Yaran likitanku sun iya bincikar da yaronku tare da ciwon sukari, ko kuma kunyi mamaki idan yana da wani abu da ya wuce fiye da "ƙwayoyin ƙwayar ciki." Me kuke bukatar ku sani?
Bayani
Yayinda yawancin kananan yara zasu iya samun kashi 2-3 na ciwon kwayar cutar ta kowace shekara, da ciwon vomiting kowane wata ko biyu yana da yawa fiye da yadda zaku yi tsammani yaron ya sami.
Duk da haka, idan yaro yana da maganin cututtukan cututtuka, tare da ciwo da cututtuka da kuma saduwa da wasu yara masu kama da alamun bayyanar, to, yana yiwuwa yana kawai samun cutar daya bayan wani.
Amma idan babban bayyanar cututtuka shine maganin da zubar da jini, musamman ma idan wani abu ne da yake dawowa kowane mako ko watanni tare da lokuta na al'ada a tsakanin, akwai wataƙila akwai wani abu da ke faruwa, tare da ciwo mai ciwo na cyclic yana kan jerin jerin abubuwan da za a iya yi. .
Yawancin shekarun da wannan zabin ya fara yana tsakanin shekaru 3 zuwa 7 kuma akwai lambobi daidai da maza da 'yan mata da suka shafi.
Cutar cututtuka
Yara da ciwon sukari masu ciwo na cyclic suna da launi ko raunuka na tashin hankali da zubar da ciki wanda zai iya wuce 'yan sa'o'i ko' yan kwanaki. A lokacin waɗannan lokutta, yara suna iya rage yawan aiki da rage yawan ci abinci kuma zasu iya zama dadi. Sauran cututtuka na iya haɗawa da ciwo na ciki, ciwon kai, zazzabi, da kuma lakabi.
Da zarar an kammala aikin, yara yawanci ba su da alamun bayyanar cututtuka kuma suna da kyau har zuwa lokaci na gaba sai ya faru.
Dalili / Kayan Gida
Kodayake matsalar rashin ciwo mai cututtukan cyclic ba a sani ba, yawancin yara da wannan yanayin suna da tarihin iyali na migraines kuma wasu masana sunyi imani cewa an danganta su biyu.
Sauran factor da ke haɗar da ƙwayar cuta tare da ciwon sukari mai saurin jini shine cewa ana iya hana su da magunguna guda biyu, wato Periactin (cyproheptadine) da Elavil (amitriptyline).
Sanin asali da gwaji
An lasafta ciwon sikila na tsakiya kamar ɗaya daga cikin cututtukan gastrointestinal aikin , a wasu kalmomi, alamun sune saboda aikin tsarin narkewa maimakon matsalolin tsari . Saboda haka babu wasu takamaiman gwaje-gwaje da aka yi don bincikar yanayin. Mafi yawan gwaje-gwajen an yi domin yin sarauta akan yiwuwar wasu yanayi-abin da likitoci suke kira rikici-maganin da suke da tsari. An gane ganewar asali ta hanyar irin alamun bayyanar cututtuka, musamman ma cewa akwai dogon lokaci ba tare da wata alama ba.
Gwaje-gwaje da za a iya yi sun hada da:
- A kai CT ko MRI
- Gwajin gwaji
- M duban dan tayi
- Gw-rayin GI mafi girma tare da ƙananan ƙwayar zuciya ta biyo baya (UGI-SBFT)
Wani lokaci magungunan da kuma maganin wannan yanayin ya shiga hannu, a matsayin amsa ga jiyya yana taimakawa wajen tabbatar da ganewar.
Binciken Bambanci
Yanayi wanda zai iya haifar da bayyanar cututtukan da suke da irin wannan (amma ba sau da yawa tare da lokutan kasancewa na al'ada a tsakanin jigogi) sun hada da kurakurai na ciki na cin zarafi, ƙuƙwarar hanzarin ciki tare da volvulus (lokacin da ƙuƙwalwar ke motsawa gaba ɗaya) kuma da sauran matsalolin.
M jiyya
A lokacin wani ɓangaren ɓangaren zubar da ciki, magani yana nufin sa yaron ya zama mai dadi kamar yadda zai yiwu.
Jiyya na iya haɗawa da:
- Komawa a cikin shiru, dakin duhu
- Ruwa na IV idan an lalace shi
- Magunguna irin su Zofran (odansetron) , Imitrex (sumatriptan) , Catapres (clonidine), ko benzodiazepines.
Hanyar Jiyya da Rigakafin
Mafi kyawun maganin wutan lantarki shine rigakafi. Mataki na farko shi ne tabbatar da babu wani abu da ke da alhakin ciwo. Idan jaririnka ya kamu da cutar bidiyo, za ka iya ƙoƙarin ƙoƙarin gano ƙananan abubuwan da ke haifar da waɗannan ɓangarori (duba ƙasa). Magunguna da aka yi amfani da su don hana vomiting cyclic-sau da yawa tare da sakamako mai kyau - sun hada da:
- Tsari (cyproheptadine)
- Indiaral ((propanolol)
- Elavil (amitryptylline)
Gano maƙalai
Kamar dai yadda akwai ƙwayar ƙaura na ƙaura wanda ya bayyana cewa ya fara haifar da bayyanar cututtuka a waɗanda suke tare da migraines, kamar dai yana iya haifar da wani ɓangaren ɓarna da ɓarnar synrome na cyclic. Wadannan mawuyacin zasu iya haɗaka damuwa, tashin hankali, cututtuka, cin abinci, yanayin zafi, da rashin lafiya. Tsayawa da mujallar vomiting kamar yadda wasu mutane ke ci gaba da wallafe-wallafen labaran don kula da ƙaura na ƙaura, zai iya taimaka maka gano duk waɗannan dalilai don kauce musu, idan ya yiwu, a nan gaba.
Riboflavin?
Har yanzu yana da wuri da za a ce, amma ta amfani da B ribson na B na iya taka muhimmiyar rawa wajen hana rigakafin cyclic a nan gaba. An san cewa riboflavin wani lokaci yana taimakawa wajen hana rigarin ciwon ƙaura. Binciken ƙananan binciken Turai a shekarar 2016 ya gano cewa-a cikin yara 3 na wata hanya ta wata hanya ta hanyar magance wata hanya-riboflavin don samun kyakkyawar amsa. Yayin da wannan binciken ya yi ƙanƙara don jagorantar magani a wannan lokaci, zai iya taimakawa wajen tambayi lafiyar likitan ku idan an kara wannan bitamin don shirin lafiyar ɗanku zai iya zama da amfani. Riboflavin yana samuwa a cikin hatsi baki daya da almonds , alayyafo, da namomin kaza.
Matsaloli
Babban mahimmancin ciwo na cyclic shine jinin jiki wanda wani lokaci yakan haifar da buƙatar gaggawa da kuma jigilar IV. Abu mai wuya, wani wahala da ake kira hawan Maliki Weiss zai iya faruwa. Wannan hawaye ne a cikin esophagus (bayan da yaran da ke fama da jini) wanda zai iya haifar da mummunar zubar da ciki. Yara da sukari mai haɗari suna bayyana suna da mummunan haɗari na rashin tausayi.
Faɗakarwa
Abin godiya, yawancin yara tare da ciwon sukari suna ci gaba sosai, kuma suna nuna alamun bayyanar su. Babu mutuwar da aka rubuta daga ciwo, ko da yake yara a wasu lokuta sukan daina buƙatar samun asibiti don jin dadi. A cikin binciken daya da aka gano cewa, kodayake yara sun nuna alamun bayyanar cututtuka, fiye da rabi na yara sun ci gaba da ciwon kai. Ƙara koyo game da ciwon ciwon kai na yara a cikin yara , kamar yadda suke da bambanci da wadanda ke manya. Kuma yayin da yaronka ke fama da ciwo, tabbatar da cewa ka saba da bayyanar cututtuka na ƙura a cikin yara da kuma yadda za a gudanar da ciwo da zawo a cikin yara .
Sources:
Hikita, T., Kodama, H., Ogita, K. et al. Cutar Cyclic Vomiting a cikin jarirai da yaran: Nazarin Ciwon Nazari na Clinical. Ilimin likita na yara . 2016. 57: 29-33.
Kaul, A., da K. Kaul. Mawuyacin ciwo na cyclic: Ciwon Yanayi. Ilimin likita na yara, ilimin kimiyya, da kuma aikin gina jiki . 2015. 18 (4): 224-9.
Madani, S., Cortes, O., da R. Thomas. Cyproheptadine Amfani da Yara da Cutar Gastrointestinal Functional. Journal of Pediatric Gastroenterology and Nutrition . 2016 62 (3): 409-13.
Martinez-Esteve, M., Schappi, M., da kuma C. Korff. Riboflavin a cututtukan cyclic vomiting: inganci a cikin yara uku. Jaridar Turai na Pediatrics . 175 (1): 131-5.
Tarbell, S., da B. Li. Tsarin Zuciyayi Yarda da Rayuwar Rayuwa ta Lafiya ta Yara da Yara da Matasa tare da Cutar Cutar Cyclic. Jaridar Pediatrics . 2015. 167 (3): 633-8.e1.