ʻO reflux Gastroesophageal i nā pēpē

Hana ʻia ka reflux Gastroesophageal ke kulu hope ka ʻōpū mai ka ʻōpū i ka esophagus. ʻO kēia ke kumu o "kuha ʻana" i nā pēpē.

Ke ʻai ke kanaka, hele ka ʻai mai ka ʻāʻī a i ka ʻōpū ma o ka esophagus. Kapa ʻia ka esophagus ʻo ka paipu ʻai a i ʻole ka ʻolo moni.

Pale ke apo o nā olonā i ka meaʻai ma ka piko o ka ʻōpū mai ka neʻe ʻana i loko o ka esophagus. Kapa ʻia kēia mau olonā i ka sphincter esophageal haʻahaʻa, a i ʻole LES. Inā ʻaʻole pili pono kēia mākala, hiki i ka ʻai ke liu hou i loko o ka esophagus. Kapa ʻia kēia ʻo reflux gastroesophageal.

ʻO kahi liʻiliʻi o ka reflux gastroesophageal ka mea maʻamau i nā pēpē ʻōpio. Eia nō naʻe, ʻo ka reflux mau me ka luaʻi pinepine ʻana hiki ke hoʻonāukiuki i ka esophagus a hoʻolilo i ka fussy pēpē. ʻO ka reflux koʻikoʻi e kumu i ka pohō a me nā pilikia hanu ʻaʻole maʻamau.

Pākuʻi ʻia paha nā ʻōuli:

• Cough, ʻoi aku ma hope o ka ʻai ʻana
• Uē nui me he mea lā i ka ʻeha
• Ka luaʻi nui loa i nā pule mua o ke ola; ʻoi aku ka maikaʻi ma hope o ka ʻai ʻana
• ʻO ka luaʻi ikaika loa
• ʻAʻole hānai maikaʻi
• Hōʻole e ʻai
• Hoʻonui lohi
• Kaumaha emi
• Wheezing a i ʻole nā ​​pilikia hanu

Hiki i ka mea mālama ola ke hōʻoia pinepine i ka pilikia ma ka nīnau ʻana e pili ana i nā ʻōuli o ke pēpē a me ka hana ʻana i kahi hoʻokolohua kino.

ʻO nā kamaliʻi i loaʻa nā ʻōuli ʻino a ʻaʻole ulu maikaʻi paha e pono i nā hoʻokolohua hou aku e ʻike i ka lāʻau maikaʻi loa.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Ke nānā nei ʻo Esophageal pH i nā ʻike o ka ʻōpū e komo ana i ka esophagus
• X-ray o ka esophagus
• X-ray o ka ʻōnaehana gastrointestinal luna ma hope o ka hāʻawi ʻia ʻana o ka pēpē i kahi wai kūikawā, i kapa ʻia he ʻokoʻa, e inu

ʻO ka manawa pinepine, ʻaʻole pono nā loli hānai no nā pēpē i kuha mai akā ke ulu maikaʻi nei a me he mea ʻē aʻe.

Hōʻike paha kāu mea hāʻawi i nā loli maʻalahi e kōkua i nā ʻōuli e like me:

• E hoʻoulu i ka pēpē ma hope o ka inu ʻana i 1 a 2 auneke (30 a 60 mau milliliter) o ka haʻilula, a ma hope paha o ka hānai ʻana i kēlā me kēia ʻaoʻao inā hānai waiū.
• Hoʻohui i 1 punetēpē (2.5 gram) o ka cereal laiki i 2 auneke (60 milliliters) o ka haʻihaʻi, ka waiū, a i ʻole ka waiū umauma i hōʻike ʻia. Inā pono, e hoʻololi i ka nui o ka nipple a ʻokiʻoki i kahi liʻiliʻi x i ka piko.
• E kū pololei i ka pēpē no 20 a 30 mau minuke ma hope o ka hānai ʻana.
• E hoʻokiʻekiʻe i ke poʻo o ka moe. Eia nō naʻe, e hiamoe mau kāu pēpē ma ke kua, ke hāʻawi ʻole kāu mea lawelawe i kahi ʻē aʻe.

Ke hoʻomaka ka pēpē e ʻai i ka meaʻai paʻa, kōkua paha ka hānai ʻana i nā meaʻai mānoanoa.

Hiki ke hoʻohana ʻia nā lāʻau e hōʻemi ai i ka waikawa a i ʻole e hoʻonui ai i ka neʻe ʻana o nā ʻōpū.

Hoʻonui ka hapa nui o nā pēpē i kēia ʻano. Kākaʻikahi ka hoʻomau ʻana o ka reflux i ka wā kamaliʻi a hoʻopōʻino i ka esophageal.

Komo pū nā pilikia:

• Hoʻokumu ʻia ka pulumonia ʻume e ka ʻike o ka ʻōpū e hele ana i loko o nā māmā
• ʻO ka huhū a me ka pehu ʻana o ka esophagus
• Scarring a me ka hoʻopili ʻana o ka esophagus

Kāhea i kāu mea hāʻawi inā kāu pēpē:

• Ke luaʻi ikaika nei me ka pinepine
• Loaʻa nā ʻōuli ʻē aʻe o reflux
• Loaʻa nā pilikia i ka hanu ma hope o ka luaʻi
• Ke hōʻole nei i ka meaʻai a lilo ʻole a loaʻa ʻole paha ke kaumaha
• Ke uē pinepine nei

Reflux - nā pēpē

• ʻŌnaehana Digestive

Hibs AM. ʻO ka reflux Gastrointestinal a me ka motility i ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 82.

ʻO Khan S, Matta SKR. ʻO ka maʻi reflux Gastroesophageal. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 349.