Lebelo la tropike

Sefuba sa tropike ke boemo bo etsahalang ho batho ba lulang kapa ba etelang libakeng tsa tropike nako e telele. E sitisa limatlafatsi hore li se ke tsa monngoa ka maleng.

Tropical sprue (TS) ke lefu le khetholloang ke letšollo le bohloko kapa le sa foleng, ho theola boima ba 'mele le ho bola ha limatlafatsi.

Lefu lena le bakoa ke tšenyo ea lera la mala a manyane. E tlisoa ke ho ba le mefuta e mengata haholo ea libaktheria ka maleng.

Lisosa tsa kotsi ke:

• Ho lula libakeng tse chesang tse mongobo
• Ho nka nako e telele ho ea libakeng tse chesang tse mongobo

Matšoao a kenyelletsa:

• Mahlaba a ka mpeng
• Letšollo, hobe le ho feta lijong tse nang le mafura a mangata
• Khase e feteletseng (flatus)
• Mokhathala
• Feberu
• Ho ruruha ha leoto
• Ho fokotsa boima ba 'mele

Matšoao a ka 'na a se ke a hlaha ho fihlela lilemo tse 10 ka mor'a hore a tlohe libakeng tsa tropike.

Ha ho na lesupa kapa teko e hlakileng e netefatsang bothata bona ka ho hlaka.

Liteko tse ling li thusa ho netefatsa hore ho na le monya o fokolang oa limatlafatsi o teng:

• D-xylose ke teko ea laborateng ho bona hore na mala a monya tsoekere e bonolo hakae
• Liteko tsa setuloana ho bona hore na mafura a monye hantle
• Liteko tsa mali ho lekanya iron, folate, vithamine B12, kapa vithamine D
• Palo e felletseng ea mali (CBC)

Liteko tse hlahlobang mala a manyane li ka kenyelletsa:

• Enteroscopy
• Endoscopy e kaholimo
• Biopsy ea mala a manyenyane
• Lihlooho tse kaholimo tsa GI

Kalafo e qala ka metsi a mangata le li-electrolyte. Phetolo ea folate, tšepe, vithamine B12, le limatlafatsi tse ling le tsona li ka hlokahala. Kalafo ea lithibela-mafu e nang le tetracycline kapa Bactrim hangata e fuoa likhoeli tse 3 ho isa ho tse 6.

Maemong a mangata, tetracycline ea molomo ha e laeloe bana ho fihlela kamora hore meno ohle a be teng. Leha ho le joalo, lithibela-mafu tse ling li ka sebelisoa.

Phello e ntle ka kalafo.

Ho na le khaello ea vithamine le diminerale.

Ho bana, sprue e lebisa ho:

• Ho lieha ho hola ha masapo (ho holofala ha masapo)
• Ho hloleha ho hola

Bitsa mofani oa tlhokomelo ea bophelo haeba:

• Matšoao a likhahla tsa tropike a mpefala kapa ha a ntlafatse kalafo.
• U hlahisa matšoao a macha.
• U na le letšollo kapa matšoao a mang a lefu lena nako e telele, haholo-holo kamora ho qeta nako libakeng tsa tropike.

Ntle le ho qoba ho lula kapa ho etela maemo a leholimo a tropike, ha ho na thibelo e tsebahalang bakeng sa limela tsa tropike.

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

Ramakrishna BS. Letšollo le chesang le mongobo. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 108.

Semrad SE. 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.