Chaw ei lova i kal hnua vawi khata i ei vek chuan i taksaah eng nge thleng? Refeeding Syndrome chungchang hi i zir chiang ang u!

Ni tam tak chaw ei lova i kal a, rang takin chaw i ei tan leh chuan i taksaah eng nge thleng tih i ngaihtuah ngai em? A châng chuan, rang taka i taksa chaw i pe ṭan chuan beisei loh takin harsatna i nei thei a ni. Chu chu doctor-te'n "refeeding syndrome" an tih chu a ni. Hei hi thil buaithlak tak angin a lang thei a, mahse a awlsam zawngin i dah ang u.

Hei hi ``Refeeding Syndrome'' hi eng nge ni?

A awlsam zawngin, `(Refeeding Syndrome)` hi thil pawi tak a ni a, chu chu ei leh in lama harsatna nei miin ei leh in a ei leh tan chuan a lo awm thei a ni . Malnutrition chu i taksain a mamawh ei tur a hmuh loh chuan a ni. Chuvangin, hetiang rei tak ei tur nei lova kan awm hnuah, ei tur i hmuh nghal chuan kan taksaa chemical process-ah hian inthlak danglamna lian tak tak a awm thin. A bik takin taksaa salt pawimawh thenkhat (`(Electrolytes)`) awm zat ah hian inthlauhna lian tak a awm thei a ni. Hei hian taksa peng pawimawh tak tak, i taksa ruh, lung, thinlung, leh thluak te a tichhia thei a ni .

Tute nge ``Refeeding Syndrome'' vei tam ber?

Hei hi ei leh in lama harsatna tawk tawh leh ei leh tan tawh tan pawh a thleng thei. Ei leh in i neih tlem chuan chaw tha lo i ni thei. Tin, natna thenkhat vangin ei leh in tha lo a awm thei bawk. A chhan chu, chutiang natna avang chuan i ei thei lo emaw, i taksain i ei tur chu a hip tha thei lo emaw a ni thei.

A hnuaia risk factors nei te hian ``Refeeding Syndrome`` an vei tam zawk:

• Tun hnaia i taksa rih zawng 10% aia tam i hloh a nih chuan. Entirnan, kilo 60 i rit chuan vawi khatah kilo 6 aia tam hloh chu a hlauhawm hle.
• Ni sarih aia tam ei tur nei lo, rilru hahna neia i awm a, i taksa chak lo anga i hriat chuan.
• Ei leh in lama harsatna nei te tan, Anorexia Nervosa (ei leh in lama harsatna) emaw Bulimia Nervosa (ei leh in lama harsatna) emaw te tan.
• Taksain ei tur a ei tha thei lo natna nei te , chronic pancreatitis emaw inflammatory bowel disease emaw ang chi te .
• Hun rei tak chhung parenteral nutrition dawng tawhte tan.
• Cancer vei leh chemotherapy la mekte tan.
• Zunthlum thunun theih loh (Diabetes Mellitus) nei tan.
• Hun rei tak chhunga zu in nasa tawhte tan.
• Hun rei tak chhung anticids emaw diuretics emaw ei tawhte tan.

Engtin nge he ``Refeeding Syndrome'' hi a lo awm?

I taksain a mamawh ei tur a hmuh loh chuan a insiamrem theih nan inthlak danglamna engemaw zat a siam thin. Taksain chaw chu chakna a chantir dan chu metabolism an ti a.Chaw atanga carbohydrates lo chhuak ai chuan taksain chakna a hmuh theih nan a thau leh thau a hal tan thin. Hei hian metabolism rate a ti hniam bawk. I chawlh laiin chakna i hman zat (`Resting Metabolic Rate`) hi 20% velin a tlahniam thei.

Hetiang metabolism hian resources a hmang tlem zawk. Hetiang kawngah hian vitamin, mineral, leh a chunga kan sawi tak ``electrolytes'' te hi hman a ni lo va, metabolism pangngai angin.

Mahse, chaw i ei leh chuan carbohydrates chu a pangngaiin a metabolized tan ta a ni. Tichuan taksa chuan he hna thawk tur hian chu `(Micronutrients)` chu a mamawh nghal a ni. Warehouse a stock a tlakchham a, rang takin order lian tak a rawn lut ang mai a ni a, i taksain heng nutrients te hi a dah tlem lutuk a nih chuan chutih lai chuan buaina chu a intan a ni.

`(Refeeding Syndrome)` awm chhan dik tak chu eng nge ni?

Hei hi a chhan ber chu i taksaah micronutrients thenkhat a awm loh vang a ni. Hengte hi ei leh in tha lo i neih hian a tlahniam thin. Chumi atana ei tur tha ber berte chu Phosphorus, Potassium, leh Magnesium te an ni. Chaw i ei tan leh chuan i cell te hian heng electrolytes te hi an mamawh nghal a, chu chuan ei tur chu a tidanglam thei a ni. Hei hian i taksa chemical balance-ah inthlak danglamna lian tak a thlen a, shock ang maiin.

I thisena awm heng `(Electrolytes)` te hi cell chhungah an kal chak hle. Mahse, i taksaah i neih tlem avangin he inthlak danglamna avang hian i thisenah hengte hi nasa takin a tlahniam a ni. Hei hi i thisena `(Electrolyte)` level tlahniam a ni a, chu chu ``Deficiencies`` an ti a ni. Heng a tlakchhamna avang hian taksa chemical balance a tibuai a, `(Refeeding Syndrome)`-a hmuh tur harsatna chi hrang hrang a awm thin.

`(Refeeding Syndrome)` natna lan chhuah dan chu engte nge ni?

He dinhmun hi kawng hrang hrangin a lang thei a ni. A tam ber chu phosphate tlakchhamna a ni. Mahse, tlakchhamna leh inthlauhna dangte pawhin hei hi a thlen thei a ni.

Phosphate tlakchhamna (`(Hypophosphatemia)`) .

Phosphorus tlakchhamna hi ``Refeeding Syndrome`` chhinchhiahna langsar ber a ni.Fosphorus level a hniam chuan taksa pum puia cell hnathawh a tichhe thin. Hei hian symptoms a thlen thei a, chungte chu:

• Muscle chak lohna (limb going numb ang mai) .
• Thâwk harsa.
• Thil pahnih (`Double Vision`) a hmuh tan.
• Chaw ei harsa.
• Seizures a awm thin.
• Coma ah a awm.
• Lung ruh chak lo (`(Cardiomyopathy)`).

Heng symptoms te hi a nasat chuan taksa peng thenkhat chuan hna an thawk tawh lo thei a , nunna pawh a tichhe thei bawk . Chuvangin hei hi ngaihthah tur a ni lo.

Magnesium tlakchhamna (`(Hypomagnesemia)`) .

Magnesium hi kan taksa metabolism atan pawh a pawimawh hle. Magnesium a tlem chuan taksa peng tinreng a nghawng thei a ni. Symptoms te chu:

• Nausea leh luak chhuak.
• Anorexia (ei duh lohna).
• Tremors a awm.
• Muscle spasms a awm thin.
• Seizures a awm thin.
• Coma ah a awm.
• Thinlung lama thisen kal chak lohna (Cardiac Ischemia).
• Thinlung ri mumal lo (`(Arrhythmia)`).

Potassium tlakchhamna (`(Hypokalemia)`) .

Potassium tlakchhamna tlem i neih chuan symptom lian tham i nei lo mai thei. Mahse, a tlakchhamna a nasat chuan a hnuaia mite hi i tawng thei a ni:

• Muscle chak lohna.
• Muscle cramps, natna.
• Chauh lutuk.
• Bowel movements a tawp a, constipation nasa tak a thlen thin.
• Thinlung ri mumal lo (`(Arrhythmia)`).
• Thluak lama harsatna nei.

Thiamine (Vitamin B1) tlakchhamna (`Thiamine tlakchhamna`) .

He thiamine tlakchhamna hi carbohydrates tamna ei tur siam thar leh a nih chuan a langsar hle. Hei hian neurological symptoms na tak a thlen thei a ni:

• Delirium, buaina chhuak.
• Mit hmuhna lama harsatna a awm.
• Taksa lumna tlahniam (`(Hypothermia)`).
• Balance leh coordination lama harsatna (`(Ataxia)`). "Kea kal harsatna nei, zu rui ang maia."
• Hriatrengna hloh (`(Amnesia)`).
• Confabulation (thil thleng lote hriatrengna).

Taksa chhunga fluid balance chungchanga harsatna awm

Metabolism inthlak danglamna hian taksa sodium leh water balance a nghawng thei a ni. Nutrition pek leh a nih chuan hei hian ``Fluid Overload`` emaw ``Dehydration`` emaw a thlen thei a ni. Hei hian hetiang dinhmun a thlen thei a ni:

• Thisen sang hniam (hypotension).
• Muscle spasms a awm thin.
• Pulmonary Edema (lung chhunga tui awmkhawm).
• Kidney tha lo a awm.
• Lung lam chak lohna (`(Congestive Cardiac Failure)`).
• Seizures a awm thin.

Thisen sugar level lama harsatna a awm

Re-feeding hian glucose reintroduction hian thisen sugar level sang (hyperglycemia) a thlen thei a ni. Hei hi a chhan chu:

• Lu na .
• Mit hmuh a fiah lo.
• Zun chhuah fo thin.
• Chau.

`(Refeeding Syndrome)` hi engtin nge kan hriat theih ang?

Chaw i ei leh chuan i medical team chuan i vital signs te chu an enfiah fo ang . Thil danglam emaw, symptom emaw a lo lang a nih chuan ``Blood Test`` an ti ang a, an chhui ang. Hei hian i taksaah eng imbalance bik nge i neih tih leh engtiang chiahin nge a nasat tih chiang takin a hriat theih nan a pui ang.

``Refeeding Syndrome'' hi engtin nge enkawl a nih?

Chaw i ei leh hmain i doctor-te chuan thisen test an nei ang a, i electrolyte level an enfiah ang a, i tlakchhamna an hmuchhuak ang. Tichuan, heng depleted micronutrients te hi i nutritional formula ah an dah tel ang. Ngaihtuahna chu heng micronutrients tlakchham tawhte hi tihpun hmasak a ni. Tichuan, i taksa chu carbohydrates metabolize turin a inpeih tha zawk ang.

Mahse, a chang chuan thisen test hmasa ber hian heng `(Electrolyte)` tlakchhamna zawng zawng hi a pick up vek lo tih hre reng ang che. A chhan chu taksain chaw a la tan loh avangin nakin lawkah heng `(Electrolytes)` te hi a mamawh dawn tih a hre lo. Thisen atanga cell-a `(Electrolytes)` transfer-a inthlak danglamna lian tak chu a la thleng lo. Chuvang chuan a chang chuan chaw pek tan hnuah chauh tlakchhamna a lo lang thin.

I medical team chuan symptoms i neih leh neih loh an enfiah chhunzawm zel ang che. Nitin i electrolyte level an check ang. Refeeding syndrome hi a tlangpuiin refeeding atanga ni nga chhungin a awm thin. Symptoms a awm chuan i medical team chuan i chaw pekna rate chu an ti hniam ang. I formula-a carbohydrate awm zat an tihtlem phah ang. IV hmangin i mamawh nutrient thenkhat chu pek i ni thei bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Doctor-in ``Refeeding Syndrome'' a neih thu a hriat chuan rang takin an siam tha thei a ni. Mahse, a tir lama micronutrient tlakchhamna te chu a dam theih nan kar engemaw zat a ngai thei. Hei hian full refeeding process hian hun engemaw chen a duh tihna a ni.

Engtin nge `(Refeeding Syndrome)` tihziaawmna tur?

A châng chuan chaw pek leh ngai hi pumpelh theih a ni lo. Mahse, fimkhur tur engemaw zat kan la thei:

• Hun rei tak chhunga ei leh in lama harsatna thlen thei i neih chuan enkawl dan tur dik tak neih a pawimawh . I doctor chuan i mamawh nutrients i hmuh theih nan supplement, vitamin leh minerals te a rawn rawt thei ang.
• Ni eng emaw zat chaw nghei i nih chuan Doctor enkawlna hnuaia tih a tha ber.
• Zu te, ruihhlo te, leh damdawi an pek te hi hmang sual suh. Heng zinga pakhat tal i hman fo chuan doctor pan a, general checkup leh thisen test neih a tha.

`(Refeeding Syndrome)` hi i dam thei ang em?

``Refeeding Syndrome'' atanga harsatna lo thleng hi a chang chuan thihna thlen thei mahse, a tam zawkah chuan chutiang chuan a na lo . Medical team-in imbalances an siam that hnuah chuan symptom tam tak chu a reverse thei a, chu chu tihdam theih a ni tihna a ni.

``(Refeeding Syndrome)`` tih hi ei leh in tha lo enkawl laia harsatna awm thin a ni. Malnutrition hi taksa tana lungkhamna nasa tak thlentu a ni bawk. Damdawi tam lutuk pek vat chuan a pawi thei tih hi i tan chuan thil mak tak a ni mai thei. Mahse,Refeeding hi thil nalh tak leh buaithlak tak a ni. Hei hi damdawi lam enkawlna hnuaia tih a tha ber. Doctor-te enkawlna hnuaia chaw i pek leh hunah chuan uluk takin an lo enkawl ang che. `(Refeeding Syndrome)` a lo thlen loh nan an bei ang a, a lo awm a nih chuan hmachhawn turin an inpeih reng ang.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

• Hun engemaw chen ei tur tha lo i neih hnua ei tan leh hunah fimkhur hle a ngai a ni .
• "Khualzin zawite hi zin kawng tha ber a ni," an tih angin chaw pek hi zawi zawiin leh zawi zawiin tih tur a ni.
• Damdawi lam enkawlna hnuaia chaw pek leh hi a him ber a, a bik takin high-risk group-a awmte tan chuan a him ber.
• I taksa chu ngaithla rawh. Thil danglam bik i hriat chuan damdawi lam thurawn la hreh suh.
• ``(Refeeding Syndrome)`` hi hlauh tur a ni lo a, mahse fimkhur a pawimawh hle.

Chuvangin, he thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Refeeding Syndrome, ei leh in tha lo, electrolytes, ei leh in, chaw nghei, natna lan chhuah dan, enkawl dan