Malabsorption

Pili ka Malabsorption i nā pilikia me ka hiki i ke kino ke lawe i (komo) i nā meaʻai mai ka meaʻai.

Hiki i nā maʻi he nui ke hana i ka malabsorption. ʻO ka hapanui pinepine, pili ka malabsorption i nā pilikia e omo i kekahi kō, nā momona, nā protein, a me nā huaora. Hiki iā ia ke hoʻopili i kahi pilikia āpau me ka omo ʻana i ka meaʻai.

Nā pilikia a i ʻole pohō i ka ʻōpū liʻiliʻi i hiki ke alakaʻi i nā pilikia e omo i nā meaola nui. Pākuʻi ʻia kēia mau mea:

• Maʻi Celiac
• Tropical sprue
• Maʻi Crohn
• Maʻi Whipple
• ʻO ka poino mai nā mālama radiation
• ʻO ka ulu nui o nā koʻohune i ka ʻōpū liʻiliʻi
• Parasite a i ʻole tapeworm maʻiʻaʻai
• ʻO kahi ʻoki e hemo ai nā mea āpau a ʻāpana paha o ka ʻōpū liʻiliʻi

ʻO nā enzim i hana ʻia e ka pancreas kōkua i ke komo ʻana i nā momona a me nā meaola ʻē aʻe. ʻO ka hoʻemi ʻana o kēia mau enzyme i mea paʻakikī e apo i nā momona a me kekahi mau meaola. ʻO nā pilikia me ka pancreas e kumu ʻia e:

• ʻO Cystic fibrosis
• Nā maʻi āpau a i ʻole ka pehu ʻana o ka pancreas
• Ka hōʻeha i ka pancreas
• ʻO ke keʻena hana e wehe i kahi hapa o ka pancreas

ʻO kekahi o nā kumu ʻē aʻe o ka malabsorption:

• ʻO AIDS a me HIV
• Nā lāʻau lapaʻau (tetracycline, kekahi antacids, kekahi mau lāʻau i hoʻohana ʻia e mālama ai i ka momona, colchisin, acarbose, phenytoin, cholestyramine)
• Gastrectomy a me nā hana ʻoki no ka momona
• ʻO Cholestasis
• Maʻi maʻi ʻōiwi
• Ka hoʻomanawanui ʻole ʻana o ka protein waiū o ka bipi
• ʻO ka hoʻomanawanui ʻole o ka protein soya

I nā keiki, ʻo ke kaumaha o kēia manawa a i ʻole ke ana o ke kaupaona ka loaʻa pinepine o ka haʻahaʻa ma mua o nā keiki ʻē aʻe o ka makahiki a me ka wahine like. Kāhea ʻia kēia ʻole holomua. ʻAʻole ulu paha ke keiki a ulu maʻamau.

Hiki ʻole paha i nā mākua ke holomua, me ka pohō o ke kaupaona ʻana, ka ʻānai ʻana i nā mākala, nāwaliwali, a me nā pilikia i ka noʻonoʻo ʻana.

Loaʻa pinepine nā loli i nā noho, akā ʻaʻole mau.

Hiki ke komo i nā loli i nā noho.

• ʻO Bloating, cramping, a me gas
• Nā noho nui
• Pohā ʻōpū
• Nā noho momona (steatorrhea)

E hana ana kāu mea mālama ola i kahi hōʻike. ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• CT scan o ka ʻōpū
• Hōʻike hanu hydrogen
• MR a me CT enterography
• Hōʻoia Schilling no ka lawa ʻole ka wikamina B12
• Hōʻike hoʻonāukiuki Secretin
• Biopsy ʻōpū liʻiliʻi
• ʻO ka moʻomeheu Stool a i ʻole ka moʻomeheu o ka aspirate ʻōpū liʻiliʻi
• Hōʻike momona momona
• Nā kukuna X o ka ʻōpū liʻiliʻi a i ʻole nā ​​hōʻike kiʻi ʻē aʻe

Pili ka mālama ʻana i ke kumu a kuhikuhi ʻia i ka hoʻomaha ʻana i nā ʻōuli a me ka hōʻoia ʻana i ke kino e loaʻa nā lawa o ka momona.

Hiki ke hoʻāʻo ʻia kahi papaʻai calorie kiʻekiʻe. Pono ia e hoʻolako:

• Nā wikamina a me nā minelala nui, e like me ka hao, folic acid, a me ka wikamina B12
• Lāʻau ʻaihue, nā protein, a me nā momona

Inā pono, e hāʻawi ʻia nā injection o kekahi mau wikamina a me nā minelala a i ʻole nā ​​kumu ulu ulu kūikawā. ʻO ka poʻe me ka hōʻino i ka pancreas pono lākou e lawe i nā enzyme pancreatic. Kauoha kāu mea hāʻawi i kēia mau mea inā pono.

Hiki ke hoʻāʻo ʻia nā lāʻau e hoʻolohi i ka neʻe ʻana o ka ʻōpū. ʻAe paha kēia e waiho i ka meaʻai i loko o ka ʻōpū lōʻihi.

Inā ʻaʻole hiki i ke kino ke omo i ka nui o nā meaola, hoʻāʻo ʻia ka nui o nā meaʻai makua (TPN). Kōkua ia iā ʻoe a i ʻole paha i kāu keiki e kiʻi i ka meaʻai mai kahi hana kūikawā ma o kahi aa i loko o ke kino. E koho kāu mea hāʻawi i ka nui kūpono o nā calorie a me ka hopena TPN. I kekahi manawa, hiki iā ʻoe ke ʻai a inu hoʻi i ka loaʻa ʻana o ka meaʻai mai TPN.

Aia ka nānā i ka mea e hopena ai i ka malabsorption.

Hiki i nā malabsorption lōʻihi ke hopena i:

• Anemia
• Nā Pohaku
• Pohaku hakuʻala
• Nā iwi lahilahi a nāwaliwali

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka malabsorption.

Pili ka mālama ʻana i ke ʻano o ka malabsorption.

• ʻŌnaehana Digestive
• ʻO Cystic fibrosis
• Nā ʻōnaehana ʻōnaehana Digestive

ʻO Högenauer C, Hammer HF. Maldigestion a me malabsorption. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 104.

Semrad CE. 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.