Malo Otentha

Zamkati

• Kodi Zizindikiro Za Kutentha Kwambiri Ndi Zotani?
• Nchiyani chimayambitsa malo otentha?
• Kodi Tropical Sprue Amapezeka Bwanji?
• Kodi Malo Otentha Otentha Amawonetsedwa Bwanji?
• Maantibayotiki
• Kuchiza Malabsorption
• Kuwona Kwakanthawi Kwakale ndi Zovuta Zomwe Zingachitike ku Tropical Sprue
• Funso:
• Yankho:

Kodi Tropical Sprue ndi Chiyani?

Kutentha kotentha kumayambitsidwa ndi kutupa kwa matumbo anu. Kutupa uku kumakupangitsani kukhala kovuta kuti mutenge zakudya m'zakudya. Izi zimatchedwanso malabsorption. Kutentha kotentha kumapangitsa kukhala kovuta kwambiri kuyamwa folic acid ndi vitamini B12.

Ngati mukudwala malabsorption, simukupeza mavitamini ndi michere yokwanira m'zakudya zanu. Izi zimatha kuyambitsa zizindikilo zingapo. Thupi lanu limafunikira mavitamini ndi michere kuti igwire bwino ntchito.

Kodi Zizindikiro Za Kutentha Kwambiri Ndi Zotani?

Zizindikiro zam'malo otentha zimatha kuphatikizira izi:

• kukokana m'mimba
• kutsekula m'mimba, komwe kumatha kuwonjezeka pakudya mafuta kwambiri
• mafuta ochulukirapo
• kudzimbidwa
• kupsa mtima
• kukokana kwa minofu
• dzanzi
• kutuwa
• kuonda

Nchiyani chimayambitsa malo otentha?

Kutentha kotentha ndikosowa pokhapokha mutakhala kapena kupita kumadera otentha. Makamaka, imapezeka m'malo otentha a:

• Nyanja ya Caribbean
• India
• South Africa
• Kumwera chakum'mawa kwa Asia

Ochita kafukufuku amakhulupirira kuti vutoli limayamba chifukwa cha kuchuluka kwa mabakiteriya m'matumbo mwanu. Mabakiteriya enieni omwe amayambitsa malo otentha sadziwika.

Kodi Tropical Sprue Amapezeka Bwanji?

Zina zambiri zimakhala ndi zizindikiro zofananira ndi kotentha kotentha. Izi zikuphatikiza:

• alireza
• Matenda a Crohn
• anam`peza matenda am`matumbo
• Matenda opweteka

Zina mwazosowa kwambiri ndi monga sclerosing cholangitis komanso matenda opatsirana m'mimba.

Dokotala wanu amalamula mayeso angapo kuti athetse izi. Ngati dokotala wanu sangapeze chifukwa cha zizindikiro zanu, ndipo mukukhala kapena mwapita kudera lotentha, atha kuganiza kuti muli ndi gawo lotentha.

Njira imodzi yozindikira malo otentha ndikuyang'ana zizindikiro zakusowa kwazakudya zomwe zimayambitsa. Kuyesa kuwonongeka komwe kumachitika chifukwa cha malabsorption ndi monga:

• kuyezetsa magazi
• kuwerengera magazi kwathunthu
• mulingo wanthawi zonse
• mlingo wa vitamini B12
• mlingo wa vitamini D

Dokotala wanu angagwiritsenso ntchito enteroscopy kuti atsimikizire kuti mukudwala. Pakuyesa uku, chubu chowonda chimalowetsedwa mkamwa mwako m'matumbo. Izi zimathandiza dokotala kuti awone kusintha kulikonse m'matumbo ang'onoang'ono.

Pakati pa enteroscopy, nyemba zing'onozing'ono zimatha kuchotsedwa. Njira yochotserayi imatchedwa biopsy, ndipo chitsanzocho chidzawunikiridwa. Ngati muli ndi malo otentha, mwina pakhoza kukhala zizindikilo zotupa pakamimba kanu kakang'ono.

Kodi Malo Otentha Otentha Amawonetsedwa Bwanji?

Maantibayotiki

Kutentha kotentha kumathandizidwa ndi maantibayotiki. Izi zimapha kuchulukana kwa mabakiteriya komwe kumabweretsa vutoli. Maantibayotiki amatha kuperekedwa kwa milungu iwiri kapena chaka chimodzi.

Tetracycline ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochizira mabala otentha. Ipezeka paliponse, yotsika mtengo, ndipo yatsimikiziridwa kuti ndi yothandiza. Maantibayotiki ena amatha kuperekedwanso, kuphatikizapo:

• sulfamethoxazole ndi trimethoprim (Bactrim)
• limodzinso
• ampicillin

Tetracycline nthawi zambiri samaperekedwa kwa ana mpaka atakhala ndi mano onse okhazikika. Izi ndichifukwa choti tetracycline imatha kutulutsa mano omwe akupangidwabe. Ana adzalandira mankhwala osiyana m'malo mwake. Mlingowo umasiyana kutengera matenda anu komanso momwe mungathandizire.

Kuchiza Malabsorption

Kuphatikiza pakupha mabakiteriya omwe amayambitsa malo otentha, muyenera kuthandizidwa chifukwa cha malabsorption. Dokotala wanu amakupatsani mankhwala kuti mutenge mavitamini, michere yambiri, ndi maelekitirodi amthupi omwe thupi lanu likusowa. Mtundu wowonjezerapowu uyenera kuyamba mukangopezedwa. Mutha kupatsidwa:

• madzi ndi ma electrolyte
• chitsulo
• kupatsidwa folic acid
• vitamini B12

Folic acid iyenera kuperekedwa kwa miyezi itatu. Mutha kusintha msanga komanso modabwitsa mutalandira folic acid. Folic acid ikhoza kukhala yokwanira kuti ithetse vuto lokha payokha. Vitamini B12 imalimbikitsidwa ngati milingo yanu ndiyotsika kapena zizindikilo zimatha miyezi yopitilira inayi. Dokotala wanu amathanso kukupatsirani mankhwala ochepetsa kutsegula m'mimba kuti muchepetse zizindikilo.

Kuwona Kwakanthawi Kwakale ndi Zovuta Zomwe Zingachitike ku Tropical Sprue

Mavuto omwe amapezeka kwambiri m'malo otentha ndi kuchepa kwa vitamini ndi mchere. Vutoli limatha kubweretsa kukula kwakulephera komanso mavuto amakula m'mafupa mwa ana.

Mukalandira chithandizo choyenera, chiyembekezo cham'malo otentha ndichabwino. Malinga ndi Postgraduate Medical Journal, anthu ambiri amasonyeza zotsatira zabwino pambuyo pa chithandizo cha miyezi itatu kapena isanu ndi umodzi.

Funso:

Kodi ndingatani kuti ndipewe kupezeka ndi malo otentha ngati ndikupita kudera lotentha?

Wosadziwika wodwala

Yankho:

Palibe njira yodziwira zopewera m'malo otentha kupatula kupewa malo otentha.

A George Krucik, MD, MBAMayankho akuimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.