Zizindikiro, Kuzindikira ndi Chithandizo kwa GERD mu Achinyamata
Mwachidule
Ngakhale kutentha kwa mtima ndi matenda a reflux a gastroesophageal (GERD) nthawi zambiri amawoneka ngati matenda aakulu, amakhala akufala pakati pa ana ndi achinyamata. Izi ndizo chifukwa cha kukonda kwa achinyamata kuti azidya chakudya, komanso maulendo awo opitirirabe.
Mofanana ndi akuluakulu, zizindikiro za reflux zimatha kuika moyo wanu pang'onopang'ono ndipo zimawopseza nthawi zina.
Komabe, mofanana ndi achikulire, moyo wosintha umasintha komanso mankhwala amachititsa kuti zizindikirozi zikhale zosavuta.
Zimayambitsa
Muzochitika zachilendo, chakudya chimadutsa m'mimba , ndipo minofu yomwe ili pansipa-pansi penipeni yotchedwa esophageal sphincter (LES) imachokera kuti chakudya ndi zakumwa zikhalebe m'mimba mwako. Pamene LESI sitseka bwino, m'mimba mwake ndi asidi akhoza kubwerera m'mwamba.
Zizindikiro
Zizindikiro zotsatirazi zingachitike ngati mwana wanu ali ndi reflux asidi:
- Kutentha kwachifuwa mu chifuwa, kumbuyo kwa mfupa, kufinya ndi kuyima kumbuyo, kukhalapo kwa mphindi zochepa mpaka maola
- Kutentha kotentha m'mimba
- Nausea
- Wopweteka, wakuda khosi, makamaka pakuka m'mawa
- Kusokonezeka
- Mpweya woipa
- Mavuto akumeza
- Kukumverera ngati chakudya chimakhala mu khosi
- Kukumverera kwa choking komwe kumamukweza iye usiku
- Matenda opuma (monga bronchitis, kupuma, mphumu)
- Kugwedeza chifuwa chouma
Kudziwa
Dokotala wa mwana wanu angayambe kupeza matenda a asidi reflux pa zizindikiro za mwana wanu, kuyang'anitsitsa thupi ndi yankho la mwana wanu kuchipatala. Mwachitsanzo, ngati zizindikiro za mwana wanu zikukula pambuyo pochiza ndi proton pump inhibitors (PPIs) , ndiye kuti mwinamwake GERD.
Ngati zizindikiro za mwana wanu sizikuyenda bwino, dokotala akhoza kulamula mayesero kuti adziwe ngati GERD ndiye chifukwa cha reflux. Mayesero awa angaphatikizepo chimodzi mwa zotsatirazi:
- Barium x-rays : Amadziwika kuti barium swallow, awa amadziwa x-mazira omwe barium amagwiritsidwa ntchito kuti azindikire zolakwika za kapangidwe ka zakudya.
- Kuyeza kwapophageal pH : Mayesowa adzayesa acidity m'mimba ya mwana wanu.
- Mapulogalamu apamwamba 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 zovuta zochepa (kapena zochepa) kapena kutupa ( esophagitis ) m'mimba.
Chithandizo
Kuchiza asidi reflux kumagwira ntchito bwino pogwiritsira ntchito njira zosiyanasiyana. Mungafune kuyang'ana zifukwa zazing'ono za mwana wanu kuti muwone ngati zina mwa izi zingasinthidwe. Mwachitsanzo, kuchepetsa kunenepa kumawonjezera mwayi woti mwana wanu azunzidwe kwambiri. Kusintha kwa moyo kungakhale kokwanira kuthetsa vuto kwa achinyamata ambiri, koma kungakhale kovuta pa msinkhu uno. Mankhwala angafunike, ndipo pali magulu angapo a mankhwala omwe angapereke mpumulo.
Kusintha kwa moyo
Dokotala akhoza kuyamba kusonyeza kusintha kwa moyo kuti awone ngati izi zidzathetsa zizindikiro za reflux.
- Kudya zakudya zing'onozing'ono (osadya mpaka kumverera "choyika zinthu mkati")
- Idyani pang'ono pang'onopang'ono
- Pewani zakudya zowonongeka
- Pewani kudya musanayambe kugona, kapena mkati mwa maola awiri kapena atatu kuti mugone
- Dzichepetseni ndi mapiritsi, kwezani mutu wa bedi lanu, kapena gwiritsani ntchito miyendo ya mphete kuti mulole mphamvu yokoka ikuthandizeni kusunga asidi m'mimba mwanu
- Valani zovala ndi zilonda zamagetsi
Mankhwala
Ngati zizindikiro za reflux zikupitirira, dokotala angapereke chithandizo chimodzi mwa njira zotsatirazi:
- Antacids: Antacids amaletsa m'mimba asidi. Amaphatikizapo Tums (calcium carbonate), Rolaids (calcium carbonate), Mylanta (aluminium hydroxide ndi magnesium hydroxide), ndi Maalox (aluminium hydroxide ndi magnesium hydroxide).
- Othandiza Othandizira : Izi zimapangitsa kuti asidi azipanga m'mimba. Amaphatikizapo Tagamet (cimetidine), Pepcid (famotidine), Zantac (ranitidine). ndi Axid (nizatidine).
- Zida zoteteza mavitamini: Izi zimaletsa kuti asidi apange m'mimba. Prilosec (omeprazole), Prevacid (lansoprazole), Nexium (esomeprazole), Aciphex (raberprazole), ndi Protonix. (pantoprazole).
Mavuto
Mavuto chifukwa cha aclux nthawi zambiri sakhala achichepere, ndipo zambiri mwazo zimakhudzana ndi zizindikiro za nthawi yaitali. Komabe ndi kofunikira kudziwa izi monga kukumbutsa chifukwa chake kuchitira GERD kumapitirira kungoletsa zizindikiro. Mavuto a acid acid reflux (omwe amakhalanso, sapezeka kawirikawiri) amachititsa kuti atha kudwala matenda a shuga, malungo a Barrett, ngakhalenso khansa yowopsya.
Mfundo Yofunika Kwambiri
Zaka zaunyamata zingakhale zosokoneza zokha popanda kuwonjezera asidi reflux ku kusakaniza. Izi zanena kuti, zakudya zamadzulo kuchokera ku chakudya chofulumira kupita ku zakudya zopitirira muyeso zikuwonjezereka chiwerengero cha matendawa mwa ana athu. Zikondwerero zamoyo zomwe zasinthidwa zingapangitse kusiyana kwakukulu, ndipo zingakhale ndiphindu zina.
Zotsatira:
Putnam P. Esophagitis pa Achinyamata. Mayi Wachichepere: Maphunziro a Zithunzi . 2016. 27 (1): 1-18.
Vandenplas, Y., ndi B. Hauser. Kukambirana Kotsimikizidwira pa Gastro-Esophageal Reflux mu Matenda. Kukambirana kwa akatswiri mu Gastroenterology ndi Hepatology . 2015. 9 (12): 1511-21.