So wo yafunu yɛ wo yaw bere a woadi awie no? So eyi betumi ayɛ dumping syndrome?

Sɛ wudi aduan bi wie a, so ɛtɔ mmere bi a wo tirim yɛ wo yaw, woyɛ ma, anaa wo yafunu mu yɛ wo yaw? Nnipa binom nso te nka sɛ wɔabrɛ na wɔwosow nnɔnhwerew kakraa bi wɔ adidi akyi. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ebia wubenya tebea bi a wɔfrɛ no dumping syndrome . Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ, efisɛ ebetumi aka nnipa pii.

Dɛn ne Dumping Syndrome?

Sɛ yɛbɛka no tiawa a, dumping syndrome yɛ bere a aduan a ɛwɔ wo yafunu mu, anaasɛ yɛbɛka no yiye a, nea ɛwɔ wo yafunu mu no kɔ wo dwensɔtwaa ketewa no mu, anaa nea yɛtaa frɛ no wo dwensɔtwaa ketewa no mu ntɛmntɛm sen sɛnea ɛte daa . Nnuruyɛfo nso frɛ eyi sɛ ‘yafunu mu a ɛda mpan ntɛmntɛm’. Fa no sɛ ɛte sɛ nea wɔre "tow" aduan a ɛwɔ wo yafunu mu no agu wo dwensɔtwaa ketewa no mu wɔ akuru kɛse bi mu, ansa na wɔatumi ayɛ no yiye.

Enti, sɛ eyi ba a, aduan pii a wɔanwe no kɔ dwensɔtwaa ketewa no mu prɛko pɛ a, ebia wo ho bɛtɔ wo te sɛ akisikuru, akisikuru, yafunu mu akisikuru, ne akisikuru . Ɛnyɛ ɛno nko, na mmom ebetumi ama asikre dodow a ɛwɔ wo mogya mu no ayɛ nsakrae kɛse mpofirim.

Dɛn na ɛkɔ so ankasa wɔ Dumping Syndrome mu?

Mpɛn pii no, sɛ yedidi a, yɛn yafunu de aduan kɔ dwensɔtwaa ketewa no mu nkakrankakra na ɛhyɛ so. Ntini, ntini, ne hormone ahorow a ɛwɔ yafunu no mu na ɛyɛ eyi, na ɛyɛ adwuma bom. Yɛfrɛ eyi "gastric motility."

Nanso, wɔ dumping syndrome mu no, saa nhyehyɛe yi nkɔ yiye. Valve a ɛwɔ yafunu no ase, pyloric valve , no bue ansa na aduan mpo ayɛ, na wɔtow yafunu no mu nneɛma nyinaa gu dwensɔtwaa ketewa no mu prɛko pɛ.

Dɛn na ɛba saa bere no? Sɛ dwensɔtwaa ketewa no nya aduan a wɔanwene pii mpofirim a, ɛbɔ mmɔden sɛ ɛbɛsakra ne ho. Ɛtwe nsu a ɛboro so na ɛma hormone afoforo fi mu. Saa nsakrae ahorow no na ɛde ɔhaw a yɛadi kan aka ho asɛm wɔ adidi akyi bere tiaa bi no ba.

Ebia nnipa binom behu sɛnkyerɛnne afoforo wɔ nnɔnhwerew kakraa bi akyi wɔ adidi akyi. Nea enti a ɛte saa ne sɛ asikre dodow a ɛwɔ mogya mu no resakra. Sɛ aduan a asikre pii wom kɔ dwensɔtwaa ketewa no mu mpofirim a, wɔma yɛn dwensɔtwaa no yi insulin pii fi mogya mu asikre so. Eyi betumi ama asikre a ɛwɔ mogya mu no so atew mpofirim. Wɔfrɛ eyi reactive hypoglycemia . Eyi betumi ama nneɛma te sɛ adwenemhaw, wosow, ne koma a ɛbɔ.

Hena na ɛda adi sɛ obenya dumping syndrome?

Dumping syndrome taa ba sɛ ɔhaw a ɛba wɔ yafunu mu oprehyɛn akyi.Wobu akontaa sɛ nnipa a wɔayɛ wɔn yafunu oprehyɛn no mu 20% kosi 50% benya saa sɛnkyerɛnne ahorow yi akodu baabi. Eyi taa ba nnipa a wɔayɛ wɔn oprehyɛn a woyi yafunu no fã kɛse bi, te sɛ gastrectomy (yafunu no nyinaa anaa ne fã bi a woyi) anaa gastric bypass oprehyɛn ( oprehyɛn a wɔde tew yafunu no fã bi) mu titiriw. Ɛntaa mma koraa sɛ ebetumi nso afi dwensɔtwaa mu tebea horow bi mu aba.

So Dumping Syndrome yɛ tebea a emu yɛ den?

Mpɛn pii no, dumping syndrome nyɛ asiane anaasɛ ɛde nkwa to asiane mu. Nanso, sɛ tebea no mu yɛ den a, ebetumi ama obi mu duru so atew ntɛmntɛm na wanya aduannuru a enni mu. Sɛ wɔantumi anhyɛ akisikuru no so a, ebetumi ama nsu atɔ nipadua no mu. Nanso mpɛn pii no, wotumi di eyinom so.

Nnipa dodow no ara wɔ sɛnkyerɛnne ahorow a emu nyɛ den a bere kɔ so no kɔ. Mpɛn pii no, Dumping syndrome nyɛ nea ɛtra hɔ daa, enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.

Dɛn ne dumping syndrome ho sɛnkyerɛnne?

Dump syndrome no afã atitiriw abien na ɛwɔ hɔ, na sɛnkyerɛnne ahorow a ɛbata ɔfã biara ho. Ebia wubehyia saa mmere yi mu biako anaa abien no nyinaa.

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi de dumping syndrome ntɛm

Mpɛn pii no eyinom fi ase ba wɔ simma 10 kosi 30 bere a woadi akyi .

• Abofono
• Ɔfe a wɔfe
• Ɔyare a ɛma obi dwensɔ (yafunu mu yaw) .
• Yafunu mu yaw ne akisikuru
• Ɔhohoro, atenka a ɛma obi ho popo
• Adwene a ɛyɛ basaa, akisikuru
• Koma a ɛbɔ kɛse (ɛte sɛ nea wo moma so rebɔ) .

Late dumping syndrome ho sɛnkyerɛnne a ɛba wɔ adidi akyi nnɔnhwerew kakraa bi

Mpɛn pii no saa sɛnkyerɛnne ahorow yi da adi wɔ nnɔnhwerew abien kosi abiɛsa akyi wɔ adidi akyi .

• Mmerewa, ɔbrɛ
• Wo ho popo, ahomegye a enni hɔ
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ daa
• Fifiri a ɛyɛ nwini
• Anim a ɛyɛ kɔkɔɔ
• Amemene mu nsuo - atenka a ɛyɛ den sɛ wobɛdwene ho yie
• Ɔkɔm kɛse a wɔte nka

Dɛn ne nneɛma a ɛde dumping syndrome ba?

Nneɛma atitiriw abien na ɛma eyi ba.

Ntease ahorow a ɛfa oprehyɛn ho:

• Gastrectomy: Oprehyɛn a wɔyɛ de yi yafunu no fã bi anaa ne nyinaa.
• Bariatric oprehyɛn: Oprehyɛn a wɔyɛ de tew ne mu duru so, sɛ nhwɛso no, oprehyɛn a wɔde twa yafunu mu.
• Pyloroplasty: Oprehyɛn a wɔyɛ wɔ pyloric valve a ɛwɔ yafunu no ase no so.
• Esophagectomy: Oprehyɛn a wɔyɛ de yi esophagectomy no fã bi anaa ne nyinaa.
• Vagotomy: Oprehyɛn a wɔde twa vagus ntini a ɛwɔ yafunu no mu no mu na ama yafunu mu acid so atew.
• Nissen fundoplication: Oprehyɛn a wɔyɛ de pam yafunu no atifi fã twa esophagus ho hyia (wɔyɛ ma gastroesophageal reflux disease - GERD).

Nneɛma a ɛde nyarewa ba:

Dumping syndrome nso betumi afi aduruyɛ mu tebea horow bi mu aba.

• Asikreyare (Asikreyare) .
• Cyclic ɔfe a ɛma obi fe ade
• Autonomic a ɛnyɛ adwuma yiye
• Exocrine pancreatic a ɛnyɛ adwuma yiye
• Duodenal akisikuru a ɛba
• Zollinger-Ellison yare a ɛma obi nya ɔyare no
• Dwumadi mu yare a ɛma aduan mu yɛ den
• Cannabis hyperemesis syndrome ( tebea a ɛma obi fe dodo esiane wii a wɔde di dwuma nti) .

Ɔkwan bɛn so na wobehu dumping syndrome?

Sɛ woadi kan ayɛ wo yafunu oprehyɛn (sɛ mfe bi a atwam ni mpo a) a, ebia wo duruyɛfo begyina sɛnkyerɛnne ahorow a woreka ho asɛm no so asusuw sɛ wowɔ dumping syndrome. Ebia wɔbɛma wo nsɛmmisa kratasin te sɛ Dumping Symptom Rating Scale , de ahwɛ sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den.

Nanso, ebia wo duruyɛfo no nso bɛyɛ nhwehwɛmu ahorow bi de akyerɛ sɛ woahu yare no anaasɛ ɔde bɛkyerɛ sɛ nneɛma afoforo a ɛde ba no. Saa nhwehwɛmu ahorow yi ho hia titiriw sɛ woanyɛɛ wo yafunu oprehyɛn a.

Nhwehwɛmu ahorow bi a wobetumi ayɛ de ahu dumping syndrome ni:

• Glucose a ɛwɔ anom a wotumi gyina ano ho sɔhwɛ: Eyi hwehwɛ sɛ wɔma wo anonne a asikre wom na wosusuw asikre dodow a ɛwɔ wo mogya mu ansa na woahu ne ɛno akyi. Wosusuw wo hematocrit , a ɛyɛ mogya mu nkwammoaa kɔkɔɔ ɔha biara mu nkyem 100 no nso. Wo hematocrit a ɛkɔ soro bere a woanom anonne a asikre wom no awie no kyerɛ sɛ wɔretwe nsu pii afi wo mogya mu akɔ wo dwensɔtwaa mu. Sɛ asikre a ɛwɔ wo mogya mu no so tew wɔ dɔnhwerew biako kosi abiɛsa ntam a, wɔfrɛ eyi delayed dumping syndrome.
• Hydrogen home sɔhwɛ: Eyi nso susuw hydrogen dodow a ɛwɔ wo home mu bere a woanom glucose aduru awie no. Hydrogen a ɛwɔ wo home mu no kyerɛ sɛ wo dwensɔtwaa ketewaa no ntumi nnye glucose yiye. Eyi kyerɛ sɛ dwensɔtwaa ketewaa no ayɛ adesoa dodo.
• Upper endoscopy: Eyi hwehwɛ sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (endoscope) a mfoninitwa afiri a wɔde fa ano no abata ho bɛhyɛ mu na wɔahwehwɛ aduan mu, yafunu, ne duodenum (dwensɔtwaa ketewaa no fã a edi kan) mu. Eyi betumi aboa ma woahu sɛ ebia nhyehyɛe mu haw ahorow anaa nneɛma afoforo bi wɔ hɔ a ɛde wo sɛnkyerɛnne ahorow no ba anaa.
• GI a ɛwɔ soro ntoatoaso:Wɔ eyi mu no, wɔma wo nsu titiriw bi (contrast solution) sɛ nom, na wɔde video X-ray ahorow (a wɔfrɛ no `fluoroscopy`) di dwuma de hwɛ bere a ɛfa wo aduan mu, yafunu, ne dwensɔtwaa ketewaa a ɛwɔ soro no mu. Eyi ma wuhu sɛnea nsu no rekɔ ntɛmntɛm.
• Gastric emptying test: Eyi kyerɛ sɛnea aduan no fi wo yafunu mu ntɛmntɛm. Wɔde radioactive nneɛma kakraa bi pɛ ka aduan a wudi no ho. Afei, wo duruyɛfo de scanner soronko bi betumi ahwɛ sɛnea aduan no fa wo yafunu mu.

Ɔkwan bɛn so na wobetumi ayi dumping syndrome afi hɔ?

Nnipa pii betumi adi dumping syndrome no ho dwuma yiye denam nsakrae a wɔbɛyɛ wɔ aduan mu no so . Wɔ sɛnkyerɛnne ahorow a emu yɛ den ho no, sɛ aduan nkutoo mmoa a, wobetumi de nnuru adi dwuma. Nanso, nnuru betumi de ɔhaw ahorow aba, enti wɔmfa nni dwuma bere tenten. Wɔ tebea horow a ɛntaa nsi mu no, sɛ oprehyɛn na ɛde dumping syndrome ba na ayaresa foforo biara ammoa a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn foforo.

Akwankyerɛ a ɛfa aduan ho

Nnuruyɛfo kamfo kyerɛ sɛ di afotu yi akyi na ama yare no ho sɛnkyerɛnne so atew:

• Tew aduan dodow a wudi wɔ adidi biako mu so na ma aduan dodow a wudi da mũ no nyinaa nkɔ soro. Sɛ́ anka wubedi nnuan akɛse abiɛsa no, bɔ mmɔden sɛ wubedi nnuan nketewa asia.
• Di w’aduan nkakrankakra na we no yiye. Eyi bɛma aduan a wɔyam no ayɛ mmerɛw.
• Tew asikre a ɛnyɛ den, nnuan a carb pii wom, ne nufusu mu nneɛma a wudi so sɛnea wubetumi. Eyinom bɛboa ma asikre a ɛba mogya mu nsakrae mpofirim no ano. Carbs a ɛyɛ den te sɛ aburow a wɔayam no ye sen biara.
• Tew carbohydrates a ɛwɔ w’aduan mu so na fa protein ne srade a ahoɔden wom pii ka ho mmom. Srade yɛ brɛoo na ɛyam na ɛma ahoɔden fibea a enhinhim.
• Di nnuan a ahoɔdennuru a ɛwɔ aduan mu pii wom pii. Eyi de nneɛma pii ka aduan ho, na ɛma ne fa dwensɔtwaa mu brɛoo. Fiber nso hwɛ asikre a ɛtwetwe no so.
• Da fam (gyina hɔ tẽẽ) bɛyɛ simma 30 bere a woadi awie no. Eyi betumi ama aduan a ɛda mpan afi yafunu mu no ayɛ brɛoo na aboa ma mogya mmoroso akɔ so atra hɔ bere a wɔredi aduan no.
• Nnom nsu anaa anonne foforo simma 30 ansa na woadi anaa bere a woadi awie. Nsu ma yafunu no tumi keka ne ho.

Nnuru a wɔde di dwuma

Nnuru bi betumi aboa ma wɔadi dumping syndrome ho sɛnkyerɛnne a ɛba ntɛm ne nea ɛba akyiri yi so.

• Octreotide acetate a wɔde yɛ aduru:Octreotide siw nkwaadɔm bi a ɛwɔ yɛn aduan mu no dwumadi ano. Eyi ma aduan a ɛda mpan fi yafunu mu ne aduan a ɛfa dwensɔtwaa ketewa no mu no brɛ ase. Ɛma insulin a wɔyɛ nso so tew. Wɔde saa aduru yi ma sɛ aduru a wɔde twitwiw nipadua no mu, da biara da (a ɛyɛ adwuma bere tiaa bi) anaa ɔsram biara (a ɛyɛ adwuma bere tenten).
• Acarbose: Saa aduru yi ma sɛnea yɛn nipadua no twetwe carbohydrates no brɛ ase, na ɛma asikre dodow a ɛwɔ mogya mu no yɛ kɛse. Wɔada no adi sɛ ɛtew asikre a ɛba fam a ɛba wɔ late dumping syndrome mu no so.

Sɛɛgyiri

Wɔntaa nkamfo oprehyɛn nkyerɛ wɔ dumping syndrome ho. Nanso, sɛ oprehyɛn na ɛde wo tebea no ba a, ebia oprehyɛn foforo betumi asiesie. Sɛ dumping syndrome reka w’asetra pa kɛse na biribi foforo biara ntumi nyɛ adwuma a, ebia wobɛpɛ sɛ wususuw oprehyɛn a wobɛsan asiesie ho. Eyi hwehwɛ sɛ:

• Yafunu no fã bi a ɛnyɛ adwuma yiye a wɔbɛsan ayɛ anaasɛ wɔbɛsesa.
• Oprehyɛn ahorow te sɛ gastric bypass a wɔbɛdannan anaasɛ wɔbɛdan akɔ ɔkwan a ɛnyɛ den pii so.

So dumping syndrome no befi hɔ koraa?

Yiw, ɛtaa kɔ bere a bere kɔ so no. Mpɛn pii no, ɔyare a emu nyɛ den a ɛma obi tow nneɛma gu ntɛm no fi hɔ wɔ bɛyɛ asram abiɛsa ntam. Nsɛm a emu yɛ den kɛse ne dumping syndrome a efi ase akyiri yi betumi agye asram 12 kosi 18 ansa na asiesie. Saa bere yi de, nsakrae a wɔbɛyɛ wɔ aduan mu no betumi ama wɔanya ahotɔ kɛse. Nanso, ebetumi adi adapɛn pii ansa na woahu nkɔso. Enti ɛho hia sɛ yenya abotare.

Nnuan bɛn na ɛsɛ sɛ wudi na nnuan bɛn na ɛsɛ sɛ wokwati bere a wowɔ dumping syndrome no?

Ɛho hia yiye sɛ nnipa a wɔwɔ saa tebea yi, titiriw wɔ yafunu mu oprehyɛn akyi no, di aduan ho nhyehyɛe a ɛboa ma wodi yare no ho sɛnkyerɛnne ahorow so no akyi. Nsɛntitiriw a yɛadi kan aka ho asɛm wɔ "Adidi mu Nsakrae" ase no fa ha nso ho:

• Nneɛma a ɛsɛ sɛ wodi: Nnuan a protein wom (mpataa, akokɔ, nkesua, atoko), srade a ahoɔden wom (avocado, nnuaba), carbohydrates a ɛyɛ den a ahoɔdennuru pii wom (aburow a ɛyɛ bruu, oats, nhabannuru).
• Nneɛma a ɛsɛ sɛ wɔkwati anaa anohyeto: Asikre a ɛnyɛ den (nsã a ɛyɛ dɛ, nnɔkɔnnɔkɔwade, keeki), carbohydrates a wɔayɛ no yiye kɛse (nneɛma a wɔde paanoo esiam ayɛ), nufusu ne nufusu mu nneɛma (ebia ɛbɛyɛ den ama nnipa binom sɛ wɔbɛyam), nnuan a srade pii wom, a wɔayam.

Ɛyɛ papa sɛ wo ne wo duruyɛfo anaa aduannuru ho ɔbenfo bɛkasa na wayɛ aduan ho nhyehyɛe a ɛfata wo.

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

Dumping syndrome yɛ tebea a nnipa pii betumi anya wɔ yafunu mu oprehyɛn akyi. Ebia wubenya saa sɛnkyerɛnne ahorow yi nso wɔ oprehyɛn akyi. Asɛmpa no ne sɛ mpɛn pii no, ɛyɛ tebea a emu nyɛ den na ɛno ankasa besiesie wɔ adapɛn anaa asram kakraa bi mu.Saa bere yi de, wubetumi adi tebea yi so yiye denam nsakrae a wobɛyɛ wɔ w’aduan mu yiye no so.

Sɛ daakye wɔbɛyɛ wo yafunu oprehyɛn a, nyansa wom sɛ wobɛyɛ aduan a ɛfata ma dumping syndrome ho nhyehyɛe. Siesie adididan no na ma aduan ho nhyehyɛe kakraa bi ntra w’adwenem. Sɛ woayɛ nsakrae wɔ w’aduan mu na ɛmma wo ho ntɔ wo a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn. Obetumi akyerɛw nnuru a ɛho hia a ɛbɛboa wo bere a wo ho retɔ wo no. Enti, adeɛ a ɛho hia paa ne sɛ woremmɔ hu, wobɛbɔ wo amanneɛ, na woatu anammɔn a ɛhia.

Dumping Syndrome, Yafunu, Dwonku ketewa, Oprehyɛn, Nnuan a Wɔyam, Nsɛnkyerɛnne