Wetin kin apin to yu bɔdi we yu it wan tɛm afta yu nɔ it? Lɛ wi lan ɛksaktɔli bɔt Rifidin Sindrom!

Yu dɔn ɛva tink bɔt wetin kin apin to yu bɔdi we yu nɔ it fɔ sɔm dez ɛn wantɛm wantɛm bigin fɔ it bak? Sɔntɛnde, we yu bigin fɔ gi yu bɔdi tin fɔ it wantɛm wantɛm, yu kin gɛt prɔblɛm dɛn we yu nɔ bin de tink se go apin. Na dat dɔktɔ dɛn kin kɔl "refeeding syndrome." Dis kin tan lɛk se i kɔmplikt, bɔt lɛ wi kip am simpul.

Wetin na dis ``Rifidin Sindrom''?

Fɔ tɔk am simpul wan, `(Refeeding Syndrome)` na siriɔs tin we kin apin we pɔsin we de sɔfa wit malnutrishɔn bigin fɔ it bak . Malnutrishɔn na we yu bɔdi nɔ de gɛt di tin dɛn we i nid. So, afta yu nɔ it fɔ lɔng tɛm so, we yu gɛt it wantɛm wantɛm, sɔm big chenj dɛn kin apin pan di kemikal dɛn we de na wi bɔdi. in patikyula, big imbalans kin de pan di amoun fכ sכm imכtant sכlt dεm (`(Electrolytes)`) na di bכdi. Dis kin mek impɔtant pat dɛn lɛk yu mɔsul dɛn, yu lɔng dɛn, yu at, ɛn yu bren pwɛl .

Udat kin gɛt ``Rifidin Sindrom''?

Dis kin apin to ɛnibɔdi we nɔ gɛt bɛtɛ it ɛn we dɔn bigin fɔ it bak. If yu nɔ de it ɛn drink bɛtɛ, dat kin mek yu nɔ gɛt bɛtɛ tin fɔ it. Dɔn bak, pɔsin we nɔ de it fayn kin apin bikɔs ɔf sɔm sik dɛn. Bikɔs, bikɔs ɔf dɛn kayn sik ya, yu nɔ go ebul fɔ it ɔ yu bɔdi nɔ go ebul fɔ tek di it we yu de it fayn.

Pipul dεm wae gεt dεn risk factor dεm ya kin gεt ``Refeeding Syndrome``:

• If yu nɔ tu te yet we yu dɔn lɔs pas 10% pan yu bɔdi wet. Fɔ ɛgzampul, if yu wet 60 kilo, fɔ lɔs pas 6 kilo wan tɛm, dat kin mek yu gɛt prɔblɛm.
• If yu nɔr gɛt tin fɔ it fɔ pas sɛvin dez, wit mental strɛs, ɛn yu bɔdi fil wik.
• Fɔ pipul dɛm wae gɛt prɔblɛm wit aw dɛn de it, lɛk Anorexia Nervosa (wan tin wae nɔr kin fayn fɔ it) ɔr Bulimia Nervosa (wan tin wae kin mɛk pɔrsin nɔr de it fayn).
• Pipul wae gɛt sik wae de mek in bɔdi nɔr de tek it fayn fayn wan , lɛk pankrias we nɔr de mɛn ɔr inflammatory bowel disease.
• Fɔ di wan dɛn we dɔn de gɛt parenteral nutrition fɔ lɔng tɛm.
• Fɔ di wan dɛn we gɛt kansa ɛn di wan dɛn we de du kemotɛrapi.
• Fɔ di wan dɛn we gɛt dayabitis we dɛn nɔ ebul fɔ kɔntrol (Diabetes Mellitus).
• Fɔ di wan dɛn we dɔn de drink bɔku tin fɔ lɔng tɛm.
• Fɔ di wan dɛn we dɔn de tek antisid ɔ diuretics fɔ lɔng tɛm.

Aw dis ``Rifidin Sindrom'' kin apin?

We yu bɔdi nɔ gɛt di tin dɛn we i nid, i kin mek sɔm chenj dɛn fɔ mek i ebul fɔ adap. di prכsεs we di bכdi de tכn it to εnεji dεn kכl am mεtabolism.Bifo di kabohaydrɛt we de kɔmɔt na it, di bɔdi kin bigin fɔ bɔn in yon fat ɛn mɔsul fɔ gɛt ɛnaji. Dis kin mek bak di rεt fכ mεtabolism slo. di amount of enεji we yu de spεnd we yu de rεst (`Resting Metabolic Rate`) kin dכn bay lεk 20%.

Dis kayn mεtabolism de yuz fכs risכs. di vitamin dεm, minral dεm, εn di ``εlektrolayt'' dεm we wi bin dכn tכk bכt dεn nכ de yuz insay dis prכsεs, lεk insay nכmal mεtabolism.

Bɔt, we yu bigin fɔ it bak, di kabɔhaydrɛt dɛn kin bigin fɔ mɛtabolayz nɔmal wan. Dɔn di bɔdi nid dɛn `(Micronutrients)` dɛn de wantɛm wantɛm fɔ du dis wok. I tan lɛk se di westɛm dɔn dɔn ɛn wantɛm wantɛm wan big ɔda kam insay If yu bɔdi gɛt smɔl pan dɛn tin ya we dɛn dɔn kip, na da tɛm de di prɔblɛm kin bigin.

Wetin na di rial kɔz fɔ `(Refeeding Syndrome)`?

Di men rizin fɔ dis na bikɔs sɔm maykronutriɛnt dɛn nɔ de na yu bɔdi. Dɛn tin ya kin dɔn we yu nɔ de it fayn. Di men tin dɛn we de insay dis na Fɔsfɔr, Potashɔm, ɛn Magnɛsiɔm . We yu bigin fɔ it bak, yu sɛl dɛn nid dɛn ilɛktrɔlayt dɛn ya wantɛm wantɛm fɔ mek di it chenj. Dis kin mek big chenj na di kεmikכl bεlε na yu bכdi, lεk shכk.

dis `(Ilektrolayt)` dεm we de insay yu bכdi de transpכt insay di sεl dεm kwik kwik wan. Bɔt bikɔs yu nɔ gɛt dɛn tin ya na yu bɔdi, di lɛvɛl dɛn fɔ dɛn tin ya na yu blɔd kin ridyus bad bad wan bikɔs ɔf dis chenj. dis na di ridyusכn pan di lεvεl dεm fכ `(Ilektrolayt)` na yu bכdi we dεn kכl ``Dεfisiεns``. na biכs fכ dεn dεfisit dεm ya di kεmikכl bεlε na di bכdi de disturb, εn difrεn kכmplikεshכn dεm we dεn si na `(Refeeding Syndrome)` de apin.

Wetin na di sayn dɛm fɔ `(Refeeding Syndrome)`?

Dis kכndyushכn kin sho pan difrεn we dεm. Di wan we kin bɔku pas ɔl na we pɔsin nɔ gɛt fɔsfɛt. Bɔt ɔda tin dɛn we nɔ fayn ɛn we nɔ balans kin mek bak dis apin.

Fɔsfɛt we nɔ de (`(Hypophosphatemia)`) .

fכs fכs we dεn n כ gεt na di mכst kכmכn simptom fכ ``Refeeding Syndrome.`` we di fכsfεt lεvεl dכn lכw, i de afekt di fכnshכn fכ di sεl dεm כlsay na di bכdi. Dis kin mek yu gɛt sɔm kayn sik lɛk:

• di mכsul dεm we wik (lεk wan limb we de go nכmb) .
• I nɔ kin izi fɔ yu fɔ blo.
• Start fɔ si tin dɛn insay tu (`Dɔbul Vishɔn`).
• I nɔ izi fɔ swɛla.
• Di sik dɛn we kin mek pɔsin sik.
• Kɔma.
• di at mכsul we wik (`(Cardiomyopathy)`).

If dɛn sik ya kin tranga , sɔm ɔgan dɛn kin stɔp fɔ wok ɛn layf kin pwɛl . So, wi nɔ fɔ tek dis tin we nɔ impɔtant.

Magnesium dɛfisiɛns (`(Hypomagnesemia)`) .

Magnesium impɔtant bak fɔ wi bɔdi in mɛtabolism. We magnɛsiɔm nɔ bɔku, i kin afɛkt ɔl di ɔgan dɛn na di bɔdi. Di sayn dɛm lɛk:

• Nɔs ɛn vɔmit.
• Anoreksia (`(Anɔreksia)`).
• Di we aw pɔsin kin shek shek.
• Di mɔsul dɛn we de spam.
• Di sik dɛn we kin mek pɔsin sik.
• Kɔma.
• Blɔd we nɔ de flɔ na di at (Cardiac Ischemia).
• At ritm irɛgyulariti (`(Aritmia)`).

Potashכm dεfichεshכn (`(Hypokalemia)`) .

If yu nɔ gɛt bɛtɛ potashɔm, yu nɔ go gɛt ɛni big big sayn. Bɔt if di prɔblɛm bad bad wan, yu kin gɛt dɛn tin ya:

• Di mɔsul dɛn we wik.
• Mɔsul kramp, pen.
• Taya pasmak.
• Di bɔdi we de muv kin stɔp, ɛn dis kin mek pɔsin gɛt bad bad kɔnstipɛshɔn.
• At ritm irɛgyulariti (`(Aritmia)`).
• Di we aw pɔsin de blo fayn.

Tiamin (Vitamin B1) we nɔ de (`Tiamin Dɛfisiɛns`) .

dis thiamine dεfisiεns de kכmכt mכtalman we dεn introdכks it we rich wit kכbaidret bak . Dis kin mek yu gɛt siriɔs nyurolɔjik sayn dɛm:

• Delirium, kɔnfyushɔn.
• Prɔblɛm dɛn we pɔsin kin gɛt we i de si.
• di bכdi tεmprachכ de dכn (`(Hypothermia)`).
• Prɔblɛm wit balans ɛn kɔdineshɔn (`(Ataxia)`). "Fɔ gɛt prɔblɛm fɔ waka, lɛk pɔsin we dɔn chak."
• Mɛmori lɔs (`(Amnesia)`).
• Confabulation (rikɔlekshɔn fɔ tin dɛn we nɔ apin).

Prɔblɛm wit di balans we di wata de balans na di bɔdi

di chenj dεm na di mεtabolism kin afekt di bכdi in sכdiכm εn wata bεlε. we dεn bigin fכ it bak, dis kin mek ``Fluid Overload`` כ ``Dehydration``. Dis kin mek yu gɛt tin dɛn lɛk:

• Lɔw blɔd prɛshɔn (haypɔtɛnshɔn).
• Di mɔsul dɛn we de spam.
• Pulmonary Edema (we di wata kin gɛda na di lכng).
• Di kidni nɔ de wok fayn.
• Hat fεil (`(Kכnjεstiv Kadyak Fεil)`).
• Di sik dɛn we kin mek pɔsin sik.

Prɔblɛm dɛn we de na di blɔd shuga lɛvɛl

we yu de it bak, we yu put glukכs bak, i kin mek yu blɔd shuga lεvεl (haypa glycemia). Dis na bikɔs:

• Ed de at .
• Di vishɔn we nɔ klia.
• Fɔ pis bɔku tɛm.
• Taya.

Aw fɔ no `(Rifidin Sindrom)`?

We yu bigin fɔ it bak, yu dɔktɔ dɛn go de chɛk yu impɔtant sayn dɛn ɔltɛm . If ɛni abnɔmal ɔ simptom apin, dɛn go du ``Blɔd Tɛst`` fɔ invɛstigat. Dis go ɛp dɛn fɔ no us patikyula tin dɛn we yu nɔ balans na yu bɔdi ɛn aw dɛn bad.

Aw dɛn kin trit ``Rifidin Sindrom''?

Bifo yu bigin fɔ it bak, yu dɔktɔ dɛn go du blɔd tɛst fɔ chɛk yu ilɛktrɔlayt lɛvɛl ɛn fɔ no if yu nɔ gɛt ɛnitin. Dɔn, dɛn go ad dɛn maykronutriɛnt ya we dɔn dɔn to yu nyutrishɔn fɔmula. di aidia na fכ fכs fulכp dεn maykronutriεnt dεm we dεn dכn dכn. Dɔn, yu bɔdi go rɛdi bɛtɛ fɔ mek i ebul fɔ chenj di kabɔhaydrɛt dɛn.

bכt mεmba, sכmtεm, di fכs blכd tεst nכ de pik כl dεn `(Electrolyte)` dεfisiεns dεm ya. biכs di bכdi nכ bigin fכ it yet, i nכ no se i go nid dεn `(Electrolyte)` dεm ya insay di fכs tεm. di big chenj na di transfכm fכ `(Electrolyte)` frכm di bכdi to di sεl dεm nכ apin yet. biכs fכ dis, sכmtεm dεn dεfisεns dεm de apin כnli afta dεn bigin fכ it.

Yu mɛdikal tim go kɔntinyu fɔ wach yu fɔ si if yu gɛt di sik. Dɛn go chɛk yu ilɛktrɔlayt lɛvɛl ɛvride. Rifidin sindrom kin apin insay di fɔs fayv dez afta dɛn gi am bak. If di sayn dɛm apin, yu mɛdikal tim go slo di rit we yu de it. Dɛn go ridyus di kabɔhaydrɛt we de na yu fɔmula. Dɛn kin gi yu bak sɔm pan di nyutriɛnt dɛm we yu de mis tru IV.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Wae dɔktɔ dɔn no se i gɛt ``Refeeding Syndrome,'' dɛn kin kɔrɛkt am kwik kwik wan. Bɔt i kin tek sɔm wiks fɔ mek di fɔs maykronutriɛnt dɛn we nɔ bin de, wɛl. dis min se di ful rifidin prכsεs de tek sכm tεm.

Aw fɔ ridyus di risk fɔ `(Refeeding Syndrome)`?

Sɔntɛnde, dɛn nɔ kin ebul fɔ avɔyd di nid fɔ gi pikin tin bak. Bɔt wi kin tek sɔm tin dɛn fɔ tek tɛm wit:

• If yu gɛt wan sik we dɔn de fɔ lɔng tɛm we de mek yu nɔ gɛt bɛtɛ it, i impɔtant fɔ mek dɛn trit am fayn . Yu dɔktɔ kin tɛl yu fɔ tek sɔm tin dɛn lɛk vaytamɛn ɛn minral fɔ ɛp yu fɔ gɛt di tin dɛn we yu nid.
• If yu de fast fɔ sɔm dez, i go fayn fɔ mek yu du am ɔnda dɔktɔ in sɔpɔtishɔn.
• Nɔ yuz rɔm, drɔgs, ɔ mɛrɛsin dɛn we dɛn kin gi yu. If yu de yuz ɛni wan pan dɛn tin ya ɔltɛm, i go fayn fɔ mek yu go to dɔktɔ fɔ mek dɛn chɛk yu ɔltɛm ɛn fɔ mek dɛn chɛk yu blɔd.

Yu kin sev `(Refeeding Syndrome)`?

Pan ɔl we di kɔmplikeshɔn dɛn we kin kam wit ``Rifidin Sindrom'' kin kil pɔsin sɔm tɛm, bɔku tɛm dɛn nɔ kin siriɔs so . Wae di mεdikal tim kכrekt di imbalans, bכku sayn dεm kin rεvεs, we min se dεn kin kכl dεm.

``(Refeeding Syndrome)`` na wan komplikashכn we kin apin we dεn de trit mכtalman we nכ de it fayn. Malnutrishɔn na wan sik bak we kin put bɔku strɛs pan di bɔdi. I kin tan lɛk se i strenj to yu se if yu gi yu bɔku tritmɛnt kwik kwik wan, dat kin ambɔg yu. Bɔt,Rifid na wan tin we rili dilik ɛn kɔmpleks. I bɛtɛ fɔ mek yu du dis ɔnda dɔktɔ we de kia fɔ yu. We yu de rifid ɔnda di sɔpɔtishɔn fɔ dɔktɔ dɛn, dɛn go de wach yu gud gud wan. Dɛn go tray fɔ mek `(Refeeding Syndrome)` nɔ apin, ɛn dɛn go rɛdi fɔ dil wit am if i apin.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

• Yu nid fɔ rili tek tɛm we yu bigin fɔ it bak afta yu nɔ gɛt bɛtɛ it fɔ sɔm tɛm.
• as dεn kin se, "Slow journey na di bεst joyn," fכ gi it sכmtεm sכmtεm εn sכmtεm.
• I sef fɔ ri-fid ɔnda dɔktɔ in sɔpɔtishɔn, mɔ fɔ di wan dɛn we de na risk grup.
• Lisin to yu bɔdi. If yu fil ɛnitin we nɔ kɔmɔn, nɔ shem fɔ go to dɔktɔ.
• ``(Refeeding Syndrome)`` nɔto sɔntin fɔ fred, bɔt i rili impɔtant fɔ no bɔt am.

So, a op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Rifidin Sindrom, malnutrishɔn, ilɛktrɔlayt, it, fast, simptom, tritmɛnt