Cilladda 'Blind loop syndrome'

Cilladda loo yaqaan 'Blind loop syndrome' waxay dhacdaa marka cuntada dheefshiidka ay gaabiso ama joojiso inay u gudubto qayb ka mid ah mindhicirada Tani waxay keentaa in bakteeriyadu ku badato mindhicirada. Waxay sidoo kale keentaa dhibaatooyin nuugista nafaqooyinka.

Magaca xaaladdan waxaa loola jeedaa "loop indhaha" oo ay sameeyeen qayb ka mid ah xiidmaha oo la hareer maray. Xannibaaddaasi ma oggolaanayso in cuntada dheefshiidka ay si caadi ah u dhex marto mareenka xiidmaha.

Maaddooyinka loo baahan yahay in lagu shiido dufanka (oo loo yaqaanno milix cusbada) uma shaqeeyaan sidii la rabay markii qayb ka mid ah xiidmaha uu saameeyo cilladda loo yaqaan 'loop loop syndrome'. Tani waxay ka hortageysaa dufanka iyo fiitamiinada ku milma dufanka inay galaan jirka. Waxay kaloo u horseedaa saxarada dufanka badan. Faytamiin B12 yaraanta ayaa dhici karta sababtoo ah bakteeriyada dheeriga ah ee ku sameysma wareegga indhoolaha ayaa adeegsada fiitamiinkan.

Cilladda 'Blind loop syndrome' waa dhibaato soo baxda:

• Hawlgallo badan ka dib, oo ay ku jiraan caloosha hoosaadka hoose (qalliinka oo laga saaro qayb ka mid ah caloosha) iyo qalliinnada buurnida xad dhaafka ah
• Dhibaatada cudurka mindhicirka ee bararsan

Cudurada sida sonkorowga ama scleroderma waxay yareyn karaan dhaqdhaqaaqa qayb ka mid ah xiidmaha, taasoo horseedaysa indho la'aan loop syndrome.

Calaamadaha waxaa ka mid ah:

• Shuban
• Saxaro dufan leh
• Buuxinta cuntada kadib
• Cunto xumo
• Lallabbo
• Miisaan lumis aan ula kac ahayn

Inta lagu jiro baaritaanka jireed, bixiyaha xanaanada caafimaadka wuxuu ogaan karaa cufnaanta caloosha, ama barar. Imtixaanada suuragalka ah waxaa ka mid ah:

• Sawirka CT-ga ee caloosha
• Raajo caloosha ku jirta
• Tijaabooyinka dhiigga si loo hubiyo xaaladda nafaqada
• Taxanaha GI-ga ee saxaro yar ayaa la socda raajada ka soo horjeedka
• Baadhitaanka neefta si loo ogaado haddii ay jiraan bakteeriyo xad-dhaaf ah oo ku jirta xiidmaha yar

Daaweyntu badanaa waxay ku bilaabataa antibiyootiko koritaanka bakteeriyada xad-dhaafka ah, oo ay weheliso fiitamiin B12. Haddii antibiyootigyadu waxtar lahayn, qalliin ayaa loo baahan karaa si looga caawiyo socodka cuntada mindhicirada.

Dad badan ayaa ku fiicnaada antibiyootikada. Haddii dayactir qalliin loo baahan yahay, natiijada badanaa aad ayey u wanaagsan tahay.

Dhibaatooyinka waxaa ka mid noqon kara:

• Xannibaadda mindhicirka oo dhammaystiran
• Dhimashada xiidmaha (infarction mindhicirka)
• Dalool (dalool) mindhicirka
• Malabsorption iyo nafaqo-xumo

Wac adeeg bixiyahaaga haddii aad leedahay astaamo cillad maskaxeed oo indho la'aan ah

Stasis syndrome; Cilladda loo yaqaan 'Stagnant loop syndrome'; Bakteeriyada mindhicirka oo weynaata

• Nidaamka dheefshiidka
• Caloosha iyo xiidmaha yar
• Biliopancreatic leexinta (BPD)

Harris JW, Evers BM. Xiidmaha yar-yar. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka: Aasaaska Biyoolojiga ee Qalliinka Casriga ah. 20aad. Philadelphia, PA: Elsevier; 2017: cutubka 49.

Shamir R. Cilladaha malabsorption-ka. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 364.