Kua rongo koe i tētahi āhua rerekē, āhua koretake tonu i roto i tō puku i muri i te kai? Tērā pea kei te pupuhi koe, kei te mamae te puku, kei te mate korere rānei. Ahakoa he maha ngā wā ka whakaarohia ēnei he take noa iho o te korenga o te kai, he "kai kino" rānei, ka taea e ēnei tohu te tohu i tētahi take uaua ake. I tēnei rā, kei konei te tīma o Nirogi Lanka ki te whakamārama i tētahi āhuatanga e kore e kōrerohia engari he mea nui kia mārama: te Blind Loop Syndrome .
He aha rawa te Blind Loop Syndrome?
I roto i ngā kupu māmā noa iho, ka puta te Blind Loop Syndrome ina kore e taea e te kai te neke noa i roto i tō ara nakunaku—ina koa ko te whekau iti—ā, ka mau ki roto i tētahi wāhanga o te whekau. Whakaarohia he rite ki te wai taurite; pērā i te tupu o ngā paru me ngā huakita ina mutu te rere o te wai, ko te kai e mau tonu ana ki te wāhi kotahi ka hanga he taiao e taea ai e ngā huakita kino te whakanui me te kore e taea te whakahaere.
I te noho pūmau o tēnei kai, ka hua ake te tipu nui o te huakita o te puku iti (SIBO) . Ka taea e tēnei kore taurite te whakararu i te pūnaha nakunaku, te whakahekenga taumaha, me te korenga o ngā kai. Tērā pea ka rongo koe i tēnei e kīia ana e ngā tohunga hauora ko te "stasis syndrome" ko te "stagnant loop syndrome" rānei.
He rite tonu te Blind Loop Syndrome ki te SIBO?
Ahakoa kua rongo pea koe i te SIBO, whakaarohia pēnei: Ko te Blind Loop Syndrome tētahi tino take hanganga o te SIBO. Ahakoa ka taea te whakaoho i te SIBO e ngā koretake o te matū i roto i te puku, ko te Blind Loop Syndrome te hua o tētahi "pūkoro" tinana, he hapa hanganga rānei i roto i tō tinana e akiaki ana i te kai kia noho puku.
Ko wai te mea tino mōrearea?
Ahakoa ka taea e te tangata te whakawhanake i tēnei mate, ka piki ake te tūponotanga o ētahi āhuatanga:
- Pokanga puku o mua: Ko ngā tūroro kua oti ngā mahi pēnei i te tango i te whekau iti, te tango i te puku, te tango rānei i te taumaha (hei tauira, te pokanga gastric bypass, te pokanga gastric sleeve rānei) he nui ake te mōrearea. Mā te kiko whara , te ngoikore rānei o te nekenekehanga o te whekau i muri i te pokanga ka noho pūmau te kai i roto i ngā wāhanga e takoto kau ana.
- Ngā mate nekenekehanga o te nakunaku: Ngā āhuatanga pēnei i te mate Celiac , te mate a Crohn , te mate diverticular, te enterocolitis, te gastroparesis , te piri o te puku , te Irritable Bowel Syndrome (IBS) , te mate puku peptic rānei.
- Ngā āhuatanga hauora pūnaha: Pēnei i te mate huka , te scleroderma, te mate puku i puta mai i te hihi.
- Ētahi atu āhuatanga: Ka taea hoki e ngā whara tinana ki te whekau, te hanganga rānei o tētahi hononga rerekē (fistula gastrointestinal) te whakaoho i te mate.
Ka pāngia pea ngā tamariki?
Ae, ka taea hoki e ngā tamariki te pāngia e te Blind Loop Syndrome. Ka pā mai pea i muri i te pokanga, nā ngā āhuatanga whānautanga rānei i puta mai i te whānautanga, pērā i te biliary atresia, te gastroschisis, te jejunal atresia, te necrotizing enterocolitis rānei.
He mea morearea tēnei āhuatanga?
He mea maori te āwangawanga, engari kia mōhio koe ehara te Blind Loop Syndrome i te mea morearea ki te ora, ā, ki te tika te maimoatanga, ka kite te nuinga o ngā tūroro i te whakapainga nui.
Heoi, ki te kore e rongoatia, ka arahi pea ki ngā raruraru nui. I ētahi wā onge, ka puta pea he pakaru o te puku (he haehae i roto i te whekau), he āhuatanga ohorere hauora tēnei. Ki te whakaaro koe kei a koe ēnei tohu, kaua e warewarehia. Rapua tonutia he awhina hauora i te tari ohorere tata rawa atu mēnā ka pāngia koe e te mamae nui o te puku, e kore e mutu.
Nā te mea he rite ngā tohu ki ētahi atu raruraru nakunaku noa ake, he maha ngā wā kāore i te tino kitea, kāore rānei i te tika te tautuhi i tēnei mate. Hei tāpiri, ka puta pea ngā tohu i muri i ngā tau maha i te pokanga tuatahi, nō reira kaua e whakakore i tēnei i runga i te hītori hauora o mua.
Ngā tohu matua hei tirotiro māu
Mena kei a koe te Blind Loop Syndrome, ka pāngia pea koe e tētahi, e ētahi atu rānei o ēnei e whai ake nei:
- Te mamae pūmau o te puku, te kōpiripiri, te kare rānei e kī ana/e pupuhi ana.
- Te ngaronga o te hiahia kai.
- Te korere tonu me te nui o te hau.
- Te anemia nui rawa: He momo anemia motuhake i puta mai i te korenga o te huaora B12.
- Steatorrhea: He tūtae momona, he kakara kino, he mānu rānei i roto i te wharepaku.
- Te puku pupuhi e kitea ana (te puku e pupuhi ana).
- Te whakahekenga taumaha kāore i te māramatia, me ngā tohu o te korenga o ngā huaora/matūkai.
Mena ka mau tonu ēnei tohu, ka tino taunaki kia toro atu koe ki tētahi tohunga gastroenterologist hei tātaritanga tika.
He aha i pēnei ai?
E ai ki te kōrero, ko te mea tino noa ko te pokanga puku. Ina hangaia e te taote he ara hou mō te kai (pērā i te tango hapa o te puku), ka taea e ia te hanga i tētahi "waenga anastomotic" - he wāhanga mutunga kore o te puku. Nā te mea kāore he putanga o tēnei koropiko, ka tomo te kai me ngā wai nakunaku engari kāore e taea te puta, ka hangaia he wāhi tino pai mō te whakaputa uri o ngā huakita.
Ka aha ina nui rawa te tipu o ngā huakita?
Ina tupu pai ngā huakita i roto i tēnei porowhita tūroa, ka tīmata rātou ki te whakapūkara i te kai e kainga ana e koe i mua i te wā e mimiti ai tō tinana i ngā matūkai e tika ana. Ehara i te mea ka puta te hau mamae me te pupuhi anake, engari ka tangohia hoki te kaha me te hauora o tō tinana, ka hua ake ngā ngoikoretanga pūnaha kua whakahuatia ake nei.
- Pānga ki ngā Tote Au: Me whai tote au tō tinana hei keri i ngā ngako kai. Heoi, ka pau, ka whakakorea rānei ēnei tote e te tipu nui o ngā huakita. Nō reira, ka uaua ki tō tinana te keri i ngā ngako, ā, kāore e taea te mimiti tika i ngā huaora wairewa-ngako (A, D, E, me te K). Koinei tonu te take e pāngia ai te hunga whai Blind Loop Syndrome e te ngaronga taumaha kāore i te whakamāramatia, me te paru hinuhinu, kakara kino hoki.
- Pānga ki te Ngongo Huaora B12: Ka kai ngā huakita nui rawa atu i roto i tō puku i te Huaora B12 e kainga ana e koe, ka tangohia tēnei matūkai nui mai i tō tinana. Ko tēnei ngoikoretanga te tino take o te mate e mōhiotia ana ko te megaloblastic anemia.
Me pēhea te tautuhi i tēnei?
Ina toro atu koe ki tētahi tohunga hauora, ka arotakehia e rātou ō tohumate, ā, ka tirotirohia hoki tō tinana. Ka pā mārire rātou i tō puku hei tirotiro mēnā he tohu mamae, he pupuhi, he puku rerekē rānei.
Hei whakaū i te mate o te Blind Loop Syndrome, ka tūtohu pea tō tākuta i ētahi whakamātautau tātaritanga:
- Mā te matawai CT puku, mā te hihi-X rānei hei tiro i ngā hanganga o roto.
- Barium enema: He tikanga hihi-X motuhake e whakamahia ana hei tirotiro i te āhua me te hauora o tō koroni.
- Ngā whakamātautau toto hei aroturuki i ō taumata matūkai me te tautuhi i ngā ngoikoretanga.
- Enteroscopy: He tikanga e whakamahi ana i tētahi ngongo angiangi, ngāwari me te kāmera hei tirotiro i te arai o roto o tō whekau iti.
- Whakamātautau manawa hauwai: Whakamahia hei kite i te tipu nui o te huakita i roto i te whekau iti.
- Whakamātautau tūtae: Hei tirotiro mō ngā mate pirinoa, mō te kore rānei e mimiti i ngā ngako.
- Raupapa o te GI o Runga: He raupapa o ngā hihi-X e tangohia ana i muri i tō horomitanga i te otinga barium hei tiro i tō ara kai o runga.
He aha ngā huarahi maimoatanga? Ka taea te whakaora?
He maha ngā rautaki rongoā whai hua mō te Blind Loop Syndrome. Kia māia koe, he tino ngāwari te whakahaere i tēnei mate.
- Paturopi: Koinei te huarahi maimoatanga matua. Ka tohua ngā paturopi hei whakakore i te tipu nui o ngā huakita. Ko te nuinga o ngā tūroro e kī ana ka tīmata te pai haere o tō rātou kaha ki te mimiti i ngā matūkai i roto i ngā wiki, i ngā marama rānei o te tīmatanga o te maimoatanga.
- Ngā huringa kai: Ka tūtohu pea tō tākuta i tētahi kai whai kiko i te pūmua, i te ngako hauora, me te nui o ngā kaora hei āwhina i a koe ki te whakahoki mai i tō taumaha. Ka akiaki mātou i a koe kia kōrero tahi me tō tākuta mō tētahi mahere kai whaiaro hei pupuri i tō taumaha hauora.
- Pokanga: Ahakoa ka taea e ngā paturopi te whakahaere i ngā tohu, tera pea ka noho tonu te raruraru tinana (te "matapo porowhita"). I roto i ēnei āhuatanga, tera pea me pokanga hei whakarato i tētahi otinga tuturu.
- Ngā tāpiringa huaora: Mena kei te pāngia koe e te anemia, e ētahi atu ngoikoretanga matūkai rānei i puta mai i te mate, ka tohua e tō tākuta ngā tāpiringa e tika ana, pērā i te Huaora B12, hei whakaora i ō taumata.
Ko te mea tino nui ko te mate pōrearea e hiahiatia ana he maimoatanga hauora. Kāore e memeha noa te tipu nui o te huakita. Ki te kore e rongoatia, ka kino haere te āhua i roto i te wā, ā, ka puta he raruraru nui. Ahakoa te āhua iti noa iho o ō tohu, he mea nui te rapu aromatawai ngaio mō tō hauora mō te wā roa.
He ara hei ārai i tēnei?
Kāore he huarahi motuhake hei ārai i te whanaketanga o te Blind Loop Syndrome. Heoi, ki te mea kei te whakaaro koe ki te pokanga puku, he mea whakaaro nui kia kōrerohia te tikanga ki tō taote pokanga, me te pātai atu mō ngā tūponotanga ka pā mai ngā raruraru pēnei i te Blind Loop Syndrome.
Mena kua pokangahia ahau i mua, e tino mōhiotia ana ka pā mai tēnei ki ahau?
Ahakoa kua pokangahia tō puku i mua, kāore e kī taurangi ka pāngia koe e te mate Blind Loop Syndrome; he iti tonu te mōrearea. Heoi, ahakoa ngā pokanga i mahia i ngā tau kua pahure ake nei, ka iti pea te tūponotanga o te pāngia. Kia tūpato: ki te kite koe i ētahi huringa hou, rerekē rānei i roto i tō tukanga nakunaku, tena koa whakamōhio atu ki tō tākuta i taua wā tonu.
Ka taea te hoki mai anō i muri i te maimoatanga? He aha ngā raruraru ka pā mai?
Ahakoa he angitu te nuinga o ngā rongoā paturopi me te pokanga, ka taea e ētahi tāngata te hoki mai anō te mate.
Ki te kore e rongoatia mō te wā roa, ka pāngia koe e ngā raruraru nui, tae atu ki:
- Ngā whekau kua āraia
- Te poka o te puku
- Te mimiti koretake
- Te kore kai
- Ngā mate pukupuku i roto i tō puku
Āhea koe me rapu awhina āwhina ohorere?
Mena ka pāngia koe e tētahi o ēnei e whai ake nei, rapua tonutia te awhina hauora (waea atu ki te 911, toro atu rānei ki tō tari urupare tata), nā te mea he tohu pea ēnei mō ngā āhuatanga e morearea ana ki te ora pērā i te poka o te puku:
- Te pupuhi o te puku (he puku pupuhi, he pakari, he mamae rānei)
- Te toto i roto i tō tūtae
- Te kirika me te makariri
- Whakapairuaki me te ruaki tonu
- Te mamae nui o te puku, te kōpiri rānei
Ngā pātai nui hei pātai atu ki tō tākuta
Mena ka kitea tō mate Blind Loop Syndrome, whakaarohia te pātai i ēnei pātai:
- He huarahi hei whakahaere i ēnei tohumate me te kore rongoā, me te kore pokanga rānei?
- Ka taea e ngā probiotics te whakaiti i aku tohumate?
- He kai motuhake tāku hei whai māku hei ārai i te hokinga mai o te mate?
- He aha te tūponotanga ka hoki mai anō tēnei mate i muri i te maimoatanga?
- He mea tino tika te pokanga mō taku kēhi motuhake?
Mena kei te raru koe i ngā raruraru nakunaku, i ngā tohumate puku pumau rānei, tēnā whakapā atu ki tētahi tākuta. Mena he hītori tākuta puku tōu—ahakoa he maha ngā tau kua pahure—kia mōhio koe ki te whakamōhio atu ki tō tākuta. Ahakoa he mea onge te Blind Loop Syndrome, tera pea he tohu ō tohumate e hiahia ana kia arohia tō pūnaha nakunaku. Ko te tautuhi tika te taahiraa tuatahi me te taahiraa nui rawa atu ki te maimoatanga angitu.
Te Karere Kawe-ā-Kāinga mai i Nirogi Lanka
Ki te whakarapopototanga, ka puta te Blind Loop Syndrome ina mau te kai ki roto i tētahi wāhanga o te whekau, ka nui rawa te tipu o ngā huakita ka hua ake te mamae nui me te kore kai. He nui ake te mōrearea o te hunga kua pāngia e te pokanga puku.
Ngā mea matua hei maumahara:
- Kaua e warewarehia te mamae tonu o te puku, te hekenga taumaha kāore i te mārama, te mate korere rānei.
- Me toro atu ki tētahi tākuta kia kitea ai te tino pūtake o ō tohu.
- Mena kua tāpaetia koe kei te mate koe i te Blind Loop Syndrome, kia mau tonu tō āhua pai—kei te wātea ngā maimoatanga whai hua.
- Kia tino whai i ngā tohutohu haumanu a tō tākuta.
Ko te aro ki tō tinana me te rapu tohutohu hauora i te wā tika te huarahi tino tika ki te pupuri i tō hauora. Ngā mihi nui ki a koe e Nirogi Lanka!
