Reflux i nā Keiki

Anter

• Hōʻuluʻulu Manaʻo
• He aha nā reflux (GER) a me GERD?
• He aha ke kumu o ka reflux a me ka GERD i nā keiki?
• Pehea ka maʻamau o ka reflux a me ka GERD i nā keiki?
• He aha nā hōʻailona o reflux a me GERD i nā keiki?
• Pehea e kuhikuhi ai nā kauka i ka reflux a me ka GERD i nā keiki?
• He aha nā loli nohona hiki ke kōkua i ka mālama ʻana i ka reflux o kaʻu keiki a i ʻole GERD?
• He aha nā lāʻau e hāʻawi ai ke kauka no ka GERD o kaʻu keiki?

Hōʻuluʻulu Manaʻo

He aha nā reflux (GER) a me GERD?

ʻO ka esophagus ka paipu e lawe i ka meaʻai mai kou waha a hiki i kou ʻōpū. Inā loaʻa i kāu keiki ka reflux, hoʻi kāna mau ʻōpū i loko o ka esophagus. ʻO kekahi inoa no ka reflux ʻo gastroesophageal reflux (GER).

Kū ʻo GERD no ka maʻi reflux gastroesophageal. He ʻano koʻikoʻi a ʻoi aku ka lōʻihi o ke ʻano o ka reflux. Inā loaʻa i kāu keiki ka reflux ma mua o ʻelua mau manawa o ka pule no kekahi mau pule, hiki iā GERD.

He aha ke kumu o ka reflux a me ka GERD i nā keiki?

Aia kekahi mākala (ka sphincter esophageal lalo) e hana ma ke ʻano he kiwikā ma waena o ka esophagus a me ka ʻōpū. Ke ale aku kāu keiki, hoʻomaha kēia mākala e hoʻokuʻu i ka meaʻai mai ka esophagus a i ka ʻōpū. Kū paʻa mau kēia mākala, no laila ʻaʻole kahe hou o ka ʻōpū i loko o ka esophagus.

I nā keiki i loaʻa ka reflux a me ka GERD, e nāwaliwali a hoʻomaha paha kēia mākala i ka wā pono ʻole, a hoʻi ka ʻōpū i loko o ka esophagus. Hiki i kēia ke hana ma muli o

• ʻO kahi hernia hiatal, kahi ʻano a ka ʻaoʻao luna o kou ʻōpū e pahu ai i luna i kou umauma ma o ka wehe ʻana i kāu diaphragm.
• Hoʻonui kaomi i ka ʻōpū mai ka momona a i ʻole ka momona
• Nā lāʻau, e like me kekahi mau lāʻau lapaʻau hānō, antihistamines (e mālama i nā maʻi āpau), nā mea hōʻeha ʻeha, nā mea hoʻohiamoe (e kōkua i ka hiamoe ʻana o ka poʻe), a me nā antidepressants
• Ka puhihihi a i ʻole ka puhi paka i ka lua o ka uahi
• ʻO kahi ʻoki ma mua ma ka esophagus a i ʻole ʻo luna o ka ʻōpū
• ʻO kahi lohi hoʻomohala koʻikoʻi
• ʻO kekahi ʻano neurological, e like me ka cerebral palsy

Pehea ka maʻamau o ka reflux a me ka GERD i nā keiki?

Nui nā keiki i ka reflux i kekahi manawa. ʻAʻole maʻamau ʻo GERD; a hiki i 25% o nā keiki i loaʻa nā ʻōuli o GERD.

He aha nā hōʻailona o reflux a me GERD i nā keiki?

ʻAʻole paha ʻike kāu keiki i ka reflux. Akā ʻono kekahi mau keiki i ka meaʻai a i ʻole ka waikawa ʻōpū ma ka hope o ka waha.

I nā keiki, hiki i ka GERD ke kumu

• Puʻuwai puʻuwai, kahi ʻeha a me ke ahi i waena o ka umauma. ʻOi aku ka maʻamau i nā keiki nui (12 makahiki a ʻoi paha).
• Hanu ʻino
• ʻO Nusea a me ka luaʻi
• Pilikia i ka ale ʻana a i ʻole ke ale ʻeha
• Nā pilikia hanu
• Ke ʻaʻa ʻana o nā niho

Pehea e kuhikuhi ai nā kauka i ka reflux a me ka GERD i nā keiki?

I ka hapanui o nā hihia, ʻike ke kauka i reflux e ka loiloi ʻana i nā ʻōuli a kāu keiki a me ka mōʻaukala olakino. Inā maikaʻi ʻole nā ​​ʻōuli me nā loli nohona a me nā lāʻau anti-reflux, pono paha i kāu keiki e hoʻāʻo e nānā no GERD a i ʻole nā ​​pilikia ʻē aʻe.

Hiki i kekahi mau hoʻokolohua ke kōkua i ke kauka e hōʻoia iā GERD. I kekahi manawa kauoha aku nā kauka ma mua o hoʻokahi hōʻike e loaʻa ai kahi hōʻailona. Pākuʻi ʻia nā hoʻāʻo maʻamau

• Papa moʻo GI luna, ka mea e nānā i ke kinona o kāu keiki o luna GI (gastrointestinal) tract. E inu ʻoe ke keiki i kahi wai ʻokoʻa i kapa ʻia ʻo barium. No nā keiki liʻiliʻi, ua hui pū ka barium me kahi ʻōmole a i ʻole nā ​​meaʻai ʻē aʻe. Lawe ka loea mālama ola i mau kukuna x o kāu keiki e alualu i ka barium ke hele ia i loko o ka esophagus a me ka ʻōpū.
• PH Esophageal a me ka nānā ʻana i ka impedance, ka mea e ana i ka nui o ka waikawa a i ʻole ka wai i loko o ka esophagus o kāu keiki. Kau kahi kauka a kahu hānai paha i kahi paipu maʻalahi lahilahi ma o ka ihu o kāu keiki i loko o ka ʻōpū. ʻO ka hopena o ka paipu i ka esophagus e ana ana i ka manawa a pehea ka nui o ka waikawa e hoʻi ai i ka esophagus. Hoʻopili ka hopena ʻē aʻe o ka pahu i kahi monitor e hoʻopaʻa i nā ana. E komo kāu keiki i ka paipu no 24 mau hola. Pono paha ʻo ia e noho i ka haukapila i ka wā o ka hoʻāʻo.
• ʻO ka endoscopy a me ka biopsy o ka gastrointestinal o luna (GI), e hoʻohana nei i ka endoscope, kahi paipu lōʻihi, maʻalahi me ke kukui a me ka pahu paʻi kiʻi ma ka hopena. Holo ke kauka i ka endoscope ma lalo o ka esophagus o kāu keiki, ʻōpū, a me ka ʻāpana mua o ka ʻōpū liʻiliʻi. ʻOiai ke nānā nei i nā kiʻi mai ka endoscope, lawe paha ke kauka i nā laʻana kikoola (biopsy).

He aha nā loli nohona hiki ke kōkua i ka mālama ʻana i ka reflux o kaʻu keiki a i ʻole GERD?

I kekahi manawa hiki ke mālama ʻia ka reflux a me ka GERD i nā keiki me nā loli nohona:

• Ke kaupaona ʻana, inā pono
• Ke ʻai nei i nā pāʻina liʻiliʻi
• Hōʻalo i nā mea momona momona
• Ke komo nei i nā kapa komo a puni ka ʻōpū
• Ke kū pololei nei no 3 mau hola ma hope o ka ʻai ʻana a me ka noho ʻole ʻana a hoʻomaha ʻana i ka wā e noho ana
• Ke hiamoe nei ma kahi kihi iki. E hoʻokiʻekiʻe i ke poʻo o ka moena o kāu keiki 6 a 8 mau ʻīniha ma ke kau palekana ʻana i nā palaka ma lalo o nā pou moe.

He aha nā lāʻau e hāʻawi ai ke kauka no ka GERD o kaʻu keiki?

Inā kōkua ʻole nā ​​hoʻololi i ka home, hiki i ke kauka ke ʻōlelo aku i nā lāʻau e mālama iā GERD. Hana nā lāʻau i ka hoʻohaʻahaʻa ʻana i ka nui o ka waikawa i loko o ka ʻōpū o kāu keiki.

ʻO kekahi mau lāʻau no GERD i nā keiki he over-the-counter, a ʻo kekahi he lāʻau i kuhikuhi ʻia. Hoʻopili lākou

• ʻO nā antacid over-the-counter
• H2 blockers, kahi e hoʻemi ai i ka hana acid
• Nā mea kūpale Proton pump (PPI), kahi e hoʻohaʻahaʻa i ka nui o ka waikawa a ka ʻōpū e hana ai
• Prokinetics, kahi e kōkua ai i ka ʻōpū e hakahaka wikiwiki

Inā ʻaʻole kōkua kēia mau mea a loaʻa mau kāu ʻōuli koʻikoʻi i kāu keiki, a laila he koho paha ke ʻoki. ʻO kahi gastroenterologist pediatric, he kauka nāna e mālama i nā keiki i loaʻa nā maʻi digestive, e hana i ke ʻoki.

NIH: National Institute of Diabetes a me nā Digestive a me nā maʻi kīwī