Cachexia: chomwe chiri, chimayambitsa, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za cachexia
• Matendawa amapezeka bwanji
• Zoyambitsa zazikulu
• Momwe mankhwalawa amachitikira

Cachexia imadziwika ndi kuchepa thupi komanso kutayika kwa minofu, kufooka komanso kuperewera kwa zakudya zomwe nthawi zambiri sizingakonzedwe ngakhale ndi chakudya chamagulu chomwe amalangiza wodyetsa.

Izi nthawi zambiri zimachitika chifukwa cha matenda osachiritsika, monga matenda amtima, matenda osokoneza bongo (COPD) ndi khansa, mwachitsanzo.

Zizindikiro za cachexia

Zizindikiro zazikulu zosonyeza cachexia ndi izi:

• Kuwonda;
• Kukula kwachitukuko, kwa ana;
• Kuperewera kwa zakudya m'thupi;
• Kutaya minofu, yotchedwa sarcopenia;
• Kutsekula m'mimba;
• Nseru;
• Kutayika kwa luso lamagalimoto;
• Zofooka;
• Kuchepa kwa chitetezo cha mthupi;
• Kutopa kwambiri;
• Kutaya njala.

Mu cachexia, kutayika kwa minofu kumachitika chifukwa cha kuchuluka kwa kagayidwe kake ndi kusowa kwa njala, zomwe zimapangitsa kugwiritsa ntchito mapuloteni ndi mafuta ndi thupi. Ndikofunikira kuti chifukwa cha cachexia chidziwike kuti chithandizo chitha kuyambitsidwa kukonza moyo wamunthu.

Matendawa amapezeka bwanji

Kuzindikira kwa cachexia kumapangidwa ndi dokotala kutengera zomwe munthuyo ali nazo komanso zomwe adachita chifukwa chakuyesa kwa labotale. Pankhani ya odwala khansa, mwachitsanzo, cachexia imaganiziridwa pomwe kuchepa thupi kumakhala kwakukulu kuposa 5%, pomwe BMI ndi yochepera 20 ndipo kuwonda kumakhala kopitilira 2% kapena pakakhala sarcopenia ndikuchepetsa thupi kuposa 2%.

Zoyambitsa zazikulu

Cachexia nthawi zambiri amayamba chifukwa cha matenda osachiritsika, omwe amakhala:

• Khansa;
• Matenda amtima, monga Congestive Mtima Kulephera;
• Kusakwanira kwaimpso;
• Mavuto a chiwindi;
• Matenda osokoneza bongo;
• Chifuwa chachikulu;
• Matenda aakulu;
• Edzi;
• Enaake fibrosis;
• Visceral leishmaniasis.

Kuphatikiza apo, cachexia imatha kuchitika chifukwa cha kuledzera komanso kutentha kwambiri, mwachitsanzo.

Momwe mankhwalawa amachitikira

Chithandizo cha cachexia chikuyenera kuchitika ndi physiotherapy, zakudya zopatsa thanzi komanso kugwiritsa ntchito mankhwala. Physiotherapy ndikofunikira kuti tipewe kuchepa kwambiri kwa minofu, kuwonjezera pakulimbikitsa kuyenda, popeza mu cachexia munthu amatha kutaya mphamvu zamagalimoto.

Chakudya chamtundu wa cachexia nthawi zambiri chimakhala chosagwira ntchito polowa m'malo mwa minofu, komabe ndikofunikira kwambiri kuti wodwalayu aperekezedwe ndi katswiri wazakudya kuti athetse kuchepa kwa michere yambiri.

Pokhudzana ndi mankhwala, adotolo amalimbikitsa kugwiritsa ntchito kukula kwa mahomoni, ma steroids, anti-inflammatories, antioxidants ndi mavitamini ndi michere othandizira, mwachitsanzo, kuti athetse zizindikilo.