Iimpawu, ukuxilongwa kunye nokunyangwa kwe-GERD kwabaselula
Sibanzi
Nangona i-heartbreaking engapheliyo kunye nesifo se-reflux se-gastroesophageal (GERD) zivame ukubhekwa njengengxaki yokudala, ziba zixhaphake ngakumbi kubantwana nakwishumi. Oku kuyingxenye ngenxa yokuthandwa kwabaselula ngokutya okukhawulezayo, kunye neentambo zabo ezikhulayo.
Njengabantu abadala, iimpawu ze-reflux zingafaka i-damper ebomini kwaye zisoyike ngezinye izihlandlo.
Nangona kunjalo, njengabantu abadala, ukuguquka kokuphila okulula kunye nemichiza kunokukwenza ukuba le mpawu ibekezeleke ngakumbi.
Izizathu
Ngokweemeko eziqhelekileyo, ukutya kudlula kwi- esophagus , kunye nesisipha ephantsi kwe-esophagus-i-sphincter esezantsi (i-LES) -cima ukuba ukutya kunye neengxube zihlale kuse esiswini sakho. Xa i-LES ingavali kakuhle, isisu esiswini kunye ne-asidi iyakwazi ukubuyela kwi-oophagus.
Iimpawu
Ezi zilandelayo zibonakaliswe ukuba umntwana wakho ofumana i-acid reflux:
- Ukuvutha komsindo kwisifuba, emva kwesifuba, ukucima kunye nokugqithisa emva, ukuhlala kwiimitha ezimbalwa ukuya kwiiyure
- Ukuvutha komsindo kwindawo
- I sizathu
- Ingqumbo, ingqumbo eluhlaza, ngakumbi xa ivuka ekuseni
- Ukuthuka
- Ukuphefumula
- Ingxaki yokugwinya
- Ukuziva ngathi ukutya kunamathele emqaleni
- Uvakalelwa ukukhahlela okumvusa ebusuku
- Iingxaki zokuphefumula (ezifana ne-bronchitis, i-wheyzing, i-asthma)
- Ukukhwehlela komkhuhlane owomileyo
Ukuxilongwa
Ugqirha lomntwana wakho unokusekela ukuxilongwa kwe-acid reflux kwimpawu zomntwana wakho, uvavanyo lomzimba kunye nempendulo yomntwana wakho kunyango. Umzekelo, ukuba iimpawu zomntwana wakho ziyathuthuka emva kokuphatha kunye neproton pump inhibitors (PPIs) , mhlawumbi mhlawumbi i-GERD.
Ukuba iimpawu zomntwana wakho zingaphuculanga, ugqirha unokuyalela iimvavanyo ukuba aqinisekise ukuba i-GERD yimbangela ye reflux. Ezi mvavanyo zingafaka esinye sezi zinto zilandelayo:
- I-Barium x-rays : Eyaziwa ngokuba yi-barium swallow, ezi zi-x-rays apho i-bluum isetyenziselwa ukuxilonga ukungaqhelekanga kwendlela yokugaya.
- Ukuhlolwa kwe-pH ye-Esophageal : Olu vavanyo luya kulinganisa i-acidity kwisisu somntwana wakho.
- I-endoscopy ephezulu : I-tube enekhamera yekhamera kunye nokukhanya kufakwe emlonyeni womntwana wakho kunye nesisu kunye nesisu. Ugqirha unokusebenzisa le nkqubo ukuze abone ukuba kunobuncitshitshi (ukulinganisa isisindo) okanye ukuvuvukala ( isophagitis ) kwisigxina.
Unyango
Ukwelapha i-reflux ye-asidi ngokuqhelekileyo isebenza ngokusemgangathweni ngokusebenzisa iindlela ezidibeneyo. Unokuba unqwenela ukubheka izinto ezibangelwa umngcipheko wakho ukuze ubone ukuba ngaba kukho naziphi na ezi zizakuguqulwa. Ngokomzekelo, ukunyameka kwamathuba kunokwandisa amathuba okuba umntwana wakho uya kuba neentlungu ezinzulu. Ukuguqulwa kwendlela yokuphila kwanele ngokwaneleyo ukulungisa ingxaki kubantwana abaninzi, kodwa kunokuba ngumngeni kule minyaka. Unokudinga imithi, kwaye kukho iindidi eziliqela zamachiza ezinokubanika uncedo.
Indlela yokuPhila
Ugqirha unokuqala ukubonisa ukuguqulwa kwendlela yokuphila ukuze abone ukuba ezi zinto ziya kunciphisa iimpawu ze-reflux.
- Ukutya ukutya okuncinci (ukungadli kwinqanaba lokuvakalelwa "elinyeneyo")
- Yidla ngokukhawuleza
- Gwema ukutya okuphazamisa intliziyo
- Gwema ukutya ngokufanelekileyo ngaphambi kokulala, okanye kwiiyure ezimbini ukuya kwethathu zokulala
- Zenzele ngeemithwalo, phawula intloko yebhedi yakho, okanye sebenzisa umcamelo wecala ukuze uvumele ukusila amandla ukugcina igciwane kwisisu sakho
- Gqoka iimpahla kunye nezikhwama ezikhulayo
Mayeza
Ukuba iimpawu zokuhlaziya ziyaqhubeka, ugqirha unokucebisa enye yezi ziphumo ezilandelayo:
- I-Antacids: I- Antacids iyanciphisa isisu esiswini. Ziquka i- Tums (calcium carbonate), i- Rolaids (i-calcium carbonate), i- Mylanta (i-aluminium hydroxide kunye ne-magnesium hydroxide), kunye ne- Maalox (i-aluminium hydroxide kunye ne-magnesium hydroxide).
- Abaxhasi be-Acid: Ezi zikhupha umveliso we-acid kwisisu. Ziquka iTagamet (cimetidine), iPepcid (famotidine), iZantac (ranitidine). kunye ne-Axid (nizatidine).
- I-Acid Blockers: Ezi zinto zithintela ukuveliswa kwe-asidi ngokupheleleyo esiswini. I-Prilosec (omeprazole), i-Prevacid (lansoprazole), i- Nexium (esomeprazole), i-Aciphex (i-raberprazole) ne-Protonix. (pantoprazole).
Iingxaki
Iingxaki ngenxa ye-reflux engapheliyo yinto engavamile kwiintsholongwane, kwaye ezininzi zezi zihambelana neempawu zexesha elide. Sekunjalo kubalulekile ukuba uqaphele oku njengesikhumbuzo sokuba kutheni i-GERD idlula ngaphaya kokulawula iimpawu. Iingxaki ze-chronic acid reflux (kwakhona, azinqabile ebantwaneni) zibandakanya i-esophagitis, isifo se-Barrett, kunye nesifo somhlaza.
Ngaphantsi
Iminyaka yeshumi elivisayo ingaba nexhala ngokwaneleyo ngaphandle kokongeza i-acid reflux kumxube. Oko kwathiwa, iindlela zokutya ezivela kukutya okukhawulezayo ukuya kwiikhalori ezingaphezu kwexesha zandisa ukwenzeka kweengxaki kubantwana bethu. Ukubuyisa indlela yokuphila yokuguqulwa kunokubangela ukubahluko omkhulu, kwaye unokufumana ezinye iintlawulo ngokunjalo.
Imithombo:
Putnam P. Esophagitis kwi-Adolescents. Uphulo lwe-Adolescent: I-State Reviews of Reviews . 2016. 27 (1): 1-18.
Vandenplas, Y., kunye noBauser. Ukuhlaziywa okuhlaziyiweyo kwi-Gastro-Esophageal Reflux kwizonyango. Ukuphononongwa kweNgcali kwiGastroenterology kunye neHepatology . 2015. 9 (12): 1511-21.