Tropical sprue

Tropical sprue chiitiko chinowanikwa muvanhu vanogara kana kushanyira nzvimbo dzinopisa kwenguva yakareba. Iyo inokanganisa zvinovaka muviri kubva mukufinhwa kubva mumatumbu.

Tropical sprue (TS) chirwere chinoratidzirwa neakanyanya kana asingaperi manyoka, kuonda, uye malabsorption yezvinovaka muviri.

Chirwere ichi chinokonzerwa nekukuvara kwemukati memukati mudumbu. Izvo zvinouya kubva pakuve neakawandisa mamwe marudzi ehutachiona mumatumbo.

Njodzi zvinhu ndeizvi:

• Kugara munzvimbo dzinopisa
• Nguva refu dzekufamba kunzvimbo dzinopisa

Zviratidzo zvinosanganisira:

• Dumbu rinorwadza
• Dhairrhea, yakaipa pakudya kwemafuta akawanda
• Gasi rakawandisa (flatus)
• Kuneta
• Kupindwa nechando
• Kuzvimba kwegumbo
• Kuonda

Zviratidzo zvinogona kunge zvisingaonekwe kusvika kumakore gumi mushure mekubva munzvimbo dzinopisa.

Iko hakuna chiratidzo chakajeka kana bvunzo iyo inoongorora zvakajeka dambudziko iri.

Humwe bvunzo dzinobatsira kuratidza kuti kunwiswa kwakashata kwezvinovaka kuripo:

• D-xylose bvunzo yebazi kuti uone kuti matumbo anonwisa sei shuga yakapusa
• Kuyedzwa kwechigaro kuti uone kana mafuta akabatwa nemazvo
• Ropa bvunzo kuyera iron, folate, vhitamini B12, kana vhitamini D
• Yakazara kuverenga ropa (CBC)

Kuyedza kunoongorora ura hudiki kunogona kusanganisira:

• Enteroscopy
• Kumusoro endoscopy
• Biopsy yemukati mudumbu
• Kumusoro GI dzakateedzana

Kurapa kunotanga neakawanda emvura uye electrolyte. Kudzoserwa kwe folate, iron, vhitamini B12, uye zvimwe zvinovaka muviri zvinogona kudikanwa. Mishonga inorwisa mabhakitiriya ine tetracycline kana Bactrim inowanzo kupihwa kwemwedzi mitatu kusvika kumitanhatu.

Muzviitiko zvakawanda, tetracycline yemumuromo haina kunyorerwa vana kudzamara mushure mekunge mazino ese agara apinda. Mushonga uyu unogona kudzima mazino zvachose ayo achiri kuumbwa. Zvisinei, mamwe maantibayoti anogona kushandiswa.

Mhedzisiro yacho yakanaka nekurapwa.

Vitamin uye mamineral kushomeka zvakajairika.

Muvana, sprue inotungamira ku:

• Kunonoka mukukura kwemapfupa (skeletal maturation)
• Kukura kutadza

Fonera wako mupi wezvehutano kana:

• Tropical sprue zviratidzo zvinowedzera kana kusavandudza nemushonga.
• Unovandudza zviratidzo zvitsva.
• Une manyoka kana zvimwe zviratidzo zvechirwere ichi kwenguva yakareba, kunyanya mushure mekupedza nguva munzvimbo dzinopisa.

Kunze kwekudzivirira kugara mukati kana kuenda kunzvimbo dzinopisa, hapana inozivikanwa yekudzivirira yetropiki sprue.

• Kugaya chirongwa
• Digestive system nhengo

Ramakrishna BS. Tropical manyoka uye malabsorption. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 108.

Semrad SE. Kusvika kumurwere nedhara uye malabsorption. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 131.