Ke paʻa nei kāu meaʻai i loko o kou ʻōpū me ka ʻole o ka hoʻoheheʻe ʻia? He Blind Loop Syndrome paha kēia!

I kekahi manawa, manaʻo mākou i kahi mea ʻē a ʻoluʻolu ʻole paha i loko o ko mākou ʻōpū ma hope o ka ʻai ʻana, ʻeā? Malia paha ua piha mākou, a ʻeha paha ko mākou ʻōpū, a hakahaka paha ko mākou ʻōpū. ʻO ka hapa nui o ka manawa, he mau mea maʻamau kēia, a manaʻo mākou he hewa paha kekahi mea me ka meaʻai, akā i kekahi manawa aia paha kekahi mau kumu koʻikoʻi ʻē aʻe ma hope o kēia mau hōʻailona. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi a mākou e lohe pinepine ʻole ai, akā he mea nui loa ia no nā mea a pau e ʻike. ʻO ia ke ʻano i kapa ʻia ʻo Blind Loop Syndrome.

He aha maoli kēia mea i kapa ʻia ʻo Blind Loop Syndrome?

I ka ʻōlelo maʻalahi, ua paʻa ka meaʻai āu e ʻai ai i loko o kahi ʻāpana o kāu ʻōnaehana hoʻoheheʻe, ʻo ia hoʻi kou mau ʻōpū, a ma kahi o ka neʻe maʻamau, ua paʻa a kū. E noʻonoʻo i kēia ʻano, ke paʻa kahi paipu wai ma kahi hoʻokahi, lilo ia i palupalu a ulu nā germs, a ʻo ia ka mea e hana nei ma ʻaneʻi. Ke paʻa ka meaʻai ma kahi hoʻokahi, hoʻomaka ka bacteria e ulu i loko o kou mau ʻōpū ma mua o ka mea e pono ai. Hiki i kēia ke hōʻeha nui iā ʻoe, a hiki iā ia ke hoʻolilo iā ʻoe i ka kaumaha a hoʻomohala i nā hemahema meaʻai. Ua kapa ʻia kēia he stasis syndrome a me ka stagnant loop syndrome. He aha ka pilina ma waena o ka blind loop syndrome a me ka small intestinal bacterial overgrowth (SIBO)? Ua lohe paha ʻoe i kahi kūlana i kapa ʻia ʻo 'SIBO (Small Intestinal Bacterial Overgrowth)'. He ulu nui ia o nā bacteria i loko o ka ʻōpū liʻiliʻi. ʻO ka ʻoiaʻiʻo, ʻo 'Blind Loop Syndrome' kekahi ala e hiki ai i ka 'SIBO' ke hana. ʻO ke ʻano kēia ma muli o kahi kīnā i ke ʻano o ka ʻōpū, ʻo ia hoʻi, ke ʻano o ka hana ʻana o ka ʻōpū, ua paʻa ka meaʻai ma kahi hoʻokahi a ulu ka bacteria. Hiki ke hana ʻia ka 'SIBO' e nā loli i ke kaulike kemika o ka ʻōpū, akā ma ka 'Blind Loop Syndrome', ʻo ke kumu he pilikia kūkulu.

ʻO wai ka mea i loaʻa pinepine i kēia maʻi?

ʻOiai hiki i kekahi ke loaʻa i kēia 'Blind Loop Syndrome', ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana.

• ʻO ka poʻe i hana ʻia i ke ʻoki ʻōpū a i ʻole ka ʻōpū : He kiʻekiʻe loa kēia pilikia no ka poʻe i hana ʻia i nā mea e like me ka ʻoki ʻana i ka ʻōpū liʻiliʻi, colectomy, a i ʻole ke ʻoki pohō kaumaha (ʻoki bypass gastric, ʻoki lima gastric). Hiki ke paʻa ka meaʻai ma kahi hoʻokahi ma muli o ka ʻiʻo ʻeha i hana ʻia ma hope o ke ʻoki ʻana a i ʻole ma muli o ka neʻe lohi ʻana i loko o nā ʻōpū.
• ʻO nā kānaka me nā maʻi e hoʻopilikia ai i ka neʻe ʻana o ka ʻōnaehana hoʻoheheʻe:
• Maʻi Celiac
• ʻO ka maʻi o Crohn
• Maʻi diverticular
• ʻO ka ʻōpū koko
• Gastroparesis (hana ʻino o nā ʻiʻo o ka ʻōpū)
• Nā hoʻopili ʻana o ka ʻōpū
• ʻO ka maʻi ʻōpū huhū ( IBS )
• ka maʻi ʻōpū peptic
• Nā kūlana olakino ʻē aʻe:
• ʻO ka maʻi diabetes ( Diabetes Mellitus)
• ʻO ka ʻeha koko
• ʻO ka enteritis radiation (ka mumū o ka ʻōpū i hoʻokumu ʻia e ka radiation therapy)
• Eia kekahi: Hiki ke hana ʻia e nā ʻeha i nā ʻōpū, a i ʻole ke kūkulu ʻia ʻana o kahi puka kūpono ʻole (kahi 'gastrointestinal fistula') ma waena o ka ʻōpū a me nā ʻōpū.

Hiki i nā keiki ʻōpio ke loaʻa i kēia? ʻAe, hiki i nā keiki ʻōpio ke loaʻa i ka `Blind Loop Syndrome`. E like me nā pākeke, hiki ke loaʻa kēia ʻano ma hope o ke ʻoki ʻana. Eia kekahi, hiki ke hānau ʻia kekahi mau keiki me kekahi mau kīnā i loko o ka ʻōnaehana hoʻoheheʻe (nā ʻano ʻino hānau). Eia kekahi laʻana:

• ʻO ka atresia biliary
• ʻO ka Gastroschisis
• ʻO ka atresia Jejunal
• ʻO ka enterocolitis necrotizing

He mea koʻikoʻi anei kēia? Hiki paha ke hoʻoweliweli i ke ola?

Nui ka poʻe e hopohopo nei he maʻi hoʻoweliweli kēia i ke ola. ʻAʻole make pinepine ka Blind Loop Syndrome. Me ka mālama pono ʻana, hoʻomaikaʻi ka hapa nui o nā hōʻailona o ka poʻe. Eia nō naʻe, inā waiho ʻole ʻia no ka manawa lōʻihi, ʻaʻole hiki ke loaʻa nā pilikia koʻikoʻi. ʻOi aku ka nui, hiki ke loaʻa kahi lua i loko o ka ʻōpū (gastrointestinal perforation). He pilikia hoʻoweliweli kēia i ke ola. ʻAʻole maʻamau ka Blind Loop Syndrome. No laila, no ka mea ua like nā hōʻailona me nā maʻi ʻōpū maʻamau ʻē aʻe, hiki ke ʻike ʻole ʻia a i ʻole hewa ʻia. ʻO kekahi mea ʻē aʻe, hiki ke ʻike ʻia nā hōʻailona i nā makahiki ma hope o ke ʻoki ʻana.

He aha nā hōʻailona o kēia? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi.

Hiki i kekahi kanaka me ka 'Blind Loop Syndrome' ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:

• ʻEha pinepine o ka ʻōpū, ka ʻūhā a i ʻole ka pehu ʻana.Me he mea lā ua paʻa kekahi mea i loko o koʻu ʻōpū.
• Ka nalowale o ka makemake.
• Ka maʻi pākī pinepine (diarrhea) a me ke kinoea nui.
• ʻO ka anemia Megaloblastic: He ʻano anemia kēia i hoʻokumu ʻia e ka nele o ka huaora B12.
• Nā ʻōpala ʻaila a lana ma luna (Steatorrhea).
• ʻŌpū pehu.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia, ka pohō kaumaha, a me ka nele o nā wikamina a me nā meaʻai.

Inā loaʻa iā ʻoe kēia mau hōʻailona i nā manawa a pau, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

No ke aha lā kēia e hana nei? He aha nā kumu?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui o ka Blind Loop Syndrome ʻo ia ke ʻoki ʻana ma ke ala gastrointestinal. Hiki ke hana ʻia kēia kūlana inā hoʻopōkole kahi ʻoki ʻana i kahi hapa o kou ʻōpū a hoʻololi paha i ke ala e hele ai ka meaʻai. ʻO kahi laʻana maikaʻi he gastrectomy hapa. Ke wehe ke kauka i kahi hapa o kou ʻōpū, pili pololei ke koena i kahi ʻāpana o ka ʻōpū liʻiliʻi. Hoʻokumu kēia i kahi ala hou no ka meaʻai e komo ai i ka ʻōpū liʻiliʻi. Eia naʻe, ke hana ʻia kēia, ua hoʻokaʻawale ʻia ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi mai ka ʻōpū a ua pani ʻia kekahi ʻaoʻao. ʻO kēlā ʻāpana pani ʻia he "blind loop", ʻo ia hoʻi, ua like ia me kahi hopena make. Hiki i ka meaʻai ke paʻa ma kēia wahi. He aha ka mea e hana ai ke ulu nui ka bacteria i loko o ka ʻōpū liʻiliʻi? Ke paʻa ka meaʻai e like me kēlā, ulu ka bacteria ma laila. Hoʻopilikia nui kēia bacteria i ke kaʻina hana digestive.

• He aha ka mea e hana ʻia i nā paʻakai bile: Pono ko mākou kino i nā paʻakai bile e hoʻoheheʻe i nā momona i loko o kā mākou meaʻai. Akā, ʻai nā bacteria e ulu ana i loko o ko mākou ʻōpū i kēia mau paʻakai bile, a i ʻole e hōʻino lākou i kā lākou hana. A laila, ʻaʻole hiki i ke kino ke hoʻoheheʻe pono i nā momona, a ʻaʻole hiki iā ia ke omo i nā huaora momona-soluble (A, D, E, K). ʻO ia ke kumu e lahilahi ai ka poʻe me ka `Blind Loop Syndrome` a loaʻa iā lākou ka ʻōpala ʻaila.
• He aha ka mea e hana ʻia i ka omo ʻana o ka wikamina B12: Hoʻomoʻa kēia mau bacteria i ka wikamina B12 i loko o ka meaʻai a mākou e ʻai ai. A laila, ʻaʻole i loaʻa i ko mākou kino ka lawa o ka wikamina B12. Hoʻokumu ʻia ka anemia Megaloblastic e ka nele o ka wikamina B12.

Pehea e ʻike ai ke kauka i kēia?

Ke ʻike ʻoe i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. E hoʻopā lākou i kou ʻōpū e nānā i kekahi ʻeha, pehu, a i ʻole nā ​​puʻupuʻu. A laila, e hana paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka Blind Loop Syndrome:

• ʻO ke kiʻi CT ʻōpū a i ʻole X-ray.
• ʻEnema Barium: He kiʻi X-ray kūikawā kēia i hana ʻia e ʻike i ke ʻano o nā ʻōpū.
• Nā hoʻāʻo koko e nānā i kāu mau pae meaʻai.
• Enteroscopy: Ka nānā ʻana i loko o ka ʻōpū me ka hoʻohana ʻana i kahi ʻōmole lahilahi me kahi kāmela.
• Hoʻāʻo hanu hydrogen: Hiki i kēia ke ʻike inā he ulu nui o ka bacteria i loko o ka ʻōpū liʻiliʻi.
• Hoʻāʻo noho: E nānā no nā maʻi parasitic a i ʻole ka ʻaila i loko o ka noho.
• ʻO ka moʻo GI kiʻekiʻe: He hoʻokolokolo X-ray o ka ʻōpū o luna me ka hoʻohana ʻana i ka barium ale.

He aha nā lāʻau lapaʻau no kēia? Hiki ke ho'ōla ʻia?

Aia kekahi mau lāʻau lapaʻau no ka `Blind Loop Syndrome`. Mai hopohopo, hiki ke mālama maikaʻi ʻia.

• Nā lāʻau antibiotic: ʻO kēia ka lāʻau lapaʻau maʻamau. Hoʻopau kēia mau lāʻau i ka ulu nui ʻana o ka bacteria i loko o nā ʻōpū. Hoʻomaka ka nui o ka poʻe e omo pono i nā meaʻai i loko o kekahi mau pule a i ʻole mau mahina o ka hoʻomaka ʻana i ka lāʻau antibiotic.
• Nā hoʻololi ʻana i ka ʻai: Hiki i kāu kauka ke ʻōlelo aku i ka ʻai ʻana i kahi meaʻai kiʻekiʻe i ka protein, calories, a me nā momona olakino. Hiki i kēia ke kōkua iā ʻoe e hoʻihoʻi i kou kaumaha. E kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i kahi kaumaha olakino kūpono iā ʻoe.
• ʻO ke ʻoki kino: ʻOiai inā e kāohi ʻia nā hopena o ka Blind Loop Syndrome me nā antibiotics, e mau ana paha ka pilikia o ka ʻōpū (e laʻa me ka blind loop). I kēlā hihia, pono paha ke ʻoki kino e hoʻoponopono mau i ka pilikia.
• Nā mea hoʻohui huaora: Inā loaʻa iā ʻoe ka anemia a i ʻole kekahi hemahema meaʻai ʻē aʻe ma muli o ka nele o ka huaora, hiki i kāu kauka ke ʻōlelo e lawe i nā mea hoʻohui e like me ka huaora B12.

ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o ka lāʻau no ka Blind Loop Syndrome. ʻAʻole e hoʻōla ʻia ka ulu nui ʻana o ka bacteria ma kāna iho. ʻO ka ʻoiaʻiʻo, hiki i ka pilikia ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa a alakaʻi i nā pilikia koʻikoʻi. No laila, he mea nui loa ke ʻike i ke kauka a loaʻa ka lāʻau kūpono, ʻoiai inā he liʻiliʻi nā hōʻailona.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

ʻAʻohe ala kikoʻī e pale aku ai i ka Blind Loop Syndrome. Eia nō naʻe, inā e hana ʻoe i kekahi ʻoki ʻōpū, he mea naʻauao ke kamaʻilio me kāu kauka e pili ana i ke ʻano o ka hana ʻana o ke ʻoki ʻana a inā paha he pilikia ia o ka hoʻomohala ʻana i ka Blind Loop Syndrome.

E hiki maoli anei kēia inā ua hana ʻia ʻoe i ke ʻoki kino ma mua?

ʻOiai inā ua hana mua ʻoe i kekahi ʻoki kino ma ka ʻōpū, ua haʻahaʻa loa kou pilikia o ka loaʻa ʻana o ka Blind Loop Syndrome. Eia nō naʻe, inā ua hana ʻia ke ʻoki kino i ka wā ma mua, hoʻohui ia i kahi pilikia liʻiliʻi. No laila, inā ʻike ʻoe i kekahi mau hōʻailona ʻē aʻe a hou paha i loko o kāu ʻōnaehana hoʻoheheʻe, e makaʻala a haʻi koke i ke kauka.

Hiki ke hoʻi hou mai ma hope o ka mālama ʻana? He aha nā pilikia e hiki mai ana?

Hiki ke mālama pono ʻia ka Blind Loop Syndrome me nā antibiotics a me ke ʻoki kino. Eia nō naʻe, i kekahi poʻe, hiki ke hoʻi hou ke ʻano. Inā waiho ʻole ʻia no ka manawa lōʻihi, hiki ke loaʻa nā pilikia e like me:

• Nā ʻōpū i paʻa
• Ka puka ʻana o ka ʻōpū
• Malabsorption (hiki ʻole ke omo pono i nā meaʻai)
• Ka ʻai ʻole ʻana
• Nā ʻōpū ma kou ʻōpū

Āhea wau e ʻike ai i ke kauka i ka wā hikiwawe loa?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka, no ka mea, he hōʻailona paha ia o kahi pilikia, e like me ka perforation ʻōpū:

• ʻŌpū paʻa (manaʻo o ka ʻōpū pehu a paʻa)
• Koko i loko o kou noho
• Kuni a me nā anu
• Ka luaʻi a me ka luaʻi
• ʻEha nui o ka ʻōpū a i ʻole ke kuʻi

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Inā haʻi aku kāu kauka iā ʻoe he 'Blind Loop Syndrome' kou, he mea kōkua paha ke nīnau i kēia mau nīnau:

• Aia kekahi mau ala e hōʻemi ai i kēia mau hōʻailona me ka ʻole o ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana?
• Hiki i nā probiotics ke kōkua i ka hōʻemi ʻana i kēia mau hōʻailona?
• Aia kekahi papaʻai kūikawā e hōʻemi ai i ka pilikia o kēia hana hou ʻana?
• He aha ka manawa kūpono e hana hou ai kēia ma hope o ka lāʻau lapaʻau?
• Pono anei au e hana ʻoki kino no kēia?

Inā loaʻa iā ʻoe nā pilikia ʻōpū a i ʻole nā ​​​​hōʻailona ʻē aʻe o ka gastrointestinal, e ʻike i ke kauka. Inā ua loaʻa iā ʻoe kekahi ʻoki ʻōpū ma mua, ʻoiai inā he mau makahiki i hala aku nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. ʻAʻole maʻamau ka maʻi Blind Loop Syndrome, akā hōʻike kāu mau hōʻailona ʻaʻole pololei kekahi mea. ʻO ka loaʻa ʻana o kahi hōʻailona pololei ka hana mua i ka mālama holomua.

ʻO ka mea nui loa e pono ai kākou e aʻo mai kēia (Leka Lawe-Home)

No laila, i ka ʻōlelo maʻalahi, ʻo ka 'Blind Loop Syndrome' kahi maʻi kahi e paʻa ai ka meaʻai i loko o nā ʻōpū a ulu nui ka bacteria, e hana ana i nā ʻano ʻeha like ʻole a me nā pilikia meaʻai. ʻO ka poʻe i hana ʻia i ke ʻoki ʻana i ka ʻōpū, ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi. ʻO nā mea nui e hoʻomanaʻo ai:

• Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha mau o ka ʻōpū, ka pohō kaumaha, a i ʻole ka maʻi pākī, mai hoʻowahāwahā iā lākou.
• E ʻike i ke kauka a e ʻike i ke kumu pololei.
• Inā ua ʻike ʻia ʻoe me ka `Blind Loop Syndrome`, mai hopohopo. Aia nā lāʻau lapaʻau kūpono no kēia.
• He mea nui loa e hahai pono i nā ʻōlelo a ke kauka.

ʻO ke ala maikaʻi loa e noho olakino ai, ʻo ia ka nānā ʻana i nā mea ʻē aʻe i loko o ko kākou kino a e ʻimi koke i ke kōkua lapaʻau. Aloha nui iā ʻoukou a pau!