Reflux yaBantwana

Umxholo

• Isishwankathelo
• Yintoni i-Reflux (GER) kunye ne-GERD?
• Yintoni ebangela ukuba i-Reflux kunye ne-GERD ebantwaneni?
• Ziqheleke kangakanani i-reflux kunye ne-GERD ebantwaneni?
• Zithini iimpawu ze-Reflux kunye ne-GERD ebantwaneni?
• Ngaba oogqirha bayifumanisa njani i-reflux kunye ne-GERD ebantwaneni?
• Loluphi utshintsho kwindlela yokuphila olunokunceda ukunyanga i-reflux yomntwana wam okanye i-GERD?
• Loluphi unyango anokuthi alunike ugqirha kwiGERD yomntwana wam?

Isishwankathelo

Yintoni i-Reflux (GER) kunye ne-GERD?

I-esophagus yityhubhu ehambisa ukutya emlonyeni wakho ukuya kwisisu sakho. Ukuba umntwana wakho une-reflux, isisu sakhe sibuyele kwisisu. Elinye igama le-reflux yi-reflux ye-gastroesophageal (GER).

I-GERD imele isifo se-reflux yesifo se-gastroesophageal. Luhlobo olubi kakhulu nolunokuhlala ixesha elide. Ukuba umntwana wakho unqabile ngaphezu kokuphindwe kabini ngeveki kwiiveki ezimbalwa, kunokuba yi-GERD.

Yintoni ebangela ukuba i-Reflux kunye ne-GERD ebantwaneni?

Kukho umsipha (i-sphincter esezantsi esophageal sphincter) esebenza njengevalvu phakathi komqala nesisu. Xa umntwana wakho eginya, esi sihlunu siyaphola ukuvumela ukutya kudlule kwi-esophagus ukuya esiswini. Esi sihlunu sihlala sivalekile, ngenxa yoko iziqulatho zesisu azihambeli zibuyele emva kwi-esophagus.

Kubantwana abane-reflux kunye ne-GERD, esi sihlunu siba buthathaka okanye siphumle xa singafanelekanga, kwaye imixholo yesisu ibuyela umva kwi-esophagus. Oku kunokwenzeka ngenxa ye-

• I-hernia yokubeletha, imeko apho inxalenye ephezulu yesisu sakho iphosa phezulu kwisifuba sakho ngokuvula kwi-diaphragm yakho
• Ukonyusa uxinzelelo esiswini ukusuka ekutyebeni kakhulu okanye ukutyeba kakhulu
• Amayeza, anje ngamayeza athile esifuba, i-antihistamines (enyanga i-aleji), ukuphelisa iintlungu, ukuthomalalisa (okunceda ukulala kwabantu), kunye nezidambisi
• Ukutshaya okanye ukubhencwa kukutshaya
• Utyando lwangaphambili kwi-esophagus okanye kwisisu esingaphezulu
• Ukulibaziseka okukhulu kophuhliso
• Iimeko ezithile ze-neurological, ezinje nge-cerebral palsy

Ziqheleke kangakanani i-reflux kunye ne-GERD ebantwaneni?

Uninzi lwabantwana lunamaxesha athile. I-GERD ayiqhelekanga; ukuya kuthi ga kwiipesenti ezingama-25 zabantwana baneempawu zeGERD.

Zithini iimpawu ze-Reflux kunye ne-GERD ebantwaneni?

Umntwana wakho akanako nokubona i-reflux. Kodwa abanye abantwana bayangcamla ukutya okanye isisu esisemva emlonyeni.

Kubantwana, i-GERD inokubangela

• Isitshisa, intlungu, ukutsha ngaphakathi esifubeni. Ixhaphake kakhulu kubantwana abadala (iminyaka eli-12 nangaphezulu).
• Umphunga ombi
• Isicaphucaphu nokugabha
• Iingxaki zokuginya okanye ukugwinya kabuhlungu
• Iingxaki zokuphefumla
• Ukuphela kwamazinyo

Ngaba oogqirha bayifumanisa njani i-reflux kunye ne-GERD ebantwaneni?

Kwiimeko ezininzi, ugqirha ufumanisa i-reflux ngokujonga kwakhona iimpawu zomntwana wakho kunye nembali yonyango. Ukuba iimpawu azibangcono ngotshintsho kwindlela yokuphila kunye namayeza alwa ne-reflux, umntwana wakho unokufuna uvavanyo lokujonga i-GERD okanye ezinye iingxaki.

Uvavanyo oluninzi lunokunceda ugqirha afumanise i-GERD. Ngamanye amaxesha oogqirha bayalela ngaphezulu kovavanyo olunye ukuze bafumane isifo. Uvavanyo oluqhelekileyo olusetyenziswayo lubandakanya

• Uthotho oluphezulu lwe-GI, ejonga ukumila kwendlela ephezulu yomntwana wakho we-GI (emathunjini). Umntwana wakho uya kusela ulwelo olwahlukileyo olubizwa ngokuba yi-barium. Kubantwana abancinci, i-barium ixutywe ngebhotile okanye okunye ukutya. Unonophelo lwempilo luza kuthatha ii-x-reyi zomntwana wakho ukuba zilandelele i-barium njengoko ihamba ngesisu kunye nesisu.
• I-Esophageal pH kunye nokubeka iliso kwimpedance, olinganisa isixa seasidi okanye ulwelo kwisisu somntwana wakho. Ugqirha okanye umongikazi ubeka ityhubhu ecekeceke ecekeceke ngeempumlo zomntwana wakho esiswini. Ukuphela kwetyhubhu kumlinganiso we-esophagus xa kunye nokuba ingakanani i-asidi ebuyela umva kwi-esophagus. Elinye icala ityhubhu incamathela esweni erekhoda imilinganiselo. Umntwana wakho uya kunxiba ityhubhu iiyure ezingama-24. Kusenokufuneka ahlale esibhedlele ngexesha lovavanyo.
• Isisu esingaphezulu esiswini (GI) endoscopy kunye ne-biopsy, Esebenzisa i-endoscope, ityhubhu ende, eguqukayo enesibane kunye nekhamera ekupheleni kwayo. Ugqirha uqhuba i-endoscope ezantsi komqala womntwana wakho, isisu, kunye nenxalenye yokuqala yamathumbu amancinci. Ngelixa ujonge imifanekiso kwi-endoscope, ugqirha unokuthatha iisampulu zethishu (i-biopsy).

Loluphi utshintsho kwindlela yokuphila olunokunceda ukunyanga i-reflux yomntwana wam okanye i-GERD?

Ngamanye amaxesha i-reflux kunye ne-GERD ebantwaneni inokunyangwa ngenguqu kwindlela yokuphila:

• Ukunciphisa umzimba, xa kufuneka njalo
• Ukutya ukutya okuncinci
• Ukuphepha ukutya okunamafutha aphezulu
• Ukunxiba iimpahla ezikhululekileyo esiswini
• Ukuhlala nkqo iiyure ezi-3 emva kokutya kwaye ungahlali phantsi kwaye ulele xa uhleli
• Ukulala ngekona encinci. Phakamisa intloko yebhedi yomntwana wakho ii-intshi ezi-6 ukuya kwezi-8 ngokubeka ngokukhuselekileyo iibhloko phantsi kweeposti.

Loluphi unyango anokuthi alunike ugqirha kwiGERD yomntwana wam?

Ukuba utshintsho ekhaya aluncedisi ngokwaneleyo, ugqirha unokucebisa amayeza okunyanga i-GERD. Amayeza asebenza ngokunciphisa isixa seasidi esiswini somntwana wakho.

Amanye amayeza e-GERD ebantwaneni aphezu kwekhawuntari, kwaye amanye ngamayeza amiselweyo. Babandakanya

• Ii-antacids ezingaphezulu kwekhawuntareni
• I-H2 blockers, ezinciphisa imveliso yeasidi
• Iiproton pump inhibitors (ii-PPIs), ezithoba isixa seasidi esiswini
• Iprokinetics, esinceda isisu ukuba singabinanto ngokukhawuleza

Ukuba oku akuncedi kwaye umntwana wakho usenempawu ezinzima, ngoko utyando lunokukhetha. I-gastroenterologist yabantwana, ugqirha onyanga abantwana abanezifo zokwetyisa, uya kwenza utyando.

I-NIH: IZiko leLizwe leSwekile kunye neZifo zeDigestive kunye neZintso