Kalafo ea Short Bowel Syndrome

Litaba

• Limatlafatsi tsa bohlokoahali ho latela karolo e haellang ea mala
• Lijo tsa ho hlaphoheloa ho tloha ho buuoa

Phekolo ea lefu la mala le lekhuts'oane e ipapisitse le ho fetola lijo le litlatsetso tsa phepo e le ho lefella phokotso ea ho noa livithamini le liminerale tse hlahisoang ke karolo e haellang ea mala, e le hore mokuli a se ke a haelloa ke phepo e nepahetseng kapa a felloa ke metsi. Pholiso e felletseng ea hore mala a monye limatlafatsi le tahlehelo ea boima bo laoloang e ka nka lilemo tse 3.

Leha ho le joalo, ho tiea ha lefu lena ho latela karolo ea mala a tlositsoeng, e ka bang karolo ea mala a maholo kapa a manyane mme bongata ba mala bo tlosoe.

Ka kakaretso, limatlafatsi tse kotsing ea ho hlaseloa ke malabsorption ke livithamini A, D, E, K, B12 le liminerale tse kang calcium, folic acid, zinc kapa iron. Ka lebaka lena, qalong mokuli o fepeloa ka tlatsetso ea phepo e nepahetseng, ka kotloloho ka methapo mme o ikemiselitse ho thibela le ho phekola mathata a joalo ka tieho ea kholo, tabeng ea bana, khaello ea mali; ho tsoa mali le matetetso; lefu la ho fokola ha masapo; bohloko ba mesifa le bofokoli; ho haella ha pelo; esita le ho felloa ke metsi 'meleng ho ka behang bophelo ba mokuli kotsing.

Limatlafatsi tsa bohlokoahali ho latela karolo e haellang ea mala

Malabsorption ea limatlafatsi e latela karolo e amehileng, hobane:

• Jejunum - Calcium, Iron, magnesium, protheine, lik'habohaedreite le mafura;
• Ileus - B12 vithamine;
• Colon - Metsi, matsoai a diminerale le li-fatty chain fatty acids;

Maemong a mang, ho lefella khaello ea limatlafatsi, ho ka 'na ha hlokahala hore ho kenngoe mala a fokolang ho folisa mala ho hloleha le ho qoba ho its'etleha ka phepo e felletseng ea "parenteral" bophelo bohle ba hau. .

Lijo tsa ho hlaphoheloa ho tloha ho buuoa

Ka tloaelo, matsatsing a 5 a pele ka mor'a ho buuoa, lijo li lula li le teng ka mothapo o bitsoang Total Parenteral Nutrition, e le hore mala a ka fola ha a phomotse. Kamora nako eo, ha lets'ollo le sa atisehe khafetsa, ho fepa ka li-tube le hona ho qala ho hlasimolla butle mala le mala, ho fokotsa molumo oa lijo ka mothapong, nako e ka etsang likhoeli tse peli.

Kamora likhoeli tse ka bang 2 tsa ho fola, maemong a mangata, mokuli o se a ntse a khona ho fepa ka molomo ka ho etsa lijo tse nyane, ho fihlela makhetlo a 6 ka letsatsi. Leha ho le joalo, ho fepa ka mokelikeli oa nasogastric hoa bolokoa molemong oa ho netefatsa ho jeoa ha likhalori le limatlafatsi ho boloka le ho folisa boemo ba phepo, ho fihlela mokuli a khona ho ja ntle le tube, mohato o ka nkang lilemo tse pakeng tsa 1 le 3.

Leha ho le joalo, ho ka etsahala hore maemong a mang, mokuli o qeta bophelo bohle ba hae a ipapisitse le phepo ea botsoalle le tlatsetso ea phepo ho qoba khaello ea phepo e nepahetseng le mathata a joalo ka khaello ea mali.

Ho hlaphoheloa ho tloha ts'ebetsong ho tlosa karolo e itseng ea mala ho ka etsoa ka lehare le leholo ka mpeng kapa ka laparotomy, mme ho ka nka lihora tse pakeng tsa 2 le 6 mme mokuli a ka tlameha ho amoheloa sepetlele bakeng sa ho fola nako e ka fapana pakeng tsa matsatsi a 10 le khoeli e 1 bonyane. Mofuta ona oa ho buoa o kotsi haholo hobane mala a na le libaktheria tse ngata tse ka bakang tšoaetso e mpe, mme a tiea le ho feta, haeba mokuli e le ngoana kapa a tsofetse.