Ngokutsho koMbutho wezeMpilo weHlabathi, ukuphelelwa ngamanzi emzimbeni sisifo esibangelwa kukulahlekelwa ngamanzi amaninzi emzimbeni kwaye sixhaphake kakhulu kwiintsana, ngakumbi abantwana abancinci. Kule meko umzimba wakho awunawo umlinganiselo wamanzi ofunekayo kwaye ngoku njengoko kuqala ihlobo. banokuphela bengenamanzi ngenxa yezizathu ezahlukeneyo ezithetha ukuba baphulukana namanzi amaninzi kunalawo bawasebenzisayo baze ekugqibeleni baphelelwe ngamanzi emzimbeni.
Kudliwano-ndlebe no-HT Lifestyle, u-BK Vishwanath Bhat, MD, ugqirha wabantwana kunye ne-MD, iSibhedlele esiPhambili saseRadhakrishna, i-Bangalore yachaza: "Ukuphelelwa ngamanzi emzimbeni kuthetha ukulahlekelwa okungaqhelekanga kolwelo kwinkqubo.Kubangelwa kugabha, ilindle elixegayo kunye nokubila okugqithisileyo.Ukuphelelwa ngamanzi emzimbeni Kukwahlulwe kwabaphakathi, phakathi kwaye kubi kakhulu.Ukulahlekelwa kwesisindo esincinci ukuya kwi-5%, i-5-10% ukulahleka kwesisindo kukumodareyitha ukulahleka kwesisindo, ngaphezu kwe-10% ukulahleka kwesisindo kukukhupha kakhulu.Ukuphelelwa ngamanzi emzimbeni kwahlulahlulwe kwaba ziindidi ezintathu eziphambili, apho amanqanaba esodium ihypotonic (ngokukodwa ukulahlekelwa yi-electrolytes), i-hypertonic (ingakumbi ilahleko yamanzi) kunye ne-isotonic (ilahleko elinganayo yamanzi ne-electrolytes).”
UGqr Shashidhar Vishwanath, uMcebisi oyiNtloko, kwiSebe leNeonatology kunye neSibhedlele saBantwana, iSibhedlele sabaseTyhini saseSPARSH saBantwana, uyavuma, esithi: “Xa sithatha ulwelo oluncinci kunolo besilukhuphayo, kukho ukungalingani phakathi kwegalelo kunye nesiphumo somzimba wakho.Kunzima kakhulu ehlotyeni.Okuqhelekileyo, ikakhulu ngenxa yokuhlanza kunye nohudo.Xa abantwana befumana intsholongwane, siyibiza ngokuba yi-viral gastroenteritis.Lusulelo lwesisu kunye namathumbu.Ngalo lonke ixesha egabha okanye ehambisa isisu, aphulukana nolwelo kwakunye neeelectrolyte ezifana nesodium, iPotassium, ichloride, ibicarbonate nezinye iityuwa ezibalulekileyo emzimbeni.”
Ukuphelelwa ngamanzi emzimbeni kwenzeka xa ukugabha okugqithisileyo kunye nezitulo ezinamanzi rhoqo zisenzeka, kunye nokuba sesichengeni sobushushu obugqithisileyo obunokukhokelela kwistroke yobushushu.UBK Vishwanath Bhat wagxininisa esithi: “Ukuphelelwa ngamanzi emzimbeni nje kancinci ngokuncipha kobunzima obusisi-5% kunokulawulwa lula ekhaya, ukuba ukwehla kobunzima obusisi-5-10% kubizwa ngokuba kukuwohloka okuphakathi, yaye ulwelo olwaneleyo lunokunikelwa ukuba usana lukwazi ukusela ngomlomo.Ukuba usana alufumani ulwelo olwaneleyo lufuna ukulaliswa esibhedlele.Ukuphelelwa ngamandla kwamanzi emzimbeni ngokuncipha komzimba okungaphezu kwe-10 ekhulwini kufuna ukulaliswa esibhedlele.”
Wongeze ngelithi: “Unxaniwe, umlomo owomileyo, akukho zinyembezi xa ukhala, amadiapha akamanzi ngaphezu kweyure ezimbini, amehlo, izidlele ezitshoneyo, ukuphelelwa luthamba kwesikhumba, amabala athambileyo phezu kokakayi, ukungabi naludwe okanye ukucaphuka zezinye oonobangela.Iimpawu.Kwimeko yokuphelelwa ngamanzi emzimbeni, abantu banokuqala ukulahlekelwa zingqondweni.Ixesha lasehlotyeni lixesha le-gastroenteritis, kwaye umkhuhlane yinxalenye yeempawu zokugabha nokungahambi kakuhle.
Ekubeni ibangelwa kukuncipha kwamanzi emzimbeni, uGqr. Shashidhar Vishwanath uthi ekuqaleni, abantwana baziva bengaphumli, benxaniwe, yaye ekugqibeleni bayadinwa baze ekugqibeleni batyhafe.” Baye bancipha ukuchama.Kwiimeko ezinzima, umntwana usenokuthula okanye angaphenduli, kodwa oko kunqabile.Abachami rhoqo, kwaye banokuba nomkhuhlane, ”uveze., kuba luphawu losulelo olo.Ezo zezinye zeempawu zokuphelelwa ngamanzi emzimbeni.”
UGqr Shashidhar Vishwanath wongeze wathi: “Njengoko ukuphelelwa ngamanzi emzimbeni kuqhubeka, ulwimi kunye nemilebe yabo iyoma kwaye amehlo abo abonakala atshonile.Amehlo anzulu kakhulu kwi sokethi zamehlo.Ukuba iqhubela phambili, ulusu luba luncinci kwaye lulahlekelwa yimpahla yendalo.Le meko ibizwa ngokuba 'kukuncitshiswa kokudumba kwesikhumba.'Ekugqibeleni, umzimba uyayeka ukuchama njengoko uzama ukonga ulwelo oluseleyo.Ukungachami lolunye lolona phawu lokuphelelwa ngamanzi emzimbeni.”
NgokukaGqirha BK Vishwanath Bhat, ukuphelelwa ngamanzi emzimbeni kancinci kuyanyangwaI-ORSekhaya.Ucacisa athi: “Ukuphelelwa ngamanzi emzimbeni okulinganiselweyo kunokunyangwa ekhaya ngeORS, yaye ukuba umntwana akanakukunyamezela ukuncanciswa ngomlomo, kusenokufuneka alaliswe esibhedlele ukuze afumane ulwelo lwe-IV.Ukuphelelwa ngamandla emzimbeni kufuna ukulaliswa esibhedlele kunye nolwelo lwe-IV.Iiprobiotics kunye ne-zinc supplements zibalulekile ekuphatheni ukuphelelwa ngamanzi emzimbeni.Amayeza okubulala iintsholongwane anikwa usulelo lwebhaktiriya.Ngokusela amanzi amaninzi, sinokukuthintela ukuphelelwa ngamanzi emzimbeni ehlotyeni.”
UGqr. Shashidhar Vishwanath uyavuma ukuba ukuphelelwa ngamanzi emzimbeni kancinci kuyinto eqhelekileyo yaye kulula ukunyanga ekhaya. Ucebisa ngelithi: “Xa usana okanye umntwana esela okanye esitya kancinci, inyathelo lokuqala kukuqinisekisa ukuba umntwana usela ngokwaneleyo.Musani ukuzixhalela ukudla okuqinileyo;Qinisekisa ukuba ubanika ulwelo lonke ixesha.Amanzi anokuba lukhetho lokuqala olulungileyo, kodwa eyona ilungileyo Yongeza into eneswekile netyuwa.Xuba ipakethe enyeI-ORSnge ilitha yamanzi kwaye uqhubeke njengoko kufuneka.Akukho mali ikhethekileyo.”
Uncoma ukunika ixesha elide umntwana esela, kodwa ukuba ukuhlanza kunzima kwaye umntwana akakwazi ukulawula ulwelo, ngoko kufuneka udibane nodokotela wabantwana ukuvavanya oko kwenzekayo kwaye unike umntwana iyeza lokunciphisa ukuhlanza.UShashidhar Vishwanath ulumkisa ngelithi: “Kwezinye iimeko, kwanokuba banikwe ulwelo yaye akapheli ukugabha emva kokuba enikwe amayeza aselwayo, umntwana kusenokufuneka alaliswe esibhedlele ngenxa yolwelo olufakwa emithanjeni.Umntwana kufuneka abekwe kwi dropper ukuze akwazi ukudlula kwi dropper.Nika ulwelo.Sinikezela ngolwelo olukhethekileyo olunetyuwa neswekile.”
Wathi: “Ingcamango ye-intravenous (IV) yolwelo kukuqinisekisa ukuba naluphi na ulwelo olulahlwa ngumzimba luthatyathelw’ indawo yi-IV.Xa kukho ukugabha kakhulu okanye urhudo, ulwelo lwe-IV luluncedo kuba luphumza isisu.Ndicinga ukuphinda, malunga nesinye kwisithathu sabantwana abafuna ulwelo ekufuneka beze esibhedlele, kwaye abanye banokulawulwa ekhaya. ”
Ekubeni ukuphelelwa ngamanzi emzimbeni kuqhelekile kwaye phantse i-30% yotyelelo lukagqirha luphelelwa ngamanzi ngexesha leenyanga zasehlotyeni, abazali kufuneka baqaphele imeko yabo yomzimba kwaye banikele ingqalelo kwiimpawu zayo. Nangona kunjalo, uGqr. Ukusela kuphantsi kwaye kufuneka bazixhalabise ngokusela komntwana wabo.” Xa abantwana bengaziva mnandi, abafuni kutya ukutya okuqinileyo,” utshilo.“Bakhetha into enolwelo.Abazali banokubanika amanzi, ijusi yasekhaya, isisombululo seORS sasekhaya, okanye iipakethi ezine zeI-ORSisisombululo kwikhemesti. ”
3. Xa ukuhlanza kunye nohudo luqhubeka, kungcono ukuba uhlalutywe liqela labantwana.
Ucebisa ngelithi: “Ezinye iindlela zokuthintela ziquka ukutya okucocekileyo, ucoceko olufanelekileyo, ukuhlamba izandla ngaphambi kokutya nasemva kokuphuma kwindlu yangasese, ingakumbi ukuba kukho umntu ohlanzayo okanye onesifo sorhudo.Kubalulekile ukugcina ucoceko lwezandla.Kungcono ukukuphepha ukuphuma kwiindawo apho ucoceko luyingxaki.Ukutya, yaye okona kubaluleke ngakumbi, abazali bamele bazazi iimpawu neempawu zokuphelelwa ngamanzi emzimbeni, yaye balazi ixesha lokumthumela esibhedlele umntwana wabo.”
Ixesha lokuposa: Apr-22-2022