I-Blind loop syndrome

I-Blind loop syndrome yenzeka xa ukutya okutyetyisiweyo kuhamba kancinci okanye kuyeka ukuhamba kwinxalenye yamathumbu. Oku kubangela ukwanda kwebhakteria emathunjini. Ikwakhokelela kwiingxaki zokufunxa izondlo.

Igama lale meko libhekisa "kwiluphu engaboniyo" eyenziwe yinxalenye yamathumbu egqithileyo. Olu vimba aluvumeli ukutya okwetyisiweyo ukuba kugele ngesiqhelo kumatshini wamathumbu.

Izinto ezifunekayo zokwetyisa amafutha (abizwa ngokuba yi-bile salts) azisebenzi njengoko kufanelekile xa icandelo lamathumbu lichaphazeleka yi-blind loop syndrome. Oku kuthintela iivithamini ezinamafutha kunye nezinyibilikayo ezingangeni emzimbeni. Ikwakhokelela kwizitulo ezinamafutha. Ukusilela kweVitamin B12 kunokwenzeka ngenxa yokuba ibhaktiriya eyongezelelweyo eyakha kwiluphu engaboniyo isebenzisa le vithamini.

I-Blind loop syndrome yingxaki eyenzekayo:

• Emva koqhaqho oluninzi, kubandakanya i-subtotal gastrectomy (ukususwa kotyando kwinxalenye yesisu) kunye nokusebenza kokutyeba kakhulu
• Njengengxaki yesifo sokukrala kwamathumbu

Izifo ezinje ngeswekile okanye i-scleroderma zinokucothisa ukuhamba kwicandelo lamathumbu, zikhokelela kwi-blind loop syndrome.

Iimpawu zibandakanya:

• Urhudo
• Izitulo ezinamafutha
• Ukugcwala emva kokutya
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu
• Ukuphulukana nobunzima ngabom

Ngexesha lovavanyo lomzimba, umboneleli wezempilo unokubona ubunzima ngaphakathi, okanye ukudumba kwesisu. Uvavanyo olunokwenzeka lubandakanya:

• Ukuskena kwe-CT esiswini
• X-ray esiswini
• Uvavanyo lwegazi ukujonga imeko yesondlo
• Uthotho oluphezulu lwe-GI olunamathumbu amancinci alandelelana ngokuchaseneyo x-ray
• Uvavanyo lokuphefumla ukumisela ukuba ngaba zikhona iintsholongwane ezigqithileyo kumathumbu amancinci

Unyango luhlala luqala ngamayeza okubulala iintsholongwane, kunye nevithamini B12. Ukuba ii-antibiotics azisebenzi, kunokufuneka kwenziwe utyando ukunceda ukutya kuhamba emathunjini.

Abantu abaninzi baba ngcono ngamayeza okubulala iintsholongwane. Ukuba ukulungiswa kotyando kuyafuneka, iziphumo zihlala zilungile.

Iingxaki zinokubandakanya:

• Gqibezela ukuphazamiseka kwamathumbu
• Ukufa kwamathumbu (isisu esiswini)
• Umngxunya (ukugqobhoza) emathunjini
• I-Malabsorption kunye nokungondleki

Tsalela umnxeba umboneleli wakho ukuba uneempawu zesifo esingaboniyo.

Isifo seStasis; I-loop syndrome engapheliyo; Ukugqithisa kweebhakteria ezincinci

• Inkqubo yokwetyisa
• Isisu kunye namathumbu amancinci
• Ukuphambukiswa kweBiliopancreatic (BPD)

IHarris JW, i-Evers BM. Ndibonise uthando. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 49.

UShamir R. Ukuphazamiseka kwendlela engalunganga. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 364.