He aha ngā mea ka pā ki tō tinana ina kai tahi koe i muri i te kore kai? Me ako tātou mō te Mate Whakahoki Kai!

Kua whakaaro koe he aha te mea ka pā ki tō tinana ina kore koe e kai mō ngā rā, kātahi ka tīmata anō te kai? I ētahi wā, ina tīmata anō koe ki te whāngai i tō tinana, ka pā mai pea he raruraru ohorere. Koinei te mea e kīia ana e ngā tākuta ko te "refeeding syndrome." He ahua uaua pea tēnei, engari kia māmā noa iho.

He aha tēnei "Te Mate Whakahoki Kai"?

Ki te kī māmā noa, ko te `(Refeeding Syndrome)` he mate kino ka puta ina tīmata anō te tangata e pāngia ana e te kore kai pai . Ko te kore kai pai ko te kore e whiwhi i ngā matūkai e hiahiatia ana e tō tinana. Nō reira, i muri i te kore kai mō te wā roa, ina whiwhi kai ohorere koe, ka puta ētahi huringa nui ki ngā tukanga matū o tō tātou tinana. Ina koa, ka nui te kore taurite o te nui o ētahi tote nui (`(Electrolytes)`) i roto i te tinana. Ka taea e tēnei te kino ki ngā whekau nui pēnei i ō uaua, ō pukahukahu, ō ngākau, me tō roro .

Ko wai te mea tino tūpono ka pāngia e te "Refeeding Syndrome"?

Ka pā tēnei ki te tangata kua kore e kai pai, ā, kua tīmata anō ki te kai. Ki te kore koe e kai me te inu i te nui, tera pea kei te kore kai pai koe. Waihoki, ka puta te kore kai pai nā ētahi mate. Nā te mea, nā ēnei mate, kāore pea koe e kaha ki te kai, kāore rānei tō tinana e kaha ki te mimiti tika i te kai e kainga ana e koe.

Ko te hunga whai i ēnei āhuatanga mōrearea ka nui ake te tūponotanga ki te whakawhanake i te "Refeeding Syndrome":

• Mena kua neke atu i te 10% o tō taumaha tinana kua ngaro i a koe i ngā wā tata nei. Hei tauira, ki te 60 kirokaramu tō taumaha, he mea mōrearea te ngaro i te neke atu i te 6 kirokaramu i te wā kotahi.
• Mena kua neke atu i te whitu ngā rā kāore koe i te kai, me te ahotea hinengaro, ā, e ngoikore ana tō tinana.
• Mō te hunga e pāngia ana e ngā mate kai, pērā i te Anorexia Nervosa (he mate kai) te Bulimia Nervosa rānei (he mate kai).
• Ko te hunga whai mate e kore ai e taea e te tinana te mimiti tika i te kai , pērā i te pancreatitis mau tonu, te mate mumura rānei o te whekau.
• Mō te hunga kua roa e whiwhi ana i te kai parenteral.
• Mō ngā tūroro mate pukupuku me te hunga e whiwhi ana i te rongoā chemotherapy.
• Mō te hunga he mate huka kāore anō kia whakahaeretia (Diabetes Mellitus).
• Mō te hunga kua roa e inu nui ana.
• Mō te hunga kua roa e tango ana i ngā rongoā antacid, i ngā rongoā diuretic rānei.

Me pēhea te puta o tēnei "Mate Whakahoki Kai"?

Ina kore e whiwhi tō tinana i ngā matūkai e hiahiatia ana, ka huri ia i ētahi mea hei urutau. Ko te tukanga e huri ai te tinana i te kai hei pūngao ka kiia ko te pākia o te kai.Engari ko ngā warowaihā mai i te kai, ka tīmata te tinana ki te tahu i ōna ake ngako me ngā uaua hei pūngao. Ka whakaroa hoki tēnei i te tere o te pākia o te tinana. Ka taea te heke o te nui o te pūngao e pau ana i a koe e okioki ana ('Resting Metabolic Rate') mā te 20%.

He iti ake ngā rauemi e whakamahia ana e tēnei momo pākia o te tinana. Kāore e whakamahia ngā huaora, ngā kohuke, me ngā "irahiko" kua whakahuatia ake nei i roto i tēnei tukanga, pērā i te pākia o te tinana noa.

Engari, ina tīmata anō koe ki te kai, ka tīmata te tukatuka i ngā warowaihā kia rite ki te tikanga. Kātahi ka hiahiatia e te tinana aua '(Ngā Matūkai Moroiti)' hei mahi i tēnei mahi. He rite ki te mea kua pau te taonga i roto i te whare putunga, ā, ka puta whakarere mai he ota nui. Mena he iti noa iho ēnei matūkai kei roto i tō tinana, koinā te wā ka tīmata ai te raruraru.

He aha te tino take o te `(Refeeding Syndrome)`?

Ko te take matua mō tēnei ko te korenga o ētahi matūkai iti i roto i tō tinana. Ka pau ēnei ina kore koe e kai pai. Ko ngā matūkai matua e uru ana ki tēnei ko te Phosphorus, te Potassium, me te Magnesium . Ina tīmata anō koe ki te kai, ka hiahia ohorere ō pūtau ki ēnei electrolytes hei whakapūmau i te kai. Ka puta he huringa nui ki te taurite matū o tō tinana, pērā i te ohorere.

Ka tere te kawe i ēnei `(Irahiko)` i roto i tō toto ki roto i ngā pūtau. Heoi, nā te mea kāore i te nui i roto i tō tinana, ka tino heke te taumata o ēnei i roto i tō toto nā tēnei huringa. Koinei te hekenga o ngā taumata o `(Irahiko)` i roto i tō toto e kiia nei ko ``Ngā ngoikoretanga``. Nā ēnei ngoikoretanga ka whakararuraruhia te taurite matū o te tinana, ā, ka puta ngā momo raruraru e kitea ana i roto i te `(Refeeding Syndrome)`.

He aha ngā tohu o te `(Refeeding Syndrome)`?

He maha ngā huarahi e puta ai tēnei āhuatanga. Ko te mea tino kitea ko te korenga o te phosphate. Heoi anō, ka taea hoki e ētahi atu ngoikoretanga me ngā kore taurite te whai wāhi ki tēnei.

Te korenga o te phosphate (`(Hypophosphatemia)`)

Ko te korenga o te phosphorus te tohu tino kitea o te "Refeeding Syndrome." Ina iti te taumata o te phosphate, ka pā ki te mahi a ngā pūtau puta noa i te tinana. Ka puta pea ngā tohu pēnei i:

• Te ngoikore o te uaua (pērā i te ngoikore o te peka)
• Te uaua ki te manawa.
• Ka tīmata te kite i ngā mea i roto i ngā āhuatanga e rua ('Tirohanga Rua').
• Te uaua ki te horomi.
• Ngā hopukanga.
• Koma.
• Te ngoikore o te uaua o te ngākau (`(Cardiomyopathy)`).

Ki te kaha haere ēnei tohu, ka mutu pea te mahi a ētahi okana, ā, ka raru pea te ora . Nō reira, kaua tēnei e whakahaweatia.

Te korenga o te konupūmā (`(Hypomagnesemia)`)

He mea nui hoki te konupūmā mō te pākia o te tinana. Ina iti te konupūmā, ka pā ki ngā okana katoa o te tinana. Ko ngā tohu pēnei i:

• Whakapairuaki me te ruaki.
• Te kore hiahia kai (te koretake o te hiahia kai).
• Ngā wiri.
• Ngā uaua e pupuhi ana.
• Ngā hopukanga.
• Koma.
• Te ngoikore o te rere o te toto ki te ngākau (Cardiac Ischemia).
• Ngā rerekētanga o te manawa o te ngākau (`(Arrhythmia)`).

Te korenga o te pāhare pāporo (`(Hypokalemia)`)

Mena he iti noa te pāhare pāporo i roto i tō tinana, kāore pea koe e kite i ngā tohu nui. Heoi, ki te nui rawa te ngoikore, ka pā pea ēnei ki a koe:

• Te ngoikore o te uaua.
• Ngā uaua e māuiui ana, e mamae ana.
• Te ngenge nui rawa.
• Ka mutu te nekenekehanga o te puku, ka puta te mate kōroke nui.
• Ngā rerekētanga o te manawa o te ngākau (`(Arrhythmia)`).
• Te ngoikore o te manawa.

Te korenga o te Thiamine (Huaora B1) ('Te korenga o te Thiamine')

Ka tino kitea tēnei ngoikoretanga o te thiamine ina whakahokia mai anō he kai whai warowaihā . Ka taea e tēnei te arahi ki ngā tohu kino o te pūnaha io:

• Pōrangi, pōhēhē.
• Ngā raruraru tirohanga.
• Te hekenga o te pāmahana tinana (`(Hypothermia)`).
• Ngā raruraru ki te taurite me te taunga o ngā hononga (`(Ataxia)`). "He uaua ki te hikoi, pērā i te tangata haurangi."
• Ngaronga o te mahara (`(Amnesia)`).
• Te maumahara ki ngā mea kāore i tupu (ngā maharatanga ki ngā mea kāore i tupu).

Ngā raruraru ki te taurite wai i roto i te tinana

Ka pāngia te toenga konutai me te wai o te tinana e ngā panonitanga o te pākia o te kai. Ina tīmata anō te kai, ka arahi pea tēnei ki te "Tapeke Wai" me te "Mauiuitanga" rānei. Ka arahi pea tēnei ki ngā āhuatanga pēnei i:

• Te toto toto iti (te toto toto iti).
• Ngā uaua e pupuhi ana.
• Te Pupuhi o te Pūkahukahu (te kohikohinga wai i roto i ngā pūkahukahu).
• Te ngoikore o te mahi a te whatukuhu.
• Te ngoikore o te ngākau (`(Te ngoikore o te ngākau)`).
• Ngā hopukanga.

Ngā raruraru taumata huka toto

I te wā e whāngai anō ana, ka taea e te whakahokinga mai o te huka te whakanui ake i te taumata huka toto (hyperglycemia). Nā te mea:

• Te mamae o te upoko .
• Te tirohanga pōuri.
• Te mimi pinepine.
• Ngenge.

Me pēhea te mōhio ki te `(Refeeding Syndrome)`?

Kia tīmata anō koe ki te kai, ka tirohia e tō tīma hauora ō tohu ora i ia wā. Mēnā ka puta he āhuatanga rerekē, he tohu rānei, ka whakahaerehia e rātou he "Whakamātautau Toto" hei tirotiro. Mā tēnei ka āwhina i a rātou ki te tautuhi i ngā āhuatanga taurite o tō tinana me te kaha o aua āhuatanga.

Me pēhea te rongoā i te "Refeeding Syndrome"?

I mua i tō tīmatanga kai anō, ka whakamātauhia e ō tākuta he toto hei tirotiro i ō taumata electrolyte me te tautuhi i ngā ngoikoretanga. Kātahi ka tāpirihia e rātou ēnei matūkai iti kua pau ki tō tauira kai. Ko te whakaaro kia whakakīia anō ēnei matūkai iti kua pau. Kātahi ka pai ake te rite o tō tinana ki te tukatuka i ngā warowaihā.

Engari kia maumahara, i ētahi wā, kāore te whakamātautau toto tuatahi e kite i ēnei ngoikoretanga katoa o te `(Irahiko)`. Nā te mea kāore anō te tinana kia tīmata ki te whāngai, kāore i te mōhio ka hiahiatia ēnei `(Irahiko)` ā muri ake nei. Kāore anō kia puta te huringa nui o te whakawhiti `(Irahiko)` mai i te toto ki ngā pūtau. Nā tēnei, i ētahi wā ka puta noa ngā ngoikoretanga i muri i te tīmatanga o te whāngai.

Ka haere tonu tāu tīma hauora ki te aroturuki i a koe mō ngā tohumate. Ka tirohia e rātou ō taumata electrolyte i ia rā. Ko te mate whāngai anō ka puta i roto i ngā rā tuatahi e rima o te whāngai anō. Mena ka puta ngā tohumate, ka whakaroahia e tāu tīma hauora te tere o tāu whāngai. Ka whakaitihia e rātou te nui o ngā warowaihā i roto i tō miraka miraka. Tērā pea ka hoatu ētahi o ngā matūkai e ngaro ana i a koe mā te IV.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

Kia kitea te mate "Refeeding Syndrome" e te tākuta, ka taea e rātou te whakatika wawe. Heoi, ka roa pea ētahi wiki ka ora ai ngā ngoikoretanga o ngā matūkai iti tuatahi. Ko te tikanga he roa te wā e pau ana ki te tukanga whakahokinga katoa.

Me pēhea te whakaiti i te mōrearea o te `(Refeeding Syndrome)`?

I ētahi wā, kāore e taea te karo i te hiahia kia whāngai anō. Heoi anō, ka taea e tātou te mahi i ētahi mahi ārai:

• Mena he mate roa tōu e mate ai koe i te kore kai pai, he mea nui kia tika te rongoā . Tērā pea ka tūtohu tō tākuta i ngā tāpiringa kai, pērā i ngā huaora me ngā kohuke, hei āwhina i a koe ki te whiwhi i ngā matūkai e hiahiatia ana e koe.
• Mena kei te nohopuku koe mō ētahi rā, he pai ake te mahi i raro i te tirotiro a te tākuta.
• Kaua e whakamahi kino i te waipiro, i ngā raau taero, i ngā rongoā rānei kua tohua e te rata. Ki te whakamahi tonu koe i tētahi o ēnei, he mea pai kia toro atu koe ki te tākuta mō tētahi tirotiro whānui me ngā whakamātautau toto.

Ka taea e koe te ora i te `(Refeeding Syndrome)`?

Ahakoa he mate pea ngā raruraru o te "Refeeding Syndrome", i te nuinga o te wā kāore i te tino kino . Kia whakatikahia e te tīma hauora ngā taurite kore, ka taea te whakakore i ngā tohu maha, arā, ka taea te whakaora.

Ko te ``(Refeeding Syndrome)`` he raruraru e puta ana i te wā e rongoatia ana te matekai kore kai. Ko te kore kai he āhuatanga hoki e whakararuraru ana i te tinana. Tērā pea he mea rerekē ki a koe te whakaaro he kino te hoatu tere rawa o te maimoatanga. Engari,He mahi tino uaua, he mahi tino ātaahua hoki te whāngai anō. He pai ake te mahi i tēnei i raro i te tirotiro a te rata. Ina whāngai anō koe i raro i te tirotiro a ngā tākuta, ka āta tirotirohia koe e rātou. Ka ngana rātou ki te ārai i te `(Te Mate Whakawhāngai Anō)` kei puta, ā, ka rite rātou ki te whakatau mēnā ka puta.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

• Me tino tupato koe ina tīmata anō koe ki te kai i muri i te kore kai pai mō tētahi wā.
• E ai ki te kōrero, "Ko te haerenga puhoi te haerenga pai rawa atu," me ata haere, me ata haere hoki te whāngai.
• He mea tino haumaru te whāngai anō i raro i te tirotiro a te rata, inā koa mō te hunga kei roto i ngā rōpū mōrearea.
• Whakarongo ki tō tinana. Ki te rongo koe i tētahi mea rerekē, kaua e mangere ki te rapu tohutohu hauora.
• Ehara te "(Refeeding Syndrome)" i te mea hei wehi, engari he mea tino nui kia mōhio koe ki tēnei.

Nō reira, ko tāku tumanako he whai hua ēnei kōrero ki a koe. Kia ora tonu!

Te Mate Whakahoki Whāngai, te kore kai pai, ngā electrolytes, te kai totika, te nohopuku, ngā tohu, te maimoatanga