Chii chinoitika mumuviri wako kana ukadya zvese panguva imwe chete mushure mekusadya? Ngatidzidzei chaizvo nezve Refeeding Syndrome!

Wakambozvibvunza here kuti chii chinoitika mumuviri wako kana ukadya kwemazuva usingadyi wozotanga kudya zvakare? Dzimwe nguva, paunongoerekana watanga kupa muviri wako chikafu, unogona kuva nematambudziko asingatarisirwi. Ndizvo zvinonzi navanachiremba "refeeding syndrome." Izvi zvinganzwika sezvakaoma, asi ngatizvichengete zviri nyore.

Chii chinonzi "Refeeding Syndrome" iyi?

Zvichitaurwa zviri nyore, `(Refeeding Syndrome)` chirwere chakakomba chinogona kuitika kana munhu ane chirwere chekushaya kudya kwakawanda atanga kudya zvakare . Kushaya kudya kwakakwana kunoitika kana muviri wako usingawani zvinovaka muviri zvaunoda. Saka, mushure mekugara usina kudya kwenguva yakareba, paunongoerekana wawana chikafu, pane shanduko huru dzinoitika mumakemikari mumuviri wedu. Kunyanya, panogona kuva nekusawirirana kukuru muhuwandu hwemunyu unokosha (`(Electrolytes)`) mumuviri. Izvi zvinogona kukonzera kukuvara kwenhengo dzakakosha dzakadai semhasuru dzako, mapapu, moyo, neuropi .

Ndiani ane mukana mukuru wekuva nechirwere che "Refeeding Syndrome"?

Izvi zvinogona kuitika kune chero munhu asina kudya zvakakwana uye ari kutanga kudya zvakare. Kana usingawani zvakakwana zvekudya nekunwa, unogona kunge usina kudya zvakakwana. Uyewo, kushaya chikafu kunogona kuitika nekuda kwezvirwere zvakasiyana. Nekuti, nekuda kwezvirwere zvakadaro, ungasakwanisa kudya kana kuti muviri wako ungasakwanisa kunwisa chikafu chaunodya zvakanaka.

Vanhu vane zvinhu zvinotevera zvinogona kukonzera njodzi vanowanzo tanga chirwere che "Refeeding Syndrome":

• Kana uchangobva kudzikira uremu hwemuviri wako neanopfuura 10%. Semuenzaniso, kana uchirema makirogiramu makumi matanhatu, kudzikira makirogiramu anopfuura matanhatu panguva imwe chete kune njodzi.
• Kana wagara usina kudya kwemazuva anopfuura manomwe, uine kushushikana kwepfungwa, uye muviri wako uchinzwa usina simba.
• Kune vanhu vane matambudziko ekudya, akadai seAnorexia Nervosa (chirwere chekudya) kana Bulimia Nervosa (chirwere chekudya).
• Vanhu vane zvirwere zvinotadzisa muviri kunwisa chikafu zvakanaka , zvakaita sepancreatitis isingaperi kana chirwere chemudumbu chinozvimba.
• Kune avo vanga vachiwana chikafu chevabereki kwenguva yakareba.
• Kune varwere vegomarara neavo vari kurapwa nechemotherapy.
• Kune avo vane chirwere cheshuga chisingadzoreki (Diabetes Mellitus).
• Kune avo vanga vachinwa doro zvakanyanya kwenguva yakareba.
• Kune avo vanga vachitora mishonga inorwisa asidhi kana diuretics kwenguva yakareba.

"Refeeding Syndrome" iyi inoitika sei?

Kana muviri wako usingawani zvinovaka muviri zvaunoda, unoita shanduko kuti ugone kuchinja. Maitiro ekushandura chikafu kuita simba anonzi metabolism.Panzvimbo pemacarbohydrate anobva muchikafu, muviri unotanga kupisa mafuta netsandanyama dzawo kuti uwane simba. Izvi zvinoderedzawo mwero wemetabolism. Huwandu hwesimba raunoshandisa paunenge wakazorora (`Resting Metabolic Rate`) hunogona kuderera neinenge 20%.

Rudzi urwu rwemetabolism runotora zvinhu zvishoma. Mavhitamini, zvicherwa, uye "maelectrolyte" ataurwa pamusoro apa hazvishandiswe mukuita uku, semumetabolism yakajairika.

Asi, paunotanga kudya zvakare, makabhohaidhiretsi anotanga kugadzirwa zvakajairika. Ipapo muviri unongoerekana wada izvo (Micronutrients) kuti uite basa iri. Zvinoita sekunge imba yekuchengetera zvinhu yapera uye kamwe kamwe zvinhu zvakawanda zvinouya. Kana muviri wako usina zvinovaka muviri zvakawanda zvakachengetwa, ndipo panotanga dambudziko.

Chii chinokonzera `(Refeeding Syndrome)`?

Chikonzero chikuru cheizvi kushaikwa kwezvimwe zvinovaka muviri mumuviri wako. Izvi zvinopera kana usina kudya zvakakwana. Zvinovaka muviri zvikuru zvinobatanidzwa mune izvi iPhosphorus, Potassium, uye Magnesium . Paunotanga kudya zvakare, masero ako anongoerekana angoda ma electrolytes aya kuti agadzirise chikafu. Izvi zvinokonzera shanduko huru muhutano hwemakemikari mumuviri wako, sekunge kuvhunduka.

Aya `(Electrolytes)` ari muropa rako anotakurwa kuenda mumasero nekukurumidza. Zvisinei, nekuti hauna akawanda mumuviri wako, huwandu hwawo muropa rako hunodzikira zvikuru nekuda kwekuchinja uku. Uku ndiko kudzikira kwehuwandu hwe`(Electrolyte)` muropa rako kunonzi `Deficiencies`. Imhaka yekushomeka uku ndiko kunoita kuti kuenzana kwemakemikari mumuviri kukanganiswe, uye matambudziko akasiyana-siyana anoonekwa mu`(Refeeding Syndrome)` aitike.

Ndezvipi zviratidzo zve `(Refeeding Syndrome)`?

Dambudziko iri rinogona kuoneka nenzira dzakasiyana-siyana. Chinonyanya kuitika ikushomeka kwephosphate mumuviri. Zvisinei, zvimwe zvikanganiso uye kusaenzana kwemasero zvinogonawo kukonzera izvi.

Kushaikwa kwephosphate (`(Hypophosphatemia)`)

Kushaikwa kwephosphorus ndicho chiratidzo chinowanzoonekwa che "Refeeding Syndrome." Kana huwandu hwephosphate hwakaderera, hunokanganisa mashandiro emasero mumuviri wese. Izvi zvinogona kukonzera zviratidzo zvakaita se:

• Kushaya simba kwetsandanyama (sekunge gumbo riri kupera simba)
• Kutadza kufema zvakanaka.
• Kutanga kuona zvinhu muzvikamu zviviri (`Double Vision`).
• Kuoma kumedza.
• Kubatwa nepfari.
• Kushaya simba.
• Kushaya simba kwetsandanyama yemwoyo (`(Cardiomyopathy)`).

Kana zviratidzo izvi zvikanyanya , dzimwe nhengo dzemuviri dzinogona kumira kushanda uye hupenyu hunogona kukanganiswa . Saka, izvi hazvifanirwe kutorwa sezvisina basa.

Kushaikwa kweMagnesium (`(Hypomagnesemia)`)

Magnesium inokoshawo pakugadzirwa kwemuviri wedu. Kana magnesium yakaderera, inogona kukanganisa nhengo dzese dzemuviri. Zviratidzo zvakaita se:

• Kusvotwa nekurutsa.
• Kushaya chido chekudya (anorexia).
• Kudengenyeka.
• Kurwadziwa kwetsandanyama.
• Kubatwa nepfari.
• Kushaya simba.
• Kusafamba zvakanaka kweropa kuenda kumoyo (Cardiac Ischemia).
• Kusarongeka kwemutinhimira wemoyo (`(Arrhythmia)`).

Kushaikwa kwePotassium (`(Hypokalemia)`)

Kana uine kushomeka kwepotassium zvishoma, ungasaone zviratidzo zvikuru. Zvisinei, kana kushomeka kwacho kwakanyanya, unogona kusangana nezvinotevera:

• Kushaya simba kwetsandanyama.
• Kurwadziwa kwetsandanyama, kurwadziwa.
• Kuneta zvakanyanya.
• Kufamba kwedumbu kunomira, zvichikonzera kuvimbiwa kwakanyanya.
• Kusarongeka kwemutinhimira wemoyo (`(Arrhythmia)`).
• Kutadza Kufema.

Kushaikwa kweThiamine (Vitamin B1) (`Kushaikwa kweThiamine`)

Kushomeka kwethiamine uku kunonyanya kuonekwa kana kudya kwakapfuma mumacarbohydrates kukadzoserwa. Izvi zvinogona kukonzera zviratidzo zvakakomba zvetsinga:

• Kupenga, kuvhiringidzika.
• Matambudziko ekuona.
• Kudzikira kwetembiricha yemuviri (`(Hypothermia)`).
• Matambudziko ekuenzanisa uye kubatana (`(Ataxia)`). "Kuomerwa nekufamba, semunhu akadhakwa."
• Kurasikirwa nendangariro (`(Amnesia)`).
• Kusawirirana (kurangarira zvinhu zvisina kuitika).

Matambudziko ekusakwana kwemvura mumuviri

Kuchinja kwemetabolism kunogona kukanganisa kuenzana kwe sodium ne mvura mumuviri. Kana kudya kunovaka muviri kwatangazve, izvi zvinogona kutungamira ku "Fluid Overload" kana "Dehydration". Izvi zvinogona kutungamira kumamiriro ezvinhu akadai se:

• Kuderera kweropa (hypotension).
• Kurwadziwa kwetsandanyama.
• Kuora kwemapapu (kuungana kwemvura mumapapu).
• Kusashanda zvakanaka kweitsvo.
• Kukundikana kwemoyo (`(Kukundikana kwemwoyo kwakavharika)`).
• Kubatwa nepfari.

Matambudziko ehuwandu hweshuga muropa

Pakudyisa mwana zvakare, kudzorerwa kweglucose kunogona kukonzera huwandu hweshuga muropa (hyperglycemia). Izvi zvinokonzerwa nekuti:

• Musoro .
• Kuona kusina kujeka.
• Kuita weti kakawanda.
• Ndaneta.

Nzira yekuziva sei `(Refeeding Syndrome)`?

Kana wangotanga kudya zvakare, timu yako yezvekurapa ichagara ichiongorora zviratidzo zvako zvehupenyu . Kana paine zvimwe zviratidzo kana kusarongeka kukaonekwa, vachaongorora "Blood Test" kuti vaongorore. Izvi zvichavabatsira kuona kuti ndeapi matambudziko chaiwo auri kusangana nawo mumuviri wako uye kuti akanyanya sei.

"Refeeding Syndrome" inorapwa sei?

Usati watanga kudya zvakare, vanachiremba vako vachakuongororwa ropa kuti vaone mazinga e electrolyte yako uye vaone kana paine zvisina kukwana. Zvadaro, vachawedzera zvinhu izvi zvidiki zvidiki mufomura yako yekudya. Pfungwa ndeyekutanga wawedzera zvinhu izvi zvidiki zvidiki zvidiki. Zvadaro, muviri wako uchagadzirira zviri nani kushandisa makabhohaidhiretsi.

Asi yeuka, dzimwe nguva, kuongororwa kwekutanga kweropa hakuone kushaya simba kwese uku kwe '(Electrolyte)`. Nekuti muviri hausati watanga kudya, hauzive kuti uchada izvi zve '(Electrolyte)` mune ramangwana. Kuchinja kukuru mukufambiswa kwe '(Electrolyte)` kubva muropa kuenda kumasero hakusati kwaitika. Nekuda kweizvi, dzimwe nguva kushaya simba kunoonekwa chete mushure mekunge kudya kwatanga.

Chikwata chako chezvekurapa chicharamba chichikutarisa zviratidzo zvako. Vachaongorora huwandu hwe electrolyte yako zuva nezuva. Chirwere chekudyisa mwana zvakare chinowanzoitika mukati memazuva mashanu ekutanga ekudya zvakare. Kana zviratidzo zvikaitika, chikwata chako chezvekurapa chichaderedza mwero wauri kudya. Vachaderedza huwandu hwemakabhohaidhiretsi mufomura yako. Unogonawo kupihwa zvimwe zvezvinovaka muviri zvauri kushaya kuburikidza ne IV.

Ndichakurumidza sei kupora mushure mekurapwa?

Kana chiremba angoona chirwere che "Refeeding Syndrome", vanogona kuchigadzirisa nekukurumidza. Zvisinei, zvinogona kutora mavhiki akati wandei kuti kushomeka kwezvinovaka muviri pakutanga kupore. Izvi zvinoreva kuti kudyisa mwana zvakare kunotora nguva.

Nzira yekuderedza sei njodzi ye `(Refeeding Syndrome)`?

Dzimwe nguva kuda kudyisa mwana zvakare hakugone kudzivirirwa. Zvisinei, tinogona kutora matanho ekudzivirira:

• Kana uine chirwere chinogara kwenguva refu chinokonzera kushaya chikafu chakakwana, zvakakosha kuti urapwe zvakanaka . Chiremba wako anogona kukukurudzira kuti uwane zvekudya zvinovaka muviri zvakaita semavhitamini nemaminerari, kuti zvikubatsire kuwana zvinovaka muviri zvaunoda.
• Kana uchitsanya kwemazuva akati wandei, zvakanaka kuzviita uchitarisirwa nachiremba.
• Usashandise doro zvisina kunaka, zvinodhaka, kana mishonga yaunonyorerwa nachiremba. Kana ukashandisa chero ipi zvayo nguva dzose, zvakanaka kuti uone chiremba kuti aongororwe uye aongororwe ropa.

Unogona here kurarama `(Refeeding Syndrome)`?

Kunyange zvazvo matambudziko anokonzerwa ne "Refeeding Syndrome" dzimwe nguva achigona kuuraya, kazhinji haasi makuru . Kana chikwata chevanachiremba changogadzirisa kusawirirana, zviratidzo zvakawanda zvinogona kugadziriswa, zvichireva kuti zvinogona kurapwa.

"(Refeeding Syndrome)" idambudziko rinowanzoitika panguva yekurapwa kwekushaya kudya kwakakwana. Kushaya kudya kwakakwana chirwere chinoisawo kushushikana kwakanyanya mumuviri. Zvingaita sezvisinganzwisisike kwauri kuti kupa kurapwa kwakanyanya nekukurumidza kunogona kukuvadza. Asi,Kupa mwana chikafu chitsva inzira yakaoma uye inonetsa. Zvakanakisisa kuita izvi uchitarisirwa nachiremba. Kana uchipa mwana chikafu chitsva uchitarisirwa navanachiremba, vachakutarisisa zvakanyanya. Vachaedza kudzivirira kuti `(Refeeding Syndrome)` isaitike, uye vachagadzirira kugadzirisa kana zvikaitika.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

• Unofanira kungwarira zvikuru paunotanga kudya zvakare mushure mekunge washaya chikafu chakakwana kwenguva yakati.
• Sezvinotaurwa netsumo yekuti, "Rwendo runonoka ndirwo rwakanakisisa," kudyisa kunofanira kuitwa zvishoma nezvishoma.
• Zvakachengeteka kudyisa zvakare pasi pekutarisirwa nachiremba, kunyanya kune avo vari mumapoka ane njodzi huru.
• Teerera muviri wako. Kana uchinzwa chimwe chinhu chisina kujairika, usazeza kutsvaga mazano echiremba.
• "(Refeeding Syndrome)" hachisi chinhu chekutya, asi zvakakosha kuti uzive nezvazvo.

Saka, ndinovimba ruzivo urwu ruchakubatsira. Ramba uine hutano hwakanaka!

` Refeeding Syndrome, kushaya chikafu chakakwana, electrolytes, kudya kunovaka muviri, kutsanya, zviratidzo, kurapwa