Koj puas tau phais kom poob phaus (xws li phais plab hnyuv)? Los yog koj puas qee zaum xav tias puv plab, mob plab, xeev siab, tawm hws, thiab kiv taub hau tom qab noj mov, tshwj xeeb tshaj yog qee yam qab zib? Koj tsis yog tib tug xwb. Hnub no peb tab tom tham txog ib qho mob uas cuam tshuam rau ntau tus neeg tab sis tsis tshua muaj neeg tham txog. Cov tsos mob no tuaj yeem ua rau ntshai me ntsis thaum xub thawj, tab sis lawv tsis ua rau tuag taus. Qhov zoo tshaj plaws yog tias koj tuaj yeem tswj nws los ntawm kev hloov pauv me me rau koj cov cwj pwm noj mov.
Hais yooj yim xwb, Dumping Syndrome yog dab tsi?
Xav txog koj lub plab zoo li lub pas dej. Cov khoom noj uas peb noj khaws cia rau hauv lub pas dej no ib pliag, maj mam zom, thiab tom qab ntawd xa mus rau txoj hnyuv me me ua tej daim me me. Tab sis qhov tshwm sim rau ib tus neeg uas muaj tus kab mob dumping syndrome yog tias lub rooj vag ntawm lub pas dej no qhib tam sim ntawd. Ntawd yog, ntau yam khoom noj tam sim ntawd 'pov tseg' los ntawm lub plab mus rau hauv txoj hnyuv me, uas yog, nws poob tawm.
Thaum muaj ntau yam khoom noj uas tsis tau zom nkag mus rau hauv txoj hnyuv me, nws yuav ntxhov siab. Nws yuav tsum nqus dej ntau ntawm nws lub cev kom zom cov khoom noj no. Nws kuj tso tawm ntau cov tshuaj hormones rau hauv cov ntshav. Qhov no yog vim li cas koj thiaj li muaj cov tsos mob xws li mob plab, xeev siab, o, raws plab, thiab lub plawv dhia ceev. Nws kuj tseem tuaj yeem ua rau muaj kev hloov pauv sai hauv koj cov ntshav qab zib.
Vim li cas qhov no thiaj tshwm sim? Cov laj thawj tseem ceeb yog dab tsi?
Qhov ua rau muaj tus kab mob dumping syndrome no yog kev phais mob plab. Qhov tshwj xeeb yog:
- Phais kom poob phaus: Qhov mob no yuav tshwm sim ntau dua tom qab phais uas tshem ib feem ntawm lub plab, xws li "Gastric Bypass" lossis "Gastric Sleeve." Ntawm 20% thiab 50% ntawm cov neeg uas tau phais zoo li no yuav muaj cov tsos mob no rau qee qhov.
- Lwm yam kev phais mob plab: Qhov mob no tuaj yeem tshwm sim txawm tias ib feem ntawm lub plab raug tshem tawm vim yog mob qog noj ntshav hauv plab lossis mob qog nqaij hlav.
Ntxiv rau kev phais mob, qhov no kuj tsis tshua muaj los ntawm qee yam mob. Piv txwv li, qee tus neeg uas muaj ntshav qab zib kuj tseem yuav muaj cov tsos mob no.
Tsis tas li ntawd xwb, qee yam khoom noj uas peb noj tuaj yeem ua rau cov tsos mob no hnyav zuj zus. Qhov mob no tuaj yeem hnyav dua thaum peb noj cov khoom noj uas muaj cov suab thaj ua kom zoo, xws li suab thaj, dej qab zib, ncuav mog qab zib, thiab ice cream . Qhov no yog vim tias cov suab thaj no tuaj yeem nqus dej sai sai hauv plab. Tsis tas li ntawd, cov khoom noj mis nyuj thiab cov khoom noj uas muaj roj, kib tuaj yeem ua rau cov tsos mob no hnyav zuj zus rau qee tus neeg.
Qhov tseem ceeb yog tias cov tsos mob no yuav ploj mus raws sijhawm, yog li tsis txhob txhawj.
Cov tsos mob ntawm dumping syndrome tuaj yeem tshwm sim hauv ob txoj kev:
Hauv qhov mob no, cov tsos mob yuav pom tau ua ob theem tseem ceeb. Ib txhia neeg yuav muaj ob theem, thaum lwm tus tsuas muaj ib theem xwb.
| Lub sijhawm pib muaj cov tsos mob | Cov tsos mob uas tshwm sim |
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| Cov tsos mob thaum ntxov (Tsis pub dhau 10-30 feeb tom qab noj mov) |
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| Cov tsos mob ntawm theem lig (1-3 teev tom qab noj mov) |
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Ua cas cov tsos mob thiaj tshwm sim rau theem tom qab?
Qhov no tshwm sim vim tias cov piam thaj hauv cov ntshav nce siab sai sai thiab tom qab ntawd poob qis sai sai. Thaum peb noj khoom qab zib, cov piam thaj ntawd sai sai nqus mus rau hauv cov ntshav los ntawm txoj hnyuv me. Ua li ntawd, peb lub cev tsim cov tshuaj insulin ntau heev. Qhov no ua rau cov piam thaj hauv cov ntshav poob qis sai sai (hypoglycemia), ua rau muaj cov tsos mob xws li qaug zog thiab kiv taub hau.
Ceeb Toom: Yog tias koj tsis tau raug kuaj pom tias muaj tus kab mob dumping syndrome ua ntej, thiab koj cia li tsis nco qab, kiv taub hau heev, lub plawv dhia ceev heev, lossis tsaus muag , mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd.
Tus kws kho mob kuaj mob li cas?
Yog tias koj tau phais plab ua ntej lawm, koj tus kws kho mob yuav kuaj pom tias muaj tus kab mob dumping syndrome raws li koj cov tsos mob. Lawv yuav hais kom koj sau daim ntawv nug hu ua Dumping Symptom Rating Scale.
Txawm li cas los xij, yog tias tsis tau phais, lossis cov tsos mob tsis meej, tej zaum yuav xav tau qee qhov kev kuaj mob kom paub meej tias yog vim li cas.
- Kev Ntsuas Kev Noj Qab Haus Huv Qab Zib: Koj yuav tau haus dej qab zib thiab koj cov ntshav qab zib yuav raug kuaj ua ntej thiab 1-3 teev tom qab. Yog tias koj cov ntshav qab zib poob qis sai sai, nws yog ib qho cim qhia txog tus kab mob dumping theem kawg.
- Kev Kuaj Mob Plab: Qhov no sim seb cov khoom noj tawm hauv koj lub plab sai npaum li cas. Koj tau muab me ntsis khoom noj sib xyaw nrog cov khoom siv radioactive thiab saib thaum nws dhau los ntawm lub tshuab scanner.
- Kev Siv Endoscopy Sab Sauv: Ib lub raj nyias nyias uas muaj lub koob yees duab raug xa mus rau hauv lub qhov ncauj mus rau hauv lub plab kom kuaj xyuas cov teeb meem hauv lub plab.
- GI Series Sab Sauv: Ib qho kua tshwj xeeb (tus neeg sawv cev sib piv) raug muab rau haus, thiab lub tshuab video X-ray siv los saib seb nws txav mus los ntawm txoj hnyuv plab li cas.
Kev kho mob thiab kev tswj hwm ntawm dumping syndrome
Feem ntau, qhov mob no tuaj yeem tswj tau los ntawm kev hloov koj cov zaub mov noj thiab kev ua neej . Qhov no yog qhov kev kho mob tseem ceeb thiab tseem ceeb tshaj plaws.
| Tej yam yuav tsum ua (yuav noj dab tsi thiab kev coj cwj pwm) | Tej yam uas yuav tsum tsis txhob ua (tej yam uas yuav tsum tsis txhob ua) |
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Qee cov lus qhia tseem ceeb ntxiv
- Pw ib pliag tom qab noj mov: Pw li 30 feeb tom qab noj mov tuaj yeem txo cov tsos mob xws li kiv taub hau.
- Tsum noj thaum koj xav tias koj puv lawm: Tsis txhob noj ntau dhau.
Yog tias kev hloov pauv zaub mov tsis tswj tau koj cov tsos mob, koj tus kws kho mob yuav sau ntawv kom noj tshuaj. Piv txwv li, txhaj tshuaj hu ua Octreotide acetate (Sandostatin) lossis tshuaj ntsiav hu ua Acarbose (Precose) uas tswj kev zom cov carbohydrate. Cov no tsuas yog yuav tsum tau noj nrog kev saib xyuas ntawm kws kho mob xwb. Hauv cov xwm txheej hnyav uas tsis muaj ib qho ntawm cov kev ntsuas no ua haujlwm, tej zaum yuav pom zoo kom phais.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Dumping syndrome yog ib yam mob uas feem ntau tshwm sim tom qab phais plab. Nws tsis yog ib yam mob txaus ntshai rau lub neej.
- Qhov no yog vim tias cov khoom noj txav mus los ntawm lub plab mus rau txoj hnyuv me me tam sim ntawd ua ntej raug zom.
- Txoj kev kho mob tseem ceeb thiab zoo tshaj plaws yog hloov koj cov zaub mov noj thiab kev coj cwj pwm.
- Noj ob peb pluag mov me me ib hnub. Txo cov suab thaj thiab khoom qab zib kom tag.
- Tsis txhob haus dej thaum noj mov. Tsis txhob haus dej li 30 feeb ua ntej thiab tom qab noj mov.
- Yog tias koj tswj tsis tau koj cov tsos mob txawm tias tom qab hloov pauv kev noj haus lossis yog tias koj poob phaus ntau dhau, 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