Malabsorption - he aha te mea tenei? Whakarōpū me take

whēkau iti - tetahi o te whēkau. mahi te reira i te momo o ngā mahi, whai wāhi nui ana i roto i te nakunaku o kai me te absorption o ngā matūkai. Ki te whanaketanga o etahi mate aukati tenei tari - kitea syndrome malabsorption, haapotohia nei rite te CMA. He aha te mea tenei wā? meinga tenei syndrome e aha take?

ariā wetewaehere

I roto i te tuhinga hauora, ka taea e kitea e koe i te wā pērā i "malabsorption". whakamahia ana tēnei kupu ki te kōrero ki te malabsorption mucosa intestinal o ngā wāhanga kai. He he ano hoki te wā pērā i "maldigestion". Tenei tukanga takahi faafariuraa o ngā hua ngako, te pūmua, me te warowaihā nakunaku absorbable.

Tohunga ngā e rua o te wā i runga ( "malabsorption" me "maldigestion"), ka tetahi korero o malabsorption syndrome. E pā ana ki te mau faaiteraa hauora matatini, e puta i roto o maumaui o kōhao, te taiepa, membrane nakunaku me te waka i roto i te whēkau iti. Nā ki te huringa puta i roto i te tinana tangata e tika ana ki te putanga o te malabsorption syndrome, puta disorders pūkoro tinana. timata iwi ki te whakamamae i te tohu kino.

Ko te take o SMA

malabsorption syndrome kitea i roto i te maha mate tuku, me te congenital i roto i ai i whakaohooho absorption o matū, heke mahi paru. Ka rite ki te tauira, kakakīrehe whēwhē. I roto i tenei mate, whakawhanake tika ki raro mahi paru, me te pancreatic disorders ngaro pokey te Agr.

Hei meinga malabsorption mate syndrome meinga e mate me pirinoa, lymphatic rerekē me ngā pūnaha circulatory. Kei te kitea hoki CMA i te take o te kino o te whēkau iti, me te whakaiti wāhi absorption (huaina te huringa i roto i te tinana, hei te take o raruraru nui o maha momo o whakawhitinga, tinana, me te ta'ofi hinengaro).

Ko te kupu, malabsorption - he huinga o ngā tohu kino e taea meinga he rota o take rerekē. Ka taea te ngā ratou e whai ake:

1. rōpū Preenteralnaya. Ēnei ngā mate biliary wahi, ate, puku, kakakīrehe whēwhē.
2. rōpū Postenteralnaya. Kei roto te reira i te waitinana me tohanga toto disorders i roto i te kōpiro roa, kei nei i waenganui i te kopu, me te kopirua, enteropathy exudative, lymphosarcoma, mate o Hodgkin.
3. rōpū Enteral o take. Ko ētahi o ēnei galactose malabsorption, mate celiac, kore disaccharidase, giardiasis, dermatitis herpetiformis.

Tohu motuhake ki SMA

Ahakoa te meka e taea te syndrome malabsorption tūturu i roto i te tini o nga mate, kia taiea ngā āhuatanga o ia. A, no te CMA whakapairuaki, ruaki. I roto i te tūroro ki te heke haere hiahia. Kei te kitea hoki enei tohu rite bloating, huringa i roto i te kumete (maha puta korere). e karangatia enei tohu katoa syndrome dyspeptic. Kei te ārahi ia nga faaiteraa haumanu o SMA.

kia aro Motuhake heamana. Aromatawai i te āhuatanga o feces, riro tohunga mōhiohio nui e taea ki a ratou hoatu te tātaritanga tika:

• a e huhuka nohoanga wai ki te kakara waikawa - he tohu e kia takoto ana i roto pathologies pērā i malabsorption kūhuka-galactose, hē disaccharidase;
• he kumete hinuhinu i roto i te pancreatitis ma'i, kakakīrehe whēwhē, dermatitis herpetiformis, exudative enteropathy syndrome Pearson, dysbacteriosis intestinal;
• kumete rawa hinuhinu kitea i roto i te Simi, congenital hē lipase;
• korere waiwai - he tohu e taea puta ina tomo te mate te tinana, te whakawhanake enterocolitis, malabsorption o te kūhuka me galactose.

A, no te MCA ētahi wā i reira he mamae. Nuinga o ngā wā, meinga ratou mate intestinal me infestations. Ka taea e te mamae syndrome puta i muri i kai hua miraka. ngā ia ki foamy heamana ki te kakara kawa, flatulence tohu te hē lactase. mamae puku i roto i CMA haere tahi mate pāwera kai, abnormalities intestinal, mate a Whipple, colitis ulcerative, mate a Crohn. Kua kitea nga tohu e whai ake nei ara, ka syndrome malabsorption:

• ponana kiri;
• rohirohi;
• he mana'o o te ngoikore;
• bloating;
• hārukiruki.

Malabsorption i roto i ngā tamariki tahi e te syndromes hapa. Ohorere whanaketanga tinana. whakakitea ana tēnei i roto i te whakaiti o te taimaha tinana, te whanaketanga o te pohokore, tupu akaaka. I te huaora hē tohu te āhua o te kiri. riro maroke te kiri, me te tīmata ki te tipitipi atu. I reira puta wahi pouri. Hair thinning ka tīmata ki te maturuturu i roto. Ko te whao hei oro puhoi, me te exfoliate. A, no te puta konupūmā hē cramps, mamae i roto i te uaua, me te wheua. Te kore o te rino, te parahi, me te konutea arata'i ki te ahua o te hunga ponana kiri, rino-hē anemia, ake i roto i te pāmahana te tinana.

whakarōpū ngā

malabsorption syndrome ngā neke atu i te 70 rerekē mate. I roto i tenei whakaaro, kua tūpono tohunga etahi fifi i roto i te whakarōpū o te faaineineraa. Ko te angitu tino ko te wehenga o syndromes malabsorption tuku, me te riro:

1. Ko te tuatahi o enei kitea i roto i te 10% o te wā. haere tuku SMA te i ngā mātua ki te tamaiti. Ia ano hoki he tika ki irakētanga ira.
2. syndrome malabsorption whiwhi - te hua o disorders intestinal me extraintestinal (hei tauira pukupuku, immunodeficiencies, ate me te taiaki).

He he ano hoki te whakarōpū hāngai nei i runga i te pakeke o te malabsorption syndrome:

• Kōeke ahau (puka ngawari) - paku heke tamariki taimaha tinana, e ara tohu kore multivitamin kitea whanaketanga tinana disharmonious;
• II tohu (āhua toharite) - te manawanui he takarepa papatipu tinana (ine i te täkupu he nui atu i te 10%) e kitea takamuri i roto i te whanaketanga ā-tinana, kite korerotia tohu kawehiko hē me te iti hoki multivitamin;
• Grade III (nui) - he tinana underdeveloped tamariki, nui tinana takarepa papatipu 20%, i roto i te tahi mau tūroro i reira he he roa i roto i te whanaketanga whakamātau tinana.

momo o te malabsorption

I roto i te 1977 tū VIII World Congress o Gastroenterology. Kua tāutuhia tohunga reira e rave rahi ngā momo o malabsorption, i runga i ona take rānei:

• intracavitary;
• posttsellyulyarnaya;
• enterotsellyulyarnaya.

Te kore o te ate huna ana e te repe taiaki me matū e pānga te nakunaku arapaki me ai te pakaru, - malabsorption momo intracavitary. Kōhungahunga whakatika ratou e tika ana ki te Simi, hypoplasia congenital o te repe taiaki. I roto i ngā tamariki whakapataritari pakeke ahua malabsorption intracavitary syndrome mate pērā i cirrhosis, pancreatitis ma'i.

Ko te momo tuarua o SMA - malabsorption posttsellyulyarnaya. Tenei syndrome, āhuatanga nei i te mate o te wē pūmua i roto i te taiepa intestinal. kite ia ki kōhikohiko o te pūnaha circulatory me lymphatic. Ko tētahi o nga mate - he lymphangiectasia intestinal idiopathic. Ko tūturu i roto i te mate taimaha o te konupūmā, lipids me pūmua i roto i te wahi gastrointestinal ia.

momo Enterotsellyulyarny fakatahai aua wā i reira te nakunaku membrane whati absorption ranei e tika ana ki te koha o ngā pūnaha whākōkī o ngā pūtau epithelial intestinal. Taua kia puta i roto i ngā tamariki taitamariki hoki o mate tuku e pā ana ki te tūkino:

• momi;
• membrane nakunaku;
• nakunaku me te absorption.

Ko nga tamariki i roto i pakeke te momo tau enterotsellyulyarny o malabsorption syndrome puta tika ki te kino ki te whekau, me te pūtau mate e tika ana ki te mana o mate ranei pirinoa, kohi, te pukupuku o te piro iti, mate a Crohn.

Tauira malabsorption intracavitary

Ki tenei momo o Agr nuinga ohorere nakunaku ngako. kawea ratou paparetanga i roto i te lipase pancreatic, whakahohe nei e ate. Ki te kaimahi o enei rauemi puta tohumate pēnei i steatorrhea. Tenei kōwhiringa ki feces ngako te taikaha. Kei te tino mārama whakakitea tenei i roto i te steatorrhea pancreatitis ma'i. Iti kite tenei tohumate i roto i te ate, me te wahi biliary.

I roto i te take o te malabsorption intracavitary, kia whakaaro hypoplasia congenital o te repe taiaki (hypoplasia). puta Tohu i te ra tuatahi wiki o te ora ranei. He he he heamana tere umeraa malodorous me hinuhinu wai taonga. Fat taea ara tonu turuturu i roto o te nono.

Tauira malabsorption posttsellyulyarnoy

puta Posttsellyulyarnaya malabsorption intestinal enteropathy ka exudative. Ko te syndrome i i ngaro wē pūmua te roto i te mucosa tenei. pea te take o te enteropathy exudative i te aroaro o te malformation congenital o oko whēkau lymphatic. meinga nuinga maha mate syndrome o Whipple, mate a Crohn, te pukupuku whēkau iti, mate pāwera kai.

enteropathy Exudative ētahi wā puta kahore faaiteraa haumanu mārō rawa. Kia wheako tohu pērā i korere me te steatorrhea. puta tūroro edema piringa, paetata i te mata, hoki, perineum, wahi.

Tauira enterotsellyulyarnoy malabsorption

kia Enterotsellyulyarny momo Agr malabsorption tika ki te māuiuitanga pērā i malabsorption kūhuka-galactose. Ko te mate riro te wahi i te pakaru waka kaha o te kūhuka i me te galactose i roto i te mucosa whēkau iti tenei. Mate i roto i nga ra tuatahi o te ora whakakitea e te korere. Fecal tohaina i te 10 ki te 20 ngā wā ia ra. He waiwai ratou, Ahakoa mimi. whakaara ake te tamaiti i te pāmahana tinana, puta ruaki. Ki te whakakore koe te supply waiu he tohu. kātakí Poor o sweets me waiu tonu mo te ora.

Ko tētahi atu tauira enterotsellyulyarnogo CMA - huahuka malabsorption. Ko te malabsorption ira onge tenei. Tohu puta i muri i te kohi o hua me he inu, kei roto i roto i tona hanganga, he nui nui o te huahuka. Ko te aporo me karaka, me Cherries me here tenei. e kore te taua huahuka riro e te tinana, meinga flatulence, korere waiwai, te mamae colicky i roto i te puku. I roto i ētahi wā, i reira te ruaki. Ko te pakeke o tohu, tei runga i tomo i te nui o te huahuka te tinana.

Ko te tino noa take enterotsellyulyarnoy malabsorption ki nakunaku membrane waimaero - disaccharidase reira hē. Ki te kore te reira tino wahia disaccharides. e kore e riro ratou ka tomo i te whēkau distal me mamae FERMENTATION kitakita ki te kukuwhatanga o te hauwai. He pāngia o colic intestinal, bloating, korere, heke hiahia, ruaki, ruaki.

Enterotsellyulyarnaya intestinal malabsorption malabsorption me nakunaku taea puta i roto i te mate celiac. Ko te mate ma'i tuku i roto i ai pakaru Villi o te whēkau iti i etahi kai. whakakitea mate Celiac te i roto i te tamariki i te marama torutoru i muri i te kupu whakataki o ngā hua whakatutuki glyutensoderzhaschih. A, no te te mate:

• defecation auau Ko 2 ki te 5 ngā wā i te ra;
• he mushy, ētahi wā e huhuka kumete, he reira tūturu i roto i te haunga fetid, whiti;
• faarahi puku;
• i reira e iti taonga taimaha (etahi wa ki te takarepa papatipu i muri i hono hē tupu).

Mahi tātaritanga ki malabsorption syndrome

e kore te tātaritanga malabsorption kawea i roto i. Tohunga i roto i tāutu SMA tohumate whakaritea ki o ratou tūroro te huringa o whakamātautau motuhake, me te tātaritanga ki te whakaū i tetahi ara i tetahi māuiuitanga whakapae whakapataritari e absorption waimaero nakunaku ranei ranei.

A, no te mau ana i roto i te tātaritanga, e arahina tākuta i te hātepe i raro whakawhanakehia e te Ao Gastroenterology Organization:

• tuatahi kawea i roto i te hītori tino, kohi mōhiohio e pā ana ki te rongoā mahia tata haere, te whakamahi o te kai me te inu kihai whakaurua i roto i te kai mua;
• aamu utuafare ako;
• i te whakamātautau ā-tinana mō ngā tohu o te malabsorption;
• ako nohoanga, tango ki pūkete ratou āhuatanga;
• E kawea whakamātautau taiwhanga i hoki ētahi atu mōhiohio.

tātaritanga atu o te malabsorption syndrome ngā tūhuratanga mahinga mō te mate celiac whakapae, te aroaro o giardia, huakita me pirinoa i roto i te tinana. taea nui ngā mōhiohio tātaritanga ki te whiwhi ultrasound o nga whekau o te kōhao puku. Na roto i taea ultrasound ki whakatau tata i te huru o te kōpuku ate, repe taiaki, te au tōngāmimi, waitinana.

Hei aukati whakaū ranei te gastritis autoimmune, mate celiac, fie esophagogastroduodenoscopy mate o Crohn ki unuhanga o te kopu me te duodenum. Hei whakaū i te kore o te mahi pancreatic rangahau exocrine tū nohoanga, rorohiko me te tomography te kōwarotanga autō, cholangiopancreatography retrograde ki sioloto aerodynamics. Hei ako e pā ana ki te aroaro ngaro ranei o pāpaka o te ileum, whakaritea nga tohunga ileokolonoskopiyu ki te unuhanga o te rohe ako me te kopirua.

Maimoatanga o te malabsorption syndrome

I muri Tātaritia te malabsorption take tākuta etiotropic whakahau maimoatanga e hāngai ana i te whakatutuki i te mate tāutuhia. Hei tauira:

• Ki te kitea te mate celiac te, taunaki te mātanga te manawanui he kai pumuawiti-free oraraa taatoa;
• ki te kitea malabsorption o warowaihā ātete kai ranei, ka te whakaritea e te reira ki te hāngai te whakakorenga kai fakangatangata ranei;
• tukanga hopuhopu paturopi whakaaturia;
• i roto i te pūkoro tinana me te endocrine mate titau therapy pathogenetic tika.

A, no te faaite syndrome diarrheal e ai malabsorption, kia maimoatanga etiologic, me symptomatic pathogenetic. Patogenetichekaya therapy etiological a kia waiho hei rōpū o te tikanga e whai ake nei:

• paturopi mō te korere kitakita;
• "Metronidazole" ki amebiasis;
• taero anthelmintic helminthiasis;
• glucocorticoids, cytostatics, "infliximab" i roto i te mate whēkau inflammatory;
• "Tetracycline", "Ceftriaxone", "Co-trimoxazole" mate o Whipple;
• "Octreotide" ki te pukupuku endocrine o te wahi gastrointestinal.

maimoatanga symptomatic ngā fariiraa i probiotics, opiates, "Loperamide" kaihoko absorbent (bismuth taka "Diosmektita").

Ki te whaiaro-taea i roto i te hui o ngā tohu o SMA. e kore e hoatu e te reira i hua pai. I tua atu, malabsorption - ko te faaiteraa o te mate taumaha, me te mōrearea. Ki te wheako koe tohu o SMA e tūtohu ana ki te kōrero i te tākuta. Anake e taea te huaina te mātanga te take pono o te syndrome me ki whakarite te therapy whai hua mō te whakakorenga o te mate pāngia.