Faʻafitauli o le manava puʻupuʻu

Short bowel syndrome o se faʻafitauli e tupu pe a misi se vaega o le tamaʻi manava pe na aveʻesea i le taimi o taotoga. O fualaʻau e le taliaina faʻalelei i le tino o se faʻaiuga.

O le tamaʻi manava e mitiia le tele o mea aoga e maua i meaʻai tatou te 'aʻai. A misi le lua vaetolu o le tamaʻi manava, e ono le ofi lava le tino i meaʻai e tumau ai lou soifua maloloina ma faʻatumau ai lou mamafa.

O nisi pepe ua fananau mai o loʻo misi se vaega poʻo le tele o latou tamaʻi manava.

E tele taimi, e tupu ai le syndrome o le manava puʻupuʻu ona o le tele o le tamaʻi manava e aveʻesea i le taimi o taotoga. Lenei ituaiga o taotoga ono manaʻomia:

• Ina ua maeʻa fana poʻo ni isi mea faʻaletonu na faʻaleagaina le manava
• Mo se tasi e maʻi tigaina i Crohn
• Mo pepe, e masani ona fananau mai i le amataga, pe a oʻo le vaega o latou manava e mate
• Pe a tafe le toto i le tamaititi laʻau e faʻaititia ona o le toto pala pe laʻaitiiti alatoto

Faʻailoga e ono aofia ai:

• Manava tata
• Le lavava
• Palasi, faʻaputuga gaʻoa
• Fula (edema), aemaise lava o vae
• Nofoaga manogi leaga lava
• Paʻu pauna
• Faʻamaligiina

O suʻega ia e ono faia:

• Toto vailaʻau kemisi (pei o le albumin tulaga)
• Faitau atoa le toto (CBC)
• Suʻesuʻega gaʻo ole gaʻo
• Laʻititi manava x-ray
• Vitamini tulaga i le toto

Togafitiga e faʻatatau i le faʻamamaina o faʻailoga ma mautinoa le tino mauaina tino lava hydration ma meaʻai.

Se taumafataga maualuga-kalori e sapalai:

• Key vitamini ma minerals, pei o le uʻamea, folic acid, ma vitamini B12
• Lava o gaʻo, polotini, ma gaʻo

Afai e manaʻomia, o le a tuiina ni vailaʻau ma minerale poʻo ni mea tuputupu aʻe.

O vailaʻau e faʻatelegese ai le gaioi masani o le manava e mafai ona faʻataʻitaʻia. Lenei mafai faʻatagaina meaai e tumau i le manava umi. O vailaʻau e tuʻu ai i lalo le aofaʻi o le manava acid ono manaʻomia foi.

Afai e le mafai e le tino ona mitiia ia lava meaʻai, o le aofai o matua meaʻai (TPN) o loʻo faʻataʻitaʻia. O le a fesoasoani ia te oe poʻo lau tama ia maua meaai paleni mai se faʻapitoa auala e ala i se alatoto i totonu o le tino. O lau fomaʻi tausi soifua o le a filifilia le sao aofaʻi o kalori ma TPN fofo. O isi taimi, e mafai foi ona 'ai ma inu a o maua ni meaʻai mai TPN.

Laʻititi le manava totoina o se filifiliga i nisi tulaga.

O le tulaga e mafai ona faʻaleleia i le taimi pe a fai e mafua i le taotoga. O le faʻaaogaina o mea taumafa e ono faifai malie ai ona lelei.

Faʻafitauli e ono aofia ai:

• Ova tele siama i totonu o le tamaʻi manava
• Faafitauli faiga popolevale mafua mai i le le lava o vitamini B12 (Lenei faafitauli mafai ona togafitia ma vitamini B12 tui.)
• Tele acid i le toto (metabolic acidosis ona o le manava tata)
• Maa maa
• Maʻa fatugaʻo
• Faʻamaligiina
• Paleni meaai
• Ivi vaivai (osteomalacia)
• Paʻu pauna

Valaʻau lau tautua pe a fai e te maua i faʻamaʻi o le bowel syndrome, aemaise pe a uma ona faia lou taotoga o le manava.

Le lava le manava laiti; Faʻafitauli o le manava puʻupuʻu; Necrotizing enterocolitis - manava puʻupuʻu

• Polokalama Digestive
• O totoga o le digestive system

Buchman AL. Faʻafitauli o le manava puʻupuʻu. I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma le Fordtran's Gastrointestinal ma le Maʻi o le ate. 11th lomiga. Filatelefia, PA: Elsevier; 2021: mata 106.

Kaufman SS. Faʻafitauli o le manava puʻupuʻu. I le: Wyllie R, Hyams JS, Kay M, eds. Pediatric Gastrointestinal ma le Maʻi o le ate. 5th ed. Filatelefia, PA: Elsevier; 2016: mata 35.

Semrad TA Faalatalata i le tagata maʻi ma le manava tata ma malabsorption. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 131.