Ingaba uneentlungu zesisu emva kokutya? Ngaba le yingxaki yokudumba?

Emva kokutya, ngaba ngamanye amaxesha uziva unesiyezi, uhluthi, okanye unezihlunu zesisu? Abanye abantu baziva bediniwe kwaye beqhaqhazela emva kweeyure ezimbalwa emva kokutya. Ukuba unale mpawu, usenokuba nesifo esibizwa ngokuba yi-dumping syndrome . Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba inokuchaphazela abantu abaninzi.

Yintoni iDumping Syndrome?

Ngamafutshane, i-dumping syndrome kuxa ukutya okusesiswini sakho, okanye okusesiswini sakho, kungena emathunjini akho amancinci, okanye oko sikubiza ngokuba yi-small intestine, ngokukhawuleza kunesiqhelo . Oogqirha bakwabiza oku ngokuthi 'ukukhupha isisu ngokukhawuleza'. Cinga ngako ngokungathi ukutya okusesiswini sakho "kuphoswa" emathunjini akho amancinci kwiqhuma elikhulu, ngaphambi kokuba kugaywe kakuhle.

Ngoko ke, xa oku kusenzeka, inani elikhulu lokutya okungagaywanga lingena emathunjini amancinci ngaxeshanye, nto leyo enokubangela ukungakhululeki okufana nokucaphuka, ukudumba, iintlungu zesisu, kunye norhudo . Ayipheleli apho, kodwa inokubangela utshintsho olukhulu ngequbuliso kumanqanaba eswekile egazini lakho.

Kwenzeka ntoni ngokwenene kwiDumping Syndrome?

Ngokwesiqhelo, xa sisitya, isisu sethu sithumela ukutya kancinci nangendlela elawulwayo emathunjini amancinci. Oku kwenziwa yimisipha, imithambo-luvo, kunye neehomoni esiswini, ezisebenza ngokulungelelaniswa. Oku sikubiza ngokuba "kukuhamba kwesisu."

Nangona kunjalo, kwi-dumping syndrome, olu lungelelwaniso luyaphazama. Ivalvu esezantsi kwesisu, ivalvu ye-pyloric , iyavuleka ngaphambi kokuba ukutya kugaywe, kwaye yonke into esesiswini ilahlwa emathunjini amancinci ngaxeshanye.

Kwenzeka ntoni ke ngoko? Xa amathumbu amancinci ngequbuliso enokutya okungagayekiyo, azama ukuziqhelanisa nako. Atsala ulwelo olongezelelweyo, akhuphe iihomoni ezongezelelweyo. Ezo nguqu zezona zibangela ukungakhululeki esikukhankanyileyo ngaphambili emva nje kokutya.

Abanye abantu banokufumana ezinye iimpawu emva kweeyure ezimbalwa emva kokutya. Oku kungenxa yokuba amanqanaba eswekile egazini ayatshintsha. Xa ukutya okuneswekile eninzi kungena emathunjini amancinci ngequbuliso, ipancreas yethu inikwa umqondiso wokukhupha i-insulin engaphezulu ukulawula iswekile egazini. Oku kunokubangela ukwehla ngequbuliso kweswekile egazini. Oku kubizwa ngokuba yi-respiratory hypoglycemia . Oku kunokubangela izinto ezifana nesiyezi, ukungcangcazela, kunye nokubetha kwentliziyo.

Ngubani onokuba nethuba elikhulu lokufumana isifo sokudumba?

I-Dumping syndrome idla ngokuba yingxaki emva kotyando lwesisu.Kuqikelelwa ukuba phakathi kwama-20% nama-50% abantu abaye benza utyando lwesisu baya kuba nazo ezi mpawu ukuya kwinqanaba elithile. Oku kuqhelekile ngakumbi kubantu abaye benza utyando olususa inxalenye enkulu yesisu, njengotyando lwe-gastrectomy (ukususwa kwesisu sonke okanye inxalenye yaso) okanye utyando lwe-gastric bypass ( utyando lokunciphisa umzimba oludlula inxalenye yesisu). Amaxesha amaninzi, lunokubangelwa ziimeko ezithile zamathumbu.

Ngaba i-Dumping Syndrome yimeko enzima?

Ngokwesiqhelo, i-dumping syndrome ayisiyongozi okanye ayisongeli ubomi. Nangona kunjalo, ukuba imeko imbi kakhulu, inokukhokelela ekunciphiseni umzimba ngokukhawuleza kunye nokungabikho kokutya okunempilo. Ukuba urhudo alulawulwa, lunokukhokelela ekuphelelweni ngamanzi emzimbeni. Kodwa uninzi lwexesha, ezi zinto zinokulawulwa.

Uninzi lwabantu luneempawu ezincinci eziphela ngokuhamba kwexesha. I-Dumping syndrome ayihlali ihleli, ngoko ke akukho nto ixhalabisayo ngayo.

Zithini iimpawu ze-dumping syndrome?

Kukho amanqanaba amabini aphambili e-dumping syndrome, aneempawu ezinxulumene nesigaba ngasinye. Usenokuba nesinye okanye zombini ezi zigaba.

Iimpawu ze-dumpling syndrome zakuqala

Ezi zinto zihlala ziqala ukwenzeka phakathi kwemizuzu eli-10 nengama-30 emva kokuba utyile .

• Isicaphucaphu
• Ukuhlanza
• Urhudo (intlungu yesisu)
• Intlungu yesisu kunye nokuqhwalela
• Ukudumba, ukuziva udumba
• Ukudinwa, ukuquleka
• Ukunyuka kwesantya sentliziyo (ukuziva ngathi isifuba sakho siyabetha)

Iimpawu ze-late dumping syndrome ezenzeka emva kweeyure ezimbalwa emva kokutya

Ezi mpawu zihlala zibonakala emva kweeyure ezimbini ukuya kwezintathu emva kokutya .

• Ubuthathaka, ukudinwa
• Ukungcangcazela, ukungazinzi
• Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga
• Ukubila okubandayo
• Ububomvu bobuso
• Inkungu yobuchopho - ukuziva kunzima ukucinga ngokucacileyo
• Ndiziva ndilambile kakhulu

Zithini izizathu ze-dumping syndrome?

Kukho iindidi ezimbini eziphambili zezizathu zoku.

Izizathu ezinxulumene notyando:

• Utyando lokususa inxalenye okanye sonke isisu.
• Utyando lweBariatric: Utyando olwenziwayo ukuze kuncitshiswe ubunzima, umzekelo, utyando lwesisu oluhamba ngesantya esiphezulu.
• I-Pyloroplasty: Utyando olwenziwa kwivalvu ye-pyloric ezantsi kwesisu.
• Utyando lokususa inxalenye okanye yonke i-esophagus.
• Utyando lweVagotomy: Inkqubo yotyando olunqumla umthambo wevagus esiswini ukuze kuncitshiswe iasidi yesisu.
• I-Nissen fundoplication: Utyando lokuthunga inxalenye engentla yesisu ijikeleze umqala (olwenzelwe isifo se-gastroesophageal reflux - GERD).

Izizathu ezinxulumene nesifo:

I-Dumping syndrome inokubangelwa naziimeko ezithile zempilo.

• Isifo Seswekile (iDiabetes Mellitus)
• Isifo sokuhlanza nge-cyclic
• Ukungasebenzi kakuhle kokuzimela
• Ukungasebenzi kakuhle kwe-pancreatic exocrine
• Izilonda zeDuodenal
• Isifo sikaZollinger-Ellison
• I-dyspepsia esebenzayo
• I-Cannabis hyperemesis syndrome ( imeko yokuhlanza kakhulu ngenxa yokusebenzisa i-cannabis)

Ungayiqaphela njani i-dumping syndrome?

Ukuba ukhe watyandwa isisu ngaphambili (nokuba bekuyiminyaka eyadlulayo), ugqirha wakho unokurhanela ukuba kukho i-dumping syndrome ngokusekelwe kwiimpawu ozichazayo. Banokukunika uxwebhu lwemibuzo, olufana ne -Dumping Symptom Rating Scale , ukuze kulinganiswe ubukhali beempawu zakho.

Nangona kunjalo, ugqirha wakho unokwenza uvavanyo oluthile ukuqinisekisa ukuba unesifo okanye ukuthintela ezinye izizathu. Olu vavanyo lubaluleke kakhulu ukuba awuzange wenze utyando lwesisu.

Nazi ezinye iimvavanyo ezinokwenziwa ukuze kufunyaniswe isifo sokudumba:

• Uvavanyo lokunyamezela iswekile ngomlomo: Oku kuquka ukukunika isiselo esinoshukela kunye nokulinganisa amanqanaba eswekile egazini lakho ngaphambi nasemva koko. I-hematocrit yakho, eyipesenti yeeseli ezibomvu zegazi, nayo iyalinganiswa. Ukwanda kwe-hematocrit yakho emva kokusela isiselo esinoshukela kuthetha ukuba ulwelo oluninzi lutsalwa egazini lakho luye emathunjini akho. Ukuba iswekile yakho yegazi yehla kwiyure enye ukuya kwezintathu, oku kubizwa ngokuba yi-delayed dumping syndrome.
• Uvavanyo lokuphefumla nge-hydrogen: Oku kulinganisa ubungakanani be-hydrogen emphefumulweni wakho emva kokuba usele isisombululo se-glucose. I-hydrogen emphefumulweni wakho ithetha ukuba amathumbu akho amancinci akafunxi i-glucose ngokufanelekileyo. Oku kuthetha ukuba amathumbu amancinci agcwele kakhulu.
• I-endoscopy ephezulu: Oku kuquka ukufaka ityhubhu encinci neguquguqukayo (i-endoscope) enekhamera eqhotyoshelweyo ngomlomo kwaye ihlolisise ingaphakathi le-esophagus, isisu, kunye ne-duodenum (inxalenye yokuqala yamathumbu amancinci). Oku kunokunceda ekuqinisekiseni ukuba kukho iingxaki zesakhiwo okanye ezinye izizathu zeempawu zakho.
• Uthotho lwe-GI oluphezulu:Kule nto, unikwa ulwelo olukhethekileyo (isisombululo sokungafaniyo) ukuze ulusele, kwaye kusetyenziswa uthotho lweevidiyo ze-X-ray (ezibizwa ngokuba yi-'fluoroscopy') ukuze ulubukele njengoko luhamba nge-esophagus yakho, esiswini, namathumbu amancinci aphezulu. Oku kukuvumela ukuba ubone ukuba ulwelo luhamba ngesantya esingakanani.
• Uvavanyo lokukhupha isisu: Olu vavanyo lulinganisa ukuba ukutya kukhawuleza kangakanani ukuphuma esiswini sakho. Inani elincinci kakhulu lezinto ezine-radioactive longezwa ekutyeni okutyayo. Emva koko, esebenzisa iskena esikhethekileyo, ugqirha wakho unokubukela ukutya kuhamba esiswini sakho.

Ungayisusa njani i-dumping syndrome?

Abantu abaninzi banokuyilawula ngempumelelo i-dumping syndrome ngokwenza utshintsho kwindlela yokutya . Kwiimpawu ezinzima, ukuba ukutya kuphela akuncedi, amayeza angasetyenziswa. Nangona kunjalo, amayeza anokuba nemiphumo emibi, ngoko ke awacetyiswa ukuba asetyenziswe ixesha elide. Kwiimeko ezingaqhelekanga, ukuba i-dumping syndrome ibangelwa lutyando kwaye akukho nyango lumbi oluye lwanceda, ugqirha wakho unokucebisa olunye utyando.

Izikhokelo zokutya

Oogqirha bacebisa ukuba balandele la macebiso ukuze banciphise iimpawu:

• Nciphisa ukutya okutyayo kwisidlo esinye kwaye wandise inani lokutya okutyayo imini yonke. Endaweni yokutya kathathu okukhulu, zama ukutya izidlo ezintandathu ezincinci.
• Yitya ukutya kwakho kancinci uze ukuhlafune kakuhle. Oku kuya kwenza kube lula ukugaya ukutya.
• Nciphisa ukutya kwakho iiswekile ezilula, ukutya okune-carb ephezulu, kunye neemveliso zobisi kangangoko unako. Ezi ziya kunceda ukuthintela utshintsho olukhawulezileyo kwiswekile yegazi. Ii-carbs ezintsonkothileyo, ezifana neenkozo ezipheleleyo, zingcono.
• Nciphisa iicarbohydrates ekutyeni kwakho kwaye wongeze iiproteni ezingaphezulu kunye namafutha asempilweni endaweni yoko. Amafutha acotha ukugaywa kwaye anika umthombo wamandla ohlala uhleli.
• Yitya ukutya okuninzi okutyebileyo kwi-fiber yokutya. Oku kongeza ubuninzi ekutyeni, kucothise ukuhamba kwayo emathunjini. I-fiber ikwalawula ukufunxwa kweswekile.
• Lala phantsi (uthe nkqo) malunga nemizuzu engama-30 emva kokutya. Oku kunokunceda ukugcina uxinzelelo lwegazi ngexesha lokugaya ukutya.
• Musa ukusela amanzi okanye ezinye iziselo imizuzu engama-30 ngaphambi okanye emva kokutya. Izinto ezilulwelo ziyandisa ukuhamba kwesisu.

Amayeza

Amanye amayeza anokunceda ukulawula iimpawu zokuqala nezemva kwexesha ze-dumping syndrome.

• I-Octreotide acetate:I-Octreotide ithintela ukusebenza kweehomoni ezithile kwinkqubo yethu yokugaya ukutya. Oku kucothisa ukukhupha ukutya esiswini kunye nokuhamba kokutya emathunjini amancinci. Ikwanciphisa ukuveliswa kwe-insulin. Eli yeza linikwa njengenaliti, nokuba yemihla ngemihla (esebenza ixesha elifutshane) okanye yenyanga (esebenza ixesha elide).
• I-Acarbose: Eli yeza linciphisa isantya umzimba wethu ofunxa ngaso iicarbohydrate, lilawula amanqanaba eswekile egazini. Liye labonakala linciphisa i-hypoglycemia eyenzeka kwi-late dumping syndrome.

Utyando

Utyando alukhuthazwa rhoqo kwi-dumping syndrome. Nangona kunjalo, ukuba imeko yakho ibangelwa lutyando, olunye utyando lunokukwazi ukuyilungisa. Ukuba i-dumping syndrome ichaphazela kakhulu umgangatho wobomi bakho kwaye akukho nto isebenzayo, unokufuna ukucinga ngotyando lokwakha ngokutsha. Oku kubandakanya:

• Ukwakha ngokutsha okanye ukuguqula inxalenye yesisu engasebenzi kakuhle.
• Ukuguqula utyando olufana ne-gastric bypass okanye ukutshintshela kwindlela engangenisi gazi kakhulu.

Ngaba isifo sokulahla inkunkuma siya kuphela ngokupheleleyo?

Ewe, idla ngokuhamba kwexesha. Isifo sokudumba kwasekuqaleni esincinci sidla ngokuphela kwisithuba seenyanga ezintathu. Iimeko ezinzima ngakumbi kunye nesifo sokudumba kwasemva kwexesha zingathatha iinyanga ezili-12 ukuya kwezili-18 ukuba zisonjululwe. Okwangoku, utshintsho kwindlela yokutya lunokubonelela ngoncedo olukhulu. Nangona kunjalo, kungathatha iiveki ezininzi ukubona uphuculo. Ngoko ke kubalulekile ukuba nomonde.

Zeziphi ukutya omele uzitye kwaye zeziphi ukutya omele uziphephe xa une-dumping syndrome?

Kubaluleke kakhulu kubantu abanale meko, ingakumbi emva kotyando lwesisu, ukuba balandele isicwangciso sokutya esiza kunceda ukulawula iimpawu. Amanqaku esixoxe ngawo ngaphambili phantsi kwesihloko esithi "Utshintsho Lokutya" ayasebenza nalapha:

• Izinto onokuzitya: Ukutya okutyebileyo kwiiproteni (intlanzi, inkukhu, amaqanda, iilentili), amafutha asempilweni (iavokhado, amandongomane), iicarbohydrate ezintsonkothileyo ezityebileyo kwifayibha (irayisi emdaka, iioats, imifuno).
• Izinto ekufuneka uziphephe okanye uzithintele: Iiswekile ezilula (iziselo ezineswekile, iilekese, iikeyiki), iicarbohydrates ezicociweyo kakhulu (izinto ezenziwe ngomgubo wesonka), ubisi kunye neemveliso zobisi (abanye abantu banokukufumanisa kunzima ukugaywa), ukutya okunamafutha amaninzi, okuqhotsiweyo.

Kungcono ukuthetha nogqirha wakho okanye ingcali yesondlo ukuze wenze isicwangciso sokutya esifanelekileyo kuwe.

Okokugqibela, umyalezo oya ekhaya:

I-Dumping syndrome yimeko abantu abaninzi abanokuyifumana emva kotyando lwesisu. Usenokuzifumana ezi mpawu emva kotyando. Iindaba ezimnandi zezokuba uninzi lwexesha, yimeko engephi kwaye iya kuphelela emva kweeveki okanye iinyanga ezimbalwa.Okwangoku, ungayilawula kakuhle le meko ngokulungelelanisa ukutya kwakho ngokufanelekileyo.

Ukuba uza kwenziwa utyando lwesisu kwixesha elizayo, bubulumko ukucwangcisa ukutya okufanelekileyo kwi-dumping syndrome. Lungisa ikhitshi kwaye ube nezicwangciso zokutya ezimbalwa engqondweni. Ukuba wenze utshintsho kwindlela otya ngayo kwaye aluzisi impumuzo, qiniseka ukuba ubona ugqirha wakho. Angakunika amayeza afunekayo ukukunceda ngexesha lokuchacha kwakho. Ngoko ke, eyona nto ibalulekileyo kukungaxhalabi, ukwaziswa, kwaye uthathe amanyathelo afunekayo.

Isifo sokulahlwa kwenkunkuma , isisu, amathumbu amancinci, utyando, ukugaya ukutya, iimpawu