Ngokusho kweWorld Health Organization, ukuphelelwa amanzi emzimbeni kuyisifo esibangelwa ukulahlekelwa amanzi ngokweqile emzimbeni futhi sivame kakhulu ezinganeni, ikakhulukazi izingane ezincane.Kulokhu umzimba wakho awunawo umthamo wamanzi owadingayo futhi manje njengoba kuqala ihlobo. bangase bagcine bengasatholi amanzi ngenxa yezizathu ezahlukene okusho ukuthi balahlekelwa amanzi amaningi kunalawo abawadlayo futhi bagcine sebephelelwa amanzi emzimbeni.
Engxoxweni ne-HT Lifestyle, u-BK Vishwanath Bhat, MD, Udokotela Wezingane kanye no-MD, i-Radhakrishna General Hospital, u-Bangalore wachaza: “Ukuphelelwa amanzi emzimbeni kusho ukulahlekelwa uketshezi ngendlela engavamile ohlelweni.Kubangelwa ukuhlanza, indle exegayo kanye nokujuluka ngokweqile.Ukuphelelwa amanzi emzimbeni Kuhlukaniswe kwaba okuthambile, okulingene futhi kubi.Ukwehla kwesisindo esincane kufika ku-5%, u-5-10% ukuncipha kwesisindo okusesilinganisweni, ukuncipha kwesisindo okungaphezu kuka-10% wukuphelelwa amanzi emzimbeni.Ukuphelelwa amanzi emzimbeni kuhlukaniswe ngezinhlobo ezintathu eziyinhloko, lapho amazinga e-sodium eyi-hypotonic (ikakhulukazi ukulahlekelwa ama-electrolyte), i-hypertonic (ikakhulukazi ukulahlekelwa amanzi) kanye ne-isotonic (ukulahlekelwa okulinganayo kwamanzi nama-electrolyte).”
UDkt Shashidhar Vishwanath, onguMxhumanisi Omkhulu, uMnyango Wezempilo Nezingane kanye Nezingane, Isibhedlela Sabesifazane Nezingane SakwaSPARSH, uyavuma, ethi: “Uma siphuza uketshezi oluncane kunalolo esilukhiphayo, kuba nokungalingani phakathi kokufakwayo nokuphumayo komzimba wakho.Kunzima kakhulu ehlobo.Okujwayelekile, ikakhulukazi ngenxa yokuhlanza kanye nesifo sohudo.Uma izingane zithola igciwane, sikubiza nge-viral gastroenteritis.Ukutheleleka kwesisu namathumbu.Ngaso sonke isikhathi lapho behlanza noma behuda, balahlekelwa uketshezi kanjalo nama-electrolyte afana ne-sodium, i-Potassium, i-chloride, i-bicarbonate nosawoti obalulekile emzimbeni.”
Ukuphelelwa amanzi emzimbeni kwenzeka lapho ukuhlanza ngokweqile kanye nendle enamanzi njalo kwenzeka, kanye nokuchayeka ekushiseni okukhulu okungaholela ekushayweni kokushisa.UDkt.UBK Vishwanath Bhat ugcizelele: “Ukuphelelwa amanzi emzimbeni okuncane ngokuncipha ngo-5% kwesisindo kungalawuleka kalula ekhaya, uma ukwehla kwesisindo ngo-5-10% kubizwa ngokuthi ukuphelelwa amanzi emzimbeni okumaphakathi, futhi kunganikezwa uketshezi olwanele uma usana lukwazi ukukuphuza ngomlomo.Uma usana lungakutholi uketshezi olwanele ludinga ukulaliswa esibhedlela.Ukuphelelwa amanzi emzimbeni kakhulu ngokuncipha kwesisindo esingaphezu kwamaphesenti ayishumi kudinga ukulaliswa esibhedlela.”
Wanezela: “Umlomo owomile, owomile, akukho zinyembezi lapho ukhala, awekho amanabukeni amanzi isikhathi esingaphezu kwamahora amabili, amehlo, izihlathi ezishonile, ukulahlekelwa ukunwebeka kwesikhumba, amabala athambile phezu kogebhezi, ukungabi naludwe noma ukucasuka ngezinye zezinto izimbangela.Izimpawu.Ekuphelelwa amanzi kakhulu emanzini, abantu bangaqala ukulahlekelwa ukwazi.Ihlobo yisikhathi se-gastroenteritis, futhi imfiva iyingxenye yezimpawu zokuhlanza nokunganyakazi kahle.”
Njengoba kubangelwa ukuncipha kwamanzi emzimbeni, uDkt. Shashidhar Vishwanath uphawula ukuthi ekuqaleni, izingane zizizwa zingaphumuli, zomile, futhi ekugcineni zikhathala futhi zigcine sezikhathele.” Ziyancipha ukuchama.Ezimweni ezimbi kakhulu, ingane ingase ithule noma ingasabeli, kodwa lokho akuvamile.Nabo abachami kakhulu, bangase babe nomkhuhlane,” esho., ngoba lokho kuwuphawu lokutheleleka.Lezo ngezinye zezimpawu zokuphelelwa amanzi emzimbeni.”
UDkt Shashidhar Vishwanath wengeze wathi: “Njengoba ukuphelelwa amanzi emzimbeni kuqhubeka, ulimi nezindebe zabo zoma futhi amehlo abo abukeka eshonile.Amehlo ajule impela ezisekelweni zamehlo.Uma iqhubekela phambili, isikhumba siyancipha futhi silahlekelwa izici zaso zemvelo.Lesi simo sibizwa 'ngokuncipha kokuvuvukala kwesikhumba.'Ekugcineni, umzimba uyayeka ukuchama njengoba uzama ukonga uketshezi olusele.Ukuhluleka ukuchama kungenye yezimpawu zokuphelelwa amanzi emzimbeni.”
NgokukaDkt. BK Vishwanath Bhat, ukuphelelwa amanzi emzimbeni okuncane kuyelashwaI-ORSekhaya.Uchaza kabanzi: “Ukuphelelwa amanzi emzimbeni okusesilinganisweni kungelashwa ekhaya nge-ORS, futhi uma ingane ingakwazi ukukubekezelela ukunceliswa ngomlomo, kungase kudingeke ukuba ilaliswe esibhedlela ukuze ithole uketshezi lwe-IV.Ukuphelelwa amanzi emzimbeni kakhulu kudinga ukulaliswa esibhedlela kanye noketshezi lwe-IV.Ama-probiotics kanye nezithako ze-zinc zibalulekile ekwelapheni ukuphelelwa amanzi emzimbeni.Ama-antibiotics anikezwa izifo ezibangelwa amagciwane.Ngokuphuza amanzi amaningi, singanqanda ukuphelelwa amanzi emzimbeni ehlobo.”
UDkt. Shashidhar Vishwanath uyavuma ukuthi ukuphelelwa amanzi emzimbeni okuncane kuyinto evamile futhi kulula ukuyelapha ekhaya. Uyeluleka: “Lapho umntwana noma ingane iphuza noma idla kancane, isinyathelo sokuqala siwukuqinisekisa ukuthi ingane iphuza uketshezi olwanele.Ungakhathazeki kakhulu ngokudla okuqinile.Qiniseka ukuthi uzinika uketshezi ngaso sonke isikhathi.Amanzi angaba ukukhetha okuhle kokuqala, kodwa okungcono kakhulu Faka okuthile ngoshukela nosawoti.Hlanganisa iphakethe elilodwaI-ORSnge ilitha lamanzi futhi uqhubeke njengoba kudingeka.Alikho inani eliqondile.”
Utusa ukuyinikeza inqobo nje uma ingane iphuza, kodwa uma ukuhlanza kubi kakhulu futhi ingane ingakwazi ukulawula uketshezi, khona-ke kufanele uthintane nodokotela wezingane ukuze ahlole ukuthi kwenzekani futhi unikeze ingane imithi yokunciphisa ukuhlanza.UDkt.UShashidhar Vishwanath uyaxwayisa: “Kwezinye izimo, ngisho noma benikezwa uketshezi futhi ukuhlanza kunganqamuki ngemva kokumnika imithi yomlomo, kungase kudingeke ukuba umntwana alaliswe esibhedlela ukuze athole uketshezi olufakwa emithanjeni.Ingane kufanele ibekwe phezu kwe-dropper ukuze ikwazi ukudlula ku-dropper.Nikeza okusamanzi.Sinikeza uketshezi olukhethekile olunosawoti noshukela.”
Wathi: “Umqondo woketshezi olufakwa emthanjeni (IV) uwukuqinisekisa ukuthi noma iluphi uketshezi umzimba olulahlekelwayo luthathelwa indawo IV.Uma kunokuhlanza okukhulu noma isifo sohudo, uketshezi lwe-IV luwusizo ngoba lunikeza isisu ukuphumula.Ngicabanga Ukugcizelela, cishe ingxenye eyodwa kwezintathu kuphela yezingane ezidinga uketshezi okudingeka zize esibhedlela, kanti ezinye zingaphathwa ekhaya.”
Njengoba ukuphelelwa amanzi emzimbeni kuyinto evamile futhi cishe u-30% wokuya kodokotela uphelelwa amanzi phakathi nezinyanga zasehlobo eziphakeme, abazali kudingeka baqaphele isimo sabo somzimba futhi banake izimpawu zako.Nokho, uDkt Shashidhar Vishwanath uthe abazali akufanele bakhathazeke ngokweqile lapho bethola ukudla okuqinile. izinga lokudla lincane futhi kufanele bakhathazeke ngokuphuza kwengane yabo.” Uma izingane zingaphathekile kahle, azifuni ukudla okuqinile,” usho kanje.“Bathanda into enoketshezi.Abazali bangabanikeza amanzi, ijusi yasekhaya, isixazululo se-ORS esenziwe ekhaya, noma amaphakethe amaneI-ORSisixazululo ekhemisi.”
3. Uma ukuhlanza kanye nesifo sohudo kuqhubeka, kungcono ukuhlaziya ithimba lezingane.
Uyeluleka: “Ezinye izindlela zokuvimbela zihlanganisa ukudla okuhlanzekile, inhlanzeko efanele, ukugeza izandla ngaphambi kokudla nangemva kokuya endlini yangasese, ikakhulukazi uma othile ekhaya ephalaza noma enesifo sohudo.Kubalulekile ukugcina ukuhlanzeka kwezandla.Kungcono ukugwema ukuphuma ezindaweni lapho inhlanzeko iyinkinga.Ukudla, futhi okubaluleke nakakhulu, abazali kumelwe bazazi izimpawu nezimpawu zokuphelelwa ngamanzi emzimbeni, futhi bazi ukuthi kufanele bayithumele nini ingane yabo esibhedlela.”
Isikhathi sokuthumela: Apr-22-2022