Kupera kweAppetite uye Kurasikirwa Kweutoro paMugumo weUpenyu
Kuderedza kudya kudya uye kunokonzera kurasikirwa kwemaziwi kunowanzoonekwa nehutano hwehupenyu hwehupenyu huzhinji uye chiratidzo chevamwe varwere vanorondedzera sechinhu chinotambudza, kana kwete kudarika marwadzo . Varwere vanorwara vanoziva kuti vanoda kudya asi dzimwe nguva havagoni kuzviunza kuzviita. Nei izvi zvichiitika?
Unogona kuzviwana uchishamisika kuti ungabatsira sei. Ndezvipi zvekudya zvaungaita izvo zvichaita kuti chido chako chiwedzere?
Iwe unogona sei kumira kukanganiswa kwemahombekombe kana kuitorazve?
Iwe usati warova mumwe nomumwe wezvokudya zvako zvaunoda, achishandisa spatula yako semunondo une simba, zvinokosha kunzwisisa kuti sei hondo iyi iri kutoitika.
Anorexia vs. Cachexia
Anorexia inotsanangurwa se "kushayikwa kana kurasikirwa kwechido , zvichikonzera kusakwanisa kudya." Iyi anorexia yakasiyana nechirwere chepfungwa anorexia nervosa. Izvo zvinogona kuitika pamwe nevemarudzi ose ehupenyu-hutachiona hutano asi hunojairika mune hutachiona hwepamusoro. Anorexia inoguma mukurasikirwa kwemazivi ayo ari kunyanya kwemafuta asi kunogona kusanganisira kurasikirwa kwemasumbu. Kana akabatwa mangwanani-ngwanani, anorexia inogona kurapwa uye kurasikirwa kwekureruka kunopindurwa nehuwandu hwezvokudya kana kuwedzerwa kushandiswa kwezvokudya.
Cachexia inotsanangurwa sehurumende ye "hutano hwehutano nekushaya zvokudya zvinovaka muviri, zvinoratidzika neutera uye kushaya simba." Izvo zvinowanzojairika mumakondomu akakwirira uye AIDS pamwe chete nezvimwe zvirwere zvakakosha zvehupenyu zvakadai sepfestive heart failure .
Cachexia inowanikwa muzana rinopfuura 80% yekenza varwere vasati vafa uye ndiyo inonyanya kukonzera rufu mune vanenge 20 muzana yevarwere ava.
Kusiyana neanorexia, kuora kwekurema ne cachexia hakurevi kungorasikirwa kwemafuta nemasumbu, asiwo wepafu mashoma . Uyezve, cachexia haina kupindura kuwedzerwa kwezvokudya kana kuwedzerwa kushandiswa kwezvokudya.
Izwi iro vashandi vako vezvehutano vangashandisa kune imwe nzvimbo yekurasikirwa kwemahombekedzo i "anorexia / cachexia syndrome" (ACS).
Zvinokonzera ACS
Kuchinja Kwemagetsi
Muzvirwere zvakadai sepamusoro pekenza uye AIDS, mamwe makemikari anonzi cytokines anosunungurwa nemuviri. I-cytokines inokonzera kupisa kwemuviri mukati memuviri kunogona kugadzirisa kuti muviri unoshandisa sei mishonga.
Zviratidzo Zvepanyama
Zviratidzo zvechirwere zvinogona kukonzera kuderera kwechido uye nokudaro kuora muviri. Zviratidzo zvinowanzoitika zvinogona kukonzera anorexia dzinosanganisira:
- Pain
- Dysgeusia - kuchinja mukuravira, kazhinji kunosanganisira kuvhiringidza nyama
- Ageusia - kurasikirwa kwevira
- Hypersomnia - senzwisiso kunhuwirira, kazhinji zvichikonzera kuvharwa kwezvokudya
- Dysphagia - kunetseka kuedza kudya
- Dyspnea - kupera kwekufema
- Nausea uye / kana kurutsa
- Kuvhara kana kubuda
- Mamwe akawanda
Mishonga Pamwe Mhinduro
Mishonga inoshandiswa kurapa zvirwere kana kukura nyaradzo inogona kuva nemigumisiro inokonzera kukonzera anorexia. Zvizhinji zvemigumisiro yakafanana zvakafanana nezviratidzo zvepanyama zvakanyorwa pamusoro apa.
Zvinetso zvepfungwa kana zvekunamata
Ngatisapedze kana kuregeredza zvachose basa repfungwa, repfungwa, kana remweya rinogona kutamba mu anorexia. Migumisiro yechirwere uye kurapwa, pamwe nemhinduro dzepfungwa dzakadai sekuzvidya mwoyo kana kuora mwoyo uye kugadzikana kwemweya sekusava netariro, kunogona kukonzera kuderera kuderera kwezvokudya uye / kana kushaya simba kugadzirira nekuidya.
Zvimwe Zvinokonzera
Zvimwe zvinokonzera anorexia zvinogona kushaikwa nyore asi zvinogona kuva zvakakosha. Mienzaniso inosanganisira kushaya mazino asingakodzeri uye zvirwere zvemukanwa kana nheyo.
Kurapa ACS
Chinhu chokutanga chaunofanira kuita ndokurukura dambudziko nemureri wako kana chiremba. Ichakubatsira iwe kusimbisa hurongwa hwekutarisira kutarisa zvipo zvinopa. Nzira iyi inowanzove yakasiyana-siyana, inotarisa zviratidzo zvekutarisa, kutsigirwa kwezvokudya, mishonga, rubatsiro rwemagariro evanhu, uye kutsigirwa kwemweya. Zvakakosha kuyeuka kuti nzira dzekurapa anorexia uye cachexia mune zvirwere zvakanyanya hazviwanzoshanda.
Kana pane zviratidzo zvekurwara izvo zviri kuita kuti kuderedza kudya uye kuora kurasikirwa, izvo zvinofanira kutarirwa kutanga. Njodzi, kusuruvara, kuneta uye kuora mwoyo ndiyo inowanzoita anorexia-inoita zviratidzo uye inowanzova nyore kubata. Kana zviratidzo zvikava nemigumisiro yechirwere yemishonga, chiremba wako angada kumira mishonga (kana isingafaniri) kana edza imwe yakasiyana.
Nutritional Support
Pane zvikoro zviviri zvekufunga nezvekudya kusvika kumagumo ehupenyu: Mumwe anotenda kuti munhu anorwara anofanira kunge achingodya kudya kwekudya zvakasvibirira uye mumwe anotenda kuti munhu anorwara anofanira kudya chero chaanoda. Vanhu vazhinji vachamira pakati nepakati, vachipa zvokudya zvinovaka muviri uye zvokudya zvinonaka asi vachibvumira kuregererwa kwenguva nenguva. Izvi zvichida ndiyo nzira inonyanya kuchenjera. Kana mudiwa wako achirasikirwa uye asina chido chokudya kudya asi anoda chocolate pudding, ndinoti mupe chocolate pudding!
Zvimwe zvinonaka zvinonaka uye zvine utano zvakanyanya zviri pamusika. (Kuziva uye Kuwedzera zvinogona kunge zvakanyanya kufanirwa.) Kuwedzera kuwedzera kwezvokudya zvemudiwa wako kunogona kuwedzera huwandu hwake hwekoriyamu kunobatsira uye kunobatsira kuita chero upi zvake hwehutano hwekudya.
Chirongwa chekuita chimiro chemukati we tube tubeings inokonzera kukanganisa kweAACS. Sezvakataurwa pamusoro apa, kana murwere ari cachexic, kuwedzerwa kwezvokudya, kunosanganisira kufudza chikwata, hachigadziri. Tube feedings inogonawo kuva nemigumisiro yakaipa kana ine ngozi uye inowedzera kuora mwoyo kwomurwere anenge afa.
Mishonga
Mishonga yakawanda inogona kubatsira varwere vane ACS kuwedzera kudya kwavo uye kuwedzera kuwanda. Zvinowanzobatanidza megestrol (Megace), steroids se dexamethasone (Decadron), zvinogona kuwanikwa (Marijuana), uye Metoclopramide (Reglan). Kumbira chiremba wako waunoda kana imwe yemishonga iyi inogona kubatsira. Vanachiremba vachawanzoedza imwe kana akawanda emishonga iyi kwekanguva uye kuvasiya kana vasina kukwana. Zvakakosha kucherechedza pano kuti utsi hwehuputi hunoramba huri pamutemo.
Kushushikana Kwepfungwa uye Kwemweya
Kuzvidya mwoyo, kuora mwoyo, kushungurudzika kwemhuri, uye zvimwe zvinhu zvepfungwa uye zvepamweya zvinogona kubatsira ku ACS. Kuderedza kudya mwoyo kunogonawo kutungamirira kune murwere anonzwa ari oga kubva kune waanoda sekudya nguva dzekushamwaridzana. Mumwe mushandi wehutano wehutano (MSW), mufundisi, kana chiremba wepfungwa anogona kukwanisa kubatsira mudiwa wako kushanda nemanzwiro akadaro.
Chii Chaungaita Kukubatsira?
Nezvinhu zvakawanda zvakadai zvinogona kuita kuti ude kuderera, unogona kuzviona uchinzwa wakundwa kare. Kunyange zvazvo zvakakosha kuramba uchifunga mupfungwa dzako kuti kuedza kwako pakuwedzera chido kunogona kusashanda, zvakafanana zvakakosha kuti usarega tariro. Verenga "7 Nzira dzeGorota Chikafu" nekuda kwemashoko nemaitiro ekukurudzira kuderedza kudya. Kushanda pamwe chete nemutarisiri wako wehutano ucharatidza nzira yakanakisisa yekurwira chido chinopera.
> Sources:
> Ferrell BR, Coyle N. Bhuku reMurau wePalliative, 2nd Edition. Oxford Press, 2006.
> Kinzbrunner BM, Weinreb NJ, Policzer JS. 20 Matambudziko Anowanzo: Kuguma kweHupenyu Care. McGraw-Hill, 2002.