Diki bota bhakitiriya kuwanda

Kuderera kwemukati kwebhakitiriya kukura kuri mamiriro ayo huwandu hukuru hwebhakitiriya hunokura mudumbu diki.

Kazhinji yenguva, kusiyana neura hukuru, ura hudiki hauna huwandu hukuru hwebhakitiriya. Mabhakitiriya akawandisa mumatumbu madiki anogona kushandisa zvinovaka muviri zvinodiwa nemuviri. Somugumisiro, munhu anogona kushaya nzara.

Kuparara kwemakemikari neakanyanya mabhakitiriya kunogona zvakare kukuvadza lining yemudumbu ura. Izvi zvinogona kuita kuti zvinyanye kuomera muviri kutora mishonga.

Mamiriro ezvinhu anogona kutungamira mukukura kwebhakitiriya mumatumbo madiki anosanganisira:

• Matambudziko ezvirwere kana kuvhiyiwa zvinogadzira homwe kana mabhureki mune mudumbu ura. Chirwere cheCrohn ndechimwe cheizvi mamiriro.
• Zvirwere zvinotungamira kumatambudziko ekufambisa mudumbu mudiki, senge chirwere cheshuga uye scleroderma.
• Immunodeficiency, yakadai seAIDS kana kushomeka kwemaunoglobulin.
• Ipfupi ura hwehurwere hunokonzerwa nekubvisa kuvhiya ura hudiki.
• Diki diki diverticulosis, mune diki, uye dzimwe nguva masaga makuru anoitika mukati memukati memukati meura. Masaga aya anotendera mabhakitiriya akawandisa kukura. Aya masaga anowanikwa zvakanyanya muura hukuru.
• Nzira dzekuvhiya dzinogadzira chiuno chemukati mudumbu uko kwakanyanya mabhakitiriya anogona kukura. Muenzaniso ndeye Billroth II mhando yekubvisa dumbu (gastrectomy).
• Zvimwe zviitiko zvekutsamwa kwe bowel syndrome (IBS).

Zviratidzo zvakajairika ndezvi:

• Kuzara kwedumbu
• Kusuruvara kwepamuviri uye kurwadza
• Bloating
• Dhairrhea (kazhinji kazhinji mvura)
• Gassiness

Zvimwe zviratidzo zvinogona kusanganisira:

• Chigaro chakakora
• Kuonda

Anokuchengetedza hutano achaita bvunzo dzepanyama uye obvunza nezve nhoroondo yako yekurapa. Miedzo inogona kusanganisira:

• Ropa kemesitisi bvunzo (senge albumin nhanho)
• Yakazara kuverenga ropa (CBC)
• Fecal mafuta bvunzo
• Mudumbu ura endoscopy
• Vitamin mazinga muropa
• Mudumbu ura biopsy kana tsika
• Yakakosha mweya bvunzo

Icho chinangwa ndechekurapa chinokonzera kukura kwebhakitiriya. Kurapa kunogona kusanganisira:

• Mishonga inorwisa mabhakitiriya
• Mishonga inomhanyisa kufamba kwematumbo
• Intravenous (IV) zvinwiwa
• Chikafu chinopihwa kuburikidza netsinga (yakazara parenteral chikafu - TPN) mumunhu asina kudya

Kudya kwakasununguka-lactose kunogona kubatsira.

Mhosva dzakakomba dzinotungamira mukushaya kudya kwakakwana. Zvimwe zvinogona kuitika zvinosanganisira:

• Kupera mvura mumuviri
• Kuwedzera kubuda ropa kana mamwe matambudziko nekuda kwekushomeka kwevhitamini
• Chiropa chirwere
• Osteomalacia kana osteoporosis
• Kuzvimba kwetumbo

Kukura - mabhakitiriya ematumbo; Kukura kwebhakitiriya - ura; Kuwedzera kwebhakitiriya remukaka; SIBO

• Utumbo hudiki

El-Omar E, McLean MH. Gastroenterology. Mune: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Misimboti yaDavidson uye Maitiro Ekurapa. 23rd ed. Philadelphia, PA: Elsevier; 2018: chitsiko 21.

Lacy BE, DiBaise JK. Kuderera kwemukati mabhakitiriya kuwanda. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 105.

Manolakis CS, Rutland TJ, Di Palma JA. Kuderera kwemukati mabhakitiriya kuwanda. Mu: McNally PR, ed. GI / Chakavanzika Chakavanzika Uyezve. 5 ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 44.

Sundaram M, Kim J. Pfupi bowel syndrome. Mune: Yeo CJ, ed. Kuvhiya kwaShackelford kweAlimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 79.