Chaw ei zawhah pum na i nei em? Hei hi dumping syndrome a ni thei ang em?

Chaw i ei zawh hian a chang chuan i luak chhuak thin em, i chaw ei thin em, i pum a na thin em? Mi thenkhat chuan chaw ei atanga darkar engemaw zat hnuah hah leh nghing an nei bawk. Heng symptoms te hi i neih chuan dumping syndrome tih hi i nei thei a ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila, a chhan chu mi tam tak a nghawng thei a ni.

Dumping Syndrome hi eng nge ni?

A awlsam zawngin, dumping syndrome chu i pum chhunga ei tur, a nih loh leh i pum chhunga thil awmte chu i ril te tak te, a nih loh leh i ril te kan tih tlangpuiah te, a tlangpui aia rang zawka a kal hian a ni Doctor-te chuan hei hi ‘rapid gastric emptying’ an ti bawk. I pum chhunga ei tur awmte chu i rilru natna lian takah "dumped" ang maiin ngaihtuah la, chu chu a hmin tha hmain.

Chuvângin, chutiang a nih chuan, ei tûr ei loh tam tak chu vawi khatah intestine tenauah a kal a, i rilru hahna, rilru hahna, pum na, leh riltam ang chi natna i nei thei a ni Chu mai ni lovin, i thisen sugar level-ah pawh inthlak danglamna lian tak, rang tak a thlen thei bawk.

Dumping Syndrome-ah hian eng nge thleng tak tak?

A tlangpuiin kan ei hian kan pum hian chaw chu zawi zawiin leh controlled takin small intestine-ah a thawn chhuak thin. Hei hi pum chhunga thau, nerve leh hormone te hian an ti a, inrem takin hna an thawk a ni. Hei hi "gastric motility" kan ti a ni.

Mahse, dumping syndrome-ah chuan he coordination hi a kal sual thin. Chaw hnuai lama valve, pyloric valve , chu chaw ei pawh a hmin hmain a inhawng a, pum chhunga thil awm zawng zawng chu vawi khatah small intestine-ah a paih vek a ni.

Chuti a nih chuan eng nge thleng? Small intestine hian chaw ei loh tam tak a neih thut chuan a insiamrem a tum thin. Fluid extra a la lut a, hormone extra a tichhuak bawk. Chu inthlâk danglamnate chu a hmaa kan sawi tawh angin chaw ei hnu lawkah kan rilru hahna thlentu chu a ni.

Mi thenkhat chuan chaw ei atanga darkar tlemte hnuah symptom dang an nei thei bawk. Hei hi a chhan chu thisen sugar level a inthlak chho zel vang a ni. Sugar tamna chaw ei hian small intestine a rawn deng nghal a, kan pancreas hian thisen sugar control turin insulin tam zawk chhuah turin signal a pe a. Hei hian thisen sugar a tlahniam nghal thei a ni. Hei hi reactive hypoglycemia an ti a . Hei hian luak chhuak, nghing, leh rilru hahna ang chi thil a thlen thei a ni.

Tute nge dumping syndrome vei tam zawk?

Dumping syndrome hi gastric surgery hnua complication angin a awm fo thin.Pum zai tawh zinga 20% leh 50% inkar chuan eng emaw chen chu heng natna hi an nei dawn niin an chhut. Hei hi a bik takin, chaw kawng tam tak lakchhuahna operation nei tawhte tan chuan a awm fo thin a, chu chu gastrectomy (a pum emaw, a then emaw lakchhuah) emaw, gastric bypass surgery (a taksa rihna tihtlem surgery, pum thenkhat bypass) emaw te hi a ni. A tlem hle a, intestinal condition thenkhat vang pawh a ni thei.

Dumping Syndrome hi natna khirh tak a ni em?

A tlangpuiin dumping syndrome hi a hlauhawm lo va, nunna atana hlauhawm a ni lo. Mahse, a natna a nasat chuan taksa rihna a tlahniam rang thei a, ei leh in lama harsatna a thlen thei bawk. Diarrhea hi control a nih loh chuan dehydration a thlen thei a ni. Mahse a tam zawkah chuan hengte hi thunun theih a ni.

Mi tam zawk chuan symptoms na lo tak tak an nei a, hun kal zelah a bo thin. Dumping syndrome hi a tlangpuiin a awm reng lo va, chuvangin ngaihtuahawm tur a awm lo.

Dumping syndrome natna lan chhuah dan chu engte nge ni?

Dumping syndrome hi stage lian pahnih a awm a, stage tin nen hian symptoms a inzawm vek a ni. Heng stage pakhat emaw, a pahnih emaw hi i tawng thei a ni.

Dumping syndrome hmasa ber a lan chhuah dan

Hengte hi i ei hnu minute 10 leh 30 inkarah a lo awm tan tlangpui .

• Luhai
• Luak chhuak
• Diarrhea (ril a na) .
• Pum na leh limping
• Bloating, bloated tih hriatna
• Luak chhuak, muthilh
• Heart rate sang (i rilru a na ang maia hriat) .

Chaw ei hnu darkar engemaw zat hnua late dumping syndrome symptoms awm thin

Heng symptoms te hi chaw ei atanga darkar hnih atanga darkar thum hnuah a lang tlangpui .

• Chak lohna, hahna
• Khur, hahdam lohna
• Thinlung thawk chak emaw, mumal lo emaw
• Thawmhnaw lum tak
• Hmai sen hring
• Brain fog - chiang taka ngaihtuah harsa tih hriatna
• riltam hlein ka hria

Dumping syndrome hi engte nge ni?

Hei hi a chhan lian ber pahnih a awm a.

Surgery nena inzawm chhan hrang hrang:

• Gastrectomy: Pum chhung hmun thenkhat emaw, a pum emaw lakchhuahna surgery.
• Bariatric surgery: Mi taksa rihna tihtlem nan surgery tih thin, entirnan gastric bypass surgery.
• Pyloroplasty: Pum hnuai lama pyloric valve-a surgery tih a ni.
• Esophagectomy: Esophagus thenkhat emaw, a pum emaw lakchhuahna operation.
• Vagotomy: Surgery hmanga pum chhunga vagus nerve titawp a, pum chhunga acid tihtlem.
• Nissen fundoplication: Pum chunglam chu chaw kawng (gastroesophageal reflux disease - GERD) tan tih a ni.

Natna kaihhnawih chhan: 1.1.

Dumping syndrome hi damdawi lam thil engemaw vang pawh a ni thei.

• Zunthlum (Diabetes Mellitus) natna a ni.
• Cyclic vomiting natna a ni
• Autonomic dysfunction a awm bawk
• Exocrine pancreatic insufficiency a awm thei lo
• Duodenal ulcer a awm thin
• Zollinger-Ellison natna a ni
• Functional dyspepsia a awm thin
• Cannabis hyperemesis syndrome ( cannabis hman avanga luak tam lutuk dinhmun) .

Engtin nge dumping syndrome hi kan hriat theih ang?

I pum surgery i lo neih tawh chuan (kum tam tak kalta pawh nise) i doctor chuan i sawi lan symptoms a zirin dumping syndrome a ringhlel mai thei. I natna lan chhuahna nasatzia tehna tur zawhna bu, Dumping Symptom Rating Scale -te chu an pe thei che a ni.

Mahse, i doctor chuan i natna hriat chian nan emaw, a chhan dang hriat chian nan emaw test thenkhat a ti thei bawk. Heng test te hi i pum surgery i la neih loh chuan a pawimawh hle.

Dumping syndrome hriat theihna atana test tih theih thenkhat chu hetiang hi a ni:

• Oral glucose tolerance test: Hei hian sugary drink pek che a, a hma leh a hnua i thisen sugar level tehna a ni. I hematocrit , thisen sen za zela awm zat pawh a teh bawk. Sugary drink i in hnua i hematocrit a san chuan i thisen atang hian i intestines ah tui tam zawk a lut tihna a ni. Darkar khat atanga darkar thum chhunga i thisen sugar a tlahniam chuan hei hi delayed dumping syndrome an ti.
• Hydrogen breath test: Hei hian glucose solution i in hnua i thawk a hydrogen awm zat a teh bawk. I thawk a Hydrogen tih awmzia chu i small intestine hian glucose a absorb tha lo tihna a ni. Chumi awmzia chu small intestine a overload tihna a ni.
• Upper endoscopy: Hei hi tube te tak te, flexible tak (endoscope) dahin, ka chhunga camera dahin, chaw kawng chhung, chaw kawng leh duodenum (small intestine peng hmasa ber) te enfiah a ni. Hei hian structural problems emaw, i symptoms awm chhan dang emaw a awm leh awm loh hriat theih nan a pui thei a ni.
• Upper GI series-ah chuan:Hetah hian tui bik (contrast solution) in tur i pe a, video X-ray (`fluoroscopy` an tih) hmangin i chaw kawng, i pum leh upper small intestine a kal lai chu an en thin. Hei hian liquid chu engtiang chiahin nge a kal chak tih i hmu thei a ni.
• Gastric emptying test: Hei hian i pum atanga ei tur a chhuah chak dan tehna a ni. I ei tur ah hian radioactive material tlemte chauh a tel a. Tichuan, special scanner hmangin i doctor chuan i pum chhunga ei tur kal dan chu a en thei ang.

Engtin nge dumping syndrome hi kan tihbo theih ang?

Mi tam tak chuan ei leh in tihdanglamna hmangin dumping syndrome hi hlawhtling takin an enkawl thei a ni . Natna lanchhuahna na tak tan chuan ei leh in ringawt hian a puih loh chuan damdawi hman theih a ni. Mahse, damdawi ei hian side effect a nei thei a, chuvangin hun rei tak hman a tha lo. A tlem berah chuan dumping syndrome hi operation avanga lo awm a nih a, enkawlna dangin a puih loh chuan i doctor chuan operation dang neih leh a rawt thei bawk.

Ei leh in chungchanga kaihhruaina

Doctor-te chuan symptoms tihziaawmna turin heng tips te hi zawm turin an rawt a ni:

• Chaw vawi khata i ei zat tihtlem la, nilengin chaw i ei zat pawh tipung rawh. Chaw lian pathum ei ai chuan chaw tenau paruk ei tum ang che.
• I chaw chu zawi zawiin ei la, tha takin ei rawh. Hei hian chaw ei a ti awlsam ang.
• Sugar awlsam tak tak, carb tamna ei tur leh bawnghnute atanga siam thil ei hi a theih ang anga tihtlem rawh. Hengte hian thisen sugar inthlak danglam nghal lo turin a pui dawn a ni. Complex carbs, whole grains ang chi te hi a tha zawk.
• I ei leh in atanga carbohydrates tihtlem la, chu ai chuan protein leh thau hrisel tam zawk dah belh rawh. Thau hi a hmin slow a, chakna petu nghet tak a pe bawk.
• Dietary fiber tamna ei tur ei tam rawh. Hei hian ei turah bulk a belhchhah a, intestine kaltlangin a kalna a ti slow hle. Fiber hian sugar absorption a control bawk.
• Chaw ei zawhah minute 30 vel mut (dinglam) a ni. Hei hian chaw ei tur chu chaw ei chhuahna a tikhawlo thei a, chaw ei laiin thisen sang a vawng reng thei bawk.
• Ei hma minute 30-ah emaw, ei zawhah emaw tui emaw, in tur dang emaw in loh tur a ni. Liquids hian pum chhunga thawk chakna a tipung.

Damdawi chi hrang hrang

Damdawi thenkhat hian dumping syndrome natna lanchhuahna hmasa leh hnuhnung zawkte chu a thunun thei a ni.

• Octreotide acetate hmanga siam a ni.Octreotide hian kan chaw ei kawngah hormone thenkhat hnathawh a tikhawlo a ni. Hei hian pum atanga chaw ei chhuah chu a tikhawlo a, small intestine kaltlangin chaw kalna a tikhawtlai a ni. Tin, insulin siamchhuahna a ti tlem bawk. He damdawi hi injection angin pek thin a ni a, nitin (short-acting) emaw thla tin (long-acting) emaw pek thin a ni.
• Acarbose: He damdawi hian kan taksain carbohydrates a lakluhna rate a ti hniam a, thisen sugar level a control a ni. Late dumping syndrome-a hypoglycemia awm thin chu a tihziaawm tih hmuhchhuah a ni.

Inzai

Dumping syndrome tan chuan operation tih hi a tha lo hle. Mahse, i dinhmun hi operation avanga lo awm a nih chuan surgery dangin a siam tha thei a ni. Dumping syndrome hian i nunphung nasa takin a nghawng a, thil dangin hna a thawk lo a nih chuan reconstructive surgery hi i ngaihtuah mai thei. Hei hian a huam a ni:

• Pum chhunga hmun tha lo tak siam thar emaw, siam danglam emaw.
• Gastric bypass ang chi surgery tihdanglam emaw, invasive lo zawka inthlak emaw.

Dumping syndrome hi a bo vek dawn em ni?

Ni e, hun kal zelah a bo tlangpui. Mild early dumping syndrome hi thla thum vel chhungin a reh tlangpui. Case na zawk leh late-onset dumping syndrome te chu thla 12 atanga thla 18 chhung a reh thei. Chutih lai chuan ei leh in thlak danglam hian hahdamna nasa tak a pe thei a ni. Mahse, hmasawnna hmuh tur chuan kar engemaw zat a la ngai thei. Chuvangin dawhtheih a pawimawh.

Dumping syndrome i neih hian eng ei tur nge i ei tur a, eng ei tur nge i ei loh tur?

Hetiang natna vei te tan chuan, a bik takin gastric surgery hnuah, symptoms control thei tur diet plan zawm a pawimawh hle. "Dietary Changes" hnuaia kan sawi tawhte kha hetah pawh hian hman theih a ni:

• Ei tur: Protein tamna ei tur (sangha, vawk, artui, lentils), thau hrisel (avocado, nut), complex carbohydrates fiber tamna (brown rice, oats, thlai).
• Thil pumpelh tur emaw, tihkhawtlai tur: Sugars awlsam (sweetened drinks, sweets, cakes), highly refined carbohydrates (chhangphut chi atanga siam thil), bawnghnute leh bawnghnute atanga siam (mi thenkhat chuan ei harsa an ti mai thei), thau tamna, chaw hmin.

I doctor emaw nutritionist emaw nen inbia a, i tana tha tur meal plan siam hi a tha ber.

A tawp berah chuan take-home message:

Dumping syndrome hi gastric surgery hnua mi tam takin an tawn theih a ni. Operation hnuah pawh heng symptoms te hi i nei thei bawk. Thu lawmawm tak chu a tam zawkah chuan natna na lo tak a ni a, kar tlemte emaw thla engemaw zat emaw chhungin a mah chauhin a reh mai ang.Chutih lai chuan i ei leh in tur dik taka siamrem chuan he dinhmun hi i control tha thei ang.

Nakin lawkah i pum surgery i neih dawn chuan dumping syndrome atana tha ei tur ruahman chu a finthlak hle ang. Kitchen buatsaih la, ei tur ruahmanna tlemte ngaihtuah rawh. Ei leh in i thlak danglam a, chu chuan hahdamna a thlen lo a nih chuan doctor pan ngei ngei tur a ni. I dam leh huna tanpui turin damdawi tul tak tak a pe thei che a ni. Chuvangin, a pawimawh ber chu hlauthawng lo, hriattirna, leh a tul anga hmalak hi a ni.

Dumping Syndrome, Pum, Small Intestine, Surgery, Chaw ei leh in, Symptoms te