Kuthamangitsidwa mobwerezabwereza ndikukokera kungakhale zizindikiro za GERD yachinyamata
Reflux imapezeka kawirikawiri m'matumbo achibadwa. Pafupifupi theka la ana onse amakumana ndi reflux ya gastroesophageal miyezi itatu yoyambirira ya moyo. Reflux ikhoza kukhala matenda a reflux a gastroesophageal (GERD) pamene imakwiyitsa mimba ndipo imatha zaka zopitirira chaka chimodzi. Phunzirani za zizindikiro za reflux yosakayika komanso nthawi ya kuchipatala.
Zizindikiro za GERD kwa ana
Zizindikiro za GERD zachinyamata zimaphatikizapo zotsatirazi:
- Kuthamanga kapena kusanza mobwerezabwereza: Pafupifupi theka la ana onse amalavulira nthawi ina pa miyezi itatu yoyambirira ya moyo wawo. Amatchulidwa kuti "osungunuka okondwa," nthawi zambiri samafuna chithandizo, ndipo nthawi zambiri amachokera. Kwa ana ena, izi zimatuluka, kapena reflux, zimakhala zovuta ndipo zimafuna chithandizo .
- Kukhumudwa pakudyetsa: Kukhumudwa uku kumaphatikizapo kuyera, kulira, kukuwa, ndi kukangana, zomwe zingathe kukhala ndi nthawi yosiyana. Kukhumudwa kumeneku kungayambitse kutentha ndi kupweteka m'mimba pamene chida ndi mimba ya asidi imasokonekera.
- Kukana chakudya kapena kudya kokha: Makanda akhoza kukana kudya ngati ululu umachitika. Kupweteka kumeneku kungayambitsidwe ndi kupwetekedwa m'mimba pamene chida ndi m'mimba zili mkati mwake zimakhala zosasunthika kumbuyo.
- Kubwezera kumbuyo pamene akudyetsa: Pamene makanda ali ndi ululu m'mimba kapena osamva, nthawi zambiri amathyola msana kapena amakoka miyendo yawo.
- Mvula yam'madzi: Pamene mwana ali ndi "mvula" yamadzi, madzi amadzimadzi amadzimadzimutsa ngati akuwombera.
- Mabala afupipafupi: Hiccups angayambitsidwe ndi kusokonezeka kwa mitsempha yomwe imapezeka kumtunda kwa m'mimba kapena pansi. Mitsempha ya vagus , imene imachokera ku ubongo kupita mimba , ikhoza kukwiyitsidwa. Kukhumudwa kumeneku kungabwere kuchokera m'mimba mkati mwake.
- Kuthamanga kwafupipafupi : Chifuwa chafupipafupi chikhoza kuchitika ngati chosakanizika m'mimba mwa asidi chimafuna, kukhumudwitsa mpweya, kapena pamene mimba imakhumudwitsa mmero.
- Kulephera kugona mofulumira: Pamene khanda likugona ndipo mutu wake sali wokwera, izi zimalola kuti m'mimba muli zinthu zolimbana ndi m'munsi mwa esophageal sphincter (LES), ndipo zingayambitse kutsegula molakwika. Pamene m'mimba muli m'mimba mwake, imatha kuyambitsa kutsokomola komanso kugwedeza, zomwe zingayambitse kugona.
Zizindikiro Zochepa Zophatikizapo za GERD kwa Ana
Chiwerengero chochepa cha tiana tidzakhala ndi zizindikiro zotsatirazi zochepa monga zotsatirazi:
- Zovuta kumeza: Ululu umene umayamba chifukwa cha kusakanikirana m'mimba mwa asidi kumatha kukhala kovuta kuti makanda amalize. Kutsekeka m'mimba kungachititse kuti zikhale zovuta kuzimeza, choncho zizindikiro zilizonse zowononga kuvutika zimafunika kuyesedwa ndi dokotala.
- Pakhosi pamtima: Pamene m'mimba muli m'mimba, imatha kukhumudwitsa ndi kupweteka.
- Matenda opuma (monga asthma, chibayo, bronchitis, kupuma): Kafukufuku wambiri amasonyeza kugwirizana kwakukulu pakati pa GERD ndi asthma . GERD ikhoza kumakhudza mphumu pamene mchere wosakanizika kuchokera mmimba umayambira m'mapapo ndipo ukhoza kupangitsa kupuma kukhala kovuta ndikupangitsa khanda kukhalanso ndi chifuwa. Izi zowonjezera asidi zingayambitse mitundu ina ya kupsa mtima m'mapapu, zomwe zimayambitsa kuchuluka kwa chibayo ndi bronchitis.
- Kuthamanga kwambiri: Kutaya kwambiri kwa madzi kumayambira ku kumeza kolakwika, kosadziwika bwino, kapena kosavuta. Ngati kukwiyitsa kuli pamutu wa khanda chifukwa cha kusakanikirana kwa mimba ya asidi, mwanayo akhoza kupeza zovuta kuzimeza kawirikawiri, ndipo motero adzataya zambiri.
- Mawu omveka: Kuwopsya kumene kumayambitsa matenda a m'mimba mwa asidi m'mphepete kungachititse kuti munthu asatope.
Kodi Muyenera Kuitanira Dokotala Nthawi Yanji?
Ndi reflux kukhala wamba, nthawi yoyenera dokotala wanu? Nazi zizindikiro kuti mwana wanu amafunika kuwonedwa ndi dokotala.
- Kusanza kwakukulu
- Kusanza kwamphamvu, makamaka kwa khanda losapitirira miyezi iwiri.
- Vomit amene ali wobiriwira, wachikasu, ali ndi magazi kapena amawoneka ngati malo a khofi.
- Vuto lililonse kupuma mutatha kusanza kapena kutaya.
- Ngati mwana sangathe kudyetsa ndi kutaya thupi kapena kukula bwino.
- Ngati mwana wanu akulira kwa maola atatu kapena oposa pa tsiku.
- Zizindikiro za kuchepa kwa madzi, kuphatikizapo malaya owuma.
Mawu Ochokera
Reflux ndi kutaya ndizofala kwa makanda, ndipo ndi chinthu chomwe chidzachitika mochepa pamene matupi awo akukula. Kambiranani ndi dokotala wanu zizindikiro zosavuta kapena zachilendo. Zitha kukhala kuti mwana wanu ali ndi HIV ndipo akhoza kuyamba mankhwala kuti athetse zizindikiro.
Zotsatira:
> Refidx yamadzi (GER & GERD) mu makanda. National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-infants.
> Kay M, Tolia V. Matenda Odziwika Amodzi pa Odwala Matenda. American College of Gastroenterology. http://s3.gi.org/patients/gihealth/pdf/pediatric.pdf.