Konke Okufanele Ukwazi Mayelana Ne-Refeeding Syndrome

-Delile

• Yini i-Refeeding syndrome?
• Kungani kwenzeka?
• Izimpawu
• Izici zobungozi
• Ukwelashwa
• Ukubuyiselwa
• Ukuvimbela
• Umbono

Yini i-Refeeding syndrome?

Ukunikela kabusha inqubo yokuphinda ufake ukudla ngemuva kokungondleki noma kwendlala. I-Refeeding syndrome yisimo esibi futhi esingaba yingozi esingavela ngesikhathi sokuvuselela. Kubangelwa ukushintsha okungazelelwe kuma-electrolyte asiza umzimba wakho ukuba uhlanganise ukudla.

Isimo se-refeeding syndrome kunzima ukusichaza, njengoba kungekho ncazelo ejwayelekile. I-Refeeding syndrome ingathinta noma ngubani. Kodwa-ke, kulandela inkathi elandelayo:

• ukungondleki
• ukuzila ukudla
• ukuzincisha ukudla ngokweqile
• indlala
• indlala

Izimo ezithile zingakhuphula ubungozi bakho kulesi simo, kufaka phakathi:

• i-anorexia
• ukuphazamiseka kokusebenzisa utshwala
• umdlavuza
• ubunzima bokugwinya (i-dysphagia)

Ukuhlinzwa okuthile kungakhuphula nobungozi bakho.

Kungani kwenzeka?

Ukuncishwa kokudla kushintsha indlela umzimba wakho ogaya ngayo izakhamzimba. Isibonelo, i-insulin yihomoni ephula ushukela (ushukela) kuma-carbohydrate. Lapho ukusetshenziswa kwe-carbohydrate kuncishiswe kakhulu, uketshezi lwe-insulin luyancipha.

Uma engekho ama-carbohydrate, umzimba uphendukela kumafutha agciniwe namaprotheni njengemithombo yamandla. Ngokuhamba kwesikhathi, lolu shintsho lungaqeda izitolo ze-electrolyte. I-Phosphate, i-electrolyte esiza amaseli akho aguqule i-glucose ibe ngamandla, ivame ukuthinteka.

Lapho ukudla kubuyiswa kabusha, kuba noshintsho olungazelelwe olusuka emafutheni we-metabolism lubuyela ku-carbohydrate metabolism. Lokhu kudala ukwanda kwe-insulin.

Amaseli adinga ama-electrolyte afana ne-phosphate ukuguqula i-glucose ibe ngamandla, kepha i-phosphate iyashoda. Lokhu kuholela kwesinye isimo esibizwa nge-hypophosphatemia (low phosphate).

I-Hypophosphatemia isici esivamile se-refeeding syndrome. Ezinye izinguquko zomzimba nazo zingenzeka. Lokhu kufaka phakathi:

• amazinga angajwayelekile e-sodium nawoketshezi
• ushintsho kumafutha, i-glucose, noma i-metabolism metabolism
• ukushoda kwe-thiamine
• i-hypomagnesemia (i-magnesium ephansi)
• i-hypokalemia (i-potassium ephansi)

Izimpawu

I-Refeeding syndrome ingadala izinkinga ezingazelelwe nezibulalayo. Izimpawu ze-refeeding syndrome zingafaka:

• ukukhathala
• ubuthakathaka
• ukudideka
• ukungakwazi ukuphefumula
• umfutho wegazi ophakeme
• isithuthwane
• arrhythmias yenhliziyo
• ukuhluleka kwenhliziyo
• ikhoma
• ukufa

Lezi zimpawu zivame ukuvela zingakapheli izinsuku ezine ukuqala kwenqubo yokuphinda uvuselele. Yize abanye abantu abasengozini bengazenzi izimpawu, ayikho indlela yokwazi ukuthi ngubani ozoba nezimpawu ngaphambi kokuqala ukwelashwa. Ngenxa yalokho, ukuvimbela kubalulekile.

Izici zobungozi

Kunezici ezicacile zobungozi be-refeeding syndrome. Ungaba sengozini uma okukodwa noma ngaphezulu kulezi zitatimende ezilandelayo ziyasebenza kuwe:

• Unenkomba yesisindo somzimba (BMI) engaphansi kweminyaka engu-16.
• Ulahlekelwe ngaphezu kwamaphesenti ayi-15 esisindo somzimba wakho ezinyangeni ezi-3 kuya kwezi-6 ezedlule.
• Usebenzise okuncane ukungadli, noma ngaphansi kwamakhalori adingekayo ukugcina izinqubo ezijwayelekile emzimbeni, ezinsukwini eziyi-10 noma ngaphezulu ezilandelanayo.
• Ukuhlolwa kwegazi kuveze ukuthi amazinga akho e-serum phosphate, potassium, noma we-magnesium aphansi.

Ungaba sengozini uma ezimbili noma ngaphezulu kulezi zitatimende ezilandelayo ziyasebenza kuwe:

• Une-BMI engaphansi kweminyaka engu-18.5.
• Ulahlekelwe ngaphezu kwamaphesenti ayishumi esisindo somzimba wakho ezinyangeni ezi-3 kuya kwezi-6 ezedlule.
• Uthathe ukudla okuncane ungakutholi izinsuku ezi-5 ezedlule noma ngaphezulu zilandelana.
• Unomlando wokuphazamiseka kokusebenzisa utshwala noma ukusetshenziswa kwemithi ethile, njenge-insulin, izidakamizwa zamakhemikhali, isisu, noma ama-antacids.

Uma uhlangabezana nalezi zindlela, kufanele ufune usizo lwezempilo oluphuthumayo ngokushesha.

Ezinye izinto zingakubeka engcupheni eyengeziwe yokuthola i-refeeding syndrome. Ungaba sengozini uma:

• une-anorexia nervosa
• unenkinga yokusebenzisa utshwala engalapheki
• unomdlavuza
• unesifo sikashukela esingalawuleki
• abanondlekile
• muva nje uhlinziwe
• unomlando wokusebenzisa ama-antacids noma i-diuretics

Ukwelashwa

I-Refeeding syndrome yisimo esibi kakhulu. Izinkinga ezidinga ukungenelela ngokushesha zingavela ngokuzumayo. Ngenxa yalokhu, abantu abasengozini badinga ukwelashwa esibhedlela noma esikhungweni esikhethekile. Iqembu elinolwazi lwe-gastroenterology kanye ne-dietetics kufanele lengamele ukwelashwa.

Ucwaningo lusadingeka ukuthola indlela engcono kakhulu yokwelapha i-refeeding syndrome. Ukwelashwa kuvame ukufaka ukufaka ama-electrolyte abalulekile nokunciphisa inqubo yokuvuselela kabusha.

Ukugcwaliswa kwamakhalori kufanele kuhambe kancane futhi kuvame ukuba cishe ngama-calories angama-20 ngekhilogremu yesisindo somzimba ngokwesilinganiso, noma cishe ama-calories ayi-1 000 ngosuku ekuqaleni.

Amazinga e-Electrolyte abhekwa ngokuhlolwa kwegazi njalo. Ukufakwa ngaphakathi (IV) okususelwa esisindweni somzimba kuvame ukusetshenziselwa ukufaka ama-electrolyte. Kepha lokhu kwelashwa kungahle kungalungeli abantu abane:

• ukusebenza kahle kwezinso
• i-hypocalcemia (i-calcium ephansi)
• i-hypercalcemia (i-calcium ephezulu)

Ngaphezu kwalokho, uketshezi lubuyiselwa kancane. Ukufakwa esikhundleni se-sodium (usawoti) nakho kungabhekwa ngokucophelela. Abantu abasengozini yezinkinga ezihlobene nenhliziyo bangadinga ukuqashwa kwenhliziyo.

Ukubuyiselwa

Ukwelulama ku-refeeding syndrome kuncike ebucayi bokungondleki ngaphambi kokuba ukudla kubuyiselwe. Ukunikezwa kabusha kungathatha izinsuku ezifika kwezili-10, bese kuthi ngemuva kwalokho kuqashwe.

Ngaphezu kwalokho, ukuvuselelwa kabusha kuvame ukuhambisana nezinye izimo ezibucayi ezidinga ukwelashwa ngasikhathi sinye.

Ukuvimbela

Ukuvimbela kubalulekile ekugwemeni izinkinga ezisongela impilo ze-refeeding syndrome.

Izimo zezempilo eziyisisekelo ezandisa ubungozi be-refeeding syndrome azihlali zivikeleka ngaso sonke isikhathi. Ochwepheshe bezokunakekelwa kwempilo bangavimbela ubunzima be-refeeding syndrome ngo:

• ukukhomba abantu abasengozini
• ukuguqula kabusha izinhlelo ngokufanele
• ukuqapha ukwelashwa

Umbono

I-Refeeding syndrome ivela lapho ukudla kwethulwa ngokushesha okukhulu ngemuva kwesikhathi sokungondleki. Ukushintshwa kwamazinga e-electrolyte kungadala izinkinga ezinkulu, kufaka phakathi ukuquleka, ukwehluleka kwenhliziyo, nama-comas. Kwezinye izimo, i-refeeding syndrome ingaba yingozi.

Abantu abangondlekile kahle basengozini. Izimo ezithile, ezifana ne-anorexia nervosa noma inkinga yokuphuza utshwala engapheli, zingakhuphula ubungozi.

Izinkinga ze-refeeding syndrome zingavinjelwa ngama-electrolyte infusions kanye nohlobo lokunciphisa kancane. Lapho abantu abasengozini betholwa kusenesikhathi, ukwelashwa kungenzeka kuphumelele.

Ukukhulisa ukuqwashisa nokusebenzisa izinhlelo zokuhlola ukuhlonza labo abasengozini yokuthola i-refeeding syndrome yizinyathelo ezilandelayo zokuthuthukisa umbono.