Kutarisana Nokushayiwa Kwokudya Nekenza
Kurasika kwechido, kunonzi navanachiremba seanorexia, chiratidzo chinowanzoitwa panguva yekurapa kenza yemapapu (anorexia yakasiyana nedambudziko rekudya anorexia nervosa, chirwere chepfungwa umo varwere vane nzara ivo pachavo). Chii chinokonzera anorexia, inoshandiswa sei, uye chii chaungaita kuti utarame, kuti uve nechokwadi chokuti uri kuwana chikafu chaunoda?
Overview
Zvinhu zvakawanda zvinogona kuderedza kudya kwako panguva yekurapa kenza. Izvi zvinosanganisira zviratidzo zvine chokuita nekenza, migumisiro yechirwere, uye muviri wako kupindura kenza.
Vanhu vazhinji vane kenza yakakura vane imwe yero yeanorexia. Kuderedza chikafu nekuda kwekuda kwekudya kunogona kutungamirira kukurasikirwa, kushaya zvokudya zvinovaka muviri, kurasikirwa kwemaviri, uye kuparadza ( cachexia ). Kuziva zvinokonzerwa nekudya kwakashata pamagariro ekurapa, oncologists vari kuramba achitaura nezvechikamu chekudya kwakakwana muvanorwara chekenza. Kutsigirwa kwehutano kwakaratidzwa kunoguma:
- Zvishomanana zvirwere pashure pokuvhiyiwa
- Kurapa kwakanakisisa kwezviratidzo zvine chokuita nekenza
- Shorter hospitals stays
- Kubwinya kukuru kwevanopukunyuka nekenza kubvumira kurapa
- Zviri nani kunyanya kugadzirisa kurapwa
- Kuvandudzwa kwehupenyu hwevaya vanorarama nekenza
Mishonga
Tsanangudzo dzinoverengeka dzokurapa dzinowanikwa kuti dzibatsire nechido, uyewo rubatsire kuchengeta uremu hwako panguva yekurapa kenza.
Zvimwe zvezvi zvinosanganisira:
1. Nutritional assessment / counseling - Vakawanda vanorwara nekenza vanopa mazano ekupa muviri uye kutsigirwa kune avo vanorarama nekenza.
2. Kurapwa kwechikonzero chinokonzera - Zvimwe zviratidzo zvine chokuita nekenza kana kurapwa zvinogona kuwedzera pakushaya chido. Zvakakosha kugovera chimwe chezviratidzo izvi newe oncologist kuitira kuti vagone kutaridzirwa:
- Makuvara emuromo
- Rambai kuchinja
- Kuneta
- Kuora mwoyo
- Nausea kana kurutsa
- Dambudziko rokuedza (dysphagia)
- Kupfupika kwemhepo
- Pain
- Mishonga - Mimwe mishonga (yakadai semishonga inorwadza) inogona kukanganisa kudya uye inogona kudiwa kuchinjwa, kana kuti kuwedzerwa kuwedzerwa
3. Zvigadzirwa - Vamwe veoncologist vachakurudzira kudya kunovaka muviri kuti kuwedzere marori ako
4. Mishonga - Chiremba wako anokwanisa kukurudzira mishonga yekukurudzira chido chako, kana kubatsira nekufambisa kuburikidza nekudya kwako. Mimwe mishonga iyi inoshandiswa kuwedzera chido panguva yekurapwa kwekenza inosanganisira:
- Steroid dzakadai seCadadron (dexamethasone)
- Megace (megestrol)
- Reglan (metoclopramide)
- Cannabinoids (marijuana yezvechirwere)
5. Zvokudya zvinovaka muviri - Chikafu chekugadzira chibereko chinosanganisira Inal nutrition (tube feed), kana kuti kudya parenteral (michero inowanikwa mumuviri kuburikidza nekatetereni mumhino mushure kana muchifuva) - Chiremba wako anogona kukurukura nenzira idzi kana iwe usingagoni idya nekuda kwekumedza matambudziko kana mamwe matambudziko.
6. Kurapa kwakabvumirana - Kurapa / mamwe maitiro ekurapa (zvakadai semishonga inowedzera uye kufungisisa) ari kutaridzirwa nokuda kwebasa ravo mukubatsira nechishuwo muvanopukunyuka kenza.
Kutsungirira
Kanzira kurapwa kwete kungoita kuderedza chido, asi unogona kukurumidza zvakakwana kana uchidya. Mazano mashomanana anogona kukubatsira kuti uwedzere makoriro ako paunenge usina kunzwa uine nzara:
- Idya zvikamu zviduku kakawanda panzvimbo pekudya 3 kwemazuva ose
- Ita kuti nzvimbo yako ive yakanaka. Dya nemhuri uye neshamwari. Tamba mimhanzi. Shandisa magetsi anonzwa akasununguka
- Chiedza chekuedza dzimwe nguva chinokurudzira chido. Kumbira oncologist yako nekuda kwekukurudzira
- Idya zvekudya zvinovaka muviri zvakakosha mumakirori uye mapuroteni - Zvisarudzo zvakanaka zvinosanganisira nuts, jisi uye crackers, ice cream, peanut butter, uye puddings
- Iva nezvokudya pane zvaunofarira uye zviri nyore kugadzirira
- Tsvaga zvokudya zvinonzwisisika kudya kana uine maronda mumuromo kana kutora kuchinja
- Inwa mvura mukati mekudya kuti usapedze kuzadza zvakanyanya
- Kuneta ndechimwe chinhu chikuru chevanorarama nekenza pavanenge vachibika - Gamuchira chido chemudiwa wako kuuya nechingwa, kusungira zvakasara kune imwe kudya, uye bvunza shamwari dzako kana vachifunga kugadzirira kudya zvisati zvaitika kuti iwe unogona kushanyira nokukurumidza dinner
- Idya pose paunonzwa uine nzara
- Edza kudya zvakasiyana-siyana - Dzimwe nguva kuchinja muitiro kunogona kuita kuti zvokudya zviwedzere "zvinonakidza" uye kuedza
Nguva Yokudaidza Chiremba
Iva nechokwadi chekuti chiremba wako arambe achivandudzwa pane zvaunoda, pamwe chete nechinhu chipi zvacho chinopesana nekukwanisa kwako kudya. Dana pakati pekushanyira kana iwe:
- Haakwanisi kudya kwemaawa makumi maviri nemaviri (nokukurumidza kana iwe usingakwanisi kumedza mvura)
- Iva nematambudziko ekumedza, kana kana kudya kuchirwadza zvakanyanya
- Ita marwadzo emimba
- Dzorera 5 pounds kana kupfuura
- Kana iwe uchicherechedza chero zviratidzo zvekudzikisa mvura zvakadai sekurasikirwa kweganda rehuzha, simba rinopisa murini, kana kuti hausi kurota sezvinowanzoitwa sekugara
Shoko kubva
Kurasikirwa kwechido ndechimwe chezvinetso zvinowanzoitika pakati pevaya vanenge vachirapa yemukenza wemapapu. Pane zvinhu zvakawanda unofanira kuziva kana izvi zvinzwika sewe. Kurasikirwa kwechido kunopfuura kungovhiringidza. Inogona kupindira nemishonga, asiwo inokonzera njodzi yekufa nguva isati yakwana nekenza. Asi iwe hausi woga uye pane zvinhu zvinogona kuva chimwe chete. Kumbira oncologist yako kuti utumire kune unyanzvi hwezvokudya anonyanya kugadzirisa vanhu vane kenza. Kusiyana nehuwandu hwehuwandu hwekudya, vanhu ava vanonyatsoziva mavara emukenza uye vanogona kunge vane mazano akanaka kwazvo ekuwedzera chido chenyu, kuwedzera yako caloric kudya, kana zvose zviri zviviri.
Semhedziso yekupedzisira, vadikanwa veavo vane kenza vanowanzotambudzwa nemanzwiro akaipa ekusava nesimba. Kuisa pfungwa yako pakuwana zvokudya zvinonaka, zvekudya, ndeimwe nzira iyo iwe mose munogona kuratidza rudo rwenyu, uye mubatsire mudiwa wenyu kutsungirira izvi zvinopfuura zvinoshungurudza rutivi rwechikamu chekenza.
Sources:
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Dy, S. et al. Uchapupu-Hwakagadziriswa Kurwisa Kuneta, Anorexia, Kuora Mwoyo, uye Dyspnea. Nyaya yeCliniki Oncology . 2008. 26 (23): 3886-95.
Marin Caro, M. et al. Migumisiro yezvokudya zvinoenderana nehutano hwehupenyu munguva yekenza. Ikozvino Mafungiro muChichi Nechirongwa uye Kuchengetedza Kwemagetsi . 2007. 10 (4): 480-7.
National Cancer Institute. Chikafu muCcercer Care (PDQ) - Mwoyo Murefu. Updated 01/08/16.
Van Cusem, E. naJ Arends. Zvinokonzera Nemigumisiro yeKenza-Yakabatana Kudya Kwezvokudya. European Journal of Oncology Nursing . 2005. 9 Batsira 2: S51-63.