Reflux muVana

Zvemukati

• Pfupiso
• Chii chinonzi reflux (GER) uye GERD?
• Chii chinokonzera reflux uye GERD muvana?
• Zvakajairika sei reflux uye GERD muvana?
• Ndezvipi zviratidzo zveReflux neGERD muvana?
• Vanachiremba vanoona sei Reflux uye GERD muvana?
• Ndeapi mararamiro ehupenyu anogona kubatsira kubata mwana wangu Reflux kana GERD?
• Ndeapi marapirwo anogona kupihwa nachiremba kuna GERD wemwana wangu?

Pfupiso

Chii chinonzi reflux (GER) uye GERD?

Iyo esophagus ndiyo chubhu inotakura chikafu kubva pamuromo wako kuenda mudumbu rako. Kana mwana wako aine reflux, zviri mukati medumbu rake zvinodzoka kumusoro mukati medu. Rimwe zita reflux ndeyegastroesophageal Reflux (GER).

GERD inomirira gastroesophageal Reflux chirwere. Icho chiri chakakomba uye chinogara-kwenguva rudzi rwe Reflux. Kana mwana wako aine reflux kanopfuura kaviri pasvondo kwemavhiki mashoma, inogona kunge iri GERD.

Chii chinokonzera reflux uye GERD muvana?

Kune mhasuru (iyo yepasi esophageal sphincter) inoshanda sevhavha pakati peguriso nedumbu. Kana mwana wako akamedza, mhasuru iyi inozorora ichirega chikafu chichipfuura kubva mudumbu kuenda mudumbu. Iyi mhasuru inowanzo gara yakavharwa, saka zviri mudumbu hazvifambe zvichidzokera mukati medziyo.

Muvana vane reflux uye GERD, mhasuru iyi inova isina kusimba kana kutandara painenge isingafanire, uye zvemukati zvemudumbu zvinodzokera zvakare mukati meziso. Izvi zvinogona kuitika nekuda kwe

• Hernia inobereka, mamiriro ezvinhu umo chikamu chepamusoro chedumbu rako chinosundira kumusoro muchipfuva chako kuburikidza nekuvhurika mudhiramu rako.
• Kuwedzera kumanikidza padumbu kubva pakuve wakanyanya kufuta kana kuva nekufutisa
• Mishonga, yakadai semimwe mishonga yeasthma, antihistamines (inorapa chisimbwa), zvinodzikamisa marwadzo, sedatives (ayo anobatsira vanhu kurara), uye mishonga yekudzvinyirira
• Kusvuta kana kuratidzira hutsi hwefodya
• Kuvhiya kwakapfuura pagurokuro kana kumusoro kwedumbu
• Kunonoka kukura kwekuvandudza
• Humwe mamiriro etsinga, senge cerebral palsy

Zvakajairika sei reflux uye GERD muvana?

Vana vazhinji vane dzimwe nguva reflux. GERD haina kufanana; kusvika pa25% yevana vane zviratidzo zveGERD.

Ndezvipi zviratidzo zveReflux neGERD muvana?

Mwana wako anogona kusatomboona Reflux. Asi vamwe vana vanonanzva chikafu kana mudumbu asidi kumashure kwemuromo.

Muvana, GERD inogona kukonzera

• Kushungurudza, inorwadza, inonzwa kupisa mukati mechipfuva. Inowanzoitika kuvana vakura (makore gumi nemaviri zvichikwira).
• Kufema kwakaipa
• Kusvotwa uye kurutsa
• Zvinetso kumedza kana kunetsa kumedza
• Matambudziko ekufema
• Kupera kwemeno

Vanachiremba vanoona sei Reflux uye GERD muvana?

Muzviitiko zvakawanda, chiremba anoongorora reflux nekuongorora zviratidzo zvemwana wako uye nhoroondo yezvokurapa. Kana izvo zviratidzo zvikasava nani nekuchinja kwehupenyu uye anti-reflux mishonga, mwana wako angangoda kuyedzwa kuti atarise GERD kana mamwe matambudziko.

Miedzo yakati wandei inogona kubatsira chiremba kuongorora GERD. Dzimwe nguva vanachiremba vanoraira kanopfuura kamwe chete bvunzo kuti vaongororwe. Kazhinji-anoshandiswa bvunzo anosanganisira

• Kumusoro GI dzakateedzana, iyo inotarisa chimiro chechikamu chepamusoro chemwana wako cheGI (gastrointestinal) turakiti. Iwe mwana uchanwa chinopesana chemvura inonzi barium. Kune vana vadiki, iyo bariamu inosanganiswa mukati nebhodhoro kana chimwe chikafu. Nyanzvi yehutano inotora akawanda ma-x-ray emwana wako kuteedzera iyo barium painenge ichipfuura nepaguropu nedumbu.
• Esophageal pH uye impedance yekutarisa, iyo inoyera huwandu hweacid kana mvura iri mudumbu remwana wako. Chiremba kana mukoti anoisa chubhu yakatetepa inochinja kuburikidza nemhuno yemwana wako mudumbu. Kupera kwehubhu mune esophagus kuyera nguva uye yakawanda sei asidhi inodzokera kumusoro mudenga. Rimwe divi rebhubhu rinonamira kune yekutarisa inonyora zviyero. Mwana wako achapfeka chubhu kwemaawa makumi maviri nemana. Iye angave anoda kugara muchipatara panguva yekuyedzwa.
• Kumusoro mudumbu (GI) endoscopy uye biopsy, iyo inoshandisa endoscope, refu, inochinja chubhu ine mwenje uye kamera kumagumo kwayo. Chiremba anomhanyisa endoscope pasi pasi peziso remwana wako, mudumbu, uye chikamu chekutanga chemukati mudumbu. Ndichiri kutarisa mifananidzo kubva kune endoscope, chiremba anogona zvakare kutora masuru sampuli (biopsy).

Ndeapi mararamiro ehupenyu anogona kubatsira kubata mwana wangu Reflux kana GERD?

Dzimwe nguva Reflux uye GERD muvana zvinogona kurapwa nekuchinja kwehupenyu:

• Kuderedza uremu, kana zvichidikanwa
• Kudya zvidiki zvidyo
• Kudzivisa chikafu chine mafuta mazhinji
• Kupfeka mbatya dzakasununguka dzakatenderedza dumbu
• Kugara wakamira kwemaawa matatu mushure mekudya uye usiri kutsenhama uye kutsvedza pawakagara
• Kurara pakona kadiki. Simudza musoro wemubhedha wemwana wako kusvika pamasendimita masere nekuisa zvakanaka zvimiti pasi pematanda.

Ndeapi marapirwo anogona kupihwa nachiremba kuna GERD wemwana wangu?

Kana shanduko pamba isingabatsire zvakakwana, chiremba anogona kukurudzira mishonga yekurapa GERD. Mishonga inoshanda nekudzikisa huwandu hweacid mudumbu remwana wako.

Mimwe mishonga yeGERD muvana inopfuura-the-counter, uye mimwe mishonga yemishonga. Zvinosanganisira

• Over-the-counter antacids
• H2 blockers, iyo inoderedza kugadzirwa kweasidhi
• Proton pump inhibitors (PPIs), iyo inoderedza huwandu hweasidhi inogadzirwa nedumbu
• Prokinetics, iyo inobatsira dumbu kushaya chinhu nekukurumidza

Kana izvi zvikasabatsira uye mwana wako achiri nezviratidzo zvakakomba, ipapo kuvhiya kunogona kuve sarudzo. Chiremba gastroenterologist, chiremba anorapa vana vane chirwere chekudya, aigona kuvhiya.

NIH: National Institute of Diabetes uye Digestive uye Kidney Zvirwere