Unonzwa kurwadziwa mudumbu here mushure mekudya? Izvi zvinogona kunge zviri dumping syndrome here?

Mushure mekudya, dzimwe nguva unonzwa dzungu, kuguta, kana kurwadziwa mudumbu here? Vamwe vanhu vanonzwawo kuneta uye kudedera maawa mashoma mushure mekudya. Kana uine zviratidzo izvi, ungave uine chirwere chinonzi dumping syndrome . Ngatitaurei nezvazvo zvakadzama nhasi, nekuti zvinogona kukanganisa vanhu vazhinji.

Chii chinonzi Dumping Syndrome?

Zvichitaurwa zviri nyore, dumping syndrome inoitika kana chikafu chiri mudumbu mako, kana kuti zviri mudumbu mako, zvikafamba mudumbu mako, kana kuti zvatinowanzoti mudumbu mako, nekukurumidza kupfuura zvakajairika . Vanachiremba vanotiwo izvi 'kukurumidza kubuda mudumbu'. Funga nezvazvo sekunge chikafu chiri mudumbu mako chiri "kudururwa" mudumbu mako mubundu guru, chisati chagona kugayiwa zvakanaka.

Saka, kana izvi zvikaitika, huwandu hwakawanda hwechikafu chisina kumedzwa hunopinda muura hudiki panguva imwe chete, izvo zvinogona kukonzera kusagadzikana kwakadai sekusvotwa , kuzvimba, kurwadziwa mudumbu, uye manyoka . Kwete izvozvo chete, asi zvinogonawo kukonzera shanduko huru muhuwandu hweshuga muropa rako.

Chii chinoitika chaizvo muDumping Syndrome?

Kazhinji, patinodya, dumbu redu rinotumira chikafu zvishoma nezvishoma uye nenzira yakarongeka kuura hudiki. Izvi zvinoitwa netsandanyama, tsinga, uye mahormone ari mudumbu, zvichishanda pamwe chete. Tinozvidaidza kuti "mudumbu kufamba."

Zvisinei, mu dumping syndrome, kubatana uku kunoshata. Vharuvhu iri pasi pedumbu, vharuvhu yepyloric , inovhurika chikafu chisati chatombogayiwa, uye zvese zviri mudumbu zvinodururwa muura hudiki panguva imwe chete.

Chii chinoitika ipapo? Kana ura hudiki hukangoerekana hwava nechikafu chisina kumedzwa, hunoedza kuchijaira. Hunotora mvura yakawanda, hunoburitsa mahormone akawanda. Kuchinja ikoko ndiko kunokonzera kusagadzikana kwatataura kare mushure mekudya.

Vamwe vanhu vanogona kuona zvimwe zviratidzo maawa mashoma mushure mekudya. Izvi zvinokonzerwa nekuti huwandu hweshuga muropa huri kuchinja. Kana chikafu chine shuga yakawanda chikangoerekana chasvika muura hudiki, pancreas yedu inoziviswa kuti ibudise insulin yakawanda kudzora shuga muropa. Izvi zvinogona kukonzera kudzikira kweshuga muropa kamwe kamwe. Izvi zvinonzi reactive hypoglycemia . Izvi zvinogona kukonzera zvinhu zvakaita sedzungu, kudedera, uye kurova kwemoyo.

Ndiani ane mukana mukuru wekuwana dumping syndrome?

Dumping syndrome inowanzo itika sedambudziko mushure mekuvhiyiwa kwemudumbu.Zvinofungidzirwa kuti pakati pe20% ne50% yevanhu vakavhiyiwa dumbu vachasangana nezviratidzo izvi kusvika pamwero wakati. Izvi zvinonyanya kuitika kuvanhu vakavhiyiwa vachibvisa chikamu chikuru chedumbu, zvakaita sekubvisa gastrectomy (kubvisa dumbu rese kana chikamu charo) kana kuvhiyiwa kwegastric bypass ( kuvhiyiwa kwekudzikisa uremu kunopfuura chikamu chedumbu). Kashoma, zvinogonawo kukonzerwa nemamwe matambudziko emudumbu.

Dumping Syndrome chirwere chakakomba here?

Kazhinji, dumping syndrome haisi njodzi kana kuti inotyisidzira hupenyu. Zvisinei, kana chirwere chacho chakanyanya kuipa, chinogona kukonzera kudzikira kwehuremu nekukurumidza uye kushomeka kwezvekudya zvinovaka muviri. Kana manyoka akasadzorwa, anogona kukonzera kupera mvura mumuviri. Asi kazhinji, izvi zvinogona kudzorwa.

Vanhu vazhinji vane zviratidzo zvishoma zvinopera nekufamba kwenguva. Dumping syndrome kazhinji haisi yekusingaperi, saka hapana chekunetseka nezvayo.

Ndezvipi zviratidzo zve dumping syndrome?

Kune matanho maviri makuru e dumping syndrome, ane zviratidzo zvinobatanidzwa nedanho rega rega. Unogona kusangana nechimwe chezvikamu izvi kana zvese zviri zviviri.

Zviratidzo zvekutanga kwechirwere chedumping

Izvi zvinowanzotanga kuitika pakati pemaminitsi gumi kusvika makumi matatu mushure mekudya .

• Kusvotwa
• Kurutsa
• Manyoka (kurwadziwa kwemudumbu)
• Kurwadziwa kwemudumbu nekukamhina
• Kuzvimba, kuzvimba
• Dzungu, kupera simba
• Kurova kwemoyo kwakanyanya (kunzwa sekunge chipfuva chako chiri kurova)

Zviratidzo zve late dumping syndrome zvinoonekwa maawa mashoma mushure mekudya

Zviratidzo izvi zvinowanzoonekwa maawa maviri kusvika matatu mushure mekudya .

• Kushaya simba, kuneta
• Kudedera, kusagadzikana
• Kurova kwemoyo nekukurumidza kana kusina kurongeka
• Ziya rinotonhora
• Kutsvuka kwechiso
• Mhute yehuropi - kunzwa kwekuomerwa nekufunga zvakajeka
• Kunzwa nzara zvikuru

Ndezvipi zvinokonzera dumping syndrome?

Kune zvikonzero zviviri zvikuru zveizvi.

Zvikonzero zvine chekuita nekuvhiyiwa:

• Kuvhiyiwa kwedumbu: Kuvhiyiwa kwekubvisa chikamu chedumbu kana dumbu rese.
• Kuvhiyiwa kweBariatric: Kuvhiyiwa kunoitwa kuderedza huremu, semuenzaniso, kuvhiyiwa kwemudumbu.
• Pyloroplasty: Kuvhiyiwa kunoitwa pavharuvhu yepyloric iri pasi pedumbu.
• Kuvhiyiwa kweEsophagectomy: Kuvhiyiwa kwekubvisa chikamu chegurokuro kana kuti gurokuro rose.
• Kuvhiya kweVagotomy: Kuvhiya kunocheka tsinga yemudumbu kuderedza acid yemudumbu.
• Nissen fundoplication: Kuvhiyiwa kwekusona chikamu chepamusoro chedumbu chakatenderedza gumbo (kunoitwa pachirwere chegastroesophageal reflux - GERD).

Zvikonzero zvechirwere:

Dumping syndrome inogonawo kukonzerwa nezvimwe zvirwere.

• Chirwere cheshuga (chirwere cheshuga)
• Chirwere chekurutsa kwecyclic
• Kusashanda zvakanaka kwemuviri
• Kusakwana kwe exocrine pancreatic
• Maronda emudumbu
• Chirwere cheZollinger-Ellison
• Kushanda kwe dyspepsia
• Cannabis hyperemesis syndrome ( chirwere chekurutsa zvakanyanya nekuda kwekushandisa mbanje)

Nzira yekuziva sei dumping syndrome?

Kana wakambovhiyiwa dumbu (kunyangwe dai zvaive makore apfuura), chiremba wako anogona kufungidzira kuti une dumping syndrome zvichibva pazviratidzo zvauri kutsanangura. Vanogona kukupa mibvunzo, yakaita seDumping Symptom Rating Scale , kuti vaone kuoma kwezviratidzo zvako.

Zvisinei, chiremba wako anogonawo kuita mimwe miedzo yekusimbisa chirwere kana kuti kubvisa zvimwe zvinokonzera. Miedzo iyi inonyanya kukosha kana usati wavhiyiwa dumbu.

Heano mimwe miedzo inogona kuitwa kuti uongorore chirwere chedumping:

• Kuongororwa kweglucose inonwiwa nemuromo: Izvi zvinosanganisira kukupa chinwiwa chine shuga uye kuyera huwandu hweshuga muropa rako usati watanga uye wapedza. Hematocrit yako, inova chikamu chemasero matsvuku eropa, inoyerwawo. Kuwedzera kwehematocrit yako mushure mekunwa chinwiwa chine shuga kunoreva kuti mvura yakawanda iri kutorwa kubva muropa rako ichienda muura hwako. Kana shuga yako yeropa ikadonha mukati meawa imwe kusvika matatu, izvi zvinonzi delayed dumping syndrome.
• Kuongororwa kwekufema kwehydrogen: Izvi zvinoyerawo huwandu hwehydrogen mukufema kwako mushure mekunwa glucose solution. Hydrogen mukufema kwako zvinoreva kuti ura hwako hudiki hahusi kupinza glucose zvakanaka. Izvi zvinoreva kuti ura hudiki hwakawandisa.
• Endoscopy yepamusoro: Izvi zvinosanganisira kuisa chubhu yakatetepa, inochinjika (endoscope) ine kamera yakasungirirwa nemuromo uye kuongorora mukati megurokuro, dumbu, uye duodenum (chikamu chekutanga cheura hudiki). Izvi zvinogona kubatsira kuona kana paine matambudziko emuviri kana zvimwe zvinokonzera zviratidzo zvako.
• Nhevedzano yeGI yepamusoro:Muizvi, unopihwa mvura yakakosha (contrast solution) yekunwa, uye mavhidhiyo eX-rays (anonzi `fluoroscopy`) anoshandiswa kuiona ichipfuura nemugurokuro, mudumbu, uye muura hwepamusoro. Izvi zvinokubatsira kuona kuti mvura yacho iri kufamba nekukurumidza sei.
• Kuyedzwa kwekubuda kwechinhu mudumbu: Izvi zvinoyera kuti chikafu chinokurumidza sei kubuda mudumbu mako. Chinhu chidiki kwazvo chine mwaranzi inowedzerwa kuchikafu chaunodya. Zvadaro, uchishandisa scanner yakakosha, chiremba wako anogona kuona chikafu chichifamba nemudumbu mako.

Nzira yekubvisa sei dumping syndrome?

Vanhu vazhinji vanogona kubudirira kubata chirwere chedumping nekuchinja kudya . Kana paine zviratidzo zvakakomba, kana kudya kwega kusingabatsire, mushonga unogona kushandiswa. Zvisinei, mushonga unogona kuva nemigumisiro yakaipa, saka haukurudzirwi kushandiswa kwenguva refu. Muzviitiko zvisingawanzoitiki, kana chirwere chedumping chikakonzerwa nekuvhiyiwa uye pasina kumwe kurapwa kwakabatsira, chiremba wako anogona kukurudzira kumwe kuvhiyiwa.

Mitemo yezvekudya

Vanachiremba vanokurudzira kutevedzera mazano aya ekuderedza zviratidzo:

• Deredza huwandu hwechikafu chaunodya panguva imwe chete uye wedzera huwandu hwechikafu chaunodya mukati mezuva. Panzvimbo pekudya katatu kukuru, edza kudya zvikafu zvitanhatu zvidiki.
• Idya chikafu chako zvishoma nezvishoma wochitsenga zvakanaka. Izvi zvichaita kuti kugaya chikafu kuve nyore.
• Deredza kudya kwako shuga dziri nyore, chikafu chine makabhohaidhiretsi akawanda, uye zvigadzirwa zvemukaka zvakanyanya sezvinobvira. Izvi zvinobatsira kudzivirira shanduko dzinongoerekana dzaitika mushuga muropa. Makabhohaidhiretsi akaomarara, akadai sezviyo zvakakwana, ari nani.
• Deredza makabhohaidhiretsi kubva mukudya kwako wobva wawedzera mapuroteni akawanda nemafuta ane hutano. Mafuta anononoka kugayiwa uye anopa simba nguva dzose.
• Idya chikafu chakawanda chine fiber yakawanda. Izvi zvinowedzera huwandu hwechikafu, zvichideredza kufamba kwacho mudumbu. Fiber inodzorawo kupinza kweshuga mumuviri.
• Rara pasi (wakatwasuka) kwemaminitsi angangoita makumi matatu mushure mekudya. Izvi zvinogona kunonotsa kubuda kwechikafu mudumbu uye kubatsira kuchengetedza BP panguva yekugaya chikafu.
• Usanwe mvura kana zvimwe zvinwiwa maminetsi makumi matatu usati wadya kana kuti wapedza kudya. Zvinwiwa zvinowedzera kufamba kwedumbu.

Mishonga

Mimwe mishonga inogona kubatsira kudzora zviratidzo zvekutanga uye zvekupedzisira zve dumping syndrome.

• Octreotide acetate:Octreotide inovhara mashandiro emahormone akati wandei mumuviri wedu. Izvi zvinoderedza kuburitswa kwechikafu mudumbu uye kufamba kwechikafu kuburikidza nedumbu diki. Inoderedzawo kugadzirwa kweinsulin. Mushonga uyu unopihwa jekiseni, kungave zuva nezuva (kushanda kwenguva pfupi) kana mwedzi wega wega (kushanda kwenguva refu).
• Acarbose: Mushonga uyu unoderedza mwero wekuti muviri wedu unotora makabhohaidhiretsi, uchidzora huwandu hweshuga muropa. Zvakaratidzwa kuti unoderedza hypoglycemia inoitika mu late dumping syndrome.

Kuvhiya

Kuvhiyiwa hakuwanzokurudzirwa kune dumping syndrome. Zvisinei, kana dambudziko rako rikakonzerwa nekuvhiyiwa, kumwe kuvhiyiwa kunogona kugadzirisa dambudziko iri. Kana dumping syndrome iri kukanganisa hupenyu hwako zvakanyanya uye pasina chimwe chinoshanda, ungangoda kufunga nezvekuvhiyiwa kwekugadzirisa. Izvi zvinosanganisira:

• Kugadzira patsva kana kugadzirisa chikamu chedumbu chisiri kushanda zvakanaka.
• Kudzosera kumashure maoparesheni akadai sekubvisa gastric bypass kana kushandisa nzira isinganyanyi kukuvadza.

Ko chirwere chekurasa doro chichapera zvachose here?

Ehe, inowanzopera nekufamba kwenguva. Chirwere chekurasa marara zvishoma chinowanzopera mukati memwedzi mitatu. Nyaya dzakakomba uye chirwere chekurasa marara chinotora mwedzi gumi nemiviri kusvika gumi nemisere kuti chipere. Panguva ino, kuchinja kwekudya kunogona kupa zororo guru. Zvisinei, zvinogona kutora mavhiki akati wandei kuti zvionekwe zviri nani. Saka zvakakosha kuva nemwoyo murefu.

Ndezvipi zvekudya zvaunofanira kudya uye ndezvipi zvekudya zvaunofanira kudzivisa kana uine dumping syndrome?

Zvakakosha zvikuru kuti vanhu vane chirwere ichi, kunyanya mushure mekuvhiyiwa kwemudumbu, vatevedzere chirongwa chekudya chinobatsira kudzora zviratidzo. Pfungwa dzatakakurukura kare pasi pe "Dietary Changes" dzinoshandawo pano:

• Zvekudya: Zvekudya zvine mapuroteni akawanda (hove, huku, mazai, nyemba), mafuta ane hutano (avocado, nzungu), makabhohaidhiretsi akaomarara akapfuma mufaibha (mupunga webrown, oats, miriwo).
• Zvinhu zvekudzivisa kana kuderedza: Shuga dziri nyore (zvinwiwa zvinotapira, masiwiti, makeke), makabhohaidhiretsi akacheneswa zvakanyanya (zvinhu zvakagadzirwa neupfu hwechingwa), mukaka nezvigadzirwa zvemukaka (vamwe vanhu vangaomerwa nekugaya), chikafu chine mafuta akawanda, chakakangwa.

Zvakanaka kutaura nachiremba wako kana nyanzvi yezvekudya kuti vagadzire hurongwa hwekudya hwakakunakira.

Pakupedzisira, meseji yekuenda nayo kumba:

Dumping syndrome chirwere chinogona kusangana nevanhu vazhinji mushure mekuvhiyiwa kwemudumbu. Unogonawo kusangana nezviratidzo izvi mushure mekuvhiyiwa. Mashoko akanaka ndeekuti kazhinji, chirwere ichi hachina kunyanya kuoma uye chinopera chega mukati memavhiki mashoma kana mwedzi.Panguva ino, unogona kudzora dambudziko iri zvakanaka nekugadzirisa kudya kwako nemazvo.

Kana uchizovhiyiwa dumbu mune ramangwana, kuchenjera kuronga kudya kwakakodzera chirwere chedumping. Gadzirira kicheni uye funga nezvekudya kwacho. Kana wakachinja kudya kwako uye kusaita kuti unzwe zviri nani, iva nechokwadi chekuona chiremba wako. Iye anogona kukunyorera mishonga inodiwa kuti ikubatsire panguva yekupora kwako. Saka, chinhu chakakosha ndechekusatya, kuziva, uye kutora matanho anodiwa.

Dumping Syndrome, Dumbu, Utumbu Hudiki, Kuvhiyiwa, Kugaya, Zviratidzo