Isifo se-Reflux seGastroesophageal (GERD) kuBantwana

Umxholo

• Yintoni iGERD?
• Yintoni i-GERD yabantwana?
• Iimpawu zeGERD yabantwana
• Yintoni ebangela i-GERD yabantwana?
• Uphathwa njani umntwana i-GERD?

Ngo-Epreli 2020, uceliwe ukuba zonke iintlobo zokumiselwa kunye ne-over-the-counter (OTC) ranitidine (Zantac) zisuswe kwimarike yase-US. Olu ngcebiso lwenziwe kuba amanqanaba angamkelekanga e-NDMA, enokubangela i-carcinogen (imichiza ebangela umhlaza), yafunyanwa kwezinye iimveliso ze-ranitidine. Ukuba umiselwe i-ranitidine, thetha nogqirha wakho malunga nezinye iindlela ezikhuselekileyo ngaphambi kokuyeka iyeza. Ukuba uthatha i-OTC ranitidine, yeka ukuthatha ichiza kwaye uthethe nomboneleli wakho wezempilo malunga nezinye iindlela. Endaweni yokuthatha iimveliso ze-ranitidine ezingasetyenziswanga kwindawo yokubuyisela iziyobisi, zilahle ngokwemiyalelo yemveliso okanye ngokulandela i-FDA's.

Yintoni iGERD?

Isifo se-reflux se-Gastroesophageal (GERD) sisifo sokugaya ekuthiwa yi-GERD yabantwana xa ichaphazela abantu abancinci. Phantse iipesenti ezili-10 zentsha kunye nabaselula e-United States bachaphazelekayo yi-GERD ngokwe-GIKids.

I-GERD kunokuba nzima ukuyichonga ebantwaneni. Abazali bangawuchaza njani umahluko phakathi kokugaya kancinci okanye umkhuhlane kunye ne-GERD? Lubandakanya ntoni unyango kubantu abancinci abane-GERD?

Yintoni i-GERD yabantwana?

I-GERD yenzeka xa isisu esiswini sibuyele ngaphakathi kwi-esophagus ngexesha okanye emva kwesidlo kwaye sibangele iintlungu okanye ezinye iimpawu. Umqala ityhubhu edibanisa umlomo nesisu. Ivalve ezantsi komqala ivula ukuze ukutya kuyeke kwaye ivale ukunqanda i-asidi ukuba inyuke. Xa le valve ivula okanye ivala ngexesha elingalunganga, oku kunokubangela iimpawu zeGERD. Xa umntwana etshica okanye egabha, kunokwenzeka ukuba babonakalise i-reflux ye-gastroesophageal (GER), ethathelwa ingqalelo eqhelekileyo kwiintsana kwaye zihlala zingabangeli ezinye iimpawu.

Kwiintsana, i-GERD yeyona nto ingaqhelekanga, ngakumbi indlela yokutshiza. Abantwana kunye nolutsha banokuchongwa ukuba bane-GERD ukuba babonisa iimpawu kunye namava ezinye iingxaki. Iingxaki ezinokubakho ze-GERD zibandakanya iingxaki zokuphefumla, ubunzima bokufumana ubunzima, kunye nokudumba kwe-esophagus, okanye i-esophagitis, ngokweZiko laBantwana likaJohn Hopkins.

Iimpawu zeGERD yabantwana

Iimpawu zobuntwana be-GERD zibaluleke kakhulu kunesisu esibuhlungu okanye isenzo esingaqhelekanga sokutshica. Ngokwe-Mayo Clinic, i-GERD inokubakho kwiintsana nakubantwana abasaqala isikolo ukuba ngaba:

• ukwala ukutya okanye ukungafumani bunzima
• ukufumana ubunzima bokuphefumla
• ukuqala ngokugabha kwiinyanga ezi-6 ubudala okanye ngaphezulu
• ukuxubana okanye ukuba nentlungu emva kokutya

I-GERD inokubakho kubantwana abadala nakwishumi elivisayo ukuba:

• yintlungu okanye ukutshisa kwisifuba esingasentla, esibizwa ngokuba sisitshisa
• ukuba nentlungu okanye ukungonwabi xa uginya
• ukukhwehlela rhoqo, ukuxhuzula, okanye ukudumba
• ube ne-belching egqithileyo
• ube nesicaphucaphu rhoqo
• ukungcamla isisu esiswini emqaleni
• Ndiva ngathi ukutya kuyaxinga emqaleni
• ube neentlungu eziba mandundu xa ulele

Ukuhlamba ixesha elide kwesisu kunye ne-asidi esiswini kunokukhokelela kwisimo sokuqala sikaBarrett. Ingakhokelela nakwisifo somhlaza ukuba isifo asilawulwa ngokufanelekileyo, nangona oku kunqabile ebantwaneni.

Yintoni ebangela i-GERD yabantwana?

Abaphandi abasoloko beqinisekile ukuba yintoni ebangela i-GERD kubantu abancinci. Ngoku ka Imisedare-ISinayi, zininzi izinto ezinokubandakanyeka, kubandakanya:

• ide kangakanani i-esophagus ingaphakathi kwesisu
• i-engile yakhe, engile apho isisu kunye nomqala zidibana khona
• imeko yezihlunu kwindawo esezantsi yomqala
• ukucofa imicu yesithsaba

Abanye abantwana banokuba nezivalo ezibuthathaka ezibuthathaka ngakumbi kukutya okuthile kunye neziselo okanye ukudumba kwi-esophagus ebangela ingxaki.

Uphathwa njani umntwana i-GERD?

Unyango lwe-GERD yabantwana luxhomekeke kubukrakra bale meko. Oogqirha baya kuhlala becebisa abazali, abantwana kunye nolutsha ukuba baqale ngotshintsho olulula lokuphila. Umzekelo:

• Yitya ukutya okuncinci rhoqo, kwaye uphephe ukutya iiyure ezimbini ukuya kwezintathu ngaphambi kwexesha lokulala.
• Nciphisa umzimba xa kukho imfuneko.
• Kunqande ukutya okunezipayisi, ukutya okunamafutha aphezulu, kunye neziqhamo kunye nemifuno eneasidi, enokuthi icaphukise isisu sakho.
• Gwema iziyobisi, i-alcohol kunye nomsi wecuba.
• Phakamisa intloko xa ulele.
• Kunqande ukutya izidlo ezikhulu phambi kwemisebenzi eyomeleleyo, imidlalo yezemidlalo, okanye ngamaxesha oxinzelelo.
• Kuphephe ukunxiba iimpahla ezikubambayo.

Ugqirha womntwana wakho unokucebisa amayeza anceda ukunciphisa inani leasidi eveliswa sisisu. La mayeza aquka:

• Izichasi
• i-histamine-2 blockers ezinciphisa i-asidi esiswini, njengePepcid
• Iiproton pump inhibitors ezithintela i-asidi, njenge-Nexium, Prilosec kunye ne-Prevacid

Kukho impikiswano malunga nokuqala kwabantwana abancinci kula mayeza. Akukaziwa ukuba yeyiphi imiphumo yexesha elide kula mayeza. Unokufuna ukugxila ekuncedeni umntwana wakho enze utshintsho kwindlela yokuphila. Unokufuna ukuba umntwana wakho azame amayeza emithi. Abanye abazali banoluvo lokuba amayeza esintu anokuba luncedo, kodwa ukusebenza kwamayeza akunabungqina kwaye neziphumo zexesha elide kubantwana abazisebenzisayo aziwa.

Oogqirha kunqabile ukuba bakuthathe ngonyango njengonyango lwe-GERD yabantwana. Ngokuqhelekileyo bayigcina ngokunyanga amatyala apho bangakwaziyo ukulawula iingxaki ezinzulu, njengokuphuma komqala okanye izilonda.