Reflux ea gastroesophageal ho masea

Reflux ea gastroesophageal e etsahala ha likarolo tsa ka mpeng li lutla ka morao ho tsoa ka mpeng ho ea mpeng. Sena se baka "ho tšoela mathe" ho masea.

Ha motho a e-ja, lijo li feta molaleng ho ea mpeng ka 'metso. 'Mele o bitsoa phala ea lijo kapa tube ea ho metsa.

Lesale la likhoele tsa mesifa le thibela lijo tse kaholimo ho mpa hore li se ke tsa nyolohela ka mpeng. Likhoele tsena tsa mesifa li bitsoa "esophageal sphincter" kapa LES. Haeba mosifa ona o sa koalehe hantle, lijo li ka lutla hape ka mpeng. Sena se bitsoa reflux ea gastroesophageal.

Palo e nyane ea reflux ea gastroesophageal e tloaelehile ho masea a manyane. Leha ho le joalo, ho tsuba ho tsoelang pele ka ho hlatsa khafetsa ho ka halefisa 'metso le ho etsa hore lesea le ferekane. Reflux e matla e bakang boima ba 'mele kapa mathata a ho hema ha e tloaelehileng.

Matšoao a ka kenyelletsa:

• Khohlela, haholo-holo kamora ho ja
• Ho lla haholo joalo ka ha eka o bohlokong
• Ho hlatsa ho feteletseng nakong ea libeke tsa pele tsa bophelo; mpe hofeta ka mora ho ja
• Ho hlatsa ka matla
• Ho se fepe hantle
• Ho hana ho ja
• Khōlo e liehang
• Ho fokotsa boima ba 'mele
• Ho hema kapa mathata a mang a ho hema

Mofani oa tlhokomelo ea bophelo hangata a ka tseba bothata ka ho botsa ka matšoao a lesea le ho etsa tlhahlobo ea 'mele.

Masea a nang le matšoao a matla kapa a sa holeng hantle a ka hloka liteko tse ngata ho fumana kalafo e nepahetseng.

Liteko tse ka etsoang li kenyelletsa:

• Esophageal pH e lekola lintho tse ka mpeng tse kenang ka mpeng
• X-ray ea 'metso
• X-ray ea sistimi e kaholimo ea mala ka mor'a hore lesea le fuoe mokelikeli o khethehileng, o bitsoang phapang, ho noa

Khafetsa, ha ho hlokahale liphetoho tsa phepo bakeng sa masea a hlatsang empa a hola hantle mme a bonahala a khotsofetse.

Mofani oa hau a ka fana ka maikutlo a liphetoho tse bonolo ho thusa matšoao a kang:

• Burp lesea kamora ho noa li-ounces tse 1 ho isa ho tse 2 (30 ho isa ho 60 milliliters) ea lebese, kapa kamora ho fepa ka lehlakoreng le leng le le leng haeba o anyesa.
• Kenya khaba e le 'ngoe (2.5 grams) ea lijo-thollo tsa raese ho li-ounces tse 60 tsa lebese, lebese kapa lebese la lebese. Haeba ho hlokahala, fetola boholo ba nnyo kapa u sehe e nyane x ka nkeng.
• Tšoara lesea le otlolohile metsotso e 20 ho isa ho e 30 kamora ho fepa.
• Phahamisa hlooho ea bethe. Leha ho le joalo, lesea la hau le ntse le lokela ho robala ka mokokotlo, ntle le haeba mofani oa hau a fana ka maikutlo a fapaneng.

Ha lesea le qala ho ja lijo tse tiileng, ho fepa lijo tse teteaneng ho ka thusa.

Meriana e ka sebelisoa ho fokotsa asiti kapa ho eketsa motsamao oa mala.

Boholo ba masea bo feta boemo bona. Hangata, reflux e tsoela pele ho tloha bongoaneng mme e baka tšenyo ea 'metso.

Mathata a ka kenyelletsa:

• Pneumonia ea moea e bakoang ke lintho tse ka mpeng tse fetang matšoafong
• Ho teneha le ho ruruha ha metso
• Ho ruruha le ho fokotsa ha 'metso

Bitsa mofani oa hau haeba ngoana oa hau:

• E hlatsa ka matla le khafetsa
• E na le matšoao a mang a reflux
• O na le mathata a ho hema kamora ho hlatsa
• Ke ho hana lijo le ho theola kapa ho se be boima
• Ho lla khafetsa

Reflux - masea

• Tsamaiso ea ho sila lijo

Hibs AM. Reflux ea mala le motility ho neonate. Ka: Martin RJ, Fanaroff AA, Walsh MC, bangoli. Fanaroff le Phekolo ea Martin ea Neonatal-Perinatal. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 82.

Khan S, Matta SKR. Lefu la reflux la gastroesophageal. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 349.