Wakamborwadziwa nemudumbu seizvi here? Ngatitaurei nezveTropical Sprue!

Fungidzira kuti wakaenda kuzororo kunyika inoyevedza ine nzvimbo dzinopisa, kana kuti wakagara ikoko kwenguva yakati. Kamwe kamwe, unotanga kunzwa kurwara zvakanyanya, uye mushure memazuva mashoma, kurwadziwa kwemudumbu kunotanga kudzikira. Unonzwa usina simba uye kudzikira uremu. Ungave uine chirwere chinonzi Tropical Sprue . Usazvidya mwoyo, tichataura nezvazvo zvakadzama.

Chii chinonzi Tropical Sprue?

Zvichitaurwa zviri nyore, Tropical Sprue chirwere chisingawanzoitiki chinokanganisa ura hwako hudiki . Chinoitika ndechekuti muviri wako haugone kunwisa zvinovaka muviri zvaunoda nemazvo. Izvi zvinokonzerwa nekuti mamwe mabhakitiriya ane njodzi anopinda muura hwako hudiki ohukuvadza.

Chirwere ichi chinowanzoitika kuvanhu vanogara kana kupedza nguva yakawanda munzvimbo dzinodziya, dzinopisa pasi rose, dzakadai seCaribbean, South India, neSoutheast Asia. Chinogona kutanga nekurwadziwa kwemudumbu kwakanyanya, chozova chirwere chisingaperi, kunyange zvazvo chingadzikira zvishoma.

Chinonyanya kukosha ndechekuti kana ikasarapwa nemazvo, inogona kukonzera matambudziko akakomba akadai sekushaya ropa uye kushaya chikafu chakakwana.

Sei izvi zvichinzi "tropical sprue"?

Zita iri rinobva kare kare. Mumakore ekuma1600, chiremba wekuDutch akashandisa izwi rekuti "sprouw" kutsanangura chirwere chinogara chichibata mweya. Makore angangoita mazana maviri gare gare, chiremba wekuEngland aidzidza nezvematambudziko emudumbu munyika dzinodziya akawana izwi iri. "Sprouw" yakazova "sprue." Dzimwe nguva vanachiremba vanotaurawo nezvechirwere checeliac se "non-tropical sprue" kana kuti "celiac sprue."

Ndezvipi zviratidzo zveTropical Sprue?

Pakutanga, zviratidzo zve tropical sprue zvinogona kuita semanyoka emufambi , asi zvakanyanya kuoma. Manyoka emufambi anowanzopera ega mumazuva mashoma, asi zviratidzo zve tropical sprue hazviperi. Zvinoramba zviripo, uye zvinogona kutowedzera kuipa. Zvimwe zviratidzo zvinosanganisira:

• Marwadzo emudumbu.
• Kunzwa sekuti dumbu rako razara (dumbu rakazvimba).
• Borborygmi - ruzha rwatinonzwa kubva mudumbu medu patinogaya chikafu.
• Kunzwa kuneta nguva dzese (kuneta).
• Kusvotwa.
• Chituru chine mafuta, chakachinja ruvara, uye chinonhuwa kupfuura zvakajairika (steatorrhea).
• Kudzikira uremu kusingatsananguriki.

Chii chinokonzera Tropical Sprue?

Nyanzvi hadzisati dzakwanisa kutaura kuti chii chaizvo chinokonzera izvi.Asi tsvakiridzo inoratidza kuti chirwere ichi chinogona kuitika kana mabhakitiriya ane njodzi akapinda muura hudiki okuvadza masero anonzi enterocytes . Aya ma enterocytes ndiwo masero ari mukati meura hwako. Aya ndiwo masero anobatsira muviri wako kunwa mavhitamini nemaminerari.

Marudzi akati wandei emabhakitiriya anofungidzirwa kuti ndiwo anokonzera. Semuenzaniso, marudzi anokuvadza eEscherichia coli (E. coli) , Klebsiella pneumoniae, uye Enterobacter cloacae . Mabhakitiriya aya anodzivirira kupinza kwezvinovaka muviri muura hudiki. Panzvimbo pekuti zvinovaka muviri izvozvo zvipinde muropa, zvinoburitswa mumuviri uri mutsvina.

Ndiani ari panjodzi huru yekubatwa nechirwere cheTropical Sprue?

Chinhu chinonyanya kukosha panjodzi kugara munzvimbo dzinopisa kana dziri pasi pemvura (dzinodziya kana kuti dzinodziya zvishoma), kana kupedza mwedzi kana kupfuura munzvimbo yakadaro . Chirwere ichi hachiwanzoonekwa munyika dzakadai seCentral America, Europe, Mexico, neUnited States. Kupararira kwemvura munzvimbo dzinopisa pamwe hakuwanzoitika munyika idzi nekuda kwekuwanikwa kwemvura yakachena uye nzvimbo dzakanaka dzekurapa.

Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?

Kana zvipembenene zvemunzvimbo dzinopisa zvikasabatwa zvakanaka, zvirwere zvakaita se:

• Macrocytic anemia: Izvi zvinoitika kana muviri usingawani folate yakakwana, vhitamini B2, uye vhitamini B12. Zvichitaurwa zviri nyore, kushaikwa kweropa.
• Kushaya chikafu: Ichi chirwere chakakomba chinogona kuisa hupenyu panjodzi.

Chiremba anoona sei izvi?

Kana ukaona chiremba, ndiye anotanga akuongorora muviri wako . Achakubvunza nezvezviratidzo zvako uye hutano hwako. Semuenzaniso, kana uri kudzikira uremu usina kuedza, kana kuti unowanzo batwa nezvirwere. Kana wakamboenda kunzvimbo ine chirwere che tropical sprue, chiremba wako anogona kuita bvunzo kuti aone chikonzero chezviratidzo zvako:

• Kuverengwa Kweropa Kwakakwana (CBC): Izvi zvinotarisa huwandu hwemasero matsvuku eropa (anemia), vhitamini B12, uye huwandu hwefolate.
• Comprehensive Metabolic Panel (CMP): Bvunzo iyi inogona kuratidza kusarongeka kwema electrolytes akakosha mumuviri.
• Kuongororwa kwetsvina: Kuongororwa uku kunoitwa kuti uone kana paine mafuta akawandisa mutsvina yako. Kumwe kuongororwa kwetsvina kunogona kuitwawo kuti pasave nezvimwe zvirwere zvine zviratidzo zvakafanana, zvakaita se giardiasis , strongyloidiasis , kana cryptosporidiosis .
• Enteroscopy: Kuongororwa uku kunogona kutarisa mukati meura hwako hudiki uye kutora sampuli yenyama. Chiremba wezvirwere achaongorora sampuli yenyama kuti aone kana paine shanduko muura hudiki dzine chekuita ne tropical sprue.

Ndezvipi zvinorapwa zveTropical Sprue?

Vanachiremba vanowanzo rapa mushonga wetropical sprue nemusanganiswa wemishonga inorwisa mabhakitiriya uye zvekudya zvinovaka muviri. Unogona kupihwa:

• Tetracycline: Izvi zvingada kutorwa nguva dzose kwemwedzi inenge mitanhatu.
• Zvigadzirwa zve folic acid.
• Majekiseni eVitamin B12.

Tropical Sprue inorapwa sei kuvana?

Kubuda kwemvura mumazino emunzvimbo dzinopisa (tropical sprue) hakuwanzoitiki muvana. Kana zvikaitika, chiremba anokupa mumwe mushonga unorwisa mabhakitiriya panzvimbo petetracycline. Tetracycline inogona kuchinja ruvara rwemazino evana, izvo zvinowanzokonzerwa nemushonga uyu.

Chii chinoitika kana ndikanwa Tropical Sprue? Ichapora here?

Mashoko akanaka ndeekuti chirwere chetropical sprue chinogona kurapwa zvachose nekurapwa . Chiremba wako achakutarisa zvakare (kusangana nevamwe) kuti ave nechokwadi chekuti huwandu hwemasero matsvuku eropa rako uye huwandu hwemavhitamini zvadzoka pahunhu hwazvo, uye achaitawo bvunzo dzeropa.

Zvisinei, vanhu vanogara munzvimbo dzine miti yakawanda yemuno ine zvipembenene zvinomera munzvimbo dzinopisa vari panjodzi yekurwara zvakare nechirwere ichi.

Tropical Sprue inogona kudzivirirwa here?

Kana uri kuenda kunzvimbo dzine chirwere ichi, zvakakosha kuti usasangana nechirwere ichi kana mabhakitiriya anokonzera chirwere ichi. Semuenzaniso:

• Kana ukadya miriwo mitsva nemichero, sarudza chete iyo yaunogona kukwesha iwe pachako.
• Iva nechokwadi chekuti chikafu chabikwa zvakanaka.
• Shandisa zvinwiwa zviri mumagaba kana mumabhodhoro chete.
• Geza maoko ako kakawanda, kunyanya usati wadya.
• Chengeta mushonga wekuchenesa maoko une doro uri pedyo.

Kunyangwe wakangwarira sei, kana ukarwara, tsvaga kurapwa nekukurumidza . Kuwana kurapwa nekukurumidza kuti uuraye mabhakitiriya ari muura hwako hudiki kunogona kuderedza njodzi yako yekubatwa nechirwere chetropiki.

Ndinozvitarisira sei?

Kudya zvinonaka kunogona kuomera kugaya chikafu . Paunenge uchipora, tarisa zvekudya zvinokunyaradza mudumbu. Semuenzaniso, mabhanana, mupunga, applesauce nechingwa chakabikwa (BRAT diet) . Inwa mvura ine electrolytes kuti udzivise kupera mvura mumuviri.

Ndinofanira kuona chiremba zvakare rini?

Kana bvunzo dzako dzikaitika kuti une tropical sprue, uye zviratidzo zvako zvikasavandudzika mushure mekurapwa kana kuti zvikanyanya kuipa, unofanira kuona chiremba wako zvakare. Chiremba wako achaita bvunzo dzakawanda kuti aone kana zviratidzo zvako zvichikonzerwa nechimwe chinhu chisiri tropical sprue.

Chii chinosiyanisa chirwere cheWhipple nechirwere cheTropical Sprue?

Zvirwere izvi zvose zvinokonzerwa nehutachiona hwemabhakitiriya hunokanganisa ura hudiki, zvichitadzisa muviri kunwa zvinovaka muviri. Musiyano ndewekuti chirwere cheWhipple chinogonawo kukanganisa tsinga dzako, moyo, nemapapu.

Pamwe wakamborota uchipedza nguva uri munyika ine mamiriro ekunze anodziya. Kunyangwe wakangwarira sei, kurwara kwemvura inodziya kunogona kuva marwadzo chaiwo, uye mazuva ekurwara nekurutsa hazvinakidze. Asi kurwara kwemvura inodziya kunogonawo kukonzera matambudziko akakomba akadai sekushaya ropa uye kushaya chikafu chakakwana.

Mharidzo Yekuenda Nayo Kumba

Kana uchifunga kuti zviratidzo zvako zvinopfuura kungorwadziwa nemudumbu chete, enda kuna chiremba usingazengurire . Kurapwa nekukurumidza kunogona kurapa zvipembenene zvinopisa uye kudzivirira matambudziko. Yeuka, ichi hachisi chinhu chekutya, asi zvechokwadi chirwere chinoda kurapwa. Ramba uine hutano hwakanaka!

Kurwara kwemudumbu, kushaya zvekudya zvinovaka muviri, manyoka, zvirwere zvemudumbu , hutachiona hwemudumbu, hutano hwekufamba