Usanda kuqeda ukudla ukudla okumnandi... futhi ngemva kwesikhashana, uzizwa sengathi kukhona okungahambi kahle esiswini sakho. Isisu sakho sigcwele, uzizwa unesicanucanu, ujuluka, futhi inhliziyo yakho ishaya ngokushesha. Ungase ucabange, 'Angazi ukuthi ngithinte ukudla noma cha.' Kodwa lokhu kungaba yisimo esibizwa ngokuthi 'i-dumping syndrome' esenzeka ngemva kokuhlinzwa kwesisu noma ngezinye izimo zezokwelapha. Ungakhathazeki, ake sixoxe ngalokhu kalula nangokucacile.
Kuyini i-Dumping Syndrome?
Kalula nje, lokhu kwenzeka lapho isisu sakho (ingxenye engenhla yamathumbu) sisunduza okuqukethwe yisisu saso, ukudla esikudlayo, singene emathunjini amancane ngokushesha okukhulu, ngaphambi kokuba kugaywe kahle. Lokhu kubizwa nangokuthi "ukuphuma kwesisu ngokushesha".
Cabanga ngefektri edinga ukuhlunga izimpahla ezithile bese izithumela. Kodwa ngenxa yenkinga ngomshini, kufana nokulahla zonke izimpahla ngesikhathi esisodwa. Ngokuvamile, isisu sethu sithumela ukudla emathunjini amancane ngendlela elawulwayo. Imisipha yethu, imizwa, nama-hormone konke kusebenza ndawonye kule nqubo. Kodwa uma kukhona okuphazamisa lokhu kuxhumana, ukudla esiswini "kulahlwa" ngokuzumayo emathunjini amancane, okungukuthi, kuyalahlwa ngaphandle.
Uma ukudla okuningi okungagaywanga kungena emathunjini amancane ngokuzumayo, akukwazi ukumelana nakho. Kuyacasuka, futhi ukuze kulawulwe, kudonsa amanzi amaningi kuleyo ndawo, kukhipha ama-hormone. Lokho kuphazamiseka yilokho esikuzwayo njengezimpawu ezifana nokucasuka, izinhlungu zesisu, kanye nokuqunjelwa .
Abanye abantu bangase babe nezinye izimpawu emahoreni ambalwa ngemva kokudla. Lokhu kungenxa yezinguquko emazingeni kashukela egazini. Lapho inani elikhulu likashukela lingena emathunjini ngokushesha, i-pancreas yethu iyathuka bese icabanga ukuthi, "O, kunoshukela omningi, sidinga ukufaka i-insulin ngokushesha," bese ikhipha i-insulin eningi kunalokho okufanele. Bese izinga likashukela egazini lehla ngokuzumayo. Yilokho esikubiza ngokuthi "i-Reactive Hypoglycemia." Lokhu kungabangela imizwa yokuquleka, ukuthuthumela, kanye nokushaya kwenhliziyo okusheshayo.
Ziyini izimpawu ze-dumping syndrome?
Izimpawu zalesi simo zingavela ngezigaba ezimbili eziyinhloko. Ungase ube nesinye noma zombili zalezi.
| Isigaba sezimpawu | Izimpawu ezizwakalayo |
|---|---|
| Izimpawu zokuqala (Kungakapheli imizuzu eyi-10-30 ngemva kokudla) |
|
| Izimpawu zesigaba sokugcina (Amahora angu-2-3 ngemva kokudla) |
|
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Lesi simo sivame ukwenzeka njengomphumela ongemuhle wokuhlinzwa esiswini noma emhubheni. Kuvame kakhulu ngemva kokuhlinzwa ukususa ingxenye noma sonke isisu, noma ngemva kokuhlinzwa kokunciphisa isisindo. Kungabangelwa futhi yizimo ezithile zezokwelapha.
| Izimbangela eziyinhloko ze-dumping syndrome | |
|---|---|
| Izimbangela ezihlobene nokuhlinzwa | |
| Ukuhlinzwa kwesisu | Ukususwa kwengxenye noma sonke isisu. |
| Ukuhlinzwa kokunciphisa isisindo (ukuhlinzwa kwe-Bariatric) | Isibonelo, ukuhlinzwa kwesisu. |
| Ukususwa komlomo wesibeletho | Ukususwa kwengxenye noma yonke i-esophagus. |
| Okunye ukuhlinzwa kwesisu | Isb: `Pyloroplasty`, `Vagotomy`, `Nissen fundoplication`. |
| Izimbangela ezihlobene nezimo zezokwelapha | |
| Isifo Sikashukela (i-Diabetes Mellitus) | Ikakhulukazi uma imizwa ithintekile. |
| Ezinye izifo | Izimo ezifana ne-'Zollinger-Ellison syndrome' kanye ne-'Duodenal ulcers'. |
Ingabe i-dumping syndrome iyingozi kakhulu?
Ngokuvamile, cha. Lesi akusona isifo esisongela ukuphila.
Kodwa-ke, uma lesi simo siba sibi kakhulu, ukwehla kwesisindo ngokushesha kanye nokuntuleka kokudla okunempilo kungenzeka. Ukuphelelwa amanzi emzimbeni nakho kungenzeka ngenxa yohudo oluqhubekayo. Kodwa sivame ukulawula lokhu. Iningi labantu linezimpawu ezincane. Lezi zimpawu zizophela ngokuhamba kwesikhathi. Lokhu ngokuvamile akuyona inkinga ehlala njalo.
Dokotela, ukuxilonga kanjani lokhu?
Uma usanda kuhlinzwa isisu, udokotela wakho angase akwazi ukuxilonga lesi simo ngokusekelwe ezimpawu zakho. Ngezinye izikhathi, angakunikeza nohlu lwemibuzo (i-`Dumping Symptom Rating Scale`) olulinganisa ubukhali bezimpawu zakho.
Kodwa-ke, uma ukuhlinzwa kungenziwanga, noma uma ukuxilongwa kudinga ukuqinisekiswa, udokotela angase ancome ukuhlolwa okuningana, okufana nalokhu:
- Ukuhlolwa kokubekezelela ushukela ngomlomo: Lokhu kuhilela ukuphuza uketshezi olunoshukela nokuhlola amazinga kashukela egazini lakho ngaphambi nangemva kokuthatha umuthi. Lokhu kungasiza ekuboneni amazinga kashukela aphansi egazini angase abangele izimpawu kamuva.
- Ukuhlolwa kokuphefumula kwe-hydrogen: Lokhu kuhilela nokuphuza uketshezi olunoshukela kanye nokukala inani legesi ye-hydrogen emphefumulweni wakho. Uma ushukela ungamuncwa kahle, inani le-hydrogen emphefumulweni wakho lizokhula.
- I-endoscopy Ephezulu: Ithubhu elincane elinekhamera enamathiselwe lifakwa ngomlomo ukuhlola isisu, umphimbo, kanye nengxenye yokuqala yamathumbu amancane.
- Uchungechunge lwe-GI oluphezulu:Kunikezwa uketshezi olukhethekile (umehluko), bese kusetshenziswa i-X-ray yevidiyo ukuze lubuke luhamba emathunjini. Lokhu kungabonisa ukuthi ukudla kuhamba ngokushesha kangakanani esiswini.
- Ukuhlolwa kokukhipha isisu: Lesi yisilingo esingcono kakhulu sokulinganisa isivinini sokukhipha isisu. Inani elincane lezinto ezinemisebe lixutshwa ekudleni bese isivinini ukudla okudlula ngaso esiswini silinganiswa kusetshenziswa isithwebuli.
Silawula kanjani lesi simo?
Abantu abaningi bangalawula lesi simo ngempumelelo ngokushintsha indlela abadla ngayo .
Ukushintsha kokudla (lokhu kuyinto ebaluleke kakhulu!)
| Okufanele ngikwenze | Kungani kunjalo? |
|---|---|
| Esikhundleni sokudla ukudla okukhulu kathathu ngosuku, yidla ukudla okuncane okuyisithupha. | Kunciphisa inani lokudla okungena esiswini ngesikhathi esisodwa. |
| Hlafuna ukudla kwakho kahle bese udla kancane. | Kuyasiza isisu enqubweni yokugaya ukudla. |
| Nciphisa ama-carbohydrate alula njengoshukela, iziphuzo ezinoshukela, amakhekhe, nesinkwa esimhlophe. | Kuvimbela amazinga kashukela egazini ukuthi akhuphuke noma ehle ngokuzumayo. |
| Yidla amaprotheni amaningi (inyama, inhlanzi, amaqanda) kanye namafutha amahle (amantongomane, ama-avokhado). | Lokhu kuthatha isikhathi eside ukugaya, ngakho-ke kulawula ukuphuma kwesisu. |
| Yidla ukudla okucebile nge-fiber (irayisi elinsundu, imifino, izithelo). | Kunciphisa isivinini sokudla okudlula ngaso emathunjini. |
| Ungaphuzi amanzi/uketshezi imizuzu engama-30 ngaphambi noma imizuzu engama-30 ngemva kokudla. | Uketshezi lusiza ukudla ukuthi kudlule esiswini ngokushesha. |
| Ngemva kokudla, lala phansi cishe imizuzu engama-30. | Amandla adonsela phansi anganciphisa isivinini sokudla okwehla ngaso. |
Imithi (izidakamizwa)
Uma izimpawu kunzima ukuzilawula naphezu kokushintsha kokudla, udokotela wakho angase akunike imithi ethile.
- I-Octreotide acetate: Lona umjovo. Usiza ekunciphiseni ijubane lokukhipha isisu nokulawula ukukhishwa kwe-insulin.
- I-Acarbose: Lo muthi usebenza ngokunciphisa izinga lapho ama-carbohydrate amuncwa khona emzimbeni. Lokhu kungasiza ekulawuleni izimpawu zoshukela ophansi egazini kamuva ngosuku.
Ukuhlinzwa
Lokhu akuvamile kakhulu . Udokotela uzocabangela ukuhlinzwa kabusha kuphela uma konke okunye kwehluleka futhi lesi simo sithinta kakhulu impilo yakho.
Ingabe i-dumping syndrome izophela?
Yebo, isikhathi esiningi kuba ngcono ngokuhamba kwesikhathi. Izimo ezincane zingaba ngcono zingakapheli izinyanga ezintathu. Izimo ezinzima kakhulu zingathatha izinyanga eziyi-12 kuya kweziyi-18. Kodwa ungakhathazeki, uma ulungisa ukudla kwakho kahle, uzozizwa ukhululekile kakhulu phakathi nalesi sikhathi.
Uma uhlelelwe ukuhlinzwa, kuwukuhlakanipha ukuhlela kusenesikhathi mayelana nokudla ozokudla ngemva kwalokho.
Umlayezo Wokuya Nawe Ekhaya
- I-Dumping syndrome yilapho isisu sibuyisela okuphakathi kwaso emathunjini amancane.
- Lesi simo sivame ukubonakala ngemva kokuhlinzwa kwesisu.
- Izimpawu zingavela ngokushesha ngemva kokudla (isicanucanu, ubuhlungu besisu) noma ngemva kwamahora amaningana (ukuthuthumela, ukujuluka).
- Lokhu ngokuvamile akuyona ingozi futhi kuzophola ngokuhamba kwesikhathi.
- Ukwelashwa okubaluleke kakhulu ukushintsha ukudla kwakho: yidla ukudla okuncane izikhathi eziningana ngosuku, yehlisa ushukela, futhi ungaphuzi amanzi ngesikhathi sokudla.
- Uma izimpawu zakho zinkulu noma zingenakulawuleka ngokushintsha ukudla, qiniseka ukuthi ukhuluma nodokotela wakho.
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