Chilichonse Chimene Muyenera Kudziwa Ponena za Refeeding Syndrome

Zamkati

• Kodi Refeeding syndrome ndi chiyani?
• Chifukwa chiyani zimachitika?
• Zizindikiro
• Zowopsa
• Chithandizo
• Kuchira
• Kupewa
• Chiwonetsero

Kodi Refeeding syndrome ndi chiyani?

Kubwezera ndi njira yobwezeretsanso chakudya pambuyo pa kuperewera kwa chakudya kapena njala. Refeeding syndrome ndi vuto lalikulu komanso lomwe litha kupha lomwe limatha kuchitika mukamakonzanso. Zimachitika chifukwa chosinthasintha mwadzidzidzi pama electrolyte omwe amathandizira thupi lanu kupukusa chakudya.

Zochitika za matenda a refeeding ndizovuta kuzizindikira, popeza palibe tanthauzo lililonse. Refeeding syndrome ingakhudze aliyense. Komabe, zimatsatira nyengo ya:

• kusowa zakudya m'thupi
• kusala kudya
• kudya kwambiri
• njala
• njala

Zinthu zina zitha kukulitsa chiopsezo cha vutoli, kuphatikizapo:

• matenda a anorexia
• vuto lakumwa mowa
• khansa
• Kuvuta kumeza (dysphagia)

Kuchita maopareshoni ena kungakulitsenso chiopsezo chanu.

Chifukwa chiyani zimachitika?

Kusowa chakudya kumasintha momwe thupi lanu limagwiritsira ntchito michere. Mwachitsanzo, insulin ndi mahomoni omwe amawononga shuga (shuga) wazakudya. Kugwiritsa ntchito kwamahydrohydrate kumachepetsa kwambiri, kutsekemera kwa insulin kumachepetsa.

Pakakhala kuti palibe chakudya, thupi limasandulika mafuta ndi mapuloteni omwe amasungidwa ngati magwero a mphamvu. Popita nthawi, kusintha kumeneku kumatha kutsitsa malo ogulitsa ma electrolyte. Phosphate, electrolyte yomwe imathandiza maselo anu kusintha shuga kukhala mphamvu, nthawi zambiri imakhudzidwa.

Chakudya chikabwezeretsedwanso, pamakhala kusintha kwadzidzidzi kuchokera pamafuta amafuta kubwerera ku kagayidwe kazakudya. Izi zimapangitsa kuti chitetezo cha insulin chiwonjezeke.

Maselo amafunika ma electrolyte monga phosphate kuti asinthe shuga kukhala mphamvu, koma phosphate imasowa. Izi zimabweretsa vuto lina lotchedwa hypophosphatemia (low phosphate).

Hypophosphatemia ndichizindikiro chofala cha matenda opatsirana. Zosintha zina zamagetsi zimatha kuchitika. Izi zikuphatikiza:

• misinkhu yodabwitsa ya sodium ndi madzi
• kusintha kwa mafuta, shuga, kapena metabolism ya protein
• kuchepa kwa thiamine
• hypomagnesemia (otsika magnesium)
• hypokalemia (potaziyamu wochepa)

Zizindikiro

Refeeding syndrome imatha kubweretsa zovuta mwadzidzidzi komanso zakupha. Zizindikiro za matenda a Refeeding atha kukhala:

• kutopa
• kufooka
• chisokonezo
• kulephera kupuma
• kuthamanga kwa magazi
• kugwidwa
• arrhythmias yamtima
• kulephera kwa mtima
• chikomokere
• imfa

Zizindikirozi zimapezeka mkati mwa masiku 4 kuyambira pomwe njira yokonzanso imayambiranso. Ngakhale anthu ena omwe ali pachiwopsezo samakhala ndi zisonyezo, palibe njira yodziwira omwe angadzakhale ndi matenda asanayambe kulandira chithandizo. Zotsatira zake, kupewa ndikofunikira.

Zowopsa

Pali zifukwa zowopsa zowonongera matenda. Mutha kukhala pachiwopsezo ngati chimodzi kapena zingapo mwa mawu otsatirawa akukhudzani inu:

• Muli ndi index ya thupi yochepera zaka 16.
• Mwataya zoposa 15 peresenti ya kulemera kwanu m'miyezi 3 mpaka 6 yapitayi.
• Mwadya pang'ono osadya, kapena kutsika pang'ono kwama calories ofunikira kuti mukhale ndi machitidwe abwinobwino mthupi, kwa masiku 10 apitawa kapena kupitilira apo.
• Kuyezetsa magazi kwawonetsa kuti seramu ya phosphate, potaziyamu, kapena magnesium ndiyotsika.

Muthanso kukhala pachiwopsezo ngati awiri kapena kupitilira apo mwa mawu otsatirawa akukhudzani inu:

• Muli ndi BMI pansi pa 18.5.
• Mwataya zoposa 10 peresenti ya kulemera kwanu m'miyezi 3 mpaka 6 yapitayi.
• Mwadya pang'ono osadya chilichonse masiku 5 apitawa kapena kupitilira apo.
• Mumakhala ndi vuto lakumwa mowa kapena kugwiritsa ntchito mankhwala ena, monga insulin, mankhwala a chemotherapy, okodzetsa, kapena maantacid.

Ngati mukukwaniritsa izi, muyenera kupeza chithandizo chadzidzidzi mwachangu.

Zinthu zina zitha kukupangitsani kukhala pachiwopsezo chambiri chokhala ndi matenda a refeeding. Mutha kukhala pachiwopsezo ngati:

• amadwala matenda a anorexia
• kukhala ndi vuto losatha kumwa mowa
• khalani ndi khansa
• khalani ndi matenda ashuga osalamulira
• alibe chakudya
• posachedwapa anachitidwa opaleshoni
• kukhala ndi mbiri yogwiritsa ntchito maantacids kapena diuretics

Chithandizo

Refeeding syndrome ndi vuto lalikulu. Zovuta zomwe zimafunikira kuchitapo kanthu mwachangu zitha kuwoneka mwadzidzidzi. Zotsatira zake, anthu omwe ali pachiwopsezo amafunika kuyang'aniridwa ndi azachipatala kuchipatala kapena malo ena apadera. Gulu lomwe limadziwa za gastroenterology ndi dietetics liyenera kuyang'anira chithandizo.

Kafufuzidwe akadafunikabe kuti adziwe njira yabwino yochizira matenda a Refeeding. Chithandizo nthawi zambiri chimaphatikizapo kusintha ma electrolyte ofunikira ndikuchepetsa njira yokonzanso.

Kuchulukitsa kwama calories kuyenera kuchepa ndipo nthawi zambiri kumakhala pafupifupi ma calories 20 pa kilogalamu ya kulemera kwa thupi, kapena pafupifupi ma calorie 1,000 patsiku koyambirira.

Magulu a Electrolyte amayang'aniridwa ndi kuyesa magazi pafupipafupi. Kulowetsedwa mkati (IV) kutengera kulemera kwa thupi nthawi zambiri kumagwiritsidwa ntchito m'malo mwa ma electrolyte. Koma chithandizochi sichingakhale choyenera kwa anthu omwe ali ndi:

• Kulephera kwa impso
• hypocalcemia (kashiamu wotsika)
• hypercalcemia (calcium yayikulu)

Kuphatikiza apo, madzi amabwezeretsanso pang'onopang'ono. Sodium (mchere) m'malo mwake amathanso kuyang'aniridwa mosamala. Anthu omwe ali pachiwopsezo chazovuta zokhudzana ndi mtima angafunike kuwunika mtima.

Kuchira

Kuchira kuchokera ku Refeeding syndrome kumadalira kuopsa kwa kuperewera kwa chakudya chakudya chisanabwezeretsedwe. Kubwezeretsanso kumatha kutenga masiku khumi, ndikuwunika pambuyo pake.

Kuphatikiza apo, kuyambiranso nthawi zambiri kumachitika limodzi ndi zovuta zina zomwe zimafunikira chithandizo munthawi yomweyo.

Kupewa

Kupewa ndikofunikira popewa zovuta zowononga moyo za matenda opatsirana.

Zomwe zimayambitsa thanzi zomwe zimawonjezera chiopsezo cha matenda a refeeding sizitetezedwa nthawi zonse. Ogwira ntchito zaumoyo amatha kuletsa zovuta za Refeeding syndrome mwa:

• kuzindikira anthu omwe ali pachiwopsezo
• kusintha mapulogalamu owonjezera moyenera
• kuyang'anira chithandizo

Chiwonetsero

Refeeding syndrome imawonekera pomwe chakudya chimayambitsidwa mwachangu patadutsa nthawi yoperewera kwa chakudya. Kusintha kwa milingo yama electrolyte kumatha kubweretsa zovuta zazikulu, kuphatikiza kugwidwa, mtima kulephera, ndi makoma. Nthawi zina, matenda a refeeding amatha kupha.

Anthu omwe alibe chakudya chokwanira ali pangozi. Mavuto ena, monga anorexia nervosa kapena matenda osokoneza bongo, amatha kuwonjezera ngozi.

Zovuta za matenda a refeeding zitha kupewedwa ndi ma infusions a electrolyte komanso njira yochepetsera pang'onopang'ono. Anthu omwe ali pachiwopsezo atadziwika msanga, chithandizo chambiri chimatha.

Kuchulukitsa kuzindikira ndi kugwiritsa ntchito mapulogalamu owunikira kuti azindikire omwe ali pachiwopsezo chokhala ndi matenda a Refeeding ndi njira zotsatirazi zokulitsira malingaliro awo.