Cutar cututtuka, ganewa da jiyya ga GERD a Yara
Bayani
Yayinda ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta da kuma cututtuka na gastroesophageal (GERD) ana daukar su a matsayin marasa lafiya, sun zama na kowa a tsakanin yara da matasa. Hakan yana cikin rabuwa saboda jin dadin matasa ga abinci mai azumi, da kuma waƙar da suke ci gaba.
Kamar yadda na manya, alamun kwaikwayo na reflux zai iya sa mai damuwa a rayuwa kuma har ma ya firgita a wasu lokuta.
Amma duk da haka, kamar yadda manya yake, sauye-sauyen salon rayuwa da magunguna zai iya sa wadannan alamun bayyanar sun fi dacewa.
Dalilin
A karkashin yanayi na al'ada, abinci yana wucewa ta cikin esophagus , kuma tsoka a kasan kawancinku-ƙananan spopingal sphincter (LES) - ya ɓace don haka abincin da abin zai zama a ciki. Lokacin da LES ba ta kusa rufewa ba, abinda ke cikin ciki da acid zai iya koma cikin esophagus.
Cutar cututtuka
Wadannan bayyanar cututtuka na iya faruwa idan yarinyarku tana fuskantar koshin ruwa:
- Rawanin wuta a cikin kirji, a baya da ƙirjin ƙirjin, yana skeezing kuma yana nunawa zuwa baya, yana da tsayi daga 'yan mintuna kaɗan zuwa sa'o'i
- Sashin ƙin wuta a cikin esophagus
- Jiɗa
- A ciwo, mai wuya, musamman a farkawa a safiya
- Girma
- Mara kyau numfashi
- Ciwo yana haɗuwa
- Feel kamar abincin yana makale a cikin makogwaro
- Jin ji daɗi wanda ya tashe shi a cikin dare
- Matsalar na numfashi (irin su mashako, tayarwa, fuka)
- Nagging bushe tari
Sanin asali
Dan likitanku na iya ƙaddamar da ganewar asalin acid a kan yarinyar jariri, jarrabawar jiki da kuma amsawar ɗanka ga likita. Alal misali, idan bayyanar cututtukanka ya inganta bayan yin maganin tare da masu kwantar da matakan proton (PPIs) , to tabbas shine GERD.
Idan jaririn yaron bai inganta ba, likita na iya yin umarni akan gwaje-gwaje don sanin ko GERD shine dalilin reflux. Wadannan gwaje-gwaje na iya haɗa da ɗaya daga cikin waɗannan:
- Barium-rays : Har ila yau aka sani da barium haɗuwa, waɗannan sune rayukan hasken rana wanda aka yi amfani da barium don gano ƙwayoyin mahaukaci na fili.
- Tsarin kula da kwayar cutar pH : Wannan jarrabawa zai auna ma'auni a cikin esophagus yaro.
- Upper endoscopy : A tube tare da ruwan tabarau kamara da kuma haske da aka saka ta hanyar yaro da yaro kuma zuwa cikin esophagus da kuma ciki. Dikita na iya amfani da wannan hanya don ganin idan akwai ƙuntatawa (ƙwaƙwalwa ta jiki) ko ƙumburi ( esophagitis ) a cikin esophagus.
Jiyya
Yin maganin damsi na acid yana aiki mafi kyau ta amfani da haɗin kai. Kuna iya dubi abin da ya faru na yaro don ganin ko za a iya gyara waɗannan daga cikin waɗannan. Alal misali, kasancewar karuwa yana ƙaruwa da dama da yaro zai sha wahala daga ƙwannafi. Canji na gyare-gyare na iya zama isa ya gyara matsala ga matasa da yawa, amma zai iya zama kalubale a wannan zamani. Ana iya buƙatar magunguna, kuma akwai wasu nau'o'in kwayoyi waɗanda zasu iya ba da taimako.
Salon Canji
Dikita na farko zai iya ba da shawarar gyare-gyare na rayuwa don ganin idan waɗannan za su sauke nauyin bayyanar cututtuka.
- Ciyar da ƙananan abincin (ba cin abinci zuwa wani batu na ji "cushe")
- Ku ci cikin sannu a hankali
- Ka guje wa abincin da ke fama da ƙwannafi
- Ka guji cin abinci kafin lokacin kwanta, ko cikin sa'o'i biyu zuwa uku na kwance
- Yi tallace-tallace da kanka tare da matasan kai, tada kan gadonka, ko amfani da matashin kaji don ba da damar ƙarfin don taimakawa ci gaba da acid a ciki
- Yi tufafi tare da waƙabandar waistbands
Magunguna
Idan halayen cututtuka na ci gaba da ci gaba, likita na iya yin tunani daya daga cikin wadannan maganin:
- Antacids: Antacids neutralize ciki acid. Sun hada da Tums (carbonate carbonate), Rolaids (carbonci carbonate), Mylanta (aluminum hydroxide da magnesium hydroxide), da Maalox (aluminum hydroxide da magnesium hydroxide).
- Acid Suppressers: Wadannan suna hana samar da acid a ciki. Sun hada da Tagamet (cimetidine), Pepcid (famotidine), Zantac (ranitidine). da kuma Axid (nizatidine).
- Acid Blockers: Wadannan sun kakkafa kamfanonin acid a ciki. Prilosec (omeprazole), Prevacid (lansoprazole), Nexium (esomeprazole), Aciphex (raberprazole), da Protonix. (rukuni).
Matsaloli
Cutar da ake yi saboda yawan kwakwalwar acid shine sababbin yara, kuma yawancin wadannan suna da alaƙa da dogon lokaci. Duk da haka yana da mahimmanci a san waɗannan a matsayin tunatarwa game da dalilin da yasa maganin GERD ya wuce kawai sarrafa iko. Rarraba na nakasar acid (abin da ya sake, yana da ƙananan yara) ya haɗa da haɗari masu tayar da hankali, Baropus, da kuma cutar kanjamau.
Layin Ƙasa
Yakin shekaru na iya zama matukar damuwa ba tare da ƙara haɓakar ruwa zuwa gaura ba. Wannan ya ce, abubuwan da ake ci daga abinci mai azumi zuwa calories mai yawa suna kara yawan rashin lafiya a cikin 'ya'yanmu. Abin godiya da sauye-sauyen salon rayuwa yana iya haifar da babban bambanci, kuma yana iya samun wasu amfani.
Sources:
Putnam P. Esophagitis a matasan. Magungunan Matasa: Sanin Hotuna . 2016. 27 (1): 1-18.
Vandenplas, Y., da B. Hauser. Binciken da aka sabunta a kan Gastro-Esophageal Reflux a Pediatrics. Kwararre a Gastroenterology da Hepatology . 2015. 9 (12): 1511-21.