Matenda a Reflux a Gastroesophageal (GERD) mwa Ana

Zamkati

• Kodi GERD ndi chiyani?
• Kodi GERD ya ana ndi chiyani?
• Zizindikiro za GERD ya ana
• Nchiyani chimayambitsa ana GERD?
• Kodi GERD ya ana amathandizidwa bwanji?

Mu Epulo 2020, adapempha kuti mitundu yonse yamankhwala ndi owonjezera (OTC) ranitidine (Zantac) zichotsedwe kumsika waku U.S. Malangizowa adapangidwa chifukwa milingo yosavomerezeka ya NDMA, yomwe imayambitsa khansa (yomwe imayambitsa khansa), idapezeka muzinthu zina za ranitidine. Ngati mwalamulidwa ranitidine, lankhulani ndi dokotala wanu za njira zina zoyenera musanayimitse mankhwalawo. Ngati mukumwa OTC ranitidine, lekani kumwa mankhwalawa ndipo lankhulani ndi omwe amakuthandizani pazithandizo zina. M'malo motengera mankhwala osagwiritsidwa ntchito a ranitidine kumalo obwezeretsanso mankhwala, muzitaya malinga ndi malangizo a mankhwalawo kapena kutsatira FDA.

Kodi GERD ndi chiyani?

Matenda a reflux a Gastroesophageal (GERD) ndimatenda am'mimba omwe amatchedwa GERD ya ana ikakhudza achinyamata. Pafupifupi 10 peresenti ya achinyamata ndi achinyamata ku United States amakhudzidwa ndi GERD malinga ndi GIKids.

GERD imatha kukhala yovuta kuzindikira ana. Kodi makolo angadziwe bwanji kusiyana pakati pa kudzimbidwa pang'ono kapena chimfine ndi GERD? Kodi chithandizo chimaphatikizapo chiyani kwa achinyamata omwe ali ndi GERD?

Kodi GERD ya ana ndi chiyani?

GERD imachitika pamene asidi m'mimba amabwerera m'mimbamo panthawi yamasana kapena atatha kudya ndipo imayambitsa kupweteka kapena zizindikilo zina. Mimbayi ndi chubu chomwe chimalumikiza pakamwa ndi m'mimba. Valavu yomwe ili kumunsi kwa kum'mero ​​imatsegulira chakudya ndikutseka kuti asidi asatuluke. Valavuyi ikatsegula kapena kutseka nthawi yolakwika, izi zimatha kuyambitsa zizindikilo za GERD. Mwana akamulavulira kapena kusanza, mwina akuwonetsa gastroesophageal reflux (GER), yomwe imadziwika kuti ndi yofala mwa makanda ndipo nthawi zambiri siyimayambitsa zizindikiro zina.

Kwa makanda, GERD ndi njira yofala kwambiri, yovulaza kwambiri. Ana ndi achinyamata amatha kupezeka ndi GERD ngati awonetsa zizindikiro ndikukumana ndi zovuta zina. Zovuta zomwe zingakhalepo za GERD zimaphatikizaponso zovuta za kupuma, zovuta kunenepa, komanso kutupa kwa kholingo, kapena esophagitis, malinga ndi a Johns Hopkins Children's Center.

Zizindikiro za GERD ya ana

Zizindikiro za ubwana wa GERD ndizowopsa kuposa kupwetekedwa m'mimba nthawi zina kapena kuchita pafupipafupi kulavulira. Malinga ndi Mayo Clinic, GERD itha kupezeka m'makanda ndi ana asanakwane ngati ali:

• kukana kudya kapena kusalemera
• akukumana ndi zovuta kupuma
• kuyambira kusanza pakatha miyezi 6 kapena kupitilira apo
• kukangana kapena kumva kupweteka mutadya

GERD imatha kupezeka mwa ana okalamba komanso achinyamata ngati:

• kupweteka kapena kutentha pachifuwa chapamwamba, chomwe chimatchedwa kutentha pa chifuwa
• kupweteka kapena kusapeza bwino mukamameza
• pafupipafupi kutsokomola, kufinya, kapena kuchita hoarseness
• khalani ndi belching kwambiri
• khalani ndi mseru pafupipafupi
• kulawa asidi wam'mimba pakhosi
• amamva ngati chakudya chatsekerera pakhosi pawo
• khalani ndi ululu womwe umakulirakulira mukamagona

Kusamba kwanthawi yayitali kwamitsempha yam'matumbo ndi asidi m'mimba kumatha kubweretsa vuto ku Barrett's esophagus. Zitha kuchititsanso khansa ya kum'mero ​​ngati matendawa sangayendetsedwe bwino, ngakhale izi sizichitika kawirikawiri mwa ana.

Nchiyani chimayambitsa ana GERD?

Ochita kafukufuku sakhala otsimikiza nthawi zonse zomwe zimayambitsa GERD mwa achinyamata. Malinga ndi Cedars-Sinai, pali zinthu zingapo zomwe zingaphatikizidwe, kuphatikiza:

• kutalika kwa kholingo kuli mkati mwa mimba
• mbali ya Iye, yomwe ndi mbali yomwe mimba ndi mimba zimakumana
• mkhalidwe wa minofu kumapeto kwa mmero
• kutsina kwa ulusi wamkatiwo

Ana ena amathanso kukhala ndi mavavu ofooka omwe amakhudzidwa kwambiri ndi zakudya ndi zakumwa zina kapena kutupa pammero komwe kumayambitsa vutoli.

Kodi GERD ya ana amathandizidwa bwanji?

Kuchiza kwa GERD ya ana kumadalira kuuma kwa vutoli. Madokotala nthawi zonse amalangiza makolo, ana, komanso achinyamata kuti ayambe ndi kusintha kosavuta m'moyo. Mwachitsanzo:

• Idyani zakudya zazing'ono nthawi zambiri, ndipo pewani kudya maola awiri kapena atatu musanagone.
• Kuchepetsa thupi ngati kuli kofunikira.
• Pewani zakudya zokometsera zonunkhira, zakudya zamafuta ambiri, ndi zipatso ndi masamba osakanika, zomwe zingakhumudwitse m'mimba mwanu.
• Pewani zakumwa za kaboni, mowa, ndi utsi wa fodya.
• Kwezani mutu mutagona.
• Pewani kudya chakudya chachikulu musanachite masewera olimbitsa thupi, masewera amasewera, kapena nthawi yamavuto.
• Pewani kuvala zovala zothina.

Dokotala wa mwana wanu angakulimbikitseni mankhwala omwe amathandiza kuchepetsa kuchuluka kwa asidi m'mimba mwawo. Mankhwalawa ndi awa:

• antacids
• oteteza ku histamine-2 omwe amachepetsa acid m'mimba, monga Pepcid
• proton pump inhibitors omwe amaletsa asidi, monga Nexium, Prilosec, ndi Prevacid

Pali kutsutsana kokhudza kuyambitsa ana ang'onoang'ono pa mankhwalawa. Sizikudziwika kuti zotsatira za mankhwalawa zitha kukhala zazitali bwanji. Mungafune kuyang'ana kwambiri kuthandiza mwana wanu kuti asinthe moyo wake. Mwinanso mungafune kuti mwana wanu ayese mankhwala azitsamba. Makolo ena amaganiza kuti mankhwala azitsamba atha kukhala othandiza, koma mphamvu ya mankhwalawo ndiosatsimikizika ndipo zotulukapo zazitali kwa ana omwe amamwa sizikudziwika.

Madokotala samawona opaleshoni ngati chithandizo cha GERD ya ana. Nthawi zambiri amaisunga pochiza matenda omwe sangathe kuwongolera zovuta zina, monga kutuluka magazi kapena zilonda zam'mimba.