ʻO Tropical Sprue
Anter
- He aha nā hōʻailona o ka Tropical Sprue?
- He aha nā kumu o Tropical Sprue?
- Pehea e kuhikuhi ʻia ai ka lāʻau Tropical Sprue?
- Pehea e mālama ʻia ai ka Tropical Sprue?
- Nā Antibiotics
- Ke mālama nei iā Malabsorption
- Ka Manawa Lōʻihi a me nā pilikia kūpono o Tropical Sprue
- Q:
- A:
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?
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.