Kuleylka kuleylaha

Tropical sprue waa xaalad ku dhacda dadka ku nool ama booqda meelaha kuleylka ah waqti dheer. Waxay curyaamisaa nafaqooyinka ay ka nuugi doonaan mindhicirada.

Tropical sprue (TS) waa cillad lagu garto shuban ba'an ama daba dheeraatay, miisaan lumis, iyo malabsorption nafaqooyinka.

Cudurkan waxaa sababa dhaawac soo gaara xuubka xiidmaha yar. Waxay ka timaaddaa in badan oo ka mid ah noocyada bakteeriyada qaarkood ee ku jira mindhicirada.

Sababaha halista waa:

• Ku noolaanshaha kuleylaha
• Safarro dhaadheer oo lagu tagayo meelaha kuleylaha ah

Calaamadaha waxaa ka mid ah:

• Calool xanuun
• Shuban, ka sii daran cuntada dufanka badan
• Gaaska xad dhaafka ah (flatus)
• Daal
• Qandho
• Lug barar
• Miisaanka oo yaraada

Calaamaduhu ma muuqan karaan ilaa 10 sano ka dib markay ka baxaan kulaylaha.

Ma jiro calaamadee ama baadhitaan cad oo si cad u ogaanaya dhibaatadan.

Tijaabooyinka qaarkood waxay gacan ka geystaan ​​xaqiijinta in nuugista nafaqada liidata ay jirto:

• D-xylose waa tijaabo shaybaar si loo arko sida ay mindhicirrada u nuugaan sonkor fudud
• Tijaabooyinka saxarada si loo ogaado in dufanka si sax ah loo nuugay
• Tijaabooyinka dhiigga si loo cabbiro birta, folate, fiitamiin B12, ama fitamiin D
• Tirinta dhiigga oo dhameystiran (CBC)

Tijaabooyinka lagu baarayo xiidmaha yar waxaa ka mid noqon kara:

• Baaritaanka jirka
• Baadhitaanka qaybta kore ee 'endoscopy'
• Cad ka-qaadista mindhicirka yar
• Taxanaha GI ee sare

Daaweyntu waxay kubilaabmaysaa dareereyaal badan iyo koronto. Beddelidda folate, iron, vitamin B12, iyo nafaqooyin kale ayaa sidoo kale loo baahan karaa. Daaweynta antibiyootikada ee tetracycline ama Bactrim waxaa caadi ahaan la siiyaa 3 ilaa 6 bilood.

Xaaladaha badankood, daawada tetracycline-ka looma qoro carruurta illaa iyo inta ilkaha joogtada ahi ay soo galaan oo dhan. Dawadani waxay si joogto ah u badali kartaa ilkaha wali sameysmaya. Hase yeeshee, antibiyootiko kale ayaa la isticmaali karaa.

Natiijadu waxay kufiican tahay daaweynta.

Fitamiinada iyo macdanta ayaa ku yar.

Carruurta, murgacashada waxay u horseedaa:

• Dib udhaca bislaanshaha lafaha (koriinka qalfoofka)
• Kobaca koritaanka

Wac daryeel caafimaad bixiyaha haddii:

• Calaamadaha kuleylka ee kuleylka ayaa ka sii daraya ama kuma hagaagayaan daaweynta.
• Waxaad yeelataa calaamado cusub.
• Waxaad qabtaa shuban ama calaamado kale oo cilladan ah muddo dheer, qaasatan markaad kuleylka kuleylka kujirto.

Marka laga reebo ka fogaanshaha ku noolaanshaha ama u safridda cimilada kulaylaha, ma jiro wax ka hortag ah oo loo yaqaan 'sprue tropical'.

• Nidaamka dheefshiidka
• Xubnaha habka dheefshiidka

Ramakrishna BS. Shuban-biyoodka kulaylaha iyo malabsorption-ka. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 108.

Semrad SE. U dhowaanshaha bukaanka shuban iyo malabsorption. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 131.