Reflux kwiintsana

Umxholo

• Isishwankathelo
• Yintoni i-Reflux (GER) kunye ne-GERD?
• Yintoni ebangela i-Reflux kunye ne-GERD kwiintsana?
• Ziqheleke kangakanani i-reflux kunye ne-GERD kwiintsana?
• Zithini iimpawu ze-Reflux kunye ne-GERD kwiintsana?
• Oogqirha bayifumanisa njani i-reflux kunye ne-GERD kwiintsana?
• Loluphi utshintsho lokondla olunokunceda ekunyangeni i-reflux yosana lwam okanye i-GERD?
• Loluphi unyango anokuthi alunike ugqirha kwiGERD yosana lwam?

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. Iintsana zinokuba ne-GERD ukuba iimpawu zazo zibathintela ekondleni okanye ukuba i-Reflux ihlala ngaphezulu kweenyanga ezili-12 ukuya kwezi-14.

Yintoni ebangela i-Reflux kunye ne-GERD kwiintsana?

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

Kwiintsana ezine-reflux, isisipha esisezantsi esophageal sphincter muscle asiphuhliswanga ngokupheleleyo kwaye ivumela isisu ukuba sibuyele umva. Oku kubangela ukuba usana lwakho lutshicele (luhlaziyeke kwakhona). Nje ukuba umsipha wakhe we-sphincter ukhule ngokupheleleyo, usana lwakho akufuneki luphume.

Kwiintsana ezine-GERD, umsipha we-sphincter uba buthathaka okanye uphumle xa ungafanelekanga.

Ziqheleke kangakanani i-reflux kunye ne-GERD kwiintsana?

I-Reflux ixhaphake kakhulu kwiintsana. Phantse isiqingatha sabo bonke abantwana batshica amatyeli amaninzi ngemini kwiinyanga ezintathu zokuqala zobomi babo. Bahlala beyeka ukutshica phakathi kweminyaka eyi-12 ukuya kwi-14 yeenyanga.

I-GERD ixhaphake kakhulu kwiintsana ezincinci. Uninzi lweenyanga ezine-4 ubudala lunayo. Kodwa ngokuzalwa kwabo kokuqala, kuphela iipesenti ezili-10 zeentsana ezisenayo i-GERD.

Zithini iimpawu ze-Reflux kunye ne-GERD kwiintsana?

Kwiintsana, olona phawu luphambili lwe-reflux kunye ne-GERD kukutshica. I-GERD inokubangela iimpawu ezinje

• Ukuguqa ngasemva, rhoqo ngexesha okanye kanye emva kokutya
• I-Colic-ekhala ehlala ngaphezulu kweeyure ezingama-3 ngosuku ngaphandle kwesizathu sonyango
• Ukukhohlela
• Ukuqunjelwa okanye ingxaki yokuginya
• Ukucaphuka, ngakumbi emva kokutya
• Ukungatyi kakuhle okanye ukwala ukutya
• Ukutyeba ubunzima, okanye ukunciphisa umzimba
• Ukubetha okanye ingxaki yokuphefumla
• Ukugabha ngamandla okanye rhoqo

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

Oogqirha bayifumanisa njani i-reflux kunye ne-GERD kwiintsana?

Kwiimeko ezininzi, ugqirha ufumanisa i-reflux ngokujonga kwakhona iimpawu zomntwana wakho kunye nembali yonyango. Ukuba iimpawu azibangcono ngotshintsho lokondla kunye namayeza e-anti-reflux, umntwana wakho unokufuna uvavanyo.

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

• Uthotho oluphezulu lwe-GI, Ejonga ukumila kwendlela ephezulu yomntwana wakho we-GI (emathunjini). Usana lwakho luya kusela okanye lutye ulwelo olwahlukileyo olubizwa ngokuba yi-barium. I-barium ixutywe ngebhotile okanye okunye ukutya. Unonophelo lwempilo luza kuthatha ii-x-reyi zosana lwakho ukuba zilandele umkhondo we-barium njengoko uhamba 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 ngokusebenzisa impumlo yosana lwakho esiswini. Ukuphela kwetyhubhu kumlinganiso we-esophagus xa kunye nokuba ingakanani i-asidi eza kuthi ga kwi-esophagus. Elinye icala ityhubhu incamathela esweni erekhoda imilinganiselo. Usana lwakho luya kunxiba oku kangangeeyure ezingama-24, ubukhulu becala esibhedlele.
• 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 lokondla olunokunceda ekunyangeni i-reflux yosana lwam okanye i-GERD?

Ukondla utshintsho kunokunceda i-reflux yomntwana wakho kunye ne-GERD:

• Yongeza irayisi okuziinkozo kwibhotile yosana lwakho yefomula okanye ubisi lwebele. Jonga ugqirha malunga nokuba ungongeza malini. Ukuba umxube ungqindilili, ungatshintsha ubungakanani bengono okanye usike kancinci "x" kwingono ukwenza ukuvuleka kube kukhulu.
• Burp umntwana wakho emva kwee-ounces ezi-1 ukuya kwezi-2 zefomula. Ukuba uncancisa, bhinqa umntwana wakho emva kokuncancisa kwibele ngalinye.
• Kuphephe ukutyisa kakhulu; Nika umntwana wakho isixa sobisi olungumgubo okanye ubisi lwebele olucetyiswayo.
• Bamba usana lwakho nkqo imizuzu engama-30 emva kokondliwa.
• Ukuba usebenzisa ifomula kwaye ugqirha wakho ucinga ukuba usana lwakho lunokuba novakalelo kwiprotein yobisi, ugqirha wakho unokucebisa ukuba utshintshele kuhlobo olwahlukileyo lwefomula. Sukutshintsha iifomula ngaphandle kokuthetha nogqirha.

Loluphi unyango anokuthi alunike ugqirha kwiGERD yosana lwam?

Ukuba utshintsho lokondla aluncedi ngokwaneleyo, ugqirha unokucebisa amayeza anyange i-GERD. Amayeza asebenza ngokunciphisa isixa seasidi esiswini somntwana wakho. Ugqirha uya kuphakamisa kuphela amayeza ukuba umntwana wakho useneempawu eziqhelekileyo zeGERD kwaye

• Sele uzame utshintsho lokondla
• Umntwana wakho unengxaki yokulala okanye yokondla
• Usana lwakho alukhuli kakuhle

Ugqirha uhlala ekuchazela ngeyeza kwaye uza kuchaza naziphi na iingxaki ezinokubakho. Akufanele unike umntwana wakho nawaphi na amayeza ngaphandle kokuba ugqirha ukuxelele njalo.

Amayeza e-GERD kwiintsana afaka

• I-H2 blockers, ezinciphisa imveliso yeasidi
• Iiproton pump inhibitors (ii-PPIs), ezithoba isixa seasidi esiswini

Ukuba oku akuncedi kwaye umntwana wakho usenempawu ezinzima, ngoko utyando lunokukhetha. Iintsholongwane ze-gastroenterologists zisebenzisa kuphela utyando ukunyanga i-GERD kwiintsana kwiimeko ezinqabileyo. Banokucebisa ukuba kwenziwe utyando xa iintsana zinengxaki yokuphefumla kakhulu okanye zinengxaki yomzimba ebangela iimpawu zeGERD.