Kodi mumamva kupweteka m'mimba mukatha kudya? Kodi izi zingakhale vuto la kutaya chakudya?

Mukadya chakudya, kodi nthawi zina mumamva chizungulire, kukhuta, kapena kupweteka m'mimba? Anthu ena amamvanso kutopa komanso kugwedezeka maola angapo mutatha kudya. Ngati muli ndi zizindikiro izi, mwina muli ndi vuto lotchedwa dumping syndrome . Tiyeni tikambirane za izi mwatsatanetsatane lero, chifukwa zingakhudze anthu ambiri.

Kodi Dumping Syndrome ndi chiyani?

Mwachidule, vuto la kutaya chakudya m'mimba ndi pamene chakudya m'mimba mwanu, kapena zomwe zili m'mimba mwanu, zimalowa m'matumbo ang'onoang'ono, kapena zomwe timazitcha kuti matumbo ang'onoang'ono, zimalowa mwachangu kuposa masiku onse . Madokotala amatchanso izi kuti 'kutulutsa chakudya m'mimba mwachangu'. Taganizirani ngati chakudya m'mimba mwanu "chikuponyedwa" m'matumbo ang'onoang'ono mu chotupa chachikulu, chisanagayidwe bwino.

Choncho, izi zikachitika, chakudya chochuluka chosagayidwa chimapita m'matumbo ang'onoang'ono nthawi imodzi, zomwe zingayambitse kusasangalala monga nseru, kudzimbidwa, kupweteka m'mimba, ndi kutsegula m'mimba . Sikuti zokhazo, komanso zingayambitse kusintha kwakukulu kwadzidzidzi kwa shuga m'magazi mwanu.

Kodi chimachitika ndi chiyani kwenikweni mu Dumping Syndrome?

Kawirikawiri, tikamadya, mimba yathu imatumiza chakudya pang'onopang'ono komanso molamulirika ku matumbo ang'onoang'ono. Izi zimachitika ndi minofu, mitsempha, ndi mahomoni m'mimba, zomwe zimagwira ntchito mogwirizana. Timatcha izi kuti "kusuntha kwa m'mimba."

Komabe, mu matenda a dumping, mgwirizanowu umasokonekera. Valavu yomwe ili pansi pa mimba, valavu ya pyloric , imatseguka chakudya chisanagayidwe, ndipo zonse zomwe zili m'mimba zimatayidwa m'matumbo ang'onoang'ono nthawi yomweyo.

Kodi chimachitika n’chiyani? Pamene matumbo ang’onoang’ono mwadzidzidzi apeza chakudya chosagayidwa, amayesa kuchizolowera. Amakoka madzi ochulukirapo, amatulutsa mahomoni owonjezera. Kusintha kumeneko ndi komwe kumayambitsa kusasangalala komwe tatchula kale titangodya kumene.

Anthu ena angakumane ndi zizindikiro zina maola angapo atadya. Izi zili choncho chifukwa chakuti shuga m'magazi amasintha. Pamene chakudya chokhala ndi shuga wambiri chafika mwadzidzidzi m'matumbo ang'onoang'ono, kapamba wathu amauzidwa kuti atulutse insulin yambiri kuti alamulire shuga m'magazi. Izi zingayambitse kutsika kwadzidzidzi kwa shuga m'magazi. Izi zimatchedwa reactive hypoglycemia . Izi zingayambitse zinthu monga chizungulire, kugwedezeka, ndi palpitations.

Ndani amene ali ndi mwayi waukulu wopeza matenda a dumping syndrome?

Matenda a dumping nthawi zambiri amapezeka ngati vuto pambuyo pa opaleshoni ya m'mimba.Akuti pakati pa 20% ndi 50% ya anthu omwe adachitidwa opaleshoni ya m'mimba adzakumana ndi zizindikirozi pamlingo winawake. Izi zimachitika kawirikawiri kwa anthu omwe adachitidwa opaleshoni yochotsa gawo lalikulu la m'mimba, monga gastrectomy (kuchotsa mimba yonse kapena gawo lake) kapena opaleshoni ya m'mimba (opaleshoni yochepetsa thupi yomwe imadutsa gawo la m'mimba). Nthawi zambiri, imathanso kuchitika chifukwa cha matenda ena a m'mimba.

Kodi Dumping Syndrome ndi vuto lalikulu?

Kawirikawiri, vuto la dumping si loopsa kapena loika moyo pachiswe. Komabe, ngati vutoli ndi lalikulu, lingayambitse kuchepa thupi mwachangu komanso kusowa zakudya zokwanira. Ngati kutsegula m'mimba sikulamuliridwa, kungayambitse kutaya madzi m'thupi. Koma nthawi zambiri, izi zimatha kulamuliridwa.

Anthu ambiri amakhala ndi zizindikiro zochepa zomwe zimatha pakapita nthawi. Matenda a dumping nthawi zambiri samakhalapo kwamuyaya, kotero palibe chodetsa nkhawa.

Kodi zizindikiro za dumping syndrome ndi ziti?

Pali magawo awiri akuluakulu a dumping syndrome, omwe ali ndi zizindikiro zogwirizana ndi gawo lililonse. Mutha kukhala ndi gawo limodzi kapena onse awiriwa.

Zizindikiro zoyambirira za matenda a dumping

Izi nthawi zambiri zimayamba kuchitika pakati pa mphindi 10 ndi 30 mutadya .

• Kusanza
• Kusanza
• Kutsegula m'mimba (kupweteka m'mimba)
• Kupweteka m'mimba ndi kupunduka
• Kudzimbidwa, kudzimbidwa
• Chizungulire, kukomoka
• Kugunda kwa mtima (kumva ngati chifuwa chanu chikugunda)

Zizindikiro za matenda a kutupa kwa msambo omwe amayamba maola angapo mutadya

Zizindikiro zimenezi nthawi zambiri zimawonekera maola awiri kapena atatu mutadya .

• Kufooka, kutopa
• Kunjenjemera, kusakhazikika
• Kugunda kwa mtima mofulumira kapena kosasinthasintha
• Thukuta lozizira
• Kufiira kwa nkhope
• Chifunga cha ubongo - kumva kuvutika kuganiza bwino
• Kumva njala kwambiri

Kodi zifukwa za dumping syndrome ndi ziti?

Pali magulu awiri akuluakulu a zifukwa izi.

Zifukwa zokhudzana ndi opaleshoni:

• Kuchotsa mimba: Opaleshoni yochotsa gawo kapena mimba yonse.
• Opaleshoni ya Bariatric: Opaleshoni yochitidwa kuti achepetse thupi, mwachitsanzo, opaleshoni ya m'mimba.
• Pyloroplasty: Opaleshoni yomwe imachitidwa pa valavu ya pyloric pansi pa mimba.
• Kuchotsa Esophagectomy: Opaleshoni yochotsera gawo kapena m'mero ​​wonse.
• Vagotomy: Njira yochitira opaleshoni yomwe imadula mitsempha ya vagus m'mimba kuti ichepetse asidi m'mimba.
• Nissen fundoplication: Opaleshoni yosokera gawo lapamwamba la mimba mozungulira m'mero ​​(yochitidwa pa matenda a reflux a m'mimba - GERD).

Zifukwa zokhudzana ndi matenda:

Matenda a Dumping angayambitsidwenso ndi matenda ena.

• Matenda a Shuga (Diabetes Mellitus)
• Matenda a kusanza kwa cyclic
• Kulephera kwa kudzilamulira
• Kulephera kwa pancreatic exocrine
• Zilonda za m'matumbo
• Matenda a Zollinger-Ellison
• Kusokonezeka kwa ntchito
• Matenda a Cannabis hyperemesis ( vuto la kusanza kwambiri chifukwa chogwiritsa ntchito chamba)

Kodi mungazindikire bwanji vuto la dumping?

Ngati mudachitidwapo opaleshoni yam'mimba kale (ngakhale itakhala zaka zambiri zapitazo), dokotala wanu angaganize kuti muli ndi vuto la dumping syndrome kutengera zizindikiro zomwe mukufotokoza. Angakupatseni mafunso, monga Dumping Symptom Rating Scale , kuti aone kuopsa kwa zizindikiro zanu.

Komabe, dokotala wanu angachitenso mayeso ena kuti atsimikizire matendawo kapena kuti apeze zifukwa zina. Mayesowa ndi ofunikira kwambiri ngati simunachite opaleshoni ya m'mimba.

Nazi mayeso ena omwe angachite kuti adziwe matenda a dumping:

• Kuyesa kwa shuga m'magazi: Izi zimaphatikizapo kukupatsani chakumwa chokhala ndi shuga ndikuyesa kuchuluka kwa shuga m'magazi musanayambe komanso mutatha. Hematocrit yanu, yomwe ndi kuchuluka kwa maselo ofiira amagazi, imayesedwanso. Kuwonjezeka kwa hematocrit yanu mutatha kumwa chakumwa chokhala ndi shuga kumatanthauza kuti madzi ambiri akutengedwa kuchokera m'magazi anu kupita m'matumbo anu. Ngati shuga m'magazi mwanu atsika mkati mwa ola limodzi kapena atatu, izi zimatchedwa delayed dumping syndrome.
• Kuyesa mpweya wa haidrojeni: Izi zimayesanso kuchuluka kwa haidrojeni mumpweya wanu mutamwa madzi a shuga. Haidrojeni mumpweya wanu imatanthauza kuti matumbo anu ang'onoang'ono sakuyamwa shuga moyenera. Izi zikutanthauza kuti matumbo ang'onoang'ono ali ndi katundu wochuluka.
• Kujambula kwa endoscopy pamwamba: Izi zimaphatikizapo kuyika chubu chopyapyala komanso chosinthasintha (endoscope) chokhala ndi kamera yolumikizidwa kudzera pakamwa ndikuyang'ana mkati mwa mmero, m'mimba, ndi duodenum (gawo loyamba la matumbo ang'onoang'ono). Izi zingathandize kudziwa ngati pali mavuto a kapangidwe kake kapena zifukwa zina zomwe zimayambitsa zizindikiro zanu.
• Mndandanda wa GI wapamwamba:Mu izi, mumapatsidwa madzi apadera (mankhwala osiyanitsa) kuti mumwe, ndipo makanema angapo a X-ray (otchedwa `fluoroscopy`) amagwiritsidwa ntchito kuti muwone pamene akuyenda kudzera m'mero, m'mimba, ndi m'matumbo ang'onoang'ono. Izi zimakupatsani mwayi wowona momwe madziwo akuyendera mofulumira.
• Kuyesa kutulutsa chakudya m'mimba: Izi zimayesa momwe chakudya chimatulutsira chakudya m'mimba mwachangu. Zinthu zochepa kwambiri zomwe zimakhala ndi ma radioactive zimawonjezeredwa ku chakudya chomwe mumadya. Kenako, pogwiritsa ntchito scanner yapadera, dokotala wanu amatha kuwona chakudyacho chikuyenda m'mimba mwanu.

Kodi mungachotse bwanji vuto la dumping syndrome?

Anthu ambiri amatha kuthana ndi vuto la dumping syndrome mwa kusintha zakudya . Pa zizindikiro zazikulu, ngati zakudya zokha sizithandiza, mankhwala angagwiritsidwe ntchito. Komabe, mankhwala akhoza kukhala ndi zotsatirapo zoyipa, choncho sakuvomerezeka kugwiritsidwa ntchito kwa nthawi yayitali. Nthawi zina, ngati dumping syndrome imayamba chifukwa cha opaleshoni ndipo palibe chithandizo china chomwe chathandiza, dokotala wanu angakulangizeni opaleshoni ina.

Malangizo azakudya

Madokotala amalimbikitsa kutsatira malangizo awa kuti achepetse zizindikiro:

• Chepetsani kuchuluka kwa chakudya chomwe mumadya pa chakudya chimodzi ndipo onjezerani kuchuluka kwa chakudya chomwe mumadya tsiku lonse. M'malo mwa kudya zakudya zitatu zazikulu, yesani kudya zakudya zazing'ono zisanu ndi chimodzi.
• Idyani chakudya chanu pang'onopang'ono ndipo chitafuneni bwino. Izi zipangitsa kuti chimbudzi chikhale chosavuta.
• Chepetsani kudya shuga wamba, zakudya zokhala ndi ma carbohydrate ambiri, ndi zinthu zopangidwa ndi mkaka momwe mungathere. Izi zithandiza kupewa kusintha kwadzidzidzi kwa shuga m'magazi. Ma carbohydrate ovuta, monga tirigu wathunthu, ndi abwino.
• Chepetsani chakudya cham'thupi chomwe chimadya chakudya chanu ndipo m'malo mwake onjezerani mapuloteni ambiri ndi mafuta abwino. Mafuta amachedwa kugayidwa ndipo amapereka mphamvu nthawi zonse.
• Idyani zakudya zambiri zokhala ndi ulusi wambiri. Izi zimawonjezera kuchuluka kwa chakudya, zomwe zimapangitsa kuti chiziyenda pang'onopang'ono m'matumbo. Ulusi umathandizanso kuyamwa shuga.
• Gonani pansi (molunjika) kwa mphindi pafupifupi 30 mutadya. Izi zingathandize kuchepetsa kutuluka kwa chakudya m'mimba ndikuthandizira kuti magazi azithamanga bwino mukamadya chakudya.
• Musamwe madzi kapena zakumwa zina mphindi 30 musanadye kapena mutadya. Zakumwa zimawonjezera kuyenda kwa m'mimba.

Mankhwala

Mankhwala ena angathandize kuchepetsa zizindikiro zoyambirira ndi zomaliza za dumping syndrome.

• Octreotide acetate:Octreotide imaletsa ntchito ya mahomoni ena m'thupi lathu. Izi zimachepetsa kutuluka kwa chakudya m'mimba ndi kuyenda kwa chakudya kudzera m'matumbo ang'onoang'ono. Zimathandizanso kuchepetsa kupanga insulin. Mankhwalawa amaperekedwa ngati jakisoni, kaya tsiku lililonse (logwira ntchito kwakanthawi kochepa) kapena pamwezi (logwira ntchito nthawi yayitali).
• Acarbose: Mankhwalawa amachepetsa liwiro lomwe thupi lathu limayamwa chakudya, zomwe zimachepetsa kuchuluka kwa shuga m'magazi. Zawonetsedwa kuti zimachepetsa hypoglycemia yomwe imachitika mu late dumping syndrome.

Opaleshoni

Opaleshoni siilimbikitsidwa kawirikawiri pa matenda a dumping syndrome. Komabe, ngati vuto lanu layamba chifukwa cha opaleshoni, opaleshoni ina ingathe kukonza vutoli. Ngati matenda a dumping syndrome akukhudza kwambiri moyo wanu ndipo palibe china chilichonse chomwe chikugwira ntchito, mungafune kuganizira opaleshoni yokonzanso thupi. Izi zikuphatikizapo:

• Kukonzanso kapena kusintha gawo la m'mimba lomwe silikugwira ntchito bwino.
• Kubwezeretsa opaleshoni monga kuletsa kutsekeka kwa m'mimba kapena kusintha njira yosavulaza kwambiri.

Kodi vuto la kutaya magazi lidzatha kotheratu?

Inde, nthawi zambiri zimatha pakapita nthawi. Matenda ofatsa a dumping osapitirira muyeso nthawi zambiri amatha mkati mwa miyezi itatu. Milandu yoopsa kwambiri komanso matenda a dumping osapitirira muyeso angatenge miyezi 12 mpaka 18 kuti athe. Pakadali pano, kusintha zakudya kungapereke mpumulo waukulu. Komabe, zingatenge milungu ingapo kuti zinthu zisinthe. Chifukwa chake ndikofunikira kukhala oleza mtima.

Ndi zakudya ziti zomwe muyenera kudya komanso zakudya ziti zomwe muyenera kupewa mukakhala ndi vuto la dumping?

Ndikofunikira kwambiri kuti anthu omwe ali ndi vutoli, makamaka atachitidwa opaleshoni ya m'mimba, azitsatira ndondomeko ya zakudya zomwe zimathandiza kuchepetsa zizindikiro. Mfundo zomwe takambirana kale pansi pa "Kusintha kwa Zakudya" zikugwiranso ntchito pano:

• Zakudya: Zakudya zokhala ndi mapuloteni ambiri (nsomba, nkhuku, mazira, mphodza), mafuta abwino (avokado, mtedza), chakudya chophatikizana chokhala ndi ulusi wambiri (mpunga wofiirira, oats, ndiwo zamasamba).
• Zinthu zoti mupewe kapena kuchepetsa: Shuga wamba (zakumwa zotsekemera, maswiti, makeke), chakudya chokonzedwa bwino kwambiri (zinthu zopangidwa ndi ufa wa buledi), mkaka ndi zinthu zopangidwa ndi mkaka (anthu ena angavutike kugaya), zakudya zokazinga ndi mafuta ambiri.

Ndi bwino kulankhula ndi dokotala wanu kapena katswiri wa zakudya kuti akupatseni dongosolo la chakudya lomwe likugwirizana ndi inu.

Pomaliza, uthenga wopita nawo kunyumba:

Matenda a Dumping ndi matenda omwe anthu ambiri amakumana nawo atachitidwa opaleshoni ya m'mimba. Muthanso kukumana ndi zizindikiro izi mutachitidwa opaleshoni. Nkhani yabwino ndi yakuti nthawi zambiri, ndi matenda ofatsa ndipo amatha okha mkati mwa milungu kapena miyezi ingapo.Pakadali pano, mutha kuwongolera vutoli bwino mwa kusintha zakudya zanu moyenera.

Ngati mukufuna kuchitidwa opaleshoni ya m'mimba mtsogolo, ndi bwino kukonzekera zakudya zoyenera matenda a dumping. Konzani khitchini ndipo khalani ndi mapulani angapo azakudya m'maganizo. Ngati mwasintha zakudya zanu ndipo sizikubweretsa mpumulo, onetsetsani kuti mwaonana ndi dokotala wanu. Iye akhoza kukupatsani mankhwala ofunikira kuti akuthandizeni pamene mukuchira. Chifukwa chake, chofunika kwambiri ndi kusachita mantha, kudziwitsidwa, ndikuchitapo kanthu kofunikira.

Matenda a Dumping , Mimba, Matumbo Ang'onoang'ono, Opaleshoni, Kugaya chakudya, Zizindikiro