Iimpawu, ukuxilongwa kunye noTyango
Abanye oogqirha bakholelwa ukuba abantwana abavelisi izilonda . Ubungqina obuphikisanayo bubonisa ukuba abantwana banokufumana izilonda.
Iimbono ezigqithiseleyo ezisetyenziselwa ukuba izilonda zamapulpus zibangelwa kukuhlala ngokuxinzelelo olunzulu okanye ngokutya rhoqo. Ngoku, ke, ezininzi iingcali ziyavuma uhlobo lweebhaktheriya ezaziwa ngokuba yi- Helicobacter pylori ( H. pylori ) yimbangela ebalulekileyo yezilonda zepilisi kubantu abadala.
Xa uphando kunye namava ekugqibeleni ukuba abantwana banokuba nezilonda, kwafunyaniswa ukuba, ngokungafani nezilonda ezenzeka kubantu abadala, uHl pylori wayengelona lihlazo kwiimeko ezininzi zezilonda zabantwana. Abanye oogqirha benza ulwahlulo phakathi kwezilonda ze-duodenal , ezixhaphake ngokutheleleka kwe- H. pylori , kunye nezilonda zesisu , ezinokuthi zivela kwezinye izizathu kwaye zibonakala ngathi ziyona ndlela ziqhelekileyo zesilonda se-peptic ezivela kubantwana.
Iimeko ezithile zonyango zinokubangela inxaxheba ekuphuhlisweni kwezilonda zepilisi kubantwana. Ngokomzekelo, abantwana abaneziqhumane ezinokutsha bangakhula izilonda ezisecaleni ekuxinzeleleni kokulimala kwabo. Ukusetyenziswa kwezidakamizwa ezichasene nezidakamizwa (i-NSAID ), ezifana ne-aspirin, ibuprofen kunye ne-naproxen sodium, zingenza isisu sisengozini kwimiphumo emibi ye-asidi ne-pepsin kwaye inokubangela ukuphuhliswa kwezilonda.
Iimpawu kunye neMpawu zoLuhlu lwaBantwana
Iimpawu ezilandelayo ziqhelekileyo kunye nezinye izifo zobuntwana; ayisoloko iilonda.
Ukuba umntwana wakho ufumana nayiphi na le mpawu kunye neempawu, xela ugqirha wakho ukuba uhlalutye ngokucacileyo.
- Iintlungu ezitshatayo kwisisu esiswini phakathi kwesibetho kunye nesisu sesisu
- I sizathu
- Ukuvutha
- Ingxaki yokutya
- Ukuphelelwa kwesidlo
- Ukuhla ukusinda
- Igazi ngokuhlanza okanye ukuhamba
Indlela Ulcers Efunyanwa Ngayo
I-endoscopy ephezulu kunye ne-raum x-ray zimbini zeemvavanyo eziqhelekileyo eziqhelekileyo ukuxilonga izilonda.
Kwi- endoscopy ephezulu , ugqirha usebenzisa i-endoscope ukuhlolisisa i-insides yesisu, isisu, ne-duodenum-inxalenye yokuqala yesisu esincinci. I-endoscope ivumela ugqirha ukuba abone iindonga kunye nezicubu zesigxina esiphezulu sokugaya, kwaye baya kuba nako ukuxilongwa apho.
I- rayum x-ra ebizwa ngokuba yinkomo ye-barium okanye uchungechunge oluphezulu lwe-GI, luncinci kakhulu. Uya kufuneka uphuze umbane onobumba obunemibala equkethe i-chemical barium. I-barium ihlamba iindonga zesisu kunye nesisu, kwaye ibonakala nge x-ray. Ugqirha unokufumana izilonda, i-hiatal hernias, iimeko zokuhlala kunye nezinye izinto ezingaqhelekanga nje ngokujonga i-x ray.
Ukuba isilonda sifumaneka, ugqirha uya kuvavanya u- H . pylori . Ngoxa i- H. pylori ayisoloko ibangelwa izilonda kubantwana, kufuneka ilawulwe ngaphandle kwesizathu, ekubeni unyango lwesilonda esibangelwa nguHl pylori luhluke kunyango lwesilonda esibangelwa yi-NSAID.
Ukunyanga ii-Ulcers kubantwana
Ukuba isilonda singuHl pylori- edibeneyo, ugqirha uya kunika i antibiotics. Ezi antibiotics kufuneka zithathwe njengoko zikhokelwa ngugqirha wengane yakho. Njengazo zonke iintsholongwane, kufuneka uqedele amayeza, nangona iimpawu ziphela ekuqaleni.
Ukuba isilonda sinxulumene neyeza, ugqirha lomntwana uya kukucebisa ukuba unganiki umntwana wakho ama-NSAID, afana ne-ibuprofen okanye i-aspirin, okanye nayiphina imithi equkethe ibuprofen okanye i-aspirin. Ugqirha uya kubeka ininzi imithi yokunciphisa i-asidi. Ezi zimele zilawulwe njengoko kugqitywe ngugqirha.
Uninzi oogqirha abayi kuncomela nayiphi na imingcipheko enkulu yokutya ngaphandle kokuba ukutya okwenziwe kuthiwa kubangela iingxaki kumntwana. Kukho ukutya okunye , okona, okukhuthaza ukuveliswa kwe-asidi esiswini kwaye ingenza isilonda sibi ngakumbi. Ezi zibandakanya nayiphi na ukutya kunye neentlanzi eziqukethe i-cafeine, ezifana neziphuzo ezithambileyo kunye nechocolatelethi.
Iingxaki zezilonda kunye neemeko ezingxamisekileyo
Biza ugqirha wakho ngokukhawuleza ukuba umntwana wakho uhlangabezana nale nxalenye:
- Intlungu kunye nokuqhubekayo intlungu esiswini
- Igazi kwizitho zengxube (ukuhamba kwezilwanyana ezibonakala zimnyama okanye zilinde)
- Igazi ehlanjeni
- Vomit ebonakala njengeendawo zekhofi
Ezi zimpawu zingabonisa ezi ngxaki zilandelayo:
- Ukugqithisa: Isilonda sinobunzulu kakhulu kwaye siphula ngesisu okanye udonga olusisigxina.
- Ukuhlamba: I- acid isisu okanye isilonda siphula umkhumbi wegazi.
- Ukuvalwa: Isilonda sivimba ukutya okungenakugqithisa ukuya emathunjini.
Izilonda kubantwana zingaba namava okukhubaza abazali kunye nomntwana, kodwa ngokunyango olufanelekileyo ngexesha elifanelekileyo, phantse zonke izilonda zingaphiliswa.
> Imithombo:
> UMoses Issa El Mouzan noAsaad Mohammad Abdullah, "I-Peptic Isifo se-Ulcer kuBantwana kunye ne-Adolescents." IYunivesithi yaseOxford.
> "Izilonda zesisu ne-Duodenal (Ulpers Peptic)." 2004 50 (6): 328-330; i-doi: 10.1093 / tropej / 50.6.328. Umbhalo Wezilwanyana Zezilwanyana ZaseTropical - Isibhedlele Sezingane eBoston - iSikolweni Sonyango seHarvard.
> UWilliam D. Chey, MD, FACG, AGAF, FACP, uBenjamin CY Wong, MD, Ph.D., FACG, FACP, "Ikholeji yaseMerika yeGastroenterology Guideline kwi-Helicobacter pylori Infection." i-doi: 10.1111 / j.1572-0241.2007.01393.x. Ikholeji yaseMerika yaseGastroenterology.