Ecco la verità sul 'Sindrome del Bastoncino di Zucchero': una condizione rara e misteriosa dopo il bypass gastrico

Il bypass gastrico è un intervento chirurgico comune per la perdita di peso, ma alcuni pazienti possono sviluppare una condizione rara e misteriosa nota come Sindrome del Bastoncino di Zucchero. Questa condizione è caratterizzata da ipoglicemia grave e sintomi neurologici dopo il consumo di carboidrati. Scopri di più su questa condizione e come può essere gestita.

Índice
  1. Sindrome da bastone da passeggio una condizione medica rara
  2. Cosa provoca un effetto bastoncino di zucchero dopo un bypass gastrico

Sindrome da bastone da passeggio una condizione medica rara

Il Sindrome da bastone da passeggio è una condizione medica rara e interessante che colpisce alcune persone anziane. Questa sindrome è caratterizzata dall'uso eccessivo e compulsivo di un bastone da passeggio come strumento di supporto per la deambulazione, anche se non è necessario.

I pazienti affetti da questa sindrome tendono a utilizzare il bastone come un'estensione del proprio corpo, anche quando non è necessario per la deambulazione. Ciò può portare a una serie di problemi, tra cui distorsioni della postura, dolore alle spalle e problematiche di equilibrio. In alcuni casi, il uso eccessivo del bastone può anche portare a una perdita di forza e di mobilità nelle gambe e nelle anche.

La causa esatta del Sindrome da bastone da passeggio non è ancora completamente compresa, ma si ritiene che sia legata a una combinazione di fattori, tra cui ansia, paure e abitudini. Il trattamento di questa sindrome richiede un approccio multidisciplinare, che include terapia fisica, terapia occupazionale e supporto psicologico.

È importante notare che il Sindrome da bastone da passeggio non è una condizione medica che richiede necessariamente l'uso di un bastone. In alcuni casi, i pazienti possono imparare a camminare senza l'uso del bastone, grazie a un programma di riabilitazione personalizzato.

Sindrome da bastone da passeggio

Cosa provoca un effetto bastoncino di zucchero dopo un bypass gastrico

Il bypass gastrico è un intervento chirurgico che riduce la capacità dello stomaco e modifica il percorso del cibo nel corpo. Dopo tale operazione, alcuni pazienti possono sperimentare un effetto bastoncino di zucchero, noto anche come dolore addominale o crampi. Questo effetto si verifica a causa della rapida ingestione di cibo o di alimenti ricchi di zucchero, che possono provocare una veloce absorzione di glucidi nel sangue.

Quando il sistema digerente non è in grado di gestire la quantità di zucchero ingerita, il pancreas rilascia insulina per aiutare a regolare i livelli di glucosio nel sangue. Tuttavia, se il paziente ha subito un bypass gastrico, il tratto gastrointestinale è stato modificato, il che può portare a una rapida absorzione dei nutrienti e a un aumento dei livelli di insulina. Ciò può causare una ipoglicemia reattiva, caratterizzata da sintomi come crampi addominali, diarrea, nausea e vomito.

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

Per prevenire l'effetto bastoncino di zucchero dopo un bypass gastrico, è importante mangiare lentamente e fare pasti frequenti durante il giorno. Inoltre, è consigliabile evitare alimenti ricchi di zucchero e

Concludiamo l'articolo sul Sindrome del Bastoncino di Zucchero, una condizione rara e misteriosa che può insorgere dopo il bypass gastrico. Questa sindrome è caratterizzata da episodi di ipoglicemia grave e improvvisa. È fondamentale che i pazienti sottoposti a bypass gastrico siano consapevoli di questo rischio e adottino misure preventive per ridurre la probabilità di sviluppare questa condizione.

Andrea Conti

Sono Andrea, un giornalista appassionato di animali e collaboratore della pagina web La Favola del Lupo, il portale dedicato agli animali domestici. Mi occupo principalmente di cani, approfondendo argomenti come accessori, addestramento, alimentazione e salute. Con la mia esperienza e la mia passione per gli animali, cerco di fornire informazioni utili e approfondite per aiutare i nostri lettori a prendersi cura al meglio dei loro amici a quattro zampe. Sono sempre alla ricerca di nuove storie e curiosità da condividere con la nostra comunità di amanti degli animali.

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