Isifo samathumbu esifushane

Isifo samathumbu esifushane yinkinga eyenzeka lapho ingxenye yamathumbu amancane ilahlekile noma isusiwe ngesikhathi sokuhlinzwa. Izakhi zomzimba azingeni kahle emzimbeni ngenxa yalokho.

Amathumbu amancane amunca izakhamzimba eziningi ezitholakala ekudleni esikudlayo. Lapho izingxenye ezimbili kwezintathu zamathumbu amancane zilahlekile, umzimba ungahle ungamunci ukudla okwanele ukuze uhlale uphilile futhi ugcine isisindo sakho.

Ezinye izingane zizalwa zilahlekile yingxenye noma iningi lamathumbu azo amancane.

Imvamisa, isifo esifushane samathumbu senzeka ngoba ingxenye enkulu yamathumbu amancane iyasuswa ngesikhathi sokuhlinzwa. Lolu hlobo lokuhlinzwa lungadingeka:

• Ngemuva kokudutshulwa noma okunye ukuhlukumezeka kulimaze amathumbu
• Okomuntu onesifo esinzima seCrohn
• Ezinganeni, ezivame ukuzalwa zisencane kakhulu, lapho ingxenye yamathumbu abo ifa
• Lapho ukugeleza kwegazi kuya emathunjini amancane kuyancipha ngenxa yamahlule egazi noma imithambo emincane

Izimpawu zingafaka:

• Uhudo
• Ukukhathala
• Okupholile, indle enamafutha
• Ukuvuvukala (i-edema), ikakhulukazi imilenze
• Izitulo ezinuka kabi kakhulu
• Ukwehla kwesisindo
• Ukuphela kwamanzi emzimbeni

Ukuhlolwa okulandelayo kungenziwa:

• Ukuhlolwa kwamakhemikhali egazi (njengezinga le-albhamuin)
• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kwamafutha endle
• Amathumbu amancane i-x-ray
• Amazinga kavithamini egazini

Ukwelashwa kuhlose ukuqeda izimpawu nokuqinisekisa ukuthi umzimba uthola ukufuthwa okwanele nezakhi zomzimba.

Ukudla okunekhalori ephezulu okunikezayo:

• Amavithamini ayisihluthulelo namaminerali, njenge-iron, i-folic acid, ne-vitamin B12
• Ama-carbohydrate anele, amaprotheni, namafutha

Uma kudingeka, imijovo yamanye amavithamini namaminerali noma izici ezikhethekile zokukhula zizonikezwa.

Imithi yokwehlisa ijubane ukunyakaza kwamathumbu ingazanywa. Lokhu kungavumela ukudla ukuthi kuhlale emathunjini isikhathi eside. Imithi yokwehlisa inani le-asidi esiswini nayo ingadingeka.

Uma umzimba ungakwazi ukudonsa izakhi ezanele, inani lokudla okunomsoco we-parenteral (TPN) lizanywa. Kuzokusiza wena noma ingane yakho ukuthola umsoco kwifomula ekhethekile ngomthambo emzimbeni. Umhlinzeki wakho wokunakekelwa kwezempilo uzokhetha inani elifanele lamakhalori nesisombululo se-TPN. Kwesinye isikhathi, ungadla futhi uphuze ngenkathi uthola umsoco ku-TPN.

Ukufakelwa kwamathumbu amancane kuyindlela kwezinye izimo.

Isimo singathuthuka ngokuhamba kwesikhathi uma kungenxa yokuhlinzwa. Ukumuncwa komsoco kungancipha kancane kancane.

Izinkinga zingafaka:

• Ukukhula kwamagciwane emathunjini amancane
• Izinkinga zesistimu yezinzwa ezibangelwa ukuntuleka kukavithamini B12 (Le nkinga ingelashwa ngemijovo kavithamini B12.)
• I-asidi eningi egazini (i-metabolic acidosis ngenxa yohudo)
• Amatshe amatshe amade
• Amatshe ezinso
• Ukuphela kwamanzi emzimbeni
• Ukungondleki
• Amathambo abuthakathaka (osteomalacia)
• Ukwehla kwesisindo

Shayela umhlinzeki wakho uma uba nezimpawu zesifo esifushane samathumbu, ikakhulukazi ngemuva kokuhlinzwa kwamathumbu.

Ukwehluleka kwamathumbu amancane; Isifo esifushane sesisu; I-Necrotizing enterocolitis - amathumbu amafushane

• Uhlelo lokugaya ukudla
• Izitho zohlelo lokugaya ukudla

I-Buchman AL. Isifo samathumbu esifushane. 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 106.

IKaufman SS. Isifo samathumbu esifushane. Ku: Wyllie R, Hyams JS, Kay M, eds. Izifo Zamathumbu Emathunjini Nesibindi. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2016: isahluko 35.

USemrad CE. Sondela esigulini ngesifo sohudo kanye ne-malabsorption. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 131.