I-Tropical Sprue

Umxholo

• Zithini iimpawu zeTropical Sprue?
• Yintoni Ebangela Indawo eTropical?
• Ichaphazeleka njani iTropical Sprue?
• Iphathwa njani iTropical Sprue?
• Amayeza okubulala iintsholongwane
• Ukunyanga i-Malabsorption
• I-Outlook yexesha elide kunye neengxaki ezinokubakho zeTropical Sprue
• Q:
• A:

Yintoni iTropical Sprue?

I-tropical sprue ibangelwa kukudumba kwamathumbu akho. Oku kudumba kwenza kubenzima kuwe ukufunxa izakhamzimba ekutyeni. Oku kukwabizwa ngokuba yi-malabsorption. I-tropical sprue yenza ukuba kube nzima ngakumbi ukufunxa i-folic acid kunye nevithamini B12.

Ukuba unesifo se-malabsorption, awufumani vithamini zaneleyo kunye nezondlo ekudleni kwakho. Oku kunokubangela inani leempawu ezahlukeneyo. Umzimba wakho ufuna iivithamini kunye nezondlo ukuze usebenze kakuhle.

Zithini iimpawu zeTropical Sprue?

Iimpawu ze-tropical sprue zingabandakanya nayiphi na kwezi zilandelayo:

• isisu esiswini
• urhudo, olunokuba mandundu kukutya okunamafutha aphezulu
• irhasi egqithisileyo
• ukuqunjelwa
• ukucaphuka
• izihlunu zemithambo
• ukuba ndindisholo
• ubumhlophe
• ukuhla ukusinda

Yintoni Ebangela Indawo eTropical?

I-tropical sprue inqabile ngaphandle kokuba uhlala okanye undwendwela indawo ezikwitropiki. Ngokukodwa, kwenzeka ngokubanzi kwimimandla yetropiki ye:

• kwiCaribbean
• Indiya
• Mzantsi Afrika
• EMazantsi mpuma Asiya

Abaphandi bakholelwa ukuba imeko ibangelwa kukugcwala kwebacteria emathunjini akho. Iibhaktheriya ezithile ezibangela i-tropical sprue aziwa.

Ichaphazeleka njani iTropical Sprue?

Ezinye iimeko ezininzi zineempawu ezifana ne-tropical sprue. Oku kubandakanya:

• sifiso
• Isifo sikaCrohn
• ukudumba okwenziwa sisilonda sikabhobhosi
• Isifo sengqondo sesifo

Ezinye iimeko ezinqabileyo zibandakanya i-sclerosing cholangitis kunye ne-gastritis engapheliyo.

Ugqirha wakho uya ku-odola uthotho lweemvavanyo ukulawula ezi meko. Ukuba ugqirha wakho akasifumani isizathu seempawu zakho, kwaye uhlala okanye undwendwele indawo yetropiki, banokucinga ukuba une-tropical sprue.

Enye indlela yokufumanisa i-tropical sprue kukujonga imiqondiso yokusilela kwesondlo okubangelwa yiyo. Uvavanyo lomonakalo obangelwe kukusetyenziswa kakubi kwe-malabsorption kubandakanya:

• Uvavanyo lokuqina kwethambo
• ubalo lwegazi olupheleleyo
• inqanaba lamabali
• Inqanaba levithamini B12
• Inqanaba levithamini D

Ugqirha wakho unokusebenzisa i-enteroscopy ukuqinisekisa isifo sakho. Ngethuba lovavanyo, ityhubhu encinci ifakwe ngomlomo wakho kumgudu wakho wesisu. Oku kuvumela ugqirha wakho ukuba abone naluphi na utshintsho kumathumbu amancinci.

Ngexesha le-enteroscopy, isampulu encinci yethishu ingasuswa. Inkqubo yokususa ibizwa ngokuba yi-biopsy, kwaye isampulu iya kuhlaziywa. Ukuba une-sprue ye-tropical, kunokubakho iimpawu zokudumba kulusu lwamathumbu akho amancinci.

Iphathwa njani iTropical Sprue?

Amayeza okubulala iintsholongwane

I-tropical sprue iphathwa ngamayeza okubulala iintsholongwane. Oku kubulala ukwanda kwebacteria okubangela le meko. Amayeza okubulala iintsholongwane anokunikwa ithuba leeveki ezimbini okanye unyaka omnye.

I-Tetracycline yeyona antibiotic iqhelekileyo esetyenziswayo ukunyanga imithombo yetropiki. Iyafumaneka ngokubanzi, ayibizi mali ininzi, kwaye ibonakalisiwe ukuba iyasebenza. Amanye amayeza okubulala iintsholongwane ebanzi nawo anokumiselwa, kubandakanya:

• I-sulfamethoxazole kunye ne-trimethoprim (iBactrim)
• yetytocycline
• ampicillin

I-Tetracycline ihlala imiselwe ebantwaneni de babe banamazinyo asisigxina. Kungenxa yokuba i-tetracycline inokuwaguqula umbala amazinyo asaqokelelayo. Abantwana baya kufumana i-antibiotiki eyahlukileyo endaweni yoko. Umthamo uya kwahluka ngokuxhomekeka kwiimpawu zakho kunye nokuphendula kunyango.

Ukunyanga i-Malabsorption

Ukongeza ekubulaleni iibhaktheriya ezibangela i-tropical sprue, kuya kufuneka uphathwe i-malabsorption. Ugqirha wakho uya kukunika unyango ukuze ubeke endaweni iivithamini, izondlo, kunye neelectrolyte umzimba wakho osilelayo. Olu hlobo lokuncedisa kufuneka luqale ngokukhawuleza ukuba ufunyaniswe. Unokunikwa:

• ulwelo kunye neelectrolyte
• intsimbi
• ifolic acid
• ivithamini B12

Folic acid kufuneka inikwe iinyanga ezintathu ubuncinci. Unokuphucula ngokukhawuleza nangokumangalisayo emva kwedosi yakho yokuqala enkulu ye-folic acid. I-Folic acid inokwanela ukuphucula iimpawu zayo. I-Vitamin B12 iyacetyiswa ukuba amanqanaba akho asezantsi okanye iimpawu zihlala ngaphezulu kweenyanga ezine. Ugqirha wakho unokukunika amayeza okuthintela urhudo ukulawula iimpawu.

I-Outlook yexesha elide kunye neengxaki ezinokubakho zeTropical Sprue

Ezona ngxaki zixhaphakileyo ze-tropical sprue zii-vitamin kunye ne-mineral. Imeko inokukhokelela kukusilela ukukhula kunye neengxaki zokuvuthwa kwethambo ebantwaneni.

Ngonyango olufanelekileyo, imbonakalo ye-tropical sprue intle kakhulu. Ngokwe-Postgraduate Medical Journal, uninzi lwabantu lubonisa iziphumo ezilungileyo emva kweenyanga ezintathu ukuya kwezintandathu zonyango.

Q:

Ndingenza ntoni ukuthintela ukufumana i-tropical sprue ukuba ndisiya kwindawo yetropiki?

Isigulana esingaziwayo

A:

Akukho sithintelo saziwayo sendawo yetropiki ngaphandle kokuphepha indawo zetropiki.

George Krucik, MD, MBAIimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.