Loaʻa iā ʻoe ka ʻeha o ka ʻōpū ma hope o ka ʻai ʻana? He maʻi dumping paha kēia?

Ma hope o kou ʻai ʻana i ka ʻai, ke manaʻo nei ʻoe i kekahi manawa i ka poniuniu, ka piha, a i ʻole ka ʻōpū ʻeha? Manaʻo pū kekahi poʻe i ka luhi a me ka haʻalulu i kekahi mau hola ma hope o ka ʻai ʻana. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo dumping syndrome . E kamaʻilio kākou e pili ana i kēia i kēia lā, no ka mea hiki ke hoʻopilikia i nā poʻe he nui.

He aha ka Dumping Syndrome?

I ka ʻōlelo maʻalahi, ʻo ka dumping syndrome ka wā e neʻe ai ka meaʻai i loko o kou ʻōpū, a i ʻole nā ​​​​mea o loko o kou ʻōpū, i loko o kou ʻōpū liʻiliʻi, a i ʻole ka mea a mākou e kapa pinepine ai ʻo kou ʻōpū liʻiliʻi, ʻoi aku ka wikiwiki ma mua o ka maʻamau . Kāhea pū nā kauka i kēia ʻo 'rapid gastric emptying'. E noʻonoʻo me he mea lā e "hoʻolei ʻia" ana ka meaʻai i loko o kou ʻōpū i loko o kou ʻōpū liʻiliʻi i loko o kahi puʻupuʻu nui, ma mua o ka hiki ke hoʻoheheʻe pono ʻia.

No laila, i ka wā e hana ʻia ai kēia, hele ka nui o ka meaʻai i ʻeli ʻole ʻia i loko o ka ʻōpū liʻiliʻi i ka manawa hoʻokahi, hiki iā ʻoe ke ʻike i ka ʻoluʻolu ʻole e like me ka nausea, ka pehu ʻana, ka ʻōpū ʻeha, a me ka maʻi pā . ʻAʻole wale ia, akā hiki nō hoʻi ke hana i nā loli nui a koke i kou pae kō koko.

He aha ka mea e hana maoli ana ma ka Dumping Syndrome?

ʻO ka maʻamau, i ka wā e ʻai ai kākou, hoʻouna mālie ko kākou ʻōpū i ka meaʻai i ka ʻōpū liʻiliʻi. Hana ʻia kēia e nā ʻiʻo, nā aʻalolo, a me nā hormones i loko o ka ʻōpū, e hana ana me ka hoʻonohonoho like. Kāhea mākou i kēia "gastric motility."

Eia nō naʻe, i ka maʻi dumping, hele hewa kēia hoʻonohonoho ʻana. ʻO ka valve ma lalo o ka ʻōpū, ʻo ia hoʻi ka pyloric valve , e wehe ʻia ma mua o ka ʻeli ʻia ʻana o ka meaʻai, a ua hoʻolei ʻia nā mea āpau o ka ʻōpū i loko o ka ʻōpū liʻiliʻi i ka manawa hoʻokahi.

He aha ka mea e hana ʻia? Ke loaʻa koke i ka ʻōpū liʻiliʻi ka nui o ka meaʻai i hoʻoheheʻe ʻole ʻia, hoʻāʻo ia e hoʻomaʻamaʻa iā ia. Huki ia i ka wai keu a hoʻokuʻu i nā hormones keu. ʻO kēlā mau loli ke kumu o ka ʻoluʻolu ʻole a mākou i ʻōlelo ai ma mua ma hope koke iho o ka ʻai ʻana.

Hiki i kekahi poʻe ke ʻike i nā hōʻailona ʻē aʻe i kekahi mau hola ma hope o ka ʻai ʻana. ʻO kēia no ka mea e loli ana nā pae kō koko. Ke paʻi koke kahi meaʻai kō kiʻekiʻe i ka ʻōpū liʻiliʻi, ua hōʻailona ʻia kā mākou pancreas e hoʻokuʻu i ka insulin hou aʻe e kāohi i ke kō koko. Hiki i kēia ke hana i ka emi koke ʻana o ke kō koko. Ua kapa ʻia kēia he reactive hypoglycemia . Hiki i kēia ke hana i nā mea e like me ka dizziness, shakiness, a me nā palpitations.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka hoʻomohala ʻana i ka dumping syndrome?

Hoʻoulu pinepine ʻia ka Dumping syndrome ma ke ʻano he pilikia ma hope o ke ʻoki ʻana o ka ʻōpū.Ua manaʻo ʻia ma waena o 20% a me 50% o ka poʻe i hana ʻia ke ʻoki ʻōpū e ʻike i kēia mau hōʻailona i kekahi ʻano. He mea maʻamau kēia i ka poʻe i hana ʻia ke ʻoki ʻana e wehe ana i kahi hapa nui o ka ʻōpū, e like me ka gastrectomy (wehe ʻana i ka ʻōpū āpau a i ʻole kekahi hapa) a i ʻole ke ʻoki bypass gastric (kahi ʻoki pohō kaumaha e kāpae ana i kahi hapa o ka ʻōpū). He mea kākaʻikahi loa, hiki ke hana ʻia e kekahi mau maʻi ʻōpū.

He maʻi koʻikoʻi anei ka Dumping Syndrome?

ʻO ka maʻamau, ʻaʻole ia he mea weliweli a hoʻoweliweli paha i ke ola o ka dumping syndrome. Eia nō naʻe, inā koʻikoʻi ke ʻano, hiki iā ia ke alakaʻi i ka pohō kaumaha wikiwiki a me nā hemahema meaʻai. Inā ʻaʻole i kāohi ʻia ka maʻi diarrhea, hiki iā ia ke alakaʻi i ka dehydration. Akā i ka hapa nui o ka manawa, hiki ke kāohi ʻia kēia mau mea.

Loaʻa i ka hapa nui o nā kānaka nā hōʻailona liʻiliʻi e nalo ana i ka hala ʻana o ka manawa. ʻAʻole mau loa ka maʻi Dumping, no laila ʻaʻohe mea e hopohopo ai.

He aha nā hōʻailona o ka dumping syndrome?

ʻElua mau pae nui o ka maʻi dumping, me nā hōʻailona e pili ana i kēlā me kēia pae. Hiki iā ʻoe ke ʻike i kekahi a i ʻole nā ​​​​​​pae ʻelua.

Nā hōʻailona o ka maʻi dumping mua

Hoʻomaka pinepine kēia ma waena o 10 a 30 mau minuke ma hope o kāu ʻai ʻana .

• Ka luaʻi
• Ka luaʻi ʻana
• Ka maʻi ʻōpū (ʻeha ʻōpū)
• ʻEha ʻōpū a me ka ʻōʻō ʻana
• Pehu, manaʻo pehu
• Pōʻino, mae
• Hoʻonui ʻia ka puʻuwai o ka naʻau (manaʻo e like me ke kuʻi ʻana o kou umauma)

Nā hōʻailona o ka late dumping syndrome e kū mai ana i kekahi mau hola ma hope o ka ʻai ʻana

ʻIke pinepine ʻia kēia mau hōʻailona i ʻelua a ʻekolu mau hola ma hope o ka ʻai ʻana .

• Ka nāwaliwali, ka luhi
• Haʻalulu, hoʻomaha ʻole
• Puʻuwai wikiwiki a ʻano ʻole paha
• Hou anu
• ʻUlaʻula o ka maka
• ʻO ka noe lolo - kahi manaʻo o ka paʻakikī e noʻonoʻo pono
• Pololi loa ka manaʻo

He aha nā kumu o ka dumping syndrome?

ʻElua mau ʻano kumu nui no kēia.

Nā kumu e pili ana i ke ʻoki kino:

• Gastrectomy: He ʻoki kino e wehe ai i kahi hapa a i ʻole ka ʻōpū holoʻokoʻa.
• ʻO ke ʻoki kino Bariatric: Hana ʻia ke ʻoki kino e hōʻemi i ke kaumaha, no ka laʻana, ke ʻoki kino bypass gastric.
• Pyloroplasty: He hana ʻoki i hana ʻia ma ka valve pyloric ma lalo o ka ʻōpū.
• Esophagectomy: He hana ʻoki e wehe i kahi hapa a i ʻole ka esophagus holoʻokoʻa.
• Vagotomy: He hana ʻoki e ʻoki ai i ke aʻalolo vagus i loko o ka ʻōpū e hōʻemi i ka waikawa o ka ʻōpū.
• Nissen fundoplication: He hana ʻoki e humuhumu i ka ʻaoʻao o luna o ka ʻōpū a puni ka esophagus (hana ʻia no ka maʻi reflux gastroesophageal - GERD).

Nā kumu e pili ana i ka maʻi:

Hiki ke hana ʻia ka maʻi Dumping e kekahi mau kūlana olakino.

• Maʻi diabetes (Diabetes Mellitus)
• ʻO ka maʻi luaʻi cyclic
• Ka hana pono ʻole o ke kanaka
• ʻO ka lawa ʻole o ka pancreatic exocrine
• Nā ʻeha Duodenal
• ʻO ka maʻi Zollinger-Ellison
• ʻO ka dyspepsia hana
• ʻO ka maʻi Cannabis hyperemesis ( kahi kūlana o ka luaʻi nui ʻana ma muli o ka hoʻohana ʻana i ka cannabis)

Pehea e ʻike ai i ka dumping syndrome?

Inā ua hana ʻia ʻoe i ke ʻoki ʻōpū ma mua (ʻoiai inā he mau makahiki i hala aku nei), manaʻo paha kāu kauka he dumping syndrome ma muli o nā hōʻailona āu e wehewehe nei. Hāʻawi paha lākou iā ʻoe i kahi nīnau, e like me ka Dumping Symptom Rating Scale , e ana i ke koʻikoʻi o kāu mau hōʻailona.

Eia nō naʻe, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona a i ʻole e kāpae i nā kumu ʻē aʻe. He mea nui loa kēia mau hoʻokolohua inā ʻaʻole ʻoe i hana ʻia i ke ʻoki ʻōpū.

Eia kekahi mau hoʻokolohua e hiki ke hana ʻia e ʻike ai i ka dumping syndrome:

• Hoʻāʻo hoʻomanawanui glucose waha: Pili kēia i ka hāʻawi ʻana iā ʻoe i kahi mea inu kō a me ke ana ʻana i kou pae kō koko ma mua a ma hope. Ana ʻia kou hematocrit , ʻo ia hoʻi ka pakeneka o nā hunaola koko ʻulaʻula. ʻO ka piʻi ʻana o kou hematocrit ma hope o ka inu ʻana i ka mea inu kō, ʻo ia hoʻi, ua huki ʻia ka wai hou aku mai kou koko i loko o kou ʻōpū. Inā hāʻule kāu kō koko i loko o hoʻokahi a ʻekolu hola, ua kapa ʻia kēia he delayed dumping syndrome.
• Hoʻāʻo hanu hydrogen: Ke ana pū nei kēia i ka nui o ka hydrogen i loko o kou hanu ma hope o kou inu ʻana i kahi hopena glucose. ʻO ke ʻano o ka hydrogen i loko o kou hanu ʻaʻole e omo pono ana kou ʻōpū liʻiliʻi i ka glucose. ʻO ke ʻano kēia ua hoʻouka nui ʻia ka ʻōpū liʻiliʻi.
• ʻO ka endoscopy luna: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi a palupalu (endoscope) me kahi kāmela i hoʻopili ʻia ma o ka waha a me ka nānā ʻana i loko o ka esophagus, ka ʻōpū, a me ka duodenum (ka ʻāpana mua o ka ʻōpū liʻiliʻi). Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he mau pilikia kūkulu a i ʻole nā ​​​​kumu ʻē aʻe no kāu mau hōʻailona.
• Moʻo GI Kiʻekiʻe:Ma kēia, hāʻawi ʻia ʻoe i kahi wai kūikawā (hoʻonā hoʻohālikelike) e inu, a hoʻohana ʻia kekahi mau wikiō X-ray (i kapa ʻia ʻo `fluoroscopy`) e nānā iā ia i kona neʻe ʻana ma kou esophagus, ʻōpū, a me ka ʻōpū liʻiliʻi o luna. Hiki iā ʻoe ke ʻike i ka wikiwiki o ka neʻe ʻana o ka wai.
• Hoʻāʻo hoʻokahe ʻōpū: Ke ana kēia i ka wikiwiki o ka hoʻokahe ʻana o ka meaʻai mai kou ʻōpū. Hoʻohui ʻia kahi liʻiliʻi o ka mea radioactive i ka meaʻai āu e ʻai ai. A laila, me ka hoʻohana ʻana i kahi scanner kūikawā, hiki i kāu kauka ke nānā i ka neʻe ʻana o ka meaʻai ma kou ʻōpū.

Pehea e hoʻopau ai i ka dumping syndrome?

Hiki i nā poʻe he nui ke hoʻokele pono i ka dumping syndrome ma o ka hoʻololi ʻana i ka meaʻai . No nā hōʻailona koʻikoʻi, inā ʻaʻole kōkua ka meaʻai wale nō, hiki ke hoʻohana ʻia ka lāʻau lapaʻau. Eia nō naʻe, hiki i ka lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, no laila ʻaʻole ia e ʻōlelo ʻia no ka hoʻohana lōʻihi. I nā hihia kakaikahi, inā hana ʻia ka dumping syndrome e ke ʻoki ʻana a ʻaʻohe lāʻau ʻē aʻe i kōkua, hiki i kāu kauka ke ʻōlelo i kahi ʻoki ʻē aʻe.

Nā alakaʻi ʻai

Paipai nā kauka e hahai i kēia mau ʻōlelo aʻoaʻo e hōʻemi i nā hōʻailona:

• E hōʻemi i ka nui o ka meaʻai āu e ʻai ai i hoʻokahi pāʻina a hoʻonui i ka nui o nā pāʻina āu e ʻai ai i ka lā holoʻokoʻa. Ma kahi o ʻekolu pāʻina nui, e hoʻāʻo e ʻai i ʻeono pāʻina liʻiliʻi.
• E ʻai mālie i kāu meaʻai a nau maikaʻi. E maʻalahi kēia i ka ʻai ʻana.
• E hōʻemi i kāu ʻai ʻana i nā kō maʻalahi, nā meaʻai kiʻekiʻe-carb, a me nā huahana waiū i ka hiki. E kōkua kēia i ka pale ʻana i nā loli koke o ke kō koko. ʻOi aku ka maikaʻi o nā carbs paʻakikī, e like me nā palaoa piha.
• E hōʻemi i nā kalapona mai kāu meaʻai a hoʻohui i nā protein a me nā momona olakino. Lohi ka ʻeli ʻana o nā momona a hāʻawi i kahi kumu ikehu paʻa.
• E ʻai i nā meaʻai waiwai i ka fiber dietary. Hoʻohui kēia i ka nui i ka meaʻai, e lohi ana i kona neʻe ʻana ma o nā ʻōpū. Hoʻomalu pū ka fiber i ka omo ʻana o ke kō.
• E moe i lalo (kū pololei) no kahi o 30 mau minuke ma hope o ka ʻai ʻana. Hiki i kēia ke hoʻolohi i ka hoʻokahe ʻana o ka meaʻai mai loko mai o ka ʻōpū a kōkua i ka mālama ʻana i ke koko i ka wā o ka ʻai ʻana.
• Mai inu i ka wai a i ʻole nā ​​​​mea inu ʻē aʻe 30 mau minuke ma mua a ma hope paha o ka ʻai ʻana. Hoʻonui nā wai i ka neʻe ʻana o ka ʻōpū.

Nā lāʻau lapaʻau

Hiki i kekahi mau lāʻau lapaʻau ke kōkua i ka mālama ʻana i nā hōʻailona mua a me nā hōʻailona hope o ka dumping syndrome.

• ʻO ka ʻāketa Octreotide:Hoʻopale ʻo Octreotide i ka hana o kekahi mau hormones i loko o kā mākou ʻōnaehana hoʻoheheʻe. Hoʻolohi kēia i ka hoʻokahe ʻana o ka meaʻai mai ka ʻōpū a me ka neʻe ʻana o ka meaʻai ma o ka ʻōpū liʻiliʻi. Hoʻemi pū ia i ka hana ʻana o ka insulin. Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he injection, i kēlā me kēia lā (hana pōkole) a i ʻole kēlā me kēia mahina (hana lōʻihi).
• ʻAcarbose: Hoʻolohi kēia lāʻau lapaʻau i ka wikiwiki o ka omo ʻana o ko mākou kino i nā kalapona, e kaohi ana i nā pae kō koko. Ua hōʻike ʻia e hōʻemi i ka hypoglycemia e kū mai ana i ka late dumping syndrome.

ʻoki kino

ʻAʻole ʻōlelo pinepine ʻia ke ʻoki kino no ka dumping syndrome. Eia nō naʻe, inā ua hana ʻia kou kūlana e ke ʻoki kino, hiki i kekahi ʻoki kino ke hoʻoponopono iā ia. Inā hoʻopilikia nui ka dumping syndrome i kou ʻano ola a ʻaʻohe mea ʻē aʻe e hana, makemake paha ʻoe e noʻonoʻo i ke ʻoki kino hana hou. Pili kēia i:

• Ke kūkulu hou ʻana a i ʻole ka hoʻololi ʻana i kahi ʻāpana o ka ʻōpū e hana pono ʻole ana.
• Ke hoʻohuli nei i nā ʻokiʻoki e like me ka gastric bypass a i ʻole ke hoʻololi ʻana i kahi koho i emi iki ka invasive.

E nalowale loa anei ka maʻi dumping?

ʻAe, nalo pinepine ia me ka hala ʻana o ka manawa. Hoʻopau pinepine ʻia ka maʻi dumping mua i loko o ʻekolu mahina. Hiki i nā hihia koʻikoʻi a me ka maʻi dumping hoʻomaka hope ke hala i 12 a 18 mau mahina e hoʻoponopono ai. I kēia manawa, hiki i nā hoʻololi ʻana i ka meaʻai ke hāʻawi i ka hōʻoluʻolu nui. Eia nō naʻe, hiki ke hala i kekahi mau pule e ʻike i ka hoʻomaikaʻi ʻana. No laila he mea nui e hoʻomanawanui.

He aha nā meaʻai āu e ʻai ai a he aha nā meaʻai āu e pale aku ai i ka wā e loaʻa ai iā ʻoe ka dumping syndrome?

He mea nui loa ia no ka poʻe me kēia maʻi, ʻoiai ma hope o ke ʻoki ʻana o ka ʻōpū, e hahai i kahi papaʻai e kōkua ai i ka kaohi ʻana i nā hōʻailona. Pili pū nā manaʻo a mākou i kūkākūkā ai ma mua ma lalo o "Nā Hoʻololi ʻAi" ma ʻaneʻi:

• Nā mea e ʻai ai: Nā meaʻai waiwai i ka protein (iʻa, moa, hua manu, lentil), nā momona olakino (ʻavokado, nati), nā kalapona paʻakikī waiwai i ka fiber (laiki ʻeleʻele, ʻoka, mea kanu).
• Nā mea e pale aku ai a e kaupalena paha: Nā kō maʻalahi (nā mea inu ʻono, nā mea ʻono, nā keke), nā kalapona i hoʻomaʻemaʻe nui ʻia (nā mea i hana ʻia mai ka palaoa berena), ka waiū a me nā huahana waiū (hiki i kekahi poʻe ke paʻakikī ke ʻeli), nā mea momona kiʻekiʻe, nā meaʻai palai.

ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a mea lapaʻau meaʻai paha e hana i kahi papaʻai kūpono iā ʻoe.

ʻO ka mea hope loa, leka lawe i ka home:

ʻO ka maʻi Dumping kahi kūlana e hiki i nā poʻe he nui ke loaʻa ma hope o ke ʻoki ʻōpū. Hiki iā ʻoe ke ʻike i kēia mau hōʻailona ma hope o ke ʻoki ʻana. ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, he kūlana akahai ia a e hoʻopau wale ia i loko o kekahi mau pule a i ʻole mau mahina.I kēia manawa, hiki iā ʻoe ke kaohi maikaʻi i kēia kūlana ma ka hoʻoponopono pono ʻana i kāu ʻai.

Inā e hana ʻoe i ke ʻoki ʻōpū i ka wā e hiki mai ana, he mea naʻauao ke hoʻolālā i kahi papaʻai kūpono no ka maʻi dumping. E hoʻomākaukau i ka lumi kuke a e noʻonoʻo i kekahi mau hoʻolālā pāʻina. Inā ua hana ʻoe i nā hoʻololi i ka meaʻai a ʻaʻole lākou e lawe mai i ka hōʻoluʻolu, e ʻike pono i kāu kauka. Hiki iā ia ke kuhikuhi i nā lāʻau lapaʻau e pono ai e kōkua iā ʻoe i kou wā e hoʻōla ai. No laila, ʻo ka mea nui loa, ʻaʻole e hopohopo, e ʻike, a e hana i nā hana e pono ai.

ʻO ka Dumping Syndrome, ʻōpū, ʻōpū liʻiliʻi, ʻoki kino, ʻai ʻana, nā hōʻailona