Uchangopedza kudya chikafu chinonaka... uye mushure mechinguva, unonzwa sekunge pane chakaipa mudumbu mako. Dumbu rako razara, unonzwa kuda kurutsa, unodikitira, uye moyo wako uri kurova nekukurumidza. Ungave uchifunga kuti, 'Handizivi kana ndakabata chikafu kana kwete.' Asi ichi chingave chirwere chinonzi 'dumping syndrome' chinoitika mushure mekuvhiyiwa mudumbu kana pamwe nezvimwe zvirwere. Usazvidya moyo, ngatitaurei nezvazvo zviri nyore uye zvakajeka.
Chii chinonzi Dumping Syndrome?
Zvichitaurwa zviri nyore, apa ndipo apo dumbu rako (chikamu chepamusoro cheura) rinosundira zviri mudumbu raro, chikafu chatinodya, muura hudiki nekukurumidza, risati ragayiwa zvakanaka. Izvi zvinonziwo "kukurumidza kubuda mudumbu".
Fungidzira fekitari inoda kugadzirisa zvimwe zvinhu yozvitumira. Asi nekuda kwedambudziko nemuchina, zvakafanana nekurasa zvinhu zvese panguva imwe chete. Kazhinji, dumbu redu rinotumira chikafu kuura hudiki nenzira yakarongeka. Tsandanyama dzedu, tsinga, uye mahormone zvese zvinoshanda pamwe chete mukuita uku. Asi kana chimwe chinhu chikakanganisa kubatana uku, chikafu chiri mudumbu chinongoerekana "chadururwa" muura hudiki, kureva kuti, chinoraswa kunze.
Kana chikafu chakawanda chisina kumedzwa chikangoerekana chapinda muura hudiki, hachigoni kuchigadzirisa. Chinogumbuka, uye kuti chigadziriswe, chinodhonza mvura yakawanda munzvimbo iyoyo, chinoburitsa mahormone. Kugumbuka ikoko ndiko kwatinosangana nako sezviratidzo zvakaita sekuda kurutsa, kurwadziwa mudumbu, uye kuzvimba .
Vamwe vanhu vanogona kuona zvimwe zviratidzo maawa mashoma mushure mekudya. Izvi zvinokonzerwa nekuchinja kwehuwandu hweshuga muropa. Kana huwandu hwakawanda hweshuga hukapinda muura kamwe chete, pancreas yedu inotya uye inofunga kuti, "Aa, kune shuga yakawanda, tinofanira kuisa insulin nekukurumidza," uye inoburitsa insulin yakawanda kupfuura yainofanira kunge yakaita. Ipapo huwandu hweshuga muropa hunodzikira kamwe kamwe. Ndizvo zvatinodaidza kuti ``Reactive Hypoglycemia.'' Izvi zvinogona kukonzera kunzwa kwekushaya simba, kudedera, uye kurova kwemoyo nekukurumidza.
Ndezvipi zviratidzo zve dumping syndrome?
Zviratidzo zvechirwere ichi zvinogona kuuya muzvikamu zviviri zvikuru. Unogona kusangana nechimwe kana zvese izvi.
| Danho rezviratidzo | Zviratidzo zvinonzwika |
|---|---|
| Zviratidzo zvepakutanga (Mukati memaminitsi gumi kusvika makumi matatu mushure mekudya) |
|
| Zviratidzo zvepadanho rekupedzisira (maawa maviri kusvika matatu mushure mekudya) |
|
Ndiani angangonyanya kuva nechirwere ichi?
Dambudziko iri rinowanzo itika semhedzisiro yekuvhiyiwa kwedumbu kana gumbo. Kazhinji mushure mekuvhiyiwa kubvisa chikamu chedumbu kana dumbu rese, kana mushure mekuvhiyiwa kuderedza uremu. Izvi zvinogonawo kukonzerwa nezvimwe zvirwere.
| Zvikonzero zvikuru zve dumping syndrome | |
|---|---|
| Zvikonzero zvine chekuita nekuvhiyiwa | |
| Kuvhiyiwa kweGastrectomy | Kubviswa kwechikamu chedumbu kana dumbu rese. |
| Kuvhiya kuderedza huremu (Bariatric surgery) | Semuenzaniso, kuvhiyiwa kwemudumbu. |
| Kuvhiyiwa kweEsophagectomy | Kubviswa kwechikamu chegurokuro kana kuti gurokuro rose. |
| Kumwe kuvhiyiwa kwemudumbu | Eg: `Pyloroplasty`, `Vagotomy`, `Nissen fundoplication`. |
| Zvikonzero zvine chekuita nezvirwere | |
| Chirwere cheshuga (chirwere cheshuga) | Kunyanya kana tsinga dzakanganiswa. |
| Zvimwe zvirwere | Matambudziko akaita se 'Zollinger-Ellison syndrome' uye 'Duodenal ulcers'. |
Dambudziko rekurasa zvinhu zvisina kunaka rakakomba here?
Kazhinji, kwete. Ichi hachisi chirwere chinouraya.
Zvisinei, kana chirwere ichi chikanyanya kuipa, kudzikira kwehuremu nekukurumidza uye kushomeka kwezvekudya zvinogona kuitika. Kushaya mvura mumuviri kunogonawo kuitika nekuda kwemanyoka anoramba aripo. Asi tinowanzogona kudzora izvi. Vanhu vazhinji vane zviratidzo zvishoma. Zviratidzo izvi zvinopera nekufamba kwenguva. Izvi hazviwanzoitiki zvachose.
Chiremba, unoongorora sei izvi?
Kana wakambovhiyiwa dumbu rako munguva pfupi yapfuura, chiremba wako anogona kukwanisa kuona chirwere ichi zvichienderana nezviratidzo zvako. Dzimwe nguva, vanogona kukupawo mibvunzo ('Dumping Symptom Rating Scale`) inoyera kuoma kwezviratidzo zvako.
Zvisinei, kana kuvhiyiwa kusati kwaitwa, kana kuti chirwere chacho chichifanira kusimbiswa, chiremba wako anogona kukurudzira bvunzo dzinoverengeka, dzakadai se:
- Kuongororwa kweglucose nemuromo: Izvi zvinosanganisira kunwa mvura ine shuga uye kuongorora huwandu hweshuga muropa rako usati watanga uye wapedza. Izvi zvinogona kubatsira kuona huwandu hweshuga muropa hunogona kukonzera zviratidzo gare gare.
- Kuongororwa kwekufema kwehydrogen: Izvi zvinosanganisirawo kunwa mvura ine shuga uye kuyera huwandu hwegasi rehydrogen riri mukufema kwako. Kana shuga ikasanyudzwa zvakanaka, huwandu hwehydrogen huri mukufema kwako huchawedzera.
- Endoscopy yepamusoro: Chubhu diki ine kamera inopinzwa nemuromo kuti iongorore dumbu, gurokuro, uye chikamu chekutanga cheura hudiki.
- Nhevedzano yeGI yepamusoro:Mvura yakakosha (kusiyana) inopihwa kuti inwe, uye vhidhiyo yeX-ray inoshandiswa kuona ichifamba nemudumbu. Izvi zvinogona kuratidza kuti chikafu chinofamba nekukurumidza sei nemudumbu.
- Kuyedzwa kwekubuda kwemudumbu: Iyi ndiyo nzira yakanakisisa yekuyera kumhanya kwekubuda kwemudumbu. Chinhu chidiki chine radioactive chinosanganiswa muchikafu uye kumhanya kwekufamba kwechikafu nemudumbu kunoyerwa uchishandisa scanner.
Tingadzora sei mamiriro ezvinhu aya?
Vanhu vazhinji vanogona kudzora dambudziko iri nekuchinja kudya kwavo .
Kuchinja kwezvekudya (ichi ndicho chinhu chinonyanya kukosha!)
| Zvekuita | Sei zvakadaro? |
|---|---|
| Pane kudya zvekudya zvidiki katatu pazuva, idya zvekudya zvidiki zvitanhatu. | Zvinoderedza huwandu hwechikafu chinopinda mudumbu panguva imwe chete. |
| Chenga chikafu chako zvakanaka wodya zvishoma nezvishoma. | Inobatsira dumbu mukugaya chikafu. |
| Deredza kudya makabhohaidhiretsi ari nyore akadai seshuga, zvinwiwa zvinotapira, makeke, nechingwa chichena. | Zvinodzivirira huwandu hweshuga muropa kuti husakwire kana kudzikira kamwe kamwe. |
| Idya mapuroteni akawanda (nyama, hove, mazai) uye mafuta akanaka (nzungu, maavokhado). | Izvi zvinotora nguva yakareba kuti zvigayiwe, saka zvinodzora kubuda kwechinhu mudumbu. |
| Idya chikafu chine faibha yakawanda (mupunga webrown, miriwo, michero). | Zvinoderedza kumhanya kwekufamba kwechikafu nemumatumbu. |
| Usanwe mvura/zvinwiwa maminitsi makumi matatu usati wadya kana maminitsi makumi matatu wadya. | Mvura inobatsira kuti chikafu chipfuure nemudumbu nekukurumidza. |
| Mushure mekudya, rara pasi kwemaminitsi angangoita makumi matatu. | Simba rekukwevera zvinhu pasi rinogona kuderedza kumhanya kwechikafu. |
Mishonga (mishonga)
Kana zviratidzo zvichinetsa kudzora pasinei nekuchinja kwekudya, chiremba wako anogona kukupa mimwe mishonga.
- Octreotide acetate: Iyi ijekiseni. Inobatsira kunonoka kubuda kwechinhu mudumbu uye kudzora kuburitswa kwe insulin.
- Acarbose: Mushonga uyu unoshanda nekuderedza mwero wekuti makabhohaidhiretsi anopinzwa mumuviri. Izvi zvinogona kubatsira kudzora zviratidzo zveshuga shoma muropa gare gare.
Kuvhiya
Izvi hazviwanzoitwa . Chiremba anongofunga nezvekuvhiyiwazve kana zvimwe zvese zvakundikana uye chirwere chacho chiri kukanganisa hupenyu hwako zvakanyanya.
Ko chirwere chekurasa doro chichapera here?
Ehe, kazhinji kacho zvinova nani nekufamba kwenguva. Zvirwere zvidiki zvinogona kuva nani mukati memwedzi mitatu. Zvirwere zvakanyanya zvinogona kutora mwedzi gumi nemiviri kusvika gumi nemisere. Asi usazvidya mwoyo, kana ukagadzirisa kudya kwako nemazvo, unonzwa zororo guru munguva ino.
Kana wakarongerwa kuvhiyiwa, kuchenjera kuronga pachine nguva nezvekudya kwauchazodya mushure mezvo.
Mharidzo Yekuenda Nayo Kumba
- Dumping syndrome inoitika kana dumbu richidzosera zviri mukati maro muura hudiki.
- Dambudziko iri rinowanzoonekwa mushure mekuvhiyiwa kwemudumbu.
- Zviratidzo zvinogona kuitika nguva pfupi mushure mekudya (kuda kurutsa, kurwadziwa nemudumbu) kana maawa akati wandei gare gare (kudedera, kudikitira).
- Izvi hazviwanzo kuva nengozi uye zvinopora nekufamba kwenguva.
- Kurapa kwakakosha kushandura kudya kwako: idya zvidiki kakawanda pazuva, deredza shuga, uye usanwe mvura panguva yekudya.
- Kana zviratidzo zvako zvakanyanya kana kuti zvisingagoni kudzorwa nekuchinja kudya, iva nechokwadi chekutaura nachiremba wako.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga