Malabsorption

Malabsorption aofia ai faʻafitauli ma le tino gafatia e ave i totonu (mitiia) meaʻai mai meaai.

Tele faʻamaʻi e ono mafua ai malabsorption. Tele taimi, malabsorption aofia ai faʻafitauli mitiia nisi suka, gaʻo, polotini, po o vitamini. E mafai foʻi ona aʻafia ai se faʻafitauli aoao ile mitiia o meaʻai.

Faʻafitauli poʻo le faʻaleagaina o le tootoo laititi e mafai ona mafua ai faʻafitauli mitiia mea taua aoga. E aofia ai:

• Faamaʻi Celiac
• Laʻau faʻasolosolo
• Crohn faʻamaʻi
• Faamaʻi Whipple
• Faʻaleagaina mai togafiti togafitiga
• Ova tele o siama i le tamaʻi manava
• Parasite poʻo faʻafefe tapeworm
• Taotoga e aveese uma ai poʻo se vaega o le tamaʻi manava

Enzymes gaosia e le pancreas fesoasoani mitiia gaʻo ma isi mea aoga. O le faʻaititia o nei enzyme e faʻafaigata ai ona mitiia gaʻo ma nisi mea aoga. Faʻafitauli ma le pancreas ono mafua mai i:

• Fibrosis o le cystic
• Iniseti poʻo le fulafula o le pancreas
• Faʻalavelave i le papala
• Taotoga e aveʻese ai le vaega o le pancreas

O isi mafuaʻaga o malabsorption aofia ai:

• AIDS ma le HIV
• Nisi vailaʻau (tetracycline, nisi antacids, nisi vailaʻau faʻaaoga e togafitia gaʻoa, colchisin, acarbose, phenytoin, cholestyramine)
• Gastrectomy ma taotoga togafitiga mo lapoʻa
• Cholestasis
• Faamai faaumiumi o le ate
• O le faapalepale susu o povi
• O le faapalepale susu o le susu soya

I tamaiti, o loʻo iai nei le mamafa poʻo le fua faatatau o le mauaina o le mamafa e tele lava ina paʻu ifo nai lo isi tamaititi e tutusa o latou tausaga ma itupa. E taʻua lea mea o le le ola manuia. Atonu e le tupu le tamaititi ma tupu aʻe masani.

Tagata matutua ono i ai foi le toilalo e olaola lelei, ma paʻu leiloa, maso maso, vaivaiga, ma e oo lava i faafitauli mafaufauga.

E masani ona iai suiga i nofoa, ae le masani.

Suiga i nofoa e mafai ona aofia ai:

• Fula, faʻapipiʻi, ma kesi
• Fata lapisi
• Manava tatā
• Ova gaʻo (steatorrhea)

O lau fomaʻi tausi soifua o le a faia se suʻega. O suʻega e mafai ona faia e aofia ai:

• Toto ma miaga suʻega
• CT faʻataʻitaʻi le manava
• Suʻesuʻega manava Hydrogen
• MR poʻo le CT enterography
• Suʻega ole Schilling mo le le lava o le vaitamini B12
• Suʻega faʻaosofia o le Secretin
• Biopsy laititi o le manava
• Tu ma aga aganuu poʻo le aganuʻu o le manava laiti manaʻomia
• Suega gaʻo o suʻega
• X-ave o le tamaʻi manava poʻo isi faʻataʻitaʻiga faʻataʻitaʻiga

Togafitiga faʻalagolago i le mafuaʻaga ma e faʻamoemoeina i le faʻamamaina o faʻailoga ma mautinoa le tino mauaina ia lava meaʻai.

O se taumafataga maualuga-kalori mafai ona tofotofoina. E tatau ona 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 i latou e i ai le faʻaleagaina o le pancreas ono manaʻomia e ave pancreatic enzymes. E faʻatonuina e lau tautua nei mea pe a manaʻomia.

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.

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 le a filifilia e lau tautua le aofaʻi saʻo o kalori ma TPN solution. O isi taimi, e mafai foi ona 'ai ma inu a o maua ni meaʻai mai TPN.

O le vaʻaiga e faʻamoemoe i le mea ua mafua ai le malabsorption.

Malabsorption mo se taimi umi e mafai ona iu ai i le:

• Anemia
• Maa maa
• Maʻa fatugaʻo
• Manifinifi ma vaivai ponaivi

Valaʻau lau tautua pe a iai ni faʻailoga o le malabsorption.

Puipuiga faalagolago i le tulaga mafua ai malabsorption.

• Polokalama Digestive
• Fibrosis o le cystic
• O totoga o le digestive system

Högenauer C, Hammer HF. Maldigestion ma malabsorption. I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma Fordtran's Gastrointestinal ma le Maʻi o le ate. 11th lomiga. Filatelefia, PA: Elsevier; 2021: mata 104.

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.