Boloetse bo bokhutšoane ba mala

Short bowel syndrome ke bothata bo hlahang ha karolo ea mala a manyane e le sieo kapa e tlositsoe nakong ea ts'ebetso. Metsoako ha e kenelle hantle mmeleng ka lebaka leo.

Mala a manyenyane a monya limatlafatsi tse ngata tse fumanoang lijong tseo re li jang. Ha likarolo tse peli ho tse tharo tsa mala a manyane li le sieo, 'mele o kanna oa se monye lijo tse lekaneng ho lula o phetse hantle le ho boloka boima ba' mele oa hau.

Bana ba bang ba tsoaloa ba haelloa ke karolo kapa karolo e kholo ea mala a bona a manyane.

Nako le nako, lefu la 'mele le lekhuts'oane le hlaha hobane mala a manyane a tlosoa nakong ea ts'ebetso. Mofuta ona oa ho buoa o ka hlokahala:

• Ka mor'a ho thunngoa kapa ho sithabela ho hong ho sentse mala
• Bakeng sa motho ea nang le lefu le matla la Crohn
• Bakeng sa masea, hangata a tsoaloang kapele haholo, ha karolo e 'ngoe ea mala a bona e shoa
• Ha phallo ea mali maling a manyane e fokotseha ka lebaka la ho koaloa ha mali kapa methapo e patisaneng

Matšoao a ka kenyelletsa:

• Letšollo
• Mokhathala
• Pale, litulo tse mafura
• Ho ruruha (edema), haholo maoto
• Litulo tse nkhang hampe haholo
• Ho fokotsa boima ba 'mele
• Ho felloa ke metsi 'meleng

Liteko tse latelang li ka etsoa:

• Liteko tsa k'hemistri ea mali (joalo ka albin level)
• Palo e felletseng ea mali (CBC)
• Teko ea mafura
• X-ray ea mala a manyane
• Litekanyetso tsa vithamine maling

Kalafo e reretsoe ho imolla matšoao le ho netefatsa hore 'mele o fumana metsi a lekaneng le limatlafatsi.

Lijo tse nang le lik'halori tse ngata tse fanang ka:

• Li-vithamine le liminerale tsa bohlokoa, joalo ka tšepe, folic acid le vithamine B12
• Li-carbohydrate tse lekaneng, liprotheine le mafura

Haeba ho hlokahala, ho tla fanoa ka liente tsa livithamini le liminerale tse ling kapa lintlha tse khethehileng tsa kholo.

Ho ka lekoa meriana ea ho fokotsa motsamao o tloaelehileng oa mala. Sena se ka lumella lijo ho lula ka maleng nako e telele. Meriana ea ho theola palo ea asiti ea ka mpeng le eona e ka hlokahala.

Haeba 'mele o sa khone ho monya limatlafatsi tse lekaneng, ho leka phepo ea malapa ka botlalo (TPN). E tla thusa uena kapa ngoana oa hau ho fumana phepo e nepahetseng ho tsoa mokhoeng o khethehileng ka mothapo oa mmele. Mofani oa hao oa tlhokomelo ea bophelo o tla khetha palo e nepahetseng ea likhalori le tharollo ea TPN. Ka linako tse ling, o ka ja le ho noa ha o ntse o fumana phepo e nepahetseng ho TPN.

Ho kenyelletsa mala a manyane ke khetho maemong a mang.

Boemo bo ka ntlafala ha nako e ntse e feta haeba e le ka lebaka la ho buuoa. Ho monya limatlafatsi butle-butle ho ka ntlafala.

Mathata a ka kenyelletsa:

• Ho ata ha baktheria mala a manyenyane
• Mathata a tsamaiso ea methapo a bakoang ke khaello ea vithamine B12 (Bothata bona bo ka phekoloa ka liente tsa vithamine B12.)
• Asiti e ngata haholo maling (metabolic acidosis ka lebaka la letšollo)
• Majoe a majoe
• Majoe a liphio
• Ho felloa ke metsi 'meleng
• Khaello ea phepo e nepahetseng
• Masapo a fokolang (osteomalacia)
• Ho fokotsa boima ba 'mele

Bitsa mofani oa hau haeba u ba le matšoao a lefu le khuts'oane la mala, haholoholo kamora hore u buuoe mala.

Ho haelloa ke mala a manyane; Lefu le khuts'oane la mala; Necrotizing enterocolitis - mala a makhutšoane

• Tsamaiso ea ho sila lijo
• Lisebelisoa tsa tsamaiso ea lijo

Buchman AL. Boloetse bo bokhutšoane ba mala. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 106.

Kaufman SS. Boloetse bo bokhutšoane ba mala. Ka: Wyllie R, Hyams JS, Kay M, bahlophisi. Matšoao a mafu a bana le mafu a sebete. La 5th. Philadelphia, PA: Elsevier; 2016: khaolo ea 35.

Semrad CE. Atamela mokuli ka letšollo le malabsorption. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 131.