Mwangomaliza kudya chakudya chokoma ... ndipo pakapita kanthawi, mukumva ngati pali vuto m'mimba mwanu. M'mimba mwanu mwadzaza, mukumva nseru, mukutuluka thukuta, ndipo mtima wanu ukugunda mofulumira. Mwina mukuganiza kuti, 'Sindikudziwa ngati ndakhudza chakudyacho kapena ayi.' Koma iyi ikhoza kukhala vuto lotchedwa 'dumping syndrome' lomwe limachitika pambuyo pa opaleshoni ya m'mimba kapena ndi matenda ena. Musadandaule, tiyeni tikambirane za izi mosavuta komanso momveka bwino.
Kodi Dumping Syndrome ndi chiyani?
Mwachidule, apa ndi pamene mimba yanu (gawo lapamwamba la matumbo) imakankhira zomwe zili m'mimba mwake, chakudya chomwe timadya, kulowa m'matumbo ang'onoang'ono mwachangu kwambiri, isanagayidwe bwino. Izi zimatchedwanso "kutulutsa m'mimba mwachangu".
Tangoganizirani fakitale yomwe ikufunika kukonza zinthu zina ndikuzitumiza. Koma chifukwa cha vuto ndi makina, zili ngati kutaya zinthu zonse nthawi imodzi. Nthawi zambiri, mimba yathu imatumiza chakudya kumatumbo ang'onoang'ono molamulidwa. Minofu yathu, mitsempha, ndi mahomoni onse amagwira ntchito limodzi munjira imeneyi. Koma ngati china chake chasokoneza mgwirizanowu, chakudya chomwe chili m'mimba chimangotayidwa mwadzidzidzi m'matumbo ang'onoang'ono, ndiko kuti, chimatayidwa kunja.
Chakudya chochuluka chosagayidwa chikalowa m'matumbo ang'onoang'ono mwadzidzidzi, sichingathe kuchipirira. Chimakwiya, ndipo kuti chizithetse, chimakoka madzi ambiri m'derali, chimatulutsa mahomoni. Kukwiya kumeneko ndi komwe timakumana nako monga zizindikiro monga nseru, kupweteka m'mimba, ndi kudzimbidwa .
Anthu ena angakumane ndi zizindikiro zina maola angapo atadya. Izi zimachitika chifukwa cha kusintha kwa shuga m'magazi. Shuga wambiri akalowa m'matumbo nthawi yomweyo, kapamba wathu amanjenjemera ndipo amaganiza kuti, "O, pali shuga wambiri, tiyenera kubaya insulin mwachangu," ndipo amatulutsa insulin yambiri kuposa momwe iyenera kukhalira. Kenako shuga m'magazi amatsika mwadzidzidzi. Ndicho chimene timachitcha ``Reactive Hypoglycemia.'' Izi zingayambitse kumva kukomoka, kugwedezeka, komanso kugunda kwa mtima mwachangu.
Kodi zizindikiro za dumping syndrome ndi ziti?
Zizindikiro za vutoli zitha kubwera m'magawo awiri akuluakulu. Mutha kukumana ndi chimodzi mwa izi kapena zonse ziwiri.
| Gawo la zizindikiro | Zizindikiro zimamveka |
|---|---|
| Zizindikiro zoyambirira (Pakatha mphindi 10-30 mutadya) |
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| Zizindikiro za siteji yotsatira (Maola awiri kapena atatu mutadya) |
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Ndani amene ali ndi mwayi waukulu wopeza vutoli?
Vutoli nthawi zambiri limachitika ngati zotsatira zoyipa za opaleshoni m'mimba kapena m'mero. Nthawi zambiri zimachitika pambuyo pa opaleshoni kuchotsa gawo kapena m'mimba yonse, kapena pambuyo pa opaleshoni yochepetsa thupi. Likhozanso kuchitika chifukwa cha matenda ena.
| Zifukwa zazikulu za dumping syndrome | |
|---|---|
| Zifukwa zokhudzana ndi opaleshoni | |
| Kuchotsa Mimba | Kuchotsa gawo la m'mimba kapena mimba yonse. |
| Opaleshoni yochepetsa thupi (opaleshoni ya Bariatric) | Mwachitsanzo, opaleshoni ya m'mimba. |
| Kuchotsa Misozi | Kuchotsa gawo kapena m'mero wonse. |
| Maopaleshoni ena am'mimba | Mwachitsanzo: `Pyloroplasty`, `Vagotomy`, `Nissen fundoplication`. |
| Zifukwa zokhudzana ndi matenda | |
| Matenda a Shuga (Diabetes Mellitus) | Makamaka pamene mitsempha yakhudzidwa. |
| Matenda ena | Matenda monga `Zollinger-Ellison syndrome` ndi `Duodenal ulcers`. |
Kodi vuto la kutaya madzi m'thupi ndi lalikulu?
Kawirikawiri, ayi. Iyi si matenda oopsa.
Komabe, ngati vutoli likula kwambiri, kuchepa thupi mwachangu komanso kusowa zakudya m'thupi kungachitike. Kusowa madzi m'thupi kungachitikenso chifukwa cha kutsegula m'mimba kosalekeza. Koma nthawi zambiri timatha kuwongolera izi. Anthu ambiri amakhala ndi zizindikiro zochepa. Zizindikirozi zimatha pakapita nthawi. Izi nthawi zambiri sizikhala vuto lokhazikika.
Dokotala, mumazindikira bwanji izi?
Ngati mwachitidwa opaleshoni ya m'mimba posachedwapa, dokotala wanu akhoza kuzindikira vutoli kutengera zizindikiro zanu. Nthawi zina, angakupatseninso mafunso (`Dumping Symptom Rating Scale`) omwe amayesa kuopsa kwa zizindikiro zanu.
Komabe, ngati opaleshoni sinachitike, kapena ngati matenda akufunika kutsimikiziridwa, dokotala wanu angakulangizeni mayeso angapo, monga:
- Kuyesa kwa shuga m'magazi: Izi zimaphatikizapo kumwa madzi okhala ndi shuga ndikuyang'ana kuchuluka kwa shuga m'magazi musanayambe komanso mutamaliza kumwa. Izi zingathandize kuzindikira kuchuluka kwa shuga m'magazi komwe kungayambitse zizindikiro pambuyo pake.
- Kuyesa mpweya wa haidrojeni: Izi zimaphatikizaponso kumwa madzi okhala ndi shuga ndikuyesa kuchuluka kwa mpweya wa haidrojeni womwe uli mu mpweya wanu. Ngati shuga sunalowe bwino, kuchuluka kwa haidrojeni komwe kuli mu mpweya wanu kudzawonjezeka.
- Endoscopy Yapamwamba: Chubu chaching'ono chokhala ndi kamera chimayikidwa kudzera pakamwa kuti chione mimba, mmero, ndi gawo loyamba la matumbo ang'onoang'ono.
- Mndandanda wa GI wapamwamba:Madzi apadera (osiyana) amaperekedwa kuti amwe, ndipo kanema wa X-ray amagwiritsidwa ntchito kuti awone akuyenda m'matumbo. Izi zitha kusonyeza momwe chakudya chimayendera mwachangu m'mimba.
- Kuyesa kutulutsa chakudya m'mimba: Iyi ndi njira yabwino kwambiri yoyezera liwiro la kutulutsa chakudya m'mimba. Zinthu zochepa zowononga mpweya zimasakanizidwa mu chakudya ndipo liwiro limene chakudyacho chimadutsa m'mimba limayesedwa pogwiritsa ntchito scanner.
Kodi tingalamulire bwanji vutoli?
Anthu ambiri amatha kuthetsa vutoli mwa kusintha zakudya zawo .
Kusintha zakudya (ichi ndiye chinthu chofunikira kwambiri!)
| Zoyenera kuchita | Ndichoncho chifukwa chiyani? |
|---|---|
| M'malo modya chakudya chachikulu katatu patsiku, idyani chakudya chaching'ono kasanu ndi kamodzi. | Zimachepetsa kuchuluka kwa chakudya chomwe chimalowa m'mimba nthawi imodzi. |
| Tafuna chakudya chako bwino ndipo idya pang'onopang'ono. | Zimathandiza m'mimba pa ntchito yogaya chakudya. |
| Chepetsani zakudya zopatsa mphamvu monga shuga, zakumwa zotsekemera, makeke, ndi buledi woyera. | Zimaletsa kuchuluka kwa shuga m'magazi kuti kusakwere kapena kutsika mwadzidzidzi. |
| Idyani mapuloteni ambiri (nyama, nsomba, mazira) ndi mafuta abwino (mtedza, mapeyala). | Izi zimatenga nthawi yayitali kuti zigayidwe, kotero zimalamulira kutuluka kwa madzi m'mimba. |
| Idyani zakudya zokhala ndi ulusi wambiri (mpunga wofiirira, ndiwo zamasamba, zipatso). | Zimachedwetsa liwiro limene chakudya chimadutsa m'matumbo. |
| Musamwe madzi/zakumwa mphindi 30 musanadye kapena mphindi 30 mutadya. | Zakumwa zimathandiza kuti chakudya chizidutsa m'mimba mwachangu. |
| Mukatha kudya, gonani pansi kwa mphindi pafupifupi 30. | Mphamvu yokoka imatha kuchepetsa liwiro limene chakudya chimatsika. |
Mankhwala (mankhwala)
Ngati zizindikiro zikuvuta kuzithetsa ngakhale mutasintha zakudya, dokotala wanu angakupatseni mankhwala enaake.
- Octreotide acetate: Iyi ndi jakisoni. Imathandiza kuchepetsa kutulutsa madzi m'mimba komanso kuwongolera kutulutsa kwa insulin.
- Acarbose: Mankhwalawa amagwira ntchito pochepetsa liwiro la chakudya chomwe chimalowa m'thupi. Izi zingathandize kuwongolera zizindikiro za shuga wotsika m'magazi pambuyo pake.
Opaleshoni
Izi zimachitika kawirikawiri . Dokotala amangoganizira zoti opaleshoni ichitikenso ngati zina zonse zalephera ndipo vutoli likukhudza kwambiri moyo wanu.
Kodi vuto la kutaya magazi lidzatha?
Inde, nthawi zambiri zimakhala bwino pakapita nthawi. Matenda ofatsa amatha kuchira mkati mwa miyezi itatu. Matenda owopsa kwambiri amatha kutenga miyezi 12 mpaka 18. Koma musadandaule, ngati mutasintha zakudya zanu moyenera, mudzamva bwino mkati mwa nthawiyi.
Ngati mwakonzekera kuchitidwa opaleshoni, ndi bwino kukonzekera pasadakhale zakudya zomwe mudzadye pambuyo pake.
Uthenga Wopita Nawo Kunyumba
- Matenda a dumping ndi pamene m'mimba mumabweza zomwe zili mkati mwake m'matumbo ang'onoang'ono.
- Vutoli limapezeka kawirikawiri pambuyo pa opaleshoni ya m'mimba.
- Zizindikiro zimatha kuchitika nthawi yochepa mutadya (nseru, kupweteka m'mimba) kapena maola angapo pambuyo pake (kugwedezeka, thukuta).
- Kawirikawiri izi si vuto loopsa ndipo limachira pakapita nthawi.
- Chithandizo chofunika kwambiri ndikusintha zakudya zanu: idyani pang'ono kangapo patsiku, chepetsani shuga, ndipo musamwe madzi pamodzi ndi chakudya.
- Ngati zizindikiro zanu zili zazikulu kapena sizingathe kuthetsedwa ndi kusintha zakudya, onetsetsani kuti mwalankhula ndi dokotala wanu.
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