Ingabe umzimba wakho ugaya ukudla ngokushesha kunalokho ocabanga? Ake sixoxe nge-hypermetabolism!

Ingabe nawe uzizwa ngale ndlela? "Kungakhathaliseki ukuthi ngidla malini, angikwazi ukubuyisa isisindo sami," "Ngikhathele kakhulu ngisho nangemva komzamo omncane," "Ngihlala ngijuluka"... Ngezinye izikhathi, isizathu salezi zinto kungaba ukuthi i-metabolism yomzimba wakho isebenza ngokushesha kunalokho obekulindelwe. Kwezokwelapha, lokhu sikubiza ngokuthi "i-hypermetabolism." Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe, akunjalo?

Kuyini ngempela i-hypermetabolism?

Kalula nje, i-metabolism yomzimba wakho inqubo lapho ukudla esikudlayo kuguqulwa khona kube amandla. Lawa mandla asetshenziselwa yonke imisebenzi ebalulekile yomzimba wethu. Cabanga ngakho, ukuphefumula, ukushaya izinhliziyo zethu, ukuhamba, ukucabanga... konke lokhu kudinga amandla. I-Hypermetabolism yilapho i-metabolism yakho ishesha kakhulu futhi isebenza kakhulu. Lokhu kusho ukuthi umzimba wakho ushisa amakhalori amaningi kunokujwayelekile. Lokhu kungabangela izimpawu ezifana nokwehla kwesisindo nokukhathala.

Lokhu kuvame ukwenzeka lapho umzimba wakho udinga amandla engeziwe ukuze welaphe noma ulungise okuthile. Kodwa ungakhathazeki, odokotela bangayilapha le nto. Basebenzisa izinto ezifana nemithi kanye nezeluleko zokudla okunempilo.

Uyazi ukuthi ziyini izimpawu zalesi simo?

Kunezimpawu eziningana ezivamile zalesi simo. Bheka ukuthi kukhona yini okuzwakala kujwayelekile kuwe:

• Ukwehla kwesisindo okungachazeki: Ungase wehlise isisindo noma ngabe udla kahle, noma wandise ukudla okudlayo.
• Ukwanda kwesifiso sokudla: Ukuzizwa ulambile ngaso sonke isikhathi futhi ufuna ukudla okwengeziwe.
• Ukujuluka ngokweqile: Ukujuluka ngisho nangaphezu kwento encane kakhulu, ukujuluka ngisho noma kungashisi.
• Ukuzizwa ukhathele ngaso sonke isikhathi (Ukukhathala): Ungase uzizwe ukhathele futhi ulele ngaso sonke isikhathi.
• Ukushaya kwenhliziyo okusheshayo kanye/noma okungajwayelekile: Inhliziyo izwa sengathi ishaya ngokushesha kakhulu, ngezinye izikhathi ngaphandle kwesigqi.
• I-anemia: Lokhu kusho ukuntuleka kwegazi. Lokhu kungabangela nezinto ezifana nokukhathala kanye nokwephuka kwegazi.

Kungani lokhu kwenzeka kithi? Yiziphi izizathu?

I-Hypermetabolism iyinkinga eyinkimbinkimbi kancane. Ngezinye izikhathi ingaqala ngokuzumayo, noma ingavela eminyakeni eminingi ngemva kokuba isimo sezokwelapha siyibangele. Ingase futhi ibe yesikhashana, noma ingaba yinto okufanele uyiphathe isikhathi eside (i-Chronic Hypermetabolism). Ake sibheke ezinye zezimbangela ezingaba khona:

• Ukusha noma okunye ukulimala: Cabanga ukube ubunokusha okukhulu noma amathambo amaningi aphukile, umzimba wakho ubuzosebenzisa amandla engeziwe ukuze welaphe. Lokhu kungakhuphula izinga lokugaya kwakho umzimba.
• I-Sepsis:I-Sepsis iyinkinga enkulu yokutheleleka. Ingabangela nokwanda kwe-metabolism njengoba umzimba usebenzisa amandla engeziwe ukulungisa izitho nezicubu zawo.
• Izinkinga zokudla: Isibonelo, abanye abantu abasha bahlushwa yizimo ezifana ne-Anorexia Nervosa (ukuzama ukwehlisa isisindo ngokungadli) noma i-Bulimia Nervosa (ukuzihlanza ngemva kokudla). Lapho laba bantu belulama, okungukuthi, lapho beqala ukudla ngendlela evamile futhi, imizimba yabo ingajwayela ngokuzumayo ukudla amakhalori aphansi futhi isheshise imetabolism yabo. Ngakho-ke, i-hypermetabolism ivame kakhulu kubantu abalulama kulezi zinkinga zokudla.
• I-Hyperthyroidism: Uma i-thyroid gland yakho isebenza ngokweqile, ingasheshisa futhi imetabolism yakho.
• Ezinye izinhlobo zomdlavuza: Ezinye izinhlobo zomdlavuza, njengomdlavuza wamaphaphu kanye nomdlavuza we-pancreatic, nazo zingabangela i-hypermetabolism.
• Ngemva Kokuhlinzwa: Njengoba umzimba ululama ngemva kokuhlinzwa okukhulu, izinga lokugaya ukudla lingakhuphuka.
• Izimo zofuzo: Kunezimo ezithile ezizuzwe njengefa ezithinta imetabolism. Lezi zibizwa ngokuthi ama-Inborn Errors of Metabolism (IEM). Lezi zimo zingadala ne-hypermetabolism.

Ingabe lesi simo singadala izinkinga?

Ukuba ne-hypermetabolism isikhathi esifushane, ikakhulukazi uma kusiza umzimba ukuthi ululame, kungase kungabi yinto enkulu. Kodwa ukuba ne-metabolism ngokushesha okungaka isikhathi eside kungabangela izinkinga ezinkulu. Ake sibone ukuthi ziyini lezo?

• Ubuthakathaka bemisipha noma ukuwohloka kwemisipha.
• Ukulahlekelwa ukuqina kwamathambo.
• Izinkinga zenhliziyo ezibangelwa ukushintsha kwesilinganiso senhliziyo isikhathi eside.
• Ukulimala kwezinso.
• Isimiso somzimba sokuzivikela esibuthakathaka.

Ngakho-ke, uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokuzishaya indiva.

Udokotela ukubona kanjani lokhu?

Udokotela uzohlonza i-hypermetabolism ngokukhuluma nawe futhi akubuze ngempilo yakho kanye nemikhuba yakho yansuku zonke. Bazokubuza ngezimpawu zakho, ukuthi zaqala nini, kanye nanoma yiziphi izifo noma ukulimala oye waba nakho muva nje, kanye nokuthi uzelaphe kanjani.

Ngaphezu kwalokho, udokotela angenza nezivivinyo eziningana, njenge:

• Ukuhlolwa kwegazi:Ukuhlolwa kwegazi kungabona izinto ezifana nokuvuvukala, ukuntuleka kokudla okunempilo, kanye nezinkinga ze-thyroid. Udokotela wakho angase a-ode i-Basic Metabolic Panel, i-Comprehensive Metabolic Panel, noma ezinye izivivinyo ezikhethekile.
• Ukuhlolwa kwe-Metabolic: Lokhu kuhlolwa kulinganisa inani lomoya-mpilo owuphefumulayo kanye nenani le-carbon dioxide oyikhiphayo. Lokhu kungasiza ekunqumeni ukuthi umzimba wakho ushisa ngokushesha kangakanani amakhalori. Kulokhu kuhlolwa, uphefumula ungena futhi uphume ungene emshinini ngenkathi uzivocavoca.
• Ukuhlolwa kwezithombe: Udokotela wakho angase akucele ukuthi kwenziwe i-CT scan noma i-MRI ukuze abheke izimpawu zomdlavuza noma ezinye izimo.

Kuphathwa kanjani lokhu?

Udokotela wakho angase asikisele okunye noma konke okulandelayo njengokwelashwa kwe-hypermetabolism:

• Uhlelo lokudla oluqondene nawe: Udokotela wakho uzokwandisa ukudla kwakho kwama-calorie nsuku zonke futhi aphakamise ukudla okulula okuzokusiza ukuthi ukhuluphale. Ukuze ukhuluphale, kuzodingeka udle ukudla okunama-calorie amaningi .
• Imithi: Uma kukhona isimo esiyisisekelo esibangela i-hypermetabolism, udokotela wakho angase akunike imithi yokuyelapha. Isibonelo, ama-antibiotic anganikezwa ukutheleleka ngamagciwane, noma ama-beta-blocker anganikezwa ukushaya kwenhliziyo okusheshayo.
• Uketshezi: Uma umzimba uphelelwe amanzi emzimbeni, unganikezwa uketshezi lwe-IV (usawoti). Lokhu kungasiza futhi ekubuyiseleni amandla alahlekile. Uma lesi simo sibangelwa ukusha noma ukulimala, uketshezi noma ukudla okunomsoco kwabazali (ukondla ngemithambo yegazi) kungasiza ekululameni.
• Ukwelashwa komdlavuza: Uma i-hypermetabolism ibangelwa umdlavuza, ingasiza ngokwelashwa okufana nokwelashwa ngemisebe noma ngamakhemikhali.
• Umsebenzi olinganiselwe womzimba: Ukunyakaza komzimba wakho nokuzivocavoca kusebenzisa amandla. Ngakho-ke, ukunciphisa inani lomsebenzi womzimba owenzayo kungasiza ekuvimbeleni umzimba wakho ekusebenziseni amandla.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-hypermetabolism, kusho izinto ezifana nalezi:

• Uma wehlisa isisindo ngisho noma udla kakhulu.
• Uma uhlala uzizwa ukhathele.
• Uma ujuluka kakhulu.
• Uma ukushaya kwenhliziyo kungahambi kahle noma kushesha.

Uma unezimpawu ezinjengalezi, kufanele nakanjani ubone udokotela futhi uthole iseluleko. Ngoba into ebaluleke kakhulu ukuthola imbangela bese uqala ukwelashwa ngokushesha okukhulu.

Singakwazi yini ukuvimbela lesi simo?

Eqinisweni, i-hypermetabolism ayivimbeki ngaso sonke isikhathi. Ngoba asikwazi ukulawula ezinye zezimo noma izingozi ezibangela lokhu. Kodwa-ke, kunezinto ezithile esingazilawula. Lawa macebiso angasiza ekunciphiseni ingozi yalokhu:

• Gcina isisindo esinempilo esikufanele: Ukuba mncane kakhulu noma omkhulu kakhulu akukuhle empilweni yakho. Uma ungaqiniseki ukuthi isisindo esinempilo singakanani kuwe, buza udokotela.
• Yidla ukudla okunempilo nokulinganiselayo: Udokotela wakho angakusiza ukuthi wakhe uhlelo lokudla olukufanele.
• Iya njalo ekuhlolweni kwezokwelapha: Ukubona udokotela okungenani kanye ngonyaka kuzokusiza ukuthi ugcine impilo enhle futhi uthole noma yiziphi izifo ezingase zibangele izimo ezifana ne-hypermetabolism kusenesikhathi.
• Vivinya umzimba njalo: Ukuzivocavoca imizuzu engama-20-30 ngosuku kuhle kakhulu empilweni yakho. Ungaxhumana nodokotela wakho ukuze uthole uhlelo lokuzivocavoca olukufanele.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-Hypermetabolism yilapho i-metabolism yakho ishesha kakhulu kunokujwayelekile. Lokhu kungaba yingozi empilweni yakho, ngoba i-metabolism ilawula imisebenzi ebalulekile emizimbeni yethu. Ngakho-ke, uma ishesha kakhulu, inzima kakhulu, ingabeka ingcindezi ezithweni zethu, emisipheni, nasemathanjeni.

Ngakho-ke, uma ucabanga ukuthi unezimpawu ze-hypermetabolism, sicela ubonane nodokotela. Angahlonza imbangela futhi anqume ukwelashwa okungcono kakhulu kuwe.

Nginifisela impilo enhle nonke!

` I-Hypermetabolism, I-Metabolism, Ukwehlisa isisindo, Ukushisa amakhalori, I-thyroid, I-Sepsis, Umdlavuza, I-metabolism esheshayo