Mea Kākau: Monica Porter
Lā O Ka Hana: 17 Malaki 2021
HōʻAno Hou I Ka Lā: 23 Nowemapa 2024
Anonim
Tropical Sprue | Causes, Pathogenesis, Signs & Symptoms, Diagnosis, Treatment
Wikiō: Tropical Sprue | Causes, Pathogenesis, Signs & Symptoms, Diagnosis, Treatment

Anter

He aha ka lāʻau Tropical Sprue?

Hoʻokumu ʻia ka sprue tropic e ka mumū o kou ʻōpū. ʻOi aku ka paʻakikī o kēia ʻōhū iā ʻoe e omo i nā meaʻai mai ka meaʻai. Kāhea ʻia kēia he malabsorption. ʻO ka sprue Tropical ka mea paʻakikī e apo i ka folic acid a me ka wikamina B12.

Inā ʻeha ʻoe i ka malabsorption, ʻaʻole lawa ʻoe i nā wikamina a me nā meaʻai i kāu papaʻai. Hiki i kēia ke kumu i kekahi mau hōʻailona ʻokoʻa. Pono kou kino i nā wikamina a me nā meaola e hana pono.

He aha nā hōʻailona o ka Tropical Sprue?

Hiki i nā ʻōuli o ka tropical sprue ke hoʻopili i kekahi o kēia mau mea:

  • ʻōpū o ka ʻōpū
  • diarrhea, ka mea e ʻoi aku paha ka maikaʻi ma ka papa momona
  • kinoea nui loa
  • hoʻomālō
  • ukiuki
  • ʻūpē mākala
  • ʻōlohelohe
  • paleness
  • Kaumaha emi

He aha nā kumu o Tropical Sprue?

He kakaikahi ka sprue tropic ke ʻole ʻoe e noho a i ʻole kipa i nā wahi tropical. ʻO ke kikoʻī, hana ʻia ia i nā wahi tropical o:


  • ka Caribbean
  • Inia
  • Apelika Hema
  • Hikina Hema Asia

Manaʻo nā kānaka noiʻi ua kumu ʻia kēia ʻano e ka ulu nui ʻana o nā bacteria i loko o kou ʻōpū. ʻAʻole ʻike ʻia nā koʻohune kikoʻī e kumu ai i ka sprue tropical.

Pehea e kuhikuhi ʻia ai ka lāʻau Tropical Sprue?

Nui nā kūlana ʻē aʻe i loaʻa nā ʻōuli e like me ka sprue tropical. Pākuʻi ʻia kēia mau mea:

  • ʻO Giardiasis
  • Maʻi ʻo Crohn
  • ulcerative colitis
  • maʻi maʻi huhū

ʻO nā kūlana maʻamau ʻē aʻe e pili pū ana me ka cholangitis sclerosing mua a me ka gastritis erosive mau.

E kauoha kāu kauka i kahi o nā hoʻokolohua e kāpae i kēia mau ʻano. Inā ʻaʻole hiki i kāu kauka ke loaʻa kahi kumu o kāu mau hōʻailona, ​​a noho ʻoe a i kipa paha i kahi wahi tropical, manaʻo paha lākou he sprue tropical ʻoe.

ʻO kahi ala e kuhikuhi ai i ka sprue tropical e nānā i nā hōʻailona o nā hemahema o ke kino a ke kumu. ʻO nā hoʻāʻo no ka hōʻino ʻia e malabsorption e komo pū ana:

  • hoʻāʻo ʻaʻano iwi
  • helu piha koko
  • pae folate
  • pae B12 wikamina
  • pae vitamin D

Hiki paha i kāu kauka ke hoʻohana i kahi enteroscopy e hōʻoia i kāu kuhi. I loko o kēia hoʻāʻo, ua hoʻokomo ʻia kahi puʻupuʻu lahilahi ma o kou waha i kāu wahi gastrointestinal. ʻAe kēia i kāu kauka e ʻike i nā loli i loko o ka ʻōpū liʻiliʻi.


I ka manawa o ka enteroscopy, hiki ke hoʻoneʻe ʻia kahi mea liʻiliʻi o nā kiko. Kāhea ʻia kēia kaʻina hana he biopsy, a e kālailai ʻia ana ka hāpana. Inā loaʻa iā ʻoe ka sprue tropical, aia paha he mau ʻōuli o ka pehu ʻana i ka uhi o kou ʻōpū liʻiliʻi.

Pehea e mālama ʻia ai ka Tropical Sprue?

Nā Antibiotics

Mālama ʻia ʻo sprue Tropical me nā lāʻau antibiotic. Pepehi kēia i ka ulu bacteria i hopena i kēia ʻano. Hāʻawi ʻia nā antibiotic no kahi manawa o ʻelua mau pule a hoʻokahi makahiki paha.

ʻO Tetracycline ka antibiotic i hoʻohana mau ʻia no ka mālama ʻana i ka sprue tropical. Loaʻa ākea ia, kumukūʻai, a ua hōʻoia ʻia he maikaʻi. Hiki ke kuhikuhi ʻia nā lāʻau ʻē aʻe ākea ākea, e like me:

  • sulfamethoxazole a me trimethoprim (Bactrim)
  • oxytetracyline
  • ampicillin

ʻAʻole kuhikuhi ʻia ʻo Tetracycline i nā keiki a hiki i ka loaʻa ʻana o ko lākou mau niho mau. ʻO kēia no ka mea hiki i ka tetracycline ke hoʻokaʻawale i nā niho e hana mau nei. E loaʻa i nā keiki kahi antibiotic ʻokoʻa. E loli ke ana ma muli o kāu mau ʻōuli a me ka pane i ka lāʻau.


Ke mālama nei iā Malabsorption

Ma waho o ka luku ʻana i nā koʻohune ke kumu o ka sprue tropical, pono ʻoe e mālama ʻia no ka malabsorption. E kauoha aku kāu kauka iā ʻoe i ka therapy e pani i nā wikamina, nā meaola, a me nā electrolytes i nele i kou kino. Pono e hoʻomaka kēia ʻano suplement ke loaʻa koke kāu maʻi. Hāʻawi ʻia ʻoe:

  • nā loli a me nā electrolytes
  • hao
  • waikawa folic
  • wikamina B12

Pono e hāʻawi ʻia ʻo Folic acid no ʻekolu mau mahina. Hiki iā ʻoe ke hoʻomaikaʻi hou a wikiwiki hoʻi ma hope o kāu mahele nui mua o ka folic acid. Lawa paha ka acid Folic e hoʻomaikaʻi i nā hōʻailona ma kāna iho. Paipai ʻia ka Vitamin B12 inā haʻahaʻa kāu pae a i ʻole nā ​​hōʻailona hope ma mua o ʻehā mau mahina. Kau kauka paha i kau kauka antidiarrheal e mālama i nā ʻōuli.

Ka Manawa Lōʻihi a me nā pilikia kūpono o Tropical Sprue

ʻO nā pilikia pinepine o ka sprue tropical nā vitamina a me nā minamina mineral. Hiki i ke ʻano ke alakaʻi i ka ulu ʻole a me nā pilikia me ka ulu ʻana o ka iwi i nā keiki.

Me ka lapaʻau kūpono, maikaʻi loa ka nānā aku no ka sprue tropical. Wahi a ka Postgraduate Medical Journal, hōʻike ka hapanui o nā poʻe i nā hopena maikaʻi ma hope o ʻekolu a ʻeono paha mahina o ka mālama ʻana.

Q:

He aha kaʻu e hana ai e pale ai i ka loaʻa ʻana o ka sprue tropical inā wau e hele ana i kahi kauwela?

Hoʻomanawanui inoa ʻole

A:

ʻAʻohe mea pale e ʻike ʻia no ka sprue tropical ma mua o ka pale ʻana i nā wahi tropical.

ʻO George Krucik, MD, MBAAnswers e pani i nā manaʻo o kā mākou kauka loea. Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.

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