Ingabe uzwa ubuhlungu esiswini ngemva kokudla? Ingabe lokhu kungaba yi-dumping syndrome?

Ngemva kokudla, ingabe ngezinye izikhathi uzizwa unesiyezi, usuthi, noma unezinhlungu zesisu? Abanye abantu bazizwa bekhathele futhi beqhaqhazela emahoreni ambalwa ngemva kokudla. Uma unalezi zimpawu, ungase ube nesimo esibizwa ngokuthi i-dumping syndrome . Ake sixoxe ngalokhu ngokuningiliziwe namuhla, ngoba kungathinta abantu abaningi.

Kuyini i-Dumping Syndrome?

Kalula nje, i-dumping syndrome yilapho ukudla esiswini sakho, noma okuqukethwe esiswini sakho, kungena emathunjini akho amancane, noma lokho esivame ukukubiza ngokuthi amathumbu akho amancane, ngokushesha kunokujwayelekile . Odokotela bakubiza nangokuthi 'ukuphuma kwesisu ngokushesha'. Cabanga ngakho njengokungathi ukudla esiswini sakho "kuphonswa" emathunjini akho amancane ngesigaxa esikhulu, ngaphambi kokuba kugaywe kahle.

Ngakho-ke, uma lokhu kwenzeka, inani elikhulu lokudla okungagayiwe lidlulela emathunjini amancane ngesikhathi esisodwa, okungabangela ukungakhululeki njengokucanuzela kwenhliziyo, ukuqunjelwa, izinhlungu zesisu, kanye nesifo sohudo . Akukhona lokho kuphela, kodwa kungabangela nezinguquko ezinkulu ezisheshayo emazingeni kashukela egazini lakho.

Kwenzekani ngempela ku-Dumping Syndrome?

Ngokuvamile, uma sidla, isisu sethu sithumela ukudla kancane kancane nangendlela elawulwayo emathunjini amancane. Lokhu kwenziwa yimisipha, imizwa, nama-hormone esiswini, asebenza ngokubambisana. Lokhu sikubiza ngokuthi "ukunyakaza kwesisu."

Kodwa-ke, ku-dumping syndrome, lokhu kuhlangana kuyaphambuka. I-valve engezansi kwesisu, i-valve ye-pyloric , iyavuleka ngaphambi kokuba ukudla kugaywe, futhi konke okuqukethwe yisisu kuphonswa emathunjini amancane ngesikhathi esisodwa.

Kwenzekani-ke? Lapho amathumbu amancane ngokuzumayo eba nokudla okungagayeki, azama ukujwayela. Adonsa uketshezi olwengeziwe, akhiphe ama-hormone engeziwe. Lezo zinguquko yizo ezibangela ukungakhululeki okukhulunywe ngakho ekuqaleni ngemuva nje kokudla.

Abanye abantu bangase babe nezinye izimpawu emahoreni ambalwa ngemva kokudla. Lokhu kungenxa yokuthi amazinga kashukela egazini ayashintsha. Lapho ukudla okunoshukela omningi kungena emathunjini amancane ngokuzumayo, ama-pancreas ethu anikezwa uphawu lokukhipha i-insulin eyengeziwe ukulawula ushukela egazini. Lokhu kungabangela ukwehla okungazelelwe koshukela egazini. Lokhu kubizwa ngokuthi i-respiratory hypoglycemia . Lokhu kungabangela izinto ezifana nokuzungeza, ukuqhaqhazela, kanye nokushaya kwenhliziyo.

Ubani onamathuba amaningi okuthola i-dumping syndrome?

I-Dumping syndrome ivame ukwenzeka njengenkinga ngemva kokuhlinzwa kwesisu.Kulinganiselwa ukuthi phakathi kuka-20% no-50% wabantu abaye bahlinzwa isisu bazobhekana nalezi zimpawu ngezinga elithile. Lokhu kuvame kakhulu kubantu abaye bahlinzwa okususa ingxenye enkulu yesisu, njengokususwa kwesisu sonke noma ingxenye yaso) noma ukuhlinzwa kwesisu (ukuhlinzwa kokunciphisa isisindo okudlula ingxenye yesisu). Akuvamile kakhulu, kungabangelwa nayizifo ezithile zamathumbu.

Ingabe i-Dumping Syndrome iyisimo esibucayi?

Ngokuvamile, i-dumping syndrome ayiyona ingozi noma isongela impilo. Kodwa-ke, uma isimo sibi kakhulu, singaholela ekunciphiseni isisindo ngokushesha kanye nokuntuleka kokudla okunempilo. Uma isifo sohudo singalawulwa, singaholela ekuphelelweni amanzi emzimbeni. Kodwa isikhathi esiningi, lokhu kungalawulwa.

Iningi labantu linezimpawu ezincane eziphela ngokuhamba kwesikhathi. I-Dumping syndrome ngokuvamile ayihlali isikhathi eside, ngakho-ke akukho okufanele ukhathazeke ngakho.

Ziyini izimpawu ze-dumping syndrome?

Kunezigaba ezimbili eziyinhloko ze-dumping syndrome, ezinezimpawu ezihambisana nesigaba ngasinye. Ungase ube nesinye salezi zigaba noma zombili.

Izimpawu ze-dumpling syndrome zakuqala

Lokhu kuvame ukuqala ukwenzeka phakathi kwemizuzu eyi-10 nengama-30 ngemva kokudla .

• Isicanucanu
• Ukuhlanza
• Uhudo (ubuhlungu besisu)
• Ubuhlungu besisu nokuxhuga
• Ukuqunjelwa, umuzwa wokuqunjelwa
• Isiyezi, ukuquleka
• Ukwanda kwesilinganiso senhliziyo (ukuzwa sengathi isifuba sakho siyashaya)

Izimpawu ze-Late dumping syndrome ezenzeka emahoreni ambalwa ngemva kokudla

Lezi zimpawu zivame ukuvela emahoreni amabili kuya kwamathathu ngemva kokudla .

• Ubuthakathaka, ukukhathala
• Ukuthuthumela, ukungahlaliseki
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ukujuluka okubandayo
• Ububomvu bobuso
• Inkungu yobuchopho - umuzwa wobunzima bokucabanga kahle
• Ukuzizwa ulambile kakhulu

Yiziphi izimbangela ze-dumping syndrome?

Kunezinhlobo ezimbili eziyinhloko zezizathu zalokhu.

Izizathu ezihlobene nokuhlinzwa:

• Ukuhlinzwa kwesisu: Ukuhlinzwa kokususa ingxenye noma sonke isisu.
• Ukuhlinzwa kwe-Bariatric: Ukuhlinzwa okwenziwa ukuze kwehliswe isisindo, isibonelo, ukuhlinzwa kwe-gastric bypass.
• I-Pyloroplasty: Ukuhlinzwa okwenziwa ku-valve ye-pyloric phansi kwesisu.
• Ukususwa kwe-Esophagectomy: Ukuhlinzwa kokususa ingxenye noma wonke umphimbo.
• Ukuhlinzwa kwe-Vagotomy: Inqubo yokuhlinzwa enquma i-vagus nerve esiswini ukuze kuncishiswe i-asidi yesisu.
• I-Nissen fundoplication: Ukuhlinzwa kokuthunga ingxenye engenhla yesisu eduze komhubhe (okwenziwa ngenxa yesifo se-gastroesophageal reflux - i-GERD).

Izinkinga ezihlobene nesifo:

I-Dumping syndrome ingabangelwa nayizimo ezithile zezokwelapha.

• Isifo Sikashukela (i-Diabetes Mellitus)
• I-Cyclic vomitation syndrome
• Ukungasebenzi kahle kokuzimela
• Ukuntuleka kwe-pancreatic exocrine
• Izilonda ze-Duodenal
• I-Zollinger-Ellison syndrome
• I-dyspepsia esebenzayo
• I-Cannabis hyperemesis syndrome ( isimo sokuhlanza ngokweqile ngenxa yokusebenzisa insangu)

Ungayibona kanjani i-dumping syndrome?

Uma uke wahlinzwa isisu ngaphambilini (noma ngabe kwakuyiminyaka eminingi edlule), udokotela wakho angase asole ukuthi une-dumping syndrome ngokusekelwe ezimpawini ozichazayo. Bangase bakunike uhlu lwemibuzo, njenge- Dumping Symptom Rating Scale , ukuze balinganise ubukhali bezimpawu zakho.

Kodwa-ke, udokotela wakho angase enze nokuhlolwa okuthile ukuqinisekisa ukuxilongwa noma ukuqeda ezinye izimbangela. Lokhu kuhlolwa kubaluleke kakhulu uma ungakaze uhlinzwe isisu.

Nazi ezinye izivivinyo ezingenziwa ukuze kutholakale i-dumping syndrome:

• Ukuhlolwa kokubekezelela ushukela ngomlomo: Lokhu kuhilela ukukunikeza isiphuzo esinoshukela kanye nokulinganisa amazinga kashukela egazini lakho ngaphambi nangemva kwalokho. I-hematocrit yakho, okuyiphesenti lamaseli abomvu egazi, nayo iyalinganiswa. Ukwanda kwe-hematocrit yakho ngemva kokuphuza isiphuzo esinoshukela kusho ukuthi kukhishwa uketshezi oluningi egazini lakho luye emathunjini akho. Uma ushukela wakho wegazi wehla phakathi nehora elilodwa kuya kwamathathu, lokhu kubizwa ngokuthi i-delayed dumping syndrome.
• Ukuhlolwa kokuphefumula kwe-hydrogen: Lokhu kulinganisa nenani le-hydrogen emphefumulweni wakho ngemva kokuphuza isisombululo se-glucose. I-hydrogen emphefumulweni wakho isho ukuthi amathumbu akho amancane awamunci kahle i-glucose. Lokhu kusho ukuthi amathumbu amancane agcwele ngokweqile.
• I-endoscopy Ephezulu: Lokhu kuhilela ukufaka ithubhu elincane neliguquguqukayo (i-endoscope) elinekhamera exhunywe ngomlomo bese kuhlolwa ingaphakathi le-esophagus, isisu, kanye ne-duodenum (ingxenye yokuqala yamathumbu amancane). Lokhu kungasiza ekunqumeni ukuthi kukhona yini izinkinga zesakhiwo noma ezinye izimbangela zezimpawu zakho.
• Uchungechunge lwe-GI oluphezulu:Kulokhu, unikezwa uketshezi olukhethekile (isixazululo sokungafani) ukuze uluphuze, futhi kusetshenziswa uchungechunge lwe-video X-rays (olubizwa ngokuthi 'i-fluoroscopy') ukuze lubukwe njengoba luhamba emphinjeni wakho, esiswini, nasemathunjini amancane aphezulu. Lokhu kukuvumela ukuthi ubone ukuthi uketshezi luhamba ngokushesha kangakanani.
• Ukuhlolwa kokukhipha ukudla esiswini: Lokhu kulinganisa ukuthi ukudla kuphuma ngokushesha kangakanani esiswini sakho. Inani elincane kakhulu lezinto ezikhipha imisebe liyangezwa ekudleni okudlayo. Ngemuva kwalokho, usebenzisa isithwebuli esikhethekile, udokotela wakho angabuka ukudla kuhamba esiswini sakho.

Ungasusa kanjani i-dumping syndrome?

Abantu abaningi bangaphatha ngempumelelo i-dumping syndrome ngokwenza izinguquko ekudleni . Ngezimpawu ezinzima, uma ukudla kuphela kungasizi, imithi ingasetshenziswa. Kodwa-ke, imithi ingaba nemiphumela emibi, ngakho ayinconywa ukusetshenziswa isikhathi eside. Ezimweni ezingavamile, uma i-dumping syndrome ibangelwa ukuhlinzwa futhi kungekho okunye ukwelashwa okuye kwasiza, udokotela wakho angase ancome okunye ukuhlinzwa.

Iziqondiso zokudla

Odokotela batusa ukulandela lezi zeluleko ukuze banciphise izimpawu:

• Nciphisa inani lokudla okudlayo ngesikhathi esisodwa bese wandisa inani lokudla okudlayo usuku lonke. Esikhundleni sokudla kathathu okukhulu, zama ukudla ukudla okuncane okuyisithupha.
• Yidla ukudla kwakho kancane bese ukuhlafuna kahle. Lokhu kuzokwenza kube lula ukugaya ukudla.
• Nciphisa ukudla kwakho ushukela olula, ukudla okunama-carbohydrate amaningi, kanye nemikhiqizo yobisi ngangokunokwenzeka. Lokhu kuzosiza ekuvimbeleni izinguquko ezisheshayo kushukela egazini. Ama-carbohydrate ayinkimbinkimbi, njengokusanhlamvu okuphelele, angcono.
• Nciphisa ama-carbohydrate ekudleni kwakho bese wengeza amaprotheni engeziwe namafutha anempilo esikhundleni salokho. Amafutha ayashesha ukugaya futhi ahlinzeka ngomthombo wamandla oqhubekayo.
• Yidla ukudla okwengeziwe okucebile nge-fiber yokudla. Lokhu kwengeza ukudla okuningi ekudleni, kunciphisa ukunyakaza kwayo emathunjini. I-fiber ilawula nokumuncwa kukashukela.
• Lala phansi (uqonde) cishe imizuzu engama-30 ngemva kokudla. Lokhu kungasiza ekunciphiseni ijubane lokukhipha ukudla esiswini futhi kusize ekugcineni umfutho wegazi ngesikhathi sokugaya ukudla.
• Ungaphuzi amanzi noma ezinye iziphuzo imizuzu engama-30 ngaphambi noma ngemva kokudla. Uketshezi lwandisa ukunyakaza kwesisu.

Imithi

Eminye imithi ingasiza ekulawuleni izimpawu zokuqala nezemuva ze-dumping syndrome.

• I-Octreotide acetate:I-Octreotide ivimba ukusebenza kwama-hormone athile ohlelweni lwethu lokugaya ukudla. Lokhu kunciphisa ijubane lokukhipha ukudla esiswini kanye nokuhamba kokudla emathunjini amancane. Kuphinde kunciphise ukukhiqizwa kwe-insulin. Lo muthi unikezwa njengomjovo, kungaba nsuku zonke (osebenza isikhathi esifushane) noma njalo ngenyanga (osebenza isikhathi eside).
• I-Acarbose: Lo muthi wehlisa izinga umzimba wethu omunca ngalo ama-carbohydrate, ulawula amazinga kashukela egazini. Kuye kwabonakala ukuthi unciphisa i-hypoglycemia eyenzeka ku-late dumping syndrome.

Ukuhlinzwa

Ukuhlinzwa akukhuthazwa kakhulu nge-dumping syndrome. Kodwa-ke, uma isimo sakho sibangelwa ukuhlinzwa, olunye ukuhlinzwa lungakwazi ukusilungisa. Uma i-dumping syndrome ithinta kakhulu ikhwalithi yempilo yakho futhi kungekho okunye okusebenza kahle, ungase uthande ukucabangela ukuhlinzwa okwakha kabusha. Lokhu kuhilela:

• Ukwakha kabusha noma ukuguqula ingxenye yesisu engasebenzi kahle.
• Ukuguqula ukuhlinzwa okufana nokuhlinzwa kwesisu noma ukushintshela kokukhetha okungadingi ukungenelela okukhulu.

Ingabe i-dumping syndrome izophela ngokuphelele?

Yebo, kuvame ukuphela ngokuhamba kwesikhathi. Isifo sokulahla indle esingesihle sivame ukuphela zingakapheli izinyanga ezintathu. Amacala anzima kakhulu kanye nesifo sokulahla indle esiqala emva kwesikhathi kungathatha izinyanga eziyi-12 kuya kweziyi-18 ukuxazulula. Okwamanje, izinguquko ekudleni zinganikeza impumuzo ebalulekile. Kodwa-ke, kungathatha amasonto ambalwa ukubona intuthuko. Ngakho-ke kubalulekile ukuba nesineke.

Yikuphi ukudla okufanele ukudle futhi yikuphi ukudla okufanele ukugweme uma une-dumping syndrome?

Kubaluleke kakhulu kubantu abanalesi simo, ikakhulukazi ngemva kokuhlinzwa kwesisu, ukulandela uhlelo lokudla olusiza ukulawula izimpawu. Amaphuzu esixoxe ngawo ngaphambili ngaphansi kwesihloko esithi "Izinguquko Zokudla" ayasebenza nalapha:

• Izinto okufanele uzidle: Ukudla okucebile ngamaprotheni (inhlanzi, inkukhu, amaqanda, udali), amafutha anempilo (ukwatapheya, amantongomane), ama-carbohydrate ayinkimbinkimbi acebile nge-fiber (irayisi elinsundu, i-oats, imifino).
• Izinto okufanele uzigweme noma uzinciphise: Ushukela olula (iziphuzo ezinoshukela, amaswidi, amakhekhe), ama-carbohydrate acwengekile kakhulu (izinto ezenziwe ngofulawa wesinkwa), ubisi nemikhiqizo yobisi (abanye abantu bangase bakuthole kunzima ukugaya), ukudla okunamafutha amaningi, okuthosiwe.

Kungcono ukukhuluma nodokotela wakho noma isazi sokudla ukuze udale uhlelo lokudla olufanele wena.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

I-Dumping syndrome yisimo abantu abaningi abangasithola ngemva kokuhlinzwa kwesisu. Ungase futhi uzizwe lezi zimpawu ngemva kokuhlinzwa. Izindaba ezinhle ukuthi isikhathi esiningi, kuyisimo esingesihle futhi sizozixazulula ngokwaso phakathi kwamasonto noma izinyanga ezimbalwa.Okwamanje, ungasilawula kahle lesi simo ngokulungisa ukudla kwakho ngendlela efanele.

Uma uzohlinzwa isisu esikhathini esizayo, kuwukuhlakanipha ukuhlela ukudla okufanelekelayo i-dumping syndrome. Lungisa ikhishi futhi ube nezinhlelo zokudla ezimbalwa engqondweni. Uma wenze izinguquko ekudleni futhi zingalethi impumuzo, qiniseka ukuthi ubona udokotela wakho. Angakunikeza imithi edingekayo ukukusiza ngesikhathi sokululama kwakho. Ngakho-ke, into ebaluleke kakhulu ukungesabi, ukwaziswa, futhi uthathe izinyathelo ezidingekayo.

I -Dumping Syndrome, Isisu, Amathumbu Amancane, Ukuhlinzwa, Ukugaya, Izimpawu