Kodi mudachitidwa opaleshoni yochepetsa thupi (monga opaleshoni ya m'mimba)? Kapena nthawi zina mumamva kukhuta, kupweteka m'mimba, kumva nseru, thukuta, komanso chizungulire mutatha kudya chakudya, makamaka chinthu chokoma? Simuli nokha. Lero tikulankhula za matenda omwe amakhudza anthu ambiri koma nthawi zambiri samakambidwa. Zizindikirozi zitha kukhala zoopsa pang'ono poyamba, koma siziwopseza moyo. Chinthu chabwino kwambiri ndichakuti mutha kuziletsa mwa kusintha pang'ono zakudya zanu.
Mwachidule, kodi Dumping Syndrome ndi chiyani?
Ganizirani mimba yanu ngati dam. Chakudya chomwe timadya chimasungidwa mu dam iyi kwa kanthawi, chimagayidwa pang'onopang'ono, kenako chimatumizidwa ku matumbo ang'onoang'ono m'zidutswa zazing'ono. Koma chomwe chimachitika kwa munthu amene ali ndi vuto la dumping syndrome ndichakuti zipata za dam iyi zimatsegulidwa mwadzidzidzi. Izi zikutanthauza kuti, chakudya chambiri chimatayidwa mwadzidzidzi kuchokera m'mimba kupita ku matumbo ang'onoang'ono, ndiko kuti, chimatuluka.
Chakudya chochuluka chosagayidwa chikalowa m'matumbo ang'onoang'ono mwadzidzidzi, chimagwedezeka. Chimayenera kuyamwa madzi ambiri m'thupi lake kuti chigaye chakudyachi. Chimatulutsanso mahomoni ambiri m'magazi. Ichi ndichifukwa chake mumapeza zizindikiro monga kupweteka m'mimba, nseru, kudzimbidwa, kutsegula m'mimba, komanso kugunda kwa mtima mwachangu. Zingayambitsenso kusintha kwadzidzidzi kwa shuga m'magazi mwanu.
N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zazikulu ndi ziti?
Chifukwa chachikulu komanso chofala kwambiri cha matenda a dumping ndi opaleshoni ya m'mimba. Makamaka:
- Opaleshoni yochepetsa thupi: Vutoli limachitika kawirikawiri pambuyo pa opaleshoni yochotsa gawo la m'mimba, monga ``Gastric Bypass`` kapena ``Gastric Sleeve``. Pakati pa 20% ndi 50% ya anthu omwe adachitapo opaleshoni yotereyi akhoza kukumana ndi zizindikirozi pamlingo winawake.
- Maopaleshoni ena a m'mimba: Vutoli lingachitike ngakhale gawo lina la m'mimba litachotsedwa chifukwa cha khansa ya m'mimba kapena zilonda.
Kuwonjezera pa opaleshoni, izi sizingachitike kawirikawiri chifukwa cha matenda ena. Mwachitsanzo, anthu ena omwe ali ndi matenda a shuga amathanso kukumana ndi zizindikiro izi.
Komanso, zakudya zina zomwe timadya zingapangitse kuti zizindikirozi ziwonjezeke. Vutoli likhoza kukhala lalikulu kwambiri tikamadya zakudya zomwe zili ndi shuga woyengedwa bwino, monga shuga, zakumwa zotsekemera, makeke, ndi ayisikilimu . Izi zili choncho chifukwa shugayu amatha kuyamwa madzi m'mimba mwachangu. Komanso, zakudya za mkaka ndi zakudya zokazinga ndi mafuta zimatha kupangitsa kuti zizindikirozi ziwonjezeke kwa anthu ena.
Chofunika kwambiri ndichakuti zizindikirozi zidzachepa pakapita nthawi, choncho musadandaule.
Zizindikiro za dumping syndrome zitha kuchitika m'njira ziwiri:
Pa vutoli, zizindikiro zimatha kuoneka m'magawo awiri akuluakulu. Anthu ena akhoza kukhala ndi zonse ziwiri, ndipo ena akhoza kukhala ndi chimodzi chokha.
| Nthawi yoyambira zizindikiro | Zizindikiro zomwe zimawonekera |
|---|---|
| Zizindikiro Zoyambirira (Pakatha mphindi 10-30 mutadya) |
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| Zizindikiro za Gawo Lomaliza (Maola 1-3 mutadya) |
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Kodi n’chiyani chimayambitsa zizindikirozo kubwera kumapeto?
Izi zimachitika chifukwa shuga m'magazi amakwera mwadzidzidzi kenako mwadzidzidzi amatsika. Tikadya chakudya chotsekemera, shugayo imalowa mwachangu m'magazi kuchokera m'matumbo ang'onoang'ono. Poyankha, thupi lathu limapanga mahomoni ambiri a insulin nthawi imodzi. Izi zimapangitsa kuti shuga m'magazi atsike mwadzidzidzi (hypoglycemia), ndipo mumamva zizindikiro monga kutopa ndi chizungulire.
Chenjezo: Ngati simunapezekepo ndi matenda a dumping syndrome, ndipo mwadzidzidzi mukumva kutaya chidziwitso, chizungulire chachikulu, kugunda kwa mtima mofulumira kwambiri, kapena kukomoka , pitani kuchipatala mwamsanga.
Kodi dokotala amazindikira bwanji izi?
Ngati munachitidwapo opaleshoni ya m'mimba kale, dokotala wanu angakupatseni matenda a dumping syndrome kutengera zizindikiro zanu. Angakupemphani kuti mudzaze mafunso otchedwa Dumping Symptom Rating Scale.
Komabe, ngati opaleshoni sinachitike, kapena zizindikiro zake sizikudziwika bwino, mayeso ena angafunike kuti adziwe chomwe chimayambitsa vutoli.
- Mayeso Oletsa Shuga M'kamwa: Mumapatsidwa chakumwa chokhala ndi shuga ndipo shuga m'magazi mwanu amayesedwa musanayambe komanso patatha maola 1-3. Ngati shuga m'magazi mwanu watsika mwadzidzidzi, ndi chizindikiro cha matenda a dumping omwe amachitika mochedwa.
- Kuyesa Kutulutsa Madzi M'mimba: Izi zimayesa momwe chakudya chimayendera mofulumira m'mimba mwanu. Mumapatsidwa chakudya chochepa chosakanikirana ndi zinthu zotulutsa ma radiation ndipo mumachiyang'aniridwa pamene chikudutsa mu scanner.
- Upper Endoscopy: Chitoliro chopyapyala, chokhala ndi kamera chimadutsa m'kamwa kupita m'mimba kuti chione ngati pali mavuto m'mimba.
- Mndandanda Wapamwamba wa GI: Madzi apadera (choyezera kusiyanitsa) amaperekedwa kuti amwe, ndipo makina a X-ray amawonetsedwa pavidiyo kuti awone momwe amayendera m'mimba.
Kuchiza ndi kusamalira matenda a dumping
Nthawi zambiri, vutoli lingathe kuthetsedwa mwa kusintha zakudya zanu ndi moyo wanu . Uwu ndiye chithandizo chachikulu komanso chofunikira kwambiri.
| Zinthu zoti muchite (zoti mudye ndi zizolowezi) | Zinthu zomwe simuyenera kuchita (zinthu zomwe simuyenera kupewa) |
|---|---|
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Malangizo ena ofunikira
- Gona pansi kwa kanthawi mutatha kudya: Kugona pansi kwa mphindi pafupifupi 30 mutatha kudya kungathandize kuchepetsa zizindikiro monga chizungulire.
- Siyani kudya mukakhuta: Musadye mopitirira muyeso.
Ngati kusintha kwa zakudya sikukuletsa zizindikiro zanu, dokotala wanu angakulembereni mankhwala. Mwachitsanzo, jakisoni wotchedwa Octreotide acetate (Sandostatin) kapena piritsi lotchedwa Acarbose (Precose) lomwe limalamulira kugaya chakudya m'thupi. Izi ziyenera kumwedwa pokhapokha ngati dokotala akuyang'anira. Pa milandu yovuta kwambiri pomwe palibe njira iliyonse yomwe ikugwira ntchito, opaleshoni ingakulimbikitseni.
Uthenga Wopita Nawo Kunyumba
- Matenda a dumping ndi vuto lofala lomwe limachitika pambuyo pa opaleshoni ya m'mimba. Sili pachiwopsezo cha moyo.
- Izi zili choncho chifukwa chakudya chimasamuka kuchokera m'mimba kupita ku matumbo ang'onoang'ono nthawi yomweyo chisanagayidwe.
- Chithandizo chachikulu komanso chabwino kwambiri ndikusintha zakudya ndi zizolowezi zanu.
- Idyani zakudya zochepa kangapo patsiku. Musadye shuga ndi maswiti konse.
- Pewani kumwa zakumwa mukudya. Musamwe madzi kwa mphindi 30 musanadye komanso mutadya.
- Ngati simungathe kuletsa zizindikiro zanu ngakhale mutasintha zakudya kapena ngati mukuchepetsa thupi kwambiri, onetsetsani kuti mwalankhula ndi dokotala wanu.
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