Yu jɔs dɔn it wan fayn it... ɛn afta sɔm tɛm, yu fil lɛk se sɔntin nɔ rayt na yu bɛlɛ. Yu bɛlɛ ful-ɔp, yu de fil lɛk se yu de nɔs, yu de swet, ɛn yu at de bit kwik kwik wan. Sɔntɛm yu de tink se, ‘A nɔ no if a tɔch di it ɔ a nɔ tɔch am.’ Bɔt dis kin bi wan sik we dɛn kɔl ‘dumping syndrome’ we kin apin afta dɛn dɔn ɔpreshɔn yu bɛlɛ ɔ wit ɔda mɛrɛsin. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin na Dumping Syndrome?
Fɔ tɔk am simpul wan, dis na we yu bɛlɛ (ɔpa pat pan di insay) de push di tin dɛn we de insay in bɛlɛ, di it we wi de it, insay di smɔl insay kwik kwik wan, bifo i dayjɛst fayn fayn wan. dis dεn kכl am bak ``rapid gastric εmpty''.
Imajin wan faktri we nid fɔ sɔlv sɔm guds ɛn sɛn dɛn. Bɔt bikɔs prɔblɛm de wit di mashin, i tan lɛk se yu trowe ɔl di guds wan tɛm. Nɔmal wan, wi bɛlɛ kin sɛn it to di smɔl intestinal we wi kin kɔntrol. Wi mɔsul dɛn, nerv dɛn, ɛn ɔmon dɛn ɔl de wok togɛda fɔ du dis. bכt if sכmtin intafεr dis kכdכnayshכn, di it we de insay di bεlε de "dכmp" wan wan insay di sכmכl intestin, dat min se dεn de trowe am kכmכt.
We bɔku it we nɔ digest go insay di smɔl intestin wantɛm wantɛm, i nɔ kin ebul fɔ handle am. I kin vɛks, ɛn fɔ mek i ebul fɔ kɔntrol am, i kin pul bɔku wata na da say de, i kin pul ɔmon dɛn. Dat pwɛl hat na wae wi kin gɛt as sayn dɛm lɛk nɔs, bɛlɛ kramp, ɛn blo .
Sɔm pipul dɛn kin gɛt ɔda sayn dɛn afta sɔm awa afta dɛn dɔn it. Dis kin bi bikɔs di shuga we de na di blɔd kin chenj. we bכku shuga go insay di intestin dεm wan tεm, wi pankrias kin fred εn tink se, "Oh, bכku shuga de, wi nid fכ injεkt insulin kwik," εn i de rilis mכr insulin pas aw i fכ kכl am. Dɔn di blɔd shuga lɛvɛl kin go dɔŋ wantɛm wantɛm. Na dat wi kin kɔl ``Reactive Hypoglycemia.'' Dis kin mek yu fil lɛk yu de fεn, yu de shek shek, ɛn yu at de bit fast fast.
Wetin na di sayn dɛm wae de sho se pɔrsin gɛt dɔmp?
Di sayn dɛm fɔ dis sik kin kam insay tu men pat dɛm. Yu kin gɛt wan ɔ ɔl tu pan dɛn tin ya.
| Stej we di simptom dɛn gɛt | Di sayn dɛn we dɛn kin fil |
|---|---|
| Di sayn dɛm we kin kam fɔs (Insay 10-30 minit afta yu dɔn it) |
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| Leta stej simptom dɛm (2-3 awa afta yu it) |
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Udat kin gɛt dis sik pas ɔlman?
Dis kכndyush כn kin apin bכku tεm as sayd ifekt fכ כpεrayshכn pan di bεlε כ εsophagus. I kin mɔs bi afta dɛn dɔn ɔpreshɔn fɔ pul pat ɔ ɔl di bɛlɛ, ɔ afta dɛn dɔn du ɔpreshɔn fɔ lɛf fɔ it bɔku bɔku it. I kin kam bak bikɔs ɔf sɔm kayn mɛrɛsin.
| Men tin dɛn we kin mek pɔsin gɛt di sik we dɛn kɔl dumping syndrome | |
|---|---|
| Di tin dɛn we kin mek pɔsin du ɔpreshɔn | |
| Gastrectomy we dɛn kin pul di bɔdi | Fɔ pul pat ɔ ɔl di bɛlɛ. |
| Ɔpreshɔn fɔ lɔs yu wet (Bariatric ɔpreshɔn) . | Fɔ ɛgzampul, ɔpreshɔn fɔ baypas na di bɛlɛ. |
| Esophagectomy we dɛn kin pul | Fɔ pul pat ɔ ɔl di εsophagus. |
| Ɔda ɔpreshɔn dɛn we dɛn kin du fɔ mek yu bɛlɛ | Eg: `Payloroplasti`, `Vagotomi`, `Nissen fundoplikashכn`. |
| Kɔz dɛn we gɛt fɔ du wit di sik dɛn we pɔsin kin gɛt | |
| Dayabitis (Dayabetes Mɛlitɔs) . | Ɛspɛshali we di nerv dɛn afɛkt. |
| Ɔda sik dɛn | di kכndishכn dεm lεk `Zollinger-Ellison syndrome` εn `Duodenal ulcers`. |
Yu tink se di sik we dɛn kɔl dump syndrome siriɔs?
Jɛnɛral wan, nɔ. Dis nɔto sik we de mek pɔsin in layf de pan denja.
Bɔt if dis sik kam tranga, i kin mek i lɔs in wet kwik kwik wan ɛn i nɔ kin gɛt bɛtɛ tin fɔ it. Dihaydreshɔn kin apin bak bikɔs ɔf di dayarɛa we de kɔntinyu fɔ de. Bɔt bɔku tɛm wi kin ebul fɔ kɔntrol dɛn tin ya. Bɔrku pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin fayn. Dɛn sayn ya go stɔp as tɛm de go. Bɔku tɛm, dis nɔto tin we kin apin sote go.
Dɔktɔ, aw yu kin no dis?
If dɛn jɔs dɔn du ɔpreshɔn pan yu bɛlɛ, yu dɔktɔ go ebul fɔ no dis sik bay di sayn dɛn we yu gɛt. Sɔmtɛm, dɛn kin gi yu kwɛshɔn bak (di `Dumping Symptom Rating Scale`) wae de mɛzhɔ aw yu sik dɛn kin tranga.
Bɔt if dɛn nɔ du di ɔpreshɔn, ɔ if dɛn nid fɔ kɔnfirm di sik, di dɔktɔ kin tɛl yu fɔ du sɔm tɛst dɛn, lɛk:
- Oral glucose tolerance test: Dis na fɔ drink wata we gɛt shuga ɛn chɛk yu blɔd shuga lɛvɛl bifo ɛn afta. Dis kin ɛp fɔ no di blɔd shuga we nɔ bɔku we kin de mek yu gɛt di sik leta.
- Hydrogen breath test: Dis kin min bak fɔ drink wata we gɛt shuga ɛn mɛzhɔ di amount of hydrogen gas na yu brith. If di shuga nɔ absɔb fayn, di haydrojen we de na yu briz go bɔku.
- כp εndoskopi: dεn kin put sכm sכm tכb we gεt kεmεra we dεn tay tru di mכt fכ egzamin di bεlε, εsophagus, εn di fכs pat pan di sכmכl intestin.
- Ɔpa GI siriɔs:Dɛn kin gi wan spɛshal wata (kɔntrast) fɔ drink, ɛn dɛn kin yuz vidio ɛkstrem rayt fɔ wach am we i de muv tru di insay. Dis kin sho aw di it kin muv kwik kwik wan na di bɛlɛ.
- Gastric emptying test: Dis na di bɛst tɛst fɔ no aw di bɛlɛ de ɛmti spid. sכm sכm redioaktiv mεtirial dεn de miks insay wan it εn dεn de mכsu di spid we di it de muv tru di bεlε bay we dεn de yuz skan.
Aw wi go kɔntrol dis tin we de apin?
Bɔku pipul dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan bay we dɛn chenj di tin dɛn we dɛn de it .
Di chenj we yu de it (dis na di tin we impɔtant pas ɔl!) .
| Wetin fɔ du | Wetin mek na so i bi? |
|---|---|
| Bifo yu it 3 big it dɛn ɛvride, it 6 smɔl smɔl it dɛn. | I de ridyus di it we de go insay di bɛlɛ wan tɛm. |
| Chew yu it fayn ɛn it am sloslo. | I de ɛp di bɛlɛ insay di dijestiv prɔses. |
| Ridyus simpul kabohaydrɛt lɛk shuga, swit drink, kek, ɛn wayt bred. | I de mek di blɔd shuga nɔ go ɔp ɔ dɔŋ wantɛm wantɛm. |
| It mɔ prɔtin (mit, fish, eg) ɛn gud fat (nat, avokado). | Dɛn tin ya kin tek lɔng tɛm fɔ digest, so dɛn kin kɔntrol di bɛlɛ we kin ɛmti. |
| It tin dɛn we gɛt bɔku fayv (brawn rays, vɛjitebul, frut). | I de slo di spid we di it de muv tru di insay. |
| Nɔ drink wata/likwid 30 minit bifo ɔ 30 minit afta yu it. | Liquid dεm de εp fכ it pas tru di bεlε kwik kwik wan. |
| Afta yu dɔn it, ledɔm fɔ lɛk 30 minit so. | Graviti kin slo di spid we di it de muv dɔŋ. |
Mɛrɛsin dɛn (drɔg dɛn) .
If i nɔ izi fɔ kɔntrol di sayn dɛn pan ɔl we yu dɔn chenj di it we yu de it, yu dɔktɔ kin gi yu sɔm mɛrɛsin dɛn.
- Octreotide acetate: Dis na injεkshכn. I de ɛp fɔ mek di bɛlɛ ɛmti slo ɛn kɔntrol di insulin we de kɔmɔt.
- Akabɔs: Dis mɛrɛsin de wok bay we i de slo di rit we di kabɔhaydrɛt dɛn de absɔb insay di bɔdi. Dis kin ɛp fɔ kɔntrol di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku leta insay di de.
Ɔpreshɔn
Dis nɔ kin apin so ɔltɛm . Dɔktɔ go jɔs tink bɔt fɔ du ɔpreshɔn bak if ɔl ɔda tin nɔ wok ɛn di sik de ambɔg yu layf.
Yu tink se di sik we dɛn kɔl dumping syndrome go go?
Yɛs, bɔku tɛm i kin bɛtɛ as tɛm de go. Mild kes kin bɛtɛ insay lɛk 3 mɔnt. Mɔr siriɔs kes kin tek 12 to 18 mɔnt. Bɔt nɔ wɔri, if yu ajɔst yu it fayn fayn wan, yu go fil bɔku fridɔm insay dis tɛm.
If dɛn plan fɔ du ɔpreshɔn pan yu, i go fayn fɔ mek yu plan bifo tɛm bɔt di it we yu go fala afta yu dɔn du am.
Mɛsej we dɛn kin kɛr go na os
- Dumping syndrome na we di bɛlɛ de push di tin dɛn we de insay de bak insay di smɔl intestin.
- Dɛn kin si dis sik afta dɛn dɔn du ɔpreshɔn pan yu bɛlɛ.
- Di sayn dɛm kin apin jɔs afta yu it (nɔs, bɛlɛ at) ɔ sɔm awa afta dat (we yu de shek, yu de swet).
- Bɔrku tɛm dis nɔr kin denja ɛn i go wɛl as tɛm de go.
- Di tritmɛnt we impɔtant pas ɔl na fɔ chenj di it we yu de it: it smɔl smɔl it dɛn bɔku tɛm insay di de, ridyus di shuga, ɛn nɔ drink wata wit it.
- If yu sik bad bad wan ɔ yu nɔr kin ebul fɔ kɔntrol am wit chenj na yu it, mek shɔ se yu tɔk to yu dɔktɔ.
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