Ingaba ukutya kwakho kuyanamathela emathunjini akho ngaphandle kokugaywa? Oku kusenokuba yiBlind Loop Syndrome!

Ngamanye amaxesha siziva into engaqhelekanga okanye engakhululekanga esiswini emva kokutya, akunjalo? Mhlawumbi siziva sihluthi, okanye isisu sethu sibuhlungu, okanye isisu sethu singenanto. Uninzi lwexesha, ezi zizinto eziqhelekileyo, kwaye sicinga ukuba mhlawumbi kukho into engalunganga ngokutya, kodwa ngamanye amaxesha kunokubakho ezinye izizathu ezinzulu ezibangela ezi mpawu. Namhlanje siza kuthetha ngemeko esingayivayo rhoqo, kodwa kubaluleke kakhulu ukuba wonke umntu azi ngayo. Leyo yimeko ebizwa ngokuba yiBlind Loop Syndrome.

Yintoni kanye kanye le nto kuthiwa yiBlind Loop Syndrome?

Ngamafutshane, ukutya okutyayo kunamathela kwinxalenye ethile yenkqubo yakho yokugaya ukutya, oko kukuthi, amathumbu akho, kwaye endaweni yokuhamba ngokuqhelekileyo, kuyanamathela kwaye kume. Cinga ngale ndlela, xa umbhobho wamanzi unamathela kwindawo enye, uba mdaka kwaye iintsholongwane ziyakhula, kwaye yiloo nto eyenzekayo nalapha. Xa ukutya kunamathela kwindawo enye, iintsholongwane ziqala ukukhula emathunjini akho ngaphezu kokuba kufanele. Oku kunokubangela ukungakhululeki okukhulu, kwaye kunokubangela ukuba unciphise umzimba kwaye ufumane ukunqongophala kwesondlo. Oku kukwabizwa ngokuba yi-stasis syndrome kunye ne-standalone loop syndrome. Luluphi ulwalamano phakathi kwe-blind loop syndrome kunye ne-small intestinal bacterial overgrowth (SIBO)? Usenokuba ukhe weva ngemeko ebizwa ngokuba yi-`SIBO (Small Intestinal Bacterial Overgrowth)`. Kukukhula kakhulu kweentsholongwane emathunjini amancinci. Enyanisweni, i-`Blind Loop Syndrome` yenye indlela i-`SIBO` enokwenzeka ngayo. Oku kuthetha ukuba ngenxa yesiphene kwisakhiwo samathumbu, oko kukuthi, indlela amathumbu enziwe ngayo, ukutya kunamathela kwindawo enye kwaye iintsholongwane ziyakhula. I-'SIBO' inokubangelwa lutshintsho kwibhalansi yeekhemikhali zamathumbu, kodwa kwi-'Blind Loop Syndrome', unobangela yingxaki yesakhiwo.

Ngubani onokuthi abe nale meko?

Nangona nabani na enokuba nale `Blind Loop Syndrome`, abanye abantu basengozini enkulu yokuba nayo.

• Abantu abaye benza utyando lwesisu okanye lwamathumbu : Lo mngcipheko uphezulu kakhulu kubantu abaye benza izinto ezifana nokususwa kwamathumbu amancinci, utyando lwe-colectomy, okanye utyando lokunciphisa ubunzima (utyando lwesisu, utyando lwesisu). Ukutya kunokubhajwa kwindawo enye nokuba kungenxa yezicubu ezivalekileyo emva kotyando okanye ngenxa yokuhamba kancinci kwamathumbu.
• Abantu abanezifo ezichaphazela intshukumo yenkqubo yokwetyisa:
• Isifo seCeliac
• Isifo sikaCrohn
• Izifo ezahlukeneyo
• I-Enterocolitis
• I-Gastroparesis (ukungasebenzi kakuhle kwemisipha yesisu)
• Ukunamathela kwamathumbu
• Isifo samathumbu esirhawuzelelwayo ( IBS )
• Isifo sesilonda sePeptic
• Ezinye iimeko zonyango:
• Isifo seswekile (isifo seswekile i- Diabetes Mellitus)`
• I-Scleroderma
• I-radiation enteritis (ukudumba kwamathumbu okubangelwa lunyango lwemitha)
• Ukongeza: Ingabangelwa kukwenzakala kwamathumbu, okanye ukwakheka komgodi ongaqhelekanga (i-'gastrointestinal fistula') phakathi kwesisu namathumbu.

Ngaba abantwana abancinci banokuba nale meko? Ewe, abantwana abancinci banokuba ne-'Blind Loop Syndrome'. Njengabantu abadala, le meko inokwenzeka nasemva kotyando. Kwakhona, abanye abantwana banokuzalwa beneziphene ezithile kwinkqubo yokugaya ukutya (iimeko ezingaqhelekanga zokuzalwa). Umzekelo:

• I-Biliary atresia
• Isifo seGastroschisis
• I-Jejunal atresia
• I-enterocolitis ebulala iintsholongwane

Ingaba oku kunzulu? Ngaba kungabeka ubomi esichengeni?

Abantu abaninzi bakhathazekile kukuba le yimeko esongela ubomi. I-Blind Loop Syndrome ayidli ngokubulala. Ngonyango olufanelekileyo, iimpawu zabantu abaninzi ziyaphucuka. Nangona kunjalo, ukuba ayinyangwa ixesha elide, iingxaki ezinkulu azinakwenzeka rhoqo. Ngokukodwa, umngxuma emathunjini (ukugqobhoka kwesisu) unokwenzeka. Le yimeko engxamisekileyo esongela ubomi. I-Blind Loop Syndrome ayisiyomeko ixhaphakileyo. Ke ngoko, kuba iimpawu zifana nezezinye izifo eziqhelekileyo zokugaya ukutya, ngamanye amaxesha zinokungafunyaniswa okanye zingafunyaniswa ngokuchanekileyo. Enye into kukuba iimpawu zinokuvela kwiminyaka emva kotyando.

Zithini iimpawu zoku? Jonga ukuba nawe unazo ezi.

Umntu one-`Blind Loop Syndrome` unokufumana enye okanye ngaphezulu kwezi mpawu zilandelayo:

• Iintlungu zesisu ezihlala zisenzeka, ukuqaqamba okanye ukudumba.Kungathi kukho into ebambeke esiswini sam.
• Ukulahlekelwa yintliziyo.
• Urhudo oluqhelekileyo (urhudo) kunye negesi eninzi.
• I-Megaloblastic anemia: Olu luhlobo lwe-anemia olubangelwa kukungabikho kwe-vitamin B12.
• Indle enamafutha kwaye idada ngaphezulu (iSteatorrhea).
• Isisu esidumbileyo.
• Ukwehla kobunzima okungachazekiyo, ukwehla kobunzima, kunye nokungabikho kweevithamini kunye nezondlo.

Ukuba unale mpawu rhoqo, kungcono ukubona ugqirha.

Kutheni oku kusenzeka? Zithini izizathu?

Njengoko besitshilo ngaphambili, imbangela ephambili ye-Blind Loop Syndrome kukutyandwa kwindlela yokugaya ukutya. Le meko inokwenzeka ukuba utyando lufinyeza inxalenye yamathumbu akho okanye lutshintsha indlela ukutya okuhamba ngayo. Umzekelo omhle kukususwa kwesisu okungaphelelanga. Xa ugqirha esusa inxalenye yesisu sakho, inxalenye eseleyo iqhagamshelwe ngqo kwicandelo lamathumbu amancinci. Oku kudala indlela entsha yokutya yokungena emathunjini amancinci. Nangona kunjalo, xa oku kusenziwa, inxalenye ephezulu yamathumbu amancinci yahlulwe esiswini kwaye elinye icala livaliwe. Elo candelo livaliweyo "liyi-blind loop", oko kuthetha ukuba lifana nesiphelo esifileyo. Ukutya kunokubhajwa kule ndawo. Kwenzeka ntoni xa iintsholongwane zikhula kakhulu emathunjini amancinci? Xa ukutya kubhajwa ngolo hlobo, iintsholongwane ziyakhula apho. Olu tyando lukhulayo luchaphazela kakhulu inkqubo yokugaya ukutya.

• Kwenzeka ntoni kwiityuwa ze-bile: Imizimba yethu ifuna iityuwa ze-bile ukuze ikwazi ukugaya amafutha ekutyeni kwethu. Kodwa iintsholongwane ezikhula emathunjini ethu zitya ezi tyuwa ze-bile, okanye ziyawuphazamisa umsebenzi wazo. Emva koko umzimba awukwazi ukugaya amafutha ngokufanelekileyo, kwaye awukwazi ukufunxa iivithamini ezinyibilikayo kumafutha (A, D, E, K). Yiyo loo nto abantu abane-'Blind Loop Syndrome' beba bhityile baze babe nendle enamafutha.
• Kwenzeka ntoni ekufunxweni kwevithamini B12: Ezi bhaktheriya zifunxwa yivithamini B12 ekutyeni esikutyayo. Emva koko umzimba wethu awufumani ivithamini B12 eyaneleyo. I-Megaloblastic anemia ibangelwa kukunqongophala kwevithamini B12.

Ugqirha uyifumana njani le nto?

Xa ubona ugqirha, baza kuqala bakubuze ngeempawu zakho baze benze uvavanyo lomzimba. Baza kukuva isisu sakho ukuze bajonge ukuba akukho ntlungu, ukudumba, okanye amaqhuma. Emva koko, banokwenza iimvavanyo ezininzi ukuqinisekisa i-Blind Loop Syndrome:

• I-CT scan yesisu okanye i-X-ray.
• I-Barium enema: Le yi-X-ray ekhethekileyo eyenzelwe ukubona imilo yamathumbu.
• Uvavanyo lwegazi ukujonga amanqanaba esondlo sakho.
• I-Enteroscopy: Uvavanyo lwangaphakathi lwamathumbu kusetyenziswa ityhubhu encinci enekhamera.
• Uvavanyo lokuphefumla nge-hydrogen: Oku kunokufumanisa ukuba kukho ukukhula okugqithisileyo kweebhaktheriya emathunjini amancinci.
• Uvavanyo lwesitulo: Jonga ukuba akukho zintsholongwane okanye ioyile esitulweni.
• Uthotho lwe-Upper GI: Uvavanyo lwe-X-ray lwamathumbu angaphezulu kusetyenziswa i-barium swallow.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?

Kukho iindlela ezahlukeneyo zonyango lwe-'Blind Loop Syndrome'. Ungakhathazeki, idla ngokulawulwa kakuhle.

• Iiantibiotics: Olu lolona nyango luqhelekileyo. La mayeza abulala ukukhula okugqithisileyo kweebhaktheriya emathunjini. Abantu abaninzi baqala ukufunxa izondlo ngokufanelekileyo kwiiveki okanye kwiinyanga ezimbalwa emva kokuqala unyango lwee-antibiotics.
• Utshintsho kwindlela yokutya: Ugqirha wakho unokucebisa ukuba utye ukutya okuneproteni eninzi, iikhalori, kunye namafutha anempilo. Oku kunokukunceda ukuba uphinde ufumane ubunzima bakho. Thetha nogqirha wakho malunga nokugcina ubunzima obusempilweni obufanelekileyo kuwe.
• Utyando: Nokuba iziphumo zeBlind Loop Syndrome zilawulwa ngamayeza okubulala iintsholongwane, ingxaki yamathumbu esisiseko (umz., i-blind loop) isenokuhlala ikho. Kwimeko enjalo, utyando lunokufuneka ukuze kusonjululwe ingxaki ngokusisigxina.
• Izongezo zeVithamini: Ukuba une-anemia okanye olunye unqongophalo lwesondlo ngenxa yokunqongophala kweeVithamini, ugqirha wakho unokucebisa ukuba uthathe izongezo ezifana neVithamini B12.

Eyona nto ibalulekileyo kukufumana unyango lwe-Blind Loop Syndrome. Ukukhula kakhulu kwebhaktheriya akupheli ngokwako. Enyanisweni, ingxaki inokuba mandundu ngokuhamba kwexesha kwaye ikhokelele kwiingxaki ezinkulu. Kungoko ke, kubaluleke kakhulu ukubona ugqirha kwaye ufumane unyango olufanelekileyo, nokuba iimpawu zincinci.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?

Akukho ndlela ithile yokuthintela i-Blind Loop Syndrome. Nangona kunjalo, ukuba uza kwenza naluphi na utyando lwesisu, kuya kuba bubulumko ukuthetha nogqirha wakho malunga nendlela olu tyando oluza kwenziwa ngayo kunye nokuba ingaba lunomngcipheko wokuba ne-Blind Loop Syndrome.

Ngaba oku kuya kwenzeka ukuba ukhe watyandwa ngaphambili?

Nokuba ukhe watyandwa ngaphambili kwesisu, umngcipheko wakho wokuba neBlind Loop Syndrome uphantsi kakhulu. Nangona kunjalo, nokuba utyando lwenziwe kudala, longeza umngcipheko omncinci. Ke ngoko, ukuba ubona nantoni na engaqhelekanga okanye iimpawu ezintsha kwinkqubo yakho yokugaya ukutya, yazi ngayo kwaye uxelele ugqirha ngokukhawuleza.

Ingaba ingaphinda ivele emva konyango? Zithini iingxaki ezinokubakho?

I-Blind Loop Syndrome inokunyangeka ngempumelelo ngamayeza okubulala iintsholongwane kunye notyando. Nangona kunjalo, kwabanye abantu, le meko inokuphinda ivele. Ukuba ayinyangwa ixesha elide, iingxaki ezifana nezi:

• Amathumbu avalekileyo
• Ukugqobhoka kwamathumbu
• Ukungakwazi ukufunxa izondlo ngendlela efanelekileyo (malabsorption)
• Ukungondleki kakuhle
• Izilonda emathunjini akho

Ndifanele ndimbone nini ugqirha ngokukhawuleza?

Ukuba unayo nayiphi na kwezi mpawu, bonana nogqirha ngokukhawuleza, kuba zinokuba luphawu lwengxakeko, njengokugqobhoka kwamathumbu:

• Ukudumba kwesisu (ukuziva isisu sidumbile, siqinile)
• Igazi esitulweni sakho
• Umkhuhlane kunye nokubanda
• Isicaphucaphu nokuhlanza
• Intlungu ebuhlungu yesisu okanye iintlungu

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Ukuba ugqirha wakho ukuxelela ukuba une-'Blind Loop Syndrome', kunokuba luncedo ukubuza le mibuzo:

• Ngaba zikho iindlela zokunciphisa ezi mpawu ngaphandle kwamayeza okanye utyando?
• Ngaba iiprobiotics zinokunceda ekunciphiseni ezi mpawu?
• Ngaba kukho ukutya okukhethekileyo ukunciphisa umngcipheko wokuba oku kuphinde kwenzeke?
• Lithini ithuba lokuba oku kwenzeke kwakhona emva konyango?
• Ngaba kufuneka ndityandwe nakule nto?

Ukuba uneengxaki zokugaya ukutya okanye ezinye iimpawu zesisu, bona ugqirha. Ukuba ukhe wenza utyando lwesisu ngaphambili, nokuba beluyiminyaka eyadlulayo, qiniseka ukuba uxelela ugqirha wakho ngalo. I-Blind Loop Syndrome ayisiyongxaki ixhaphakileyo, kodwa iimpawu zakho zibonisa ukuba kukho into engalunganga. Ukufumana uxilongo oluchanekileyo linyathelo lokuqala lonyango oluphumelelayo.

Eyona nto ibalulekileyo ekufuneka siyifunde koku (Umyalezo Wokuya Ekhaya)

Ngoko ke, yithi nje, i-'Blind Loop Syndrome' yimeko apho ukutya kunamathela emathunjini kwaye iintsholongwane zikhula kakhulu, nto leyo ebangela ukungakhululeki kunye neengxaki zesondlo. Abantu abaye benza utyando lwesisu basengozini enkulu yokuba nale meko. Izinto ezibalulekileyo ekufuneka zikhunjulwe zezi:

• Ukuba uneempawu ezifana nokuphazamiseka kwesisu okungapheliyo, ukwehla kobunzima bomzimba, okanye urhudo, musa ukuzityeshela.
• Bona ugqirha uze ufumane unobangela ochanekileyo.
• Ukuba ufunyaniswe une-'Blind Loop Syndrome', ungoyiki. Kukho unyango olusebenzayo loku.
• Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo.

Eyona ndlela ilungileyo yokuhlala usempilweni kukunika ingqalelo kuyo nayiphi na into engaqhelekanga emizimbeni yethu size sifune iingcebiso zonyango ngokukhawuleza. Impilo entle kuni nonke!