I-reflux yengane yinto eqhelekileyo, ingakumbi kwiintsana ezizalwe ngaphambi kokuqala. Ngomhla wokuhlaziya, i-muscle phezulu kwesisu (ebizwa ngokuba yi-sphincter esezantsi, okanye i-LES) ivumela ukuba isisu sesisu siphume esiswini kwaye singene kwisigxina. Kwiintsana ezininzi, i-reflux ilungile. Iintsana zinokuthi zikhawuleze rhoqo, kodwa zivuya kwaye ziphilile.
Oku kuqhelekileyo kwaye ayifuni unyango.
Kwezinye iintsana, i-reflux ingaba nzima. I-Reflux enamandla ngokwaneleyo yokufuna unyango kuthiwa yi-gastroesophageal reflux, okanye iGERD. I-GERD kwiintsana idinga unyango ukuba umntwana:
- Ukhula olubi
- Inentlungu ebuhlungu
- Uyenqaba ukutya ngenxa yentlungu
- Ngaba unengxaki yokuphefumula ngenxa yokuvuselela ubisi oluhlambulukileyo
Ukusebenza Nogqirha Wezilwanyana
Ukunyanga i-GERD kwiintsana kunokuxhalabisa. Iintsapho ezininzi zizama iindlela ezininzi ngaphambi kokuba kufumaneke umntu osebenzela zona, kuphela ukuba le ndlela yokulungisa ingasebenzi emva kweenyanga ezimbalwa.
Ukuba umntwana wakho unesi-GERD, ukuhlakulela ulwalamano olusondeleyo kunye nodokotela wezingane othembekileyo lubaluleke kakhulu. Ukusebenza ngokubambisana nomntwana wezingane owaziyo umntwana wakho, iimpawu zakhe, kunye noko kwenzelwe kwaye engazange asebenze ngaphambili kunokukunceda ukuba usebenze kunye njengeqela ukuze ufumane unyango olungcono lwe-reflux yengane yakho.
Zonyango
Ingaba i-reflux yakho yincinci okanye inzima, kukho ezinye izicwangciso zasemakhaya ezinokukunceda ukunciphisa impawu zakhe:
- Uncinci, ukondla ngokuphindaphindiweyo: Iintsana azinako ukutshiza xa izidumbu zazo zingagqibekanga. Ukunika umntwana wakho ukutya okuncinci kuninzi kunokumnceda ukuba athululele ngaphantsi okanye abe neempawu ezincinane zokubonakalisa.
- Isikhundla esilungileyo emva kokutya: Ukugcina umntwana wakho uthe tye malunga nemizuzu engama-30 emva kokutya ngasinye kunokuncedisa ukunciphisa iimpawu ze-reflux ezinzima. Ukubeka umntwana wakho kwisithuba esilungileyo-sitshintshi kwi-swing okanye bouncer emva kokuncedisa kunokunceda.
- Ukutshintsha ukutya kwakho: Ukuba uncelisa, umntwana wakho unokusabela kwizinto zokutya ekudleni kwakho. Iprotheni yobisi lwekhosi yinto enokuthi yenze umonakalo, kunye neentsana ezincinciweyo kunye ne-milk milk protein ezinomsoco ezinokuthi zibe neempawu zeGERD. Ukuphelisa bonke ubisi ekudleni kwakho kunokunceda umntwana wakho, kodwa ube nomonde - kuthatha iiveki ezimbini ukuphelisa ubisi ukuze uncede.
- Ukutshintsha ifomu lomntwana wakho: Ukuba iimpawu zokungabonakali kwintsana yakho zibangelwa kukutya kokutya, ukutshintshela kwifom ekhethekileyo yobusana kunye neeprotheni ezahlukeneyo (njenge-soy okanye i-hypoallergenic formula) kunokunceda. Xoxa nodokotela wakho ngaphambi kokuba utshintshe ifomu lakho lomntwana ukuqinisekisa ukuba umntwana wakho ufumana ukutya okwaneleyo.
Mayeza
Ukuba umntwana wakho usenayo impawu zeGERD nangemva kokuzama izigulane zasekhaya ezichazwe ngasentla, khuluma nengcali yakho yezilwanyana ukuba ubone ukuba unyango lunokunceda njani. Kungathatha ixesha ukufumana unyango kunye nenani elincinci lemiphumo emibi ebonakalayo eyona ndlela iphumelele kakhulu kumntwana wakho, njengoko kukho iintlobo ezininzi zeemithi zokunyanga.
Nangona usebenzisa i-rem-counter-remedies kumntwana wakho, qiniseka ukuba ubonane nodokotela wezilwanyana ngaphambi kokuba usebenzise nayiphi na imithi echasayo. Amayeza achaphazela iintsana ngokwahlukileyo kwindlela ekuchaphazela ngayo abadala kunye nabantwana abadala, kwaye abanakho ukuhlala bekhuselekileyo kubantwana bakho.
- Iimpawu zokuqhawula: Nangona akuyiyo imishanguzo, ukusebenzisa irayisi yokutya ukutyisa iintsana zakho kunokunceda ugcine ubisi esiswini. Sebenzisa i-1 ukuya kwe-2 tsp yerayisi yokutya irayisi nganye ngefomula, okanye sebenzisa ifom esebenzile irayisi. Emazweni aseYurophu, i-Gaviscon kwiintsana (ezahlukileyo kwi-Gaviscon yabantu abadala abantu abathengiswa e-US) ngamanye amaxesha isetyenziselwa ukwakha ubisi obunqambileyo esiswini, ukuthintela i-reflux.
- I-Antacids: I- antacids rhoqo inokunceda abantwana abaneempawu ezintle zeGERD. I-Mylanta, i-Maalox kunye ne-Tums zifana ne-antiacids ezingasinceda nge-aclu reflux kwiintsana.
- H-2 Abakhi be -blockers : i- H-2 blockers (iTagamet, i-Zantac, i-Pepcid, ne-Axid) ukunciphisa inani le-asidi eveliswa yisisu kwaye sele isetyenziswe ngokubanzi ukuphathwa kwe-reflux kwiintsana nabantwana. Imiphumo emibi ingabandakanya ukuhanjiswa, ukumbombozwa, kunye nentlungu yesisu.
- Iproton-pump inhibitors: Iproton-pump inhibitors, okanye i-PPIs, yimishanguzo entsha ephumelela ngakumbi kune-H-2 blockers ekunciphiseni i-acid esiswini. I-PPI iquka i-Nexium, i-Prilosec, i-Prevacid, i-Aciphex, ne-Protonix. Ukufumana ii-PPI ezithile kwifom yefayili, kuya kufuneka usebenzise i-pharmacy edibanisa, okanye idibanisa, imithi yayo. I-PPIs inokubangela iziphumo ezingaphezulu kwexesha elide, kubandakanya iingxaki zesibindi kunye neengxube zesisu kwisisu, kunama-blockers e-H-2.
- I-agent ye-Motility: Kwixesha elidlulileyo, i-agent ye-motility ( Reglan kunye ne-Propulsid) isetyenziselwe ukunceda umzimba ukuba ugqibe ngokukhawuleza, ukukhusela ukuhlaziya ngokukhupha isisu ngokukhawuleza. Ngenxa yemiphumo emibi, le myeza ayisayi kumiselwa iintsana.
Utyando lwe-Reflux yaseNtwaneni
Kwiimeko ezinqabileyo kakhulu, i-GERD idlulela ngaphaya komnyaka wokuqala wokuphila, ibangela iimpawu ezinzima, kwaye ayiphenduli kwonyango. Kule meko, inkqubo yokuhlinzwa eyenziwa ngokuba yi-fundoplication ingenziwa. Kwi-fundoplication, isantya sesisu sisongelelene ne-esophagus, iqinisa ii-LES kwaye yenza kube nzima nakakhulu ukutya ukuba kuhlanjululwe kwisisu.
Nangona ingaba yinto efanelekileyo kubantwana abane-reflux enzima engaphenduliyo kumachiza, unyango lwe-fundoplication yinkqubo enkulu yokupasa eneziphumo ezinobungozi. Olu uphando lunezinga eliphezulu lokungaphumeleli kwabanye abantwana; uthetha ugqirha ukuba ubone ukuba i-fundoplication ingaba yinto efanele kumntwana wakho.
Imithombo:
IHorvath, A., i-Dzlechclarz, i-P., ne-Szajewska, H. "Impembelelo yoNcedo oluthile-Ukutya okuNyango kwi-Gastroesphageal Reflux kwiintsana: Uhlolo lokuHlola kunye nokuhlaziywa kweMeta kweeNzululwazi, eziLawulwayo." Izifo zonyango ngoDisemba 2008: 122, e1268-e1278.
Kellymom. "Ubisi kunye nezinye iziNkozo zokutya kwiintsana zokubeleka."
I-Los Altos Ukondla iklinikhi. "Fundoplication."
Nerko, S. "Ukuphatha i-Acid Aclux kwiintsana." Umbono wezilwanyana ngo-Agasti 2007.
Woo, J., Yang, H., Min, T., Jeon, Y., Lee, H., Lee, J., Pyun, B. "Ukusebenza koMgangatho oPhezulu kwi-Gastro-Esophageal Reflux kunye ne-Reflux-Related Izimpawu zokuphefumula kwiintsana ezinezifo ezingapheliyo zokuphefumula. " Uphando lwe-Allergy Asthma Immunology Research Jan. 2012; 4, 17-23.