I-Blind loop syndrome

I-Blind loop syndrome yenzeka lapho ukudla okugayiwe kuhamba kancane noma kuyeka ukuhamba ngengxenye yamathumbu. Lokhu kubangela ukwanda kwamagciwane emathunjini. Futhi kuholela ezinkingeni zokumunca izakhamzimba.

Igama lalesi simo lisho "iluphu elingaboni" elakhiwe yingxenye yamathumbu eyeqiwe. Lokhu kuvinjelwa akuvumeli ukudla okugayiwe ukugeleza ngokujwayelekile ngomgudu wamathumbu.

Izinto ezidingekayo ukugaya amafutha (abizwa ngosawoti we-bile) azisebenzi njengoba kufanele lapho ingxenye yamathumbu ithinteka yi-blind loop syndrome. Lokhu kuvimbela amavithamini anamafutha ancibilika emzimbeni ukuthi angangeni emzimbeni. Iphinde iholele ezitulweni ezinamafutha. Ukuntuleka kwe-Vitamin B12 kungenzeka ngoba amabhaktheriya angeziwe akha iluphu elingaboni asebenzisa le vithamini.

I-Blind loop syndrome iyinkinga eyenzekayo:

• Ngemuva kokuhlinzwa okuningi, kufaka phakathi i-subtrectomy engaphansi (ukususwa kokuhlinzwa kwengxenye yesisu) nokusebenza kokukhuluphala ngokweqile
• Njengenkinga yesifo samathumbu esivuthayo

Izifo ezinjengesifo sikashukela noma i-scleroderma zinganciphisa ukunyakaza engxenyeni yamathumbu, okuholele ku-blind loop syndrome.

Izimpawu zifaka:

• Uhudo
• Indle enamafutha
• Ukusutha emva kokudla
• Ukuphelelwa isifiso sokudla
• Isicanucanu
• Ukwehla kwesisindo ngokungenhloso

Ngesikhathi sokuhlolwa komzimba, umhlinzeki wezokunakekelwa kwempilo angabona ubukhulu ngaphakathi, noma ukuvuvukala kwesisu. Ukuhlolwa okungenzeka kufaka:

• Iskena se-CT esiswini
• I-x-ray yesisu
• Ukuhlolwa kwegazi ukuhlola isimo somsoco
• Uchungechunge oluphezulu lwe-GI olunamathumbu amancane alandela ukugqama kwe-x-ray
• Ukuhlolwa komoya ukuthola ukuthi ngabe kukhona yini ama-bacteria amaningi ngokweqile emathunjini amancane

Ukwelashwa kuvame ukuqala ngama-antibiotic wokukhula okwedlulele kwamagciwane, kanye nezengezo zikavithamini B12. Uma ama-antibiotic engasebenzi, kungadingeka ukuhlinzeka ukusiza ukudla kugeleze emathunjini.

Abantu abaningi baba ngcono ngama-antibiotic. Uma kudingeka ukulungiswa kokuhlinzwa, umphumela uvame ukuba muhle kakhulu.

Izinkinga zingafaka:

• Qedela ukuvinjelwa kwamathumbu
• Ukufa kwamathumbu (amathumbu)
• Hole (perforation) emathunjini
• I-Malabsorption nokungondleki kahle

Shayela umhlinzeki wakho uma unezimpawu ze-blind loop syndrome.

Isifo se-Stasis; I-loop syndrome engamile; Ukukhula okuthe xaxa kwegciwane emathunjini

• Uhlelo lokugaya ukudla
• Isisu namathumbu amancane
• Ukuphambukiswa kwe-Biliopancreatic (BPD)

UHarris JW, i-Evers BM. Amathumbu amancane. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 49.

UShamir R. Ukuphazamiseka kokungenzi kahle kwe-malabsorption. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 364.