Kurasa Syndrome

Zvemukati

• Zviratidzo zvekurasa chirwere
• Zvikonzero zvekurasa chirwere
• Kurapa nzira
• Matambudziko
• Outlook

Mhedziso

Dumping syndrome inoitika kana chikafu chichifamba nekukurumidza kubva mudumbu rako kuenda muchikamu chekutanga chemuviri wako mudumbu (duodenum) mushure mekudya. Izvi zvinokonzeresa zviratidzo kunge cramp uye diarrhea mukati memaminetsi mashoma kusvika maawa mashoma iwe uchinge wadya. Unogona kuwana dumping syndrome mushure mekuvhiyiwa kuti ubvise chikamu kana dumbu rako rese, kana kana uine chirwere chemuviri chinoderedza uremu.

Kune mhando mbiri dzekurasa marara. Mhando idzi dzinovakirwa kana zviratidzo zvako zvatanga:

• Kutanga dumping syndrome. Izvi zvinoitika 10-30 maminetsi mushure mekudya. Inenge makumi manomwe neshanu muzana yevanhu vane dumping syndrome vane mhando iyi.
• Kunonoka kurasa chirwere. Izvi zvinoitika 1-3 maawa mushure mekudya. Inenge makumi maviri neshanu muzana yevanhu vane dumping syndrome vane mhando iyi.

Imwe neimwe mhando yekurasa chirwere ine zviratidzo zvakasiyana. Vamwe vanhu vane zvese kutanga uye kunonoka kurasa chirwere.

Zviratidzo zvekurasa chirwere

Zviratidzo zvekutanga zvekurasa chirwere zvinosanganisira kusvotwa, kurutsa, kupwanya mudumbu, uye manyoka. Zviratidzo izvi zvinowanzotanga maminetsi gumi kusvika makumi matatu mushure mekudya.

Zvimwe zviratidzo zvekutanga zvinosanganisira:

• kuzvimba kana kunzwa kusagadzikana kuzere
• kumeso kwechiso
• vangadikitira
• dzungu
• kukurumidza kurova kwemoyo

Zviratidzo zvekunonoka zvinoonekwa imwe kana matatu maawa mushure mekudya. Izvo zvinokonzerwa neshuga yeropa shoma uye inogona kusanganisira:

• dzungu
• kushaya simba
• vangadikitira
• nzara
• kukurumidza kurova kwemoyo
• kuneta
• kuvhiringidzika
• kuzunza

Iwe unogona kunge uine zvese zvekutanga uye zvekupedzisira zviratidzo.

Zvikonzero zvekurasa chirwere

Kazhinji paunodya, chikafu chinofamba kubva mudumbu mako kupinda mumatumbu ako kwemaawa akati wandei. Mumatumbo, zvinovaka muviri kubva muchikafu zvinonwiwa uye majisi ekugaya anokanganisa chikafu zvakanyanya.

Ne dumping syndrome, chikafu chinokurumidza kukurumidza kubva mudumbu rako kupinda mumatumbu ako.

• Yekutanga kurasira chirwere kunoitika kana iko kungoerekana kwauya kwechikafu mumatumbo ako kuchikonzera kuwanda kwemvura kuti ifambe kubva muropa rako ichienda mumatumbu ako zvakare. Izvi zvinowedzera mvura zvinoita manyoka nekuzvimba. Ura hwako hunosunungurawo zvinhu zvinomhanyisa kurova kwemoyo wako uye zvichideredza BP yako. Izvi zvinotungamira kuzviratidzo sekutsanya kwemoyo uye dzungu.
• Late dumping syndrome inoitika nekuda kwekuwedzera kwesitashi neshuga mumatumbu ako. Pakutanga, iyo yekuwedzera shuga inokonzera kuti shuga yako yeropa ikwire. Pancreas yako inoburitsa iyo hormone insulin yekufambisa shuga (glucose) kubva muropa rako kuenda mumasero ako. Uku kumwe kuwedzera kwe insulin kunoita kuti shuga yako yeropa idonhe zvakanyanya. Shuga yeropa yakaderera inonzi hypoglycemia.

Kuvhiya kunoderedza saizi yedumbu rako kana kunodarika dumbu rako kunokonzeresa kurasa chirwere. Mushure mekuvhiyiwa, chikafu chinofamba kubva mudumbu mako kupinda mudumbu rako mudiki nekukurumidza kupfuura zvakajairwa. Kuvhiya kunokanganisa nzira iyo dumbu rako rinodurura chikafu kunogona kukonzera mamiriro aya.

Mhando dzekuvhiya dzinogona kukonzera kurasa chirwere dzinosanganisira:

• Gastrectomy. Kuvhiya uku kunobvisa chikamu kana chese dumbu rako.
• Gastric yekupfuura (Roux-en-Y). Maitiro aya anogadzira homwe diki kubva mudumbu rako kukudzivirira kubva pakudya zvakanyanya. Homwe yacho inosanganisirwa neura hwako ura.
• Esophagectomy. Kuvhiya uku kunobvisa chikamu kana yese yegurokuro rako. Izvo zvaitwa kurapa kenza yesophageal kana kukuvara mudumbu.

Kurapa nzira

Iwe unogona kukwanisa kubvisa zviratidzo zve dumping syndrome nekuita shanduko shoma kune chako chikafu.

• Idya zvishanu kana zvitanhatu zvidiki zvidiki mukati mezuva rese pane kudya katatu kukuru.
• Dzivisa kana kudzora chikafu chine shuga sesoda, zviwitsi, uye zvinhu zvakabikwa.
• Idya mapuroteni kubva kuzvikafu zvakaita sehuku, hove, nzungu ruomba, uye tofu.
• Tora fiber yakawanda mukudya kwako. Chinja kubva kumakabhohaidhiretsi mashoma sechingwa chena uye pasita kune zviyo zvizere se oatmeal uye gorosi rakazara. Iwe unogona zvakare kutora fiber zvinowedzera. Iyo yakawedzera fiber inobatsira shuga uye mamwe makabhohaidhiretsi kuti anyure zvishoma zvishoma mumatumbu ako.
• Usanwa zvinwiwa mukati memaminitsi makumi matatu usati kana mushure mekudya.
• Tsenga chikafu chako zvachose usati wamedza kuti zvive nyore kugaya.
• Wedzera pectin kana guar chingamu kune chikafu chako kuti chiite. Izvi zvinononoka chiyero icho chikafu chinofamba kubva mudumbu rako kuenda kuura hwako.

Kumbira chiremba wako kana iwe uchida chikafu chekuwedzera. Dumping syndrome inogona kukanganisa kugona kwemuviri wako kutora zvinovaka muviri kubva muchikafu.

Kune yakanyanya dumping syndrome, chiremba wako anogona kunyorera octreotide (Sandostatin). Mushonga uyu unoshandura mashandiro ako ekugaya, achideredza kudzikira kwedumbu rako muura hwako. Inodzivirirawo kuburitswa kwe insulin. Iwe unogona kutora ichi chinodhaka sejekiseni pasi peganda rako, jekiseni muchiuno chako kana mhasuru yeruoko, kana kupinda mukati. Mimwe mhedzisiro yemushonga iyi inosanganisira shanduko mumashuga eropa, kuda kurutsa, kurwadziwa kwaunowana jekiseni, uye chigaro chinonhuwirira.

Kana pasina imwe yemishonga iyi ikabatsira, unogona kuvhiyiwa kuti udzore gastric kupfuura kana kugadzirisa kuvhura kubva mudumbu rako kuenda kuura hwako hudiki (pylorus).

Matambudziko

Dumping syndrome kusangana kwedumbu kupfuudza kana kuvhiya mudumbu. Mamwe matambudziko ane chekuita nekuvhiya uku anosanganisira:

• kudya kwakashata kwehutano
• mapfupa asina simba, anonzi osteoporosis, kubva kune yakashata calcium absorption
• kupererwa neropa, kana yakaderera tsvuku masero eropa kuverenga, kubva kwakashata kutora mavitamini kana ayoni

Outlook

Yekutanga yekurasa chirwere kazhinji inowana zvirinani pasina kurapwa mumwedzi mishoma. Kuchinja kwekudya uye mushonga zvinogona kubatsira. Kana kurasa marara kusingavandudzike, kuvhiya kwakawanda kunodiwa kugadzirisa dambudziko.