Kubata kwevana vacheche inetso yakawanda, kunyanya mucheche akazvarwa asati apera. Muchifukidziro, tsvina iri pamusoro pemudumbu (iyo inonzi lower lower esophageal sphincter, kana LES) inobvumira zviri mukati momuviri kuti zvibude kubva mudumbu uye kusvika mudumbu. Kune vana vakawanda, reflux ine unyoro. Vacheche vanogona kupfira mate kazhinji, asi vanofara pamwe uye vane utano hwakanaka.
Izvi zvakajairika uye hazvidi kurapwa.
Mune vamwe vana, reflux inogona kuva yakaoma. Reflux iyo yakaoma zvakakwana yekuda kurapwa inonzi chirwere chegastroesophageal reflux, kana GERD. GERD mucheche inoda kurapwa kana mwana:
- Ane kukura kukura
- Inorwadza zvakanyanya
- Anoramba kudya nekuda kwekutambudzika
- Ane matambudziko ekufema nekuda kwekunakidza mukaka we refluxed
Kushanda Newachiremba Wenyu
Kurapa GERD mucheche kunogona kukanganisa. Mhuri dzakawanda dzinoedza mishonga yakawanda isati yawana iyo inovashandira, kungoita kuti mushonga iwoyo usiye kushanda pashure pemwedzi inoverengeka.
Kana mwana wako aine GERD, ipapo kukudziridza ukama hwepedyo nechiremba wevana iwe unovimba kunokosha zvikuru. Kushanda pamwe chete nevana vana vanoziva mwana wenyu, zviratidzo zvake, uye izvo zvave zvisina kumboshanda zvisati zvaitika zvichakubatsira kuti ushande pamwechete seboka kuti uwane mishonga yakanakisisa yekuratidza mwana wako.
Mishonga yeMusha
Pasinei nokuti mwana wako anofungisisa zvinyoro kana kuti zvakakomba, pane dzimwe mishonga yemusha inogona kubatsira kuderedza zviratidzo zvake:
- Zviduku, zvinowedzera kugoverwa: Vana vashoma vashoma kupfira mate kana mishonga yavo isiri yakakwana. Kupa mwana wako zvishoma kudyidzana kazhinji kunogona kumubatsira kupfira zvishoma kana kuva nezviratidzo zvishoma zvekuratidza.
- Mamiriro akakodzera mushure mekudya: Kubata mwana wako wakananga kwemaminitsi makumi matatu mushure mekudya kwega kwega kunogona kubatsira kuderedza zviratidzo zvekutsvaira kwakanyanya. Kuisa mwana wako mune imwe nzvimbo yakananga-yakarurama mukumhanya kana kuti kubvunda mushure mokudya zvinogona kubatsira zvakare.
- Kuchinja kudya kwako: Kana iwe uchiyamwisa, mwana wako angave achiita zvekudya mune zvekudya kwako. Mushonga wemukaka wemuCow ndiyo inonyanya kukanganisa, uye vana vemazamu nemukaka wemukaka mapuroteni anonzwa angave ane zviratidzo zveGERD. Kubvisa zvose zvehuchi kubva pakudya kwako kunogona kubatsira mwana wako, asi iva nemoyo murefu - zvinotora kusvika mavhiki maviri kuti ubvise mairi kuti ubatsire.
- Kushandura fomu yemwana wako: Kana zviratidzo zvekuda kwevana vako zvinokonzerwa nechirwere chezvokudya, zvino kuchinja kumushana wepachicheche chaiwo une mapuroteni akasiyana-siyana (akadai se soy kana hypoallergenic formula) anogona kubatsira. Taura nachiremba wako usati wachinja fomu yemwana wako kuti ave nechokwadi chokuti mwana wako ari kuwana kudya kwakakwana.
Mishonga
Kana mwana wako achiripo ane zviratidzo zveGERD kunyange pashure pokuedza mishonga yemusha yakataurwa pamusoro apa, taura nevana vako kuti uone kana mishonga inogona kubatsira. Zvinogona kutora nguva kuwana mishonga ine nhamba shomanana yemigumisiro yemigumisiro iyo inonyanya kukosha kumwana wako, sezvo kune marudzi akasiyana emishonga ekurapa reflux.
Kunyange kana uri kushandisa zve-rem-remedesti kumwana wako, iva nechokwadi chekukurukura chiremba wevana vako usati washandisa chero anti-reflux mishonga. Mishonga inobata vacheche zvakasiyana siyana kubva pamabatiro avanoita vanhu vakuru nevana vaduku, uye inogona kunge isina kuchengetedzwa nguva dzose kumwana wako.
- Zvinyengeri: Kunyange zvazvo isiri mushonga, kushandisa rizi rinoita kuti mwana wako adye zvokudya zvinogona kubatsira kuchengetedza mukaka mudumbu. Shandisa 1 kusvika ku2 tsp yemupunga muchero wega yega yega yega, kana shandisa fomu yakatova nemupunga yakawedzerwa. Munyika dzeEurope, Gaviscon yecheche (yakasiyana nevakuru Gaviscon inotengeswa kuU.S.) dzimwe nguva inoshandiswa kuita hutete hwakakanyiwa mukaka mumudumbu, kudzivirira reflux.
- Antacids: Nguva dzose antiacids inogona kubatsira vana vane zviratidzo zvishoma zveGERD. Mylanta, Maalox, uye Tumus zvinowanzoita antiacids zvinogona kubatsira neAxy reflux mucheche.
- H-2 Zvivharo: H-2 blockers (Tagamet, Zantac, Pepcid, uye Axid) inoderedza kuwanda kwemashizha anobudiswa mudumbu uye yakashandiswa zvikuru kurapa reflux mucheche nevana. Migumisiro inogona kusanganisira kubuda, kuvhiringidzika, uye kurwadziwa mumimba.
- Proton-pump inhibitors: Proton-pump inhibitors, kana PPIs, mishonga mitsva inoshanda kupfuura H-2 blockers pakuderedza dumbu reAIDS. PPIs inosanganisira Nexium, Prilosec, Prevacid, Aciphex, uye Protonix. Kuti uwane mamwe maPIs muhuwandu hwemvura, iwe unoda kushandisa pharmacy inobatanidza, kana kusanganiswa, mishonga yake. PPIs inogona kukonzera migumisiro yakareba kwenguva refu, kusanganisira zvinetso zveropa uye mapuropa mukati mudumbu, kupfuura H-2 blockers.
- Motility vashandi: Kare, maenzi agents ( Reglan uye Propulsid) akashandiswa kubatsira muviri kuti uwedze nekukurumidza, kudzivirira reflux nekubvisa mudumbu nokukurumidza. Pamusana pemigumisiro yakakomba, mishonga iyi haisisarudziri kune vacheche.
Kuvhiya Kwemucheche Reflux
Muzviitiko zvisingawanzoitiki, GERD inopfuurira mberi kwegore rokutanga rehupenyu, inokonzera zviratidzo zvakakomba, uye haipinduri kurapwa. Muzviitiko izvi, chirongwa chinopurirwa chinonzi fundoplication chinogona kuitwa. Mu fundoplication, kumusoro kwepamukati kwakaputirwa necheputi, kusimbisa iLES uye kuita kuti zvive zvakaoma kuti zvokudya zvirege kubuda mudumbu.
Kunyange zvazvo inogona kuva sarudzo yakanaka yevana vane reflux yakaoma iyo isingapinduri nemishonga, kurapwa kwekudzidzira chirongwa chikuru chekuvhiya chinogona kuwandisa migumisiro. Uku kuvhiyiwa kunokwidzika kwepamusoro kune vamwe vana; taura nachiremba wako kuti uone kana mari yekubhadhara mari ingave yakanaka kumwana wako.
Sources:
Horvath, A., Dzlechclarz, P., uye Szajewska, H. "Migumisiro Yakawanda-Inopa Mishonga yeGastroesphageal Reflux mucheche: Ongororo Dzokuongorora uye Meta-kuongororwa kweRandomized, Controled Trials." Pediatrics Dec. 2008: 122, e1268-e1278.
Kellymom. "Dairy uye Zvimwe Zvimwe Zvokudya Zvinokonzerwa Nevana Vachichechera."
Los Altos Feeding Clinic. "Fundoplication."
Nerko, S. "Kurapa Acidx Acid muvana." Patiatric Views August 2007.
Woo, J., Yang, H., Min, T., Jeon, Y., Lee, H., Lee, J., Pyun, B. "Kubudirira kweNzvimbo Yakarurama paGastro-Esophageal Reflux uye Reflux-Related Zvirwere zveHupemiramu Mumucheche Ane Hurefu Hwekuporesa Zviratidzo. " Chirwere cheAirgygia Chirwere Chekuongorora Emunology Jan. 2012; 4, 17-23.