Ke loaʻa nei i kāu keiki liʻiliʻi ka waiū umauma? E kamaʻilio kākou e pili ana i ka reflux pēpē!

Ke luaʻi iki nei kāu keiki liʻiliʻi ma hope o ka inu ʻana i ka waiū? I kekahi manawa me ka luaʻi ʻana. Ma ke ʻano he makuahine a makua paha, ke ʻike ʻoe i kēia, manaʻo nui ʻoe i ka makaʻu a me ka hopohopo, ʻeā? ʻOiaʻiʻo, he nui nā makuahine a me nā makuakāne e kū nei i kēia pilikia. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke kumu o kēia, he mea maʻamau kēia, a i ka wā e pono ai mākou e hopohopo no kēia.

He aha ka reflux pēpē?

I ka ʻōlelo maʻalahi, ʻo reflux, a i ʻole ka mea a mākou e kapa nei he reflux, ʻo ia ka meaʻai i loko o ka ʻōpū o ka pēpē, ʻo ia hoʻi, ka waiū āna i inu ai, e hoʻi mai ana i luna i loko o ka puʻu, a i kekahi manawa mai loko mai o ka waha. ʻO ia ke kumu e kuha ai nā pēpē i ka waiū a i kekahi manawa e luaʻi .

Akā i ka hapa nui o ka manawa, ʻaʻole pilikia nui ka reflux no nā pēpē. ʻO ke kumu, ʻaʻole i hoʻomohala piha ʻia ko lākou ʻōnaehana hoʻoheheʻe . ʻO ia hoʻi, e like me kahi mea kanu liʻiliʻi, ke ulu mau nei ia.

Aia kekahi mau pēpē e hauʻoli nui nei e kuha i ka waiū i ka lā a pau me ka ʻole o nā pilikia olakino. Ua kapa nā kauka i kēlā mau pēpē he "hauʻoli kuha". ʻO ke ʻano kēia, ʻaʻole lākou e hopohopo inā kuha lākou i ka waiū liʻiliʻi. Hiki iā lākou ke uē iki, akā ʻo ia wale nō. I kekahi manawa ua maikaʻi lākou. ʻO ka hapa nui o ka manawa, e hoʻomaikaʻi kēia "(Reflux)" iā ia iho i ka wā e hiki ai i ka pēpē ma kahi o hoʻokahi makahiki.

Eia nō naʻe, no kekahi mau pēpē, hiki i ka reflux ke koʻikoʻi . ʻO ia hoʻi, ʻaʻole hiki iā lākou ke omo pono i nā meaʻai a lākou e pono ai. Ke hana ʻia kēia, hiki iā lākou ke luaʻi i ke koko, ʻaʻole hiki ke loaʻa ke kaumaha pono, a i ʻole he mau hōʻailona ʻē aʻe e like me ka ʻū mau. Ua kapa nā kauka i kēia mau hōʻailona he "nā hōʻailona pilikia." ʻO kēia mau hōʻailona ka mea e hoʻokaʻawale ai ma waena o ka reflux gastroesophageal maʻamau (GER) a me ka maʻi reflux gastroesophageal (GERD).

He aha ka ʻokoʻa ma waena o "ka kuha ʻana" a me "ka luaʻi ʻana"?

I ka noʻonoʻo ʻana inā he reflux kāu pēpē, he mea nui e ʻike i ka ʻokoʻa ma waena o "regurgitation" a me "vomiting."

• Ke kuha ʻana: ʻO kēia ka manawa e puka maʻalahi ai nā mea o loko o ka ʻōpū o ka pēpē mai ka waha me ka ʻole o ka pilikia. Hiki ke hana ʻia ke wehe ka pēpē i kona waha. He liʻiliʻi wale nō ka mea e puka mai ana i ka manawa hoʻokahi. Eia kekahi, ʻaʻole kēia e puka mai me he mea lā e ʻūlū paʻa ana nā ʻiʻo o ka ʻōpū a koi aku iā ia i waho. ʻO ka hapa nui o ka manawa, ʻaʻole nui ka ʻeha o ka pēpē mai kēia.

• Luaʻi: ​​I kēia hihia, ʻūmiʻi nā ʻiʻo o ka ʻōpū. ʻŪmiʻi nā ʻiʻo ma waenakonu o ka ʻōpū o ka pēpē, e pahu ana i nā mea o loko o ka ʻōpū i waho me he mea lā ma ka ikaika. ʻO ka maʻamau, ʻo kēia ka mea e hoʻoluhi ai i ka pēpē a hiki ke uē. ʻAʻole like ia me ka wā hānau, akā i ka wā e luaʻi ai ka pēpē, he paʻakikī.

ʻO kahi kūlana maʻamau i kapa ʻia ʻo GERD, ʻo ia kekahi e hoʻoulu ai i ka kuha ʻana a/a i ʻole ka luaʻi ʻana i kekahi manawa. Eia nō naʻe, inā ʻoi aku ka pinepine o ka luaʻi ʻana o kāu pēpē ma mua o kona kuha ʻana, he hōʻailona paha ia o GERD a i ʻole kekahi kūlana ʻē aʻe.

Pehea ka maʻamau o kēia ʻano i waena o nā pēpē?

He mea maʻamau loa ia no nā pēpē ke loaʻa i ka `(Reflux)`. Ma kahi o 50% o nā pēpē ma kahi o 3 mahina e hōʻike ana i nā hōʻailona `(Reflux)`, e like me ke kuha ʻana i luna ma ka liʻiliʻi hoʻokahi manawa i ka lā. I ka 4 mahina, ʻo kēia helu ma kahi o 66%. Akā i ka 7 mahina, e emi ana kēia helu i kahi o 14%, a i ka 10-14 mahina, ʻoi aku ka liʻiliʻi ma mua o 5%. Loaʻa i ka hapa nui o kēia mau pēpē kahi maʻi maʻamau i kapa ʻia ʻo `(GER)`. He mea ia e hana ʻia i loko o ka makahiki mua a ʻaʻohe mea e makaʻu ai. Eia nō naʻe, hiki i kekahi o kēia mau pēpē ke loaʻa i kahi maʻi i kapa ʻia ʻo `(GERD)`.

ʻAʻole ʻike maopopo nā kānaka noiʻi i ka nui o nā pēpē i loaʻa iā GERD. ʻO kēia no ka mea he nui nā hōʻailona o GERD ʻaʻole kikoʻī. ʻO ia hoʻi, ʻaʻole kikoʻī nā hōʻailona iā GERD a hiki ke hana ʻia e nā kūlana a i ʻole nā ​​​​maʻi ʻē aʻe. No laila, he paʻakikī ke ʻike maopopo inā loaʻa i kahi pēpē ʻo GERD.

Eia nō naʻe, ua ʻike nā kānaka noiʻi he nui nā hui o nā pēpē e hoʻopilikia ʻia e ke kūlana (GERD):

• Nā pēpē me ka hernia hiatal.
• Nā pēpē me nā maʻi e hoʻopilikia ai i ka lolo a i ʻole ka ʻōnaehana nerve.
• Nā pēpē me ka maʻi i kapa ʻia ʻo cystic fibrosis.
• Nā pēpē me ka maʻi epilepsy.
• Hānau ʻia nā pēpē me kekahi mau kūlana ma ka esophagus.
• Nā pēpē me ka hānō.
• Nā pēpē i hānau ʻia ma mua o ko lākou lā hānau (hānau mua ʻole).

He aha ka ʻokoʻa ma waena o nā mea ʻelua?

ʻOiai ʻo "(GER)" a me "(GERD)" ʻelua e pili ana i ka "Acid Reflux", kahi kūlana e hiki ke hoʻopilikia i nā kānaka o kēlā me kēia makahiki, aia kekahi mau ʻokoʻa koʻikoʻi ma waena o nā mea ʻelua.

• ʻO ka Gastroesophageal Reflux (GER): ʻO kēia ke kahe hou ʻana o ka waikawa i loko o ka esophagus. Hiki i nā keiki ʻelemakule a me nā pākeke ke kapa iā ia he "indigestion" a i ʻole "heartburn." ʻAʻole ia he mea ʻino a he maʻi paha. ʻO ka maʻamau, e hoʻomaikaʻi ka GERD i nā pēpē i loko o ko lākou makahiki mua. I kēia manawa, ʻo ka hana ʻana i nā hoʻololi liʻiliʻi i nā ʻano hānai a kāu pēpē e hiki ke kōkua i ka hōʻemi ʻana i ka nui o ka kuha ʻana.

• ʻO ka maʻi reflux Gastroesophageal (GERD): ʻO ka GERD kahi maʻi mau loa kahi e puka ai ka reflux waikawa i loko o ka esophagus. Hiki iā ia ke hoʻopilikia i ke ʻano o ke ola o ke kanaka a hōʻino i ka esophagus. Pono e nānā pono ʻia nā pēpē me GERD e ke kauka , a pono paha i ka lāʻau lapaʻau, e like me ka lāʻau lapaʻau.

No laila, ma ke ʻano he makuahine a makuakāne hopohopo, pehea ʻoe e ʻike ai i ka ʻokoʻa? ʻAʻole ia he mea maʻalahi, ʻoiai ʻaʻole hiki i kāu pēpē ke hōʻike i kona manaʻo.Inā e kuha mau ana kāu pēpē a ke hopohopo nei ʻoe, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka keiki e pili ana i ia mea. E nānā ke kauka i nā hōʻailona o kāu pēpē a me ka mōʻaukala olakino e hoʻoholo ai inā pili ka GERD a i ʻole nā ​​​​maʻi ʻē aʻe.

He aha nā hōʻailona e hiki ai ke haʻi inā loaʻa ka reflux i kahi keiki?

ʻO ka hōʻailona nui o ka reflux ka burping a/a i ʻole ka luaʻi ʻana ma hope o ka hānai ʻana. ʻO ka maʻamau, burping iki nā pēpē a hele i kā lākou hana maʻamau. He mea maʻamau kēia no ka hapa nui o nā pēpē i ko lākou makahiki mua. Eia nō naʻe, inā he mau hōʻailona ʻē aʻe, e like me ka hōʻole ʻana e ʻai a i ʻole ka ʻū mau, hiki ke lilo i GERD.

Nā hōʻailona o kahi maʻi GER maʻamau

I ke ʻano o ka `(GER)`, e ʻike paha ʻoe i nā hōʻailona e like me:

• Ka luaʻi a me/a i ʻole ka luaʻi ʻana ma hope o ka inu ʻana i ka waiū.
• I kekahi manawa, ʻoi aku ka lōʻihi o ka manawa hānai waiū ma mua o ka maʻamau a i ʻole e pau paha ka hānai waiū i ka hapalua ma muli o ke komo ʻana o ka nipple.

Hiki ke hana ʻia kēia mau hōʻailona e ka mea ʻoi aku ma mua o ka reflux, akā hoʻokahi wale nō mea hiki.

ʻO nā pēpē me ka `(GER)` e piʻi maʻamau ke kaumaha a ʻaʻole pinepine lākou i pilikia nui i ka hānai ʻana. ʻAʻole hoʻi lākou i hoʻopilikia ʻia e kēia `(Reflux)`.

Hoʻomaka pinepine ka reflux i nā pēpē ma kahi o 2-3 mau pule o ka makahiki, a hiki i ka 4-5 mau mahina. Pono e pau loa ia i ka 9-12 mau mahina. He mea maʻamau ʻole ka hoʻomaka ʻana o nā hōʻailona reflux i ka pule mua o ke ola o kahi pēpē, a i ʻole no lākou e hoʻomaka ma hope o 6 mau mahina. Inā hana ʻia kēlā, pili paha nā hōʻailona i ka GERD a i ʻole kekahi maʻi ʻē aʻe.

Nā Hōʻailona o GERD (Eia nā hōʻailona e makaʻala ai!)

Hiki i nā pēpē me GERD ke hōʻike i kēia mau hōʻailona. Inā loaʻa i kāu pēpē kekahi a ʻoi aku paha o kēia mau mea, e ʻike pono i kahi pediatrician.

• Ka maʻi pākī a me/a i ʻole ka luaʻi ʻana - hiki ke kipaku wikiwiki ʻia me ka ikaika .
• ʻO ka ʻoluʻolu ʻole a i ʻole ka hoʻomaha ʻole - E ʻike paha ʻoe i ka uē ʻana a me ke kūlou ʻana o ke kua i ka wā e hānai waiū ana.
• Ka hōʻole ʻana e hānai i ka waiū a inu paha i ka waiū mai ka ʻōmole.
• ʻAʻole e piʻi ke kaumaha a i ʻole ka ulu ʻole ʻana.
• Ke luaʻi ʻana i ke koko .
• Paʻakikī ke ale ʻana.
• Kuke.
• Hanu ʻū.
• He leo ʻē (Stridor) i ka wā e hanu ana.
• Ka leo haʻalulu.

E hoʻomanaʻo, hiki ke hana ʻia kēia mau hōʻailona e nā maʻi ʻē aʻe he nui ma waho aʻe o GERD. No laila, inā ʻike ʻoe i kekahi o kēia mau hōʻailona i kāu pēpē, e kamaʻilio koke me kāu pediatrician.

No ke aha e hana ai kēia i nā pēpē? He aha nā kumu?

ʻO ke kumu nui o ka loaʻa ʻana o ka reflux i nā pēpē no ka mea ʻaʻole i hoʻomohala piha ʻia ka valve muscular ma waena o ko lākou esophagus a me ka ʻōpū, a i ʻole e wehe ʻia i ka manawa kūpono ʻole. He ʻāpana ʻiʻo apo kēia valve i kapa ʻia ʻo Lower Esophageal Sphincter (LES).

E noʻonoʻo e like me kēia `(LES)` ua like ia me ka puka. Ke inu ka pēpē i ka waiū, wehe ʻia kēia puka e hoʻokuʻu i ka waiū mai ka esophagus i loko o ka ʻōpū. A laila, pani paʻa kēia puka e pale i ka waiū mai ke kahe hou ʻana i loko o ka esophagus. Akā, e like me nā ʻāpana ʻiʻo ʻē aʻe i loko o ke kino o ka pēpē, ke ulu mau nei kēia `(LES)` i ko lākou makahiki mua. No laila, ʻaʻole ia i pani paʻa loa e like me ia i loko o kahi pākeke.

Eia kekahi, hiki i ka meaʻai a me ka waikawa i loko o ka ʻōpū o ka pēpē ke kau i ke kaomi ma luna o kēia valve, e wehe ai i ka manawa kūpono ʻole. Hiki ke hana kēia i ka wā e piha loa ai ka ʻōpū o ka pēpē, a i ʻole ke hoʻololi koke ʻia ke kūlana o ka pēpē (no ka laʻana, ke hoʻohuli koke ʻia ka pēpē mai ka noho pololei ʻana a i ka moe ʻana).

Hiki i kēia ke hoʻoulu i nā pilikia?

ʻAʻole pilikia ke kūlana maʻamau `(GER)`. Eia nō naʻe, inā hoʻomau ke kūlana `(GERD)`, nā pilikia e like me:

• ʻO ka loaʻa ʻana o ke kaumaha maʻamau a me ka lohi o ka ulu ʻana.
• ʻO ka reflux esophagitis.
• Nā ʻūmiʻi o ka esophagus.
• ʻO ka esophagus a Barrett (kahi loli i loko o nā pūnaewele o ka esophagus i maʻamau i nā pākeke).
• Nā pilikia hanu.

Pehea e ʻike pololei ai nā kauka i ka reflux?

E nānā hou kāu kauka pediatric i ka mōʻaukala olakino o kāu pēpē a hana i kahi hoʻokolokolo kino. Makemake lākou e ʻike inā loaʻa i kāu pēpē ʻo GERD, kahi kūlana e hoʻomaikaʻi iā ia iho i ka hala ʻana o ka manawa, a inā pono lākou i ka mālama ʻana. Inā kānalua ʻia ʻo GERD, e ʻimi pū lākou i nā hōʻailona o nā pilikia e hiki mai ana. Makemake pū lākou e kāpae i nā kūlana ʻē aʻe i loaʻa nā hōʻailona a me nā hōʻailona like me ka reflux acid. Eia ka mea hiki iā ʻoe ke manaʻo:

ʻO ka mea mua, e kamaʻilio kāu kauka keiki me ʻoe e pili ana i kāu mea e ʻike nei. Hiki iā lākou ke nīnau i nā nīnau e like me:

• I ka makahiki hea i hoʻomaka ai kāu pēpē e loaʻa nā hōʻailona?
• Ke hānai waiū nei ʻoe i kāu pēpē a hāʻawi paha iā ia i ka waiū waiū?
• Inā ʻoe e hāʻawi ana i ka waiū pauka, he aha ke ʻano o ka waiū pauka āu e hāʻawi ai? Ke hoʻohui nei ʻoe i kekahi mea ʻē aʻe iā ia?
• ʻEhia pinepine ʻoe e hānai ai i kāu pēpē i ka waiū umauma, a pehea ka lōʻihi o ia mea i ka manawa hoʻokahi?
• ʻEhia ka waiū āu e hāʻawi ai i kāu pēpē?
• He aha nā ʻano āu e ʻike ai me ka luaʻi ʻana a i ʻole ka luaʻi ʻana? Eia kekahi laʻana, hana mau anei ia ma hope o ka hānai ʻana? A i ʻole i ka pō?

E kamaʻilio pū lākou me ʻoe e pili ana i ka mōʻaukala olakino o kāu pēpē a me nā kūlana olakino a kekahi o kou ʻohana i loaʻa.

A laila, e nānā ke kauka pediatric i kāu pēpē e nānā i nā hōʻailona o nā kūlana olakino ʻē aʻe, me nā kūlana e hoʻopilikia ai i ka lolo a i ʻole nā ​​​​māmā. E ana pū lākou i ke kiʻekiʻe a me ke kaumaha o kāu pēpē e hōʻoia i kona ulu ʻana ma ka papa manawa.

E kōkua kēia mau ʻike a pau i kāu kauka pediatric e hoʻoholo inā he GER, GERD, a i ʻole kekahi maʻi ʻē aʻe kāu pēpē. Hiki i kāu kauka pediatric ke kuhikuhi iā ʻoe i kahi gastroenterologist pediatric , he kauka loea i nā ʻōnaehana hoʻoheheʻe o nā keiki . Hiki iā ia ke nānā i kāu pēpē a kōkua iā ʻoe e hana i kahi hōʻoia.

He aha nā hoʻokolohua e hana ʻia?

ʻAʻole pono ka hapa nui o nā pēpē i ka hoʻāʻo ʻana i ka maʻi. Hoʻohana kekahi mau mea mālama ola i nā hoʻāʻo e:

• Inā makemake lākou i ka ʻike hou aku e hiki mai ai me kahi hōʻailona.
• Inā manaʻo lākou he maʻi ko kahi pēpē ma mua o GERD.
• Inā makemake lākou e nānā i nā hōʻailona o nā pilikia.

ʻO nā hoʻokolohua e hiki ke hana ʻia ma ia mau hihia:

• ʻO ka Endoscopy Kiʻekiʻe: Hoʻohana kēia hoʻāʻo i kahi kāmela e nānā pono i ke ala ʻai o luna o kāu pēpē.
• ʻO ka moʻo GI kiʻekiʻe: Hoʻohana kēia hoʻāʻo i nā kukuna X e kiʻi i nā kiʻi o ka esophagus o kāu pēpē, ka ʻōpū, a me ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi.
• Haʻawina pale pH: Hiki i kēia hoʻāʻo ke hoʻoholo i ka pinepine o ka hoʻihoʻi ʻia ʻana o nā mea o loko o ka ʻōpū o kāu pēpē i loko o ka esophagus. Hiki iā ia ke ana i ka pH, a i ʻole ka acidity, o nā mea i hoʻihoʻi ʻia.

He aha nā lāʻau lapaʻau no ka reflux i nā pēpē?

ʻO ke ʻano o ka mālama ʻana i ka reflux o kāu pēpē e pili ana i kona koʻikoʻi. ʻAʻole pono nā pēpē me GERD i ka lāʻau lapaʻau. Akā, hiki iā lākou ke pōmaikaʻi mai nā loli i kā lākou hana hānai. Hiki i nā loli like ke kōkua i nā pēpē me GERD, akā i kekahi manawa pono kēia mau pēpē i ka lāʻau lapaʻau. He mea kākaʻikahi loa, pono paha nā pēpē me GERD i ke ʻoki kino .

Na ke kauka o kāu pēpē e hoʻoponopono i ka lāʻau lapaʻau e kūpono i kāna mau pono. ʻO nā lāʻau lapaʻau e hiki ke komo pū me:

• Ka hānai ʻana i ka waiū umauma a i ʻole ka waiū waiū e hoʻomānoanoa ai. Ua hōʻike ʻia nā noiʻi e hiki i kēia ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka reflux, e like me ka regurgitation. Eia nō naʻe, pono ʻoe e kamaʻilio mau me kāu kauka ma mua o ka hoʻohana ʻana i nā mea hoʻomānoanoa.E aʻo aku lākou iā ʻoe inā kūpono ia no kāu pēpē a me ke ʻano o ka mea hoʻomānoanoa e koho ai. Eia kekahi laʻana, e paipai paha lākou i ka hoʻohana ʻana i ka oatmeal e hoʻomānoanoa i ka waiū waiū, a i ʻole ka mea hoʻomānoanoa i ka pīni carob no ka waiū umauma.

• Nā loli ʻana o ke ʻano hānai: ʻO ka hānai pinepine ʻana i kāu pēpē, akā ʻaʻole pinepine, hiki ke kōkua i ka reflux. Ma mua o ka hana ʻana i kēia mau hoʻololi, he mea nui e kamaʻilio me kāu pediatrician e hōʻoia i ka loaʻa ʻana o kāu pēpē i ka meaʻai e pono ai. Inā ʻoe e hānai waiū ana, pono ʻoe e kamaʻilio me kahi loea lactation a i ʻole kahi loea hānai waiū.

• Ka wehe ʻana i ka protein waiū bipi: Loaʻa i nā pēpē i maʻi i ka protein waiū bipi ka reflux a me ka luaʻi. No laila, ʻo ka mea i like me ka reflux he allergy paha. Hiki i kāu pediatrician ke aʻo aku iā ʻoe e hoʻopau i ka waiū bipi no ʻelua pule e ʻike ai inā hoʻomaikaʻi nā hōʻailona. ʻO ke ʻano kēia inā ʻoe e hānai waiū ana, pono ʻoe e hoʻopau i nā huahana waiū āpau mai kāu ʻai. A i ʻole, inā ʻoe e hānai ana i ka formula, pono ʻoe e hoʻololi i kahi ʻano formula ʻē aʻe. E alakaʻi kāu pediatrician iā ʻoe ma muli o kou kūlana kikoʻī.

• Nā lāʻau lapaʻau: E kuhikuhi wale nā ​​mea lawelawe olakino i nā lāʻau lapaʻau no nā pēpē i maopopo ka loaʻa ʻana o GERD, a laila, i kekahi mau hihia wale nō. Hiki i nā lāʻau lapaʻau e like me nā mea hoʻopaʻa proton pump (PPI) ke kōkua i ka hoʻokele ʻana i nā pilikia o GERD, e like me ka esophagitis. Akā he mau pilikia a me nā hopena ʻaoʻao ko lākou, no laila hoʻohana nā kauka iā lākou i ka wā e pono ai, a no ka manawa pōkole loa.

• ʻOki ʻana: Inā ʻaʻole lawa nā lāʻau ʻē aʻe no GERD a i ʻole kona mau pilikia, he koho paha ke ʻoki ʻana. Hiki i kahi gastroenterologist pediatric ke haʻi iā ʻoe i nā mea hou aʻe e pili ana i nā koho ʻoki ʻana, me ka laparoscopic Nissen Fundoplication. Manaʻo wale nā ​​​​kauka i ke ʻoki ʻana no nā pēpē i nā hihia i koho ʻia.

He aha ka mea e hana ai inā loaʻa i kahi pēpē ka reflux?

Hoʻōki ka hapa nui o nā pēpē i ka omo ʻana ma waena o 9 a me 12 mau mahina. He wā maʻamau wale nō ia a lākou e hele ai. ʻOiai hiki ke lilo i mea huikau iki, ʻaʻohe mea e hopohopo ai.

Eia nō naʻe, hiki i ka GERD ke paʻakikī ke ʻike a me ka mālama ʻana. Hiki i ke kauka o kāu pēpē ke hāʻawi iā ʻoe i ka ʻike hou aku e pili ana i ka mea e manaʻo ai.

Aia kekahi mau ala e pale aku ai i kēia 'reflux' mai ka hanana ʻana?

ʻAʻole hiki ke pale aku i ka reflux i nā manawa a pau. Eia nō naʻe, hiki i kēia mau hoʻololi maʻalahi ke kōkua i ka hōʻemi ʻana i ke alapine o ka reflux o kāu pēpē:

• E pehu i kāu pēpē i ka wā e hānai ai a ma hope o ka hānai ʻana. Ke piha ka ʻōpū o kāu pēpē i ka ea nui loa, hiki iā ia ke pehu. ʻO ke pehu ʻana i ka ʻōpū o ke pēpē e hiki ke kōkua i ka pale ʻana i kēia ea mai ka hōʻiliʻili ʻana.
• E hoʻopaʻa pololei i kāu pēpē no kahi o 30 mau minuke ma hope o ka hānai ʻana. Mai hoʻokuʻu koke iā ia i lalo no ka "manawa ʻōpū."
• E kamaʻilio me kāu kauka keiki e pili ana i ka hānai nui ʻana a pehea e pale aku ai. Hiki i ka ʻōpū o kāu pēpē ke paʻa i ka nui i ka manawa hoʻokahi. Hiki i kāu kauka keiki ke kōkua iā ʻoe e ʻimi i nā ala e hoʻokele ai i ka hānai ʻana i loaʻa i kāu pēpē ka meaʻai e pono ai, akā ʻaʻole e hānai nui.

Āhea ʻoe e ʻike ai i kahi pediatrician?

E kāhea i kāu pediatrician i kēia mau hihia:

• Inā he mau hopohopo a nīnau paha kāu e pili ana i ka reflux o kāu pēpē.
• Inā loaʻa i kāu pēpē nā hōʻailona o `(GERD)`.
• Inā e ʻoi aku ka ʻino o nā hōʻailona o kāu pēpē.

He mea nui hoʻi e makaʻala i nā hōʻailona a me nā ʻōuli e hōʻike paha i nā kūlana ʻē aʻe ma waho aʻe o ka reflux. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kāhea koke aku i kāu pediatrician:

• Ka hoʻomaka koke ʻana o ka luaʻi a i ʻole ka maʻi pākī (ma hope o 6 mahina).
• Ka luaʻi a i ʻole ka luaʻi e hoʻomau ana ma hope o 12 mau mahina.
• Ka luaʻi mau ʻana me ka ikaika.
• ʻO ka luaʻi wale nō i ka pō.
• Ka luaʻi ʻana i ke koko (i kekahi manawa e like paha me ka lepo kofe ).
• Ka maʻi pākī mau loa.
• Ke kahe koko ʻana o ka rectal.
• ʻŌpū pehu.
• Ka emi ʻana o ke kaumaha.
• Ka hiamoe nui a i ʻole ka hiamoe ʻole.
• Kuni.
• Nā ʻōʻili.

Nui nā kumu hiki ke loaʻa i kēia mau hōʻailona, ​​​​me nā kūlana e hoʻopilikia ai i ka ʻōnaehana hoʻoheheʻe o kāu pēpē a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o ke kino. No laila he mea nui e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.

Nā kūlana e pono ai ka mālama ʻana i ka pilikia! (E mālama pono i kēia mau mea)

Inā he ʻōmaʻomaʻo a melemele ʻeleʻele paha ka luaʻi o kāu pēpē, e hele koke i ka ʻoihana pilikia o ka haukapila. ʻO ke ʻano kēia, aia ka bile i loko o ka luaʻi o kāu pēpē. He hōʻailona paha ia o kahi pilikia olakino ʻē aʻe, e like me ka malrotation.

He aha ka "Silent Reflux"?

ʻO ka "Reflux Silent" ka wā e piʻi ai kekahi o ka meaʻai i loko o ka ʻōpū o kāu pēpē i loko o kāna paipu meaʻai (gullet) akā ʻaʻole i puka mai loko mai o kona waha. Akā, hoʻi hou ia i luna i loko o kona ʻōpū. I kekahi manawa hana ʻia kēia no ka mea ale hou kāu pēpē iā ia. I kekahi manawa, ʻaʻole ia e piʻi a hiki i kona waha.

ʻAʻole manaʻo ʻo "Reflux mālie" ua noho mālie kāu pēpē. Hiki i nā pēpē me ka reflux mālie ke uē, ke kuni, a me ka leo ʻoi. Eia naʻe, no ka mea ʻaʻole hiki iā ʻoe ke ʻike i kāu pēpē e ʻū ana, ʻaʻole paha ʻoe e maopopo i ka mea e hana nei. No laila, ʻo "(Reflux)" he "mālie" ma ke ʻano ʻaʻole hiki iā ʻoe ke ʻike. Hiki i kāu kauka pediatric ke haʻi hou aku iā ʻoe e pili ana i ke ʻano o kēia hopena i kāu pēpē.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

ʻAʻohe mea i ʻōlelo he maʻalahi nā mahina mua o ka mālama ʻana i kahi pēpē hānau hou. Akā, ʻaʻohe mea hiki ke hoʻomākaukau maoli iā mākou no ka hopohopo a me ke kaumaha e hele mai me ka mālama ʻana i kahi pēpē. No laila, ʻaʻole ia he mea kupanaha ke ʻike ʻoe i kāu pēpē e luaʻi ana, ʻoiai inā he mea maʻamau ia, hopohopo ʻoe. He mea maʻamau anei kēia? E loaʻa anei i kaʻu pēpē ka meaʻai e pono ai? Āhea e pau ai kēia? Ua loaʻa paha iā ʻoe nā nīnau like.

ʻO ka mea nui e ʻike ai, ʻo ka hapa nui o ka manawa, ʻaʻole ia he pilikia olakino ka reflux. A ʻaʻole pono ka lāʻau lapaʻau. Eia nō naʻe, inā loaʻa i kāu pēpē ka maʻi reflux gastroesophageal (GERD), aia nā lāʻau lapaʻau e hiki ke kōkua. E lawe i kāu mau nīnau a me nā hopohopo i kāu pediatrician. ʻOiai ke ʻano, hiki iā lākou ke kōkua iā ʻoe e hoʻoponopono i kēia. Inā he hopohopo kāu e pili ana i nā hōʻailona o kāu pēpē, mai kuhi wale, e kiʻi i ka ʻōlelo aʻoaʻo lapaʻau. ʻOi aku ka maikaʻi no kāu pēpē a no ʻoe.

Pēpē e kuha ana, pēpē e luaʻi ana, pēpē e kuha ana i ka waiū, GERD, GER, reflux, luaʻi ʻana o nā pēpē, waikawa ʻōpū, nā maʻi pediatric