Cigabawar dumping, wanda aka fi sani da raguwa maras amfani, yana da yanayin da ke fuskanta gastrointestinal ko vasomotor bayyanar cututtuka saboda abincin da kake ci yana motsawa daga ciki cikin ƙananan hanji . Cutar cututtuka fara lokacin da ka ci abinci, musamman daga menu tare da babban glucose (sugar) abun ciki.
Cutar da aka yiwa dumping shine mafi yawancin lokaci a cikin mutanen da suka yi hasara (asarar hasara), sashin jiki, ko aikin tiyata.
Ƙididdigar yawan mutanen da ke fama da ciwo na dumping bayan aikin tiyata mai fadi daga kashi 25 zuwa kashi 50. Mafi yawan bayyanar cututtuka ana gani a kimanin kashi 5 zuwa kashi 10 na irin wannan marasa lafiya. Ana ganin yawancin bayyanar cututtuka da wuya. Irin aikin tiyata kuma yana haddasa hadarinka na cigaba da ciwon sutura.
Duration
Gaba ɗaya, alamun cututtuka na dumping suna inganta a tsawon lokaci. Kimanin kashi uku cikin dari na mutanen da ke fuskantar kullun za su fuskanci bayyanar cututtuka nan da nan bayan bin hanyar, amma mafi yawan mutane sun gano cewa alamun su bace a cikin watanni 15 zuwa 18 na gaba.
Dissing ciwo ya rushe cikin nau'i biyu: ciwon dumping da wuri da ciwon dumping ciwo. An kiyasta cewa kimanin kashi uku cikin dari na mutanen da ke fama da ciwo na dumping sun fara samuwa, yayin da ɗayan kwata-kwata suka ji nauyin marigayi. Ƙananan 'yan tsirarun mutane suna da duka.
Cutar da aka fara dumping yana halin bayyanar cututtuka da ke faruwa a cikin minti 10 zuwa 30 bayan cin abinci. Mutanen da ke fama da ciwo na dinding suna fama da bayyanar cututtuka na biyu zuwa uku bayan cin abinci. Sauran alamun sun bayyana tare da nau'o'in bayyanar cututtuka, tare da bayyanar cututtuka da suka kamu da ciwon ciki da kuma vasomotor, yayin da bayyanar cututtuka sun kasance mafi yawancin zubar da jini.
Me ya sa yake faruwa
A cikin narkewa na al'ada, ciki ya ɓoye abinda yake cikin cikin duodenum, ɓangaren ƙananan ƙwayar ƙwayar, a cikin tsari mai sarrafawa wanda za'a yalwata manyan kwayoyin abinci. Ga wasu mutane, canje-canje a jikin jikin GI a matsayin sakamako na gefen aikin tiyata yana haifar da rashin aiki na wannan tsarin. Cikin ciki yana karami, ko lalacewa ga pylorus-ɓangaren jiki wanda ke da alhakin yin aiki kamar dam - yana haifar da cike da ciki sosai kuma ana ba da suturar abinci mafi girma cikin sauri a cikin duodenum. Wannan saukowa mai sauri yana haifar da canje-canje a cikin ƙwayoyin glucose na jini da kuma karuwa a wasu kwayoyin hormones, wanda zai taimakawa wajen bayyanar cututtuka na zuciya da cututtuka da suka shafi hypoglycemia.
Rigar ciwo na ƙarshe yana samuwa ne kawai daga canje-canje a cikin glucose jini da kuma matakan insulin. A ƙarshen ciwowar dumping, alamar cututtuka suna jawowa saboda yawan sukari da aka saki cikin ƙananan hanji a cikin sauri. Wannan karu yana haifar da karuwa a cikin glucose na jini, wanda zai haifar da pancreas don yaduwa da iskar insulin. Wannan sakin insulin din yana haifar da wani digo a cikin glucose na jini - sakamakon sakamakon bayyanar cututtuka na hypoglycemia.
Cutar cututtuka
Farkon dumping:
A farkon ciwon ciwo, cututtuka sukan fara kamar minti 10 zuwa 30 bayan cin abinci:
- Abubuwa na ciki
- Jiɗa
- Dawowa da gaggawa
- Vomiting
- Blushing na fuska ko fata
- Feeling haske-shugabanci ko m
- Zuciyar motsawa ko kuma abin da bai dace ba
- Sweating
- Rashin rauni
Kashewar dadewa:
Kwayoyin cututtuka na ciwowar dumping ci gaba yakan faru daya zuwa sa'o'i uku bayan cin abinci:
- Rikici
- Dizziness
- Fainting
- Wulo
- Feeling haske-shugabanci ko m
- Flushing na fata
- Yunwar
- Rafin zuciya mai mahimmanci ko rashin tausayi
- Sweating
- Rashin rauni
Kula da Kai-da-Kai da Don'ts
Yawancin maganganun kulawa da kanka don kawar da ciwo sun ƙunshi canje-canje a hanyar da kuke ci, ko da yake kuna iya gane cewa za ku iya rage jijiyar haske ko kunji idan kun kwanta, ku fuskanta, tsawon minti 30 bayan abinci.
Shin:
- Ku ci abinci guda shida a rana
- Gwa abincinku sosai
- Zabi ya ci hatsi masu haɗari
- Ƙara yawan abincin ku
- Zabi don cin abinci mara lafiya
Kada ka:
- Sha ruwa a lokacin abinci
- Sha ruwa na tsawon minti 30 bayan abinci
- Ku ci abincin da ke dauke da sukari ko haɓakaccen carbohydrates
- Yi amfani da kayan kiwo
Jiyya
Idan bayyanar cututtuka ta ci gaba da duk da yin gyare-gyare, ka yi magana da likitanka. Mutanen da suke da ciwon haɗari da yawa na bayyanar cututtuka suna da haɗari ga cin abinci da rashin cin abinci. Kwararku zai gwada ku kuma ya shawarce ku game da hanya mafi kyau. Idan kuna da ciwo na dumping, likitanku zai iya bayar da shawara akan kariyar fiber don rage jinkirin glucose kuma rage haɓakar hypoglycemia. Wani zabin don ko dai nau'i ne don likita don tsara ɗaya daga cikin magunguna da ke samuwa don magance ciwowar dumping.
A cikin lokuta masu tsanani, za a iya la'akari da wata hanya mai mahimmanci. Duk da haka, kamar yadda mafi yawan lokuta na ciwo da ciwon haɓaka na cigaba da inganta lokaci, tiyata ba zai yiwu a yi la'akari da shi ba har tsawon shekara guda bayan bin hanya na asali.
Sources:
Ƙunƙasar Cututtuka na Kasa Da Kwayoyin Gudanar da Labaran Harkokin Cututtuka "Dumping Syndrome"
Tack, J., et.al. "Harkokin ilmin likitanci, ganewar asali da kuma gudanar da ciwo na dumping" Nature Reviews Gastroenterology da Hepatology 6: 583-590.
Ukleja, A. "Ciwo na Dumping: Harkokin Kifi da Kulawa" Gina Jiki a Ayyukan Clinical 2005 5: 517-525.