Blind loop chirwere

Blind loop syndrome inoitika kana chikafu chakagayiwa chadzikira kana kumira kumira kuburikidza nechikamu chemuura. Izvi zvinokonzera kuwanda kwebhakitiriya mumatumbo. Izvo zvinotungamira kumatambudziko anotora zvinovaka muviri.

Zita rechimiro ichi rinoreva "bofu rakasvinura" rakaumbwa nechikamu chemuura chakapfuura. Kuvharika uku hakubvumidze chikafu chakagayikwa kuti chiyerere zvakajairika kuburikidza nematumbu.

Izvo zvinhu zvinodiwa kugaya mafuta (anonzi bile munyu) hazvishande sezvavanofanira kana chikamu chemukati chakakanganiswa ne blind blind syndrome. Izvi zvinodzivirira mavhitaminzi ane mafuta uye ane mafuta kuti asapinda mumuviri. Iyo zvakare inotungamira kune emafuta ezvituru. Vitamin B12 kushomeka kunogona kuitika nekuti mamwe mabhakitiriya anoumba mune bofu loop anoshandisa vhitamini iyi.

Blind loop syndrome idambudziko rinoitika:

• Mushure mekuvhiya kwakawanda, kusanganisira subtotal gastrectomy (kuvhiya kubvisa chikamu chedumbu) uye mashandiro ekunyanyisa kufutisa
• Sechinetso chekuputira ura chirwere

Zvirwere zvakaita seshuga kana scleroderma zvinogona kudzora kufamba muchikamu chemuura, zvichitungamira kubofu loop syndrome.

Zviratidzo zvinosanganisira:

• Manyoka
• Zvigaro zvine mafuta
• Kuzara mushure mekudya
• Kupererwa nechido
• Nausea
• Kurasikirwa kwekurema kwemaune

Munguva yekuongorora kwepanyama, mupi wezvehutano anogona kuona kuwanda mukati, kana kuzvimba kwedumbu. Bvunzo dzinogona kuitika dzinosanganisira:

• Abdominal CT scan
• Abdominal x-ray
• Kuongororwa kweropa kuti uone mamiriro ehutano
• Kumusoro GI dzakateedzana nediki diki tevera kuburikidza musiyano x-ray
• Breath test kuti uone kana paine akawandisa mabhakitiriya mune dumbu ura

Kurapa kazhinji kazhinji kunotanga nemishonga inorwisa mabhakitiriya kune akawandisa mabhakitiriya kukura, pamwe ne vitamini B12 zvinowedzera. Kana mishonga inorwisa mabhakitiriya isiri kushanda, kuvhiya kunogona kudikanwa kubatsira chikafu kuyerera kuburikidza nematumbu.

Vanhu vazhinji vanova nani nemishonga inorwisa mabhakitiriya. Kana kugadziriswa kwekuvhiya kuchidikanwa, mhedzisiro yacho inowanzo kuve yakanaka kwazvo.

Zvinetso zvinogona kusanganisira:

• Zadzisa matumbo kuvhara
• Kufa kwematumbo (intestinal infarction)
• Hole (perforation) mumatumbu
• Malabsorption uye kushaya zvinovaka muviri

Fonera waunopa kana iwe uine zviratidzo zvebofu loop syndrome.

Stasis chirwere; Yakamira loop syndrome; Diki bota bhakitiriya kuwanda

• Kugaya chirongwa
• Dumbu uye ura hudiki
• Biliopancreatic diversion (BPD)

Harris JW, Evers BM. Utumbo hudiki. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 49.

Shamir R. Kukanganiswa kwemalabsorption. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 364.