Te pokanga anti-reflux - tamariki - whakaheke

I pokaina to tamaiti ki te hamani i te mauiui whakaheke haurehu (GERD). Ko te GERD he ahuatanga e puta ake ai te waikawa, te kai, te wai ranei mai i te kopu ki roto i te ngongo. Koinei te ngongo e kawe ana i te kai mai i te waha ki te puku.

Inaianei kei te hoki to tamaiti ki te kaainga, whaia nga tohutohu a te taakuta me pehea te tiaki i to tamaiti i te kaainga. Whakamahia nga korero i raro nei hei whakamahara.

I te wa e whakahaerehia ana, ka takaia e te tihi te pito o runga o te kopu o to tamaiti i te pito o te huha.

I mahia tenei pokanga i tetahi o enei ara:

• Ma te weronga (tapahia) i to kopu o runga o to tamaiti (tuwhera pokanga)
• Me te taatai ​​(he ngongo angiangi me te kaamera iti i te pito) na roto i nga waahanga iti
• Ma te whakapai endoluminal (peera i te laparoscope, engari ka uru te kaitoro ki roto i te waha)

Akene he pyloroplasty to tamaiti.He tikanga tenei hei whakanui i te tuwheratanga i waenga i te puku me te puku iti. I whakatakotoria pea e te taakuta he ngongo-ngongo (ngongo gastrostomy) ki te kopu o te tamaiti mo te whangai.

Ko te nuinga o nga tamariki ka taea te hoki ki te kura, ki te tiaki tamariki ranei i te wa e pai ana o raatau tinana ana ka mohio ana te kaitautoko he pai.

• Me karo e to tamaiti te hiki kaha, te mahi uaua ranei, penei i te akomanga omaoma me te taakaro tino kaha, mo te 3 ki te 4 wiki.
• Ka ui pea koe ki to taakuta a to tamaiti mo tetahi reta hei hoatu ki te tapuhi kura me nga kaiako ki te whakamarama i nga aukatinga ta to tamaiti.

Akene he ahua kuiti ta to tamaiti i te wa e horomia ana. Ko tenei mai i te pupuhi i roto i te kopu o to tamaiti. Akene he pupuhi puku ta to tamaiti. Me haere enei i roto i te 6 ki te 8 wiki.

He tere ake te whakaora mai i te pokanga laparoscopic tena ki te pokanga tuwhera.

Me whakarite e koe he wa whai muri me te kaitautoko tuatahi o to tamaiti, te kaimurini ranei me te kaimana i muri o te pokanga.

Ka awhina koe i to tamaiti kia hoki ki te kai kai i te waa kua roa.

• I tiimata to tamaiti ki te kai waipiro i te hohipera.
• I muri i te taakuta kia rite to tamaiti, ka taea e koe te whakauru kai maeneene.
• Kia pai te tango a to tamaiti i nga kai maeneene, korero ki te taakuta a to tamaiti mo te hoki ki te kai kai.

Mena i tukuna e to tamaiti he ngongo gastrostomy (G-tube) i te wa o te pokanga, ka taea te whakamahi mo te whangai me te whakaputa Ko te Venting ka whakatuwherahia te ipu-G ​​ki te tuku i te hau mai i te kopu, he rite ki te peke.

• Me whakaatu te tapuhi i roto i te hohipera ki a koe me pehea te tuku, manaaki, me te whakakapi i te ngongo G, me pehea te tono i nga taputapu ngongo G-ngongo. Whaia nga tohutohu mo te atawhai G-ngongo.
• Mena e hiahia ana koe ki te awhina mo te ngongo-G i te kainga, whakapā atu ki te tapuhi tiaki hauora whare e mahi ana mo te kaiwhakarato ngongo-G.

Mo te mamae, ka taea e koe te hoatu ki to tamaiti nga rongoa mamae mamae-pera i te acetaminophen (Tylenol) me te ibuprofen (Advil, Motrin). Mena kei te mamae tonu to tamaiti, waea atu ki te taakuta a to tamaiti.

Mena he taatai ​​(tuitui), he kaawhi, he piru ranei i whakamahia hei kati i te kiri o to tamaiti:

• Ka taea e koe te tango i nga kaakahu (takai) ka tuku i to tamaiti kia kaukau i te ra i muri o te pokanga, ki te kore e rereke te korero a to taakuta.
• Mena kaore e taea te horoi i te ua, ka taea e koe te horoi i to haumanu ki to tamaiti.

Mena he riipene i whakamahia hei kati i te kiri o to tamaiti:

• Hipokina nga waahanga ki te takai kirihou i mua i te horoinga mo te wiki tuatahi. Taapirihia nga taha o te kirihou kia kore e puta te wai.
• KAUA E ngana ki te horoi i te riipene. Ka hinga atu ratau i muri i te wiki.

KAUA E whakaaehia kia panu to tamaiti ki roto i te ipu horoi, ki te kohua wera, ki te haere ki te kaukau ranei, kia kii ra ano te taakuta a to tamaiti kia pai.

Karangahia te ratonga hauora a to tamaiti mena he:

• He kirika 101 ° F (38.3 ° C) teitei ake ranei
• Ko nga kohinga toto e maringi ana i te toto, ka whero, ka mahana ki te pa, he nui ranei te kowhai, kowhai, kaakaariki, te waiu miraka ranei
• He puku pupuhi, mamae ranei
• Te whakapairuaki, te ruaki ranei neke atu i te 24 haora
• Nga raru ka horomia ka kore e kai to tamaiti
• Nga raru ka horomia kaore e neke i muri i te 2, te 3 wiki ranei
• Te mamae kaore te rongoa mamae e awhina
• Raru manawa
• He mare e kore e ngaro
• Nga raru kaare e taea e to tamaiti te kai
• Mena he aitua te tango i te ngongo-G ka hinga ranei

Moni Hoko - tamariki - tuku; Nissen fundoplication - tamariki - whakahekenga; Belsey (Mark IV) kohinga moni - tamariki - rerenga; Te kohinga putea - tamariki - whakaheke; Thal tahua moni - tamariki - whakahekenga; Te whakatikatika i te hernia hiatal - nga tamariki - te rerenga; Whakaaetanga tahua Endoluminal - tamariki - tuku

Iqbal CW, Holcomb GW. Reflux Gastroesophageal. I roto i: Holcomb GW, Murphy JP, Ostlie DJ, eds. Ashcraft’s Pediatric Surgery. 6 ed. Philadelphia, PA: Elsevier Saunders; 2014: chap 28.

Salvatore S, Vandenplas Y. Reflux Gastroesophageal. I roto i: Wylie R, Hyams JS, Kay M, eds. Pediatric Gastrointestinal me te Mate ate. 5th ed. Philadelphia, PA: Elsevier; 2016: chap 21.

• Te pokanga anti-reflux - tamariki
• Te mate reflux Gastroesophageal

• Reflux Gastroesophageal - tuku
• Ngakau - he aha te mea hei paatai ​​ki to taakuta

• GERD