Katswiri wanu wa ana angakhale atapeza kuti mwana wanu ali ndi matenda osanza, kapena mwina mumadzifunsa ngati ali ndi vuto linalake loposa "mavairasi a m'mimba." Kodi muyenera kudziwa chiyani?
Mwachidule
Ngakhale ana ang'onoang'ono angapeze magawo 2-3 a virusi gastroenteritis chaka chilichonse, kukhala ndi kusanza mwezi uliwonse kapena awiri ndikoposa momwe mungayang'anire mwanayo.
Komabe, ngati mwana ali ndi zizindikiro zowonjezera mavairasi, ndi kusanza ndi kutsekula m'mimba komanso kukhudzana ndi ana ena omwe ali ndi zizindikiro zofanana, ndiye kuti n'zotheka kuti akungotenga kachilombo kamodzi.
Koma ngati zizindikiro zake zikuluzikulu ndizozembera ndi kusanza, makamaka ngati chinthu chimangokhala masabata angapo kapena miyezi ingapo yomwe imakhala pakati, nthawi zina zimakhala zikuchitika, ndikukhala ndi vuto lachisanza kumakhala pamwamba pa mndandanda wa zotheka .
Nthawi yofala kwambiri imene kusanza uku kumakhala pakati pa zaka zitatu ndi 7 ndipo pali nambala yofanana ya anyamata ndi atsikana omwe akukhudzidwa.
Zizindikiro
Ana omwe ali ndi matenda a kusanza kwafupipafupi amakhala ndi zipsyinjo ndi kusanza komwe kungakhale maola angapo kapena masiku owerengeka. Pazigawozi, ana angakhalenso atachepa ntchito komanso kuchepetsa kudya ndipo mwina akhoza kutaya madzi. Zizindikiro zina zingaphatikize kupweteka m'mimba, kumutu, malungo, ndi kupweteka.
Nthawiyi ikadutsa, ana nthawi zambiri amakhala opanda zizindikiro mpaka nthawi ina ikadzachitika.
Zimayambitsa / Zowopsa
Ngakhale kuti vutoli silikudziwika, ana ambiri omwe ali ndi vutoli ali ndi mbiri ya banja la migraines ndipo akatswiri ambiri amakhulupirira kuti awiriwa ndi ofanana.
Chinthu china chomwe chimagwirizanitsa migraines ndi matenda amatsukidwe afupipafupi ndikuti nthawi zambiri amatha kutetezedwa ndi mankhwala omwewo, monga Periactin (cyproheptadine) ndi Elavil (amitriptyline).
Kuzindikira ndi Kuyesedwa
Matenda a kusanza amatsenga amadziwika kuti ndi chimodzi mwa mavuto okhudza m'mimba , mwazinthu zina, zizindikiro zimachokera ku ntchito yamagulu m'malo mwa mavuto aliwonse. Zomwe zili choncho palibe mayesero enieni omwe anapeza kuti ali ndi vutoli. Ambiri amayesedwa kuti athe kuthetsa zovuta zina-zomwe madokotala amachitcha mavuto a organic -kapena mavuto omwe ali ndi maziko. Chidziwitsochi chimapangidwa ndi chitsanzo cha zizindikiro, makamaka kuti pali nthawi yaitali popanda chizindikiro chilichonse.
Mayesero omwe angachitike ndi awa:
- Mutu CT kapena MRI
- Mayesero amadzimadzi
- Mimba ya ultrasound
- Pulogalamu yapamwamba ya GI yokhala ndi kachilombo kakang'ono kamatsatira (UGI-SBFT)
Nthaŵi zina matenda ndi matenda a matendawa amaphatikizana, monga momwe amachitira mankhwala amathandiza kutsimikizira kuti akudwala matendawa.
Kusiyanitsa kusiyana
Zinthu zomwe zingayambitse zizindikiro zomwe zimakhala zofanana (koma nthawi zambiri sizikhala zofanana pakati pa zigawo) zimaphatikizapo zolakwika zakufa kwa thupi, kupweteka kwa matumbo ndi volvulus (pamene matumbo akuyendayenda ndikung'ambika) ndi mavuto ena.
Kuchiza Kwambiri
Pa nthawi yovuta kusanza, mankhwala amachititsa mwana wanu kukhala omasuka.
Mankhwala angaphatikizepo:
- Kupuma mu chipinda chamdima, chakuda
- Mankhwala a IV ngati ali wotayika
- Mankhwala monga Zofran (odansetron) , Imitrex (sumatriptan) , Catapres (clonidine), kapena benzodiazepines.
Chithandizo ndi Chithandizo Chamakono
Chithandizo chabwino kwambiri cha kusanza kwapakati ndikuteteza. Gawo loyamba ndikutsimikizira kuti palibe china chomwe chimayambitsa kusanza. Ngati mwana wanu akupezeka kuti ali ndi kusanza kwapakati, mungafune kuyesa kuzindikira zomwe zimayambitsa zigawo izi (onani m'munsimu). Mankhwala omwe amagwiritsidwa ntchito popewera kusanza kwapakati-nthawi zambiri ndi zotsatira zabwino kwambiri-ndi monga:
- Periactin (cyproheptadine)
- Inderal ((propanolol)
- Elavil (amitryptylline)
Kuzindikira Zovuta
Monga momwe anthu ambiri amachititsira kuti migraine ayambe kuoneka ngati amachepetsa zizindikiro za mutu kwa omwe ali ndi migraines, zikuwoneka kuti pangakhale zovuta zina zachisanza ndi synchantic synchronization. Izi zimaphatikizapo nkhawa, kusangalala, matenda, kudya zakudya zina, nyengo yotentha, ndi matenda oyendayenda. Kusunga magazini yosanza monga momwe anthu ena amasungira mutu wa mutu kuti asunge zojambula za migraine, zingakuthandizeni kuzindikira zina mwazifukwazi kuti muwapewe, ngati n'kotheka, m'tsogolomu.
Riboflavin?
Kuyambira kale kwambiri kuti tilankhule, koma kugwiritsa ntchito vitamini Rboflavin B kungakuthandizeni kupewa kusanza kwa mtsogolo. Zimadziwika kuti riboflavin nthawi zina imathandiza popeweratu mutu wa mutu wa migraine. Kafukufuku wochepa kwambiri wa ku Ulaya mu 2016 anapeza kuti-ana atatu omwe ali ndi vuto la riboflavin kwa miyezi 12 adayankha bwino. Ngakhale kuti phunziroli ndiloling'ono kwambiri kuti lisamatsogolere kuchipatala panthawiyi, zingakhale zothandiza kufunsa dokotala wa ana anu ngati kuonjezera kwa vitamini iyi ku dongosolo la mankhwala a mwana wanu kungakhale kopindulitsa. Riboflavin amapezeka mu mbewu zonse komanso amondi , sipinachi, ndi bowa.
Mavuto
Chidziwitso chachikulu cha kusanza kwapakati ndi kuchepa kwa madzi komwe nthawi zina kumawunikira kufunika kokhala opaleshoni ndi ma IV. Kawirikawiri, vutoli limatchedwa Mallory Weiss. Izi ndi misozi yomwe imatulutsa magazi (pambuyo pake ana amafufuzira magazi) omwe angakhale chifukwa cha kusanza kwachiwawa. Ana omwe amasanza kusanza amaoneka kuti ali ndi chiopsezo chowonjezereka cha matenda.
Kuthamangitsani
Mwamwayi, ana ambiri omwe ali ndi matenda osanza amatsuka bwino, ndipo amachotsa zizindikiro zawo. Palibenso anthu omwe anafa chifukwa cha matendawa, ngakhale kuti nthawi zina ana amatha kukhala osowa kuchipatala pofuna kutaya madzi m'thupi. Mu kafukufuku wina, anapeza kuti, ngakhale ana atasiya zizindikiro za kusanza, oposa theka la ana anayamba kukhala ndi mutu wa mutu wa migraine. Phunzirani zambiri za mutu wa mutu wa migraine , chifukwa nthawi zambiri amasiyana ndi anthu akuluakulu. Ndipo pamene mwana wanu akulimbana ndi matenda, onetsetsani kuti mukudziwa bwino zizindikiro za kuchepa madzi kwa ana komanso mmene angasamalire kusanza ndi kutsekula m'mimba .
Zotsatira:
Hikita, T., Kodama, H., Ogita, K. et al. Maphunziro a Pulogalamu Yopewera Kumayambiriro kwa Ana. Matenda a Neurology . 2016. 57: 29-33.
Kaul, A., ndi K. Kaul. Maseŵera Akumenyana Kwachizungu: Ntchito Yogwira Ntchito. Matenda a Gastroenterology, Hepatology, ndi Zakudya Zabwino . 2015. 18 (4): 224-9.
Madani, S., Cortes, O., ndi R. Thomas. Cyproheptadine Gwiritsani Ntchito Ana Omwe Ali ndi Matenda Ogwira Ntchito Amagwiridwe. Journal of Pediatric Gastroenterology ndi Zakudya Zabwino . 2016. 62 (3): 409-13.
Martinez-Esteve, M., Schappi, M., ndi C. Korff. Riboflavin mu matenda osanza othamanga: athandiza ana atatu. European Journal of Pediatrics . 175 (1): 131-5.
Tarbell, S., ndi B. Li. Njira Zodetsa Nkhawa Kufotokozera zaumoyo wokhudzana ndi thanzi la ana ndi ana omwe ali ndi matenda a Cyclic Vomiting Syndrome. Journal of Pediatrics . 2015. 167 (3): 633-8.e1.