Reflux i nā pēpē

Anter

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

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 pēpē 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. Loaʻa paha i nā pēpē GERD inā kāohi ʻia kā lākou mau hōʻailona mai ka hānai ʻana a i ʻole inā ʻoi aku ka nui o ka reflux ma mua o 12 a 14 mau mahina.

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

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 pēpē, 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 pēpē i loaʻa i ka reflux, ʻaʻole i hoʻomohala piha ʻia ka mākala sphincter lalo a hoʻokuʻu i ka ʻōpū i nā ʻāʻī. ʻO kēia ke kuha nei kāu pēpē (regurgitate). I ka manawa e ulu pono ai kāna mākala sphincter, ʻaʻole pono e kuha hou kāu pēpē.

I nā pēpē i loaʻa iā GERD, e nāwaliwali a hoʻomaha paha ka mākala sphincter ke pono ʻole.

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

ʻO ka reflux ka mea maʻamau i nā pēpē. Ma kahi o ka hapalua o nā pēpē e kuha i nā manawa he nui i ka lā i nā mahina 3 mua o ko lākou ola. Kū lākou i ka kuha ma waena o nā makahiki o 12 a me 14 mau mahina.

ʻO ka GERD ka mea maʻamau i nā pēpē ʻōpio. Loaʻa iā ia he nui he 4 mau makahiki. Akā i ko lākou lā hānau mua, 10% wale nō o nā pēpē ka loaʻa o ka GERD.

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

I nā pēpē, ke kuha nei ka hōʻailona nui o reflux a me GERD. Hoʻokumu pū paha ʻo GERD i nā ʻōuli e like me

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• ʻAi maikaʻi ʻole a hōʻole paha e ʻai
• Loaʻa maikaʻi ʻole ka maikaʻi, a i ʻole ka pohō kaumaha
• Wheezing a i ʻole pilikia i ka hanu ʻana
• Ikaika a pinepine paha

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

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

I ka hapanui o nā hihia, ʻike ke kauka i reflux e ka loiloi ʻana i nā ʻōuli o kāu pēpē a me ka mōʻaukala olakino. Inā ʻaʻole maikaʻi aʻe nā ʻōuli me ka hānai ʻana i nā loli a me nā lāʻau anti-reflux, pono paha i kāu pēpē e hoʻāʻo.

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 ʻano o ka GI o luna o kāu pēpē (gastrointestinal) tract. E inu a ʻai paha kāu pēpē i kahi wai ʻokoʻa i kapa ʻia ʻo barium. Hoʻohui ʻia ka barium me kahi ʻōmole a i ʻole nā ​​meaʻai ʻē aʻe. E lawe ka loea mālama ola i mau kukuna x o kāu pēpē e nānā i ka barium ke hele i loko o ka esophagus a me ka ʻōpū.
• PH Esophageal a me ka nānā ʻana i ka impedance, kahi e ana ai i ka nui o ka waikawa a i ʻole ka wai i loko o ka esophagus o kāu pēpē. Hoʻonoho kahi kauka a kahu hānai paha i kahi paipu maʻalahi lahilahi ma o ka ihu o kāu pēpē 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 hele mai ai i loko o ka esophagus. Hoʻopili ka hopena ʻē aʻe o ka pahu i kahi monitor e hoʻopaʻa i nā ana. E komo ana kāu pēpē i kēia no 24 mau hola, aia paha ma ka haukapila.
• 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 pēpē, 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 hoʻololi hānai hiki ke kōkua i ka mālama ʻana i ka reflux o kaʻu pēpē a i ʻole GERD?

Hiki i nā hānai hānai ke kōkua i ka reflux o kāu pēpē a me GERD:

• E hoʻohui i ka palaoa laiki i kāu ʻōmole pēpē o ka formula a i ʻole ka umauma. E hōʻoia me ke kauka e pili ana i ka nui e hoʻohui. Inā mānoanoa ka hui ʻana, hiki iā ʻoe ke hoʻololi i ka nui o ka nipple a ʻokiʻoki paha i kahi "x" liʻiliʻi i ka piko e hoʻonui i ka wehe.
• E hoʻoulu i kāu pēpē ma hope o kēlā me kēia 1 i ka 2 auneke o ka haʻilula. Inā hānai ʻoe, hānai i kāu pēpē ma hope o ka hānai ʻana mai kēlā me kēia umauma.
• Hōʻalo i ka hānai nui ʻana; hāʻawi i kāu pēpē i ka nui o ka haʻilula a i ʻole ka waiū umauma i paipai ʻia.
• E kū pololei i kāu pēpē no 30 mau minuke ma hope o ka hānai ʻana.
• Inā ʻoe e hoʻohana i ka haʻilula a manaʻo kāu kauka e makaʻala paha kāu pēpē i ka protein waiū, e ʻōlelo paha kāu kauka e hoʻololi i kahi ʻano like. Mai hoʻololi i nā kumumanaʻo me ke kamaʻilio ʻole ʻana me ke kauka.

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

Inā ʻaʻole kōkua ka hānai ʻana i nā loli, 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 kou ʻōpū. E ʻōlelo wale ke kauka i ka lāʻau inā loaʻa mau kāu GERD i nā ʻōuli maʻamau a

• Ua hoʻāʻo mua ʻoe i kahi loli hānai
• He pilikia ko kāu pēpē e hiamoe ana a hānai paha
• ʻAʻole ulu kūpono kāu pēpē

E kuhikuhi pinepine ke kauka i kahi lāʻau i ka manawa hoʻokolokolo a e wehewehe i nā pilikia e hiki ai. ʻAʻole pono ʻoe e hāʻawi i kāu pēpē i nā lāʻau āpau ke ʻole ke kauka e haʻi aku iā ʻoe.

Pākuʻi ʻia nā lāʻau no GERD i nā pēpē

• 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

Inā ʻaʻole kōkua kēia mau mea a loaʻa mau kāu ʻōuli koʻikoʻi i kāu pēpē, a laila he koho paha ke ʻoki. Hoʻohana wale nā ​​gastroenterologists Pediatric i ke kahakaha e mālama iā GERD i nā pēpē i nā hihia kakaikahi. Hōʻike paha lākou i ke kahakaha ke loaʻa nā pilikia hanu nui i nā pēpē a i ʻole he pilikia kino e hōʻeha ai i nā hōʻailona GERD.