Utyando lwe-anti-reflux-abantwana-ukukhutshwa

Umntwana wakho wahlinzwa ukuze anyange isifo se-reflux yesifo se-gastroesophageal (GERD). I-GERD yimeko ebangela i-asidi, ukutya, okanye ulwelo ukuba luphume esiswini luye kwi-esophagus. Lo ngumbhobho ohambisa ukutya ususe emlonyeni uye esiswini.

Ngoku ekubeni umntwana wakho egoduka, landela imiyalelo yo gqirha wotyando ngendlela yokunyamekela umntwana wakho ekhaya. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo.

Ngexesha lotyando, ugqirha wotyando wayesonga indawo ephezulu yesisu somntwana wakho esiphelweni somqala.

Utyando lwenziwe ngenye yezi ndlela:

• Ngokusikwa (ukusika) esiswini somntwana wakho (utyando oluvulekileyo)
• Nge-laparoscope (ityhubhu ebhityileyo enekhamera encinci esiphelweni) ngokwenza izinto ezincinci
• Ngokulungiswa kwe-endoluminal (njenge-laparoscope, kodwa ugqirha uya ngomlomo)

Umntwana wakho usenokuba ne-pyloroplasty.Le yinkqubo eyandisileyo ukuvulwa phakathi kwesisu kunye namathumbu amancinci. Ugqirha usenokuba ubeke i-g-tube (gastrostomy tube) esiswini somntwana ukondla.

Uninzi lwabantwana banokubuyela esikolweni okanye kukhathalelo lwemini kwakamsinya nje ukuba baziva banele kwaye xa ugqirha eziva ekhuselekile.

• Umntwana wakho kufuneka aphephe ukuphakamisa okunzima okanye umsebenzi onzima, ofana neklasi yokuzivocavoca kunye nokudlala okusebenzayo, iiveki ezi-3 ukuya kwezi-4.
• Unokucela ugqirha womntwana wakho ileta ayinike umongikazi wesikolo kunye nootitshala ukuba achaze izithintelo umntwana wakho anazo.

Umntwana wakho unokuba nemvakalelo yokuqina xa eginya. Oku kuvela kukudumba ngaphakathi komqala womntwana wakho. Umntwana wakho unokuba nokuqunjelwa. Ezi kufuneka zihambe kwiiveki ezi-6 ukuya kwezi-8.

Ukuchacha ngokukhawuleza kuqhaqho lwe-laparoscopic kunokuhlinzwa.

Kuya kufuneka ucwangcise ixesha lokulandelwa kunye nomboneleli wakho wokuqala wokunyamekela umntwana okanye ugqirha wamazinyo kunye nogqirha emva kotyando.

Uya kumnceda umntwana wakho abuyele kwisidlo esiqhelekileyo ngokuhamba kwexesha.

• Umntwana wakho kufanele ukuba uqale ngokutya okungamanzi esibhedlele.
• Emva kokuba ugqirha evakalelwa kukuba umntwana wakho ukulungele, ungongeza ukutya okuthambileyo.
• Xa umntwana wakho ethatha ukutya okuthambileyo, thetha nogqirha wakho malunga nokubuyela kwisidlo esiqhelekileyo.

Ukuba umntwana wakho une-gastrostomy tube (G-tube) ebekwe ngexesha lotyando, inokusetyenziselwa ukondla kunye nokungena. Ukukhupha kulapho i-G-tube ivuliwe ukukhupha umoya esiswini, ngokufana nokugqabhuka.

• Umongikazi esibhedlele bekufanele ukuba ubonise indlela yokukhupha, ukukhathalela nokubuyisela ityhubhu ye-G, kunye nendlela yoku-odola izinto ze-G-tube. Landela imiyalelo kwi-G-tube care.
• Ukuba ufuna uncedo nge-G-tube ekhaya, nxibelelana nomongikazi okhathalela impilo osebenzela umthengisi we-G-tube.

Ngentlungu, ungamnika umntwana wakho amayeza eentlungu afana ne-acetaminophen (iTylenol) kunye ne-ibuprofen (Advil, Motrin). Ukuba umntwana wakho useneentlungu, biza ugqirha womntwana wakho.

Ukuba ii-sutures (imithungo), istaples, okanye iglu zazisetyenziselwa ukuvala ulusu lomntwana wakho:

• Ungasusa izinto zokunxiba (ii-bandage) kwaye uvumele umntwana wakho ahlambe kusuku olulandelayo emva kotyando ngaphandle kokuba ugqirha wakho ukuxelela ngokwahlukileyo.
• Ukuba ukuhlamba akunakwenzeka, unokunika umntwana wakho isiponji sokuhlamba.

Ukuba imitya ye tape yayisetyenziselwa ukuvala ulusu lomntwana wakho:

• Gubungela ukusikwa ngeplastiki ngaphambi kokuhlamba kwiveki yokuqala. Tepa imiphetho yeplastiki ngononophelo ukugcina amanzi ngaphandle.
• SUKUZAMA ukuhlamba iiteyiphu. Baya kuwa emva kweveki.

UNGAMVUMELI umntwana wakho ukuba angene ebhafini okanye kwibhafu eshushu okanye aye kuqubha de ugqirha womntwana wakho akuxelele ukuba kulungile.

Fowunela umboneleli wezempilo womntwana wakho ukuba umntwana wakho:

• Umkhuhlane we-101 ° F (38.3 ° C) okanye ngaphezulu
• Ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhelayo, obomvu, okufudumeleyo ekuthinteni, okanye onomdaka obunzima, obomvu, obuluhlaza, okanye obisi
• Isisu esidumbileyo okanye esibuhlungu
• Isihlunu okanye ukugabha ngaphezu kweeyure ezingama-24
• Iingxaki zokuginya ezigcina umntwana wakho angatyi
• Iingxaki zokuginya ezingahambi emva kweeveki ezi-2 okanye ezi-3
• Intlungu yokuba amayeza entlungu awancedi
• Ingxaki yokuphefumla
• Ukhohlokhohlo olungapheliyo
• Naziphi na iingxaki ezenza umntwana wakho angakwazi ukutya
• Ukuba i-G-tube isuswe ngengozi okanye iyawa

Ukuxhaswa ngemali - abantwana - ukukhutshwa; Inkxaso-mali yeNissen - abantwana - ukukhutshwa; Belsey (UMark IV) ngenkxaso-mali - abantwana - ukukhutshwa; Ukuxhaswa kweToupet - abantwana - ukukhutshwa; Ukuxhaswa kweThalal - abantwana - ukukhutshwa; Ukulungiswa kweHernatal hernia - abantwana - ukukhutshwa; Endoluminal fundoplication - abantwana - ukukhutshwa

Iqbal CW, iHolcomb GW. I-Reflux yesisu. Ku: Holcomb GW, Murphy JP, Ostlie DJ, ii-eds. Utyando lwabantwana luka-Ashcraft. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; I-2014: isahluko 28.

ISalvatore S, iVandenplas Y.I-Reflux yesisu. Ku: Wylie R, Hyams JS, Kay M, ii-eds. Izifo zesisu esiswini kunye nezifo zesibindi. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2016: isahluko 21.

• Utyando lwe-anti-reflux-abantwana
• Isifo se-reflux sesifo se-Gastroesophageal

• I-reflux ye-Gastroesophageal-ukukhutshwa
• Isitshisa - yintoni ekufuneka uyibuze kugqirha

• IGERD