Ðe wò nuɖuɖua tsia wò dɔgbowo me evɔ womeɖunɛ oa? Esia ate ŋu anye Blind Loop Syndrome!

Ɣeaɖewoɣi la, míesena le mía ɖokui me be nane si wɔ nuku alo mefa o le míaƒe dɔgbo me le nuɖuɖu vɔ megbe, alo? Ðewohĩ míese le mía ɖokui me be míeɖi ƒo, alo míaƒe dɔgbo le veve sem, alo míaƒe dɔgbo tsi ƒuƒlu. Zi geɖe la, nusiawo nye nusiwo sɔ, eye míesusuna be ɖewohĩ nane gblẽ le nuɖuɖua ŋu, gake ɣeaɖewoɣi la, susu bubu siwo nu sẽ wu ate ŋu anɔ megbe na dzesi siawo. Egbea míele nu ƒom tso nɔnɔme aɖe si ŋu ƒã hafi míesea nu tsoe ŋu, gake ele vevie ŋutɔ be amesiame nanya nu tso eŋu. Ema nye nɔnɔme aɖe si woyɔna be Blind Loop Syndrome.

Nuka tututue nye nusi woyɔna be Blind Loop Syndrome sia?

Kpuie ko la, nuɖuɖu si nèɖuna la tsia wò nuɖuɖumeŋusẽ ƒe akpa aɖe, si nye wò dɔgbowo me, eye le esi teƒe be wòaʋuʋu le mɔ si sɔ nu la, etsia anyi hetsia anyi. Bu eŋu ale, ne tsi ƒe pɔmpi aɖe tsi teƒe ɖeka la, ezua ʋuʋudedi eye dɔlékuiwo tsina, eye nenemae wòdzɔna le afisia hã. Ne nuɖuɖu tsi teƒe ɖeka la, dɔlékuiwo dzea tsitsi gɔme le wò dɔgbo me wu alesi wòle be woatsi. Esia ate ŋu ana nàse veve geɖe, eye ate ŋu ana nàɖe wò lolo hã dzi akpɔtɔ eye nunyiame ƒe gbɔdzɔgbɔdzɔ nadze ŋuwò. Wogayɔa esia be stasis syndrome kple stagnant loop syndrome. Ƒomedodo kae le blind loop syndrome kple dɔgbo sue me dɔlékuiwo ƒe tsitsi fũ akpa (SIBO) dome? Ðewohĩ èse nɔnɔme aɖe si woyɔna be `SIBO (Small Intestinal Bacterial Overgrowth)` ŋu nya. Enye dɔlékuiwo ƒe tsitsi fũ akpa le dɔgbo suea me. Le nyateƒe me la, `Blind Loop Syndrome` nye mɔ ɖeka si dzi `SIBO` ate ŋu ato adzɔ. Esia fia be le nusi gblẽ le dɔgboa ƒe wɔwɔme ŋu, si fia alesi dɔgboa wɔe ta la, nuɖuɖu tsia teƒe ɖeka eye dɔlékuiwo tsina. `SIBO` ateŋu atso tɔtrɔ siwo va le dɔgboa ƒe atikewo ƒe dadasɔ me hã gbɔ, gake le `Blind Loop Syndrome` me la, nusi gbɔ wòtsoe nye xɔtuɖoɖo ƒe kuxi.

Amekae ate ŋu axɔ dɔléle sia wu?

Togbɔ be amesiame ateŋu axɔ `Blind Loop Syndrome` sia hã la, ame aɖewo le afɔku gã aɖe me be woaxɔe.

• Ame siwo wowɔ dɔ na le dɔgbo alo dɔgbo me : Afɔku sia lolo ŋutɔ na amesiwo wowɔ nuwo abe dɔgbo sue ɖeɖeɖa, dɔgbo ɖeɖeɖa, alo dɔgbo ƒe lolome dzi ɖeɖe kpɔtɔ (dɔgbo ƒe dɔwɔwɔ, dɔgbo ƒe abɔta ƒe dɔwɔwɔ). Nuɖuɖu ate ŋu atɔ ɖe teƒe ɖeka le abi ƒe lãkusi si dona le amekoko megbe alo le esi dɔgboa me ʋãna blewu ta.
• Ame siwo ŋu dɔléle siwo gblẽa nu le nuɖuɖumeŋusẽ ƒe ʋuʋu ŋu le:
• Celiac dɔléle
• Crohn ƒe dɔlélea
• Diverticular dɔléle
• Dɔgbo ƒe dɔléle
• Gastroparesis (dɔgbo ƒe lãmekawo ƒe dɔmawɔmawɔ nyuie) .
• Dɔgbo me nusiwo léna ɖe nu ŋu
• Dɔgbo ƒe dɔléle si doa dziku ( IBS ) .
• Dɔgbo me abi ƒe dɔléle
• Atikewɔwɔ ƒe nɔnɔme bubuwo:
• Suklidɔ `( Suklidɔ ƒe dɔléle )`
• Scleroderma ƒe dɔléle
• Radiation enteritis (dɔgbo ƒe dɔdzẽ si tso keklẽŋusẽdɔdamɔnu me) .
• Tsɔ kpe ɖe eŋu la: Ate ŋu atso abixɔxɔ le dɔgbowo ŋu hã gbɔ, alo ʋuʋu si mesɔ o (`gastrointestinal fistula`) ƒe wɔwɔme le dɔgboa kple dɔgbowo dome.

Ðe ɖevi suewo ate ŋu atu esia ɖoa? Ẽ, ɖevi suewo ateŋu axɔ `Blind Loop Syndrome`. Abe ame tsitsiwo ene la, nɔnɔme sia ate ŋu adzɔ le amekoko megbe hã. Azɔ hã, woate ŋu adzi ɖevi aɖewo kple nuɖuɖumeŋusẽ ƒe gbɔdzɔgbɔdzɔ aɖewo (siwo wodzina ƒe dɔmawɔmawɔ nyuie). Le kpɔɖeŋu me:

• Biliary atresia ƒe dɔléle
• Gastroschisis ƒe dɔléle
• Jejunal ƒe dɔléle si nye atresia
• Dɔlékui si nye enterocolitis si nana ame ƒe kuku

Ðe esia nye nu vevi aɖea? Ðe wòate ŋu ade ame ƒe agbe afɔku mea?

Ame geɖe tsi dzi be nɔnɔme sia si ate ŋu ade ame ƒe agbe afɔku me. Zi geɖe la, Blind Loop Syndrome mewua ame o. Ne woda dɔ nyuie na ame akpa gãtɔ ƒe dzesiwo nyona ɖe edzi. Gake ne womewɔ atike nɛ ɣeyiɣi didi o la, ƒã hafi kuxi sesẽwo ate ŋu ado mo ɖa. Vevietɔ do aɖe ate ŋu adzɔ le dɔgboa me (dɔgbo ƒe ʋuʋu). Esia nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Blind Loop Syndrome menye dɔléle si bɔ ŋutɔ o. Eyata esi wònye be dzesiawo sɔ kple nuɖuɖumeŋusẽ bubu siwo bɔ ƒe dzesiwo ta la, ate ŋu anɔ anyi ɣeaɖewoɣi ne womekpɔe dze sii o alo womakpɔe nyuie o. Nu bubue nye be dzesiawo ate ŋu adze le ƒe geɖe le amekoko megbe.

Nukae nye esia ƒe dzesiwo? Kpɔe ɖa be esiawo hã le asiwò hã.

Ame si ŋu `Blind Loop Syndrome` le ate ŋu akpɔ dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Ƒodo ƒe veve enuenu, ƒoƒoe alo ʋuʋu.Ðeko wòle abe ɖe nane tsi nye dɔgbo me ene.
• Nuɖuɖudzroame ƒe vɔvɔ.
• Aɖuɖɔtoe (aɖuɖɔtoe) enuenu kple gas si gbɔ eme.
• Megaloblastic anemia: Esia nye ʋusɔgbɔdɔ ƒomevi aɖe si vitamin B12 ƒe anyimanɔmanɔ hena vɛ.
• Aɖuɖɔ siwo me ami le eye wole tsia dzi le etame (Steatorrhea).
• Dɔgbo si vuvu.
• Kpekpeme dzi ɖeɖe kpɔtɔ, lolo dzi ɖeɖe kpɔtɔ, kple vitamin kple nunyiame ƒe veve si womeɖe o.

Ne dzesi siawo le ŋuwò ɣesiaɣi la, anyo wu be nàyi ɖɔkta gbɔ.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Abe alesi míegblɔe va yi ene la, nusi koŋ gbɔ Blind Loop Syndrome tsonae nye amekoko na dɔgbo ƒe dɔwɔwɔ. Nɔnɔme sia ate ŋu ado mo ɖa ne amekoko aɖe na wò dɔgbo ƒe akpa aɖe le kpuie alo trɔ alesi nuɖuɖu zɔnae. Kpɔɖeŋu nyui aɖee nye dɔgbo ƒe akpa aɖe ɖeɖeɖa. Ne ɖɔkta ɖe wò dɔgbo ƒe akpa aɖe ɖa la, akpa susɔea doa ka kple dɔgbo suea ƒe akpa aɖe tẽ. Esia wɔnɛ be mɔ yeye aɖe va li na nuɖuɖu be wòage ɖe dɔgbo suea me. Gake ne wowɔ esia la, woɖea dɔgbo suea ƒe akpa si le etame la ɖa tso dɔgboa gbɔ eye wotua eƒe nugbɔ ɖeka. Akpa ma si wotu la nye "blind loop", si fia be eva zua abe mɔ kuku ene. Nuɖuɖu ate ŋu atɔ ɖe teƒe sia. Nukae dzɔna ne dɔlékuiwo tsi akpa le dɔgbo suea me? Ne nuɖuɖu tsi ɖe eme nenema la, dɔlékuiwo tsina ɖe afima. Dɔlékui sia si dzi ɖe edzi kpɔa ŋusẽ ɖe nuɖuɖumeŋusẽ dzi vevie.

• Nusi dzɔna ɖe ʋumenugbagbeviɣiwo dzi: Míaƒe ŋutilã hiã ʋumenugbagbeviɣiwo be wòate ŋu aɖu ami siwo le míaƒe nuɖuɖu me. Gake dɔlékui siwo tsina le míaƒe dɔgbowo me ɖua ʋumenugbagbeviɣi siawo, alo wogblẽa woƒe dɔwɔwɔ me. Ekema ŋutilãa mete ŋu ɖua amiawo nyuie o, eye mete ŋu xɔa vitamin siwo me ami le (A, D, E, K) o. Esia tae ame siwo ŋu `Blind Loop Syndrome` le la va zua ame tsɛ eye woƒe aɖuɖɔ me ami le.
• Nusi dzɔna ɖe vitamin B12 ƒe xɔxlɔ̃ dzi: Dɔlékui siawo xɔa vitamin B12 si le nuɖuɖu si míeɖuna me. Ekema míaƒe ŋutilã mekpɔa vitamin B12 wòsɔa gbɔ o. Vitamin B12 ƒe anyimanɔmanɔ gbɔe ʋusɔgbɔdɔ si woyɔna be megaloblastic anemia tsona.

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Ne èyi ɖɔkta gbɔ la, woabia wò dzesiwo gbã eye woado wò ŋutilã kpɔ. Woase wò ƒodo gɔme be yeakpɔe ɖa be vevesese, vuvu, alo ƒunukpeƒetetedɔ aɖeke mele ye ŋu hã o. Emegbe, woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe Blind Loop Syndrome dzi:

• Ƒodo ƒe CT-dɔdamɔnu alo X-ray.
• Barium enema: Esia nye X-ray tɔxɛ aɖe si wowɔna tsɔ kpɔa dɔgboa ƒe nɔnɔme.
• Ʋudodokpɔ be woatsɔ akpɔ wò nunyiame ƒe agbɔsɔsɔ.
• Enteroscopy: Dɔgboa ƒe akpa si le eme dodokpɔ to mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le zazã me.
• Hydrogen gbɔgbɔ dodokpɔ: Esia ate ŋu ade dzesi dɔlékuiwo ƒe tsitsi akpa le dɔgbo suea me.
• Aɖuɖɔ dodokpɔ: Kpɔe ɖa be dɔlékui siwo nye dɔlékuiwo alo ami le aɖuɖɔa me hã.
• Upper GI series: X-ray dodokpɔ le dɔgboa ƒe akpa si le etame ŋu to barium mimi zazã me.

Nukawoe nye atike siwo wozãna na esia? Ðe woate ŋu adaea?

Atike vovovowo li na `Blind Loop Syndrome`. Mègatsi dzi o, zi geɖe la, woate ŋu akpɔ edzi nyuie.

• Dɔlékuiwutikewo: Esiae nye atike si wozãna wu. Atike siawo wua dɔlékui siwo tsina fũu akpa le dɔgboa me. Ame geɖe dzea nunyiamewo xɔxɔ gɔme nyuie le kwasiɖa alo ɣleti ʋɛ aɖewo me tso esime wodze dɔlékuiwutikewo zazã gɔme.
• Tɔtrɔ le nuɖuɖu ŋu: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàɖu nuɖuɖu si me protein, calorie, kple ami siwo naa lãmesẽ sɔ gbɔ ɖo. Esia ate ŋu akpe ɖe ŋuwò nàgalolo ake. Ƒo nu kple wò ɖɔkta tso kpekpeme nyui si sɔ na wò la me léle ɖe asi ŋu.
• Amekoko: Ne wotsɔ dɔlékuiwutikewo ɖu Blind Loop Syndrome ƒe ŋusẽkpɔɖeamedziwo dzi hã la, dɔgbo ƒe kuxi si le ete (e.g., blind loop) ate ŋu anɔ anyi. Ne edzɔ alea la, ate ŋu ahiã be woawɔ dɔ na ame be woakpɔ kuxia gbɔ tegbee.
• Vitamin kpeɖeŋutɔ: Ne ʋusɔgbɔdɔ alo nunyiame bubu aɖe le ŋuwò le vitamin ƒe anyimanɔmanɔ ta la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàno kpeɖeŋutɔ abe vitamin B12 ene.

Nu vevitɔ kekeakee nye be nàxɔ atike na Blind Loop Syndrome. Dɔlékuiwo ƒe tsitsi fũ menyona le eɖokui si o. Le nyateƒe me la, kuxia ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe eye wòahe kuxi sesẽwo vɛ. Eya ta ele vevie ŋutɔ be nàyi ɖɔkta gbɔ ahawɔ atike nyui na wò, ne dzesiawo le sue gɔ̃ hã.

Ðe mɔ aɖe li si dzi woato axe mɔ na esia be wòagadzɔ oa?

Mɔ aɖeke meli koŋ si dzi woato axe mɔ ɖe Blind Loop Syndrome nu o. Gake ne woawɔ dɔ na wò le dɔgboa me la, nunya anɔ eme be nàƒo nu kple wò ɖɔkta tso alesi woawɔ dɔae kple nenye be afɔku le eme be nàxɔ Blind Loop Syndrome.

Ðe esia ava eme godoo ne wowɔ dɔ na wò kpɔ?

Ne wowɔ dɔ na wò le dɔgboa me va yi gɔ̃ hã la, afɔku si li be nàxɔ Blind Loop Syndrome la le sue ŋutɔ. Gake ne wowɔ amekokoa ɣeyiɣi didi aɖee nye sia gɔ̃ hã la, etsɔa afɔku sue aɖe kpena ɖe eŋu. Eyata ne ède dzesi nane si mebɔ o alo dzesi yeye aɖe le wò nuɖuɖumeŋusẽ me la, nyae eye nàgblɔe na ɖɔkta enumake.

Ðe wòagate ŋu agava le atikewɔwɔ vɔ megbea? Nukawoe nye kuxi siwo ate ŋu ado tso eme?

Woate ŋu atsɔ dɔlékuiwutikewo kple amekoko ada Blind Loop Syndrome dzidzedzetɔe. Gake le ame aɖewo gome la, nɔnɔmea ate ŋu agava. Ne womewɔ atike nɛ ɣeyiɣi didi o la, kuxiwo abe:

• Dɔgbo siwo xe mɔ na
• Dɔgbo ƒe ʋuʋu
• Malabsorption (ŋutete be woaxɔ nunyiamewo nyuie o) .
• Nunyuimakpɔɖui
• Abi siwo le wò dɔgbo me

Ɣekaɣie wòle be makpɔ ɖɔkta kaba ale si mate ŋui?

Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi ɖɔkta gbɔ enumake, elabena woate ŋu anye dzesi be nu kpata aɖe dzɔ, abe dɔgbo ƒe ʋuʋu ene:

• Ƒodo ƒe keke (sese le ame ɖokui me be ƒodo vuvu eye wòle sesẽm) .
• Ʋu le wò aɖuɖɔ me
• Asrã kple vuvɔ
• Aɖuɖɔtoe kple ʋuʋudedi
• Ƒodo ƒe vevesese sesẽ alo ƒodo ƒe ʋuʋu

Nya vevi kawoe wòle be míabia ɖɔktaa?

Ne wò ɖɔkta gblɔ na wò be `Blind Loop Syndrome` le ŋuwò la, anyo be nàbia nya siawo:

• Ðe mɔ aɖewo li siwo dzi woato aɖe dzesi siawo dzi akpɔtɔ atike alo amekoko manɔmeea?
• Ðe probiotics ate ŋu akpe ɖe ame ŋu wòaɖe dzesi siawo dzi akpɔtɔa?
• Ðe nuɖuɖu tɔxɛ aɖe li si woatsɔ aɖe afɔku si le esia gbugbɔgadzɔ me dzi akpɔtɔa?
• Mɔnukpɔkpɔ kae li be esia nagadzɔ ake le atikewɔwɔ vɔ megbe?
• Ðe wòhiã be woawɔ dɔ nam ɖe esia hã ta?

Ne nuɖuɖumeŋusẽ ƒe kuxiwo alo dɔgbo ƒe dzesi bubuwo le ŋuwò la, yi ɖɔkta gbɔ. Ne wowɔ dɔ na wò le ƒodo me va yi, ne ƒe aɖewoe nye esi va yi gɔ̃ hã la, kpɔ egbɔ be yegblɔe na wò ɖɔkta . Blind Loop Syndrome menye dɔléle si bɔ ŋutɔ o, gake wò dzesiwo ɖee fia be nane mesɔ o. Dɔlélea didi nyuie nye afɔɖeɖe gbãtɔ si ana woada dɔa dzidzedzetɔe.

Nu vevitɔ kekeake si wòle be míasrɔ̃ tso esia me (Take-Home Message) .

Eyata ne míagblɔe kpuie ko la, `Blind Loop Syndrome` nye nɔnɔme si me nuɖuɖu tsia dɔgboa me eye dɔlékuiwo tsina akpa, si hea vevesese vovovowo kple nunyiame ƒe kuxiwo vɛ. Ame siwo wowɔ dɔ na le dɔgboa me koŋue le afɔku me be woaxɔ dɔléle sia. Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui enye:

• Ne dzesiwo abe dɔgbo ƒe vevesese atraɖii, lolo dzi ɖeɖe kpɔtɔ, alo aɖuɖɔtoe ene le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o.
• Kpɔ ɖɔkta eye nànya nusi tututu gbɔ wòtso.
• Ne wokpɔe be `Blind Loop Syndrome` le ŋuwò la, mègatsi dzodzodzoe o. Atikewɔwɔ nyuiwo li na esia.
• Ele vevie ŋutɔ be nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.

Mɔ nyuitɔ si dzi míato anɔ lãmesẽ me enye be míalé ŋku ɖe nusianu si mebɔ o le míaƒe ŋutilã me ŋu eye míadi atikewɔlawo ƒe aɖaŋuɖoɖo kaba. Lãmesẽ nyui na mi katã!