Ese ubabara mu gifu nyuma yo kurya? Ese iyi yaba ari indwara yo gutakaza ubushake bwo kurya?

Umaze kurya, hari igihe wumva ufite isereri, urya cyangwa ukagira kuribwa mu nda? Hari n'abantu bumva bananiwe kandi bahinda umushyitsi nyuma y'amasaha make nyuma yo kurya. Niba ufite ibi bimenyetso, ushobora kuba ufite indwara yitwa dumping syndrome . Reka tubiganireho birambuye uyu munsi, kuko ishobora kugira ingaruka ku bantu benshi.

Indwara yo gutakaza ubwivumbure bw'amaraso ni iki?

Mu magambo make, indwara yo gutakaza amaraso ni igihe ibiryo biri mu nda yawe, cyangwa se ibiri mu nda yawe, byinjira mu mara mato, cyangwa icyo dukunze kwita amara mato, vuba kurusha uko bisanzwe . Abaganga banabyita 'gusohora amaraso mu nda' vuba. Tekereza nk'aho ibiryo biri mu nda yawe birimo "gushyirwa" mu mara mato mu kibyimba kinini, mbere yuko bigogorwa neza.

Rero, iyo ibi bibaye, ibiryo byinshi bitarashyirwa mu mara bihita bijya mu mara mato icyarimwe, bishobora gutera ububabare nko kugira isesemi, kubyimba, kuribwa mu gifu no gucibwamo . Si ibyo gusa, ahubwo bishobora no guteza impinduka zitunguranye kandi nini mu rugero rw'isukari mu mara yawe.

Ni iki koko kibaho muri Dumping Syndrome?

Ubusanzwe, iyo turya, igifu cyacu cyohereza ibiryo buhoro buhoro kandi mu buryo bugenzuwe mu mara mato. Ibi bikorwa n'imitsi, imitsi, n'imisemburo yo mu gifu, bikora mu guhuza ibikorwa. Ibi tubyita "gushobora kugenda mu gifu."

Ariko, muri syndrome yo gutakaza amaraso, iyi coordination iragorana. Valve iri hasi mu gifu, valve ya pyloric , irafungura mbere yuko ibiryo bishongeshwa, kandi ibiri mu gifu byose bijugunywa mu mara mato ako kanya.

Bigenda bite se? Iyo amara mato agize ibiryo bitarashyirwa mu mubiri, agerageza kumenyera. Akuramo amazi menshi, agasohora imisemburo myinshi. Izo mpinduka ni zo zitera kumererwa nabi twavuze mbere nyuma gato yo kurya.

Hari abantu bashobora kugira ibindi bimenyetso nyuma y'amasaha make bariye. Ibi biterwa nuko urugero rw'isukari mu mara ruhinduka. Iyo ifunguro rifite isukari nyinshi riguye mu mara mato mu buryo butunguranye, pancreas yacu ihabwa ikimenyetso cyo kurekura insuline nyinshi kugira ngo igenzure isukari mu maraso. Ibi bishobora gutuma isukari mu maraso igabanuka mu buryo butunguranye. Ibi byitwa hypoglycemia ihindagurika . Ibi bishobora gutera ibintu nko kuzerera, guhinda umushyitsi, no gutera ubwoba.

Ni nde ufite amahirwe menshi yo kurwara indwara yo gukurura inda?

Indwara yo gutakaza uruhu ikunze kubaho nk'ikibazo nyuma yo kubagwa igifu.Bivugwa ko hagati ya 20% na 50% by'abantu babazwe igifu bazabona ibi bimenyetso ku rugero runaka. Ibi bikunze kugaragara cyane cyane ku bantu babazwe bakuraho igice kinini cy'igifu, nko kubagwa igifu cyose cyangwa igice cyacyo cyangwa kubagwa igifu (kubagwa igifu kidakora neza ) cyangwa kubagwa igifu kidakora neza ( kubagwa igifu kidakora neza). Ni gake cyane, bishobora guterwa n'indwara zimwe na zimwe zo mu mara.

Ese indwara yo gutakaza ubwivumbure bw'amaraso ni indwara ikomeye?

Ubusanzwe, indwara yo gusimbuka kw'inyama ntabwo ari ikibazo gikomeye cyangwa ngo gishyire ubuzima mu kaga. Ariko, iyo indwara ikomeye, ishobora gutuma umuntu atakaza ibiro vuba kandi akabura imirire. Iyo impiswi idahagaritswe, ishobora gutuma umuntu abura amazi. Ariko akenshi, ibi bishobora kugenzurwa.

Abantu benshi bagira ibimenyetso byoroheje bishira uko igihe kigenda. Indwara yo gutakaza ubwivumbure akenshi ntabwo ari ubuzima buhoraho, bityo nta kintu na kimwe cyo guhangayikishwa na cyo.

Ni ibihe bimenyetso by'indwara yo gutakaza ubwivumbure bw'umubiri (dumping syndrome)?

Hari ibyiciro bibiri by'ingenzi bya syndrome yo gutakaza ubushake bwo gukora imibonano mpuzabitsina, ibimenyetso bifitanye isano na buri cyiciro. Ushobora kugira kimwe muri ibyo byiciro cyangwa byombi.

Ibimenyetso by'indwara yo gutakaza ubwiza bw'umubiri hakiri kare

Ibi bikunze gutangira kubaho hagati y'iminota 10 na 30 nyuma yo kurya .

• Isesemi
• Kuruka
• Impiswi (kubabara mu gifu)
• Kubabara mu gifu no gucumbagira
• Kubyimba, kumva ubyimbye
• Kuzungera, gucika intege
• Umutima utera cyane (kumva nk'aho igituza cyawe kirimo gutera cyane)

Ibimenyetso by'indwara yo gutakaza ubushake bwo kurya nyuma y'amasaha make

Ibi bimenyetso bikunze kugaragara nyuma y'amasaha abiri cyangwa atatu nyuma yo kurya .

• Intege nke, umunaniro
• Guhinda umushyitsi, kubura amahoro
• Umutima utera vuba cyangwa utari umeze neza
• Ibyuya bikonje
• Umutuku mu maso
• Igihu cyo mu bwonko - kumva bigoye gutekereza neza
• Kumva ushonje cyane

Ni izihe mpamvu zitera indwara yo gutakaza ubwiherero (dumping syndrome)?

Hari ibyiciro bibiri by'ingenzi by'impamvu zibitera.

Impamvu zijyanye no kubagwa:

• Gukuramo igice cy'igifu cyangwa igice cyose cy'igifu.
• Kubaga igifu: Kubaga bigamije kugabanya ibiro, urugero nko kubaga igifu.
• Pyloroplasty: Kubagwa bikorerwa ku mugozi wa pyloric uri hasi mu nda.
• Gukuramo igice cy'umuyoboro w'amaraso: Kubaga kugira ngo bakureho igice cy'umuyoboro w'amaraso cyangwa wose.
• Kuva mu nda: Uburyo bwo kubaga bugabanya umutsi w’inda mu nda kugira ngo ugabanye aside yo mu gifu.
• Nissen fundoplication: Kubaga igice cyo hejuru cy'igifu kizenguruka umwobo (bikorerwa indwara ya gastroesophageal reflux - GERD).

Impamvu ziterwa n'indwara:

Indwara yo gutakaza ubwivumbure ishobora guterwa n'indwara zimwe na zimwe.

• Diyabete (Diabete Mellitus)
• Indwara yo kuruka mu buryo bw'ihindagurika ry'ikirere
• Ihindagurika ry'imikorere y'umubiri
• Kubura kwa pancreas mu nda y'umukara
• Ibisebe byo mu gifu
• Indwara ya Zollinger-Ellison
• Kudakora neza kw'umubiri (functional dyspepsia)
• Indwara yo kuruka cyane bitewe no kunywa urumogi (cannabis hyperemesis syndrome )

Ni gute wamenya indwara yo gutakaza ubwivumbure?

Niba wigeze kubagwa igifu mbere (nubwo byaba byarabayeho mu myaka yashize), muganga wawe ashobora gukeka ko ufite indwara yo gutakaza ubwivumbure bitewe n'ibimenyetso urimo gusobanura. Bashobora kuguha urupapuro rw'ibibazo, nka Dumping Symptom Rating Scale , kugira ngo bapime ubukana bw'ibimenyetso byawe.

Ariko, muganga wawe ashobora kandi gukora ibizamini bimwe na bimwe kugira ngo yemeze ko indwara yanduye cyangwa kugira ngo agaragaze ko nta zindi mpamvu zihari. Ibi bizamini ni ingenzi cyane cyane niba utarabagwa igifu.

Dore bimwe mu bizamini bishobora gukorwa kugira ngo hamenyekane indwara yo gutakaza ubwivumbure:

• Ikizamini cyo kwihanganira isukari mu kanwa: Ibi bikubiyemo kuguha ikinyobwa kirimo isukari no gupima urugero rw'isukari mu maraso yawe mbere na nyuma yayo. Hematocrit yawe, ari na yo ijanisha ry'uturemangingo dutukura tw'amaraso, na yo irapimwa. Ukwiyongera kwa hematocrit yawe nyuma yo kunywa ikinyobwa kirimo isukari bivuze ko amazi menshi arimo gukurwa mu maraso yawe akajyanwa mu mara yawe. Iyo isukari mu maraso yawe igabanutse mu isaha imwe cyangwa eshatu, ibi byitwa delay dumping syndrome.
• Ikizamini cyo guhumeka cya Hydrogen: Iki gipima kandi ingano ya Hydrogen mu mwuka wawe nyuma yo kunywa umuti wa glucose. Hydrogen mu mwuka wawe bivuze ko amara yawe mato adafata glucose neza. Ibi bivuze ko amara mato aba yuzuye cyane.
• Gupima Endoscope yo hejuru: Ibi bikubiyemo gushyiramo umuyoboro muto kandi woroshye (endoscope) ufite kamera inyujijwe mu kanwa no gusuzuma imbere mu muhogo, mu gifu, na duodenum (igice cya mbere cy'amara mato). Ibi bishobora gufasha kumenya niba hari ibibazo by'imiterere cyangwa izindi mpamvu zitera ibimenyetso byawe.
• Uruhererekane rw'ibipimo bya GI byo hejuru:Muri ibi, uhabwa amazi yihariye (umuti utandukanye) wo kunywa, kandi hakoreshwa urukurikirane rwa videwo ya X-rays (yitwa `fluoroscopy`) kugira ngo uyirebe uko inyura mu muhogo, mu gifu no mu mara mato yo hejuru. Ibi bigufasha kubona uburyo amazi yihuta.
• Ikizamini cyo gusohora ibiryo mu gifu: Iki gipimo cy'uburyo ibiryo bisohoka vuba mu gifu cyawe. Harimo ibintu bike cyane bya radiation byongerwa ku biryo urya. Hanyuma, hakoreshejwe scanner yihariye, muganga wawe ashobora kureba ibiryo binyura mu gifu cyawe.

Ni gute wakwirinda indwara yo gutakaza ubwivumbure?

Abantu benshi bashobora kwihanganira indwara yo gusimbuka amaraso bakoresheje uburyo bwo guhindura imirire . Ku bimenyetso bikomeye, niba indyo yonyine idafasha, imiti ishobora gukoreshwa. Ariko, imiti ishobora kugira ingaruka mbi, bityo ntiyemerwa gukoreshwa igihe kirekire. Mu bihe bidasanzwe, niba indwara yo gusimbuka amaraso iterwa no kubagwa kandi nta bundi buryo bwo kuvura bwagize icyo butanga, muganga wawe ashobora kukugira inama yo kongera kubagwa.

Amabwiriza agenga imirire

Abaganga batanga inama yo gukurikiza izi nama kugira ngo bagabanye ibimenyetso:

• Gabanya ingano y'ibiryo urya ku ifunguro rimwe kandi wongere umubare w'ibiryo urya umunsi wose. Aho kurya amafunguro atatu manini, gerageza kurya amafunguro atandatu magufi.
• Rya ibiryo byawe buhoro buhoro kandi ubihekenye neza. Ibi bizatuma igogora ryoroha.
• Gabanya kurya isukari yoroshye, ibiryo birimo karubohidrati nyinshi, n'ibikomoka ku mata uko bishoboka kose. Ibi bizagufasha kwirinda impinduka zitunguranye mu isukari mu maraso. Karubohidrati zikomeye, nk'ibinyampeke byuzuye, ni byiza kurushaho.
• Gabanya ibinyasukari mu mirire yawe, wongereho poroteyine nyinshi n'ibinure byiza. Ibinure biratinda kugogorwa kandi bitanga isoko ihoraho y'ingufu.
• Kurya ibiryo byinshi bikungahaye kuri fibre. Ibi byongera ubwinshi mu biribwa, bigatinda kugenda kwabyo mu mara. Fibre inagenzura uburyo isukari yinjizwa.
• Kuryama (uhagaze) mu gihe cy'iminota 30 nyuma yo kurya. Ibi bishobora kugabanya umuvuduko w'ibiryo mu nda no gufasha mu kubungabunga umuvuduko w'amaraso mu gihe cyo kugogora.
• Ntukanywe amazi cyangwa ibindi binyobwa iminota 30 mbere cyangwa nyuma yo kurya. Ibinyobwa byongera ubushobozi bwo kugenda mu gifu.

Imiti

Imiti imwe n'imwe ishobora gufasha mu kugenzura ibimenyetso bya syndrome yo gutakaza ubushake bwo kuruhuka mu gihe cya mbere n'icya nyuma.

• Octreotide acetate:Octreotide ibuza imisemburo imwe n'imwe mu buryo bw'igogora ryacu. Ibi bigabanya umuvuduko w'ibiryo mu gifu no mu rujya n'uruza rw'ibiryo mu mara mato. Binagabanya umuvuduko wa insuline. Uyu muti utangwa nk'urushinge, haba buri munsi (ufata igihe gito) cyangwa buri kwezi (ufata igihe kirekire).
• Acarbose: Uyu muti ugabanya umuvuduko umubiri wacu ufatamo karubohidrati, ukagenzura urugero rw'isukari mu maraso. Byagaragaye ko ugabanya hypoglycemia ibaho mu gihe cy'imisemburo yo gutakaza ibiribwa.

Kubaga

Kubagwa ntibikunze kugirwa inama kuri dumping syndrome. Ariko, niba indwara yawe iterwa no kubagwa, ubundi bubagwa bushobora kuyikosora. Niba dumping syndrome igize ingaruka zikomeye ku mibereho yawe kandi nta kindi kintu kiyikora, ushobora gutekereza kubagwa mu buryo bwo kongera kubaka. Ibi bikubiyemo:

• Gutunganya cyangwa guhindura igice cy'igifu kidakora neza.
• Guhindura uburyo bwo kubaga nko gusimbuka igifu cyangwa guhindura uburyo budatera indwara.

Ese indwara yo gutakaza ubushake bwo kwiyahura izashira burundu?

Yego, akenshi irashira uko igihe kigenda. Indwara yo gutakaza amazi mu gihe gito ikunze kugabanuka mu mezi atatu. Indwara zikomeye cyane ndetse n'indwara yo gutakaza amazi mu gihe cya nyuma bishobora gufata amezi 12 kugeza kuri 18 kugira ngo bikemuke. Hagati aho, guhindura imirire bishobora gutanga ihumure rikomeye. Ariko, bishobora gufata ibyumweru byinshi kugira ngo ubone impinduka. Rero ni ngombwa kwihangana.

Ni ibihe biribwa ugomba kurya n'ibiryo ugomba kwirinda mu gihe ufite ikibazo cyo gutakaza ubushake bwo kurya?

Ni ingenzi cyane ku bantu bafite iyi ndwara, cyane cyane nyuma yo kubagwa igifu, gukurikiza gahunda y'imirire ifasha mu kugenzura ibimenyetso. Ingingo twaganiriyeho mbere mu gice cyitwa "Impinduka mu mirire" zirakora hano:

• Ibyo kurya: Ibyokurya bikungahaye kuri poroteyine (amafi, inkoko, amagi, lentile), ibinure byiza (avoka, imbuto), karubohidrati ikungahaye kuri fibre (umuceri w'umukara, ingano, imboga).
• Ibintu byo kwirinda cyangwa kugabanya: Isukari yoroshye (ibinyobwa biryoshye, ibintu biryoshye, keke), karubohidrati nziza cyane (ibintu bikozwe mu ifu y'umugati), amata n'ibikomoka ku mata (hari abantu bashobora kugorwa no gusya), ibiryo birimo amavuta menshi kandi bikaranze.

Ni byiza kuvugana na muganga wawe cyangwa inzobere mu mirire kugira ngo baguhe gahunda y'ifunguro ikubereye.

Hanyuma, ubutumwa bwo kujyana mu rugo:

Indwara yo gutakaza uruhu ni indwara abantu benshi bashobora guhura nayo nyuma yo kubagwa igifu. Ushobora kandi kubona ibi bimenyetso nyuma yo kubagwa. Inkuru nziza ni uko akenshi iba ari indwara yoroheje kandi izahita ikira ubwayo mu byumweru cyangwa amezi make.Hagati aho, ushobora kugenzura iyi ndwara neza ukoresheje uburyo bwiza bwo kuyirya.

Niba ugiye kubagwa igifu mu gihe kizaza, ni byiza gutegura indyo ikwiriye indwara yo gusimbuka mu gifu. Tegura igikoni kandi utekereze ku mafunguro make. Niba warahinduye imirire kandi ntibiguhe ihumure, menya neza ko wagiye kwa muganga wawe. Ashobora kukwandikira imiti ikenewe kugira ngo igufashe mu gihe cyo gukira. Rero, icy'ingenzi ni ukudatinya, kumenyeshwa, no gufata ingamba zikenewe.

Indwara yo gutakaza amazi , Igifu, Uduce duto tw'amara, Kubagwa, Igogora, Ibimenyetso