Yu dɔn gɛt ɔpreshɔn fɔ lɛ yu nɔ gɛt bɔku bɔku bɔdi (lɛk ɔpreshɔn fɔ mek yu nɔ gɛt bɔku bɔku bɔdi)? Ɔ sɔntɛnde yu kin fil ful, yu bɛlɛ kin kramp, yu kin fil nɔs, yu kin swet, ɛn yu ed kin tɔn afta yu it it, mɔ sɔntin we swit? Nɔto yu wan de. Tide wi de tok bɔt wan sik wae kin afɛkt bɔrku pipul bɔt nɔr kin tɔk bɔt bɔrku bɔrku. Dɛn sayn ya kin mek yu frayd smɔl fɔs, bɔt dɛn nɔr kin put yu layf pan denja. Di bɛst tin na dat yu kin kɔntrol am bay we yu mek smɔl chenj dɛn to di we aw yu de it.
Fɔ tɔk am simpul wan, wetin na Dumping Syndrome?
Tink bɔt yu bɛlɛ lɛk dam. Dɛn kin kip di it we wi de it na dis dɛm fɔ sɔm tɛm, dɛn kin digest am smɔl smɔl, dɔn dɛn kin sɛn am na di smɔl intestinal smɔl smɔl. Bɔt wetin kin apin to pɔsin we gɛt dɔmp sindrom na we dɛn kin opin di get dɛn na dis dɛm wantɛm wantɛm. dat min se bכku it dεn de ‘dכmp' wan wan frכm di bεlε insay di sכmכl intestin, dat min se i de fכl kכmכt.
We bɔku it we dɛn nɔ digest go insay di smɔl intestin wantɛm wantɛm, i kin shem. I gɛt fɔ tek bɔku wata na in bɔdi fɔ mek i ebul fɔ dayjɛst dis it. I de pul bɔku ɔmon dɛn bak insay di blɔd. Dis na wae mek yu kin gɛt sayn dɛm lɛk bɛlɛ at, nɔs, blo, dayarɛa, ɛn at bit kwik kwik wan. I kin mek bak yu blɔd shuga chenj kwik kwik wan.
Wetin mek dis de apin? Wetin na di men rizin dɛn?
Di men ɛn kɔmɔn tin we kin mek pɔsin gɛt di sik we dɛn kɔl dumping syndrome na ɔpreshɔn we dɛn kin du to di bɛlɛ. Speshal wan:
- כpεrayshכn fכ lכs yu wet: Dis kכndyushכn kin apin mכr afta כpεrayshכn we dεn pul pat pan di bεlε, lεk ``Gastric Bypass`` כ ``Gastric Sleeve.`` Bitwin 20% εn 50% pan di pipul dεm we dεn du dεn kayn כpεrayshכn ya kin gεt dεn simptom dεm ya to sכm mak.
- Ɔda ɔpreshɔn dɛn na di bɛlɛ: Dis sik kin apin ivin if dɛn pul wan pat pan di bɛlɛ bikɔs ɔf bɛlɛ kansa ɔ ɔlsa.
Apat frɔm ɔpreshɔn, dis nɔ kin apin bak bikɔs ɔf sɔm mɛrɛsin dɛn. Fɔ ɛgzampul, sɔm pipul dɛn we gɛt dayabitis kin gɛt dɛn sik ya bak.
Dɔn bak, sɔm pan di it dɛn we wi kin it kin mek dɛn sik ya wɔs. Dis sik kin tranga mɔ we wi de it tin dɛn we gɛt shuga we dɛn dɔn rifin, lɛk shuga, drink dɛn we dɛn dɔn swit, kek, ɛn ayskrim . Dis na bikɔs dɛn shuga ya kin tek wata kwik kwik wan na di bɛlɛ. Dɔn bak, it dɛn we gɛt milk ɛn it dɛn we gɛt fat ɛn we dɛn dɔn frɛsh kin mek dɛn sik ya wɔs fɔ sɔm pipul dɛn.
De impɔtant tin na dat, dɛn sik ya go shɔt pasmak as tɛm de go, so nɔr wɔri.
Di sayn dɛm fɔ dump sindrom kin apin tu we dɛn:
Na dis kכndyushכn, dεn kin si di sayn dεm na tu men stej dεm. Sɔm pipul dɛn kin gɛt dɛn tu tin ya, ɛn ɔda wan dɛn kin gɛt wan nɔmɔ.
| Tɛm we di sayn dɛn kin bigin | Simptom dɛm wae de sho |
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| Di Simptom dɛn we kin apin to di fɔs tɛm (Insay 10-30 minit afta yu dɔn it) |
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| Let Faz Simptom dɛn (1-3 awa afta yu it) |
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Wetin kin mek di sayn dɛm wae de kam leta?
Dis kin apin bikɔs di blɔd shuga lɛvɛl kin go ɔp wantɛm wantɛm ɛn afta dat i kin go dɔŋ wantɛm wantɛm. We wi it swit it, da shuga de kin go insay di blɔd kwik kwik wan frɔm di smɔl intestinal. Fɔ ansa dis, wi bɔdi kin mek bɔku ɔmon we dɛn kɔl insulin. Dis kin mek di blɔd shuga lɛvɛl go dɔŋ wantɛm wantɛm (haypoglycemia), we kin mek yu gɛt sɔm sayn dɛn lɛk fɔ taya ɛn diziz.
Wonin: If dɛn nɔ bin dɔn no se yu gɛt dɔmp sindrom bifo tɛm, ɛn wantɛm wantɛm yu nɔ de no natin, yu ed de tɔn bad bad wan, yu at bit kwik kwik wan, ɔ yu fɔdɔm , go na ɔspitul imejensi rum (ETU) wantɛm wantɛm.
Aw di dɔktɔ kin no bɔt dis?
If yu dɔn du ɔpreshɔn pan yu bɛlɛ bifo, yu dɔktɔ kin no se yu gɛt dɔmp sindrom bay di sayn dɛn we yu gɛt. Dɛn kin aks yu fɔ fil wan kwɛstyɔn we dɛn kɔl Dumping Symptom Rating Scale.
Bɔt if dɛn nɔ du di ɔpreshɔn, ɔ di sayn dɛn nɔ klia, dɛn kin nid fɔ du sɔm tɛst dɛn fɔ no di rayt tin we mek dɛn du am.
- Oral Glucose Tolerance Test: Dɛn kin gi yu drink we gɛt shuga ɛn dɛn kin chɛk yu blɔd shuga lɛvɛl bifo ɛn 1-3 awa afta dat. If yu blɔd shuga go dɔŋ wantɛm wantɛm, dat na sayn fɔ di let-stej dɔmp sindrom.
- Gastric Emptying Test: Dis de tɛst aw di it de muf kɔmɔt na yu bɛlɛ kwik kwik wan. Dɛn kin gi yu smɔl it we dɛn miks wit redioaktiv tin ɛn dɛn kin wach am we i de pas na wan skan.
- di כp εndoskopi: dεn de pas wan tכn tכb we gεt kεmεra tru di mכt insay di bεlε fכ chεk fכ strכkchכral prכblεm dεm insay di bεlε.
- Upper GI Series: Dɛn kin gi spɛshal wata (kɔntrast ɛjɛn) fɔ drink, ɛn dɛn kin yuz vidio X-ray mashin fɔ wach aw i de muv tru di dijestiv trakt.
Tritmɛnt ɛn manejmɛnt fɔ dump sindrom
Bɔku tɛm, yu kin kɔntrol dis sik bay we yu chenj di we aw yu de it ɛn aw yu de liv yu layf . Dis na di men ɛn impɔtant tritmɛnt.
| Tin dɛn fɔ du (wetin fɔ it ɛn abit dɛn) . | Tin dɛn we yu nɔ fɔ du (tin dɛn we yu fɔ avɔyd) . |
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Sɔm ɔda impɔtant advays dɛn
- Led fɔ sɔm tɛm afta yu dɔn it: If yu ledɔm fɔ lɛk 30 minit afta yu dɔn it, dat kin mek yu nɔ gɛt bɔku sayn dɛn lɛk we yu de tɔn diziz.
- Stɔp fɔ it we yu fil ful: Nɔ it pasmak.
If di chenj we yu de it nɔ ebul fɔ kɔntrol di sik dɛn we yu de gɛt, yu dɔktɔ kin gi yu mɛrɛsin. Fɔ ɛgzampul, wan injɛkshɔn we dɛn kɔl Octreotide acetate (Sandostatin) ɔ wan tablɛt we dɛn kɔl Acarbose (Precose) we de kɔntrol di we aw di kabɔhaydrɛt de digest. Dɛn fɔ tek dɛn tin ya ɔnda dɔktɔ in sɔpɔtishɔn nɔmɔ. If na bad bad tin dɛn we nɔ de wok, dɛn kin se dɛn fɔ du ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Dumping syndrome na wan kɔmɔn tin we kin apin afta dɛn dɔn du ɔpreshɔn pan di bɛlɛ. I nɔ de mek pɔsin in layf de pan denja.
- dis na biכs di it de kכmכt na di bεlε to di sכmכl intestin jכs bifo i daygεst.
- Di men ɛn bɛst tritmɛnt na fɔ chenj yu it ɛn abit dɛn.
- It sɔm smɔl smɔl it dɛn ɛvride. Kɔt di shuga ɛn swit dɛn ɔl.
- Nɔ drink wata we yu de it. Nɔ drink wata fɔ 30 minit bifo ɛn afta yu it.
- If yu nɔ ebul fɔ kɔntrol yu sik dɛn ivin afta yu dɔn chenj di it we yu de it ɔ if yu de lɔs bɔku bɔku wet, mek shɔ se yu tɔk to yu dɔktɔ.
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