Kodi munayamba mwadwalapo m'mimba ngati uwu? Tiyeni tikambirane za Tropical Sprue!

Tangoganizani kuti mwapita kutchuthi kudziko lokongola lotentha, kapena kukhalamo kwa kanthawi. Mwadzidzidzi, mumayamba kumva kudwala kwambiri, ndipo patatha masiku angapo, kupweteka kwa m'mimba kumayamba kuchepa. Mumamva kufooka ndikuchepa thupi. Mwina muli ndi matenda otchedwa Tropical Sprue . Musadandaule, tidzakambirana mwatsatanetsatane.

Kodi Tropical Sprue ndi chiyani?

Mwachidule, Tropical Sprue ndi matenda osowa omwe amakhudza matumbo anu ang'onoang'ono . Chomwe chimachitika ndichakuti thupi lanu silingathe kuyamwa michere yomwe limafunikira moyenera. Izi zimachitika chifukwa mabakiteriya ena owopsa amalowa m'matumbo anu ang'onoang'ono ndikuwononga.

Matendawa amapezeka kwambiri mwa anthu omwe amakhala kapena omwe amakhala nthawi yayitali m'madera otentha komanso otentha padziko lonse lapansi, monga ku Caribbean, South India, ndi Southeast Asia. Amatha kuyamba ndi kupweteka kwambiri m'mimba, kenako nkukhala matenda osatha, ngakhale kuti amatha kuchepa pang'ono.

Chofunika kwambiri, ngati sichinalandire chithandizo choyenera, chingayambitse mavuto aakulu monga kuchepa kwa magazi m'thupi komanso kusowa zakudya m'thupi.

Nchifukwa chiyani izi zimatchedwa "tropical sprue"?

Dzinali linachokera kalekale. M'zaka za m'ma 1600, dokotala wina wa ku Netherlands anagwiritsa ntchito mawu oti "sprouw" pofotokoza vuto la kupuma movutikira. Patatha zaka pafupifupi 200, dokotala wina wa ku England yemwe ankaphunzira mavuto a m'mimba m'mayiko otentha analandira mawu oti "Sprouw" pambuyo pake anasanduka "sprue." Nthawi zina madokotala amatchulanso matenda a celiac kuti "sprue yosakhala yotentha" kapena "celiac sprue."

Kodi zizindikiro za Tropical Sprue ndi ziti?

Poyamba, zizindikiro za matenda a m'madera otentha zingamveke ngati matenda otsegula m'mimba a traveler , koma zimakhala zoopsa pang'ono. Matenda a m'madera otentha nthawi zambiri amatha okha pakatha masiku ochepa, koma zizindikiro za matenda a m'madera otentha sizimatha. Amapitirirabe, ndipo amatha kuipiraipira. Zizindikiro zina ndi izi:

• Kuwawa kwam'mimba.
• Kumva ngati mimba yanu yadzaza (mimba yotupa).
• Borborygmi - phokoso lomwe timamva m'mimba mwathu pamene tikugaya chakudya.
• Kumva kutopa nthawi zonse (kutopa).
• Kusanza.
• Chimbudzi chokhala ndi mafuta, chosintha mtundu, komanso chonunkha kwambiri kuposa masiku onse (steatorrhea).
• Kuchepetsa thupi kosamveka bwino.

Kodi n’chiyani chimayambitsa matenda a Tropical Sprue?

Akatswiri sakudziwabe chomwe chimayambitsa izi.Koma kafukufuku akusonyeza kuti vutoli likhoza kuchitika pamene mabakiteriya oopsa alowa m'matumbo ang'onoang'ono ndikuwononga maselo otchedwa enterocytes . Ma enterocytes awa ndi maselo omwe ali mkati mwa matumbo anu. Awa ndi maselo omwe amathandiza thupi lanu kuyamwa mavitamini ndi mchere.

Mitundu ingapo ya mabakiteriya ikuganiziridwa kuti ndi omwe amachititsa izi. Mwachitsanzo, mitundu yoopsa ya Escherichia coli (E. coli) , Klebsiella pneumoniae, ndi Enterobacter cloacae . Mabakiteriyawa amaletsa kuyamwa kwa michere m'matumbo ang'onoang'ono. M'malo moti michereyo ilowe m'magazi, imatuluka m'thupi mu ndowe.

Ndani ali pachiwopsezo chachikulu chotenga matenda a Tropical Sprue?

Chinthu chachikulu chomwe chimayambitsa vutoli ndikukhala m'dera lotentha kapena lotentha (lotentha kapena lotentha pang'ono), kapena kukhala mwezi umodzi kapena kuposerapo m'dera lotere . Matendawa sapezeka kawirikawiri m'maiko monga Central America, Europe, Mexico, ndi United States. Matenda a m'madera otentha mwina sapezeka kawirikawiri m'maiko awa chifukwa cha kupezeka kwa madzi oyera komanso zipatala zabwino.

Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?

Ngati matenda a tropical sprue sanachiritsidwe bwino, matenda monga:

• Kuchepa kwa magazi m'thupi: Izi zimachitika thupi likapanda kupeza folate yokwanira, vitamini B2, ndi vitamini B12. Mwachidule, ndi kusowa kwa magazi.
• Kusowa zakudya m'thupi: Ili ndi vuto lalikulu lomwe likhoza kupha munthu.

Kodi dokotala amazindikira bwanji izi?

Mukapita kwa dokotala, iye adzayamba wakuyezetsa thupi . Iye adzakufunsani za zizindikiro zanu ndi thanzi lanu lonse. Mwachitsanzo, ngati mukuchepetsa thupi popanda kuyesa, kapena ngati mumadwala matenda pafupipafupi. Ngati mwapita kudera lomwe matenda a sprue amapezeka kwambiri, dokotala wanu angachite mayeso ena kuti adziwe chomwe chimayambitsa zizindikiro zanu:

• Kuchuluka kwa Magazi Okwanira (CBC): Izi zimayang'ana kuchuluka kwa maselo ofiira a m'magazi (anemia), vitamini B12, ndi kuchuluka kwa folate m'magazi.
• Comprehensive Metabolic Panel (CMP): Kuyesaku kungasonyeze kusokonekera kwa ma electrolyte ofunikira m'thupi.
• Mayeso a chopondapo: Mayeso awa amachitika kuti aone ngati pali mafuta ochulukirapo m'chopondapo chanu. Mayeso ena a chopondapo angachitikenso kuti athetse matenda ena omwe ali ndi zizindikiro zofanana, monga giardiasis , strongyloidiasis , kapena cryptosporidiosis .
• Enteroscopy: Kuyeza kumeneku kungayang'ane mkati mwa matumbo anu ang'onoang'ono ndikutenga chitsanzo cha minofu. Katswiri wa matenda adzayang'ana chitsanzo cha minofu kuti awone ngati pali kusintha kulikonse m'matumbo ang'onoang'ono komwe kumakhudzana ndi tropical sprue.

Kodi mankhwala a Tropical Sprue ndi ati?

Madokotala nthawi zambiri amachiritsa matenda a tropical sprue pogwiritsa ntchito mankhwala opha tizilombo toyambitsa matenda ndi zakudya zowonjezera. Mungapatsidwe:

• Tetracycline: Izi zingafunike kumwedwa mosalekeza kwa miyezi pafupifupi isanu ndi umodzi.
• Zowonjezera za folic acid.
• Jakisoni wa Vitamini B12.

Kodi Tropical Sprue imachiritsidwa bwanji kwa ana?

Matenda a m'madera otentha ndi osowa kwambiri mwa ana. Ngati atachitika, dokotala adzakupatsani mankhwala ena opha tizilombo m'malo mwa tetracycline. Tetracycline imatha kusintha mtundu wa mano a ana, zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa.

Kodi chingachitike ndi chiyani ngati nditamwa Tropical Sprue? Kodi chidzachira?

Nkhani yabwino ndi yakuti matenda a tropical sprue nthawi zambiri amatha kuchiritsidwa kwathunthu ndi chithandizo . Dokotala wanu adzakuyang'ananinso (nthawi yokumana ndi dokotala) kuti atsimikizire kuti kuchuluka kwa maselo ofiira m'magazi ndi mavitamini anu kwabwerera mwakale, komanso adzakuyesani magazi.

Komabe, anthu okhala m'madera omwe zomera za m'madera otentha zimapezeka kwambiri ali pachiwopsezo chotenganso matendawa.

Kodi Tropical Sprue ingapewedwe?

Ngati mukupita kumadera kumene zomera za m'madera otentha zimapezeka kwambiri, ndikofunikira kwambiri kupewa malo omwe mungakumane ndi matendawa kapena mabakiteriya omwe amayambitsa matendawa. Mwachitsanzo:

• Ngati mudya ndiwo zamasamba ndi zipatso zatsopano, sankhani zokhazo zomwe mungathe kuzidula nokha.
• Onetsetsani kuti chakudya chaphikidwa bwino.
• Gwiritsani ntchito zakumwa zam'chitini kapena zam'mabotolo zokha.
• Sambani m'manja nthawi zambiri, makamaka musanadye.
• Sungani chotsukira m'manja chokhala ndi mowa pafupi.

Kaya musamala bwanji, ngati mutadwala, funani chithandizo mwamsanga . Kulandira chithandizo msanga kuti muphe mabakiteriya m'matumbo anu ang'onoang'ono kungachepetse chiopsezo chanu chokhala ndi matenda a tropical sprue.

Kodi ndimadzisamalira bwanji?

Kudya zakudya zopatsa thanzi m'mimba mwanu kungakhale kovuta pang'ono . Pamene mukuchira, yang'anani zakudya zomwe sizimapweteka m'mimba mwanu. Mwachitsanzo, nthochi, mpunga, applesauce ndi toast (zakudya za BRAT) . Imwani zakumwa zomwe zili ndi ma electrolyte kuti muchepetse kutaya madzi m'thupi.

Ndiyenera kukaonananso ndi dokotala liti?

Ngati mayeso anu atsimikizira kuti muli ndi matenda a tropical sprue, ndipo zizindikiro zanu sizikusintha mutalandira chithandizo kapena kukulirakulira, muyenera kuwonananso ndi dokotala wanu. Dokotala wanu adzachita mayeso ambiri kuti aone ngati zizindikiro zanu zimayambitsidwa ndi china chake osati tropical sprue.

Kodi kusiyana pakati pa matenda a Whipple ndi Tropical Sprue ndi kotani?

Matenda onsewa amayamba chifukwa cha matenda a bakiteriya omwe amakhudza matumbo ang'onoang'ono, zomwe zimalepheretsa thupi kuyamwa michere. Kusiyana kwake ndi kwakuti matenda a Whipple amathanso kukhudza mitsempha yanu, mtima, ndi mapapo.

Mwina mwalotapo kukhala nthawi ina kudziko lotentha. Kaya musamala bwanji, kutsekula m'mimba kwa m'madera otentha kungakhale kowawa kwambiri, ndipo masiku otsegula m'mimba ndi kusanza sikosangalatsa. Koma kutsekula m'mimba kwa m'madera otentha kungayambitsenso mavuto aakulu monga kuchepa kwa magazi m'thupi ndi kusowa zakudya m'thupi.

Uthenga Wopita Nawo Kunyumba

Ngati mukuganiza kuti zizindikiro zanu si kupweteka kwa m'mimba kokha kwa woyenda, pitani kwa dokotala mosazengereza . Chithandizo choyambirira chingachiritse matenda a m'madera otentha komanso kupewa mavuto. Kumbukirani, ichi si chinthu choopa, koma ndithudi ndi vuto lomwe limafuna chithandizo chamankhwala. Khalani ndi thanzi labwino!

Matenda a m'madera otentha, kupweteka m'mimba, kusowa zakudya m'thupi, kutsegula m'mimba, matenda a m'madera otentha, matenda a m'mimba, thanzi la paulendo