Olumwa olubuto ng’omaze okulya? Kino kiyinza okuba nga kye kizibu ky’okusuula ebintu?

Bw’omala okulya emmere, oluusi owulira ng’oziyira, ng’ojjula oba ng’olubuto oluzimba? Abantu abamu era bawulira nga bakooye era nga bakankana nga wayise essaawa ntono nga bamaze okulya. Bw’oba ​​olina obubonero buno, oyinza okuba n’embeera eyitibwa dumping syndrome . Katukwogere ku nsonga eno mu bujjuvu leero, kubanga esobola okukosa abantu bangi.

Obulwadde bwa Dumping Syndrome kye ki?

Mu ngeri ennyangu, obulwadde bw’okusuula (dumping syndrome) bwe buba ng’emmere eri mu lubuto lwo, oba okusingawo ebiri mu lubuto lwo, egenda mu kyenda kyo ekitono, oba kye tutera okuyita ekyenda kyo ekitono, amangu okusinga ku kya bulijjo . Abasawo era kino bakiyita ‘okufuluma amangu mu lubuto’. Kilowoozeeko ng'emmere eri mu lubuto lwo "esuulibwa" mu kyenda kyo ekitono mu kizimba ekinene, nga tennagaaya bulungi.

Kale, kino bwe kibaawo, emmere nnyingi ezitagaaya ziyita mu kyenda ekitono omulundi gumu, ekiyinza okuleeta obuzibu ng’okuziyira , okuzimba, okuzimba olubuto, n’ekiddukano . Tekikoma awo, naye era kiyinza okuleeta enkyukakyuka ez’amangu, ennene mu muwendo gwa sukaali mu musaayi gwo.

Kiki ddala ekibaawo mu Dumping Syndrome?

Mu budde obwabulijjo, bwe tulya, olubuto lwaffe lusindika emmere mpola era mu ngeri efugibwa mu kyenda ekitono. Kino kikolebwa ebinywa, obusimu n’obusimu mu lubuto, nga bikola nga bikwatagana. Kino tukiyita "okutambula kw'olubuto."

Wabula mu bulwadde bwa dumping syndrome, okukwasaganya kuno kugenda bubi. Valiva eri wansi w’olubuto, pyloric valve , egguka nga emmere tennagaaya wadde, era ebiri mu lubuto byonna ne bisuulibwa mu kyenda ekitono omulundi gumu.

Kiki ekibaawo olwo? Ekyenda ekitono bwe kiba n’emmere ennyingi mu bwangu, egezaako okugimanyiira. Kisikiriza amazzi ag’enjawulo ne kifulumya obusimu obw’enjawulo. Enkyukakyuka ezo ze zireeta obutabeera bulungi bwe twayogeddeko emabegako nga wayiseewo akaseera katono nga tumaze okulya.

Abantu abamu bayinza okufuna obubonero obulala nga wayise essaawa ntono nga bamaze okulya. Kino kiri bwe kityo kubanga ssukaali mu musaayi akyuka. Emmere erimu ssukaali omungi bw’ekuba ekyenda ekitono mu bwangu, olubuto lwaffe luweebwa akabonero okufulumya insulini omungi okusobola okufuga ssukaali mu musaayi. Kino kiyinza okuvaako ssukaali mu musaayi okukka amangu. Kino kiyitibwa reactive hypoglycemia . Kino kiyinza okuvaako ebintu ng’okuziyira, okukankana n’okukuba omukka.

Ani asinga okulwala obulwadde bwa dumping syndrome?

Dumping syndrome etera okubaawo ng’ekizibu oluvannyuma lw’okulongoosebwa olubuto.Kiteeberezebwa nti wakati w’ebitundu 20% ne 50% ku bantu abalongooseddwa olubuto bajja kufuna obubonero buno okutuuka ku ddaala eritali limu. Kino kitera nnyo naddala mu bantu abalongooseddwa nga baggyamu ekitundu ekinene eky’olubuto, gamba ng’okuggyamu olubuto (okuggyawo olubuto lwonna oba ekitundu) oba okulongoosebwa okuyita mu lubuto ( okulongoosebwa okugejja nga kuyita ku kitundu ky’olubuto). Tekitera nnyo, era kiyinza okuva ku mbeera ezimu ez’ekyenda.

Dumping Syndrome mbeera ya maanyi nnyo?

Ebiseera ebisinga, obulwadde bw’okusuula ebintu (dumping syndrome) si bwa bulabe oba okutta omuntu. Kyokka embeera eno bw’eba ya maanyi, eyinza okuvaako okugejja amangu n’okubulwa ebiriisa. Singa ekiddukano tekifugibwa, kiyinza okuvaako okuggwaamu amazzi mu mubiri. Naye ebiseera ebisinga, bino bisobola okufugibwa.

Abantu abasinga balina obubonero obutono obugenda oluvannyuma lw’ekiseera. Obulwadde bwa Dumping syndrome butera obutaba bwa lubeerera, kale tewali kye weeraliikirira.

Bubonero ki obulaga obulwadde bwa dumping syndrome?

Waliwo emitendera ebiri emikulu egy’obulwadde bw’okusuula, ng’obubonero bukwatagana ne buli mutendera. Oyinza okufuna emu oba zombi ku mitendera gino.

Obubonero bw’obulwadde bw’okusuula amangu

Bino bitera okutandika okubaawo wakati w'eddakiika 10 ne 30 ng'olya .

• Ekikeeto
• Okusesema
• Ekiddukano (okulumwa olubuto) .
• Obulumi mu lubuto n’okulemagana
• Okuzimba, okuwulira ng’okuzimba
• Okuziyira, okuzirika
• Omutima okweyongera (okuwulira ng’ekifuba kikuba) .

Obubonero bw’obulwadde bwa late dumping syndrome obubaawo nga wayise essaawa ntono ng’omaze okulya

Obubonero buno butera okulabika nga wayise essaawa bbiri oba ssatu ng'omaze okulya .

• Obunafu, obukoowu
• Okukankana, obutawummulamu
• Omutima okukuba amangu oba mu ngeri etali ya bulijjo
• Entuuyo ennyogovu
• Okumyuuka mu maaso
• Enfuufu y’obwongo - okuwulira ng’olina obuzibu okulowooza obulungi
• Okuwulira enjala ennyo

Biki ebivaako obulwadde bwa dumping syndrome?

Waliwo ebika bibiri ebikulu eby’ensonga eziviirako kino.

Ensonga ezikwata ku kulongoosebwa:

• Gastrectomy: Okulongoosa okuggyamu ekitundu oba kyonna eky’olubuto.
• Okulongoosa omugejjo: Okulongoosa okukolebwa okukendeeza ku buzito, okugeza okulongoosa olubuto okuyita mu lubuto.
• Pyloroplasty: Okulongoosa okukolebwa ku valve ya pyloric wansi mu lubuto.
• Esophagectomy: Okulongoosa okuggyamu ekitundu oba byonna eby’omumwa gwa nnabaana.
• Vagotomy: Enkola y’okulongoosa esala obusimu bwa vagus mu lubuto okukendeeza ku asidi w’olubuto.
• Nissen fundoplication: Okulongoosa okutunga ekitundu eky’okungulu eky’olubuto okwetooloola omumwa gwa nnabaana (kukolebwa ku bulwadde bwa gastroesophageal reflux disease - GERD).

Ebivaako endwadde:

Obulwadde bwa Dumping syndrome era buyinza okuva ku mbeera z’obujjanjabi ezimu.

• Ssukaali (Obulwadde bwa sukaali) .
• Obulwadde bw’okusiiyibwa mu ngeri ey’enzirukanya
• Obutakola bulungi mu by’okwefuga
• Obutamala mu lubuto olw’ebweru (exocrine pancreatic insufficiency).
• Amabwa mu nnywanto
• Obulwadde bwa Zollinger-Ellison
• Obulwadde bw’okubulwa emmere mu mirimu (functional dyspepsia).
• Cannabis hyperemesis syndrome ( embeera y’okusesema ennyo olw’okukozesa enjaga) .

Otegeera otya obulwadde bwa dumping syndrome?

Bw’oba ​​omaze okulongoosebwa olubuto (ne bwe kiba nti kyaliwo emyaka egiyise), omusawo wo ayinza okuteebereza nti olina obulwadde bw’okusuula ebintu okusinziira ku bubonero bw’oyogerako. Bayinza okukuwa ekibuuzo, gamba nga Dumping Symptom Rating Scale , okupima obuzibu bw’obubonero bwo.

Kyokka omusawo ayinza n’okukola ebigezo ebimu okukakasa nti ozudde oba okugaana ebirala ebivaako obulwadde buno. Okukebera kuno kukulu nnyo naddala bw’oba ​​tolongooseddwa lubuto.

Wano waliwo ebigezo ebiyinza okukolebwa okuzuula obulwadde bwa dumping syndrome:

• Okukebera okugumira glucose mu kamwa: Kino kizingiramu okukuwa ekyokunywa ekirimu ssukaali n’okupima ssukaali mu musaayi nga tonnaba n’oluvannyuma. Hematocrit yo , nga eno ye bitundu 100 ku 100 eby’obutoffaali obumyufu, nayo epimibwa. Okwongera mu hematocrit yo oluvannyuma lw’okunywa ekyokunywa ekirimu ssukaali kitegeeza nti amazzi amalala gaggyibwa mu musaayi gwo ne gayingira mu byenda byo. Singa ssukaali akendeera mu ssaawa emu oba ssatu, kino kiyitibwa delayed dumping syndrome.
• Okukebera omukka gwa haidrojeni: Kino nakyo kipima obungi bwa haidrojeni mu mukka gwo ng’omaze okunywa eddagala lya glucose. Hydrogen mu mukka gwo kitegeeza nti ekyenda kyo ekitono tekinyiga bulungi glucose. Kino kitegeeza nti ekyenda ekitono kiyitirira.
• Upper endoscopy: Kino kizingiramu okuyingiza ekyuma ekigonvu ekigonvu (endoscope) nga kiriko kkamera eyungiddwa mu kamwa n’okukebera munda mu nnywanto, olubuto n’ennywanto (ekitundu ekisooka eky’ekyenda ekitono). Kino kiyinza okuyamba okuzuula oba waliwo obuzibu mu nzimba oba ebirala ebikuviirako obubonero bwo.
• Omulongooti gwa GI ogwa waggulu:Mu kino, oweebwa amazzi ag’enjawulo (contrast solution) okunywa, era omuddirirwa gwa vidiyo X-rays (eziyitibwa `fluoroscopy`) zikozesebwa okugiraba nga zitambula mu nnywanto yo, olubuto, n’ekyenda ekitono eky’okungulu. Kino kikusobozesa okulaba amazzi bwe gatambula ku sipiidi.
• Okukebera okufulumya amazzi mu lubuto: Kino kipima emmere gy’efuluma amangu mu lubuto lwo. Ebintu ebitono ennyo ebikola amasannyalaze (radioactive material) biteekebwa mu mmere gy’olya. Olwo ng’akozesa sikaani ey’enjawulo, omusawo asobola okulaba emmere ng’eyita mu lubuto lwo.

Oyinza otya okugoba obulwadde bwa dumping syndrome?

Abantu bangi basobola bulungi okuddukanya obulwadde bwa dumping syndrome nga bakola enkyukakyuka mu mmere . Ku bubonero obw’amaanyi, singa endya yokka teyamba, oyinza okukozesa eddagala. Wabula eddagala liyinza okuba n’ebizibu, n’olwekyo tekiba kirungi kulikozesa okumala ebbanga eddene. Mu mbeera ezitali nnyingi, singa obulwadde bw’okusuula ebintu buva ku kulongoosebwa era nga tewali bujjanjabi bulala buyambye, omusawo ayinza okukuwa amagezi okulongoosebwa okulala.

Enkola y’emmere

Abasawo bagamba nti ogoberera amagezi gano okukendeeza ku bubonero:

• Kendeeza ku mmere gy’olya ku mmere emu n’okwongera ku mmere gy’olya olunaku lwonna. Mu kifo ky’okulya emmere ennene ssatu, gezaako okulya emmere entonotono mukaaga.
• Emmere yo girye mpola era ogikamula bulungi. Kino kijja kwanguyiza okugaaya emmere.
• Kendeeza ku ssukaali omunyangu, emmere erimu ebirungo ebizimba omubiri, n’ebiva mu mata nga bwe kisoboka. Bino bijja kuyamba okutangira enkyukakyuka ez’amangu mu sukaali mu musaayi. Ebirungo ebizibu (complex carbs), gamba ng’empeke enzijuvu, bisingako.
• Kendeeza ku birungo ebiyitibwa carbohydrates mu mmere yo era mu kifo ky’ekyo osseemu ebirungo ebizimba omubiri n’amasavu amalungi. Amasavu galwawo okugaaya era gawa ensibuko y’amaanyi etali ya kukyukakyuka.
• Lya nnyo emmere erimu ebiwuziwuzi mu mmere. Kino kyongera obungi ku mmere, ne kikendeeza ku kutambula kwayo okuyita mu byenda. Fiber era efuga okunyiga kwa ssukaali.
• Gaala wansi (nga weegolodde) okumala eddakiika nga 30 ng’omaze okulya. Kino kiyinza okukendeeza ku kuggya emmere mu lubuto n’okuyamba okukuuma puleesa ng’ogaaya emmere.
• Tonywa mazzi oba ebyokunywa ebirala ng’ebula eddakiika 30 ng’olya oba ng’olya. Amazzi gongera okutambula kw’olubuto.

Eddagala

Eddagala erimu liyinza okuyamba okufuga obubonero obusooka n’obulwawo obw’obulwadde bw’okusuula.

• Ekirungo kya octreotide acetate:Octreotide aziyiza okukola kw’obusimu obumu mu nkola yaffe ey’okugaaya emmere. Kino kikendeeza ku kufulumya emmere okuva mu lubuto n’okutambula kw’emmere ng’eyita mu kyenda ekitono. Era kikendeeza ku nkola ya insulini. Eddagala lino liweebwa ng’empiso, oba buli lunaku (ekola akaseera katono) oba buli mwezi (ekola ebbanga eddene).
• Acarbose: Eddagala lino likendeeza ku sipiidi omubiri gwaffe gye gunyiga ebirungo ebiyitibwa carbohydrates, ne lifuga ssukaali mu musaayi. Kizuuliddwa nti kikendeeza ku hypoglycemia ebeerawo mu late dumping syndrome.

Okuloongoosa

Okulongoosa tekitera kusemba ku bulwadde bwa dumping syndrome. Kyokka embeera yo bw’eba evudde ku kulongoosebwa, okulongoosebwa okulala kuyinza okugitereeza. Singa obulwadde bw’okusuula ebintu bukosa nnyo omutindo gw’obulamu bwo ate nga tewali kirala kikola, oyinza okulowooza ku ky’okulongoosa okuzimba. Kino kizingiramu:

• Okuddamu okuzimba oba okukyusa ekitundu ky’olubuto ekitakola bulungi.
• Okuzzaawo okulongoosa nga gastric bypass oba okukyusa okudda ku nkola etali ya kuyingirira nnyo.

Obulwadde bwa dumping syndrome bunaggwaawo ddala?

Yee, ebiseera ebisinga kigenda ng’obudde buyise. Obulwadde bwa Mild early dumping syndrome butera okuggwaawo mu myezi nga esatu. Emisango egy’amaanyi ennyo n’obulwadde bw’okusuula ebintu ekikeerezi giyinza okutwala emyezi 12 ku 18 okugonjoola. Mu kiseera kino, enkyukakyuka mu mmere esobola okuwa obuweerero obw’amaanyi. Kyokka, kiyinza okutwala wiiki eziwera okulaba ng’atereera. Kale kikulu okubeera omugumiikiriza.

Mmere ki gy’osaanidde okulya era mmere ki gy’osaanidde okwewala ng’olina obulwadde bwa dumping syndrome?

Kikulu nnyo abantu abalina embeera eno naddala oluvannyuma lw’okulongoosebwa olubuto okugoberera enteekateeka y’emmere eyamba okufuga obubonero. Ensonga ze twayogeddeko emabegako wansi wa "Enkyukakyuka mu mmere" zikola ne wano:

• Ebintu by’okulya: Emmere erimu ebirungo ebizimba omubiri (ebyennyanja, enkoko, amagi, entangawuuzi), amasavu amalungi (avocado, entangawuuzi), ebirungo ebizibu ebiyitibwa ‘complex carbohydrates’ ebirimu ebiwuziwuzi (omuceere ogwa kitaka, oats, enva endiirwa).
• Ebintu by’olina okwewala oba okukoma: Ssukaali omunyangu (ebyokunywa ebiwoomerera, swiiti, keeki), ebirungo ebirongooseddwa ennyo (ebintu ebikolebwa mu buwunga bw’omugaati), amata n’amata (abantu abamu bayinza okusanga obuzibu okugaaya), emmere erimu amasavu amangi, esiike.

Kirungi okwogera n’omusawo oba omukugu mu by’endya okukola enteekateeka y’emmere ekusaanira.

N’ekisembayo, obubaka obutwala awaka:

Dumping syndrome mbeera abantu bangi gye bayinza okufuna oluvannyuma lw’okulongoosebwa olubuto. Oyinza n’okufuna obubonero buno ng’omaze okulongoosebwa. Amawulire amalungi gali nti ebiseera ebisinga, embeera eba ya maanyi era ejja kuwona ku bwayo mu wiiki oba emyezi mitono.Mu kiseera kino, embeera eno osobola okugifuga obulungi ng’otereeza bulungi emmere yo.

Bw’oba ​​ogenda kulongoosebwa olubuto mu biseera eby’omu maaso, kiba kya magezi okuteekateeka emmere esaanira obulwadde bwa dumping syndrome. Tegeka effumba era obeere n’enteekateeka z’emmere ntono mu birowoozo. Bw’oba ​​okoze enkyukakyuka mu mmere ate nga tezireeta buweerero, kakasa nti olaba omusawo. Asobola okukuwa eddagala eryetaagisa okukuyamba mu kiseera ky’okuwona. Kale, ekisinga obukulu kwe butatya, okutegeezebwa, n’okukola emitendera egyetaagisa.

Dumping Syndrome, Olubuto, Ekyenda ekitono, Okulongoosa, Okugaaya emmere, Obubonero