Reflux muVacheche

Zvemukati

• Pfupiso
• Chii chinonzi reflux (GER) uye GERD?
• Chii chinokonzera reflux uye GERD muvacheche?
• Zvakajairika sei reflux uye GERD mune vacheche?
• Ndezvipi zviratidzo zveReflux neGERD muvacheche?
• Vanachiremba vanoona sei Reflux uye GERD mune vacheche?
• Ndedzipi idzo dzekuchinja dzinogona kubatsira kubata mwana wangu Reflux kana GERD?
• Ndeapi marapirwo anogona kupihwa nachiremba kune GERD yemwana 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. Vacheche vanogona kunge vaine GERD kana zviratidzo zvavo zvichivatadzisa kubva pakudya kana kana iyo Reflux inotora inopfuura gumi nemaviri kusvika gumi nemana mwedzi.

Chii chinokonzera reflux uye GERD muvacheche?

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

Mune vacheche vane reflux, iyo yepasi esophageal sphincter mhasuru haina kunyatso kuvandudzwa uye inoita kuti dumbu rirambe richisimudza esophagus. Izvi zvinoita kuti mwana wako asvipire (regurgitate). Kamwe kana iye sphincter mhasuru ichinyatso kukura, mwana wako haachafanirwe kupfira.

Mune vacheche vane GERD, iyo sphincter mhasuru inova isina kusimba kana kutandara kana isingafanire.

Zvakajairika sei reflux uye GERD mune vacheche?

Reflux yakajairika muvacheche. Inenge hafu yevacheche vanopfira mate kakawanda pazuva mumwedzi mitatu yekutanga yehupenyu hwavo. Vanowanzo mira kupfira pakati pemakore gumi nemaviri negumi nemana.

GERD yakajairikawo muvacheche vadiki. Vazhinji vane mwedzi mina-vana vanayo. Asi nezuva ravo rekutanga rekuzvarwa, chete gumi muzana yevana vachiri neGERD.

Ndezvipi zviratidzo zveReflux neGERD muvacheche?

Muvacheche, chiratidzo chikuru che Reflux neGERD chiri kupfira. GERD inogona zvakare kukonzera zviratidzo senge

• Arching yekumashure, kazhinji panguva kana chaipo mushure mekudya
• Colic - kuchema kunogara kweanopfuura maawa matatu pazuva pasina chikonzero chekurapa
• Kukosora
• Kubaya muromo kana kunetsa kumedza
• Kushatirwa, kunyanya mushure mekudya
• Kudya zvisina kunaka kana kuramba kudya
• Kurera huremu, kana kurasikirwa uremu
• Kurira kana kunetseka kufema
• Kumanikidza kana kugara uchirutsa

NIH: National Institute of Diabetes uye Digestive uye Kidney Zvirwere

Vanachiremba vanoona sei Reflux uye GERD mune vacheche?

Muzviitiko zvakawanda, chiremba anoongorora reflux nekuongorora zviratidzo zvemwana wako uye nhoroondo yezvokurapa. Kana zviratidzo zvikasaita nani nekuchinja kwekudyisa uye nemishonga inorwisa-reflux, mwana wako angangoda kuyedzwa.

Miedzo yakati wandei inogona kubatsira chiremba kuongorora GERD. Dzimwe nguva vanachiremba vanoraira kanopfuura kamwe chete bvunzo kuti vaongororwe. Ongororo dzakajairika dzinosanganisira

• Kumusoro GI dzakateedzana, iyo inotarisa chimiro chechikamu chepamusoro chemwana wako cheGI (gastrointestinal) turakiti. Mwana wako anonwa kana kudya chinopesana chemvura inonzi barium. Iyo barium 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 inouya mudumbu. Rimwe divi rebhubhu rinonamira kune yekutarisa inonyora zviyero. Mwana wako achapfeka izvi kwemaawa makumi maviri nemana, kazhinji ari muchipatara.
• 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).

Ndedzipi idzo dzekuchinja dzinogona kubatsira kubata mwana wangu Reflux kana GERD?

Kudyisa shanduko kunogona kubatsira mwana wako Reflux uye GERD:

• Wedzera mupunga wezviyo muhombodo yemwana wako yefomula kana mukaka wemuzamu. Tarisa nechiremba nezvekuti yakawanda sei yekuwedzera. Kana musanganiswa wacho wakanyanya kukora, unogona kuchinja saizi yezamu kana kucheka "x" mudiki munyatso kuita kuti buri riwedzere.
• Burp mwana wako mushure mega ma1 kusvika ku2 maununura echimiro. Kana iwe ukayamwisa, burp mwana wako mushure mekuyamwisa kubva pazamu rega rega.
• Dzivisa kunyanyisa; ipa mwana wako huwandu hwesanganiswa kana mukaka wemuzamu wakakurudzirwa.
• Bata mwana wako akatwasuka kwemaminitsi makumi matatu mushure mekudya.
• Kana iwe ukashandisa fomula uye chiremba wako achifunga kuti mwana wako anogona kunge achinyatsoziva mukaka mapuroteni, chiremba wako anogona kukurudzira kuchinjira kune imwe mhando yemhando. Usachinje mafomura usina kutaura nachiremba.

Ndeapi marapirwo anogona kupihwa nachiremba kune GERD yemwana wangu?

Kana kudyisa shanduko kusingabatsire zvakakwana, chiremba anogona kukurudzira mishonga yekurapa GERD. Mishonga inoshanda nekudzikisa huwandu hweacid mudumbu remwana wako. Chiremba anongokurudzira mushonga kana mwana wako achiri nezviratidzo zveGERD uye

• Wakatoyedza imwe shanduko yekudyisa
• Mwana wako ane matambudziko ekurara kana ekudyisa
• Mwana wako haakure zvakanaka

Chiremba anowanzo kupa mushonga pachiyero uye anotsanangudza chero zvinganetsa. Haufanire kupa mwana wako chero mishonga kunze kwekunge chiremba akuudza.

Mishonga yeGERD muvacheche inosanganisira

• H2 blockers, iyo inoderedza kugadzirwa kweasidhi
• Proton pump inhibitors (PPIs), iyo inoderedza huwandu hweasidhi inogadzirwa nedumbu

Kana izvi zvikasabatsira uye mwana wako achiri nezviratidzo zvakakomba, ipapo kuvhiya kunogona kuve sarudzo. Pediatric gastroenterologists vanongoshandisa kuvhiya kurapa GERD mune vacheche mune zvisingawanzoitika zviitiko. Vanogona kutaura kuvhiyiwa kana vacheche vaine matambudziko akakomba ekufema kana vane dambudziko repanyama rinokonzeresa zviratidzo zveGERD.