Zvese Zvaunofanirwa Kuziva Nezve Refeeding Syndrome

Zvemukati

• Chii chinonzi Refeeding syndrome?
• Nei zvichiitika?
• Zviratidzo
• Njodzi zvinhu
• Kurapa
• Kudzorera
• Kudzivirira
• Outlook

Chii chinonzi Refeeding syndrome?

Kudzoreredza chiitiko chekudzorerazve chikafu mushure mekushaya chikafu kana nzara. Refeeding syndrome chinhu chakakomba uye chinogona kuuraya chinogona kuitika panguva yekugadzirisazve. Izvo zvinokonzerwa nekukasira kuchinja mune ma electrolyte anobatsira muviri wako kugaya chikafu.

Iko kuitika kwe Refeeding syndrome kunonetsa kuziva, sezvo pasina dudziro yakajairwa. Refeeding syndrome inogona kukanganisa chero munhu. Nekudaro, inowanzo tevera nguva ye:

• kushaya chikafu
• kutsanya
• kudya kwakanyanya
• nzara
• nzara

Mimwe mamiriro ezvinhu anogona kuwedzera njodzi yako pachiitiko ichi, kusanganisira:

• anorexia
• doro rekushandisa kusagadzikana
• gomarara
• kuoma kumedza (dysphagia)

Kumwe kuvhiya kunogona kuwedzera njodzi yako.

Nei zvichiitika?

Kushaya kwekudya kunochinja nzira iyo muviri wako unogaya zvinovaka muviri. Semuenzaniso, insulin ihormone inoputsa glucose (shuga) kubva kuma carbohydrate. Kana kudya kwehydrohydrate kwakadzikira zvakanyanya, insulin secretion inononoka.

Mukushayikwa kwemakabohydrate, muviri unotendeukira kumafuta akachengetedzwa uye mapuroteni sosi dzemasimba. Nekufamba kwenguva, shanduko iyi inogona kupedza zvitoro zvemagetsi. Phosphate, electrolyte inobatsira masero ako kushandura glucose kuita simba, inowanzo kanganiswa.

Kana chikafu chadzoreredzwa, pane shanduko inongoerekana yaitika kubva kumafuta metabolism ichidzokera kuhydrohydrate metabolism. Izvi zvinokonzera insulin secretion kuwedzera.

Masero anoda maelectrolyte akafanana nephosphate kushandura glucose kuita simba, asi phosphate iri kushomeka. Izvi zvinotungamira kune imwe mamiriro anonzi hypophosphatemia (low phosphate).

Hypophosphatemia chinhu chinowanzoitika pakujekesa chirwere. Dzimwe shanduko dzemagetsi dzinogona zvakare kuitika. Izvi zvinosanganisira:

• isina kujairika sodium uye emvura mazinga
• shanduko mumafuta, glucose, kana protein metabolism
• kushaya thiamine
• hypomagnesemia (yakaderera magnesium)
• hypokalemia (yakaderera potasium)

Zviratidzo

Refeeding syndrome inogona kukonzeresa nekukanganisa kuuraya. Zviratidzo zve Refeeding syndrome zvinogona kusanganisira:

• kuneta
• kushaya simba
• kuvhiringidzika
• kutadza kufema
• BP
• pfari
• moyo arrhythmias
• kutadza kwemoyo
• coma
• rufu

Zviratidzo izvi zvinowanzoonekwa mukati memazuva mana kutanga kwegadziriro yekumisikidza. Kunyangwe vamwe vanhu vari panjodzi vasingakure zviratidzo, hapana nzira yekuziva kuti ndiani anozoita zviratidzo asati atanga kurapwa. Nekudaro, kudzivirira kwakakosha.

Njodzi zvinhu

Iko kune yakajeka njodzi njodzi dze Refeeding syndrome. Unogona kuva panjodzi kana imwe kana dzakawanda yezvirevo zvinotevera zvinoshanda kwauri:

• Une muviri mass index (BMI) pasi pemakore gumi nematanhatu.
• Wakarasa zvinopfuura zvikamu gumi nezvishanu kubva muzana zvehuremu hwako mumwedzi mitatu kusvika kumitanhatu yapfuura.
• Wadya zvishoma usina kana chikafu, kana zvakaderera pazasi macalorie anodiwa kuchengetedza zvakajairika maitiro mumuviri, kwemazuva gumi apfuura kana mamwe akateedzana mazuva.
• Kuongororwa kweropa kwakaratidza kuti yako serum phosphate, potasium, kana magnesium mwero yakaderera.

Iwe unogona zvakare kuve panjodzi kana maviri kana kupfuura yezvirevo zvinotevera zvinoshanda kwauri:

• Iwe une BMI pasi pe18.5.
• Wakarasikirwa neanopfuura gumi muzana yehuremu hwemuviri wako mukati memwedzi mitatu kusvika kumitanhatu yapfuura.
• Iwe watora mune zvishoma kusava nechikafu chemazuva mashanu apfuura kana mamwe akateedzana mazuva.
• Iwe une nhoroondo yekunwa doro kusagadzikana kana kushandisa mimwe mishonga, senge insulin, chemotherapy zvinodhaka, diuretics, kana antacids.

Kana iwe uchikodzera aya maitiro, iwe unofanirwa kutsvaga kurapwa kwekukurumidzira kurapwa nekukasira.

Zvimwe zvinhu zvinogona zvakare kukuisa iwe panjodzi yekuwedzera ye Refeeding syndrome. Unogona kuve panjodzi kana iwe:

• vane anorexia nervosa
• vane chirwere chisingaperi chekushandisa doro
• vane kenza
• vane chirwere cheshuga chisingadzoreki
• havana kudya zvinovaka muviri
• achangobva kuvhiyiwa
• vane nhoroondo yekushandisa maantacids kana diuretics

Kurapa

Refeeding syndrome mamiriro akakomba. Matambudziko anoda kupindira nekukurumidza anogona kuerekana aitika. Nekuda kweizvozvo, vanhu vari panjodzi vanoda kutarisirwa kwechiremba kuchipatara kana nzvimbo yakasarudzika. Chikwata chine ruzivo mune gastroenterology uye dietetics chinofanirwa kutarisira kurapwa.

Kutsvagisa kuchiri kudikanwa kuona nzira yakanakisa yekurapa Refeeding syndrome. Kurapa kazhinji kunosanganisira kutsiva zvakakosha zvemagetsi uye kudzikisira kudzikisira maitiro.

Kuzadzikiswa kwemakoriyori kunofanirwa kuve kunonoka uye kunowanzoita angangoita makumi maviri macalorie pa kilogiramu yehuremu hwemuviri paavhareji, kana kutenderedza chiuru macalorie pazuva pakutanga.

Masero eElectrolyte anoongororwa pamwe nekuongororwa kweropa kazhinji. Intravenous (IV) infusions inoenderana nehuremu hwemuviri inowanzo shandiswa kutsiva electrolyte Asi kurapwa uku kunogona kusakodzera vanhu vane:

• kukanganiswa kweitsvo
• hypocalcemia (yakaderera calcium)
• hypercalcemia (yakakwira calcium)

Mukuwedzera, mvura inodzokororwazve pamwero unononoka. Sodium (munyu) kutsiva kunogona zvakare kuongororwa zvakanyatso. Vanhu vari panjodzi yematambudziko ane chekuita nemoyo vangangoda kuongorora moyo.

Kudzorera

Kupora kubva ku Refeeding syndrome kunoenderana nekuoma kwekushomeka kwezvikafu chikafu chisati chaunzwa patsva. Kudzoreredza kunogona kutora kusvika kumazuva gumi, nekutarisa mumashure.

Uye zvakare, kudzoreredza kunowanzoitika pamwe nemamwe mamiriro akakomba ayo anowanzoda kurapwa panguva imwe chete.

Kudzivirira

Kudzivirira kwakakosha mukudzivirira matambudziko anotyisidzira ehupenyu hwe Refeeding syndrome.

Mamiriro ehutano akasimba anowedzera mukana we Refeeding syndrome haagone kudzivirirwa nguva dzose. Vashandi vezvehutano vanogona kudzivirira kusagadzikana kwe Refeeding syndrome na:

• kuzivisa vanhu vari panjodzi
• kugadzirisa zvirongwa zvekudzoreredza maererano
• kuongorora kurapwa

Outlook

Refeeding syndrome inoonekwa kana chikafu chikaunzwa nekukurumidza mushure menguva yekushaya chikafu. Shanduko mumatanho e electrolyte inogona kukonzera matambudziko akakomba, kusanganisira kufenda, kutadza kwemoyo, uye makoma. Mune zvimwe zviitiko, Refeeding syndrome inogona kuuraya.

Vanhu vasina kudya zvinovaka muviri vari panjodzi. Dzimwe mamiriro, senge anorexia nervosa kana chisingaperi doro rekushandisa kusagadzikana, inogona kuwedzera njodzi.

Matambudziko e Refeeding syndrome anogona kudzivirirwa ne electrolyte infusions uye inononoka kugadzirisa regimen. Kana vanhu vari panjodzi vakazivikanwa nekukurumidza, kurapwa kunogona kubudirira.

Kuwedzera kuziva uye kushandisa zvirongwa zvekuongorora kuti vaone avo vari panjodzi yekuvandudza Refeeding syndrome ndiwo matanho anotevera mukuvandudza maonero.