Mwana wako mudiki anogara achichema achiti, "Amai, dumbu rangu rinorwadza here?" Haasi kudya zvakanaka here? Haasi kuwedzera uremu sezvinotarisirwa pazera rake here? Semubereki, unofanira kunge uchinetseka nezvinhu zvakaita seizvi. Kazhinji, pane dambudziko nehurongwa hwekugaya kwemwana huri kukonzera matambudziko aya. Saka nhasi tichataura nezvechiremba akakosha anogona kukubatsira iwe nemwana wako panguva yakaita seiyi. Uyu ndichiremba wezvekudya zvevana.
Ndiani uyu chiremba wezvekudya zvevana?
Zvichitaurwa zviri nyore, uyu chiremba ane ruzivo rwakakosha uye kudzidziswa muzvirwere zvine chekuita nekugaya kwevana vedu, kubva kuvacheche kusvika kuvana vadiki.
Patinotaura nezvegadziriro yekugaya chikafu, inosanganisira nhengo dzakawanda. Ingofungai, kubva panguva iyo chikafu chatinodya chinobva mumuromo medu, kusvika panguva iyo chinogayiwa uye nguva iyo chinoburitswa mumuviri wedu, pane zvinhu zvakawanda zvinobatanidzwa mukuita uku. Vanachiremba ava vane hunyanzvi vane ruzivo rwakadzama rwechikamu chimwe nechimwe chegadziriro iyi muvana.
Izvi zvinoreva:
- Muromo, gurokuro, dumbu, ura diki, uye ura hukuru (izvi ndizvo zvatinowanzodaidza kuti sisitimu yemudumbu - `Gastrointestinal` kana `GI tract`).
- Chiropa, gallbladder, uye ducts dze bile.
Dzimwe nguva, zvinhu zvakaita sekurwadziwa kwemudumbu muvana zvinogona kuva zvidiki uye zvinopera mumazuva mashoma. Asi zvimwe zvirwere zvinogona kuva zvakakomba. Zvimwe zvinogona kuva zvehupenyu hwese. Asi zvakakosha kuyeuka kuti nekurapwa kwakakodzera uye kushanda nechikwata ichi chenyanzvi, mwana anogona kudzora zvirwere izvozvo uye kuita hupenyu hwake hwezuva nezuva sezvaanogona uye kurarama hupenyu hwakanaka .
Nyanzvi idzi dzinoita sei chaizvo?
Vanachiremba ava vakafanana nenyanzvi dzezvekudya dzinorapa vanhu vakuru. Musiyano uripo ndewekuti vanopa rubatsiro urwu kuvacheche, vadiki, nevana vadiki. Saka, vanonzwisisa zvakanaka miviri yevana, mafungiro avo, uye nzira yakakosha yavanofanira kurapwa nayo.
Mabasa avo ezuva nezuva anogona kusanganisira zvinhu zvakaita se:
- Tichataura nemi nemwana wenyu tobvunza zvakadzama nezvezviratidzo zvemwana wenyu uye chero zvirwere zvingave nazvo mumhuri yenyu.
- Vanokutumira kune bvunzo dzemifananidzo kuti uzive kuti chirwere chacho chii chaizvo.
- Kurapwa kwakakosha kunopihwa kuti chirwere chigadziriswe.
- Mune ramangwana, vanachiremba vachadzidzisa vamwe nezvenyaya iyi.
Chinonyanya kukosha ndechekuti vanachiremba ava vaedze kunyaradza kwete muviri wemwana chete, asiwo pfungwa dzako semubereki. Tinotya sei patinonzwa kuti mwana ari kurwara? Saka vanonzwisisa zvese uye vanoshanda nekukudzidzisawo.
Miedzo yakakosha senge endoscopy
Kune bvunzo dzakawanda dzakanangana nekurapa kunogona kuitwa nenyanzvi idzi. Chimwe chezvinhu zvinonyanya kukosha pane izvi kuongororwa kunonzi endoscopy .
Ungatya zvishoma paunonzwa zita iri. Asi iyi bvunzo yakachengeteka zvikuru inoitirwa pasi peanesthesia kuitira kuti mwana asanzwe kurwadziwa. Chinoitika ndechekuti chubhu yakatetepa, inochinjika (endoscope) ine kamera diki yakabatanidzwa inopinzwa mumuviri wemwana uye mukati megadziriro yekugaya chikafu munoona pachikirini. Nzvimbo inopinzwa chubhu iyi inosiyana zvichienderana nezviratidzo.
| Rudzi rwe endoscopy | Nhengo dzemuviri dziri kuongororwa |
|---|---|
| Endoscopy yepamusoro | Chubhu iyi inopinzwa nemuromo uye gurokuro, dumbu, uye kutanga kweura hudiki kunoongororwa. |
| Colonoscopy | Chubhu inopinzwa nepamusana pedumbu uye ura hwese hunoongororwa. |
| Kapisiyumu endoscopy | Izvi zvinosanganisira kumedza kapusule kadiki kane kamera mukati. Kanotora mifananidzo painofamba nemuura uye kanotitumira kwatiri. Izvi zvinotibvumira kuongorora ura hudiki zvakadzama. |
Kuongororwa uku kwe endoscopic kunobatsira zvikuru pakuongorora zvirwere nemazvo. Uyewo, kana zvichidikanwa, chidimbu chidiki chenyama (biopsy) chinogona kutorwa panguva yekuongororwa uye kutumirwa kunoongororwazve. Dzimwe nguva, nzira iyi inogona kushandiswawo pakurapa.
Pamusoro pezvo, nyanzvi idzi:
- Kana paine chinofungidzirwa kuti chirwere chechiropa, chidimbu chidiki chechiropa chinotorwa choongororwa (biopsy yechiropa).
- Kana mwana asingakwanise kudya zvakanaka, chubhu yekudyisa inogona kuiswa kuti ipe chikafu chinodiwa.
- Miedzo yakakosha (Motility testing) inoitwa kuti ione kana paine dambudziko nemashandiro anoita tsandanyama netsinga mudumbu.
Unogonawo kuita zvinhu zvakaita seizvi.
Sei mwana angatumirwe kuna chiremba ane ruzivo rwakadai?
Kazhinji, chikonzero chikuru chinoita kuti chiremba wevana vaendese mwana wenyu kuna chiremba wevana ndechekuti mwana wenyu ari kunyunyuta nezvekurwadziwa kwemudumbu nguva nenguva. Izvi zvinonziwo "kurwadziwa kwemudumbu kunoshanda". Kurwadziwa kwemudumbu uku kunoramba kuripo kunogona kukanganisa basa rechikoro remwana wenyu nemitambo yake. Sezvo paine zvikonzero zvakawanda, nyanzvi idzi dzinogona kukubatsirai kuwana chikonzero chaicho.
Kunze kweizvozvo, vanachiremba ava vanobatsira kuongorora nekurapa mamwe matambudziko akasiyana-siyana. Ngatitarisei mamwe eanowanzoonekwa.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Chirwere cheCeliac | Muviri une allergy kune protein inonzi gluten, inowanikwa muzvinhu zvakaita sehupfu hwegorosi. |
| Chirwere cheGastroesophageal Reflux (GERD) | Asidhi yemudumbu inobuda mugurokuro. Izvi zvinogona kukonzera zvinhu zvakaita sechirutsa uye kurutsa mukaka. |
| Chirwere chemudumbu chinozvimba (IBD) | Izvi zvinokonzera kuzvimba mukati meura. Chirwere cheCrohn nechirwere cheulcerative colitis mhando mbiri dzechirwere ichi. |
| Kurwara nechikafu kana kusashivirirana nacho | Kusashivirira zvimwe zvekudya. Semuenzaniso, kusagona kugaya lactose, inowanikwa mumukaka. |
| Kukura kuri kudzikira | Huremu nehurefu hwemwana hazvisi kuwedzera zvichienderana nezera rake. |
| Kubuda ropa mudumbu (GI bleeding) | Kubuda ropa kubva kune imwe nzvimbo mudumbu. Kurutsa ropa kana kubuda ropa mutsvina. |
| Chirwere chemudumbu chinotsamwisa (IBS) | Zviratidzo zvakasiyana-siyana zvakaita sekurwadziwa mudumbu, kuzvimba, kuvimbiwa, kana manyoka. |
Rutsigiro rwamuchawana iwe nemwana wenyu kubva kuna chiremba uyu
Unogona kufunga nezvenyanzvi idzi sevanachiremba vevana vane 'masimba akasarudzika'. Vane hunyanzvi hwekutaura nevana, vachivaita kuti vanzwe vakasununguka, kungofanana nevanachiremba vevana vemazuva ese. 'Simba ravo rakakosha' nderekuti vanogona kuongorora nekurapa chero dambudziko rakaoma rekugaya chikafu.
Chinonyanya kukosha ndechekuti vanachiremba ava varipo kuti vakubatsirei. Sevabereki, patinonzwa kuti mwana wedu ari kurwara, tinotya zvikuru uye tinonetseka. Hatigoni kufungidzira zvichaitika zvinotevera. Vanachiremba ava vachakutsanangurirai zviri kuitika mumuviri wemwana wenyu. Vanogara vachiedza kukuzivisai uye kuita kuti pfungwa dzenyu dzigadzikane padanho rega rega.
Mharidzo Yekuenda Nayo Kumba
- Chiremba wezvekudya zvevana chiremba akadzidza zvakanyanya kurapa zvirwere zvemudumbu zvevacheche nevana.
- Kana mwana wako achigara achinyunyuta nezvekurwadziwa kwemudumbu, asiri kudya zvakanaka, kana kuti asiri kuwedzera uremu, tanga waona chiremba wevana wemhuri yako. Achakutumira kuna chiremba kana zvichidikanwa.
- Usatya bvunzo dzakadai se endoscopy. Dzinoitwa zvakachengeteka, pasi peanesthesia, uye pasina kurwadziwa kwemwana.
- Nyanzvi idzi hadzingorapi vana chete, asiwo dzinodzidzisa uye dzinopa rutsigiro rwepfungwa kwauri, mubereki. Usambotya kubvunza mibvunzo yako uye kujekesa kusava nechokwadi kwako.
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