Upenyu hwekuchinja uye antiacids zvinogona kubatsira
Vacheche vanowanzova asidi reflux, asi vazhinji havadi kurapwa, saZantac. Kana vakatsvaga shure kwekudya asi vari kuwedzera kuwanda, kurara zvakanaka uye havakwanisi, vanogona kunge vakanaka. Zvisinei, vamwe vacheche vanoita marara mushure mekudya zvinoda kupindira. Akawanda mashizha anotsvaga marapirwo anowanikwa kune ava vana.
Lifestyle Changes
Imwe yehupenyu hwekutanga hwekuchinja hunodiwa nevabereki ndeyekuti vadzivirire zvipfeko zvavo uye midziyo kubva kumatare.
Izvozvo zvinogona kureva kushandura zvipfeko uye zvipfeko uye kuchenesa avo vanobata mwana wenyu iye anowanzopwanya. Iwe unofanirwawo kudzivisa kuisa mwana wako mumapuranga akaoma uye zvipfeko zvekudzivirira.
Imwe nzira inokosha yekuchinja mararamiro inosanganisira kuti unoisa sei mwana wako mushure mokudya. Zvinoshamisa kuti, vana vakawanda vanoita zvakanyanya kana vakaiswa munzvimbo yakagadzika mushure mokudya. Pane kudaro, mwana wako anogona kuita zvakanakisisa munzvimbo yakatakura yakatakurwa, sechechecheche kana mwana kuvhara, kana mudumbu.
Ramba uchiyeuka kuti kuisa mumimba kunofanira kungoshandiswa kana mwana wako akamuka uye achionekwa. Nemhaka yehutachiwana hweHIV, kunyange vana vane reflux vanofanira kurara pamusana wavo kunze kwekuti chiremba wevana vako anorumbidza zvimwe.
Imwe nzira yekugadzirisa iyo inogona kubatsira ndeyokusimudza musoro wechifukidzo chemwana wako anenge madigiri makumi matatu. A tucker sling, kana kana pasina bhanhire, inogonawo kubatsira kuchengetedza mwana wako panzvimbo yakanaka kana akarara kubatsira kubatsira kuderedza zviratidzo zvayo zvekudzivirira.
Zvisinei, chigaro chemotokari hachisi nzvimbo yakanaka yekuisa mwana ne reflux mushure mekudya. Zvigaro zvegari zvinofanira kudziviswa kunze kwekuti iwe uri mumotokari yako.
Vamwe vana vanopfira zvakanyanya pavanonwa mvura yakawanda mune imwe chete. Kuchinja purogiramu yekudyara kwemwana wako kuitira kuti adye zviduku zvishoma kakawanda zvinogona kuderedza zviratidzo zvake zvekudzivirira.
Kazhinji kuvhara mwana wako, sekunge mushure memaawa mashoma, dzimwe nguva inobatsira vana vacheche. Vamwe vanovhiringidza kana iwe ukanganisa kushandiswa kwavo uye kupfira zvakanyanya, saka iwe unogona kuedza kuedza kana hupenyu huno huchichinja huchiita iwe.
'Reflux' Baby Formula
Vanachiremba venguva refu vakataurira kuti vabereki vecheche vane reflux vanokanganisa vana vavo. Iwe unoita izvi nekuwedzera imwe yepuni yeripuri yekudya yega yega kana maviri yekuenzanisa zvekunwa kwemwana wako.
Mukuwedzera pakuva mukuru, saka zvinotarisirwa kugara pasi zviri nani, vacheche vanogona kunwa zvishoma zvishoma pane imwe nguva, sezvo ichi chisanganiswa chine mamwe makoriyumu kupfuura muwandisi wemhando.
Mamwe mazita emwana anowanikwa ayo anogona kubatsira vana vane reflux kuitira kuti iwe usafanira kuwedzera zviyo iwe pachako. Izvi zvinosanganisira Enfamil AR (yakawedzerwa rizi) uye Similac Sensitive RS (muchengeti wejisi).
Dzimwe nyanzvi dzinokurudzirawo kuti vana vane reflux vane muedzo wechinhu chekutanga, zvakadai seNutramigen kana Alimentum, kwemavhiki mashoma. Izvi ndezvokuti kana kusazorora kuri chiratidzo chemukaka weprotein allergy.
Acid Reflux Mishonga
Kunyange nemararamiro ehupenyu uye reflux vana maforamu, mishonga yekurapa kwema reflux imishonga inodhaka.
Aya asidi anotsvaga mishonga yevana inosanganisira antiacids uye reducers asidi dzakadai se:
- Antacids (kushandiswa kwenguva pfupi)
- Maalox
- Mylanta
- Histamine-2 receptor antagonists
- Zantac
- Axid
- Pepcid
- Tagamet
- Proton pump inhibitors (PPIs)
- Prevacid
- Prilosec
- Nexium
- Aciphex
- Protonix
Mimwe mishonga inosanganisira Reglan, bethanechol, uye erythromycin, iyo inotsanangurwa seprokinetic agents. Iyi mishonga inogona kubatsira chaizvo mudumbu kusina chinhu nekukurumidza asi haishandisi zvakanyanya nokuti inowanzova nemigumisiro yakawanda.
Ramba uchifunga kuti Zantac ndiyo chete inonzi reflux mishonga iyo FDA inogamuchirwa kuti iite reflux mucheche. Asi mamwe mishonga inowanzoshandiswa kunze kwe-label kune vana vaduku, kusanganisira Axid uye Prevacid.
Vakwegura Vana vane Reflux
Vabereki vakawanda vanofunga nezveAic acid reflux sechirwere checheche, asi vana vakwegura nevechidiki vanogona kugona zvakare. Iyo dzimwe nguva inogona kubatsira asidi reflux kana mwana wako mukuru achidzivirira kudya kwechidimbu , kusanganisira tomato, pickles, citrus, uye chocolate. Vanofanirwawo kudzivisa zvinonwiwa zvakadai, jisi, carbonated newaffeinated zvinwiwa, izvo zvinoreva kwete soda uye hapana zvinwiwa zvezvinwiwa.
Kudzivisa kudya mukati maawa mashomanana ekurara, kurasikirwa (kana kuwedzeredza) nekucheka gum uye mvura yekunwa kunogona kuderedza zviratidzo zvekuyemura zvakare. Kufanana nevana vaduku, zvinogona kubatsira kukwidza musoro wemubhedha wemwana wako, kumukurudzira kuti adye kudya kazhinji kechidiki uye edza anidhi re reflux mishonga apo mararamiro emararamiro haakwani kukanganisa zviratidzo zvekushanduka.
Zvimwe Zvirwere Zvirwere
Kune vana vane reflux yakaoma vasingateereri kurapwa kunobudirira kwehutano, fundoplication , umo chikamu chepamusoro chemukati chakavharwa pasi pechitsiko chepasi , iyo inosarudzwa. Kunyange zvazvo vamwe vabereki vachiona kuvhiyiwa uku kusingaiti, zvinogona kuva sarudzo yakanaka yevaya vane zvirwere zvakasimba zvezviratidzo , zvakadai sokushaya uremu hunofu, kushaya kurasikirwa, kubvongodza nekupemha matambudziko kana kusagadzikana kazhinji.
Chiremba wechiremba wevana, pamwe nechechi yegastroenterologist , inogona kukubatsira kuona kana mwana wako ane reflux yakakomba ndiye akakodzera kubhadhara mari.
Zvaunoda Kuziva
Vana vazhinji vanobva kunze kwezviratidzo zvavo zvekudzivirirwa nenguva iyo vane makore mapfumbamwe kusvika kune gumi nemaviri, kunyange zvazvo dzimwe nguva inotora kusvika mwedzi 18.
Zantac inowanzobatwa mitsara yekurapa kwevana vane reflux. Asi kana iri kusashanda, taura nevana vako nezvekuedza PPI sePevacid.
Mutsara wekucheka-ruvara kana mbiru yakakura inogona kubatsira apo iwe unomesa fomu yemwana wako. Uyewo, usakurumidza kudyisa mwana wako zvakare kana iye achipfira. Pane kudaro, tarisira kusvikira kudya kwekupedzisira kuitira kuti iwe usati wanyengedze mwana wako.
Taura nevana vako kana iwe uchifunga kuti mwana wako haasi kuwana zvakakwana kudya nokuti ari kuputira zvakanyanya. Chiremba gastroenterologist chinogona kubatsira kuti uongorore uye utarisire mwana wako ne reflux.
> Sources:
> Behrman: Nelson Nhamba yeBhuku rePediatrics, 17th ed. Saunders.
Gastroesophageal reflux chirwere: Kupindira muhuduku kunoderedza dambudziko rekupedzisira matambudziko here? Ndarama BD - Am J Med - 6-SEP-2004; 117 Suppl 5A: 23S-29S.
North America Society yePediatric Gastroenterology, Hepatology uye Nutrition Guidelines pamusoro pevana veGERD. J Pediatr Gastroenterol Nur, Vol 32, Suppl. 2, 2001.