Ðe nèle dɔ lém le nuɖuɖu vɔ megbea? Esia ate ŋu anye dumping syndrome!

Ðeko nèɖu nuɖuɖu vivi aɖe vɔ teti koe nye ema... eye le ɣeyiɣi aɖe megbe la, èse le ɖokuiwò me be nane gblẽ le yeƒe dɔgbo me. Wò dɔgbo yɔ, èsena le ɖokuiwò me be yeƒe lãme le ƒoƒom, fifia le fifia, eye wò dzi le ƒoƒom kabakaba. Ðewohĩ ànɔ eŋu bum be, ‘Nyemenya ne meka asi nuɖuɖua ŋu loo alo nyemeka asi eŋu o.’ Gake esia ate ŋu anye nɔnɔme si woyɔna be ‘dumping syndrome’ si dzɔna le dɔgbo ƒe dɔwɔwɔ vɔ megbe alo le atikewɔwɔ me nɔnɔme bubuwo me. Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe eye eme nakɔ.

Nukae nye Dumping Syndrome?

Kpuie ko la, esiae nye ne wò dɔgbo (dɔgbo ƒe akpa si le etame) tu nusiwo le eƒe dɔgbo me, si nye nuɖuɖu si míeɖuna, ɖe dɔgbo suea me kabakaba ŋutɔ, hafi woɖui nyuie. Wogayɔa esia be ``dɔgbo ƒe ƒuƒlu kabakaba''.

Kpɔe ɖa le susu me be dɔwɔƒe aɖe si hiã be wòaɖɔ adzɔnu aɖewo ɖo ahaɖo wo ɖa. Gake le kuxi aɖe si le mɔ̃a ŋu ta la, ele abe ɖe wotsɔ adzɔnuwo katã ƒu gbe zi ɖeka ene. Zi geɖe la, míaƒe dɔgbo ɖoa nuɖuɖu ɖe dɔgbo suea le mɔ si dzi wokpɔna nu. Míaƒe lãmekawo, lãmekawo, kple lãmetsiŋusẽwo katã wɔa dɔ ɖekae le ɖoɖo sia me. Gake ne nane do kplamatse ɖoɖowɔwɔ sia la, kasia nuɖuɖu si le dɔgboa me la "tsɔa" ƒua gbe ɖe dɔgbo suea me, si fia be wotsɔnɛ ƒua gbe.

Ne nuɖuɖu gbogbo aɖe si womeɖu o ge ɖe dɔgbo suea me zi ɖeka la, mate ŋu akpɔ egbɔ o. Edoa dziku, eye be wòakpɔ edzi la, ehea tsi geɖe yia teƒe ma, eɖea lãmetsiŋusẽwo dona. Dziɖeleameƒo mae nye nusi míekpɔna abe dzesiwo abe ʋuʋudedi, dɔgbo ƒe ʋuʋu, kple ʋuʋudedi ene .

Ame aɖewo ate ŋu akpɔ dzesi bubuwo le gaƒoƒo ʋɛ aɖewo megbe le nuɖuɖu vɔ megbe. Esia tso tɔtrɔ siwo vaa sukli ƒe agbɔsɔsɔ le ʋu me gbɔ. Ne sukli gbogbo aɖe ge ɖe dɔgboa me zi ɖeka la, míaƒe dɔgbo tsia dzodzodzoe eye wòsusuna be, "Oo, sukli sɔ gbɔ ɖe eme, ehiã be míado insulin kaba," eye wòɖea insulin geɖe ɖe go wu alesi wòle be wòanɔ. Emegbe sukli si le ʋu me dzi ɖena kpɔtɔna zi ɖeka. Emae nye nusi míeyɔna be ``Reactive Hypoglycemia.'' Esia ateŋu ahe seselelãme siwo nye be woatsi dzodzodzoe, ʋuʋu, kple dzi ƒe tsotso kabakaba vɛ.

Nukawoe nye dumping syndrome ƒe dzesiwo?

Nɔnɔme sia ƒe dzesiwo ate ŋu ava le akpa vevi eve me. Àte ŋu ato nusiawo dometɔ ɖeka alo evea siaa me.

Amekae ate ŋu axɔ nɔnɔme sia wu?

Zi geɖe la, nɔnɔme sia dzɔna abe amekoko ƒe nugbegblẽ le dɔgboa alo nuɖuɖutome ŋu ene. Ebɔ wu le amekoko megbe be woaɖe dɔgboa ƒe akpa aɖe alo wo katã ɖa, alo le amekoko be woaɖe lolo dzi akpɔtɔ megbe. Atikewɔwɔ ƒe nɔnɔme aɖewo hã ate ŋu atsoe.

Ðe dumping syndrome nye nu sesẽa?

Gake ne nɔnɔme sia nu sẽ la, lolo dzi ɖeɖe kpɔtɔ kabakaba kple nunyiame ƒe veve ate ŋu adzɔ. Tsikuɖiɖi ate ŋu adzɔ hã le aɖuɖɔtoe si nɔa anyi ɖaa ta. Gake zi geɖe la, míate ŋu aɖu nusiawo dzi. Dzesi siwo nu mesẽna o nɔa ame akpa gãtɔ ŋu. Dzesi siawo nu ayi le ɣeyiɣi aɖe megbe. Zi geɖe la, esia menyea nɔnɔme si nɔa anyi ɖaa o.

Ðɔkta, aleke nèwɔna dea dzesi esia?

Ne wowɔ dɔ na wò dɔgbo nyitsɔ laa la, wò ɖɔkta ate ŋu anɔ te ɖe wò dzesiwo dzi anya dɔléle sia. Ɣeaɖewoɣi la, woateŋu ana nyabiase gbalẽvi (`Dumping Symptom Rating Scale`) hã wò si dzidzea wò dzesiwo ƒe sesẽme.

Gake ne womewɔ dɔ na wò o, alo ne ehiã be woaɖo kpe dɔléle aɖe dzi la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ geɖe, abe:

• Suklidɔ ƒe mɔɖeɖe ɖe nu me dodokpɔ: Esia bia be nàno tsi si me sukli le eye nàlé ŋku ɖe sukli ƒe agbɔsɔsɔ si le wò ʋu me ŋu do ŋgɔ na wò kple emegbe. Esia ate ŋu akpe ɖe ame ŋu woade dzesi sukli ƒe agbɔsɔsɔ si bɔbɔ le ʋu me si ate ŋu anɔ dzesiwo hem vɛ emegbe.
• Haidrodzin gbɔgbɔ dodokpɔ: Esia bia hã be nàno tsi si me sukli le eye nàdzidze haidrodzin ya agbɔsɔsɔme si le wò gbɔgbɔ me. Ne suklia mexɔ nyuie o la, haidrodzin ƒe agbɔsɔsɔ si le wò gbɔgbɔ me adzi ɖe edzi.
• Upper endoscopy: Wotsɔa mɔ̃ sue aɖe si me fotoɖemɔ̃ le dea nu me be woatsɔ ado dɔgbo, nuɖuɖutome, kple dɔgbo suea ƒe akpa gbãtɔ kpɔ.
• GI ƒe ƒuƒoƒo si le etame:Wotsɔa tsi tɔxɛ aɖe (vovototo) noae, eye wozãa video X-ray tsɔ léa ŋku ɖe eŋu wònɔa zɔzɔm to dɔgboa me. Esia ate ŋu afia alesi nuɖuɖu zɔna kabakaba to dɔgboa me.
• Dɔgbo me tsi ƒuƒlu dodokpɔ: Esiae nye dodokpɔ nyuitɔ kekeake si woatsɔ adzidze alesi dɔgbo me tsi ƒuƒlu kabakabae. Wotsakaa keklẽŋusẽ sue aɖe ɖe nuɖuɖu me eye wozãa scanner tsɔ dzidzea alesi nuɖuɖua zɔna to dɔgboa me kabakabae.

Aleke míawɔ aɖu nɔnɔme sia dzi?

Ame geɖe ate ŋu aɖu nɔnɔme sia dzi dzidzedzetɔe ne wotrɔ woƒe nuɖuɖu .

Nuɖuɖu ƒe tɔtrɔ (esiae nye nu vevitɔ kekeake!) .

Atikewo (atikewo) .

Ne esesẽna be nàɖu dzesiawo dzi togbɔ be wotrɔ asi le nuɖuɖu ŋu hã la, wò ɖɔkta ate ŋu aŋlɔ atike aɖewo na wò.

• Octreotide acetate: Esia nye atike si wodona ɖe lãme na ame. Ekpena ɖe ame ŋu be dɔgboa ƒe ƒuƒlu nɔa blewu eye wòkpɔa insulin ƒe dodo dzi.
• Acarbose: Atike sia wɔa dɔ to alesi wòɖea alesi carbohydrates gena ɖe ŋutilãa me dzi kpɔtɔna me. Esia ate ŋu akpe ɖe ŋuwò nàɖu suklidɔ ƒe ɖiɖi ƒe dzesiwo dzi emegbe le ŋkekea me.

Amekoko

Ƒã hafi wowɔa esia . Ne nu bubu ɖesiaɖe do kpo nu eye nɔnɔmea le ŋusẽ gã aɖe kpɔm ɖe wò agbe dzi ko hafi ɖɔkta abu eŋu.

Ðe dumping syndrome nu ayia?

Ẽ, zi geɖe la, enyona ɖe edzi ne ɣeyiɣiawo va le yiyim. Dɔléle siwo mesẽ o ate ŋu ahaya le abe ɣleti 3 ene me. Dɔléle siwo nu sẽ wu ate ŋu axɔ ɣleti 12 va ɖo 18. Gake mègatsi dzi o, ne ètrɔ asi le wò nuɖuɖu ŋu nyuie la, àkpɔ gbɔdzɔe gã aɖe le ɣeyiɣi sia me.

Ne woɖoe be woawɔ dɔ na wò la, nunya anɔ eme be nàwɔ ɖoɖo ɖe nuɖuɖu si dzi nàzɔ ɖo le ewɔwɔ vɔ megbe ŋu do ŋgɔ.