Mea Kākau: Clyde Lopez
Lā O Ka Hana: 17 Iulai 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
محاضرات باطنة Internal Medicine GIT Malabsorption Syndrome ( MAS ) Medical Quizzes
Wikiō: محاضرات باطنة Internal Medicine GIT Malabsorption Syndrome ( MAS ) Medical Quizzes

ʻO ka lawe ʻana ʻo D-xylose kahi hoʻokolohua hoʻokolohua e nānā i ka maikaʻi o ke komo ʻana o nā ʻōpū i kahi kō (D-xylose) maʻalahi. Kōkua ka hoʻāʻo inā loaʻa pono nā meaʻai.

Koi ka hōʻike i kahi laʻana koko a me ka mimi. Aia kēia mau hoʻāʻo:

  • Hoʻomaʻemaʻe i ka wai miki
  • Venipuncture (huki koko)

Nui a hewahewa nā ala e hana ai i kēia hōʻike. Hōʻike ʻia kahi kaʻina hana maʻamau ma lalo, akā e mālama pono i nā ʻōlelo kikoʻī i hāʻawi ʻia iā ʻoe.

E noi ʻia ʻoe e inu i 8 auneke (240 ml) o ka wai i loaʻa he 25 gram o ke kō i kapa ʻia d-xylose. E ana ʻia ka nui o d-xylose e puka i kou mimi ma nā hola he 5 e hiki mai ana. Loaʻa paha iā ʻoe kahi laʻana koko i hōʻiliʻili ʻia ma 1 a me 3 mau hola ma hope o ka inu ʻana i ka wai. I kekahi mau hihia, ʻohiʻohi ʻia paha ka laʻana i kēlā me kēia hola. ʻO ka nui o ka mimi āu e hana ai ma kahi o 5 mau hola e nānā pū ʻia. E haʻi aku kāu mea mālama ola iā ʻoe pehea e hōʻiliʻili ai i ka mimi ma kahi o 5 mau hola.

Mai ʻai a inu paha i kekahi mea (ʻoiai ka wai) no 8 a 12 mau hola ma mua o ka hoʻāʻo. E noi ana kāu mea lawelawe iā ʻoe e hoʻomaha i ka wā o ka hoʻāʻo. Hiki i ka hōʻole ʻana i ka hana ke hoʻololi i nā hopena hōʻike.


E haʻi paha kāu mea lawelawe iā ʻoe e haʻalele i ka lawe ʻana i kekahi mau lāʻau i hiki ke hoʻololi i nā hopena hōʻike. ʻO nā lāʻau e hiki ke hoʻopili i nā hopena hōʻike me aspirin, atropine, indomethacin, isocarboxazid, a me phenelzine. Mai hōʻoki i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua i kāu mea hāʻawi.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, ʻike paha ʻoe i ka ʻehaʻeha o ka ʻeha, a i ʻole ka prick a i ʻole ka nau ʻana o ka naʻau. Ma hope, aia paha kekahi ʻōkā.

Hōʻiliʻili ʻia ka mimi ma ke ʻano he mahele o ka urination maʻamau me ka ʻoluʻolu ʻole.

E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe:

  • Pohā mau
  • ʻO nā hōʻailona o ka hana maikaʻi ʻole
  • ʻO ka pohō kaumaha i wehewehe ʻole ʻia

Hoʻohana mua ʻia kēia hoʻokolohua e nānā inā pilikia nā pilikia o ka momona i kahi maʻi o nā ʻōpū. Hana ʻia ia me ka liʻiliʻi ma mua o ka wā ma mua.

Aia kahi hopena maʻamau i ka nui o ka D-xylose e hāʻawi ʻia. I ka hapanui o nā hihia, maikaʻi a maikaʻi ʻole paha nā hopena hōʻike. ʻO kahi hopena maikaʻi ke kumu o ka loaʻa o D-xylose i loko o ke koko a i ʻole ka mimi a no laila e ʻānai ʻia e nā ʻōpū.


Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻImi ʻia ma lalo o nā kumukūʻai maʻamau e ʻike ʻia ma:

  • ʻO Celiac maʻi (sprue)
  • Maʻi Crohn
  • ʻO Giardia lamblia infestation
  • Hoʻoulu ʻia ʻo Hookworm
  • Pāpaʻi Lymphatic
  • Enteropathy pāhawewe
  • ʻO ka ulu nui ʻana o ke koʻohuna ʻōpū
  • Viral gastroenteritis
  • Maʻi Whipple

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

  • Pāleʻale a ʻoluʻolu paha
  • Nā punctures he nui e ʻimi i nā uaua
  • Hematoma (kūkulu koko ma lalo o ka ʻili)
  • Kahe nui ke koko
  • Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Pono paha nā hoʻokolohua he nui e hoʻoholo i ke kumu o ka malabsorption.


Hōʻike hoʻomanawanui ʻo Xylose; Mākā - xylose; Kaʻai pono ʻole - xylose; Sprue - xylose; Celiac - xylose

  • ʻŌnaehana mimi kāne
  • Nā hoʻāʻo pae D-xylose

ʻAha MH. Loiloi o ka ʻōpū liʻiliʻi. I: Floch MH, hoʻoponopono. ʻO Netter's Gastroenterology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2020: chap 62.

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.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. ʻO ka ʻike Laboratory o gastrointestinal a me nā maʻi pancreatic. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 22.

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