Ukukhula okuthe xaxa kwegciwane emathunjini

Ukukhula kwamabhaktheriya amancane emathunjini yisimo lapho inani elikhulu kakhulu lamagciwane likhula emathunjini amancane.

Isikhathi esiningi, ngokungafani nethumbu elikhulu, ithumbu elincane alinayo inani elikhulu lamagciwane. Amagciwane amaningi ngokweqile emathunjini amancane angasebenzisa izakhi zomzimba ezidingekayo emzimbeni. Ngenxa yalokho, umuntu angase angondleki.

Ukonakala kwezakhamzimba ngamagciwane amaningi kungalimaza ulwelwesi lwamathumbu amancane. Lokhu kungenza kube nzima kakhulu ukuthi umzimba umunce izakhi zomzimba.

Izimo ezingaholela ekukhuleni kwamagciwane emathunjini amancane zifaka:

• Izinkinga zezifo noma ukuhlinzwa ezakha amaphakethe noma amabhlogo emathunjini amancane. Isifo seCrohn singenye yalezi zimo.
• Izifo eziholela ezinkingeni zokunyakaza emathunjini amancane, njengesifo sikashukela kanye ne-scleroderma.
• Ukungasebenzi komzimba, njenge-AIDS noma i-immunoglobulin.
• Isifo samathumbu esifushane esidalwa ukususwa kokuhlinzwa kwamathumbu amancane.
• I-diverticulosis encane yamathumbu, lapho okuncane, futhi kwesinye isikhathi amasaka amakhulu avela kulwelwesi lwangaphakathi lwamathumbu. La masaka avumela amagciwane amaningi kakhulu ukuthi akhule. La masaka ajwayelekile kakhulu emathunjini amakhulu.
• Izinqubo zokuhlinza ezakha i-loop yamathumbu amancane lapho amabhaktheriya amaningi angakhula khona. Isibonelo uhlobo lweBillroth II lokususa isisu (gastrectomy).
• Ezinye izimo ze-irritable bowel syndrome (IBS).

Izimpawu ezivame kakhulu yilezi:

• Ukugcwala kwesisu
• Ubuhlungu besisu kanye namajaqamba
• Ukuqhakaza
• Uhudo (imvamisa lunamanzi)
• I-Gassiness

Ezinye izimpawu zingafaka:

• Indle enamafutha
• Ukwehla kwesisindo

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa ngokomzimba abuze ngomlando wakho wezokwelapha. Ukuhlolwa kungafaka:

• Ukuhlolwa kwamakhemikhali egazi (njengezinga le-albhamuin)
• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kwamafutha endle
• I-endoscopy encane yamathumbu
• Amazinga kavithamini egazini
• I-biopsy emathunjini amancane noma isiko
• Ukuhlolwa kokuphefumula okukhethekile

Umgomo ukwelapha imbangela yokwanda kwamagciwane. Ukwelashwa kungafaka:

• Imithi elwa namagciwane
• Imithi esheshisa ukunyakaza kwamathumbu
• Uketshezi olufakwa ngaphakathi (IV)
• Ukudla okunomsoco okunikezwa ngomthambo (inani eliphelele lokudla kwabazali - i-TPN) kumuntu ongondlekile

Ukudla okungenayo i-lactose kungasiza.

Amacala abucayi aholela ekungondlekeni. Ezinye izinkinga ezingaba khona zifaka:

• Ukuphela kwamanzi emzimbeni
• Ukopha ngokweqile noma ezinye izinkinga ngenxa yokushoda kwamavithamini
• Isifo sesibindi
• I-osteomalacia noma i-osteoporosis
• Ukuvuvukala kwamathumbu

Ukukhula - amabhaktheriya emathumbu; Ukukhula kwegciwane - amathumbu; Ukwanda kwamabhaktheriya amancane emathunjini; SIBO

• Amathumbu amancane

U-El-Omar E, uMcLean MH. I-Gastroenterology. Ku: Ralston SH, ID Penman, Strachan MWJ, Hobson RP, eds. Izimiso zikaDavidson kanye Nokuzijwayeza Kwezokwelapha. Umhla ka-23. IPhiladelphia, PA: Elsevier; 2018: isahluko 21.

ULacy BE, uDiBaise JK. Ukukhula kwamagciwane amancane emathunjini. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 105.

UManolakis CS, uRutland TJ, uDi Palma JA. Ukukhula kwamagciwane amancane emathunjini. Ku: McNally PR, ed. Izimfihlo ze-GI / zesibindi Futhi. Umhlaka 5. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 44.

ISundaram M, uKim J. Isifo samathumbu esifushane. Ku: Yeo CJ, ed. Ukuhlinzwa kukaShackelford kwe-Alimentary Tract. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 79.