Chiremba wevana vako angangodaro akawana mwana wako ane tsvina yekurutsa syndrome, kana iwe unganetseka kana ane chimwe chinhu chinowedzera kupfuura "kazhinji mavhamusi emuviri." Chii chaunoda kuziva?
Overview
Nepo vana vakawanda vaduku vanogona kuwana 2-3 zvikamu zvevirusi gastroenteritis gore roga rega, kuva nekurutsira mwedzi umwechete kana maviri kune zvakanyanya kupfuura zvaunotarisira kuti mwana ave nazvo.
Kunyange zvakadaro, kana mwana aine zviratidzo zvehutachiona hunenge huripo, nekurutsika uye kurara uye kuonana nevamwe vana vane zviratidzo zvakafanana, zvino zvinogona kuti ari kungotora hutachiona kamwe chete.
Asi kana zviratidzo zvake zvekunyanya kusuruvara uye kurutsa, kunyanya kana chiri chimwe chinhu chinodzokorora vhiki shomanana kana mwedzi shomanana uye nguva dzakanaka mukati, zvinenge zvichiitika kuti chimwe chinhu chiri kuitika, nechinangwa chekurutsa syndrome chiri pamusoro pekunyorwa kwezvingaita .
Nguva yakanyanya kufanana iyo iyo kurutsa inotanga iri pakati pemakore 3 ne7 uye kune nhamba yakaenzana yevakomana nevasikana vanobatwa.
Zviratidzo
Vana vane chirwere chinosuruvara chekurutsa vanowanzova nezvikamu kana kumira kwekusuruvara uye kusuruvara kunogona kupedza maawa mashoma kana mazuva mashomanana. Munguva dzezviitiko izvi, vana vangave vakaderedza basa uye vakaderedza kudya uye vangatove vasina mvura. Dzimwe zviratidzo zvinogona kusanganisira kurwadziwa kwepamuviri, kuora musoro, fivha, uye pallor.
Pane imwe nguva chikamu chacho chapera, vana vanowanzoratidza zviratidzo-pasina uye zviratidzo kusvikira nguva inotevera iitika.
Zvinokonzera / Njodzi Dambudziko
Kunyange zvazvo chinokonzera kushambadzira chirwere chisingazivikanwi, vazhinji vana vane chirwere ichi vane mhuri yemhuri ye migraines uye nyanzvi dzakawanda dzinofunga kuti mbiri dzakabatana.
Chimwe chinhu chinobatanidza migraines neyiclic vomiting syndrome ndechokuti vanogona kuvharirwa nemishonga imwechete, iyo Periactin (cyproheptadine) uye Elavil (amitriptyline).
Kuongororwa uye Kuedzwa
Cyclic kurutsa syndrome inorondedzerwa seimwe yehutano hwehutachiona hunoshanda , mune mamwe mazwi, zviratidzo izvi zvinokonzerwa nebasa rekudya gumbo panzvimbo yezvinetso zvekugadzirisa. Sezvo zvakadaro hakuna humwe mimwe miedzo yakanyatsoitwa kuti uwane chirwere chacho. Kunyanya kuongororwa kunoitwa kuitira kutonga kunze kwekuda kweimwe mamiriro ezvinhu-izvo vanachiremba vanodanha kushungurudzwa kwezvisikwa-kana matambudziko ane zvigadziriswa. Kuongororwa kunoitwa nemuenzaniso wezviratidzo, kunyanya chokwadi chokuti kune nguva refu pasina zviratidzo zvachose.
Miedzo inogona kuitwa inosanganisira:
- Musoro CT kana MRI
- Miedzo yeMetabolic
- Abdominal ultrasound
- Pasi GI x-ray rine zviduku zvishoma zvinotevera (UGI-SBFT)
Dzimwe nguva kuongororwa uye kurapwa kwechiitiko ichi kunowirirana, sezvo kupindura kurapwa kunobatsira kutsigira kuongororwa.
Kusiyanisa Kuziva
Mamiriro ezvinhu anogona kukonzera zviratidzo zvinenge zvakafanana (asi kwete kazhinji nezvenguva dzekugara pakati pezvikamu) zvinosanganisira zvikanganiso zvakaberekwa zvemasabolism, kushaya maronda ematumbo ne volvulus (apo chifukidzo chinotenderera uye chinoputika) nezvimwe zvinetso.
Acute Treatment
Munguva yezvakaitika zvakanyanya zvekurutsira, kurapwa kunangwa yekuita kuti mwana wako ave akasununguka sezvinobvira.
Mishonga inogona kusanganisira:
- Kuzorora mune imwe nzvimbo yakanyarara, yerima
- IV mvura inonaya kana iye akaoma mvura
- Mishonga yakadai saZofran (odansetron) , Imitrex (sumatriptan) , Catapres (clonidine), kana benzodiazepines.
Chronic Treatment and Prevention
Iyo yakanakisisa kurapwa kwekushambidzika kwemajisi ndiko kudzivirira. Danho rekutanga nderekuti uone kuti hapana chimwe chinhu chinokonzera kurutsa. Kana mwana wako akaonekwa kuti ane rutsiro rwemakumbo, iwe unogona kuedza kutsvaga zviratidzo zvinokurudzira zvikamu izvi (ona pasi apa). Mishonga inoshandiswa pakudzivirira kushambidzika kwemakumbo-kazhinji nemigumisiro yakaisvonaka-inosanganisira:
- Periactin (cyproheptadine)
- Inderal ((propanolol)
- Elavil (amitryptylline)
Kuziva Kukonzera
Kungofanana neavo vanowanzogadzirisa migraine vanoita sevanopedza zviratidzo zvepfungwa kune avo vane migraines, zvinoratidzika kune zvingave zvichikonzera zvimwe zvikamu zvekurutsira nemashonga ekurutsa musimboti. Izvi zvinokonzera kushungurudzika, kufara, zvirwere, kudya zvimwe zvokudya, kutonhora, uye kurwara. Kuchengeta bhuku rekurutsira sezvinongoita vamwe vanhu vachengetedza bhuku remusoro kuti vachengetedze migraine zvinokurudzira, zvingakubatsira kuona chimwe chezvinhu izvi kuitira kuti uzvidzivirire, kana zvichibvira, mune ramangwana.
Riboflavin?
Icho chichiri kutotanga kuti titi, asi kushandisa B vitamin riboflavin kunogona kuita basa mukudzivirira kushambidzika kwemagetsi munguva yemberi. Zvinonyatsozivikanwa kuti riboflavin dzimwe nguva inobatsira mukudzivirira migraine misoro. Chidzidzo chediki cheEurope muna 2016 chakawana kuti-muvana vatatu-chero riboflavin kurapwa kwemwedzi gumi nemaviri kwakaguma nemhinduro yakanakisisa. Kunyange zvazvo chidzidzo ichi chiri chiduku zvikuru kutungamira kurapwa panguva ino, zvinogona kubatsira kubvunza chiremba wevana kana kuwedzera kwevhitamini iyi kurongwa hwemwana wako kunogona kubatsira. Riboflavin inowanikwa muzviyo zvakakwana pamwe nemaarmond , sipinashi, uye mushwa.
Matambudziko
Icho chinetso chikuru chekushambidzika kwemanheru ndechekuita mvura yakawanda iyo dzimwe nguva inogutsa kudiwa kwekuchengetwa kwepachipatara uye IV mvura. Kakawanda kazhinji, kushungurudza kunonzi Mallory Weiss kusvimha misodzi kunogona kuitika. Iyi ndiyo misodzi iri mumhara (shure kweii vana vanokandira ropa) iyo inogona kuva mugumisiro wokurutsira zvechisimba zvikamu. Vana vane rutsigiro rwemagetsi vanoitawo sevanowedzera huwandu hwehutano hwekuzvidya mwoyo.
Prognosis
Ndinofara, vazhinji vana vane rutsigiro rwekurutsa syndrome vanoita zvakanaka kwazvo, uye vanowanzobuda zviratidzo zvavo. Ikoko hakuna kumbove nekufa kwakanyorwa yakabva kune chirwere, asi vana vanoita dzimwe nguva vanopedzisira vachida kutarisirwa kuti vapedze mvura. Mune imwe yedzidzo yakawanikwa kuti, kunyange zvazvo vana vakasiya zviratidzo zvavo zvekurutsira, chikamu chehafu yevana chakatanga kuva nemusoro wemusoro. Dzidza zvakawanda pamusoro pemagraine misoro muvana , sezvavanowanzosiyana nevaya vari vakuru. Uye apo mwana wako ari kutarisana nehutachiona, iva nechokwadi chokuti unoziva zviratidzo zvekudzikisa mvura mukati mevana uye kuti ungagadzirisa sei kushambidzika uye kurambana mukati mevana .
Sources:
Hikita, T., Kodama, H., Ogita, K. et al. Cyclic Vomiting Syndrome mucheche nevana: Chidzidzo chekuchengetedza kuchipatara. Chiremba Neurology . 2016. 57: 29-33.
Kaul, A., naK. Kaul. Cyclic Vomiting Syndrome: A Functional Disorder. Chiremba Gastroenterology, Hepatology, uye Nutrition . 2015. 18 (4): 224-9.
Madani, S., Cortes, O., naRobert Thomas. Cyproheptadine Shandisa muvana vane zvinetso zvepabonde zvepabonde. Zvinyorwa zveMwana Gastroenterology uye Nutrition . 2016. 62 (3): 409-13.
Martinez-Esteve, M., Schappi, M., uye C. Korff. Riboflavin mu cyclic vomiting syndrome: kubudirira muvana vatatu. European Journal of Pediatrics . 175 (1): 131-5.
Tarbridge, S., uye B. Li. Nzira dzeKunetseka Kufanotaura Utano-Hwakabatana Nehupenyu hwevana nevana vaduku ne Cyclic Vomiting Syndrome. Journal of Pediatrics . 2015. 167 (3): 633-8.e1.