Kutaya Matenda

Zamkati

• Zizindikiro za matenda otaya
• Zomwe zimayambitsa matenda otaya
• Njira zothandizira
• Zovuta
• Chiwonetsero

Chidule

Dumping syndrome imachitika pamene chakudya chimayenda mwachangu kwambiri kuchokera m'mimba mwanu kulowa mbali yoyamba yamatumbo anu ang'ono (duodenum) mukatha kudya. Izi zimayambitsa zizindikiro monga kukokana ndi kutsegula m'mimba mkati mwa mphindi zochepa mpaka maola ochepa mutadya. Mutha kupeza dumping syndrome mutatha kuchitidwa opaleshoni kuti muchotse gawo kapena m'mimba mwanu, kapena ngati mwachita opaleshoni yolakwika m'mimba kuti muchepetse kunenepa.

Pali mitundu iwiri ya matenda otaya. Mitunduyi imadalira pomwe zizindikilo zanu zimayamba:

• Matenda otaya msanga. Izi zimachitika mphindi 10-30 mutadya. Pafupifupi 75 peresenti ya anthu omwe ali ndi matenda otaya matenda ali ndi mtundu uwu.
• Matenda otaya mochedwa. Izi zimachitika patatha maola 1-3 mutadya. Pafupifupi 25 peresenti ya anthu omwe ali ndi matenda otaya matenda ali ndi mtundu uwu.

Mtundu uliwonse wamataya umakhala ndi zizindikilo zosiyanasiyana. Anthu ena ali ndi matenda otaya msanga komanso mochedwa.

Zizindikiro za matenda otaya

Zizindikiro zoyambirira za kutaya matenda zimaphatikizapo kunyoza, kusanza, kupunduka m'mimba, ndi kutsegula m'mimba. Zizindikirozi nthawi zambiri zimayamba mphindi 10 mpaka 30 mutadya.

Zizindikiro zina zoyambirira zimaphatikizapo:

• Kutupa kapena kumverera mosakhazikika
• kutulutsa nkhope
• thukuta
• chizungulire
• kuthamanga kwa mtima

Zizindikiro zakumapeto zimawoneka ola limodzi kapena atatu mutadya. Amayambitsidwa ndi shuga wotsika kwambiri ndipo amatha kuphatikiza:

• chizungulire
• kufooka
• thukuta
• njala
• kuthamanga kwa mtima
• kutopa
• chisokonezo
• kugwedezeka

Mutha kukhala ndi zizindikilo zoyambirira komanso zochedwa.

Zomwe zimayambitsa matenda otaya

Nthawi zambiri mukamadya, chakudya chimachoka m'mimba mwanu kupita m'matumbo mwanu kwa maola angapo. M'matumbo, zakudya kuchokera m'zakudya zimayamwa ndipo timadziti timagaya timadyetsa chakudya kwambiri.

Ndi dumping syndrome, chakudya chimayenda mwachangu kwambiri kuchokera m'mimba mwanu kupita m'matumbo mwanu.

• Matenda otaya msanga amachitika pamene chakudya chofika mwadzidzidzi m'matumbo mwanu chimayambitsa madzi ambiri kutuluka m'mwazi wanu kupita m'matumbo mwanu. Madzi owonjezerawa amayambitsa kutsegula m'mimba ndi kuphulika. Matumbo anu amatulutsanso zinthu zomwe zimathamanga kugunda kwa mtima wanu komanso zimachepetsa kuthamanga kwa magazi. Izi zimabweretsa zizindikilo monga kugunda kwamtima komanso chizungulire.
• Matenda otaya mochedwa amachitika chifukwa chakukula kwa sitashi ndi shuga m'matumbo mwanu. Poyamba, shuga wowonjezerayo amachititsa kuti magazi anu azikwera. Pancreas yanu imatulutsa timadzi ta insulini kuti musunthire shuga (shuga) wamagazi anu kupita m'maselo anu. Kuchulukanso kwa insulin kumapangitsa kuti magazi anu azitsika kwambiri. Shuga wamagazi ochepa amatchedwa hypoglycemia.

Opaleshoni yomwe imachepetsa kukula kwa m'mimba mwanu kapena yomwe imadutsa m'mimba mwanu imayambitsa matenda otaya. Pambuyo pa opaleshoni, chakudya chimachoka m'mimba mwanu kulowa m'matumbo anu achichepere mwachangu kuposa masiku onse. Kuchita opaleshoni komwe kumakhudza momwe m'mimba mumatulutsira chakudya kumayambitsanso vutoli.

Mitundu ya opaleshoni yomwe ingayambitse matenda otaya ndi awa:

• Kutsegula m'mimba. Opaleshoniyi imachotsa gawo kapena m'mimba mwanu.
• Kudutsa m'mimba (Roux-en-Y). Njirayi imapanga thumba laling'ono m'mimba mwanu kuti musadye kwambiri. Chikwamachi chimalumikizidwa ndi m'matumbo anu aang'ono.
• Kutsegula m'mimba. Kuchita opaleshoniyi kumachotsa gawo kapena matenda anu onse. Zachitika kuti athetse khansa ya m'mimba kapena kuwonongeka kwa m'mimba.

Njira zothandizira

Mutha kuthana ndi matenda a dumping syndrome posintha pang'ono pazakudya zanu:

• Idyani zakudya zazing'ono zisanu kapena zisanu ndi chimodzi tsiku lonse m'malo mwazakudya zazikulu zitatu.
• Pewani kapena muchepetse zakudya zotsekemera monga soda, maswiti, ndi zinthu zophika.
• Idyani mapuloteni ambiri ochokera kuzakudya monga nkhuku, nsomba, chiponde, ndi tofu.
• Pezani zowonjezera zambiri pazakudya zanu. Sinthani chakudya chambiri monga mkate woyera ndi pasitala ndi mbewu zonse monga oatmeal ndi tirigu wathunthu. Muthanso kutenga zowonjezera ma fiber. Mafuta owonjezerawa amathandizira shuga ndi zakudya zina zimalowa pang'onopang'ono m'matumbo mwanu.
• Musamwe madzi pasanathe mphindi 30 musanadye kapena mutadya.
• Bzalani chakudya chanu chonse musanameze kuti chikhale chosavuta kugaya.
• Onjezerani pectin kapena chingamu ku chakudya chanu kuti muchepetse. Izi zimachepetsa momwe chakudya chimachokera m'mimba mwanu kupita m'matumbo mwanu.

Funsani dokotala ngati mukufuna chakudya chowonjezera. Dumping syndrome ingakhudze kuthekera kwa thupi lanu kuyamwa michere mu chakudya.

Kwa matenda otaya kwambiri, dokotala akhoza kukupatsani octreotide (Sandostatin). Mankhwalawa amasintha momwe kagayidwe kanu kagayidwe kamagwirira ntchito, kumachepetsa kutaya kwa m'mimba mwanu. Zimalepheretsanso kutulutsa kwa insulin. Mutha kumwa mankhwalawa ngati jakisoni pansi pa khungu lanu, jekeseni m'chiuno mwanu kapena minyewa, kapena kudzera m'mitsempha. Zotsatira zoyipa za mankhwalawa zimaphatikizapo kusintha kwa shuga m'magazi, nseru, kupweteka komwe mumalandira jakisoni, ndi chopondapo chonunkha.

Ngati palibe yothandizirayi ikuthandizani, mutha kuchitidwa opareshoni kuti musinthe m'mimba kapena kukonza zotsegula m'mimba mwanu kupita m'matumbo anu aang'ono (pylorus).

Zovuta

Dumping syndrome ndi vuto la kupyola m'mimba kapena opaleshoni yochepetsa m'mimba. Mavuto ena okhudzana ndi opaleshoniyi ndi awa:

• kuyamwa kosakwanira michere
• mafupa ofooka, otchedwa kufooka kwa mafupa, kuchokera ku kuyamwa kochepa kwa calcium
• kuchepa kwa magazi m'thupi, kapena kuchuluka kwa maselo ofiira am'magazi, chifukwa chotsalira mavitamini kapena ayironi

Chiwonetsero

Matenda otaya msanga nthawi zambiri amakhala bwino popanda chithandizo m'miyezi ingapo. Kusintha kwa zakudya ndi mankhwala kungathandize. Ngati kutaya sikukuyenda bwino, ambiri amafunikira opaleshoni kuti athetse vutoli.