Tropical sprue

Tropical sprue yanayi ne da ke faruwa ga mutanen da ke zaune ko ziyartar yankunan wurare masu zafi na dogon lokaci. Yana hana abinci mai narkewa daga cikin hanji.

Tropical sprue (TS) wani ciwo ne wanda ke fama da zazzaɓi mai tsanani ko na yau da kullun, rage nauyi, da malabsorption na abubuwan gina jiki.

Wannan cutar ta faru ne sanadiyyar lalacewar rufin karamar hanji. Ya zo ne daga samun yawancin kwayoyin cuta a cikin hanji.

Hanyoyin haɗari sune:

• Rayuwa a wurare masu zafi
• Dogon lokaci na tafiya zuwa wurare masu zafi

Kwayar cutar sun hada da:

• Ciwon ciki
• Gudawa, mafi muni akan abinci mai mai mai yawa
• Gas mai wucewa (flatus)
• Gajiya
• Zazzaɓi
• Kumburin kafa
• Rage nauyi

Kwayar cutar ba zata bayyana ba har zuwa shekaru 10 bayan barin wurare masu zafi.

Babu wata alama ko gwaji da ke binciko wannan matsala a sarari.

Wasu gwaje-gwaje suna taimakawa don tabbatar da cewa rashin ƙoshin abinci mai gina jiki yana nan:

• D-xylose gwajin gwaji ne don ganin yadda hanji yake shan suga mai sauki
• Gwajin kujeru don ganin ko an sha kitse daidai
• Gwajin jini don auna baƙin ƙarfe, fure, bitamin B12, ko bitamin D
• Kammala ƙididdigar jini (CBC)

Gwajin da ke bincikar karamin hanji na iya haɗawa da:

• Kwayar cuta
• Endarshen endoscopy
• Biopsy na karamin hanji
• Jerin GI na sama

Jiyya yana farawa da yalwa na ruwa da wutan lantarki. Hakanan za'a iya buƙatar maye gurbin fure, ƙarfe, bitamin B12, da sauran abubuwan gina jiki. Maganin rigakafi tare da tetracycline ko Bactrim yawanci ana bayar dashi tsawon watanni 3 zuwa 6.

A mafi yawan lokuta, ba a sanya wa yara tetracycline ba har sai bayan duk hakoran dindindin sun shigo. Wannan maganin na iya gano hakoran har abada wadanda ke ci gaba har yanzu. Duk da haka, ana iya amfani da wasu maganin rigakafi.

Sakamakon yana da kyau tare da magani.

Ana samun karancin bitamin da ma'adinai.

A cikin yara, sprue yana haifar da:

• Jinkirta lokacin balaga da kasusuwa (kwarangwal)
• Rashin ci gaba

Kira mai ba da sabis na kiwon lafiya idan:

• Kwayoyin cututtukan yanayi masu zafi suna kara muni ko basa inganta da magani.
• Kuna ci gaba da sababbin bayyanar cututtuka.
• Kuna da gudawa ko wasu alamun wannan cuta na dogon lokaci, musamman bayan da kuka share lokaci a cikin wurare masu zafi.

Baya ga guje wa rayuwa a cikin ko tafiya zuwa yanayin yanayin wurare masu zafi, babu wata sananniyar rigakafin yanayi mai zafi.

• Tsarin narkewa
• Gabobin tsarin narkewar abinci

Ramakrishna BS. Zawo mai zafi da malabsorption. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cututtukan hanta da cutar Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi 108.

Semrad SE. Gabatarwa ga mai haƙuri tare da gudawa da malabsorption. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 131.