Ukuhlushwa Yisisu Esincane? Izimpawu, Izimbangela, & Ukwelashwa

Ukuhlushwa yisisu esincane kwenzeka lapho isisu sakho esincane singakwazi ukuthatha izondlo ezanele ekudleni ukuze umzimba wakho uhlale uphilile. Lokhu kwenzeka lapho ingxenye enkulu yesisu sakho esincane ingalokothi ibe khona, yonakele, noma isuswe ngokusebenza, kukushiye nomde ophansi kunomde ojwayelekile odingekayo ngokugaya nokugcwala okuqondile.

Isisu sakho esincane siyi-mitha eziyisithupha ubude futhi sisebenza njengendawo ephambili yokuthatha izondlo emzimbeni wakho. Uma une-short bowel syndrome, ushiyekile nesisu esincane esisebenza kahle, okusho ukuthi umzimba wakho uyalwela ukuthola amavithamini, amaminerali, amanzi, kanye ne-calories ezaziwudingayo kulokho okukudlayo.

Ziyini izimpawu ze-Short Bowel Syndrome?

Impumelelo oyibonayo iwukukopha okuningi, okumanzi okungase kwenzeke izikhathi eziningi usuku lonke. Lokhu kwenzeka ngoba isisu sakho esifushane singakwazi ukuthatha amanzi nezondlo ngendlela efanele, ngakho-ke ziyadlula ohlelweni lwakho ngokushesha kakhulu.

Ngaphezu kokukopha, ungase uhlangane nezinye izimpawu ezithuthukayo njengoba umzimba wakho uba yingxube. Nazi izimpawu ezivamile okufanele uzibheke:

• Ukuphelelwa amanzi okukhulu, okwenza uzizwe ukhulu noma ubuthakathaka
• Ukulahlekelwa isisindo esikhulu naphezu kokudla ngokujwayelekile
• Ukukhathala nobuthakathaka ngenxa yokushoda kwezondlo
• Ukubamba nokuqhuma kwesisu
• Ukuphefumula nokugabha
• Ubuthakathaka bemisipha nobuhlungu lwamathambo
• Ukuvuvukala ezinyaweni nasezinyaweni
• Ukuphulukiswa kwezinyanga okuhamba kancane

Ungase futhi uqaphele izimpawu zokushoda kwamavithamini athile, njengokubona ebusuku okubi ngenxa yokushoda kwevithamini A, ukungqongqoza okulula ngenxa yokushoda kwevithamini K, noma ukuthungatha ezandleni nasezinyaweni ngenxa yokushoda kwe-B12. Lezi zimpawu zingase zithuthuke kancane njengoba izitolo zezondlo zomzimba wakho ziqala ukuncipha ngokuhamba kwesikhathi.

Yini ebangela i-Short Bowel Syndrome?

I-Short bowel syndrome ivela lapho ulahlekelwa yingxenye enkulu yomthambo omncane ngenxa yokuthi uqalekile noma unesifo. Isizathu esivamile kakhulu ukususa ingxenye yomthambo ngokuhlinzwa ukuze kuphathwe izimo ezingathi sína ezisongela impilo yakho.

Izimbangela ezihlobene nokuhlinzwa zihlanganisa ukwelashwa kwezimo ezidinga ukususa umthambo olimele:

• Isifo sikaCrohn esine-inflammation eqinile noma izinkinga
• Ukuvimba komthambo okuvela ezikhishini noma ezibuhlungwini
• Ukulimala okukhulu esiswini
• I-blood clots eziqeda ukunikezwa kwegazi ezingxenyeni zomthambo
• Umkhuhlane womthambo odinga ukususa okukhulu
• Ukutheleleka okukhulu okonakalisa inyama yomthambo

Abanye abantu bazalwa be-short bowel syndrome ngenxa yezimo ezingokuzalwa. Lokhu kuhlanganisa i-gastroschisis, lapho ama-intestines akhula ngaphandle komzimba, noma i-intestinal atresia, lapho izingxenye zomthambo zingakhi kahle ngesikhathi sokuthuthukiswa kwesisu.

Ngokungavamile, izifo ezithile zingalimaza kakhulu ukugcoba komthambo kangangokuthi kuyeke ukusebenza kahle, ngisho noma kungekho ukususa okuhlinzwa. Lokhu kuhlanganisa isifo esibuhlungu se-inflammatory bowel, i-radiation enteritis evela ekwelapheni umdlavuza, noma ukutheleleka okukhulu okubhubhisa inyama yomthambo.

Nini kufanele ubheke udokotela nge-Short Bowel Syndrome?

Kufanele uxhumane nodokotela wakho ngokushesha uma ubhekene nohudo oluqhubekayo ngezimpawu zokulahlekelwa amanzi emzimbeni noma ukungondliwe kahle. Ukwelashwa kwasekuqaleni kungavimbela izinkinga ezingathi sína futhi kukusize ugcine impilo engcono.

Funani ukunakekelwa kwezokwelapha ngokushesha uma unezisu ezinamanzi njalo kanye nokudideka, ubuthakathaka, ukulahlekelwa isisindo ngokushesha, noma ubuhlungu besisu obukhulu. Lezi zimpawu zibonisa ukuthi umzimba wakho awutholi izondlo namanzi awadingayo.

Ungalindi uma ubona izimpawu zokuphelelwa amanzi okukhulu njengokunciphisa ukuthamba, umlomo owomile, amehlo ahlasimule, noma ukudideka. Kufanele ubone nodokotela wakho uma uhlupheka ekugcineni ukudla noma izinto ezincelisayo, noma uma ulahlekelwa isisindo naphezu kokudla njengoba nje.

Iyini izingozi ze-Short Bowel Syndrome?

Ingozi yakho yokuthuthukisa i-short bowel syndrome iyanda uma unezimo ezithile zezokwelapha ezivame ukudinga ukuhlinzwa kwamathumbu. Ukuqonda lezi zinto ezingozi kungakusiza wena nodokotela wakho ukuba nilandele impilo yomthambo wakho eduze.

Izinto eziyinhloko ezingozi zihlanganisa:

• I-Crohn's disease, ikakhulukazi uma une-flare-ups eziningi
• Umbhalo wokuhlinzwa kwesisu noma ukulimala
• Ukungasebenzi kahle kwegazi okuthinta ukugeleza kwegazi kwamathumbu
• Ukwelashwa ngomgogodla esiswini sakho noma emathunjini
• Ukutheleleka okukhulu kwesisu
• Umkhuhlane wamathumbu noma ezinye iziphumo zamathumbu

Izingane ezizalwa ngaphambi kwesikhathi zinezingozi eziphezulu ngenxa yezimo ezinjengokuthi i-necrotizing enterocolitis, engalimaza izingxenye ezinkulu zamathumbu. Umbhalo womndeni wezimo ezithile ze-genetic ezihlupha ukuthuthukiswa kwamathumbu futhi uyanda ingozi, nakuba lokhu kungavamile.

Ziyini izinhlanganisela ezingaba khona ze-Short Bowel Syndrome?

I-Short bowel syndrome ingabangela izinhlanganisela ezinkulu ngoba umzimba wakho awukwazi ukufunxa izondlo ezidingekayo ukuze usebenze kahle. Lezi zinhlelo zithuthuka kancane kancane kodwa zingaba yingozi uma zingaphathwa kahle.

Izinhlanganisela ezivamile ongahlangabezana nazo zihlanganisa:

• Ukondleka okukhulu okuthinta zonke izinhlelo zomzimba
• Ukuphelelwa amanzi kanye nokungalingani kwe-electrolyte
• Amatshe ezinso ngenxa yokushintsha ekufuneni amaminerali
• Amatshe e-gall ngenxa yokuguqulwa kokujikeleza kwe-bile acid
• Isifo samathambo ngenxa yokushoda kwe-calcium ne-vitamin D
• I-Anemia ngenxa yokushoda kwe-iron, i-folate, noma i-B12
• Izinkinga zesibindi ngenxa yokondla isikhathi eside nge-intravenous

Abanye abantu bathuthukisa ukwanda okukhulu kwezibhaktheriya ezincane ezincane, lapho amabhaktheriya ekhula kakhulu esibindini esisele, ebangela izinkinga ezengeziwe zokugaya. Ngokungavamile, ungase uhlangabezane neziqukathi zegazi, isimo sokuvikelwa komzimba esibuthakathaka, noma izinkinga zokululama kwezindawo eziqalekile ngenxa yokushoda kwamaprotheni namasondlo.

Kungenzeka kanjani ukunqoba i-Short Bowel Syndrome?

Nakuba ungakwazi ukunqoba i-short bowel syndrome njalo, unganciphisa ingozi yakho ngokuphatha izimo ezivame ukubangela ukuhlinzwa kwesisu. Ukwelashwa kwasekuqaleni kwe-inflammatory bowel disease nezinye izimo zesibindini ngezinye izikhathi kungavimbela isidingo sokuhlinzwa okubanzi.

Uma une-Crohn's disease, ukusebenzisana eduze nodokotela wakho ukulawula ukuvuvukala nokuvimbela izinkinga kungasiza ekuvikeleni ubude besibindini sakho. Ukulandela uhlelo lwakho lokwelashwa, ukuthatha imithi njengoba kuqokiwe, nokugcina izivivinyo zokulandelela okuvamile kuyizinyathelo ezibalulekile.

Kwabantu abenza ukuhlinzwa kwesisu okudingekayo, ukukhetha udokotela oqeqeshwe kahle oqeqeshwe ekuhlinzweni kwesisu kungasiza ekuqedeni inani lesibindini okudingeka sisuswe. Ukuxoxa ngezinketho zokuhlinzwa nokufuna umbono wesibili uma kungenzeka kungasiza futhi.

I-Short Bowel Syndrome ihlonishwa kanjani?

Udokotela wakho uzoqala ngokubuyekeza umlando wakho wezokwelapha, ikakhulu noma yikuphi ukuhlinzwa kwangaphambili noma izimo ezihlasela amabele akho. Uzokuphuthuma ngezimpawu zakho, ukuthi uba kaningi kangakanani nezinyo, nokuthi izinyo zakho zibonakala kanjani.

Izivivinyo eziningi zingasiza ekuqinisekiseni ukuxilongwa nokulinganisa ukuthi unemisebenzi emingakanani yesibindini esisele. Izivivinyo zegazi zizohlola izimpawu zokondleka okungekuhle, ukushoda kwevithamini, nokungalingani kwe-electrolyte okuvamile nge-short bowel syndrome.

Izifundo zokubonisa izithombe ezifana ne-CT scans noma uchungechunge lwesisu esincane zingabonisa ubude nokwakheka okusele kwesisu sakho. Udokotela wakho angase futhi anikeze izivivinyo zezisu ukuze alinganise ukwanda kwamafutha, okusiza ekuqondeni ukuthi isisu sakho liyathuthukisa kanjani izondlo.

Ngezinye izikhathi kudingeka ezinye izivivinyo ukuze kuhlolwe ukusebenza kwesibindi sakho, impilo yamathambo, noma amazinga athile amavithamini. Lokhu kusiza iqembu lakho lezokwelapha ukuqonda umthelela ophelele wesimo emzimbeni wakho futhi uhlele ukwelashwa okufanele.

Iyini ukwelashwa kwe-Short Bowel Syndrome?

Ukwelashwa kwe-short bowel syndrome kugxile ekuqinisekiseni ukuthi umzimba wakho uthola izondlo ezidingekayo ngenkathi usekela ikhono lesisu sakho esisele lokuguquka nokusebenza kangcono. Indlela ehlukile kuye ngokuthi unesisu elingakanani nokuthi lisebenza kahle kangakanani.

Uhlelo lwakho lokwelashwa cishe luzoba nezinsizakalo ezikhethekile zezondlo, okungase kuqale ngezondlo ze-intravenous ukunika umzimba wakho izondlo ezibalulekile ngqo egazini lakho. Njengoba isimo sakho siqina, iqembu lakho lizozama ukukudlulisela ekudleni komlomo uma kungenzeka.

Imithi idlala indima ebalulekile ekulawuleni izimpawu nokuthuthukisa ukusebenza kwesisu:

• Imithi yokulwa nokukhipha izisu ukuze ihambise isisu kancane
• Abaphompi be-proton ukuze banciphise i-acid yesisu
• Imithi ekhethekile efana ne-teduglutide ehlomisa ukukhula kwesisu
• Amavithamini kanye nezinhlanganisela zeziminerali ukuvimbela ukushoda
• Ama-antibiotics uma kukhula ukwanda kwamabhaktheriya

Abanye abantu bazuza ekusebenzeni okuhlinzekwayo ukuthuthukisa ukusebenza kwesisu. Lokhu kungase kufaka ukwakha ama-pouches ukuze kunciphise ukudla, izinqubo zokudelela ukuze kukhuliswe i-absorptive surface, noma ezimweni ezinzima, ukutshalwa kwesisu esincane.

Indlela yokuphatha i-Short Bowel Syndrome ekhaya?

Ukuphatha i-short bowel syndrome ekhaya kudinga ukunakekelwa okucophelelayo kokudla kwakho, ukugcwala kwamanzi, nokuqina kwempilo yakho. Ukusebenzisana nodokotela obhalisiwe oqeqeshwe ezimweni ze-gastrointestinal kungakusiza ukuba wenze uhlelo lokudla olukhulisa ukufunwa kokudla.

Cishe uzodinga ukudla ukudla okuncane, okuvamile usuku lonke kunokudla okukhulu okutatu. Lokhu kunika amathumbu akho amafushane ithuba elihle lokufunwa kokudla okuncane ngesikhathi.

Ukugcwala kwamanzi kubalulekile, kodwa ungadinga ukuphuza izixazululo ezikhethekile zokugcwala kwamanzi kunokuba nje amanzi. Amanzi nje ngezinye izikhathi angenza ukuba isifo sohudo sibe sibi, kuyilapho izixazululo ezinezinga elifanele le-electrolytes zingasiza umzimba wakho ukuba ugcine amanzi kangcono.

Ukuthatha imithi nezinye izinto ezincedisayo njengoba kuyalelwe kubalulekile ekuqinisweni kwempilo yakho. Gcina idayari yezimpawu ukuze uqaphele ukuthi yikuphi ukudla noma izimo ezibukeka zibangela izimpawu ezimbi, bese wabelana ngolwazi olukhona neqembu lakho lezokunakekelwa kwempilo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ngaphambi kwe-aphoyintimenti yakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi uba kaningi kangakanani nezinyo, ukubukeka kwazo, nanoma yiziphi izindlela ozibonile. Ulwazi olukhona lusisiza udokotela wakho ukuqonda ukuthi isimo likuthinta kanjani.

Letha uhlu oluphelele lwazo zonke imithi, amavithamini, nezinye izinto ezincedisayo ozithathayo, kufaka phakathi izilinganiso nokuthi uziphuza kaningi kangakanani. Buthana futhi amarekhodi azo zonke izinqubo zakamuva, ukungena esibhedlela, noma izinguquko ezinkulu empilweni yakho.

Lungiselela imibuzo mayelana nezinketho zakho zokwelashwa, izincomo zokudla, nezimpawu okufanele zikukhuthaze ukuba ufuna ukunakekelwa okusheshayo. Buza ngezinsiza zokusekela ukudla nokuthi ungazuza yini ngokusebenzisana nochwepheshe abanjengabadokotela abakhethekile ekudleni noma ochwepheshe be-gastroenterologists.

Cabanga ukuthi ulethe ilungu lomndeni noma umngani ozokusiza ukuba ukhumbule ulwazi oluxoxwe ngesikhathi sokuqokwa. Ukuba nokusekelwa ngesikhathi sokuvakashela kwezokwelapha kungaba usizo kakhulu uma ubhekene nesimo esiyinkimbinkimbi njengesi-short bowel syndrome.

Iyini into ebalulekile mayelana ne-Short Bowel Syndrome?

I-Short bowel syndrome yisimo esinzima esidinga ukunakekelwa kwezokwelapha okuqhubekayo, kodwa ngokwelashwa okulungile nokulawulwa, abantu abaningi bangagcina ikhwalithi yokuphila enhle. Okubalulekile ukusebenzisana eduze neqembu lakho lezokunakekelwa kwezempilo ukuqinisekisa ukuthi umzimba wakho uthola izondlo ezidingekayo.

Nakuba lesi simo sibonisa izinselele ezinkulu, ukuthuthuka ekusekelweni kokudla, imithi, nezinqubo zobuhlinzwa kuye kwathuthukisa kakhulu imiphumela kubantu abane-short bowel syndrome. Ukuxilongwa kwasekuqaleni nokwelashwa kungavimbela izinkinga eziningi futhi kukusize uzizwe kangcono.

Khumbula ukuthi ukulawula lesi simo kuyimisebenzi yeqembu ehlanganisa wena, odokotela bakho, ochwepheshe bokudla, nabanye ochwepheshe bezempilo. Unganqikazi ukubuza imibuzo, ufuna ukusekelwa, futhi umele izidingo zakho njengoba uhamba kule ndlela.

Imibuzo evame ukubuzwa mayelana ne-Short Bowel Syndrome

Ingayeluleka ngokuphelele yini i-short bowel syndrome?

I-Short bowel syndrome ayikwazi ukweluleka ngokuphelele, kodwa ingalawulwa kahle ngokwelashwa okulungile. Amalusu akho asaleyo angazivumelanisa ngokuhamba kwesikhathi ukuze athole izondlo ngokuphumelelayo, futhi ukwelashwa kungakusiza ugcine impilo enhle nekhalithi yokuphila. Ezimweni ezinzima, ukutshalwa kwesisu esincane kungaba yindlela, nakuba lokhu kugcinelwe abantu abangakwazi ukulawulwa ngezinye izindlela zokwelapha.

Kuthatha isikhathi esingakanani ukuba isisu sizivumelanise ngemva kokuhlinzwa?

Ukulingana kwamathumbu kuvame ukuthatha iminyaka eyi-1-2 ngemva kokuthi kwenziwe i-opereyshini, nakuba ukuthuthuka okwengeziwe kungaqhubeka isikhathi eside. Ngalesi sikhathi, isisu sakho esisele siqala ukuba nekhono lokubamba izondlo namanzi. Inqubo yokulingana iyahlukahluka kumuntu ngamunye kuye ngezinto ezinjengokuthi kusale kangakanani isisu, impilo yakho jikelele, nokuthi uyalandela kangakanani uhlelo lwakho lokwelashwa.

Ngizokudinga ukusebenzisa ukudla okuvela emithanjeni isikhathi eside?

Abantu abaningi abane-short bowel syndrome bangagcina beyeka ukusebenzisa ukudla okuvela emithanjeni, ikakhulukazi njengoba isisu sabo siqala ukulingana futhi ngokuphathwa kahle kokudla. Noma kunjalo, abanye abantu abanesisu esifushane kakhulu bangadinga ukusekelwa kokudla okuvela emithanjeni isikhathi eside. Iqembu lakho lezokwelapha lizokusebenza nawe ukuze likhulise ukudla ngomlomo noma kunini lapho kungenzeka khona ngenkathi liqinisekisa ukuthi umzimba wakho uthola zonke izondlo ezidingekayo.

Ngingasadla yini ukudla okuvamile nge-short bowel syndrome?

Uvamise ukwazi ukudla ukudla okuningi okuvamile, kodwa cishe uzodinga ukushintsha ukudla kwakho kakhulu. Ukusebenza nodokotela wezondlo oqeqeshwe kahle kubalulekile ukuze wenze uhlelo olukhulisa ukubamba izondlo ngenkathi kunciphisa izimpawu. Ungadinga ukugwema ukudla okuthile okwenza ukuba kube khona ukubila okukhulu noma okungabambeki kahle, ngenkathi ugxila ekudleni okunikeza izondlo ezininzi.

Kwenzekani uma i-short bowel syndrome ingelaphi kahle?

Ngaphandle kokwelashwa okuhle, i-short bowel syndrome ingabangela ukushoda kokudla okukhulu, ukuphelelwa amanzi, nezinhlungu ezibulalayo. Lezi zingafaka ukuhluleka kwamalungu, ukutheleleka okukhulu ngenxa yesistimu yokuvimbela ukutheleleka ebuthakathaka, ama-blood clots, nezingqinamba zokululama kwama-wounds. Noma kunjalo, ngokunakekelwa komtholampilo okufanele nokusekelwa kokudla, abantu abaningi bangagwema lezi zinhlungu ezinzima futhi bagcine impilo enhle.