Gastroesophageal Reflux chirwere - vana

Gastroesophageal Reflux (GER) inoitika kana dumbu rikadonha neshure kubva mudumbu kuenda mudumbu (iyo chubhu kubva pamuromo kuenda mudumbu). Izvi zvinodaidzwa zvakare kuti reflux. GER inogona kutsamwisa iyo esophagus uye inokonzeresa chirungurira.

Gastroesophageal Reflux chirwere (GERD) idambudziko rinogara kwenguva refu uko reflux kunoitika kazhinji. Zvinogona kukonzera zviratidzo zvakanyanya.

Ichi chinyorwa chiri pamusoro peGERD muvana. Iri idambudziko rakajairika muvana veese mazera.

Patinodya, chikafu chinopfuura kubva pahuro kuenda mudumbu kuburikidza nepagurokuro. Mhete yemhasuru yemhashu muzasi yegurokuro inodzivirira chikafu chakamedzwa kuti chisadzokera kumashure.

Kana ringi iri remhasuru rikasavhara nzira yese, zviri mudumbu zvinogona kudonha zvichidzokera mudumbu. Izvi zvinonzi reflux kana gastroesophageal reflux.

Mune vacheche, iyi mhete yemhasuru haina kunyatso kukura, uye izvi zvinogona kukonzera reflux. Ichi ndicho chikonzero vana vacheche vanopfira mate mushure mekudya. Reflux muvacheche inoenda kana iyi tsandanyama ichikura, kazhinji nezera regore.

Kana zviratidzo zvikaenderera kana kuwedzera kuipa, chingave chiratidzo cheGERD.

Zvimwe zvinhu zvinogona kutungamira kuGERD muvana, kusanganisira:

• Kuremara kwekuzvarwa, kwakadai sekuzvarwa hernia, mamiriro umo chikamu chedumbu chinotambanuka kuburikidza nekuvhurwa kwedhayaphira muchipfuva. Iyo diaphragm ndiyo mhasuru inoparadzanisa chipfuva kubva padumbu.
• Kufutisa.
• Mimwe mishonga, yakadai semimwe mishonga inoshandiswa asthma.
• Utsi hwefodya.
• Kuvhiya kwedumbu repamusoro.
• Matambudziko ehuropi, senge cerebral palsy.
• Genetics - GERD inowanzo mhanya mumhuri.

Zviratidzo zvakajairika zveGERD muvana nevechidiki zvinosanganisira:

• Nausea, kuunza chikafu kumashure (kudzokazve), kana pamwe kurutsa.
• Reflux uye chirungurira. Vana vadiki vanogona kusakwanisa kunongedza marwadzo futi uye pachinzvimbo kurondedzera kwakapararira dumbu kana chipfuva kurwadziwa.
• Kukachidza, kukosora kusingaperi, kana kufema.
• Hiccups kana burps.
• Kusada kudya, kudya zvishoma chete, kana kunzvenga zvimwe zvekudya.
• Kurera huremu kana kusawana huremu.
• Kunzwa kuti chikafu chakanamatira kuseri kwebhonzo rechipfuva kana kurwadziwa nekumedza.
• Hoarseness kana shanduko yezwi.

Mwana wako anogona kunge asingade chero bvunzo kana zviratidzo zvinyoro.

Chiyero chinonzi barium swallow kumedza kana yepamusoro GI inogona kuitwa kusimbisa kuongororwa. Mumuedzo uyu, mwana wako achamedza chinhu chine chalky kuratidza sophagus, mudumbu, uye nechepamusoro chikamu chemuura hwake mudiki. Inogona kuratidza kana mvura iri kutsigira kumusoro kubva mudumbu ichipinda mudumbu kana kana paine chinhu chiri kuvharira kana kudzikisa idzi nzvimbo.

Kana zviratidzo zvikasavandudzika, kana zvikadzoka mushure mekunge mwana arapwa nemishonga, mupi wezvehutano anogona kuita bvunzo. Imwe bvunzo inonzi yepamusoro endoscopy (EGD). Muedzo:

• Inoitwa nekadiki kamera (inoshanduka endoscope) inoiswa pasi nehuro
• Inoongorora iyo lining yegurokuro, mudumbu, uye chikamu chekutanga chemukati mudumbu

Iye mupi anogona zvakare kuita bvunzo ku:

• Pima kangani mudumbu asidhi inopinda mudumbu
• Edzai kumanikidza mukati mechikamu chepasi chegurokuro

Mararamiro ehupenyu anogona kazhinji kubatsira kubata GERD zvinobudirira. Ivo vanowanzo shandira vana vane zviratidzo zvakati rebei kana zviratidzo zvisingawanzo kuitika kazhinji.

Maitiro ehupenyu anonyanya kusanganisira:

• Kuderedza uremu, kana kuwandisa
• Kupfeka mbatya dzakasununguka muchiuno
• Kurara nemusoro wemubhedha wakasimudzwa zvishoma, kune vana vane zviratidzo zvehusiku
• Kwete kurara pasi kwemaawa matatu mushure mekudya

Shanduko dzinotevera dzekudya dzinogona kubatsira kana chikafu chichiita kunge chiri kukonzera zviratidzo:

• Kudzivisa chikafu chine shuga yakawandisa kana chikafu chinonaka kwazvo
• Kudzivisa chokoreti, peppermint, kana zvinwiwa zvine caffeine
• Kudzivisa zvinwiwa zveacidiki senge makora kana jisi reorenji
• Kudya zvidiki zvidiki kazhinji mukati mezuva rese

Taura nemupi wemwana wako usati watara mafuta. Kubatsira kwekudzora mafuta muvana hakuna kuratidzwawo. Zvakakosha kuve nechokwadi chekuti vana vane zvinovaka zvinovaka muviri kuti vakure zvine hutano.

Vabereki kana vachengeti vanosvuta vanofanira kurega kusvuta. Usambofa wakasvira wakakomberedza vana. Hutsi hwechipiri hunogona kukonzera GERD muvana.

Kana mupi wemwana wako akati zvakanaka kuti uite kudaro, unogona kupa mwana wako pamusoro-the-counter (OTC) acid suppressors. Ivo vanobatsira kudzikisa huwandu hweacid inogadzirwa nedumbu. Iyi mishonga inoshanda zvishoma nezvishoma, asi inoderedza zviratidzo kwenguva yakareba. Zvinosanganisira:

• Proton pump pump inhibitors
• H2 blockers

Mupiki wemwana wako anogona zvakare kukurudzira kushandisa maantacid pamwe chete nemimwe mishonga. Usape mwana wako chero ipi yemishonga iyi usati watanga kutarisa nemubatsiri.

Kana idzi nzira dzekurapa dzikakundikana kugadzirisa zviratidzo, anti-reflux kuvhiya inogona kunge iri sarudzo kune vana vane zvakakomba zviratidzo. Semuenzaniso, kuvhiyiwa kunogona kutariswa muvana vanova nezvinetso zvekufema.

Taura nemupi wemwana wako nezve zvingasarudzwa zvingave zvakanakira mwana wako.

Vazhinji vana vanopindura zvakanaka pakurapwa uye nekuchinja kwehupenyu. Zvisinei, vana vazhinji vanofanirwa kuenderera mberi nekutora mishonga kudzora zviratidzo zvavo.

Vana vane GERD vanowanzove nematambudziko nereflux uye nekurwadziwa pahuro sevanhu vakuru.

Zvinetso zveGERD muvana zvinogona kusanganisira:

• Chirwere chinogona kuwedzera
• Kukuvadza kune iro lining yeiyo esophagus, iyo inogona kukonzeresa kuora uye kudzikira
• Chironda musophagus (zvisingawanzoitika)

Fonera mupi wemwana wako kana zviratidzo zvikasavandudzika nekuchinja kwehupenyu. Zvakare daidza kana mwana aine zviratidzo izvi:

• Kubuda ropa
• Kudzipwa (kukosora, kufema kwekufema)
• Kunzwa kuguta nekukurumidza kana uchidya
• Kakawanda kurutsa
• Kuchema
• Kupererwa nechido
• Dambudziko kumedza kana kurwadziwa nekumedza
• Kuonda
  

Unogona kubatsira kudzikisira njodzi dzeGERD muvana nekutora matanho aya:

• Batsira mwana wako kugara pahuremu hune hutano nechikafu chine hutano uye kugara uchirovedza muviri.
• Usambofa wakasvuta wakakomberedza mwana wako. Chengetedza imba isina utsi nemotokari. Kana uchisvuta, rega.
  

Peptic esophagitis - vana; Reflux esophagitis - vana; GERD - vana; Kusungirwa - kusingaperi - vana; Dyspepsia - GERD - vana

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.

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere. Acid Reflux (GER & GERD) mune vacheche. www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-infants. Yakagadziridzwa Kubvumbi, 2015. Yakasvika Gumiguru 14, 2020.

Richards MK, Goldin AB. Neonatal gastroesophageal Reflux. Mune: Gleason CA, Juul SE, eds. Zvirwere zveAvery zveMucheche. 10th ed. Philadelphia, PA: Elsevier; 2018: chits. 74.

Vandenplas Y. Gastroesophageal Reflux. Mune: Wyllie R, Hyams JS, Kay M, eds. Chiremba Gastrointestinal uye Chirwere Chiropa. 6th ed.Philadelphia, PA: Elsevier; 2021: chitsiko 21.