I-reflux ye-Gastroesophageal ezinganeni

I-reflux ye-Gastroesophageal yenzeka lapho okuqukethwe yisisu kuvuza emuva kusuka esiswini kuya esiswini. Lokhu kubangela "ukukhafula" ezinganeni.

Uma umuntu edla, ukudla kudlula kusuka emphinjeni kuye esiswini kudlule ngomphefumulo. I-esophagus ibizwa ngokuthi ipayipi lokudla noma ishubhu lokugwinya.

Indandatho yemicu yemisipha ivimbela ukudla okuphezulu kwesisu ukuthi kungakhuphuki kuye phezulu. Le micu yemisipha ibizwa ngokuthi i-esophageal sphincter engezansi, noma i-LES. Uma ngabe le misipha ingavali kahle, ukudla kungavuza kubuyele emqaleni. Lokhu kubizwa ngokuthi yi-gastroesophageal reflux.

Inani elincane le-reflux ye-gastroesophageal ejwayelekile ezinganeni ezisencane. Kodwa-ke, i-reflux eqhubekayo yokuhlanza njalo ingacasula umqala futhi yenze usana lube nokuxakaniseka. I-reflux enamandla ebangela ukwehla kwesisindo noma izinkinga zokuphefumula akuyona into ejwayelekile.

Izimpawu zingafaka:

• Khwehlela, ikakhulukazi ngemuva kokudla
• Ukukhala ngokweqile kube sengathi usezinhlungwini
• Ukuhlanza ngokweqile phakathi namasonto ambalwa okuqala okuphila; kubi kakhulu ngemuva kokudla
• Ukuhlanza okunamandla kakhulu
• Ukungondli kahle
• Kwala ukudla
• Ukukhula kancane
• Ukwehla kwesisindo
• Ukuphefumula noma ezinye izinkinga zokuphefumula

Umhlinzeki wezokunakekelwa kwempilo uvame ukuxilonga inkinga ngokubuza ngezimpawu zosana nokwenza ukuhlolwa komzimba.

Izinsana ezinezimpawu ezinzima noma ezingakhuli kahle zingadinga ukuhlolwa okwengeziwe ukuthola ukwelashwa okungcono kakhulu.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuqapha kwe-pH ye-esophageal kokuqukethwe kwesisu okungena ku-esophagus
• I-X-ray yomphimbo
• I-X-ray yesistimu engenhla yamathumbu ngemuva kokuthi ingane inikezwe uketshezi olukhethekile, olubizwa ngokungafani, ukuphuza

Imvamisa, alukho ushintsho lokondla oludingekayo ezinganeni ezihlanza amathe kepha ezikhula kahle futhi zibonakala zinokuqukethwe okuhlukile.

Umhlinzeki wakho angaphakamisa izinguquko ezilula ukusiza izimpawu ezifana nalezi:

• Bhodla ingane ngemuva kokuphuza ifreyimu eli-1 kuye kwele-2 (30 kuya ku-60 milliliters) wefomula, noma ngemuva kokuncelisa ohlangothini ngalunye uma uncelisa.
• Faka isipuni esingu-1 (2.5 amagremu) we-rice cereal kuma-ounces ama-2 (60 milliliters) wefomula, ubisi, noma ubisi lwebele olukhonjisiwe. Uma kudingeka, shintsha usayizi wengono noma usike u-x omncane engonweni.
• Bamba ingane imile imizuzu engama-20 kuye kwengama-30 ngemuva kokuncelisa.
• Phakamisa ikhanda lombhede. Kodwa-ke, usana lwakho kufanele lusalala ngemuva, ngaphandle kokuthi umhlinzeki wakho aphakamise okunye.

Lapho usana luqala ukudla ukudla okuqinile, ukondla ukudla okujiyile kungasiza.

Imithi ingasetshenziswa ukunciphisa i-asidi noma ukwandisa ukunyakaza kwamathumbu.

Iningi lezinsana liyasidlula lesi simo. Imvamisa, i-reflux iyaqhubeka iye ebuntwaneni futhi idale ukulimala kokuqina.

Izinkinga zingafaka:

• Ukuphefumula i-pneumonia okubangelwa okuqukethwe yisisu okudlulela emaphashini
• Ukuthukuthela nokuvuvukala komphimbo
• Ukuqubuka nokuncipha komphimbo

Shayela umhlinzeki wakho uma ingane yakho:

• Ukuhlanza ngamandla futhi kaningi
• Inezinye izimpawu ze-reflux
• Unenkinga yokuphefumula ngemuva kokuhlanza
• Ukwenqaba ukudla nokulahlekelwa noma ukungatholi isisindo
• Ingabe ukukhala kaningi

I-Reflux - izinsana

• Uhlelo lokugaya ukudla

Hibs AM. I-reflux yesisu kanye nokuhamba komzimba ku-neonate. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff kanye neMithi kaMartin's Neonatal-Perinatal Medicine. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 82.

UKhan S, uMatta SKR. Isifo se-reflux se-gastroesophageal. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 349.