Pasi pemamiriro ezvinhu akadai, zvokudya zvinopfuura nepamuviri, uye mutsara uri pasi pechipfuva chako unovhara kuitira kuti zvokudya uye zvinwiwa zvicharambe zviri mudumbu rako. Iyi musuru ndeyechepasi esophageal sphincter (LES). Apo i-LES haina kuvhara zvakanaka, mukati momuviri uye asidi inogona kudzokera mudumbu.
Gastroesophageal Reflux (GER) inowanzotanga mucheche, asi nhamba shomanana yevana vacharamba vachiwana GER sevana vakwegura.
Kuongororwa nachiremba anorayirwa chero mwana kana mwana wechidiki ane zviratidzo zvinoramba zvichiitika zveGER.
Zviratidzo
Zviratidzo zvinotevera zvinogona kuitika kana mwana wako ari kuine asidi reflux:
- Maviri omumapfupa pamusoro pebhomba
- Chipfuva chepfu
- Kupisa kunzwa mukati
- Kunyanya kunetseka pamusoro pezvokudya kana kuramba chikafu
- Kudya zvishomanana chete nekucheka pasinei nenzara
- Kugunun'una kana kukanganisa
- Kushaya uremu kana kuora kurasikirwa
- Kufema kwakaipa
- Nguva dzose runny nose
- Vanowanzoora maronda
- Sinus zvirwere
- Zvinetso zvokuputika (zvakadai sebronchitis, wheezing, asthma)
- Nighttime chifuva
- Kuvhara kuoma kuoma
- Hoarseness
- Kutambura kurara, kugara uchimuka
- Kazhinji hutachiona hutachiona uye / kana nzeve kusangana
- Kunyanyisa kunetseka kana kuderedza
- Kusagadzikana kwekumanikidzwa pamusoro pemudumbu
Kuziva
Chiremba wemwana wako angangotanga kuongororwa kweAic acid reflux pamararamiro emwana wako uye kuongorora mumuviri. Chiremba anogonawo kutarisa miedzo kuti aone kuongororwa, kana kuziva kana chirwere chakakomba, chakadai seGastroesophageal reflux chirwere (GERD), ndicho chinokonzera reflux.
Iyi miedzo inogona kusanganisira chimwe chezvinotevera:
- Lab maedzo. Izvi zvinogona kuve nehutano hwakasiyana-siyana uye kuongorora urinho kuti uone kana kutonga kunze kwezvikonzero zvinokonzerwa nekurutsira kusingaperi uye kushaya uwandu hwehupfumi.
- Esophageal pH monitoring. Uyu muedzo uchayera kushaya asidi muhutano hwemwana wako.
- Endoscopy yapamusoro. Bhuku rine kemera yekhamera uye chiedza chinowanikwa kuburikidza nemuromo wemwana wako uye kuva mudumbu uye mudumbu. Chiremba angashandisa nzira iyi kuti aone kana pane kuderedza (kugadziriswa) kana kuvhiringidzika (esophagitis) iri mudumbu.
Kurapa
Nzira yekurapa iyo chiremba inotsanangurira mwana wako ichaenderana nezera remwana wako uye zviratidzo. Chiremba angatanga kutanga kuratidzira mararamiro ehupenyu kuti aone kana achizobvisa zviratidzo zvekudzivirira. Kana zvirwere zvinoramba zvichiramba, chiremba angaratidza imwe yemishonga inotevera:
- Antacids - Izvi zvinoderedza musimba weAidoma. Izvi zvinosanganisira Tums , Mylanta , uye Maalox .
- Acid Vanodzvinyirira - Izvi zvinoderedza kushandiswa kweAic acid mudumbu. Izvi zvinosanganisira Tagamet , Pepcid, Zantac. uye Axid.
- Acid Blockers - Izvi zvinodzivisa zvachose kugadzira asidi mudumbu. Prilosec, Prevacid, Nexium, Aciphex, uye Protonix.
Points To Remember
- GER inowanikwa apo mudumbu zviri mukati mutsva (reflux) mukati memoyo.
- Kurapa kuchaenderana nezviratidzo zvemwana wako nezera rake. Kurapa kunogona kunosanganisira kuchinja mararamiro , mishonga yepamusoro-mishonga kana mishonga yemishonga, kana kusanganiswa kweizvi.
Sources:
Brian Pace, MA, Richard M. Glass, MD. "Gastroesophageal Reflux muvana." JAMA, July 19, 2000 --- Vol 284, Nha. 3. Journal of the American Medical Association.
"Gastroesophageal Reflux mucheche." NIH Publication Nhamba 06-5419 August 2006. National Digestive Diseases Information Clearinghouse (NDDIC).
"Kushushikana, Hiatal Hernia, uye Gastroesophageal Reflux Disease (GERD)." NIH Publication Nha. 03-0882 June 2003. National Digestive Diseases Information Clearinghouse.
Marsha Kay, MD, Vasundhara Tolia, MD " ZVINHU ZVINOKUDZIDZISWA PASI PEDIATRIC PATIENTS. " American College of Gastroenterology.