Ese wigeze ugira ububabare bw'igifu nk'ubu? Reka tuvuge kuri Tropical Sprue!

Tekereza ko wagiye mu biruhuko mu gihugu cyiza cyo mu turere dushyuha, cyangwa ukabamo igihe runaka. Mu buryo butunguranye, utangira kumva urwaye cyane, nyuma y'iminsi mike, kubabara mu nda bitangira kugabanuka. Uba wumva ufite intege nke kandi ugatakaza ibiro. Ushobora kuba ufite indwara yitwa Tropical Sprue . Ntugahangayike, tuzayivugaho birambuye.

Tropical Sprue ni iki?

Muri make, Tropical Sprue ni indwara idakunze kugaragara ifata amara yawe mato . Ikibaho ni uko umubiri wawe udashobora kwinjiza intungamubiri ukeneye neza. Ibi biterwa nuko hari bagiteri zangiza zinjira mu mara yawe mato zikayangiza.

Iyi ndwara ikunze kugaragara cyane mu bantu batuye cyangwa bamara igihe kinini mu turere dushyuha kandi dushyuha ku isi, nko muri Karayibe, mu majyepfo y'Ubuhinde, no mu majyepfo y'uburasirazuba bwa Aziya. Ishobora gutangirira ku kubabara mu nda cyane, hanyuma ikaba indwara idakira, nubwo ishobora kugabanuka gato.

Icy'ingenzi kurushaho, iyo idavuwe neza, ishobora gutera ingorane zikomeye nko kubura amaraso n'imirire mibi.

Kuki ibi byitwa "sprue yo mu turere dushyuha"?

Iri zina ryaturutse kera cyane. Mu myaka ya 1600, umuganga w’Umuholandi yakoresheje ijambo "sprouw" asobanura indwara yo kubyimba mu nda idakira. Nyuma y’imyaka igera kuri 200, umuganga w’Umwongereza wigaga ibibazo by’igifu mu bihugu bishyushye yaje gufata iri jambo. "Sprouw" yaje guhinduka "sprue." Hari igihe abaganga bavuga indwara ya celiac nka "sprue idakomoka mu turere dushyuha" cyangwa "sprue ya celiac."

Ni ibihe bimenyetso bya Tropical Sprue?

Mu ntangiriro, ibimenyetso bya sprue yo mu turere dushyuha bishobora kumera nk'impiswi y'umugenzi , ariko bikaba bikomeye kurushaho. Impiswi y'umugenzi ikunze kwishira ubwayo mu minsi mike, ariko ibimenyetso bya sprue yo mu turere dushyuha ntibishira. Bikomeza kubaho, ndetse bishobora no kwiyongera. Ibindi bimenyetso birimo:

• Kubabara mu nda.
• Kumva nk'aho inda yawe yuzuye (inda yabyimbye).
• Borborygmi - urusaku twumva mu nda zacu iyo turya ibiryo.
• Kumva unaniwe igihe cyose (umunaniro).
• Isesemi.
• Imyanya y'ibinure irabagirana, ihinduka ibara, kandi ihumura neza kurusha uko bisanzwe (steatorrhea).
• Kugabanya ibiro mu buryo budasanzwe.

Ni iki gitera indwara ya Tropical Sprue?

Impuguke ntizishobora kuvuga neza impamvu nyayo ibi bitera .Ariko ubushakashatsi bwerekana ko iyi ndwara ishobora kubaho iyo bagiteri mbi zinjiye mu mara mato zikangiza uturemangingo twitwa enterocytes . Utwo turemangingo ni uturemangingo tuba mu mara yawe imbere. Utwo ni uturemangingo dufasha umubiri wawe kwinjiza vitamine n'imyunyungugu.

Hari ubwoko butandukanye bwa bagiteri bikekwaho kuba ari zo zitera. Urugero, ubwoko bubi bwa Escherichia coli (E. coli) , Klebsiella pneumoniae, na Enterobacter cloacae . Izi bagiteri zibuza intungamubiri kwinjira mu mara mato. Aho kugira ngo izo ntungamubiri zinjire mu maraso, zisohoka mu mubiri mu mwanda.

Ni nde uri mu kaga gakomeye ko kurwara Tropical Sprue?

Ikintu cy'ingenzi gishobora gutera ibyago ni ukuba mu gace gashyuha cyangwa gashyuha (gashyuha cyangwa gashyushye), cyangwa kumara ukwezi cyangwa irenga mu gace nk'ako . Iyi ndwara ikunze kugaragara mu bihugu nka Amerika yo Hagati, u Burayi, Megizike, na Leta Zunze Ubumwe za Amerika. Indwara yo mu turere dushyuha ishobora kuba idakunze kugaragara muri ibi bihugu kubera amazi meza n'ibigo nderabuzima byiza.

Ni izihe ngorane zishobora kubaho iyo zitavuwe?

Iyo imboga zo mu turere dushyuha zidavuwe neza, indwara nka:

• Kubura amaraso mu mubiri: Ibi bibaho iyo umubiri utabonye folate ihagije, vitamine B2, na vitamine B12. Muri make, ni ukubura amaraso.
• Imirire mibi: Iyi ni indwara ikomeye ishobora gushyira ubuzima mu kaga.

Ni gute umuganga abimenya?

Iyo ugiye kwa muganga, abanza gukora isuzuma ry’umubiri . Azabaza ibimenyetso byawe n’ubuzima bwawe muri rusange. Urugero, niba urimo kugabanya ibiro utagerageje, cyangwa niba ukunda kwandura indwara. Niba waragiye mu gace gakunze kugaragaramo indwara ya sprue, muganga wawe ashobora gukora ibizamini bimwe na bimwe kugira ngo amenye icyateye ibimenyetso byawe:

• Umubare wuzuye w'amaraso (CBC): Ibi bireba niba uturemangingo dutukura tw'amaraso turi hasi (anemia), vitamine B12, n'urugero rwa folate.
• Isuzuma rya 'Comprehensive Metabolic Panel' (CMP): Iki kizamini gishobora kugaragaza ibitagenda neza mu misemburo y'ingenzi mu mubiri.
• Ibizamini by'umwanda: Ibi bizamini bikorwa kugira ngo harebwe niba hari ibinure byinshi mu mwanda wawe. Ibindi bizamini by'umwanda bishobora gukorwa kugira ngo harebwe izindi ndwara zifite ibimenyetso bisa nka giardiasis , strongyloidiasis , cyangwa cryptosporidiosis .
• Enteroscopy: Iki kizamini gishobora kureba imbere mu mara yawe mato no gufata icyitegererezo cy'ingingo. Umuganga w'indwara azasuzuma icyitegererezo cy'ingingo kugira ngo arebe niba hari impinduka mu mara mato zifitanye isano n'indwara yo mu turere dushyuha.

Ni ubuhe buryo bwo kuvura indwara ya Tropical Sprue?

Ubusanzwe abaganga bavura imiti yo mu bwoko bwa tropical sprue bakoresheje imiti igabanya ubukana bw'imiti n'inyongeramusaruro. Ushobora guhabwa:

• Tetracycline: Iyi ishobora gukenerwa ko uyifata buri gihe mu gihe cy'amezi atandatu.
• Inyongeramusaruro za aside folike.
• Inshinge za Vitamine B12.

Ni gute Tropical Sprue ivurwa n'abana?

Indwara yo mu bwoko bwa tropike ikunze kugaragara ku bana. Iyo bibaye, muganga azaguha indi miti irwanya udukoko aho gukoresha tetracycline. Tetracycline ishobora guhindura ibara ry'amenyo y'abana, ibyo bikaba ari ingaruka mbi zikunze kugaragara z'uyu muti.

Bizagenda bite nimfata Tropical Sprue? Ese izakira?

Inkuru nziza ni uko indwara yo mu bwoko bwa tropical sprue ishobora gukira burundu iyo ivuwe . Muganga wawe azongera kugusuzuma (gukurikirana gahunda) kugira ngo arebe neza ko umubare w'uturemangingo dutukura mu maraso yawe n'ingano ya vitamine byawe byasubiye ku rugero rusanzwe, kandi azakora n'ibizamini by'amaraso.

Ariko, abantu batuye mu turere dukunze kugaragaramo indwara ya sprue mu turere dushyuha bari mu kaga ko kongera kurwara iyi ndwara.

Ese Tropical Sprue ishobora kwirindwa?

Niba ugiye mu turere dukunze kugaragaramo ibihumyo byo mu turere dushyuha, ni ngombwa cyane kwirinda ahantu ushobora guhura n'iyi ndwara cyangwa bagiteri ziyitera. Urugero:

• Niba urya imboga n'imbuto nshya, hitamo gusa izo ushobora gukuraho ubwazo.
• Menya neza ko ibiryo byatetse neza.
• Koresha ibinyobwa biri mu macupa cyangwa mu macupa gusa.
• Karaba intoki zawe kenshi, cyane cyane mbere yo kurya.
• Shyira umuti wo gusukura intoki urimo inzoga hafi yawe.

Uko waba witonze kose, niba urwaye, shaka ubufasha vuba bishoboka . Guhabwa ubufasha hakiri kare kugira ngo wice bagiteri zo mu mara yawe mato bishobora kugabanya ibyago byo kurwara indwara yo mu turere dushyuha.

Nitwara nte?

Indwara yo mu bwoko bwa sprue ishobora kugorana gato ku igogora ryawe . Mu gihe uri gukira, ibande ku biribwa byoroshye ku nda yawe. Urugero, imineke, umuceri, isosi y'amapera n'umugati utose (indyo ya BRAT) . Nywa ibinyobwa birimo electrolytes kugira ngo bikurinde umwuma.

Ni ryari ngomba kongera kubonana na muganga?

Niba ibizamini byawe byemeza ko ufite indwara yo mu bwoko bwa tropical sprue, kandi ibimenyetso byawe ntibikongere nyuma yo kuvurwa cyangwa ngo birusheho kuba bibi, ugomba kongera kubonana na muganga wawe. Hanyuma muganga wawe azakora ibizamini byinshi kugira ngo arebe niba ibimenyetso byawe biterwa n'ikindi kintu kitari indwara yo mu bwoko bwa tropical sprue.

Ni irihe tandukaniro riri hagati y'indwara ya Whipple na Tropical Sprue?

Izi ndwara zombi ziterwa n'udukoko twa bagiteri twibasira amara mato, bikabuza umubiri kwinjiza intungamubiri. Itandukaniro ni uko indwara ya Whipple ishobora no kugira ingaruka ku mitsi yawe, umutima, n'ibihaha.

Wenda wigeze urota kumara igihe runaka mu gihugu gishyuha. Uko waba witonze kose, indwara yo mu bwoko bwa sprue ishobora kubabaza cyane, kandi iminsi yo gucibwamo no kuruka ntabwo ari ibintu bishimishije. Ariko indwara yo mu bwoko bwa sprue ishobora no gutera ibibazo bikomeye nko kubura amaraso n'imirire mibi.

Ubutumwa bwo kujyana mu rugo

Niba ubona ko ibimenyetso byawe birenze ububabare bw'inda bw'umugenzi gusa, gana muganga nta gushidikanya . Guvurwa hakiri kare bishobora gukiza indwara yo mu turere dushyuha no gukumira ingorane. Wibuke ko iki ari ikibazo kidakwiye gutinya, ariko ni indwara isaba ubuvuzi. Komeza ugire ubuzima bwiza!

` Ibibazo byo mu turere dushyuha, kubabara mu gifu, kubura imirire, impiswi, indwara zo mu turere dushyuha, indwara zo mu mara, ubuzima bwiza mu ngendo