Wake waba nobuhlungu besisu obunje? Ake sixoxe nge-Tropical Sprue!

Cabanga ukuthi uye eholidini ezweni elihle elishisayo, noma wahlala kulo isikhashana. Ngokungazelelwe, uqala ukuzizwa ugula kakhulu, futhi ngemva kwezinsuku ezimbalwa, izinhlungu zesisu sakho ziqala ukuncipha. Uzizwa ubuthakathaka futhi wehlisa isisindo. Ungase ube nesifo esibizwa ngokuthi i-Tropical Sprue . Ungakhathazeki, sizoxoxa ngakho ngokuningiliziwe.

Kuyini i-Tropical Sprue?

Kalula nje, i-Tropical Sprue iyisifo esingavamile esithinta amathumbu akho amancane . Okwenzekayo ukuthi umzimba wakho awukwazi ukumunca izakhamzimba ozidingayo ngendlela efanele. Lokhu kungenxa yokuthi amanye amabhaktheriya ayingozi angena emathunjini akho amancane bese ewalimaza.

Lesi sifo sivame kakhulu kubantu abahlala noma abachitha isikhathi esiningi ezindaweni ezifudumele nezishisayo zomhlaba, njengeCaribbean, South India, kanye neSoutheast Asia. Singaqala ngobuhlungu obukhulu besisu, bese siba yisifo esingamahlalakhona, yize singase siphele kancane.

Okubaluleke kakhulu, uma kungelashwa kahle, kungaholela ezinkingeni ezinkulu njenge-anemia kanye nokungondleki kahle.

Kungani lokhu kubizwa ngokuthi "i-tropical sprue"?

Leli gama livela kudala. Ngawo-1600, udokotela waseDashi wasebenzisa igama elithi "sprouw" ukuchaza ukuqunjelwa okuqhubekayo. Eminyakeni engaba ngu-200 kamuva, udokotela waseNgilandi owayefunda izinkinga zesisu emazweni afudumele wathola leli gama. Igama elithi "Sprouw" kamuva laba "sprue." Ngezinye izikhathi odokotela babhekisela esifweni se-celiac ngokuthi "sprue engeyona eyezitropikhi" noma "celiac sprue."

Ziyini izimpawu ze-Tropical Sprue?

Ekuqaleni, izimpawu ze-tropical sprue zingase zizwakale njenge -traveler's diarrhea , kodwa zibe zimbi kakhulu. I-Traveler's diarrhea ivame ukuphela yodwa ezinsukwini ezimbalwa, kodwa izimpawu ze-tropical sprue azipheli. Ziyaqhubeka, futhi zingase zibe zimbi nakakhulu. Ezinye izimpawu zifaka:

• Isisu esibuhlungu.
• Ukuzizwa sengathi isisu sakho sigcwele (isisu esivuvukele).
• I-Borborygmi - umsindo esiwuzwayo esiswini sethu njengoba sigaya ukudla.
• Ukuzizwa ukhathele ngaso sonke isikhathi (ukukhathala).
• Isicanucanu.
• Indle enamafutha, eshintsha umbala, futhi enuka kamnandi kunokuvamile (i-steatorrhea).
• Ukwehlisa isisindo okungachazeki.

Yini ebangela i-Tropical Sprue?

Ochwepheshe abakakwazi ukusho ngokuqinisekile ukuthi yini ngempela ebangela lokhu.Kodwa ucwaningo lubonisa ukuthi lesi simo singase senzeke uma amabhaktheriya ayingozi engena emathunjini amancane futhi elimaza amaseli abizwa ngokuthi ama-enterocytes . Lawa ma-enterocytes amaseli angaphakathi kwamathumbu akho. Lawa amaseli asiza umzimba wakho ukuthi umunce amavithamini namaminerali.

Kusolwa ukuthi kunezinhlobo eziningana zamabhaktheriya ezibangela lokhu. Isibonelo, izinhlobo eziyingozi ze -Escherichia coli (E. coli) , i-Klebsiella pneumoniae, kanye ne -Enterobacter cloacae . Lawa mabhaktheriya avimbela ukumuncwa kwezakhamzimba emathunjini amancane. Esikhundleni sokuba lezo zakhamzimba zimuncwe egazini, zikhishwa emzimbeni ngendle.

Ubani osengozini enkulu yokuthola i-Tropical Sprue?

Isici esibaluleke kakhulu sengozi ukuhlala endaweni eshisayo noma eshisayo (efudumele noma efudumele kancane), noma ukuchitha inyanga noma ngaphezulu endaweni enjalo . Lesi sifo asivamile ukubonwa emazweni anjengeMelika Ephakathi, iYurophu, iMexico, kanye ne-United States. Ukwanda kwezifo zasezindaweni ezishisayo cishe akuvamile kula mazwe ngenxa yokutholakala kwamanzi ahlanzekile kanye nezikhungo zezokwelapha ezinhle.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma i-sprue yasezindaweni ezishisayo ingelashwa kahle, izimo ezinjengalezi:

• I-Macrocytic anemia: Lokhu kwenzeka lapho umzimba ungatholi i-folate eyanele, i-vitamin B2, kanye ne-vitamin B12. Kalula nje, ukuntuleka kwegazi.
• Ukungondleki kahle: Lesi yisimo esibi esingasongela impilo.

Udokotela ukubona kanjani lokhu?

Uma ubona udokotela, uzoqala ngokukuhlola ngokomzimba . Uzobuza ngezimpawu zakho kanye nempilo yakho jikelele. Isibonelo, ukuthi uncipha isisindo ngaphandle kokuzama, noma ukuthi uthola yini izifo ezivamile. Uma uke waya endaweni lapho i-sprue eshisayo ivame khona, udokotela wakho angenza izivivinyo ezithile ukuthola imbangela yezimpawu zakho:

• Ukubalwa Kwegazi Okuphelele (i-CBC): Lokhu kuhlola ukubalwa kwamangqamuzana abomvu egazi okuphansi (i-anemia), i-vitamin B12, kanye namazinga e-folate.
• Iphaneli Ephelele Ye-Metabolic (CMP): Lokhu kuhlolwa kungabonisa ukungalingani kuma-electrolyte abalulekile emzimbeni.
• Ukuhlolwa kwendle: Lokhu kuhlolwa kwenziwa ukuhlola amafutha amaningi esitulweni sakho. Okunye ukuhlolwa kwendle kungenziwa futhi ukuze kunqunywe ezinye izimo ezinezimpawu ezifanayo, njenge -giardiasis , strongyloidiasis , noma i-cryptosporidiosis .
• I-Enteroscopy: Lokhu kuhlolwa kungabheka ngaphakathi emathunjini akho amancane bese kuthatha isampula yezicubu. Udokotela wezifo uzohlola isampula yezicubu ukuze abone ukuthi kukhona yini izinguquko emathunjini amancane ezihlobene ne-tropical sprue.

Yiziphi izindlela zokwelapha i-Tropical Sprue?

Odokotela bavame ukwelapha i-tropical sprue ngenhlanganisela yama-antibiotic kanye nezithako zokudla okunempilo. Unganikwa:

• I-Tetracycline: Lokhu kungadinga ukuthathwa njalo cishe izinyanga eziyisithupha.
• Izithako ze-Folic acid.
• Imijovo ye-Vitamin B12.

Iphathwa kanjani i-Tropical Sprue ezinganeni?

I-sprue yasezindaweni ezishisayo ayivamile ezinganeni. Uma kwenzeka, udokotela uzonikeza omunye umuthi wokulwa namagciwane esikhundleni se-tetracycline. I-Tetracycline ingaguqula umbala wamazinyo ezingane, okuwumphumela ovamile walo muthi.

Kwenzekani uma ngisebenzisa i-Tropical Sprue? Ingabe izolunga?

Izindaba ezinhle ukuthi i-tropical sprue ivame ukuphulukiswa ngokuphelele ngokwelashwa . Udokotela wakho uzokuhlola futhi (ukuhlolwa okulandelayo) ukuqinisekisa ukuthi inani lamaseli akho abomvu egazi kanye namazinga amavithamini abuyele esimweni esijwayelekile, futhi uzokwenza nokuhlolwa kwegazi.

Kodwa-ke, abantu abahlala ezindaweni lapho i-sprue yezindawo ezishisayo ivame khona basengozini yokuphinda bahlaselwe yilesi sifo.

Ingabe i-Tropical Sprue ingavinjelwa?

Uma uya ezindaweni lapho i-sprue ivame khona, kubaluleke kakhulu ukugwema izimo lapho ungase uchayeke khona kulesi sifo noma amagciwane asibangelayo. Isibonelo:

• Uma udla imifino nezithelo ezintsha, khetha kuphela lezo ongazihluba wena.
• Qiniseka ukuthi ukudla kuphekiwe kahle.
• Sebenzisa iziphuzo ezisemathinini noma ezisemabhodleleni kuphela.
• Geza izandla zakho njalo, ikakhulukazi ngaphambi kokudla.
• Gcina isihlanzi sezandla esinotshwala eduze.

Kungakhathaliseki ukuthi uqaphela kangakanani, uma ugula, funa ukwelashwa ngokushesha okukhulu . Ukuthola ukwelashwa kusenesikhathi ukuze kubulawe amagciwane emathunjini akho amancane kunganciphisa ingozi yakho yokuthola i-tropical sprue.

Ngizinakekela kanjani?

I-sprue yasezindaweni ezishisayo ingaba nzima kancane ohlelweni lwakho lokugaya ukudla . Ngesikhathi usalulama, gxila ekudleni okulula esiswini sakho. Isibonelo, ubhanana, ilayisi, isosi yama-apple kanye ne-toast (ukudla kwe-BRAT) . Phuza uketshezi oluqukethe ama-electrolyte ukusiza ukuvimbela ukuphelelwa amanzi emzimbeni.

Kufanele ngiphinde ngimbone nini udokotela?

Uma ukuhlolwa kwakho kuqinisekisa ukuthi une-tropical sprue, futhi izimpawu zakho zingathuthuki ngemva kokwelashwa noma ziba zimbi kakhulu, kufanele nakanjani ubone udokotela wakho futhi. Udokotela wakho uzobe esekwenza ukuhlolwa okwengeziwe ukuze abone ukuthi izimpawu zakho zibangelwa yini okunye okungeyona i-tropical sprue.

Uyini umehluko phakathi kwesifo sikaWhipple kanye ne-Tropical Sprue?

Zombili lezi zifo zibangelwa ukutheleleka ngamagciwane okuthinta amathumbu amancane, okuvimbela umzimba ekumunceni izakhamzimba. Umehluko ukuthi isifo sikaWhipple singathinta nesimiso sakho sezinzwa, inhliziyo, namaphaphu.

Mhlawumbe uke waphupha ngokuchitha isikhathi esithile ezweni elishisayo. Kungakhathaliseki ukuthi uqaphela kangakanani, i-sprue yasezindaweni ezishisayo ingaba buhlungu bangempela, futhi izinsuku zohudo nokuhlanza azijabulisi. Kodwa i-sprue yasezindaweni ezishisayo ingaholela ezinkingeni ezinkulu ezifana ne-anemia kanye nokungondleki kahle.

Umlayezo Wokuya Nawe Ekhaya

Uma ucabanga ukuthi izimpawu zakho zingaphezu nje kobuhlungu besisu bomhambi, bona udokotela ngaphandle kokungabaza . Ukwelashwa kusenesikhathi kungalapha i-tropical sprue futhi kuvimbele izinkinga. Khumbula, lokhu akusikho okufanele ukwesabe, kodwa ngokuqinisekile kuyisimo esidinga ukunakekelwa kwezokwelapha. Hlala uphilile!

Ubuhlungu besisu , ukuntuleka kokudla okunempilo, isifo sohudo, izifo zasezindaweni ...