Muzochitika zachilendo, chakudya chimadutsa m'mimba, ndipo minofu yomwe ili pansi pake imatseka kotero kuti chakudya ndi zakumwa zidzatsalira m'mimba mwako. Minofu imeneyi ndi m'munsi mwa esophageal sphincter (LES). Pamene LESI sitseka bwino, m'mimba mwake ndi asidi akhoza kubwerera m'mwamba.
Reflux ya Gastroesophageal (GER) nthawi zambiri imayamba kuyambira ali wakhanda, koma kamba kakang'ono kokha kamene kamapitirira kukhala ndi ana okalamba.
Kuyesedwa ndi dokotala amalangizidwa kuti mwana kapena mwana aliyense ali ndi zizindikiro zosavuta za GER.
Zizindikiro
Zizindikiro zotsatirazi zikhoza kuchitika ngati mwana wanu ali ndi asidi reflux:
- Mimba ya m'mimba pamwamba pa batani
- Kupweteka pachifuwa
- Kutentha kotentha m'mimba
- Kumangokhalira kudya zakudya kapena kukana chakudya
- Kudya zochepa chabe ngakhale kuti ndi njala
- Kugwedeza kapena kugwedeza
- Kulemera kolemera kapena kulemera kwa thupi
- Mpweya woipa
- Nthawi zonse mphuno yothamanga
- Mphwapa kawirikawiri
- Matenda a Sinus
- Matenda opuma (monga bronchitis, kupuma, mphumu)
- Chifuwa cha usiku
- Kugwedeza chifuwa chouma
- Kusokonezeka
- Kugona kosauka, kuwuka nthawi zambiri
- Matenda omwe amamva mobwerezabwereza komanso / kapena kumva makutu
- Kuchulukitsa salivation kapena drooling
- Kusakakamizika kwa kupweteka m'mimba
Kudziwa
Dokotala wa mwana wanu angayambe kupeza matenda a asidi reflux pa zizindikiro za mwana wanu ndi kuunika kwanu. Dokotala akhoza kuyitanitsa mayesero kuti atsimikizidwe matendawa, kapena kudziwa ngati matenda aakulu, monga Gastroesophageal reflux disease (GERD), ndiye chifukwa cha reflux.
Mayesero awa angaphatikizepo chimodzi mwa zotsatirazi:
- Mayeso a Lab. Izi zikhoza kukhala ndi mayesero osiyanasiyana amagazi ndi mkodzo kuti azindikire kapena kutulutsa zifukwa zomwe zingayambitse kusanza kosalekeza ndi kulemera kolemera.
- Esophageal pH kufufuza. Mayesowa adzayesa acidity m'mimba ya mwana wanu.
- Kutsekemera kochepa kwambiri. Phukusi lokhala ndi kansalu ya kamera ndi kuwala kumalowetsedwa kudzera m'kamwa mwa mwana wanu ndikukhala m'mimba ndi m'mimba. Dokotala angagwiritse ntchito njirayi kuti awone ngati pali zocheperachepera (kapena kugwedeza) kapena kutupa (esophagitis) m'mimba.
Chithandizo
Njira yopangira chithandizo chimene dokotala amapereka kwa mwana wanu zidzadalira zaka za mwana wanu komanso zizindikiro zake. Dokotala akhoza kuyamba kusonyeza kusintha kwa moyo wake kuti awone ngati angachepetse zizindikiro za reflux. Ngati zizindikiro za reflux zikupitirira, adokotala akhoza kupereka njira yotsatirayi:
- Antacids - Izi zimachepetsa m'mimba asidi. Izi zikuphatikizapo Tums , Mylanta , ndi Maalox .
- Amadzimadzi Amadzimadzi - Izi zimapangitsa kuti asidi apange m'mimba. Izi zikuphatikizapo Tagamet , Pepcid, Zantac. ndi Axid.
- Mavitamini Achimake - Izi zimaletsa kuti asidi apange m'mimba. Prilosec, Prevacid, Nexium, Aciphex, ndi Protonix.
Mfundo Zokumbukira
- GER imapezeka pamene mimba imabwereranso (reflux) m'mimba.
- Chithandizo chidzadalira zizindikiro za msinkhu wa mwana wanu. Kuchiza kungaphatikizepo kusintha kwa moyo , mankhwala owonjezera pa mankhwala kapena mankhwala a mankhwala, kapena kuphatikiza izi.
Zotsatira:
Brian Pace, MA, Richard M. Glass, MD. "Reflux ya Ana Ambiri." JAMA, July 19, 2000 --- Vol 284, No. 3. Journal of the American Medical Association.
"Kutsegula m'mimba kwa ana aang'ono." NIH Publication No. 06-5419 August 2006. National Disease Information Clearinghouse (NDDIC).
"Kutentha kwa mpweya, Hatalia ya Hiatal, ndi Matenda a Reflux a Gastroesophageal (GERD)." NIH Publication No. 03-0882 June 2003. National Disease Information Clearinghouse.
Marsha Kay, MD, Vasundhara Tolia, MD " MAVUTO OTHANDIZA OTHANDIZA PAKATI PA MAKHALIDWE OTHANDIZA. " American College of Gastroenterology.