I ei tur chu a hmin lohvin i intestin-ah a tang em? Hei hi Blind Loop Syndrome a ni thei!

A châng chuan chaw ei zawhah kan pum chhungah thil mak emaw, nuam lo emaw kan nei ṭhin a ni lawm ni? Kan chawhpawlh emaw, kan pum a na emaw, kan pum a ruak emaw pawh a ni thei. A tam zawkah chuan hengte hi thil pangngai a ni a, chaw eiah hian thil dik lo a awm mai thei niin kan ngai a, mahse a chang chuan heng natna lan chhuahna chhan dang, pawi zawk a awm thei bawk. Vawiin hian kan hriat ngai loh dinhmun kan sawi dawn a, mahse mi zawng zawng hriat a pawimawh hle. Chu chu Blind Loop Syndrome an tih natna a ni.

He Blind Loop Syndrome an tih hi eng nge ni tak tak?

A awlsam zawngin sawi ila, i ei tur chu i digestive system hmun engemaw takah, chu chu i intestines-ah a tang a, a pangngaia a che ai chuan a tang a, a ding reng a ni. Hetiang hian han ngaihtuah teh, tui pipe hmun khatah a tlakbuak chuan a hnim a, natna hrik a lo thang lian a, hetah pawh hian chutiang chu a thleng thin. Chaw ei tur hmun khata a tlakbuak chuan i intestin-ah bacteria a lo thang lian tan a, a lo thang lian tur aia tam a lo thang lian tan thin . Hei hian hrehawmna nasa tak a thlen thei che a, chubakah taksa rihna a tihniam bakah ei leh in lama harsatna a thlen thei bawk. Hei hi stasis syndrome leh stagnant loop syndrome an ti bawk. Blind loop syndrome leh small intestinal bacterial overgrowth (SIBO) hi eng nge inzawmna? SIBO (Small Intestinal Bacterial Overgrowth) tih natna hi i hre tawh mai thei. Small intestine-a bacteria lo pung lutuk a ni. Dik tak chuan Blind Loop Syndrome hi SIBO lo awm theihna kawng khat a ni. Chumi awmzia chu intestine structure-a chhiatna a awm avangin, chu chu intestine siam dan a ni a, chaw chu hmun khatah a tang a, bacteria a lo thang lian tihna a ni. SIBO hi intestine chemical balance inthlak danglam vang pawh a ni thei a, mahse Blind Loop Syndrome ah chuan a chhan chu structural problem a ni.

He natna hi tuin nge vei tam ber?

He Blind Loop Syndrome hi tu pawhin vei thei mahse, mi thenkhat chuan an vei theihna chance a sang zawk.

• Mipui pum emaw, intestinal surgery nei tawhte : Hetiang hlauhawmna hi small bowel resection, colectomy, emaw weight loss surgery (gastric bypass surgery, gastric sleeve surgery) ang chi thil nei tan chuan a sang hle. Chaw ei tur chu hmun khatah a tlakbuak thei a, chu chu operation hnua scar tissue lo awm vang emaw, intestines-a slow motility vang emaw a ni thei.
• Digestive system chetna tichhe thei natna nei te:
• Celiac natna a ni
• Crohn -a natna a ni
• Diverticular natna a ni
• Enterocolitis natna (enterocolitis) a ni
• Gastroparesis (rilru ruh tha lo) 1.1.
• Intestinal adhesions a awm thin
• Irritable bowel syndrome ( IBS ) natna a ni.
• Peptic ulcer natna a ni
• Damdawi lam harsatna dangte:
• Zunthlum natna ( Diabetes Mellitus)
• Scleroderma a ni
• Radiation enteritis (radiation therapy avanga intestine natna) .
• Chu bakah: Intestines-a hliam vang te, emaw, pum leh intestines inkara kawngkhar (a gastrointestinal fistula) awm vang te pawh a ni thei bawk.

Naupang tê tête hian hetiang hi an nei thei ang em? Ni e, naupang tê tête chuan Blind Loop Syndrome an nei thei. Puitling ang bawkin he natna hi operation hnuah pawh a awm thei bawk. Tin, naupang thenkhat chu chaw ei kawngah chhiatna engemaw zat (congenital abnormalities) neiin an piang thei bawk. Entir nan:

• Biliary atresia a awm thin
• Gastroschisis natna (Gastroschisis) a awm
• Jejunal atresia a awm thin
• Necrotizing enterocolitis natna a ni

Hei hi thil pawi tak a ni em? Nunna atana hlauhawm a ni thei ang em?

Mi tam tak chuan hei hi nunna atana hlauhawm tak a ni tih an ngaihtuah a . Blind Loop Syndrome hi a tlangpuiin thihna a thlen lo. Enkawlna mumal tak a awm chuan mi tam zawk natna lanchhuahna a lo tha chho zel a ni. Mahse, rei tak enkawl loh chuan harsatna lian tham a awm tam lo hle. A bik takin, intestine-ah khur (gastrointestinal perforation) a awm thei. Hei hi nunna atana hlauhawm emergency a ni. Blind Loop Syndrome hi a hluar vak lo. Chuvangin, a natna lan chhuah dan chu chaw ei kawng natna tlanglawn dangte nen a inang a , a chang chuan hriat loh emaw, hriat sual emaw pawh a ni thei. Thil dang chu , operation hnu kum tam takah symptoms a lang thei tih hi a ni.

Hei hi eng symptoms nge ni? Hengte pawh hi i nei em tih en rawh.

Blind Loop Syndrome vei chuan a hnuaia symptoms pakhat emaw a aia tam emaw a nei thei a ni.

• Pum na fo, cramping emaw bloating emaw a awm fo thin.Ka pum chhungah thil a inkhung ang mai a ni.
• Chaw ei chakna hloh.
• Luak chhuak fo (diarrhea) leh gas tam lutuk.
• Megaloblastic anemia: Hei hi vitamin B12 tlakchham vanga thisen tlakchhamna chi khat a ni.
• Stools oil nei leh a chungah float (Steatorrhea).
• Pum a puak chhuak.
• Sawifiah loha taksa rihna tlahniam, taksa rihna tlahniam, leh vitamin leh nutrient tlakchhamna te.

Heng symptoms te hi i neih fo chuan doctor pan a tha ber.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Kan sawi tawh ang khan Blind Loop Syndrome thlentu ber chu chaw kawng (gastrointestinal tract) surgery a ni. Hetiang dinhmun hi operation-in i intestine thenkhat a tih tawi emaw, ei tur kal dan a tihdanglam emaw chuan a awm thei. Entirna tha tak chu partial gastrectomy hi a ni. Doctor-in i pum thenkhat a lakchhuah chuan a bak chu small intestine section pakhat nen direct-in a inzawm a ni. Hei hian ei tur chu small intestine-a luh theihna kawng thar a siam a ni. Amaherawhchu, hetianga tih a nih chuan a chung lam chu ril a\angin a inthen a, a tawp khat chu a khar a ni. Chu closed part chu "blind loop" a ni a, chu chu dead end ang a ni tihna a ni. He hmunah hian ei tur a awm thei. Small intestine-a bacteria a lo pung tam lutuk hian eng nge thleng? Chutianga chaw a tlakbuak chuan chutah chuan bacteria a lo thang lian thin. He bacteria pung hian chaw ei kawng nasa takin a nghawng a ni.

• Bile salt-a thil thleng: Kan taksa hian kan ei tur thau awmte a ei theih nan bile salt a mamawh a. Mahse kan intestines-a bacteria lo thang lian te hian heng bile salt te hi an ei zo vek a, a nih loh leh an hnathawh a tichhe vek a ni. Tichuan taksain thau chu a hmin tha thei lo va, thau-a inthiar theih vitamin (A, D, E, K) te pawh a hip thei lo. Chuvang chuan Blind Loop Syndrome vei te chu an thau a, ek chu hriak nei an ni.
• Vitamin B12 absorption-a thil thleng: Heng bacteria te hian kan ei leh inah vitamin B12 hi an absorp a. Tichuan kan taksa hian vitamin B12 a hmu tling lo. Megaloblastic anemia hi vitamin B12 tlakchham vang a ni.

Engtin nge doctor hian hei hi a hmuh theih?

Doctor i hmuh hunah i symptoms te an zawt hmasa ang che a, physical exam an nei ang. I pum chu a natna, a hring emaw, a hring emaw a awm leh awm loh enfiah turin an hre ang. Tichuan, Blind Loop Syndrome finfiah nan test eng emaw zat an ti thei ang:

• Abdominal CT scan emaw X-ray emaw hmanga enfiah a ni.
• Barium enema: Hei hi X-ray bik, intestines pianzia hriatna atana tih a ni.
• Thisen test a, i nutrient level enfiah thin.
• Enteroscopy: Camera hmanga tube te tak te hmanga intestine chhung enfiah.
• Hydrogen breath test: Hei hian small intestine-ah bacteria a lo thang tam lutuk em tih a hriat theih.
• Stool test: Ekvah hian parasitic infection emaw oil emaw a awm leh awm loh enfiah thin ang che.
• Upper GI series: Barium swallow hmanga upper intestine X-ray hmanga enfiah a ni.

Hei hi eng enkawlna nge ni? Tihdam theih a ni em?

Blind Loop Syndrome hi enkawlna chi hrang hrang a awm a. Ngaihtuah buai suh, a enkawl tha thei fo.

• Antibiotics: Hei hi damdawi hman tlanglawn ber a ni. Heng damdawi te hian intestine-a bacteria lo pung lutuk chu a that thin. Mi tam tak chuan antibiotic enkawlna an tan atanga kar engemaw zat emaw, thla engemaw zat emaw chhungin ei tur tha tak tak an ei tan thin.
• Ei leh in thlak danglam: I doctor chuan protein, calorie leh thau hrisel tamna ei tur a rawt thei ang. Hei hian i taksa rihna i neih leh theih nan a pui thei che a ni. I taksa rihna hrisel tak, i tana tha tur vawn reng chungchang chu i doctor nen sawiho rawh.
• Surgery: Blind Loop Syndrome nghawng chu antibiotics hmanga control ni mahse, a hnuaia intestinal problem (e.g., blind loop) chu a awm reng thei. Chutiang a nih chuan, buaina chu a awm reng theih nân operation neih a ngai mai thei.
• Vitamin supplement: Vitamin tlakchhamna avanga thisen tlakchhamna emaw, ei leh in lama harsatna dang emaw i neih chuan doctor chuan vitamin B12 ang chi supplement ei turin a rawt thei ang.

A pawimawh ber chu Blind Loop Syndrome enkawlna lak hi a ni. Bacterial overgrowth hi a mah chauhin a tha lo. Dik tak chuan, buaina hi hun kal zelah a zual zel thei a, harsatna lian tak tak a thlen thei bawk. Chuvangin, a natna lanchhuahna tenau deuh pawh nise, Doctor hmuh a, enkawl dan mumal tak neih a pawimawh hle.

Hetiang thil thleng tur ven dan tur a awm em?

Blind Loop Syndrome hi ven dan tur bik a awm lo. Mahse, gastrointestinal surgery eng emaw i neih dawn a nih chuan i doctor nen inbiakna neih dan tur leh Blind Loop Syndrome vei theihna a keng tel em tih te sawipui a finthlak ang.

Hei hi a thleng ngei dawn em ni, operation i neih tawh chuan?

A hmain gastrointestinal surgery i nei tawh a nih pawhin Blind Loop Syndrome vei theihna a tlem hle. Mahse, surgery hi hun rei tak kal ta a nih pawhin risk tlemte a belhchhah a ni. Chuvangin, i chaw ei kawngah thil danglam emaw, natna lan chhuah thar emaw i hmuh chuan fimkhur la, doctor hnenah hrilh nghal rawh.

Enkawl hnuah a lo lang leh thei ang em? Eng harsatna nge awm thei?

Blind Loop Syndrome hi antibiotics leh surgery hmanga hlawhtling taka enkawl theih a ni. Mahse, mi thenkhatah chuan he natna hi a lo awm leh thei a ni. Hun rei tak enkawl loha dah a nih chuan harsatna hrang hrang:

• Intestines a block vek
• Intestinal perforation a awm
• Malabsorption (nutrients tha taka lakluh theih lohna) .
• Ei leh in lama harsatna (malnutrition) a awm
• I intestine-a ulcer awm

Engtikah nge doctor ka hmuh vat ang?

Heng symptoms te hi i neih chuan doctor pan nghal rawh, emergency chhinchhiahna a ni thei a, chu chu intestinal perforation ang chi a ni:

• Abdominal distention (a pum a hring, a tight ang tih hriat) .
• I bawlhhlawh chhungah thisen a awm
• Khawsik leh khawsik
• Nausea leh luak chhuak
• Pum natna nasa tak emaw, rilru na tak emaw

Doctor hnena zawh tur pawimawhte chu engte nge ni?

I doctor-in Blind Loop Syndrome i vei tih a hrilh che chuan heng zawhnate hi zawh a \angkai thei ang:

• Damdawi emaw, zai emaw tel lovin heng natna lan chhuah dan hi tihziaawm theih dan a awm em?
• Probiotics hian heng symptoms te hi a tihziaawm thei ang em?
• Hetiang hi a lo awm leh theihna tur tihtlem nan ei leh in bik a awm em?
• Enkawlna hnua hetiang thil thleng leh theihna chance hi eng nge ni?
• Hemi atan pawh hian operation ka neih a ngai em?

Digestive problems emaw gastrointestinal symptom dang emaw i neih chuan doctor pan tur a ni. Kum tam tak kalta pawh nise, i pum surgery i neih tawh chuan i doctor hnenah hrilh ngei ang che. Blind Loop Syndrome hi a tam lo hle a, mahse i symptoms te hian thil dik lo a ni tih a tilang. Diagnosis dik tak neih hi enkawlna hlawhtling tak neih hmasak ber a ni.

Hemi atanga kan zir tur pawimawh ber (Take-Home Message) .

Chuvangin, a awlsam zawngin, Blind Loop Syndrome hi ei tur chu intestine-ah a tlakbuak a, bacteria a lo thang tam lutuk a, chu chuan harsatna hrang hrang leh ei leh in lama harsatna a thlen thin. A bik takin gastrointestinal surgery nei tawhte chu he natna hi an vei theihna a sang hle. Hriat reng tur pawimawh tak takte chu:

• I pum natna, taksa rihna tlahniam, ril\am ang chi symptom i neih chuan ngaihthah suh.
• Doctor hmu la, a chhan dik tak chu hre rawh.
• Blind Loop Syndrome i vei tih hmuhchhuah a nih chuan hlauthawng suh. Hemi atan hian enkawlna tha tak tak a awm.
• Doctor thupek dik taka zawm a pawimawh hle.

Hriselna tha ber chu kan taksaa thil danglam bik eng pawh ngaihven a, damdawi lam thurawn lak vat hi a ni. Hriselna tha tak in zavaia tan!