Uzito mdogo kwa mtoto wa miezi 9: Mambo ya kufanya Ili kuboresha Afya na lishe
Swali la msingi
Habari dokta samahani ninaomba unisaidie ushauri kuhusu mtoto wangu ana miezi tisa ila uzito wake hauendani na umri wake uzito ni mdogo pia anaumwa mara kwa mara. Sawa pia nilimzaa akiwa na afya nzuri sana ila kadri siku zinavyo kwenda anazofika, nifanyaje maana naona hata aibu kumpereka cliniki. Anakilo 7 kunyonya ananyonya vizuri tu ila chakula anachokula ni ndizi sana na uji wa lishe.
Majibu

Habari mama/dada, pole sana kwa changamoto unazopitia na hongera kwa kujali afya ya mtoto wako. Upo kwenye nafasi nzuri ya kubadilisha hali hii mapema. Hapa chini nimeweka ushauri wa kitaalamu na wa upendo kabisa kwa mzazi kama wewe:
Tathmini ya Uzito kwa Umri
Mtoto mwenye miezi 9 anatakiwa awe na uzito wa wastani wa kilo 8.5 hadi 9.5, lakini mtoto wako ana kilo 7, ambayo ni chini ya kiwango cha kawaida. Hii inaashiria utapiamlo wa wastani au unaoanza.
Dalili za hatari alizonazo
Uzito mdogo kwa umri
Kuumwa mara kwa mara
Kushindwa kuongezeka uzito licha ya kunyonya vizuri
Hizi ni dalili zinazohitaji uchunguzi wa haraka kwenye kliniki ili kupima hali ya lishe na afya kwa ujumla (kama anemia, minyoo, au maambukizi ya mara kwa mara).
Mambo ya muhimu kufanya
1. Usimfiche mtoto – mpeleke kliniki mara moja
Watapima hali ya lishe kwa kutumia chati ya ukuaji, urefu, uzito na kipimo cha MUAC (kitovu cha mkono).
Wataangalia kama kuna maambukizi, minyoo au upungufu wa damu.
Watakushauri vyakula bora zaidi kwa umri wake.
2. Uboreshaji wa Lishe
Hali ya mtoto wako inaweza kurekebishika kabisa kwa kufanya haya:
Lishe ya kuongeza uzito haraka:
Uji wa lishe uboreshwe zaidi kwa kuongeza maziwa, mafuta ya alizeti, karanga zilizosagwa, au nazi.
Ndizi mbichi peke yake haitoshi – ongeza vyakula vya protini:
Mayai yaliyochemshwa vizuri (yolk na white)
Samaki au dagaa waliopondwa
Nyama iliyosagwa vizuri
Maharage, dengu na kunde laini
Matunda na mboga laini: Parachichi, papai, maboga, na karoti zilizopikwa
Mpe chakula angalau mara 5 kwa siku (milo 3 mikubwa na 2 midogo)
3. Mnyonyeshe kwa wingi zaidi
Endelea kunyonyesha kila anapohitaji – maziwa bado ni muhimu hadi atimize miaka 2.
4. Epuka aibu bali jJenga ujasiri
Unapoona hali kama hii, kliniki ni msaada mkubwa – si pa kuonea aibu. Wauguzi na wataalamu wa afya wako hapo kwa ajili yako na mtoto wako. Nenda uwahi – kwa mapenzi ya mama, hujachelewa bado.
Ushauri wa ziada
Hakikisha mtoto amepata dawa za minyoo (kulingana na umri)
Fuatilia ratiba ya chanjo na matone ya vitamini A
Jiunge na vikundi vya afya vya kina mama kwa ushauri wa mara kwa mara
Wapi utapata maelezo zaidi?
Unaweza kupata maelezo zaidi kwa kuwasiliana na daktari wako pia kupitia makala zinazofuata;
Rejea za mada hii;
World Health Organization (WHO). Infant and young child feeding: Model Chapter for textbooks for medical students and allied health professionals. Geneva: WHO; 2009.
WHO. Complementary feeding: Report of the global consultation and summary of guiding principles for complementary feeding of the breastfed child. Geneva: WHO; 2003.
United Nations Children's Fund (UNICEF). Infant and Young Child Feeding: A tool for assessing national practices, policies, and programmes. New York: UNICEF; 2006.
Kinyuru, J., Mbithe, D., & Murungi, E. (2015). Nutrition and feeding practices for infants and young children: Perspectives from rural Kenya. East African Medical Journal, 92(8), 1-7.
Ghimire, S. et al. (2016). Nutritional status and feeding practices of children aged 6-24 months in Nepal. Nutritional Journal, 15, 12-22.
Tanzania Food and Nutrition Centre (TFNC). (2020). Guidelines for Complementary Feeding of Infants and Young Children in Tanzania. Dar es Salaam: TFNC.
Swart, S., & Nyaruhucha, C. N. (2017). Child nutrition practices and dietary diversity among infants and young children in Tanzania. Tanzania Journal of Health Research, 19(4), 1-9.
National Institute of Nutrition (NIN). (2014). National guidelines for infant and young child feeding (IYCF). Dar es Salaam: Ministry of Health.
Akinmoladun, F., & Aremu, S. (2020). Complementary feeding practices among mothers of infants and young children in Sub-Saharan Africa: A review. International Journal of Public Health, 10(3), 210-222.
Young, M., & Adu-Afarwuah, S. (2006). Breastfeeding, complementary feeding, and child health in developing countries: A review of evidence from Africa. Paediatrics and International Child Health, 26(5), 325-334.
American Academy of Pediatrics (AAP). (2014). Breastfeeding and the Use of Human Milk. Pediatrics, 134(6), e1697-e1717.
Zuberi, B., & Nkwam, J. (2018). The role of traditional foods in promoting child nutrition in East Africa. Journal of African Food Science, 15(2), 80-88.
Mozaffarian, D., et al. (2017). Global nutrition and health: An overview of major challenges. Lancet, 390(10103), 49-56.