Zviratidzo, Kuongororwa uye Kurapwa kweGERD muTeens
Overview
Kunyange zvazvo kuora mwoyo kusingaperi uye gastroesophageal reflux chirwere (GERD) inowanzoonekwa sekushushikana kwevanhu vakuru, vari kuwedzera kuva pakati pevana nevechiri kuyaruka. Icho chiri chikamu pamusana pekuda kwevechiri kuyaruka nekuda kwekudya kwekutsanya, pamwe chete neavo vanoramba vachiwedzera mabheji.
Kufanana nevakuru, zviratidzo zvekuregerera zvinogona kuisa dhimoni muupenyu uye kunyange kutya dzimwe nguva.
Asi, sekufanana nevakuru, mararamiro ehupenyu asina kuchinja pamwe nemishonga inogona kuita kuti zviratidzo izvi zviwedzere kunzwisisika.
Zvinokonzera
Pasi pemamiriro ezvinhu akadai, zvokudya zvinopfuura nepamuviri, uye mutsara uri pasi penheyo yako-yakadzika esophageal sphincter (LES) -kusiya kuitira kuti zvokudya uye zvinwiwa zvigare zviri mudumbu rako. Apo i-LES haina kuvhara zvakanaka, mukati momuviri uye asidi inogona kudzokera mudumbu.
Zviratidzo
Zviratidzo zvinotevera zvinogona kuitika kana mwana wenyu ari kuyaruka ari kutarisana neAxy reflux:
- Kupisa manzwiro mubhokisi, shure kwefupa, kunyanya uye kupenya kumusana, kunogara kubva kumaminitsi mashomanana kusvika maawa
- Kupisa kunzwa mukati
- Nausea
- Donda, yaiwirwa nehope, kunyanya pakumuka mangwanani
- Hoarseness
- Kufema kwakaipa
- Dambudziko richimedza
- Kunzwa sekudya kunoiswa mumutsipa
- Kunzwa kwokugunzva kunomutsa iye usiku
- Zvinetso zvokuputika (zvakadai sebronchitis, wheezing, asthma)
- Kuvhara kuoma kuoma
Kuziva
Chiremba wemwana wako angangotarisa kuongororwa kweAic acid reflux pamararamiro emwana wako, kuongorora mumuviri uye kupindura kwemwana wako kuchiremba. Somuenzaniso, kana zviratidzo zvemwana wako zvichivandudzwa mushure mekurapwa neproton pump inhibitors (PPIs) , zvino zvichida GERD.
Kana zviratidzo zvemwana wako zvisingavandudzi, chiremba anogona kurayira miedzo kuti aone kana GERD ndiyo iyo inokonzera reflux. Iyi miedzo inogona kusanganisira chimwe chezvinotevera:
- Barium x-rays : Uyewo inozivikanwa segaramum kumedza, izvi zvinosarudzwa x-rays umo bhaumamu inoshandiswa kuongorora kusakanganiswa kwegadziriro yekudya.
- Esophageal pH kutarisa : Muedzo uyu uchayera kushaya asidi muhutano hwemwana wako.
- Kupera kwepamusoro kwepamusoro : A tube ine khamera yekhamera uye chiedza inowanikwa kuburikidza nemuromo wemwana wako uye kuva mudumbu uye mudumbu. Chiremba angashandisa nzira iyi kuti aone kana pane kuderedza (kugadzirisa zvishoma) kana kuvhiringidzika ( esophagitis ) muhuputi.
Kurapa
Kurapa asidi reflux inowanzoshanda zvakanaka kuburikidza nekushandisa nzira dzakasiyana. Iwe unogona kunge uchida kutarisa zvinokonzera ngozi dzomwana wako kuti uone kana chimwe cheizvi chingagadziriswa. Semuenzaniso, kunyanya kuwandisa kunowedzera mukana wekuti mwana wako achabatwa nekushushikana kwepfungwa zvikuru. Upenyu huri kuchinja hunogona kukwana kugadzirisa dambudziko kune vechidiki vakawanda, asi rinogona kuva dambudziko panguva ino. Mishonga inogona kudiwa, uye kune mazvikamu akawanda emishonga inogona kugovera zororo.
Lifestyle Modifications
Chiremba angatanga kutanga kuratidzira mararamiro ehupenyu kuti aone kana idzi dzichadzivirira zviratidzo zvekuyeuka.
- Kudya zviduku zviduku (kwete kudya kune imwe pfungwa yekufunga "zvakaputika")
- Idya zvishoma nezvishoma
- Dzivisa kudya kunokanganisa-kunokonzera kudya
- Dzivisa kudya nguva isati yarara, kana mukati maawa maviri kana matatu ekurara pasi
- Zvigadzirire nemapuritsi, simudza musoro wemubhedha wako, kana shandisa mhete wedge kubvumira kukuvadza kunobatsira kuchengetedza asidi mudumbu rako
- Kupfeka zvipfeko nemasikisi asina kusimba
Mishonga
Kana zviratidzo zvinoramba zvichiramba, chiremba angapa zano rimwe remishonga inotevera:
- Antacids: Antacids inotapudza mudumbu asidi. Zvinosanganisira Tums (calcium carbonate), Rolaids (calcium carbonate), Mylanta (aluminium hydroxide uye magnesium hydroxide), uye Maalox (aluminium hydroxide uye magnesium hydroxide).
- Acid Vanodzvinyirira: Izvi zvinoderedza kushandiswa kweAic acid mudumbu. Dzinosanganisira Tagamet (cimetidine), Pepcid (famotidine), Zantac (ranitidine). uye Axid (nizatidine).
- Acid Blockers: Izvi zvakadzivisa zvachose kugadzira asidi mudumbu. Prilosec (omeprazole), Prevacid (lansoprazole), Nexium (esomeprazole), Aciphex (raberprazole), uye Protonix. (pantoprazole).
Matambudziko
Matambudziko anokonzerwa nekusingaperi acid reflux haana kujairika mumakore ekuyaruka, uye mazhinji aya anowirirana nezviratidzo zvekare. Asi zvichiri kukosha kuti uzive izvi sechiyeuchidzo chekuti nei kuchibata GERD kunopfuura kunze kwekutonga zviratidzo. Zvinetso zvekusingaperi acid reflux (izvo zvakare, hazvisati zviri muvechiri kuyaruka) zvinosanganisira kubuda kwemasimba, chirwere chaBarrett, uye kunyange kenza yepamusoro.
The Bottom Line
Makore emakore ekuyaruka anogona kunetseka zvakakwana pasina kuwedzera asidi reflux kusvika kuchanganidzana. Izvozvo zvakati, miitiro yekudya kubva mukutsanya kwekutsanya kusvika kune makorikiti akawedzera iri kuwedzera chiitiko chechirwere muvana vedu. Nenzira inofadza mararamiro ekugadzirisa anowanzoita mutsauko mukuru, uye anogona kunge ane zvimwe zvinobatsira zvakare.
Sources:
Putnam P. Esophagitis muAdolescents. Mushonga Wemakore Ari Kuyaruka: Nyaya yeArt Reviews . 2016. 27 (1): 1-18.
Vandenplas, Y., naBauser. Mhinduro Yakavandudzwa pamusoro peGastro-Esophageal Reflux muPediatrics. Ongororo Ongororo muGastroenterology uye Hepatology . 2015. 9 (12): 1511-21.