunokulindelekile.
- I-Gastroesophageal Reflux: Lokhu kungacatshangwa futhi njengokuqukethwe kwesisu okubuyela phezulu emphinjeni.
Ngezansi kunezinye izizathu ezenza udokotela angase acele ingane yakho ukuthi yenze lokhu kuhlolwa.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuhlanza njalo | Ukuhlanza ngaphandle kwesizathu esicacile ngemva kokudla noma nganoma yisiphi isikhathi sosuku. |
| Ubuhlungu besisu | Uma ingane ivame ukukhala ngobuhlungu besisu noma ukungakhululeki. |
| Ukungakhuli isisindo | Uma ingane ingakhuli kahle ngokweminyaka yayo. |
| Ukwaneliseka Kwasekuqaleni | Uma uqala ukudla bese uthi "Ngisuthi" ngemva kwesikhashana. |
Uma unezimpawu ezinjengalezi, lokhu kuhlolwa kungaba usizo kakhulu ekuboneni nasekuqaliseni ukwelashwa kwesimo esifana ne-gastroparesis ngaphambi kokuba sibangele izinkinga.
Ungayilungiselela kanjani ingane ukuhlolwa?
Lokhu akudingi ukulungiselela okuningi, kodwa kudingeka uqaphele ngalezi zinto.
- Yeka ukudla nokuphuza: Ungavumeli ingane yakho idle noma iphuze noma yini ngemva kwamabili ngobusuku bangaphambi kokuhlolwa. Isisu kufanele sibe singenalutho ngokuphelele lapho kuqala ukuhlolwa.
- Mayelana nemithi: Uma ingane yakho ithatha noma yimiphi imithi, qiniseka ukuthi ukhuluma nodokotela wakho ngayo futhi uthole iseluleko sokuthi kufanele yini iyekwe ngaphambi kokuhlolwa.
- Ukuchazela ingane: Uma ingane isikhule ngokwanele ukuba iqonde, vele uchaze ukuthi lokhu ngeke kulimaze nokuthi uzothatha izithombe ezincane.
- Izixazululo zokukhathala: Njengoba lolu vivinyo luzothatha amahora amaningana, ungakhohlwa ukuletha ingane yakho into eyithandayo, njengethoyizi eliyintandokazi , incwadi, noma ithebhulethi, ukuze ihlale imatasa.
Kwenzekani ngesikhathi sokuhlolwa?
Nakuba ngesaba kancane lapho ngizwa lokhu, kuyinqubo elula kakhulu.
1. Okokuqala, udokotela we-radiology noma uchwepheshe uzothatha umntwana aye naye egumbini lokuhlolwa bese emgqokisa ingubo enikezwe yisibhedlela.
2. Bese unika umntwana ukudla okuncane. Lokhu kuvame ukuba yinto efana neqanda elixutshwe kanye nezingcezu ezimbili zesinkwa esinojamu . Bamnika namanzi okuphuza.
3. Inani elincane kakhulu lezinto ezikhipha imisebe (i-Tracer) elingenangozi liyangezwa ekudleni kwamaqanda. Lokhu akushintshi ukunambitheka, umbala, noma iphunga lokudla.Akukho okufanele ukhathazeke ngakho, lokhu kuncane kakhulu futhi yilokhu okuvumela umshini wokuskena ukuthi ubone ukuthi ukudla kuhamba kanjani esiswini.
4. Ingane izonikwa imizuzu eyi-10 yokudla lokhu kudla. Kumelwe uyisize idle ukudla phakathi nalesi sikhathi. Ngeshwa, uma ingane ihlanza phakathi nalesi sikhathi, ukuhlolwa ngeke kukwazi ukwenziwa ngalolo suku futhi kuzodingeka kuphindwe ngolunye usuku.
5. Ngemva kokudla, uchwepheshe uzothatha umntwana aye naye egumbini lokuskena bese ethatha izithombe eziningana zesisu. Isithombe ngasinye sizothatha cishe umzuzu.
6. Ngemva kwalokho, izithombe ziphinde zithathwe ngehora, okungukuthi, ngehora eli-1, amahora ama-2, namahora ama-4 . Phakathi nalesi sikhathi, umntwana akakwazi ukudla noma ukuphuza noma yini enye. Kufanele ulinde kuze kuqedwe ukuskena kokugcina.
Kuthatha isikhathi esingakanani ukuhlolwa?
Lokhu kuhlolwa, okwenziwa ngemva kokunikeza ukudla, kuvame ukuthatha amahora angaba ngu-4 kuya kwangu-5 .
Wenzani ngemva kokuhlolwa?
Uma ukuhlolwa kokugcina sekuqediwe, wena nomntwana wakho ningaya ekhaya. Akukho mingcele kulokho enikudlayo noma enikuphuzayo ngalolo suku. Ningaqhubeka nosuku lwenu njengokujwayelekile.
Ingabe kukhona ingozi kulokhu?
Omama abaningi bayayesaba imisebe. Kodwa akukho okufanele kwesatshwe. Inani lemisebe esetshenziswe kulolu vivinyo liphansi kakhulu. Odokotela bathi ngeke ilimaze ingane nganoma iyiphi indlela.
Kodwa kukhona into eyodwa okudingeka uyiqaphele kakhulu. Uma ukhulelwe, noma uma usola ngisho nokuncane ukuthi ukhulelwe, ungangeni ekamelweni lapho kwenziwa khona lokhu kuhlolwa. Cela omunye umuntu ukuthi ahlale nomntwana. Ngoba lokhu kukhishwa kwemisebe akukuhle enganeni esesibelethweni.
Ngizowuthola nini umbiko? Ngingathola kanjani ngemiphumela?
Udokotela we-X-ray uzobuyekeza izithombe eziskeniwe, alungiselele umbiko, bese ewuthumela kudokotela wengane yakho zingakapheli izinsuku ezimbalwa.
Ngokuvamile, kuthatha cishe ihora nesigamu kuya emahoreni amabili ukuthi ukudla esikudlayo kusuke esiswini kuye emathunjini amancane. Uma umbiko uthi ukudla sekuphelile phakathi naleso sikhathi, lokho kuvamile.
Uma imiphumela ingajwayelekile, okusho ukuthi uma ukudla kubambezeleka ukudlula esiswini, kuba yi-"Gastroparesis", noma uma kushesha, kuba yi-"Dumping Syndrome", udokotela wakho uzokhuluma nawe futhi akuchazele ngokucacile izinyathelo ezilandelayo kanye nokwelashwa.
Ingabe lolu vivinyo luyakwazi ukuthola umdlavuza?
Lona umbuzo abazali abaningi abawubuzayo. Akuvamile ukuthi ukuphuza ukudla esiswini kube yisibonakaliso somdlavuza. Kodwa-ke , akuvamile kakhulu ukuthi ingane ibe nalesi simo ngenxa yalesi sizathu. Futhi, lokhu kuhlolwa akusetshenziselwa ukuthola umdlavuza; kunezinye izivivinyo ezikhethekile zalokho.
Yini engingayenza ukuze ngigcine ingane yami izolile ngesikhathi sokuhlolwa?
Lokhu kungaba uvivinyo olunzima enganeni encane, njengoba kungathatha amahora amaningi futhi ingakwazi ukudla noma ukuphuza. Kunezinto ezimbalwa ongazenza ukuze ihlale izolile futhi ijabule.
- Zijwayeze ukuhlala ungashukumi: Ngosuku olungaphambi kokuhlolwa, zama ukudlala umdlalo othi "Masingashukumi nhlobo?" ukuze ujwayeze ingane yakho ukuhlala ungashukumi. Lokhu kuzoyisiza ukuthi ijwayele lapho ukuhlolwa sekuqediwe.
- Hlala useduze nawe: Ngokuvamile, umama noma ubaba bavunyelwe ukuya nomntwana lapho kuskenwa khona. Kuyinzuzo enkulu kumntwana okuwukuphela kwakhe onayo nawe.
- Letha into ejwayelekile ekhaya: Ukuletha into ejwayelekile ekhaya, njengethoyizi eliyintandokazi yengane yakho noma ingubo encane, kuzosiza ekunciphiseni umuzwa ongavamile engase ibe nawo esibhedlela.
- Yisho ukuthi ngeke kulimaze: Khumbuza njalo ingane yakho ukuthi, "Lokhu ngeke kulimaze nhlobo, ndodana/ndodakazi."
Umlayezo Wokuya Nawe Ekhaya
- Ucwaningo Lokukhipha Ukudla Esiswini (GES) luwukuhlolwa okungenabuhlungu okulinganisa isikhathi esithathwa ukudla okuvela esiswini ukuze kungene emathunjini amancane.
- Lokhu kusiza ekunqumeni ukuthi izingane ezinezimpawu ezifana nokuhlanza njalo, ubuhlungu besisu, kanye nokwehla kwesisindo zinezimo ezifana ne-Gastroparesis.
- Njengoba ukuhlolwa kuzothatha amahora angu-4-5, letha amathoyizi noma izincwadi ukuze ugcine ingane yakho imatasa.
- Inani lemisebe esetshenziswe kulolu vivinyo liphansi kakhulu, ngakho ngeke lilimaze ingane.
- Uma ukhulelwe noma usola ukuthi ukhulelwe, ungabi nomntwana ngesikhathi sokuhlolwa.
- Uma unemibuzo mayelana nokuhlolwa noma imiphumela, ungangabazi ukubuza udokotela wakho.
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