Dumping syndrome, inozivikanwawo sekukurumidza kubuda kwechingwa, ndiyo mamiriro ayo maunoona zviratidzo zvepamuviri kana zvevasomotor nokuti zvokudya zvaunodya zvinokurumidza kubva kubva mudumbu mako kusvika mumukumbo wako muduku . Zviratidzo zvinotanga kana iwe uchidya kudya, kunyanya kubva pane menyu ine glucose yakakura (shuga) inogadzirwa.
Dumping syndrome inonyanya kuonekwa kune vanhu vakange vaine bariatric (kuora kurasikirwa), esophageal, kana chirwere chepamusoro.
Inofungidzira yehuwandu hwevanhu vanoona chirwere chekurapa chinotevera chirwere chegastric kubva pa25 kusvika 50 muzana. Zvimwe zviratidzo zvakakomba zvinowanikwa munenge ma5 kubva muzana kune 10 muzana yevarwere vakadaro. Zviratidzo zvakajeka zvinowonekwa kakawanda. Mhando yekuvhiya iwe unobatsirawo njodzi yako yekuvandudza dumping syndrome.
Nguva
Kazhinji, zviratidzo zve dumping syndrome zvinowanzovandudza nekufamba kwenguva. Vanenge vatatu vevanhu vanopinda gastric overpass vachawana zviratidzo zvinotevera mushure mekuita, asi vanhu vakawanda vanoona kuti zviratidzo zvavo zvinonyangarika pamwedzi 15 kusvika 18 inotevera.
Dumping syndrome yakaputsika kuva miviri miviri: early dumping syndrome uye late dumping syndrome. Inofungidzirwa kuti anenge anenge matatu kubva kune vanhu vane dumping syndrome vanoona chimiro chekutanga, asi imwe yechina inosangana nevekupedzisira. Chinhu chiduku zvikuru chevanhu vane zvose.
Kutanga dumping syndrome inoratidzwa zviratidzo zvinowanikwa mukati memaminitsi gumi kusvika makumi matatu mushure mekudya. Vanhu vane chirwere chekupedzisira dumping vanoona zviratidzo zviviri kusvika maawa matatu mushure mekudya. Idzo zvinyorwa zvinoratidzirawo nemhando dzakasiyana dzezviratidzo, uye zviratidzo zvokutanga kuderedza zviri zviviri zviri muviri uye vasomotor, asi zviratidzo zvekuregererwa kwenguva refu zvinowanzowanzova vasomotor.
Chinoita Kuti Chiitike
Muchidimbu chekudya, dumbu rinodurura zviri mukati maro mu duodenum, chikamu chepamusoro chemukati mudumbu, nenzira yakarongeka umo zvokudya zvakakura zvikamu zvinongororwa. Kune vamwe vanhu, kuchinja muhutachiona hweGI tract semigumisiro yechirwere chekuvhiya kunoguma nekushaya kushanda kwegadziriro ino. Dumbu racho richiri duku, kana kukanganisa ku-pylorus-chikamu chemuviri chinotarisirwa kuita semvura-zvinoguma muzvakawanda zvemukati zviri mukati uye zvikafu zvekudya zvakakura zvinosunungurwa nokukurumidza mu duodenum. Izvi zvinomhanyisa zvinokonzera kuchinjwa kuchinja kwemazinga emagopa eropa uye kuwedzerwa mune mamwe mahomoni, izvo zvinowedzera kumararamiro emwoyo uye zviratidzo zvinosangana ne hypoglycemia.
Late dumping syndrome inowanzokonzerwa chete nekushandura muropa yehuga uye insulin. Pakupedzisira dumping syndrome, zviratidzo zvinokonzerwa nokuti shuga yakawanda inosunungurwa mumukomana muduku nokukurumidza. Iyi nyoka inokonzera kuwedzera kwemazinga emagopa eropa, izvo zvinoita kuti pancreas inopedze kuchengetedzwa kwe insulini. Izvi zvinosunungura insulin zvino zvinokonzera donho muropa rekuisa ropa-zvichiita zviratidzo zve hypoglycemia.
Zviratidzo
Kudya kwokutanga:
Mukutanga dumping syndrome, zviratidzo zvinowanzotanga maminitsi gumi kusvika makumi matatu mushure mekudya kudya:
- Mimba yemakumbo
- Nausea
- Kurumidza kubuda
- Kudzora
- Kuchena kwechiso kana ganda
- Kunzwa chiedza-musoro kana chizoro
- Kushandura mwoyo kana kusagadzikana kwepfungwa
- Sweating
- Kushaya simba
Late dumping:
Zviratidzo zvekupedzisira dumping syndrome zvinowanzoitika maawa matatu kana mushure mekudya kudya:
- Kusanganiswa
- Chizutu
- Kupera
- Kuneta
- Kunzwa chiedza-musoro kana chizoro
- Kupera kweganda
- Nzara
- Kukurumidza kushaya mwoyo kana kupindira
- Sweating
- Kushaya simba
Kuzvichengetedza Ita uye Zvimwe
Zvizhinji zvekuzvitsvakira mazano ekuderedza chirwere zvinosanganisira kuchinja munzira yaunodya, kunyange iwe ungawana kuti iwe unogona kuderedza kunzwa uine musoro kana kuora kana iwe uchingorara pasi, kutarisana kumusoro, kwemaminitsi makumi matatu mushure mekudya.
Do:
- Idya zvokudya zvitanhatu zvishoma pazuva
- Chengeta zvokudya zvako zvakakwana
- Sarudza kudya zvakaoma makhahydrates
- Wedzera mapuroteni ako kudya
- Sarudza kudya mafuta ane utano
Usaiti:
- Inwa mvura mvura panguva yekudya
- Inwa mvura mvura kwemaminitsi makumi matatu mushure mekudya
- Idya zvokudya zvine shuga kana zvakagadziridzwa emakrohydrates
- Shandisai mazai emisi
Kurapa
Kana zviratidzo zvako zvichiripo pasinei nekugadzirisa kudya, taura nechiremba wako. Vanhu vane zviratidzo zvakanyanya zvekurapa zvirwere zviri pangozi yekudya kudya uye kusakwana kwezvokudya. Chiremba wako achakuongorora uye kukupa iwe svondo yakanakisisa yekuita. Kana iwe uine dumping syndrome, chiremba wako anogona kukurudzira fiber supplement kuti inonoke pasi kudyiwa kweglucose uye kuderedza mukana we hypoglycemia. Imwe nzira yerudzi rwemhando ndeyekuti chiremba wako ataure imwe yemishonga inowanika pakurapa dumping syndrome.
Mumamiriro ezvinhu akaoma kwazvo, chirongwa chokuvhiya chinogona kuonekwa. Zvisinei, sezvo zviitiko zvizhinji zvekurapa chirwere zvinowedzera mberi kwekufamba kwenguva, chirwere chinogona kunge chisingafungi kunyange kwegore rimwe chete mushure mekutanga gastric procedure.
Sources:
National Digestive Diseases Information Clearinghouse "Dumping Syndrome"
Tack, J., et.al. "Pathophysiology, kuongororwa uye kutungamirirwa kwemashure anonzi postoperative dumping syndrome" Nature Reviews Gastroenterology uye Hepatology 6: 583-590.
Ukleja, A. "Dumping Syndrome: Pathophysiology uye Kuchipa" Nherera muMitambo Yekugadzirira 2005 5: 517-525.