Keʻike nei a me ka mālama ʻana i ka Reflux Hāmau i nā pēpē

Anter

• Reflux hāmau
• Loaʻa i kaʻu pēpē kahi reflux hāmau?
• Reflux vs. gastroesophageal reflux maʻi (GERD)
• He aha ke kumu o ka reflux hāmau?
• I ka manawa hea e ʻimi ai i kōkua
• He aha kaʻu e hana ai e mālama a pale ai i ka reflux hāmau?
• Pehea e mālama ai i ka reflux hāmau
• Pehea ka lōʻihi e hoʻonā ai i ka reflux hāmau?
• E hopohopo paha wau e pili ana i ka reflux o kaʻu keiki?

Reflux hāmau

ʻO ka reflux mālie, i kapa ʻia hoʻi ʻo laryngopharyngeal reflux (LPR), kahi ʻano o ka reflux kahi e kahe ai nā mea o ka ʻōpū i loko o ka larynx (pahu leo), kua o ka ʻāʻī, a me nā ʻaoʻao ihu.

Hoʻokomo ka huaʻōlelo "hāmau" i ka pāʻani no ka mea ʻaʻole ʻo ka reflux e kumu mau i nā ʻōuli o waho.

E hāʻule paha ka ʻōpū regurgitated i loko o ka ʻōpū ma kahi o ka kipaku ʻia ʻana mai ka waha, kahi mea paʻakikī e ʻike.

ʻO ka mea maʻamau no nā pēpē i ko lākou ʻōpio ma mua o kekahi mau pule he reflux. Ke hoʻomau ka reflux ma ʻō aku o hoʻokahi makahiki, a i ʻole inā ke kumu nei ia i nā hopena maikaʻi ʻole no kāu keiki, hiki i kā lākou pediatrician ke ʻōlelo i ka lāʻau lapaʻau.

Loaʻa i kaʻu pēpē kahi reflux hāmau?

ʻIke ʻia ka maʻi Reflux e pili ana i nā keiki. ʻOiai ʻo gastroesophageal reflux maʻi (GERD) a me LPR hiki ke noho pū, ʻokoʻa nā ʻōuli o ka reflux hāmau mai nā ʻano reflux ʻē aʻe.

I nā pēpē a me nā keiki ʻōpio, nā ʻōuli maʻamau nā:

• nā pilikia hanu, e like me ke kaniʻuhū ʻana, ka walaʻau "walaʻau", a i ʻole hoʻomaha iki i ka hanu ʻana (apnea)
• ʻūlū
• paheʻe ihu
• ʻūhā mau
• nā kūlana hanu mau (e like me bronchitis) a me nā maʻi pepeiao
• pilikia i ka hanu ʻana (hiki i kāu keiki ke ulu i ka hānō)
• pilikia hānai ʻana
• kuha ana
• holomua ʻole, i hiki ke ʻike ʻia e ke kauka inā ʻaʻole e ulu ana kāu pēpē a loaʻa ke kaupaona i ka helu i manaʻo ʻia no ko lākou makahiki

ʻAʻole kuha nā pēpē me ka reflux hāmau, kahi e paʻakikī ai e ʻike i ke kumu o ko lākou pilikia.

Hōʻike paha nā kamaliʻi makua i kekahi mea e like me ka puʻupuʻu i ko lākou puʻu a namunamu i ka ʻono ʻawaʻawa i ko lākou waha.

Hoʻomaopopo paha ʻoe i ka leo keu i ka leo o kāu keiki.

Reflux vs. gastroesophageal reflux maʻi (GERD)

ʻOkoʻa ʻo LPR mai GERD.

ʻO GERD ke kumu o ka hoʻonāukiuki ʻana i ka esophagus, ʻoiai ka reflux hāmau e hoʻonāukiuki i ka puʻu, ihu, a me ka pahu leo.

He aha ke kumu o ka reflux hāmau?

Kūpono nā pēpē e reflux - e lilo iā GERD a i ʻole LPR - no ka nui o nā kumu.

Ua hoʻohaʻahaʻa nā pēpē i nā mākala sphincter esophageal i ka wā hānau. ʻO kēia nā mākala ma nā wēlau o ka esophagus e hāmama a kokoke e ʻae i ka hele ʻana o ka wai a me ka meaʻai.

Ke ulu nei lākou, lilo i mau mākua i mākua a i lōkahi, e mālama ana i nā ʻike o ka ʻōpū ma hea lākou. ʻO ia ke kumu e ʻike pinepine ʻia ai ka reflux i nā pēpē ʻōpio.

Hoʻolilo nui nā pēpē i ko lākou kua, keu hoʻi ma mua o ko lākou aʻo ʻana e ʻōwili, hiki ke hana ma waena o 4 a 6 mau makahiki o ko lākou makahiki.

ʻO ka moe ʻana ma ke kua ka mea i loaʻa ʻole i nā pēpē ke keu o ka umekaumaha e kōkua ai e mālama i ka meaʻai i loko o ka ʻōpū. Eia nō naʻe, i loko o nā keiki me ka reflux, pono ʻoe e waiho mau i kāu pēpē e hiamoe ma ko lākou kua - ʻaʻole ko lākou ʻōpū - e hoʻēmi i ka makaʻu o ka hanu.

ʻO kaʻai hapa nui-wai o nā pēpē hiki ke kōkua i ka reflux. ʻOi aku ka maʻalahi o ka wai ke hoʻoulu hou aʻe ma mua o ka meaʻai paʻa.

Hiki paha i kāu pēpē ke hoʻonui i ka makaʻu no ka reflux inā lākou:

• hānau ʻia me ka hernia hiatal
• loaʻa i kahi maʻi neurological, e like me ka cerebral palsy
• he moʻolelo ʻohana o ka reflux

I ka manawa hea e ʻimi ai i kōkua

Hiki i ka hapanui o nā pēpē ke holomua me ka hūnā ʻole o ka reflux. Akā e ʻimi i ka lāʻau lapaʻau inā loaʻa i kāu keiki:

• nā pilikia hanu (ʻo kahi laʻana, lohe ʻoe i ke kaniʻuhū ʻana, e hoʻomaopopo ana i ka hanu hana ʻana, a i ʻole e huli polū ana nā lehelehe o kāu pēpē)
• he pehu pinepine
• ʻeha pepeiao hoʻomau (ʻike ʻoe i ka huhū a me ka hoʻopili ʻana i nā pepeiao i loko o kahi pēpē)
• hānai pilikia
• pilikia i ka loaʻa ʻana o ke kaumaha a i ʻole ka wehewehe ʻana i ka pohō kaumaha

He aha kaʻu e hana ai e mālama a pale ai i ka reflux hāmau?

Nui a hewahewa nā ala e hiki ai iā ʻoe ke lawe e kōkua i ka hōʻemi ʻana i ka reflux i kāu keiki.

Hoʻopili ka mea mua i ka hoʻololi ʻana i kāu papaʻai inā hānai ʻoe. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ka hōʻike ʻana o kāu keiki i kekahi mau meaʻai a maʻi paha lākou.

Paipai ka American Academy of Pediatrics (AAP) i ka hemo ʻana i nā hua a me ka waiū mai kāu papaʻai no ʻelua a ʻehā mau pule e ʻike ai inā hoʻomaikaʻi nā hōʻailona reflux.

E noʻonoʻo paha ʻoe i ka hemo ʻana i nā meaʻai ʻakika, e like me nā hua citrus a me nā ʻōmato.

ʻO nā ʻōlelo aʻoaʻo ʻē aʻe:

• Inā inu kāu keiki i ke kumumanaʻo, e kuapo i kahi protein hydrolyzed a i ʻole ka amino-acid based formula.
• Inā hiki, e kū pololei i kāu pēpē no 30 mau minuke ma hope o ka hānai ʻana.
• E hoʻoulu i kāu pēpē i nā manawa he nui i ka wā o ka hānai ʻana.
• Inā ʻoe e hānai ana i ka ʻōmole, e paʻa i ka ʻōmole ma kahi kihi e hiki ai i ka nipple ke noho piha i ka waiū. E kōkua kēia i kāu pēpē e ʻānai liʻiliʻi i ka ea. Hiki i ka ea ʻana ke hoʻonui i ke kaomi o ka ʻōpū a alakaʻi i reflux.
• E hoʻāʻo i nā nipples ʻokoʻa e ʻike i ka mea e hāʻawi i kāu pēpē i ka sila maikaʻi loa a puni kā lākou waha.
• E hāʻawi i kāu pēpē i kahi liʻiliʻi o ka meaʻai, akā pinepine pinepine. ʻO kahi laʻana, inā e hānai ana ʻoe i kāu pēpē i nā auneke he 4 o ka formula a i ʻole ka waiū umauma i kēlā me kēia ʻehā mau hola, e hoʻāʻo nei e hāʻawi i 2 auneke i kēlā me kēia ʻelua hola.

Pehea e mālama ai i ka reflux hāmau

Inā makemake ʻia ka lapaʻau, hiki i ka pediatrician o kāu keiki ke koi aku i nā lāʻau GERD, e like me ka H2 blockers a i ʻole nā ​​mea pale lāʻau proton pump, e kōkua i ka hōʻemi ʻana i ka nui o nā waikawa i hana ʻia e ka ʻōpū.

Paipai pū ka AAP i ka hoʻohana ʻana o nā agena prokinetic.

ʻO nā ʻākena Prokinetic nā lāʻau e kōkua i ka hoʻonui ʻana i ka neʻe ʻana o ka ʻōpū liʻiliʻi i hiki i ka ʻōpū ke holo wikiwiki. Pale kēia i ka ʻai mai ka noho lōʻihi ʻana i loko o ka ʻōpū.

Pehea ka lōʻihi e hoʻonā ai i ka reflux hāmau?

E ulu ka hapa nui o nā keiki i ka reflux hāmau i ka manawa a huli lākou i hoʻokahi.

ʻO nā keiki he nui, ʻo ka mea hoʻi e mālama koke ʻia me nā hana ma ka home a i ʻole nā ​​lāʻau lapaʻau, ʻaʻohe hopena hope loa. Akā inā hōʻike pinepine ʻia ka puʻu lahilahi a me ka ihu i ka waikawa ʻōpū, hiki iā ia ke kumu i kekahi mau pilikia lōʻihi.

Nā pilikia lōʻihi no ka hoʻomau mau ʻana, reflux unmanaged recurrent respiratory respiratory e like me:

• pulumonia
• laryngitis maʻi mau
• ʻū mau

Kākaʻikahi, hiki ke alakaʻi i ka maʻi ʻaʻai laryngeal.

E hopohopo paha wau e pili ana i ka reflux o kaʻu keiki?

ʻO ka reflux, me reflux hāmau, he mea maʻamau ia i nā pēpē. I ka ʻoiaʻiʻo, ua koho ʻia a hiki i ka 50 pākēneka o nā pēpē ʻike reflux i loko o nā malama mua ʻekolu o ke ola.

ʻO ka hapa nui o nā pēpē a me nā keiki liʻiliʻi ulu i waho o ka reflux me ka ʻole o ka pōʻino mau loa i ko lākou esophagus a i ʻole ka puʻu.

Ke kūpilikiʻi a mau loa paha nā maʻi reflux, aia kekahi mau ʻano lapaʻau kūpono e lawe i kāu keiki ma ke ala o ka digestion olakino.