Matenda otaya thupi, omwe amadziwikanso kuti amathamanga msanga, ndiye kuti mumakhala ndi zizindikiro za m'mimba kapena zizindikiro za m'mimba chifukwa chakudya chimene mumadya chimapita msanga msanga m'mimba mwanu. Zizindikiro zimayambira mukamadya chakudya, makamaka pa menyu omwe muli ndi shuga (shuga).
Matenda otaya nthawi zambiri amawoneka mwa anthu omwe akhala ndi bariatric (kuchepa kwa thupi), ochepa, kapena opaleshoni ya m'mimba.
Chiwerengero cha chiwerengero cha anthu omwe ali ndi matenda otupa amatsata opaleshoni ya m'mimba amachoka pa 25 peresenti kufika 50 peresenti. Zizindikiro zoopsa kwambiri zimapezeka pafupifupi 5 peresenti mpaka 10 peresenti ya odwalawo. Zizindikiro zoopsa zimawoneka mosavuta. Mtundu wa opaleshoni umakhudzanso chiopsezo chanu chokhala ndi matenda otupa.
Nthawi
Kawirikawiri, zizindikiro za matenda a dumping zimakhala bwino pakapita nthawi. Pafupifupi anthu atatu pa anayi aliwonse amene amapezeka m'mimba mwachisawawa amatha kuona zizindikiro nthawi yomweyo, koma anthu ambiri amawona kuti zizindikiro zawo zimatha m'miyezi 15 kapena 18 ikutsatira.
Matenda othawa akuphwanyidwa mu mitundu iwiri: matenda oyambirira kutaya ndi matenda ochedwa kutaya. Akuti pafupifupi anthu atatu pa anayi alionse omwe ali ndi matenda otupa akuyambira maonekedwe awo, pamene gawo linalo liri ndi mtundu wotsiriza. Anthu ocheperapo kwambiri ali ndi onse awiri.
Matenda oyambirira otayika amadziwika ndi zizindikiro zikuchitika mkati mwa mphindi 10 mpaka 30 mutatha kudya. Anthu omwe ali ndi vuto lakumapeto amatha kuona zizindikiro maola awiri kapena atatu atatha kudya. Mankhwalawa amasonyezanso ndi zizindikiro zosiyana siyana, ndi zizindikiro zoyambirira zakutaya kukhala m'mimba komanso m'mimba, pamene zizindikiro zowonongeka zimayamba kukhala zazikulu kwambiri.
Chifukwa Chimene Chimachitika
Mwachizolowezi chimbudzi, mimba imatulutsa zomwe zili mkati mwa duodenum, kumtunda kwa m'mimba mwachinyamatayo, mwa njira yoyendetsedwa yomwe zakudya zazikuluzikulu zimatulutsidwa. Kwa anthu ena, kusintha kwa chikhalidwe cha GI thirakiti monga zotsatira zoyipa za opaleshoni kumabweretsa kusagwirizana kwa dongosolo lino. Mimba ili yaing'ono, kapena kuwonongeka kwa pylorus-gawo la thupi limene limayankha kukhala ngati chiwombankhanga chifukwa cha kuchuluka kwa m'mimba momwe muli ndi magawo akuluakulu a chakudya akutulutsidwa mwamsanga mu duodenum. Kuchotsa mwachangu kumeneku kumabweretsa kusintha kwa magazi m'magulu a shuga ndi kuwonjezeka kwa mahomoni ena, zomwe zimapangitsa kuti zizindikiro za mtima ndi zizindikiro zokhudzana ndi hypoglycemia.
Matenda osachedwa kutayika amachititsa makamaka kusintha kosintha magazi m'magazi ndi ma insulini. Pakutha kwa matenda otupa, zizindikiro zimayambitsa chifukwa shuga wochuluka amatulutsidwa m'mimba mwachangu mofulumira. Nkhunguyi imapangitsa kuti chiwerengero cha magazi a shuga chiwonjezeke, zomwe zimachititsa kuti ziphuphu zisokoneze chitetezo cha insulini. Insulini imamasulidwa ndiye imayambitsa dontho la magazi m'magazi-omwe amachititsa zizindikiro za hypoglycemia.
Zizindikiro
Kutaya koyambirira:
Pa matenda oyambirira otaya, zizindikiro zimayambira pafupi mphindi 10 mpaka 30 mutatha kudya:
- Mitsempha ya m'mimba
- Nausea
- Kutsegula m'mimba
- Kuthamanga
- Kupaka nkhope kapena khungu
- Kukumva kuwala kumutu kapena chizungulire
- Mtima wopikisana kapena kugunda kwa mtima kosasinthasintha
- Kukwapula
- Kufooka
Kutaya kwapafupi:
Zizindikiro za matenda ochedwa kutaya nthawi zambiri zimachitika patatha maola atatu mutadya chakudya:
- Kusokonezeka
- Chizungulire
- Kutaya
- Kutopa
- Kukumva kuwala kumutu kapena chizungulire
- Flushing khungu
- Njala
- Kukwapula kwamtima kapena kupweteka
- Kukwapula
- Kufooka
Zodziletsa Zomwe Mungachite ndi Zosowa
Malingaliro ambiri omwe amadzipangira okha chifukwa cha matenda otupa amakhudza kusintha momwe mumadyera, ngakhale kuti mungapeze kuti mukhoza kuchepetsa kukhumudwa kapena kufooka ngati mugona pansi, mukuyang'ana mmwamba, kwa mphindi 30 mutatha kudya.
Kodi:
- Idyani zakudya zisanu ndi chimodzi patsiku
- Sakani chakudya chanu bwinobwino
- Sankhani kudya zakudya zovuta
- Zonjezerani kuti mupange zakudya zamapuloteni
- Sankhani kudya mafuta abwino
Musati:
- Imwani madzi pa chakudya
- Imwani madzi kwa mphindi 30 mutatha kudya
- Idyani zakudya zomwe zili ndi shuga kapena mafuta okonzedwa bwino
- Idyani zakudya za mkaka
Chithandizo
Ngati zizindikiro zanu zikupitirira ngakhale mutapanga kusintha kwa zakudya, kambiranani ndi dokotala wanu. Anthu omwe ali ndi zizindikiro zazikulu zowononga matenda ali pachiopsezo chopewa kudya ndi kuchepa kwa zakudya. Dokotala wanu adzakuyang'anizani ndikukulangizani za njira yabwino kwambiri. Ngati muli ndi matenda ochedwa dumping, dokotala wanu angakulimbikitseni kuti mukhale ndi mphamvu yowonjezera shuga komanso kuchepetsa mwayi wa hypoglycemia. Njira ina ya mtundu uliwonse ndi dokotala wanu kuti adziwitse mankhwala omwe alipo kuti athe kuchiza matenda otupa.
Muzoopsa kwambiri, njira yopaleshoni ingaganizidwe. Komabe, nthawi zambiri matenda otupa amatha kusintha pakapita nthawi, opaleshoni nthawi zambiri silingaganizireko kwa chaka chimodzi chotsatira ndondomeko yoyamba ya mimba.
Zotsatira:
Zokonza Zowonongeka Zokhudza National Digestive "Dumping Syndrome"
Tack, J., et.al. "Kuchiza, matenda ndi matenda a postoperative dumping matenda" Nature Reviews Gastroenterology ndi Hepatology 6: 583-590.
Ukleja, A. "Dumping Syndrome: Pathophysiology ndi Chithandizo" Chakudya m'zochita Zachikhalidwe 2005 5: 517-525.