Koj nyuam qhuav noj ib pluag mov qab heev... thiab tom qab ib pliag, koj xav tias muaj qee yam tsis raug hauv koj lub plab. Koj lub plab puv, koj xeev siab, koj hws, thiab koj lub plawv dhia ceev dua. Tej zaum koj yuav xav tias, 'Kuv tsis paub tias kuv kov cov zaub mov lossis tsis kov.' Tab sis qhov no yuav yog ib qho mob hu ua 'dumping syndrome' uas tshwm sim tom qab phais plab lossis nrog lwm yam mob. Tsis txhob txhawj, cia peb tham txog qhov no yooj yim thiab meej.
Dumping Syndrome yog dab tsi?
Hais yooj yim xwb, qhov no yog thaum koj lub plab (sab saud ntawm txoj hnyuv) thawb cov khoom hauv nws lub plab, cov khoom noj uas peb noj, mus rau hauv txoj hnyuv me sai heev, ua ntej nws zom tau zoo. Qhov no kuj hu ua "kev zom zaub mov sai sai".
Xav txog ib lub Hoobkas uas xav tau kev txheeb xyuas qee yam khoom thiab xa lawv tawm. Tab sis vim muaj teeb meem nrog lub tshuab, nws zoo li pov tseg tag nrho cov khoom tawm ib zaug. Feem ntau, peb lub plab xa zaub mov mus rau txoj hnyuv me me hauv txoj kev tswj hwm. Peb cov leeg, cov hlab ntsha, thiab cov tshuaj hormones txhua tus ua haujlwm ua ke hauv cov txheej txheem no. Tab sis yog tias muaj qee yam cuam tshuam rau qhov kev sib koom tes no, cov zaub mov hauv plab tam sim ntawd "pov tseg" rau hauv txoj hnyuv me me, uas yog, nws raug pov tseg tawm.
Thaum muaj ntau yam khoom noj uas tsis tau zom nkag mus rau hauv txoj hnyuv me, nws tsis tuaj yeem tswj tau nws. Nws chim, thiab kom tswj tau nws, nws rub ntau dej mus rau hauv thaj chaw ntawd, tso tawm cov tshuaj hormones. Qhov chim ntawd yog qhov peb ntsib ua cov tsos mob xws li xeev siab, mob plab, thiab o .
Tej tus neeg yuav muaj lwm yam tsos mob tom qab noj mov ob peb teev. Qhov no yog vim muaj kev hloov pauv ntawm cov piam thaj hauv cov ntshav. Thaum muaj piam thaj ntau nkag mus rau hauv txoj hnyuv tam sim ntawd, peb lub txiav yuav ntshai thiab xav tias, "Auj, muaj piam thaj ntau heev, peb yuav tsum txhaj tshuaj insulin sai sai," thiab tso insulin ntau dua li nws yuav tsum tau. Tom qab ntawd cov piam thaj hauv cov ntshav poob qis tam sim ntawd. Qhov ntawd yog qhov peb hu ua "Reactive Hypoglycemia." Qhov no tuaj yeem ua rau muaj kev xav tsaus muag, tshee hnyo, thiab lub plawv dhia ceev.
Cov tsos mob ntawm tus kab mob dumping syndrome yog dab tsi?
Cov tsos mob ntawm tus mob no muaj ob theem tseem ceeb. Tej zaum koj yuav muaj ib lossis ob qho tib si.
| Theem tsos mob | Cov tsos mob uas tau hnov |
|---|---|
| Cov tsos mob thaum ntxov (Tsis pub dhau 10-30 feeb tom qab noj mov) |
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| Cov tsos mob tom qab theem (2-3 teev tom qab noj mov) |
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Leej twg yuav muaj tus mob no tshaj?
Qhov mob no feem ntau tshwm sim los ntawm kev phais mob rau lub plab lossis txoj hlab pas. Feem ntau tom qab phais mob, nws yog tshem tawm ib feem lossis tag nrho ntawm lub plab, lossis tom qab phais mob kom poob phaus. Nws kuj tseem tuaj yeem tshwm sim los ntawm qee yam mob.
| Cov laj thawj tseem ceeb ntawm kev tso pov tseg syndrome | |
|---|---|
| Cov laj thawj cuam tshuam nrog kev phais | |
| Kev phais plab | Tshem tawm ib feem lossis tag nrho lub plab. |
| Kev phais mob kom poob phaus (Phais mob Bariatric) | Piv txwv li, phais plab bypass. |
| Kev phais tshem cov hlab pas | Tshem tawm ib feem lossis tag nrho ntawm txoj hlab pas. |
| Lwm yam kev phais plab | Piv txwv li: 'Pyloroplasty', 'Vagotomy', 'Nissen fundoplication'. |
| Cov ua rau muaj feem cuam tshuam nrog cov mob nkeeg | |
| Kab mob ntshav qab zib (Diabetes Mellitus) | Tshwj xeeb tshaj yog thaum cov hlab ntsha raug cuam tshuam. |
| Lwm yam kab mob | Cov mob xws li 'Zollinger-Ellison syndrome' thiab 'Duodenal ulcers'. |
Puas yog qhov teeb meem pov tseg loj heev?
Feem ntau, tsis yog. Qhov no tsis yog ib yam kab mob uas yuav ua rau tuag taus.
Txawm li cas los xij, yog tias qhov mob no hnyav zuj zus, qhov hnyav poob sai thiab kev tsis muaj zaub mov txaus yuav tshwm sim. Kev qhuav dej kuj tuaj yeem tshwm sim vim yog raws plab tas li. Tab sis peb feem ntau tuaj yeem tswj tau cov no. Cov neeg feem coob muaj cov tsos mob me me. Cov tsos mob no yuav ploj mus raws sijhawm. Qhov no feem ntau tsis yog ib qho mob mus tas li.
Kws kho mob, koj kuaj qhov no li cas?
Yog tias koj nyuam qhuav phais plab, koj tus kws kho mob yuav kuaj tau qhov mob no raws li koj cov tsos mob. Qee zaum, lawv kuj tseem yuav muab ib daim ntawv nug rau koj ('Dumping Symptom Rating Scale') uas ntsuas qhov hnyav ntawm koj cov tsos mob.
Txawm li cas los xij, yog tias tsis tau phais, lossis yog tias yuav tsum tau kuaj mob, tus kws kho mob yuav pom zoo kom ua ntau yam kev kuaj mob, xws li:
- Kev kuaj ntshav qab zib hauv qhov ncauj: Qhov no suav nrog kev haus dej qab zib thiab kuaj xyuas koj cov ntshav qab zib ua ntej thiab tom qab. Qhov no tuaj yeem pab txheeb xyuas cov ntshav qab zib qis uas yuav ua rau muaj cov tsos mob tom qab.
- Kev kuaj pa hydrogen: Qhov no kuj suav nrog kev haus dej qab zib thiab ntsuas qhov ntau ntawm cov pa hydrogen hauv koj txoj pa. Yog tias cov suab thaj tsis raug nqus kom zoo, qhov ntau ntawm hydrogen hauv koj txoj pa yuav nce ntxiv.
- Kev kuaj mob sab saud: Muab ib lub raj me me uas muaj lub koob yees duab txuas rau hauv qhov ncauj los kuaj lub plab, txoj hlab pas, thiab thawj feem ntawm txoj hnyuv me.
- GI series sab saud:Muab ib yam kua tshwj xeeb (contrast) rau haus, thiab siv daim duab X-ray video los saib nws txav mus los hauv cov hnyuv. Qhov no tuaj yeem qhia tau tias cov khoom noj txav mus los hauv lub plab sai npaum li cas.
- Kev kuaj plab zom mov: Qhov no yog qhov kev kuaj zoo tshaj plaws los ntsuas qhov ceev ntawm kev zom plab. Muab me ntsis cov khoom siv radioactive sib xyaw rau hauv ib pluag mov thiab qhov ceev uas cov zaub mov txav mus los hauv plab raug ntsuas siv lub tshuab ntsuas.
Peb yuav tswj qhov teeb meem no li cas?
Muaj ntau tus neeg uas muaj peev xwm tswj tau qhov mob no los ntawm kev hloov lawv cov zaub mov noj .
Kev hloov pauv kev noj haus (qhov no yog qhov tseem ceeb tshaj plaws!)
| Yuav ua li cas | Yog vim li cas? |
|---|---|
| Es tsis txhob noj 3 pluag mov loj hauv ib hnub, noj 6 pluag mov me me. | Nws txo cov khoom noj uas nkag mus rau hauv plab ib zaug. |
| Zom koj cov khoom noj kom zoo thiab noj qeeb qeeb. | Nws pab lub plab hauv cov txheej txheem zom zaub mov. |
| Txo cov carbohydrates yooj yim xws li qab zib, dej qab zib, ncuav mog qab zib, thiab mov ci dawb. | Tiv thaiv kom cov ntshav qab zib tsis txhob nce lossis poob sai sai. |
| Noj cov protein ntau dua (nqaij, ntses, qe) thiab cov rog zoo (txiv ntoo qhuav, txiv avocados). | Cov no siv sijhawm ntev dua los zom, yog li lawv tswj lub plab kom tsis txhob muaj dab tsi noj. |
| Noj cov khoom noj uas muaj fiber ntau (mov xim av, zaub, txiv hmab txiv ntoo). | Nws ua rau cov khoom noj txav mus los hauv txoj hnyuv qeeb qeeb. |
| Tsis txhob haus dej/kua 30 feeb ua ntej lossis 30 feeb tom qab noj mov. | Cov kua pab cov khoom noj hla lub plab sai dua. |
| Tom qab noj mov tas, pw li 30 feeb. | Lub ntiajteb txawj nqus tuaj yeem ua rau qhov ceev ntawm cov khoom noj txav mus los qeeb. |
Cov tshuaj (tshuaj)
Yog tias cov tsos mob nyuaj rau tswj txawm tias hloov pauv kev noj zaub mov los xij, koj tus kws kho mob yuav sau ntawv rau qee yam tshuaj.
- Octreotide acetate: Qhov no yog ib qho tshuaj txhaj. Nws pab qeeb qeeb qhov kev nchuav tawm ntawm lub plab thiab tswj kev tso tawm ntawm insulin.
- Acarbose: Cov tshuaj no ua haujlwm los ntawm kev ua kom qeeb qeeb ntawm cov carbohydrates uas raug nqus mus rau hauv lub cev. Qhov no tuaj yeem pab tswj cov tsos mob ntawm cov ntshav qab zib qis tom qab hnub.
Kev phais mob
Qhov no tsis tshua muaj neeg ua. Tus kws kho mob tsuas yog yuav xav txog kev rov ua dua yog tias txhua yam tsis ua haujlwm thiab qhov mob muaj kev cuam tshuam loj rau koj lub neej.
Puas yog tus mob dumping syndrome yuav ploj mus?
Yog, feem ntau nws yuav zoo dua raws sijhawm. Cov mob me me yuav zoo dua li ntawm 3 lub hlis. Cov mob hnyav dua yuav siv sijhawm li ntawm 12 txog 18 lub hlis. Tab sis tsis txhob txhawj, yog tias koj hloov koj cov zaub mov kom zoo, koj yuav hnov zoo dua hauv lub sijhawm no.
Yog tias koj tau teem sijhawm yuav phais, nws yog ib qho zoo kom npaj ua ntej txog kev noj zaub mov uas koj yuav ua tom qab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Dumping syndrome yog thaum lub plab thawb nws cov khoom rov qab mus rau hauv txoj hnyuv me.
- Tus mob no feem ntau pom tom qab phais plab.
- Cov tsos mob yuav tshwm sim tsis ntev tom qab noj mov (xeev siab, mob plab) lossis ob peb teev tom qab (tshee hnyo, tawm hws).
- Qhov no feem ntau tsis yog ib qho mob txaus ntshai thiab yuav kho tau raws sijhawm.
- Txoj kev kho mob tseem ceeb tshaj plaws yog hloov koj cov zaub mov noj: noj me me ob peb zaug hauv ib hnub, txo cov suab thaj, thiab tsis txhob haus dej nrog cov pluas noj.
- Yog tias koj cov tsos mob hnyav heev lossis tsis tuaj yeem tswj tau los ntawm kev hloov pauv zaub mov, nco ntsoov nrog koj tus kws kho mob tham.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus