ʻO ka maʻi reflux Gastroesophageal (GERD) i nā keiki

Anter

• He aha ka GERD?
• He aha ka Pediatric GERD?
• Nā ʻōuli o ka pediatric GERD
• He aha ke kumu o ka pediatric GERD?
• Pehea e mālama ʻia ai ka pediatric GERD?

I ʻApelila 2020, ua noi ʻia e hoʻopau i nā ʻano o ke kuhikuhi a me ka over-the-counter (OTC) ranitidine (Zantac) mai ka mākeke U.S. Ua hana ʻia kēia ʻōlelo aʻoaʻo no ka mea ʻaʻole i ʻāpono nā pae o NDMA, kahi carcinogen paha (kemikō e hoʻomaka ana i ka maʻi ʻaʻai), i loaʻa i kekahi mau huahana ranitidine. Inā kuhikuhi ʻoe iā ranitidine, e kamaʻilio me kāu kauka e pili ana i nā koho koho palekana ma mua o ka hoʻokū ʻana i ka lāʻau. Inā lawe ʻoe i ka OTC ranitidine, e hoʻōki i ka lawe ʻana i ka lāʻau a kamaʻilio pū me kāu kauka no nā koho ʻē aʻe. Ma kahi o ka lawe ʻana i nā huahana ranitidine i hoʻohana ʻole ʻia i kahi pūnaewele hoʻihoʻi i ka lāʻau, hoʻolei iā lākou e like me nā ʻōlelo a ka huahana a i ʻole ma ka mālama ʻana iā FDA.

He aha ka GERD?

ʻO ka maʻi reflux Gastroesophageal (GERD) kahi maʻi digestive i kapa ʻia ʻo GERD pēpē ke pili i ka poʻe ʻōpio. Ma kahi o 10 pākēneka o nā ʻōpio a me nā ʻōpio ma ʻAmelika Hui Pū ʻIa e loli ʻia e GERD e like me GIKids.

Hiki i ka GERD ke paʻakikī i ke kuhi ʻana i nā keiki. Pehea e hiki ai i nā mākua ke haʻi i ka ʻokoʻa ma waena o kahi indigestion iki a i ʻole ka maʻi palu a me GERD? He aha ka hana no ka poʻe ʻōpio me GERD?

He aha ka Pediatric GERD?

Hana ʻia ʻo GERD ke hoʻi hope ka ʻakika ʻōpū i loko o ka esophagus i ka wā a ma hope paha o ka pāʻina ʻana a hōʻeha i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe. ʻO ka esophagus ka paipu e hoʻopili i ka waha i ka ʻōpū. Wehe ka pahu ma lalo o ka esophagus e waiho i lalo i ka meaʻai a pani e pani i ka hele mai o ka waikawa. Ke wehe a pani ʻia paha kēia kiwikā i ka manawa hewa, hiki i kēia ke kumu i nā ʻōuli o GERD. Ke kuha a pēpē paha kahi pēpē, ke hōʻike nei paha lākou i ka reflux gastroesophageal (GER), i manaʻo ʻia he maʻamau i nā pēpē a ʻaʻole maʻa mau nā hōʻailona ʻē aʻe.

I nā pēpē, ʻo GERD kahi mea liʻiliʻi, ʻoi aku ka nui o ke kuha ʻana i luna. ʻIke ʻia paha nā keiki a me nā ʻōpio me GERD inā hōʻike lākou i nā ʻōuli a ʻike i nā pilikia ʻē aʻe. ʻO nā pilikia kūpono o GERD e pili ana i nā pilikia hanu, paʻakikī i ka loaʻa ʻana o ke kaumaha, a me ka mumū o ka esophagus, a i ʻole esophagitis, e like me ka Johns Hopkins Children’s Center.

Nā ʻōuli o ka pediatric GERD

ʻOi aku ka koʻikoʻi o nā ʻōuli o ke keiki GERD ma mua o ka ʻeha o ka ʻōpū i kekahi manawa a i ʻole hana pinepine ʻole o ka kuha ʻana. Wahi a ka Mayo Clinic, aia paha ʻo GERD i nā pēpē a me nā keiki kamaliʻi inā lākou:

• hōʻole ʻana e ʻai a loaʻa ʻole ke kaupaona
• ke ʻike nei i nā pilikia hanu
• e hoʻomaka ana me ka luaʻi ma 6 mau makahiki o keu a ʻoi paha
• fussy a i ʻole ʻeha ma hope o ka ʻai ʻana

Aia paha ʻo GERD i nā keiki makua a me nā ʻōpio inā lākou:

• loaʻa ka ʻeha a i ʻole ke kuni ʻana i ka umauma o luna, i kapa ʻia ʻo heartburn
• he ʻeha a ʻoluʻolu ʻole paha i ka ale ʻana
• ʻūhū pinepine, hāwele, a i ʻole ke helehelena
• loaʻa ka palau nui
• lohi pinepine
• ʻono i ka ʻakika ʻōpū i ka puʻu
• manaʻo e like me ka meaʻai i paʻa i ko lākou puʻu
• loaʻa ka ʻeha ʻoi aku ka maikaʻi ke moe i lalo

ʻO ka holoi wā lōʻihi o ka uhi ʻana o ka esophageal me ka waikawa ʻōpū hiki ke alakaʻi i ke kūlana precancerous ʻo Barrett's esophagus. Hiki iā ia ke alakaʻi i ka maʻi ʻaʻai o ka esophagus inā ʻaʻole kaohi pono ʻia ka maʻi, ʻoiai he mea kakaikahi kēia i nā keiki.

He aha ke kumu o ka pediatric GERD?

ʻAʻole maopopo mau ka poʻe noiʻi i nā kumu o GERD i ka poʻe ʻōpio. Wahi a Cedars-Sinai, pili pū kekahi mau kumu, e like me:

• pehea ka lōʻihi o ka ʻōpū i loko o ka ʻōpū
• ʻo ke kihi o kāna, ʻo ia ke kihi kahi e hui ai ka ʻōpū a me ka esophagus
• ke kūlana o nā mākala ma ka hope o ka esophagus
• pinching o nā olonā o ka diaphragm

He mau valves nāwaliwali paha kā kekahi mau keiki e makaʻala loa i kekahi mau meaʻai a me nā mea inu a i ʻole ka pulu ʻana i ka esophagus ke kumu o ka pilikia.

Pehea e mālama ʻia ai ka pediatric GERD?

ʻO ka mālama ʻana no ka pediatric GERD kaukaʻi ʻia i ka paʻakikī o ke ʻano. ʻAneʻane aʻoaʻo mau nā kauka i nā mākua, nā keiki, a me nā ʻōpio e hoʻomaka me nā loli nohona maʻalahi. O kahi laʻana:

• E ʻai pinepine i nā meaʻai liʻiliʻi, a pale i ka ʻai ʻana i ʻelua a ʻekolu mau hola ma mua o ka hiamoe.
• Lilo i ke kaumaha inā pono.
• Hōʻalo i nā meaʻai nīoi, nā mea momona momona, a me nā hua waikawa a me nā mea kanu, i hiki ke hoʻonāukiuki i kou ʻōpū.
• Hōʻalo i nā mea inu ʻona, ʻalekohola, a me nā uahi paka.
• E hoʻokiʻekiʻe i ke poʻo i ka wā hiamoe.
• Hōʻalo i ka ʻai ʻana i nā pāʻina nui ma mua o nā hana ikaika, nā pāʻani haʻuki, a i ʻole nā ​​wā kaumaha.
• Hōʻalo i nā lole paʻa paʻa.

Hiki paha i ke kauka o kāu keiki ke koi aku i nā lāʻau e kōkua i ka hōʻemi i ka nui o ka waikawa a ko lākou ʻōpū e hana ai. Hoʻopili kēia mau lāʻau:

• ʻalalā
• histamine-2 blockers e hoʻemi i ka waikawa i loko o ka ʻōpū, e like me Pepcid
• nā poloka proton pump e ālai i ka waikawa, e like me Nexium, Prilosec, a me Prevacid

Aia kekahi hoʻopaʻapaʻa e pili ana i ka hoʻomaka ʻana o nā keiki ʻōpio i kēia mau lāʻau. ʻAʻole maopopo ia nā hopena lōʻihi o kēia mau lāʻau. Makemake paha ʻoe e kia i ke kōkua ʻana i kāu keiki e hoʻololi i ka nohona. Makemake paha ʻoe i kāu keiki e hoʻāʻo i nā lāʻau lapaʻau. Manaʻo kekahi mau mākua he kōkua paha nā lāʻau lapaʻau, akā ʻaʻole hōʻike ʻia ka hopena o nā lāʻau lapaʻau a ʻike ʻole ʻia nā hopena lōʻihi no nā keiki e lawe nei iā lākou.

ʻAʻohe manaʻo iki nā kauka i ke ʻoki ʻana ma ke ʻano he lapaʻau no GERD pēpē. Mālama nui lākou iā ia no ka mālama ʻana i nā hihia kahi hiki ʻole iā lākou ke kaohi i nā pilikia koʻikoʻi, e like me ke kahe ʻana o ka esophageal a i ʻole nā ​​ulcer.