I-tropical sprue

I-tropical sprue yisimo esenzeka kubantu abahlala noma abavakashela izindawo ezishisayo isikhathi eside. Konakalisa izakhamzimba ukuthi zingangeni emathunjini.

I-tropical sprue (TS) yisifo esivezwa uhudo olubi noma olungamahlalakhona, ukwehla kwesisindo, kanye ne-malabsorption yezakhamzimba.

Lesi sifo sibangelwa ukulimala kolwelwesi lwamathumbu amancane. Kuqhamuka ekubeni nezinhlobo eziningi kakhulu zebhaktheriya emathunjini.

Izici zobungozi yilezi:

• Ukuhlala ezindaweni ezishisayo
• Isikhathi eside sokuhambela izindawo ezishisayo

Izimpawu zifaka:

• Amajaqamba esiswini
• Uhudo, kubi kakhulu ekudleni okunamafutha amaningi
• Igesi eyeqile (flatus)
• Ukukhathala
• Imfiva
• Ukuvuvukala kwemilenze
• Ukwehla kwesisindo

Izimpawu kungenzeka zingaveli kuze kube yiminyaka eyi-10 ngemuva kokushiya izindawo ezishisayo.

Akunamaki noma isivivinyo esicacile esihlola ngokusobala le nkinga.

Ukuhlolwa okuthile kusiza ukuqinisekisa ukuthi ukumuncwa okuncane kwezakhi zomzimba kukhona:

• I-D-xylose ukuhlolwa kwelebhu ukubona ukuthi amathumbu amunca kahle kanjani ushukela olula
• Ukuhlolwa kwesitulo ukubona ukuthi amafutha angene kahle yini
• Ukuhlolwa kwegazi ukukala i-iron, i-folate, i-vitamin B12, noma i-vitamin D
• Qedela ukubalwa kwegazi (CBC)

Ukuhlolwa okuhlola amathumbu amancane kungafaka:

• I-Enteroscopy
• I-endoscopy ephezulu
• I-biopsy yamathumbu amancane
• Uchungechunge oluphezulu lwe-GI

Ukwelashwa kuqala ngoketshezi oluningi nama-electrolyte. Ukushintshwa kwe-folate, i-iron, i-vitamin B12, nezinye izakhamzimba kungadingeka. Imithi elwa namagciwane ene-tetracycline noma i-Bactrim ivame ukunikezwa izinyanga ezi-3 kuya kwezi-6.

Ezimweni eziningi, i-tetracycline yomlomo ayibekiwe ezinganeni kuze kube yilapho onke amazinyo esefikile. Lo muthi ungawaguqula unomphela amazinyo asaqhubeka ukwakha. Noma kunjalo, amanye ama-antibiotic angasetshenziswa.

Umphumela muhle ngokwelashwa.

Ukuntuleka kwamavithamini namaminerali kuvamile.

Ezinganeni, i-sprue iholela ku:

• Ukubambezeleka kokuvuthwa kwamathambo (ukuvuthwa kwamathambo)
• Ukwehluleka kokukhula

Shayela umhlinzeki wakho wezempilo uma:

• Izimpawu ze-tropical sprue ziba zimbi kakhulu noma azithuthuki ngokwelashwa.
• Uba nezimpawu ezintsha.
• Uhudo noma ezinye izimpawu zalesi sifo isikhathi eside, ikakhulukazi ngemuva kokuchitha isikhathi ezindaweni ezishisayo.

Ngaphandle kokugwema ukuhlala noma ukuya ezindaweni ezishisayo, akukho ukuvimbela okwaziwayo kwe-tropical sprue.

• Uhlelo lokugaya ukudla
• Izitho zohlelo lokugaya ukudla

URamakrishna BS. Isifo sohudo kanye ne-malabsorption. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 108.

Semrad SE. 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.