Isifo se-reflux yesifo se-Gastroesophageal (GERD) ligama lonyango lugqirha lisebenzisa ukuchaza imeko apho ukutya kunye nesisu esiswini zikhupha phezulu kwi-esophagus. Isangqa seesiphako sisezantsi kwe-esophagus - i- sphincter esezantsi (LES) - ivula kwaye ivala ukuvumela ukutya ukuba kungene kwisisu. I-LES ivula ukukhupha i-gas emva kokutya.
Ingaphezulu kwegesi ingasinda, nangona kunjalo.
I-LES ingavumela kwakhona ukuba isisu sesisu siphinde siphindele kwisisu kunye nomlomo. Abazali babona umphumo njengoko baphala, nakuba ukuhlanza kunokwenzeka. Nangona kuqhelekile ukuba i-GERD ivele ngexesha okanye emva nje kokusondeza, kuya kwenzeka kwakhona xa umntwana ekhwehlela, ukukhala okanye iintlobo.
I-GERD iyaqheleka kwiintsana yaye inegama layo: ukutshiza. I-reflux iyenzeka ngexesha leenyanga ezi-3 zokuqala kwiminyaka engaphezu kwengxenye yazo zonke iintsana. Iintsana ezininzi azidingi unyango. Ebhekiselwe "njengama-spitters avuyayo," iimpawu zabo zihlala ziphela phakathi kweenyanga ezili-12 neye-18. Nangona kunjalo, kwinani elincinci leintsana, iimpawu ze reflux zinzulu kwaye uphononongo lwezokwelapha kunye nonyango luyadingeka.
Izibonakaliso ze-Reflux ye-Infant Acid
Ngenxa yokuba umntwana wakho akanakukuxelela into engalunganga, kubalulekile ukugcina iso ngaphandle kwezinto ezenziwa ngumntwana wakho (okanye ungenzi). Izimpawu ze-GERD ezisetyana ziquka:
- Ukuhlala uhlahlela okanye ukuhlanza
- Ukutshatyalaliswa xa usondla
- Ukula ukutya okanye ukutya ukutya okuncinci kuphela
- Ngokukhawuleza okanye ukukhala rhoqo
- Ukubuyisela umqolo xa usondla
- "Imvula"
- Ukuhlala rhoqo
- Ukukhwehlela rhoqo
- Imisebenzi yokulala ebuthathaka kunye nokuvusa rhoqo
- Ukuphefumula
Inani elincinci leintsana liya kuba neempawu eziqhelekileyo ezilandelayo:
- Unzima ukugwinya
- Umqala wesifo somqala
- Ukulahlekelwa kwesisindo okanye ukufumana ubunzima obubi
- Iingxaki zokuphefumula ezifana ne- asthma , i- pneumonia , i-bronchitis, kunye ne-wheezing
- Ukusulela kwindlebe okanye izifo zesifo
- Ukugqithisa ngokweqile
- Izwi elihla
- Iintsholongwane zokuphefumula
Ukuchonga i-Aclux ye-Acant ye-Infant
Ukuba umntwana usempilweni kwaye ekhula kakuhle, ugqirha unokukwenza uhlolisiso lwe-reflux olusekelwe ekuhlolweni komzimba kunye nenkcazo yomzali yeempawu kunye nembali yokondla yodwa. Nangona kunjalo, iimvavanyo zingalelwe ukuba ngaba ugqirha ugxeka imeko enzulu ngakumbi njengeGERD.
Kule meko, iimvavanyo zokuxilonga zingabandakanya:
- Uvavanyo lweebhanki. Oku kunokuquka iimvavanyo ezahlukahlukeneyo zegazi kunye nomchamo ukuchonga okanye ukulawula izizathu ezinokubangela ukuhlanza okuqhubekayo kunye nokufumana ubunzima obubi.
- Ukuhlola i-esophageal pH . Olu vavanyo luya kulinganisa i-acidity kwisisu somntwana.
- Endoscopy ephezulu. I-tube enekhamera yekhamera kunye nokukhanya (i-endoscope) ifakwe emlonyeni womntwana kwaye ibe kwisisu kunye nesisu. Ugqirha angasebenzisa le nkqubo ukuze abone ukuba kukho ukunciphisa (ukukhwa) okanye ukuvuvukala ( isophagitis ) kwindawo.
Indlela i-Reflux encinci eyenziwa ngayo
Unyango lwe-reflux yabantwana luxhomekeke kubunzima beengxaki. Ugqirha wengane yakho unokugqiba isigqibo sokuba akukho unyango olufunekayo kwaye ukuba i-reflux iya kutshabalala ngokwayo njengoko umntwana wakho ekhula.
Kwiintsana ezininzi, i-reflux isombululo ngokwayo kunyaka wokuqala wobomi. Ukuba umntwana wakho unempilweni, uyonwabile kwaye ukhula, ugqirha wakho unokuncoma utshintsho oluthile lomntwana wakho ukuze kulungiswe inkinga yokuhlaziya.
Ukuba i-reflux ibaluleke ngakumbi, okanye ukuba umntwana wakho ufumene ukuba unesifo se-GERD, ugqirha wakho unokuyalela imithi yonyango okanye ngaphezu kwe-remedy remedy ukunceda ukuphatha i-reflux. Ezi zi cwangciso ziquka:
- Antacids. Ezi zithintela isisu esiswini. Ziquka i- Tums , i- Mylanta , ne- Maalox .
- Abakhuseli bamacidi. Ezi zinqanda ukuveliswa kwe-asidi esiswini. Ziquka iTagamet , iPepcid , iZantac , kunye neAxid .
- Abac blockers. Ezi zithintela ngokupheleleyo iimveliso ze-acid kwisisu. I-Prilosec ne-Prevacid ivunyiwe kubantwana kwiminyaka ethile.
Kubalulekile ukuxubusha ukhetho lwe-acid reflux kunye nodokotela wengane yakho ngaphambi kokuba uqale nayiphi na indlela yokwenza unyango, ngakumbi ngaphambi kokusebenzisa nayiphi na i-remedy remedy.
Bona kwakho
- Iimpawu eziqhelekileyo zeGERD kwiintsana (Reflux Chronic)
- Iingcebiso zokukhusela i-Reflux ye-Infid Acid okanye i-GERD
- Imigqirha eyona yimiNyango eqhelekileyo yokuSebenzisa i-GERD
- Oko Kufuneka Ukwazi Ngohlobo lwe-Reflux Treatment Options
Imithombo:
"I-Gastroesophageal Reflux kwiintsana." Ukupapashwa kwe-NIH ngo-06-5419 Agasti 2006. I-National Digestive Diseases Information Clearinghouse (NDDIC).
Ukuqumba, i-Hiatal Hernia, ne-Gastroesophageal Reflux Disease (GERD). I-NIH Yokupapashwa Nombolo 03-0882 Juni 2003. I-National Digestive Diseases Information Clearinghouse.
UMarsha Kay, MD, uVasundhara Tolia, MD " IMIBUZO YONYAKA YOKWENZA I-GASTROINTESTINAL KWABASEBENZI BABASEBENZI BAMASEBENZI. " I-American College of Gastroenterology.
Brian Pace, MA, uRichard M. Glass, MD. "I-Gastroesophageal Reflux kwabantwana." I-JAMA, ngoJulayi 19, 2000-I-Vol 284, No. 3. Umbhalo we-American Medical Association.