Dumping Syndrome

Anter

• Nā ʻōuli o ka dumping syndrome
• Nā kumu o ka hoʻolei ʻana i ka maʻi maʻi
• Nā koho lapaʻau
• Nā pilikia
• Outlook

Hōʻike Overview

Hana ka Dumping syndrome ke neʻe wikiwiki ka meaʻai mai kou ʻōpū i ka ʻāpana mua o kou ʻōpū liʻiliʻi (duodenum) ma hope o kāu ʻai ʻana. ʻO kēia ke kumu o nā ʻōuli e like me ka cramp a me ka diarrhea i loko o kekahi mau minuke i kekahi mau hola ma hope o kāu ʻai ʻana. Hiki iā ʻoe ke hoʻolei i ka maʻi maʻi ma hope o kou ʻoki ʻana e wehe i kahi ʻāpana a i ʻole āpau paha i kou ʻōpū, a inā he ʻoki ʻana i ka ʻōpū no ka pohō kaumaha.

ʻElua ʻano o ka dumping syndrome. Hoʻokumu ʻia nā ʻano i ka hoʻomaka ʻana o kāu mau ʻōuli.

• ʻO ka maʻi kuʻi mua. Hana kēia i 10-30 mau minuke ma hope o kou ʻai ʻana. Ma kahi o 75 pākēneka o ka poʻe me ka dumping Syndrome loaʻa kēia ʻano.
• Lāpau hoʻolei hope. Hana kēia i nā hola 1-3 ma hope o kāu ʻai ʻana. Ma kahi o 25 pākēneka o ka poʻe me ka dumping Syndrome loaʻa kēia ʻano.

ʻO kēlā me kēia ʻano o ka dumping syndrome he mau ʻōuli ʻokoʻa. Loaʻa i kekahi poʻe ka maʻi wīwī mua a me ka hopena.

Nā ʻōuli o ka dumping syndrome

ʻO nā ʻōuli mua o ka dumping syndrome e komo pū me ka nausea, ka luaʻi, ka ʻōpū ʻana o ka ʻōpū, a me ka diarrhea. Hoʻomaka mau kēia mau ʻōuli 10 a 30 mau minuke ma hope o kou ʻai ʻana.

ʻO nā ʻōuli ʻē aʻe e pili pū me:

• bloating a ʻano ʻoluʻolu ʻole piha paha
• ʻōpala o ka maka
• ka houʻu ʻana
• ʻūpā
• wikiwiki o ka puʻuwai

Hōʻike ʻia nā hōʻailona lohi i hoʻokahi a i ʻekolu mau hola ma hope o kou ʻai ʻana. Hoʻokumu ʻia lākou e ke kō kō kō a hiki ke hoʻopili ʻia:

• ʻūpā
• nāwaliwali
• ka houʻu ʻana
• pōloli
• wikiwiki o ka puʻuwai
• luhi
• huikau
• luliluli ʻana

Loaʻa paha iā ʻoe nā ʻōuli o ka wanaʻao a me ka hopena.

Nā kumu o ka hoʻolei ʻana i ka maʻi maʻi

ʻO ka maʻamau ke ʻai ʻoe, neʻe ka meaʻai mai kou ʻōpū i loko o kou ʻōpū i mau hola. I loko o nā ʻōpū, lawe ʻia nā meaola mai ka meaʻai a wāwahi i nā wai digestive i ka meaʻai.

Me ka dumping syndrome, neʻe wikiwiki ka meaʻai mai kou ʻōpū i kou ʻōpū.

• Hana ke ʻōpala mua i ke komo ʻana o ka meaʻai i loko o kou ʻōpū i kumu e neʻe ai ka nui o ka wai mai kāu kahe o ke koko i loko o kou ʻōpū. Kuhi kēia wai keu i ka maʻi diarrhea a me ka momona. Hoʻokuʻu pū kou ʻōpū i nā mea e wikiwiki ai ka helu o kou puʻuwai a hoʻohaʻahaʻa i kou kaomi koko. ʻO kēia ke alakaʻi i nā ʻōuli e like me ka wikiwiki o ka puʻuwai a me ka puʻupuʻu.
• Hana ka Late dumping Syndrome ma muli o ka hoʻonui ʻana o nā starches a me nā kō i kou ʻōpū. I ka mua, ke kō ke kō e hoʻonui i kāu kiʻekiʻe kō kō. Hoʻokuʻu kāu pancreas i ka hormone insulina e neʻe i ke kō (glucose) mai kou koko i kāu mau hunaola. ʻO kēia piʻi hou aʻe o ka insulin e hoʻohaʻahaʻa haʻahaʻa i kāu kō kō. Kapa ʻia ke kō kō kō haʻahaʻa he hypoglycemia.

ʻO ke kaha e hōʻemi ana i ka nui o kou ʻōpū a i ʻole e bypass i kou ʻōpū ke kumu o ka hoʻolei ʻana i ka maʻi maʻi. Ma hope o ke kahakaha ʻana, neʻe ka meaʻai mai kou ʻōpū i loko o kou ʻōpū liʻiliʻi ma mua o ka maʻamau. ʻO ke kaha e hoʻopili i ke ala o kou ʻōpū e ninini ai i ka meaʻai hiki ke hana i kēia ʻano.

Nā ʻano ʻoki e hiki ke kumu i ka hoʻolei ʻana i ka maʻi maʻi me:

• Gastrectomy. Lawe kēia ʻoki i kahi a i ʻole kou ʻōpū āpau.
• Holo ke Gastric (Roux-en-Y). Hana kēia hana i kahi ʻeke liʻiliʻi mai kou ʻōpū e pale aku iā ʻoe mai ka ʻai nui ʻana. Hoʻopili ʻia ka ʻeke i kāu ʻōpū liʻiliʻi.
• ʻO Esophagectomy. Lawe kēia ʻoki i kahi ʻāpana a i ʻole kāu esophagus āpau. Hana ʻia e mālama i ka maʻi ʻaʻai esophageal a i ʻole hōʻino i ka ʻōpū.

Nā koho lapaʻau

Hiki paha iā ʻoe ke hoʻomaha i nā ʻōuli o ka dumping Syndrome ma o ka hoʻololi ʻana i kāu papaʻai.

• E ʻai i ʻelima aʻeono mau meaʻai liʻiliʻi i loko o ka lā ma kahi o ʻekolu mau pāʻina nui.
• Hōʻalo a kau palena paha i nā meaʻai momona e like me ka soda, ke kanakē, a me nā mea i hoʻomoʻa ʻia.
• ʻAi i ka protein mai nā meaʻai e like me ka moa, ka iʻa, ka pīnī, a me ka tofu.
• E kiʻi i ka fiber hou i kāu papaʻai. E kuapo mai nā wīwī maʻalahi e like me ka berena keʻokeʻo a me ka pasta i nā hua piha e like me ka oatmeal a me ka palaoa holoʻokoʻa. Hiki iā ʻoe ke lawe i nā mea hoʻoliʻiliʻi puluniu. E kōkua ka pulupulu keu i ke kō a me nā mea ʻāpiki ʻē e ʻemu mālie i kou ʻōpū.
• Mai inu i nā wai i loko o 30 mau minuke ma mua a ma hope paha o ka ʻai.
• E nau pono i kāu meaʻai ma mua o kou ale ʻana i mea e maʻalahi ai ke kāwili.
• Hoʻohui i ka pectin a i ʻole ka gum gum i kāu meaʻai e mānoanoa ai. E hoʻolohi kēia i ka helu o ka neʻe ʻana o ka meaʻai mai kou ʻōpū i kou ʻōpū.

E noi i kāu kauka inā pono ʻoe i kahi mea kōkua pono. Hiki i ka Dumping syndrome ke hoʻololi i ka hiki i kou kino ke komo i nā meaʻai mai ka meaʻai.

No ka maʻi kūlohelohe ʻoi loa, hiki i kāu kauka ke kuhikuhi i ka octreotide (Sandostatin). Hoʻololi kēia lāʻau i ka hana o kāu tract digestive, e hoʻolohi nei i ka waiho ʻana o kou ʻōpū i loko o kou ʻōpū. Pākuʻi ʻia ka hoʻokuʻu ʻana o ka insulin. Hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau ma ke ʻano he injection i lalo o kou ʻili, he injection i loko o kou pūhaka a i ʻole nā ​​mākala lima, a i ʻole i loko o ke kino. ʻO kekahi mau hopena ʻē aʻe o kēia lāʻau e pili ana i nā loli i ke kiʻekiʻe o ke kō o ke kō, nausea, ʻehaʻeha kahi e loaʻa ai ʻoe i ka injection, a me ka pahu hohono.

Inā kōkua ʻole kekahi o kēia mau ʻano hana, hiki iā ʻoe ke ʻoki kino e hoʻohuli i ka ʻōpū o ka ʻōpū a hoʻoponopono paha i ka wehe mai kou ʻōpū i kou ʻōpū liʻiliʻi (pylorus).

Nā pilikia

ʻO Dumping Syndrome kahi pilikia o ka holo ʻana o ka ʻōpū a i ʻole ka hōʻemi ʻana o ka ʻōpū. ʻO nā pilikia ʻē aʻe e pili ana i kēia ʻoki ʻana:

• omo ʻaihue maikaʻi ʻole
• nā iwi nāwaliwali, i kapa ʻia he osteoporosis, mai ka lawe ʻia ʻana o ka calcium maikaʻi ʻole
• anemia, a i ʻole kahi helu ʻulaʻula haʻahaʻa o ke koko, mai ka lawe maikaʻi ʻole ʻia o nā wikamina a me ka hao

Outlook

Maikaʻi pinepine ka hoʻolei mua ʻana i ka maʻi me ka ʻole o ka mālama ʻana i kekahi mau mahina. Hiki ke kōkua i nā loliʻai a me nā lāʻau. Inā hoʻomaikaʻi ʻole ka ʻōpala dumping, pono nā ʻōpala he nui e hōʻoluʻolu i ka pilikia.