Lapaʻau no Short Bowel Syndrome

Anter

• ʻO nā mea nui nui e like me ka hapa o ka ʻōpū e nalo ana
• ʻO ka meaʻai no ke ola ʻana mai ke ʻoki kino

Hoʻokumu ʻia ka mālama ʻana i ka maʻi kō pōkole ma ka hoʻololi ʻana i ka meaʻai a me nā mea hoʻopihaʻai pono, i mea e uku ai no ka hoʻoliʻiliʻi hoʻoliʻiliʻi o nā wikamina a me nā minelala i loaʻa i ka hapa o ka ʻōpū e nalo, no laila ʻaʻole momona ka maʻi a maloʻo paha. Hoʻopau ke ola no ka ʻōpū e loaʻa pono i nā meaola a me ka pohō kaumaha e kāohi ʻia a hiki i 3 mau makahiki.

Eia nō naʻe, pili ka nui o kēia maʻi i ka ʻāpana o ka ʻōpū i hemo ʻia, a hiki i kahi ʻāpana o ka ʻōpū nui a liʻiliʻi paha a hoʻoneʻe ʻia ka nui o nā ʻōpū.

Ma ka laulaha, ʻo nā mea momona i maʻalahi i ka malabsorption nā wikamina A, D, E, K, B12 a me nā minelala e like me ka calcium, folic acid, zinc a me ka hao. No kēia kumu, hānai mua ʻia ka mea hoʻomanawanui me ka supplementation nutritional, pololei ma o ka aa koko a me ka pahuhopu e pale a mālama i nā pilikia e like me ka lohi ulu ʻana, i ka hihia o nā keiki, anemia; hemorrhages a me nā palapū; osteoporosis; ʻehaʻeha a me nā nāwaliwali; lawa ʻole o ka naʻau; a hiki i ka make wai hiki ke hoʻoweliweli i ke ola o ka mea maʻi.

ʻO nā mea nui nui e like me ka hapa o ka ʻōpū e nalo ana

Pili ka malabsorption o nā meaola i ka ʻāpana i hoʻopili ʻia, ʻo ia hoʻi:

• ʻO Jejunum - Kalipuna, Iron, magnesium, protein, carbohydrate a me ka momona;
• ʻIleus - B12 wikamina;
• Kolone - Ka wai, nā paʻakai mineral a me nā waikawa momona momona liʻiliʻi;

I kekahi mau hihia, no ka uku ʻana i ka nele o nā meaola, pono paha kahi ʻōpū liʻiliʻi e hoʻōla i ka maikaʻi ʻole o ka ʻōpū a pale i ka hilinaʻi ʻana i ka meaʻai piha o nā mākua i ke koena o kou ola. .

ʻO ka meaʻai no ke ola ʻana mai ke ʻoki kino

ʻO ka maʻamau, i nā lā ʻelima mua ma hope o ke kaha ʻana, mālama ʻia ka meaʻai ma o ke aa i kapa ʻia ʻo Total Parenteral Nutr, i hiki i ka ʻōpū ke hoʻōla i ka hoʻomaha. Ma hope o kēlā wā, ke emi pinepine ka maʻi diarrhea, hoʻomaka pū ka hānai ʻana o ka pīpī e hoʻohoihoi i ka neʻe ʻana o ka ʻōpū a me ka ʻōpū, e hoʻemi ana i ka nui o nā meaʻai ma o ke aa, ma kahi o 2 mau mahina.

Ma hope o 2 mau mahina o ke ola ʻana, i ka hapanui o nā hihia, hiki i ka mea maʻi ke hānai ma o ka waha ma o ka hana ʻana i nā meaʻai liʻiliʻi, a i 6 mau manawa i ka lā. Eia nō naʻe, mālama ʻia ka hānai ʻana ma o ka ʻōmole nasogastric i mea e hōʻoia ai i ka lawe ʻana o nā calorie a me nā meaola e mālama a hoʻōla i ke kūlana olakino, a hiki i ka mea maʻi ke ʻai me ka ʻole o ka paipu, kahi hana e hiki ke hana ma waena o 1 a 3 mau makahiki.

Eia nō naʻe, hiki i kekahi mau manawa, hoʻolilo ka mea hoʻomanawanui i ke koena o kona ola e pili ana i ka nutritional parenteral a me ka supplementation nutritional e hōʻalo ai i ka malnutrisi a me nā pilikia e like me ka anemia, no ka laʻana.

Hiki ke hana i ka hoʻōla ʻana mai ke ʻoki e wehe i kahi ʻāpana o ka ʻōpū ma o kahi ʻoki nui i loko o ka ʻōpū a i ʻole laparotomy, a hiki ke hala ma waena o 2 a 6 mau hola a e ʻae ʻia ka mea maʻi i ka haukapila no ka loaʻa hou ʻana i kahi manawa i ʻokoʻa ma waena o 10 mau lā a 1 mahina ma ka liʻiliʻi. ʻO kēia ʻano ʻoki kino he mea makaʻu loa ia no ka mea he nui nā koʻohune o ka ʻōpū e hiki ai ke hōʻeha i nā maʻi nui, a ʻoi aku ka lahilahi, inā he keiki a ʻelemakule paha ka mea maʻi.