Isifo se-reflux se-gastroesophageal (GERD) yisigungu sezokwelapha odokotela basebenzisa ukuchaza isimo lapho ukudla nesisu esiswini zihlehlela emuva. I-ring of muscle ihlezi ngaphansi kwesiguli - i- sphincter esezansi ephansi (LES) - ivula futhi ivaliwe ukuvumela ukudla ukungena esiswini. I-LES ivula ukukhishwa kwegesi emva kokudla.
Ngaphezu kukagesi kungase kuphunyuke, noma kunjalo.
I-LES ingavumela futhi okuqukethwe kwesisu ukuba kubuyele emuva emgodini nasemlonyeni. Abazali babona umphumela njengoba behlahlela, nakuba ukuhlanza kungenzeka. Nakuba kuvamile ukuba i-GERD ivele ngesikhathi noma ngemuva kokudla, kungase kwenzeke nalapho umntwana ekhwehlela, ekhala noma ezinkingeni.
I-GERD ivame kakhulu ezinsaneni futhi inegama layo siqu: ihlwitha. I-reflux iyenzeka phakathi nezinyanga ezintathu zokuqala ezingaphezu kwengxenye yazo zonke izinsana. Izingane eziningi azidingi ukwelashwa. Ebhekwa ngokuthi "ama-spitters ajabulisayo," izimpawu zabo ngokuvamile zanyamalala phakathi kwezinyanga ezingu-12 no-18 ubudala. Kodwa-ke, ngenani elincanyana labantwana, izimpawu ze-reflux ziyingozi futhi ukuhlolwa kwezokwelapha kanye nokwelashwa kuyadingeka.
Izimpawu ze-Reflux ye-Infant Acid
Ngenxa yokuthi ingane yakho ayikwazi ukukutshela ukuthi yini engalungile, kubalulekile ukugcina iso ngaphandle kwezinto ingane yakho eyenzayo (noma ukungenzi). Izimpawu ezivamile zezingane ze-GERD zifaka:
- Ukuphumula njalo noma ukuhlanza
- Ukucasula lapho ukondla
- Ukwenqaba ukudla noma ukudla okuncane kuphela
- Ukukhala ngokungazelelwe noma njalo
- Ukuvala emuva ngenkathi usondla
- Izibhamu "ezimanzi"
- I-hiccuping evamile
- Ukukhwehlela njalo
- Imikhuba yokulala engafanele ngokuvama njalo
- Umoya omubi
Inombolo encane yezinsana izothola izimpawu ezilandelayo ezingezansi:
- Kunzima ukugwinya
- Umlomo wesihlungu njalo
- Ukulahlekelwa isisindo noma ukuzuza okunciphisa umzimba
- Izinkinga zokuphefumula ezifana ne- asthma , i- pneumonia , i-bronchitis, ne-wheezing
- Izifo ezivame ukuzwa noma izifo
- Ukudonsa ngokweqile
- Izwi eliphuthumayo
- Izinhlamvu zokungaphefumuli
Ukubona i-Reflux ye-Acant ye-Infant
Uma umntwana enempilo futhi ekhula kahle, udokotela angase ahlaziye isifo se-reflux esekelwe ekuhloleni ngokomzimba kanye nencazelo yomzali yezimpawu kanye nomlando wokudla wodwa. Kodwa-ke, ukuhlolwa kungalawulwa uma udokotela esolwa ngesimo esibi kakhulu njengeGERD.
Kulezi zimo, izivivinyo zokuxilonga zingabandakanya:
- Ukuhlolwa kwebhu. Lokhu kungabandakanya ukuhlolwa okuhlukahlukene kwegazi kanye nomchamo ukuze kutholakale noma kukhishwe izimbangela ezikhona zokuhlanza okuphindaphindiwe nokuzuzwa kwesisindo esimpofu.
- Ukuqapha kwe-pH Esophageal . Lokhu kuhlola kuzolinganisa i-asidi esweni lomntwana.
- Endoscopy ephezulu. I-tube enekhamera yekhamera nokukhanya (i-endoscope) ifakwa emlonyeni wengane futhi ibe yisisu nesisu. Udokotela angasebenzisa le nqubo ukuze abone ukuthi kunesidingo (ukulinganisa) noma ukuvuvukala ( isophagitis ) endaweni.
Yeka ukuthi kusetshenzwa kanjani i-Reflux ye-Acant Infant
Ukwelashwa kwengane ye-reflux kuncike ebukhulu bezinkinga. Udokotela wengane yakho angase anqume ukuthi akukho ukwelashwa okudingekayo nokuthi i-reflux izokwenyuka yedwa njengoba ingane yakho ikhula.
Ezinganeni eziningi, i-reflux ixazulula ngokwayo ngonyaka wokuqala wokuphila. Uma ingane yakho ingenempilo, ijabule futhi ikhula, udokotela wakho angancoma izinguquko ezimbalwa zokuphila kwengane yakho ukuze unciphise inkinga ye-reflux.
Uma i-reflux ingathà sina, noma uma ingane yakho itholwe ukuthi i-GERD, udokotela wakho angase anikeze imithi kadokotela noma ngaphezulu kwekhambi lokusiza ukusiza ukwelapha i-reflux. Lezi zindlela zihlanganisa:
- Ama-Antacids. Lezi zivimbela i-acid esiswini. Zihlanganisa ama- Tums , i- Mylanta , ne- Maalox .
- Ama-acid suppressors. Lokhu kugwema ukukhiqizwa kwe-asidi esiswini. Zihlanganisa i- Tagamet , i- Pepcid , i- Zantac , ne- Axid .
- Ama-block blockers. Lokhu kuvimbela ukukhiqizwa kwe-acid ngokuphelele esiswini. I-Prilosec ne-Prevacid ivunyelwe izingane ezingaphezu kweminyaka ethile.
Kubaluleke kakhulu ukuxoxa ngezindlela zokwelapha ze-acid reflux nodokotela wengane yakho ngaphambi kokuqala noma iyiphi indlela yokwelapha, ikakhulukazi ngaphambi kokusebenzisa noma yikuphi ukwelashwa kwamakhompiyutha.
Bona futhi
- Izimpawu ezivamile ze-GERD ezinsaneni (Reflux Chronic)
- Amathiphu Wokuvimbela I-Reflux Yengane Yomntwana noma i-GERD
- Imishanguzo Yokwedlulisa Imithi Ejwayelekile Yonke Okusetshenziselwa Ukwelapha I-GERD
- Okufanele Ukwazi Ngayo Izinketho Ze-Reflux zokwelashwa
Imithombo:
"I-Reflux ye-Gastroesophageal Insana." I-NIH Publication No. 06-5419 Agasti 2006. I-National Digestive Information Clearinghouse (NDDIC).
Ukuphuza, ukubulala i-Hiatal Hernia, ne-Reflux Izifo ze-Gastroesophageal (GERD). Ukushicilelwa kwe-NIH No. 03-0882 June 2003. I-National Digestive Diseases Information Clearinghouse.
Marsha Kay, MD, Vasundhara Tolia, MD " IMIBUZO YOKUPHILA KWAMAGASTROINTESTINAL KWABANTU ABANTU ABANTU ABANTU. " I-American College of Gastroenterology.
UBrian Pace, MA, uRichard M. Glass, MD. "I-Reflux ye-Gastroesophageal In Children." I-JAMA, ngo-July 19, 2000-Vol 284, No. 3. I-Journal ye-American Medical Association.