He aha ka ʻōpū ʻāʻī pēpē? Nā hōʻailona, nā kumu, a me ka lāʻau lapaʻau

Hana ʻia ka ʻōpū ʻāʻī pēpē ke kahe hou mai nā mea o loko o ka ʻōpū i loko o ka ʻōpū o kāu pēpē, ʻo ia ka paipu e hoʻohui ana i ka waha i ka ʻōpū. He mea maʻamau loa kēia i nā pēpē hou a maʻamau hoʻi e maikaʻi ma luna o lākou iho i ka ulu ʻana o kāu keiki liʻiliʻi.

ʻAneʻane nā pēpē a pau e ʻike i kekahi reflux i loko o nā mahina mua o ko lākou ola. Ke hoʻomohala nei ko lākou ʻōnaehana digestive, a ʻaʻole i piha loa ka ʻiʻo e mālama ana i ka meaʻai i loko o ka ʻōpū. ʻOiai he mea hopohopo paha ke nānā aku, ʻo ka hapa nui o nā hihia he mea maʻamau loa a hoʻonā ʻia me ka ʻole o ka lāʻau lapaʻau kūikawā.

He aha nā hōʻailona o ka ʻōpū ʻāʻī pēpē?

ʻO ka hōʻailona maopopo loa ka hoʻopuka pinepine ʻana, ʻoi aku hoʻi ma hope o ka hānai ʻana. Malia paha e ʻike ʻoe i kāu pēpē e lawe mai ana i nā mea liʻiliʻi o ka waiū a i ʻole ka fomula, hiki ke hana koke ma hope o ka ʻai ʻana a i ʻole hoʻokahi hola ma hope.

Eia nā hōʻailona maʻamau āu e ʻike ai i kāu pēpē:

• Hoʻopuka pinepine ʻana a i ʻole ka luaʻi ʻana ma hope o ka hānai ʻana
• Ke kūlou ʻana o ko lākou kua i ka wā a i ʻole ma hope o ka hānai ʻana
• Ke hoʻonāukiuki a i ʻole ka uē ʻana, ʻoi aku hoʻi i ka wā a i ʻole ma hope koke o nā meaʻai
• Ke hōʻole ʻana e ʻai a i ʻole ke ʻano ʻoluʻolu ʻole i ka wā e hānai ana
• Ke kikoo a i ʻole ka ʻū ʻana pinepine
• Ke hana ʻana i nā leo gurgling i loko o ko lākou ʻāʻī
• Nā pilikia hiamoe a i ʻole ka paʻakikī e moe ana

ʻO ka hapa nui o nā pēpē me ka reflux e hoʻomau i ka loaʻa ʻana o ke kaupaona maʻamau a me ka ʻano hauʻoli ma waena o nā hanana. Eia naʻe, ʻike kekahi mau pēpē i nā hōʻailona ʻoi aku ka nui e hōʻike paha i kahi kūlana i kapa ʻia ʻo ka maʻi gastroesophageal reflux (GERD), kahi a mākou e kūkākūkā ai ma hope.

He aha nā kumu o ka ʻōpū ʻāʻī pēpē?

ʻO ke kumu nui kahi sphincter esophageal haʻahaʻa immature, ʻo ia ka apo o ka ʻiʻo e hana like me ka puka ma waena o ka ʻōpū a me ka ʻōpū. I nā pēpē, ke hoʻomohala nei kēia ʻiʻo a ʻaʻole mau e noho paʻa.

He mau mea kumu e kōkua ai i ke kumu o ka reflux i nā pēpē:

• ʻO ka ʻōnaehana digestive immature e aʻo nei e hana pono
• Ke hoʻolilo ʻana i ka hapa nui o ko lākou manawa e moe pālahalaha ana, kahi e maʻalahi ai ka kahe ʻana o nā mea o loko o ka ʻōpū i luna
• ʻAi ʻana i nā wai wale nō, kahi e neʻe maʻalahi ai ma mua o nā meaʻai paʻa
• ʻO ka ʻōpū liʻiliʻi e piha koke a hoʻopau pinepine ʻia
• Ka papahana hānai pinepine e mālama mau i ka ʻōpū piha

Malia paha e ʻike kekahi mau pēpē i ka reflux nui aʻe ma muli o nā pilikia meaʻai, ʻoi aku hoʻi i nā protein i loko o ka fomula a i ʻole ka waiū umauma. ʻO nā pēpē ma mua o ka manawa e loaʻa pinepine ai ka reflux nui aʻe no ka mea pono ko lākou ʻōnaehana digestive i ka manawa keu e ulu ai.

He aha nā ʻano o ka ʻōpū ʻāʻī pēpē?

Aia ʻelua ʻano nui o ka reflux i nā pēpē. ʻO ka reflux maʻalahi, i kapa ʻia hoʻi ʻo ka reflux physiological, ʻo ia ka ʻano maʻamau, ʻaʻohe pōʻino e ʻike ai ka hapa nui o nā pēpē.

ʻO ka maʻi gastroesophageal reflux (GERD) ka ʻano ʻoi aku ka nui e pono ai ka nānā ʻana o nā kauka. ʻAʻole like me ka reflux maʻalahi, hana ka GERD i ka ʻoluʻolu ʻole a hiki ke hoʻopilikia i ka ulu ʻana o kāu pēpē. Loaʻa pinepine i nā pēpē me ka GERD nā hōʻailona ʻoi aku ka nui a hiki ke hakakā e loaʻa pono i ke kaupaona.

ʻO ka ʻokoʻa nui ʻaʻole hana ka reflux maʻalahi i nā pilikia lōʻihi, ʻoiai hiki i ka GERD ke alakaʻi i nā pilikia inā waiho ʻia me ka mālama ʻole. Hiki i kāu pediatrician ke kōkua i ka hoʻoholo ʻana i ke ʻano āu e loaʻa ai i kāu pēpē ma muli o ko lākou mau hōʻailona a me ke olakino holoʻokoʻa.

I ka wā e ʻike ai i ke kauka no ka ʻōpū ʻāʻī pēpē?

Pono ʻoe e hoʻokaʻaʻike i kāu pediatrician inā ʻaʻole e loaʻa pono ana kāu pēpē i ke kaupaona a i ʻole ke ʻano e nalowale ana ke kaupaona. Hiki paha kēia ke hōʻike i ka hoʻopilikia ʻana o ka reflux i ko lākou meaʻai.

E hoʻonohonoho i kahi manawa inā ʻike ʻoe i kekahi o kēia mau hōʻailona hopohopo:

• Ka luaʻi ikaika e pana aku ana i nā ʻīniha he nui (projectile vomiting)
• Ke koko i loko o ka hoʻopuka a i ʻole ka luaʻi
• ʻŌmaʻomaʻo a melemele paha ka luaʻi
• Ke hōʻole ʻana e ʻai a i ʻole ke hōʻike ʻana i nā hōʻailona o nā pilikia hānai nui
• Ke uē nui ʻana a i ʻole nā hōʻailona o ka ʻeha nui
• Nā pilikia hanu, me ka wheezing a i ʻole ka maʻi kikoo
• Ke kī pinepine ʻana a i ʻole ke kāʻili ʻana i ka wā e hānai ana

E hilinaʻi i kou mau manaʻo ma ke ʻano he mākua. Inā he mea hewa a i ʻole ke ʻano ʻoluʻolu ʻole o kāu pēpē, he mea kūpono mau ke hoʻokaʻaʻike aku i kāu mea lawelawe olakino no ke alakaʻi.

He aha nā mea pilikia no ka ʻōpū ʻāʻī pēpē?

ʻO ka hapa nui o nā pēpē me ka reflux ʻaʻole e loaʻa i nā pilikia, ʻoi aku hoʻi i ka wā he ʻano maʻamau, māmā. Eia naʻe, hiki i ka reflux nui a i ʻole GERD ke alakaʻi i nā pilikia e pono ai ka nānā ʻana o nā kauka.

ʻO nā pilikia hiki ke loaʻa:

• Ka loaʻa ʻole o ke kaupaona a i ʻole ka hāʻule ʻole i ka ulu ʻana ma muli o nā pilikia hānai
• Esophagitis, ʻo ia ka mumū o ka ʻōpū mai ka hoʻopilikia ʻana o ka waikawa i ka manawa pinepine
• Nā pilikia hanu inā komo nā mea o loko o ka ʻōpū i loko o nā māmā
• Nā pilikia hiamoe e hoʻopilikia ana i ka ulu holoʻokoʻa
• Ka nele o ka hao ma muli o ke kahe koko liʻiliʻi i loko o ka ʻōpū
• Ka hoʻonui ʻana o ka ʻōpū i nā hihia koʻikoʻi, koʻikoʻi

He mea maʻamau ʻole kēia mau pilikia a maʻamau wale nō e loaʻa me ka GERD koʻikoʻi, me ka mālama ʻole. Hiki i ka hoʻoponopono koke a me ka mālama pono ke pale aku i ka hapa nui o kēia mau pilikia mai ka ulu ʻana.

Pehea e pale aku ai i ka ʻōpū ʻāʻī pēpē?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka reflux i nā pēpē, hiki i kekahi mau ʻano hānai a me nā kūlana ke kōkua i ka hoʻemi ʻana i nā hōʻailona. Hana kēia mau hoʻolālā mālie me ka hoʻomohala kūlohelohe o kāu pēpē ma mua o ke kūʻē ʻana.

Eia nā ala kōkua e hoʻemi ai i nā hanana reflux:

• E hānai i nā mea liʻiliʻi pinepine ma mua o nā hānai nui
• E hoʻopaʻa i kāu pēpē i luna no 20-30 mau minuke ma hope o ka hānai ʻana
• E hoʻopuka i kāu pēpē i nā manawa he nui i kēlā me kēia hānai
• E pale i ka lele a i ʻole ka pāʻani ikaika koke ma hope o nā meaʻai
• E mālama i ke kiʻekiʻe o ke poʻo o kāu pēpē i ka wā e moe ana (e like wale nō me ka ʻōlelo a kāu pediatrician)
• Inā hānai ʻia i ka hue, e hōʻoia i ka puka nipple ʻaʻole nui loa, hiki ke hana i ka hānai wikiwiki

No nā mākua hānai waiū umauma, ʻo ka pale ʻana i nā meaʻai hiki ke hoʻonāukiuki e like me ka caffeine, nā meaʻai ʻawaʻawa, a i ʻole ka waiū paha e kōkua i kekahi mau pēpē. Eia naʻe, pono e kūkākūkā ʻia nā loli meaʻai me kāu mea lawelawe olakino mua.

Pehea ka hōʻoia ʻana o ka ʻōpū ʻāʻī pēpē?

ʻO ka hapa nui o ka manawa, hiki i kāu pediatrician ke hōʻoia i ka reflux ma muli o nā hōʻailona o kāu pēpē a me ka nānā kino. E nīnau lākou e pili ana i nā ʻano hānai, ka loaʻa ʻana o ke kaupaona, a me nā hōʻailona kikoʻī āu i ʻike ai.

E hahai paha kāu kauka i ka ulu ʻana o kāu pēpē ma nā papa kuhikuhi maʻamau e hōʻoia i ka loaʻa ʻana o ke kaupaona kūpono. Inā ulu maikaʻi kāu pēpē a me ka ʻano ʻoluʻolu ma waena o nā hanana, ʻaʻole pono nā hoʻokolohua kūikawā.

I nā hihia i manaʻo ʻia ai ka GERD, hiki i kāu pediatrician ke ʻōlelo aku i nā hoʻokolohua hou aku. Hiki ke komo pū kēia i kahi moʻo GI luna, kahi e inu ai kāu pēpē i kahi hopena hoʻohālike a me nā X-rays e hahai ana i ke ʻano o ka neʻe ʻana i loko o ko lākou ʻōnaehana digestive. I kekahi manawa, he hoʻokolohua pH probe e ana i nā pae waikawa i loko o ka ʻōpū ma luna o 24 mau hola.

He aha ka lāʻau lapaʻau no ka ʻōpū ʻāʻī pēpē?

No ka hapa nui o nā pēpē me ka reflux maʻalahi, ʻo ka manawa ka lāʻau lapaʻau maikaʻi loa. Maʻamau ka hoʻomaikaʻi nui ʻana o ke kūlana ma ka 6 mau mahina o ka makahiki a hoʻonā loa ʻia ma 12-18 mau mahina i ka wā e ulu ai ka ʻōnaehana digestive.

Malia paha e ʻōlelo aku kāu pediatrician i kēia mau hoʻolālā mālama:

• Ke hoʻoponopono ʻana i nā ʻano hānai a me ke kūlana
• Ke hoʻoikaika ʻana i ka fomula me ka palaʻai rai (inā ʻōlelo ʻia e kāu kauka)
• Ke hoʻololi ʻana i kahi fomula ʻē aʻe inā manaʻo ʻia nā allergies
• No nā mākua hānai waiū umauma, ke kāpae ʻana i nā meaʻai hiki ke hoʻonāukiuki mai ko lākou meaʻai
• Ke hoʻohana ʻana i nā lāʻau lapaʻau e like me nā antacids a i ʻole nā mea hoʻemi waikawa i nā hihia koʻikoʻi
• I nā kūlana koʻikoʻi, hiki ke noʻonoʻo ʻia ka ʻoki kino no ka GERD koʻikoʻi ʻaʻole pane i nā lāʻau lapaʻau ʻē aʻe

Maʻamau nā lāʻau lapaʻau no nā pēpē me ka GERD ʻaʻole pane i nā loli hānai a me nā ʻano kūlana. E kaupaona pono kāu kauka i nā pono a me nā pilikia ma mua o ka ʻōlelo ʻana i kekahi lāʻau lapaʻau.

Pehea e hāʻawi ai i ka mālama home i ka wā o ka ʻōpū ʻāʻī pēpē?

ʻO ka hana ʻana i kahi wahi mālie, ʻoluʻolu i ka wā e hānai ana hiki ke hana i kahi ʻokoʻa nui no kāu pēpē. E hoʻolilo i kou manawa me nā hānai a e nānā i nā hōʻailona o kāu pēpē e pili ana i ka wā e lawa ai lākou.

Eia nā hoʻolālā mālama home kūpono:

• E mālama i nā manawa hānai i ka mālie a me ka wikiwiki ʻole
• E loaʻa nā lole burp i mākaukau a mai hopohopo e pili ana i ka haumia
• E ho'āʻo i nā kūlana hānai like ʻole e ʻike i ka mea e hana maikaʻi loa no kāu pēpē
• E noʻonoʻo i nā hānai liʻiliʻi, pinepine ma mua o ka ho'āʻo ʻana e loaʻa iā lākou ka ʻai nui
• E mālama i kahi moʻolelo hānai e ʻike i nā ʻano a i ʻole nā mea hoʻonāukiuki
• E hōʻoia i ka ʻike o kēlā me kēia mea mālama i kāu pēpē e pili ana i ka reflux a me nā ʻano kūlana kūpono

E hoʻomanaʻo he mea haumia a hoʻonāukiuki paha ka reflux, akā he manawa pōkole ia. ʻAʻole ʻoluʻolu kāu pēpē i nā manawa a pau, a ʻaʻole e hōʻeha ka hoʻopuka ʻana iā lākou e like me ka hōʻeha ʻana o ka luaʻi ʻana iā ʻoe.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa kauka?

Ma mua o kāu manawa, e mālama i kahi moʻolelo kikoʻī o nā hōʻailona o kāu pēpē no kekahi mau lā. E hoʻomaopopo i ka wā e hana ai nā hanana reflux e pili ana i nā manawa hānai a me ka mea e hoʻonāukiuki ai iā lākou.

E lawe mai i kēia ʻike e kōkua i kāu pediatrician e hoʻomaopopo i ke ʻano:

• Ka pinepine a me ka manawa o nā hanana hoʻopuka
• Ka papahana hānai a me nā nui o kāu pēpē
• Kekahi mau loli i nā ʻano uē a i ʻole nā pilikia hiamoe
• ʻIke kaupaona inā loaʻa iā ʻoe kahi unahi home
• Papa inoa o nā mea hoʻoponopono āu i ho'āʻo ai a me ko lākou pono
• Nā nīnau e pili ana i ka mea maʻamau a me ka mea hiki ke hopohopo

Mai kānalua e noi i kāu kauka e hōʻike i nā kūlana hānai kūpono a i ʻole nā ʻano hoʻopuka. Hiki iā lākou ke hāʻawi i ke alakaʻi i nā hōʻailona e pono ai ka nānā koke ʻana ma mua o nā mea he ʻāpana o ka hoʻomohala maʻamau o nā pēpē.

He aha ka mea nui e pili ana i ka ʻōpū ʻāʻī pēpē?

He mea maʻamau loa a ʻaʻohe pōʻino ka ʻōpū ʻāʻī pēpē, e hoʻopilikia ana i nā pēpē āpau i kekahi pae. ʻOiai hiki ke hana i nā manawa haumia a me ka hoʻonāukiuki manawa, ulu ka hapa nui o nā pēpē iā ia ma ke ʻano kūlohelohe i ka wā e ulu ai ko lākou ʻōnaehana digestive.

ʻO ka hapa nui o nā pēpē me ka reflux e hoʻomau i ka ulu ʻana a me ka hoʻomohala ʻana maʻamau. Hoʻolako pinepine nā loli kūlana maʻalahi a me nā hoʻoponopono hānai i ka hōʻoluʻolu nui me ka ʻole o ka pono no nā lāʻau lapaʻau a i ʻole ka hoʻopili ʻana o nā kauka.

E hilinaʻi i ka hala ʻana o kēia wā, maʻamau ma ka lā hānau o kāu pēpē. E kālele i ka mālama ʻana i nā manawa hānai i ka mālie a me ka ʻoluʻolu, a mai kānalua e hoʻokaʻaʻike aku i kāu pediatrician inā loaʻa iā ʻoe nā hopohopo e pili ana i nā hōʻailona a i ʻole ka ulu ʻana o kāu pēpē.

Nā nīnau pinepine e pili ana i ka ʻōpū ʻāʻī pēpē

He mea maʻamau anei ka hoʻopuka ʻana o kaʻu pēpē ma hope o kēlā me kēia hānai?

ʻAe, he mea maʻamau loa ka hoʻopuka pinepine ʻana no ka hapa nui o nā pēpē, ʻoi aku hoʻi i nā mahina mua. I ka wā e loaʻa ana kāu pēpē i ke kaupaona a me ka ʻano ʻoluʻolu ma waena o nā hanana, he ʻāpana kēia o ko lākou ulu ʻana o ka ʻōnaehana digestive e aʻo ana e hana pono.

Pehea wau e ʻike ai i ka ʻokoʻa ma waena o ka hoʻopuka maʻamau a me ka luaʻi ʻana?

ʻO ka hoʻopuka ʻana maʻamau e kahe mālie mai ka waha o kāu pēpē, ʻoiai ʻoi aku ka ikaika o ka luaʻi ʻana a hele mai me ka ikaika nui aku. ʻO ka hoʻopuka reflux maʻamau e like me ka waiū a i ʻole ka fomula i ʻole i ʻai ʻia, ʻoiai ʻoi aku ka hana ʻia o ka luaʻi. Inā ʻike ʻoe i ka luaʻi ikaika, projectile, e hoʻokaʻaʻike aku i kāu pediatrician.

E hoʻomaikaʻi a i ʻole e hoʻopilikia paha ka hānai waiū umauma a i ʻole ka fomula i ka reflux?

Hiki i nā pēpē hānai waiū umauma a me nā fomula ke ʻike i ka reflux, ʻoiai kekahi mau noiʻi e hōʻike ana he liʻiliʻi iki nā hōʻailona o nā pēpē hānai waiū umauma. ʻO ke kī ka loaʻa ʻana o ka mea e hana maikaʻi loa no kāu pēpē pilikino, inā ʻo ia ka hoʻoponopono ʻana i kāu meaʻai i ka wā e hānai ana i ka waiū umauma a i ʻole ke ho'āʻo ʻana i nā fomula like ʻole me ke alakaʻi a kāu kauka.

I ka wā hea e ulu ai kaʻu pēpē i ka reflux?

Hōʻike ka hapa nui o nā pēpē i ka hoʻomaikaʻi nui ʻana ma ka 6 mau mahina o ka makahiki i ka wā e hoʻomaka ai lākou e noho i luna a hoʻomaka e ʻai i nā meaʻai paʻa. ʻO ka hapa nui o nā pēpē e ulu loa i ka reflux ma 12-18 mau mahina i ka wā e ulu ai ko lākou sphincter esophageal haʻahaʻa a lilo i ikaika.

Pono anei wau e hopohopo inā kūlou koʻu pēpē i ko lākou kua i ka wā e hānai ana?

ʻO ke kūlou ʻana o ke kua i ka wā a i ʻole ma hope o ka hānai ʻana he pane maʻamau ia i ka ʻoluʻolu ʻole o ka reflux, akā ʻaʻole ia he kumu no ka hopohopo. Eia naʻe, inā kūlou mau kāu pēpē i ko lākou kua a me ka ʻano ʻeha nui, a i ʻole inā hui pū ʻia kēia ʻano me ka hōʻole ʻana e ʻai a i ʻole ka loaʻa ʻole o ke kaupaona, e kūkākūkā me kāu pediatrician.