Chikafu chako chinonamira muura hwako chisina kugayiwa here? Izvi zvinogona kunge zviri Blind Loop Syndrome!

Dzimwe nguva tinonzwa chimwe chinhu chisingawanzoitiki kana chisina kugadzikana mudumbu medu mushure mekudya, handiti? Pamwe tinonzwa takaguta, kana kuti mudumbu medu munorwadza, kana kuti mudumbu medu musina chinhu. Kazhinji, izvi zvinhu zvakajairika, uye tinofunga kuti pamwe pane chimwe chinhu chisina kunaka nechikafu, asi dzimwe nguva panogona kunge paine zvimwe zvikonzero zvakakomba zviri shure kwezviratidzo izvi. Nhasi tichataura nezvechirwere chatisingawanzo kunzwa nezvacho, asi zvakakosha kuti munhu wese azive nezvacho. Icho chirwere chinonzi Blind Loop Syndrome.

Chii chaizvo chinonzi Blind Loop Syndrome ichi?

Zvichitaurwa zviri nyore, chikafu chaunodya chinonamira mune chimwe chikamu chedumbu rako, ndiko kuti, ura hwako, uye pachinzvimbo chekufamba zvakanaka, chinonamira uye chinomira. Funga nezvazvo nenzira iyi, kana pombi yemvura yakanamira panzvimbo imwe, inotsvedza uye utachiona hunokura, uye ndizvo zvinoitika pano zvakare. Kana chikafu chanamira panzvimbo imwe, mabhakitiriya anotanga kukura muura hwako kupfuura zvaanofanira kuita. Izvi zvinogona kukonzera kusagadzikana kukuru, uye zvinogonawo kukonzera kuti uderedze huremu uye uve nekushomeka kwekudya. Izvi zvinonziwo stasis syndrome uye standalone loop syndrome. Chii chiri hukama huripo pakati peblind loop syndrome nesmall intestinal bacterial overgrowth (SIBO)? Ungave wakambonzwa nezvechirwere chinonzi `SIBO (Small Intestinal Bacterial Overgrowth)`. Kukura kwemabhakitiriya muura diki. Kutaura zvazviri, `Blind Loop Syndrome` ndeimwe nzira iyo `SIBO` inogona kuitika. Izvi zvinoreva kuti nekuda kwekukanganisa muchimiro cheura, ndiko kuti, maitiro eura, chikafu chinonamira panzvimbo imwe uye mabhakitiriya anokura. 'SIBO' inogonawo kukonzerwa nekuchinja kwemakemikari ari muura, asi mu 'Blind Loop Syndrome', chikonzero chacho idambudziko remaumbirwo emuviri.

Ndiani anonyanya kubatwa nechirwere ichi?

Kunyangwe chero munhu achigona kuwana chirwere ichi chinonzi 'Blind Loop Syndrome', vamwe vanhu vari panjodzi huru yekuchiwana.

• Vanhu vakambovhiyiwa mudumbu kana muura : Njodzi iyi yakanyanya kukwira kune vanhu vakambovhiyiwa zvinhu zvakaita sekuvhiyiwa kwedumbu diki, kubviswa kwecolectomy, kana kuvhiyiwa kwekudzikisa huremu (gastric bypass surgery, gastric sleeve surgery). Chikafu chinogona kunamira panzvimbo imwe nekuda kwemavanga anobuda mushure mekuvhiyiwa kana nekuda kwekufamba zvishoma muura.
• Vanhu vane zvirwere zvinokanganisa kufamba kwemudumbu:
• Chirwere cheCeliac
• Chirwere cheCrohn
• Zvirwere zvakasiyana-siyana
• Kukuvara kweropa
• Gastroparesis (kusashanda zvakanaka kwetsandanyama dzemudumbu)
• Kunamatira mudumbu
• Chirwere chemudumbu chinotsamwisa ( IBS )
• Chirwere chemaronda emudumbu
• Zvimwe zvirwere:
• Chirwere cheshuga ( Diabetes Mellitus)`
• Scleroderma
• Kuzvimba kwemudumbu kunokonzerwa nemwaranzi (radiation enteritis)
• Pamusoro pezvo: Inogonawo kukonzerwa nekukuvara kwematumbu, kana kuumbwa kwemukana usina kujairika ('gastrointestinal fistula') pakati pedumbu nematumbu.

Vana vadiki vanogona kuva neizvi here? Ehe, vana vadiki vanogona kuva ne 'Blind Loop Syndrome'. Kufanana nevanhu vakuru, chirwere ichi chinogonawo kuitika mushure mekuvhiyiwa. Zvakare, vamwe vana vanogona kuzvarwa vaine zvimwe zvikanganiso mudumbu (congenital abnormalities). Semuenzaniso:

• Biliary atresia
• Gastroschisis
• Jejunal atresia
• Kubvisa enterocolitis

Izvi zvakakomba here? Zvingave zvichiisa hupenyu panjodzi here?

Vanhu vazhinji vanonetseka kuti ichi chirwere chinouraya. Blind Loop Syndrome haisi chirwere chinouraya. Nekurapwa kwakakodzera, zviratidzo zvevanhu vazhinji zvinovandudzika. Zvisinei, kana ikasarapwa kwenguva yakareba, matambudziko akakomba haawanzoitika. Kunyanya, buri muura (kuboorwa kwemudumbu) rinogona kuitika. Iyi injodzi inouraya. Blind Loop Syndrome haisi chirwere chinowanzoitika. Saka, nekuti zviratidzo zvakafanana nezvimwe zvirwere zvekugaya, dzimwe nguva zvinogona kusaonekwa kana kuongororwa zvisizvo. Chimwe chinhu ndechekuti zviratidzo zvinogona kuonekwa makore mushure mekuvhiyiwa.

Ndezvipi zviratidzo zveizvi? Tarisa kana uine izviwo.

Munhu ane `Blind Loop Syndrome` anogona kusangana nechimwe kana kupfuura chezviratidzo zvinotevera:

• Kurwadziwa mudumbu nguva nenguva, kurwadziwa mudumbu kana kuzvimba.Zvinoita sekuti pane chinhu chakanamira mudumbu mangu.
• Kurasikirwa nechido chekudya.
• Kuramba uchirwara manyoka (diarrhea) uye gasi rakawandisa.
• Megaloblastic anemia: Iyi imhando yeanemia inokonzerwa nekushaikwa kwevhitamini B12.
• Tsvina ine mafuta uye inoyangarara pamusoro (Steatorrhea).
• Dumbu rakazvimba.
• Kudzikira kwehuremu, kudzikira kwehuremu, uye kushomeka kwemavhitamini nezvinovaka muviri zvisingatsananguriki.

Kana uine zviratidzo izvi nguva dzose, zvakanaka kuti uone chiremba.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Sezvatakambotaura, chikonzero chikuru cheBlind Loop Syndrome kuvhiyiwa kwemudumbu. Dambudziko iri rinogona kuitika kana kuvhiyiwa kukapfupisa chikamu chemudumbu wako kana kuchinja mafambiro echikafu. Muenzaniso wakanaka kuvhiyiwa kwechikamu chedumbu. Kana chiremba akabvisa chikamu chemudumbu mako, chikamu chasara chinobatanidzwa zvakananga nechikamu chemudumbu mudiki. Izvi zvinogadzira nzira itsva yekuti chikafu chipinde mudumbu mudiki. Zvisinei, kana izvi zvaitwa, chikamu chepamusoro chemudumbu mudiki chinoparadzaniswa nedumbu uye chimwe mugumo unovharwa. Chikamu chakavharwa ichocho "chinovhara dumbu", zvinoreva kuti chakaita sechinovhara dumbu. Chikafu chinogona kunamira panzvimbo iyi. Chii chinoitika kana mabhakitiriya akawandisa mudumbu mudiki? Kana chikafu chikanamira saizvozvo, mabhakitiriya anokura ipapo. Mabhakitiriya aya anowedzera anokanganisa zvikuru maitiro ekugaya chikafu.

• Zvinoitika kumunyu we bile: Miviri yedu inoda munyu we bile kuti igaye mafuta ari muchikafu chedu. Asi mabhakitiriya anokura muura hwedu anodya munyu we bile uyu, kana kuti anokanganisa mashandiro awo. Ipapo muviri haugone kugaya mafuta zvakanaka, uye haugone kunwisa mavhitamini anonyunguduka mumafuta (A, D, E, K). Ndosaka vanhu vane `Blind Loop Syndrome` vachionda uye vachiita tsvina ine mafuta.
• Chii chinoitika pakumedzwa kwevhitamini B12: Mabhakitiriya aya anomedzwa nevhitamini B12 muchikafu chatinodya. Ipapo muviri wedu hauwani vhitamini B12 yakakwana. Megaloblastic anemia inokonzerwa nekushaikwa kwevhitamini B12.

Chiremba anowana sei izvi?

Kana waona chiremba, vanotanga vakubvunza nezvezviratidzo zvako voita bvunzo yemuviri. Vachabata dumbu rako kuti vaone kana paine kurwadziwa, kuzvimba, kana mapundu. Zvadaro, vanogona kuita bvunzo dzinoverengeka kuti vasimbise Blind Loop Syndrome:

• Kuongororwa kweCT yemudumbu kana X-ray.
• Barium enema: Iyi iX-ray chaiyo inoitirwa kuona chimiro cheura.
• Kuongororwa kweropa kuti uone huwandu hwezvinovaka muviri zviri mumuviri wako.
• Enteroscopy: Kuongorora mukati meura uchishandisa chubhu diki ine kamera.
• Kuongororwa kwekufema kwehydrogen: Izvi zvinogona kuona kana paine kukura kwakawandisa kwebhakitiriya muura hudiki.
• Kuongororwa kwetsvina: Tarisa kana paine hutachiona hwezvipembenene kana mafuta ari mutsvina.
• Upper GI series: Kuongorora ura hwepamusoro uchishandisa barium swallow neX-ray.

Mishonga yeizvi ndeipi? Inogona kurapwa here?

Kune nzira dzakasiyana-siyana dzekurapa chirwere che'Blind Loop Syndrome'. Usazvidya moyo, chinogona kurapwa zvakanaka.

• Mishonga inorwisa mabhakitiriya: Iyi ndiyo nzira inonyanya kushandiswa. Mishonga iyi inouraya mabhakitiriya akawanda muura. Vanhu vazhinji vanotanga kunwa zvinovaka muviri zvakanaka mukati memavhiki mashoma kana mwedzi mushure mekutanga kurapwa nemishonga inorwisa mabhakitiriya.
• Kuchinja kwekudya: Chiremba wako anogona kukurudzira kudya chikafu chine mapuroteni akawanda, macalorie, uye mafuta ane hutano. Izvi zvinogona kukubatsira kuti udzore huremu hwako. Taura nachiremba wako nezvekuchengetedza huremu hwakanaka hwakakunakira.
• Kuvhiyiwa: Kunyangwe kana migumisiro yeBlind Loop Syndrome ikadzorwa nemishonga inorwisa mabhakitiriya, dambudziko remudumbu (semuenzaniso, blind loop) rinogona kuramba riripo. Kana zvakadaro, kuvhiyiwa kunogona kudiwa kuti dambudziko rigadziriswe zvachose.
• Mishonga yekuwedzera mavitamini: Kana uine chirwere chekushaya ropa kana chimwe chirwere chekushaya kudya nekuda kwekushaya mavitamini, chiremba wako anogona kukurudzira kutora mishonga yekuwedzera yakaita sevhitamini B12.

Chinhu chinonyanya kukosha ndechekurapwa kweBlind Loop Syndrome. Kukura kwemabhakitiriya hakuperi kwega. Kutaura zvazviri, dambudziko rinogona kuwedzera nekufamba kwenguva uye rinotungamira kumatambudziko akakomba. Saka, zvakakosha kuona chiremba uye kurapwa kwakakodzera, kunyangwe zviratidzo zvacho zviri zvidiki.

Pane nzira yekudzivirira izvi kuti zvisaitike here?

Hapana nzira chaiyo yekudzivirira Blind Loop Syndrome. Zvisinei, kana uchizovhiyiwa mudumbu, zvakanaka kutaura nachiremba wako nezvekuti kuvhiyiwa uku kuchaitwa sei uye kana kune njodzi yekubatwa neBlind Loop Syndrome.

Izvi zvichaitika here kana wakambovhiyiwa kare?

Kunyangwe wakambovhiyiwa chirwere chemudumbu, mukana wako wekubatwa neBlind Loop Syndrome wakaderera zvikuru. Zvisinei, kunyangwe kuvhiyiwa kwacho kwakaitwa kare kare, kunowedzera njodzi diki. Saka, kana ukaona chero chinhu chisina kujairika kana zviratidzo zvitsva mumuviri wako wekugaya, ziva nezvazvo uye taurira chiremba nekukasika.

Zvinogona kudzoka here mushure mekurapwa? Ndezvipi zvinetso zvinogona kuitika?

Blind Loop Syndrome inogona kurapwa zvinobudirira nemishonga inorwisa mabhakitiriya uye kuvhiyiwa. Zvisinei, mune vamwe vanhu, chirwere ichi chinogona kudzoka. Kana chikasarapwa kwenguva yakareba, matambudziko akadai se:

• Matumbu akavharika
• Kuboorwa kwemudumbu
• Kusakwanisa kunyudza zvinovaka muviri zvakanaka (malabsorption)
• Kushaya chikafu chinovaka muviri
• Maronda muura hwako

Ndinofanira kuona chiremba rini nekukurumidza sezvinobvira?

Kana uine chimwe chezviratidzo izvi, enda kuna chiremba nekukasika, sezvo zvichigona kuva chiratidzo chekukurumidzira, senge kubooka kwemudumbu:

• Kuzvimba kwedumbu (kunzwa dumbu rakazvimba uye rakabatikana)
• Ropa riri muchigaro chako
• Fivha uye dzihwa
• Kusvotwa nekurutsa
• Kurwadziwa kwakanyanya mudumbu kana kurwadziwa kwemudumbu

Ndeipi mibvunzo inokosha yekubvunza chiremba?

Kana chiremba wako akakuudza kuti une `Blind Loop Syndrome`, zvingabatsira kubvunza mibvunzo iyi:

• Pane nzira dzekuderedza zviratidzo izvi pasina mishonga kana kuvhiyiwa here?
• Ko mapurobiotics anogona kubatsira kuderedza zviratidzo izvi here?
• Pane kudya kwakakosha here kuderedza njodzi yekudzokororwa kweizvi?
• Ndeipi mukana wekuti izvi zviitike zvakare mushure mekurapwa?
• Ndinofanira kuvhiyiwa here kuti ndiite izvi zvakare?

Kana uine matambudziko ekugaya chikafu kana zvimwe zviratidzo zvemudumbu, enda kuna chiremba. Kana wakambovhiyiwa dumbu, kunyangwe dai zvaive makore apfuura, iva nechokwadi chekuudza chiremba wako nezvazvo. Blind Loop Syndrome haisi chirwere chinowanzoitika, asi zviratidzo zvako zvinoratidza kuti pane chisina kumira zvakanaka. Kuwana chirwere chakarurama ndiyo nhanho yekutanga yekurapwa kunobudirira.

Chinhu chakakosha chatinofanira kudzidza kubva pane izvi (Mharidzo Yekuenda Kumba)

Saka, muchidimbu, `Blind Loop Syndrome` chirwere apo chikafu chinonamira muura uye mabhakitiriya anokura, zvichikonzera kusagadzikana kwakasiyana-siyana nematambudziko ekudya. Vanhu vakambovhiyiwa mudumbu ndivo vari panjodzi huru yekuva nechirwere ichi. Zvinhu zvakakosha zvekurangarira ndeizvi:

• Kana uine zviratidzo zvakaita sekurwadziwa mudumbu nguva dzose, kudzikira kwehuremu, kana manyoka, usazviregeredza.
• Ona chiremba wobva waona chikonzero chaicho.
• Kana ukaonekwa uine `Blind Loop Syndrome`, usavhunduke. Kune mishonga inoshanda yeizvi.
• Zvakakosha zvikuru kutevedzera mirairo yachiremba nemazvo.

Nzira yakanakisisa yekugara uine hutano ndeyekuteerera chero chinhu chisingawanzoitika mumuviri wedu uye kutsvaga mazano echiremba nekukasika. Hutano hwakanaka kwamuri mese!