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.

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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