Udokotela wakho wezilwanyana unokufumana ukuba umntwana wakho unesifo sokuhlanza, mhlawumbi unokuzibuza ukuba unento ethile eyenziwa ngaphaya kwexesha "rhoqo kwiintsholongwane zesisu." Yintoni ofuna ukuyifumana?
Sibanzi
Ngelixa abantwana abaninzi bancinci banokufumana ama-2-3 episodes ye-virus gastroenteritis unyaka ngamnye, ukuhlanza inyanga nganye okanye ezimbini kunokuba ungalindela ukuba umntwana abe nako.
Sekunjalo, ukuba umntwana unempawu zentsholongwane yentsholongwane, kunye nokuhlanza kunye nesifo sohudo kunye nokuqhagamshelana nabanye abantwana abaneempawu ezifanayo, ngoko kwenzeka ukuba ufumana intsholongwane enye emva kwesinye.
Kodwa ukuba iimpawu zakhe eziphambili ziyinkcenkceshe kunye nokuhlanza, ingakumbi ukuba yinto ephindaphinda nganye iiveki okanye iinyanga ezimbalwa kunye nezihlandlo eziqhelekileyo phakathi, mhlawumbi enye into eyenzekayo, kunye ne-cyclic vomiting syndrome ephezulu kwoluhlu lwamathuba .
Ixesha eliqhelekileyo apho ukuhlanza kuqala kukuphakathi kweminyaka eyi-3 no-7 kwaye kukho inani elilinganayo lamakhwenkwe namantombazana achaphazelekayo.
Iimpawu
Abantwana abane-syndrome yokuhlanza i-cyclic bahlala benamaqhekeza okanye iintshukumo zokuncwina kunye nokuhlanza okungapheli iiyure ezimbalwa okanye iintsuku ezimbalwa. Ngexesha lezi ziqendu, abantwana banokunciphisa umsebenzi kunye nokunciphisa intlanzi kwaye banokudityaniswa. Ezinye iimpawu zingabandakanya iintlungu zesisu, intloko, umkhuhlane kunye ne-pallor.
Xa isiqhelo siphelile, abantwana bavame ukungabikho mpawu kunye nexesha elizayo kwinto ezayo.
Iingxaki / Izinto zobungozi
Nangona i-cause ye-cyclic vomiting syndrome ayengaziwa, abaninzi abantwana abanalo meko banembali yentsapho ye-migraines kunye neengcali ezininzi bakholelwa ukuba ezi zimbini zihlobene.
Enye into edibana nemigraines nge-cyclic syndrome kukuba bahlale bekhuselwe ngamachiza afanayo, okuyiPeriactin (cyproheptadine) no-Elavil (amitriptyline).
Ukuxilongwa novavanyo
I-cyclic vomiting syndrome ihlelwa njengenye yeengxaki zomzimba zesisu , ngamanye amazwi, iimpawu zibangelwa ngumsebenzi wenkqubo yokutya kunokuba kukho naziphi na iingxaki zesakhiwo . Ngaloo ndlela azikho na iimvavanyo ezithile ezenzelwe ukufumanisa imeko. Uninzi lwezilingo luyenziwe ukulawula ngaphandle kwezinye iimeko-zeziphi ugqirha ezibiza ukukhathazeka kwezinto eziphilayo- okanye iingxaki ezinokwakha. Ukuxilongwa kukwenziwa ngumzekelo wesimo seempawu, ngakumbi ukuba kukho ixesha elide ngaphandle kweempawu.
Uvavanyo olunokwenziwa luquka:
- Intloko ye-CT okanye iMRI
- Uvavanyo lweemetabolic
- Isisu se-abdominal
- I-ray ephezulu ye-GI enegciwane elincinane elilandelayo (UGI-SBFT)
Ngamanye amaxesha ukuxilongwa kunye nokunyangwa kwesi sifo kuhamba ngokusesikweni, njengoko impendulo zonyango kunceda ukuqinisekisa ukuxilongwa.
Ukuxilongwa ngokungafani
Imiqathango enokubangela iimpawu ezifana noko (kodwa ngokuthe rhoqo ngexesha eliqhelekileyo phakathi kweengqungquthela) ziquka iimpazamo ezizalwe ngumzimba we-metabolism, ukungcola kwe-intestine kunye ne-volvulus (xa isifuba sihamba sisondela kwaye sithinteka) nezinye iingxaki.
Uphuhliso oluchanekileyo
Ngethuba eliqhekezayo lokuhlanza, unyango lujoliswe ekumenze umntwana wakho akhululeke ngokusemandleni.
Unyango luquka:
- Ukuphumla kwindawo egxile, ebumnyama
- I-IV ifuthe xa ekhulelwe amanzi
- Imithi efana noZofran (odansetron) , Imitrex (sumatriptan) , i-Catapres (clonidine), okanye i-benzodiazepines.
Unyango kunye nokukhusela
Unyango olungcono kakhulu wokuhlanza i-cyclic kukuthintela. Isinyathelo sokuqala kukuqinisekisa ukuba akukho nto inobangela wokuhlanza. Ukuba umntwana wakho ufumanisa ukuba uhlanza ngamanzi, unokufuna ukuzama ukubona iziphumo ezikhuthaza izi ziqendu (jonga ngezantsi). Amachiza asetyenziselwa ukukhusela ukuhlanza-ngokuqhelekileyo ngeziphumo ezilungileyo-zibandakanya:
- Periactin (cyproheptadine)
- Inderal ((propanolol)
- Elavil (amitryptylline)
Ukuchonga iziphumo
Kanye nje ngokuba kukho iziganeko eziqhelekileyo ezibangelwa yimigraine ebonakala ngathi yonakalisa iimpawu zentloko kulabo abane-migraines, kubonakala sengathi kunokubangela ukuba kubekho iziqulatho zokuhlanza nge-synchism syring. Ezi zinto zibandakanya uxinzelelo, ukuzonwabisa, ukusulelwa, ukutya ukutya ezithile, ukushisa kwesimo eshushu, kunye nokugula kwesifo. Ukugcina iphephancwadi yokuhlanza njengokuba abanye abantu begcina iphepha lokubamba intloko ukuze bagcine umkhondo we-migraine, bangakunceda ukuba uchaze nayiphi na le miba ukuze ubaleke, ukuba kunokwenzeka, kwikamva.
Riboflavin?
Kusasa kusenjenjalo ukuthetha, kodwa ukusebenzisa i-vitamin riboflavin ye-B kunokudlala indima ekuthintekeni ukuhlanza kwexesha elizayo. Kuyaziwa ukuba i-riboflavin ngamanye amaxesha uncedo ekunqandeni i-migraine ikhanda. Ucwaningo oluncinane kakhulu lwaseYurophu ngo-2016 lufumene ukuba-kubantwana abathathu-unyango-riboflavin unyanga lweenyanga ezili-12 lubangele impendulo ebalulekileyo. Ngelixa le sifundo sincinci kakhulu ukusikhokela unyango ngeli xesha, kunokunceda ukubuza udokotela wakho wezilwanyana ukuba ukongezwa kwale vivamanti kwiplani yonyango lwenyana yakho kuya kuba luncedo. I-Riboflavin ifumaneka kwiingqolowa ezipheleleyo kunye nee- alimondi , isipinashi kunye namakhowe.
Iingxaki
Inkxalabo eyintloko yokuhlanza i-cyclic ukunyanzeliswa kwamanzi okwenza ngamanye amaxesha kubangele isidingo sokubhedlelelwa esibhedlele kunye ne-IV. Inqabile kakhulu, inkathazo ebizwa ngokuba yi-Mallory Weiss inyembezi inokwenzeka. Le yintlupheko kwisisu (emva koko abantwana banokukhupha igazi) elinokubangelwa zizihlunu zokuhlanza ezinobundlobongela. Abantwana abanokuhlanza nge-cyclic kubonakala benomngcipheko othe wandisa ukukhathazeka.
Prognosis
Ngombulelo, uninzi lwabantwana abane-sycrome ye-vomit syndrome benza kakuhle kakhulu, kwaye ngokugqithiseleyo baphuma iimpawu zabo. Akuzange kubekho ukufa okubhalwe kwi-syndrome, nangona abantwana ngezinye izihlandlo bahlala befuna ukunakekelwa esibhedlele ukwenzela ukungena kwamanzi. Kwisifundo esinye safumaniswa kukuba, nangona abantwana bevahla iimpawu zabo zokuhlanza, ngaphezu kwengxenye yabantwana baye bahamba nekhanda. Funda kabanzi malunga ne- migraine ikhanda kubantwana , njengoko behlala behluke kakhulu kubantu abadala. Yaye ngelixa umntwana wakho ejongene nesifo, qiniseka ukuba uyazi kakuhle iimpawu zokungcoliswa kwamanzi kubantwana kunye nendlela yokuphatha ukuhlanza kunye nehudo ku bantwana .
Imithombo:
Hikita, T., Kodama, H., Ogita, K. et al. I-Cyclic Vomiting Syndrome kwiintsana nabantwana: IsiFundo seSifundo seKlinikhi. Neurology . 2016. 57: 29-33.
Kaul, A., noK. Kaul. I-Cyclic Vomiting Syndrome: I-Disorderal Disorder. I-Gastroenterology yezilwanyana, iHepatology, kunye neZondlo . 2015. 18 (4): 224-9.
Madani, S., Cortes, O., noRom Thomas. I-Cyproheptadine Sebenzisa kwaBantwana abanezifo ezixhamlekileyo zesisu. Umbhalo we-Gastroenterology kunye neZondlo . 2016. 62 (3): 409-13.
UMartinez-Esteve, M., Schappi, M., kunye noC. Korff. Riboflavin kwi-cyclic vomiting syndrome: ukuphumelela kwabantwana abathathu. I-European Journal ye-Pediatrics . 175 (1): 131-5.
UTarbell, S., noBu Li. Imilinganiselo yokuxhalabisa Ukuqikelela umgangatho wokuQiniseka kwezeMpilo kuBantwana kunye neNtsholongwane ngeCyclic Vomiting Syndrome. Umbhalo wePediatrics . 2015. 167 (3): 633-8.e1.