Kuziva uye Kurapa Chinyararire Reflux muVacheche

Zvemukati

• Chinyararire reflux
• Mwana wangu ane chinyararire here?
• Reflux vs. gastroesophageal Reflux chirwere (GERD)
• Chii chinokonzera chinyararire?
• Nguva yekutsvaga rubatsiro
• Chii chandingaite kubata kana kudzivirira chinyararire reflux?
• Maitiro ekurapa chinyararire reflux
• Zvinotora nguva yakareba sei kuti zii reflux kugadzirisa?
• Ini ndinofanira kuve nehanya nezve Reflux yemwana wangu?

Chinyararire reflux

Chinyararire reflux, inonzi zvakare laryngopharyngeal reflux (LPR), rudzi rwe Reflux umo zvemukati zvemudumbu zvinoyerera zvichidzokera mukati meiyo larynx (iro izwi bhokisi), kumashure kwehuro, uye mhino.

Izwi rekuti "kunyarara" rinopinda mukutamba nekuti iyo reflux haigare ichikonzera zviratidzo zvekunze.

Iyo yakadzokororwa dumbu zvemukati zvinogona kuwira zvakare mudumbu pane kudzingwa kubva mumuromo, izvo zvinogona kuita kuti zvive zvakaoma kuona.

Zvakajairika kune vacheche sevadiki semavhiki mashoma kuti vave neflux. Kana iyo reflux ikaramba ichidarika gore, kana ichikonzera zvakashata mhedzisiro kumwana wako, chiremba wavo wevana anogona kukurudzira kurapwa.

Mwana wangu ane chinyararire here?

Reflux chirwere chinoonekwa mune zvevana. Nepo gastroesophageal Reflux chirwere (GERD) uye LPR inogona kuvapo pamwe chete, zviratidzo zvekunyarara reflux zvakasiyana nedzimwe mhando dze Reflux.

Muvacheche nevana vadiki, zvinowanzoitika zviratidzo zvinosanganisira:

• matambudziko ekufema, senge kufema, "kufema", kana kumbomira kufema (kufema)
• kubaya
• kuzara mumhino
• kukosora kusingaperi
• mamiriro asingagumi ekufema (senge bronchitis) uye nzeve nzeve
• kunetseka kufema (mwana wako anogona kukura asima)
• kunetseka kudya
• kupfira mate
• kutadza kubudirira, izvo zvinogona kuongororwa nachiremba kana mwana wako asiri kukura uye achiwedzera huremu padanho rinotarisirwa rezera ravo

Vacheche vane chinyararire reflux vanogona kusasvipa, izvo zvinogona kuita kuti zvive zvakaoma kuziva chinokonzera kushushikana kwavo.

Vana vakura vanogona kutsanangura chimwe chinhu chinonzwa kunge bundu pahuro pavo uye vachinyunyuta nekuravira kunorwadza mumuromo mavo.

Iwe unogona zvakare kuona hoarseness muzwi remwana wako.

Reflux vs. gastroesophageal Reflux chirwere (GERD)

LPR yakasiyana neGERD.

GERD inonyanya kukonzera kutsamwa kweiyo esophagus, nepo chinyararire reflux inoshatisa huro, mhino, uye izwi bhokisi.

Chii chinokonzera chinyararire?

Vacheche vanowanzo tenderera Reflux - ingave GERD kana LPR - nekuda kwehuwandu hwezvinhu.

Vacheche vane underdeveloped esophageal sphincter mhasuru pakuzvarwa. Aya ndiwo mhasuru kumagumo ega ega egopu iyo inovhura nekuvhara kuti ibvumire kupfuura kwemvura uye chikafu.

Sezvavanokura, mhasuru dzinova dzakakura zvakanyanya uye dzakabatana, dzichichengeta zvemukati medumbu mavanenge vari. Ndicho chikonzero nei reflux inowanzoonekwa mune vacheche vadiki.

Vacheche vanoshandisawo yakawanda nguva kumusana kwavo, kunyanya vasati vadzidza kupeta, izvo zvinogona kuitika pakati pemwedzi mina kusvika kumatanhatu ekuberekwa.

Kurara kumusana zvinoreva kuti vacheche havana rubatsiro rwegiravhiti kubatsira kuchengetedza chikafu mudumbu. Nekudaro, kunyangwe muvana vane Reflux, iwe unofanirwa kugara uchiisa mwana wako kurara kumusana kwavo - kwete dumbu ravo - kuti uderedze njodzi yekutadza kufema.

Izvo zvakanyanya-mvura yekudya yevana inogona zvakare kubatsira kune reflux. Midziyo iri nyore kudzokazve pane chikafu chakasimba.

Mwana wako anogona zvakare kuve ari panjodzi yekuwedzera ye reflux kana ivo:

• vanozvarwa vaine huni hunobereka
• ane chirwere chetsinga, senge cerebral palsy
• uve nenhoroondo yemhuri ye reflux

Nguva yekutsvaga rubatsiro

Vazhinji vacheche vanogona kubudirira kunyarara chinyararire. Asi tsvaga kurapwa kana mwana wako aine:

• kufema kunetseka (semuenzaniso, iwe unonzwa kufema, cherekedza kufema kwakashanda, kana miromo yemwana wako iri kuita bhuruu)
• kukosora kazhinji
• kuramba uchirwadziwa nzeve (unogona kuona kusagadzikana uye kukweva nzeve mumucheche)
• kudyisa kunetseka
• kuoma kuwana uremu kana kusanzwisisika kuonda

Chii chandingaite kubata kana kudzivirira chinyararire reflux?

Pane matanho akati wandei aunotora kuti ubatsire kudzikamisa reflux mumwana wako.

Yokutanga inosanganisira kugadzirisa kudya kwako kana iwe uchiyamwisa. Izvi zvinogona kubatsira kudzikisira kusvibiswa kwemwana wako kune zvimwe zvekudya zvavanogona kunge vari allergic kwazviri.

IAmerican Academy yePediatrics (AAP) inokurudzira kubvisa mazai nemukaka kubva pane zvaunodya kwemavhiki maviri kusvika mana kuti uone kana zviratidzo zve reflux zvichivandudza.

Iwe unogona zvakare kufunga nezve kubvisa acidic chikafu, senge macitrus michero uye matomatisi.

Mamwe matipi anosanganisira:

• Kana mwana wako ari kunwa fomula, chinja kune hydrolyzed protein kana amino-acid yakavakirwa fomula.
• Kana zvichibvira, chengeta mwana wako akamira kwemaminitsi makumi matatu mushure mekudya.
• Burp mwana wako kanoverengeka panguva yekudya.
• Kana iwe uri kudyisa bhodhoro, bata bhodhoro racho pakona inobvumira kuti zamu rigare rakazara nemukaka. Izvi zvinobatsira mwana wako kumedza mweya mushoma. Kumedza mweya kunogona kuwedzera kuura kwemukati uye kutungamira kune reflux.
• Edza minyatso yakasiyana kuti uone kuti ndeipi inopa mwana wako chisimbiso chakanakisa pamuromo wavo.
• Ipa mwana wako chidimbu chidiki chekudya, asi kazhinji. Semuenzaniso, kana iwe uchipa mwana wako maunzi mana echimedu kana mukaka wechipfuwa maawa mana ega ega, kuyedza kupa mairi maunzi maviri maawa maviri.

Maitiro ekurapa chinyararire reflux

Kana kurapwa kuchidikanwa, chiremba wemwana wemwana wako anogona kukurudzira mishonga yeGERD, senge H2 blockers kana proton pump inhibitors, kubatsira kudzikisa huwandu hweacid inogadzirwa nedumbu.

IAAP inokurudzira zvakare kushandiswa kwema prokinetic vamiririri.

Prokinetic vamiririri mishonga inobatsira kuwedzera kufamba kweiyo dumbu ura saka zviri mudumbu zvinogona kudurura nekukurumidza. Izvi zvinodzivirira chikafu kuti chigare chakareba mudumbu.

Zvinotora nguva yakareba sei kuti zii reflux kugadzirisa?

Vazhinji vana vanozobuda chinyararire reflux panguva yavanosvika imwe.

Vana vazhinji, kunyanya avo vanorapwa nekukurumidza pamba kana kurapwa, havana mhedzisiro inogara. Asi kana huro husina kusimba uye huta hwemhino hunowanzo kuburitswa mudumbu asidi, zvinogona kukonzera mamwe matambudziko enguva refu.

Yenguva refu-matambudziko ekuramba, asingadzoreke Reflux anowanzoitika matambudziko ekufema senge:

• chirwere chemabayo
• chisingaperi laryngitis
• kugara uchikosora

Kazhinji, zvinogona kutungamira kukenza yemarara.

Ini ndinofanira kuve nehanya nezve Reflux yemwana wangu?

Reflux, kusanganisira chinyararire reflux, yakajairika zvakanyanya muvacheche. Muchokwadi, zvinofungidzirwa kuti kusvika makumi mashanu muzana evacheche vanoona reflux mukati memwedzi mitatu yekutanga yehupenyu.

Vazhinji vacheche uye vana vadiki vanobuda kunze kweflux pasina chero kukuvara kusingaperi kune yavo yegurokuro kana huro.

Kana kusagadzikana kwe Reflux kwakakomba kana kusingagumi, kune akasiyana marapirwo anobatsira kuti mwana wako ave munzira inoenda kugayeti ine hutano.