Eseme ry’Acide Reflux mu Bana bato: Ibimenyetso, Impamvu, n’Ubuvuzi

Eseme ry’Acide Reflux ribaho iyo ibiribwa biri mu gifu byisubira hejuru mu munwa w’umwana, umuyoboro uhuza akanwa n’igifu. Ibi ni bintu bisanzwe cyane mu bana bato, kandi bisanzwe bikira ubwabyo uko umwana akura.

Haba hafi abana bose bagira reflux mu mezi ya mbere y’ubuzima bwabo. Uburyo bwabo bwo gushobora ibiryo bugikura, kandi umushinzi ugomba gufata ibiryo mu gifu nturakomeza.

Ni ibihe bimenyetso by’Eseme ry’Acide Reflux mu bana bato?

Ikimenyetso cyigaragara cyane ni ukurambagira kenshi, cyane cyane nyuma yo konsa. Ushobora kubona umwana wawe akuramo amata make cyangwa ifu, bishobora kuba ako kanya nyuma yo kurya cyangwa nyuma y’isaha.

Dore ibimenyetso bisanzwe ushobora kubona mu mwana wawe:

• Kurambagira kenshi cyangwa kuruka nyuma yo konsa
• Guhindagura umugongo mu gihe cyo konsa cyangwa nyuma yaho
• Guhorana agahinda cyangwa kurira, cyane cyane mu gihe cyo kurya cyangwa nyuma yaho
• Kwanka kurya cyangwa kugaragara nk’aho atishimiye igihe ari konsa
• Kukohoka cyangwa guhumeka kenshi
• Gutanga amajwi nk’ay’amazi mu muhogo
• Kubura ibitotsi cyangwa kugorana gusinzira

Abana benshi bafite reflux bakomeza kwiyongera ibiro nk’uko bikwiye kandi bagaragara nk’abishimye hagati y’ibibazo. Ariko kandi, bamwe mu bana bagira ibimenyetso bikomeye bishobora kugaragaza uburwayi bwitwa gastroesophageal reflux disease (GERD), tuzakomeza kubivugaho.

Ni iki giteza Eseme ry’Acide Reflux mu bana bato?

Impamvu nyamukuru ni umushinzi utaratera imbere, uwo ni umushinzi w’imitsi ukora nk’umuhanda hagati y’umunwa n’igifu. Mu bana bato, uyu musinzi ugikura kandi ntabwo uhora ufunze neza.

Hari ibintu byinshi bigira uruhare mu kuba reflux ari bintu bisanzwe cyane mu bana bato:

• Uburyo bwo gushobora ibiryo butaratera imbere bukiri kwiga gukora neza
• Kumara igihe kinini baryamye, ibi bituma ibiryo biri mu gifu byisubira hejuru byoroshye
• Ibiryo bigizwe n’amazi gusa, byoroshye kwisubira hejuru kurusha ibiryo bikomeye
• Igifu gito cyuzuzwa vuba kandi kigakurwamo ibiryo vuba
• Gukonswa kenshi bituma igifu buri gihe kiba cyuzuye

Bamwe mu bana bashobora kugira reflux nyinshi bitewe n’uburyo bumva ibiryo, cyane cyane poroteyine iri mu mata cyangwa ifu. Abana bavutse batarageza igihe cyabo bakunze kugira reflux ikomeye kuko uburyo bwabo bwo gushobora ibiryo bukeneye igihe cyongeye kugira ngo butere imbere.

Ni ubuhe bwoko bw’Eseme ry’Acide Reflux mu bana bato?

Hari ubwoko bubiri nyamukuru bwa reflux mu bana. Reflux isanzwe, izwi kandi nka reflux ya physiological, ni ubwoko busanzwe kandi budakomeye abana benshi bagira.

Gastroesophageal reflux disease (GERD) ni ubwoko bukomeye busaba ubuvuzi. Bitandukanye na reflux isanzwe, GERD itera ububabare bukomeye kandi ishobora kubangamira ubuzima bw’umwana n’iterambere rye. Abana bafite GERD bakunze kugira ibimenyetso bikomeye kandi bashobora kugorana kwiyongera ibiro uko bikwiye.

Itandukaniro nyamukuru ni uko reflux isanzwe idatera ibibazo birambye, mu gihe GERD ishobora gutera ibibazo niba idakurikiranwa. Muganga wawe ashobora kugufasha kumenya ubwoko umwana wawe afite hashingiwe ku bimenyetso bye n’ubuzima bwe muri rusange.

Ni ryari ukwiye kujya kwa muganga kubera Eseme ry’Acide Reflux mu mwana?

Ukwiye kuvugana na muganga wawe niba umwana wawe adakomeza kwiyongera ibiro uko bikwiye cyangwa asa nk’aho ari kubura ibiro. Ibi bishobora kugaragaza ko reflux ibangamira imirire ye.

Tegura gahunda yo kujya kwa muganga niba ubona ibimenyetso bikurikira bibangamira:

• Kurukira cyane cyane bigenda kure (projectile vomiting)
• Amaraso mu kurambagira cyangwa mu kuruka
• Kurukira kw’icyatsi cyangwa umuhondo
• Kwanka kurya cyangwa kugaragaza ibimenyetso bikomeye byo kugorana kurya
• Kurira cyane cyangwa ibimenyetso by’ububabare bukomeye
• Ibibazo byo guhumeka, harimo guhumeka nabi cyangwa inkorora idashira
• Guhobera cyangwa gufata mu kanwa kenshi mu gihe cyo konsa

Gira icyizere icyo wumva nk’umubyeyi. Niba hari ikintu kidakubereye cyangwa umwana wawe asa nk’aho atishimiye, buri gihe ni byiza kuvugana n’umuganga wawe kugira ngo aguhe ubuyobozi.

Ni ibihe bintu byongera ibyago byo kugira Eseme ry’Acide Reflux mu mwana?

Abana bavutse batarageza igihe cyabo bafite ibyago byinshi kuko uburyo bwabo bwo gushobora ibiryo butabonye igihe gihagije cyo gutera imbere mu nda ya nyina. Umusinzi wabo ushinzwe gufata ibiryo mu gifu ushobora kuba utaratera imbere kurusha abana bavutse bageze igihe cyabo.

Hari ibintu byinshi bishobora kongera ibyago byo kugira reflux mu mwana wawe:

• Kuvuka utarageza igihe cyabo
• Kugira hiatal hernia, aho igice cy’igifu kinjira mu gikombe
• Indwara z’imitsi zigira ingaruka ku mikorere y’imitsi
• Amateka y’umuryango afite reflux cyangwa ibibazo byo gushobora ibiryo
• Kuhumeka umwotsi w’itabi
• Imiti imwe n’imwe ishobora kugabanya imbaraga z’umushinzi ufunga igifu

Abana benshi bafite ibyago byinshi bagira reflux yoroheje gusa ikikira ubwabyo. Kugira ibyago byinshi ntibisobanura ko umwana wawe azagira ibimenyetso bikomeye cyangwa ibibazo.

Ni ibihe bibazo bishobora guterwa n’Eseme ry’Acide Reflux mu bana bato?

Abana benshi bafite reflux ntabibazo bagira, cyane cyane iyo ari ubwoko busanzwe kandi buroroheje. Ariko kandi, reflux ikomeye cyangwa GERD rimwe na rimwe ishobora gutera ibibazo bisaba ubuvuzi.

Ibibazo bishobora guterwa na reflux bikubiyemo:

• Kudakomeza kwiyongera ibiro cyangwa kudatera imbere uko bikwiye kubera kugorana kurya
• Esophagitis, ari yo kwangirika kw’umunwa kubera acide nyinshi
• Ibibazo byo guhumeka niba ibiryo biri mu gifu binjira mu bihaha
• Kubura ibitotsi bigira ingaruka ku iterambere
• Kubuza amaraso kubera kuva gake mu munwa
• Kumanuka kw’umunwa mu bihe bitoroshye kandi bikomeye

Ibi bibazo ni bike kandi bisanzwe bibaho gusa mu gihe cya GERD ikomeye idakurikiranwa. Kugira ubuvuzi hakiri kare no kuyobora neza bishobora gukumira ibyinshi muri ibi bibazo.

Eseme ry’Acide Reflux mu bana bato rishobora gukumirwa gute?

Nubwo utazi gukumira burundu reflux mu bana bato, uburyo bwo konsa no kubashyira mu myanya runaka bishobora kugabanya ibimenyetso. Aya mayeri yoroheje akorana n’iterambere ry’umwana aho kumurwanya.

Dore uburyo bufasha kugabanya ibibazo bya reflux:

• Konsa inshuro nyinshi ariko ugatanga ibiryo bike kurusha konsa rimwe ariko ugatanga ibiryo byinshi
• Fata umwana wawe umushyire hejuru iminota 20-30 nyuma yo konsa
• Mufashe kenshi mu gihe cyo konsa
• Irinde kumukubita cyangwa gukina na we cyane nyuma yo kurya
• Shyira umutwe w’umwana wawe hejuru gato mu gihe aryamye (gusa nk’uko muganga wawe abikugira inama)
• Niba umwonsa mu icupa, menya neza ko umwenge utari munini cyane, bishobora gutuma akonswa vuba

Ku babyeyi bonsa, kwirinda ibiryo bishobora gutera ibibazo nka kafeyin, ibiryo birimo ibinini, cyangwa amata bishobora gufasha bamwe mu bana. Ariko kandi, guhindura imirire bikwiye kubiganirwaho n’umuganga wawe mbere.

Eseme ry’Acide Reflux mu bana bato rimenyekana gute?

Akenshi, muganga wawe ashobora kumenya reflux hashingiwe ku bimenyetso by’umwana wawe no kumusuzuma. Azakubaza ibyerekeye uburyo bwo konsa, kwiyongera kw’ibihe, n’ibimenyetso byihariye wabonye.

Muganga wawe azakurikirana uko umwana wawe akura kugira ngo amenye neza ko ari kwiyongera ibiro uko bikwiye. Niba umwana wawe ari kwiyongera ibiro neza kandi asa nk’aho arishimye hagati y’ibibazo, nta bipimo byihariye bikenewe.

Mu gihe bakeka GERD, muganga wawe ashobora kugusaba gukora ibindi bipimo. Ibi bishobora kuba harimo upper GI series, aho umwana wawe anywa umuti ugaragara kuri X-ray, maze X-ray igaragaza uko uwo muti unyura mu buryo bwo gushobora ibiryo. Rimwe na rimwe, pH probe study ipimira acide iri mu munwa mu masaha 24.

Ni iki kivura Eseme ry’Acide Reflux mu bana bato?

Ku bana benshi bafite reflux isanzwe, igihe ni cyo kivura cyiza. Iki kibazo gisanzwe kigabanuka cyane ku myaka 6, kikarangira burundu ku myaka 12-18 uko uburyo bwo gushobora ibiryo butera imbere.

Muganga wawe ashobora kugutegurira aya mayeri yo kuyobora:

• Guhindura uburyo bwo konsa no gushyira umwana mu myanya runaka
• Gusukura ifu hamwe na riz (gusa niba muganga wawe abikugira inama)
• Guhindura ifu niba bakeka ko hari allergie
• Ku babyeyi bonsa, kwirinda ibiryo bishobora gutera ibibazo
• Gukoresha imiti nka antacids cyangwa acid reducers mu bihe bikomeye
• Mu bihe bitoroshye, kubaga bishobora gufatwaho icyemezo kuri GERD ikomeye idakira n’ubundi buvuzi

Imiti isanzwe ikoreshwa ku bana bafite GERD batakira bahinduye uburyo bwo konsa n’imibereho. Muganga wawe azapima neza inyungu n’ibyago mbere yo kugutegurira imiti.

Uko watanga ubuvuzi bw’iwabo mu gihe cy’Eseme ry’Acide Reflux mu bana bato

Kurema ahantu hatuje kandi heza mu gihe cyo konsa bishobora kugira uruhare runini ku mwana wawe. Fata umwanya wawe mu gihe cyo konsa kandi urebe ibimenyetso by’umwana wawe byerekana ko amaze kurya bihagije.

Dore ingamba zo kwita ku mwana wawe mu rugo:

• Komeza igihe cyo konsa gituje kandi kidahutiye
• Tegura ibikoresho byo gukuraho ibiryo byavuyemo
• Gerageza imyanya itandukanye yo konsa kugira ngo urebe icyakora ku mwana wawe
• Tekereza konsa inshuro nyinshi ariko ugatanga ibiryo bike kurusha konsa rimwe ariko ugatanga byinshi
• Komeza inyandiko y’uko umwana wawe arya kugira ngo umenye ibintu bimutera ibibazo
• Menya neza ko umuntu wese witaye ku mwana wawe azi ibya reflux n’uburyo bwo kumushyira mu myanya runaka

Wibuke ko reflux ishobora kuba ikibazo kandi rimwe na rimwe ikababaje, ariko ni igihe gito. Umuntu wawe ntabwo aba atishimiye igihe cyose, kandi kurambagira ntibimubabaza nk’uko kuruka bishobora kukubabaza.

Uko wakwitegura kujya kwa muganga

Mbere yo kujya kwa muganga, komeza inyandiko y’ibimenyetso by’umwana wawe iminsi myinshi. Bandika igihe ibibazo bya reflux bibaho bijyanye n’igihe cyo konsa n’ibintu bisa nk’ibibitera.

Zana ayo makuru kugira ngo muganga wawe yumve neza uko ibintu byifashe:

• Ubwinshi n’igihe cyo kurambagira
• Uburyo bwo konsa n’ibyo umwana yahawe
• Ihinduka ry’uburyo bwo kurira cyangwa kubura ibitotsi
• Amakuru y’ibihe byiyongereye niba ufite urwego rwo gupima ibiro mu rugo
• Urutonde rw’ubuvuzi wagerageje n’ingaruka zabyo
• Ibibazo ku byo bisanzwe n’ibyo bishobora kuba bibangamira

Ntuzuyaze kubwira muganga wawe kukwereka uburyo bwiza bwo konsa cyangwa gufasha umwana wawe gufata umwuka. Bashobora kandi kugufasha kumenya ibimenyetso bikwiye kwitabwaho vuba n’ibyo ari ibintu bisanzwe mu bana bato.

Icyo ukwiye kumenya cyane ku Eseme ry’Acide Reflux mu bana bato

Eseme ry’Acide Reflux mu bana bato ni bintu bisanzwe kandi nta kibazo bitera, bikaba bigira ingaruka ku bana hafi ya bose mu buryo bumwe. Nubwo bishobora gutera ikibazo cyo kuzura n’agahinda, abana benshi barabikira uko uburyo bwabo bwo gushobora ibiryo butera imbere.

Abana benshi bafite reflux bakomeza gukura neza. Guhindura imyanya no konsa bisanzwe bigira akamaro kanini nta miti cyangwa ubuvuzi bukenewe.

Gira icyizere ko iki gihe kizashira, akenshi umwana wawe amaze kuzuza umwaka umwe. Ibanda ku kugira ngo igihe cyo konsa kibe gitaje kandi kiryoshye, kandi ntutinye kuvugana na muganga wawe niba ufite impungenge ku bimenyetso by’umwana wawe cyangwa uko akura.

Ibibazo byakenshi bibazwa ku Eseme ry’Acide Reflux

Ese bisanzwe ko umwana wanjye arambagira nyuma yo konsa buri gihe?

Yego, kurambagira kenshi ni ibintu bisanzwe cyane ku bana benshi, cyane cyane mu mezi ya mbere. Mu gihe umwana wawe ari kwiyongera ibiro kandi asa nk’aho arishimye hagati y’ibibazo, ibi ni ibintu bisanzwe mu bana bato.

Nshobora kumenya gute itandukaniro hagati yo kurambagira bisanzwe no kuruka?

Kurambagira bisanzwe bisohoka buhoro mu kanwa k’umwana wawe, mu gihe kuruka ari ibintu bikomeye kandi bisohoka cyane. Kurambagira bisanzwe bigaragara nk’amata cyangwa ifu itaranyura mu gifu, mu gihe kuruka bishobora kugaragara nk’ibintu byaranyuze mu gifu. Niba ubona kuruka cyane, vugana na muganga wawe.

Konsa cyangwa ifu bizatuma reflux ikira cyangwa ikomeza?

Abana bonsa n’abanywa ifu bose bashobora kugira reflux, nubwo ubushakashatsi bumwe bugaragaza ko abana bonsa bashobora kugira ibimenyetso bike. Ikintu nyamukuru ni ukubona icyakora ku mwana wawe, uko ari ukwo guhindura imirire yawe mu gihe umwonsa cyangwa kugerageza ifu itandukanye ubanje kubiganiriramo na muganga wawe.

Ese umwana wanjye azakira reflux ryari?

Abana benshi bagaragara neza ku myaka 6 iyo batangira kwicara kandi bagatangira kurya ibiryo bikomeye. Abana benshi barakira reflux burundu ku myaka 12-18 uko umushinzi ufunga igifu utera imbere.

Ese nakwiye guhangayika niba umwana wanjye ahindura umugongo mu gihe cyo konsa?

Guhindagura umugongo mu gihe cyo konsa cyangwa nyuma yaho ni ibintu bisanzwe mu bana bafite reflux, ariko si ikintu gikwiye gutera impungenge. Ariko kandi, niba umwana wawe ahindura umugongo buri gihe kandi asa nk’aho afite ikibazo gikomeye, cyangwa niba ibi bikorwa bifatanije no kwanka kurya cyangwa kudakomeza kwiyongera ibiro, biganiro na muganga wawe.