He aha te Whakaheke Waikawa o te Pēpi? Tohutohu, Take, me te Maimoatanga

Ka puta te whakaheke waikawa o te pēpi ina rere nga mea o roto i te kopu ki runga anō ki te esophagus o tō pēpi, arā, te pūkaha e hono ana i te waha ki te kopu. He tino noa tenei i ngā pēpi hou, ā, ka pai ake te nuinga i a rātou e tipu haere ana.

Te nuinga o ngā pēpi ka pā te whakaheke i ngā marama tuatahi o te ora. Kei te whanake tonu o rātou pūnaha kai, ā, kāore anō kia tino whānuitia te uaua e pupuri ana i te kai i roto i te kopu. Ahakoa he āwangawanga pea te tiro atu, he tino noa te nuinga o ngā take, ā, ka mutu kahore he maimoatanga motuhake.

He aha ngā tohu o te whakaheke waikawa o te pēpi?

Ko te tohu tino kitea ko te maha o te whakaheke, ina koa i muri i te whāngai. Ka kite pea koe i tō pēpi e whakaheke ana i te iti o te waiū, te miraka ranei, ka taea pea te puta tonu i muri i te kai, te haora rānei i muri mai.

Ko ēnei ngā tohu noa ka kitea pea e koe i tō pēpi:

• Te maha o te whakaheke, te ruaki rānei i muri i te whāngai
• Te whakaara i o rātou tuara i te wā whāngai, i muri rānei
• Te ngakau pouri, te tangi rānei, ina koa i te wā whāngai, i muri rānei
• Te whakakahore i te kai, te ahua rānei o te kore ngāwari i te wā whāngai
• Te mare, te hikaka rānei te nuinga
• Te ngākau pakaru i roto i o rātou korokoro
• Te moe kore ranei te uaua ki te moe

Ko te nuinga o ngā pēpi e pā ana te whakaheke ka mau tonu te taumaha, ā, ka koa i waenganui i ngā wāhanga. Heoi, ko ētahi pēpi ka pā ngā tohu nui ake ka tohu pea i te āhuatanga e kiia nei ko te mate whakaheke gastroesophageal (GERD), ka kōrerohia e mātou i muri mai.

He aha ngā take o te whakaheke waikawa o te pēpi?

Ko te take matua ko te sphincter esophageal iti kahore anō kia tino whānuitia, arā, te porowhita o te uaua e mahi ana hei kuwaha i waenganui i te esophagus me te kopu. I ngā pēpi, kei te whanake tonu tēnei uaua, ā, kāore i te mau tonu te kati.

He maha ngā take e āwhina ana ki te whakaheke i te nuinga o ngā pēpi:

• Te pūnaha kai kahore anō kia tino whānuitia kei te ako tonu ki te mahi tika
• Te nuinga o te wā e takoto ana, ka ngāwari ai te rere o ngā mea o roto i te kopu ki runga
• Te kai e waiū anake, ka ngāwari ake te neke atu i ngā kai kaakaariki
• Te iti o te kopu ka tere te whakaki, ka tere te whakaheke
• Te maha o te whāngai e pupuri ana i te kopu ki te whakaki tonu

Ko ētahi pēpi ka pā atu te whakaheke nui atu na te pāwera ki te kai, ina koa ki ngā pūmua i roto i te miraka, te waiū rānei. Ko ngā pēpi wawe ka nui ake te whakaheke na te mea me nui ake te wā hei whanake i o rātou pūnaha kai.

He aha ngā momo whakaheke waikawa o te pēpi?

E rua ngā momo whakaheke nui i ngā pēpi. Ko te whakaheke ngāwari, e kiia ana hoki ko te whakaheke tūturu, ko te momo noa, kore kino e pā ana ki te nuinga o ngā pēpi.

Ko te mate whakaheke gastroesophageal (GERD) ko te momo nui ake e hiahia ana ki te tiaki hauora. Kāore i rite ki te whakaheke ngāwari, ka puta te mamae nui i te GERD, ā, ka āwhina pea ki te tipu me te whanaketanga o tō pēpi. Ko ngā pēpi e pā ana te GERD ka nui ake ngā tohu, ā, ka uaua pea ki te whiwhi taumaha tika.

Ko te rerekētanga matua ko te whakaheke ngāwari kāore e puta he raruraru roa, engari ko te GERD ka āwhina pea ki ngā raruraru mena kāore i te maimoatia. Ka taea e tō tākuta tamariki te āwhina ki te whakatau i te momo pea o tō pēpi i runga i ōna tohu me tōna hauora whānui.

Nōhea te haere ki te tākuta mō te whakaheke waikawa o te pēpi?

Me whakapiri atu koe ki tō tākuta tamariki mena kāore tō pēpi e whiwhi taumaha tika, te ngaro rānei i te taumaha. Ka tohu pea tēnei kei te āwhina te whakaheke ki tōna kai.

Whakaritea he whakatau mena ka kite koe i ētahi o ēnei tohu āwangawanga:

• Te ruaki kaha e pupuhi ana i te maha o ngā inihi (te ruaki pupuhi)
• Te toto i roto i te whakaheke, te ruaki rānei
• Te ruaki matomato, kōwhai rānei
• Te whakakahore i te kai, te tohu rānei o ngā raruraru whāngai nui
• Te tangi nui, te tohu rānei o te mamae nui
• Ngā raruraru manawa, tae atu ki te wheezing, te mare roa rānei
• Te maha o te ngākau pouri, te ngākau rānei i te wā whāngai

Whakaarohia ō whakaaro hei mātua. Mena he he te mea, te ahua rānei o tō pēpi he kore ngāwari, he tika tonu te whakapiri atu ki tō kaiwhakarato hauora mō te aratohu.

He aha ngā take morearea mō te whakaheke waikawa o te pēpi?

Ko ngā pēpi wawe he nui ake te morearea na te mea kāore anō kia nui te wā hei whanake i o rātou pūnaha kai i roto i te kopu. Ka iti ake pea te whānuitia o te sphincter esophageal iti atu i ngā pēpi kua whānuitia.

He maha ngā take ka nui ake te tūponotanga o te whakaheke i tō pēpi:

• Te whānau wawe
• Te hiatal hernia, te wahi o te kopu e pēhi ana i te diaphragm
• Ngā āhuatanga neurological e pā ana ki te whakahaere uaua
• Te hītori whānau o te whakaheke, ngā raruraru pūnaha kai rānei
• Te whakaū i te paowa tuarua
• Ētahi rongoā e whakahaere ana i te sphincter esophageal iti

Ko te nuinga o ngā pēpi e pā ana ngā take morearea ka pā noa te whakaheke ngāwari e mutu ana. Ko te whai i ngā take morearea kāore e tikanga ka whanake tō pēpi i ngā tohu nui, ngā raruraru rānei.

He aha ngā raruraru pea o te whakaheke waikawa o te pēpi?

Ko te nuinga o ngā pēpi e pā ana te whakaheke kāore e whanake i ngā raruraru, ina koa he momo noa, ngāwari. Heoi, ko te whakaheke nui, te GERD rānei ka āwhina pea ki ngā raruraru e hiahia ana ki te tiaki hauora.

Ko ngā raruraru pea ko:

• Te iti o te whiwhi taumaha, te kore ranei e tipu na te raruraru whāngai
• Te esophagitis, arā, te mumura o te esophagus mai i te maha o te whakaū waikawa
• Ngā raruraru manawa mena ka manawahia ngā mea o roto i te kopu ki roto i ngā pūkahukahu
• Ngā raruraru moe e pā ana ki te whanaketanga whānui
• Te ngoikore o te rino na te toto iti i roto i te esophagus
• Te whakaiti o te esophagus i ngā take nui, onge

He onge ēnei raruraru, ā, ka puta noa i te GERD nui, kāore i te maimoatia. Ka taea e te whakauru wawe me te whakahaere tika te aukati i te nuinga o ēnei take mai i te whanaketanga.

Me pēhea te aukati i te whakaheke waikawa o te pēpi?

Ahakoa kāore e taea e koe te aukati katoa i te whakaheke i ngā pēpi, ka taea e ētahi tikanga whāngai me te whakatū te whakaiti i ngā tohu. Ko ēnei rautaki ngāwari e mahi ana me te whanaketanga tūturu o tō pēpi, kāore i te whakaheke.

Ko ēnei ngā huarahi whai hua hei whakaiti i ngā wāhanga whakaheke:

• Whāngai i ngā rahinga iti ake, te maha atu rānei i te whāngai nui
• Pupuri i tō pēpi ki runga mō te 20-30 meneti i muri i te whāngai
• Whakaheke i tō pēpi i te maha o ngā wā i roto i ia whāngai
• Kaua e pūkaha, te takaro nui rānei tonu i muri i ngā kai
• Pupuri i te upoko o tō pēpi kia teitei ake te iti i te wā moe (nō te tūtohutanga a tō tākuta tamariki anake)
• Mena kei te whāngai i te pounamu, kia kore rawa te rua o te pūnamu nui rawa, ka āwhina pea ki te tere o te whāngai

Mō ngā whaea e whāngai ana i te waiū, ko te karo i ngā kai āwhina pea penei i te caffeine, ngā kai kawa, te miraka rānei ka āwhina pea i ētahi pēpi. Heoi, me kōrerohia ngā huringa kai ki tō kaiwhakarato hauora tuatahi.

Me pēhea te whakatau i te whakaheke waikawa o te pēpi?

Ko te nuinga o te wā, ka taea e tō tākuta tamariki te whakatau i te whakaheke i runga i ngā tohu o tō pēpi me te whakamātautau tinana. Ka ui rātou mō ngā tauira whāngai, te whiwhi taumaha, me ngā tohu motuhake kua kitea e koe.

Ka aroturuki pea tō tākuta i te tipu o tō pēpi i runga i ngā tūtohu paerewa hei whakarite kei te whiwhi taumaha tika rātou. Mena kei te tipu pai tō pēpi, ā, kei te ahua ngāwari i waenganui i ngā wāhanga, kāore he whakamātautau motuhake e hiahiatia ana.

I ngā take e whakaarohia ana te GERD, ka tūtohu pea tō tākuta tamariki i ngā whakamātautau atu. Ka uru pea ēnei ki te raupapa GI runga, ka inu ai tō pēpi i te otinga whakaatu, ā, ka aroturuki ngā X-rays i te nekehanga i roto i tōna pūnaha kai. I etahi wa, ka ine te rangahau pH probe i ngā taumata waikawa i roto i te esophagus i te 24 haora.

He aha te maimoatanga mō te whakaheke waikawa o te pēpi?

Mō te nuinga o ngā pēpi e pā ana te whakaheke ngāwari, ko te wā te maimoatanga pai. Ka pai ake te āhuatanga i te 6 marama te pakeke, ā, ka mutu katoa i te 12-18 marama i te wā e whānuitia ana te pūnaha kai.

Ka tūtohu pea tō tākuta tamariki i ēnei rautaki whakahaere:

• Te whakarereke i ngā tikanga whāngai me te whakatū
• Te whakakī i te miraka ki te raihi cereal (mena ka tūtohuhia e tō tākuta anake)
• Te whakarereke ki tetahi atu miraka mena ka whakaarohia ngā mate pāwera
• Mō ngā whaea e whāngai ana i te waiū, te whakakore i ngā kai āwhina pea i tōna kai
• Te whakamahi i ngā rongoā penei i ngā antacids, ngā kai whakaiti waikawa rānei i ngā take nui
• I ngā take onge, ka whakaaro pea te pokanga mō te GERD nui kāore i te whakautu ki ētahi atu maimoatanga

Ko ngā rongoā ka whakaritea noa mō ngā pēpi e pā ana te GERD kāore i te whakautu ki ngā huringa whāngai me ngā tikanga whakatū. Ka whakarite tika tō tākuta i ngā painga me ngā morearea i mua i te tūtohutanga i tetahi rongoā.

Me pēhea te whakarato i te tiaki kāinga i te wā o te whakaheke waikawa o te pēpi?

Ko te hanga i te taiao mārama, ngāwari i ngā wā whāngai ka puta he rerekētanga nui mō tō pēpi. Tangohia tō wā ki te whāngai, kia titiro hoki ki ngā tohu a tō pēpi mō te wā kua nui.

Ko ēnei ngā rautaki tiaki kāinga whai hua:

• Pupuri i ngā hui whāngai kia mārama, kia kore e tere
• Whai ngā kākahu whakaheke kei te wātea, ā, kaua e manukanuka ki te paru
• Whakamātau i ngā tūnga whāngai rerekē hei kite i te mea pai mō tō pēpi
• Whakaarohia ngā whāngai iti ake, te maha atu rānei i te ngana ki te kai nui
• Pupuri i te rārangi whāngai hei kimi i ngā tauira, ngā āwhina rānei
• Kia mohio te tangata e tiaki ana i tō pēpi ki te whakaheke me ngā tikanga whakatū tika

Mahara ka taea e te whakaheke te paru, te pouri rānei i etahi wā, engari he wā poto. Kāore tō pēpi e kore ngāwari i te wā katoa, ā, kāore te whakaheke e mamae i a rātou i te ara e mamae ai te ruaki i a koe.

Me pēhea te whakarite mō tō whakatau ki te tākuta?

I mua i tō whakatau, pupuri i te rēhita taipitopito o ngā tohu o tō pēpi mō te maha o ngā rā. Tūtohuhia te wā e puta ai ngā wāhanga whakaheke e pā ana ki ngā wā whāngai, me te mea e āwhina ana ki a rātou.

Ka kawea mai ēnei korero hei āwhina i tō tākuta tamariki ki te mārama i te tauira:

• Te maha me te wā o ngā wāhanga whakaheke
• Te tauira whāngai o tō pēpi me ngā rahinga
• Ngā huringa i ngā tauira tangi, ngā raruraru moe rānei
• Ngā korero whiwhi taumaha mena kei a koe te tauine kāinga
• Rārangi o ngā rongoā kua whakamātauhia e koe me ōna hua
• Ngā pūrongo mō te mea noa me te mea pea he āwangawanga

Kaua e whakaroa ki te tono ki tō tākuta kia whakaatu i ngā tūnga whāngai tika, ngā tikanga whakaheke rānei. Ka taea hoki e rātou te whakarato i te aratohu mō ngā tohu e hiahia ana ki te tiaki tonu, ngā tohu rānei he wāhanga noa o te whanaketanga pēpi.

He aha te mea nui mō te whakaheke waikawa o te pēpi?

He tino noa te whakaheke waikawa o te pēpi, ā, he kore kino te nuinga, e pā ana ki te nuinga o ngā pēpi ki tetahi taumata. Ahakoa ka hanga pea i ngā wā paru me te ngakau pouri i etahi wā, ko te nuinga o ngā pēpi ka nui ake i te wā e whānuitia ana o rātou pūnaha kai.

Ko te nuinga o ngā pēpi e pā ana te whakaheke ka mau tonu te tipu me te whanaketanga. Ko ngā huringa whakatū ngāwari me ngā whakarereketanga whāngai ka nui te whakaora i te kore o te rongoā, te whakauru hauora rānei.

Whakaarohia ka mutu tēnei wā, i te nuinga o te wā i te wā o te whānautanga o tō pēpi. Arotahi ki te pupuri i ngā wā whāngai kia mārama, kia ngāwari hoki, ā, kaua e whakaroa ki te whakapiri atu ki tō tākuta tamariki mena he āwangawanga koe mō ngā tohu o tō pēpi, te tipu rānei.

Ngā pūrongo e ui ana mō te whakaheke waikawa o te pēpi

He noa te whakaheke o taku pēpi i muri i ia whāngai?

Ae, he tino noa te maha o te whakaheke mō te nuinga o ngā pēpi, ina koa i ngā marama tuatahi. Kia mau tonu te whiwhi taumaha o tō pēpi, ā, kia ngāwari i waenganui i ngā wāhanga, he wāhanga noa tēnei o tōna pūnaha kai e ako ana ki te mahi tika.

Me pēhea te whakamārama i te rerekētanga i waenganui i te whakaheke noa me te ruaki?

Ko te whakaheke ka rere noa mai i te waha o tō pēpi, ko te ruaki he kaha ake, ka puta mai me te pehanga nui ake. Ko te whakaheke reflux noa ka rite ki te waiū, te miraka rānei kāore i te kai, ko te ruaki pea he rite ake te kai. Mena kei te kite koe i te ruaki kaha, pupuhi, whakapiri atu ki tō tākuta tamariki.

Ka pai ake te whakaheke, te kino rānei te whāngai waiū, te whāngai miraka rānei?

Ko ngā pēpi e whāngai ana i te waiū, ngā pēpi e whāngai ana i te miraka rānei ka pā te whakaheke, ahakoa ko ētahi rangahau e whakaatu ana pea ngā pēpi e whāngai ana i te waiū he iti ake ngā tohu. Ko te mea nui ko te kimi i te mea pai mō tō pēpi, ahakoa ko te whakarereke i tō kai i te wā e whāngai ana i te waiū, te whakamātau rānei i ngā miraka rerekē me te aratohu a tō tākuta.

Nōhea ka nui ake tō pēpi i te whakaheke?

Ko te nuinga o ngā pēpi ka pai ake i te 6 marama te pakeke i te wā e noho ana rātou ki runga ake, ka tīmata ki te kai i ngā kai kaakaariki. Ko te nuinga o ngā pēpi ka nui ake te whakaheke katoa i te 12-18 marama i te wā e whānuitia ana tōna sphincter esophageal iti, ka kaha ake.

Me manukanuka ahau mena ka whakaara tō pēpi i tōna tuara i te wā whāngai?

Ko te whakaara i te tuara i te wā whāngai, i muri rānei he whakautu noa ki te mamae whakaheke, engari kāore pea he take mō te āwangawanga. Heoi, mena ka whakaara tonu tō pēpi i tōna tuara, ā, kei te ahua mamae nui, te whakakahore rānei i te kai, te iti o te whiwhi taumaha rānei, kōrerohia ki tō tākuta tamariki.