Udokotela wakho wezingane kungenzeka ukuthi uthola ukuthi ingane yakho ine-syndrome yokuhlanza i-cyclic syndrome, noma kungenzeka ukuthi uzibuze ukuthi kunento ethile eqhubekayo "ngaphezu kwezigciwane" zesisu. Yini okudingeka ukwazi?
Sibutsetelo
Ngenkathi izingane eziningi ezincane zingathola iziqephu ezingu-2-3 ze-gastroenteritis yegciwane ngonyaka ngamunye, ukuhlanza njalo ngenyanga noma ezimbili kuningi ongalindele ukuba ingane ibe nayo.
Noma kunjalo, uma ingane isinezimpawu ezijwayelekile zegciwane, ngokuhlanza nokuhuda nokuxhumana nezinye izingane ezinezimpawu ezifanayo, kungenzeka ukuthi uthola igciwane elilodwa emva kwesinye.
Kodwa uma izimpawu zakhe eziyinhloko ziyizinyosi nokuhlanza, ikakhulukazi uma kukhona into ephindaphinda amasonto ambalwa noma izinyanga ngezikhathi ezivamile phakathi, kungenzeka ukuthi kukhona okunye okuqhubekayo, nge-cyclic vomiting syndrome ephezulu ohlwini lwamathuba .
Isikhathi esivame kakhulu lapho ukuhlanza kuqala kuphakathi kweminyaka engama-3 no-7 futhi kunezinombolo ezilinganayo zabafana namantombazane abathintekayo.
Izimpawu
Izingane ezine-syndrome yokuhlanza nge-cyclic ngokuvamile ziba neziqephu noma imijikelezo yokuzihlambalaza nokuhlanza okungase kuhlale amahora ambalwa noma izinsuku ezimbalwa. Phakathi nalezi ziqephu, izingane zingase zinciphise umsebenzi futhi zinciphise ukudla futhi zingase zingabi namanzi. Ezinye izimpawu zingase zihlanganise ubuhlungu besisu, ikhanda, umkhuhlane kanye ne-pallor.
Uma isiqephu sesiphelile, izingane ngokuvamile azibonakali kahle futhi zize zifike ngesikhathi esizayo.
Izimbangela / Izingozi Zengozi
Nakuba imbangela yokuhlanza i-cyclic syndrome engaziwa, iningi labantwana abanalo mlando banomlando womndeni we-migraines futhi ochwepheshe abaningi bakholelwa ukuthi laba ababili bahlobene.
Esinye isici esithinta i-migraines nge-cyclic syndrome yukuthi ukuhlanza i-cyclic syndrome yukuthi ngokuvamile ingavinjelwa nemithi efanayo, i-Periactin (cyproheptadine) ne-Elavil (amitriptyline).
Ukuxilongwa nokuhlolwa
I-Cyclic vomiting syndrome ihlelwa njengenye yezinkinga zokusebenza kwamathumbu , ngamanye amazwi, izimpawu zenziwa ngenxa yesistimu yokugaya esikhundleni kunoma yiziphi izinkinga zesakhiwo . Ngakho-ke azikho ukuhlolwa okuqondile okwenziwe ukuze kutholakale isimo. Iningi lokuhlola lwenziwa ukuze likhishwe ukuthi kungenzeka ezinye izimo-lokho odokotela ababiza ukukhathazeka okuphilayo- noma izinkinga ezinezakhiwo. Ukuxilongwa kwenzelwa iphethini ejwayelekile yezibonakaliso, ikakhulukazi yokuthi kunezinkathi ezinde ngaphandle kwempawu.
Izivivinyo ezingenziwa zingabandakanya:
- I-T head noma i-MRI
- Ukuhlolwa kwe-metabolic
- I-ultrasound yesisu
- I-ray ephezulu ye-GI enezibilini ezincane zilandela (UGI-SBFT)
Ngezinye izikhathi ukuxilongwa nokwelashwa kwalesi simo kuyahambisana, njengoba impendulo yokwelashwa kusiza ukuqinisekisa ukuxilongwa.
Ukuhlonza okuhlukile
Izimo ezingabangela izimpawu ezifanayo (kepha hhayi kaningi ngezikhathi zokujwayelekile phakathi kweziqephu) zifaka amaphutha asanda kuzalwa emzimbeni, i-volvulus (lapho isilonda sisuka khona futhi siphenduka) nezinye izinkinga.
Ukwelapha Okunamandla
Ngesikhatsi esibucayi sokuhlanza, ukwelashwa kuhloswe ukwenza ingane yakho ikhululeke ngangokunokwenzeka.
Ukwelapha kungafaka:
- Ukuphumula ekamelweni elithule, elimnyama
- I-IV ifinyelela uma ephuma emanzini
- Imithi efana neZofran (odansetron) , i- Imitrex (sumatriptan) , i-Catapres (clonidine), noma i-benzodiazepines.
Ukwelashwa Okungapheli Nokuvimbela
Ukwelapha okungcono kunazo zonke zokuhlanza nge-cyclic kuyisivikelo. Isinyathelo sokuqala ukuqinisekisa ukuthi akukho okunye okubangela ukuhlanza. Uma ingane yakho itholakale inokuhlanza nge-cyclic, ungase ufune ukuzama ukuthola izimbangela ezikhuthaza lezi ziqephu (bheka ngezansi). Imithi esetshenziselwa ukuvimbela ukuhlanza okuhamba ngezinyawo-ngokuvamile ngemiphumela emihle kakhulu-faka:
- I-Periactin (i-cyproheptadine)
- Inderal ((propanolol)
- Elavil (amitryptylline)
Ukukhomba izihlungi
Njengoba nje kunezifo ezivame ukuguquka kwe-migraine ezibonakala ziphazamise izimpawu zekhanda kulabo abane-migraines, kubonakala sengathi kungase kube khona iziqephu zezinye iziqephu zokuhlanza nge-sync yokuhlanza. Lezi zimbangela zingabandakanya ukucindezeleka, injabulo, izifo, ukudla okunye, isimo sezulu esishisayo, nokugula okuhambayo. Ukugcina iphephabhuku lokuhlanza njengoba nje abanye abantu begcina iphephabhuku lwekhanda ukugcina ithrekhi ye-migraine, bangakusiza ukuthi ubone noma yikuphi kwalezi zici ukuze uzigweme, uma kungenzeka, esikhathini esizayo.
Riboflavin?
Kusasencane kakhulu ukusho ukuthi, kodwa ukusebenzisa i-vitamin riboflavin ye-B kungadlala indima ekuvimbeleni ukuhlanza nge-cyclic esikhathini esizayo. Kuyaziwa ukuthi i-riboflavin ngezinye izikhathi iyasiza ekuvimbeleni ikhanda lekhanda. Ucwaningo oluncane kakhulu lwaseYurophu ngo-2016 lwathola ukuthi-ezinganeni ezintathu-noma kunjalo-ukwelapha i-riboflavin izinyanga ezingu-12 kwaholela ekuphenduleni okuhle kakhulu. Nakuba lolu cwaningo luncane kakhulu ukuqondisa ukwelashwa ngalesi sikhathi, kungase kube usizo ukubuza udokotela wezingane uma ukwengezwa kwaleli vithamini kuya ohlelweni lokunakekela ingane yakho kungasiza. I-Riboflavin itholakala ku-okusanhlamvu okugcwele kanye nama- almonds , isipinashi, nama-mushroom.
Izinkinga
Ukuhlukumeza okuyinhloko kokuhlanza kwe-cyclic kungukuphelelwa amandla kwamanzi okwesikhashana okwenza kube nesidingo sokungenisa izifo esibhedlela kanye ne-IV. Ngokuvamile kakhulu, inkinga ebizwa nge-Mallory Weiss ingase ivele. Lokhu kungukukhala kwezinyembezi (emva kwalokho izingane zikhwehlela igazi) okungaba umphumela weziqephu zokuhlanza ezinonya. Izingane ezinokuhlanza nge-cyclic zibonakala zineengozi eyengeziwe yokukhathazeka kokukhathazeka.
Isibikezelo
Ngenhlanhla, iningi lezingane ezine-syndrome yokuhlanza nge-cyclic yenza kahle kakhulu, futhi zikhulule kakhulu izimpawu zabo. Akuzange kube khona noma yikuphi ukufa okuqoshiwe okuvela esibelethweni, nakuba izingane ngezinye izikhathi ziphela zidinga ukunakekelwa esibhedlela ukuze kuphelelwe amanzi. Kwesinye isifundo kutholakale ukuthi, nakuba izingane zazikhumbuza izimpawu zabo zokuhlanza, ngaphezu kwengxenye yezingane zaqala ukuba nezikhanda ze-migraine. Funda kabanzi mayelana ne- migraine ikhanda ezinganeni , ngoba zivame ukuhlukana nalabo abadala. Futhi ngenkathi ingane yakho ibhekana nesifo, qinisekisa ukuthi uyazi izimpawu zokuphelelwa amanzi emanzini nendlela yokuphatha ukuhlanza nokuhuda ezinganeni .
Imithombo:
Hikita, T., Kodama, H., Ogita, K. et al. I-Cyclic Vomiting Syndrome Ezinsaneni Nezingane: Isifundo Sokulandelwa Kwemitholampilo. I-Neurology yezingane . 2016. 57: 29-33.
UKaul, A., noK. Kaul. I-Cyclic Vomiting Syndrome: I-Functional Disorder. Gastroenterology yezingane, Hepatology, kanye Nutrition . 2015. 18 (4): 224-9.
UMadani, S., uCortes, O., no R. Thomas. I-Cyproheptadine Sebenzisa Ezinganeni Ezinezinkinga Zokuhlukunyezwa Kwamathumbu. I-Journal ye-Gastroenterology ye-Pediatric ne-Nutrition . 2016. 62 (3): 409-13.
UMartinez-Esteve, M., uSchappi, M., noC. C. Korff. I-Riboflavin e-sycrome yokuhlanza nge-cyclic: ukusebenza kahle kwezingane ezintathu. I-European Journal of Pediatrics . 175 (1): 131-5.
UTarbell, S., noBu Li. Izinyathelo Zokukhathazeka Ukubikezela Ukuphila Okuhlobene Nezempilo Ezinganeni Nezingane Ezitholakalayo Nge-Cyclic Vomiting Syndrome. I-Journal of Pediatrics . 2015. 167 (3): 633-8.e1.