Blind loop syndrome

Blind loop syndrome e hlaha ha lijo tse silang li lieha kapa li emisa ho tsamaea ka karolo ea mala. Sena se baka ho ata ha libaktheria ka maleng. E boetse e lebisa mathateng a monang limatlafatsi.

Lebitso la boemo bona le bolela "sekoahelo se foufetseng" se entsoeng ke karolo ea mala a fetang. Thibelo ena ha e lumelle lijo tse sililoeng hore li ka phalla ka mokhoa o tloaelehileng kahare ea mala.

Lintho tse hlokahalang ho cheka mafura (a bitsoang bile salts) ha li sebetse kamoo li lokelang ho sebetsa ha karolo ea mala e angoa ke blind loop syndrome. Sena se thibela livithamini tse qhibilihang mafura le mafura hore li se kenelle 'meleng. E boetse e lebisa litulong tse mafura. Ho haella ha vithamine B12 ho ka hlaha hobane libaktheria tse eketsehileng tse thehoang mokhoeng o sa boneng li sebelisa vithamine ena.

Blind loop syndrome ke bothata bo etsahalang:

• Kamora ho etsa opereishene e ngata, ho kenyeletsoa gastotalomy e tlatsitsoeng (ho tlosoa hoa karolo ea mpa) le ts'ebetso ea botenya bo feteletseng
• E le bothata ba lefu la ho ruruha ha mala

Maloetse a kang lefu la tsoekere kapa scleroderma a ka fokotsa motsamao karolong ea mala, e lebisang ho blind loop syndrome.

Matšoao a kenyelletsa:

• Letšollo
• Litulo tse mafura
• Ho khora kamora ho ja
• Ho felloa ke takatso ea lijo
• Ho nyekeloa
• Ho theola boima ba 'mele ka boomo

Nakong ea tlhahlobo ea 'mele, mofani oa tlhokomelo ea bophelo a ka hlokomela boima kapa ho ruruha ha mpa. Liteko tse ka bang teng li kenyelletsa:

• Tlhaloso ea mpa ea mpa
• X-ray ea mpeng
• Liteko tsa mali ho lekola boemo ba phepo e nepahetseng
• Letoto la Up la GI le nang le mala a manyane a latela x-ray e fapaneng
• Teko ea phefumoloho ho bona hore na ho na le libaktheria tse feteletseng ka maleng a manyane

Kalafo hangata e qala ka lithibela-mafu bakeng sa kholo e kholo ea baktheria, hammoho le vithamine B12 e tlatsetsang. Haeba lithibela-mafu li sa sebetse, ho ka hlokahala ho buuoa ho thusa lijo hore li phalle ka maleng.

Batho ba bangata ba fola ka lithibela-mafu. Haeba ho hlokahala tokiso ea ho buoa, hangata sephetho se ba hantle haholo.

Mathata a ka kenyelletsa:

• Tšitiso e felletseng ea mala
• Lefu la mala (infarction ea mala)
• Lesoba (perforation) ka maleng
• Malabsorption le khaello ea phepo e nepahetseng

Bitsa mofani oa hau haeba u na le matšoao a blind blind syndrome.

Lefu la Stasis; Lefu la loop loop; Ho tlōla ha baktheria e nyane

• Tsamaiso ea ho sila lijo
• Mala le mala a manyane
• Phapang ea Biliopancreatic (BPD)

Harris JW, Evers BM. Mala a manyane. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Motheo oa Biological oa Tloaelo ea Kajeno ea Thibelo. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 49.

Shamir R. Mathata a ho hloka malabsorption. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 364.