Ðe dɔgbo vea wò le nuɖuɖu vɔ megbea? Ðe esia ate ŋu anye dumping syndromea?

Ne èɖu nu vɔ la, ɖe nèsena le ɖokuiwò me ɣeaɖewoɣi be taɖuame, yɔ fũ, alo dɔgbo ƒoƒo ɖe dziwòa? Ame aɖewo hã senɛ le wo ɖokui me be ɖeɖi tea yewo ŋu eye yewoʋuʋuna gaƒoƒo ʋɛ aɖewo le nuɖuɖu vɔ megbe. Ne dzesi siawo le ŋuwò la, ɖewohĩ dɔléle aɖe si woyɔna be dumping syndrome . Mina míaƒo nu tso esia ŋu tsitotsito egbea, elabena ate ŋu akpɔ ŋusẽ ɖe ame geɖe dzi.

Nukae nye Dumping Syndrome?

Kpuie ko la, dumping syndrome nye ne nuɖuɖu si le wò dɔgbo me, alo ne míagblɔe tututu la, nusiwo le wò dɔgbo me, ʋu yi wò dɔgbo sue me, alo nusi míeyɔna zi geɖe be wò dɔgbo sue la me kabakaba wu alesi wòle dzɔdzɔmee . Ðɔktawo yɔa esia hã be ‘dɔgbo ƒe ƒuƒlu kabakaba’. Bu eŋu abe ɖe wole nuɖuɖu si le wò dɔgbo me "tsɔm ƒu gbe" ɖe wò dɔgbo sue me le ƒu gã aɖe me ene, hafi woate ŋu aɖui nyuie.

Eyata ne esia dzɔ la, nuɖuɖu gbogbo aɖe si womeɖu o la to dɔgbo suea me zi ɖeka la, àte ŋu ase veve abe ʋuʋudedi, ʋuʋudedi, dɔgbo ƒe ʋuʋu, kple aɖuɖɔtoe ene . Menye ema ɖeɖeko o, ke ate ŋu ana wò ʋumesukli ƒe agbɔsɔsɔ natrɔ kpata, gã aɖe hã.

Nuka tututue dzɔna le Dumping Syndrome me?

Zi geɖe la, ne míele nu ɖum la, míaƒe dɔgbo ɖoa nuɖuɖu ɖe dɔgbo suea blewu eye wòkpɔa ŋusẽ ɖe edzi. Lãmetsiwo, lãmekawo, kple lãmetsi siwo le dɔgboa me ye wɔa esia, eye wowɔa dɔ ɖekae. Míeyɔa esia be "gatric motility."

Gake le dumping syndrome me la, nuwɔwɔ aduadu sia metoa mɔ ɖeka o. Valvɔ si le dɔgboa te, si nye pyloric valve , ʋuna hafi nuɖuɖu gɔ̃ hã ɖuna, eye wotsɔa dɔgboa me nuwo katã ƒua gbe ɖe dɔgbo suea me zi ɖeka.

Nukae dzɔna ɣemaɣi? Ne nuɖuɖu siwo womeɖu o sɔ gbɔ ɖe dɔgbo suea me zi ɖeka la, edzea agbagba be yeatrɔ ɖe eŋu. Ehea tsi si sɔ gbɔ wu eye wòɖea lãmetsiŋusẽ bubuwo ɖe go. Tɔtrɔ mawoe na míesea veve si míeyɔ va yi le nuɖuɖu vɔ megbe kpuie.

Ame aɖewo ate ŋu akpɔ dzesi bubuwo le gaƒoƒo ʋɛ aɖewo megbe le nuɖuɖu vɔ megbe. Esia le alea elabena sukli ƒe agbɔsɔsɔ le ʋu me le tɔtrɔm. Ne nuɖuɖu si me sukli sɔ gbɔ ɖo va dze dɔgbo suea dzi zi ɖeka la, woɖea dzesi na míaƒe dɔgboa be wòaɖe insulin geɖe ɖe go be wòakpɔ sukli si le ʋu me dzi. Esia ate ŋu ana sukli si le ʋu me naɖiɖi kpata. Woyɔa esia be suklidɔ si nu sẽ si wɔa dɔ . Esia ate ŋu ahe nuwo abe taɖuame, ʋuʋu, kple dzi ƒe tsotso ene vɛ.

Amekae ate ŋu axɔ dumping syndrome wu?

Zi geɖe la, Dumping syndrome dzɔna abe kuxi si doa mo ɖa le dɔgbo ƒe dɔwɔwɔ vɔ megbe ene.Wobu akɔnta be amesiwo wowɔ dɔ na le dɔgboa me ƒe 20% va ɖo 50% akpɔ dzesi siawo vaseɖe afi aɖe. Esia bɔ ɖe amesiwo wowɔ dɔ na si ɖe dɔgboa ƒe akpa gã aɖe ɖa, abe gastrectomy (dɔgbo bliboa alo eƒe akpa aɖe ɖeɖeɖa) alo gastric bypass surgery (si nye amekoko si me woɖea lolo dzi kpɔtɔna si toa dɔgboa ƒe akpa aɖe) ene, ŋu koŋ. Ƒã ŋutɔ la, dɔgbo ƒe nɔnɔme aɖewo hã ate ŋu atsoe.

Ðe Dumping Syndrome nye nɔnɔme sesẽ aɖea?

Zi geɖe la, dumping syndrome mewɔa afɔku alo dea ame ƒe agbe afɔku me o. Gake ne nɔnɔmea nu sẽ la, ate ŋu ana ame ƒe lolo naɖiɖi kabakaba eye nunyiame ƒe veve nasu ame si. Ne womeɖu aɖuɖɔtoea dzi o la, ate ŋu ana tsi nagbɔdzɔ. Gake zi geɖe la, woate ŋu aɖu nusiawo dzi.

Dzesi siwo nu mesẽna o nɔa ame akpa gãtɔ ŋu siwo nu yina le ɣeyiɣi aɖe megbe. Zi geɖe la, Dumping syndrome menɔa anyi ɖaa o, eyata naneke meli si ŋu nàtsi dzi ɖo o.

Nukawoe nye dumping syndrome ƒe dzesiwo?

Dumping syndrome ƒe akpa vevi eve li, eye dzesi siwo do ƒome kple akpa ɖesiaɖe. Àte ŋu akpɔ afɔɖeɖe siawo dometɔ ɖeka alo evea siaa.

Dumping syndrome kaba ƒe dzesiwo

Zi geɖe la, nusiawo dzea egɔme nɔa aɖabaƒoƒo 10 va ɖo 30 le nuɖuɖu vɔ megbe .

• Xeɖeɖe
• Ʋuʋudedi
• Aɖuɖɔtoe (dɔgbo ƒe vevesese) .
• Dɔgbo ƒe vevesese kple lãmetutudɔ
• Ʋuʋudedi, fuɖename ƒe seselelãme
• Taɖuame, alɔ̃madɔmadɔ
• Dzi ƒe tsotso ƒe dzidziɖedzi (sese le ɖokuiwò me abe ɖe wò akɔta le ƒoƒom ene) .

Late dumping syndrome ƒe dzesi siwo dzena le gaƒoƒo ʋɛ aɖewo le nuɖuɖu vɔ megbe

Zi geɖe la , dzesi siawo dzena le gaƒoƒo eve va ɖo etɔ̃ le nuɖuɖu vɔ megbe .

• Gbɔdzɔgbɔdzɔ, ɖeɖiteameŋu
• Ʋuʋudedi, dziɖeleameƒo
• Dzi ƒe tsotso kabakaba alo esi medzɔna edziedzi o
• Fifia fafɛ
• Mo ƒe bibibi
• Ahɔhɔ̃ ƒe afu - seselelãme si nye be esesẽna be woabu tame nyuie
• Dɔ le wuyem vevie

Nukawoe hea dumping syndrome vɛ?

Susu vevi evee li siwo tae wòle alea ɖo.

Susu siwo do ƒome kple amekoko:

• Gastrectomy: Amekoko be woaɖe dɔgboa ƒe akpa aɖe alo eƒe akpa bliboa ɖa.
• Bariatric amekoko: Amekoko si wowɔna tsɔ ɖea kpekpeme dzi kpɔtɔna, le kpɔɖeŋu me, amekoko si wowɔna tsɔ toa dɔgboa me.
• Pyloroplasty: Amekoko si wowɔna na pyloric valve si le dɔgboa ƒe gɔme.
• Esophagectomy: Amekoko si wowɔna tsɔ ɖea nuɖuɖutome ƒe akpa aɖe alo wo katã ɖa.
• Vagotomy: Amekoko si me woɖea vagus nerve si le dɔgboa me be wòaɖe dɔgboa me acid dzi akpɔtɔ.
• Nissen fundoplication: Amekoko si wowɔna tsɔ lɔ̃a dɔgboa ƒe akpa si le etame ƒoa xlã nuɖuɖutome (si wowɔna na dɔgbo ƒe ʋuʋu ƒe dɔléle - GERD).

Nusiwo gbɔ dɔlélewo tsona:

Atikewɔwɔ me nɔnɔme aɖewo hã ate ŋu ahe Dumping syndrome vɛ.

• Suklidɔ (Suklidɔ) .
• Cyclic ʋuʋudedi ƒe dɔléle
• Ðokuisi ƒe dɔmawɔmawɔ nyuie
• Exocrine dɔgbo ƒe dɔmawɔmawɔ nyuie
• Duodenal ulcers ƒe dɔléle
• Zollinger-Ellison ƒe dɔlélea
• Dɔwɔwɔ ƒe dɔmawɔmawɔ nyuie
• Cannabis hyperemesis syndrome ( nɔnɔme si me ame ƒe ʋuʋudedi fũ le gbekui zazã ta) .

Aleke woawɔ ade dzesi dumping syndrome?

Ne wowɔ dɔ na wò le dɔgbo me va yi (ne ƒe geɖe enye sia gɔ̃ hã) la, wò ɖɔkta ate ŋu anɔ te ɖe dzesi siwo ŋu nèle nu ƒom tsoe ta asusui be dumping syndrome le ŋuwò. Woate ŋu ana nyabiase gbalẽvi aɖe wò, abe Dumping Symptom Rating Scale , ene, be nàtsɔ adzidze wò dzesiawo ƒe sesẽme.

Gake wò ɖɔkta ate ŋu awɔ dodokpɔ aɖewo hã atsɔ aɖo kpe dɔlélea dzi alo atsɔ agbe nu bubu siwo gbɔ wòtso. Dodokpɔ siawo le vevie ŋutɔ ne womewɔ dɔ na wò le ƒodo me o.

Dodokpɔ siwo woate ŋu awɔ atsɔ anya dɔléle si nye dumping syndrome dometɔ aɖewoe nye esi:

• Suklidɔ ƒe mɔɖeɖe ɖe nu me ƒe dodokpɔ: Esia bia be woana aha si me sukli le wò eye woadzidze sukli ƒe agbɔsɔsɔ le ʋu me do ŋgɔ na wò kple emegbe. Wodzidzea wò ʋumenugbagbevi dzĩwo ƒe alafa memamã hã. Wò ʋumenugbagbeviɣidɔ ƒe dzidziɖedzi le nunono si me sukli le nono vɔ megbe fia be wole tsi geɖe hem tso wò ʋu me yina wò dɔgbowo me. Ne wò ʋumesukli ɖiɖi le gaƒoƒo ɖeka va ɖo etɔ̃ me la, woyɔa esia be delayed dumping syndrome.
• Hydrogen gbɔgbɔ dodokpɔ: Esia hã dzidzea hydrogen agbɔsɔsɔme si le wò gbɔgbɔ me ne èno glucose solution vɔ. Hydrogen si le wò gbɔgbɔ me fia be wò dɔgbo sue la mele sukli xɔm nyuie o. Esia fia be agba le dɔgbo suea me wògbɔa eme.
• Endoscopy si le etame: Esia bia be woatsɔ mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe (endoscope) si me fotoɖemɔ̃ si wotsɔ bla ɖe nu me la de eme eye woado nuɖuɖutome, dɔgbo, kple dɔgbo (dɔgbo suea ƒe akpa gbãtɔ) ƒe eme. Esia ate ŋu akpe ɖe ŋuwò nànya ne xɔtuɖoɖo ƒe kuxiwo alo nu bubu aɖewo siwo gbɔ wò dzesiawo tso.
• GI ƒe ƒuƒoƒo si le etame:Le esia me la, wonaa tsi tɔxɛ aɖe (contrast solution) wò be nàno, eye wozãa video X-ray (si woyɔna be `fluoroscopy`) tsɔ léa ŋku ɖe eŋu esime wòle zɔzɔm to wò nuɖuɖutome, dɔgbo, kple dɔgbo sue si le etame. Esia wɔnɛ be nàte ŋu akpɔ alesi tsi la le zɔzɔm kabakabae.
• Dɔgbo me tsi ƒuƒlu dodokpɔ: Esia dzidzea alesi nuɖuɖu ƒua tsi kabakaba le wò dɔgbo me. Wotsɔa keklẽŋusẽ sue aɖe ko dea nuɖuɖu si nèɖuna me. Emegbe, wò ɖɔkta ate ŋu azã scanner tɔxɛ aɖe atsɔ akpɔ nuɖuɖua wòanɔ zɔzɔm to wò dɔgbo me.

Aleke woawɔ aɖe dumping syndrome ɖa?

Ame geɖe ate ŋu akpɔ dumping syndrome gbɔ dzidzedzetɔe to tɔtrɔ le woƒe nuɖuɖu ŋu me . Le dzesi sesẽwo gome la, ne nuɖuɖu ɖeɖe meɖea vi o la, woate ŋu azã atike. Gake atikewo ate ŋu agblẽ nu le ame ŋu, eyata womeɖo aɖaŋu be woazãe ɣeyiɣi didi o. Le go siwo mebɔ o me la, ne amekoko gbɔe dumping syndrome tso eye atike bubu aɖeke mekpe ɖe ŋuwò o la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàgawɔ dɔ bubu na wò.

Nuɖuɖu ŋuti mɔfiamewo

Ðɔktawo kafui be woawɔ ɖe aɖaŋuɖoɖo siawo dzi be woaɖe dzesiawo dzi akpɔtɔ:

• Ðe nuɖuɖu si nèɖuna le nuɖuɖu ɖeka me dzi kpɔtɔ eye nàdzi nuɖuɖu siwo nèɖuna le ŋkekea me katã ɖe edzi. Le nuɖuɖu gã etɔ̃ teƒe la, dze agbagba nàɖu nu sue ade.
• Ðu wò nuɖuɖu vivivi eye nàɖui nyuie. Esia ana nuɖuɖumeŋusẽ nanɔ bɔbɔe.
• Ðe sukli bɔbɔewo, nuɖuɖu siwo me carb sɔ gbɔ ɖo, kple nyinotsibabla ɖuɖu dzi kpɔtɔ alesi nàte ŋui. Esiawo akpe ɖe mía ŋu míaxe mɔ ɖe ʋumesukli ƒe tɔtrɔ kpata nu. Carb siwo me nu sesẽwo le, abe nuku blibowo ene, nyo wu.
• Ðe carbohydrates dzi kpɔtɔ le wò nuɖuɖu me eye nàtsɔ protein kple ami siwo naa lãmesẽ geɖe akpe ɖe eŋu boŋ. Amiwo meɖua nu blewu eye wonaa ŋusẽtsoƒe si nɔa anyi ɖaa.
• Ƒo nuɖuɖu siwo me nuɖuɖu me fibre sɔ gbɔ ɖo geɖe wu. Esia nana nuɖuɖua ƒe akpa gãtɔ kpena ɖe nuɖuɖu ŋu, si wɔnɛ be eƒe zɔzɔ to dɔgboa me dzi ɖena kpɔtɔna. Fiber hã kpɔa sukli ƒe xɔxlɔ̃ dzi.
• Mlɔ anyi (tsi tre) abe miniti 30 ene le nuɖuɖu vɔ megbe. Esia ate ŋu ana nuɖuɖu ƒe ƒuƒlu le dɔgboa me nagbɔdzɔ eye wòakpe ɖe ame ŋu be ʋu ƒe sisi nanɔ anyi le nuɖuɖu ɖuɖu me.
• Mègano tsi alo aha bubuwo aɖabaƒoƒo 30 do ŋgɔ na nuɖuɖu alo le eɖuɖu vɔ megbe o. Tsiwo nana dɔgboa ƒe dɔwɔwɔ dzina ɖe edzi.

Atikewo

Atike aɖewo ate ŋu akpe ɖe ame ŋu woaɖu dumping syndrome ƒe dzesi siwo dzena kaba kple esiwo dzena emegbe dzi.

• Octreotide acetate ƒe atike:Octreotide xea mɔ na lãmetsi aɖewo ƒe dɔwɔwɔ le míaƒe nuɖuɖumeŋusẽ me. Esia wɔnɛ be nuɖuɖu ƒe ƒuƒu tso dɔgbo me kple nuɖuɖu ƒe zɔzɔ to dɔgbo suea me dzi ɖena kpɔtɔna. Eɖea insulin ƒe wɔwɔme hã dzi kpɔtɔna. Wodoa atike sia abe atike si wodona ene, gbesiagbe (si wɔa dɔ kpuie) alo ɣleti sia ɣleti (si wɔa dɔ ɣeyiɣi didi).
• Acarbose: Atike sia nana míaƒe ŋutilã xɔa carbohydrates ƒe agbɔsɔsɔ dzi kpɔtɔna, si wɔnɛ be sukli ƒe agbɔsɔsɔ le ʋu me dzi kpɔtɔna. Wokpɔe be eɖea suklidɔ si dzɔna le suklidɔ si wotsɔ ƒua gbe le megbe ƒe dɔléle me dzi kpɔtɔna.

Amekoko

Ƒã hafi wokafua amekoko na dumping syndrome. Gake ne amekoko gbɔe wò nɔnɔmea tso la, amekoko bubu ate ŋu aɖɔe ɖo. Ne dumping syndrome le ŋusẽ kpɔm ɖe wò agbenɔnɔ dzi vevie eye naneke megawɔa dɔ o la, àte ŋu abu amekoko si agbugbɔ atu nuwo ɖo ŋu. Esia lɔ:

• Dɔgbo ƒe akpa aɖe si mele dɔ wɔm nyuie o la gbugbɔgatu alo asitɔtrɔ le eŋu.
• Amekokowo abe gastric bypass ene tɔtrɔ alo tɔtrɔ ɖe tiatia si mewɔa nuvevi ame boo o ŋu.

Ðe dumping syndrome nu ayi keŋkeŋa?

Ẽ, zi geɖe la, edzona le ɣeyiɣi aɖe megbe. Zi geɖe la, dɔléle si nu mesẽ o si wotsɔ ƒua gbe kaba la nu yina le abe ɣleti etɔ̃ ene me. Dɔléle siwo nu sẽ wu kple nusiwo wotsɔna ƒua gbe ƒe dɔléle si dzea egɔme megbe ate ŋu axɔ ɣleti 12 va ɖo 18 hafi woakpɔ wo gbɔ. Le ɣeyiɣi sia me la, tɔtrɔ le nuɖuɖu ŋu ate ŋu ana gbɔdzɔe gã aɖe mí. Gake ate ŋu axɔ kwasiɖa geɖe hafi woakpɔ ŋgɔyiyi. Eyata ele vevie be nàgbɔ dzi ɖi.

Nuɖuɖu kawoe wòle be nàɖu eye nuɖuɖu kawoe wòle be nàƒo asa na ne dump syndrome le ŋuwò?

Ele vevie ŋutɔ be amesiwo ŋu dɔléle sia le, vevietɔ le dɔgbo ƒe dɔwɔwɔ vɔ megbe, nawɔ ɖe nuɖuɖu ŋuti ɖoɖo si kpena ɖe ame ŋu be woaɖu dzesiawo dzi la dzi. Nya siwo ŋu míeƒo nu tsoe va yi le "Nuɖuɖu ƒe Tɔtrɔwo" te la ku ɖe afisia hã ŋu:

• Nusiwo woaɖu: Nuɖuɖu siwo me protein sɔ gbɔ ɖo (tɔmelã, koklozi, azi, lãmi), ami siwo naa lãmesẽ (avocado, nukuwo), carbohydrates sesẽ siwo me fibre sɔ gbɔ ɖo (bli dzẽ, oats, amagbewo).
• Nusiwo wòle be woaƒo asa na alo aɖo seɖoƒe na: Sukli bɔbɔewo (nunono viviwo, nu viviwo, abolo), carbohydrates siwo ŋu wokɔ ŋutɔ (nu siwo wotsɔ abolowɔ wɔ), notsi kple nyinotsinuwo (ate ŋu asesẽ na ame aɖewo be woaɖu), nuɖuɖu siwo me ami sɔ gbɔ ɖo, siwo wofli.

Anyo wu be nàƒo nu kple wò ɖɔkta alo nuɖuɖuŋutinunyala be nàwɔ nuɖuɖu ŋuti ɖoɖo si asɔ na wò.

Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:

Dumping syndrome nye nɔnɔme si ame geɖe ate ŋu ato le dɔgbo ƒe dɔwɔwɔ vɔ megbe. Àte ŋu akpɔ dzesi siawo hã le amekoko vɔ megbe. Nya nyuiae nye be zi geɖe la, enyea dɔléle si nu mesẽna o eye wòakpɔ egbɔ le eɖokui si le kwasiɖa alo ɣleti ʋɛ aɖewo megbe.Le ɣeyiɣi sia me la, àte ŋu aɖu nɔnɔme sia dzi nyuie ne ètrɔ asi le wò nuɖuɖu ŋu nyuie.

Ne woawɔ dɔ na wò le dɔgboa me le etsɔme la, nunya anɔ eme be nàwɔ ɖoɖo ɖe nuɖuɖu si sɔ na dumping syndrome ŋu. Dzra nuɖaƒea ɖo eye nuɖuɖu ƒe ɖoɖo ʋɛ aɖewo nanɔ susu me na wò. Ne èwɔ tɔtrɔ le nuɖuɖu ŋu eye womehe gbɔdzɔe vɛ o la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ate ŋu aŋlɔ atike siwo hiã be wòakpe ɖe ŋuwò le wò hayahayaɣi. Eyata, nu vevitɔ kekeakee nye be màgatsi dzodzodzoe o, woana nyanya wò, eye nàɖe afɔ siwo hiã.

Dumping Syndrome, Dɔgbo, Dɔgbo Sue, Amekoko, Nuɖuɖumeŋusẽ, Dzesiwo