Ukukhomba nokwelapha i-Reflux ethule ezinganeni

-Delile

• I-reflux ethule
• Ingabe ingane yami ine-reflux ethule?
• Isifo se-Reflux vs. gastroesophageal reflux (GERD)
• Yini ebangela i-reflux ethule?
• Ungalufuna nini usizo
• Yini engingayenza ukuphatha noma ukuvimbela i-reflux ethule?
• Ungayiphatha kanjani i-reflux ethule
• Kuthatha isikhathi esingakanani ukuxazulula ukuthula buthule?
• Ingabe kufanele ngikhathazeke nge-reflux yengane yami?

I-reflux ethule

I-reflux ethule, ebizwa nangokuthi i-laryngopharyngeal reflux (LPR), uhlobo lwe-reflux lapho okuqukethwe esiswini kugobhoza kubuyela emuva ku-larynx (ibhokisi lezwi), emuva komphimbo, namaphaseji emakhaleni.

Igama elithi "buthule" liyasebenza ngoba i-reflux ayibangeli izimpawu zangaphandle njalo.

Okuqukethwe yisisu okuvuselelwe kungahle kubuyele esiswini esikhundleni sokuxoshwa emlonyeni, okungenza kube nzima ukukuthola.

Kuvamile ukuthi izingane ezinamasonto ambalwa ubudala zibe ne-reflux. Lapho i-reflux iqhubeka isikhathi esingaphezu konyaka, noma uma ibangela imiphumela emibi engemihle enganeni yakho, udokotela wayo wezingane angancoma ukwelashwa.

Ingabe ingane yami ine-reflux ethule?

Isifo se-Reflux siyabonakala ngezingane. Ngenkathi isifo se-reflux se-gastroesophageal (GERD) ne-LPR singaba khona ndawonye, ​​izimpawu ze-reflux ethule zihlukile kwezinye izinhlobo ze-reflux.

Ezinganeni nakubantwana abancane, izimpawu ezijwayelekile zifaka:

• izinkinga zokuphefumula, njengokuphefumula, "ukuphefumula okunomsindo", noma ume ekuphefumuleni (i-apnea)
• ukuvala imilomo
• ukuminyana kwamakhala
• ukukhwehlela okungapheli
• izimo zokuphefumula okungapheli (njenge-bronchitis) kanye nokutheleleka kwezindlebe
• ukuphefumula kanzima (ingane yakho ingahle ibe nesifuba somoya)
• ukudla kanzima
• ukhafula amathe
• ukwehluleka ukuchuma, okungatholwa udokotela uma ingane yakho ingakhuli futhi izuze isisindo ngezinga elilindelwe leminyaka yalo

Izingane ezine-reflux buthule kungenzeka zingakhafuli, okungenza kube nzima ukukhomba imbangela yosizi lwazo.

Izingane ezindala zingachaza okuthile okuzwakala njengesigaxa emphinjeni wazo futhi zikhononde ngokunambitheka okumunyu emlonyeni wazo.

Ungase futhi uqaphele ukuhayizeka kwezwi lengane yakho.

Isifo se-Reflux vs. gastroesophageal reflux (GERD)

I-LPR yehlukile kune-GERD.

I-GERD ngokuyinhloko ibangela ukucasuka kwesisu, kanti i-reflux ethule icasula umphimbo, impumulo, nebhokisi lezwi.

Yini ebangela i-reflux ethule?

Izingane zithambekele ekubeni ne-reflux - kungaba yi-GERD noma i-LPR - ngenxa yezici ezithile.

Izingane zinemisipha ye-sphincter engathuthuki kangako lapho izalwa. Le yimisipha ekucineni ngalunye kwe-esophagus evuleka futhi ivaleke ukuvumela ukudlula koketshezi nokudla.

Njengoba zikhula, imisipha iya ikhula ngokwengeziwe futhi ihambisane, igcine okuqukethwe yisisu lapho kufanele khona. Yingakho i-reflux ibonakala kakhulu ezinganeni ezincane.

Izingane nazo zichitha isikhathi esiningi emhlane wazo, ikakhulukazi ngaphambi kokuba zifunde ukugingqika, okungenzeka phakathi kwezinyanga ezi-4 kuya kwezi-6 ubudala.

Ukulala ngemuva kusho ukuthi izingane azinayo inzuzo yamandla adonsela phansi ukusiza ukugcina ukudla esiswini. Kodwa-ke, ngisho nasezinganeni ezine-reflux, kufanele njalo ulalise ingane yakho embhedeni wayo - hhayi esiswini sayo - ukunciphisa ingozi yokuphelelwa umoya.

Ukudla oketshezi kakhulu kwezinsana nakho kungafaka isandla ku-reflux. Uketshezi kulula ukuluvuselela kunokudla okuqinile.

Ingane yakho nayo ingaba sengcupheni eyengeziwe ye-reflux uma:

• bazalwa benenkinga yokuzalwa
• unenkinga yezinzwa, njengokukhubazeka kobuchopho
• ube nomlando womndeni we-reflux

Ungalufuna nini usizo

Iningi lezinsana lingakhula naphezu kokuthula okuthulile. Kodwa funa usizo lwezokwelapha uma ingane yakho ine:

• ubunzima bokuphefumula (ngokwesibonelo, uzwa ukuqhuma, ukuqaphela ukuphefumula okusebenzayo, noma izindebe zengane yakho ziba luhlaza okwesibhakabhaka)
• ukukhwehlela njalo
• ubuhlungu bezindlebe obuqhubekayo (ungaqaphela ukucasuka nokudonsa izindlebe enganeni)
• ubunzima bokudla
• ubunzima bokuthola isisindo noma ukwehla kwesisindo okungaqondakali

Yini engingayenza ukuphatha noma ukuvimbela i-reflux ethule?

Kunezinyathelo ezimbalwa ongazithatha ukusiza ukunciphisa i-reflux enganeni yakho.

Okokuqala kufaka ukuguqula indlela odla ngayo uma uncelisa. Lokhu kungasiza ukunciphisa ukuvezwa kwengane yakho ekudleni okuthile okungenzeka ukuthi ayizwani nakho.

I-American Academy of Pediatrics (AAP) incoma ukuthi ususe amaqanda nobisi ekudleni kwakho amasonto amabili kuya kwamane ukubona ukuthi izimpawu ze-reflux ziyathuthuka yini.

Ungase ucabangele nokususa ukudla okune-asidi, njengezithelo ezisawolintshi notamatisi.

Amanye amathiphu afaka:

• Uma ingane yakho iphuza ifomula, shintshela kwiprotheni ene-hydrolyzed noma ifomula ye-amino-acid.
• Uma kungenzeka, gcina ingane yakho ime imizuzu engama-30 ngemuva kokuyincelisa.
• Bhabha ingane yakho kaningana ngesikhathi sokuncelisa.
• Uma uncelisa ibhodlela, bamba ibhodlela ekhoneni elivumela ingono ukuthi ihlale igcwele ubisi. Lokhu kuzosiza ingane yakho ikhiphe umoya omncane. Ukuginya umoya kungakhuphula ingcindezi yamathumbu futhi kuholele ku-reflux.
• Zama izingono ezahlukahlukene ukuze ubone ukuthi iyiphi enikeza ingane yakho uphawu oluhle kakhulu emlonyeni wayo.
• Nikeza ingane yakho umthamo omncane wokudla, kodwa kaningi. Isibonelo, uma wondla ingane yakho ama-ounces ama-4 wefomula noma ubisi lwebele njalo emahoreni amane, uzama ukunikela ngama-ounces ama-2 njalo emahoreni amabili.

Ungayiphatha kanjani i-reflux ethule

Uma kudingeka ukwelashwa, udokotela wezingane wengane yakho angancoma imishanguzo ye-GERD, efana ne-H2 blocker noma i-proton pump inhibitors, ukusiza ukunciphisa inani le-asidi eyenziwe isisu.

I-AAP iphinde ituse ukusetshenziswa kwama-prokinetic agents.

Ama-Prokinetic agents yizidakamizwa ezisiza ukwandisa ukunyakaza kwamathumbu amancane ukuze okuqukethwe esiswini kuthulule ngokushesha. Lokhu kuvimbela ukudla ekuhlaleni isikhathi eside esiswini.

Kuthatha isikhathi esingakanani ukuxazulula ukuthula buthule?

Iningi lezingane lizokhipha i-reflux ethule ngesikhathi ziba yinye.

Izingane eziningi, ikakhulukazi lezo ezelashwa ngokushesha ekhaya noma ukungenelela kwezokwelapha, azinayo imiphumela ehlala njalo. Kepha uma umphimbo obucayi nezicubu zomkhala zivame ukuvezwa esiswini i-asidi, kungadala izinkinga zesikhathi eside.

Izinkinga zesikhathi eside zezinkinga zokuphefumula eziphikelelayo, ezingalawulwa eziphindaphindayo ezifana nokuthi:

• inyumoniya
• i-laryngitis engapheli
• ukukhwehlela njalo

Imvamisa, kungaholela kumdlavuza we-laryngeal.

Ingabe kufanele ngikhathazeke nge-reflux yengane yami?

I-Reflux, kufaka phakathi i-reflux ethule, ivame kakhulu ezinganeni. Eqinisweni, kulinganiselwa ukuthi kuze kufike kumaphesenti angama-50 ezinsana ezizwa i-reflux ezinyangeni ezintathu zokuqala zokuphila.

Iningi lezingane nezingane ezincane liphuma ngaphandle kwe-reflux ngaphandle kokulimala okungapheli emgodleni noma emphinjeni.

Lapho ukuphazamiseka kwe-reflux kunzima noma kuhlala isikhathi eside, kunezindlela zokwelashwa ezahlukahlukene ezisebenzayo zokuthola ingane yakho isendleleni eya ekugayeni okunempilo.