Yu nɔ de absɔb wetin yu de it fayn? Mek wi tok abaut dis (Malabsorption)!

Bɔku tɛm yu kin gɛt bɛlɛ prɔblɛm? Sɔntɛnde yu kin fil ful ɛn yu kin gɛt gas? Ɔ bɔku tɛm yu kin sɔfa wit flatulens? Sɔntɛnde wi kin tink se dɛn tin ya na nɔmal tin, sɔntin we kin apin we it gɛt spays smɔl. Bɔt if dɛn sik ya kɔntinyu, i kin bi bikɔs yu bɔdi nɔ de tek di tin dɛn we i nid frɔm di it we yu de it. Insay mɛrɛsin, wi kin kɔl dis kɔndishɔn (Malabsorption).

Wetin na dis (Malabsorption)?

Fɔ tɔk am simpul wan, malabsorption na wan jɛnɛral wɔd fɔ di inability fɔ yu bɔdi fɔ absɔb di nyutriɛnt dɛn fayn fayn wan frɔm di it we yu de it. Dis nɔto wan sik, bɔt na wan sik wae kin kam wit bɔrku tin. Tink bɔt am, we wi de it it, fɔ mek i go gi wi bɔdi ɛnaji ɛn it, i nid fɔ digest ɛn absɔb am fayn fayn wan, nɔto so?

Wi kin sheb di we aw wi de digest it to tri pat:

1. Pat Wan: Fɔ kɔt it fayn fayn wan ɛn brok am to tin dɛn we pɔsin kin digest.

2. Pat tu: Fɔ tek ɔl di tin dɛn we di bɔdi nid frɔm di it we i dɔn dayjɛst.

3. Pat Tri: Fɔ pul di dɔti tin dɛn we kin lɛf afta yu dɔn absɔb ɔl di gud tin dɛn.

Naw, if yu gɛt prɔblɛm wit di dijestiv, di prɔblɛm kin de na ɛni wan pan dɛn stej ya. Malabsorption na pat pan di sɛkɔn stej . Dis min se pan ɔl we dɛn de digest di it, di tin dɛn we de insay di bɔdi nɔ de go insay di bɔdi. Dis kin bi bikɔs ɔf tin dɛn lɛk we di ɛnzaym nɔ de we de mek di bɔdi nɔ ebul fɔ digest sɔm it dɛn (fɔ ɛgzampul, sɔm pipul dɛn nɔ kin ebul fɔ digest milk) ɛn difrɛn intestinal sik dɛn we kin afɛkt yu dijestiv sistɛm.

Wetin kin apin we malabsorption de?

If yu gɛt malabsorption, yu kin gɛt prɔblɛm fɔ absɔb ɔl di nyutriɛnt dɛn, ɔ yu kin gɛt prɔblɛm fɔ absɔb jɔs sɔm patikyula nyutriɛnt dɛn. Di tin dɛm we yu nɔ kin ebul fɔ absɔb kin pas na yu stɔl we yu nɔ dayjɛst. Bɔrku pipul dɛm wae gɛt malabsorption kin gɛt kɔndishɔn bak lɛk dayarɛa, wae kin mek dis absɔpshɔn prɔblɛm wɔs. Dis na bikɔs we yu gɛt dayarɛa, it kin muv tru yu insay tu kwik, so di nyutriɛnt dɛn nɔ kin gɛt tɛm fɔ tek dɛn.

insay di sכt tεm, di malabsorpshכn kin mek di bεlε at εn i kin mek i nכ fil fayn biכs sכm it dεm nכ kin digεst. Bɔt as tɛm de go, yu bɔdi go bigin fɔ sho se yu nɔ gɛt bɛtɛ tin fɔ it we yu nɔ ebul fɔ tek. If yu nɔ gɛt bɔku makronutriɛnt – lɛk prɔtin, fat, ɛn kabɔhaydrɛt – yu go bigin fɔ si sayn dɛn fɔ se yu nɔ de it fayn, lɛk fɔ west yu mɔsul ɛn yu imyun sistɛm we wik . Semweso, if yu nɔ gɛt bɛtɛ maykronutriɛnt – lɛk vaytamɛn ɛn minral – yu yay, bon, skin, ɛn ia kin afɛkt.

Wetin na di men kayn malabsorption?

Sɔm sik dɛn we de na di bɔdi, lɛk di sik we dɛn kɔl Celiac Disease ɛn Inflammatory Bowel Disease (IBD), kin mek yu gɛt prɔblɛm wit di we aw yu de tek ɔl kayn tin dɛn we yu nid. Ɔda tɛm dɛn, yu kin gɛt prɔblɛm fɔ tek wan patikyula tin nɔmɔ we de mek yu it. Na sɔm pan di kayn dɛn ya:

Di bɔdi nɔ de tek di kabɔhaydrɛt fayn fayn wan.

Sɔm pipul dɛn kin fil fɔ gɛt wan ɔ mɔ kabɔhaydrɛt (shuga). Yu kin notis dis mɔ as gas, blo, ɛn pen na yu bɛlɛ . di kabohaydret dεm we nכ de abzכp fayn fayn wan na yu sכmכl intestכn, na baktri dεm we de na yu big intestin de fεmεnt. dis baktri dεm de tכn dεm to gas εn sכt chen fεt asid dεm. Da gas de kin mek yu gɛt gas na yu bɛlɛ, ɛn di shɔt chen fat asid dɛn kin mek yu stɔl fat.

Fat nɔ de tek di bɔdi fayn fayn wan

Dis na kɔmɔn kayn malabsorpshɔn bak. I kin gɛt bɔku tin dɛn we kin mek i apin. di fεt we nכ de abzכp na di sכmכl intestכn de pas insay di big intestכn, we de mek fεt, lεk dayariya stכl. Wi kin kɔl dis bak steatorrhea. Dis kayn stɔl gɛt ɔyl, wata, ɛn i kin smɛl fayn . I kin gɛt layt kɔlɔ ɛn i kin flɔt insay wata. Bikɔs di fat nɔ de absɔb fayn fayn wan, di vaytamɛn dɛn we kin sɔlv di fat (vaytamɛn A, D, E, ɛn K) kin ambɔg bak.

Bayl asid malabsɔpshɔn

Sɔntɛnde, dɛn nɔ kin ebul fɔ tek di fat bikɔs di gal blad, di bayl dakt, ɔ di liva nɔ kin mek di bayl. Bɔt sɔntɛnde, di tin we kin mek i apin na ɔda tin. afta dat, di bayl asid dεm we nכ abzכp de de na di sכmכl intestin εn pas insay di big intestin. Dis sayd ɛfɛkt na in dɛn kɔl Bile Acid Malabsorption. di bayl sכlt dεm we de rεst dis we de mek wata kכmכt frכm di big intestinal, we de mek yu dayariya fכ lכng tεm .

di bɔdi nɔ de tek di prɔtin fayn fayn wan

jεnarali, pas yu gεt intolerans to wan spεsifi k tכp protin, dat na, yu nכ ebul fכ daygεst am, i nכ kin izi fכ gεt prכblεm fכ abzכp protin nכmכ. εgzampl dεm fכ dis na di nכ ebul fכ daygεst di protin we de insay milk εn di nכ ebul fכ daygεst it dεm we gεt gluten.

Wetin na di sayn dɛm if malabsorption de?

Fɔs, i kin tan lɛk se we pɔsin nɔ de it fayn, i kin tan lɛk se i nɔ izi fɔ it. Di sayn dɛm kin bi:

• Bɛlɛ de pen.
• Bloating, ful-ɔp di bɛlɛ.
• Fɔ pas bɔku tɛm we di briz de pas (gas).
• Nɔs ɛn vɔmit.
• Rɔnbɛlɛ.
• (Steatorrhea) - di stɔl dɛn we gɛt fat, we gɛt ɔyl, sɔm tɛm dɛn kin chenj in kɔlɔ, we de flɔt.

As tɛm de go, sayn dɛn we de sho se i nɔ de it fayn kin bigin fɔ sho.

Malnutrishɔn fɔ di men nyutriɛnt dɛn kin tan lɛk dis:

• Fɔ lɔs yu wet we yu nɔ bin want fɔ du .
• Mɔsul dɛn we de west, we yu de lɔs yu wet.
• Sik dɛn we kin kam bɔku tɛm (bikɔs ɔf di lɔw imyuniti).
• Di skin kin tɔn blu ivin if i gɛt smɔl brus.
• Dray skin, skin lɛsin dɛn.
• Dray ia, ia we de lɔs.
• Dihaydreshɔn (we nɔ gɛt wata na di bɔdi).
• (Edima) - di bכdi de swεla (biכs fכ di wata we de rεtεn am).
• Anemia - paleness, wik, diziz.
• I kin vɛks ɔltɛm, nɔ kin intres, i kin taya.
• di uman dεm we dεn kin sכt כ we dεn nכ kin bכn mεnstral (Amenorrhea).
• Delay divεlכpmεnt na pikin dεm.

Maykronutriɛnt malnutrishɔn kin tan lɛk dis:

• Ridyus vishɔn na nɛt (Vitamin A deficiency).
• Wik bon, bon pen (Vitamin D deficiency).
• Blɔd we de kɔmɔt na di gɔm, blɔd we de kɔmɔt na di nos (Vitamin K we nɔ de).
• Rɛd tɔŋ, tɔŋ sɔl (Vitamin B12 we nɔ de).
• Paleness, wik, diziz (vitamin deficiency anemia).

Wetin na di men tin dɛm wae kin mek pɔrsin nɔr de fil fayn?

Malabsorption kin bi fɔ sɔm tɛm, lɛk we yu gɛt bɛlɛ bɔg ɔr bɛlɛ flu. Bɔt fɔ lɔng tɛm malabsorption kin kam bikɔs ɔf wan ɔndalayn mɛdikal kɔndishɔn wae yu dɔn gɛt fɔ lɔng tɛm. bכku tin dεm de we de mek di pikin nכ de sכmtεm fayn, bכt dεn kin jεnarali fכl insay fכ kכtכgεri dεm.

Damej to di layn na di smɔl intestin

bכku pan yu nyutriεnt dεm de abzכp na di sכmכl intestכn (sכm de abzכp bak na di big intestכn). di mכkus layn na yu intestinal wכl dεm de involv fכ sekret di dijestiv εnzym dεm εn fכ abzכp likwid it insay yu bכdi. כltu, dis mכkus layn kin pwεl bay inflameshn (enteritis) εn injuri. Dis damej kin bi fɔ sɔm tɛm (akyu) ɔ fɔ lɔng tɛm (krɔnik). Bɔku rizin dɛn de fɔ dis:

• Infɛkshɔn sik dɛm lɛk Whipple’s Disease ɛn Tropical Sprue.
• Inflammatory Bowel Diseases (IBD) lεk Ulcerative Colitis εn Crohn’s Disease.
• Ɔtoimyun sik dɛm lɛk Siliak Disease.
• Yuz sɔm mɛrɛsin dɛn pasmak.
• Dizayd fɔ Yuz Alkol.
• Redyushɔn tɛrapi ɛn kemotɛrapi.
• (Short Bowel Syndrome) - di sכt we di sכmכl intestכn de sכt.
• (Smoll Intestinal Bacterial Overgrowth - SIBO) - di baktri dεm we de gro pasmak na di sכm intestinal.
• fכ prodyuz bכdi asid pasmak na kכndishכn dεm lεk Zollinger-Ellison Syndrome.

Pankrias, gal blad, liva sik dɛn

Yu pankrias, liva, ɛn gal blad de wok togɛda wit yu smɔl intestin fɔ ɛp yu fɔ dayjɛst it. di pankrias de mek imכtant dijestiv εnzym dεm. di liva εn di gal blad de prodyuz εn stכr bayl. Dis bayl impɔtant fɔ digest di fat. we dεn it it, dεn כgan dεm ya de kכl dεn sekreshכn dεm na di sכmכl intestin. Bɔt if dɛn ɔgan ya nɔ de wok fayn bikɔs ɔf sɔm sik, di smɔl intestin nɔ kin ebul fɔ dayjɛst ɛn tek it fayn fayn wan. Ɛgzampul dɛn:

• Pankrias insufisɛns.
• (Sistik Faybrosis) we dɛn kɔl.
• Bil Dakt Blɔk dɛn.
• Disizin dɛn we de na di Galblad.
• Liva Sik we pɔsin kin gɛt.

Limfatik Sistɛm Disizin dɛn

di fεt de kכmכt frכm yu sכmכl intestin insay yu bכdi tru di limf vεsεl dεm. if dεn vεsεl dεm ya blכk bikoz fכ sik dεm na di limfatik sistεm, fεt absכpshכn kin bכku. Intestinal Lymphangiectasia ɛn Lymphoma na tu ɛgzampul fɔ dis.

Nɔ ebul fɔ dayjɛst sɔm it dɛn (Food Intolerances) .

di nכ ebul fכ daygεst sכm kכbhaydret כ protin dεm kin bi wan sayd ifekt fכ intestinal sik dεm. (Wan egzampl na di inability fכ digεst fruktכs). Bɔt sɔntɛnde, dɛn kin bɔn pipul dɛn we nɔ gɛt di ɛnzaym dɛn we dɛn nid fɔ dayjɛst sɔm tin dɛn we de mek dɛn it. (di bεst egzampl fכ dis na di inability fכ daygεst laktos - Lactose Intolerance).

Aw yu go no if yu gɛt malabsorption?

Lεk bכku intestinal sik dεm, fכ no se dεn nכ de sכk bכt na wan tin we de apin sכmtεm sכmtεm. Yu dɔktɔ go fɔs chɛk yu ɛn tink bɔt yu mɛdikal istri ɛn di sayn dɛm we yu gɛt. Dɛn kin sɔprayz se yu nɔ gɛt bɛtɛ sik if yu gɛt histri fɔ gɛt sik we nɔ de mɛn na yu intestinal ɔ yu dɔn gɛt ɔpreshɔn.

Dɛn kin rili sɔspɛkt se pɔsin nɔ de it fayn ɛn i nɔ de it fayn if sɔm sayn dɛn de, lɛk di steatorrhea (fat stɔl) we wi bin dɔn tɔk bɔt ɛn dayarɛa we de kɔntinyu, ɔ we i klia se i gɛt anemia ɛn di mɔsul dɛn we de west. Bɔt, sɔntɛnde, dis nɔ kin so klia. Yu dɔktɔ go du di rayt tɛst fɔ no wetin mek yu nɔ fil fayn.

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt malabsorpshɔn?

• Briz Tεst: Haydrojen brith tεst kin εp fכ no kכndyushכn dεm lεk laktכs intolerans, spεshal kכbhaydret digεshכn prכblεm, εn SIBO (smכl intestinal baktri dεm we de gro pasmak).
• Stɔl Tɛst: Stul tɛst kin mɛzhɔ di fat we de na yu stɔl ɛn i kin ɛp fɔ no if di fat nɔ de wok fayn. I kin no bak tin dεm lεk parasayt infεkshכn εn pankrεas disfכnkshכn.
• Blɔd Tɛst: Dɛn tin ya kin sho sayn dɛm fɔ sɔm patikyula nyutriɛnt dɛm we kin kam bikɔs ɔf di malabsorpshɔn ɛn spɛshal mɛdikal kɔndishɔn dɛm lɛk Siliak Disease.
• Swet Tεst: Dis na spεshal tεst fכ no di kכndyushכn (Cystic Fibrosis).
• Imej Test: Yu dɔktɔ kin want fɔ luk di ɔgan dɛm na yu dijestiv sistɛm fɔ si if ɛni sayn de. Dis kin inklud GI X-ray Ɛgzam, Ɛndoskopik Ɔltrasɔund, ɔ Vidio Kapsul Ɛndoskopi.
• Smɔl Intestinal Bayɔpsi:Di dɔktɔ kin want fɔ tek wan sampul pan di tisu frɔm yu smɔl intestin fɔ tɛst am na lab. dis bayɔpsi kin luk fɔ pruf fɔ se di layn na yu intestinal (mucosa) dɔn pwɛl. Dɛn kin tek dis sampul we dɛn de du ɛndoskopi.

Aw dɛn kin trit malabsorption?

bכku tin dεm de we kin mek i nɔr de fil fayn, εn di rεnj כf ifekt dεm we i kin kכz kin bכku. Dɛn go no yu tritmɛnt bay dɛn tin ya.

Fɔ trit di ifɛkt dɛn we di malabsorpshɔn kin gɛt, yu kin nid fɔ gi yu it . dεn kin gi dεm as likwid bay mכt, tru wan tכb (tכb fכ it), כ insay wan vein (IV - intravenכs). Yu kin nid bak fɔ tek spɛshal dijestiv ɛnzaym dɛn. Dis kin bi bikɔs yu nɔ ebul fɔ dayjɛst wan patikyula it ɔ bikɔs yu pankrias nɔ de wok fayn. If yu gɛt bayl asid malabsɔpshɔn, dɛn kin gi yu sɔntin we dɛn kɔl bayl asid sikwɛstant fɔ ɛp fɔ mek yu nɔ gɛt dayarɛa.

fכ trit di כndalayn kכz fכ malabsכpshכn kin bi sכm mכr komplikεt. If na jɔs fɔ it we yu nɔ de it, yu kin jɔs nid fɔ chenj di tin dɛn we yu de it. Dɛn kin trit simpul infɛkshɔn wit antibayɔtik. Bɔt di sik dɛn we kin de fɔ lɔng tɛm kin nid fɔ gɛt mɔ spɛshal tritmɛnt. Sɔmtɛm, nɔr kin gɛt mɛrɛsin kwik kwik wan, bɔt wae yu chenj yu layf kin ɛp fɔ kɔntrol de sik.

Yu tink se dɛn go mɛn di malabsorpshɔn?

Dis kin dipen pan fɔ no di rayt tin ɛn fɔ trit am fayn fayn wan. Sɔm tin dɛn we kin mek pɔsin gɛt sik kin izi fɔ mɛn pas ɔda wan dɛn. We dɛn dɔn no se yu gɛt di sik, yu dɔktɔ go ɛksplen di ditel dɛn bɔt yu sik. Bɔrku tɛm, wae yu chenj yu layf kin ɛp yu fɔ trit de sik (malabsorption) ɛn de sik wae de kam.

Bɔku pipul dɛn kin gɛt wan wan tɛm we dɛn nɔ kin it fayn, dɛn kin blo, dɛn kin gɛt gas, ɛn dɛn kin gɛt dayarɛa. If sɔntin we yu de it nɔ wok fɔ yu, yu kin gɛt sɔm kayn sik fɔ sɔm tɛm, bɔt dɛn kin go fɔ dɛnsɛf. Dis kayn we aw pɔsin nɔ de it fayn na tin fɔ wɔri bɔt. Bɔt if yu gɛt dɛn sik ya ɔltɛm, dat kin bi sayn fɔ sɔntin we rili siriɔs. Dayarɛa we de kɔntinyu na sɔntin we yu fɔ wɔri bɔt ɔltɛm.

Malabsorption kin bi wan ayd kɔz fɔ malnutrishɔn. Bikɔs di we aw pɔsin nɔ de it fayn kin kam smɔl smɔl, yu nɔ go notis am te i rili bad, mɔ if yu na pɔsin we de it gud it. Dis kin denja mɔ fɔ pikin dɛn. Dɛn nid mɔ it fɔ mek dɛn gro ɛn divɛlɔp, ɛn dɛn nɔ go ebul fɔ tɛl yu bɔt dɛn sik dɛn. If yu pikin de sho sayn dɛm fɔ se in bɛlɛ de at bɔku tɛm, mɔ di stɔl we nɔ gɛt bɛtɛ stɔl, i impɔtant fɔ go to dɔktɔ fɔ mek shɔ se i nɔ gɛt wan sik we de mek i nɔ de tek am fayn.

Wetin na di mɛsej we wi want fɔ kɛr go na os frɔm dis atikul?

Okay, so naw wi no se malabsorption na jεnarכl tεm fכ di inability fכ di bכdi fכ abzכp nyutriεnt frכm di it we wi de it. Bɔrku tin kin de fɔ dis, ɛn de sik kin difrɛn frɔm pɔrsin to ɔda pɔrsin.

• If yu de gɛt sɔm kayn sayn dɛm lɛk wae yu bɛlɛ de pwɛl ɔltɛm, yu de gɛt dayarɛa, yu de blo, ɛn yu nɔr de tink bɔt yu wet , nɔr tek am se na jɔs yu nɔr de it fayn.
• Malabsorption kin mek yu nɔ gɛt bɛtɛ it , we kin gɛt bɔku bad bad tin dɛn pan di bɔdi.
• If yu ɔ yu pikin kɔntinyu fɔ gɛt dɛn sik ya, mek shɔ se yu go to dɔktɔ .
• If dɛn no di sik kɔrɛkt wan ɛn trit am fayn, bɔku tɛm dɛn kin kɔntrol dis sik.

Mɛmba se i impɔtant fɔ lisin to wetin yu bɔdi de tɛl yu. Pan ɔl we i kin tan lɛk se na smɔl tin, sɔntɛnde i kin bi di biginin fɔ big tin. So, fɔ kia fɔ yu wɛlbɔdi na di tin we impɔtant pas ɔl.

` Malabsorption, nyutrishɔn dɛfisiɛns, dijeshɔn, dayarɛa, malnutrishɔn, vaytamɛn dɛfisiɛns, bɛlɛ pwɛl