Kulephera kukula bwino

Kulephera kukula bwino kumatanthawuza ana omwe kulemera kwawo pakali pano ndi ochepa kwambiri kuposa ana ena azaka zofananira komanso kugonana.

Kulephera kukula bwino kumatha kubwera chifukwa cha zovuta zamankhwala kapena zinthu zomwe mwana amakhala, monga kuzunzidwa kapena kunyalanyazidwa.

Pali zifukwa zambiri zamankhwala zolephera kukula. Izi zikuphatikiza:

• Mavuto ndi majini, monga Down syndrome
• Mavuto amthupi
• Mavuto a mahomoni
• Kuwonongeka kwa ubongo kapena dongosolo lamanjenje, lomwe lingayambitse vuto la kudyetsa khanda
• Mavuto amtima kapena am'mapapo, omwe angakhudze momwe michere imadutsa mthupi
• Kuchepa kwa magazi kapena zovuta zina zamagazi
• Mavuto am'mimba omwe amalepheretsa kuyamwa michere kapena kuyambitsa michere ya m'mimba
• Matenda a nthawi yayitali
• Mavuto amthupi
• Mavuto nthawi yapakati kapena kubadwa kochepa

Zinthu zomwe zimachitika mwanayo ndi monga:

• Kutaya ubale wapamtima pakati pa kholo ndi mwana
• Umphawi
• Mavuto ndi ubale wosamalira ana
• Makolo samvetsa chakudya choyenera cha mwana wawo
• Kuwonetseredwa ndi matenda, majeremusi, kapena poizoni
• Kuzolowera kudya, monga kudya pamaso pa TV komanso kusakhala ndi nthawi yodyera

Nthawi zambiri, chifukwa chake sichingadziwike.

Ana omwe amalephera kukula bwino samakula ndikukula bwino poyerekeza ndi ana amsinkhu wawo. Amawoneka ngati ocheperako kapena ocheperako. Achinyamata sangakhale ndi zosintha zomwe zimachitika akamatha msinkhu.

Zizindikiro zakulephera kukula bwino ndi izi:

• Kutalika, kulemera, ndi kuzungulira kwa mutu sikugwirizana ndi ma chart akukula
• Kulemera kwake kumakhala kotsika kuposa gawo limodzi mwazigawo zitatu zazochulukirapo kapena 20% yochepera kulemera kwakutali
• Kukula kumatha kuchepa kapena kuyima

Otsatirawa akhoza kuchedwa kapena kuchepa kukula mwa ana omwe amalephera kukula bwino:

• Maluso athupi, monga kugubuduzika, kukhala, kuyimirira ndikuyenda
• Malingaliro ndi chikhalidwe
• Makhalidwe achiwiri achiwerewere (ochedwa achinyamata)

Ana omwe amalephera kunenepa kapena kukula nthawi zambiri samakhala ndi chidwi chodyetsa kapena amakhala ndi vuto lopeza zakudya zoyenera. Uku kumatchedwa kudyetsa koyipa.

Zizindikiro zina zomwe zimawoneka mwa mwana yemwe samakula bwino ndi monga:

• Kudzimbidwa
• Kulira kwambiri
• Kugona kwambiri (ulesi)
• Kukwiya

Wopereka chithandizo chamankhwala amamuyesa mthupi ndikuyang'ana kutalika kwa mwana, kulemera kwake, ndi mawonekedwe amthupi. Makolo adzafunsidwa za mbiri ya mwana wamankhwala komanso banja.

Chiyeso chapadera chotchedwa Denver Developmental Screening Test chitha kugwiritsidwa ntchito kuwonetsa kuchedwa kulikonse pakukula. Tchati chokulirapo chofotokozera mitundu yonse yakukula kuyambira pakubadwa chimapangidwa.

Mayesero otsatirawa akhoza kuchitika:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Kusamala kwa Electrolyte
• Hemoglobin electrophoresis kuti muwone ngati matenda a zenga
• Maphunziro a mahomoni, kuphatikiza kuyesa kwa ntchito ya chithokomiro
• X-ray kuti azindikire zaka za mafupa
• Kupenda kwamadzi

Chithandizo chimadalira chifukwa chakukula kwakukula ndi chitukuko. Kukula kochedwa chifukwa cha mavuto azakudya kungathandizidwe powonetsa makolo momwe angaperekere chakudya choyenera.

Musapatse mwana wanu zowonjezera zowonjezera monga Kulimbitsa kapena Kuonetsetsa popanda kuyankhula ndi wothandizira anu poyamba.

Mankhwala ena amatengera kukula kwa vutoli. Izi zingalimbikitsidwe:

• Onjezerani kuchuluka kwa ma calories ndi kuchuluka kwa madzimadzi omwe khanda limalandira
• Konzani vuto lililonse la mavitamini kapena mchere
• Dziwani ndi kuchiza matenda ena aliwonse

Mwanayo angafunike kukhala mchipatala kwakanthawi kochepa.

Chithandizo chingaphatikizepo kukonza ubale wamabanja ndi malo okhala.

Kukula bwino ndikukula kumatha kukhudzidwa ngati mwana alephera kukula bwino kwanthawi yayitali.

Kukula bwino ndikukula kumatha kupitilira ngati mwanayo walephera kukula kwakanthawi kochepa, ndipo chifukwa chake chimatsimikizika ndikuchiritsidwa.

Kuchedwa kwanthawi zonse kwamaganizidwe, malingaliro, kapena thupi kumachitika.

Itanani kuti mudzakumane ndi omwe amakupatsani ngati mwana wanu sakuwoneka bwino.

Kuyesedwa pafupipafupi kumatha kuthandizira kuzindikira kulephera kukula kwa ana.

Kulephera kukula; FTT; Kudyetsa kusokonezeka; Kudya moperewera

• Zakudya zolimbitsa thupi - kusamalira ana
• Gastrostomy yodyetsa chubu - bolus
• Thumba lodyetsera la Jejunostomy

[Adasankhidwa] Marcdante KJ, Kliegman RM. Kulephera kukula bwino. Mu: Marcdante KJ, Kliegman RM, olemba. Nelson Zofunikira pa Matenda a Ana. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 21.

[Adasankhidwa] Turay F, Rudolph JA. Zakudya zopatsa thanzi komanso gastroenterology. Mu: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ndi Davis ’Atlas of Pediatric Physical Diagnosis. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 11.