Uri kunzwa kutetepa uye usina hupenyu here? Ngatidzidzei nezveCachexia (Dambudziko rekuora mwoyo)!

Dzimwe nguva unombofunga here kuti, 'Oh, sei ndiri mutete kudaro? Handikwanise kana kudya. Ndaneta zuva rese.' Kana kuti wakaona mumwe munhu ari pedyo newe achitambura nechirwere ichi? Kutaura zvazviri, pane chirwere chinonetsa zvikuru chinogona kuitika nezvirwere zvakakomba, zvenguva refu. Vanachiremba vanochidana kuti Cachexia , kana kuti Wasting Syndrome . Ichi chirwere chinobata vanhu vanosvika mamiriyoni mapfumbamwe pasi rose. Zvichitaurwa zviri nyore, chinoita kuti muviri upere zvishoma nezvishoma. Zita racho rinobva pamashoko maviri echiGiriki, "kakos" (zvakaipa) uye "hexis" (mamiriro ezvinhu). Saka, "mamiriro emuviri akaipa" ndizvo zvarinoreva. Izvi hazvisi nyore kuita, asi ngatitaurei nezvazvo zvakadzama, nekuti zvakakosha zvikuru kuziva nezvazvo.

Ndezvipi zviratidzo zveCachexia?

Vanachiremba vanogona kushandisa izwi rekuti "cachectic" pavanenge vachitaura nezvechirwere ichi. Tarisa kana iwe kana mumwe munhu waunoziva ane zviratidzo izvi:

• Kudzikira kwehuremu kusingatsananguriki: Ichi ndicho chiratidzo chikuru. Unoramba uchidzikira huremu, kunyangwe usiri kuedza kudzikira huremu uye uchidya chikafu chine hutano. Kazhinji, kana ukadzikira 5% kana kupfuura yehuremu hwako hwese mukati memwedzi 6 kusvika ku12, vanachiremba vanogona kukufungira. Semuenzaniso, kana uchirema 60 kg, kudzikira 3 kg kana kupfuura kunogona kuva chiratidzo cheizvi.
• Kurasikirwa netsandanyama: Vanachiremba vanotiwo izvi zvinoderedza tsandanyama kana kuti kuderera kwetsandanyama . Zvichitaurwa zviri nyore, tsandanyama dziri mumuviri wako dzinorasikirwa nesimba radzo zvishoma nezvishoma. Dzinova diki uye dzisina simba. Ungangoona kuti kunyange mabasa aimbova nyore kare anoita seakaoma kuita.
• Kuneta uye kushaya simba: Uku hakusi kuneta kwakajairika chete. Unonzwa wakaneta zuva rese zvekuti haugone kuita chero chinhu. Ungasatombonzwa kuda kubuda pamubhedha.
• Kushaya chido chekudya: Kushaya chido chekudya. Chikafu hachichaoneki uye chinonaka zvakaipa. Izvi zvakasiyana nedambudziko rekudya rinonzi Anorexia Nervosa . Iri idambudziko rekuti munhu anoshaya chido chekudya nekuda kwechirwere.

Sei Cachexia ichiitika?

Zvichitaurwa zviri nyore, cachexia inoitika kana hukama huripo pakati pekuda kwesimba remuviri wedu nesimba ratinowana kubva muchikafu hukakanganiswa. Chikonzero chikuru cheizvi kuvapo kwechirwere chakakomba chisingaperi, chakadai sekenza, kana chirwere chemwoyo.

Fungidzira, kana wabatwa nechirwere chakakomba, masoja emuviri wako anotanga kurwisa chirwere ichocho. Zvadaro metabolism yemuviri wako inokurumidza. Izvi zvinoreva kuti muviri wako unoda simba rakawanda kupfuura zvawagara uchiita. Asi, nekuda kwechirwere ichocho, chido chako chekudya chinogonawo kudzikira.

Saka, kana usina simba rakakwana kubva muchikafu, muviri wako unoita sei? Unotanga kukweva simba kubva mutsandanyama dzako nemafuta akachengetwa. Ndosaka uchidzikira uremu uye tsandanyama dzako dzinonyunguduka.

Kuti tinyatsonzwisisa zviri musayenzi, pane zvikonzero zvakawanda zvinokanganisa izvi:

• Kuwedzera kweCytokines: MaCytokines mapuroteni akakosha muimmune system yedu. Aya anobatsira muviri wedu kurwisa zvinokuvadza zvakaita semavhairasi. Zvisinei, muCachexia, macytokines aya anowedzera zvakanyanya uye anokonzera kuzvimba mumuviri wese. Izvi zvinokonzera kurasikirwa kwemafuta netsandanyama.
• Kuzvimba kwemuviri wese: Kuzvimba uku kunokonzerwa nezvirwere zvisingaperi zvakaita sekenza kunokonzerawo kurasikirwa kwemafuta netsandanyama.
• Kuramba insulin: Insulin ihormone inodzora shuga yeropa mumiviri yedu. Kuramba insulin zvinoreva kuti tsandanyama dzedu nemasero emafuta hazvipinduri zvakanaka ne insulin. Mu cachexia, chirwere ichi chinogona kukonzera kurasikirwa kwetsandanyama zvakanyanya.
• Kuwedzera kwekuchinjana kwemapuroteni: Pane maitiro mumasero edu apo mapuroteni matsva anogadzirwa kuti atsive mapuroteni ekare. Izvi zvinonziwo kuora kweprotein. Mu cachexia, mwero wekuputsika kwemapuroteni aya unowedzera nekukurumidza kupfuura mwero wekuumbwa kwemapuroteni matsva. Izvi zvinoreva kuti muviri unoshandisa mapuroteni akawanda kupfuura waunogadzira matsva. Ichi ndicho chikonzero chikuru chekurasikirwa netsandanyama.

Ndezvipi zvirwere zvinonyanya kukonzerwa neCachexia?

Cachexia inonyanya kuonekwa muvarwere vegomarara . Ongororo dzinoratidza kuti vanenge 40% yevarwere vegomarara vane cachexia apo chirwere ichi chinoonekwa kekutanga, uye vanenge 70% yevarwere vane gomarara rakura kana kuti rava padanho rekupedzisira vane cachexia.

Zvisinei, chirwere ichi chinogona kuitika kwete chete kuvanhu vane kenza, asiwo kune vanhu vane zvimwe zvirwere zvakakomba zvisingaperi. Heano mimwe mienzaniso:

• Kukundikana kwemoyo: Pakati pe16% ne42% yevanhu vane kutadza kwemoyo vanogona kuva nechirwere chemwoyo chinonzi cachexia.
• Chirwere chemapapu chinogara kwenguva refu (COPD): Cachexia inokura muvanhu vane COPD vanosvika 27% kusvika 35%.
• Chirwere cheitsvo chisingaperi (CKD): Chirwere ichi chinokanganisa vanhu vari pakati pe30% ne60% vane CKD.
• Zvimwe zvirwere zvinotapukira: Semuenzaniso, AIDS (Acquired Immune Deficiency Syndrome)Cachexia inowanzoonekwa kana chirwere ichi chichikura. Inogonawo kukura muvanhu vane zvirwere zvakaita seTB nemalaria.
• Zvirwere zvekuzvimba zvisingaperi: Pakati pe18% ne67% yevanhu vane zvirwere zvemajoini zvinozvimba, zvakaita serheumatoid arthritis , vangangove nechirwere checachexia.

Ndezvipi zvinetso zve cachexia?

Cachexia chirwere chinogona kuisa hupenyu panjodzi. Funga izvi, Cachexia ndiyo inokonzera 20% yerufu rwekenza. Nekuti kana ichikonzera kurasikirwa kwetsandanyama, inogona kukanganisa moyo nekufema.

Kazhinji, kuongororwa kwechirwere checachexia zvinoreva kuti mugumo wehupenyu wava pedyo. Aya mashoko akaoma kunzwa, kune murwere uye kune vadikanwi vake. Izvi zvinogonawo kukonzera matambudziko epfungwa akadai sekuzvidya mwoyo uye kuora mwoyo.

Kana cachexia ichikonzera kudzikira kwehuremu uye kuchinja kwechitarisiko, vamwe vanhu vanogona kunyara uye kunetseka. Zvinosuwisawo zvikuru kusakwanisa kuita basa rako wega nekuda kwekushaya simba mumuviri wako.

Ongororo yakaratidza kuti panogona kuva nekusawirirana kusingafadzi pakati pemunhu ane cachexia nevanovachengeta. Fungidzira kuti zvakaoma sei kuona mudiwa wako achionda, asina simba, uye achirasikirwa nerusununguko rwake. Dzimwe nguva, vanochengeta vanofunga kuti, "Kana ndikangovapa chikafu chakawanda, ndichakwanisa kudzora izvi." Zvisinei, kana murwere akaramba kudya, vanonzwa kusuruvara uye hasha. Kumanikidzwa uku kwekudya kunogona kuita kuti kunyange kuungana kwemhuri kusafadze. Vamwe varwere vanonyepedzera kunge vakarara kana vaenzi vauya, vachitarisira kuti vachavamanikidza kudya.

Cachexia inoonekwa sei?

Chinhu chekutanga chinoitwa nachiremba ndechekukuongororwa kwemuviri. Vachakubvunza nezvehutano hwako, chero zvimwe zvirwere zvaunazvo, kunyanya kana uri kutora mishonga isingaperi ingave iri kukonzera cachexia yako. Vanogonawo kuita bvunzo dzekutarisa kusimba kwemuviri wako uye simba retsandanyama. Vanogonawo kuita bvunzo dzeropa, dzakadai seComprehensive Metabolic Panel (CMP) , uye CT (Computed Tomography) scan .

Cachexia inorapwa sei?

Kutaura zvazviri, hapana mushonga chaiwo we cachexia parizvino. Vanachiremba vanonyanya kutarisa pakurapa chirwere chakakonzera cachexia. Izvi zvinoreva kuti kurapa kenza, chirwere chemwoyo, kana chimwe chirwere chisingaperi ndicho chinhu chakakosha.

Pamusoro pezvo, kana uine chido chekudya, unogona kukurudzirwa nzira dzekuwedzera huwandu hwechikafu chaunodya.

Semuenzaniso, vanachiremba vanogona kukurudzira kudya chikafu chine mapuroteni akawanda, mafuta, uye macalorie, muzvikamu zvidiki, kakawanda pazuva.Kunyangwe kana usingakwanise kudya chikafu chikuru panguva imwe chete, kudya chikafu chidiki kakawanda pazuva kuchakubatsira kuwana macalorie akawanda. Zvakanaka kutaura nenyanzvi yezvekudya nezvekudya zvakakodzera panguva ino yegore uye kuti ungashandisa sei kudya kwega kwega kwaunodya.

Pane mushonga we cachexia here?

Parizvino, hapana mushonga chaiwo unotenderwa we cachexia. Kunyangwe dzimwe tsvakiridzo dzichiratidza kuti mushonga we megestrol acetate unogona kuwedzera chido chekudya uye kukonzera kuwedzera huremu, hausati watenderwa neUS Food and Drug Administration (FDA) semushonga we cachexia inokonzerwa negomarara. Mune zvimwe zviitiko, vanachiremba vanogona kunyora mishonga yakaita se corticosteroids kwenguva pfupi.

Varindi vanogona kuitei?

Kana uri kutarisira munhu ane cachexia, zvakakosha kuyeuka izvi: Kana cachexia ikakura nekuda kwechirwere chakakomba, metabolism yemuviri inokurumidza, saka varwere havanzwi nzara. Ndosaka, kunyangwe ukavapa macalorie akawanda , mamiriro e cachexia haagari achichinja. Kudyisa zvine simba kunongowedzera zviratidzo zvakaita sekusvotwa nekurutsa. Izvi zvinoita kuti murwere asanyanye kugadzikana.

Saka, pane kumanikidza mudiwa wako kuti adye, funga dzimwe nzira dzekumunyaradza nadzo. Semuenzaniso, zvinhu zvidiki zvakaita sekumukwiza muviri nguva nenguva, kumuzora mafuta emuviri, kana kumuzora mafuta emushonga pamiromo kana yakaoma zvinogona kunyaradza zvikuru. Zvakakoshawo kuti utaure naye uye umuteerere.

Kana ndine Cachexia, chii chandinofanira kutarisira?

Kana uine chirwere ichi, ungangove watova nechirwere chakakomba, chingangove chisingarapiki. Zvichienderana nemamiriro ako ezvinhu, kuongororwa kwe cachexia kunogona kureva kuti wava pedyo nekuguma kwehupenyu hwako. Zvisinei, nekuda kwekuti kune zvirwere zvakawanda zvinogona kukonzera cachexia, mamiriro ako anogona kunge akasiyana zvachose neemumwe munhu. Saka, nzira yakanakisa yekuziva zvaunotarisira ndeyekutaura nechikwata chako chehutano. Iva pachena kwavari.

Ndinozvitarisira sei?

Kunyange zvazvo pasina gwara rechokwadi rekurarama ne cachexia, mazano aya anogona kukubatsira:

• Idya zvakanaka (asi kwete zvekumanikidza): Idya kana uchida kudya. Asi usazvimanikidza kudya nekuti unofanira kudya.
• Edza kudya zvishoma: Kana uchinzwa kushushikana, ungasade kudya chikafu chikuru. Saka, edza kudya chikafu chine macalorie akawanda kakawanda pazuva. Taura nenyanzvi yako yezvekudya nezvepfungwa dzekudya.
• Ita maekisesaizi akareruka:Kana zvichibvira, kuita maekisesaizi akareruka kunogona kubatsira kusimbisa tsandanyama dzako. Kunyangwe kungofamba kana kufambisa maoko nemakumbo zvishoma zvinobatsira.
• Wana rubatsiro rwehutano hwepfungwa: Zvakajairika kuti vanhu vane zvirwere zvakakomba zvakaita seizvi vasangane nekushushikana uye kuora mwoyo. Saka, usambozeza kukumbira rubatsiro kuchikwata chako chekurapa panyaya iyi.
• Funga nezvekuchengetedzwa kwevarwere: Kutarisirwa kwevarwere inzira yekurapa yakasarudzika inobatsira kudzora zviratidzo zvako uye mhedzisiro yekurapwa.
• Bvunza nezverutsigiro rwevanorwara nehospice: Bvunza timu yako yezvekurapa nezverutsigiro rwevanorwara nehospice. Izvi zvinogona kusanganisira rutsigiro kubva kuvanhu vakaita sevanopa mazano ezvemweya nevashandi vemagariro evanhu.

Kupa mwana chikafu nemachubhu inzira yekurapa cachexia here?

Vanachiremba havawanzokurudzira kudya kwemukati uye kudya kweparenteral kune cachexia, sezvo kurapwa uku kusati kwaratidzwa kuti kunovandudza cachexia kana kuwedzera hupenyu hwemwana.

Kupa mwana chikafu chemvura kuburikidza nechubhu inochinjika inopinzwa nemhuno, zvakananga mudumbu, kana muura hudiki. Kudya kwemwana parenteral ndiko kupa mwana chikafu zvakananga mutsinga kuburikidza nemutsara weIV.

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Cachexia, kana kuti Wasting Syndrome, chirwere chinokanganisa vanhu vane zvirwere zvakakomba zvisingaperi, kunyanya kenza yakakwira uye chirwere chemwoyo. Kazhinji, inoonekwa seimwe yenhanho dzekupedzisira muhupenyu. Aya mashoko anorwadza zvechokwadi kunzwa, kungave uine cachexia kana kuti uri kutarisira mumwe munhu ane cachexia. Vanachiremba vako vanoziva kuti cachexia inogona kukanganisa hupenyu hwako hwezuva nezuva uye kukanganisa hutano hwako hwepfungwa. Kana uri mumamiriro ezvinhu aya, usavanza chero chinhu uye tsvaga rubatsiro rwehutano hwepfungwa kubva kuchikwata chako chekurapa. Yeuka, hausi wega. Chinhu chakakosha kuziva izvi, kuzvinzwisisa, uye kuwana rubatsiro rwaunoda.

cachexia , wasting syndrome, kuonda, kupera muviri, kenza, chirwere chisingaperi, kudzikira kwehuremu, kupera kwetsandanyama, kudya kunovaka muviri, anorexia