Indawo yokulahla inkunkuma

Umxholo

• Iimpawu zokulahla isifo
• Unobangela wokulahla intsholongwane
• Izinketho zonyango
• Iingxaki
• Imbonakalo

Ushwankathelo

Ukulahla isifo kwenzeka xa ukutya kuhamba ngokukhawuleza ukusuka esiswini ukuya kwinxalenye yokuqala yamathumbu akho amancinci (duodenum) emva kokutya. Oku kubangela iimpawu ezinje ngeekram kunye nerhudo ngaphakathi kwemizuzu embalwa ukuya kwiiyure ezimbalwa emva kokuba utyile. Ungasifumana isifo sokulahla intsholongwane emva kokuba utyandiwe ukuze ususe inxenye okanye sonke isisu sakho, okanye ukuba isisu sidlula ngotyando ngenxa yokwehla kobunzima.

Zimbini iintlobo zokulahla intsholongwane. Iindidi zisekwe xa iimpawu zakho ziqala:

• Isifo sokulahla kwasekuqaleni. Oku kwenzeka kwimizuzu eli-10 ukuya kwengama-30 emva kokuba utyile. Malunga neepesenti ezingama-75 zabantu abane-dumping syndrome banolu hlobo.
• Ukulahleka kwesifo emva kwexesha. Oku kwenzeka emva kweeyure eziyi-1-3 emva kokuba utyile. Malunga neepesenti ezingama-25 zabantu abane-dumping syndrome banolu hlobo.

Uhlobo ngalunye lwesifo sokulahla inempawu ezahlukileyo. Abanye abantu banesifo sokulahla intsholongwane sokuqala kwangoko nasemva kwexesha.

Iimpawu zokulahla isifo

Iimpawu zokuqala zokulahla isifo kubandakanya isicaphucaphu, ukugabha, ukubamba isisu, kunye norhudo. Ezi mpawu zihlala ziqala kwimizuzu eli-10 ukuya kwengama-30 emva kokuba utyile.

Ezinye iimpawu zokuqala zibandakanya:

• ukudumba okanye ukuziva ungonwabanga ngokupheleleyo
• ukugungxula ubuso
• ukubila
• isiyezi
• ukukhawuleza kwentliziyo

Iimpawu ezifika emva kwexesha zibonakala kwiyure enye ukuya kwezintathu emva kokuba utyile. Zibangelwa siswekile esezantsi yegazi kwaye zinokubandakanya:

• isiyezi
• ubuthathaka
• ukubila
• indlala
• ukukhawuleza kwentliziyo
• ukudinwa
• ukudideka
• ndingcangcazela

Unokuba neempawu zokuqala kunye nokufika kade.

Unobangela wokulahla intsholongwane

Ngokwesiqhelo xa usitya, ukutya kuhamba esiswini sakho kungena emathunjini akho ngaphezulu kweeyure ezininzi. Emathunjini, izakhamzimba ezivela ekutyeni ziyangeniswa kwaye iincindi zokwetyisa ziyakuphula ukutya ngakumbi.

Nge-dumping syndrome, ukutya kuhamba ngokukhawuleza okukhulu ukusuka esiswini ukuya emathunjini akho.

• Ukulahla isifo kwangoko kwenzeka xa ukungena ngesiquphe kokutya kungena emathunjini akho kubangela ukuba ulwelo oluninzi luhambe kwigazi lakho luye emathunjini akho. Olu lwelo longezelelekileyo lubangela urhudo kunye nokudumba. Amathumbu akho akhupha izinto ezikhawulezisa ukubetha kwentliziyo yakho kunye nokunciphisa uxinzelelo lwegazi. Oku kukhokelela kwiimpawu ezinjengesantya sentliziyo esikhawulezayo kunye nesiyezi.
• Ukulahla isifo emva kwexesha kwenzeka ngenxa yokwanda kwesitatshi neswekile emathunjini akho. Ekuqaleni, iswekile eyongezelelweyo ibangela ukuba inqanaba leswekile egazini lakho lenyuke. I-pancreas yakho ikhupha i-hormone insulin ukuhambisa iswekile (i-glucose) egazini lakho kwiiseli zakho. Oku kunyuka okungaphezulu kwi-insulin kubangela ukuba iswekile yegazi lakho yehle kakhulu. Iswekile esezantsi yegazi ibizwa ngokuba yi-hypoglycemia.

Utyando olucutha ubungakanani besisu sakho okanye oludlula kwisisu sakho lubangela isifo sokulahla. Emva kotyando, ukutya kuhamba esiswini sakho kungena emathunjini akho amancinci ngokukhawuleza kunesiqhelo. Utyando oluchaphazela indlela isisu sakho esikhupha ngayo ukutya kunokubangela le meko.

Iindidi zotyando ezinokubangela ukulahla isifo kubandakanya:

• Gastrectomy. Olu tyando lususa inxenye okanye sonke isisu sakho.
• Ukudlula esiswini (Roux-en-Y). Le nkqubo yenza isingxobo esincinci esiswini sakho ukukhusela ukuba ungatyi kakhulu. Isingxobo sidityaniswe nethumbu lakho elincinci.
• Uqhaqho. Olu tyando lususa inxenye okanye yonke indawo yakho. Yenziwe ukunyanga umhlaza wokuqaqamba okanye ukonakalisa isisu.

Izinketho zonyango

Unokwazi ukunciphisa iimpawu zokulahla intsholongwane ngokwenza iinguqu ezimbalwa kwindlela otya ngayo:

• Yitya izidlo ezincinci ezintlanu ukuya kwezintandathu ngemini endaweni yezidlo ezithathu ezikhulu.
• Gwema okanye unciphise ukutya okuneswekile njengesoda, iilekese kunye nezinto ezibhakiweyo.
• Yitya iiprotheyini ezininzi ezivela kukutya okufana nenkuku, intlanzi, ibhotolo yamandongomane, kunye netofu.
• Fumana ifayibha ngakumbi ekutyeni kwakho. Tshintshela kwiicarbohydrate ezilula ezinje ngesonka esimhlophe kunye nepasta uye kwizityalo ezigcweleyo ezifana ne-oatmeal kunye nengqolowa. Unokuthatha izongezo zefayibha. Ifayibha eyongezelelweyo iya kunceda iswekile kunye nezinye iikhabhohayidrethi zingene kancinci kancinci emathunjini akho.
• Musa ukusela ulwelo kwimizuzu engama-30 ngaphambi okanye emva kokutya.
• Hlafuna ukutya kwakho ngokupheleleyo phambi kokuba uginye ukuze kube lula ukwetyisa.
• Yongeza i-pectin okanye i-guar gum kukutya kwakho ukuze uyitshise. Oku kuya kunciphisa izinga apho ukutya kuhamba khona esiswini sakho kuya emathunjini akho.

Buza ugqirha wakho ukuba ufuna isongezelelo sesondlo. Ukulahla isifo kunokuchaphazela ukukwazi komzimba wakho ukufunxa izakhamzimba ekutyeni.

Ngengxaki yokulahla inkunkuma ngokuqatha, ugqirha wakho angamisela i-octreotide (iSandostatin). Eli chiza litshintsha indlela osebenza ngayo umgudu wokucola ukutya, ukucotha ukukhupha isisu sakho emathunjini akho. Ikwathintela ukukhutshwa kwe-insulin. Ungalithatha eli chiza njenaliti phantsi kolusu lwakho, isitofu esinqeni sakho okanye kwimisipha yengalo, okanye ngaphakathi. Ezinye iziphumo ebezingalindelekanga zeli chiza zibandakanya utshintsho kumanqanaba eswekile yegazi, isicaphucaphu, iintlungu apho ufumana khona inaliti, kunye nesitulo esinukayo.

Ukuba akukho nanye kwezi zonyango ezincedayo, unokuhlinzwa ukuze uphindise isisu okanye ulungise ukuvulwa kwesisu sakho uye emathunjini akho amancinci (pylorus).

Iingxaki

Ukulahla isifo yingxaki yokudlula kwesisu okanye utyando lokunciphisa isisu. Ezinye iingxaki ezinxulumene nolu tyando zibandakanya:

• ukufunxeka kwezondlo
• amathambo abuthathaka, abizwa ngokuba yi-osteoporosis, ukusuka ekufunxweni kwe-calcium engalunganga
• i-anemia, okanye ubalo lweeseli ezibomvu ezisezantsi, ukusuka ekufunxweni kakubi kweevithamini okanye i-iron

Imbonakalo

Isifo sokulahla kwangethuba sisoloko siphucuka ngaphandle konyango kwiinyanga ezimbalwa. Utshintsho ekudleni kunye namayeza anokunceda. Ukuba indawo yokulahla intsholongwane ayiphucukanga, kufuneka kwenziwe utyando oluninzi ukunciphisa ingxaki.