Ngaba ukhe watyandwa ukunciphisa umzimba (njengotyando lwesisu)? Okanye ngamanye amaxesha uzive uhluthi, unezihlunu zesisu, uzive unesicaphucaphu, ubila, kwaye unesiyezi emva kokutya isidlo, ingakumbi into emnandi? Awuwedwa. Namhlanje sithetha ngemeko echaphazela abantu abaninzi kodwa engathethwa rhoqo ngayo. Ezi mpawu zinokuba ziyoyikisa ekuqaleni, kodwa azisongeli ubomi. Eyona nto ingcono kukuba ungayilawula ngokwenza utshintsho oluncinci kwindlela otya ngayo.
Ngamafutshane, yintoni i-Dumping Syndrome?
Cinga ngesisu sakho njengedama. Ukutya esikutyayo kugcinwa kweli dama okwethutyana, kucocwe kancinci, kuze kuthunyelwe emathunjini amancinci ngamaqhekeza amancinci. Kodwa okwenzekayo kumntu onesifo sokulahla inkunkuma kukuba amasango aleli dama avuleka ngequbuliso. Oko kukuthi, ukutya okuninzi 'kulahlwa' ngequbuliso kusuka esiswini ukuya emathunjini amancinci, oko kukuthi, kuyawa.
Xa ukutya okuninzi okungagayekiyo kungena ngequbuliso emathunjini amancinci, kuyaphazamiseka. Kufuneka kufunxe amanzi amaninzi emzimbeni wayo ukuze kugaywe oku kutya. Kukwakhupha iihomoni ezininzi egazini. Yiyo loo nto ufumana iimpawu ezifana nentlungu yesisu, isicaphucaphu, ukudumba, urhudo, kunye nokubetha kwentliziyo ngokukhawuleza. Kunokubangela utshintsho olukhawulezileyo kumanqanaba eswekile egazini lakho.
Kutheni oku kusenzeka? Zithini izizathu eziphambili?
Eyona nto iphambili neyona ixhaphakileyo ye-dumping syndrome lutyando olubandakanya isisu. Ngokukodwa:
- Utyando lokunciphisa umzimba: Le meko inokwenzeka kakhulu emva kotyando olususa inxalenye yesisu, olufana ne-"Gastric Bypass" okanye "Gastric Sleeve." Phakathi kwama-20% nama-50% abantu abaye benza utyando olunjalo banokufumana ezi mpawu ngandlela ithile.
- Ezinye iindlela zotyando lwesisu: Le meko inokwenzeka nokuba inxalenye yesisu isusiwe ngenxa yomhlaza wesisu okanye isilonda.
Ukongeza kotyando, oku akunakubangelwa ziimeko ezithile zempilo. Umzekelo, abanye abantu abanesifo seswekile banokuba nazo ezi mpawu.
Kwakhona, ezinye zokutya esikutyayo zingenza ezi mpawu zibe zimbi ngakumbi. Le meko inokuba mandundu ngakumbi xa sitya ukutya okuqulethe iiswekile ezicociweyo, ezifana neswekile, iziselo ezineswekile, iikeyiki, kunye ne-ayisikhrim . Oku kungenxa yokuba ezi swekile zinokufunxa amanzi ngokukhawuleza esiswini. Kwakhona, ukutya kobisi kunye nokutya okunamafutha, okuqhotsiweyo kunokwenza ezi mpawu zibe zimbi ngakumbi kwabanye abantu.
Into ebalulekileyo kukuba ezi mpawu ziya kuphela ngokuhamba kwexesha, ngoko ke ungakhathazeki.
Iimpawu ze-dumping syndrome zinokwenzeka ngeendlela ezimbini:
Kule meko, iimpawu zingabonakala kwizigaba ezibini eziphambili. Abanye abantu banokuba nazo zombini ezi mpawu, kanti abanye banokuba nesinye kuphela.
| Ixesha lokuqala kweempawu | Iimpawu ezibonakalayo |
|---|---|
| Iimpawu zeSigaba sokuqala (Kwimizuzu eli-10-30 emva kokutya) |
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| Iimpawu zeSigaba sokuGqibela (Iiyure ezi-1-3 emva kokutya) |
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Yintoni ebangela ukuba iimpawu zibonakale kumanqanaba okugqibela?
Oku kwenzeka kuba inqanaba leswekile egazini liyenyuka ngequbuliso lize lehle ngequbuliso. Xa sisitya ukutya okumnandi, loo swekile ingena ngokukhawuleza egazini elivela emathunjini amancinci. Ngenxa yoko, umzimba wethu uvelisa i-hormone eninzi ye-insulin ngaxeshanye. Oku kubangela ukuba inqanaba leswekile egazini lehle ngequbuliso (hypoglycemia), kwaye ufumana iimpawu ezifana nokudinwa kunye nesiyezi.
Isilumkiso: Ukuba awuzange ufunyaniswe une-dumping syndrome ngaphambili, kwaye ngequbuliso ulahlekelwa zingqondo, isiyezi esigqithisileyo, ukubetha kwentliziyo okukhawulezayo, okanye ukuphelelwa ngamandla , yiya kwigumbi likaxakeka lesibhedlele (ETU) ngoko nangoko.
Ugqirha uyifumanisa njani le nto?
Ukuba ukhe watyandwa isisu ngaphambili, ugqirha wakho unokuxilonga i-dumping syndrome ngokusekelwe kwiimpawu zakho. Basenokukucela ukuba ugcwalise iphepha lemibuzo elibizwa ngokuba yi-Dumping Symptom Rating Scale.
Nangona kunjalo, ukuba utyando alwenziwanga, okanye iimpawu azicacanga, kunokufuneka uvavanyo oluthile ukuze kuchongwe unobangela ochanekileyo.
- Uvavanyo Lokunyamezela Iswekile Egazini: Unikwa isiselo esineswekile kwaye amanqanaba eswekile egazini lakho ahlolwe ngaphambi nangeeyure ezi-1-3 kamva. Ukuba amanqanaba eswekile egazini lakho ehla ngequbuliso, luphawu lwesifo sokudumba esikwinqanaba lokugqibela.
- Uvavanyo Lokukhupha Isisu: Olu vavanyo luvavanya ukuba ukutya kuhamba ngokukhawuleza kangakanani esiswini sakho. Unikwa ukutya okuncinci okuxutywe nezinto ezisebenzisa i-radioactive uze ubukele njengoko kudlula kwiskena.
- I-Upper Endoscopy: Ityhubhu encinci, exhotyiswe ngekhamera idluliselwa emlonyeni iye esiswini ukujonga iingxaki zesakhiwo ngaphakathi esiswini.
- Uthotho lwe-Upper GI: Kunikwa ulwelo olukhethekileyo (i-contrast agent) ukuba luselwe, kwaye kusetyenziswa umatshini we-X-ray wevidiyo ukujonga indlela oluhamba ngayo kwindlela yokugaya ukutya.
Unyango kunye nolawulo lwe-dumping syndrome
Kwiimeko ezininzi, le meko inokulawulwa ngokutshintsha indlela otya ngayo nendlela ophila ngayo . Olu lolona nyango luphambili nolubaluleke kakhulu.
| Izinto ekufuneka zenziwe (oko kutya kunye nemikhwa) | Izinto ekungamele zenziwe (izinto ekungamele ziphetshwe) |
|---|---|
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Ezinye iingcebiso ezibalulekileyo
- Lala phantsi okwethutyana emva kokutya: Ukulala phantsi malunga nemizuzu engama-30 emva kokutya kunokunciphisa iimpawu ezifana nesiyezi.
- Yeka ukutya xa uziva uhluthi: Musa ukutya kakhulu.
Ukuba utshintsho kwindlela otya ngayo aluzilawuli iimpawu zakho, ugqirha wakho unokukunika amayeza. Umzekelo, inaliti ebizwa ngokuba yi-Octreotide acetate (Sandostatin) okanye ithebhulethi ebizwa ngokuba yi-Acarbose (Precose) elawula ukugaya iicarbohydrate. Ezi kufuneka zithathwe kuphela phantsi kweliso likagqirha. Kwiimeko ezinzima apho kungekho nanye kwezi ndlela isebenzayo, utyando lunokucetyiswa.
Umyalezo Wokuya Ekhaya
- I-Dumping syndrome yimeko eqhelekileyo eyenzeka emva kotyando lwesisu. Ayisosisongelo kubomi.
- Oku kungenxa yokuba ukutya kuhamba ukusuka esiswini ukuya emathunjini amancinci ngaphambi kokuba kugaywe.
- Unyango oluphambili nolungcono kukutshintsha indlela otya ngayo kunye nemikhwa yakho.
- Yitya izidlo ezincinci ezimbalwa ngemini. Yisuse ngokupheleleyo iswekile kunye neelekese.
- Kuphephe ukusela ulwelo ngelixa usitya. Musa ukusela amanzi imizuzu engama-30 ngaphambi nasemva kokutya.
- Ukuba awukwazi ukulawula iimpawu zakho emva kokwenza utshintsho kwindlela otya ngayo okanye ukuba uncipha kakhulu, qiniseka ukuba uthetha nogqirha wakho.
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