Usandul’ ukugqiba ukutya isidlo esimnandi... kwaye emva kwexesha elithile, uziva ngathi kukho into engalunganga esiswini sakho. Isisu sakho sigcwele, uziva unesicaphucaphu, ubila, kwaye intliziyo yakho ibetha ngokukhawuleza. Usenokuba ucinga, 'Andazi ukuba ndichukumise ukutya okanye hayi.' Kodwa le isenokuba yimeko ebizwa ngokuba yi-'dumping syndrome' eyenzeka emva kotyando lwesisu okanye nezinye iimeko zonyango. Ungakhathazeki, masithethe ngale nto ngokulula nangokucacileyo.
Yintoni iDumping Syndrome?
Ngamafutshane, oku kuxa isisu sakho (inxalenye ephezulu yamathumbu) sityhala okungaphakathi kwesisu saso, ukutya esikutyayo, sikungena emathunjini amancinci ngokukhawuleza, ngaphambi kokuba kugaywe kakuhle. Oku kukwabizwa ngokuba yi-"rapid gastric emptying".
Khawucinge ngomzi-mveliso ofuna ukucwangcisa ezinye iimpahla aze azithumele. Kodwa ngenxa yengxaki yomatshini, kufana nokulahla zonke iimpahla ngaxeshanye. Ngokwesiqhelo, isisu sethu sithumela ukutya emathunjini amancinci ngendlela elawulwayo. Izihlunu zethu, imithambo-luvo, kunye neehomoni zonke zisebenza kunye kule nkqubo. Kodwa ukuba kukho into ephazamisana nolu lungelelwaniso, ukutya okusesiswini ngequbuliso "kulahlwa" emathunjini amancinci, oko kukuthi, kuyalahlwa ngaphandle.
Xa ukutya okuninzi okungagayekiyo kungena ngequbuliso emathunjini amancinci, akunakukwazi ukumelana nako. Kuyaphazamiseka, kwaye ukuze kulawulwe, kutsalwa amanzi amaninzi kuloo ndawo, kukhupha iihomoni. Oko kuphazamiseka yinto esiyifumanayo njengeempawu ezifana nokugabha, iintlungu zesisu, kunye nokudumba .
Abanye abantu banokufumana ezinye iimpawu emva kweeyure ezimbalwa betyile. Oku kungenxa yotshintsho kumanqanaba eswekile egazini. Xa iswekile eninzi ingena emathunjini ngaxeshanye, ipancreas yethu iyaxhalaba ize icinge, "Owu, kukho iswekile eninzi, kufuneka sifake i-insulin ngokukhawuleza," ize ikhuphe i-insulin engaphezulu kunokuba kufanele. Emva koko inqanaba leswekile egazini liyehla ngequbuliso. Yiloo nto siyibiza ngokuba yi-"Reactive Hypoglycemia." Oku kunokubangela iimvakalelo zokutyhafa, ukungcangcazela, kunye nokubetha kwentliziyo ngokukhawuleza.
Zithini iimpawu ze-dumping syndrome?
Iimpawu zale meko zingavela ngamanqanaba amabini aphambili. Usenokuhlangabezana nenye okanye zombini ezi zinto.
| Inqanaba leempawu | Iimpawu ezivakalayo |
|---|---|
| Iimpawu zokuqala (Kwimizuzu eli-10-30 emva kokutya) |
|
| Iimpawu zesigaba samva (Iiyure ezi-2-3 emva kokutya) |
|
Ngubani onokuthi abe nale meko?
Le meko idla ngokuba yimpembelelo ecaleni yotyando esiswini okanye emqaleni. Kuqheleke kakhulu emva kotyando ukususa inxalenye okanye sonke isisu, okanye emva kotyando lokunciphisa umzimba. Inokubangelwa ziimeko ezithile zempilo.
| Izizathu eziphambili ze-dumping syndrome | |
|---|---|
| Izizathu ezinxulumene notyando | |
| Utyando lwesisu | Ukususa inxalenye okanye sonke isisu. |
| Utyando lokunciphisa umzimba (utyando lweBariatric) | Umzekelo, utyando lwesisu. |
| Utyando lwe-Esophagectomy | Ukususwa kwenxalenye okanye yonke i-esophagus. |
| Olunye utyando lwesisu | Umzekelo: `Pyloroplasty`, `Vagotomy`, `Nissen fundoplication`. |
| Izizathu ezinxulumene neemeko zempilo | |
| Isifo Seswekile (iDiabetes Mellitus) | Ingakumbi xa imithambo-luvo ichaphazelekile. |
| Ezinye izifo | Iimeko ezifana ne-`Zollinger-Ellison syndrome` kunye ne-`Duodenal ulcers`. |
Ngaba isifo sokulahla inkunkuma siyingozi?
Ngokubanzi, hayi. Esi asisosifo esisongela ubomi.
Nangona kunjalo, ukuba le meko iba mandundu, ukwehla kobunzima ngokukhawuleza kunye nokungabikho kokutya okunempilo kunokwenzeka. Ukuphelelwa ngamanzi emzimbeni kunokubakho ngenxa yorhudo oluqhubekayo. Kodwa sihlala sinokulawula oku. Uninzi lwabantu luneempawu ezincinci. Ezi mpawu ziya kuphela ngokuhamba kwexesha. Oku akusoloko kuyinto ehlala ihleli.
Gqirha, uyixilonga njani le nto?
Ukuba usandul’ utyando lwesisu, ugqirha wakho unokukwazi ukuxilonga esi sifo ngokusekelwe kwiimpawu zakho. Ngamanye amaxesha, banokukunika nombuzo (`iDumping Symptom Rating Scale`) olinganisa ubukhali beempawu zakho.
Nangona kunjalo, ukuba utyando aluzange lwenziwe, okanye ukuba uxilongo lufuna ukuqinisekiswa, ugqirha wakho unokucebisa iimvavanyo ezininzi, ezifana nezi:
- Uvavanyo lokunyamezela iswekile ngomlomo: Oku kuquka ukusela ulwelo oluneswekile kunye nokujonga amanqanaba eswekile egazini lakho ngaphambi nasemva koko. Oku kunokunceda ekuchongeni amanqanaba eswekile egazini aphantsi anokubangela iimpawu kamva.
- Uvavanyo lokuphefumla nge-hydrogen: Oku kuquka ukusela ulwelo oluneswekile kunye nokulinganisa ubungakanani begesi ye-hydrogen ephefumlweni wakho. Ukuba iswekile ayifunxwanga kakuhle, ubungakanani be-hydrogen ephefumlweni wakho buya kwanda.
- I-endoscopy ephezulu: Ityhubhu encinci enekhamera eqhotyoshelweyo ifakwa ngomlomo ukuze kuhlolwe isisu, umphimbo, kunye nenxalenye yokuqala yamathumbu amancinci.
- Uthotho lwe-GI oluphezulu:Kunikwa ulwelo olukhethekileyo (umahluko) ukuze luselwe, kwaye kusetyenziswa ividiyo ye-X-ray ukuze lubonwe luhamba emathunjini. Oku kungabonisa indlela ukutya okuhamba ngayo ngokukhawuleza esiswini.
- Uvavanyo lokukhupha isisu: Olu lolona vavanyo lubalaseleyo lokulinganisa isantya sokukhupha isisu. Inani elincinci lezinto ezinemisebe lixutywa ekutyeni kwaye isantya esihamba ngaso ukutya esiswini silinganiswa kusetyenziswa iskena.
Singayilawula njani le meko?
Abantu abaninzi banokuyilawula ngempumelelo le meko ngokutshintsha indlela abatya ngayo .
Utshintsho kwindlela yokutya (le yeyona nto ibalulekileyo!)
| Kwenziwe ntoni | Kutheni kunjalo? |
|---|---|
| Endaweni yokutya izidlo ezinkulu ezi-3 ngosuku, yitya izidlo ezincinci ezi-6. | Iyanciphisa ukutya okungena esiswini ngexesha elinye. |
| Hlafuna ukutya kwakho kakuhle uze utye kancinci. | Inceda isisu kwinkqubo yokugaya ukutya. |
| Nciphisa iicarbohydrate ezilula ezifana neswekile, iziselo ezineswekile, iikeyiki, kunye nesonka esimhlophe. | Ithintela amanqanaba eswekile egazini ukuba anganyuki okanye ehle ngequbuliso. |
| Yitya iiproteni ezingaphezulu (inyama, intlanzi, amaqanda) kunye namafutha alungileyo (amandongomane, iiavokhado). | Ezi zithatha ixesha elide ukugaya, ngoko ke zilawula ukuphuma kwesisu. |
| Yitya ukutya okutyebileyo kwi-fiber (irayisi emdaka, imifuno, iziqhamo). | Iyanciphisa isantya sokuhamba kokutya emathunjini. |
| Musa ukusela amanzi/ulwelo imizuzu engama-30 ngaphambi okanye imizuzu engama-30 emva kokutya. | Izinto ezilulwelo zinceda ukutya kudlule esiswini ngokukhawuleza. |
| Emva kokutya, lala phantsi malunga nemizuzu engama-30. | Amandla adonsela phantsi anganciphisa isantya sokuhamba kokutya. |
Amayeza (amayeza)
Ukuba iimpawu kunzima ukuzilawula nangona kukho utshintsho kwindlela otya ngayo, ugqirha wakho unokukunika amayeza athile.
- I-Octreotide acetate: Le yinaliti. Inceda ekunciphiseni ukuphuma kwegazi esiswini kwaye ilawule ukukhutshwa kwe-insulin.
- I-Acarbose: Eli yeza lisebenza ngokunciphisa isantya apho iicarbohydrates zifunxwa khona emzimbeni. Oku kunokunceda ukulawula iimpawu zeswekile ephantsi egazini kamva emini.
Utyando
Oku akwenzeki rhoqo . Ugqirha uza kuqwalasela utyando kwakhona kuphela ukuba yonke enye into ayiphumelelanga kwaye imeko inempembelelo enkulu ebomini bakho.
Ngaba isifo sokulahla inkunkuma siya kuphela?
Ewe, uninzi lwexesha kuya kuba ngcono ngokuhamba kwexesha. Iimeko ezincinci zinokuphucuka kwisithuba seenyanga ezi-3. Iimeko ezinzima ngakumbi zinokuthatha iinyanga ezili-12 ukuya kwezili-18. Kodwa ungakhathazeki, ukuba ulungisa ukutya kwakho ngokufanelekileyo, uya kuziva ukhululekile ngeli xesha.
Ukuba ucwangciselwe utyando, kububulumko ukucwangcisa kwangaphambili ukutya oza kukutya emva koko.
Umyalezo Wokuya Ekhaya
- I-Dumping syndrome iyenzeka xa isisu sityhala okungaphakathi kwaso sibuyele emathunjini amancinci.
- Le meko idla ngokubonakala emva kotyando lwesisu.
- Iimpawu zinokuvela emva nje kokutya (isicaphucaphu, isisu esibuhlungu) okanye emva kweeyure ezimbalwa (ukungcangcazela, ukubila).
- Oku akusoloko kuyingozi kwaye kuya kuphola ngokuhamba kwexesha.
- Eyona ndlela ibalulekileyo yonyango kukutshintsha indlela otya ngayo: yitya ukutya okuncinci amaxesha amaninzi ngemini, yehlisa iswekile, kwaye ungaseli manzi xa usitya.
- Ukuba iimpawu zakho zinzima okanye azinakulawulwa ngokutshintsha indlela otya ngayo, qiniseka ukuba uthetha nogqirha wakho.
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