Ukwelashwa Kwe-Short Bowel Syndrome

-Delile

• Izakhi zomzimba ezibaluleke kakhulu ngokwengxenye yamathumbu engekho
• Ukudla kokululama ekuhlinzweni

Ukwelashwa kwesifo samathumbu esifushane kusekelwe ekuvumelaneni nokudla nezithasiselo zokudla okunempilo, ukuze kunxeshezelwe ukuncipha kokuncipha kwamavithamini namaminerali okubangelwa yingxenye elahlekile yamathumbu, ukuze isiguli singondleki noma siphelelwe amanzi emzimbeni. Ukululama okuphelele ukuze amathumbu amunce kahle izakhi zomzimba nokuncipha kwesisindo okufanele kulawulwe kungathatha iminyaka emi-3.

Kodwa-ke, ukuqina kwalesi sifo kuncike engxenyeni yamathumbu asusiwe, okungaba yingxenye yamathumbu amakhulu noma amancane kanye nenani lamathumbu akhishiwe.

Ngokuvamile, izakhamzimba ezithinteka kakhulu kwi-malabsorption ngamavithamini A, D, E, K, B12 namaminerali afana ne-calcium, i-folic acid, i-zinc noma i-iron. Ngalesi sizathu, isiguli ekuqaleni sondliwa ngokungezelelwa kokudla okunempilo, ngqo ngomthambo futhi sihlose ukuvimbela nokwelapha izinkinga ezinjengokubambezeleka kokukhula, esimweni sezingane, i-anemia; ukopha nemihuzuko; ukukhumuzeka kwamathambo; ubuhlungu bemisipha nobuthakathaka; ukungakwazi ukusebenza kwenhliziyo; ngisho nokuphelelwa ngamanzi emzimbeni okungabeka impilo yesiguli engcupheni.

Izakhi zomzimba ezibaluleke kakhulu ngokwengxenye yamathumbu engekho

I-Malabsorption yezakhamzimba incike engxenyeni ethintekile, ngoba:

• IJejunum - I-calcium, i-Iron, i-magnesium, amaprotheni, i-carbohydrate namafutha;
• Ileus - B12 uvithamini;
• Ikholoni - Amanzi, usawoti wamaminerali kanye nama-fatty chain chain;

Kwezinye izimo, ukunxephezela ukungabi bikho kwezakhamzimba, ukufakelwa okuncane kwamathumbu kungadingeka ukwelapha ukwehluleka kwamathumbu nokugwema ukuthembela kokudla okuphelele kwabazali impilo yakho yonke. .

Ukudla kokululama ekuhlinzweni

Imvamisa, phakathi nezinsuku ezi-5 zokuqala ngemuva kokuhlinzwa, ukudla kugcinwa ngomthambo obizwa ngokuthi yi-Total Parenteral Nutrition, ukuze amathumbu aphole lapho ephumule. Ngemuva kwaleyo nkathi, lapho isifo sohudo singandile kakhulu, ukondla ngamashubhu nakho kuqala ukukhuthaza kancane ukunyakaza kwesisu namathumbu, kunciphise umthamo wokudla ngomthambo, izinyanga ezingaba ngu-2.

Ngemuva kwezinyanga ezingaba ngu-2 zokululama, ezimweni eziningi, isiguli sesivele sikwazi ukondla ngomlomo ngokwenza ukudla okuncane, kuze kube izikhathi eziyisithupha ngosuku. Kodwa-ke, ukondliwa ngokusebenzisa ithubhu le-nasogastric kugcinwa ukuze kuqinisekiswe ukutholwa kwama-calories nezakhi ukuze kugcinwe futhi kutholakale isimo somsoco, kuze kube yilapho isiguli sikwazi ukudla ngaphandle kweshubhu, inqubo engathatha phakathi konyaka owodwa kuya kwemithathu.

Kodwa-ke, kungenzeka ukuthi kwezinye izimo, isiguli sichitha impilo yaso yonke ngokuya ngesondlo sabazali kanye nokwengezelelwa kokudla okunempilo ukugwema ukungondleki nezinkinga ezinjenge-anemia, ngokwesibonelo.

Ukululama ekuhlinzeni ukususa ingxenye yamathumbu kungenziwa ngokusika okukhulu esiswini noma nge-laparotomy, futhi kungathatha phakathi kwamahora amabili kuya kwayisithupha futhi isiguli kungadingeka singeniswe esibhedlela ukuze silulame isikhathi esingahle ziyehluka phakathi kwezinsuku eziyi-10 kuye enyangeni engu-1 okungenani. Lolu hlobo lokuhlinzwa luyingozi kakhulu ngoba amathumbu anamagciwane amaningi angadala izifo ezinkulu, futhi abucayi kakhulu, uma isiguli siyingane noma sigugile.