Chaw ei zawhah i pum chhungah thil mak tak emaw, luak chhuak emaw i nei em? Hei hi Dumping Syndrome a ni thei!

I taksa rihna tihtlem surgery (gastric bypass surgery ang chi) i nei tawh em? A nih loh leh, a châng chuan chaw ei hnuah, a bîk takin thil thlum tak i ei hnuah i rilru a hah a, i pum a na a, i rilru a hah a, i thawmhnaw a hah a, i lu a na bawk em? Nangmah chauh i ni lo. Vawiin hian mi tam tak nghawng thei mahse sawi fo loh dinhmun kan sawi dawn a ni. Heng symptoms te hi a tir lamah chuan a hlauhawm deuh thei a, mahse nunna atana hlauhawm a ni lo. A tha ber chu i ei leh in lama inthlak danglamna tenau te siamin i thunun thei a ni.

A awlsam zawngin Dumping Syndrome hi eng nge ni?

I pum chu dam ang maiin ngaihtuah rawh. Kan chaw ei hi he dam chhungah hian rei vak lo dahkhawmin, zawi zawiin kan ei a, chutah chuan a te tein small intestine-ah kan thawn leh thin. Mahse dumping syndrome nei mi pakhat chunga thil thleng chu he dam kawngkhar hi a inhawng nghal vek a ni. Chu chu, chaw tam tak chu pum atanga ‘dumped’ nghal a, small intestine-ah a awm a, chu chu a tla chhuak tihna a ni.

Chaw ei loh tam tak chu small intestine-ah a luh nghal chuan a buai ta hle a ni. He chaw ei tur hian a taksa atanga tui tam tak a lakluh a ngai a ni. Tin, thisenah hormone tam tak a chhuah tir bawk. Hei vang hian i pum na, luak chhuak, pum na, luak chhuak, leh thinlung thawk chak ang chi symptom i nei thin. I thisen sugar level pawh a tidanglam rang thei bawk.

Engvangin nge hetiang hi a lo awm? A chhan berte chu engte nge ni?

Dumping syndrome thlentu ber leh awm tam ber chu pum chhunga surgery neih a ni. A bik takin:

• Weight loss surgery: He natna hi pum chhunga surgery thenkhat, ``Gastric Bypass`` emaw ``Gastric Sleeve emaw tihchhuah hnuah a awm tam zawk.`` Chutiang surgery nei tawh zinga 20% leh 50% inkar chuan heng symptoms hi eng emaw chen chu an nei thei a ni.
• Pum surgery dang: Hetiang dinhmun hi pum cancer emaw ulcer emaw avanga pum thenkhat lakchhuah a nih pawhin a awm thei.

Surgery bakah hian damdawi lam thil engemaw avanga lo awm thei a ni lo. Entirnan, Diabetes mellitus vei thenkhat pawhin heng symptoms te hi an nei ve thei bawk.

Tin, kan eitur thenkhat hian heng symptoms te hi a ti na zual thei bawk. He dinhmun hi a bik takin sugar refined awmna ei tur, sugar, sweetened drinks, cake, leh ice cream te kan ei hian a na hle thei a ni . Hei hi a chhan chu heng sugar te hian rang takin pum chhunga tui an hip lut thei a ni. Tin, bawnghnute atanga siam chaw leh thau, fried foods te hian mi thenkhat tan heng symptoms te hi a ti na zual thei bawk.

Dumping syndrome symptoms hi kawng hnih in a awm thei a:

Hetiang dinhmunah hian symptoms hi stage lian pahnih ah hmuh theih a ni. Mi thenkhat chuan an nei ve ve thei a, thenkhat erawh chuan pakhat chauh an nei thei thung.

Eng thilin nge a hnu lama a lan chhuah chhan?

Hei hi a chhan chu thisen sugar level a sang nghal a, a tlahniam nghal bawk. Chaw thlum tak kan ei hian chu sugar chu thisenah a lut nghal vat a, chu chu small intestine a\angin a ni. Chumi chhanna atan chuan kan taksa hian vawi khatah hormone insulin tam tak a siam chhuak a. Hei hian thisen sugar level a ti tlahniam nghal (hypoglycemia), chu chuan hahna leh luak chhuak ang chi symptoms i nei thin.

Vaukhânna: Dumping syndrome i vei tih hriat chhuah i nih loh a, i hriatna hloh, luak chhuak nasa tak, thinlung na tak tak, emaw, muhil i neih thut chuan damdawi in emergency room (ETU)-ah kal nghal rawh.

Engtin nge doctor hian hei hi a hriat chian?

Tun hmaa i pum surgery i neih tawh chuan i doctor chuan i symptoms a zirin dumping syndrome a hmuchhuak thei ang. Zawhna chhanna Dumping Symptom Rating Scale tih chu fill up turin an ti mai thei che.

Mahse, zai a la nih loh chuan, a nih loh leh a lan chhuah dan a chiang lo a nih chuan, a chhan dik tak hriat theih nan test ṭhenkhat neih a ngai mai thei.

• Oral Glucose Tolerance Test: Sugary drink pek i ni a, i thisen sugar level chu a hma leh darkar 1-3 hnuah enfiah thin a ni. I thisen sugar level a tlahniam nghal a nih chuan late-stage dumping syndrome chhinchhiahna a ni.
• Gastric Emptying Test: Hei hian i pum atanga chaw a chhuah chak dan a test thin. Chaw tlemte radioactive material nena chawhpawlh an pe che a, scanner hmanga a kal lai chu an en thin.
• Upper Endoscopy: Tube te tak te, camera hmanga siam chu ka chhung atangin pum chhungah an lut a, chu chuan pum chhunga structural problems a awm leh awm loh enfiah thin.
• Upper GI Series: Tui bik (contrast agent) in tur pek a ni a, video X-ray machine hmangin chaw ei kawng chhunga a kal dan enfiah a ni.

Dumping syndrome enkawl dan leh enkawl dan

A tam zâwk chuan, he dinhmun hi i ei leh in leh nunphung tihdanglam hmangin i thunun theih a ni . Hei hi enkawlna bulpui leh pawimawh ber a ni.

Tips pawimawh dang thenkhat

• Chaw ei zawhah rei vak lo mu rawh: Chaw ei zawh hnu minute 30 vel mut chuan luak chhuak ang chi symptoms a tiziaawm thei.
• I chaw ei laiin chaw ei kha bansan rawh: Ei tam lutuk suh.

Ei leh in thlak danglam hian i natna lan chhuah dan a thunun loh chuan i doctor chuan damdawi a pe thei ang. Entirnan, Octreotide acetate (Sandostatin) an tih injection emaw, carbohydrate digestion control tu Acarbose (Precose) an tih tablet emaw. Hengte hi damdawi lam enkawlna hnuaiah chauh lak tur a ni. Heng hmalakna zinga pakhat mah a thawh loh nasat chuan operation neih a tha thei.