Isifo esifutshane samathumbu

Isifo esifutshane samathumbu yingxaki eyenzekayo xa inxenye yamathumbu amancinci ilahlekile okanye isuswe ngexesha lotyando. Izondlo azifakwanga ngokufanelekileyo emzimbeni ngenxa yoko.

Amathumbu amancinci afunxa uninzi lwezakhamzimba ezifumaneka kukutya esikutyayo. Xa isibini kwisithathu samathumbu amancinci engekho, umzimba awunakuthatha ukutya okwaneleyo ukuze uhlale usempilweni kwaye ugcine ubunzima bakho.

Abanye abantwana bazalwa belahlekile kwinxalenye okanye uninzi lwamathumbu abo amancinci.

Rhoqo, isifo esifutshane samathumbu senzeka ngenxa yokuba uninzi lwamathumbu amancinci luyasuswa ngexesha lotyando. Olu hlobo lotyando lunokufuneka:

• Emva kokudutyulwa yimipu okanye omnye umothuko onakalise amathumbu
• Kumntu onesifo esiqatha seCrohn
• Kwiintsana, zihlala zizalwa kwangethuba kakhulu, xa inxenye yamathumbu isifa
• Xa ukuhamba kwegazi kumathumbu amancinci kuncitshisiwe ngenxa yegazi okanye imithambo emxinwa

Iimpawu zingabandakanya:

• Urhudo
• Ukudinwa
• Umbala, ilindle elinamafutha
• Ukudumba (ukudumba), ingakumbi imilenze
• Izitulo ezinevumba elibi kakhulu
• Ukuhla ukusinda
• Ukuphelelwa ngamanzi emzimbeni

Olu vavanyo lulandelayo lunokwenziwa:

• Uvavanyo lwekhemesti yegazi (efana nenqanaba lealbhamu)
• Gcwalisa ubalo lwegazi (CBC)
• Uvavanyo lwamafutha e-fecal
• Amathumbu amancinci x-ray
• Amanqanaba eVitamin egazini

Unyango lujolise ekupheliseni iimpawu kunye nokuqinisekisa ukuba umzimba ufumana i-hydration eyaneleyo kunye nezondlo.

Ukutya okuphezulu kweekhalori ezibonelela:

• Iivithamini eziphambili kunye neeminerals, ezinje nge-iron, folic acid, kunye nevithamini B12
• Iicarbohydrate zanele, iiproteni kunye namafutha

Ukuba kukho imfuneko, kuya kuthunyelwa iinaliti zeevithamini kunye neeminerals.

Amayeza okunciphisa intshukumo eqhelekileyo yamathumbu anokuzama. Oku kunokuvumela ukutya ukuba kuhlala emathunjini ixesha elide. Amayeza okwehlisa inani lesisu esiswini nawo anokufuneka.

Ukuba umzimba awukwazi ukufunxa izondlo ezaneleyo, isondlo se-parenteral (TPN) iyazama. Kuya kunceda wena okanye umntwana wakho ukuba afumane isondlo kwifomula ekhethekileyo ngokusebenzisa umthambo emzimbeni. Umboneleli wakho wezempilo uya kukhetha inani elifanelekileyo leekhalori kunye nesisombululo se-TPN. Ngamanye amaxesha, unokutya kwaye usele ngelixa ufumana isondlo kwi-TPN.

Ukufakelwa kwamathumbu amancinci kukhetho kwezinye iimeko.

Le meko inokuphucuka ngokuhamba kwexesha ukuba kungenxa yotyando. Ukufunxwa kwesondlo kungangcono kancinci.

Iingxaki zinokubandakanya:

• Ukugqithisa kwebhakteria emathunjini amancinci
• Iingxaki zenkqubo yemithambo-luvo ebangelwa kukungabikho kwe-vitamin B12 (Le ngxaki inokunyangwa ngenaliti ye-vitamin B12.)
• I-asidi eninzi egazini (i-metabolic acidosis ngenxa yesifo sorhudo)
• Amatye egall
• Amatye eentso
• Ukuphelelwa ngamanzi emzimbeni
• Ukungondleki
• Amathambo abuthathaka (osteomalacia)
• Ukuhla ukusinda

Fowunela umnikezeli wakho ukuba uvelisa iimpawu zesifo esifutshane esifutshane, ngakumbi emva kokuba utyandiwe.

Ukungonelanga kwamathumbu amancinci; Isifo esifutshane sesisu; I-Necrotizing enterocolitis - isisu esifutshane

• Inkqubo yokwetyisa
• Inkqubo yokugaya ukutya

Buchman AL. Isifo esifutshane samathumbu. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 106.

IKaufman SS. Isifo esifutshane samathumbu. Ku: Wyllie R, Hyams JS, Kay M, ii-eds. Izifo zesisu esiswini kunye nezifo zesibindi. Umhla we-5. IPhiladelphia, PA: Elsevier; 2016: isahluko 35.

Semrad CE. Sondela kwisigulana ngesifo sorhudo kunye ne-malabsorption. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 131.