Ðe nèsea seselelãme wɔnuku aɖe le wò dɔgbo me alo taɖuame le nuɖuɖu vɔ megbea? Esia ate ŋu anye Dumping Syndrome!

Ðe wowɔ dɔ na wò be nàɖe wò lolo dzi akpɔtɔ (abe dɔgbo ƒe dɔwɔwɔ na wò ene)? Alo ɖe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe lãme ɖua nu, dɔgbo gbãna ɖe dziwò, èsena le ɖokuiwò me be yeƒe lãme gbãna, fifia ya, eye taɖuame le ŋuwò ne èɖu nu, vevietɔ nu vivi aɖea? Menye wò ɖeka koe o. Egbea míele nu ƒom tso nɔnɔme aɖe si gblẽa nu le ame geɖe ŋu gake womeƒoa nu tso eŋu zi geɖe o ŋu. Dzesi siawo ate ŋu ado vɔvɔ̃ na ame vie le gɔmedzedzea me, gake womedea ame ƒe agbe afɔku me o. Nu nyuitɔ kekeakee nye be àte ŋu aɖu edzi ne èwɔ tɔtrɔ suesuesuewo le wò nuɖuɖu ŋu.

Kpuie ko la, nukae nye Dumping Syndrome?

Bu wò dɔgbo be enye tɔdzisasrã. Wodzraa nuɖuɖu siwo míeɖuna ɖo ɖe tɔdzisasrã sia me hena ɣeyiɣi aɖe, woɖunɛ vivivi, eye emegbe woɖonɛ ɖe dɔgbo suea me le kakɛ suewo me. Gake nusi dzɔna ɖe amesi ŋu dumping syndrome le dzie nye be woʋua tɔdzisasrã sia ƒe agbowo zi ɖeka. Eyae nye be ‘wotsɔa’ nuɖuɖu gbogbo aɖewo ƒua gbe tso dɔgboa me yia dɔgbo suea me zi ɖeka , si fia be edzena.

Ne nuɖuɖu gbogbo aɖe si womeɖu o ge ɖe dɔgbo suea me zi ɖeka la, etɔtɔna. Ele be wòaxɔ tsi geɖe le eƒe ŋutilã me hafi wòate ŋu aɖu nuɖuɖu sia. Eɖea lãmetsiŋusẽ gbogbo aɖewo hã ɖe ʋua me. Esia tae dzesiwo abe dɔgbo ƒe veve, ʋuʋudedi, ʋuʋudedi, aɖuɖɔtoe, kple dzi ƒe tsotso kabakaba ene dzena. Ate ŋu ana wò ʋumesukli ƒe agbɔsɔsɔ hã natrɔ kabakaba.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu vevi siwo tae?

Nu vevitɔ si hea dumping syndrome vɛ eye wòbɔ wue nye amekoko si me dɔgboa le. Etɔxɛe:

• Amekoko si wowɔna tsɔ ɖea lolo dzi kpɔtɔna: Nɔnɔme sia ate ŋu adzɔ le amekoko siwo ɖea dɔgboa ƒe akpa aɖe ɖa, abe ``Gastric Bypass`` alo ``Gastric Sleeve ene megbe.`` Ame siwo wowɔ dɔ na alea dometɔ 20% va ɖo 50% ate ŋu akpɔ dzesi siawo vaseɖe afi aɖe.
• Dɔgbo ƒe amekoko bubuwo: Nɔnɔme sia ate ŋu ado mo ɖa ne woɖe dɔgboa ƒe akpa aɖe le dɔgboa me kansa alo abi aɖe ta gɔ̃ hã.

Tsɔ kpe ɖe amekoko ŋu la, ƒã hafi atikewɔwɔ me nɔnɔme aɖewo hã ate ŋu ahe esia vɛ. Le kpɔɖeŋu me, ame aɖewo siwo ŋu suklidɔ le hã ate ŋu akpɔ dzesi siawo.

Azɔ hã, nuɖuɖu siwo míeɖuna dometɔ aɖewo ate ŋu ana dzesi siawo nagagblẽ ɖe edzi. Nɔnɔme sia ate ŋu asẽ ŋutɔ ne míeɖu nuɖuɖu siwo me sukli si ŋu wokɔ, abe sukli, aha viviwo, abolo, kple ice cream ene . Esia le alea elabena sukli siawo te ŋu xɔa tsi le dɔgboa me kabakaba. Azɔ hã, nyinotsi kple nuɖuɖu siwo me ami le, siwo wofli ate ŋu ana dzesi siawo nagagblẽ ɖe edzi na ame aɖewo.

Dumping syndrome ƒe dzesiwo ate ŋu ado mo ɖa le mɔ eve nu:

Le nɔnɔme sia me la, woate ŋu akpɔ dzesiawo le akpa vevi eve me. Ðewohĩ evea siaa anɔ ame aɖewo si, evɔ ɖeka koe ate ŋu anɔ ame bubuwo si.

Nukae nana dzesiawo dzena le ɣeyiɣi siwo va yi me?

Esia dzɔna elabena sukli ƒe agbɔsɔsɔ le ʋu me dzina ɖe edzi zi ɖeka eye emegbe wòɖina zi ɖeka. Ne míeɖu nu vivi aɖe la, sukli ma gena ɖe ʋua me tso dɔgbo suea me kaba. Le esia ta la, míaƒe ŋutilã wɔa lãmetsi si nye insulin la sɔ gbɔ ŋutɔ. Esia nana be sukli ƒe agbɔsɔsɔ le ʋu me dzi ɖena kpɔtɔna zi ɖeka (suklidɔ ƒe agbɔsɔsɔ si medea ame dzi o), si hea dzesiwo abe ɖeɖiteameŋu kple taɖuame ene vɛ.

Nuxlɔ̃ame: Ne womekpɔ dɔléle si nye dumping syndrome le ŋuwò do ŋgɔ o, eye kasia wò susu meganɔa dɔ wɔm o, wò ta ʋuʋuna vevie, dzi ƒe tsotso kabakaba ŋutɔ, alo nètsi dzodzodzoe , la, yi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le (ETU) enumake.

Aleke ɖɔktaa wɔa anya esia?

Ne wowɔ dɔ na wò le dɔgbo me va yi la, wò ɖɔkta ate ŋu anɔ te ɖe wò dzesiwo dzi akpɔ dɔléle si nye dumping syndrome. Woate ŋu abia tso asiwò be nàkpe nyabiase gbalẽvi aɖe si woyɔna be Dumping Symptom Rating Scale ɖo.

Gake ne womewɔ dɔ na amea o, alo dzesiawo me mekɔ o la, ahiã be woawɔ dodokpɔ aɖewo be woanya nusi tututu gbɔ wòtso.

• Glucose Tolerance Test si Wonona: Wonaa aha si me sukli le wò eye wokpɔa wò sukli ƒe agbɔsɔsɔ le ʋu me do ŋgɔ na wò kple gaƒoƒo 1-3 megbe. Ne sukli ƒe agbɔsɔsɔ le wò ʋu me ɖiɖi kpata la, ke enye dzesi be sukli si wotsɔna ƒua gbe le ʋu me ƒe dɔléle si tsi megbe.
• Gastric Emptying Test: Esia doa alesi nuɖuɖu dona le wò dɔgbo me kabakabae kpɔna. Wotsɔa nuɖuɖu sue aɖe si wotsaka kple nu si me keklẽŋusẽ le la naa wò eye nèléa ŋku ɖe eŋu esime wòtoa scanner me.
• Upper Endoscopy: Wotsɔa mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le la toa nu me yia dɔgboa me be woatsɔ akpɔe ɖa be xɔtuɖoɖo ƒe kuxiwo le dɔgboa me hã.
• Upper GI Series: Wotsɔa tsi tɔxɛ aɖe (nu si ɖea vovototodedeameme fiana) naa tsi, eye wozãa video X-ray mɔ̃ tsɔ léa ŋku ɖe alesi wòzɔna to nuɖuɖumeŋusẽ me ŋu.

Dumping syndrome ƒe atikewɔwɔ kple edzikpɔkpɔ

Zi geɖe la, woate ŋu aɖu nɔnɔme sia dzi ne ètrɔ wò nuɖuɖu kple nuɖuɖu . Esiae nye atikewɔwɔ vevitɔ kple vevitɔ kekeake.

Aɖaŋuɖoɖo vevi bubu aɖewo

• Mlɔ anyi vie le nuɖuɖu vɔ megbe: Mlɔ anyi abe miniti 30 ene le nuɖuɖu vɔ megbe ate ŋu aɖe dzesiwo abe taɖuame ene dzi akpɔtɔ.
• Dzudzɔ nuɖuɖu ne èse le ɖokuiwò me be yeɖi ƒo: Mègaɖu nu wòagbɔ eme o.

Ne tɔtrɔ le nuɖuɖu ŋu mete ŋu ɖu wò dzesiwo dzi o la, wò ɖɔkta ate ŋu aŋlɔ atikewo na wò. Le kpɔɖeŋu me, atike si woyɔna be Octreotide acetate (Sandostatin) alo atikekui si woyɔna be Acarbose (Precose) si kpɔa carbohydrate ƒe nuɖuɖumeŋusẽ dzi. Atikewɔlawo ƒe dzikpɔkpɔ te koe wòle be woaxɔ nusiawo. Le nɔnɔme sesẽ siwo me afɔɖeɖe siawo dometɔ aɖeke mewɔa dɔ o me la, woate ŋu akafui be woawɔ dɔ nɛ.