Uke wahlinzwa ukunciphisa isisindo (njengokuhlinzwa kwesisu)? Noma ingabe ngezinye izikhathi uzizwa usuthi, unama-cramp esiswini, uzizwa unesicanucanu, ujuluka, futhi udidekile ngemva kokudla ukudla, ikakhulukazi into emnandi? Awuwedwa. Namuhla sikhuluma ngesimo esithinta abantu abaningi kodwa esingakhulunywa ngaso njalo. Lezi zimpawu zingase zibe ziyesabeka kancane ekuqaleni, kodwa azisongeli impilo. Into engcono kakhulu ukuthi ungayilawula ngokwenza izinguquko ezincane emikhubeni yakho yokudla.
Kalula nje, iyini i-Dumping Syndrome?
Cabanga ngesisu sakho njengedamu. Ukudla esikudlayo kugcinwa kuleli damu isikhashana, kugaywe kancane kancane, bese kuthunyelwa emathunjini amancane kube yizicucu ezincane. Kodwa okwenzekayo kumuntu onesifo sokulahla indle ukuthi amasango aleli damu avuleka ngokuzumayo. Okusho ukuthi, ukudla okuningi 'kulahlwa' ngokuzumayo kusuka esiswini kuya emathunjini amancane, okungukuthi, kuyawa.
Uma ukudla okuningi okungagayeki kungena emathunjini amancane ngokuzumayo, kuyaphazamiseka. Kufanele kudonse amanzi amaningi emzimbeni ukuze kugaywe lokhu kudla. Kuphinde kukhiphe ama-hormone amaningi egazini. Yingakho uthola izimpawu ezifana nobuhlungu besisu, isicanucanu, ukuqunjelwa, isifo sohudo, kanye nokushaya kwenhliziyo okusheshayo. Kungabangela nezinguquko ezisheshayo emazingeni kashukela egazini lakho.
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?
Imbangela eyinhloko nevame kakhulu ye-dumping syndrome ukuhlinzwa okubandakanya isisu. Ngokuqondile:
- Ukuhlinzwa kokwehlisa isisindo: Lesi simo singenzeka kakhulu ngemva kokuhlinzwa okususa ingxenye yesisu, njenge-"Gastric Bypass" noma i-"Gastric Sleeve." Phakathi kuka-20% no-50% wabantu abaye bahlinzwa kanjalo bangase babe nalezi zimpawu ngezinga elithile.
- Okunye ukuhlinzwa kwesisu: Lesi simo singase senzeke ngisho noma ingxenye yesisu isusiwe ngenxa yomdlavuza wesisu noma isilonda.
Ngaphezu kokuhlinzwa, lokhu akuvamile ukubangelwa yizimo ezithile zezokwelapha. Isibonelo, abanye abantu abanesifo sikashukela bangase babe nalezi zimpawu.
Futhi, okunye kokudla esikudlayo kungenza lezi zimpawu zibe zimbi kakhulu. Lesi simo singaba sibi kakhulu uma sidla ukudla okuqukethe ushukela ocolisisiwe, njengoshukela, iziphuzo ezinoshukela, amakhekhe, kanye ne-ayisikhilimu . Lokhu kungenxa yokuthi lawa shukela angamunca amanzi ngokushesha esiswini. Futhi, ukudla kobisi kanye nokudla okunamafutha, okuthosiwe kungenza lezi zimpawu zibe zimbi kakhulu kwabanye abantu.
Into ebalulekile ukuthi lezi zimpawu zizophela kakhulu ngokuhamba kwesikhathi, ngakho ungakhathazeki.
Izimpawu ze-dumping syndrome zingavela ngezindlela ezimbili:
Kulesi simo, izimpawu zingabonakala ngezigaba ezimbili eziyinhloko. Abanye abantu bangase babe nazo zombili, kanti abanye bangase babe nesinye kuphela.
| Isikhathi sokuqala kwezimpawu | Izimpawu ezivelayo |
|---|---|
| Izimpawu Zesigaba Sokuqala (Kungakapheli imizuzu eyi-10-30 ngemva kokudla) |
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| Izimpawu Zesigaba Sokugcina (Amahora angu-1-3 ngemva kokudla) |
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Yini ebangela ukuthi izimpawu zivele ezigabeni zakamuva?
Lokhu kwenzeka ngoba izinga likashukela egazini liyakhuphuka ngokuzumayo bese lehla ngokuzumayo. Uma sidla ukudla okumnandi, lowo shukela umuncwa ngokushesha egazini elivela emathunjini amancane. Ngenxa yalokho, umzimba wethu ukhiqiza i-hormone eningi ye-insulin. Lokhu kubangela ukuthi izinga likashukela egazini lehle ngokuzumayo (hypoglycemia), okubangela izimpawu ezifana nokukhathala kanye nesiyezi.
Isexwayiso: Uma ungakaze utholakale une-dumping syndrome ngaphambilini, futhi ngokuzumayo uzwa ukulahlekelwa ukwazi, isiyezi esikhulu, ukushaya kwenhliziyo okusheshayo, noma ukuquleka , hamba uye egumbini lezimo eziphuthumayo esibhedlela (ETU) ngokushesha.
Udokotela ukuxilonga kanjani lokhu?
Uma uke wahlinzwa isisu ngaphambilini, udokotela wakho angase akuhlole ukuthi une-dumping syndrome ngokusekelwe ezimpawini zakho. Bangase bakucele ukuthi ugcwalise uhlu lwemibuzo olubizwa ngokuthi i-Dumping Symptom Rating Scale.
Kodwa-ke, uma ukuhlinzwa kungenziwanga, noma izimpawu zingacacile, kungase kudingeke ukuhlolwa okuthile ukuze kutholakale imbangela eqondile.
- Ukuhlolwa Kokubekezelela I-glucose Yomlomo: Unikezwa isiphuzo esinoshukela bese amazinga kashukela egazini lakho ahlolwa ngaphambi nangemva kwamahora angu-1-3. Uma amazinga kashukela egazini lakho ehla ngokuzumayo, kuyisibonakaliso se-dumping syndrome esesigabeni sokugcina.
- Ukuhlolwa Kokukhipha Isisu: Lokhu kuhlola ukuthi ukudla kuhamba ngokushesha kangakanani esiswini sakho. Unikwa inani elincane lokudla elixutshwe nezinto ezikhipha imisebe bese ubhekisiswa njengoba lidlula kusikeni.
- I-Upper Endoscopy: Ipayipi elincane, elifakwe ikhamera lidluliselwa emlonyeni liye esiswini ukuze kuhlolwe izinkinga zesakhiwo ngaphakathi esiswini.
- Uchungechunge Lwe-Upper GI: Kunikezwa uketshezi olukhethekile (i-contrast agent) ukuze luphuzwe, bese kusetshenziswa umshini we-X-ray wevidiyo ukuze kubonwe ukuthi luhamba kanjani emgudwini wokugaya ukudla.
Ukwelashwa nokuphathwa kwe-dumping syndrome
Ezimweni eziningi, lesi simo singalawulwa ngokushintsha indlela odla ngayo kanye nemikhuba yakho yokudla . Lena yindlela yokwelapha eyinhloko nebaluleke kakhulu.
| Izinto okufanele uzenze (okufanele udle kanye nemikhuba) | Izinto okungafanele zenziwe (izinto okufanele uzigweme) |
|---|---|
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Amanye amathiphu abalulekile
- Lala phansi isikhashana ngemva kokudla: Ukulala phansi cishe imizuzu engama-30 ngemva kokudla kunganciphisa izimpawu ezifana nesiyezi.
- Yeka ukudla uma usuthi: Ungadli kakhulu.
Uma izinguquko zokudla zingalawuli izimpawu zakho, udokotela wakho angase akunike imithi. Isibonelo, umjovo obizwa ngokuthi i-Octreotide acetate (Sandostatin) noma ithebhulethi ebizwa ngokuthi i-Acarbose (Precose) elawula ukugaya kwama-carbohydrate. Lokhu kufanele kuthathwe kuphela ngaphansi kokuqashwa ngudokotela. Ezimweni ezimbi kakhulu lapho kungekho neyodwa yalezi zinyathelo esebenza khona, kunganconywa ukuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Dumping syndrome yisimo esivamile esenzeka ngemva kokuhlinzwa kwesisu. Akusona isifo esisongela ukuphila.
- Lokhu kungenxa yokuthi ukudla kuhamba kusuka esiswini kuya emathunjini amancane ngaphambi nje kokuba kugaywe.
- Ukwelashwa okuyinhloko nokungcono kakhulu ukushintsha ukudla kwakho kanye nemikhuba yakho.
- Yidla ukudla okuncane kaningana ngosuku. Nciphisa ushukela namaswidi ngokuphelele.
- Gwema ukuphuza uketshezi ngenkathi udla. Ungaphuzi amanzi imizuzu engama-30 ngaphambi nangemva kokudla.
- Uma ungakwazi ukulawula izimpawu zakho ngisho nangemva kokwenza izinguquko ekudleni noma uma wehlisa isisindo esiningi, qiniseka ukuthi ukhuluma nodokotela wakho.
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