Ngokweemeko eziqhelekileyo, ukutya kudlula kwi-esophagus, kwaye isisipha esisezantsi kwisisu sakho sivale ukwenzela ukuba ukutya kunye notywala kuza kuhlala kwisisu sakho. Esi sihlunu sisisiphincter esophageal sphincter (LES). Xa i-LES ingavali kakuhle, isisu esiswini kunye ne-asidi iyakwazi ukubuyela kwi-oophagus.
I-Reflux ye-Gastroesophageal (GER) iqala ngokuqala kwasebusaneni, kodwa inani elincinci lezinsana liqhubeka liba neGER njengabantwana abadala.
Ukuvavanywa ngugqirha ucebiselwa nayiphi na umntwana okanye umntwana osemva kunye neempawu eziqhubekayo zeGER.
Iimpawu
Ezi zilandelayo zibonakalisa ukuba umntwana wakho ufumana i-acid reflux:
- Iintlungu zesisu ngaphaya kweqhosha lesisu
- Iintlungu zesifuba
- Ukuvutha komsindo kwindawo
- Ukuzikhethela kakhulu ngokutya okanye ukwenqaba ukutya
- Ukutya kuphela ezimbalwa ukulahlwa naphezu kokulamba
- Ukugubha okanye ukukhahlela
- Ukunciphisa umzimba okanye ukulahleka kwesisindo
- Ukuphefumula
- Ixesha lempumlo
- Ukuhlala uhlungu komqala
- Izifo zesinus
- Iingxaki zokuphefumula (ezifana ne-bronchitis, i-wheyzing, i-asthma)
- Ukukhwehlela ebusuku
- Ukukhwehlela komkhuhlane owomileyo
- Ukuthuka
- Ukulala kakubi, ukuvuka rhoqo
- Ukunyangwa kwamathambo rhoqo kunye / okanye ukudibanisa indlebe
- Ukugqithisa ngokugqithiseleyo okanye ukuhlahlela
- Ukunyanzeliswa kwengcinezelo kwisisu
Ukuxilongwa
Ugqirha lomntwana wakho unokusekela ukuxilongwa kwe-acid reflux kwimpawu zomntwana kunye nokuhlolwa kwangokwenyama. Ugqirha unokuphinde ulandise iimvavanyo ukuqinisekisa ukuxilongwa, okanye ukufumanisa ukuba imeko enzulu kakhulu, njengeGastroesophageal reflux isifo (GERD), yimbangela yokuhlaziya.
Ezi mvavanyo zingafaka esinye sezi zinto zilandelayo:
- 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-asidi kwisisu somntwana wakho.
- Endoscopy ephezulu. I-tube enekhamera yekhamera kunye nokukhanya kufakwe emlonyeni womntwana wakho kunye nesisu kunye nesisu. Ugqirha angasebenzisa le nkqubo ukuze abone ukuba kukho ukunciphisa (ukukhwa) okanye ukuvuvukala (isophagitis) kwindawo.
Unyango
Inkqubo yokonyango ugqirha iyalela ukuba umntwana wakho uya kuxhomekeka kwiminyaka yobudala kunye neempawu zomntwana wakho. Ugqirha unokuqala ukubonisa ukuguqulwa kwendlela yokuphila ukuze abone ukuba baya kunciphisa izibonakaliso ze-reflux. Ukuba iimpawu ze-reflux ziyaqhubeka, ugqirha unokubonisa enye yeendlela ezilandelayo:
- Ii-Antacids - Ezi zithintela isisu esiswini. Ezi ziquka i- Tums , i- Mylanta , ne- Maalox .
- Abaxhasi be-Acid - Ezi zikhupha umveliso we-acid kwisisu. Ezi ziquka iTagamet , iPepcid, iZantac. kunye neAxid.
- I-Acid Blockers - Ezi zinto zithintela ukuveliswa kwe-asidi ngokupheleleyo esiswini. Prilosec, Prevacid, Nexium, Aciphex, nePro protonix.
Amaphuzu Okukhumbula
- I-GER ivela xa isisu siphakanyisiwe (reflux) kwisigxina.
- Utyando luya kuxhomekeka kwimpawu zomntwana kunye nobudala bakho. Unyango lunokuquka ukuguquka kwendlela yokuphila , amayeza angaphezulu kwamayeza okanye amayeza omyalelo, okanye ukudibene kwezi zinto.
Imithombo:
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.
"I-Gastroesophageal Reflux kwiintsana." Ukupapashwa kwe-NIH ngo-06-5419 Agasti 2006. I-National Digestive Diseases Information Clearinghouse (NDDIC).
"Ukubhukuda, i-Hiatal Hernia, kunye ne-Gastroesophageal Reflux Disease (GERD)." Ukupapashwa kwe-NIH 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.