ITropical Sprue

-Delile

• Yiziphi Izimpawu ZaseTropical Sprue?
• Yini Ebangela iTropical Sprue?
• Ihlolwe Kanjani iTropical Sprue?
• Iphathwa Kanjani iTrue Sprue?
• Imithi elwa namagciwane
• Ukwelapha i-Malabsorption
• I-Outlook Yesikhathi Eside Nezinkinga Ezingaba khona zeTropical Sprue
• Q:
• A:

Kuyini iTropical Sprue?

I-tropical sprue ibangelwa ukuvuvukala kwamathumbu akho. Lokhu kuvuvukala kwenza kube nzima kakhulu kuwe ukumunca izakhamzimba ekudleni. Lokhu kubizwa nangokuthi i-malabsorption. I-tropical sprue yenza kube nzima kakhulu ukumunca i-folic acid ne-vitamin B12.

Uma uhlushwa yi-malabsorption, awutholi amavithamini nezakhi ezanele ekudleni kwakho. Lokhu kungadala izimpawu ezahlukahlukene. Umzimba wakho udinga amavithamini nezakhi zomzimba ukuze usebenze kahle.

Yiziphi Izimpawu ZaseTropical Sprue?

Izimpawu ze-tropical sprue zingafaka noma yikuphi okulandelayo:

• amajaqamba esiswini
• isifo sohudo, esingaba sibi kakhulu ekudleni okunamafutha amaningi
• igesi eyeqile
• ukugaya ukudla
• ukucasuka
• amajaqamba
• ukuba ndikindiki
• ukuphaphatheka
• ukuncipha komzimba

Yini Ebangela iTropical Sprue?

I-tropical sprue ayivamile ngaphandle kokuthi uhlala noma uvakashele izindawo ezishisayo. Ngokuqondile, kwenzeka kakhulu ezindaweni ezishisayo ze:

• eCaribbean
• India
• Iningizimu Afrika
• ENingizimu-mpumalanga Asia

Abaphenyi bakholelwa ukuthi isimo sibangelwa ukwanda kwamagciwane emathunjini akho. Amagciwane athile abangela i-tropical sprue awaziwa.

Ihlolwe Kanjani iTropical Sprue?

Ezinye izimo eziningi zinezimpawu ezifana ne-tropical sprue. Lokhu kufaka phakathi:

• giardiasis
• Isifo sikaCrohn
• ukulunywa yizilonda emathunjini
• isifo samathumbu esicasulayo

Ezinye izimo ezingavamile kakhulu zifaka i-primary sclerosing cholangitis kanye ne-gastritis engapheli.

Udokotela wakho uzoku-oda uchungechunge lwezivivinyo ukukhipha lezi zimo. Uma udokotela wakho engakwazi ukuthola isizathu sezimpawu zakho, futhi uhlala noma uvakashele indawo eshisayo, bangacabanga ukuthi une-sprue ye-tropical.

Enye indlela yokuxilonga i-sprue eshisayo ukubheka izimpawu zokuntuleka kokudla okunempilo. Ukuhlolwa komonakalo odalwe yi-malabsorption kufaka:

• ukuhlolwa kwesisindo samathambo
• ukubala okuphelele kwegazi
• izinga le-folate
• Izinga likavithamini B12
• izinga likavithamini D

Udokotela wakho angasebenzisa i-enteroscopy ukuqinisekisa ukuxilongwa kwakho. Phakathi nalokhu kuhlolwa, kufakwa ishubhu elincanyana ngomlomo wakho emlonyeni wakho wamathumbu. Lokhu kuvumela udokotela wakho ukuthi abone noma yiziphi izinguquko emathunjini amancane.

Ngesikhathi se-enteroscopy, isampula elincane lezicubu lingasuswa. Le nqubo yokususa ibizwa ngokuthi yi-biopsy, futhi isampula lizohlaziywa. Uma une-sprue tropical, kungahle kube nezimpawu zokuvuvukala ulwelwesi lwamathumbu akho amancane.

Iphathwa Kanjani iTrue Sprue?

Imithi elwa namagciwane

I-tropical sprue iphathwa ngama-antibiotic. Lokhu kubulala ukukhula kwamagciwane okuholela kulesi simo. Ama-antibiotic anganikezwa isikhathi esingamasonto amabili noma unyaka owodwa.

I-Tetracycline yi-antibiotic esetshenziswa kakhulu ekwelapheni i-sprue tropical. Kutholakala kabanzi, kushibhile, futhi kufakazelwe ukuthi kuyasebenza. Amanye ama-antibiotic ebanzi angahle anqunywe, kufaka phakathi:

• i-sulfamethoxazole ne-trimethoprim (iBactrim)
• oktetracycline
• ampicillin

I-Tetracycline imvamisa ayibekwa ezinganeni zize zibe nawo wonke amazinyo azo angunaphakade. Lokhu kungenxa yokuthi i-tetracycline ingakwazi ukushintsha umbala wamazinyo asakhiwa. Izingane zizothola i-antibiotic ehlukile esikhundleni salokho. Umthamo uzohluka ngokuya ngezimpawu zakho nokuphendula ekwelashweni.

Ukwelapha i-Malabsorption

Ngaphezu kokubulala amabhaktheriya abangela i-tropical sprue, uzodinga ukwelashwa nge-malabsorption. Udokotela wakho uzokunikeza ukwelashwa ukuze ubuyisele amavithamini, izakhi zomzimba, nama-electrolyte umzimba wakho ongenawo. Lolu hlobo lokungezelela kufanele luqale ngemuva nje kokuthi utholwe. Unganikezwa:

• uketshezi nama-electrolyte
• insimbi
• i-folic acid
• uvithamini B12

I-folic acid kufanele inikezwe okungenani izinyanga ezintathu. Ungathuthuka ngokushesha nangendlela emangalisayo ngemuva komthamo wakho wokuqala omkhulu we-folic acid. I-folic acid inganele ukuthuthukisa izimpawu yodwa. Kunconywa i-Vitamin B12 uma amazinga akho ephansi noma izimpawu zihlala isikhathi esingaphezu kwezinyanga ezine.Udokotela wakho futhi angakunikeza imithi elwa nohudo ukulawula izimpawu.

I-Outlook Yesikhathi Eside Nezinkinga Ezingaba khona zeTropical Sprue

Izinkinga ezivame kakhulu ze-tropical sprue ukwehluleka kwamavithamini namaminerali. Isimo singaholela ekwehlulekeni kokukhula nezinkinga ngokuvuthwa kwamathambo ezinganeni.

Ngokwelashwa okufanele, umbono we-tropical sprue muhle kakhulu. Ngokusho kwePostgraduate Medical Journal, iningi labantu likhombisa imiphumela emihle ngemuva kwezinyanga ezintathu kuya kweziyisithupha zokwelashwa.

Q:

Yini engingayenza ukuvimbela ukuthola i-tropical sprue uma ngiya endaweni eshisayo?

A:

Akukho ukuvimbela okwaziwayo kwe-tropical sprue ngaphandle kokugwema izindawo ezishisayo.