Reflux hauv cov menyuam mos yog ib qho txheej txheem physiological. Koj tuaj yeem kho qhov teeb meem los ntawm kev kho cov khoom noj khoom haus ntawm tus menyuam thiab tus niam laus. Koj yuav tsum paub tias muaj cov kab mob xws li reflux. Cov xeev no muaj cov yam ntxwv zoo ib yam, tab sis koj tseem yuav tsum paub tias lawv txawv li cas ntawm ib leeg.
Norm lossis pathology?
Gastroesophageal reflux yog qhov rov qab ntawm plab cov ntsiab lus mus rau hauv txoj hlab pas lossis qhov ncauj. Nyob rau hauv tus me nyuam mos, cov ntsiab lus no yog sawv cev los ntawm mis nyuj los yog porridge, nyob ntawm seb qhov khoom noj ntawm tus menyuam. Reflux qee zaum hu ua kua qaub reflux vim tias cov kua qaub tuaj yeem dhau ntawm lub plab mus rau hauv txoj hlab pas.
Raws li kev kho mob qhia, cov menyuam yaus hnub nyoog qis dua 4 lub hlis ntuav txog 5 zaug hauv ib hnub. Reflux nyob rau hauv cov me nyuam mos tshwm sim tsawg thiab tsawg nrog lub hnub nyoog, kiag li ploj mus - los ntawm 1.6 xyoo. Yog hais tias tus me nyuam nqhis dej tsis tshua muaj thiab nws hnov zoo, koj tuaj yeem qhia tau tias tsis muaj reflux uas tsis tas yuav kho.
Vim li cas me nyuamnqhis?
Ib tug menyuam mos muaj lub plab hnyuv, qhov ntim ntawm lub plab yog kwv yees li 29 ml. Lub plab nyob rau hauv cov me nyuam mos yog nyob rau hauv kab rov tav, thiab cov nqaij ntshiv ntawm ciam teb nrog rau txoj hlab pas yog tsis tag nrho tsim. Raws li qhov no, peb tuaj yeem xaus lus tias kev noj ntau dhau feem ntau provokes qhov tshwm sim ntawm reflux hauv cov menyuam mos. Cov kws kho mob hais tias nyob rau hauv tus txheej txheem ntawm regurgitation, tus me nyuam tsis muaj mob, tab sis tsis xis nyob yuav tshwm sim. Kev pw tsis tsaug zog thiab ntxhov siab ntau ntxiv tsis yog cov tsos mob ntawm tus mob reflux.
Symptoms of disease
Koj yuav tsum mus ntsib kws kho mob li cas? Qee lub sij hawm reflux nyob rau hauv cov me nyuam mos qhia tau hais tias ib tug pathology yog tsim, uas yog, gastroesophageal reflux kab mob. Yog tias cov kua qaub los ntawm lub plab nkag mus rau hauv txoj hlab pas, lub cev tuaj yeem raug puas tsuaj. Cov tsos mob ntawm tus kab mob muaj xws li:
- tus me nyuam ntuav ntau zaus;
- tus me nyuam tsis xis nyob thiab tsis noj zoo;
- me nyuam arches rov qab thiab sim ua kom xis nyob;
- puag poob;
- Tshuaj hnoos heev uas tsis yog vim muaj kab mob sib kis.
Thaum ib qho ntawm cov tsos mob ntawm tus mob reflux tshwm sim hauv cov me nyuam mos, nws yog ib qho tseem ceeb mus ntsib kws kho mob tam sim ntawd, vim qhov no yuav qhia tau tias tus kab mob no loj tuaj. Tus me nyuam lub cev muaj kev cuam tshuam rau txhua yam kab mob, yog li koj yuav tsum tsis txhob noj nws tus kheej, vim li no koj tuaj yeem ua mob hnyav heev thiab ua rau tus menyuam mob hnyav dua.
Yog vim li caspathology?
Ntau leej niam paub cov tsos mob ntawm tus menyuam mos reflux, tab sis tsis yog txhua tus paub txog cov laj thawj uas ua rau nws tshwm sim. Ntxiv nrog rau qhov tsis muaj zog tiv thaiv kev tiv thaiv kab mob, muaj lwm yam tsis zoo uas tuaj yeem ua rau muaj qhov tsis zoo:
- Thaum pyloric stenosis nqaim lub pylorus. Vim li no, kev ua haujlwm ntawm lub plab zom mov yog cuam tshuam. Qhov no ua rau ntuav.
- Thaum lub sijhawm txhim kho pylorospasm, pylorus txo qis ib ntus. Hais txog qhov no, kev khiav tawm ntawm cov zaub mov qeeb.
- Ib tug diaphragmatic hernia hloov cov hlab ntsha qis rau hauv lub hauv siab kab noj hniav (los ntawm lub diaphragm).
Cov tsos mob thiab kev kho mob reflux hauv cov menyuam mos yog ib lub ntsiab lus uas txhawj xeeb rau niam. Koj yuav tsum paub tias cov lus nug no yuav tsum tau tham nrog tus kws tshaj lij tshwj xeeb, vim tias nquag thiab nquag regurgitation tuaj yeem yog ib qho cim ntawm kev sib txawv kiag li. Yog tsis muaj kev kuaj mob kom zoo, nws tsis tuaj yeem ntsuas kev noj qab haus huv ntawm tus menyuam. Txhawm rau txhim kho kev noj qab haus huv ntawm tus menyuam, nws yog ib qho tseem ceeb uas yuav tau hu rau tus kws kho mob tam sim ntawd. Tus kws kho mob yuav ua qhov kev kuaj mob ntawm tus neeg mob thiab sau cov kev kho mob uas yuav pab tiv thaiv kom tsis txhob muaj teeb meem loj.
Diagnostics
Cov tsos mob thiab kev kho mob reflux hauv cov me nyuam mos yuav tsum tau tham nrog tus kws kho mob. Tsuas yog ib tus kws kho mob tuaj yeem ua tiav qhov kev kuaj mob tag nrho ntawm cov crumbs. Raws li cov txiaj ntsig ntawm txoj kev tshawb no, tus kws kho mob tshwj xeeb yuav sau cov kev kho kom tsim nyog. Ntawmnyob rau hauv uncomplicated reflux, nws tsis yog yuav tsum tau mus nqa tawm kev ntsuam xyuas, vim hais tias xws li ib tug txheej txheem yog lub physiological cai ntawm lub cev. Yog hais tias ib qho ntawm cov tsos mob ntawm gastroesophageal reflux nyob rau hauv tus me nyuam mos tshwm, nws yog ib qho tseem ceeb mus cuag tus kws kho mob gastroenterologist.
Nyob rau hauv cov txheej txheem ntawm kev kawm tiav, cov kev kuaj mob hauv qab no tau siv:
- X-rays. Tus kws tshaj lij qhia tus neeg sawv cev sib txawv rau hauv tus menyuam lub cev. Thaum barium nkag mus rau hauv txoj hnyuv, tus kws kho mob soj ntsuam seb lub caij txav mus los ntawm txoj hnyuv.
- Thaum lub sijhawm endoscopy, tus kws kho mob tshwj xeeb ntsuas qhov dav dav ntawm cov mucous daim nyias nyias, kuaj pom muaj lossis tsis muaj edema. Yog tias tsim nyog, kuaj biopsy.
- Tus kws kho mob ntsuas qhov qis esophageal sphincter thaum lub sij hawm sphincteromanomometry.
- Ua tsaug rau pH kuaj, koj tuaj yeem txiav txim siab tus nqi thiab lub sijhawm ntawm reflux ib hnub twg. Txhawm rau kuaj xyuas cov kua qaub reflux hauv tus menyuam mos, koj yuav tsum tau ntxig lub ntsuas tshwj xeeb rau hauv txoj hlab pas, uas yuav ntsuas cov qib acidity.
- Kev kuaj mob plab kab noj hniav. Nyob rau hauv txoj kev tshawb no, tus kws kho mob xyuas seb muaj ib tug txawv teb chaws lub cev nyob rau hauv lub plab zom mov, uas yuav cuam tshuam rau kev nce qib ntawm cov zaub mov.
Raws li cov txiaj ntsig ntawm txoj kev tshawb fawb, tus kws kho mob tau sau cov kev kho mob tsim nyog los pab kho mob plab reflux hauv tus menyuam.
Lub sijhawm ntawm kev kho mob yog txiav txim siab los ntawm tus kws tshaj lij. Nws tag nrho yog nyob ntawm tus kheej tus yam ntxwv ntawm tus neeg mob thiab qhov hnyav ntawm pathology. Thaum tus kab mob no siab heev, yuav tsum tau kho nyob rau hauv tsev kho mob.
YPrinciple of therapy
Rau qhov me me thiab tsis tu ncua, tus kws kho mob pom zoo:
- kho tus menyuam noj;
- tseem ceeb kom tsis suav nrog nyuj mis nyuj noj;
- tiv thaiv koj tus menyuam los ntawm kev haus luam yeeb tsis txaus, vim tias cov pa luam yeeb ua rau lub qhov txhab ua pa thiab ua rau hnoos muaj zog;
- ntxiv cov kua nplaum tshwj xeeb rau zaub mov;
- reconsider the diet of a nursing mother.
Cov lus qhia yooj yim no yuav pab txhim kho tus menyuam lub cev. Yog hais tias muaj cov tsos mob ntawm lub zais zis reflux nyob rau hauv cov me nyuam mos, nws yog ib qho tseem ceeb mus ntsib kws kho mob tam sim ntawd. Kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj teeb meem loj.
Lub hauv paus ntawm kev pub mis kom zoo
Tom qab mus ntsib kws kho mob, tus kws kho mob tshwj xeeb tsis yog tsuas yog kuaj xyuas tus menyuam kom paub meej, tab sis kuj txheeb xyuas cov qauv ntawm cov khoom noj khoom haus. Qee zaum, cov niam txiv sim pub lawv tus menyuam noj kom zoo, uas ua rau tus menyuam noj ntau dhau. Nyob rau hauv cov xwm txheej zoo li no, profuse regurgitation tshwm sim.
Yog tias kuaj pom tus mob reflux esophagitis hauv tus menyuam mos, cov kws tshaj lij pom zoo kom pub mis rau menyuam mos ntau zaus thiab me me. Yog tias tus menyuam muaj kev cuam tshuam thaum pub niam mis, koj yuav tsum tau nqa lub mis. Nrog rau kev pub mis nyuj, qhov yuav tsum tau txo los ntawm 15 ml. Cov kws kho mob pom zoo tias cov niam ua tam sim ntawd txav nrog tus menyuam hauv lawv txhais tes. Tom qab pub mis rau tus menyuam, koj yuav tsum khaws nws thiab tuav nws hauv qhov chaw ncaj nraim rau 20 feeb. Qhov no yuav pab tiv thaiv kom ntuav ntau dhau. Nws tsis yog yuav tsum tau khiav thaum lub sij hawm no los yogtaug kev ncig lub tsev, tsuas yog coj tus menyuam hauv koj txhais tes thiab zaum nrog nws hauv lub rooj zaum. Yog li ntawd, tus me nyuam yuav tau pw tsaug zog nyob kaj siab lug nyob rau hauv koj txhais tes, noj ib tug ib nrab ntsug txoj hauj lwm. Feem ntau, cov lus qhia yooj yim no tuaj yeem pab tiv thaiv reflux.
khoom noj kom raug
Raws li kev tshawb fawb kho mob los ntawm cov kws tshawb fawb, nws tuaj yeem txiav txim siab tias nrog cov kab mob gastroesophageal reflux hauv cov menyuam mos, pom pom kev tsis haum rau nyuj cov kua mis protein. Vim li no, cov kws tshaj lij pom zoo kom kho cov khoom noj ntawm leej niam uas pub niam mis. Nws yog ib qho tseem ceeb kom tsis txhob siv cov khoom siv mis nyuj. Koj yuav tsum tau ua raws li kev noj haus li 2 lub lis piam. Yog hais tias lub sij hawm no tus me nyuam tsis xis nyob, qhov no qhia tau hais tias tus me nyuam lub cev tsis kam rau cov mis nyuj protein.
Nyob rau hauv cov xwm txheej zoo li no, nws yog ib qho tseem ceeb uas yuav tau xaiv cov khoom noj tsis muaj mis nyuj uas muaj protein ntau hydrolyzate. Nws raug nquahu kom "Nutrilak" thiab "Nutrilon Pepti" pub menyuam yaus txog li 1 xyoos. Nws raug nquahu kom siv cov thickener (tseem ceeb los ntawm tus kws kho menyuam yaus). Feem ntau, cov kws kho mob tau sau cov tshuaj tiv thaiv reflux rau cov menyuam mos, uas pab tiv thaiv qhov pib ntawm pathology. Cov khoom noj tshwj xeeb no pab cov zaub mov nyob hauv plab ntev. Muaj ntau ntau hom thickeners:
- digestible (pob kws, mov, qos);
- indigestible (cov pos hniav).
Ua tsaug rau locust taum cov pos hniav, koj tuaj yeem tshem tawm cov regurgitation thiab cem quav, vim cov tshuaj muaj cov nyhuv laxative.
"HumanoyAntireflux" lossis "Nutrilon antireflux" yuav tsum tau pub rau tus menyuam kom tiv thaiv kev ntuav.
Cov kws kho mob sau tshuaj dab tsi rau cov menyuam yaus uas muaj plab hnyuv thiab cem quav?
Ib qho sib xyaw uas cov hmoov txhuv nplej siab tam sim no, softer hauv kev ua (ib qho txiaj ntsig zoo yog pom tom qab ib hlis). Cov khoom xyaw xws li: Samper Lemolak, NAN Antireflux.
Yuav ua li cas yog tus menyuam noj mis niam thiab nqhis dej ntau tom qab pub mis? Nyob rau hauv cov xwm txheej zoo li no, cov mis nyuj yuav tsum tau qhia thiab ib qho thickener ntxiv rau nws. Ces pib pub mis rau tus menyuam. Nws tsis pom zoo kom yuav cov thickeners ntawm koj tus kheej yam tsis muaj kws kho mob cov tshuaj, vim tias koj tuaj yeem ua mob rau tus menyuam. Nws yog ib qho tseem ceeb uas yuav tsum tau hloov lub txiv mis ntawm lub fwj, vim tias lub qhov yuav tsum loj txaus kom cov tuab sib xyaw kom dhau mus. Koj tuaj yeem siv porridge teats.
Yog tus me nyuam muaj kev ua xua, nws yog ib qho tseem ceeb tshwj xeeb tshaj yog tias tus kws kho mob kho cov zaub mov. Yog hais tias muaj cov txheej txheem inflammatory hauv tus menyuam lub cev los yog cov mucous ntawm txoj hlab pas puas lawm, nws yog txwv tsis pub siv cov thickeners.
Kev kho mob nrog tshuaj
Yog hais tias tus me nyuam txoj kev noj qab haus huv tsis tau zoo dua tom qab cov lus pom zoo ntawm tus me nyuam tus kws kho mob tau ua tiav, cov tshuaj tau muab tshuaj. Lub sijhawm ntawm kev kho thiab koob tshuaj yuav tsum tau txiav txim siab nruj los ntawm tus kws kho mob, nyob ntawm seb tus yam ntxwv ntawm tus neeg mob. Hauv kev kho mob, cov tshuaj hauv qab no feem ntau siv:
- Proton twj tso kua mis inhibitors. Nrog kev pab los ntawm "Omeprazole", "Pantoprazole" zus tau tej cov hydrochloric acid yog thaiv. Omeprazole yog tshuaj los ntawm kws kho mob rau menyuam yaus hnub nyoog 2 xyoos.
- Antacid pab kom tsis txhob muaj hydrochloric acid. Nrog kev pab ntawm "Phosphalugel" thiab "Maalox" nws muaj peev xwm los kho cov mucous daim nyias nyias ntawm lub cev.
- Siv Ranitidine thiab Famotidine thaum kho, reflux hauv tus menyuam tuaj yeem kho tau.
- Ua tsaug rau prokinetics, lub plab zom mov tau txhim kho. Raws li cov xwm txheej zoo li no, lub cev tau nqus sai dua.
Koj yuav tsum paub tias kev rov ua dua tshiab tsis yog qhov tshwm sim tsis zoo. Cov txheej txheem zoo li no tuaj yeem ua rau muaj kev puas tsuaj loj hauv kev noj qab haus huv tag nrho ntawm cov crumbs, vim tsis tu ncua regurgitation feem ntau ua rau lub cev qhuav dej. Rov qab qhov kev poob zoo sib xws hauv tsev kho mob. Tus me nyuam yog muab infusion daws. Muab qhov tseeb tias cov tshuaj tuaj yeem ua rau muaj kev phiv, nws yog ib qho tseem ceeb uas yuav tsum tau ua kom tiav kev kuaj mob ntawm tus menyuam ua ntej pib kho. Tus kws kho mob yuav coj mus rau hauv tus account tag nrho cov nuances thiab sau cov tshuaj zoo.
Nrog rau lub raum reflux hauv cov menyuam mos, txoj kev kho nyuaj yuav tsum tau ua. Yog tias tus kab mob pib, ces qhov teeb meem tuaj yeem raug tshem tawm los ntawm kev phais nkaus xwb.
Raws li lub sijhawm twg yuav tsum hu lub tsheb thauj neeg mob?
Yog tias lub xeev ntawm kev noj qab haus huv tau poob qis heev thiab ib qho ntawm cov tsos mob ntawm tus kab mob reflux tau tshwm sim, nws yog ib qho tseem ceeb kom mus rau tom tsev kho mob tam sim ntawd.tshuaj xyuas tus menyuam. Cov tsos mob hauv qab no yuav tsum ua rau muaj kev txhawj xeeb:
- poob ceeb thawj;
- kev rov ua dua txhua hnub ntawm tus menyuam mos uas muaj hnub nyoog qis dua 4 lub hlis (nyob rau hauv cov xwm txheej zoo li no, tus menyuam lub cev tsis tau txais cov vitamins thiab minerals txaus, uas ua rau tus menyuam tshaib plab);
- tus me nyuam tsis kam haus thiab noj ib hnub;
- muaj ntshav tawm hauv ntuav thiab quav;
- tus me nyuam qaug zog thiab qaug zog;
- nce lub cev kub ntau heev.
Yog tias ib qho ntawm cov tsos mob raug txheeb xyuas, nws yog ib qho tseem ceeb mus ntsib kws kho mob. Kev kho mob hauv tsev tsuas yog ua rau muaj teeb meem loj.
Tus kab mob Reflux ntawm cov kab mob genitourinary hauv tus menyuam
Kab mob ntawm cov kab mob genitourinary hauv cov menyuam yaus tsis muaj tsawg dua li cov neeg laus. Thaum ib qho ntawm cov cim qhia ntawm pathology tshwm sim, nws yog ib qho tseem ceeb kom nrhiav kev pab tam sim ntawm tus kws kho mob. Ntawm qhov tshwm sim tseem ceeb ntawm ureteral reflux hauv cov menyuam mos yog:
- migraine;
- puab edema;
- nqhis dej heev;
- tsis xis nyob hauv cheeb tsam lumbar;
- ntshav siab;
- heat;
- mob thaum zais zis;
- tso zis xim hloov.
Yog tias ib qho ntawm cov tsos mob tshwm sim, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas. Hauv chav kawm ntawm txoj kev tshawb no, radiography, cystoscopy thiab ultrasound tau ua. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tsum tau kuaj ntshav thiab zis. Raws li cov txiaj ntsig ntawm txoj kev tshawb no, tus kws kho mob tau sau ntawv kho mob rau cov urinary reflux hauv cov me nyuam mos.
Cov lus qhiaspecialists
Tsis txhob ntshai yog tias koj tus menyuam hnoos. Feem ntau, regurgitation yog ib qho physiological feature ntawm tus me nyuam lub cev. Tsuas yog thaum tus me nyuam txoj kev noj qab haus huv ntawm tus me nyuam muaj qhov tsis zoo (regurgitation muaj ntau thiab ua haujlwm), nws yog ib qho tseem ceeb kom mus rau tom tsev kho mob tam sim ntawd lossis hu rau lub tsheb thauj neeg mob. Raws li cov xwm txheej zoo li no, teeb meem kev noj qab haus huv tsis tuaj yeem tshwm sim.
Nws yog txwv tsis pub koom nrog kev kho tus kheej, txij li thaum menyuam yaus lub cev muaj kev cuam tshuam tshwj xeeb los ntawm kev siv tshuaj. Kev ncua tsuas tuaj yeem ua rau muaj teeb meem kev loj hlob thiab ua rau tus menyuam txoj kev noj qab nyob zoo. Nws yog txwv tsis pub siv lwm txoj hauv kev ntawm kev kho mob, vim ntau yam tshuaj ntsuab thiab infusions tuaj yeem ua rau qhov teeb meem loj dua. Nyob rau hauv tus txheej txheem ntawm ntau regurgitation, tus me nyuam lub cev yog dehydrated, uas ua rau kev loj hlob ntawm loj pathologies. Txhawm rau tiv thaiv qhov no, nws yog ib qho tseem ceeb kom tsis txhob ncua sijhawm mus rau tus kws kho mob. Tus kws kho mob yuav kuaj xyuas tus menyuam kom paub meej thiab sau cov kev kho mob uas yuav pab tshem tawm qhov teeb meem.
