Reflux ya gastroesophageal m'makanda

Reflux ya Gastroesophageal imachitika m'mimba mukamatuluka chakumbuyo kuchokera m'mimba kupita kum'mero. Izi zimapangitsa "kulavulira" makanda.

Munthu akamadya, chakudya chimadutsa kuchokera kukhosi kupita m'mimba kudzera mummero. Mimbayo imatchedwa chitoliro cha chakudya kapena chubu lokumeza.

Mphete ya ulusi wamtunduwu imalepheretsa chakudya kumtunda kwa m'mimba kuti chisakwere kum'mero. Mitundu imeneyi imadziwika kuti low esophageal sphincter, kapena LES. Ngati mnofuwu sukutseka bwino, chakudya chimatha kubwereranso kummero. Izi zimatchedwa gastroesophageal reflux.

Kuchepa pang'ono kwa gastroesophageal Reflux ndichizolowezi mwa makanda achichepere. Komabe, kupitirizabe kusanza ndi kusanza pafupipafupi kumatha kukwiyitsa kum'mero ​​ndikupangitsa khanda kukangana. Reflux yayikulu yomwe imapangitsa kuti muchepetse kapena kupuma movuta si zachilendo.

Zizindikiro zimaphatikizapo:

• Chifuwa, makamaka mukadya
• Kulira kwambiri ngati kuti ukupweteka
• Kusanza kwambiri m'masabata angapo oyamba amoyo; moyipa atadya
• Kusanza kwamphamvu kwambiri
• Osadya bwino
• Kukana kudya
• Kukula pang'onopang'ono
• Kuchepetsa thupi
• Kupuma kapena mavuto ena opuma

Wothandizira zaumoyo nthawi zambiri amatha kuzindikira vutoli pofunsa za zidziwitso za khanda ndikuyesa thupi.

Makanda omwe ali ndi zizindikilo zoopsa kapena sakukula bwino angafunike kuyesedwa kochulukira kuti apeze chithandizo chabwino.

Mayeso omwe angachitike ndi awa:

• Esophageal pH kuwunika zomwe zili m'mimba zomwe zimalowa mum'mero
• X-ray ya kum'mero
• X-ray ya m'mimba m'mimba mwanayo atapatsidwa madzi apadera, otchedwa mosiyana, kuti amwe

Kawirikawiri, palibe kusintha kwa chakudya komwe kumafunikira kwa makanda omwe amalavulira koma akukula bwino ndipo amawoneka okhutira.

Wopereka wanu atha kupereka lingaliro losavuta kusintha kuti athandizire zizindikiro monga:

• Menyani mwana mukamwa madzi okwanira 1 mpaka 2 (30 mpaka 60 milliliters) a chilinganizo, kapena mutadyetsa mbali iliyonse ngati mukuyamwitsa.
• Onjezerani supuni imodzi (2.5 magalamu) a phala ya mpunga ku ma ounces awiri (60 milliliters) a mkaka, mkaka, kapena mkaka wa m'mawere. Ngati kuli kotheka, sinthani kukula kwa nsonga yamabele kapena dulani kachulukidwe kakang'ono m'kamwa kake.
• Gwirani mwanayo moimirira kwa mphindi 20 kapena 30 mutadyetsa.
• Kwezani mutu wa chogona. Komabe, khanda lanu liyenera kugona kumbuyo, pokhapokha ngati wothandizirayo akuwonetsa zina.

Khanda likayamba kudya chakudya chotafuna, kudyetsa zakudya zonenepa kungathandize.

Mankhwala amatha kugwiritsidwa ntchito kuchepetsa asidi kapena kuwonjezera kuyenda kwa matumbo.

Makanda ambiri amakhala opanda izi. Nthawi zambiri, Reflux imapitilira ubwana ndipo imawononga kuwonongeka kwa mitsempha.

Zovuta zingaphatikizepo:

• Chibayo chotulutsa chibayo chomwe chimayambitsidwa ndim'mimba chomwe chimadutsa m'mapapu
• Kupsa mtima ndi kutupa kwa pammero
• Kuthina ndi kupindika kwa kummero

Itanani omwe akukuthandizani ngati mwana wanu:

• Amasanza mwamphamvu komanso pafupipafupi
• Ali ndi zizindikiro zina za Reflux
• Ali ndi mavuto kupuma atasanza
• Akukana chakudya ndikuchepetsa kapena sakulemera
• Ndikulira nthawi zambiri

Reflux - makanda

• Dongosolo m'mimba

Hibs AM. Reflux wamimba m'mimba ndi motility mu neonate. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 82.

Khan S, Matta SKR. Matenda a reflux am'mimba. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 349.