Ishami ry'Umuryango w'Abibumbye ryita ku Buzima rivuga ko umwuma ari indwara iterwa no gutakaza amazi menshi mu mubiri kandi bikunze kugaragara cyane ku mpinja, cyane cyane abana bato.Muri iki gihe umubiri wawe udafite amazi akeneye none igihe impeshyi itangiye barashobora kurangiza kutayoborwa kubwimpamvu zitandukanye bivuze ko batakaza amazi menshi kurenza ibyo barya hanyuma amaherezo bakabura umwuma.
Mu kiganiro na HT Lifestyle, BK Vishwanath Bhat, MD, Umuganga w’abana na MD, ibitaro bikuru bya Radhakrishna, Bangalore yabisobanuye agira ati: “Kubura amazi bisobanura gutakaza amazi adasanzwe muri sisitemu.Iterwa no kuruka, kuryama no kubira ibyuya byinshi.Umwuma ugabanijemo ibice byoroheje, biringaniye kandi bikomeye.Kugabanuka kworoheje kugera kuri 5%, kugabanuka ibiro 5-10% ni ukugabanya ibiro bitarenze, kugabanuka kurenza 10% ni umwuma mwinshi.Umwuma ugabanijwemo ubwoko butatu bw'ingenzi, aho urugero rwa sodium ari hypotonique (cyane cyane gutakaza electrolytike), hypertonic (cyane cyane gutakaza amazi) na isotonic (gutakaza amazi angana na electrolytike). ”
Dr Shashidhar Vishwanath, Umujyanama mukuru, ishami rya Neonatology na Paediatrics, ibitaro by’abagore n’abana ba SPARSH, arabyemera, agira ati: “Iyo dufashe amazi make ugereranije n’uko twashyize hanze, habaho ubusumbane hagati yinjira n’ibisohoka mu mubiri wawe.Biragoye cyane mu cyi.Bisanzwe, ahanini kubera kuruka no gucibwamo.Iyo abana babonye virusi, tuyita virusi gastroenteritis.Nubwandure bwinda n amara.Igihe cyose barutse cyangwa bafite impiswi, babura amazi kimwe na electrolytite nka sodium, Potasiyumu, chloride, bicarbonate n'indi myunyu ikomeye mu mubiri. ”
Umwuma ubaho iyo kuruka cyane hamwe nintebe zamazi zikunze kugaragara, kimwe no guhura nubushyuhe bukabije bushobora gutera ubushyuhe.Dr.BK Vishwanath Bhat yashimangiye ati: “Umwuma woroheje hamwe no kugabanya ibiro 5% urashobora gucungwa mu rugo mu buryo bworoshye, niba kugabanya ibiro 5-10% byitwa dehidrasi yoroheje, kandi amazi ashobora gutangwa mugihe uruhinja rushobora gufata umunwa.Niba uruhinja Kutabona amazi ahagije bisaba ibitaro.Umwuma ukabije hamwe no kugabanya ibiro birenga 10 ku ijana bisaba ibitaro. ”
Yongeyeho ati: “Inyota, umunwa wumye, nta marira iyo urira, nta mpuzu zitose mu gihe kirenze amasaha abiri, amaso, imisaya yarohamye, gutakaza ubworoherane bwuruhu, ibibara byoroshye hejuru ya gihanga, kutagira urutonde cyangwa kurakara ni bimwe muri impamvu.Ibimenyetso.Mu kubura umwuma, abantu barashobora gutangira guta ubwenge.Impeshyi ni igihe cya gastroenteritis, kandi umuriro ni kimwe mu bimenyetso byo kuruka no kugenda nabi. ”
Kubera ko biterwa n'amazi make mu mubiri, Dr. Shashidhar Vishwanath avuga ko mu ikubitiro, abana bumva batuje, bafite inyota, amaherezo bakaruha kandi amaherezo bakananirwa. ”Barimo kwihagarika cyane.Mubihe bikabije, umwana arashobora guceceka cyangwa kutitabira, ariko ibyo ntibisanzwe.Barimo no kwihagarika cyane, kandi bashobora no kugira umuriro ”., kuko icyo ni ikimenyetso cyubwandu.Ibyo ni bimwe mu bimenyetso byerekana umwuma. ”
Dr Shashidhar Vishwanath yongeyeho ati: “Iyo umwuma ugenda utera imbere, ururimi rwabo n'iminwa yabo byumye kandi amaso yabo akarohama.Amaso yimbitse imbere yimbere yijisho.Niba itera imbere cyane, uruhu ruba rudakomeye kandi rugatakaza imiterere yarwo.Iyi miterere yitwa 'kugabanya kubyimba uruhu.'Amaherezo, umubiri uhagarika inkari mugihe ugerageza kubungabunga amazi asigaye.Kunanirwa kwihagarika ni kimwe mu bimenyetso nyamukuru byerekana umwuma. ”
Ku bwa Dr. BK Vishwanath Bhat, bivura umwuma worohejeORSmurugo.Yasobanuye byinshi: "Umwuma muke urashobora kuvurwa murugo hamwe na ORS, kandi niba umwana adashobora kwihanganira kugaburira umunwa, ashobora gukenera kwinjira mubitaro byamazi ya IV.Umwuma ukabije bisaba kwinjira mu bitaro hamwe na fluide ya IV.Probiotics hamwe ninyongera zinc nibyingenzi mukuvura umwuma.Antibiyotike itangwa kwandura bagiteri.Tunywa amazi menshi, turashobora kwirinda umwuma mu ci. ”
Muganga Shashidhar Vishwanath yemera ko umwuma muke usanzwe kandi byoroshye kuvurwa murugo.Yagiriye inama ati: "Iyo umwana cyangwa umwana anywa cyangwa akarya bike, intambwe yambere nukureba ko umwana anywa amazi ahagije.Ntugahangayikishwe cyane nibiryo bikomeye.Menya neza ko ubaha amazi igihe cyose.Amazi arashobora kuba amahitamo meza yambere, ariko ibyiza Ongeraho ikintu hamwe nisukari numunyu.Kuvanga paki imwe yaORShamwe na litiro y'amazi hanyuma ukomeze nkuko bikenewe.Nta mubare wihariye. ”
Yagusabye kubitanga mugihe cyose umwana anywa, ariko niba kuruka bikabije kandi umwana akaba adashobora kugenzura ayo mazi, ugomba rero kubaza umuganga wabana kugirango umenye ibibera hanyuma uhe umwana imiti kugirango agabanye kuruka.Dr.Shashidhar Vishwanath aragabisha ati: “Rimwe na rimwe, naho boba bahawe amavuta kandi kuruka ntibihagarare nyuma yo gutanga imiti yo mu kanwa, umwana ashobora kuba ari mu bitaro kubera amazi ava mu mitsi.Umwana agomba gushyirwa ku gitonyanga kugirango gishobore kunyura mu gitonyanga.Tanga amazi.Dutanga amazi yihariye arimo umunyu nisukari. ”
Yavuze ati: “Igitekerezo c'amazi ava mu maraso (IV) ni ukureba niba ikintu cyose umubiri utakaje gisimburwa na IV.Iyo habaye kuruka cyane cyangwa impiswi, amazi ya IV arafasha kuko aha igifu kuruhuka.Ntekereza ko Kugira ngo mbisubiremo, kimwe cya gatatu cy'abana bakeneye amazi bakeneye kuza mu bitaro, naho abandi bakabicungira mu rugo. ”
Kubera ko umwuma usanzwe kandi hafi 30% yo gusura abaganga nta mazi afite mu mezi y’impeshyi, ababyeyi bakeneye kumenya uko umubiri wabo umeze kandi bakita ku bimenyetso byabwo.Nyamara, Dr Shashidhar Vishwanath yavuze ko ababyeyi batagomba guhangayikishwa cyane n’ibiryo bikomeye. gufata ni bike kandi bagomba guhangayikishwa no gufata umwana wabo. ”Iyo abana batameze neza, ntibashaka kurya ibinini”.“Bahitamo ikintu gifite amazi.Ababyeyi barashobora kubaha amazi, umutobe wakozwe murugo, igisubizo cya ORS cyakorewe murugo, cyangwa udupaki tune twaORSigisubizo kiva muri farumasi. ”
3. Iyo kuruka no gucibwamo bikomeje, nibyiza gusesengurwa nitsinda ryabana.
Yagiriye inama ati: “Izindi ngamba zo gukumira zirimo ibiryo by'isuku, isuku ikwiye, gukaraba intoki mbere yo kurya na nyuma yo gukoresha ubwiherero, cyane cyane iyo umuntu wo mu rugo arimo aruka cyangwa afite impiswi.Ni ngombwa kubungabunga isuku y'intoki.Nibyiza kwirinda gusohoka mubice aho isuku ari ikibazo.Ifunguro, kandi icy'ingenzi, ababyeyi bagomba kumenya ibimenyetso n'ibimenyetso byo kubura umwuma mwinshi, kandi bazi igihe cyohereza umwana wabo mu bitaro. ”
Igihe cyo kohereza: Apr-22-2022