Ƙwararruwar jariri matsala ce ta musamman, musamman ma jariran da aka haife ba tare da komai ba. A cikin kwanciyar hankali, tsoka a saman cikin ciki (wanda ake kira lakabi mai zurfi, ko LES) ya ba da damar ciki don fitowa daga cikin ciki da cikin cikin esophagus. Ga mafi yawan jarirai, reflux ne m. Hannun yara na iya yaduwa sau da yawa, amma suna da farin ciki da lafiya.
Wannan al'ada ce kuma baya buƙatar magani.
A wasu jariran, reflux zai iya zama mai tsanani. Rashin ƙin abin da ya isa ya buƙatar magani shine ake kira cutar ta hanyar maganin gastroesophageal, ko GERD. GERD a jarirai yana bukatar magani idan jariri:
- Yana da talauci mara kyau
- Yana cikin zafi mai tsanani
- Ya ƙi cin abinci saboda ciwo
- Akwai matsaloli na numfashi saboda shan iska madara
Yin aiki tare da dan likitan ku
Yin maganin GERD a jariri zai iya zama takaici. Yawancin iyalai suna gwada wasu magunguna kafin su gano abin da ke aiki a gare su, sai dai don magance wannan aiki ya dakatar da aiki bayan 'yan watanni.
Idan jaririn yana da GERD, to, haɓaka dangantaka da dan jaririn da kake dogara yana da matukar muhimmanci. Yin aiki tare da dan jaririn wanda ya san yaronka, da alamunsa, da abin da ke da kuma bai yi aiki ba kafin zai taimaka maka ka yi aiki tare a matsayin wata ƙungiyar don gano mafi kyau maganin jinƙan jariri.
Gidajen gida
Ko yayinda jaririnka ya kasance mai sauƙi ko mai tsanani, akwai wasu maganin gida wanda zai iya taimakawa wajen rage alamunta:
- Ƙananan, yawancin abinci da yawa: Yara ba su da tsinkaye idan ba su cika su ba. Yin baiwar jaririn karancin sau da yawa zai iya taimaka masa ko yadawa a ƙasa ko don samun alamar cututtuka.
- Matsayin da ke daidai bayan ciyarwa: Rike jariri a tsaye tsawon kimanin minti 30 bayan kowace ciyarwa zai iya taimakawa wajen rage alamar bayyanar cututtuka mai tsanani. Gyaran jaririn a cikin wani wuri mai tsayi a cikin juji ko bouncer bayan ciyarwa zai iya taimaka.
- Canza cin abincinku: Idan kana nono, to jaririn zai iya amsawa ga abinci a cikin abincinka. Maganin madara maiya shine mafi kuskure, kuma jariran da aka hayar da nono da madara mai gina jiki na madara zai iya samun alamun GERD. Kashe dukkan kiwo daga abincin ku zai taimaka wa jariri, amma kuyi hakuri - yana da makonni biyu don kawar da kiwo don taimakawa.
- Canza jaririn jaririn: Idan jaririn jaririn ya haifar da abincin jiki, to, canzawa zuwa tsari na jariri na musamman tare da kayan shafawa daban-daban (irin su soya ko wani nau'in hypoallergenic) zai iya taimakawa. Yi magana da likitanku kafin canja tsarin jaririn ku don tabbatar da cewa jariri yana samun isasshen abinci.
Magunguna
Idan jaririnka yana da alamun bayyanar GERD ko da bayan ya gwada maganin gida wanda aka bayyana a sama, to, ku yi magana da likitan ku don ganin ko magunguna zasu iya taimakawa. Yana iya ɗaukar lokaci don samo magani tare da ƙananan yawan sakamako masu illa da zai fi dacewa ga jaririnka, saboda akwai magungunan daban daban don bi da reflux.
Ko da kuna amfani da maganin rigakafi don jaririnku, ku tabbata ku tuntuɓi likitan ku kafin kuyi amfani da maganin maganin maganin cutar shan taba. Magunguna shafi jarirai daban-daban daga yadda suke shafi tsofaffi da yara tsofaffi, kuma bazai kasancewa mai lafiya ga jariri ba.
- Ma'aikata masu tsufa: Ko da yake ba magani bane, yin amfani da hatsin shinkafa don yalwata ciyarwar jariri zai iya taimakawa madara a ciki. Yi amfani da gurasa shinkafa a kowace lita daya, ko kuma amfani da wata mahimmanci wanda ya riga ya kara shinkafa. A ƙasashen Turai, Gaviscon ga jarirai (wanda ya bambanta da Gaviscon mai girma wanda aka sayar a Amurka) ana amfani dashi a wasu lokutan don samar da madarar madara mai madara a ciki, yana hana reflux.
- Rigar daɗi: Sauƙaƙen maganganu na iya taimakawa jarirai da alamun bayyanar GERD. Mylanta, Maalox, da Tums sune nau'ikan maganin da zasu iya taimakawa tare da haɓakar acid a jarirai.
- H-2 Blockers: H-2 blockers (Tagamet, Zantac, Pepcid, da Axid) rage adadin acid da aka samar da ciki da kuma an yi amfani da su da yawa don bi da reflux a cikin jarirai da yara. Hanyoyin da zasu iya haifar da cututtuka, maƙarƙashiya, da ciwon ciki.
- Masu kwantar da hankali na Proton-pump: Masu kwantar da hankalin Proton-pump, ko PPI, sune magunguna ne da suka fi tasiri fiye da H-2 blockers a rage karfin ciki. Sannan sun hada da Nexium, Prilosec, Prevacid, Aciphex, da Protonix. Don samun takamaiman PPI a cikin ruwa, zaka buƙatar amfani da kantin magani wanda ya haɗa, ko kuma haɗuwa, da magunguna. Hanyoyin PPI na iya haifar da cututtukan sakamako na tsawon lokaci, ciki har da matsalolin hanta da kuma polyps a cikin ciki, fiye da H-2 blockers.
- Motsawan jamiái: A baya, an yi amfani da aiyukan motility ( Reglan da Propulsid) don taimakawa jiki don fara hanzari, yana hana reflux ta hanyar kwantar da ciki cikin sauri. Saboda mawuyacin sakamako, wadannan magunguna ba su daina wajabta ga jarirai.
Hoto don jariri Reflux
A wasu lokuta da yawa, GERD yana da shekaru fiye da shekara ta farko, yana haifar da mummunar cututtuka, kuma baya amsa maganin. A cikin waɗannan lokuta, ana iya yin aiki mai ƙira da ake kira fundoplication. A cikin ƙaddamarwa, saman ciki yana nannade a jikin esophagus, yana ƙarfafa LES kuma yana sa ya fi wuya ga abincin da zai sake fita daga cikin ciki.
Kodayake zai iya zama kyakkyawan zaɓi ga yara da raguwa mai tsanani wanda bai amsa maganin magunguna ba, aikin tiyata shi ne babban magungunan ƙwayar cuta wanda yana da alamun yiwuwar sakamako. Wannan tiyata yana da babban rashin cin nasara a wasu yara; Magana da likitan ku don ganin idan takaddama na iya dacewa ga yaro.
Sources:
Horvath, A., Dzlechclarz, P., da Szajewska, H. "Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarya a Gastroesphageal Reflux a cikin jarirai: Binciken Tsarewa da Meta-Analysis of Randomized, Controlled Trials." Fediatrics Dec. 2008: 122, e1268-e1278.
Kellymom. "Abincin da sauran sauran abubuwan da ke cikin abincin yara a cikin jarirai."
Los Altos Ciwon Yara. "Fundoplication."
Nerko, S. "Kula da Acid a cikin jarirai." Hanyoyin Jima'i Agusta 2007.
Woo, J., Yang, H., Min, T., Jeon, Y., Lee, H., Lee, J., Pyun, B. "Ƙarƙashin Ƙarƙashin Matsayi a Gastro-Esophageal Reflux da Reflux-Related Hanyoyin cututtuka na numfashi a jarirai da cututtukan cututtuka na numfashi. " Allergy Asthma Immunology Research Jan. 2012; 4, 17-23.