Overview
Gastroesophageal reflux ndechimwe chezvinhu zvakajairika, zvisinganzwisisiki, uye zvinonetsa-kubata-zvinetso izvo vana vasati vasvika vane. Vakawanda vacheche vasati vazvarwa vachabva vachinge vachinzwa nguva iyo vachibva kuNICU , asi vamwe vana vachada kurapwa kwenguva refu.
Kusiyana pakati peGERD uye Reflux
Mu gastroesophageal reflux , kana kuti kusafuratira kwenguva pfupi, zviri mukati momuviri zvinokwira zvichibva mudumbu uye kusvika mumhara.
Kana mwana achinge achinonoka, mukaka unogona kuramba uri mudumbu kana mwana angapfira mate. Kazhinji zviitiko hazvikonzeri matambudziko, uye vana vachabva vachisiya nemusi wekutanga wekuzvarwa.
Apo reflux yakaoma uye inokonzera matambudziko, inonzi gastroesophageal reflux chirwere , kana GERD . Vazhinji vana vasati vasvika vanotambura neGERD inokonzera matambudziko mukati megore rokutanga rehupenyu, uye dzimwe nguva kupfuura.
Imwe shoko iro vabereki vanganzwa "acid reflux." Izvi zvinoitika apo chikafu kana mukaka unodzokera zvakare muhuputi inenge yakaoma. Acid reflux inokonzera kushungurudzika kwevana nevakuru, asi vana vanowanzove vasina acid reflux sezvo nguva dzose mukaka wekudya uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita.
Zviratidzo
Mwana anonyanya kufara anokonzera zvinetso zvakasiyana-siyana, kunyanya mucheche akaberekwa nguva isati yasvika uye ane zvimwe zvirwere zvehutano hwehutachiona. Zviratidzo zveGERD mucheche zvinosanganisira:
- Kukanganisika: Vana vane reflux vangaita sevanokuvadza kana kutsamwa, kunyanya mushure mekudya. Vanogona kunge vakaita sevari kurwadziwa sezvinoitwa mukati mudumbu zvisina chinhu mukati mekudenga uye zvinogona kumedzwa kana kupfira mate.
- Kudyisa kusawirirana: Kudyisa kusawirirana chiratidzo chinowanzoonekwa cheGERD. Vamwe vana vangave vachida kushandisa shanduko yakasarudzwa yakatowanikwa kare, kubatsira miviri yavo kukura zvakanyanya nekudzivirira mazai akasiyiwa kubva kubva mudumbu.
- Kushaya kuwanda kwehutachiwana: Vana vasati vasvika muNICU vanopa huwandu hwomukaka hunoverengerwa kuti vave nechokwadi chekubatsira kuwanda. Pamba, kunyange zvakadaro, vana vacheche vane reflux yakasimba vangaramba kudyirwa kana kutora zviduku kana vakarwadziwa.
- Matambudziko emapapu maperembudzi: GERD inogona kuita kuti chirwere chisingaperi chine mapapu chiwedzere, kana kuti chinogona kukonzera matambudziko asingagumi emapapu. Apo zvokudya zvinowanzodzoka zvakare mumusango, dzimwe nguva zvinogoneka kuti zvimwe zvekudya zvipinde mumapapu. Izvi zvinoshungurudza mavara emapapu asina kuchena uye zvinogona kukonzera kuputika kana kuchena.
- Cardiorespiratory events: Muvana vashomanana, reflux yakasimba inogona kukonzera apnea kana bradycardia. Vashandi vakawanda veNICU vanodzokorora nhamba yepneic kana bradycardic tsvina inokonzerwa ne reflux, uye zvidzidzo zvakawanda zvakaratidza kuti vazhinji vevana vane reflux havakwanisi apnea kana bradycardia kupfuura vana vasina.
Kuziva
Kazhinji nguva, GERD uye kuratidzira mucheche vanoongororwa nekuongororwa uye nevabereki uye vanamuko vanocherechedza zviratidzo chete. Kunyanya kuedza kuedza hakuwanzodiwi.
Kurapa
Kurapa GERD mucheche kunogona kuvhiringidza zvikuru vabereki nevanachiremba zvakafanana. Kunyange zvazvo pane zvakasiyana-siyana zvakasiyana-siyana zvekurapa, hapana zvakakwana kana zvinoshanda kumwana wese.
- Kushivirira: Vana vakawanda vasati vasvika vachabva vachinyura nevanenge vabva muNICU. Sezvo vacheche vari kukura, dumbu ravo rinotambanudza uye rinokwanisa kubata zvimwe zvokudya, uye muviri unokwanisa kugadzira zvokudya nokukurumidza uye zvakanyatsoshanda. Kunyange zvazvo zvingava zvakaoma pamhuri kutora "kurindira-uye-kuona" nzira, iyi ndiyo inowanzova nzira yakanakisisa yekuita.
- Dumbu kana kumira kumativi: Zvidzidzo zvakaratidza kuti kuisa vana mumimba yavo kana kumativi avo ezisiri shure mushure mekudyisa kunogona kuderedza nhamba yezviitiko zvekushanduka. Zvinosuruvarisa, rudzi urwu rwekugadzirisa zvisingabatsiri sezvinoita vana vachipotsa pedyo kuenda kumba, sezvo dumbu rinorara rinowedzera dambudziko reSIDS.
- Nzvimbo yakakwirira: kuchengetedza kacheche yakamira shure kwekudya kunogona kubatsira kuderedza zviratidzo. Kunyange zvazvo vamwe vana vane zvirwere zvakawanda zvekare kana vakamira vakarurama, vangave vane zviratidzo zvishomanana kubva kune zviitiko izvi kana vakabatwa vakarurama mushure mekudya kana kuti vakaiswa munzvimbo yakasarudzwa. Vacheche vacheche vanofanira kugara vachitaridzirwa mune imwe nzvimbo yakatarwa kuti vadzivise kinked airways.
- Zvokudya zvakanyanyisa: Zvinyoro zvinoshandiswa kuwedzerwa pamuzamu kana mazamu dzimwe nguva zvinobatsira mukaka kuti urambe uri mudumbu. Kunyange zvazvo muchengeti wejeri kana kuti mamwe mazino akawedzerwa mumukaka anogona kuderedza kushambidzika, haasi kuderedza nhamba yakawanda yezviitiko zvekuyeuka.
- Mishonga: Mishonga yekurapa reflux ndeimwe yemishonga inonyanya kutaurwa muNICU, asi nhamba dzakawanda dzeongororo dzinoratidza kuti mishonga iyi haishande uye ine madambudziko anokuvadza. Metoclopramide (Reglan) inogona kukonzera matambudziko makuru ekufambisa, uye ranitidine (Zantac) yave ichibatanidzwa necrotizing enterocolitis (NEC) muvanomani vane utachiona husina simba hwekudya. Kunyange zvazvo mishonga yose yakajairika muNICUs, uye haikwanisi kunyanya kurwisa, kunyanya muvaduku vaduku. Verenga zvakawanda pamusoro pokurapa Reflux mucheche.
Kutsungirira
Apo mwana wako achiri muchiNICU, edza kuva nemoyo murefu uye kumubvumira kuti akure. Kushivirira uye nguva ndiyo kurapa kwakanakisisa muvana vakawanda vasati vasvika.
Kana mwana wako ari kuswedera pedyo kuti asunungure uye achiri kutora zvakawanda, taura nechiremba wemwana wako nezvekuda kuti awane kurapwa. Kana mwana wako ari kufara uye achikura zvakanaka, ipapo mishonga yako yemumba iri nyore ingave iyo yose inodiwa.
Kana mwana wako achiita sokuti ari kurwadziwa, ari kukura zvakanaka, kana kuramba chikafu, taura nechiremba wemwana wako nezvekugadzira chirongwa chekurapa. Zvinogona kutora nguva kurova pane zvakakonzerwa kusanganiswa kwezvipo, mishonga, uye mazano ekubatsira mwana wako, saka kushivirira ndicho chinhu chikuru.
Kana mwana wako ari mumwe wevana vasina kuchena ane apnea yakabatana ne reflux, iwe unogona kutora kumba kumba kwepnea kuchengetedza kuchengeta mwana wako akachengeteka. Apnea vatariri vanoshandiswa apo mwana ari kurara uye anotya kana mwana achirega kufema kana ane bradycardia.
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