Malabsorption

Malabsorption gụnyere nsogbu na ike ahụ iji were (banye) nri na nri.

Ọtụtụ ọrịa nwere ike ibute malabsorption. Ọtụtụ mgbe, ịkọ ihe na-emetụta nsogbu ịmịkọrọ ụfọdụ shuga, abụba, protein, ma ọ bụ vitamin. O nwekwara ike ịgụnye nsogbu zuru oke na ịmị nri.

Nsogbu ma ọ bụ mmebi nke eriri afọ nke nwere ike iduga na nsogbu ịmịkọrọ nri dị mkpa. Ndị a gụnyere:

• Ọrịa Celiac
• Ogba Ogba
• Ọrịa Crohn
• Ọrịa na-egbu egbu
• Mmebi site na ọgwụgwọ radieshon
• Nnukwu nje bacteria na obere eriri afọ
• Parasite ma ọ bụ ọrịa teepụ
• Surwa ahụ nke na-ewepụ ihe niile ma ọ bụ akụkụ nke eriri afọ

Enzymes nke pancreas mepụtara na-enyere aka ịba abụba na ihe ndị ọzọ na-edozi ahụ. Mbelata nke enzymes ndị a na-eme ka o sie ike ịmị abụba na ụfọdụ nri. Enwere ike ibute nsogbu na pancreas:

• Ọrịa Cystic
• Na-efe efe ma ọ bụ ọzịza nke pancreas
• Nsogbu na pancreas
• Wa ahụ iji wepu akụkụ nke pancreas

Offọdụ ihe ndị ọzọ na-akpata malabsorption gụnyere:

• Ọrịa AIDS na nje HIV
• Medicinesfọdụ ọgwụ (tetracycline, ụfọdụ antacids, ụfọdụ ọgwụ eji agwọ oke ibu, colchicine, acarbose, phenytoin, cholestyramine)
• Gastrectomy na ọgwụgwọ ịwa ahụ maka oke ibu
• Ọrịa ọgbụgba
• Ọrịa imeju na-adịghị ala ala
• Anabataghi protein protein nke Cow
• Soy protein protein ekweghị ibe nọrọ

N’ebe ụmụaka nọ, ọ̀tụ̀tụ̀ ịdị arọ nke ugbu a ma ọ bụ ọ̀tụ̀tụ̀ ịdị arọ ha na-adịkarị nnọọ ala karịa nke ụmụaka ndị ọzọ bụ́ ndị ọgbọ na nke mmekọahụ. Nke a na-akpọ ọdịda etolite. Nwa ahụ nwere ike ọ gaghị eto ma tolite.

Ndị okenye nwekwara ike ọgaghị eto nke ọma, ibufu ibu, mbibi akwara, adịghị ike, na nsogbu iche echiche.

Mgbanwe na stools na-adịkarị, mana ọ bụghị mgbe niile.

Mgbanwe na stools nwere ike ịgụnye:

• Afọ, cramping, na gas
• Nnukwu oche
• Ọrịa afọ ọsịsa
• Abụba oche (steatorrhea)

Onye nlekọta ahụike gị ga-eme nyocha. Ule nke enwere ike ime gunyere:

• Ule ọbara na mmamịrị
• Nyocha CT nke afọ
• Nnwale ume iku ume
• MR ma ọ bụ CT enterography
• Schilling ule maka vitamin B12 erughi
• Nnwale ihe omimi nke nzuzo
• Obere eriri afọ
• Omenala stool ma ọ bụ ọdịbendị nke obere eriri afọ
• Ule abụba stool
• X-ray nke obere eriri afọ ma ọ bụ ule nyocha ndị ọzọ

Ọgwụgwọ dabere n'ihe kpatara ya wee gbadoro ụkwụ ya ma belata ahụ ya.

Enwere ike ịnwale nri calori dị elu. Ọ kwesịrị ezitekwara:

• Isi vitamin na mineral, dị ka iron, folic acid, na vitamin B12
• Carborates, protein, na abụba zuru oke

Ọ bụrụ na ọ dị mkpa, a ga-enye gị ọgwụ ụfọdụ nke vitamin na mineral ma ọ bụ ihe uto pụrụ iche. Ndị nwere mmebi nke pancreas nwere ike ọ dị mkpa ka ha were enzymes pancreatic. Onye na-eweta gị ga-ahọpụta ndị a ma ọ bụrụ na ọ dị mkpa.

Enwere ike ịnwale ọgwụ iji belata ije nke eriri afọ. Nke a nwere ike inye ohere ka nri nọrọ n’ime eriri afọ ogologo.

Ọ bụrụ na ahụ enweghị ike ịmịkọrọ nri na-edozi ahụ, a na-anwale ngụkọta nri nne na nna (TPN). Ọ ga - enyere gị ma ọ bụ nwa gị aka inweta nri sitere na usoro pụrụ iche site na akwara n’ime ahụ. Onye na-enye gị ga - ahọrọ calorie kwesịrị ekwesị na ngwọta TPN. Mgbe ụfọdụ, ịnwere ike iri nri ma drinkụọ mgbe ị na-eri nri sitere na TPN.

Echiche na-adabere na ihe na-akpata malabsorption ahụ.

Ogologo oge malabsorption nwere ike ibute:

• Anaemia
• Nkume okwute
• Nkume akụrụ
• Ọkpụkpụ dị gịrịgịrị ma gbaa ume

Kpọọ onye na-ahụ maka ọrụ gị ma ọ bụrụ na ị nwere mgbaàmà nke ịba uru.

Mgbochi na-adabere n'ọnọdụ na-akpata malabsorption.

• Usoro nri
• Ọrịa Cystic
• Ngwa ngwa ngwa

Högenauer C, Ntughari HF. Maldigestion na malabsorption. Na: Feldman M, Friedman LS, Brandt LJ, eds. Ọrịa Cancer Sleisenger na Ọrịa Cancer nke Fordtran. Nke 11. Philadelphia, PA: Elsevier; 2021: Isi nke 104.

Semrad OA. Agakwuru onye ọrịa na afọ ọsịsa na malabsorption. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 131.