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!