Matenda amfupi

Matenda amfupi ndimavuto omwe amapezeka pomwe gawo lina la m'mimba limasowa kapena lachotsedwa pakuchita opaleshoni. Zakudya zopatsa thanzi sizimalowetsedwa m'thupi chifukwa cha izi.

Matumbo ang'onoang'ono amatenga zakudya zambiri zomwe zimapezeka muzakudya zomwe timadya. Pamene magawo awiri mwa atatu amatumbo akusowa, thupi silimatha kudya chakudya chokwanira kuti mukhale wathanzi komanso kuti muchepetse kunenepa.

Ana ena amabadwa akusowa gawo kapena matumbo awo ang'onoang'ono.

Nthawi zambiri, matenda am'mimba amayamba chifukwa matumbo ang'onoang'ono amachotsedwa pakuchita opaleshoni. Kuchita opaleshoni yamtunduwu kungafune:

• Kuwombera mfuti kapena zoopsa zina zitawononga matumbo
• Kwa munthu amene ali ndi matenda oopsa a Crohn
• Kwa makanda, omwe amabadwa molawirira kwambiri, gawo lina la matumbo awo likafa
• Magazi akamafika m'matumbo ang'onoang'ono amachepetsedwa chifukwa chamagazi kapena mitsempha yocheperako

Zizindikiro zimaphatikizapo:

• Kutsekula m'mimba
• Kutopa
• Wotuwa, chimbudzi cha mafuta
• Kutupa (edema), makamaka miyendo
• Zonyansa kwambiri
• Kuchepetsa thupi
• Kutaya madzi m'thupi

Mayesero otsatirawa akhoza kuchitika:

• Mayeso am'magazi (monga mulingo wa albumin)
• Kuwerengera kwathunthu kwa magazi (CBC)
• Mayeso amafuta
• X-ray ya m'matumbo ang'ono
• Mavitamini m'magazi

Chithandizochi chimathandiza kuthetsa zizindikiritso ndikuwonetsetsa kuti thupi limalandira madzi okwanira komanso michere.

Zakudya zopatsa mafuta kwambiri zomwe zimapereka:

• Mavitamini ofunikira ndi mchere, monga iron, folic acid, ndi vitamini B12
• Zakudya zokwanira, mapuloteni, ndi mafuta

Ngati kuli kofunikira, jakisoni wa mavitamini ndi michere kapena zinthu zina zokula bwino zidzaperekedwa.

Mankhwala ochepetsa kuyenda kwamatumbo amatha kuyesedwa. Izi zitha kuloleza chakudya kukhalabe m'matumbo nthawi yayitali. Mankhwala ochepetsa m'mimba asidi angafunikirenso.

Ngati thupi silimatha kuyamwa michere yokwanira, kuyesera kwathunthu kwa makolo (TPN) kumayesedwa. Ikuthandizani inu kapena mwana wanu kupeza chakudya kuchokera mu chilinganizo chapadera kudzera mumitsempha ya mthupi. Wothandizira zaumoyo wanu adzasankha kuchuluka kwa ma calories ndi yankho la TPN. Nthawi zina, mutha kudya komanso kumwa mukalandira zakudya kuchokera ku TPN.

Kuika matumbo ang'onoang'ono ndizotheka nthawi zina.

Vutoli limatha kusintha pakapita nthawi ngati chikuchitika chifukwa cha opaleshoni. Kuyamwa kwa michere kumatha kukhala bwino pang'onopang'ono.

Zovuta zingaphatikizepo:

• Kukula kwa bakiteriya m'matumbo ang'onoang'ono
• Mavuto amachitidwe amanjenje omwe amayamba chifukwa chosowa vitamini B12 (Vutoli limatha kuchiritsidwa ndi jakisoni wa vitamini B12.)
• Asidi ochuluka m'magazi (kagayidwe kachakudya acidosis chifukwa cha kutsegula m'mimba)
• Miyala
• Miyala ya impso
• Kutaya madzi m'thupi
• Kusowa zakudya m'thupi
• Mafupa ofooka (osteomalacia)
• Kuchepetsa thupi

Itanani omwe akukuthandizani ngati mukudwala matenda am'mimba, makamaka mukachita opaleshoni yamatumbo.

Kuchepa kwamatumbo; Matenda amfupi; Necrotizing enterocolitis - matumbo ochepa

• Dongosolo m'mimba
• Zakudya zam'mimba ziwalo

Buchman AL. Matenda amfupi. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 106.

Kaufman SS. Matenda amfupi. Mu: Wyllie R, Hyams JS, Kay M, olemba., Eds. Matenda a m'mimba ndi Matenda a Chiwindi. 5th ed. Philadelphia, PA: Elsevier; 2016: chap 35.

Semrad CE. Yandikirani wodwalayo ndi kutsekula m'mimba komanso kusowa kwa malabsorption. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 131.