Ke ʻoni nei kāu keiki liʻiliʻi ma hope o ka inu ʻana i ka waiū? Ke hoʻohuli nei ʻo ia i kona ʻāʻī? E aʻo kākou e pili ana i ka Sandifer Syndrome!

Ke neʻe iki nei kāu keiki liʻiliʻi me ke ʻano ʻē, ma hope o ka hānai ʻana a i ʻole ka ʻai ʻana? Ke huli nei ʻo ia i kona ʻāʻī i kekahi ʻaoʻao a kūlou i kona kua i kekahi ʻano ʻē? He mea weliweli iki ia, ʻeā? Hopohopo ka nui o nā mākua ke ʻike lākou i nā mea e like me kēia. He mea kūpono ke noʻonoʻo, "He hewa anei kekahi mea me kaʻu keiki?" No laila i kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hōʻike ana i kēia mau hōʻailona, ​​​​akā pinepine ʻaʻole koʻikoʻi, akā pono maoli ka nānā ʻana. He maʻi ia i kapa ʻia ʻo Sandifer Syndrome.

He aha ka Sandifer Syndrome, e nā kauka?

I ka ʻōlelo maʻalahi, ʻo Sandifer Syndrome kahi kūlana kahi e loaʻa ai i kāu pēpē nā neʻe ʻokoʻa a hiki ʻole ke kāohi ʻia o ko lākou poʻo, ʻāʻī, a me ke kua. Hiki i kēia ke manaʻo e like me nā ʻūpā ʻiʻo. ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau neʻe ʻano ʻē ma hope o ka hānai waiū ʻana a i ʻole ka ʻai ʻana o kāu pēpē.

E noʻonoʻo e pili ana i ia mea, i kekahi manawa loaʻa iā kākou kahi ʻano wela i loko o ko kākou umauma ke ʻai kākou i kahi mea ʻala, ʻeā? Pēlā nō, ʻike pū nā pēpē i ka ʻoluʻolu ʻole ke hoʻi mai ka waiū a i ʻole ka meaʻai a lākou e inu ai mai ka ʻōpū a i ka puʻu, ʻo ia hoʻi, ka esophagus, i kapa ʻia ʻo acid reflux . Ma muli o kēia ʻoluʻolu ʻole e hana ʻia ai kēia mau neʻe ʻano ʻē a me nā spasms i loko o ke kino o ka pēpē. Hana pinepine kēia i ka wā ʻaʻole i noho pono nā mea o loko o ka ʻōpū.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

ʻO kēia ʻano, i kapa ʻia ʻo Sandifer Syndrome, ʻike nui ʻia i nā pēpē a me nā kamaliʻi liʻiliʻi . Hiki nō hoʻi ke hana i nā keiki me kekahi mau lohi o ka ulu ʻana.

No ke ʻano maʻamau o kēia, e like me nā noiʻi i mālama ʻia ma ʻAmelika Hui Pū ʻIa, ma kahi o 7% o nā pēpē hānai waiū i loaʻa i ka maʻi reflux gastroesophageal (GERD). Eia nō naʻe, ʻaʻole i hiki i ka 1% o lākou ke hōʻike i nā hōʻailona e like me ka regurgitation e pili ana me ka Sandifer syndrome. ʻO ke ʻano kēia ʻaʻole nā ​​​​pēpē āpau me GERD e loaʻa iā ia.

No ke aha lā kēia e hana nei i kaʻu pēpē? He aha ka mea e hana nei i loko?

Inā hōʻike kāu pēpē i kēia mau hōʻailona ma hope o ka inu ʻana i ka waiū, no ka mea, ke neʻe nei nā mea o loko o kona ʻōpū (waiū, wai gastric) i luna i loko o ka esophagus . E like me kā mākou loaʻa ʻana o ka ʻeha puʻuwai ke ʻai mākou i kahi mea ʻala, ʻike pū ka pēpē i ka ʻoluʻolu ʻole a me ka ʻeha like.

No laila, pane ke kino o ke pēpē i kēia ʻoluʻolu ʻole a me ka ʻeha me nā spasms involuntary. ʻO ia hoʻi, kūlou ke pēpē i kona kua, huli i kona ʻāʻī, a wili i kona kino i ka hoʻāʻo ʻana e hōʻemi i kēia ʻoluʻolu ʻole e puka mai ana mai loko mai . Ua like kēia me ka wā e hoʻopā ai mākou i kahi mea wela me ka ʻike ʻole, huki koke mākou i ko mākou lima. Hoʻoneʻe koke ke pēpē i kona kino i ʻō a i ʻaneʻi ma kēia ʻano, me he mea lā he hoʻāʻo e pale i nā mea o loko o ka ʻōpū mai ka hele hewa ʻana.

He aha nā hōʻailona o ka Sandifer Syndrome?

I kēia maʻi, ʻike ʻia ʻekolu mau hui nui o nā hōʻailona:

1. Nā hōʻailona i hoʻokumu ʻia e ka maʻi reflux gastroesophageal (GERD):

ʻO kēia ke kumu pinepine. Ke hiki aku ka waikawa o ka ʻōpū i ka puʻu, hiki ke hana ʻia nā mea e like me kēia:

• Ke luaʻi nei ka pēpē i ka waiū .
• He ʻano wela ka ʻā ʻana o ka umauma i loko o ka puʻuwai. Hiki i nā pēpē ʻōpio ke uē a hoʻomaha ʻole no ka mea ʻaʻole lākou i ʻike pehea e hōʻike ai i kēia.
• ʻEha ka umauma.
• Ua hiki mai kahi ʻono ʻawaʻawa ʻē i kuʻu waha.

2. Nā neʻe ʻana o Dystonic:

ʻO kēia nā neʻe ʻana o nā ʻiʻo o ke pēpē i ʻōlelo ʻia ma mua, hiki ʻole ke kāohi ʻia, ka ʻūlū ʻana, a me ka wili ʻana. Hiki i kēia mau mea ke hana mau a i ʻole e hoʻokaʻawale ʻia. Eia kekahi laʻana:

• Ke kūlou nei lākou i ko lākou kua .
• Haʻalulu ke kino `(nā haʻalulu)`.
• ʻAila wikiwiki.
• Ke ʻōwili nei i ka ʻāʻī.
• Paʻa nā ʻiʻo.

3. Nā pilikia hānai:

Hiki i kāu pēpē ke hōʻike i kēia mau ʻano pilikia i ka wā e hānai waiū ana a i ʻole e ʻai ana:

• Uē mau.
• Ke kamaʻilio lapuwale nei, e hōʻike ana i ka hoʻopailua .
• Me he mea lā he paʻa i ka puʻu, a hele mai ka ʻū me he mea lā e ʻū ʻia ana ka waiū (gagging).

Aia paha kekahi mau mea ʻē aʻe ma waho aʻe o kēia?

ʻAe, ma waho aʻe o kēia mau hōʻailona nui, hiki i ka Sandifer Syndrome ke hana i kekahi mau pilikia ʻē aʻe. Akā, ʻaʻole kēia mau mea e hana i nā kānaka a pau.

• ʻAʻohe maʻi koko .
• ʻO ka pohō kaumaha - no ka mea ʻaʻole hiki iā ʻoe ke inu i ka waiū.
• He leo ʻē i ka wā e hanu ana (Stridor) a/a i ʻole he leo hū mai ka umauma (wheezing).
• ʻO ke ʻano kahi e puʻupuʻu ai ka ʻaoʻao o luna o ka ʻōpū, i ʻike ʻia he hiatal hernia.

No ke aha lā kēia e hana nei?

ʻAʻole ʻike ʻia ke kumu kikoʻī o Sandifer Syndrome . Eia nō naʻe, manaʻo nā kauka ʻaʻole i ulu pono ka pilina ma waena o ka esophagus a me ka ʻōpū i nā pēpē ʻōpio, ʻo ia ka ʻāpana e like me ka valve, e ʻae ana i nā mea o loko o ka ʻōpū e kahe maʻalahi i luna i loko o ka esophagus. ʻO kēia ke kumu o GERD. Ke noiʻi hou ʻia nei kēia.

No laila, pane ka pēpē i ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e GERD me kēlā mau 'neʻe dystonic', ʻo ia hoʻi, ma ka hoʻoluliluli ʻana i nā ʻiʻo. Hoʻoneʻe koke ka pēpē i kona kino ma ʻō a ma ʻaneʻi, e kūlou ana i kona kua, me he mea lā e hakakā ana i kēia ʻoluʻolu ʻole e puka mai ana mai loko mai.

Pehea e ʻike pololei ai ke kauka i ka Sandifer Syndrome?

Inā loaʻa i kāu pēpē kēia mau hōʻailona, ​​ʻo ka mea mua a ke kauka e hana ai , ʻo ia ke nīnau iā ʻoe e pili ana i nā hōʻailona o kāu pēpē (mōʻaukala olakino) a laila e hana i kahi hoʻokolokolo kino .

I ka hapanui o nā hihia, ʻaʻohe pono o nā hoʻokolohua kūikawā. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia nā hoʻokolohua e kāpae i nā kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like a hōʻoia i ka Sandifer Syndrome ke kumu. ʻO kēia mau hoʻokolohua:

• Endoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole me kahi kāmela liʻiliʻi i loko o ka esophagus a me ka ʻōpū o ke pēpē e nānā i loko.
• ʻEsophagram (ʻai ʻana i ka barium): Ma kēia hoʻāʻo, hāʻawi ʻia ka pēpē i kahi wai kūikawā (barium) e inu, a lawe ʻia nā kiʻi X-ray i kona hele ʻana i lalo o ka esophagus. ʻAe kēia i ka esophagus e ʻike ʻia i ka hana.
• Electroencephalogram (EEG): Nānā kēia hoʻāʻo i ka hana uila o ka lolo o ke pēpē. Kōkua kēia i ka kāpae ʻana i nā maʻi ʻē aʻe, e like me ka epilepsy, hiki ke hoʻoulu i nā hopu ʻana.

He aha nā lāʻau lapaʻau no kēia? He mea kēia e hopohopo ai?

ʻO ka mea mua, ʻaʻohe mea e hopohopo nui ai . ʻO ka Sandifer Syndrome kahi maʻi i mālama pono ʻia.

ʻO ka mea nui i ka mālama ʻana i kēia, ʻo ia ke kāohi ʻana i ka waikawa o ka ʻōpū mai ka piʻi ʻana i loko o ka puʻu, ʻo ia hoʻi ke kūlana 'GERD' . ʻElua ala nui e hana ai i kēia: ka hoʻololi ʻana i ka meaʻai a, inā pono, ka hoʻohana ʻana i nā lāʻau lapaʻau.

1. Nā hoʻololi ʻai

ʻO kēia paha ke ʻano hana mua a ke kauka e hoʻāʻo ai.

• Ke hoʻomānoanoa ʻana i kekahi o kāu waiū waiū: Hiki iā ʻoe ke hoʻomānoanoa i kāu waiū waiū ma ka hoʻohui ʻana i kahi teaspoon o ka cereal laiki i kēlā me kēia auneke o ka waiū waiū, a i ʻole ma ka hoʻohui ʻana i kahi mea hoʻomānoanoa ʻē aʻe e like me ke kuhikuhi a kāu kauka. Inā ʻoe e hānai waiū ana, e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka hana ʻana i kēia. E haʻi pū kāu kauka iā ʻoe i ka nui o ka hānai ʻana a me ka pinepine.
• Ke mālama ʻana i ka pēpē i luna i ka wā a ma hope o ka hānai ʻana: He mea nui e kau i ka pēpē i luna ma kahi noho a i ʻole e paʻa kekahi i ka pēpē i luna. E hōʻemi kēia i ka manawa e piʻi hou mai ai ka meaʻai.
• Ke kuʻi ʻana (ke kuʻi ʻana) o ka pēpē i ka wā a ma hope o ka hānai ʻana i ka waiū: ʻAe kēia i ka pēpē e hoʻokuʻu i ka ea i moni ʻia.
• Hiki i kekahi mau pēpē ke maʻi i nā protein i loko o ka waiū bipi . A i ʻole he maʻi paha lākou i kekahi mau mea hoʻohuihui. Hiki ke ʻoi aku ka ʻino o nā hōʻailona i kēia manawa. Inā pēlā, pono paha ʻoe e kāohi i kāu ʻai inā ʻoe e hānai waiū ana, a i ʻole e hoʻololi i kahi mea hoʻohuihui ʻē aʻe e like me ka ʻōlelo a kāu kauka.

2. Nā lāʻau lapaʻau

Inā ʻaʻole kōkua nā hoʻololi ʻana i ka meaʻai wale nō, hiki i ke kauka ke kuhikuhi i nā lāʻau anti-reflux e hōʻemi ana i ka nui o ka waikawa o ka ʻōpū e piʻi aʻe ana i loko o ka puʻu. Eia kekahi laʻana:

• Nā mea pale o ka pamu proton
• Nā mea pale H2

Ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, pono e emi mālie nā hōʻailona o ke pēpē a, i ka hala ʻana o ka manawa, e nalo loa.

He mea nui: Inā loaʻa i kāu pēpē kahi hernia, a ʻaʻole hiki ke kāohi ʻia nā hōʻailona me ka lāʻau lapaʻau, pono paha ke ʻoki ʻana i kekahi manawa. Eia nō naʻe, ʻaʻole pono kēia i ka hapa nui o nā hihia.

ʻEhia ka manawa e ola ai ke pēpē ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau?

Ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, pono e hoʻomaikaʻi mālie nā hōʻailona o ka pēpē a laila e ho'ōla loa ʻia . Hiki i kēia ke hala i kekahi mau pule a i hoʻokahi mahina. I ka wā o ka lāʻau lapaʻau, e hoʻomau ke kauka i ka nānā ʻana i ka pēpē. ʻO ia hoʻi, e nānā lākou i ke ʻano o ka pane ʻana o ka pēpē i nā loli i ka meaʻai a me ka mea inu, inā olakino ka pēpē a ulu maikaʻi.

Aia kekahi mea e hiki ai iā kākou ke hana e pale aku ai i kēia kūlana mai ka hanana ʻana?

ʻOiai ʻaʻole hiki iā mākou ke pale aku i nā kumu āpau e kōkua ai i kēia kūlana, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka Sandifer Syndrome:

• Mai hāʻawi i kāu pēpē i ka waiū/meaʻai he nui i ka manawa hoʻokahi, akā e hāʻawi mālie iā ia i nā manawa he nui i ka lā .
• E hoʻomānoanoa iki i ka waiū/meaʻai i hāʻawi ʻia i ka pēpē (ma ka hoʻohui ʻana i kahi mea e like me ka palaoa laiki).
• E hoʻopaʻa i kāu pēpē i ke kūlana pololei i ka wā e ʻai ana/hānai ana.
• E wehe pono i nā umauma i ka wā e hānai ai i ka waiū umauma a ma hope.

Inā loaʻa i kāu pēpē ka GERD, e hahai pono i ka hoʻolālā lapaʻau a kāu kauka i kuhikuhi ai. E kōkua kēia i nā hōʻailona o kāu pēpē e hoʻomaikaʻi a kōkua iā lākou e loaʻa ka meaʻai e pono ai lākou e noho olakino.

He aha kaʻu e manaʻo ai inā loaʻa i kaʻu pēpē ʻo Sandifer Syndrome?

He maʻi manawa pōkole wale nō ka Sandifer Syndrome. Nalo wale ia i ka wā e hiki ai i kahi pēpē i hoʻokahi makahiki. Me ka mālama ʻana, inā ma o nā hoʻololi ʻana i ka meaʻai a i ʻole ka lāʻau lapaʻau, hiki ke emi nā hōʻailona a hiki ke hoʻomaikaʻi koke ke ʻano.

Eia nō naʻe, inā waiho ʻole ʻia ka pēpē a hoʻomau i ka pilikia i ka hānai ʻana/hānai ʻana, hiki iā ia ke alakaʻi i nā kūlana e like me ka ʻai ʻole ʻana i ka meaʻai, hiki ke loaʻa nā hopena mau loa i ka wā kamaliʻi. Eia naʻe, he mea kakaikahi loa kēia. No laila, mai hopohopo.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā loaʻa i kāu pēpē kekahi o kēia mau hōʻailona, ​​e ʻike koke aku i ke kauka:

• Inā ʻaʻole hiki i ka pēpē ke inu/ʻai i ka waiū, a inā ʻaʻole hiki iā ia ke hoʻemi i kāna mea e ʻai ai (inā e luaʻi ana ʻo ia).
• Inā e emi ana ke kaumaha o ke pēpē .
• Inā ʻoi aku ka ʻino o nā hōʻailona ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, a inā ʻoi aku ka ʻino o ka ʻūlū ʻana o nā ʻiʻo ma mua o ka maʻamau .

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, mai poina e nīnau i nā nīnau e like me kēia:

• ʻEhia ka nui o ka waiū/meaʻai e hāʻawi aku ai i kaʻu pēpē? ʻEhia mau manawa i ka lā?
• He aha ke ʻano o ka mea hoʻomānoanoa e pono iaʻu e hoʻohana e hoʻomānoanoa i ka waiū umauma/ka waiū waiū?
• Loaʻa i kaʻu pēpē kekahi maʻi ʻaleka meaʻai?
• Inā hāʻawi ʻia ʻoe i ka lāʻau hoʻēmi waikawa, aia kekahi mau hopena ʻaoʻao?

ʻO ka mea hope loa, pono wau e ʻōlelo... (Leka Lawe-Home)

He mea maʻamau ke kaumaha a me ka makaʻu i ka wā e ʻūlū ai kāu keiki liʻiliʻi a huli i kona ʻāʻī ma hope o ka inu ʻana i ka waiū. Eia kekahi, he mea hopohopo nō hoʻi ia ke ʻai pono ʻole kāu pēpē, ʻeā? No laila, ʻo ka mea nui loa, ʻo ia ke ʻike i ke kauka i ka wā e hoʻomaka ai kāu pēpē e hōʻike i nā hōʻailona o Sandifer Syndrome. Hiki i kēia ke pale i ka pēpē mai ka hoʻomohala ʻana i nā mea e like me ka malnutrition a hōʻemi i ka ʻoluʻolu ʻole o ka pēpē.

E hoʻomanaʻo, e hoʻomaikaʻi pinepine kēia ʻano i ka wā e piha ai kāu pēpē i hoʻokahi makahiki, a i ʻole ma mua o ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai. No laila, mai hopohopo me ke kumu ʻole, e kamaʻilio me kāu kauka, a e hahai pono i kāna mau kuhikuhi. E hoʻomaikaʻi koke kāu pēpē!

ʻO ka Sandifer Syndrome, GERD, reflux acid, spasms pēpē, pēpē e kūlou ana i ke kua, pilikia hānai i nā pēpē, neʻe dystonic, Sandifer Syndrome, pēpē e luaʻi ana i ka waiū, piʻi aʻe ka waikawa o ka ʻōpū i loko o ka puʻu