So w’aduan kɔhyɛ wo dwensɔtwaa mu a wonnyam? Eyi betumi ayɛ Blind Loop Syndrome!

Ɛtɔ da bi a, yɛte biribi a ɛyɛ nwonwa anaa ɛnyɛ dɛ wɔ yɛn yafunu mu bere a yɛadi awie no, ɛnte saa? Ebia yɛte nka sɛ yɛayɛ ma, anaasɛ yɛn yafunu yɛ yɛn yaw, anaasɛ yɛn yafunu da mpan. Mpɛn pii no, eyinom yɛ nneɛma a ɛfata, na yesusuw sɛ ebia biribi asɛe wɔ aduan no ho, nanso ɛtɔ mmere bi a ebia ntease afoforo a anibere wom kɛse wɔ saa sɛnkyerɛnne ahorow yi akyi. Ɛnnɛ yɛrebɛka tebea bi a yɛntaa nte ho asɛm, nanso ɛho hia paa sɛ obiara hu ho asɛm. Ɛno yɛ tebea bi a wɔfrɛ no Blind Loop Syndrome.

Dɛn ankasa ne nea wɔfrɛ no Blind Loop Syndrome yi?

Sɛ yɛbɛka no tiawa a, aduan a wudi no kɔhyɛ wo aduan a wodi no fã pɔtee bi, kyerɛ sɛ, wo dwensɔtwaa mu, na sɛ́ anka ɛbɛkɔ sɛnea ɛsɛ no, ɛkyere na egyina. Susuw ho saa kwan yi so, sɛ nsu paipu bi kɔhyɛ baabi a, ɛbɛyɛ nsõ na mmoawa nyin, na ɛno ne nea ɛkɔ so wɔ ha nso. Sɛ aduan kɔhyɛ baabi biako a, mmoawa fi ase nyin wɔ wo dwensɔtwaa mu sen sɛnea ɛsɛ sɛ wɔyɛ. Eyi betumi ama wo ho atɔ wo kɛse, na ebetumi nso ama wo mu duru so atew na woanya aduannuru a enni mu. Wɔsan frɛ eyi stasis syndrome ne stagnant loop syndrome. Abusuabɔ bɛn na ɛda blind loop syndrome ne dwensɔtwaa nketewa mu mmoawa a wɔdɔɔso dodo (SIBO) ntam? Ebia woate tebea bi a wɔfrɛ no `SIBO (Small Intestinal Bacterial Overgrowth)` ho asɛm. Ɛyɛ mmoawa a wɔdɔɔso dodo wɔ dwensɔtwaa ketewa no mu. Nokwarem no, `Blind Loop Syndrome` yɛ ɔkwan biako a `SIBO` betumi afa so aba. Eyi kyerɛ sɛ esiane sintɔ bi a ɛwɔ dwensɔtwaa no nhyehyɛe mu, kyerɛ sɛ, ɔkwan a wɔfa so yɛ dwensɔtwaa no nti, aduan no kɔhyɛ baabi biako na mmoawa nyin. `SIBO` nso betumi afi nsakrae a ɛba wɔ nnuru a ɛkari pɛ mu wɔ dwensɔtwaa no mu, nanso wɔ `Blind Loop Syndrome` mu no, nea ɛde ba ne nhyehyɛe mu ɔhaw.

Hena na ɛda adi kɛse sɛ obenya saa tebea yi?

Ɛwom sɛ obiara betumi anya saa `Blind Loop Syndrome` yi de, nanso nnipa binom wɔ asiane kɛse mu sɛ wobenya bi.

• Nnipa a wɔayɛ wɔn yafunu anaa dwensɔtwaa oprehyɛn : Asiane yi yɛ kɛse titiriw ma nnipa a wɔayɛ nneɛma te sɛ dwensɔtwaa ketewaa a wɔatwa, colectomy, anaa oprehyɛn a wɔde ma wɔn mu duru (yafunu mu oprehyɛn, yafunu nsateaa oprehyɛn). Aduan betumi akɔhyɛ baabi biako esiane akuru a ɛba bere a wɔayɛ oprehyɛn akyi anaasɛ esiane sɛ dwensɔtwaa no keka ne ho brɛoo nti.
• Nnipa a wɔwɔ nyarewa a ɛka aduan mu nneɛma a ɛkɔ nipadua no mu no:
• Celiac yare a ɛma obi nya yare
• Crohn yare no
• Diverticular yare a ɛma obi nya diverticular yare
• Enterocolitis a ɛma obi ho yɛ hyew
• Gastroparesis (yafunu mu ntini a ɛnyɛ adwuma yiye) .
• Nneɛma a ɛbata dwensɔtwaa mu
• Ɔyare a ɛma obi ho yɛ hyew ( IBS ) .
• Yare a ɛma akisikuru a ɛwɔ yafunu mu
• Ayaresa mu tebea afoforo:
• Asikreyare `( Asikreyare )`
• Scleroderma a ɛma nipadua no yɛ adwuma
• Radiation enteritis (dwensɔtwaa mu ɔfe a efi mframa a wɔde sa yare mu ba) .
• Nea ɛka ho: Ebetumi nso afi opira a ɛba dwensɔtwaa mu, anaasɛ ɔkwan a ɛnyɛ ne kwan so a ɛbue (`yafunu mu fistula`) a ɛba yafunu ne dwensɔtwaa ntam.

So mmofra nkumaa betumi anya eyi? Yiw, mmofra nkumaa betumi anya `Blind Loop Syndrome`. Te sɛ mpanyimfo no, saa tebea yi nso betumi aba wɔ oprehyɛn akyi. Afei nso, wobetumi awo mmofra binom a wɔn aduan mu nneɛma bi wɔ hɔ (awosu mu nneɛma a ɛnteɛ). Nhwɛsoɔ:

• Biliary atresia a ɛma mogya tu
• Gastroschisis a ɛma obi ho kyere no
• Jejunal atresia a ɛma obi ho yɛ hyew
• Enterocolitis a ɛma obi wura

So eyi yɛ aniberesɛm? So ebetumi de nkwa ato asiane mu?

Ɛhaw nnipa pii sɛ eyi yɛ tebea a ɛde wɔn nkwa to asiane mu. Mpɛn pii no, Blind Loop Syndrome ntumi nkum nnipa. Sɛ wɔsa wɔn yare yie a, nnipa dodoɔ no ara yareɛ no ho sɛnkyerɛnne tu mpɔn. Nanso, sɛ wɔansa bere tenten a, nsɛnnennen a emu yɛ den ntaa mma. Titiriw no, tokuru bi betumi aba dwensɔtwaa no mu (yafunu mu ntokuru). Eyi yɛ tebea a egye ntɛmpɛ a ɛde nkwa to asiane mu. Blind Loop Syndrome nyɛ tebea a ɛtaa ba. Enti, esiane sɛ yare no ho sɛnkyerɛnne te sɛ aduan mu nyarewa afoforo a ɛtaa ba no nti, ɛtɔ mmere bi a ebetumi akɔ so a wonhu anaasɛ wɔanhu no yiye. Ade foforo nso ne sɛ, yare no ho sɛnkyerɛnne betumi ada adi wɔ mfe pii akyi wɔ oprehyɛn no akyi.

Dɛn ne eyi ho sɛnkyerɛnne? Hwɛ sɛ wo nso wowɔ eyinom anaa.

Obi a ɔwɔ `Blind Loop Syndrome` betumi anya nsɛnkyerɛnne a edidi so yi mu biako anaa nea ɛboro saa:

• Yafunu mu yaw a ɛtaa yɛ, akisikuru anaasɛ ne ho popo.Ɛte sɛ nea biribi akɔhyɛ me yafunu mu.
• Aduan ho akɔnnɔ a ɛyera.
• Atiridiinini a ɛtaa ba (atiridiinini) ne mframa a ɛtra so.
• Megaloblastic anemia: Eyi yɛ mogya a ɛtɔ kɔ nipadua mu a vitamin B12 a enni nipadua mu na ɛde ba.
• Nsu a srade wom na ɛsensɛn so (Steatorrhea).
• Yafunu a ɛho ayɛ kurukuruwa.
• Mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu, mu duru a ɛso tew, ne vitamin ne aduannuru a enni nipadua mu.

Sɛ wunya saa sɛnkyerɛnne ahorow yi bere nyinaa a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Sɛnea yɛadi kan aka no, ade titiriw a ɛde Blind Loop Syndrome ba ne oprehyɛn a wɔyɛ wɔ yafunu mu ntini no mu. Sɛ oprehyɛn bi ma wo dwensɔtwaa no fã bi yɛ tiaa anaasɛ ɛsakra ɔkwan a aduan fa so tu a, saa tebea yi betumi aba. Nhwɛso pa ne yafunu a wotwa no fã bi. Sɛ oduruyɛfo yi wo yafunu no fã bi a, ɔfã a aka no bata dwensɔtwaa ketewa no fã bi ho tẽẽ. Eyi ma wonya ɔkwan foforo a aduan fa so hyɛn dwensɔtwaa ketewa no mu. Nanso, sɛ wɔyɛ eyi a, wɔtetew dwensɔtwaa ketewa no atifi fã no fi yafunu no ho na wɔto ano biako mu. Saa fã a wɔato mu no yɛ "anifuraefo loop", a ɛkyerɛ sɛ ɛbɛyɛ te sɛ ɔkwan a ɛyɛ owu. Aduan betumi akɔhyɛ beae yi. Sɛ mmoawa nyin dodo wɔ dwensɔtwaa ketewa no mu a, dɛn na ɛba? Sɛ aduan kyekyere saa a, mmoawa nyin wɔ hɔ. Saa mmoawa a wɔdɔɔso yi ka aduan a wɔyam no kɛse.

• Nea ɛto bile nkyene: Yɛn nipadua hia bile nkyene na ama srade a ɛwɔ yɛn aduan mu no ayam. Nanso mmoawa a enyin wɔ yɛn dwensɔtwaa mu no di saa bile nkyene yi, anaasɛ wɔsɛe wɔn dwumadi mpo. Afei nipadua no ntumi nwe srade no yiye, na entumi nnye vitamin a ɛma srade no mu (A, D, E, K). Ɛno nti na nnipa a wɔwɔ `Blind Loop Syndrome` no yɛ teateaa na wonya nsu a srade wom.
• Nea ɛto vitamin B12 a wɔtwe no: Saa mmoawa yi twetwe vitamin B12 a ɛwɔ aduan a yedi mu no. Afei yɛn nipadua no nnya vitamin B12 a ɛdɔɔso. Vitamin B12 a enni nipadua mu na ɛde megaloblastic anemia ba.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, wobedi kan abisa wo wo yare no ho sɛnkyerɛnne na wɔayɛ wo nipadua mu nhwehwɛmu. Wɔbɛte wo yafunu nka de ahwɛ sɛ ɛyaw, ɛho wosow, anaa akuru biara nni hɔ. Afei, ebia wɔbɛyɛ nhwehwɛmu ahorow pii de asi Blind Loop Syndrome so dua:

• Yafunu mu CT scan anaa X-ray.
• Barium enema: Eyi yɛ X-ray titiriw bi a wɔyɛ de hu sɛnea dwensɔtwaa no te.
• Mogya mu nhwehwɛmu de hwɛ aduannuru dodow a ɛwɔ wo mu.
• Enteroscopy: Wɔde afiri a ɛyɛ tratraa a wɔde mfoninitwa afiri di dwuma de hwehwɛ dwensɔtwaa no mu.
• Hydrogen home sɔhwɛ: Eyi betumi ahu mmoawa a wɔanyin dodo wɔ dwensɔtwaa ketewa no mu.
• Nsu mu nhwehwɛmu: Hwɛ sɛ ɔyare mmoawa anaa ngo bi wɔ nsu mu anaa.
• Upper GI series: X-ray nhwehwɛmu a wɔde barium swallow yɛ dwensɔtwaa a ɛwɔ soro no.

Dɛn ne ayaresa ahorow a wɔde sa eyi? So wobetumi asa no yare?

Ayaresa ahorow pii wɔ hɔ a wɔde sa `Blind Loop Syndrome`. Mma ɛnhaw wo, mpɛn pii no wobetumi adi ho dwuma yiye.

• Nnuru a ekum ɔyare mmoawa: Eyi ne ayaresa a wɔtaa de di dwuma. Saa nnuru yi kunkum mmoawa a enyin dodo wɔ dwensɔtwaa mu no. Nnipa pii fi ase twetwe aduannuru yiye wɔ adapɛn anaa asram kakraa bi akyi bere a wɔafi nnuru a ekum ɔyare mmoawa ase no.
• Nsakrae a ɛba aduan mu: Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ di aduan a protein, calories, ne srade a ahoɔden wom pii wom. Eyi betumi aboa wo ma wo mu duru asan ayɛ kɛse. Wo ne wo duruyɛfo nkasa mfa mu duru a ɛfata a wobɛkɔ so akura mu ho.
• Oprehyɛn: Sɛ wɔde nnuru a ekum ɔyare mmoawa di Blind Loop Syndrome no nkɛntɛnso so mpo a, dwensɔtwaa mu haw a ɛda adi (e.g., blind loop) no betumi akɔ so atra hɔ. Sɛ ɛba saa a, ebia ɛho behia sɛ wɔyɛ oprehyɛn na ama wɔasiesie ɔhaw no daa.
• Vitamin a wɔde ma: Sɛ mogya a ɛtɔ wo mu anaa aduannuru foforo a enni wo esiane vitamin a wunni nti a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa nnuru a wɔde ka aduan ho te sɛ vitamin B12.

Ade a ɛho hia sen biara ne sɛ wubenya ayaresa ama Blind Loop Syndrome. Mmoawa a nyin boro so no ankasa nyɛ yiye. Nokwarem no, bere kɔ so no, ɔhaw no betumi asɛe kɛse na ɛde nsɛnnennen a emu yɛ den aba. Enti, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn na woanya ayaresa a ɛfata, sɛ yare no ho sɛnkyerɛnne no sua mpo a.

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw eyi ano?

Ɔkwan pɔtee biara nni hɔ a wɔbɛfa so asiw Blind Loop Syndrome ano. Nanso, sɛ worekɔyɛ yafunu mu oprehyɛn biara a, nyansa wom sɛ wo ne wo duruyɛfo bɛkasa akyerɛ sɛnea wɔbɛyɛ oprehyɛn no ne sɛ ebia ɛde asiane ba sɛ wubenya Blind Loop Syndrome anaa.

So eyi bɛba ampa sɛ wɔayɛ wo oprehyɛn pɛn a?

Sɛ wɔadi kan ayɛ wo yafunu mu oprehyɛn mpo a, asiane a ɛwɔ hɔ sɛ wubenya Blind Loop Syndrome no sua koraa. Nanso, sɛ wɔyɛɛ oprehyɛn no bere tenten a atwam mpo a, ɛde asiane ketewaa bi ka ho. Enti, sɛ wuhu biribi a ɛyɛ soronko anaa sɛnkyerɛnne foforo wɔ wo aduan mu a, hwɛ yiye na ka kyerɛ oduruyɛfo ntɛm ara.

So ebetumi asan aba bio wɔ ayaresa akyi? Dɛn ne nsɛnnennen a ebetumi aba?

Wobetumi de nnuru a ekum ɔyare mmoawa ne oprehyɛn asa Blind Loop Syndrome no yiye. Nanso, wɔ nnipa binom fam no, tebea no betumi asan aba bio. Sɛ wɔansa no yare bere tenten a, nsɛnnennen te sɛ:

• Dwensɔtwaa a asiw
• Intestinal a ɛyɛ mmerɛw
• Malabsorption (ntumi nnye aduannuru yiye) .
• Aduan pa a wonnya nni
• Akuru a ɛwɔ wo dwensɔtwaa mu

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn ntɛm ara sɛnea metumi?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, kɔ oduruyɛfo nkyɛn ntɛm ara, efisɛ ebetumi ayɛ biribi a egye ntɛmpɛ ho sɛnkyerɛnne, te sɛ dwensɔtwaa mu tokuru:

• Yafunu mu a ɛtrɛw (te nka sɛ yafunu a ahonhon na ayɛ den) .
• Mogya a ɛwɔ wo nsu mu
• Atiridii ne awɔw
• Akisikuru ne ɔfe
• Yafunu mu yaw a emu yɛ den anaasɛ akisikuru

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wo duruyɛfoɔ ka kyerɛ wo sɛ wowɔ `Blind Loop Syndrome` a, ɛbɛyɛ papa sɛ wobɛbisa nsɛm yi:

• So akwan bi wɔ hɔ a wobetumi afa so atew saa sɛnkyerɛnne ahorow yi so a wonni nnuru anaa oprehyɛn?
• So probiotics betumi aboa ma saa sɛnkyerɛnne ahorow yi so atew?
• So aduan titiriw bi wɔ hɔ a ɛbɛma asiane a ɛwɔ hɔ sɛ eyi bɛsan aba bio no so atew?
• Hokwan bɛn na ɛwɔ hɔ sɛ eyi bɛsan asi bio wɔ ayaresa akyi?
• So ɛsɛ sɛ wɔyɛ me oprehyɛn ma eyi nso?

Sɛ wowɔ aduan mu haw anaa yafunu mu sɛnkyerɛnne afoforo a, kɔ oduruyɛfo nkyɛn. Sɛ woadi kan ayɛ wo yafunu oprehyɛn bi, sɛ ɛyɛ mfe bi a atwam mpo a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo . Blind Loop Syndrome nyɛ tebea a ɛtaa ba, nanso wo sɛnkyerɛnne kyerɛ sɛ biribi nyɛ papa. Sɛ́ wobehu yare no pɛpɛɛpɛ no ne ade a edi kan a ɛbɛma wɔatumi ayɛ ayaresa no yiye.

Ade a ɛho hia sen biara a ɛsɛ sɛ yesua fi eyi mu (Take-Home Message) .

Enti, sɛ yɛbɛka no tiawa a, `Blind Loop Syndrome` yɛ tebea a aduan kɔhyɛ dwensɔtwaa mu na mmoawa nyin boro so, na ɛde ɔhaw ahorow ne aduannuru ho haw ahorow ba. Nnipa a wɔayɛ wɔn yafunu mu oprehyɛn titiriw na asiane wom sɛ wobenya saa tebea yi. Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae ne:

• Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ yafunu a ɛkɔ so yɛ wo yaw, wo mu duru a ɛso tew, anaa akisikuru a, mmu w’ani ngu so.
• Hwɛ oduruyɛfo na hu nea ɛde ba ankasa.
• Sɛ wohu sɛ wowɔ `Blind Loop Syndrome` a, mma wo ho nnyɛ wo hu. Ayaresa ahorow a etu mpɔn wɔ hɔ a wɔde sa eyi.
• Ɛho hia paa sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.

Ɔkwan a eye sen biara a yɛbɛfa so anya apɔwmuden ne sɛ yɛbɛhwɛ biribiara a ɛyɛ soronko wɔ yɛn nipadua mu na yɛahwehwɛ aduruyɛfo afotu ntɛm ara. Akwahosan pa ma mo nyinaa!