Ii-Basics Reflux
I-reflux ye-Acid okanye i-reflux ye-gastroesophageal ingenzima kakhulu ukuxilonga kubantwana kunokuba abazali abaninzi bakholelwa.
Iintlanzi ezilungileyo
Abantwana abaninzi baphalaza xa beza kusana kunye neentsana, kodwa ininzi ayinayo isifo se-reflux ye-gastroesophageal (GERD). Ezi "zitshatsheli ezonwabileyo" zincinci kwaye azikho na ezinye iimpawu ze-asidi ezibonakaliswayo, ezifana nokungafumani isisindo kakuhle, ukulahleka kwesisindo, ukugula okunzima, okanye ukukhahlela, njl.
Ekubeni bengenayo enye impawu ye-aclu reflux kwaye abaxhatshazwa ngokutshatyalaliswa kwabo, abayidingi nonyango olulodwa. Bafanele bahlehlise xa bekhulile malunga neenyanga ezili-12 ukuya kwezi-18 ubudala.
Reflux eyileyo
Ngelixa ezininzi iintsana ezinokutshatyalaliswa zihlaziyekile, abanye abaphazamisi nakwezinye kwaye banokuthi bahlaziye. Basenokuba nezibonakaliso ezifihlakeleyo zesifo se-reflux ye-gastroesophageal okanye i-GERD, njengokuba ixakeka kakhulu kwaye ingadli kakuhle.
Ekubeni ungaboni i-reflux, yenza kube nzima ukuxilonga. Sekunjalo, ukukhala okungabonakali yedwa akuqhelekanga ukuba kubangelwe ukuhlaziya.
Iimpawu ze-reflux zeAidid
Ezinye iimpawu ze-acid reflux zingabandakanya:
- ukucaphuka
- i ngxaki yokulala
- i-anorexia
- ukuhla ukusinda
- ukungaphumeleli
- ukubuyisela emuva emva kokutya
- i-apnea
- ngafuni ukutya
- ubuhlungu okanye ubunzima bokugwinya
- ubuhlungu besisu esiswini
- ukuphefumula okubi
- umqala ucoce
- iintlungu zesifuba
- ukukhwehlela okungapheliyo, i-pneumonia ephindaphindiweyo, okanye iimpawu ze-asthma eziqhubekayo
- ngezwi elidlulileyo
- I-Sandifer syndrome - iziganeko zokuposisa ezisoloko ziphosakele ngenxa yokuthintela
Ukuba iimpawu ze-asidi ze-acid zibonakalisa izinto ezifihlakeleyo, umzekelo, u-fussy kwaye akalokothi ahlasele, ukuhlaziywa kwe-aclu reflux kunganakucatshwa, kwaye unokufuna ukuvavanywa ngumntwana we-gastroenterologist ukuze ahlolwe.
Yintoni Oyaziyo Ngama-Acid Symptoms Acid
Phakathi kwezona zinto zibaluleke kakhulu ukuyiqonda malunga neempawu ze-aclux reflux kukuba akubona bonke abantwana abane-acid reflux bachitheka okanye bahlanza kwaye akubona bonke abantwana abancinci abaphalazayo abanama-aclux.
Ezinye izinto zokwazi malunga neempawu ze-acid reflux ziquka ukuba:
- kwiintsana, unyango lokuqala lwe-GERD lubandakanya ukuguquka kwendlela yokuphila kunye neentsana ezisondeza iifomula, ukutya okuxinyiweyo kunye nokutshintshela kwi-formula encinane ye-protein ye-protein ye-hydrolyzed, njenge-Nutramigen okanye i-Alimentum
- kubantwana abadala kunye nentsha, unyango lubandakanya ukuguquka kwendlela yokuphila (ukulahlekelwa ubunzima xa kunzima, ukugwema i-soda, ukutya okunesonka kunye nokutya okuthosiweyo, njl.) kunye novavanyo lwesonto eli-4 lweproton pump inhibitor (PPI) ukukhusela i-acid
- Ukunyamezeka kuyinkalo yobungozi bokuhlaziya
- i-eosinophilic esophagitis ingabangela iimpawu ezifana ne-acid reflux
Ncokola udokotela wezilwanyana ukuba umntwana wakho uphepha ngaphezu kokucinga ukuba uyinto evamile okanye ukuba unayo nayiphi na impawu okanye iimpawu ze-acid reflux.
Imithombo:
Iintsholongwane zesisu kunye nesifo seNtliziyo (IQiniso lesine)
U-Sherman P. I-Global, ubungqina obuBungqina obuSebenzayo malunga neNgcaciso yeSifo se-Reflux ye-Gastroesophageal kwi-Children's Population. Am J Gastroenterol. 2009; 104: 1278-1295.
I-Vandenplas Y. Iintsholongwane ze-Gastroesophageal Reflux Clinical Practice Guidelines: Iziphakamiso ezihlangeneyo zeNorth American Society of Pediatric Gastroenterology, Hepatology, kunye neZondlo kunye ne-European Society ye-Pediatric Gastroenterology, Hepatology, kunye neZondlo. J Pediatr Gastroenterol Nutrition 2009; 49: 498-547.