Gastroesophageal Reflux Chirwere (GERD) muVana

Zvemukati

• Chii chinonzi GERD?
• Chii chinonzi GERD yevana?
• Zviratidzo zvechiremba GERD
• Chii chinokonzeresa chirwere chevana GERD?
• GERD yevana inorapwa sei?

Muna Kubvumbi 2020, iyo yakakumbirwa kuti ese mafomu ekunyora uye pamusoro-the-counter (OTC) ranitidine (Zantac) abviswe mumusika weU.S. Uku kurudziro kwakaitwa nekuti mwero usingagamuchirike weNDMA, inogona kuitika carcinogen (kenza inokonzera kenza), yakawanikwa mune zvimwe zvigadzirwa zveRititidine. Kana iwe wakarairwa ranitidine, taura nachiremba wako nezve dzimwe nzira dzakachengeteka usati wamisa mushonga. Kana iwe uri kutora OTC ranitidine, rega kutora mushonga uye taura nemupi wako wekuchengeta hutano nezve dzimwe sarudzo. Panzvimbo pekutora zvisina kushandiswa ranitidine zvigadzirwa kunzvimbo yemushonga yekudzosa, vasiye maererano nemirairo yechigadzirwa kana nekutevera iyo FDA's.

Chii chinonzi GERD?

Gastroesophageal Reflux chirwere (GERD) chirwere chekugaya chinonzi chinonzi GERD yevana painobata vechidiki. Vanenge gumi muzana vevachiri kuyaruka uye vechidiki muUnited States vanobatwa neGERD maererano neGIKids.

GERD inogona kuve yakaoma kuongorora muvana. Vabereki vanogona sei kuudza musiyano pakati peiyo indigestion diki kana dzihwa uye GERD? Kurapa kunosanganisirei kune vechidiki vane GERD?

Chii chinonzi GERD yevana?

GERD inoitika kana mudumbu acid ikadzokera mudumbu mukati kana mushure mekudya uye ichikonzera kurwadziwa kana zvimwe zviratidzo. Ziso ndiye chubhu inobatanidza muromo nedumbu. Iyo vharuvhu iri pazasi peyopu inovhura kurega chikafu pasi uye ichivhara kumisa acid kuti irege kuuya. Kana vharafu iyi ikavhura kana kuvhara panguva isiri iyo, izvi zvinogona kukonzera zviratidzo zveGERD. Kana mwana akasvipa kana kurutsa, ivo vanogona kunge vachiratidza gastroesophageal reflux (GER), inoonekwa seyakajairika muvacheche uye kazhinji haina kukonzera zvimwe zviratidzo.

Mune vacheche, GERD haina kujairika, yakashata nzira yekupfira. Vana nevechiri kuyaruka vanogona kuongororwa vaine GERD kana vachiratidza zviratidzo uye vachisangana nemamwe matambudziko. Zvinogona kuitika zveGERD zvinosanganisira matambudziko ekufema, kunetseka kuwana huremu, uye kuzvimba kwesophagus, kana esophagitis, sekureva kweJohns Hopkins Children's Center.

Zviratidzo zvechiremba GERD

Zviratidzo zvehucheche GERD zvakakomba zvakanyanya kupfuura zvinowanzoitika mudumbu kana zvisingaite chiitiko chekusvipa. Zvinoenderana neMayo Clinic, GERD inogona kunge iripo mune vacheche uye vekuchikoro vana kana vari:

• kuramba kudya kana kusawana chero huremu
• uchiona kufema kunetseka
• kutanga kurutsa pamwedzi mitanhatu yekuberekwa kana kupfuura
• kupokana kana kurwadziwa mushure mekudya

GERD inogona kunge iripo kuvana vakura uye vachiri kuyaruka kana ivo:

• kuva nemarwadzo kana kupisa mubhokisi repamusoro, iro rinonzi chirungurira
• kurwadziwa kana kusagadzikana kana uchimedza
• kazhinji kukosora, kufema, kana kuva nehusimbe
• kuve nekukwikwidza kwakanyanya
• kuva nekushungurudzika kazhinji
• kuravira dumbu acid muhuro
• vanonzwa kunge chikafu chinonamira pahuro pavo
• iva nemarwadzo ari worse kana uchirara

Kugeza kwenguva refu kwesophageal lining nemudumbu acid kunogona kutungamira kune yakamira mamiriro eBarrett esophagus. Zvinogona kutotungamira kukenza yegurokuro kana chirwere chacho chisina kunyatsodzorwa, asi izvi hazviwanzo muvana.

Chii chinokonzeresa chirwere chevana GERD?

Vatsvakurudzi havasi nguva dzose vanonyatsoziva kuti chii chinokonzera GERD muvechidiki. Sekureva kwaCedars-Sinai, zvinhu zvinoverengeka zvinogona kuvepo, kusanganisira:

• inguva yakadii iyo esophagus iri mukati medumbu
• kona yaKe, inova ndiyo kona inosangana mudumbu neukoyo
• mamiriro emhasuru pazasi peziso
• kunamira kweiyo tambo dze diaphragm

Vamwe vana vanogona zvakare kunge vane mavhavha asina kusimba ayo anonyanya kunetseka kune zvimwe zvekudya uye zvinwiwa kana kuzvimba muhuro izvo zviri kukonzera dambudziko.

GERD yevana inorapwa sei?

Kurapa kwevana GERD kunoenderana nekuomarara kwemamiriro acho. Vanachiremba vangangoita nguva dzose kuraira vabereki, vana, uye vechidiki kutanga neyakareruka mararamiro ehupenyu. Semuyenzaniso:

• Idya zvidiki zvidiki kazhinji, uye dzivisa kudya maawa maviri kana matatu usati warara.
• Deredza uremu kana zvichidikanwa.
• Dzivisa chikafu chinonaka, chakakora-mafuta, uye michero ine acidic nemiriwo, izvo zvinogona kutsamwisa dumbu rako.
• Dzivisa zvinwiwa zvine carbonate, doro, uye utsi hwefodya.
• Simudza musoro panguva yekurara.
• Dzivisa kudya kudya kukuru pamberi pezviito zvine simba, mitambo yemitambo, kana panguva dzekunetseka.
• Dzivisa kupfeka mbatya dzinokwana.

Chiremba wemwana wako anogona kukurudzira mishonga inobatsira kudzikisa huwandu hwesidhi inogadzirwa nedumbu ravo. Iyi mishonga inosanganisira:

• antacids
• histamine-2 blockers ayo anoderedza acid mudumbu, senge Pepcid
• proton pump pump inhibitors inovhara acid, seNexium, Prilosec, uye Prevacid

Pane imwe gakava maererano nekutangisa vana vadiki pamishonga iyi. Hazvisati zvazivikanwa kuti ndeapi marefu-nguva mhedzisiro yemishonga iyi angave. Iwe ungangoda kutarisa pakubatsira mwana wako kugadzirisa mararamiro. Iwe unogona zvakare kuda kuti mwana wako ayedze mishonga yemakwenzi. Vamwe vabereki vanofunga kuti mishonga yemakwenzi inogona kubatsira, asi kushanda kwemishonga hakuna kuvimbiswa uye mhedzisiro yenguva refu kuvana vanoishandisa haizivikanwe.

Vanachiremba havawanzo kufunga nezvekuvhiya sekurapa kwevana GERD. Ivo kazhinji vanozvichengetera pakurapa makesi umo ivo vasingakwanise kudzora zvakakomba zvakakomba, senge esophageal kubuda ropa kana maronda.