I fate hian nu hnute a dawng em? Baby reflux chungchang hi han sawi ila!

I fate hian bawnghnute a in hnuah tlem a chil a chhuak em? A chang chuan luak chhuak nen. Nu emaw pa emaw i nih angin hei hi i hmuh hian hlauhna leh lungkhamna nasa tak i nei thin a ni lawm ni? Dik tak chuan nu leh pa tam takin he harsatna hi an tawk a ni. Chuvangin vawiinah hian he thil hi eng thil nge a thlen tih, hei hi thil pangngai tak a ni em, engtikah nge he thil hi kan ngaihtuah tur tih hi han sawi ila.

Baby reflux tih hi eng nge ni?

A awlsam zawngin, reflux, a nih loh leh reflux kan tih hi naute pum chhunga ei tur, chu chu a hnute tui in, a rilruah a lo chho leh a, a chang chuan ka atanga chhuak a ni. Hei vang hian naute hian hnute an chil a , a chang chuan an luak chhuak thin .

Mahse a tam zawkah chuan reflux hi naute tan chuan harsatna lian tak a ni lo. A chhan chu an chaw ei kawng (digestive tract) a la thang kim lo vang a ni. Chu chu thlai te tak te ang maiin a la thang zel tihna a ni.

Nausen thenkhat chu hriselna lama harsatna nei lovin nilengin bawnghnute chil chhak hi an hlim hle thin. Doctor-te chuan chutiang naute chu ``happy spitters'' an ti. Chumi awmzia chu bawnghnute tlem an chil chhuah chuan an ngaihtuah lo niin a lang. Tlemte an tap mai thei, mahse chu chu a ni. Hun dangah chuan an tha khawp mai. A tam zawkah chuan he ``(Reflux)'' hi naute kum khat vel a nih meuh chuan a mah chauhin a tha chho thin.

Mahse, naute ṭhenkhat tân chuan reflux hi a na hle thei a ni . Chumi awmzia chu an mamawh ei tur tha tak tak an hip thei lo tihna a ni. Chutiang a nih chuan thisen an luak chhuak thei a, an thau tha lo thei a, a nih loh leh natna dang, khuh chhunzawm zel ang chi an nei thei bawk. Doctor-te chuan heng symptoms te hi "symptoms buaithlak" tiin an sawi. Heng symptoms te hi normal gastroesophageal reflux (GER) leh gastroesophageal reflux disease (GERD) te hi a ni.

"Chitting up" leh "vomiting" tih hi eng nge a danglamna?

I naute hian reflux a nei em tih i ngaihtuah hian "regurgitation" leh "vomiting" inthlauhna hriat a pawimawh.

• Spitting up: Hei hi naute pum chhunga thil awmte chu awlsam tak leh harsatna awm lova ka atanga a chhuah hun a ni. Nautein a hmui a han hawn pawhin a thleng thei. Vawi khatah tlemte chauh a chhuak thin. Tin, hei hi pum ruhte chu a inzawm tlat a, a chhuah tir luih ang maiin a chhuak lo bawk. A tam zawkah chuan naute hian hei hi a hrehawm vak lo.

• Vomiting: Hetiang a nih chuan pum ruh te hi a inzawm khawm thin. Naute pum lairil ruhte chu a inzawm khawm a, a pum chhunga thil awmte chu tharum thawhna ang maiin a nawr chhuak a. Hei hian naute chu a ti nuam lo tlangpui a, a tap pawh a ni thei. Nau pai lai ang a ni lo va, nausen a luak lai erawh chuan a harsa thin.

GERD an tih chu a chang chuan chil chhak leh/ emaw, luak chhuak thei a ni. Mahse, i naute hian a chil a chhuah aiin a luak tam zawk chuan GERD emaw, natna dang emaw chhinchhiahna a ni thei.

Naute zingah hian engtiang chiahin nge he natna hi a hluar?

A nihna takah chuan naute hian `(Reflux)` an neih hi a awm fo thin . Nausen thla 3 vel mi 50% vel chuan `(Reflux)` symptoms an nei a, ni khatah vawi khat tal chil chhak ang chi hi a ni. Thla 4-ah chuan he zat hi 66% vel a ni tawh. Mahse thla 7-ah chuan he zat hi 14% velin a tlahniam a, thla 10-14-ah chuan 5% aia tlem a ni. Heng naute tam zawk hi chu `(GER)` an tih hi a pangngai (normal condition) an nei a. Kum khatna chhunga thil thleng a ni a, hlauh tur a ni lo. Mahse, heng naute thenkhat hian `(GERD)` an tih natna pawh an nei thei bawk.

Researcher te hian naute engzat nge GERD vei tih chiang takin an hre lo. Hei hi GERD symptom tam tak hi nonspecific a nih vang a ni. Chu chu, a natna lan chhuah dan hi GERD tan bik a ni lo va, natna dang emaw natna dang tam tak avanga lo awm thei a ni. Chuvangin, naute hian GERD a vei em tih chiang taka hriat a har hle.

Mahse, zirchiangtute chuan naute pawl engemaw zat chu he natna (GERD) hian a nghawng nasa zawk tih an hmuchhuak a:

• Naute hiatal hernia nei te.
• Naute thluak emaw, nervous system emaw tichhe thei natna nei te.
• Nausen cystic fibrosis an tih natna nei te.
• Naute epilepsy vei te.
• Naute hi chaw kawng (esophagus)-ah hian natna engemaw tak neiin an piang thin.
• Naute asthma vei te.
• Naute an pian hun (premature birth) hmaa piang.

`GER` leh `GERD` hi eng nge ni? An pahnih inthlauhna chu eng nge ni?

``(GER)`` leh ``(GERD)`` te hian kum eng pawha mite nghawng thei ``Acid Reflux`` tihna ni mah se, an pahnih inkarah hian danglamna pawimawh tak a awm a ni.

• Gastroesophageal Reflux (GER): Hei hi a chang chuan acid chu chaw kawng chhunga a rawn lut leh thin a ni. Naupang leh puitling upa zawkte chuan "indigestion" emaw "heartburn" emaw an ti mai thei. A pawi lo va, natna a ni lo. Naute GERD hi kum khatna chhungin a dam tlangpui. Chutih lai chuan i naute chaw ei danah inthlak danglamna tenau te siam hian chil chhakna a tihtlem phah thei a ni.

• Gastroesophageal Reflux Disease (GERD): GERD hi natna khirh tak a ni a, chu chu chaw kawng chhunga acid reflux a awm thin a ni. Mihring nunphung a nghawng thei a, chaw kawng a tichhe thei bawk. GERD vei naute chu doctor-in uluk taka enkawl an ngai a , damdawi ang chi enkawlna an mamawh thei bawk.

Chuti a nih chuan, mom emaw dad emaw lungngai tak angin engtin nge a danglamna chu i hriat theih ang? A awlsam lo hle a, a bik takin i naute hian a rilru put hmang chu thuin a la sawi thei lo a ni.I naute chu a chil a chhak reng a, i ngaihtuah a nih chuan i naupang enkawltu doctor nen inbiakna neih a tha ber. Doctor chuan i naute natna lan chhuah dan leh a damdawi lam chanchin a en ang a, GERD emaw, natna dang emaw a awm leh awm loh a enfiah ang.

Naute hian reflux a neih leh neih loh hriat theihna tur chhinchhiahna engte nge awm?

Reflux chhinchhiahna ber chu chaw pek hnua burping leh/or vomiting hi a ni. Naute hi an burp tlem a, an tih dan pangngaiah an kal tlangpui. Hei hi naute kum khatnaah tam zawk tan chuan thil pangngai a ni. Mahse, natna lan chhuahna dang, ei duh loh emaw, khuh reng emaw a awm chuan GERD a ni thei.

`GER` natna tlanglawn tak chhinchhiahna

`(GER)` a nih chuan a lan chhuah dan hetiang hi i hmu thei ang:

• Duhthusamin hnute tui in hnua rilru hahna leh/ emaw, luak chhuak.
• A chang chuan hnute pek hun hi a tlangpui aia rei a ni thei a, a nih loh leh hnute dah luh a nih avangin a chanve vel a tawp thei bawk.

Heng symptoms te hi reflux vang chauh ni lovin a awm thei a, mahse chu chu thil awm thei pakhat a ni.

Nausen `(GER)` vei te hi a pangngaiin an thau chho zel a , chaw pek an harsat lo tlangpui. Anmahni pawh he `(Reflux)` hian a nghawng lo niin a lang.

Reflux hi naute kar 2-3 vel atanga tan a ni tlangpui a, thla 4-5 vel ah a sang ber thin. Thla 9-12 chhungin a bo vek tur a ni. Reflux symptoms hi naute dam chhung kar hmasa berah a intan emaw, thla 6 hnua a intan emaw hi thil mak tak a ni. Chutiang a nih chuan a lan chhuah dan chu GERD emaw, natna dang emaw nen a inzawm thei a ni.

GERD symptoms (Hengte hi fimkhur tur symptoms te chu an ni!)

Naute GERD vei te hian heng symptoms te hi an nei thei a ni. I naute hian heng zinga pakhat emaw a aia tam emaw a neih chuan naupang enkawltu doctor pan ngei ngei tur a ni.

• Diarrhea leh/ emaw, luak chhuak - chu rang tak, tharum hmanga hnawhchhuah a ni thei .
• Harsatna emaw, hahdam lohna emaw - Naupai laiin tap leh hnungzang arching i nei thei.
• Nau hnute pek duh loh emaw, bottle atanga hnute in emaw.
• Thau tihpun loh emaw, than chak lohna emaw.
• Thisen chhuak .
• Chaw ei harsa.
• Khuh.
• A rilru a buai hle.
• Thâwk chhuah laiin thawm mak tak mai (Stridor).
• Hoarseness a awm.

Heng symptoms te hi GERD tih loh natna dang tam tak avanga lo awm thei a ni tih hre reng ang che. Chuvangin i naute zingah heng symptoms te hi i hmuh chuan i pediatrician nen inbia nghal rawh.

Engvangin nge naute chungah hetiang hi a thlen? A chhan engte nge ni?

Naute hian reflux an neih chhan ber chu an chaw kawng leh an pum inkar muscular valve a lo thang kim loh vang a ni a, a nih loh leh a hun dik lo taka a inhawng vang a ni. He valve hi ring ang maia taksa peng pakhat Lower Esophageal Sphincter (LES) an tih a ni.

Hetiang hian ngaihtuah teh `(LES)` hi kawngkhar ang a ni. Nausen hnute a in hian he kawngkhar hi a inhawng a, chu chuan chaw kawng atanga hnute chu a pum chhungah a luh tir thin. Tichuan, he kawngkhar hi a khar nghet hle a, chu chu hnute tui chu chaw kawng chhungah a luang lut leh tawh loh nan a ni. Mahse, naute taksaa sa chi dang zawng zawng ang bawkin he `(LES)` hi an kum khatnaah hian a la thang zel a ni. Chuvangin, puitling angin a khar nghet tawk lo.

Tin, naute pum chhunga ei leh in leh acid hian a chang chuan he valve hi pressure a siam thei a, hun remchang lo takah a inhawng thei bawk. Hei hi naute pum a khat em em lai emaw, naute dinhmun a inthlak thut lai emaw (entir nan, naute chu ding taka ṭhut aṭanga muhil tura tihdanglam nghal a nih chuan) a thleng thei a ni.

Hei hian harsatna a thlen thei em?

`(GER)` dinhmun pangngai hian harsatna a thlen lo. Mahse, `(GERD)` condition a awm reng chuan harsatna te chu:

• Normal weight gain leh growth tihkhawtlai.
• Reflux esophagitis natna a ni.
• Chaw ei kawng (esophageal strictures) a awm.
• Barrett’s esophagus (puitlingah chuan chaw kawng cell inthlak danglamna).
• Thluak lama harsatna a awm.

Engtin nge doctor-te hian reflux hi dik taka an hriat theih?

I pediatrician chuan i naute medical history a enfiah ang a, physical exam a ti ang. I naute hian GERD a nei em, hun kal zelah a mah chauhin a dam leh dawn em tih emaw, enkawlna an mamawh em tih emaw hriat an duh ang. GERD nia rinhlelh a nih chuan harsatna awm thei chhinchhiahna an zawng bawk ang. Acid reflux ang chi sign leh symptom nei condition dang pawh paih chhuah an duh dawn bawk. I beisei theih turte chu hetiang hi a ni:

A hmasa berin i pediatrician chuan i thil hmuh chungchang chu a sawipui ang che. Zawhna an zawt thei a, chungte chu:

• Kum engzat nge i naute hian symptoms a neih tan?
• I naute chu hnute i pe em, formula i pe em?
• Powder milk i pe a nih chuan eng ang powdered milk nge i pek? Thil dang i belhchhah em?
• I naute hi engzat nge i hnute i pek a, vawi khatah eng chen nge a awm?
• I naute chu bawnghnute engzat nge i pek?
• I naute riltam emaw, a luak chhuak emaw hian eng pattern nge i hmuh? Entirnan, chaw pek hnuah a thleng fo em? Nge zanah?

I naute damdawi lam chanchin leh i chhungte zinga tu pawhin an neih theih damdawi lam dinhmun eng pawh an sawipui ang che.

Tichuan, naupang enkawltu doctor chuan i naute chu a enfiah ang a, damdawi lam thil dang a awm leh awm loh a enfiah ang a, chutah chuan thluak emaw, lung emaw nghawng thei dinhmun pawh a tel ang. Tin, i naute san zawng leh a rih zawng pawh an teh ang a, a hmasawnna chu a hun takah a awm em tih an enfiah ang.

Heng zawng zawng hian i naupang enkawltu doctor chu i naute hian GER, GERD, emaw, natna dang emaw a neih leh neih loh a hriat theih nan a pui ang. I naupang enkawltu doctor chuan naupang chaw ei kawng lama tui doctor hnenah pawh a refer thei che a ni. I naute chu a enfiah thei bawk a, diagnosis i thlen theih nan a pui thei bawk.

Eng test nge tih thin?

Nausen tam zawk chuan diagnostic test an mamawh lo. Hriselna lama thawktute chuan a châng chuan test hi hetiang hian an hmang ṭhin:

• Diagnosis siam turin information tam zawk an mamawh a nih chuan.
• Naute hian GERD tih loh damdawi lam dinhmun dang a nei nia an rinhlelh chuan.
• Complication chhinchhiahna an enfiah duh chuan.

Chutiang thila test tih theihte chu:

• Upper Endoscopy: He test hian camera hmangin i naute chaw ei kawng chunglam chu ngun zawkin a enfiah thin.
• Upper GI series: He test hian X-ray hmangin i naute chaw kawng, pum leh small intestine chunglam thlalak a la thin.
• pH impedance study: He test hian i naute pum chhunga thil awmte chu esophagus-ah engzat nge a regurgitated tih a hriat theih a ni. Tin, regurgitated contents pH, a nih loh leh acidity pawh a teh thei bawk.

Naute reflux hi eng enkawlna nge ni?

I naute reflux enkawl dan chu a nasat danah a innghat ang. GERD vei naute hian damdawi an mamawh lo. Chu ai chuan, an chaw ei dân inthlâk danglamna chu an hlâwkpui thei a ni. Hetiang inthlak danglamna hian GERD vei naute pawh a pui thei a, mahse heng naute hian damdawi an mamawh fo thin. A tlem hle a, GERD vei naute chu operation neih a ngai mai thei .

I naute doctor chuan a mamawh angin enkawlna a siamsak ang. Enkawlna awm thei te chu:

• Thickened feedings: Hei hian nu hnute tuiah emaw formula emaw-ah thil pakhat dahin a thick theih nan a huam a ni. Zirna hrang hrangah chuan hei hian reflux symptoms, regurgitation ang chi te a tihziaawm thei tih hmuhchhuah a ni. Mahse, thickener i hman hmain i pediatrician nen inbiakna neih hmasak phawt tur a ni.I naute tan a tha em tih leh eng ang thickener nge i thlan tur tih te an rawn hrilh ang che. Entirnan, formula thicken turin oatmeal hman an rawt mai thei a, nu hnute tui atan carob bean thickener hman an rawt thei bawk.

• Feeding pattern inthlak danglam: I naute chaw pek tam zawk, mahse tlem zawk pek hian reflux a pui thei a ni. Heng inthlak danglamna te hi i siam hmain i naute hian an mamawh ei tur a la dawng em tih hriat chian nan i naupang enkawltu doctor nen inbiakna neih hmasak a pawimawh. I hnute i pek chuan lactation consultant emaw, hnute pek dan thiam emaw pawh i biak tur a ni.

• Bawnghnute protein paih chhuah: Naute bawnghnute protein allergy nei te pawhin reflux leh luak chhuak an nei bawk. Chuvangin, reflux ang maia lang chu a takah chuan allergy a ni thei. I naupang enkawltu doctor chuan bawnghnute chu kar hnih chhung ei loh turin a fuih thei che a, chu chu natna lan chhuah dan a ṭhat leh ṭhat loh en a ni. Hei hian a awmzia chu i hnute i pek chuan i ei leh in atanga bawnghnute (dairy) zawng zawng i paih vek a ngai dawn tihna a ni. A nih loh leh, formula feeding i nih chuan formula chi dang i thlak a ngai dawn a ni. I pediatrician chuan i dinhmun bik a zirin a kaihruai ang che.

• Damdawi: Healthcare provider-te chuan naute GERD nei chiang tak takte tan chauh damdawi an pe ang a, chuti chung pawh chuan, case thlan bikte tan chauh damdawi an pe ang. Proton pump inhibitor (PPI) ang damdawi te hian GERD natna, esophagitis ang chi te chu a enkawl thei a ni. Mahse risk leh side effect an nei a, chuvangin doctor-te chuan a tul hunah chauh an hmang a, hun rei lote chhung atan an hmang bawk.

• Surgery: GERD emaw a harsatna emaw enkawlna dang a tawk lo a nih chuan surgery hi duhthlan tur a ni thei. Naupang gastroenterologist chuan surgical option hrang hrang a hrilh belh thei che a, laparoscopic Nissen Fundoplication te pawh a hrilh thei bawk. Doctor-te chuan naute tan surgery hi case thlan bikte chauh an ngaihtuah thin.

Naute hian reflux a neih chuan eng nge thleng?

Nausen tam zawk chuan thla 9 leh 12 inkar an hnute an chawlhsan thin. An paltlang hun pangngai mai a ni. Tlem a buaithlak thei viau laiin, a tlangpuiin ngaihtuahawm tur a ni lo.

Mahse, GERD hi hriatchhuah leh enkawl chu a harsa thei hle. I naute doctor chuan i beisei tur chungchang a hrilh belh thei che a ni.

He `reflux` hi a awm loh nan kawng a awm em?

Reflux hi a veng thei reng reng lo. Mahse, heng inthlâk danglamna awlsam tak takte hian i naute reflux awm tam lutuk tihtlem nân a ṭanpui thei a ni:

• I naute chu chaw pek lai leh pek hnuah burp rawh. I naute pum chu boruak a khat lutuk chuan a bur mai thei. Naute pum burping hian he boruak hi a khawlkhawm loh nan a pui thei a ni.
• I naute chu chaw i pek hnuah minute 30 vel ding chungin vawn tlat ang che. "Tummy time" atan chuan dah nghal suh.
• I naupang enkawltu doctor nen chaw pek tam lutuk chungchang leh a ven dan tur sawipui rawh. I naute pum hian vawi khatah chutiang zat chauh a chelh thei. I naupang enkawltu chuan i naute hian a mamawh ei tur a hmuh theih nan, mahse chaw pek tam lutuk loh nan chaw pek dan tur enkawl dan tur a zawng thei che a ni.

Engtikah nge naupang doctor i hmuh ang?

Heng thil thlengah hian i pediatrician ko rawh:

• I naute reflux chungchangah ngaihtuahna emaw zawhna emaw i neih chuan.
• I naute hian `(GERD)` symptoms a neih chuan.
• I naute symptoms a zual chuan.

Reflux tih loh chu natna dang a awm theihna tur chhinchhiahna leh chhinchhiahna te hriat a pawimawh bawk. Heng symptoms zinga pakhat tal i hmuh chuan i pediatrician call nghal rawh:

• Hriselna lama ril\am emaw, ril\am emaw (thla 6 hnuah).
• Thla 12 hnuah pawh nausea emaw vomiting emaw a awm chhunzawm zel.
• Chawlh chhunzawm zel, tharum hmanga luak chhuak.
• Zanah chauh luak chhuak.
• Thisen chhuah (a chang chuan coffee grounds ang maiin a lang thei ).
• Chronic diarrhea a awm thin.
• Rectal atanga thisen chhuak.
• A pum a hring.
• Rihna tihtlem.
• Mutthilh lutuk emaw, mutthilh lutuk emaw.
• Khawsik.
• Seizures a awm thin.

Heng natna hi a chhan tam tak a awm a, chu chu i naute chaw ei dan emaw, taksa peng dang emaw tichhe thei dinhmunte pawh a ni. Chuvang chuan damdawi lam thurawn lak a pawimawh.

Emergency treatment ngai dinhmunte! (Hengte hi a bik takin enkawl rawh)

I naute luak chhuak chu green emaw dark yellow emaw a nih chuan damdawi in emergency department-ah kal nghal rawh. Chumi awmzia chu i naute riltam ah hian bile a awm tihna a ni. Medical emergency dang, malrotation ang chi chhinchhiahna a ni thei bawk.

"Silent Reflux" tih hi eng nge ni?

"Silent Reflux" tih hi i naute pum chhunga ei tur thenkhat chu a ei tur pipe (gullet)-ah a chho a, mahse a ka atanga a chhuak lo a ni. Chu ai chuan a pum chhungah a chho leh ta zawk a ni. A chang chuan i nautein a ei let leh vang a ni. A châng dangah chuan a kâ thlengin a rawn chho ngai lo.

"Silent Reflux" tih hian i naute chu a ngawi reng tihna a ni lo. Silent reflux nei naute chu an tap thei a, an khuh thei a, aw pawh a ri chhuak thei bawk. Mahse, i naute burping i hmuh theih loh avangin thil awmdan chu i hrethiam lo mai thei. Chuvangin, "(Reflux)" hi i hmu thei lo tihna a ni a, "silent" a ni. Hei hian i naute a nghawng theih dan tur chu i naupang enkawltu doctor chuan a hrilh belh thei che a ni.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Nausen piang thar enkawl thla hmasa berte chu thil awlsam a ni tih tumahin an sawi lo. Mahse, naute enkawlna avanga lungkhamna leh lungkhamna lo awm tur atan chuan engmahin min buatsaih thei tak tak lo. Chuvangin, i naute chu a thawk chhuak tih i hmuh hian, a bik takin thil thleng fo a nih chuan i lungkham thin tih hi thil mak a ni lo. Hei hi thil pangngai a ni em? Ka naute hian a mamawh ei leh in a hmu dawn em ni? Hei hi engtikah nge a tawp ang? Chutiang zawhna chu i nei ve tawh ngei ang.

Hriat tur pawimawh tak chu a tam zawkah chuan reflux hi damdawi lam harsatna a ni lo. Tin, a tlangpuiin damdawi a ngai lo. Mahse, i naute hian gastroesophageal reflux disease (GERD) a neih chuan a pui thei tur enkawlna a awm. I zawhna leh ngaihtuahnate chu i naupang enkawltu hnenah thlen rawh. Eng pawh ni se, he thil hi i paltlang theih nan an pui thei che a ni. I naute natna lan chhuah dan chungchangah ngaihtuahna i neih chuan ngaihtuah mai mai suh, damdawi lam thurawn la rawh. I naute tan leh nangmah tan a tha ber.

` Nausen chil chhak, nausen luak, naute hnute chil, GERD, GER, reflux, nausen luak, pum acid, naupang natna