HUMMUS

* Kekerertjiesmeer *

“Kids LOVE dipping stuff” –
Dis ‘n maklike & potensieel gesonde manier om verskillende groente(stokkies) in jou kleinspan se lyfies te kry!

Die gesondheidsvoordele van Chickpeas sluit in:
Dis hoog in vesel, ‘n bron van proteïene, propvol vitamienes en minerale en het ‘n laer glisemiese indeks (‘low GI’) – wat beteken dat dit help om bloedsuikervlakke te beheer!

Loer hieronder vir 2 maklike Hummus resepte. Die eerste een is vir almal wat hou van ‘n vars ‘plain’ smaak. Die 2de resep het ‘n voller smaak en is vir dié wat bietjie meer met speserye wil eksperimenteer en hou van ‘n “skop”! Albei is baie ‘yummy’ en gesond!

WENK: Gooi ‘n klein bietjie koue water by die mengsel om dit makliker te meng/’blend’ en romerig te maak.

Dankie aan Nadene Esterhuizen en Nancy Cloete vir die 2 resepte!

SONDAG-INSPIRASIE

GASSKRYWER

‘n Vrou se handsak
Deur Magda Burger

Iets waaroor haar man definitief nie praat nie. En in ons huis lyk my man of die donderweer hom gaan tref as hy iets in myne moet soek.
So elke kort-kort moet ek maar inklim en regpak. My Pandora’s box hou nogal interessante dinge in, veral as die seuns dit ook gebruik.

Ek kry nou die dag ‘n klip in my handsak. Net ‘n gewone klip. Niks spesiaals nie. Inteendeel ek het deksels swaar aan die ding gedra! Vies haal ek dit uit.

Toe besef ek hoe baie klippe dra ons in ons harte:
Al die onnodige gemors. Is nie lus om daai ou te vergewe nie, en dan bly ek maar vies elke keer wanneer ek aan daai een dink. Die gekrap as iemand die hele tyd vir my vra om iets te doen. Vriendelik te wees en ‘n nors antwoord terug te kry, en dan maar dae lank daaroor ontsteld te wees. Soveel irritasies wat elke dag se mooi uitsuig.

Haal die klippe uit. Maak jou hart ligter. Dan kan jy in elk geval meer liefde inpak wat jy weer in oorvloed kan uitdeel.

TUISGEMAAKTE GRONDBOONTJIEBOTTER

Sommige Gesondheidsvoordele van Grondboontjiebotter:

  • Hoog in Proteïene
  • Hoog in Vesel
  • Hoog in Vitamiene B
  • Hoog in Minerale, soos Kalium & Magnesium
  • Hoog in Antioksidante
  • Help om Cholesterol te verlaag
  • Dit bevat meestal onversadigde vette (die gesonde soort vette)
  • Kan help met gewig-beheer
  • Reguleer bloedsuikervlakke
  • Sommige studies toon selfs ‘n vermindering in die risiko om Diabetes, Hartsiektes en Kanker te ontwikkel!

Pasop vir winkel-gekoopte grondboontjiebotter wat ekstra bygevoegde suiker, sout en gehidrogeneerde olies (‘hydrogenated fats’) bevat – hierdie minder gesonde olies keer dat die natuurlike olie van die grondboontjiebotter skei en dit verhoog die transvetsuur-inhoud.
(👉Lees die ‘labels’)

Die gesondste bly maar die suiwer gemaalde neute (met of sonder ‘n bietjie olyfolie – geen ander byvoegings!)
Kyk hieronder vir ‘n maklike resep. 🥣🥄

Die porsiegrootte vir grondboontjiebotter wat aanbeveel word is ongeveer 2 eetlepels & indien dit saam met ‘n gebalanseerde diëet geniet word, dra dit by tot ‘n gesonder jy! 😁

TRIPPE TRAPPE TONE

Ek’s seker ek hét gekyk waar die eerste trappie is. Ek’s amper 100% seker…

Hierdie mamma het heel Vrydag soos ‘n absolute vrot ma gevoel! Ek het met baba en al by ons boonste verdieping se trap afgeval. Darem net tot in die helfte van die trap…maar nogsteeds… 😬 Eina.

Met my baadjie onder die een arm, dummy & Telement in die hand, selfoon in die gatsak en baba op die heup, het ek aan die bopunt van die trap gestaan en vlugtig afgekyk. Ek was haastig. Ek misgis toe die tweede trap vir die eerste een, en daar steier ek vooroor, met enkels wat swik en voete wat skraap, soos ek probeer om vastrapplek te kry! Toe ek die teëls sien nader kom, en ons 2 aanhou gly, besef ek ons ontmoeting met die grond is onvermydelik. Ek probeer vir boetiebaba nader trek, maar met die momentum (en sy 10kg lyfie) “ka-plaks” ons boude-eerste op die harde teëltrap. Ek kreun, en boetie snak na sy asem – toe begin hy hartverskeurend huil. Gelukkig hou ek hom steeds vas (hy het genadiglik nie uit my arms geglip nie!) en alhoewel hy opsigself ‘okay’ lyk, kan ek hoor hy’s in pyn. Ek gil histeries vir my man om te kom help, en soos hy vir baba uit my arms tel, voel ek my eie seer: my elmboog, my linkerboud, my enkel (díé het alreeds ‘n golfbal-swelsel aan die vorm).

Ons uitstappie na Ongevalle en X-strale bevestig: geen gebreekte/gedislokeerde bene. Dankie, Vader. My enkel is net sleg verstuit. Maar boetiebaba het ‘n diep sny onder sy 3de toontjie… Só wag ons toe vir die chirurg wat hom heelmoontlik teater toe sal moet neem vir narkose en steke…

Die chirurg kom sien ons toe ‘n paar uur later in die kindersaal (genade, maar dis sleg om ‘n kind – wat nog te sê van ‘n borsvoedende baba – nil per mond te hou! Ek’t as dokter-mamma beslis nuwe perspektief en empatie bygekry). Steke is toe nie nodig nie! Ons kan sy voetjie konserwatief met verbande behandel – halleluja!

Oudste, met sy klein hartjie en kinderlike geloof, het by die huis al vir mamma en boetie se voete gebid. Pappa noem na die hele gedoente hoe hy tóé al gesien het hoe die voetjie se swelling sak…

Boetiebaba se naam-betekenisse het in hierdie (kort) 7 maande vir my werklik “lewendig” geword: Kampioen en God is genadig. Deur al die “trials & tribulations”…deur septiese skok en breinvliesontsteking en brongiolitis…en sy ma wat heel simpel was om nie aan die trapreëling vas te hou nie… Hy is ‘n dapper klein mensie & God is altyd genadig.

DIE “REGTE” DING

Hoe weet jy wat is die régte ding om te doen? In ‘n wêreld waar alles RELATIEF geword het: mý waarheid, jóú waarheid?

Hoe kies jy? Waarop maak jy staat? Intuïsie? “Gut” gevoelens? Besluite gebaseer op vorige ervarings? Wat sê die samelewing?

Ek besef net weer op hierdie vars nuwe Maandagoggend: my emosies kan my om die bos lei…dan voel ek sus en dan voel ek so. My vorige besluite was nie noodwendig die beste besluite nie…En die samelewing word tans ongelukkig met ‘n “anything goes”-uitkyk aan die slaap gesus…

Mag die Heilige Gees my hierdie week lei (en elke week wat kom!). Mag Hý my ware Noord wees. En mag ek werklik stil word…en na Sy stille fluisterstem lúíster. Sodat ek regtig kan weet wat die regte ding is om te doen.

COW’S MILK PROTEIN ALLERGY

PART 2

Dr Nické Theron, Pediatrician.

Whether you are pregnant and wondering how to prevent allergies in your little one, or have a baby that has already been diagnosed with Cow’s Milk Protein Allergy and struggling with treatment, read on to find the latest research and tips here:

PREVENTION OF COW’S MILK PROTEIN ALLERGY (CMPA):

There are several risk factors for allergies and unfortunately not so many proven measures to reduce these risks. If you have a family history of allergies or atopic disease (especially eczema or asthma), your children will have an increased risk of developing CMPA – up to 3 times higher in one study. This is the most important factor to consider. Other risks include: Caesarean Section delivery, Prematurity, Older maternal age and Environmental factors.

Measures that have been proven to reduce the risk of CMPA (ONLY necessary when you have a family history of allergies or atopy):

  • Exclusive breastfeeding is the preferred method of feeding up to the age of 6months. Although it has not been proven to prevent CMPA specifically there is good data to prove it has a significantly protective effect against eczema.
  • If you cannot exclusively breastfeed, it is important to use a “partially hydrolysed” infant formula (eg Nan HA, Similac) to decrease the exposure to the full cow’s milk protein. In these formulas the very “offensive” part of the protein has been removed, but it is still perceived by the body as a cow’s milk protein and thus “exercises” the immune system.
  • “Extensively hydrolysed” formula has also been proven to reduce the risk of CMPA, but they are very expensive and have a bad taste, thus rather used in the treatment of CMPA.
  • “Amino Acid formulas” are NOT used in the prevention of CMPA.
  • The mother DOES NOT have to exclude any allergens during pregnancy.
  • When you start solid foods, it is recommended to start no earlier than 17 weeks (4 months) and no later than 27weeks (6 months). It is important to give a varied diet from the start (a restricted diet has a higher risk of allergies) and to introduce allergens such as cow’s milk, fish, peanuts, eggs, soy, wheat early and regularly. Although this is not proven to prevent CMPA specifically, it does decrease your risk for peanut and egg allergy.
  • Unfortunately the studies on the use of pre- and probiotics in babies does not show any reduction in the risk of CMPA. Although we know that your microbiome plays a big role in the fight against allergies and atopic diseases, scientists are struggling to find out exactly which organisms and how much of what gives us an advantage. I am sure there will still be very interesting research in this field!
  • Having pets at home reduces your risk for CMPA according to some studies. 😉

TREATMENT OF CMPA:

Unfortunately none of the above are fool proof to reduce CMPA and if your baby had the symptoms and a positive exclusion test (symptoms improved when cow’s milk protein was removed) you are facing the realities of treating an allergy. Although it can be scary (especially if your child has dramatic, immediate symptoms) and difficult to screen ALL food for cow’s milk protein, it is worth it to see the improvement in your child. I will walk through the basics of the treatment with you, but in the end a dietitian is invaluable to help you with the specifics of exclusion and re-introduction of cow’s milk protein. Please remember that this is just a generalised guideline to explain some of the concepts to you. There is such a big variety in the types of CMPA and the rest of your child’s unique case that you should always discuss any management plans with your pediatrician and dietitian.

Diagnostic Elimination:

  • Breastfeeding infants: Mothers are encouraged to keep on breastfeeding, but to cut out all cow’s milk products (fresh milk, yoghurt, cheese, but also reading all labels for hidden sources) from her own diet for 2 – 4weeks.
  • Formula-fed infants: All cow’s milk protein should be eliminated from baby’s diet and formula changed to an “extensively hydrolysed formula” (eg Similac Alimentum, Pepticate) for 2 – 4weeks. If there is still no improvement in symptoms you can try an “amino acid formula”. However, these are all very expensive and babies take some time to get used to the taste.

If your baby’s symptoms improved after removing cow’s milk, you continue the exclusion diet:

  • Breastfeeding infants: Mother continues to eliminate cow’s milk protein and should drink Calcium supplements (your breastmilk will use the calcium from your bones to provide enough for your baby if you do not eat enough calcium).
  • Formula-fed infants: Most recommendations are to continue “extensively hydrolysed formula” for baby.
  • What about Soy formula (eg Isomil)? This is a much cheaper option, but there are some concerns about cross reaction (in up to 15% of babies) of the allergy, and certain hormonal contents of soy (isoflavone is a phyto-estrogen). Be careful when choosing this option in babies below 6 months.
  • Other mammalian milks such as goat, sheep, camel also has a risk of cross-reacting and might not be nutritionally adapted for use in babies. Please work closely with your pediatrician and dietitian.
  • Rice formulas are gaining popularity but are not yet available everywhere. There is no risk for cross-reactions, but there is a concern that these formulas contain arsenic and have not been studied in CMPA, so once again, be careful.
  • If your baby starts solids, all cow’s milk protein should be excluded from their diet, but all other food groups should be introduced between 17-27weeks, especially the other high-risk allergens.
  • A Dietitian can help to assess your child’s diet to ensure whether the supply of nutrients, especially proteins, calcium, vitamin D, and vitamin A, is sufficient.

Reintroducing Cow’s Milk Protein:

It is recommended that the cow’s milk is eliminated until at least 1 year of age, or for at least 6 months from diagnosis. If however the diagnosis was not confirmed with positive blood tests, or if the symptoms were very mild to start with, your doctor might reintroduce cow’s milk after 1 month.

There are different ways of reintroducing the allergen (also called a “challenge”). If your child was very ill / has immediate reactions, the reintroduction should be done in a hospital. If your baby just had eczema / reflux, you can reintroduce the cow’s milk at home with the guidance of a dietitian.
(See the “Milk Ladder” below.)
If the symptoms return, go back to the previous diet and retry after 6 months.

My take-home message is to take heart! Equip yourself with knowledge, a friendly dietitian and explore some new recipes! Your life does not have to be ruled by fear and FOMO for your child’s sake. Most children will outgrow their CMPA and you can make such a difference in their symptoms until then. The world of allergies is evolving so fast, you can play your part in the education of other moms and who knows, you might just support someone else with a new diagnosis!

“Praise be to the God and Father of our Lord Jesus Christ, the Father of compassion and the God of all comfort, 4 who comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves receive from God.”

2 Cor 1:3-4

RESOURCES:

1. Ralf G. Heine, Fawaz AlRefaee, Prashant Bachina, Julie C. De Leon, Lanlan Geng, Sitang Gong, José Armando Madrazo, Jarungchit Ngamphaiboon, Christina Ong, and Jossie M. Rogacion;  “Lactose intolerance and gastrointestinal cow’s milk allergy in infants and children – common misconceptions revisited”; World Allergy Organ J. 2017; 10(1): 41.
2. Yvan Vandenplas, Martin Brueton, Christophe Dupont, David Hill, Erika Isolauri, Sibylle Koletzko, Arnold P Oranje, and Annamaria Staiano; “Guidelines for the diagnosis and management of cow’s milk protein allergy in infants”; Arch Dis Child. 2007 Oct; 92(10): 902–908.
3. Koletzko S, Niggemann B, Arato A, Dias JA, Heuschkel R, Husby S, Mearin ML, Papadopoulou A, Ruemmele FM, Staiano A, Schappi MG, and Vandenplas Y; “Diagnostic Approach and Management of Cow’s-Milk Protein Allergy in Infants and Children: ESPGHAN GI Committee Practical Guidelines”
4. http://www.uptodate.com
5. Vandenplas Y, Al-Hussaini B, Al-Mannaei K, Al-Sunaid A, Ayesh WH, El-Degeir M, El-Kabbany N, Haddad J, Hashmi A, Kreishan F and Tawfik E; “Prevention of Allergic Sensitization and Treatment of Cow’s Milk Protein Allergy in Early Life: The Middle-East Step-Down Consensus”; Nutrients. 2019 Jul; 11(7): 1444
6. Sardecka I, Łoś-Rycharska E, Ludwig H, Gawryjołek J, Krogulska A; “Early risk factors for cow’s milk allergy in children in the first year of life”; Allergy Asthma Proc. 2018 Nov 1;39(6):e44-e54.

COW’S MILK PROTEIN ALLERGY

Written by Dr Nické Theron, Pediatrician.

Cow’s milk protein allergy. So many misconceptions, misunderstandings, fears and confusion locked up behind those few words for both moms and health-care professionals. I was privileged to attend the congress of the European Academy of Pediatrics two weeks ago and the master course focused on nutrition in childhood. I finally have a better understanding of CMPA (Cow’s Milk Protein Allergy) and I hope I can explain it better to you too.

As with many food allergies, CMPA is an allergy (where the immune system mistakenly identifies a protein as harmful and reacts to cause symptoms) to one or multiple of the different protein-structures in cow’s milk. Unfortunately the occurrence of all types of allergies are increasing in Western societies at an alarming rate, with CMPA being the most common (2-7% of babies). Food allergies specifically can cause a lot of anxiety in parents and children as you have to be on alert at all times, and any symptom can be seen as an allergic response. It is high maintenance to totally exclude a specific food group from your child’s diet and this can also cause deficiencies in their diet. It is thus important that your child is diagnosed correctly, and that you have the necessary dietary assistance to help you and your child reach the top of this mountain.

The good news about CMPA specifically is that many babies outgrow it by 1 year of age, and most children should tolerate cow’s milk proteins by the age of 3 years and can return to a normal diet. Having a sibling with CMPA does not increase a new baby’s chance to develop CMPA, but if there is a family history of atopy/allergies the 2nd child will have the same type of risks as the first.

It is important to know that not all symptoms caused by ingesting food are caused by an allergy.

Dr Nické Theron

Lactose intolerance is one example, where poor breakdown (by an enzyme called lactase) and absorption of the sugar component (lactose) in cow’s milk, causes too much lactose to end up in the large intestines resulting in symptoms such as bloating, diarrhoea and abdominal pain. This is very rare in infants who usually have enough lactase-enzymes to digest the lactose in up to 1 litre of breast milk per day. Any left-over lactose in an infant’s gut acts as a prebiotic and improves the development of the immune system. As a baby starts to wean, the lactase percentage drops slowly in about 70% of the population, and this could lead to symptoms of lactose intolerance after the age of 5 years. Even in these children it is usually not necessary to cut out all lactose from their diets as they can cope with a small amount. Premature babies might have lactose intolerance due to their immature gut, and very rarely babies are born with a congenital abnormality where they produce no lactase and they will then present with severe diarrhoea.

Another more common cause of lactose intolerance is a sick gut (secondary lactose intolerance). If your baby had a bout of infective diarrhoea or has severe inflammation of the gut due to eg CMPA, the inside lining of the intestines becomes very thin and then lactase cannot be produced. Removing lactose from the diet can then help to give the intestines a chance to restore the lining and lactose can be reintroduced after 2-4 weeks.

Ok, back to CMPA:
This allergy can develop in exclusively breastfed babies as the cow’s milk protein is passed relatively unchanged through the breastmilk. It can also present later when cow’s milk is introduced into a baby’s diet.

SYMPTOMS

Unfortunately there is not one specific symptom for CMPA, and babies and children can present with a wide variety of symptoms. It can cause anything from vomiting, regurgitation (can be misdiagnosed as reflux), blood in the stools, diarrhoea, constipation, eczema, wheezing or anaphylaxis (a state of shock where the allergic reaction overwhelms the body and is a medical emergency). See the table below for more detail.

Some babies become critically ill shortly after ingesting the protein, while others are happy, healthy and growing with some nagging symptoms. I am sure you can now understand why it is so difficult to diagnose CMPA!

To complicate the matter and the diagnosis even more, there are different types of CMPA because of the different ways the immune system responds to the protein. Some children will have “IgE-mediated CMPA”. (IgE is a specific antibody of the immune system that recognizes proteins as bad and rapidly responds to it.) Children with asthma and eczema also have high levels of IgE in their blood. The advantage is that we can test for this type. They will usually have a positive skin-prick test and positive blood results specifically for CMPA. The disadvantage of this type is that the children usually take longer to outgrow the allergy, and they are more prone to develop other atopic diseases later in life. Their reaction to CMP is also usually more severe and they can develop anaphylaxis.

The immune system can also respond without IgE, leading to a more delayed reaction (some children can still get very ill!) that is usually outgrown earlier. However there are no tests we can do to prove this type of allergy and this can be very frustrating to parents and doctors!

The latest guidelines have thus suggested that the best way to diagnose any type of CMPA is with a good history and physical examination, followed by an elimination of the cow’s milk protein from the diet. If the symptoms improve the child should be “challenged” by giving the cow’s milk protein again, and if the symptoms return the diagnosis is confirmed.

Other tests that might be done are blood tests for total IgE and specific food allergies or a skin-prick test where the reaction of the skin to different allergens are tested.

I will leave you so that you can digest this chunky piece of information, please feel free to ask if you do not understand anything! In my next post I will address the management of Cow’s Milk Protein Allergy from a medical perspective and help you to understand where a Dietitian fits into the picture.

RESOURCES

  1. Ralf G. Heine, Fawaz AlRefaee, Prashant Bachina, Julie C. De Leon, Lanlan Geng, Sitang Gong, José Armando Madrazo, Jarungchit Ngamphaiboon, Christina Ong, and Jossie M. Rogacion; “Lactose intolerance and gastrointestinal cow’s milk allergy in infants and children – common misconceptions revisited”; World Allergy Organ J. 2017; 10(1): 41.
  2. Yvan Vandenplas, Martin Brueton, Christophe Dupont, David Hill, Erika Isolauri, Sibylle Koletzko, Arnold P Oranje, and Annamaria Staiano; “Guidelines for the diagnosis and management of cow’s milk protein allergy in infants”; Arch Dis Child. 2007 Oct; 92(10): 902–908.
  3. Koletzko S, Niggemann B, Arato A, Dias JA, Heuschkel R, Husby S, Mearin ML, Papadopoulou A, Ruemmele FM, Staiano A, Schappi MG, and Vandenplas Y; “Diagnostic Approach and Management of Cow’s-Milk Protein Allergy in Infants and Children: ESPGHAN GI Committee Practical Guidelines”
  4. http://www.uptodate.com

TANTRUMS & TAAI TOFFIES

“Nee, Mamma moet. Mamma moet by my lê! Nie Pappa nie. Mamma!!!”

Só kerm-huil-skreeu my groot-oog amper-3-jarige kabouter net voor slaaptyd oor wie hý besluit het vanaand by hom moet lê tot hy na Droomland weggevoer word…

Dis al weer een van dáái dae. Daai hóógs uitdagende dae: van verseg-om-my-middag-slapie-by-die-skool-te-vat-en-nou-is-ek-totaal-verby-moeg-en-aaaaaalles-is-‘n-stryd!

Moet my nie verkeerd verstaan nie. Ek is ontsettend lief vir my 2 seuntjies. Maar party dae voel dit asof my geduld en kreatiewe-redenasie-vermoeëns tot die uiterste beproef word! Veral met Oudste (Boetiebaba praat (gelukkig?) nog nie terug nie, maar gil net in sy skril stemmetjie as hy gehóór wil word).

Terug by vroeër vandag:
Die groen plastiek-eetlepel móés eintlik blou gewees het, Rupert het sy hand gelek😱, en hý wou die asmapompie se oranje doppie “SELF” (julle ken mos daai woord😉🙈) afgehaal het. Emosies het behoorlik gesneeubal in ‘n sneeu(senu-ineen)storting…

Vanaand is almal moeg. Hierdie mamma het nog soveel om te doen voor dit mý beurt is om in te kruip. En hier sit Oudste Kabouter steeds kiertsregop en verseg om te slaap. “Want Mamma moet by my lê!” (Alhoewel Pappa nog altyd die laaste paar maande goed genoeg was!)…

Ek bid vir wysheid. Ek bid vir onderskeiding: Dat ek sal weet wat om te doen, wat om te sê.
Wanneer is dit als net die moegheid wat praat en wanneer is dit pure ongehoorsaamheid (soos wanneer hy aspris kliphard geluide maak as ek met manlief probeer praat)?

Wanneer moet ek grense stel en dissiplineer en wanneer het hy net liefde en aanvaarding nodig – net vir my nodig om by hom te wéés?

Vanaand het ek die “by-hom-te-wees” opsie gekies, my arms om sy snikkende lyfie gevou en hom net vasgehou. ‘n Paar sout-trane-soentjies op die wang en twee snot-tissues later, krul sy mondhoekies weer in ‘n half-glimlag op en soek sy groot oë myne. En ek weet in my hart dit was die regte besluit. Ons siele het ontmoet en ons verhouding het verdiep.

KREATIWITEIT

Ek het die laaste week of wat gevoel ek ly bietjie aan “writer’s block”…

Daar was ‘n swetterjoel van emosies – opwinding, vreugdes en effense senuagtigheid – maar ek kon nét nie my gedagtes kreatief inryg en sinvol verwoord nie!

So, ‘n mens kan glo nie jou kreatiwiteit OP gebruik nie… En hoe méér kreatief jy is en jou passie uitleef, hoe meer GROEI dit…Maar my woorde hét min geword.

Ek word toe stil in Boetie se kamer (deesdae is dit my plek van stiltetyd hou, met Kleinboet in my arms)! En sjoe, ons Pappa-God is getrou – ek ervaar: my kreatiwiteit is ‘n uitvloeisel van my verhouding met Hom (die beste skrywer, skilder, pottebakker en algehele Skepper)…

Belê in ONS verhouding, en kreatiwiteit sal die vrug daarvan wees.


INTIMITEIT

Volheid en glorie
My lewe, U storie
My begeertes, U drome
Geplant langs waterstrome

Stukkie vir stukkie
Word stil vir ‘n rukkie
Koester verhouding
Net dán kan dit uitkring

Gefluisterde soene
Trek uit my skoene
Bely met my mond
Dis Heilige grond