Isifo Sokulahla

-Delile

• Izimpawu zokulahla isifo
• Izimbangela zokulahla isifo
• Izinketho zokwelashwa
• Izinkinga
• Umbono

Ukubuka konke

Ukulahla isifo kwenzeka lapho ukudla kuhamba ngokushesha okukhulu kusuka esiswini sakho kuya engxenyeni yokuqala yamathumbu akho amancane (i-duodenum) ngemuva kokudla. Lokhu kudala izimpawu ezinjengezikhukhula nohudo kungakapheli imizuzu embalwa kuya emahoreni ambalwa ngemuva kokudla. Ungathola i-dumping syndrome ngemuva kokuhlinzwa ukuze ususe ingxenye noma isisu sakho sonke, noma uma uhlinzwa isisu ngokudlula kwesisindo.

Kunezinhlobo ezimbili zokulahla isifo. Izinhlobo zisuselwa lapho izimpawu zakho ziqala:

• Isifo sokulahla ekuqaleni. Lokhu kwenzeka emizuzwini eyi-10-30 ngemuva kokudla. Cishe amaphesenti angama-75 abantu abane-dumping syndrome banalolu hlobo.
• Isifo sokulahla emva kwesikhathi. Lokhu kwenzeka ngemuva kwamahora ama-1-3 ngemuva kokudla. Cishe amaphesenti angama-25 abantu abane-dumping syndrome banalolu hlobo.

Uhlobo ngalunye lwe-dumping syndrome lunezimpawu ezahlukahlukene. Abanye abantu bane-Syndrome yokulahla kusenesikhathi futhi sekwephuzile.

Izimpawu zokulahla isifo

Izimpawu zokuqala zesifo sokulahla zibandakanya isicanucanu, ukuhlanza, ukuqunjelwa esiswini, nohudo. Lezi zimpawu zivame ukuqala imizuzu eyi-10 kuye kwengama-30 ngemuva kokudla.

Ezinye izimpawu zokuqala zifaka:

• ukuqunjelwa noma ukuzizwa ungagcwele kahle
• ukuqhuma ebusweni
• ukujuluka
• isiyezi
• ukushaya kwenhliziyo okusheshayo

Izimpawu zokufika zivele ihora elilodwa kuya kwamathathu ngemuva kokudla. Zibangelwa ushukela wegazi ophansi futhi zingafaka:

• isiyezi
• ubuthakathaka
• ukujuluka
• indlala
• ukushaya kwenhliziyo okusheshayo
• ukukhathala
• ukudideka
• eqhaqhazela

Ungaba nezimpawu zokuqala nezokufika sekwedlule isikhathi.

Izimbangela zokulahla isifo

Imvamisa lapho udla, ukudla kusuka esiswini sakho kuya emathunjini akho ngaphezu kwamahora amaningana. Emathunjini, izakhamzimba ezivela ekudleni ziyamuncwa futhi amajusi okugaya akwehlisa kakhulu ukudla.

Nge-dumping syndrome, ukudla kuhamba ngokushesha okukhulu kusuka esiswini sakho kuya emathunjini akho.

• Isifo sokulahla ekuqaleni senzeka lapho ukungena ngokungazelelwe kokudla okungena emathunjini akho kubangela uketshezi oluningi ukuthi lusuke egazini lakho luye emathunjini akho. Lolu ketshezi olwengeziwe lubanga isifo sohudo nokuqumba. Amathumbu akho abuye akhiphe nezinto ezisheshisa izinga lokushaya kwenhliziyo yakho nokwehlisa umfutho wegazi. Lokhu kuholela ezimpawu ezifana nokushaya kwenhliziyo okusheshayo nesiyezi.
• Ukulahlwa kwesifo okwenzeka ngemuva kwesikhathi kwenzeka ngenxa yokwanda kwesitashi noshukela emathunjini akho. Ekuqaleni, ushukela owengeziwe ubangela ukuthi izinga likashukela egazini lakho likhuphuke. Ama-pancreas akho abese ekhipha i-hormone insulin ukuhambisa ushukela (glucose) egazini lakho kumaseli akho. Lokhu kukhuphuka okwengeziwe kwe-insulin kubangela ukuthi ushukela wegazi lakho wehle kakhulu. Ushukela wegazi ophansi ubizwa ngokuthi yi-hypoglycemia.

Ukuhlinzwa okwehlisa usayizi wesisu sakho noma okudlula esiswini sakho kubanga i-dumping syndrome. Ngemuva kokuhlinzwa, ukudla kusuka esiswini sakho kuya emathunjini akho amancane ngokushesha kunokujwayelekile. Ukuhlinzwa okuthinta indlela isisu sakho esikukhipha ngayo ukudla nakho kungadala lesi simo.

Izinhlobo zokuhlinzwa ezingadala i-dumping syndrome zifaka:

• I-Gastrectomy. Lokhu kuhlinzwa kususa ingxenye noma sonke isisu sakho.
• Ukudlula esiswini (Roux-en-Y). Le nqubo idala isikhwama esincane esisuka esiswini sakho ukukuvimbela ekudleni kakhulu. Isikhwama bese sixhunywe emathunjini akho amancane.
• Ukuqothulwa kwesisu. Lokhu kuhlinzwa kususa ingxenye noma wonke umopho wakho. Kwenziwe ukwelapha umdlavuza wokuqina noma ukulimala esiswini.

Izinketho zokwelashwa

Ungakwazi ukukhulula izimpawu zesifo sokulahla izifo ngokwenza izinguquko ezimbalwa kokudla kwakho:

• Yidla izidlo ezinhlanu kuya kweziyisithupha usuku lonke esikhundleni sezidlo ezinkulu ezintathu.
• Gwema noma nciphisa ukudla okunoshukela njenge-soda, uswidi, nezimpahla ezibhakiwe.
• Yidla amaprotheni amaningi kusuka ekudleni okufana nenkukhu, inhlanzi, ibhotela lamantongomane, ne-tofu.
• Thola i-fiber eningi ekudleni kwakho. Shintsha kusuka kuma-carbohydrate alula njengesinkwa esimhlophe ne-pasta uye ezinhlamvini ezigcwele njenge-oatmeal nokolweni ophelele. Ungathatha futhi izithasiselo ze-fiber. I-fiber eyengeziwe izosiza ushukela namanye ama-carbohydrate ukuthi angene kancane kancane emathunjini akho.
• Ungaphuzi uketshezi kungakapheli imizuzu engama-30 ngaphambi noma ngemuva kokudla.
• Hlafuna ukudla kwakho ngokuphelele ngaphambi kokuba ukugwinye ukuze kube lula ukugaya.
• Faka i-pectin noma i-guar gum ekudleni kwakho ukuze uyiqinise. Lokhu kuzokwehlisa izinga lapho ukudla kuhamba kusuka esiswini sakho kuya emathunjini akho.

Buza udokotela wakho ukuthi ngabe udinga isengezo sokudla okunempilo yini. I-Dumping syndrome ingathinta amandla omzimba wakho wokumunca izakhamzimba ekudleni.

Nge-dumping syndrome ebucayi kakhulu, udokotela wakho angakunikeza i-octreotide (iSandostatin). Lesi sidakamizwa siguqula indlela osebenza ngayo umgudu wokugaya ukudla, wehlisa ukukhishwa kwesisu sakho emathunjini akho. Iphinde ivimbe ukukhishwa kwe-insulin. Ungaphuza lo muthi njengomjovo ngaphansi kwesikhumba sakho, umjovo esifubeni sakho noma esikhwameni sengalo, noma ngemithambo. Eminye imiphumela emibi yalesi sidakamizwa ifaka phakathi ushintsho emazingeni kashukela egazini, isicanucanu, ubuhlungu lapho uthola khona umjovo, kanye nesitokisi esinuka kabi.

Uma kungekho okunye kwalokhu kusiza okusizayo, ungathola ukuhlinzwa ukuze uguqule ukudlula esiswini noma ulungise ukuvulwa esiswini sakho kuye emathunjini akho amancane (i-pylorus).

Izinkinga

Ukulahla isifo kuyinkinga yokudlula esiswini noma ukuhlinzwa kokunciphisa isisu. Ezinye izinkinga ezihlobene nalokhu kuhlinzwa zifaka:

• ukumuncwa okunomsoco ompofu
• amathambo abuthakathaka, abizwa ngokuthi i-osteoporosis, kusuka ekumungeni okungalungile kwe-calcium
• i-anemia, noma isibalo esiphansi segazi elibomvu, kusuka ekumungeni okungalungile kwamavithamini noma i-iron

Umbono

Isifo sokulahla kusenesikhathi sivame ukuba ngcono ngaphandle kokwelashwa ezinyangeni ezimbalwa. Izinguquko zokudla nemithi kungasiza. Uma i-dumping syndrome ingathuthuki, kudingeka ukuhlinzekwa okuningi ukukhulula inkinga.