Yu it kin stɔp na yu insay we yu nɔ digest? Dis kin bi Blaynd Lup Sindrom!

Sɔntɛnde, wi kin fil sɔntin we strenj ɔ we nɔ kin fayn na wi bɛlɛ afta wi dɔn it, nɔto so? Sɔntɛm wi kin fil ful, ɔ wi bɛlɛ kin at, ɔ wi bɛlɛ ɛmti. Bɔrku tɛm, dis na nɔrmal tin, ɛn wi kin tink se sɔntɛm sɔmtin nɔr fayn wit di it, bɔt sɔmtɛm ɔda, mɔr siriɔs rizin kin de biɛn dɛn sik ya. Tide wi go tɔk bɔt wan kɔndishɔn we wi nɔ kin yɛri bɔt, bɔt i rili impɔtant fɔ mek ɔlman no bɔt. Dat na wan sik we dɛn kɔl Blind Loop Syndrome.

Wetin rili na dis tin we dɛn kɔl Blind Loop Syndrome?

Fɔ tɔk am simpul wan, di it we yu de it kin stɔp na wan patikyula pat na yu dijestiv sistɛm, dat na yu insay, ɛn instead fɔ muv nɔmal wan, i kin stɔp ɛn stɔp. Tink bɔt am dis we, we wata paip stɔp na wan ples, i kin slim ɛn jem dɛn kin gro, ɛn na dat kin apin ya bak. We it stɔp na wan ples, baktri dɛn kin bigin fɔ gro na yu insay pas aw dɛn fɔ gro. Dis kin mek yu nɔ fil fayn, ɛn i kin mek bak yu nɔ gɛt bɔku bɔku bɔdi ɛn nɔ gɛt bɛtɛ tin fɔ it. Dɛn kin kɔl dis bak stasis sindrom ɛn stagnant loop sindrom. Wetin na di rilayshɔn bitwin blaynd lɔp sindrom ɛn smɔl intestinal baktriyal ɔvagrɔw (SIBO)? Yu kin dɔn yɛri bɔt wan sik we dɛn kɔl `SIBO (Small Intestinal Bacterial Overgrowth)`. Na di baktri dɛm we de gro pasmak na di smɔl intestinal. infakt, `Blind Loop Syndrome` na wan we we `SIBO` kin apin. dis min se biכs fכ difεkt na di strכkchכ fכ di intestin, dat na di we aw di intestכn de fכm, it de stכk na wan ples εn baktri dεm de gro. `SIBO` kin kכz bak bay di chenj dεm na di kεmikכl bεlε na di intestin, bכt insay `Blind Loop Syndrome`, di kכz na strכkchכral prכblεm.

Udat kin gɛt dis sik pas ɔlman?

Pan ɔl we ɛnibɔdi kin gɛt dis `Blind Loop Syndrome`, sɔm pipul dɛn kin gɛt ay risk fɔ gɛt am.

• Pipul dɛn we dɔn gɛt ɔpreshɔn na dɛn bɛlɛ ɔ intestinal : Dis risk kin bɔku mɔ fɔ pipul dɛn we dɔn gɛt tin dɛn lɛk fɔ pul dɛn smɔl bɔdi, fɔ pul dɛn bɔdi, ɔ fɔ mek dɛn nɔ gɛt bɔku bɔku bɔdi (gastric bypass surgery, gastric sleeve surgery). Fɔd kin stɔp na wan ples bikɔs ɔf di ska tisu we kin mek afta dɛn du di ɔpreshɔn ɔ bikɔs di intestin dɛn kin muv sloslo.
• Pipul dεm wae gεt sik wae de afekt di muvmεnt na di dijestiv sistεm:
• Siliak sik we dɛn kin gɛt
• Di sik we dɛn kɔl Crohn
• Divɛrtikul sik
• Ɛnterokolaytis we gɛt di sik
• Gastroparesis (we di bɛlɛ mɔsul dɛn nɔ de wok fayn) .
• Intestinal adheshon dɛn we de na di bɔdi
• Sindrom we de mek pɔsin vɛks ( IBS ) .
• Pɛptik ɔlsa sik
• Ɔda sik dɛn we pɔsin kin gɛt:
• Dayabitis `( Dayabitis Mɛlitus)`
• Sklɛrodama
• Radiation enteritis (inflameshɔn na di intestin we kin kam bikɔs ɔf redyushɔn tɛrapi) .
• apat frכm dat: i kin kכz bak bay injuri na di intestines, כ di fכmeshכn fכ wan abnכmal opin (a `gastrointestinal fistula`) bitwin di bεlε εn di intestines.

Yu tink se yɔŋ pikin dɛn kin gɛt dis? Yes, yכŋ pikin dεm kin gεt `Blind Loop Syndrome`. Jɔs lɛk big pipul dɛn, dis sik kin apin bak afta dɛn dɔn du di ɔpreshɔn. כlso, dεn kin bכn sכm pikin dεm wit sכm dεfεkt dεm na di dijestiv sistεm (congenital abnormalities). Fɔ ɛgzampul:

• Atresia we de na di biliari
• Gastroschisis we dɛn kɔl gastroschisis
• Jejunal atresia we pɔsin kin gɛt
• Nekrɔtizing ɛntɛrokolayt

Yu tink se dis siriɔs tin? Yu tink se i go mek pɔsin in layf de pan denja?

Bɔku pipul dɛn kin wɔri se dis na tin we kin mek dɛn layf de pan denja. Blaynd Lup Sindrom nɔ kin kil pɔsin. If dɛn trit dɛn fayn, bɔku pipul dɛn kin gɛt bɛtɛ sik. Bɔt if dɛn nɔ trit am fɔ lɔng tɛm, siriɔs prɔblɛm nɔ kin apin so ɔltɛm. spεshal wan, wan ol na di intestinal (gastrointestinal perforation) kin apin. Dis na imejensi we kin mek pɔsin in layf de pan denja. Blaynd Lup Sindrom nɔto wan sik we kin rili bɔku. So, bikɔs di sayn dɛm kin tan lɛk ɔda kɔmɔn sik dɛm wae kin kam pan pɔrsin wae gɛt dis sik, sɔmtɛm nɔr kin no bɔt am ɔr nɔr kin no am di rayt we. Wan ɔda tin na dat, di sayn dɛn kin apin sɔm ia afta dɛn dɔn du di ɔpreshɔn.

Wetin na di sayn dɛm fɔ dis? Si if yu gɛt dɛn tin ya bak.

Pɔrsin wae gɛt `Blind Loop Syndrome` kin gɛt wan ɔr mɔr pan dɛn sik ya:

• Bɔl pen ɔltɛm, kramp ɔ blo.I tan lɛk se sɔntin dɔn stɔp na mi bɛlɛ.
• I nɔ kin want fɔ it igen.
• Dayarɛa ɔltɛm (dayarɛa) ɛn gas pasmak.
• Megaloblastic anemia: Dis na wan kayn anemia we kin kam bikɔs yu nɔ gɛt vaytamɛn B12.
• Stɔl dɛn we gɛt ɔyl ɛn we de flɔt pan tap (Steatorrhea).
• Bɛlɛ we dɔn blo.
• We yu nɔ ebul fɔ ɛksplen yu wet, yu de lɔs yu wet, ɛn yu nɔ gɛt bɛtɛ vaytamɛn ɛn tin dɛn we yu nid fɔ it.

If yu gɛt dɛn sik ya ɔltɛm, i go fayn fɔ mek yu go to dɔktɔ.

Wetin mek dis de apin? Wetin na di rizin dɛn?

As wi bin dɔn tɔk, di men tin we kin mek pɔsin gɛt Blind Loop Syndrome na ɔpreshɔn pan di gastrointestinal tract. Dis sik kin apin if dɛn du ɔpreshɔn pan yu intestinal shɔt ɔ chenj di we aw it de travul. Wan gud ɛgzampul na fɔ pul sɔm pat pan di bɛlɛ. We dɔktɔ pul wan pat pan yu bɛlɛ, di ɔda pat kin kɔnɛkt dairekt to wan pat na di smɔl intestin. dis de mek nyu rod fכ it fכ go insay di sכmכl intestכn. כltu we dεn du dis, di כp pat pan di sכmכl intestin de kכmכt frכm di bεlε εn wan εnd de kכloz. Dat pat we klos na "blind loop", we min se i kin bi lek dead end. Fɔd kin stɔp na dis ples. Wetin kin apin we di baktri dɛm gro pasmak na di smɔl intestinal? We it stɔp lɛk dat, baktri dɛn kin gro de. dis baktri we de inkrεs de afekt di dijestiv prכsεs bכku bכku wan.

• Wetin kin apin to bayl sɔl: Wi bɔdi nid bayl sɔl fɔ dayjɛst di fat we de insay wi it. Bɔt di baktri dɛm we de gro na wi intestinal kin it dɛn bayl sɔl ya, ɔ dɛn kin mek dɛn nɔ wok fayn. Dɔn di bɔdi nɔ kin ebul fɔ dayjɛst di fat dɛn fayn fayn wan, ɛn i nɔ kin ebul fɔ tek di vaytamɛn dɛn we kin sɔlv di fat (A, D, E, K). Na dat mek pipul dɛm wae gɛt `Blind Loop Syndrome` kin tan lɛk tin ɛn gɛt ɔyl stɔl.
• Wetin kin apin to di vaytamɛn B12 we wi kin tek: Dɛn bɔdi ya kin tek di vaytamɛn B12 we de insay di it we wi de it. Dɔn wi bɔdi nɔ kin gɛt inof vaytamɛn B12. Megaloblastic anemia de kam bikɔs yu nɔ gɛt vaytamɛn B12.

Aw dɔktɔ kin fɛn dis?

We yu go to dɔktɔ, dɛn go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn du ɛgzam fɔ yu bɔdi. Dɛn go fil yu bɛlɛ fɔ chɛk fɔ ɛni pen, swel, ɔ lumps. Dɔn, dɛn kin du sɔm tɛst fɔ kɔnfirm Blind Loop Syndrome:

• CT skan na di bɛlɛ ɔ ɛkstrem rayt.
• Barium enema: Dis na spɛshal X-ray we dɛn kin du fɔ si di shep we di intestinal dɛn gɛt.
• Blɔd tɛst fɔ chɛk yu nyutriɛnt lɛvɛl.
• εnteroskopi: fכ egzamin di insay pat pan di intestin yuz wan tin tכb wit kεmεra.
• Hydrogen breath test: Dis kin no if baktri dεm de gro pasmak na di sכmכl intestכn.
• Stɔl tɛst: Chɛk fɔ parasayt infɛkshɔn ɔ ɔyl na di stɔl.
• כp GI siriכs: na εks-ray egzamεn fכ di כp intestin we yu de yuz barium sכlow.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

Bɔku tritmɛnt dɛn de fɔ `Blind Loop Syndrome`. Nɔ wɔri, bɔku tɛm dɛn kin ebul fɔ manej am fayn fayn wan.

• Antibayɔtik: Dis na di tritmɛnt we dɛn kin yuz mɔ. Dɛn mɛrɛsin ya kin kil di bɔdi we de gro pasmak na di bɔdi. Bɔku pipul dɛn kin bigin fɔ tek di tin dɛn we dɛn nid fɔ it fayn fayn wan insay sɔm wik ɔ mɔnt afta dɛn dɔn bigin fɔ tek di mɛrɛsin we dɛn kɔl antibayɔtik.
• Chenj dɛn we yu de it: Yu dɔktɔ go se yu fɔ it it we gɛt bɔku prɔtin, kalori, ɛn fayn fayn fat. Dis kin ɛp yu fɔ gɛt yu wet bak. Tɔk to yu dɔktɔ bɔt aw fɔ kip yu bɔdi we go fayn fɔ yu.
• כpεrayshכn: Ivin if dεn kכntro di ifekt dεm fכ Blind Loop Syndrome wit antibaytik, di כndalayn intestinal prכblεm (e.g., di blaynd lכp) kin stil de. If na so i bi, i go nid fɔ du ɔpreshɔn fɔ sɔlv di prɔblɛm sote go.
• Vitamin supliment: If yu gɛt anemia ɔ ɔda tin we nɔ de it fayn bikɔs yu nɔ gɛt vaytamɛn, yu dɔktɔ kin se yu fɔ tek supamakit lɛk vaytamɛn B12.

De tin wae impɔtant pas ɔl na fɔ gɛt tritmɛnt fɔ Blind Loop Syndrome. Di baktri dɛm we de gro pasmak nɔ kin bɛtɛ fɔ insɛf. Infakt, di prɔblɛm kin wɔs as tɛm de go ɛn i kin mek i gɛt siriɔs prɔblɛm dɛn. So, i rili impɔtant fɔ go to dɔktɔ ɛn gɛt di rayt tritmɛnt, ilɛksɛf di sik nɔ bɔku.

Yu tink se we de fɔ mek dis nɔ apin?

No patikyula we nɔ de fɔ mek yu nɔ gɛt Blind Loop Syndrome. Bɔt if yu go du ɛni ɔpreshɔn pan yu bɛlɛ, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt aw dɛn go du di ɔpreshɔn ɛn if i gɛt prɔblɛm fɔ gɛt Blaynd Lup Sindrom.

Yu tink se dis go rili apin if dɛn dɔn du ɔpreshɔn pan yu bifo?

Ivin if yu dɔn gɛt ɛni ɔpreshɔn pan yu bɛlɛ bifo, yu risk fɔ gɛt Blind Loop Syndrome rili smɔl. Bɔt ilɛksɛf dɛn bin dɔn du di ɔpreshɔn lɔng tɛm bifo dis tɛm, i kin ad smɔl prɔblɛm. So, if yu notis ɛnitin we nɔ kɔmɔn ɔ nyu sayn na yu dijestiv sistɛm, no bɔt am ɛn tɛl dɔktɔ wantɛm wantɛm.

I kin kam bak afta dɛn dɔn trit am? Wetin na di prɔblɛm dɛn we kin apin?

Dɛn kin trit Blaynd Lup Sindrom fayn fayn wan wit antibayɔtik ɛn ɔpreshɔn. Bɔt pan sɔm pipul dɛn, dis sik kin kam bak. If dɛn nɔ trit am fɔ lɔng tɛm, prɔblɛm dɛn lɛk:

• Intestinal dɛn we dɔn blok
• Intestinal pɔrfɔreshɔn
• Malabsorption (we nɔ ebul fɔ absɔb di nyutriɛnt dɛn fayn fayn wan) .
• Malnutrishɔn
• Ɔlsa dɛn we de na yu intestinal

Ustɛm a fɔ go to dɔktɔ kwik kwik wan?

If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm, bikɔs dɛn kin bi sayn fɔ ɛnitin we apin, lɛk we yu intestinal pɔrfyushɔn:

• Abdominal distention (fɔ fil se yu bɛlɛ dɔn swel ɛn tayt) .
• Blɔd na yu stɔl
• Fiva ɛn kol kol
• Nɔs ɛn vɔmit
• Siriɔs bɛlɛ pen ɔ kramp

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

If yu dɔktɔ tɛl yu se yu gɛt `Blind Loop Syndrome`, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Ɛni we de fɔ ridyus dɛn sik ya we yu nɔ tek mɛrɛsin ɔ ɔpreshɔn?
• Yu tink se probayotiks kin ɛp fɔ ridyus dɛn sik ya?
• Yu tink se spɛshal it de fɔ ridyus di risk fɔ mek dis sik kam bak?
• Wetin na di chans fɔ mek dis apin bak afta dɛn dɔn trit am?
• A nid fɔ gɛt ɔpreshɔn fɔ dis bak?

If yu gɛt prɔblɛm wit di we aw yu de digest ɔ ɔda tin dɛn we de ambɔg yu bɛlɛ, go to dɔktɔ. If yu dɔn du ɛni ɔpreshɔn pan yu bɛlɛ bifo, ilɛksɛf na sɔm ia bifo dis tɛm, mek shɔ se yu tɛl yu dɔktɔ bɔt am. Blind Loop Syndrome nɔr kin pasmak, bɔt yu sayn dɛm kin sho se sɔmtin nɔr rayt. Fɔ gɛt kɔrɛkt diagnosis na di fɔs tin we yu fɔ du fɔ mek yu gɛt di tritmɛnt fayn fayn wan.

Di impɔtant tin we wi nid fɔ lan frɔm dis (Take-Home Message) .

So, simpul wan, `Blind Loop Syndrome` na wan kכndyushכn we it de stכk na di intestinal εn baktri dεm de gro pasmak, we de mek difrεn difrεn diskomfכt dεm εn nyutrishכnal prכblεm. Pipul wae dɔn gɛt ɔpreshɔn na dɛn bɛlɛ kin gɛt dis sik mɔ. Di tin dɛn we impɔtant pas ɔl we yu fɔ mɛmba na:

• If yu gɛt sɔm sayn dɛm lɛk wae yu bɛlɛ de pwɛl ɔltɛm, yu de lɔs yu wet, ɔr yu de gɛt dayarɛa, nɔr ignore dɛm.
• Si dɔktɔ ɛn no di rayt tin we mek i apin.
• If dɛn no se yu gɛt `Blind Loop Syndrome`, nɔ panik. Sɔm tritmɛnt dɛn de we go ɛp dis.
• I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.

Di bɛst we fɔ gɛt wɛlbɔdi na fɔ pe atɛnshɔn to ɛnitin we nɔ kɔmɔn na wi bɔdi ɛn go to dɔktɔ kwik kwik wan. Gud wɛlbɔdi fɔ una ɔl!