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Zuva Rekusika: 14 Kubvumbi 2021
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Anti-reflux kuvhiya kuvhiya kusimbisa mhasuru pazasi peiyo esophagus (iyo chubhu inotakura chikafu kubva pamuromo kuenda mudumbu). Zvinetso nemhasuru izvi zvinogona kutungamira kune gastroesophageal Reflux chirwere (GERD).

Uku kuvhiya kunogona kuitwawo panguva yekugadzirisa hernia kugadziriswa.

Ichi chinyorwa chinotaura nezve anti-reflux kuvhiya kugadzirisa muvana.

Mhando yakajairika yekurwisa-Reflux kuvhiya inonzi fundoplication. Uku kuvhiya kunowanzo kutora maawa maviri kusvika matatu.

Mwana wako achapihwa general anesthesia pamberi pekuvhiyiwa. Izvi zvinoreva kuti mwana anenge akarara uye asingakwanise kunzwa kurwadziwa panguva yekuita.

Chiremba anovhiya anoshandisa masitepisi kuputira chikamu chepamusoro chedumbu remwana wako kutenderera kumagumo ehoropo. Izvi zvinobatsira kudzivirira mudumbu acid uye chikafu kubva kuyerera kudzoka kumusoro.

Gastrostomy tube (g-tube) inogona kuiswa munzvimbo kana mwana wako anga achimedza kana kudyisa matambudziko. Iyi chubhu inobatsira nekudyisa uye inoburitsa mweya kubva mudumbu remwana wako.

Kumwe kuvhiyiwa, kunonzi pyloroplasty kunogona kuitwawo. Kuvhiya uku kunowedzera kuvhurika pakati pemudumbu uye ura hudiki kuitira kuti dumbu rigone kubuda nekukurumidza.


Uku kuvhiya kunogona kuitwa nenzira dzinoverengeka, kusanganisira:

  • Vhura kugadzirisa - Iye anovhiya achaita kucheka kukuru mudumbu remwana (mudumbu).
  • Kugadziriswa kwemaaparoscopic - Iye anovhiya achaita matatu kusvika mashanu akacheka mudumbu. Chubhu mutete, isina mhango ine kamera diki pamagumo (laparoscope) inoiswa kuburikidza nechimwe cheizvi. Zvimwe zvishandiso zvinopfuudzwa kuburikidza nekumwe kucheka kwekuvhiya.

Chiremba anovhiya angangoda kuchinjira kune yakavhurika maitiro kana paine kubuda ropa, yakawanda yemavanga maturu kubva kuvhiya kwekutanga, kana kana mwana akafuta zvakanyanya.

Endoluminal fundoplication yakafanana neye laparoscopic kugadzirisa, asi chiremba anovhiya anosvika mudumbu nekupfuura nemumuromo. Zvidimbu zvidiki zvinoshandiswa kusimbisa kubatana pakati pemudumbu uye ezophagus.

Anti-reflux kuvhiyiwa inowanzoitwa kurapa GERD muvana chete mushure mekunge mishonga isati yashanda kana matambudziko avepo. Mubatsiri wehutano wemwana wako anogona kukurudzira kuvhiya-reflux kuvhiya kana:

  • Mwana wako ane zviratidzo zvekurwadziwa nechirwere chemoyo izvo zvinoita nani nemishonga, asi iwe haudi kuti mwana wako arambe achinwa mishonga iyi.
  • Zviratidzo zvekurwadziwa kwehana zviri kupisa mudumbu mavo, huro, kana chipfuva, kubhowekana kana mabhuru emweya, kana matambudziko ekumedza chikafu kana mvura.
  • Chikamu chedumbu remwana wako chiri kubatirira muchipfuva kana kuzvimonyanisa pachako.
  • Mwana wako ane kudzikira kwesophagus (inonzi kuomesa) kana kubuda ropa mudumbu.
  • Mwana wako haasi kukura zvakanaka kana kutadza kubudirira.
  • Mwana wako ane hutachiona hutachiona hunokonzerwa nekufema zvirimo mudumbu mumapapu (anonzi aspiration pneumonia).
  • GERD inokonzeresa kukosora kusingaperi kana hoarseness mumwana wako.

Ngozi dzekuvhiya chero dzinosanganisira:


  • Kubuda ropa
  • Utachiona

Ngozi dzeanesthesia dzinosanganisira:

  • Zviitiko kumishonga
  • Matambudziko ekufema, kusanganisira mabayo
  • Zvinetso zvemwoyo

Anti-Reflux kuvhiya njodzi dzinosanganisira:

  • Kukuvadza kune dumbu, esophagus, chiropa, kana dumbu ura. Izvi hazviwanzo.
  • Gesi uye kuzvimba zvinoita kuti zvive zvakaoma kubhowa kana kukanda kumusoro. Kazhinji yenguva, zviratidzo izvi zvishoma nezvishoma zvinova nani.
  • Kubata muromo.
  • Zvinorwadza, zvakaoma kumedza, zvinonzi dysphagia. Kune vana vazhinji, izvi zvinoenda mumwedzi mitatu yekutanga mushure mekuvhiyiwa.
  • Kazhinji, kufema kana mapapu matambudziko, senge akadonha mapapu.

Nguva dzose ita shuwa kuti timu yemwana wako yehutano yehutano inoziva nezve yese mishonga uye zvinowedzeredza izvo mwana wako ari kutora, kusanganisira izvo zvawakatenga pasina tsamba.

Vhiki pamberi pekuvhiyiwa, unogona kukumbirwa kumira kupa mwana wako zvigadzirwa zvinokanganisa kuvhara ropa. Izvi zvinogona kusanganisira aspirin, ibuprofen (Advil, Motrin), vitamini E, uye warfarin (Coumadin).


Unozoudzwa nguva yekuuya kuchipatara.

  • Mwana haafanire kudya kana kunwa chero chinhu pakati pehusiku asati avhiyiwa.
  • Iwe mwana unogona kugeza kana kugeza husiku hwakatangira kana mangwanani ekuvhiyiwa.
  • Pazuva rekuvhiyiwa, mwana anofanira kutora chero mushonga uyo mupi waanoti atore nekamwe kadiki kemvura.

Inguva yakareba sei mwana wako achigara muchipatara zvinoenderana nekuti akavhiyiwa sei.

  • Vana vane laparoscopic anti-reflux kuvhiyiwa vanowanzo gara muchipatara kwemazuva maviri kusvika matatu.
  • Vana vanovhiyiwa pachena vanogona kupedza mazuva maviri kusvika matanhatu vari muchipatara.

Mwana wako anogona kutanga kudya zvakare mazuva kana maviri mushure mekuvhiyiwa. Mvura inowanzopihwa kutanga.

Vamwe vana vane g-tube yakaiswa panguva yekuvhiyiwa. Iyi chubhu inogona kushandiswa kumvura kudyisa, kana kuburitsa gasi kubva mudumbu.

Kana mwana wako asina g-chubhu yakaiswa, chubhu inogona kuiswa kuburikidza nemhino mudumbu kubatsira kuburitsa gasi. Iyi chubhu inobviswa kana mwana wako atanga kudya zvakare.

Mwana wako anozokwanisa kuenda kumba kana achinge achidya chikafu, ave nekufamba ura uye ave kunzwa zviri nani.

Kushungurudza uye zviratidzo zvine hukama zvinofanirwa kuvandudza mushure mekuvhiyiwa kwe-anti-reflux. Nekudaro, mwana wako anogona achiri kuda kutora mishonga yekurwadziwa nehana mushure mekuvhiyiwa.

Vamwe vana vachazoda kumwe kuvhiyiwa mune ramangwana kurapa matsva reflux zviratidzo kana kumedza matambudziko. Izvi zvinogona kuitika kana dumbu rakange rakamonerwa padhuze zvakanyanya kana kuti rinosununguka.

Kuvhiya kwacho hakugone kubudirira kana kugadzirisa kwacho kwainge kwakanyanya kusununguka.

Fundoplication - vana; Nissen fundoplication - vana; Belsey (Mako IV) mari yekushandisa - vana; Toupet fundoplication - vana; Thal fundoplication - vana; Hiatal hernia kugadzirisa - vana; Endoluminal fundoplication - vana

  • Anti-Reflux kuvhiya - vana - kubuda
  • Anti-Reflux kuvhiya - kubuda
  • Gastroesophageal Reflux - kubuda
  • Kushungurudza - chii chekubvunza chiremba wako

Chun R, Noel RJ. Laryngopharyngeal uye gastroesophageal Reflux chirwere uye eosinophilic esophagitis. Mune: Lesperance MM, Flint PW, eds. Cummings Pediatric Otolaryngology. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 29.

Khan S, Matta SKR. Gastroesophageal Reflux chirwere. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 349.

Kane TD, Brown MF, Chen MK; Nhengo dzeAPSA Nyowani Tekinoroji Dare. Chinzvimbo pepa pane laparoscopic antireflux mashandiro muvacheche uye vana kune gastroesophageal Reflux chirwere. American Pediatric Kuvhiya Sangano. J Pediatr Kuvhiya. 2009; 44 (5): 1034-1040. PMID: 19433194 www.ncbi.nlm.nih.gov/pubmed/19433194.

Yates RB, Oelschlager BK, Pellegrini CA. Gastroesophageal Reflux chirwere uye hiatal hernia. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 42.

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