Ua loaʻa anei iā ʻoe kahi ʻeha ʻōpū e like me kēia? E kamaʻilio kākou e pili ana i ka Tropical Sprue!

E noʻonoʻo ʻoe ua hele ʻoe i kahi hoʻomaha i kahi ʻāina wela nani, a i ʻole noho i laila no kekahi manawa. I ka manawa koke, hoʻomaka ʻoe e maʻi nui, a ma hope o kekahi mau lā, hoʻomaka ka ʻeha o kou ʻōpū e emi. Manaʻo ʻoe ua nāwaliwali a emi ke kaumaha. Loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo Tropical Sprue . Mai hopohopo, e kamaʻilio mākou e pili ana i ia mea me nā kikoʻī.

He aha ka Tropical Sprue?

I ka ʻōlelo maʻalahi, he maʻi laha ʻole ka Tropical Sprue e hoʻopilikia ana i kou ʻōpū liʻiliʻi. ʻO ka mea e hana ʻia ana, ʻaʻole hiki i kou kino ke omo pono i nā meaʻai e pono ai. ʻO kēia no ka mea ke komo kekahi mau bacteria ʻino i kou ʻōpū liʻiliʻi a hōʻino iā ia.

ʻOi aku ka maʻamau o kēia maʻi i ka poʻe e noho ana a i ʻole e hoʻolilo i ka manawa nui ma nā wahi mehana a wela o ka honua, e like me ke Karipiano, India Hema, a me Asia Hikina Hema. Hiki ke hoʻomaka me ka ʻeha ʻōpū nui, a laila lilo i maʻi mau loa, ʻoiai hiki ke emi iki.

ʻO ka mea nui loa, inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi e like me ka anemia a me ka malnutrition.

No ke aha i kapa ʻia ai kēia ʻo "tropical sprue"?

Ua loaʻa ka inoa mai ka wā kahiko loa. I nā makahiki 1600, ua hoʻohana kekahi kauka Dutch i ka huaʻōlelo "sprouw" e wehewehe i ka ʻōpū mau. Ma kahi o 200 mau makahiki ma hope mai, ua lawe kekahi kauka Pelekane e aʻo ana i nā pilikia ʻōpū ma nā ʻāina mahana i ka huaʻōlelo. Ma hope mai ua lilo ʻo "Sprouw" i "sprue." I kekahi manawa, kapa pū nā kauka i ka maʻi celiac ʻo "non-tropical sprue" a i ʻole "celiac sprue."

He aha nā hōʻailona o ka Tropical Sprue?

I ka wā mua, ʻike ʻia paha nā hōʻailona o ka maʻi diarrhea tropical e like me ka maʻi diarrhea o ka poʻe hele , akā ʻoi aku ka koʻikoʻi. Hoʻopau pinepine ka maʻi diarrhea o ka poʻe hele ma kona iho i loko o kekahi mau lā, akā ʻaʻole nā ​​hōʻailona o ka maʻi diarrhea tropical. Hoʻomau lākou, a hiki ke ʻoi aku ka ʻino. ʻO nā hōʻailona ʻē aʻe:

• ʻeha ka ʻōpū.
• Manaʻo ua piha kou ʻōpū (ʻōpū pehu).
• ʻO Borborygmi - ke kani a mākou e lohe ai mai loko mai o ko mākou ʻōpū i ko mākou ʻeli ʻana i ka meaʻai.
• Manaʻo luhi mau.
• Ka luaʻi.
• ʻOi aku ka ʻaila, ka waihoʻoluʻu ʻole, a me nā ʻōpala pilau ma mua o ka maʻamau (steatorrhea).
• Ka pohō kaumaha i wehewehe ʻole ʻia.

He aha ke kumu o ka Tropical Sprue?

ʻAʻole hiki i nā loea ke ʻōlelo maopopo i ke kumu maoli o kēia.Akā, ua hōʻike ʻia nā noiʻi hiki ke hana ʻia kēia ʻano ke komo nā bacteria ʻino i loko o ka ʻōpū liʻiliʻi a hōʻino i nā cell i kapa ʻia ʻo enterocytes . ʻO kēia mau enterocytes nā cell e hoʻopili ana i loko o kou mau ʻōpū. ʻO kēia nā cell e kōkua i kou kino e omo i nā huaora a me nā minelala.

Ua manaʻo ʻia he nui nā ʻano bacteria ke kumu. No ka laʻana, nā ʻano ʻino o Escherichia coli (E. coli) , Klebsiella pneumoniae, a me Enterobacter cloacae . Pale kēia mau bacteria i ka omo ʻana o nā meaʻai i loko o ka ʻōpū liʻiliʻi. Ma kahi o ka omo ʻia ʻana o kēlā mau meaʻai i loko o ke koko, ua hoʻokuʻu ʻia lākou mai ke kino i loko o ka ʻōpala.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o ka Tropical Sprue?

ʻO ke kumu pilikia koʻikoʻi loa, ʻo ia ka noho ʻana ma kahi ʻāina wela a subtropical paha (mehana a hapa-mehana paha), a i ʻole ka hoʻolilo ʻana i hoʻokahi mahina a ʻoi aku paha ma ia ʻāina . ʻAʻole ʻike pinepine ʻia ka maʻi ma nā ʻāina e like me ʻAmelika Waena, ʻEulopa, Mekiko, a me ʻAmelika Hui Pū ʻIa. ʻAʻole paha he mea maʻamau ka sprue wela ma kēia mau ʻāina ma muli o ka loaʻa ʻana o ka wai maʻemaʻe a me nā pono lapaʻau maikaʻi.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā ʻaʻole mālama pono ʻia ka sprue tropical, nā kūlana e like me:

• Anemia Macrocytic: Hana ʻia kēia ke loaʻa ʻole i ke kino ka lawa o ka folate, ka wikamina B2, a me ka wikamina B12. I ka ʻōlelo maʻalahi, he nele ia o ke koko.
• ʻAʻole pono ka meaʻai: He kūlana koʻikoʻi kēia e hiki ke hoʻoweliweli i ke ola.

Pehea e ʻike ai ke kauka i kēia?

Ke ʻike ʻoe i ke kauka, e hana mua ʻo ia i kahi hoʻokolokolo kino . E nīnau ʻo ia e pili ana i kāu mau hōʻailona a me kou olakino holoʻokoʻa. Eia kekahi laʻana, inā ʻoe e emi ana ke kaumaha me ka hoʻāʻo ʻole, a inā paha e loaʻa pinepine ana iā ʻoe nā maʻi. Inā ua hele ʻoe i kahi wahi i maʻamau ai ka sprue tropical, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua e ʻike ai i ke kumu o kāu mau hōʻailona:

• Helu Koko Piha (CBC): Nānā kēia i nā helu koko ʻulaʻula haʻahaʻa (anemia), ka huaora B12, a me nā pae folate.
• ʻO ka Comprehensive Metabolic Panel (CMP): Hiki i kēia hoʻāʻo ke hōʻike i nā ʻano ʻē i nā electrolytes koʻikoʻi i loko o ke kino.
• Nā hoʻāʻo ʻana i ka noho: Hana ʻia kēia mau hoʻāʻo e nānā i ka momona keu i loko o kou noho. Hiki ke hana ʻia nā hoʻāʻo ʻē aʻe e kāpae i nā kūlana ʻē aʻe me nā hōʻailona like, e like me giardiasis , strongyloidiasis , a i ʻole cryptosporidiosis .
• Enteroscopy: Hiki i kēia hoʻāʻo ke nānā i loko o kou ʻōpū liʻiliʻi a lawe i kahi laʻana ʻiʻo. E nānā kekahi kauka lapaʻau i ka laʻana ʻiʻo e ʻike inā he mau loli i loko o ka ʻōpū liʻiliʻi e pili ana i ka sprue tropical.

He aha nā lāʻau lapaʻau no ka Tropical Sprue?

Hoʻomaʻamaʻa pinepine nā kauka i ka sprue tropical me ka hui pū ʻana o nā antibiotics a me nā mea hoʻopihapiha meaʻai. Hiki ke hāʻawi ʻia iā ʻoe:

• Tetracycline: Pono paha e lawe mau ʻia kēia no kahi o ʻeono mahina.
• Nā mea hoʻohui waikawa Folic.
• Nā inikini Vitamin B12.

Pehea e mālama ʻia ai ka Tropical Sprue i nā keiki?

He mea kākaʻikahi loa ka tropical sprue i nā keiki. Inā hana ia, e kuhikuhi ke kauka i kahi antibiotic ʻē aʻe ma kahi o ka tetracycline. Hiki i ka Tetracycline ke hoʻololi i ke kala o nā niho o nā keiki, ʻo ia ka hopena maʻamau o kēia lāʻau lapaʻau.

He aha ka mea e hana inā loaʻa iaʻu ka Tropical Sprue? E hoʻomaikaʻi anei?

ʻO ka nūhou maikaʻi , hiki ke ho'ōla loa ʻia ka sprue tropical me ka lāʻau lapaʻau . E nānā hou kāu kauka iā ʻoe (nā manawa hoʻopaʻa) e hōʻoia i ka hoʻi ʻana o kāu helu koko ʻulaʻula a me nā pae huaora i ka maʻamau, a e hana pū i nā hoʻāʻo koko.

Eia nō naʻe, ʻo ka poʻe e noho ana ma nā wahi i ʻike nui ʻia ai ka sprue tropical e pilikia hou ana i ka loaʻa ʻana o ka maʻi.

Hiki ke pale ʻia ka Tropical Sprue?

Inā ʻoe e hele ana i nā wahi i ʻike nui ʻia ai ka sprue tropical, he mea nui loa ia e pale i nā kūlana kahi e hiki ai iā ʻoe ke pili i kēia maʻi a i ʻole nā ​​bacteria e hoʻoulu ai. Eia kekahi laʻana:

• Inā ʻoe e ʻai i nā mea kanu a me nā huaʻai hou, e koho wale i nā mea hiki iā ʻoe ke ʻili iā ʻoe iho.
• E hōʻoia i ka moʻa pono ʻana o ka meaʻai.
• E hoʻohana wale i nā mea inu i loko o ka pahu a i ʻole nā ​​ʻōmole.
• E holoi pinepine i kou mau lima, ʻoiai ma mua o ka ʻai ʻana.
• E mālama i kahi mea hoʻomaʻemaʻe lima i hana ʻia me ka waiʻona ma kahi kokoke.

ʻOiai ke akahele o kou ʻano, inā loaʻa iā ʻoe ka maʻi, e ʻimi koke i ka lāʻau lapaʻau . ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e pepehi i ka bacteria i loko o kou ʻōpū liʻiliʻi hiki ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka sprue tropical.

Pehea wau e mālama ai iaʻu iho?

Hiki i ka tropical sprue ke lilo i mea paʻakikī iki no kāu ʻōnaehana hoʻoheheʻe . ʻOiai ʻoe e hoʻōla ana, e kālele i nā meaʻai e maʻalahi i kou ʻōpū. No ka laʻana, ka maiʻa, ka laiki, ka ʻāpala a me ka toast (ka ʻai BRAT) . E inu i nā wai i loaʻa nā electrolytes e kōkua i ka pale ʻana i ka dehydration.

Āhea wau e ʻike hou ai i ke kauka?

Inā hōʻoia kāu mau hoʻokolohua he tropical sprue kou, a ʻaʻole hoʻomaikaʻi kāu mau hōʻailona ma hope o ka mālama ʻana a i ʻole e ʻoi aku ka ʻino, pono ʻoe e ʻike hou i kāu kauka. A laila e hana kāu kauka i nā hoʻokolohua hou aʻe e ʻike inā ua hoʻokumu ʻia kāu mau hōʻailona e kahi mea ʻē aʻe ma mua o ka tropical sprue.

He aha ka ʻokoʻa ma waena o ka maʻi Whipple a me ka Tropical Sprue?

Hoʻokumu ʻia kēia mau maʻi ʻelua e nā maʻi bacteria e hoʻopilikia ana i ka ʻōpū liʻiliʻi, e pale ana i ke kino mai ka omo ʻana i nā meaʻai. ʻO ka ʻokoʻa, hiki i ka maʻi Whipple ke hoʻopilikia i kāu ʻōnaehana nerve, puʻuwai, a me nā māmā.

Malia paha ua moeʻuhane ʻoe e hoʻolilo i kekahi manawa ma kahi ʻāina wela. ʻOiai pehea kou akahele, hiki i ka sprue wela ke lilo i mea ʻeha maoli, a ʻaʻole leʻaleʻa nā lā o ka maʻi diarrhea a me ka luaʻi. Akā hiki i ka sprue wela ke alakaʻi i nā pilikia koʻikoʻi e like me ka anemia a me ka maʻi ʻai ʻole.

Leka Lawe-Home

Inā manaʻo ʻoe ʻaʻole ʻoi aku kāu mau hōʻailona ma mua o ka ʻeha ʻōpū o ka mea huakaʻi maʻalahi, e ʻike i ke kauka me ka kānalua ʻole . Hiki i ka mālama mua ke ho'ōla i ka sprue tropical a pale i nā pilikia. E hoʻomanaʻo, ʻaʻohe mea e makaʻu ai kēia, akā he ʻano ia e pono ai ke kōkua lapaʻau. E noho olakino!

ʻO ka maʻi ʻōpū wela, ʻeha ʻōpū, nele i ka meaʻai, ka maʻi kahe, nā maʻi wela, nā maʻi ʻōpū, ke olakino huakaʻi