Matenda a reflux a gastroesophageal (GERD) ndi mankhwala omwe madokotala amagwiritsa ntchito kufotokoza vuto limene chakudya ndi m'mimba zimachokera m'mimba. Mitsempha ya minofu imakhala pansi pa malo otsika - otsika otchedwa sophageal sphincter (LES) - imatsegula ndi kutseka kuti alowe chakudya kuti chilowe mmimba. The LES amatsegula kumasula gasi pambuyo chakudya.
Zambiri kuposa mpweya akhoza kuthawa, komabe.
The LES ikhoza kulola m'mimba zinthu mkati kuti abwerere m'mimba ndi kunja pakamwa. Makolo amawona zotsatirapo ngati akulavulaza, ngakhale kusanza kungachitike. Ngakhale kuti ndi zachilendo kuti GERD ichitike nthawi yayitali kapena itangotha kudyetsa, imatha kupezeka pamene mwana akukakokera, kulira kapena zovuta.
GERD ndi yowonongeka kwa makanda ndipo ali ndi dzina lake: kuphulika. Reflux imachitika m'miyezi itatu yoyamba mu oposa theka la ana onse. Ana ambiri samafuna chithandizo. Amatchulidwa kuti "osungunuka okongola," zizindikiro zawo zimatha kupezeka pakati pa miyezi 12 ndi 18. Komabe, kwa ana ang'onoang'ono, zizindikiro za reflux ndizovuta komanso kufufuza kwachipatala ndi chithandizo.
Zizindikiro za Matenda a Achinyamata a Reflux
Chifukwa mwana wanu sangakuuzeni zomwe zili zolakwika, nkofunika kuti muyang'ane zinthu zomwe mwana wanu akuchita (kapena ayi). Zizindikiro za GERD zachinyamata zimaphatikizapo:
- Kupita mobwerezabwereza kapena kusanza
- Kukhumudwa pamene mukudyetsa
- Kukana chakudya kapena kudya kokha
- Kulira mwadzidzidzi kapena nthawi zonse
- Akugwedeza kumbuyo pamene akudyetsa
- Mvula yam'madzi
- Omwe amasonkhana mobwerezabwereza
- Kuthamanga kwafupipafupi
- Kulephera kugona mofulumira
- Mpweya woipa
Chiwerengero chochepa cha tiana tidzakhala ndi zizindikiro zotsatirazi:
- Zovuta kumeza
- Mimba yosalekeza
- Kutaya thupi kapena kuperewera kolemera
- Matenda opuma monga asthma , chibayo , bronchitis, ndi kuwomba
- Matenda afupipafupi kapena ochimwa
- Kutsika kwambiri
- Mawu omveka
- Maselo osapuma
Kusanthula Reflux ya Achinyamatayo
Ngati mwana ali wathanzi komanso akukula bwino, dokotala akhoza kupanga matenda a reflux pogwiritsa ntchito kuunika kwa thupi komanso momwe makolo amafotokozera zizindikiro komanso kudyetsa mbiri yokha. Komabe, mayesero angathe kulamulidwa ngati dokotala akudandaula kuti ali ndi vuto lalikulu monga GERD.
Pazochitikazi, mayesero opatsirana angaphatikizepo:
- 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 asidi m'mimba ya mwanayo.
- Kutsekemera kochepa kwambiri. Phukusi lokhala ndi kansalu ya kamera ndi yowala (endoscope) imayikidwa kupyolera pakamwa kwa mwana ndikukhala m'mimba ndi m'mimba. Dokotala angagwiritse ntchito njirayi kuti awone ngati pali zocheperachepera (kapena kugwedeza) kapena kutupa ( esophagitis ) m'mimba.
Mmene Reflux Amakhudzira Watoto
Kuchiza kwa reflux ya makanda kumadalira kukula kwa vuto. Dokotala wa mwana wanu angasankhe kuti palibe chithandizo chomwe chimafunika kuti mwanayo akule.
Kwa ana ambiri, reflux amadzipatulira yekha chaka choyamba cha moyo. Ngati mwana wanu ali wathanzi, wodala komanso akukula, dokotala wanu angakulimbikitseni kusintha kwa moyo wanu kwa mwana wanu kuti athetse vuto la reflux.
Ngati reflux ndi yaikulu kwambiri, kapena ngati mwana wanu atapezeka ndi GERD, dokotala wanu angapereke mankhwala a mankhwala kapena mankhwala othandizira kuti awononge reflux. Njira izi zikuphatikizapo:
- Antacids. Izi zimapangitsa kuti asidi amachepetsa m'mimba. Amaphatikizapo Tums , Mylanta , ndi Maalox .
- Acid suppressors. Izi zimapangitsa kuti asidi azipanga m'mimba. Amaphatikizapo Tagamet , Pepcid , Zantac , ndi Axid .
- Acid blockers. Izi zimaletsa kuti asidi apange m'mimba. Prilosec ndi Prevacid akhala akuvomerezedwa kwa ana pazaka zingapo.
Ndikofunika kukambirana za mankhwala a acid reflux ndi dokotala wa mwana wanu musanayambe njira iliyonse yothandizira, makamaka musanayambe kugwiritsa ntchito njira yothetsera mankhwala.
Onaninso
- Zizindikiro Zenizeni za WABWANA kwa Ana (Chronic Reflux)
- Malangizo Othandizira Kutsekemera kwa Acidx yachinyamata kapena GERD
- Mankhwala Ovomerezeka Ambiri Amene Amagwiritsidwa Ntchito Kutengera GERD
- Zimene Mukuyenera Kudziwa Zokhudza Acidx Treatment Options
Zotsatira:
"Kutsegula m'mimba kwa ana aang'ono." NIH Publication No. 06-5419 August 2006. National Disease Information Clearinghouse (NDDIC).
Kutsekemera, Hernia 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.
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.