I-Dumping syndrome, eyaziwa nangokuthi ukuphuma kwegastric ngokushesha, yisimo lapho uthola khona izimpawu zamathumbu noma izinambuzane ngoba ukudla odlayo kuhamba ngokushesha kusuka esiswini sakho kuya emathunjini akho amancane . Izimpawu ziqala uma udla ukudla, ikakhulukazi kusuka kwimenyu enokuqukethwe okuphezulu kwe-glucose (ushukela).
I-dumping syndrome ivame ukubonwa kubantu abaye babhekana ne-bariatric (ukulahlekelwa kwesisindo), ukuphazamiseka kwesisu noma ukuhlinzwa kwesisu.
Kulinganiselwa inani labantu abathola ukulahla kwe-syndrome kulandela ukuhlinzwa kwesisu esisuka kumaphesenti angu-25 kuya kuma-50%. Izimpawu ezingathí sina ziyabonakala cishe ngamaphesenti angu-5 kuya ku-10 amaphesenti alabo bantu. Izimpawu ezinzima zibonakala zingavamile. Uhlobo lokuhlinzekwa kwakho nalo luthonya ingozi yakho yokuthuthukisa ukulahla i-syndrome.
Isikhathi
Ngokuvamile, izimpawu zokulahla i-dumping syndrome zivame ukuthuthukisa ngokuhamba kwesikhathi. Cishe abantu abangamatshumi amathathu abathola isisindo somzimba esiswini bazokwazi ukuthola izimpawu ngokushesha ngemuva kwenqubo, kodwa abantu abaningi bathola ukuthi izimpawu zabo ziphela ezinyangeni eziyi-15 kuya kwezi-18 ezizayo.
Ukulahla i-syndrome ihlehlisiwe ibe yizinhlobo ezimbili: i-dumping syndrome yokuqala kanye ne-syndrome ye-dumping ephuzile. Kulinganiselwa ukuthi cishe ingxenye eyodwa kwezintathu zabantu abane-dumping syndrome bahlangabezana nefomu lokuqala, kanti enye enye ikota ibhekene nohlobo olude. Abantu abambalwa kakhulu babantu bobabili.
I-dumping syndrome yokuqala ikhonjiswe izimpawu ezenzeka emaminithini angu-10 kuya kwangu-30 emva kokudla. Abantu abane-syndrome yokulahla ngemuva kwesikhathi bahlangabezana nezimpawu ezimbili kuya kweyamahora amathathu emva kokudla. I-sub-izinhlobo ibuye ibonakale ngezinhlobo ezahlukahlukene zezimpawu, izimpawu zokulahla ekuqaleni kokubili amathumbu kanye ne-vasomotor, kuyilapho izimpawu zokulahlwa kwephuzile zivame ukuba yi-vasomotor.
Okwenza Kwenzeke
Ngokugaya okujwayelekile, isisu sibeka okuqukethwe kwayo ibe yi-duodenum, engxenyeni engenhla yamathumbu amancane, ngendlela elawulwa ngayo lapho izinhlayiya ezinkulu zokudla zihlolwa khona. Kwabanye abantu, ukuguqulwa kwesimo somuthi we- GI njengomphumela ohlangothini wokuhlinzwa kubangela ukungasebenzi kwalesi simiso. Isisu sibe mncane, noma umonakalo ku-pylorus-ingxenye yomzimba onomthwalo wokwenza njengodamu-kubangelwa okuqukethwe okuningi kwesisu kanye nezinhlayiya ezinkulu zokudla ezikhishwa ngokushesha kwi-duodenum. Lokhu kuphazamiseka okusheshayo kuholela ekuguqulweni okwenziwe emazingeni egazi legazi kanye nokunyuka kwamahomoni athile, okwenza kanjalo zibe nemibonakaliso yezinhliziyo kanye nezimpawu ezihlobene ne-hypoglycemia.
I-dumping syndrome yesikhashana iholela kakhulu ekushintsheni kweglucose yegazi namazinga e-insulin. Ekupheleni kwe-dumping syndrome, izimpawu zenziwa ngenxa yokuthi ushukela oluningi likhishwa emathunjini amancane ngokushesha. Le spike ibangele ukwanda kwamazinga weglucose wegazi, okubangela ukuthi ama-pancreas akhawule ukucinwa kwe-insulini. Lokhu kukhululwa kwe-insulin kuyabangela ukwehla kwezinga le-glucose yegazi-okubangelwa izimpawu ze-hypoglycemia.
Izimpawu
Ukulahlwa kokuqala:
Ekuqaleni kwe-dumping syndrome, izimpawu ngokuvamile ziqala amaminithi angaba ngu-10 ukuya kwangu-30 ngemva kokudla ukudla:
- Izikhwama zomzimba
- I-nausea
- Uhudo oluphuthumayo
- Ukuvota
- Ukubopha ubuso noma isikhumba
- Uzwa ukukhanya okuhlosiwe noma ukudilika
- Inhliziyo yokugijima noma inhliziyo engavamile
- Ukuphunga
- Ukungabi namandla
Ukulahlwa kwesikhashana:
Izimpawu ze-dumping syndrome zivame ukuba khona ngemva kokudla okudlule ukuya emahoreni amathathu:
- Ukudideka
- Isizungu
- Ukuphelelwa amandla
- Ukukhathala
- Uzwa ukukhanya okuhlosiwe noma ukudilika
- Ukuqhuma kwesikhumba
- Indlala
- Ukushaya kwenhliziyo okusheshayo noma i-palpitations
- Ukuphunga
- Ukungabi namandla
Ukuzikhandla Kokuzenzela Nezinkokhelo
Izincomo eziningi zokuzinakekela zokulahla i-dumping syndrome zihilela izinguquko endleleni odla ngayo, nakuba ungase uthole ukuthi unganciphisa ukuzwa uhloliwe noma uphele amandla uma ulele phansi, ubheke phezulu, imizuzu engu-30 ngemva kokudla.
Yenza:
- Yidla ukudla okuncane okuyisithupha ngosuku
- Chew ukudla kwakho kahle
- Khetha ukudla ama-carbohydrate eziyinkimbinkimbi
- Ukwandisa amaprotheni akho ekudleni
- Khetha ukudla amafutha enempilo
Musa:
- Phuza amanzi ngesikhathi sokudla
- Phuza amanzi amaminithi angu-30 emva kokudla
- Yidla ukudla okuqukethe ushukela noma ama-carbohydrate ahlanzekile
- Sebenzisa imikhiqizo yobisi
Ukwelapha
Uma izimpawu zakho ziqhubeka naphezu kokwenza izinguquko zokudla, khuluma nodokotela wakho. Abantu abanezimpawu eziphawulekayo zokulahla i-syndrome basengozini yokugwema ukudla nokuhluleka kokudla okunomsoco. Udokotela wakho uzokuhlola futhi akululeke ngokuqondene nendlela engcono yokusebenza. Uma une-dumping syndrome ephuzile, udokotela wakho angase ancoma i-fiber supplement ukuze unciphise ukumuncwa kwe-glucose futhi anciphise amathuba okuthi i-hypoglycemia. Enye indlela yokwenza uhlobo oluthile ngukuthi udokotela wakho anikeze omunye wemithi etholakalayo yokwelashwa kwesifo sokulahla.
Ezimweni ezimbi kakhulu, inqubo yokuhlinzwa ingacatshangwa. Kodwa-ke, njengoba amacala amaningi e-dumping syndrome athuthuka ngokuhamba kwesikhathi, ukuhlinzeka cishe ngeke kubhekwe ngisho okungenani ngonyaka owodwa emva kwenqubo yokuqala yesisu.
Imithombo:
I-National Digestive Clearinghouse Information Clearinghouse "I-Dumping Syndrome"
Tack, J., et.al. "I-Pathophysiology, ukuxilongwa nokuphathwa kwe-postoperative dumping syndrome" Ukubuyekeza Kwemvelo I-Gastroenterology ne-Hepatology 6: 583-590.
Ukleja, A. "Dumping Syndrome: Pathophysiology and Treatment" Ukudla okunomtholampilo ku-Clinical Practice 2005 5: 517-525.