Ingabe ukudla kwakho kuyabhajwa emathunjini akho ngaphandle kokugaywa? Lokhu kungaba yi-Blind Loop Syndrome!

Ngezinye izikhathi sizwa into engavamile noma engakhululekile esiswini sethu ngemva kokudla, akunjalo? Mhlawumbe sizizwa sisuthi, noma isisu sethu sibuhlungu, noma isisu sethu singenalutho. Esikhathini esiningi, lezi yizinto ezivamile, futhi sicabanga ukuthi mhlawumbe kukhona okungahambi kahle ngokudla, kodwa ngezinye izikhathi kungase kube nezinye izizathu ezingathi sína kakhulu ngemuva kwalezi zimpawu. Namuhla sizokhuluma ngesimo esingavami ukuzwa ngaso, kodwa kubaluleke kakhulu ukuthi wonke umuntu azi ngaso. Leso yisimo esibizwa ngokuthi i-Blind Loop Syndrome.

Iyini ngempela le nto ebizwa ngokuthi i-Blind Loop Syndrome?

Kalula nje, ukudla okudlayo kubhajwa engxenyeni ethile yesimiso sakho sokugaya ukudla, okungukuthi, amathumbu akho, futhi esikhundleni sokuhamba ngendlela evamile, kubhajwa futhi kume. Cabanga ngale ndlela, lapho ipayipi lamanzi libhajwa endaweni eyodwa, liba bushelelezi futhi amagciwane akhule, futhi yilokho okwenzekayo nalapha. Lapho ukudla kubhajwa endaweni eyodwa, amagciwane aqala ukukhula emathunjini akho ngaphezu kwalokho okufanele akwenze. Lokhu kungakubangela ukungakhululeki okukhulu, futhi kungabangela nokuthi unciphise isisindo futhi ube nokuntuleka kokudla okunempilo. Lokhu kubizwa nangokuthi i-stasis syndrome kanye ne-standalone loop syndrome. Buyini ubudlelwano phakathi kwe-blind loop syndrome kanye ne-small intestinal bacterial overgrowth (SIBO)? Kungenzeka ukuthi uke wezwa ngesimo esibizwa ngokuthi i-`SIBO (Small Intestinal Bacterial Overgrowth)`. Kuwukukhula ngokweqile kwamagciwane emathunjini amancane. Eqinisweni, i-`Blind Loop Syndrome` ingenye indlela i-`SIBO` engenzeka ngayo. Lokhu kusho ukuthi ngenxa yephutha esakhiweni samathumbu, okungukuthi, indlela amathumbu akheka ngayo, ukudla kubhajwa endaweni eyodwa futhi amagciwane akhula. I-'SIBO' ingabangelwa futhi izinguquko ekulinganisweni kwamakhemikhali emathunjini, kodwa ku-'Blind Loop Syndrome', imbangela iyinkinga yesakhiwo.

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

Nakuba noma ubani engaba nale 'Blind Loop Syndrome', abanye abantu basengozini enkulu yokuba nayo.

• Abantu abake bahlinzwa isisu noma amathumbu : Le ngozi iphezulu kakhulu kubantu abaye bahlinzwa izinto ezifana nokususwa kwamathumbu amancane, ukuhlinzwa kwe-colectomy, noma ukuhlinzwa kokunciphisa isisindo (ukuhlinzwa kwe-gastric bypass, ukuhlinzwa kwe-gastric sleeve). Ukudla kungabhajwa endaweni eyodwa ngenxa yezicubu zesilonda ezakheka ngemva kokuhlinzwa noma ngenxa yokuhamba kancane kwamathumbu.
• Abantu abanezifo ezithinta ukunyakaza kwesimiso sokugaya ukudla:
• Isifo se -Celiac
• Isifo sikaCrohn
• Isifo esihlukahlukene
• I-Enterocolitis
• I-Gastroparesis (ukungasebenzi kahle kwemisipha yesisu)
• Ukunamathela kwamathumbu
• I-Irritable Bowel Syndrome ( IBS )
• Isifo sesilonda se-Peptic
• Ezinye izimo zezokwelapha:
• Isifo Sikashukela ( i-Diabetes Mellitus)`
• I-Scleroderma
• I-radiation enteritis (ukuvuvukala kwamathumbu okubangelwa ukwelashwa ngemisebe)
• Ngaphezu kwalokho: Kungabangelwa futhi ukulimala kwamathumbu, noma ukwakheka komgodi ongavamile (i-'gastrointestinal fistula') phakathi kwesisu namathumbu.

Ingabe izingane ezincane zingaba nalokhu? Yebo, izingane ezincane zingaba ne-'Blind Loop Syndrome'. Njengabantu abadala, lesi simo singavela nangemva kokuhlinzwa. Futhi, ezinye izingane zingase zizalwe zinezinkinga ezithile ohlelweni lokugaya ukudla (ukukhubazeka kokuzalwa). Isibonelo:

• I-Biliary atresia
• I-Gastroschisis
• I-Jejunal atresia
• I-enterocolitis ebulala amagciwane

Ingabe lokhu kuyingozi? Kungaba yingozi empilweni?

Abantu abaningi bakhathazekile ngokuthi lesi yisimo esisongela impilo . I-Blind Loop Syndrome ayivamile ukubulala. Ngokwelashwa okufanele, izimpawu zabantu abaningi ziyathuthuka. Kodwa-ke, uma ingelashwa isikhathi eside, izinkinga ezinkulu azivamile ukwenzeka. Ikakhulukazi, imbobo emathunjini (ukubhoboka kwesisu) ingenzeka. Lesi yisimo esiphuthumayo esisongela impilo. I-Blind Loop Syndrome akuyona isimo esivame kakhulu. Ngakho-ke, ngoba izimpawu zifana nezezinye izifo ezivamile zokugaya ukudla, ngezinye izikhathi zingase zingahlolwanga noma zingahlolwanga kahle. Enye into ukuthi izimpawu zingavela eminyakeni eminingi ngemva kokuhlinzwa.

Ziyini izimpawu zalokhu? Bheka ukuthi nawe unazo yini lezi.

Umuntu one-'Blind Loop Syndrome' angase abe nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:

• Ubuhlungu besisu obuvamile, ukuqaqamba noma ukuqunjelwa.Kufana nokuthile okunamathele esiswini sami.
• Ukulahlekelwa yisifiso sokudla.
• Uhudo oluvamile (uhudo) kanye negesi eningi kakhulu.
• I-Megaloblastic anemia: Lolu uhlobo lwe-anemia olubangelwa ukuntuleka kwe-vitamin B12.
• Indle enamafutha futhi entantayo phezulu (i-Steatorrhea).
• Isisu esivuvukele.
• Ukwehla kwesisindo okungachazeki, ukwehla kwesisindo, kanye nokuntuleka kwamavithamini nezakhamzimba.

Uma unalezi zimpawu njalo, kungcono ukubona udokotela.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Njengoba sishilo ngaphambili, imbangela eyinhloko ye-Blind Loop Syndrome ukuhlinzwa komgudu wokugaya ukudla. Lesi simo singase senzeke uma ukuhlinzwa kufushanisa ingxenye yamathumbu akho noma kushintsha indlela ukudla okuhamba ngayo. Isibonelo esihle ukuhlinzwa kwesisu okungaphelele. Lapho udokotela esusa ingxenye yesisu sakho, ingxenye esele ixhunywe ngqo engxenyeni yamathumbu amancane. Lokhu kudala indlela entsha yokudla yokungena emathunjini amancane. Kodwa-ke, uma lokhu kwenziwa, ingxenye engenhla yamathumbu amancane ihlukaniswa nesisu futhi omunye umkhawulo uvaliwe. Leyo ngxenye evaliwe "iyindilinga eyimpumputhe", okusho ukuthi iba njengokuphela okufile. Ukudla kungabhajwa kule ndawo. Kwenzekani lapho amagciwane ekhula kakhulu emathunjini amancane? Lapho ukudla kubhajwa kanjalo, amagciwane akhula lapho. Lokhu kwanda kwamagciwane kuthinta kakhulu inqubo yokugaya ukudla.

• Kwenzekani kusawoti we-bile: Imizimba yethu idinga usawoti we-bile ukuze igaye amafutha ekudleni kwethu. Kodwa amabhaktheriya akhula emathunjini ethu adla lawa sawoti we-bile, noma aphazamisa ukusebenza kwawo. Khona-ke umzimba awukwazi ukugaya amafutha kahle, futhi awukwazi ukumunca amavithamini ancibilikayo emafutheni (A, D, E, K). Yingakho abantu abane-'Blind Loop Syndrome' beba mncane futhi babe nendle enamafutha.
• Kwenzekani ekumuncweni kwe-vitamin B12: Lawa mabhaktheriya amunca i-vitamin B12 ekudleni esikudlayo. Ngemuva kwalokho umzimba wethu awutholi i-vitamin B12 eyanele. I-Megaloblastic anemia ibangelwa ukuntuleka kwe-vitamin B12.

Udokotela ukuthola kanjani lokhu?

Uma ubona udokotela, bazoqala bakubuze ngezimpawu zakho bese benza ukuhlolwa ngokomzimba. Bazothinta isisu sakho ukuze bahlole noma yibuphi ubuhlungu, ukuvuvukala, noma amaqhubu. Bese, bangenza izivivinyo eziningana ukuqinisekisa i-Blind Loop Syndrome:

• I-CT scan yesisu noma i-X-ray.
• I-Barium enema: Lena i-X-ray ekhethekile eyenziwe ukuze kubonwe ukuma kwamathumbu.
• Ukuhlolwa kwegazi ukuhlola amazinga akho ezakhamzimba.
• I-Enteroscopy: Ukuhlolwa kwengaphakathi lamathumbu kusetshenziswa ipayipi elincane elinekhamera.
• Ukuhlolwa kokuphefumula kwe-hydrogen: Lokhu kungabona ukuthi kukhona yini ukukhula ngokweqile kwamagciwane emathunjini amancane.
• Ukuhlolwa kwendle: Hlola ukutheleleka kwezinambuzane noma uwoyela esitulweni.
• Uchungechunge lwe-Upper GI: Ukuhlolwa kwe-X-ray kwamathumbu angaphezulu kusetshenziswa i-barium swallow.

Yiziphi izindlela zokwelapha lokhu? Ingabe kungelapheka?

Kunezindlela eziningana zokwelapha i-'Blind Loop Syndrome'. Ungakhathazeki, ngokuvamile ingaphathwa kahle.

• Ama-antibiotic: Lena yindlela yokwelapha evame kakhulu. Le mithi ibulala ukukhula ngokweqile kwamagciwane emathunjini. Abantu abaningi baqala ukumunca izakhamzimba ngendlela efanele phakathi namasonto noma izinyanga ezimbalwa beqale ukwelashwa ngama-antibiotic.
• Izinguquko ekudleni: Udokotela wakho angase akuncome ukudla ukudla okunamaphrotheni amaningi, amakhalori, namafutha anempilo. Lokhu kungakusiza ukuthi uphinde uthole isisindo sakho. Khuluma nodokotela wakho mayelana nokugcina isisindo esinempilo esifanele wena.
• Ukuhlinzwa: Ngisho noma imiphumela ye-Blind Loop Syndrome ilawulwa ngama-antibiotic, inkinga yamathumbu eyisisekelo (isb., i-blind loop) ingase ihlale. Kuleso simo, ukuhlinzwa kungadingeka ukuze kuxazululwe inkinga unomphela.
• Izithako zamavithamini: Uma une-anemia noma okunye ukuntuleka kokudla okunempilo ngenxa yokuntuleka kwamavithamini, udokotela wakho angase ancome ukuthi uthathe izithako ezifana ne-vitamin B12.

Into ebaluleke kakhulu ukuthola ukwelashwa kwe-Blind Loop Syndrome. Ukukhula ngokweqile kwamagciwane akuthuthuki ngokwako. Eqinisweni, inkinga ingaba yimbi kakhulu ngokuhamba kwesikhathi futhi iholele ezinkingeni ezinkulu. Ngakho-ke, kubaluleke kakhulu ukubona udokotela futhi uthole ukwelashwa okufanele, noma ngabe izimpawu zincane.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Ayikho indlela eqondile yokuvimbela i-Blind Loop Syndrome. Kodwa-ke, uma uzokwenza noma yikuphi ukuhlinzwa kwesisu, kuwukuhlakanipha ukukhuluma nodokotela wakho mayelana nendlela ukuhlinzwa okuzokwenziwa ngayo nokuthi ngabe kunengozi yokuthola i-Blind Loop Syndrome.

Ingabe lokhu kuzokwenzeka nakanjani uma uke wahlinzwa ngaphambili?

Ngisho noma uke wahlinzwa ngaphambilini nge-gastrointestinal, ingozi yakho yokuthola i-Blind Loop Syndrome iphansi kakhulu. Kodwa-ke, noma ngabe ukuhlinzwa kwenziwa kudala, kunezela ingozi encane. Ngakho-ke, uma ubona noma yini engavamile noma izimpawu ezintsha ohlelweni lwakho lokugaya ukudla, yazi ngakho bese utshela udokotela ngokushesha.

Ingabe ingaphinde ivele ngemva kokwelashwa? Yiziphi izinkinga ezingaba khona?

I-Blind Loop Syndrome ingelashwa ngempumelelo ngama-antibiotic kanye nokuhlinzwa. Kodwa-ke, kwabanye abantu, lesi simo singaphinde sibuye. Uma singalashwa isikhathi eside, izinkinga ezifana nalezi:

• Amathumbu avinjiwe
• Ukubhoboza kwamathumbu
• Ukungakwazi ukumunca izakhamzimba ngendlela efanele (i-malabsorption)
• Ukungondleki kahle
• Izilonda emathunjini akho

Kufanele ngimbone nini udokotela ngokushesha okukhulu?

Uma unezinye zalezi zimpawu, bona udokotela ngokushesha, ngoba zingaba uphawu lwesimo esiphuthumayo, njengokubhoboka kwamathumbu:

• Ukuvuvukala kwesisu (umuzwa wesisu esivuvukile nesiqinile)
• Igazi esitulweni sakho
• Umkhuhlane kanye nokubanda
• Isicanucanu nokuhlanza
• Ubuhlungu obukhulu besisu noma izinhlungu

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma udokotela wakho ekutshela ukuthi une-'Blind Loop Syndrome', kungaba usizo ukubuza le mibuzo:

• Zikhona yini izindlela zokunciphisa lezi zimpawu ngaphandle kwemithi noma ukuhlinzwa?
• Ingabe ama-probiotic angasiza ekunciphiseni lezi zimpawu?
• Ingabe kukhona ukudla okukhethekile okunciphisa ingozi yokuthi lokhu kuphinde kwenzeke?
• Amathuba okuthi lokhu kwenzeke futhi ngemva kokwelashwa angakanani?
• Ingabe ngidinga ukuhlinzwa nalokhu?

Uma unezinkinga zokugaya ukudla noma ezinye izimpawu zesisu, bona udokotela. Uma uke wahlinzwa isisu ngaphambilini, noma ngabe kwaba yiminyaka edlule, qiniseka ukuthi utshela udokotela wakho ngakho. I-Blind Loop Syndrome akuyona inkinga evamile, kodwa izimpawu zakho zisikisela ukuthi kukhona okungahambi kahle. Ukuthola ukuxilongwa okunembile kuyisinyathelo sokuqala sokwelashwa okuphumelelayo.

Into ebaluleke kakhulu okudingeka siyifunde kulokhu (Umyalezo Ohamba Nawo Ekhaya)

Ngakho-ke, kafushane nje, i-'Blind Loop Syndrome' yisimo lapho ukudla kubhajwa khona emathunjini futhi amagciwane akhula ngokweqile, okubangela ukungakhululeki okuhlukahlukene nezinkinga zokudla okunempilo. Abantu abaye bahlinzwa esiswini basengozini enkulu yokuthola lesi simo. Izinto ezibaluleke kakhulu okufanele uzikhumbule yilezi:

• Uma unezimpawu ezifana nokuphazamiseka kwesisu okuqhubekayo, ukwehla kwesisindo, noma isifo sohudo, ungazinaki.
• Bheka udokotela bese uthola imbangela eqondile.
• Uma kutholakale ukuthi une-'Blind Loop Syndrome', ungesabi. Kunezindlela zokwelapha ezisebenzayo zalokhu.
• Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.

Indlela engcono kakhulu yokuhlala uphilile ukunaka noma yini engavamile emizimbeni yethu bese sithola iseluleko sezokwelapha ngokushesha. Impilo enhle kini nonke!