Unyango lwe-Short Bowel Syndrome

Umxholo

• Eyona nto ibaluleke kakhulu kwizondlo ngokwesahlulo samathumbu esilahlekileyo
• Ukutya okubuyisela kwimeko yoqhaqho

Unyango lwesifo esifutshane samathumbu sisekwe ekulungelelaniseni ukutya kunye nezongezo zesondlo, ukuze kuhlawulwe ukuthathwa kokunciphisa iivithamini kunye neeminerali ezibangelwa yinxalenye elahlekileyo yamathumbu, ukuze isiguli singondleki okanye siphelelwe ngamanzi emzimbeni. Gcwalisa ukubuyisela amathumbu ukuba afumane ngokufanelekileyo izakhamzimba kunye nokwehla kobunzima obulawulwa kungathatha ukuya kwiminyaka emi-3.

Nangona kunjalo, ubuzaza beli sifo buxhomekeke kwinxalenye yamathumbu asusiweyo, anokuba yinxalenye yamathumbu amakhulu okanye amancinci kunye nenani lamathumbu asuswe.

Ngokubanzi, izakha mzimba ezichaphazeleka kakhulu kwi-malabsorption ziivithamini A, D, E, K, B12 kunye neeminerali ezinje ngecalcium, folic acid, zinc okanye iron. Ngesi sizathu, isigulana ekuqaleni sondliwa ngokutya okunesondlo, ngokuthe ngqo emthanjeni kwaye sijolise ekuthinteleni nasekunyangeni iingxaki ezinje ngokulibaziseka kophuhliso, kwimeko yabantwana, ianemia; ukopha nemivumbo; osteoporosis; iintlungu zemisipha kunye nobuthathaka; ukungoneli kwentliziyo; kwanokuphelelwa ngamanzi emzimbeni okunokububeka esichengeni ubomi bomguli.

Eyona nto ibaluleke kakhulu kwizondlo ngokwesahlulo samathumbu esilahlekileyo

I-Malabsorption yezondlo ixhomekeke kwicandelo elichaphazelekayo, kuba:

• Jejunum - iCalcium, i-Iron, i-magnesium, iprotheni, i-carbohydrate kunye namafutha;
• Ileus - B12 ivithamini;
• Ikholoni - Amanzi, iityuwa zamaminerali kunye nee-acids ezinamafutha amancinci;

Ngamanye amaxesha, ukubuyekeza ukungabikho kwezakhamzimba, ukufakelwa kwamathumbu amancinci kunokuba yimfuneko ukunyanga ukungaphumeleli kwamathumbu kunye nokuphepha ukuxhomekeka kwisondlo esipheleleyo sobuzali bonke ubomi bakho. .

Ukutya okubuyisela kwimeko yoqhaqho

Ngokwesiqhelo, ngexesha leentsuku ezintlanu zokuqala emva kotyando, ukutya kugcinwa kumthambo obizwa ngokuba yiTotal Parenteral Nutrition, ukuze amathumbu aphilise ngokuphumla. Emva kwelo xesha, xa isifo sohudo sinqabile, ukondla ityhubhu kukwaqala kancinci ukukhuthaza isisu kunye nokuhamba kwamathumbu, kunciphise umthamo wokutya ngomthambo, kangangeenyanga ezimbini.

Emva kweenyanga ezi-2 zokuchacha, kwiimeko ezininzi, isiguli sele sikwazi ukondla ngomlomo ngokwenza ukutya okuncinci, ukuya kuthi ga kuma-6 ngosuku. Nangona kunjalo, ukondla ngokusebenzisa ityhubhu ye-nasogastric kugcinwa ngenjongo yokuqinisekisa ukubakho kweekhalori kunye nezondlo ukugcina kunye nokufumana imeko yesondlo, de kube isigulana sikwazi ukutya ngaphandle kwetyhubhu, inkqubo enokuthatha phakathi konyaka omnye ukuya kwemithathu.

Nangona kunjalo, kunokwenzeka ukuba kwezinye iimeko, isigulana sichitha bonke ubomi baso kuxhomekeke kwisondlo sabazali kunye nokongezwa kwesondlo ukunqanda ukungondleki kunye neengxaki ezinje ngeanemia, umzekelo.

Ukubuyela kwimeko yoqhaqho ukususa inxenye yamathumbu kunokwenziwa ngokusika okukhulu esiswini okanye nge-laparotomy, kwaye kungathatha phakathi kweeyure ezi-2 ukuya kwezi-6 kwaye isiguli kungafuneka singeniswe esibhedlele ukuze silulame kangangexesha elinokuthi ziyahluka phakathi kweentsuku ezili-10 ukuya kwinyanga enye ubuncinci. Olu hlobo lotyando luyingozi kakhulu kuba ithumbu lineentsholongwane ezininzi ezinokubangela usulelo olubi, kwaye lubuthathaka ngakumbi, ukuba isigulana singumntwana okanye sele sikhulile.