Ngaba wakha wanesisu esibuhlungu ngolu hlobo? Masithethe ngeTropical Sprue!

Khawucinge ukuba uye ekhefini kwilizwe elihle elishushu, okanye wahlala kulo okwethutyana. Ngequbuliso, uqala ukuziva ugula kakhulu, kwaye emva kweentsuku ezimbalwa, iintlungu zesisu sakho ziqala ukuncipha. Uziva ubuthathaka kwaye wehla emzimbeni. Usenokuba unesifo esibizwa ngokuba yiTropical Sprue . Ungakhathazeki, siza kuthetha ngaso ngokweenkcukacha.

Yintoni iTropical Sprue?

Ngamafutshane, iTropical Sprue lusulelo olungaqhelekanga oluchaphazela amathumbu akho amancinci . Okwenzekayo kukuba umzimba wakho awukwazi ukufunxa izondlo ozifunayo ngokufanelekileyo. Oku kungenxa yokuba ezinye iibhaktheriya eziyingozi zingena emathunjini akho amancinci zize ziwonakalise.

Esi sifo sixhaphake kakhulu kubantu abahlala okanye abachitha ixesha elininzi kwiindawo ezishushu nezishushu zehlabathi, ezifana neCaribbean, South India, kunye neSoutheast Asia. Singaqala ngentlungu yesisu enzima, size sibe yimeko engapheliyo, nangona sinokuphela kancinci.

Okubaluleke kakhulu, ukuba ayinyangwa kakuhle, inokukhokelela kwiingxaki ezinkulu ezifana ne-anemia kunye nokungondleki kakuhle.

Kutheni oku kubizwa ngokuba yi "tropical sprue"?

Eli gama livela kudala. Ngeminyaka yoo-1600, ugqirha waseDatshi wasebenzisa igama elithi "sprouw" ukuchaza ukuqunjelwa okuqhubekayo. Malunga neminyaka engama-200 kamva, ugqirha waseNgilani owayefunda iingxaki zesisu kumazwe afudumeleyo wafumana eli gama. Igama elithi "Sprouw" kamva laba "sprue." Ngamanye amaxesha oogqirha babiza isifo se-celiac ngokuthi "i-sprue engekho tropiki" okanye "i-celiac sprue."

Zithini iimpawu zeTropical Sprue?

Ekuqaleni, iimpawu ze-tropical sprue zinokuvakala ngathi yi-traveler's diarrhea , kodwa zibe nzima ngakumbi. I-Traveler's diarrhea idla ngokuziphelela kwiintsuku ezimbalwa, kodwa iimpawu ze-tropical sprue azipheli. Ziyaqhubeka, kwaye zinokuba mandundu. Ezinye iimpawu ziquka:

• Isisu esibuhlungu.
• Ukuziva ngathi isisu sakho sigcwele (isisu esidumbileyo).
• I-Borborygmi - isandi esisivayo esiswini sethu njengoko sisetyisa ukutya.
• Ukuziva udiniwe ngalo lonke ixesha (ukudinwa).
• Isicaphucaphu.
• Indle enamafutha, enombala omdaka, nenuka kamnandi kunesiqhelo (i-steatorrhea).
• Ukunciphisa umzimba ngendlela engachazekiyo.

Yintoni ebangela iTropical Sprue?

Iingcali azikakwazi ukutsho ngokuqinisekileyo ukuba yintoni kanye kanye ebangela oku.Kodwa uphando lubonisa ukuba le meko inokwenzeka xa iintsholongwane ezinobungozi zingena emathunjini amancinci kwaye zonakalise iiseli ezibizwa ngokuba zii-enterocytes . Ezi enterocytes ziiseli ezingaphakathi kwamathumbu akho. Ezi ziiseli ezinceda umzimba wakho ukuba ufunxe iivithamini kunye neeminerali.

Kukholeleka ukuba kukho iintlobo ezahlukeneyo zeebhaktheriya ezibangela oku. Umzekelo, iintlobo eziyingozi ze- Escherichia coli (E. coli) , i-Klebsiella pneumoniae, kunye ne -Enterobacter cloacae . Ezi bhaktheriya zithintela ukufunxwa kwezondlo emathunjini amancinci. Endaweni yokuba ezo zondlo zifunxwe egazini, zikhutshwa emzimbeni xa usendle.

Ngubani osengozini enkulu yokufumana iTropical Sprue?

Eyona nto ibalulekileyo ebangela umngcipheko kukuhlala kwindawo eshushu okanye eshushu (eshushu okanye eshushu kancinci), okanye ukuchitha inyanga okanye ngaphezulu kuloo ndawo . Esi sifo asifumaneki rhoqo kumazwe afana neMelika eseMbindini, iYurophu, iMexico, kunye ne-United States. I-sprue yetropiki mhlawumbi ayixhaphakanga kula mazwe ngenxa yokufumaneka kwamanzi acocekileyo kunye nezibonelelo zonyango ezilungileyo.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba i-tropical sprue ayinyangwanga kakuhle, iimeko ezifana nezi:

• I-Macrocytic anemia: Oku kwenzeka xa umzimba ungafumani folate eyaneleyo, ivithamin B2, kunye nevithamin B12. Ngamafutshane, kukungabikho kwegazi.
• Ukungondleki: Le yimeko enzima enokuba yingozi ebomini.

Ugqirha uyibona njani le nto?

Xa ubona ugqirha, uza kuqala enze uvavanyo lomzimba . Uza kubuza ngeempawu zakho kunye nempilo yakho ngokubanzi. Umzekelo, nokuba ulahlekelwa bubunzima ngaphandle kokuzama, okanye ukuba ufumana usulelo rhoqo. Ukuba uye waya kwindawo apho i-sprue yetropiki ixhaphake khona, ugqirha wakho unokwenza uvavanyo oluthile ukuze afumane unobangela weempawu zakho:

• Ubalo lweGazi olupheleleyo (CBC): Oku kujonga ukuba kukho inani eliphantsi leeseli ezibomvu zegazi (i-anemia), i-vitamin B12, kunye namanqanaba e-folate.
• Iphaneli ePheleleyo yeMetabolic (CMP): Olu vavanyo lunokubonisa ukungaqheleki kwii-electrolytes ezibalulekileyo emzimbeni.
• Uvavanyo lwendle: Olu vavanyo lwenziwa ukujonga ukuba akukho mafutha agqithisileyo esitulweni sakho. Ezinye iimvavanyo zendle zinokwenziwa ukuze kuthintelwe ezinye iimeko ezineempawu ezifanayo, ezifana ne -giardiasis , strongyloidiasis , okanye i-cryptosporidiosis .
• I-Enteroscopy: Olu vavanyo lunokujonga ngaphakathi emathunjini akho amancinci luze luthathe isampuli yezicubu. Ingcali yezonyango iza kuhlola isampuli yezicubu ukuze ibone ukuba kukho naluphi na utshintsho emathunjini amancinci olunxulumene ne-tropical sprue.

Ziziphi iindlela zonyango lweTropical Sprue?

Oogqirha badla ngokunyanga i-tropical sprue ngokudibanisa amayeza okubulala iintsholongwane kunye nezongezo zesondlo. Usenokunikwa:

• I-Tetracycline: Oku kungadinga ukuthathwa rhoqo kangangeenyanga ezintandathu.
• Izongezo ze-folic acid.
• Iinaliti zeVitamin B12.

Iphathwa njani iTropical Sprue ebantwaneni?

I-sprue yaseTropical ayiqhelekanga ebantwaneni. Ukuba iyenzeka, ugqirha uya kunika enye i-antibiotic endaweni ye-tetracycline. I-Tetracycline inokutshintsha umbala wamazinyo abantwana, nto leyo ebangela ukuba eli yeza lingasebenzi kakuhle.

Kuza kwenzeka ntoni ukuba ndisebenzisa iTropical Sprue? Ngaba iza kuba bhetele?

Iindaba ezimnandi zezokuba isifo se-tropical sprue sihlala sinyangeka ngokupheleleyo ngonyango . Ugqirha wakho uza kukujonga kwakhona (i-aphoyintimenti yokulandelela) ukuqinisekisa ukuba inani leeseli zakho ezibomvu zegazi kunye namanqanaba eevithamini abuyele kwisiqhelo, kwaye uza kwenza novavanyo lwegazi.

Nangona kunjalo, abantu abahlala kwiindawo apho i-sprue yetropiki ixhaphake khona basengozini yokuphinda bafumane esi sifo.

Ngaba iTropical Sprue ingathintelwa?

Ukuba uhambela iindawo apho i-sprue ixhaphake khona kwiindawo ezishushu, kubaluleke kakhulu ukuphepha iimeko apho unokuba sesichengeni sesi sifo okanye iintsholongwane ezisibangelayo. Umzekelo:

• Ukuba utya imifuno neziqhamo ezintsha, khetha kuphela ezo unokuzixobula ngokwakho.
• Qinisekisa ukuba ukutya kuphekiwe kakuhle.
• Sebenzisa iziselo ezisemathinini okanye ezisemabhotileni kuphela.
• Hlamba izandla zakho rhoqo, ingakumbi ngaphambi kokuba utye.
• Gcina isicoci sezandla esisekelwe kutywala kufutshane.

Nokuba ulumke kangakanani na, ukuba uyagula, funa unyango ngokukhawuleza . Ukufumana unyango kwangethuba ukuze kubulawe iintsholongwane emathunjini akho amancinci kunokunciphisa umngcipheko wokuba ne-tropical sprue.

Ndingazinyamekela njani?

I-sprue yaseTropiki inokuba nzima kancinci kwinkqubo yakho yokugaya ukutya . Ngelixa usaphila, gxila ekutyeni okulula esiswini sakho. Umzekelo, iibhanana, irayisi, isosi ye-applesauce kunye ne-toast (ukutya kwe-BRAT) . Sela ulwelo oluqulethe ii-electrolytes ukunceda ukuthintela ukuphelelwa ngamanzi emzimbeni.

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ukuba uvavanyo lwakho luqinisekisa ukuba une-tropical sprue, kwaye iimpawu zakho aziphucuki emva konyango okanye ziya zisiba mandundu, ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho kwakhona. Ugqirha wakho uya kwenza uvavanyo oluthe kratya ukuze abone ukuba iimpawu zakho zibangelwa yinto engeyiyo i-tropical sprue.

Yintoni umahluko phakathi kwesifo sikaWhipple kunye neTropical Sprue?

Zombini ezi zifo zibangelwa zizifo ezibangelwa ziintsholongwane ezichaphazela amathumbu amancinci, nto leyo ethintela umzimba ekufumaneni izondlo. Umahluko kukuba isifo sikaWhipple sinokuchaphazela nenkqubo yakho yemithambo-luvo, intliziyo kunye nemiphunga.

Mhlawumbi ubuphupha ngokuchitha ixesha elithile kwilizwe elinomhlaba oshushu. Nokuba ulumke kangakanani na, i-tropical sprue inokuba yintlungu yokwenyani, kwaye iintsuku zorhudo nokuhlanza azimnandi. Kodwa i-tropical sprue inokubangela iingxaki ezinkulu ezifana ne-anemia kunye nokungondleki kakuhle.

Umyalezo Wokuya Ekhaya

Ukuba ucinga ukuba iimpawu zakho azikho nje nje ziintlungu zesisu zomhambi, bona ugqirha ngaphandle kokuthandabuza . Unyango lwangethuba lunokunyanga isifo se-tropical sprue kwaye luthintele iingxaki. Khumbula, oku akuyonto yokoyika, kodwa ngokuqinisekileyo yimeko efuna unyango. Hlala usempilweni!

Ukuqaqamba kwesisu , ukunqongophala kokutya, isifo sorhudo, izifo zasetropikhi, usulelo lwamathumbu, impilo yokuhamba