Kusokoneza malabsorption

Malabsorption imakhudza zovuta zakuti thupi limatha kutenga (kuyamwa) michere kuchokera pachakudya.

Matenda ambiri amatha kuyambitsa malabsorption. Nthawi zambiri, kulephera kwa malabsorption kumakhudzana ndi zovuta zakumwa shuga, mafuta, mapuloteni, kapena mavitamini. Zitha kuphatikizanso vuto lalikulu pakudya chakudya.

Mavuto kapena kuwonongeka kwa m'matumbo ang'onoang'ono omwe angayambitse mavuto omwe amatenga michere yofunikira. Izi zikuphatikiza:

• Matenda a Celiac
• Kutentha kotentha
• Matenda a Crohn
• Matenda achikwapu
• Kuwonongeka kwa mankhwala a radiation
• Kuchuluka kwa mabakiteriya m'matumbo ang'onoang'ono
• Tizilombo toyambitsa matenda kapena tapeworm matenda
• Opaleshoni yomwe imachotsa m'matumbo ang'ono kapena onse

Mavitamini opangidwa ndi kapamba amathandiza kuyamwa mafuta ndi zakudya zina. Kutsika kwa michereyi kumapangitsa kuti zikhale zovuta kuyamwa mafuta ndi zinthu zina zofunika m'thupi. Mavuto ndi kapamba angayambidwe ndi:

• Cystic fibrosis
• Matenda kapena kutupa kwa kapamba
• Kuvulala kwa kapamba
• Opaleshoni kuchotsa gawo la kapamba

Zina mwazomwe zimayambitsa kusakhazikika bwino ndi monga:

• Edzi ndi HIV
• Mankhwala ena (tetracycline, ma antacids ena, mankhwala ena ogwiritsira ntchito kunenepa, colchicine, acarbose, phenytoin, cholestyramine)
• Gastrectomy ndi chithandizo cha opaleshoni ya kunenepa kwambiri
• Cholestasis
• Matenda a chiwindi
• Kulekerera kwa mapuloteni a mkaka wa ng'ombe
• Soy mkaka mapuloteni tsankho

Kwa ana, kulemera pakadali pano kapena kuchuluka kwa kunenepa nthawi zambiri kumakhala kotsika kwambiri kuposa kwa ana ena azaka zofananira komanso kugonana. Izi zimatchedwa kulephera kukula bwino. Mwanayo sangakule ndikukula bwino.

Akuluakulu amathanso kulephera kukula bwino, ndikuchepetsa thupi, kuwonongeka kwa minofu, kufooka, ngakhale kuvutikira kuganiza.

Zosintha zanyumba nthawi zambiri zimakhalapo, koma osati nthawi zonse.

Zosintha pamalopo zitha kuphatikizira izi:

• Kuphulika, kupondaponda, ndi mpweya
• Mipando yambiri
• Kutsekula m'mimba
• Malo opangira mafuta (steatorrhea)

Wothandizira zaumoyo wanu adzayesa. Mayeso omwe angachitike ndi awa:

• Kuyesa magazi ndi mkodzo
• CT scan pamimba
• Kuyesedwa kwa hydrogen
• MR kapena CT
• Kuyesa kwa Schilling kwa kuchepa kwa vitamini B12
• Mayeso okondoweza a Secretin
• Zolemba zazing'ono zazing'ono
• Chopondapo chikhalidwe kapena chikhalidwe cha aspirate ya m'matumbo yaying'ono
• Kuyesa kwamafuta
• Ma X-ray amatumbo ang'ono kapena mayeso ena ojambula

Chithandizo chimadalira chifukwa chake ndipo cholinga chake ndi kuthetsa zizindikiritso ndikuwonetsetsa kuti thupi lilandila michere yokwanira.

Zakudya zopatsa mphamvu kwambiri zimatha kuyesedwa. Iyenera kupereka:

• 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. Omwe awonongeka ndi kapamba angafunike kumwa ma enzyme a kapamba. Wopezayo amakupatsani izi ngati kuli kofunikira.

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

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. Wopereka wanu amasankha kuchuluka kwa ma calories ndi yankho la TPN. Nthawi zina, mutha kudya komanso kumwa mukalandira zakudya kuchokera ku TPN.

Maganizo amatengera zomwe zikuyambitsa malabsorption.

Kulephera kwa malabsorption kwanthawi yayitali kumatha kubweretsa:

• Kuchepa kwa magazi m'thupi
• Miyala
• Miyala ya impso
• Mafupa owonda komanso ofooka

Itanani omwe akukuthandizani ngati muli ndi zizindikiritso za malabsorption.

Kupewa kumatengera vuto lomwe limayambitsa kuyipa kwa malabsorption.

• Dongosolo m'mimba
• Cystic fibrosis
• Zakudya zam'mimba ziwalo

Högenauer C, Hammer HF. Maldigestion ndi malabsorption. 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: chap 104.

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.