Makafin madauki ciwo

Makafin cutar madauki na faruwa idan abinci mai narkewa ya jinkirta ko ya daina motsi ta wani bangare na hanjin. Wannan yana haifar da yawaitar kwayoyin cuta a cikin hanji. Hakanan yana haifar da matsaloli masu shayar da abubuwan gina jiki.

Sunan wannan yanayin yana nufin "makantar makannin" wanda wani ɓangaren hanji ya kafa wanda aka kewaye shi. Wannan toshewar baya barin abinci mai narkewa ya gudana ta hanyan hanji.

Abubuwan da ake buƙata don narke kitse (waɗanda ake kira gishirin bile) ba sa aiki kamar yadda ya kamata yayin da wani ɓangaren hanji ya kamu da cutar makanta ta makanta. Wannan yana hana kitse da mai narkewar bitamin shiga cikin jiki. Hakanan yana haifar da kujerun mai. Rashin bitamin B12 na iya faruwa saboda ƙarin ƙwayoyin cuta waɗanda ke tsiro a cikin makafin madauki suna amfani da wannan bitamin.

Ciwon makantar makanta shine matsalar da ke faruwa:

• Bayan ayyuka da yawa, gami da ƙananan ciwon ciki (cirewar wani ɓangare na ciki) da kuma ayyuka don tsananin kiba
• A matsayin rikitarwa na cututtukan hanji mai kumburi

Cututtuka irin su ciwon sukari ko scleroderma na iya rage motsi a wani ɓangaren hanji, wanda ke haifar da cutar makanta ta makanta.

Kwayar cutar sun hada da:

• Gudawa
• Kujerun kitso
• Cikakken bayan cin abinci
• Rashin ci
• Ciwan
• Rashin nauyi mara nauyi

Yayin gwajin jiki, mai ba da kiwon lafiya na iya lura da taro a ciki, ko kumburin ciki. Yiwuwar gwaje-gwaje sun haɗa da:

• CT scan na ciki
• X-ray na ciki
• Gwajin jini don bincika yanayin abinci
• Jerin GI na sama tare da ƙananan hanji suna bi ta hanyar rayukan rayukan bambanci
• Gwajin numfashi don tantancewa idan akwai ƙwayoyin cuta masu yawa a cikin ƙananan hanji

Jiyya galibi ana farawa da maganin rigakafi don haɓakar ƙwayoyin cuta, tare da ƙarin bitamin B12. Idan maganin rigakafi ba ya da tasiri, ana iya yin tiyata don taimakawa abinci ya bi ta hanji.

Mutane da yawa suna samun sauki tare da maganin rigakafi.Idan ana buƙatar gyaran tiyata, sakamakon yakan yi kyau sosai.

Matsaloli na iya haɗawa da:

• Cikakken toshewar hanji
• Mutuwar hanji (infarction na hanji)
• Rami (perforation) a cikin hanji
• Malabsorption da rashin abinci mai gina jiki

Kirawo mai ba ku sabis idan kuna da alamun rashin gani.

Ciwon Stasis; Ciwon madauki mara ƙarfi; Aramin ƙwayar ƙwayoyin cuta ta hanji

• Tsarin narkewa
• Ciki da karamin hanji
• Biliopancreatic karkatarwa (BPD)

Harris JW, Evers BM. Intananan hanji. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na Tiyata: Tushen Halittu na Ayyukan Tiyata na Zamani. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 49.

Shamir R. Rashin lafiyar malabsorption. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 364.