Dieti ya BRAT (inanasi, umuceri, sauces za apple, imigati y,"rw"iryo) ishobora gutuza igifu cyahahaye, ariko ntiyihutisha impiswi. Uyikoreshe nk"urubyaro, atari nk"umuti: amasaha 48 kubakuze kandi ntarenze amasaha 24 kubana. Isosi yo gusubiramo amazi mu kanwa, atari kugabanya ibyo kurya, ni yo ikora akazi ka kimiti.
TL;DR: Ibintu by"ingenzi tugomba kwibuka
- Gusubiramo amazi ni wo muti nyakuri. Isosi yo gusubiramo amazi itagira osmolarité ihwanye (ORS) ni ijana ku ijana ku bantu bose.
- Ibyo kurya bine ni ibyo gutuza, atari imiti. Bihindura uburyo impagarara, atari uko indwara izagenda.
- Ibiroko: amasaha 24 kubana, hafi amasaha 48 kubakuze.
- Ntuhe imiri. Kwihanganira kurya kurenza amasaha 24 ntabwo bikwiye, rero jya urya igihe icyo aricyo cyose gikwegerwa.
- Kubana, tanga burundu impine: komeza konsa cyangwa ukoreshe igi yuzuye.
Dieti ya BRAT ituza ibimenyetso. Ntiyihutisha indwara
Dieti ya BRAT ni gahunda yo kurya igihe gito y"inanasi, umuceri cyangwa ibiryo by"umuceri, sauces za apple, n"imigati y"ingano, ikoreshwa mu gutuza igifu cyahahaye. Ntabwo ivura impiswi, yica indwara, cyangwa yihutisha indwara. MedlinePlus ivuga ko "yashyigikiwe na bamwe mu baganga mu gihe cyashize" ariko "nta bimenyetso byinshi ko iruta dieti isanzwe ku kwirundura mu gifu." Iyibone nk"urubyaro rw"amasaha 24 kugeza 48 gusubira mu kurya bisanzwe, aho isosi yo gusubiramo amazi mu kanwa ikora akazi nyakuri.
Ubu buryo bukomeye kuko buhindura icyo mureba iyo mubisanzwe mwihanganira. Ikibazo ntabwo ari ibihe bizahagarika impiswi. Ni ukuntu wahama w"ishimwe mugihe igifu cyawe gikira ku gihe cyacyo, kandi ukuntu wasubira mu biryo bisanzwe bihagije kugirango udashyiraho indwara y"igifu iminsi ibiri y"imirire idahagije.
Gufata ibiryo ntabwo ariwo muti. Gusubiramo amazi ni byo
Abayobozi ba politike bakoze ibi imyaka ishize. Inama ya CDC yo gucunga gamishe igifu mu bana bayita "bafashe cyane" kandi bavuga ko "kwihanganira kurya kurenza amasaha 24 ntabwo bikwiye." Inama ya IDSA yo muri 2017 ku ndwara z"ibitera impiswi ntiyivugamo na rimwe; ishimangira cyane ko "gusubizwa mu kurya bisanzwe bikwiriye umwaka w"imyaka mu gihe cyangwa ako kanya nyuma yo kurangiza igikorwa cyo gusubiramo amazi."
Iyo nama ivuga ko ishingiye ku isosi yo gusubiramo amazi itagira osmolarité ihwanye nk"umuti wa mbere ku bana bafite kwihagurikwa byoroheje kugeza ku gikomeye bivuye ku mpiswi zidasanzwe, ku bantu bose, biva ku cyo ari cyo cyose. Mu buryo bwakoreshwa ni nk"ibicuruzwa nk"ibya Pedialyte cyangwa utuvunguruzi tw"ihame rya OMS, bicishijwe buhoro buhoro aho kuvugutsa. Kubana bakeneye amazi yiyongereye mu rugo, MedlinePlus itanga idosi ikomeye: hafi milililitiro 30 buri gihe cyangwa uko amasaha abiri. Ntawe ugomba gushyira amazi yiyongereye kuri izi sosi. Gusuka gusenya ihame rya sodium-kuri-glucose ritera imisatsi kuza mbere na mbere.
Niba nta bicuruzwa bishobora kuboneka, isosi ya OMS yo mu rugo ni litiro 1 y"amazi meza, igice cy"ikiyiko cy"umunyu, hamwe n"ibiyiko 6 by"isukari, bipimwe neza. Ni igisubizo cy"igihe cy"ikibazo, atari ihitamo rikwiye. Kwemeza ibipimo, cyane cyane kongera isukari, bishobora kuzana amazi menshi mu gifu kandi bigatuma impiswi irushaho kuba mbi.
Kuki inanasi, umuceri, sauces za apple, n"imigati y"ingano, kandi ni ikihe kirenga kuri buri kimwe
Ibyo kurya by"dieti ya BRAT byatoranijwe kuko bifite ibintu bike kandi byoroshye kwihanganira. Pektine, fiber irashobora kuboneka mu inanasi na sauces za apple, ihambiranya amazi mu gifu kandi ishobora gukomeza impagarara. Umuceri w"ijimye utanga fiber irashobora kandi starch itunganywa hafi kubibazo. Inanasi isubiramo kimwe cya potassium cyatakaye mu mpagarara z"isafuriya.
Dore ibyo umwanya munini utazakubwira: ibyo byiza ni ibyiza. Bihindura uburyo igifu cyawe gikora kandi uburyo impagarara yawe igaragara. Ntabwo bageraho indwara.
Nk"igikorwa cy"ibikorwa, kandi ibi nibyo byanditswe byiharije kuruta imibare y"inama, ugere ku ngingo ya kimwe cya kabiri kugeza ku inanasi imwe yo hagati, igice cy"ikombe cy"umuceri w"ijimye, igice cy"ikombe cy"isosi ya apple itarimo isukari, na kimwe cyangwa bibiri by"imigati y"ingano yoroheje idafite ubuyobobwa. Ibyiciro bito buri masaa abiri kugeza kuri atatu bikora neza kuruta ibishyimbo bitatu. Imigati yoroshye, ibiryo by"ibijumbu byoroshye, ibirayi by"ibishyimbo cyangwa by"umushya bitariho ubuyobobwa, isupu yoroheje, n"ibirayi byoroshye byose byoroshye kwiyongera. Ibyo kurya byo kwirinda impiswi ni byiza: amata, ibiryo by"ibiryo n"ibihumukuje, ibiryo by"ibiryo, kafeine, inzoga, isupu y"imbuto y"isukari nyinshi, hamwe n"ibiryo by"ibishushanyo mbonera nk"ibisukari na xylitol.
Zirikana ko ibyo biryo bine by"ibyo bitanga. Nta protein, igifu, calcium, cyangwa vitamin B12 ihagije. Ni nayo mpamvu igikoresho giheruka mu gice gikurikira kibaho.
Gahunda y"ibitabo y"amasaha 48, isaha ku isaha
Gahunda y"ibitabo ya dieti ya BRAT ni gahunda yo gusubiramo amazi hamwe n"ibiryo by"iyongera hejuru yabyo.
- Amasaha 0 kugeza 6: ORS ni imbere. Niba uruka, fata milililitiro 5 kugeza 10 buri gihe gito kandi ugere aho bigwa. Sugurura amazi nyuma y"impagarara buri gihe.
- Amasaha 6 kugeza 24: Tangira ibiryo byoroshye igihe icyo aricyo cyose gikwegerwa. Ntuhe imiri kandi utegereze impiswi kwihagarika, kuko CDC ibona kwihanganira kurya kurenza amasaha 24 ntabwo bikwiye.
- Amasaha 24 kugeza 48: Ibishyimbo bitatu kugeza kuri bitanu bito by"ibyo biryo bine, hamwe n"inyongera imwe yoroshye nk"ibiryo by"ibijumbu, isupu, cyangwa ibirayi by"ibishyimbo, hamwe na ORS ikomeza iruhande.
Umunsi wa kabiri ukora: igice cy"inanasi imwe n"umugati umwe igice cy"ingano mu gitondo, ORS hagati mu gitondo, igice cy"ikombe cy"umuceri hamwe n"isupu yoroheje ku gicamunsi, igice cy"ikombe cy"isosi ya apple mu masaha akuze, hanyuma umuceri hamwe n"igice cy"inanasi imwe mu mugoroba. Ku isaha ya 48 uzajya ku ruganda rwo gusubiramo imirimo, atari inkamba yongera ku byo birya bine.
Iminsi ibiri ni yo iroko kubakuze, amasaha 24 kubana
Wagombye kumara iki kuri dieti ya BRAT? Nta kirenze amasaha 24 kubana na imwe kugeza ku minsi ibiri (hafi amasaha 48) kubakuze, nk"uko Cleveland Clinic ibivuga, mbere yo gusubira mu biryo bisanzwe. Ikiroko kibaho kuko gahunda ifite calcium, vitamin B12, protein, na fiber bike bihagije.
Imibare itandukanye mwahurira n"indi ntambara ikindi kibazo. Iminsi irindwi y"impiswi n"iminsi ibiri y"urukororwa ikwirakwira ku mbuga z"ubuzima zisobanura igihe mugana abaganga ku ndwara, atari igihe cyo kugabanya ibyo muryamo. Igihe kirekire cyavuzwe mu bikoresho bimwe by"ubuvuzi gikoreshwa mu gifu, impamvu yo gukoresha ibindi.
Hariho kandi gusubira inyuma. Iminsi myinshi yo kurya ibintu bifite fiber bike isanzwe itera impagarara zindi, kandi kwirundura nyuma y"indwara yo mu gifu ni ikibazo gisanzwe. Niba uhageze, tangira hamwe na uburyo bworoshye bwo gutera imirimo gusubira aho kugira ibinyobwa by"ikinyobwa.
Niba uri umuntu mukuru ufite impiswi nyinshi kurenza ikiroko cy"amasaha 48, ni igihe gikwiye cyo kugirwa inama. Urugero rw"amafaranga 39 yo gusura kwa muganga kuri interineti kwa August ikuganisha ku mwarimu w"umunyamerika wemewe utegetswe gusuzuma ibimenyetso byawe kandi akemeza niba igicucu gikwiye. Igomba kugaragaza ibiroko: urugeruo rw"amashusho ntirushobora gusubiramo amazi umuntu utashobora gufata amazi, kandi ntabwo aribyo inzira y"umwana w"umwana utafite amazi. Bombi bagomba kwisura.
Ibyo kurya nyuma y"impiswi: uruganda rwo gusubiramo imirimo rwigana ibice bine
Ibyo kurya nyuma y"impiswi bikomeye kuruta ibyo wahaye mu gihe cyabyo. Wiyongere ugenda witonda, wongera itsinda rimwe ry"ibiryo buri masaha 6 kugeza 12 aho kubijyana byose icyarimwe.
- Igice 1: ORS, isupu yoroheje, n"ibintu bine byoroshye.
- Igice 2: amagi y"umukara, inyama zitagira uruhu, ibirayi byoroshye, imboga z"ibishyimbo, n"ibirayi by"ibishyimbo, ibi nibyo Cleveland Clinic ivuga.
- Igice 3: inyama zoroshye, imbuto z"ibishyimbo, yogurt yoroshye, fromage yoroshye, n"umugati w"ibinyampeke byose.
- Igice 4: gahunda y"ibiryo bisanzwe, harimo amata, imboga z"ibishyimbo, ibinyamisoro, igifu, na kafeine.
Uburyo bwo gusubira inyuma ni igice buri gahunda igomba gukora. Niba ugize uburibwe, icyihisemo, cyangwa impagarara z"isafuriya mu gihe gito nyuma y"ibiryo bishya, soma igice kimwe cyo gusubira inyuma amasaha 12 kugeza 24, komeza ORS, hanyuma ugere kuri icyo biryo bikikije wenyine. Kwihanganira gutatu kw"ibiryo bimwe ni impamvu yo guhamagara umuganga, atari ugukomeza kugerageza. Kwerekana ibi birakomeye kuruta uko biteye mu bitekerezo, kandi porogaramu ya companioni nk"iyi August AI ishobora kugufasha kwinjira ibyo biryo wasubijeho kandi ibyo byabaye nyuma. Igihe igice cya 4 gikomeye, usubire kuri gahunda y"ibiryo isanzwe aho kurya witonze mu gihe cy"ibyumweru.
Kubana, iki ni igikoresho kibi
Ababyeyi barashobora kubaza niba dieti ya BRAT ifite umutekano kubana, kandi igisubizo cy"ukuri nuko itari inzira ikwiriye kuri bo. CDC ibona iyi gahunda ko idafashije kandi ivuga ko kwihanganira kurya kurenza amasaha 24 ntabwo bikwiye. Abana bonswa bagomba gukomeza konsa ku busabe. Abana bonywa formula bagomba gusubira kuri formula yuzuye ako kanya nyuma yo gusubiramo amazi, kuko kurya hakiri kare "bigabanya impinduka mu bwoko bw"ibinyabuzima kubera indwara, bigabanya igihe cy"indwara, kandi bigabanya ibisubizo by"imirire."
MedlinePlus irushijeho kuba nyayo: inanasi n"ibiryo bisanzwe by"abana "ntabwo akenshi by"ashigikiwe ku mwana uruka cyane." Rero, ibanza ni ORS (hafi milililitiro 30 buri gihe cyangwa uko amasaha abiri kubana, ntibashyiremo amazi), hanyuma ibyo kurya bisanzwe by"umwana bikwiriye imyaka ye. Niba umwana urwaye ashaka imigati cyangwa umuceri, nibyo, ariko funga gahunda ifunze ku masaha 24.
Uzakubona uyu mwanya wagenwe nk"u"American Academy of Pediatrics" ku yindi mbuga zubuzima. Iki gihagararo cyashyigikiwe neza, ariko ibikoresho bivuzwe haruguru ni CDC, IDSA, na MedlinePlus, ariho twakagutera kugirango ubisome uhereye ku mwanditsi.
Igihe impiswi ikeneye umuganga, atari dieti
Kwishimira, atari impiswi ubwayo, ni byo bishyira abantu mu bitaro. MedlinePlus na IDSA guideline hagati yabo bavuga ibimenyetso bikwiriye kugira icyo ukora.
Hamagara 911 cyangwa jya ku cyumba cy"ibihuhwe ubu nyifuraje:
- Ku mwana cyangwa imfubyi: umwana wese munsi y"amezi 3 afite impiswi; nta kintu gikomeye cyangwa akare, nta kanyomero k"iminsi 6; nta birambwe igihe arahagaze; umuhondo w"umuhondo cyangwa amaso y"umuhondo; umunwa w"umukara; umunaniro cyangwa gutakaza ubwenge; kuruka kurenza amasaha 24 cyangwa nta bifu bibamo.
- Ku muntu mukuru: amaraso cyangwa umunyu mu impagarara, cyane cyane hamwe n"igitutu; uburibwe bukomeye cyangwa bwiyongera; urujijo; kutabasha gufata ibiryo bibamo; urubura, umunaniro ukabije, kandi ugabanya uruhago nyuma y"amaraso y"impagarara, ishobora kwerekeza ku ndwara ya sepsis cyangwa syndrome ya hemolytic uremic.
Shyiraho urugendo mu cyumweru gitaha niba:
- Ku muntu mukuru: impiswi ikomeza kurenza iminsi 7, ugabanya ibiro utabishaka, cyangwa ibimenyetso byagaruka buri gihe usubizamo ibiryo bisanzwe.
- Ku mwana: igitutu hamwe n"impiswi bikomeza kurenza iminsi 2 kugeza 3, cyangwa ubushake n"ibiryo bidagarutse ku mfuruka.
Ganira n"umuganga mbere yuko utangira niba:
- Uri mumazi, utuye hamwe n"indwara ya diyabeti, cyangwa ufite indwara yo mu gifu.
- Ufite indwara y"impyiko cyangwa y"umutima hamwe n"ibiro by"amazi.
- Uri mu kwirinda ibiryo, uri umuntu mukuru, cyangwa wabishakishijwe vuba aha.
Ntuzi icyiciro gikubwira? Porogaramu y"ubuntu ya August AI yo gusuzuma ibimenyetso ishobora kugufasha kumenya uko bihagije mbere yo guhitamo aho ujya. Ni inkunga yo gutwara, atari igisubizo.
Inshuro nyinshi ibibazo bibazwa
Nshobora kurya yogurt cyangwa nkiyogirisha probiyotike mugihe mpiswi?
Rimwe na rimwe. Yogurt yoroshye isanzwe yihanganirwa igihe ibibi byihanganirwa, kandi ni isubiramo ry"amata ryuzuye aho kugira urufunzo ruto rushobora gutera ibibazo. Probiotike ni amahitamo aho kugira umuti; nta kintu mu gahunda ya mbere yo gusubiramo amazi kibishingiyeho. Niba uri mu kwirinda ibiryo, gabana n"umuganga mbere yo gutangira inyongeramusanzu.
Nshobora gufata loperamide (Imodium) kubera impiswi?
Rimwe na rimwe. Umuntu mukuru ufite impiswi itagira amaraso n"igitutu ashobora kuyikoresha nk"uko byanditsweho kugirango igenzure ibimenyetso. Ntiyogikoreshe niba hari amaraso mu impagarara cyangwa igitutu, kuko ubu busanzwe busaba gusuzuma aho kugabanya. Ntiyigombya gusubiramo isosi yo gusubiramo amazi mu kanwa, kandi ntabwo ari kubana bato badafite inama z"umuganga.
Imitsi y"imikino cyangwa amazi y"umuhogo ishobora gusubiramo isosi yo gusubiramo amazi?
Mubisanzwe Oya. Imitsi y"imikino ifite isukari nyinshi kandi sodium nkeya kugirango ihware na ORS itagira osmolarité, kandi amazi y"umuhogo ahinduka cyane afite sodium nkeya. Kubana bafite ibimenyetso byoroshye, kimwe cyangwa ikindi kiruta ikintu. Kubana, abana, cyangwa umuntu ugaragaza ko afite ishimwe, koresha igikoresho cyiza cya ORS.
Dieti ya BRAT ifite umutekano mu gihe cy"amazi cyangwa ku kwirundura kw"igitondo?
Rimwe na rimwe. Umunsi cyangwa ibiri by"ibiryo byoroshye, bifite ibintu bike bifite akamaro ni byiza kubw"ibiseke, hamwe n"ikiroko cya amasaha 48. Amazi ni igice cyo kuvugana mbere mu cyiciro cyo hejuru, nubwo igitugu cyo kuvura ishimwe gisa nkeya kandi kwuka kenshi bishobora kuba hyperemesis aho kugira igitugu cyo mu gitondo. Shyira ku itsinda ryawe ry"ababyaza hakiri kare.
Nshobora gukurikiza ibiryo bya BRAT niba mfite diyabeti?
Rimwe na rimwe, hamwe na gahunda yo kwitonda. Byose bine by"ibiryo bifite amakaruboni menshi kandi nta protein cyangwa igifu, bityo glucose ishobora guhinduka kurenza ibisanzwe mugihe urya byinshi. Koresha buri gihe, koresha gahunda yawe y"umunsi, hitamo isosi ya apple itarimo isukari, kandi wibuke ko ORS ifite isukari ku bushake, kuko glucose ari yo itera imisatsi ya sodium.
Umuceri w"ijimye niwo ukora neza kuruta umuceri w"ibishyimbo kubera impiswi?
Yego, mu gihe gito. Umuceri w"ijimye ufite fiber nke kandi usiga ibintu bike, bityo bikaba byoroshye ku gifu cyarushye. Umuceri w"ibishyimbo wongera ubwinshi bw"impagarara kandi bushobora kwiyongera mu gihe ibimenyetso bikora. Subira kuri ibinyampeke byose mu gice cya 3 cyangwa 4 cy"uruganda rwo gusubiramo imirimo.
BRAT itera inkunga kugura, cyangwa gusa impiswi?
Mubisanzwe Oya. Mugihe kwuka bikora, ibiryo ntabwo ari igisubizo: ibihoho byoroheje bya ORS, hafi milililitiro 5 kugeza 10 buri gihe gito, ni byo. MedlinePlus ivuga ko inanasi n"ibiryo bisanzwe by"abana ntacyo by"akenshi by"ashigikiwe kubana baruka cyane. Ongera ibiryo byoroshye igihe kwuka kw"amashanyarazi byahagaritsweho amasaha make.
Ibikoresho byo hasi kuri dieti ya BRAT
Uburyo bumwe burabigabanya: ORS mbere, ibiryo byoroshye by"amahamo, amasaha 24 kubana na 48 kubakuze, hanyuma gusubira mu biryo bisanzwe. Niba ugikomeza gutakaza amazi, gusubiramo amazi. Niba amazi abamo, tangira kwiyongera. Niba ibiri mu cyumba cy"ibihuhwe, cyangwa umwana munsi y"amezi 3 arwaye, aganirwe ubu.
Kwirinda: In article iyi ni igikorwa cy"amakuru gusa kandi ntabwo ari igikorwa cy"umuganga. Ikora kuvugana na muganga ufite uburenganzira bwo gusuzuma no kuvura ibibazo. Niba uhura n"ikibazo gikomeye cy"ubuzima, hamagara 911 cyangwa jya ku cyumba cy"ibihuhwe ubu.
Meta description: Dieti ya BRAT ntizavura impiswi vuba. Dore icyo ugomba kurya, igihe cyo kuyikurikiza, kandi kuki isosi yo gusubiramo amazi mu kanwa ikora akazi nyakuri ka kimiti.