Malabsorption

Malabsorption inosanganisira matambudziko nekugona kwemuviri kutora (kupinza) zvinovaka muviri kubva kuchikafu.

Zvirwere zvakawanda zvinogona kukonzera malabsorption. Kazhinji kazhinji, malabsorption inosanganisira matambudziko anotora mamwe mashuga, mafuta, mapuroteni, kana mavitamini. Inogona zvakare kusanganisira dambudziko rese rekutora chikafu.

Matambudziko kana kukuvara kune dumbu ura izvo zvinogona kukonzeresa kumatambudziko kutora zvakakosha zvakakosha zvinovaka muviri. Izvi zvinosanganisira:

• Chirwere cheCeliac
• Tropical sprue
• Chirwere cheCrohn
• Whipple chirwere
• Kukuvara kubva pakurapwa nemwaranzi
• Kukura kwebhakitiriya mudumbu mudiki
• Hutachiona kana tapeworm chirwere
• Kuvhiya kunobvisa zvese kana chikamu chemuura mudiki

Enzyme inogadzirwa nerwatata inobatsira kupinza mafuta nezvimwe zvinovaka muviri. Kuderera kwema enzymes kunoita kuti zviome kutora mafuta uye zvimwe zvinovaka muviri. Zvinetso nepancreas zvinogona kukonzerwa ne:

• Cystic fibrosis
• Zvirwere kana kuzvimba kwerwatata
• Kushungurudzika kune rwatata
• Kuvhiya kubvisa chikamu chepancreas

Zvimwe zvezvimwe zvikonzero zve malabsorption zvinosanganisira:

• AIDS neHIV
• Mimwe mishonga (tetracycline, mamwe maantacids, mimwe mishonga inoshandiswa kurapa kufutisa, colchicine, acarbose, phenytoin, cholestyramine)
• Gastrectomy uye zvekuvhiya kurapwa kwekuneta
• Cholestasis
• Chirwere chechiropa chisingaperi
• Mukaka wemukaka mapuroteni kusagadzikana
• Soy mukaka protein kusagadzikana

Muvana, huremu hwazvino kana chiyero chekuwedzera huremu chinowanzove chakadzikira kupfuura icho chevamwe vana vezera rakaenzana uye bonde. Izvi zvinonzi kutadza kubudirira. Mwana anogona kusakura uye kukura zvakanaka.

Vakuru vanogona zvakare kukundikana kubudirira, nehuremu, kuparara kwemhasuru, kushaya simba, uye kunyangwe matambudziko kufunga.

Shanduko muzvigaro zvinowanzovapo, asi kwete nguva dzose.

Shanduko muzvigaro zvinogona kusanganisira:

• Kuvhara, kupwanya, uye gasi
• Zvigaro zvakakura
• Chirwere chisingaperi
• Zvigaro zvemafuta (steatorrhea)

Mutapi wako wezvehutano achaita bvunzo. Miedzo inogona kuitwa inosanganisira:

• Ropa uye weti kuongororwa
• CT scan yemudumbu
• Hydrogen mweya wekuyedza
• MR kana CT kujekesa
• Schilling bvunzo yevhitamini B12 kushomeka
• Secretin kukurudzira bvunzo
• Diki ura bhiopsy
• Chitsiko tsika kana hutsika hwemukati mudumbu aspirate
• Stool mafuta kuyedza
• X-ray yeiyo diki ura kana imwe yekufungidzira bvunzo

Kurapa kunoenderana nechikonzero uye kunoitirwa kudzikisira zviratidzo uye kuona kuti muviri unowana zvakakwana zvinovaka muviri.

Kudya kwakawanda-koriori kunogona kuyedzwa. Inofanira kupa:

• Mavhithamini akakosha uye zvicherwa, senge iron, folic acid, uye vhitamini B12
• Zvakakwana makabhohaidhiretsi, mapuroteni, uye mafuta

Kana zvichidikanwa, jekiseni remamwe mavitamini uye mamineral kana akakosha ekukura zvinhu anozopihwa. Avo vane kukuvara kwepancreas vangangoda kutora enzyme yepancreatic. Wako mupi achapa izvi kana zvichidikanwa.

Mishonga yekudzora kufamba kwakajairika kwematumbo inogona kuyedzwa. Izvi zvinogona kubvumira chikafu kuti chigare chiri muura hwakareba.

Kana muviri usingakwanise kutora zvakakwana zvinovaka muviri, huwandu hwenhengo dzehutachiona (TPN) hwakaedzwa. Izvo zvinobatsira iwe kana mwana wako kuwana chikafu kubva kune yakasarudzika fomula kuburikidza netsinga mumuviri. Wako mupi achasarudza iwo akaenzana macalorie uye TPN mhinduro. Dzimwe nguva, unogona zvakare kudya nekunwa uchiwana chikafu kubva kuTPN.

Maonero anoenderana nezviri kukonzera malabsorption.

Yenguva refu malabsorption inogona kukonzera:

• Anemia
• Matombo
• Itsvo matombo
• Mutete uye mapfupa asina simba

Fonera mupiki wako kana iwe uine zviratidzo zvemalabsorption.

Kudzivirira kunoenderana nemamiriro ezvinhu anokonzera malabsorption.

• Kugaya chirongwa
• Cystic fibrosis
• Digestive system nhengo

Högenauer C, Nyundo HF. Maldigestion uye malabsorption. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 104.

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