Ðe nèsena le ɖokuiwò me be yeƒe dɔgbo ƒe vevesese wɔnuku ma si nɔa anyi ɖaa le nuɖuɖu vɔ megbea? Ðewohĩ èle avu wɔm kple fuɖename, ƒodo ƒe veve, alo aɖuɖɔtoe. Togbɔ be zi geɖe la, míeɖea nusiawo ɖa be wonye nuɖuɖumadzroame ƒe nya bɔbɔe aɖe alo “nuɖuɖu gbegblẽ” hã la, dzesi siawo ate ŋu afia ɣeaɖewoɣi be nya aɖe si le ete si sesẽ wu. Egbea la, Nirogi Lanka ƒe ƒuƒoƒoa va afisia be yewoana kekeli naklẽ ɖe nɔnɔme aɖe si ŋu ƒã hafi woƒoa nu tsoe gake wòle vevie be woase egɔme ŋu: Blind Loop Syndrome .
Nuka tututue nye Blind Loop Syndrome?
Ne míagblɔe bɔbɔe la, Blind Loop Syndrome dzɔna ne nuɖuɖu mete ŋu zɔna to wò nuɖuɖumeŋusẽ me o—vevietɔ dɔgbo suea—eye wòtsi dɔgboa ƒe akpa aɖe. Bu eŋu abe tsi si tsi anyi ene; abe alesi ko gbeɖuɖɔ kple dɔlékuiwo tsina nyuie ne tsi dzudzɔ sisi ene la, nuɖuɖu siwo tsia teƒe ɖeka nana nɔnɔme aɖe si me dɔlékui siwo gblẽa nu le ame ŋu ate ŋu adzi ɖe edzi le mɔ si dzi womate ŋu aɖu o nu.
Esi nuɖuɖu sia le tsitrenu la, ehea Dɔgbo Suewo ƒe Dɔlékuiwo Tsitsi Gã (SIBO) vɛ . Dadasɔ sia ate ŋu ana nuɖuɖumeŋusẽ natsi dzimaɖi vevie, ame ƒe lolo dzi naɖe akpɔtɔ, eye nunyiame ƒe veve vevie. Àte ŋu ase esia hã be atikewɔlawo yɔe be "stasis syndrome" alo "stagnant loop syndrome."
Ðe Blind Loop Syndrome sɔ kple SIBOa?
Togbɔ be ɖewohĩ èse SIBO ŋkɔ kpɔ hã la, bu eŋu ale: Blind Loop Syndrome nye nusi koŋ gbɔ SIBO tsona le wɔwɔme me. Togbɔ be atikewo ƒe masɔmasɔ le dɔgboa me ate ŋu aʋã SIBO hã la, zi geɖe la, Blind Loop Syndrome nyea ŋutilã me "kotoku" alo wɔwɔme ƒe gbɔdzɔgbɔdzɔ aɖe si le wò ŋutilã ƒe wɔwɔme me si zi nuɖuɖu dzi be wòatɔ te gbɔ.
Amekae le afɔku me wu?
Togbɔ be ame sia ame ate ŋu axɔ nɔnɔme sia hã la, nu aɖewo dzia wò afɔkua ɖe edzi:
- Dɔgbo ƒe dɔwɔwɔ do ŋgɔ : Dɔnɔ siwo wowɔ dɔ na abe dɔgbo sue ɖeɖeɖa, dɔgbo ɖeɖe, alo dɔgbo ƒe lolome dzi ɖeɖe kpɔtɔ (le kpɔɖeŋu me, dɔgbo ƒe mɔɖeɖe alo dɔgbo ƒe abɔta) ene la le afɔku gã aɖe me. Abi ƒe lãkusi alo dɔgbo ƒe ʋuʋu dzi ɖeɖe kpɔtɔ le amekoko megbe ate ŋu ana nuɖuɖu naƒo ƒu ɖe akpa siwo tsi anyi.
- Nuɖuɖumeŋusẽ ƒe dɔmawɔmawɔ nyuie: Nɔnɔmewo abe Celiac dɔléle , Crohn ƒe dɔléle , diverticular dɔléle, enterocolitis, gastroparesis , dɔgbo ƒe adhesions , Irritable Bowel Syndrome (IBS) , alo peptic ulcer disease.
- Atikewɔwɔ ƒe nɔnɔme siwo le ɖoɖo nu: Abe Suklidɔ , scleroderma, alo dɔgbo ƒe dɔléle si keklẽŋusẽ hena vɛ ene.
- Nu bubuwo: Ŋutilã me abixɔxɔ le dɔgboa ŋu alo kadodo si mesɔ o ƒe wɔwɔme (dɔgbo ƒe ʋuʋu) hã ate ŋu ahe nɔnɔmea vɛ.
Ðe wòate ŋu agblẽ nu le ɖeviwo ŋua?
Ẽ, ɖeviwo hã ate ŋu axɔ Blind Loop Syndrome. Ate ŋu adzɔ le amekoko megbe alo le nusiwo mesɔ o siwo wodzina le vidzidzi me ta, abe biliary atresia, gastroschisis, jejunal atresia, alo necrotizing enterocolitis ene.
Ðe nɔnɔme sia nye afɔkua?
Enye dzɔdzɔme nu be nàse le ɖokuiwò me be yetsi dzi, gake taflatse nyae be zi geɖe la, Blind Loop Syndrome medea ame ƒe agbe afɔku me o, eye ne wodae nyuie la, dɔnɔ akpa gãtɔ kpɔa ŋgɔyiyi ɖedzesi aɖe.
Gake ne womewɔ atike nɛ o la, ate ŋu ahe kuxi sesẽwo vɛ. Le go siwo mebɔ o me la, ate ŋu ana dɔgboa nado (aɖatsi le dɔgboa me), si nye atikewɔwɔ kpata. Ne èsusu be dzesi siawo le ye ŋu la, mègaŋe aɖaba ƒu wo dzi o. Di beléle enumake le dɔwɔƒe si te ɖe ŋuwò le nudzɔdzɔ kpatawo gbɔ kpɔƒe si te ɖe ŋuwò ne èse ƒodo ƒe vevesese sesẽ si nu metsina o.
Esi wònye be dzesiawo srɔ̃a nuɖuɖumeŋusẽ ƒe nya bubu siwo bɔ wu ta la, zi geɖe la, womekpɔa dɔléle sia nyuie o alo womekpɔnɛ nyuie o. Gakpe ɖe eŋu la, dzesiawo ate ŋu adze le ƒe geɖe le amekoko gbãtɔ megbe, eyata mèganɔ te ɖe atikewɔwɔ ŋutinya si va yi dzi agbee o.
Dzesi vevi siwo ŋu wòle be woalé ŋku ɖo
Ne Blind Loop Syndrome le ŋuwò la, àte ŋu akpɔ nusiwo gbɔna dometɔ ɖeka alo esi wu nenema:
- Ƒodo ƒe vevesese atraɖii, ƒodo ƒe ʋuʋu, alo sese le eɖokui me be yeƒe lãme yɔ fũ/afu.
- Nuɖuɖudzroame ƒe vɔvɔ.
- Aɖuɖɔtoe si nɔa anyi ɖaa kple gas si gbɔ eme.
- Megaloblastic anemia: Ʋusɔgbɔdɔ ƒomevi aɖe koŋ si vitamin B12 ƒe anyimanɔmanɔ hena vɛ.
- Steatorrhea: Aɖuɖɔ siwo me ami le, siwo ʋẽna lilili, alo esiwo le tsia dzi le nugododeƒe.
- Ƒodo ƒe keke si wokpɔna (dɔgbo si fu si wokpɔna).
- Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o kple vitamin/nunyiame ƒe veve ƒe dzesiwo.
Ne dzesi siawo gakpɔtɔ li la, míele aɖaŋu ɖom na wò vevie be nàyi dɔgboŋutinunyala gbɔ be wòakpɔ dɔlélea nyuie.
Nukatae esia dzɔna ɖo?
Abe alesi míegblɔe ene la, nusi hea dɔlélea vɛ wue nye dɔgbo ƒe dɔwɔwɔ. Ne amekola wɔ mɔ yeye aɖe na nuɖuɖu (abe le dɔgbo ƒe akpa aɖe ɖeɖe me ene) la, ate ŋu awɔ "abɔ si me anastomotic le" le manyamanya me—si nye dɔgboa ƒe akpa si me ku o. Esi wònye be mɔ aɖeke mele ka sia me o ta la, nuɖuɖu kple nuɖuɖumeŋusẽ detsiƒonuwo gena ɖe eme gake womate ŋu ado le eme o, si wɔnɛ be dɔlékuiwo ƒe vidzidziƒe deblibo va nɔa anyi.
Nukae dzɔna ne dɔlékuiwo tsi akpa?
Ne dɔlékuiwo tsi nyuie le ka sia si tsi anyi me la, wodzea nuɖuɖu si nèɖuna la ƒoƒo gɔme hafi mɔnukpɔkpɔ sua wò ŋutilã si be wòaxɔ nunyiame siwo hiã. Menye ɖeko esia hea gas si le veve sem kple ʋuʋudedi si nèsena le ɖokuiwò me vɛ ko o, ke exɔa ŋusẽ vevi kple lãmesẽ hã le wò ŋutilã me, si wɔnɛ be wò ŋutilã ƒe dɔwɔwɔ ƒe gbɔdzɔgbɔdzɔ siwo míeyɔ ɖe etame la dona.
- Ŋusẽkpɔɖeamedzi ɖe Aɖuɖɔtoeme Dzewo Dzi: Wò ŋutilã hiã ʋumenugbagbeviɣiwo be wòate ŋu aɖu ami siwo le nuɖuɖu me. Gake dɔlékuiwo ƒe tsitsi fũ akpa ɖua dze siawo alo womegawɔa dɔ o. Esia wɔe be wò ŋutilã ʋlina vevie be yeaɖu ami eye mete ŋu xɔa vitamin siwo me ami le (A, D, E, kple K) nyuie o. Esia tututu tae ame ɖekaɖeka siwo ŋu Blind Loop Syndrome le la ƒe lolome dzi ɖena kpɔtɔna le mɔ si womenya nu o nu eye woƒe aɖuɖɔ si me ami le eye wòʋẽna lilili la dona zi geɖe.
- Ŋusẽkpɔɖeamedzi ɖe Vitamin B12 ƒe Xɔxlɔ̃ Ŋu: Dɔlékui siwo sɔ gbɔ ɖe wò dɔgbo me ɖua Vitamin B12 si nèɖuna, si wɔnɛ be nunyiame vevi sia meganɔa wò ŋutilã ŋu o. Dɔléle sia ƒe gbɔdzɔgbɔdzɔe nye nu vevitɔ si hea nɔnɔme aɖe si woyɔna be megaloblastic anemia vɛ.
Aleke wokpɔa dɔléle sia dzea sii?
Ne èyi lãmesẽdɔwɔla aɖe gbɔ la, woada wò dzesiwo kpɔ gbã eye woado wò ŋutilã kpɔ nyuie. Woalé ŋku ɖe wò ƒodo ŋu blewuu akpɔe ɖa be dzesi siwo fia be yeƒe ƒodo le vuvu, vuvu, alo ƒodo ɖesiaɖe si mebɔ o hã.
Be nàɖo kpe edzi be Blind Loop Syndrome le ŋuwò la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ geɖe siwo dzi nàto anya dɔlélea:
- Ƒodo ƒe CT-dɔdamɔnu alo X-ray be nàkpɔ wò ememe wɔwɔmewo le susu me.
- Barium enema: X-ray-mɔ̃ tɔxɛ aɖe si wozãna tsɔ léa ŋku ɖe wò dɔgbo ƒe nɔnɔme kple lãmesẽ ŋu.
- Ʋudodokpɔ be woatsɔ alé ŋku ɖe wò nunyiame ƒe agbɔsɔsɔ ŋu ahade dzesi nusiwo mehiã o.
- Enteroscopy: Dɔwɔwɔ si me wozãa mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ le tsɔ léa ŋku ɖe wò dɔgbo suea ƒe akpa si le eme ŋu.
- Hydrogen gbɔgbɔ dodokpɔ: Wozãnɛ tsɔ dea dzesi dɔlékuiwo ƒe tsitsi akpa le dɔgbo suea me.
- Aɖuɖɔ dodokpɔ: Be woakpɔe ɖa be dɔlékui siwo tsoa dɔlékuiwo gbɔ alo ami siwo mexɔa ami nyuie o hã.
- Upper GI series: X-ray siwo woɖena ɖe wo nɔewo yome ne èmi barium solution vɔ be nàkpɔ wò dɔgbo ƒe akpa si le etame.
Nukawoe nye atikewɔmɔnu siwo woate ŋu azã? Ðe woate ŋu adaea?
Atikewɔwɔmɔnu nyui geɖewo li na Blind Loop Syndrome. Taflatse kakaɖedzi nenɔ asiwò be woate ŋu akpɔ nɔnɔme sia gbɔ ŋutɔ.
- Dɔlékuiwutikewo: Esiae nye atikewɔwɔmɔnu vevitɔ. Woŋlɔa dɔlékuiwutikewo be woatsɔ aɖe dɔlékuiawo ƒe tsitsi fũu akpa ɖa. Dɔnɔ akpa gãtɔ ka nya ta be yewoƒe ŋutete be yewoaxɔ nunyiamewo dzea egɔme nɔa ɖoɖo nu le kwasiɖa alo ɣleti aɖewo megbe tso esime wodze atikewɔwɔ gɔme.
- Tɔtrɔ le nuɖuɖu ŋu: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàɖu nuɖuɖu si me protein, ami siwo naa lãmesẽ, kple nuɖuɖumeŋusẽ si sɔ le be wòakpe ɖe ŋuwò nàgalolo ake. Míele dzi dem ƒo na wò be nàdzro nunyiame ƒe ɖoɖo si sɔ na wò ɖɔkta me kple wò ɖɔkta be nàlé wò kpekpeme si sɔ me ɖe asi.
- Amekoko: Togbɔ be dɔlékuiwutikewo ate ŋu akpɔ dzesiawo gbɔ hã la, ŋutilã ƒe akpa si le ete ("blind loop") ate ŋu anɔ anyi. Le nɔnɔme mawo me la, amekoko ate ŋu ahiã be woakpɔ egbɔkpɔnu si anɔ anyi ɖaa.
- Vitamin kpeɖeŋutɔ: Ne ʋusɔgbɔdɔ alo nunyiame bubu siwo mehiã o le dɔlélea ta le fu ɖem na wò la, wò ɖɔkta aŋlɔ atike siwo sɔ, abe Vitamin B12 ene, na wò be wòagasɔ gbɔ na wò.
Nya vevitɔ kekeakee nye be Blind Loop Syndrome hiã atikewɔwɔ. Dɔlékuiwo ƒe tsitsi fũu akpa mekpɔa egbɔ le eɖokui si o. Ne womedae o la, nɔnɔmea ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe eye wòahe kuxi sesẽwo vɛ. Ne edze abe wò dzesiwo le sue ene gɔ̃ hã la, didi be nàda dɔa kpɔ le dɔnyala aɖe gbɔ le vevie na wò lãmesẽ si anɔ anyi ɣeyiɣi didi.
Ðe mɔ aɖe li si dzi woato axe mɔ ɖe enua?
Mɔ aɖeke meli si dzi woato axe mɔ ɖe Blind Loop Syndrome ƒe dzɔdzɔ nu o. Gake ne èle ɖoɖo wɔm be yeawɔ dɔ na wò le dɔgboa me la, nunya anɔ eme be nàdzro dɔdamɔnua me kple wò amekola eye nàbia afɔku siwo ate ŋu ado tso kuxiwo abe Blind Loop Syndrome ene xɔxɔ me ŋu.
Ne wowɔ dɔ nam va yi la, ɖe kakaɖedzi li be esia adze dzinyea?
Esi wowɔ dɔ na wò do ŋgɔ le dɔgboa me ta la, mefia be Blind Loop Syndrome adze dziwò o; afɔkua gakpɔtɔ le sue. Gake amekoko siwo wowɔ ƒe aɖewoe nye esi va yi gɔ̃ hã ate ŋu agblẽ dɔlélea ƒe nɔnɔme sue aɖe ɖi. Nɔ ŋudzɔ: ne ède dzesi tɔtrɔ yeye alo esi mebɔ o le wò nuɖuɖumeŋusẽ me la, taflatse gblɔe na wò ɖɔkta kaba.
Ðe wòagate ŋu agava le atikewɔwɔ vɔ megbea? Nukawoe nye kuxi siwo ate ŋu ado tso eme?
Togbɔ be zi geɖe la, dɔlékuiwutikewo kple amekoko kpɔa dzidzedze hã la, dɔlélea ate ŋu agadze ame aɖewo dzi ake.
Ne womewɔ atike nɛ ɣeyiɣi didi o la, àte ŋu ado go kuxi sesẽwo, siwo dometɔ aɖewoe nye:
- Dɔgbo siwo xe mɔ na
- Dɔgbo ƒe ʋuʋu
- Nusiwo mexɔna nyuie o
- Nunyuimakpɔɖui
- Abi siwo le wò dɔgbo me
Ɣekaɣie wòle be nàdi beléle kpata?
Ne èdo go nusiwo gbɔna dometɔ aɖe la, yi atikewɔƒe enumake (ƒo ka na 911 alo yi dɔwɔƒe si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ), elabena esiawo ate ŋu afia nɔnɔme siwo ate ŋu ade wò agbe afɔku me abe dɔgbo ƒe ʋuʋu ene:
- Ƒodo ƒe keke (ƒodo si vuvu, si sesẽ, alo esi le veve sem) .
- Ʋu le wò aɖuɖɔ me
- Asrã si kpena ɖe vuvɔ ŋu
- Ʋuʋudedi kple ʋuʋudedi si nɔa anyi ɖaa
- Ƒodo ƒe vevesese sesẽ alo ƒodo ƒe ʋuʋu
Nya vevi siwo wòle be nàbia wò ɖɔkta
Ne wokpɔ be Blind Loop Syndrome le ŋuwò la, bu nya siwo gbɔna biabia ŋu kpɔ:
- Ðe mɔ aɖewo li siwo dzi woato akpɔ dzesi siawo gbɔ atike alo amekoko manɔmeea?
- Ðe probiotics ate ŋu awɔ akpa aɖe le nye dzesiwo dzi ɖeɖe kpɔtɔ mea?
- Ðe nuɖuɖu aɖe koŋ li si dzi wòle be mazɔ ɖo be wòagadzɔ akea?
- Nukae ate ŋu adzɔ be nɔnɔme sia nagatrɔ ava le atikewɔwɔ vɔ megbe?
- Ðe amekoko hiã vevie na nye nya tɔxɛa?
Ne nuɖuɖumeŋusẽ ƒe kuxiwo alo dɔgbo ƒe dzesi siwo nɔa anyi ɖaa le fu ɖem na wò la, taflatse yi ɖɔkta gbɔ. Ne wowɔ dɔ na wò le ƒodo me kpɔ—ne ƒe geɖe enye sia gɔ̃ hã—la, kpɔ egbɔ be yena wò ɖɔkta nanya. Togbɔ be Blind Loop Syndrome mebɔ kura o hã la, wò dzesiwo ate ŋu anye dzesi be wò nuɖuɖumeŋusẽ hiã be woalé ŋku ɖe eŋu. Dɔlélea didi nyuie nye afɔɖeɖe gbãtɔ kple vevitɔ kekeake si ana woada dɔa dzidzedzetɔe.
Gbedasi si Wotsɔ Yi Aƒeme tso Nirogi Lanka gbɔ
Kpuie ko la, Blind Loop Syndrome dzɔna ne nuɖuɖu xaxa ɖe dɔgboa ƒe akpa aɖe, si wɔnɛ be dɔlékuiwo tsina fũu akpa si wɔnɛ be ame ƒe dzi medzea ame ŋu vevie o eye nunyiame ƒe veve. Ame ɖekaɖeka siwo wowɔ dɔ na le dɔgboa me kpɔ la le afɔku si lolo wu me vie.
Nu vevi siwo dzi nàɖo ŋkui:
- Mègaŋe aɖaba ƒu ƒodo ƒe vevesese atraɖii, lolo dzi ɖeɖe kpɔtɔ si womenya o, alo aɖuɖɔtoe dzi o.
- Kpɔ ɖɔkta be nàdi nusi tututu gbɔ wò dzesiawo tso.
- Ne wokpɔe be Blind Loop Syndrome le ŋuwò la, ke yi edzi nànɔ lãmesẽ me—atikewɔmɔnu nyuiwo li.
- Wɔ ɖe wò ɖɔkta ƒe dɔdamɔnu ƒe mɔfiamewo dzi pɛpɛpɛ.
Toléle ɖe wò ŋutilã ŋu kple atikewɔlawo ƒe aɖaŋuɖoɖo didi le ɣeyiɣi nyuitɔ dzi nye mɔ si ŋu kakaɖedzi le wu si dzi nàto alé wò lãmesẽ me ɖe asi. Míele lãmesẽ dim na mi tso mí katã gbɔ le Nirogi Lanka!
