Mīkini loop blind
Kū ka makapō loop syndrome ke lohi a hoʻōki paha ka neʻe ʻana o ka meaʻai i kahi ʻaoʻao o nā ʻōpū. ʻO kēia ke kumu o ka ulu nui ʻana o nā bacteria i loko o nā ʻōpū. Alakaʻi hoʻi ia i nā pilikia ke omo i nā meaʻai.
ʻO ka inoa o kēia ʻano e pili ana i ka "loop loop" i hoʻokumu ʻia e kahi ʻāpana o ka ʻōpū i kāpae ʻia. ʻAʻole ʻae kēia blockage i nā meaʻai i hoʻoheheʻe ʻia e kahe maʻamau ma o ka ʻōpū o ka ʻōpū.
ʻAʻole holo pono nā mea e pono ai e ʻeli i nā momona (i kapa ʻia he mau paʻakai bile) e like me ka wā e hoʻopili ʻia ai kahi ʻāpana o ka ʻōpū e ka loop loop syndrome. Pale kēia i nā momona a me nā momona momona e hoʻoheheʻe ʻia mai ke komo i loko o ke kino. Alakaʻi ia i nā noho momona. Hiki ke loaʻa ka hemahema ʻo Vitamin B12 no ka mea ʻo nā bacteria i keu i hana i ka loop loop hoʻohana i kēia wikamina.
ʻO ka blind loop loop kahi pilikia e hiki mai:
- Ma hope o nā hana he nui, e like me ka subtotal gastrectomy (ka wehe ʻana o kahi ʻoki o kahi ʻōpū) a me nā hana no ka momona nui
- Ma ke ʻano he pilikia o ka maʻi ʻōpū
ʻO nā maʻi e like me ka maʻi kōkō a i ʻole scleroderma paha e hoʻolohi i ka neʻe ʻana i kahi ʻāpana o ka ʻōpū, e alakaʻi ana i ka syndrome loop loop.
ʻO nā hōʻailona me:
- Pohā
- Nā noho momona
- Hoʻopiha ma hope o ka pāʻina ʻana
- Loaʻa ka ʻai ʻole
- Nusea
- Ka hoʻohaʻahaʻa kaumaha ʻole
I ka wā o kahi hoʻokolohua kino, ʻike paha ka mea mālama ola i kahi nui i, a i ʻole ka pehu ʻana o ka ʻōpū. ʻO nā hoʻokolohua hiki ke hoʻopili ʻia:
- Scanner CT ʻōpū
- Hihi x ʻōpū
- Nā ho'āʻo koko e nānā i ke kūlana olakino
- ʻO ka moʻo GI kiʻekiʻe me ka ʻōpū liʻiliʻi e hāhai ma o ka x-ray
- Hōʻike hanu e hoʻoholo inā aia he keu bacteria i loko o ka ʻōpū liʻiliʻi
Hoʻomaka pinepine ka hoʻomaʻamaʻa ʻana me nā lāʻau antibiotic no ka ulu ʻana o ka bacteria nui, a me nā huaora B12. Inā maikaʻi ʻole nā antibiotic, pono ʻia ke ʻoki e kōkua i ke kahe o ka meaʻai i loko o nā ʻōpū.
ʻOi aku ka maikaʻi o nā poʻe he nui me nā antibiotic. Inā pono ka hoʻoponopono ʻoki ʻana, maikaʻi loa ka hopena.
Komo pū nā pilikia:
- Hoʻopau i ka ʻōpū
- Ka make ʻana o ka ʻōpū (infarction ʻōpū)
- Hole (perforation) i loko o ka ʻōpū
- Malabsorption a me kaʻai pono ʻole
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka loop loop Syndrome.
Maʻi Stasis; Stagnant loop Syndrome; ʻO ka ulu nui o ka maʻi koʻohuna
- ʻŌnaehana Digestive
- ʻŌpū a me ka ʻōpū liʻiliʻi
- Hoʻololi Biliopancreatic (BPD)
Harris JW, Evers BM. ʻŌpū liʻiliʻi. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 49.
ʻO Shamir R. Nā maʻi o ka malabsorption. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 364.