I-Dumping syndrome, eyaziwa nangokukhawuleza kokukhupha isisu, yimeko apho ufumana iimpawu zesisu okanye isifo se-vasomotor ngenxa yokuba ukutya odlayo kushukumisela ngokukhawuleza ukusuka esiswini sakho kuya emathunjini akho amancinci . Izibonakaliso ziqala xa udla ukutya, ngokukodwa kwimenyu enomxholo ophezulu we-glucose (ushukela).
I-dumping syndrome idla ngokubonakalayo kubantu ababenayo i-bariatric (ukulahleka kwesisindo), isisu, okanye isisu esiswini.
Uqikelelo lwenani labantu abafumana isifo sokulahla esilandelayo emva kokuhlinzwa kwesisu kuya kuma-25 ukuya kuma-50 ekhulwini. Izimpawu ezinzulu ngakumbi zibonwa malunga nama-5 ekhulwini ukuya kwi-10 ekhulwini zezigulane. Izibonakaliso ezinzima zibonakala zingabalulekanga. Ulu hlobo lotyando luye lwachaphazela umngcipheko wakho wokuphucula i-dumping syndrome.
Ubude
Ngokuqhelekileyo, iimpawu zokulahla i-dumping syndrome zivame ukuphucula ngaphezulu kwexesha. Phantse iikota ezintathu zabantu abafumana i-gastric bypass baya kuba neempawu ngokukhawuleza emva kolu hlobo, kodwa abaninzi abantu bafumanisa ukuba iimpawu zabo zanyamalala kwiinyanga ezili-15 ukuya kwezi-18 ezizayo.
Isifo sokulahla siyahlaselwa zibe zimbini iintlobo: isifo sokulahla kwangaphambili kunye nesifo sokulahlwa kwexesha elide. Kuqikelelwa ukuba malunga nekota yesithathu yabantu abanamava okulahla iifomu kwifomu yangaphambili, ngelixa elinye ikota lifumana uhlobo olude. Incinci encinci yabantu inabini.
I-syndrome yokulahla kwangaphambili ibonakaliswe yimpawu ezenzeka kwimaminithi ukuya kwe-30 emva kokutya. Abantu abanesifo sokulahlwa kwexesha elide emva kwexesha baye badla. Iintlobo-ntlobo nazo zibonakalisa ngeentlobo ezahlukeneyo zeempawu, kunye neempawu zokulahla kwangaphambili zibabini zesisu kunye ne-vasomotor, ngelixa iimpawu zokulahlwa kwexesha elide zidla ukuba yi-vasomotor.
Kutheni kwenzeka
Kwi-digestion eqhelekileyo, isisu sithintela ingqungquthela yaso kwi-duodenum, inxalenye ephezulu yamathumbu amancinci, ngendlela elawulwayo apho iinqununu ezinkulu zokutya zihlolwa. Kwabanye abantu, utshintsho kwi-intanethi yeGI iphetshana njengempembelelo yecandelo lotyando lubangela ukungasebenzi kwezi nkqubo. Isisu sisincinci, okanye umonakalo kwi-pylorus-inxalenye yomzimba onoxanduva lokusebenza njengemiphumo yamadama kwizinto ezininzi zesisu kunye neengqungquthela zokutya ezikhulu zikhutshwa ngokukhawuleza kwi-duodenum. Ukukhupha okukhawulezayo kukhokelela ekutshintsheni okutshintshiweyo kumanqanaba e-glucose yegazi kunye nokwanda kwamahomoni athile, okubangela ukuba kube negalelo kwiimpawu ze-cardiovascular and signs associated with hypoglycemia.
Isifo sokulahlwa kwexesha elide kubangelwa kuphela kwiinguqu kwigazi le-glucose kunye namazinga e-insulin. Kwixesha lokugqibela lokulahla, iimpawu zibangelwa ukuba iswekile enkulu ikhutshwe emathunjini amancinci ngokukhawuleza. Le ntshukumo ibangela ukwanda kwinqanaba legazi legazi, okubangela ukuba i-pancreas igxininise ukukhutshwa kwe-insulin. Ukukhululwa kwe-insulin ngoko kukubangela ukuhla kwegazi kwizinga le-glucose-okubangelwa yimpawu ze-hypoglycemia.
Iimpawu
Ukulahlwa kwangaphambili:
Ekuqaleni kwesifo sokulahla, iimpawu ziqala ngokuqala malunga nemizuzu eyi-10 ukuya kwe-30 emva kokutya ukutya:
- Iimbumba zomzimba
- I sizathu
- Ihudo lokukhawuleza
- Ukuvutha
- Ukubhukuda ubuso okanye isikhumba
- Uvakalelwa ukukhanya okanye u-dizzy
- Intliziyo yomdaka okanye intliziyo engavumelekanga
- Ukuxela
- Ubuthathaka
Ukulahlwa kwexesha elide:
Izibonakaliso zesifo sokulahlwa kwexesha elide ngokuqhelekileyo zivela emva kweeyure ezintathu emva kokutya ukutya:
- Ukudideka
- Utywala
- Ukutyhafa
- Ukukhathala
- Uvakalelwa ukukhanya okanye u-dizzy
- Ukuhluthwa kwesikhumba
- Walamba
- Intliziyo yesantya okanye iipilpitations
- Ukuxela
- Ubuthathaka
Ukuzinyamekela Kwenziwe Yiyo kunye neDonts
Uninzi lweziphakamiso zokuzinyamekela kwi-dumping syndrome ziquka utshintsho ngendlela odla ngayo, nangona unokufumanisa ukuba unokunciphisa ukuziva uhamba ngokukhawuleza okanye uphelelwe amandla xa ulala, ubhekane phezulu, imizuzu engama-30 emva kokutya.
Yenza:
- Yidla ukutya okunesithandathu ezincinane ngosuku
- Gcoba ukutya kwakho kakuhle
- Khetha ukotya i-carbohydrates enzima
- Ukwandisa i-protein yakho intake
- Khetha ukutya amafutha enempilo
Musa:
- Phuza amanzi ngexesha lokutya
- Phuza amanzi emva kwemizuzu engama-30 emva kokutya
- Yidla ukutya okunesityuwa okanye i-carbohydrate ecocekileyo
- Ukutya iimveliso zobisi
Unyango
Ukuba iimpawu zakho ziyaqhubeka naphezu kokwenza utshintsho lokutya, uthetha nodokotela wakho. Abantu abaneempawu ezibonakalayo zokulahla izifo zesifo se-HIV basengozini yokutya ukuphepha nokungenakondla kokutya. Ugqirha wakho uya kukuphonononga kwaye akucebise ngokubhekiselele kwinkqubela phambili yezenzo. Ukuba unesifo sokulahlwa kwexesha elide, ugqirha wakho unokucetyiswa ukuba uncedise i-fiber ukuze unciphise ukutyunjwa kwe-glucose kwaye unciphise ithuba le-hypoglycemia. Enye indlela yokwenza uhlobo logqirha ukuba ubeke enye yamachiza afumanekayo ekuphatheni i-dumping syndrome.
Kwiimeko ezinzima kakhulu, inkqubo yokuhlinzwa ingacingelwa. Nangona kunjalo, njengoko amaninzi amatyala okulahla i-dumping syndrome aphucula ngokuhamba kwexesha, ukuhlinzwa kungenakucingelwa nakwiminyaka emibini emva kwenkqubo yokugcoba.
Imithombo:
I-National Digestive Diseases Information Clearinghouse "Ukulahlwa Kwemvelo"
Tack, J., etal "I-Pathophysiology, ukuxilongwa kunye nokulawulwa kwe-postoperative dumping syndrome" Iingxelo zeNdalo Gastroenterology kunye neHepatology 6: 583-590.
Ukleja, A. "Ukulahlwa kwesifo: I-Pathophysiology kunye neNyango" Isondlo kwiZenzo zoKliniki 2005 5: 517-525.