Matenda akhungu

Blind loop syndrome imachitika chakudya chodetsedwa chikachedwa kapena kusiya kuyenda m'matumbo. Izi zimayambitsa kuchuluka kwa mabakiteriya m'matumbo. Zimayambitsanso mavuto omwe amatenga michere.

Dzinalo la vutoli limatanthauza "khungu lakhungu" lomwe limapangidwa ndi gawo la m'matumbo lomwe ladutsa. Kutsekeka uku sikuloleza chakudya chodetsedwa kuti chiziyenda bwino kudzera m'matumbo.

Zinthu zomwe zimafunikira kugaya mafuta (otchedwa bile salt) sizigwira ntchito momwe ziyenera kukhalira pamene gawo lina la m'matumbo limakhudzidwa ndi blind loop syndrome. Izi zimalepheretsa mavitamini osungunuka mafuta ndi mafuta kulowa m'thupi. Zimayambitsanso malo okhala ndi mafuta. Kuperewera kwa Vitamini B12 kumatha kuchitika chifukwa mabakiteriya owonjezera omwe amapangidwa mu khungu lakhungu amagwiritsa ntchito vitamini.

Blind loop syndrome ndizovuta zomwe zimachitika:

• Pambuyo pochita maopareshoni ambiri, kuphatikizapo subtotal gastrectomy (kuchotsedwa kwa gawo la m'mimba) ndi maopareshoni onenepa kwambiri
• Monga vuto la matenda am'matumbo

Matenda monga matenda ashuga kapena scleroderma amatha kuchepetsa kuyenda mu gawo la m'matumbo, zomwe zimabweretsa matenda opatsirana akhungu.

Zizindikiro zake ndi izi:

• Kutsekula m'mimba
• Malo okhala ndi mafuta
• Kukhuta mutadya
• Kutaya njala
• Nseru
• Kuchepetsa mwangozi

Pakuyesa kwakuthupi, wothandizira zaumoyo amatha kuwona kuchuluka kwa, kapena kutupa kwamimba. Mayeso omwe angakhalepo ndi awa:

• M'mimba mwa CT scan
• X-ray m'mimba
• Kuyezetsa magazi kuti muwone ngati ali ndi thanzi labwino
• Mndandanda wapamwamba wa GI wokhala ndi matumbo ang'onoang'ono amatsata X-ray yosiyana
• Kuyesa mpweya kuti muwone ngati pali mabakiteriya owonjezera m'matumbo ang'onoang'ono

Chithandizo nthawi zambiri chimayamba ndi maantibayotiki kuti mabakiteriya owonjezera akule, komanso mavitamini B12 owonjezera. Ngati maantibayotiki sagwira ntchito, angafunike opaleshoni kuti athandize chakudya kutuluka m'matumbo.

Anthu ambiri amachira ndi maantibayotiki. Ngati kukonza opaleshoni kumafunika, zotsatira zake nthawi zambiri zimakhala zabwino kwambiri.

Zovuta zingaphatikizepo:

• Kutsekeka kwathunthu kwamatumbo
• Imfa yamatumbo (m'mimba infarction)
• Dzenje (perforation) m'matumbo
• Malabsorption ndi kuperewera kwa zakudya m'thupi

Itanani omwe akukuthandizani ngati muli ndi vuto la blind loop syndrome.

Matenda a Stasis; Matenda osakhazikika; Kukula kwakukulu kwa bakiteriya

• Dongosolo m'mimba
• Mimba ndi matumbo ang'onoang'ono
• Kusintha kwa Biliopancreatic (BPD)

Harris JW, Evers BM. Matumbo aang'ono. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 49.

Shamir R. Zovuta zakutha kwa malabsorption. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 364.