I-Reflux ye-Gastroesophageal kwiintsana

I-Reflux ye-Gastroesophageal yenzeka xa imixholo yesisu ivuza umva ukusuka esiswini ukuya kwi-esophagus. Oku kubangela "ukutshica" kwiintsana.

Xa umntu esitya, ukutya kudlula ukusuka emqaleni kuye esiswini nge-esophagus. I-esophagus ibizwa ngokuba ngumbhobho wokutya okanye ityhubhu yokuginya.

Isangqa semicu yemisipha sithintela ukutya okuphezulu kwesisu ekunyukeleni kuye emqaleni. Ezi ntsinga zemisipha zibizwa ngokuba yi-sphincter esezantsi esophageal, okanye i-LES. Ukuba esi sihlunu asivali kakuhle, ukutya kungavuza kubuye umqala. Oku kubizwa ngokuba yi-gastroesophageal reflux.

Inani elincinci le-reflux ye-gastroesophageal yinto eqhelekileyo kwiintsana ezincinci. Nangona kunjalo, i-Reflux eqhubekayo yokugabha rhoqo inokucaphukisa umqala kwaye yenze usana lube nefussy. I-Reflux enamandla ebangela ukwehla kobunzima okanye iingxaki zokuphefumla ayiqhelekanga.

Iimpawu zingabandakanya:

• Ukukhwehlela, ngakumbi emva kokutya
• Ukulila kakhulu ngokungathi kubuhlungu
• Ukugabha kakhulu kwiiveki zokuqala ezimbalwa zobomi; kubi emveni kokutya
• Ukugabha ngamandla
• Ukungatyi kakuhle
• Ukwala ukutya
• Ukukhula kancinci
• Ukuhla ukusinda
• Ukubetha okanye ezinye iingxaki zokuphefumla

Umboneleli wezempilo unokuhlala efumanisa ingxaki ngokubuza malunga neempawu zosana kunye nokwenza uvavanyo lomzimba.

Iintsana ezineempawu ezinzima okanye ezingakhuli kakuhle zisenokufuna uvavanyo olongezelelekileyo ukuze zifumane olona nyango lulungileyo.

Uvavanyo olunokwenziwa lunokubandakanya:

• I-esophageal pH yokubeka esweni imixholo yesisu engena kumqolo
• X-reyi yomqala
• IX-reyi yenkqubo ephezulu yamathumbu emva kokuba umntwana enikwe ulwelo olukhethekileyo, olubizwa ngokungafaniyo, ukuba asele

Rhoqo, akukho lutshintsho lokondla olufunekayo kwiintsana ezigabha kodwa zikhula kakuhle kwaye zibonakala ngathi zinomnye umxholo.

Umboneleli wakho unokucebisa utshintsho olulula ukunceda iimpawu ezinje:

• Yibhobhoze umntwana emva kokuba usele i-ounces enye ukuya kwezi-2 (30 ukuya kuma-60 eemililitha) yefomula, okanye emva kokondla kwicala ngalinye xa uncancisa.
• Yongeza icephe e-1 (2.5 iigrem) zerayisi yokutya okuziinkozo kwii-ounces ezi-2 (i-60 milliliters) yefomula, ubisi, okanye ubisi lwebele. Ukuba kukho imfuneko, tshintsha ubungakanani bengono okanye usike i-x encinci kwingono.
• Gcina umntwana eme nkqo kangangemizuzu engama-20 ukuya kwengama-30 emva kokondla.
• Phakamisa intloko yesibhedlele. Nangona kunjalo, usana lwakho kufuneka lusalala ngasemva, ngaphandle kokuba umboneleli wakho ucebisa ngenye indlela.

Xa usana luqala ukutya ukutya okuqinileyo, ukondla ukutya okuqinileyo kunokunceda.

Amayeza anokusetyenziselwa ukunciphisa i-asidi okanye ukunyusa ukuhamba kwamathumbu.

Uninzi lweentsana luyayishiya le meko. Rhoqo, i-Reflux iyaqhubeka nokuba ngumntwana kwaye ibangela ukonakala komqala.

Iingxaki zinokubandakanya:

• Ukuphefumla inyumoniya ebangelwa yimixholo yesisu edlulela kwimiphunga
• Ukucaphuka kunye nokudumba komqala
• Ukurhawuzelela nokunciphisa umqala

Fowunela umboneleli wakho ukuba umntwana wakho:

• Ngaba ukugabha ngamandla kwaye rhoqo
• Inezinye iimpawu zekrelux
• Unengxaki yokuphefumla emva kokugabha
• Ngaba ukwala ukutya kunye nokwehla okanye ukungafumani ubunzima
• Ngaba uhlala elila

Reflux - iintsana

• Inkqubo yokwetyisa

IiHibs AM. I-Reflux yamathumbu emathumbu kunye nokushukuma kwe-neonate. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 82.

UKhan S, uMatta SKR. Isifo se-reflux sesifo se-Gastroesophageal. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 349.