Ua hana ʻia anei ʻoe i ke ʻoki pohō kaumaha (e like me ke ʻoki bypass gastric)? A i ʻole ke manaʻo nei ʻoe i kekahi manawa ua piha, loaʻa nā ʻōpū ʻeha, manaʻo luaʻi, hou, a poniuniu ma hope o ka ʻai ʻana i kahi meaʻai, ʻoiai kekahi mea ʻono? ʻAʻole ʻoe hoʻokahi. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi e hoʻopilikia ana i nā poʻe he nui akā ʻaʻole pinepine ʻia e kamaʻilio ʻia. Hiki i kēia mau hōʻailona ke hopohopo iki i ka wā mua, akā ʻaʻole lākou e hoʻoweliweli i ke ola. ʻO ka mea maikaʻi loa, hiki iā ʻoe ke kāohi iā ia ma ka hana ʻana i nā hoʻololi liʻiliʻi i kāu mau ʻano ʻai.
I ka ʻōlelo maʻalahi, he aha ka Dumping Syndrome?
E noʻonoʻo i kou ʻōpū e like me kahi pā. ʻO ka meaʻai a mākou e ʻai ai ua mālama ʻia i loko o kēia pā no kekahi manawa, ua ʻeli mālie ʻia, a laila hoʻouna ʻia i ka ʻōpū liʻiliʻi ma nā ʻāpana liʻiliʻi. Akā ʻo ka mea e hana ʻia i kahi kanaka me ka maʻi dumping, ʻo ia ka wehe koke ʻia ʻana o nā puka o kēia pā. ʻO ia hoʻi, ua 'hoʻolei' koke ʻia ka nui o ka meaʻai mai ka ʻōpū i loko o ka ʻōpū liʻiliʻi, ʻo ia hoʻi, hāʻule i waho.
Ke komo koke ka nui o ka meaʻai i hoʻoheheʻe ʻole ʻia i loko o ka ʻōpū liʻiliʻi, lilo ia i mea hoʻonāukiuki. Pono ia e omo i ka nui o ka wai mai kona kino e hoʻoheheʻe i kēia meaʻai. Hoʻokuʻu pū ia i ka nui o nā hormones i loko o ke koko. ʻO ia ke kumu e loaʻa ai iā ʻoe nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka nausea, ka pehu ʻana, ka maʻi diarrhea, a me ka puʻuwai wikiwiki. Hiki iā ia ke hoʻololi koke i kou pae kō koko.
No ke aha lā kēia e hana nei? He aha nā kumu nui?
ʻO ke kumu nui a me ke kumu maʻamau o ka dumping syndrome ʻo ia ke ʻoki ʻana e pili ana i ka ʻōpū.
- ʻO ke ʻoki kino pohō kaumaha: ʻOi aku ka maʻalahi o kēia ʻano ma hope o nā ʻoki kino e wehe ai i kahi ʻāpana o ka ʻōpū, e like me "Gastric Bypass" a i ʻole "Gastric Sleeve." Ma waena o 20% a me 50% o ka poʻe i loaʻa i ia mau ʻoki kino e ʻike paha i kēia mau hōʻailona i kekahi ʻano.
- Nā ʻoki ʻōpū ʻē aʻe: Hiki ke hana i kēia ʻano inā ua wehe ʻia kekahi ʻāpana o ka ʻōpū ma muli o ke kanesa ʻōpū a i ʻole kahi ʻōpū.
Ma waho aʻe o ke ʻoki kino, ʻaʻole hiki ke hana pinepine ʻia kēia e kekahi mau kūlana olakino. No ka laʻana, hiki i kekahi poʻe me ka maʻi diabetes mellitus ke ʻike i kēia mau hōʻailona.
Eia kekahi, hiki i kekahi o nā meaʻai a mākou e ʻai ai ke hoʻonui i kēia mau hōʻailona. Hiki ke koʻikoʻi loa kēia ʻano ke ʻai mākou i nā meaʻai i loaʻa nā kō i hoʻomaʻemaʻe ʻia, e like me ke kō, nā mea inu ʻono, nā keke, a me ka ice cream . ʻO kēia no ka mea hiki i kēia mau kō ke omo koke i ka wai i loko o ka ʻōpū. Eia kekahi, hiki i nā meaʻai waiū a me nā meaʻai momona a palai ke hoʻonui i kēia mau hōʻailona no kekahi poʻe.
ʻO ka mea nui, e nalowale ana kēia mau hōʻailona i ka hala ʻana o ka manawa, no laila mai hopohopo.
Hiki ke ʻike ʻia nā hōʻailona o ka dumping syndrome i ʻelua mau ʻano:
I kēia kūlana, hiki ke ʻike ʻia nā hōʻailona ma nā pae nui ʻelua. Loaʻa paha i kekahi poʻe nā mea ʻelua, aʻo kekahi poʻe hoʻokahi wale nō.
| Ka manawa o ka hoʻomaka ʻana o nā hōʻailona | Nā hōʻailona e ʻike ʻia |
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| Nā Hōʻailona o ka Wā Mua (I loko o 10-30 mau minuke ma hope o ka ʻai ʻana) |
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| Nā hōʻailona o ka wā lohi (1-3 hola ma hope o ka ʻai ʻana) |
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He aha ke kumu e hōʻike ʻia ai nā hōʻailona ma nā pae hope?
Hana ʻia kēia no ka mea piʻi koke ke kiʻekiʻe o ke kō koko a laila iho koke. Ke ʻai mākou i kahi meaʻai ʻono, komo koke kēlā kō i loko o ke koko mai ka ʻōpū liʻiliʻi. I ka pane ʻana, hana ko mākou kino i ka nui o ka hormone insulin. ʻO kēia ke kumu o ka emi koke ʻana o ke kiʻekiʻe o ke kō koko (hypoglycemia), e hana ana i nā hōʻailona e like me ka luhi a me ka poniuniu.
ʻŌlelo Aʻo: Inā ʻaʻole ʻoe i ʻike mua ʻia me ka dumping syndrome, a ʻike koke ʻoe i ka nalowale o ka ʻike, ka poniuniu nui, ka puʻuwai wikiwiki loa, a i ʻole ka hiolo ʻana , e hele koke i ka lumi pilikia o ka haukapila (ETU).
Pehea e ʻike ai ke kauka i kēia?
Inā ua hana mua ʻoe i ke ʻoki ʻōpū, hiki i kāu kauka ke ʻike i ka maʻi dumping ma muli o kāu mau hōʻailona. Hiki iā lākou ke noi iā ʻoe e hoʻopiha i kahi nīnau i kapa ʻia ʻo Dumping Symptom Rating Scale.
Eia nō naʻe, inā ʻaʻole i hana ʻia ke ʻoki ʻana, a ʻaʻole maopopo paha nā hōʻailona, pono paha kekahi mau hoʻokolohua e hoʻoholo ai i ke kumu pololei.
- Hoʻāʻo Hoʻomanawanui Glucose Waha: Hāʻawi ʻia ʻoe i kahi mea inu kō a nānā ʻia kou pae kō koko ma mua a ma hope o 1-3 mau hola. Inā hāʻule koke kou pae kō koko, he hōʻailona ia o ka late-stage dumping syndrome.
- Hoʻāʻo Hoʻokaʻawale ʻŌpū: Hoʻāʻo kēia i ka wikiwiki o ka neʻe ʻana o ka meaʻai mai kou ʻōpū. Hāʻawi ʻia ʻoe i kahi meaʻai liʻiliʻi i hui pū ʻia me kahi mea radioactive a nānā ʻia i kona hele ʻana ma o kahi scanner.
- ʻO ka Endoscopy Kiʻekiʻe: Hoʻokomo ʻia kahi ʻōmole lahilahi i lako me ke kāmera ma ka waha i loko o ka ʻōpū e nānā i nā pilikia kūkulu i loko o ka ʻōpū.
- ʻO ka moʻo GI kiʻekiʻe: Hāʻawi ʻia kahi wai kūikawā (mea hoʻohālikelike) e inu, a hoʻohana ʻia kahi mīkini X-ray wikiō e nānā i ke ʻano o kona neʻe ʻana ma o ke ala ʻai.
Ka mālama ʻana a me ka hoʻokele ʻana i ka dumping syndrome
I ka hapanui o nā hihia, hiki ke kāohi ʻia kēia kūlana ma ka hoʻololi ʻana i kāu meaʻai a me kou nohona . ʻO kēia ka lāʻau lapaʻau nui a koʻikoʻi loa.
| Nā mea e hana ai (nā mea e ʻai ai a me nā ʻano maʻamau) | Nā mea e pale aku ai (nā mea e pono ʻole ke hana ʻia) |
|---|---|
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ʻO kekahi mau ʻōlelo aʻoaʻo koʻikoʻi ʻē aʻe
- E moe i lalo no kekahi manawa ma hope o ka ʻai ʻana: ʻO ka moe ʻana no kahi o 30 mau minuke ma hope o ka ʻai ʻana hiki ke hōʻemi i nā hōʻailona e like me ka dizziness.
- E ho'ōki i ka ʻai ʻana ke māʻona ʻoe: Mai ʻai nui.
Inā ʻaʻole hiki i nā loli ʻai ke kāohi i kāu mau hōʻailona, e kuhikuhi paha kāu kauka i nā lāʻau lapaʻau. No ka laʻana, he inikini i kapa ʻia ʻo Octreotide acetate (Sandostatin) a i ʻole he papa i kapa ʻia ʻo Acarbose (Precose) e kāohi ana i ka ʻai ʻana o ka carbohydrate. Pono e lawe ʻia kēia mau mea ma lalo o ka nānā ʻana o ke kauka. I nā hihia koʻikoʻi kahi ʻaʻole holo pono kekahi o kēia mau hana, hiki ke ʻōlelo ʻia ke ʻoki kino.
Leka Lawe-Home
- He maʻi maʻamau ka Dumping syndrome e kū mai ana ma hope o ke ʻoki ʻana o ka ʻōpū. ʻAʻole ia he mea e hoʻoweliweli ai i ke ola.
- ʻO kēia no ka mea neʻe ka meaʻai mai ka ʻōpū a i ka ʻōpū liʻiliʻi ma mua koke o ka ʻeli ʻia ʻana.
- ʻO ka lāʻau lapaʻau nui a maikaʻi loa, ʻo ia ka hoʻololi ʻana i kāu meaʻai a me kāu mau ʻano maʻamau.
- E ʻai i kekahi mau meaʻai liʻiliʻi i ka lā. E hōʻemi loa i ke kō a me nā mea ʻono.
- Mai inu i ka wai no 30 mau minuke ma mua a ma hope o ka ʻai ʻana.
- Inā ʻaʻole hiki iā ʻoe ke kaohi i kāu mau hōʻailona ma hope o ka hoʻololi ʻana i ka meaʻai a inā paha e lilo nui ana kou kaumaha, e kamaʻilio me kāu kauka.
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