N’chifukwa chiyani thupi lanu silingathe kuyamwa mafuta ndi mavitamini? (Abetalipoproteinemia)

Kodi munayamba mwadzifunsapo kuti ndi mavuto ati omwe angabuke ngati thupi silingathe kuyamwa michere yomwe limafunikira kuchokera muzakudya zomwe timadya, makamaka mafuta ndi mavitamini ena? Lero tikambirana za vuto limodzi losowa koma lofunika kwambiri la majini. Chomwe chimachitika ndichakuti thupi lathu silingathe kuyamwa mafuta ndi mavitamini osungunuka bwino. Tiyeni tiwone vutoli, chifukwa chake limachitika, komanso zomwe tingachite nalo.

Kodi Abetalipoproteinemia ndi chiyani?

Mwachidule, abetalipoproteinemia ndi matenda osowa kwambiri a majini. Ndi vuto lomwe thupi lanu silingathe kuyamwa bwino mafuta (mafuta) ndi mavitamini enaake m'zakudya zomwe mumadya. Izi zili choncho chifukwa thupi lanu silingathe kupanga mamolekyu apadera otchedwa lipoproteins omwe amanyamula mafuta, cholesterol, ndi mavitamini osungunuka ndi mafuta (monga mavitamini A, D, E, ndi K) m'thupi lonse.

Taganizirani motere, ma `lipoproteins' awa ali ngati magalimoto omwe amanyamula zakudya m'thupi lathu. Choncho magalimoto amenewa akatha, mafuta ndi mavitamini sapita komwe amafunika kupita m'thupi. Izi zimapangitsa kuti mafuta ndi mavitamini achepe, makamaka mavitamini A, D, E, ndi K achepe. Kusowa kumeneku kungayambitse mavuto osiyanasiyana azaumoyo.

Kodi n’chiyani kwenikweni chikuchitika pamenepa?

Taganizirani izi motere: mukadya chakudya, mafuta ndi mavitamini osungunuka m'mafuta omwe ali mmenemo amafunika kuyamwa kuchokera m'matumbo kupita m'magazi. Pokhapokha pamene amalowa m'magazi ndi kunyamulidwa m'thupi lonse ndi m'maselo. Izi zimathandizidwa ndi ma lipoprotein omwe atchulidwa pamwambapa. Mwa munthu amene ali ndi abetalipoproteinemia, ma lipoprotein amenewa sapangidwa bwino, kotero mafuta ndi mavitamini alibe njira yodutsira m'matumbo.

Mavuto akuluakulu omwe amabwera chifukwa cha izi

Pamene 'lipoproteins' izi zatayika, mavuto akuluakulu angapo angachitike:

• Kusayamwa mafuta: Izi zingayambitse matenda monga kutsegula m'mimba, zomwe zingayambitse kudzimbidwa, kuchepa thupi, komanso kusowa zakudya m'thupi.
• Kusowa kwa mavitamini: Izi zingayambitse mavuto osiyanasiyana. Zitha kuphatikizapo mavuto a maso, mavuto a mitsempha, komanso kufooka kwa minofu.
• Acanthocytosis: Ili ndi liwu lovuta pang'ono, sichoncho? Mwachidule, maselo ofiira a magazi anu ali ndi mawonekedwe osiyana, monga nyenyezi yokhala ndi minga, kapena china chake chonga icho. Izi zimatchedwa ``Acanthocytosis.'' Izi zingayambitse kuchepa kwa magazi m'thupi. Izi zikutanthauza kuti thupi lilibe maselo ofiira athanzi okwanira.

Abetalipoproteinemia ndi matenda oopsa omwe angayambitse mavuto aakulu azaumoyo.Pakadali pano palibe mankhwala. Komabe, ndi chithandizo choyenera , zizindikiro zimatha kuchepetsedwa ndipo mavuto amatha kupewedwa. Chithandizo nthawi zambiri chimaphatikizapo zakudya zopanda mafuta ambiri, mavitamini owonjezera, ndi njira zosiyanasiyana zochiritsira zomwe zimayang'ana zizindikiro zinazake.

Kodi zizindikiro zake zimakhala bwanji?

Zizindikiro za `Abetalipoproteinemia` nthawi zambiri zimayamba ali wakhanda. Mwana wanu akamaliza kuyamwitsa, akhoza kusanza, kutsegula m'mimba, komanso kuchita ndowe zonenepa komanso zonunkha (steatorrhea) (timazitcha kuti "steatorrhea," zomwe zikutanthauza kuti ndowe za mwana wanu zimakhala zoterera, zamafuta, nthawi zina zoyandama, komanso zimakhala ndi fungo loipa pang'ono). Patapita kanthawi, mungazindikire kuti mwana wanu sakulemera kapena kukula monga momwe amayembekezera. Timazitcha izi kuti kukula kumalephera .

Mwa akuluakulu, abetalipoproteinemia, kusowa kwa mavitamini, kumakhudza machitidwe osiyanasiyana a thupi. Chizindikiro choyamba chingakhale kutayika kwa mphamvu zina zosinthira. Zizindikiro zina zingaphatikizepo:

• Kugwedezeka kwa minofu, kufooka, ndi kupweteka.
• Kutopa, kupuma movutikira, kapena kugunda kwa mtima mofulumira.
• Kuwonjezeka kwa kupindika kwa msana wanu (lordosis) kapena kuwonjezeka kwa kupindika kwa msana wanu wapamwamba (kyphoscoliosis). Izi ndi kusintha kwa mawonekedwe a msana wanu.
• Kuvuta kulumikiza momwe minofu imagwirira ntchito. Izi zingayambitse mayendedwe achilendo komanso osalamulirika poyenda kapena pochita ntchito. Izi zimatchedwa ataxia .
• Kulankhula movutikira chifukwa cha kuvutika kulamulira lilime kapena mawu. Matendawa amatchedwa dysarthria .
• Mavuto a maso: Zinthu monga strabismus, mayendedwe osalamulirika a maso (nystagmus), kapena retinitis pigmentosa, matenda omwe amachititsa kuti maso asaone bwino usiku.
• Kuchepa kwa magazi m'thupi ndi vuto lomwe maselo ofiira a m'magazi abwinobwino m'thupi amachepa, zomwe zimapangitsa kutopa ndi kufooka.
• Kuoneka kwachikasu pakhungu kapena maso oyera (jaundice).
• Kutupa, kutupa.
• Kuwonongeka kwa ubongo pakapita nthawi.

Kodi matendawa amakula bwanji?

Abetalipoproteinemia imayamba chifukwa cha kusintha kwa majini a MTTP. Jini ya MTTP imauza thupi lathu kuti lipange puloteni yotchedwa microsomal triglyceride transfer protein (MTP). Puloteni iyi ya MTP ndi yofunika kwambiri popanga lipoproteins zomwe zatchulidwazi m'chiwindi ndi m'matumbo athu.

Chifukwa cha majini

Mungakumbukire kuti ma lipoprotein amafunika kuti anyamule mafuta, cholesterol, ndi mavitamini osungunuka mafuta kuchokera m'matumbo kupita m'magazi. Kenako magazi amanyamula ma lipoprotein amenewa m'thupi lonse kuti minofu yathu itenge michere yofunikayi.

Choncho, pakachitika kusintha kwa majini a `MTTP`, thupi silingathe kupanga puloteni ya `MTP`. Ngati palibe puloteni yokwanira ya `MTP`, thupi silingathe kunyamula mafuta kudzera m'maselo a m'mimba. Izi zimakhudzanso kupanga `lipoproteins`, zomwe zimalepheretsa kuti michere isanyamulidwe bwino ndikuyamwa. Chifukwa cha kusowa kwa zakudya m'thupi kumeneku, zizindikiro za `Abetalipoproteinemia` zimachitika.

Momwe zimakhalira kuchokera ku mibadwomibadwo kupita ku mibadwomibadwo

Abetalipoproteinemia imafalikira m'mabanja mwanjira yofanana ndi autosomal recessive. Autosomal recessive imatanthauza kuti makolo onse awiri ali ndi kopi ya jini yosinthidwayo, ndipo mwanayo amalandira cholowa chake. Komabe, makolo amenewo alibe zizindikiro za Abetalipoproteinemia. Izi zikutanthauza kuti ndi okhawo omwe amanyamula matendawa. Kuti mwana adwale matendawa, makolo onse awiri ayenera kulandira jini yolakwika.

Kodi matenda amachitika bwanji?

Dokotala wanu adzafufuza abetalipoproteinemia mwa kukuyezani thupi. Adzakufunsani za zizindikiro zanu ndi mbiri yanu yachipatala. Adzayitanitsanso mayeso osiyanasiyana a magazi kuti aone zizindikiro za vutoli. Mayesowa adzayang'ana kuchuluka kwa mafuta m'magazi anu (omwe timawatcha kuti kuchuluka kwa mafuta m'magazi) ndi lipoproteins. Adzayang'ananso mawonekedwe ndi kapangidwe ka maselo ofiira a magazi anu (kuti aone ngati muli ndi vuto lotchedwa acanthocytosis), ntchito ya chiwindi, komanso kuchuluka kwa mavitamini osungunuka mafuta (mavitamini A, D, E, ndi K).

Mayeso ena omwe angafunike ndi awa:

• Kuyezetsa maso.
• Kuyezetsa kwa mitsempha.
• Endoscopy (kufufuza komwe kumayang'ana mkati mwa matumbo).
• Kujambula chiwindi ndi ultrasound.
• Kuyesa ndowe, makamaka kuti muwone kuchuluka kwa mafuta omwe amatuluka mu ndowe.

Kuphatikiza apo, dokotala wanu angakulangizeni kuti muyesedwe majini kuti muwone ngati muli ndi kusintha kwa majini a MTTP.

Kodi mankhwala ake ndi otani?

Chithandizo cha abetalipoproteinemia chimayang'ana kwambiri zizindikiro zanu. Nthawi zambiri muyenera kugwira ntchito ndi gulu la ogwira ntchito zachipatala osiyanasiyana. Izi zingaphatikizepo:

• Akatswiri a za ubongo.
• Madokotala omwe ndi akatswiri pa matenda a chiwindi (hepatologists).
• Akatswiri a maso (madokotala a maso).
• Akatswiri omwe amaphunzira za mafuta (madokotala a lipid).
• Akatswiri a mtima.
• Akatswiri a mafupa.
• Akatswiri a matenda a m'mimba ndi akatswiri pa ntchito yokonza chakudya m'mimba.
• Akatswiri a zakudya.

Chithandizo cha mwana

Kwa makanda, dokotala adzaonetsetsa kuti akukula bwino komanso kukula bwino.Zakudya zokhala ndi triglycerides yambiri (MCTs) ndi mavitamini enaake zingakulimbikitseni. Mitundu iyi ya mafuta, yotchedwa MCTs, si yofanana ndi mitundu ina ya mafuta, ndipo ndi yosavuta kuyamwa m'thupi.

Chithandizo cha akuluakulu

Kwa akuluakulu, njira yochiritsira zakudya yokhala ndi zakudya zochepa mafuta okhuta kwambiri imalimbikitsidwa. Izi zingathandize kuchepetsa zizindikiro za m'mimba (kusokonezeka m'mimba). Mwachitsanzo:

• Nkhuku, Turkey, ndi nyama zina zopanda mafuta ambiri.
• Nsomba.
• Nyemba zouma, nandolo, mphodza.
• Mkaka wopanda mafuta kapena wopanda mafuta ambiri, tchizi cha kanyumba, yogurt.
• Zipatso ndi ndiwo zamasamba.
• Buledi wa tirigu wonse, pasitala, chimanga, ndi mpunga.

Komanso, dokotala wanu angakulangizeni kumwa mavitamini ambiri osungunuka mafuta (monga mavitamini A, E, D, ndi K) . Izi zingathandize kupewa kapena kukonza zizindikiro zambiri zomwe mumakhala nazo. Mwachitsanzo, chithandizo cha vitamini E ndi vitamini A chingalepheretse kapena kuchedwetsa mavuto a mitsempha ndi retina. Kumwa mankhwala owonjezera a vitamini D kungathandize kuchepetsa zizindikiro zina zokhudzana ndi kukula kwa mafupa.

Kuchiza mavuto a mitsempha

Mavuto a mitsempha angafunike chithandizo monga physiotherapy, speak therapy, kapena occupational therapy.

Kodi mwayi wochira ndi wotani?

Chiyembekezo (chiyembekezo) cha kuchira ku abetalipoproteinemia chimadalira zinthu zingapo, kuphatikizapo:

• Zaka zodziwira matenda.
• Nthawi yoti muyambe kulandira chithandizo.
• Mtundu wa kusintha kwa majini a `MTTP`.

Kuzindikira msanga ndi kulandira chithandizo ndi mavitamini owonjezera kungalepheretse, kuchedwetsa, kapena kuchepetsa mavuto. Kungathandizenso kuti munthu akhale ndi moyo wautali. Anthu ena amatha kukhala ndi moyo mpaka zaka 70. Ngati salandira chithandizo, vutoli lingayambitse imfa ali ndi zaka 20 chifukwa cha kusowa zakudya m'thupi.

Kodi izi zingapewedwe?

Popeza abetalipoproteinemia ndi matenda obadwa nawo, simungathe kuwaletsa. Ngati muli ndi pakati kapena mukukonzekera kutenga pakati, ndi bwino kufunafuna uphungu wa majini kuti mudziwe za chiopsezo chanu chopatsira mwana wanu matendawa.

Zinthu zomwe simuyenera kudya ndi vutoli

Ngati muli ndi "Abetalipoproteinemia", muyenera kuchepetsa kudya mafuta (mafuta). Mafuta onse a munthu wamkulu ayenera kukhala ochepera magalamu 15-20 patsiku. Kwa ana, ayenera kukhala ochepera magalamu 5 patsiku. Dokotala wanu kapena katswiri wa zakudya adzakuuzani zoyenera kuchita.

Kodi muyenera kupita kwa dokotala liti?

Ngati inu kapena mwana wanu muli ndi zizindikiro za ``Abetalipoproteinemia,'' muyenera kuonana ndi dokotala. Ngakhale kuti zizindikiro za matendawa zitha kufanana ndi za matenda ena, dokotala wanu akhoza kuchita mayeso kuti atsimikizire matendawa ndikuyamba kulandira chithandizo.

Mafunso oti mufunse dokotala wanu

Ngati muli ndi abetalipoproteinemia, mungakhale ndi mafunso ambiri oti mufunse dokotala wanu. Ena mwa mafunsowa ndi awa:

• Kodi vuto langa la Abetalipoproteinemia ndi lalikulu bwanji?
• Kodi vutoli lidzandikhudza bwanji kwa nthawi yayitali?
• Kodi ndondomeko ya chithandizo yomwe ndikulimbikitsidwa ndi iti?
• Ndi mavitamini ndi zowonjezera ziti zomwe ndiyenera kumwa, ndipo kwa nthawi yayitali bwanji?
• Kodi ndikufunika kusintha zakudya zanga?
• Kodi mavuto omwe angakhalepo chifukwa cha ``Abetalipoproteinemia`` ndi ati?
• Kodi ndingachite chiyani kuti ndipewe mavuto amenewa?
• Kodi pali magulu othandizira kapena zinthu zina zomwe zingathandize anthu omwe ali ndi abetalipoproteinemia?

Pomaliza, kumbukirani izi.

Abetalipoproteinemia ikhoza kukhala vuto lovuta. Komabe, ndikofunikira kukumbukira kuti pali mankhwala othandiza omwe alipo. Mukayang'aniridwa mosamala kudzera mu zakudya zopanda mafuta ambiri, mavitamini owonjezera, ndi njira zina zothandizira, mutha kusintha kwambiri moyo wanu ndikupewa mavuto. Anthu ambiri omwe ali ndi abetalipoproteinemia amakhala ndi moyo wokwanira komanso wopindulitsa. Chofunika kwambiri ndikugwira ntchito limodzi ndi dokotala wanu kuti apange dongosolo la chithandizo lomwe likukwaniritsa zosowa zanu. Musazengereze kufunsa mafunso ndikukambirana za mantha anu panjira. Simuli nokha, ndipo madokotala ali pano kuti akuthandizeni.

Abetalipoproteinemia , Abetalipoproteinemia, matenda a majini, kuyamwa mafuta, kusowa kwa mavitamini, lipoproteins, jini ya MTTP, Sri Lanka Health