I-reflux yesisu yinkinga evamile, ikakhulukazi ezinganeni ezazalwa ngaphambi kwesikhathi. Ku-reflux, i-muscle phezulu kwesisu (ebizwa ngokuthi i-sphincter esezansi ephansi, noma i-LES) ivumela okuqukethwe kwesisu ukuthi kuphume esiswini futhi kufike emgodini. Kwabaningi abantwana, reflux mncane. Izingane zingase zikhafule kaningi, kodwa zijabule futhi ziphilile.
Lokhu kuvamile futhi akudingi ukwelashwa.
Kwezinye izingane, reflux ingaba nzima. I-Reflux enamandla ngokwanele yokudinga ukwelashwa ibizwa ngokuthi isifo se-reflux se-gastroesophageal, noma i-GERD. I-GERD ezinsaneni zidinga ukwelashwa uma umntwana:
- Unokukhula okuncane
- Ingabe ubuhlungu obukhulu
- Uyenqaba ukudla ngenxa yobuhlungu
- Unenkinga yokuphefumula ngenxa yokuvuselela ubisi refluxed
Ukusebenza Nodokotela Wezingane Zakho
Ukwelapha i-GERD ezinganeni kungase kuphazamise. Imindeni eminingi izama izixazululo eziningana ngaphambi kokuthola into ebenza kubo, kuphela ukuthi leyo ndlela ikhiphe ukusebenza ngemva kwezinyanga ezimbalwa.
Uma ingane yakho ineGERD, ukuthuthukisa ubuhlobo obuseduze nodokotela wezingane owethembayo kubaluleke kakhulu. Ukusebenza eduze nodokotela wezingane owazi ingane yakho, izimpawu zakhe, nokuthi yini engakaze isebenze ngaphambilini ingakusiza ukuba usebenze ndawonye njengeqembu ukuze uthole izindlela zokwelapha ezingcono kakhulu zengqondo yomntanakho.
Izifo zasekhaya
Kungakhathaliseki ukuthi i-reflux yengane yakho ilula noma inzima, kunezinye izikhambi zasemakhaya ezingasiza ekunciphiseni izimpawu zakhe:
- Ukuncipha okuncane, okuqhubekayo okuvamile: Amantombazane angencane amathuba okuphalaza uma amathumba abo engagcwele. Ukunika ingane yakho ukudla okuncane kaningi kungamsiza ukuba aphule kancane noma abe nezinkomba ezimbalwa ze-reflux.
- Isikhundla esiphezulu emva kokuphakelayo: Ukugcina ingane yakho iqondile imizuzu engaba ngu-30 ngemva kokudla ngamunye kungasiza ukunciphisa izimpawu ze-reflux enzima. Ukubeka ingane yakho endaweni eseceleni kwesigxathu ekuqhumeni noma ekusizeni ngemuva kokuphakelayo kungasiza.
- Ukushintsha ukudla kwakho: Uma uncelisa, ingane yakho ingase isabele ekudleni kokudla kwakho. Iprotheyini yobisi lwezinyosi iyisiphambeko esikhulu kunazo zonke, futhi izingane ezincelisayo ngezinyosi zamaprotheni ezinomsoco zingase zibe nezimpawu ze-GERD. Ukuqeda konke uketshezi kusuka ekudleni kwakho kungasiza ingane yakho, kodwa yiba nesineke - kuthatha amasonto amabili ukuqeda ubisi ukuze usize.
- Ukushintsha ifomula yengane yakho: Uma izimpawu ze-reflux yengane yakho zibangelwa ukungezwani kokudla, bese ushintshela ifomula elusana elikhethekile elinamaprotheni ahlukene (njenge-soy noma i-hypoallergenic formula) lingasiza. Khuluma nodokotela wakho ngaphambi kokushintsha ifomula yengane yakho ukuze uqiniseke ukuthi ingane yakho ithola ukudla okwanele.
Imithi
Uma ingane yakho isenayo izimpawu ze-GERD ngisho nangemva kokuzama amakhemikhali asekhaya okukhulunywe ngenhla, khona-ke khuluma nodokotela wezingane ukuze ubone ukuthi imithi ingasiza kanjani. Kungathatha isikhathi ukuthola imithi enenani eliphansi lemiphumela emibi ephumelela kakhulu kumntanakho, ngoba kunezinhlobo eziningi zemithi yokwelashwa ukuphatha i-reflux.
Ngisho noma usebenzisa izixazululo ezingaphezu kwe-counter for the baby yakho, qiniseka ukuthi uthintane nodokotela wezingane ngaphambi kokusebenzisa noma yimiphi imithi yokulwa ne-reflux. Imithi iphazamisa izinsana ngendlela ehluke ngayo ukuthi ithinta kanjani abadala nabantwana abadala, futhi kungenzeka ukuthi ingaphephile njalo ingane yakho.
- Amagciwane aqinile: Nakuba kungewona imithi, ukusebenzisa irayisi ukutshala ukudla kwezingane zakho kungasiza ukugcina ubisi esiswini. Sebenzisa u-1 kuya ku-2 tsp we-rice cereal nge-ounce yefomula, noma sebenzisa ifomula elisele ilayisi. Emazweni aseYurophu, i-Gaviscon yezinsana (ezihlukile kumuntu omdala wakwaGaviscon ezithengiswa e-US) ngezinye izikhathi isetshenziselwa ukwakha ungqimba obisiwe esiswini, ukuvimbela reflux.
- Ama-antacids: Izidakamizwa ezivamile zingasiza izinsana ezinezimpawu ezincane ze-GERD. I-Mylanta, i-Maalox, ne-Tums yi-antacids ejwayelekile engasiza nge-aclux reflux ezinganeni.
- H-2 Abavimbela: Abavimbela i-H-2 (i-Tagamet, i-Zantac, i-Pepcid, ne-Axid) kunciphisa inani le-asidi elikhiqizwa yisisu futhi lisetshenziselwa kakhulu ukuphatha i-reflux ezinganeni nasezinganeni. Imiphumela emibi ingafaka isifo sohudo, ukuqothulwa, nobuhlungu besisu.
- Ama-proton-pump inhibitors: Amaprotheni-inhibitors ama-proton, noma ama-PPI, yimishanguzo emisha ephumelela kakhulu kune-H-2 blockers ekunciphiseni i-acid esiswini. I-PPI ihlanganisa i-Nexium, i-Prilosec, i-Prevacid, i-Aciphex, ne-Protonix. Ukuze uthole ama-PPI athile ngendlela ewuketshezi, kuzodingeka usebenzise ikhemisi ehlanganisa noma exuba imithi yayo. I-PPIs ingabangela imiphumela emibi yesikhathi eside, kuhlanganise nezinkinga zesibindi nama-polyps esiswini, kunama-blockers e-H-2.
- I-agent ye-Motility: Esikhathini esedlule, ama-motility agents ( Reglan and Propulsid) asetshenziselwa ukusiza umzimba ukuba ugaye ngokushesha, ukuvimbela reflux ngokukhipha isisu ngokushesha. Ngenxa yemiphumela emibi kakhulu, le mithi ayisisetshenziselwe izinsana.
Ukuhlinzwa kwe-Reflux Yengane
Ezimweni ezingavamile kakhulu, i-GERD idlula ngaphezu konyaka wokuqala wokuphila, ibangela izimpawu ezinzima, futhi ayiphenduli ekwelapheni. Kulezi zimo, inqubo yokuhlinzwa ebizwa ngokuthi i-fundoplication ingenziwa. Ekuxhasweni kwezimali, isisu sesisu sisongene nendawo, siqinisa i-LES futhi senze kube nzima nakakhulu ukudla ukuze siphume esiswini.
Nakuba kungaba yindlela enhle yezingane ezine-reflux ezinzima ezingaphenduli imithi, ukuhlinzeka ngemali yokuhlinzeka ngemali kuyinkambiso enkulu yokuhlinza enezinhlobo eziningi zemiphumela emibi. Lokhu kuvulwa kunenani eliphakeme lokuhluleka kwezinye izingane; xoxa nodokotela wakho ukuze ubone ukuthi ukuxhaswa ngezimali kungahle kube kuhle kumntanakho.
Imithombo:
UHorvath, u-A., iDlechclarz, uP., no-Szajewska, H. "Umphumela Wendlela Yokunciphisa Amandla Okunakekelwa Kwama-Reflux Ezinsana Ezisezintweni Zama-Gastroesphageal: Ukubuyekezwa Okuhlelekile Nokuhlaziywa Kwe-Meta-Ukuhlaziywa Kwezinguquko Ezilawulwayo." I-Pediatrics Dec. 2008: 122, e1268-e1278.
Kellymom. "Ukwelashwa Kwezilwane Nezinye Ukudla Emantanjaneni Yase-Breastfed."
Umtholampilo Wokunakekelwa Kwe-Los Altos. "I-Fundoplication."
Nerko, S. "Ukwelapha i-Reflux ye-Acid ezinganeni." Ukubukwa kwezingane ngonyaka ka-Agasti 2007.
Woo, J., Yang, H., Min, T., Jeon, Y., Lee, H., Lee, J., Pyun, B. "Ukusebenza Kwesikhundla Esilungile Ngokwe-Gastro-Esophageal Reflux ne-Reflux-Related Izimpawu Zokuphefumula Ezinsaneni Ezinezifo Eziphefumulayo Zokuphefumula. " Ukuzivocavoca kwezifo zokuphefumula kwe-Immunology Research Jan. 2012; 4, 17-23.