Chaw ei zawhah natna i nei em? Hei hi dumping syndrome a ni thei!

Chaw tui tak i ei zo chauh a... rei vak lo hnuah chuan i pum chhungah thil dik lo awm ang maiin i inhria. I pum a khat a, i rilru a na a, i thawk a hah a, i thinlung pawh a na zual sauh bawk. ‘Chaw chu ka khawih leh khawih loh ka hre lo’ tiin i ngaihtuah mai thei. Mahse hei hi ‘dumping syndrome’ tih hming pu, pum surgery hnua emaw, damdawi lam thil dang nena lo awm emaw a ni thei. Ngaihtuah buai suh, he thu hi awlsam tak leh chiang takin sawi ila.

Dumping Syndrome hi eng nge ni?

A awlsam zawngin, hei hi i pum (intestine chunglam) hian a pum chhunga thil awm, kan ei tur chu rang takin intestine te takah a nawr lut a, chu chu a hmin tha hmain a ni. Hei hi ``rapid gastric emptying'' an ti bawk.

Factory pakhatin bungrua ṭhenkhat a thliar hrang a, thawn chhuah a ngai tih han mitthla teh. Mahse machine lama harsatna a awm avangin vawi khatah bungrua zawng zawng paih chhuah ang mai a ni. A tlangpuiin kan pum hian controlled takin small intestine-ah chaw a thawn thin. Hetiang kawngah hian kan taksa ruh, nerve leh hormone te hi an thawk dun vek a ni. Mahse thil engemaw takin he coordination hi a tibuai a nih chuan, chaw ei tur chu small intestine-ah "dumped" nghal a ni a, chu chu paih chhuah a ni tihna a ni.

Chaw ei loh tam tak chu small intestine-ah a luh thut chuan a tuar thei lo. A thinrim a, a enkawl theih nan chuan chu hmunah chuan tui tam tak a hruai lut a, hormone a tichhuak thin. Chu lungngaihna chu rilru hahna, pum na, leh pum na ang chi chhinchhiahna anga kan tawn chu a ni .

Mi thenkhat chuan chaw ei atanga darkar tlemte hnuah symptom dang an nei thei bawk. Hei hi thisen sugar level a inthlak vang a ni. Vawi khata sugar tam tak intestines-a a luh chuan kan pancreas chu a hlauthawng a, "Aw, sugar a tam a, insulin kan inject vat a ngai a ni," tiin a ngaihtuah a, a tih tur aia tam insulin a tichhuak thin. Tichuan thisen sugar level chu a tlahniam nghal a. Chu chu ``Reactive Hypoglycemia'' kan tih chu a ni.Hei hian muthilh, nghing, leh thinlung na chakna a thlen thei.

Dumping syndrome natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun chhinchhiahna hi phase lian pahnih ah a awm thei. Chûng zînga pakhat emaw, a pahnih emaw chu i tawng thei a ni.

He natna hi tuin nge vei tam ber?

Hetiang dinhmun hi surgery avanga pum emaw chaw kawng emaw a side effect angin a awm fo thin . Operation hnuah a pum emaw, a pum emaw lak chhuah a nih hnuah emaw, taksa rihna tihtlem operation hnuah emaw a tam ber. Damdawi lam thil engemaw vang pawh a ni thei bawk.

Dumping syndrome hi a pawi em?

Mahse, he natna hi a nasat chuan taksa rihna tlahniam leh ei leh in lama tlakchhamna rang tak a awm thei a ni. Dehydration pawh hi persistent diarrhea vangin a awm thei bawk. Mahse hengte hi kan thunun thei fo. Mi tam zawk chuan symptoms na lo tak tak an nei thin. Heng symptoms te hi hun kal zelah a reh ang. Hei hi a tlangpuiin a awm reng tur a ni lo.

Doctor, engtin nge hei hi i diagnose?

Tun hnaia i pum surgery i neih chuan i doctor chuan i symptoms a zirin he natna hi a hre thei mai thei. A châng chuan, i natna lan chhuahna nasatzia tehna zawhna (`Dumping Symptom Rating Scale`) pawh an pe thei bawk.

Mahse, operation tih a la nih loh chuan, emaw, a natna hriat chian a ngai a nih chuan, i doctor chuan test engemaw zat a rawt thei a, chungte chu:

• Oral glucose tolerance test: Hei hi tui thlum tak in tur a ni a, a hma leh a hnua i thisen sugar level enfiah thin a ni. Hei hian thisen sugar level hniam, a hnua symptoms awm thei tur hriatchhuahna kawngah a pui thei a ni.
• Hydrogen breath test: Hei hian tui thlum tak in a, i thawk a hydrogen gas awm zat tehna a huam bawk. Sugar hi a hip tha lo a nih chuan i thaw chhunga hydrogen awm zat a pung ang.
• Upper endoscopy: Tube te tak te, camera vuah chu ka chhungah dahin pum, chaw kawng leh small intestine hmun hmasa ber enfiah a ni.
• Upper GI series-ah chuan:In tur tui bik (contrast) pek a ni a, video X-ray hmangin intestine kal tlanga a kal lai en a ni. Hei hian chaw ei chu pum chhunga a kal chak zia a tilang thei a ni.
• Gastric emptying test: Hei hi pum a hnawh chhuah chak dan tehna atana test tha ber a ni. Chaw pakhatah hian radioactive material tlemte an pawlh a, chaw chu chaw ei chhunga a kal chak dan chu scanner hmangin an teh thin.

Engtin nge he dinhmun hi kan thunun theih ang?

Mi tam tak chuan an ei leh in thlak danglamin he natna hi hlawhtling takin an thunun thei a ni .

Dietary changes (hei hi a pawimawh ber!) .

Damdawi (damdawi) .

Ei leh in thlak danglam chung pawha symptoms control harsa a nih chuan i doctor chuan damdawi thenkhat a pe thei ang.

• Octreotide acetate: Hei hi injection a ni. Pum hring (empty) a ti slow a, insulin chhuahna a control bawk.
• Acarbose: He damdawi hian taksaa carbohydrates a luh theihna rate a ti hniam a, a thawk a ni. Hei hian ni tlai lamah thisen sugar tlahniam chhinchhiahnate chu a thunun thei a ni.

Inzai

Hei hi tih a tlem hle . Doctor chuan thil dang zawng zawng a hlawhchham a, chu natna chuan i nunah nghawng lian tak a neih phawt chuan operation nawn leh a ngaihtuah ang.

Dumping syndrome hi a bo dawn em ni?

Ni e, a tam zawkah chuan hun kal zelah a tha chho zel. Mild case te chu thla 3 vel chhungin an dam thei. A nasat zawk chuan thla 12 atanga thla 18 chhung a daih thei. Mahse lungngai suh, i ei leh in i siam that chuan he hun chhung hian hahdamna nasa tak i nei ang.

Operation neih tura ruahman i nih chuan, a hnua i ei leh in tur ruahmanna siam lawk chu a finthlak hle.