So wote nka sɛ woyare bere a woadi awie no? Eyi betumi ayɛ dumping syndrome!

Woadi aduane a ɛyɛ dɛ nkyɛreeɛ... na berɛ bi akyi no, wote nka sɛ biribi asɛe wɔ wo yafunu mu. Wo yafunu ayɛ ma, wote akisikuru, wo ho fifiri, na wo koma rebɔ ntɛmntɛm. Ebia woredwen ho sɛ, ‘Minnim sɛ mede me nsa kaa aduan no anaasɛ manka.’ Nanso eyi betumi ayɛ tebea bi a wɔfrɛ no ‘dumping syndrome’ a ɛba bere a wɔayɛ yafunu oprehyɛn akyi anaasɛ ɛne ayaresa tebea afoforo. Mma ɛnhaw wo, momma yɛnka eyi ho asɛm tiawa na emu nna hɔ.

Dɛn ne Dumping Syndrome?

Sɛ yɛbɛka no tiawa a, eyi ne bere a wo yafunu (dwensɔtwaa no atifi) pia ne yafunu mu nneɛma, aduan a yedi no, kɔ dwensɔtwaa ketewa no mu ntɛmntɛm yiye, ansa na ayam yiye. Wɔsan frɛ eyi sɛ ``yafunu mu a ɛda mpan ntɛmntɛm''.

Fa no sɛ adwumayɛbea bi a ɛsɛ sɛ wɔhyehyɛ nneɛma bi na wɔde kɔma. Nanso esiane ɔhaw bi a ɛwɔ afiri no ho nti, ɛte sɛ nea wɔatow nneɛma no nyinaa agu prɛko pɛ. Mpɛn pii no, yɛn yafunu no de aduan kɔ dwensɔtwaa ketewa no mu wɔ ɔkwan a wɔahyɛ so. Yɛn ntini, ntini, ne hormone nyinaa bom yɛ adwuma wɔ saa adeyɛ yi mu. Nanso sɛ biribi siw saa nhyehyɛe yi kwan a, aduan a ɛwɔ yafunu no mu no "tow" gu dwensɔtwaa ketewa no mu mpofirim, kyerɛ sɛ, wɔtow gu.

Sɛ aduan pii a wɔannye no hyɛn dwensɔtwaa ketewa no mu mpofirim a, entumi nni ho dwuma. Ɛhaw no, na sɛnea ɛbɛyɛ a ebetumi adi ho dwuma no, ɛtwe nsu pii kɔ saa beae no, yi hormone ahorow fi mu. Saa ahaw no ne nea yehu sɛ sɛnkyerɛnne te sɛ akisikuru, yafunu mu akisikuru, ne yafunu a ɛyɛ mmerɛw .

Ebia nnipa binom behu sɛnkyerɛnne afoforo wɔ nnɔnhwerew kakraa bi akyi wɔ adidi akyi. Eyi fi nsakrae a ɛba asikre dodow a ɛwɔ mogya mu no. Sɛ asikre pii hyɛn dwensɔtwaa mu prɛko pɛ a, yɛn dwensɔtwaa no ho popo na esusuw sɛ, "Oh, asikre pii wɔ hɔ, ɛsɛ sɛ yɛde insulin gu nipadua no mu ntɛmntɛm," na ɛma insulin pii fi mu sen sɛnea ɛsɛ sɛ ɛyɛ. Afei asikre dodow a ɛwɔ mogya mu no so tew mpofirim. Ɛno ne nea yɛfrɛ no ``Reactive Hypoglycemia.'' Eyi betumi ama woate nka sɛ obi totɔ piti, wowosow, na koma bɔ ntɛmntɛm.

Dɛn ne dumping syndrome ho sɛnkyerɛnne?

Saa tebea yi ho sɛnkyerɛnne betumi aba wɔ akwan titiriw abien so. Ebia wubehyia eyinom mu biako anaa abien no nyinaa.

Hena na ɛda adi kɛse sɛ obenya saa tebea yi?

Saa tebea yi taa ba sɛ oprehyɛn a wɔyɛ wɔ yafunu anaa aduan mu no mu nsunsuanso bɔne. Ɛtaa ba bere a wɔayɛ oprehyɛn akyi sɛ wobeyi yafunu no fã bi anaa ne nyinaa, anaasɛ bere a wɔayɛ oprehyɛn a ɛbɛma obi mu duru so atew akyi. Ebetumi nso afi aduruyɛ mu tebea horow bi mu aba.

So dumping syndrome yɛ aniberesɛm?

Nanso, sɛ tebea yi mu yɛ den a, ne mu duru so tew ntɛmntɛm na aduannuru a enni mu betumi aba. Nsu a ɛho ntew nso betumi aba esiane akisikuru a ɛkɔ so daa nti. Nanso mpɛn pii no yebetumi adi eyinom so. Nnipa dodow no ara wɔ sɛnkyerɛnne ahorow a emu nyɛ den. Saa sɛnkyerɛnne ahorow yi bɛbrɛ ase bere a bere kɔ so no. Mpɛn pii no, eyi nyɛ tebea a ɛtra hɔ daa.

Oduruyɛfo, wobɛyɛ dɛn ahu eyi?

Sɛ wɔayɛ wo yafunu oprehyɛn nnansa yi a, ebia wo duruyɛfo betumi agyina wo yare no ho sɛnkyerɛnne so ahu saa tebea yi. Ɛtɔ da bi a, wobetumi nso ama wo nsɛmmisa kratasin (`Dumping Symptom Rating Scale`) a ɛkyerɛ sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den.

Nanso, sɛ wɔannyɛ oprehyɛn, anaasɛ sɛ ɛho hia sɛ wosi nea wɔahu no so dua a, oduruyɛfo no betumi akamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii, te sɛ:

• Glucose a ɛwɔ anom a wotumi gyina ano ho sɔhwɛ: Eyi hwehwɛ sɛ wobɛnom nsu a asikre wom na woahwɛ asikre dodow a ɛwɔ wo mogya mu ansa na woanom ne ɛno akyi. Eyi betumi aboa ma wɔahu asikre dodow a ɛba fam wɔ mogya mu a ebia ɛde sɛnkyerɛnne ahorow reba akyiri yi.
• Hydrogen home sɔhwɛ: Eyi nso hwehwɛ sɛ wobɛnom nsu a asikre wom na woasusuw hydrogen mframa dodow a ɛwɔ wo home mu. Sɛ asikre no antwe no yiye a, hydrogen dodow a ɛwɔ wo home mu no bɛkɔ soro.
• Upper endoscopy: Wɔde afiri ketewaa bi a mfoninitwa afiri abata ho no fa ano no mu de hwehwɛ yafunu, aduannoa mu, ne dwensɔtwaa ketewa no fã a edi kan no mu.
• GI a ɛwɔ soro ntoatoaso:Wɔma nsu soronko bi (a ɛne ne ho bɔ abira) ma wɔnom, na wɔde video X-ray hwɛ sɛnea ɛkɔ dwensɔtwaa no mu. Eyi betumi akyerɛ sɛnea aduan fa yafunu no mu ntɛmntɛm.
• Gastric emptying test: Eyi ne sɔhwɛ a eye sen biara a wɔde susuw sɛnea yafunu no mu da hɔ ntɛmntɛm. Wɔde radioactive nneɛma kakraa bi fra aduan mu na wɔde scanner susuw ahoɔhare a aduan no fa yafunu no mu.

Yɛbɛyɛ dɛn adi tebea yi so?

Nnipa pii betumi adi tebea yi so yiye denam wɔn aduan a wɔbɛsakra so .

Nsakrae a ɛba aduan mu (eyi ne ade a ɛho hia sen biara!) .

Nnuru (nnuru) .

Sɛ ɛyɛ den sɛ wubedi yare no ho sɛnkyerɛnne ahorow so ɛmfa ho sɛ wɔayɛ nsakrae wɔ w’aduan mu a, ebia wo duruyɛfo bɛkyerɛw nnuru bi ama wo.

• Octreotide acetate: Eyi yɛ aduru a wɔde twitwiw nipadua no mu. Ɛboa ma yafunu no mu da mpan brɛoo na ɛhwɛ insulin a ɛba no so.
• Acarbose: Saa aduru yi yɛ adwuma denam sɛnea carbohydrates a ɛkɔ nipadua no mu no brɛ ase no so. Eyi betumi aboa ma wɔadi asikre a ɛba mogya mu ho sɛnkyerɛnne ahorow so akyiri yi wɔ da no mu.

Sɛɛgyiri

Wɔntaa nyɛ eyi koraa . Sɛ biribiara a aka no adi nkogu na tebea no renya w’asetra so nkɛntɛnso kɛse nkutoo a, oduruyɛfo besusuw ho sɛ wobɛsan ayɛ oprehyɛn bio.

So dumping syndrome no befi hɔ?

Yiw, mpɛn pii no, bere kɔ so no, ɛyɛ yiye. Nsɛm a emu nyɛ den betumi ayɛ yiye wɔ bɛyɛ asram 3 ntam. Nsɛm a emu yɛ den kɛse betumi agye asram 12 kosi 18. Nanso mma ɛnhaw wo, sɛ woyɛ nsakrae wɔ w’aduan mu yiye a, wobɛte ahotɔ kɛse nka wɔ saa bere yi mu.

Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn a, nyansa wom sɛ wubedi kan ayɛ nhyehyɛe wɔ aduan a wubedi akyi wɔ ɛno akyi no ho.