Kuzindikira ndi Kuchiza Reflux Yachete mwa Ana

Zamkati

• Reflux chete
• Kodi mwana wanga samangokhala chete?
• Reflux vs. matenda a reflux a gastroesophageal (GERD)
• Nchiyani chimayambitsa kusakhazikika mwakachetechete?
• Nthawi yoti mupemphe thandizo
• Kodi ndingatani kuti ndithandizire kapena kupewa kutulutsa chete?
• Momwe mungachitire ndi kuchepa kwamawu
• Zimatenga nthawi yayitali bwanji kuti mumveke mwakachetechete?
• Kodi ndiyenera kuda nkhawa ndi Reflux ya mwana wanga?

Reflux chete

Reflux yakachetechete, yotchedwanso laryngopharyngeal reflux (LPR), ndi mtundu wa Reflux momwe zomwe zili m'mimba zimabwereranso m'mbuyo m'mphako (mawu amawu), kumbuyo kwa mmero, ndi ma mphuno.

Mawu oti "chete" amayamba chifukwa Reflux sikuti nthawi zonse imayambitsa zizindikilo zakunja.

Zomwe zili m'mimba zomwe zibwezeretsedwenso zitha kubwerera m'mimba m'malo mochotsedwa pakamwa, zomwe zimapangitsa kuti zikhale zovuta kuzizindikira.

Zimakhala zachilendo kwa ana aang'ono ngati masabata angapo kukhala ndi reflux. Reflux ikapitirira kupitirira chaka, kapena ngati ikuyambitsa zovuta zoyipa kwa mwana wanu, dokotala wa ana atha kulangiza chithandizo.

Kodi mwana wanga samangokhala chete?

Matenda a Reflux amawoneka okhudza ana. Ngakhale matenda a reflux a gastroesophageal (GERD) ndi LPR atha kukhalapo limodzi, zisonyezo zakuchepa kwa chete ndizosiyana ndi mitundu ina ya Reflux.

Kwa makanda ndi ana aang'ono, zizindikilo zake ndi izi:

• mavuto opuma, monga kupuma, "kupuma mwamphamvu", kapena kupuma (kupuma)
• kuseketsa
• Kuchuluka kwa mphuno
• kutsokomola kosatha
• matenda opuma (monga bronchitis) ndi matenda am'makutu
• kuvuta kupuma (mwana wanu atha kukhala ndi mphumu)
• kuvuta kudyetsa
• kulavulira
• kulephera kukula bwino, komwe kungapezeke ndi dokotala ngati mwana wanu sakukula ndikulemera pamlingo woyenera wazaka zawo

Ana omwe ali chete samatha kulavulira, zomwe zimapangitsa kuti zikhale zovuta kuzindikira chomwe chikuwapangitsa.

Ana okalamba amatha kufotokozera china chake chomwe chimamveka ngati chotupa pakhosi lawo ndikudandaula za kulawa kowawa pakamwa pawo.

Muthanso kuwona kulira kwa mawu a mwana wanu.

Reflux vs. matenda a reflux a gastroesophageal (GERD)

LPR ndiyosiyana ndi GERD.

GERD imayambitsa kukhumudwa kwam'mero, pomwe reflux yosasangalatsa imakwiyitsa pakhosi, mphuno, ndi mawu amawu.

Nchiyani chimayambitsa kusakhazikika mwakachetechete?

Ana sachedwa reflux - akhale GERD kapena LPR - chifukwa cha zinthu zingapo.

Ana amakhala osakhwima misempha ya esophageal sphincter pakubadwa. Awa ndi akatumba omwe ali kumapeto kwa kholingo omwe amatseguka ndikutseka kuti alowetse madzimadzi ndi chakudya.

Pakukula, minofu imakula ndikulumikizana, kusunga zomwe zili m'mimba momwe ziliri. Ndicho chifukwa chake reflux imawonekera kwambiri mwa ana aang'ono.

Ana amakhalanso ndi nthawi yochuluka ali misana, makamaka asanaphunzire kugubuduza, zomwe zitha kuchitika pakati pa miyezi 4 mpaka 6 yakubadwa.

Kugona kumbuyo kumatanthauza kuti makanda alibe phindu la mphamvu yokoka kuti athandize kusunga chakudya m'mimba. Komabe, ngakhale kwa ana omwe ali ndi Reflux, nthawi zonse muyenera kumugoneka chagada kumbuyo kwawo - osati m'mimba - kuti muchepetse vuto la kubanika.

Zakudya zamchere zamchere zimathandizanso kuti reflux. Zamadzimadzi ndizosavuta kuzibwezeretsa kuposa chakudya chotafuna.

Mwana wanu amathanso kukhala pachiwopsezo chowonjezereka ngati:

• amabadwa ndi vuto lodziwika bwino
• kukhala ndi matenda amitsempha, monga ubongo
• khalani ndi mbiri yabanja ya reflux

Nthawi yoti mupemphe thandizo

Ana ambiri amatha kuchita bwino ngakhale atakhala chete. Koma pitani kuchipatala ngati mwana wanu ali:

• zovuta za kupuma (mwachitsanzo, mumamva kupuma, zindikirani kupuma movutikira, kapena milomo ya mwana wanu ikusanduka buluu)
• kutsokomola pafupipafupi
• kupweteka kwamakutu kosalekeza (mutha kuwona kukwiya ndikukoka m'makutu mwa mwana)
• kudyetsa kuvuta
• kuvuta kunenepa kapena kukhala ndi kutaya thupi kosadziwika

Kodi ndingatani kuti ndithandizire kapena kupewa kutulutsa chete?

Pali zinthu zingapo zomwe mungachite kuti muchepetse vuto la mwana wanu.

Choyamba chimaphatikizapo kusintha zakudya zanu ngati mukuyamwitsa. Izi zitha kuthandiza kuchepetsa kupezeka kwa mwana wanu pazakudya zina zomwe sangakhale nazo.

American Academy of Pediatrics (AAP) imalimbikitsa kuchotsa mazira ndi mkaka pazakudya zanu kwa milungu iwiri kapena inayi kuti muwone ngati zizindikiritso za reflux zikuyenda bwino.

Mutha kuganiziranso kuchotsa zakudya zama acidic, monga zipatso za zipatso ndi tomato.

Malangizo ena ndi awa:

• Ngati mwana wanu amamwa chilinganizo, sinthani puloteni ya hydrolyzed kapena amino-acid chilinganizo.
• Ngati ndi kotheka, sungani mwana wanu ataimirira kwa mphindi 30 atadyetsa.
• Menyani mwana wanu kangapo mukamadyetsa.
• Ngati mukudyetsa mabotolo, gwirani botolo pakona lomwe limalola kuti nipple ikhale yodzaza ndi mkaka. Izi zithandiza mwana wanu kuti asamwe mpweya wochepa. Kumeza mpweya kumatha kukulitsa kuthamanga kwa m'matumbo ndikupangitsa kuti reflux.
• Yesani ma nipple osiyanasiyana kuti muwone chomwe chimapatsa mwana wanu chisindikizo chabwino pakamwa pawo.
• Patsani mwana wanu chakudya chochepa, koma pafupipafupi. Mwachitsanzo, ngati mukudyetsa mwana wanu ma ola 4 a mkaka kapena mkaka m'maola anayi aliwonse, kuyesa kupereka ma ola awiri maola awiri aliwonse.

Momwe mungachitire ndi kuchepa kwamawu

Ngati pakufunika chithandizo, dokotala wa ana anu atha kulangiza mankhwala a GERD, monga ma H2 blockers kapena proton pump inhibitors, kuti athandize kuchepetsa kuchuluka kwa asidi opangidwa ndi m'mimba.

AAP imalimbikitsanso kugwiritsa ntchito ma prokinetic agents.

Ma Prokinetic othandizira ndi mankhwala omwe amathandizira kukulitsa kuyenda kwa matumbo ang'onoang'ono kuti zomwe zili m'mimba zitha kutuluka mwachangu. Izi zimalepheretsa chakudya kukhala nthawi yayitali m'mimba.

Zimatenga nthawi yayitali bwanji kuti mumveke mwakachetechete?

Ana ambiri amakhala opanda chidwi pakadutsa zaka chimodzi.

Ana ambiri, makamaka omwe amathandizidwa mwachangu kunyumba kapena kuchipatala, samakhala ndi zotsatirapo zokhalitsa. Koma ngati khosi losakhazikika ndi minofu yammphuno nthawi zambiri imapezeka ndi asidi m'mimba, imatha kubweretsa zovuta zina zazitali.

Zovuta zakutali zazovuta zopitilira muyeso zosasinthika za reflux monga:

• chibayo
• matenda a laryngitis
• kukhosomola kosalekeza

Kawirikawiri, zimatha kubweretsa khansa yapakamwa.

Kodi ndiyenera kuda nkhawa ndi Reflux ya mwana wanga?

Reflux, kuphatikiza kutulutsa chete, ndizofala kwambiri mwa makanda. M'malo mwake, akuti pafupifupi 50 peresenti ya makanda amakumana ndi Reflux m'miyezi itatu yoyambirira yamoyo.

Ana ambiri ndi ana ang'onoang'ono samatuluka m'mimba mopanda vuto lililonse mpaka kummero kapena kummero.

Matenda a reflux akakhala okhwima kapena okhalitsa, pali mankhwala osiyanasiyana othandiza kuti mwana wanu ayambe kugaya bwino.