Ka mau tō kai ki roto i ō whekau, ā, kāore e nakunaku? Tērā pea he Blind Loop Syndrome tēnei!

I ētahi wā ka rongo tātou i tētahi mea rerekē, i tētahi mea whakararuraru rānei i roto i tō tātou puku i muri i te kai, tika? Tērā pea ka kī tonu tātou, ka mamae rānei tō tātou puku, ka takoto kau rānei tō tātou puku. I te nuinga o te wā, he mea noa ēnei, ā, ka whakaaro tātou he hapa pea kei roto i te kai, engari i ētahi wā tera pea ētahi atu take nui ake kei muri i ēnei tohu. I tēnei rā ka kōrero tātou mō tētahi mate e kore e tino rangona ana, engari he mea tino nui kia mōhio te katoa. Koia tētahi mate e kiia nei ko te Blind Loop Syndrome.

He aha rawa tēnei mea e kīia nei ko te Blind Loop Syndrome?

He kupu ngāwari, ka piri te kai e kainga ana e koe ki tētahi wāhanga o tō pūnaha nakunaku, arā, ō whekau, ā, hei utu mō te neke noa, ka piri, ka tū. Whakaarohia pēnei, ina piri te paipa wai ki tētahi wāhi, ka paru, ka tupu ngā iroriki, ā, koinei anō hoki te mea e tupu ana i konei. Ina piri te kai ki tētahi wāhi, ka tīmata te tipu o ngā huakita i roto i ō whekau i te mea e tika ana. Ka taea e tēnei te whakararuraru i a koe, ā, ka taea hoki e ia te whakaiti i tō taumaha me te whakawhanake i ngā ngoikoretanga kai. Ka kiia hoki tēnei ko te stasis syndrome me te stagnant loop syndrome. He aha te whanaungatanga i waenga i te blind loop syndrome me te small intestinal bacterial overgrowth (SIBO)? Kua rongo pea koe i tētahi āhuatanga e kiia nei ko te `SIBO (Small Intestinal Bacterial Overgrowth)`. He tipu nui o ngā huakita i roto i te whekau iti. Inaa, ko te `Blind Loop Syndrome` tētahi ara ka puta ai te `SIBO`. Ko te tikanga nā te hapa o te hanganga o te whekau, arā, te āhua o te hanganga o te whekau, ka piri te kai ki tētahi wāhi, ā, ka tupu ngā huakita. Ka taea hoki te puta o te 'SIBO' nā ngā panonitanga o te taurite matū o te whekau, engari i roto i te 'Blind Loop Syndrome', ko te take he raruraru hanganga.

Ko wai te mea tino tūpono ka pāngia e tēnei mate?

Ahakoa ka taea e te tangata katoa te pāngia e tēnei 'Blind Loop Syndrome', he nui ake te mōrearea o ētahi tāngata ki te pāngia e tēnei mate.

• Ngā tāngata kua pokanga puku, kua pokanga whēkau rānei : He tino teitei tēnei mōrearea mō te hunga kua pokangahia ngā whekau iti, kua pokanga tango puku, kua pokanga whakaiti taumaha rānei (pokanga taha puku, pokanga ringaringa puku). Ka piri pea te kai ki te wāhi kotahi nā te kiko whara i puta i muri i te pokanga, nā te puhoi rānei o te nekenekehanga o ngā whekau.
• Ngā tāngata whai mate e pā ana ki te nekehanga o te pūnaha nakunaku:
• Mate celiac
• Te mate a Crohn
• Mate diverticular
• Te mate puku
• Gastroparesis (he ngoikore o te uaua o te puku)
• Ngā piri o te puku
• Te mate puku puku puku ( IBS )
• Te mate pukupuku peptic
• Ētahi atu āhuatanga hauora:
• Mate huka `( Mate huka Mellitus)`
• Te kiriuhi o te kiriuhi
• Te mumura o te puku i puta mai i te rongoā irahiko (te mumura o te puku i puta mai i te rongoā irahiko)
• Hei tāpiri: Ka pā mai pea i ngā whara o ngā whekau, i te hanganga rānei o tētahi pūwhera rerekē (he 'fistula gastrointestinal') i waenganui i te puku me ngā whekau.

Ka taea e ngā tamariki nohinohi te pāngia e tēnei? Ae, ka taea e ngā tamariki nohinohi te pāngia e te `Blind Loop Syndrome`. Pērā i ngā pakeke, ka taea hoki tēnei āhuatanga te pā mai i muri i te pokanga. Waihoki, ka whānau mai pea ētahi tamariki me ētahi hapa o te pūnaha nakunaku (ngā āhuatanga whānau). Hei tauira:

• Te ngoikore o te biliary
• Te puku o te puku
• Te atresia o te ihu
• Te enterocolitis necrotizing

He kino tēnei? Tērā pea ka mate koe?

He tokomaha te hunga e āwangawanga ana he mate tēnei. Kāore te Blind Loop Syndrome e mate i te nuinga o te wā. Mēnā ka tika te maimoatanga, ka pai ake ngā tohu o te nuinga o te tangata. Heoi, ki te kore e rongoatia mō te wā roa, kāore e maha ngā raruraru nui e puta. Ina koa, ka puta he kōhao i roto i te whekau (te pakaru o te puku). He āhuatanga ohorere tēnei e mate ai te tangata. Ehara te Blind Loop Syndrome i te mate tino noa. Nō reira, nā te mea he rite ngā tohu ki ērā o ētahi atu mate nakunaku noa, i ētahi wā ka kore e kitea, ka hē rānei te tautuhi. Ko tētahi atu mea, ka puta pea ngā tohu i muri i ngā tau maha o te pokanga.

He aha ngā tohu o tēnei? Tirohia mēnā kei a koe anō ēnei.

Tērā pea ka pāngia te tangata whai `Blind Loop Syndrome` e tētahi, e ētahi rānei o ēnei tohu:

• Te mamae pinepine o te puku, te kōroke, te pupuhi rānei.Me te mea kei te mau tetahi mea i roto i tōku puku.
• Te ngaronga o te hiahia kai.
• Te korere auau (korere) me te nui o te hau.
• Te anemia megaloblastic: He momo anemia tēnei e puta mai ana i te korenga o te huaora B12.
• He tūtae hinuhinu, e mānu ana i runga (Steatorrhea).
• Puku pupuhi.
• Te whakahekenga taumaha kāore i te whakamāramatia, te ngaronga taumaha, me te korenga o ngā huaora me ngā matūkai.

Mena kei te mau tonu ēnei tohu, he pai ake te toro atu ki te tākuta.

He aha tēnei e tupu nei? He aha ngā take?

E ai ki tā mātou i kōrero ai i mua ake nei, ko te tino take o te Blind Loop Syndrome ko te pokanga i te ara kai. Ka puta pea tēnei āhuatanga mēnā ka whakapotohia e te pokanga tētahi wāhanga o tō puku, ka whakarerekētia rānei te huarahi e haere ai te kai. He tauira pai ko te tango wāhanga o te gastrectomy. Ina tangohia e te tākuta tētahi wāhanga o tō puku, ka honoa tika te wāhanga e toe ana ki tētahi wāhanga o te puku iti. Ka hangaia he ara hou mō te kai ki te tomo ki te puku iti. Heoi, ina oti tēnei, ka wehea te wāhanga o runga o te puku iti mai i te puku, ā, ka kati tētahi pito. Ko taua wāhanga kati he "blind loop", ko te tikanga he rite ki te pito mate. Ka taea e te kai te piri ki tēnei wāhi. He aha te mea ka tupu ina nui rawa te tipu o te huakita i roto i te puku iti? Ina piri te kai pērā, ka tipu te huakita ki reira. Ka pā nui tēnei pikinga o te huakita ki te tukanga nakunaku.

• Ngā mea ka pā ki ngā tote au: Me whai tote au ō tātou tinana hei nakunaku i ngā ngako i roto i ā tātou kai. Engari ka pau ēnei tote au i ngā huakita e tipu ana i roto i ō tātou whekau, ka whakararu rānei i tā rātou mahi. Kātahi ka kore e taea e te tinana te nakunaku tika i ngā ngako, ā, kāore e taea te mimiti i ngā huaora wairewa-ngako (A, D, E, K). Koia te take ka hiroki te hunga whai `Blind Loop Syndrome`, ā, ka hinuhinu hoki ō rātou tūtae.
• Ngā mea ka pā ki te mimiti o te huaora B12: Ka mimitihia e ēnei huakita te huaora B12 i roto i ngā kai e kainga ana e tātou. Kātahi ka kore e nui te huaora B12 e whiwhi i roto i te tinana. Ko te anemia megaloblastic te take o te korenga o te huaora B12.

Me pēhea te kitenga a te tākuta i tēnei?

Ina kite koe i te tākuta, ka pātai tuatahi rātou ki a koe mō ō tohumate, ā, ka tirotirohia hoki tō tinana. Ka pāngia tō puku e te mamae, te pupuhi, te puku rānei. Kātahi ka mahia pea e rātou ētahi whakamātautau hei whakaū i te Blind Loop Syndrome:

• Matawai CT puku, matawai X-ray rānei.
• Barium enema: He hihi-X motuhake tēnei e mahia ana hei tiro i te āhua o ngā whekau.
• Ngā whakamātautau toto hei tirotiro i ō taumata matūkai.
• Enteroscopy: Te tirotiro i te roto o te whekau mā te whakamahi i tētahi ngongo angiangi me te kāmera.
• Whakamātautau manawa hauwai: Mā tēnei ka kitea mēnā he nui rawa te tipu o ngā huakita i roto i te whekau iti.
• Whakamātautau tūtae: Tirohia mēnā he mate pirinoa, he hinu rānei kei roto i te tūtae.
• Raupapa GI o Runga: He whakamātautau hihi-X o te whekau o runga mā te whakamahi i te horomitanga barium.

He aha ngā rongoā mō tēnei? Ka taea te whakaora?

He maha ngā maimoatanga mō te 'Blind Loop Syndrome'. Kaua e manukanuka, he maha ngā wā ka taea te whakahaere pai.

• Ngā rongoā paturopi: Koinei te rongoā tino noa. Ka patua e ēnei rongoā te tipu nui o ngā huakita i roto i ngā whekau. He maha ngā tāngata ka tīmata ki te mimiti tika i ngā matūkai i roto i ētahi wiki, i ētahi marama rānei o te tīmatanga o te rongoā paturopi.
• Ngā panonitanga kai: Ka tūtohu pea tō tākuta kia kai i tētahi kai he nui te pūmua, te kaora, me te ngako hauora. Mā tēnei ka āwhina i a koe ki te whakahoki mai i tō taumaha. Kōrero ki tō tākuta mō te pupuri i tētahi taumaha hauora e tika ana māu.
• Pokanga: Ahakoa ka whakahaerea ngā pānga o te Blind Loop Syndrome mā ngā paturopi, ka noho tonu pea te raruraru puku (hei tauira, te blind loop). Mēnā koinei te āhua, me pokanga pea hei whakatau tuturu i te raruraru.
• Ngā tāpiringa huaora: Mena he anemia tōu, he korenga kai rānei nā te korenga huaora, ka tūtohu pea tō tākuta kia tangohia he tāpiringa pērā i te huaora B12.

Ko te mea nui ko te whiwhi maimoatanga mō te Blind Loop Syndrome. Kāore e pai ake te tipu nui o te huakita i a ia anō. Inaa, ka kino haere te raruraru i roto i te wā, ā, ka arahi ki ngā raruraru nui. Nō reira, he mea tino nui kia kite i te tākuta me te whiwhi maimoatanga tika, ahakoa he iti noa ngā tohu.

He ara kei reira hei ārai i tēnei mea kei tupu?

Kāore he huarahi motuhake hei ārai i te Blind Loop Syndrome. Heoi, ki te mea kei te hiahia koe ki te pokanga puku, he mea whakaaro nui kia kōrero koe ki tō tākuta mō te āhua o te pokanga, me te mea kei roto he mōrearea ki te whakawhanake i te Blind Loop Syndrome.

Ka tino tupu tēnei mēnā kua pokangahia koe i mua?

Ahakoa kua pokangahia tō puku i mua, he iti noa iho te tūponotanga ki te pāngia e te Blind Loop Syndrome. Heoi, ahakoa i mahia te pokanga i mua noa atu, he iti noa iho te tūponotanga ka tāpirihia. Nō reira, ki te kite koe i tētahi tohu rerekē, tohu hou rānei i roto i tō pūnaha nakunaku, kia tūpato, ā, me kōrero tonu atu ki te tākuta.

Ka taea te hoki mai anō i muri i te maimoatanga? He aha ngā raruraru ka pā mai?

Ka taea te rongoā angitu i te Blind Loop Syndrome mā te whakamahi i ngā paturopi me te pokanga. Heoi, mō ētahi tāngata, ka taea e te mate te hoki mai anō. Ki te kore e rongoatia mō te wā roa, ka puta ngā raruraru pēnei i:

• Ngā whekau kua āraia
• Te poka o te puku
• Te ngoikore o te mimiti (te kore e taea te mimiti tika i ngā matūkai)
• Te kore kai
• Ngā mate pukupuku i roto i tō puku

Āhea ahau me toro atu ki te tākuta i te wā e taea ai?

Mena kei a koe ētahi o ēnei tohu, me toro atu ki te tākuta tonu, he tohu pea ēnei mō tētahi āhuatanga ohorere, pērā i te pakaru o te puku:

• Te pupuhi o te puku (te ahua o te puku pupuhi, te kikī)
• Te toto i roto i tō tūtae
• Te kirika me te makariri
• Whakapairuaki me te ruaki
• Te mamae nui o te puku, te mamae rānei

He aha ngā pātai nui hei pātai atu ki te tākuta?

Ki te kī atu tō tākuta kei a koe te 'Blind Loop Syndrome', he pai pea te pātai i ēnei pātai:

• He huarahi hei whakaiti i ēnei tohumate me te kore rongoā, me te kore pokanga rānei?
• Ka taea e ngā probiotics te āwhina ki te whakaiti i ēnei tohu?
• He kai motuhake kei reira hei whakaiti i te mōrearea o tēnei anō?
• He aha te tūponotanga ka puta anō tēnei āhuatanga i muri i te maimoatanga?
• Me pokanga anō hoki ahau mō tēnei?

Mena he raruraru pūnaha nakunaku, he tohumate pūnaha nakunaku rānei tōu, me toro atu ki te tākuta. Mena kua pokangahia tō puku i mua, ahakoa he maha ngā tau kua pahure, me kōrero ki tō tākuta . Ehara te Blind Loop Syndrome i te mate noa, engari e tohu ana ō tohumate kei te hē tetahi mea. Ko te kimi i te tautuhi tika te taahiraa tuatahi ki te maimoatanga angitu.

Ko te mea tino nui hei ako mā tātou i tēnei (Karere hei Tango ki te Kāinga)

Nō reira, ki te whakarapopototia, ko te 'Blind Loop Syndrome' he āhuatanga e mau ai te kai ki roto i ngā whekau, ā, ka nui haere te tipu o ngā huakita, ka puta ai ngā momo mamae me ngā raruraru kai. Ko te hunga kua pokangahia te puku, ko rātou te hunga tino mōrearea ki te pāngia e tēnei āhuatanga. Ko ngā mea tino nui hei maumahara ko:

• Mena kei a koe ngā tohu pēnei i te mamae o te puku tonu, te ngaronga taumaha, te mate korere rānei, kaua e warewarehia.
• Tirohia he tākuta, kia kitea ai te tino take.
• Ki te mea kua tāpaetia koe kei te mate koe i te 'Blind Loop Syndrome', kaua e mataku. He maha ngā maimoatanga whai hua hei whakaora i tēnei.
• He mea tino nui kia tino whai i ngā tohutohu a te tākuta.

Ko te huarahi pai ki te noho hauora ko te aro ki ngā mea rerekē o roto i ō tātou tinana, me te rapu tohutohu hauora i te wā tonu. Kia ora koutou katoa!