Mubvunzo wevhiki
Mune mishonga, haifaniri kukuvadza kuwanzoshandura fomu yako yecheche, chero bedzi iwe unonamatira kune imwe yesimbi yakasimbiswa. Vamwe vana vane matambudziko maduku ane chirwere chekurara kana kuvhiringidzika kana kuti vane zvinetso zvekudya sezvavanenge vachigadzirisa kuva mune imwe nzira yakasarudzika, zvakadaro.
The Happy Spitter
Kana mwana wako achingova achipfira uye ane gastroesophageal reflux, asi kuwedzera kukura uye haana zvimwe zviratidzo, iwe haufaniri kuchinja shanduro yake .
Nyanzvi dzinofungidzira kuti inopfuura hafu yevana vacheche vanopfira kamwe kana kupfuura kakawanda pazuva. Uye chikamu chinotyisa ndechokuti chiyero chemarara chinowanzoita sechinhu chikuru kupfuura zvazviri chaizvo pavanenge vachiita.
Panguva ino, vacheche vanowanzowana anenge 1 1/2 kusvika 2 maundi pamwedzi. Kana mwana wako ari kuwedzera kuwanda, icho chiratidzo chakanaka chokuti kupfira kwake hakumukonzeri dambudziko kwaari.
Vacheche vakaita saizvi vanopfira musina zvimwe zviratidzo kana zviratidzo zvinowanzozonzi 'mafarita anofara.' Inowanzokurudzirwa kuti unongomiririra kunze kusvikira varega kupopera sezvavanokura.
Kana Kuparadzanisa Kwakanyanya Kupfuura Mashoko
Mukuwedzera kuoma kuwana uremu kana zvichida kurasikirwa, zviratidzo zvinoratidza kuti reflux iri kukonzera dambudziko rinosanganisira kuti mucheche:
- inowanzotambudza kana inogumbura
- inowanzovhara kana inopisa kana kuoma kufema
- kazhinji anoramba kudya (dysphagia)
- anobata musana wake munguva kana kuti shure kwekudya
- ane chikwereti chisingaperi
- ine inzwi rinopenya kana kuchema
Kana mwana ari kupfira mate uye ane chero zviratidzo zvinoratidzwa pamusoro apa, anogona kunge ane chirwere chegastroesophageal reflux kana GERD uye anodazve kuongororwa uye kurapwa.
Kushandura Formula ye Reflux
Kunze kwekunge mwana wako ane zvimwe zviratidzo zvekusagadzikana kwemaitiro, sekuwanda kwegesi, chirwere, zvirwere zvinouraya, kunze kwekurutsira kana kuputira uye kuva fussy, zvino kushandura fomu hazviwanzobatsira.
Kana iwe uchizoedza maitiro akasiyana, ipapo hypoallergenic formula, seAlimentum kana Nutramigen, inogona kuva sarudzo yakanakisisa, sezvo zvimwe zvidzidzo zvakaratidza kuvandudza mucheche dzakanga dzangosvutsa kana dzichichinjwa kuva rudzi urwu rwemhando.
Enfamil AR kana Similac yeSpit-Up ndiyo inyanzvi yemhando iyo inogona kubatsira kune vacheche vane reflux, uye iyo inogona kunge ichisarudzo kana mwana wako asina mukaka weprotein allergies kana lactose kusawirirana.
Kurapa Reflux
Kune vacheche vane reflux neGERD, mazano anogona kuisa:
- Lifestyle Changes - kuwedzera simba rako recheche kuburikidza nekuwedzera imwe yepuniki yeupunga yemichero yega yega yega yega (iwe unogona kuwedzera chibato chemukoko), kuisa kuchinja (kuchengetedza mwana wakananga kwemaminitsi makumi matatu), uye kupa zvishoma zvishoma , panzvimbo yekukura, kushoma kudyidzana.
- Reflux Mishonga - acid reducers, kusanganisira Zantac, Prevacid, uye Nexium. Vana vacheche 'vanofadzwa nemafuta' uye vane uremu hwakanaka, uye havakwanisi kuchema, kana kudya kana kuporesa zvinetso havawanzodi kurapwa nemishonga yekuratidza kwavo, kunyange zvakadaro.
Iyo inowanzokurudzirwa kuti urege kudzorerazve mwana wako pakarepo mushure mokunge apfira, izvo zvinogona kutungamirira kuwedzeresa uye kuwedzera kupera.
Ramba uchifunga kuti kufungidzirwa kwe reflux kunowanzoitwa nezviratidzo zvinoratidza. Kuedzwa, kwakadai seApper GI dzimwe nguva kunoitwa, asi kazhinji kunowanikwa zvakawanda kuti ave nechokwadi chokuti kacheche haine chimwe chikonzero chekurutsa, sekudzivirira, panzvimbo yekusimbisa kuongororwa kwe reflux. Zvimwe kuedzwa kunogona kusanganisira PH Probe, kunyange ihwo ihwo hunoedza.
Kune vacheche vane zviratidzo zvinoramba zvichiripo, kunyanya kana vasina kuwana kuwanda zvakanaka, Chirwere cheGastroenterologist chinogona kubatsira. Kazhinji, kunyange mushure mekurapa kwakanaka kweutano, kurapwa kwakagadzirwa neNissen fundoplication kunoguma kuva ndiyo chete nzira yekurapa.
Sources:
Chirwere cheGastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations yeNorth America Society yePeditori Gastroenterology, Hepatology, uye Nutrition (NASPGHAN) uye European Society yePediatric Gastroenterology, Hepatology, uye Nutrition (ESPGHAN). Zvinyorwa zveMwana Gastroenterology uye Chikafu 49: 498-547