So wote nka sɛ biribi a ɛyɛ nwonwa wɔ wo yafunu mu anaasɛ wo ti yɛ wo yaw bere a woadi awie no? Eyi betumi ayɛ dumping syndrome!

So wɔayɛ wo oprehyɛn a ɛma wo mu duru so tew (te sɛ oprehyɛn a wɔde twa yafunu mu)? Anaasɛ ɛtɔ mmere bi a wote nka sɛ wo ho ayɛ wo ma, wo yafunu mu yɛ wo yaw, wote nka sɛ wo ho yɛ wo yaw, wo ho fifiri, na wo ho yɛ wo yaw bere a woadi aduan bi awie, titiriw biribi a ɛyɛ dɛ? Ɛnyɛ wo nkutoo na wowɔ hɔ. Ɛnnɛ yɛreka tebea bi a ɛka nnipa pii nanso wɔntaa nka ho asɛm. Saa sɛnkyerɛnne ahorow yi betumi ayɛ hu kakra mfiase no, nanso ɛnyɛ nea ɛde nkwa to asiane mu. Nea eye sen biara ne sɛ wubetumi adi so denam nsakrae nketenkete a wobɛyɛ wɔ w’adidi mu no so.

Sɛ yɛbɛka no tiawa a, dɛn ne Dumping Syndrome?

Fa wo yafunu no sɛ abura. Wɔde aduan a yedi no sie saa abura yi mu kakra, na wɔyam nkakrankakra, na afei wɔde kɔ dwensɔtwaa ketewa no mu nketenkete. Nanso nea ɛto obi a ɔwɔ dumping syndrome ne sɛ wobue abura yi apon mpofirim. Ɛne sɛ, ‘wɔtow’ aduan pii fi yafunu no mu kɔ dwensɔtwaa ketewa no mu mpofirim , kyerɛ sɛ, ɛhwe ase.

Sɛ aduan pii a wɔanwene no hyɛn dwensɔtwaa ketewa no mu mpofirim a, ɛyɛ basaa. Ɛsɛ sɛ ɛtwe nsu pii fi ne nipadua mu na ama watumi ayam saa aduan yi. Ɛsan nso yi hormone pii kɔ mogya no mu. Eyi nti na wunya sɛnkyerɛnne te sɛ yafunu mu yaw, akisikuru, akisikuru, akisikuru, ne koma a ɛbɔ ntɛmntɛm no. Ebetumi nso ama asikre dodow a ɛwɔ wo mogya mu no asesa ntɛmntɛm.

Dɛn nti na eyi rekɔ so? Dɛn ne ade titiriw nti a ɛte saa?

Ade titiriw a ɛtaa de dumping syndrome ba ne oprehyɛn a wɔde yafunu no yɛ. Ne titiriw no:

• Oprehyɛn a ɛma obi mu duru so tew: Saa tebea yi taa ba wɔ oprehyɛn a wɔayi yafunu no fã bi akyi, te sɛ ``Gastric Bypass`` anaa ``Gastric Sleeve.`` Nnipa a wɔayɛ oprehyɛn a ɛte saa no mu 20% kosi 50% betumi anya saa sɛnkyerɛnne ahorow yi akodu baabi.
• Yafunu mu oprehyɛn afoforo: Sɛ yafunu no fã bi fi yafunu no mu esiane yafunu mu kokoram anaa akisikuru nti mpo a, saa tebea yi betumi aba.

Oprehyɛn akyi no, ɛntaa mma sɛ aduruyɛ mu tebea horow bi nso betumi de eyi aba. Sɛ nhwɛso no, nnipa bi a wɔwɔ asikreyare nso betumi anya saa sɛnkyerɛnne ahorow yi.

Afei nso, nnuan a yedi no bi betumi ama saa sɛnkyerɛnne ahorow yi asɛe kɛse. Saa tebea yi betumi ayɛ nea emu yɛ den titiriw bere a yedi nnuan a asikre a wɔayɛ no yiye te sɛ asikre, anonne a ɛyɛ dɛ, keeki, ne ice cream wom no . Nea enti a ɛte saa ne sɛ saa asikre ahorow yi tumi twe nsu wɔ yafunu no mu ntɛmntɛm. Afei nso, nufusu mu nnuan ne nnuan a srade wom a wɔayam no betumi ama saa sɛnkyerɛnne ahorow yi asɛe kɛse ama nnipa binom.

Dump syndrome ho sɛnkyerɛnne betumi aba wɔ akwan abien so:

Wɔ tebea yi mu no, wobetumi ahu sɛnkyerɛnne ahorow no wɔ akwan atitiriw abien so. Ebia nnipa binom wɔ abien no nyinaa, bere a afoforo nso wɔ biako pɛ.

Dɛn na ɛma sɛnkyerɛnne ahorow no da adi wɔ akyiri yi?

Eyi ba efisɛ asikre dodow a ɛwɔ mogya mu no kɔ soro mpofirim na afei ɛkɔ fam mpofirim. Sɛ yedi aduan a ɛyɛ dɛ a, saa asikre no kɔ mogya no mu ntɛm fi dwensɔtwaa ketewa no mu. Nea ɛbɛyɛ na yɛayɛ ho biribi no, yɛn nipadua no yɛ insulin a wɔfrɛ no hormone no pii. Eyi ma asikre dodow a ɛwɔ mogya mu no so tew mpofirim (hypoglycemia), na ɛde sɛnkyerɛnne ahorow te sɛ ɔbrɛ ne adwenemhaw ba.

Kɔkɔbɔ: Sɛ wonnya nhuu sɛ wowɔ dumping syndrome, na mpofirim ara w’adwene hwere, w’adwene tu fra kɛse, wo koma bɔ ntɛmntɛm yiye, anaasɛ wotɔ piti , kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) ntɛm ara.

Ɔkwan bɛn so na oduruyɛfo no hu eyi?

Sɛ woadi kan ayɛ wo yafunu oprehyɛn a, ebia wo duruyɛfo agyina wo yare no ho sɛnkyerɛnne so ahu sɛ wowɔ dumping syndrome. Ebia wɔbɛka akyerɛ wo sɛ hyehyɛ nsɛmmisa kratasin bi a wɔfrɛ no Dumping Symptom Rating Scale.

Nanso, sɛ wɔnyɛɛ oprehyɛn, anaasɛ yare no ho sɛnkyerɛnne mu nna hɔ a, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu ahorow bi na ama wɔahu nea ɛde ba ankasa.

• Oral Glucose Tolerance Test: Wɔma wo anonne a asikre wom na wɔhwɛ wo mogya mu asikre dodow ansa na wɔayɛ ne nnɔnhwerew 1-3 akyi. Sɛ asikre dodow a ɛwɔ wo mogya mu no so tew mpofirim a, ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ asikre a ɛwɔ wo mogya mu no kɔ akyiri.
• Gastric Emptying Test: Eyi sɔ sɛnea aduan fi wo yafunu mu ntɛmntɛm no hwɛ. Wɔma wo aduan kakraa bi a wɔde radioactive ade afra na wɔhwɛ sɛnea ɛfa scanner mu no.
• Upper Endoscopy: Wɔde afiri a ɛyɛ tratraa a mfoninitwa afiri wom fa ano no mu kɔ yafunu no mu de hwɛ sɛ ebia nhyehyɛe mu ɔhaw ahorow bi wɔ yafunu no mu anaa.
• Upper GI Series: Wɔde nsu titiriw bi (aduru a ɛma nsonsonoe ba) ma wɔnom, na wɔde video X-ray afiri di dwuma de hwɛ sɛnea ɛfa aduan mu.

Dump syndrome a wɔde sa yare ne nea wɔde di dwuma

Mpɛn pii no, wobetumi adi tebea yi so denam w’aduan ne w’asetra kwan a wobɛsakra so . Eyi ne ayaresa titiriw ne nea ɛho hia sen biara.

Afotu afoforo bi a ɛho hia

• Da fam kakra bere a woadi awie no: Sɛ woda fam bɛyɛ simma 30 bere a woadi awie no a, ebetumi atew sɛnkyerɛnne ahorow te sɛ adwenemhaw so.
• Gyae adidi bere a wote nka sɛ w’ani agye: Nnidi mmoroso.

Sɛ nsakrae a ɛba w’aduan mu no ntumi nni wo yare no ho sɛnkyerɛnne so a, ebia wo duruyɛfo bɛkyerɛw nnuru ama wo. Sɛ nhwɛso no, aduru bi a wɔde twitwiw nipadua mu a wɔfrɛ no Octreotide acetate (Sandostatin) anaasɛ aduru bi a wɔfrɛ no Acarbose (Precose) a ɛhwɛ carbohydrate a wɔyam no so. Ɛsɛ sɛ wɔfa eyinom wɔ aduruyɛfo hwɛ ase nkutoo. Wɔ tebea horow a emu yɛ den a saa nneɛma yi mu biara nyɛ adwuma mu no, wobetumi akamfo akyerɛ sɛ wɔnyɛ oprehyɛn.