Tropical sprue

ʻO Tropical sprue kahi ʻano e kū i ka poʻe e noho ana a i ʻole kipa i nā wahi tropical no nā wā lōʻihi. Hoʻopilikia ia i nā meaola mai ke komo ʻana mai ka ʻōpū.

ʻO Tropical sprue (TS) kahi maʻi i hōʻike ʻia e ka maʻi kōkō a i ʻole kūpikipiki paha, ka pohō kaumaha, a me malabsorption o nā meaola.

Hoʻokumu ʻia kēia maʻi e ka hōʻino ʻia o ka pale o ka ʻōpū liʻiliʻi. Loaʻa ia mai ka nui o kekahi ʻano bacteria i loko o nā ʻōpū.

ʻO nā kumu pilikia:

• Ke noho nei i nā kahawai
• Nā wā lōʻihi o ka huakaʻi i nā wahi tropical

ʻO nā hōʻailona me:

• Pākuʻi ʻōpū
• Diarrhea, ʻoi aku ka maikaʻi ma ka papaʻai momona kiʻekiʻe
• Kinoea nui (flatus)
• Ka luhi
• Fiva
• Huʻi wāwae
• Kaumaha emi

ʻAʻole paha e ʻike ʻia nā ʻōuli ma kahi o 10 mau makahiki ma hope o ka haʻalele ʻana i nā tropika.

ʻAʻohe māka kikoʻī a hōʻoia paha e hōʻike pono ana i kēia pilikia.

Kōkua kekahi mau hoʻokolohua e hōʻoia i ka loaʻa ʻole o ka momona o nā meaola.

• ʻO D-xylose kahi hōʻike lab e ʻike ai i ke ʻano o ke komo ʻana o ka ʻōpū i kahi kō kō
• ʻO nā hoʻāʻo ʻana o ka pahu e ʻike ai inā e lawe pololei ʻia ka momona
• Nā ho'āʻo koko e ana i ka hao, folate, wikamina B12, a i ʻole ka wikamina D
• Helu piha koko (CBC)

Hiki i nā hoʻokolohua ke nānā i ka ʻōpū liʻiliʻi ke komo pū:

• Hoʻokena
• Palapala hope kiʻekiʻe
• ʻO Biopsy o ka ʻōpū liʻiliʻi
• Papa moʻo GI luna

Hoʻomaka ka lāʻau me ka nui o nā wai a me nā electrolytes. Hiki ke hoʻololi hou ʻia ka folate, ka hao, ka lāʻau B12, a me nā meaola ʻē aʻe. Hāʻawi pinepine ʻia ʻo Antibiotic therapy me tetracycline a i ʻole Bactrim no 3 a 6 mau mahina.

I ka hapanui o nā hihia, ʻaʻole kuhikuhi ʻia ka tetracycline waha no nā keiki a hiki i ka wā o ka hele ʻana o nā niho paʻa āpau. Hiki i kēia lāʻau ke hoʻololi i nā niho e hana mau nei. Eia nō naʻe, hiki ke hoʻohana ʻia i nā lāʻau ʻaloʻalo ʻē aʻe.

Maikaʻi ka hopena me ka lāʻau.

ʻO ka hemahema ʻo ka wikamina a me ka mineral.

I nā keiki, alakaʻi ka sprue i:

• Lohi i ke oʻo ʻana o nā iwi (skeletal maturation)
• Hewa ulu

Kāhea i kāu kahu mālama ola inā:

• ʻOi aku ka maikaʻi ʻole o nā ʻōiwi sprue tropika a hoʻomaikaʻi ʻole paha me ka lāʻau.
• Hoʻokumu ʻoe i nā ʻōuli hou.
• Loaʻa ʻoe i ka maʻi diarrhea a i ʻole nā ​​ʻōuli ʻē aʻe o kēia maʻi no kahi wā lōʻihi, keu hoʻi ma hope o ka hoʻolilo ʻana i ka manawa ma nā tropika.

Ma mua o ka hōʻalo ʻana i ka noho ʻana a i ʻole ka huakaʻi hele ʻana i nā aniau tropical, ʻaʻohe ʻike e pale ʻia no ka sprue tropical.

• ʻŌnaehana Digestive
• Nā ʻōnaehana ʻōnaehana Digestive

ʻO Ramakrishna BS. ʻO ka diarrhea Tropical a me ka malabsorption. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 108.

Semrad SE. Hele i ka mea maʻi me ka maʻi pākī a me ka malabsorption. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 131.