Ukunciphisa i-appetite kunye nokulahlekelwa kwesisindo ekupheleni koBomi
Ukunciphisa ukutya okunomdla kwaye kubangelwa ukulahleka kwesisindo kufana nezifo ezininzi ezisongela ubomi kwaye kuyimpawu yokuba ezinye izigulane zibika nje ngexinzelelo, ukuba zingekho ngaphezu kweentlungu . Izigulane ezigulayo ziyazi ukuba kufuneka zidle kodwa ngamanye amaxesha azikwazi ukuzizisela ukwenza. Kutheni oku kwenzekayo?
Unokuzibuza ukuba unokukunceda njani. Ziziphi ukutya ongazenzayo eziya kufana nesondlo?
Unokumisa njani ukulahlekelwa kwesisindo okanye ukuwuyeka?
Ngaphambi kokuba uqhubise zonke izitya ezizithandayo, usebenzise i-spatula yakho njengekrele elinamandla, kubalulekile ukuqonda ukuba kutheni le nto ilwa.
I-Anorexia neCakexia
I-Anorexia ichazwa ngokuthi "ukungabi naso okanye ukulahleka kwesidlo , okubangelwa ukungakwazi ukutya." Le nyiksiyure iyahlukileyo kuneengqondo ze-anorexia nervosa. Inokuthi ifikelele phantse zonke iindidi zobomi bokunciphisa izifo kodwa eziqhelekileyo kwiisifo zomhlaza. I-Anorexia ibangela ukulahleka kwesisindo esiyinxalenye yamanqatha kodwa kungabandakanya ukulahleka kwemisipha. Ukuba ubanjwe ekuqaleni, i-anorexia inokuphathwa kunye nokulahleka kwesisindo kuguqulwe ngokutya okunomsoco okanye ukwanda kokutya kokutya.
I-cachexia ichazwa njengombuso "wokugula jikelele kunye nokungondleki, okuphawulwe ngobuthathaka kunye nokuphazamiseka komzimba." Kuqhelekile kwii-cancer eziphambili kunye noGawulayo kunye nezinye izifo ezikhuselekileyo zokuphila njengokwenyuka kwesifo senhliziyo .
I-cachexia yenzeka kuma-80% omgulane womhlaza ngaphambi kokufa kwaye yimbangela ebalulekileyo yokufa malunga ne-20% yezi gulane.
Ngokuchasene ne-anorexia, ukulahleka kwesisindo kunye ne-cachexia akubandakanyi nje ukulahlekelwa kweoli kunye ne-muscle, kodwa kunye ne -bone mass . Ukongezelela, i-cachexia ayiphenduli ekuncediseni ukutya okunomsoco okanye ukwanda kokutya kokutya.
Ixesha lakho ootitshala bezonyango bangasebenzisa kuyo yonke imvelaphi yokulahleka kwesisindo "i-anorexia / cachexia syndrome" (ACS).
Izizathu ze-ACS
Utshintsho lweMetabolic
Kwizifo ezifana nee-cancer eziphambili kunye noGawulayo, amachiza athile abizwa ngokuba yi-cytokines akhululwa ngumzimba. Ama-cytokines abangela impendulo yokuvuvukala emzimbeni onokutshintsha indlela umzimba udibanisa ngayo izondlo.
Iimpawu zoMzimba
Iimpawu zeso sifo zingabangela ukunciphisa isondlo, ngoko ke ukulahleka kwesisindo. Izimpawu eziqhelekileyo ezinokubangela ukuba u-anorexia zibandakanye:
- Ubuhlungu
- I-Dysgeusia - utshintsho kwisinambatho, ngokuqhelekileyo kubandakanya ukuphazamiseka kwenyama
- Ageusia - ukulahlekelwa kwintle
- I-Hypersomnia - uvakalelo obunukayo, obangela ukuphazamisa ukutya
- UDysphagia - ubunzima bokugwinya ukutya
- Dyspnea - ukuphefumula okufutshane
- Isihlunu kunye / okanye ukuhlanza
- Ukutyunjwa okanye urhudo
- Okuninzi nokuninzi
Imiphumo Yecala leMida
Amachiza asetyenziswa ukunyanga izifo okanye ukwanda kwinduduzo unokufumana iziphumo ezibangelwa i-anorexia. Uninzi lweempembelelo ezifanayo zifana neempawu zomzimba ezibhalwe ngasentla.
Ukukhathazeka kwengqondo okanye yokomoya
Mayeke ukunciphisa okanye ukungawunaki ngokupheleleyo indima yengqondo, yengqondo, okanye yokomoya ingcinezelo inokudlala kwi-anorexia. Imiphumo yesifo kunye nonyango, kunye nezimpendulo zengqondo ezifana nokuxhalaba okanye ukuxinezeleka kunye nokuphendula ngokomoya njengokungathembeki, kunokubangela ukunyaniseka kokutya kunye / okanye ukungabikho kwamandla ukulungiselela nokuyidla.
Ezinye izizathu
Ezinye izimbangela ze-anorexia zingaphoswa ngokulula kodwa zingabonakala zibalulekileyo. Imizekelo ibandakanya ama-dentures angalunganga kunye nezifo zomlomo okanye isifo.
Ukunyanga i-ACS
Into yokuqala omele uyenze ukuxoxa ngxaki kunye nomongikazi wakho okanye ugqirha. Baya kukunceda uphuhlise isicwangciso sokunyamekela ukujongana nezinto ezichaphazelayo. Inkqubo iya kuba yimiba emininzi, igxininise ekulawuleni impawu, inkxaso yondlo, imithi, iinkonzo zentlalo kunye nenkxaso yokomoya. Kubalulekile ukukhumbula ukuba iindlela zokuphatha i-anorexia kunye ne-cachexia kwizifo eziphambili azisebenzi ngaso sonke isikhathi.
Ukuba kukho iziganeko zokugula ezifaka isandla ekunciphiseni isondlo kunye nokulahleka kwesisindo, ezo zifanele ziqwalaselwe kuqala. Ubuhlungu, isisonguluko, ukukhathala nokuxinezeleka yizona zinto ziqhelekileyo zibonakalisa ukunyanga. Ukuba iimpawu ziyimpembelelo yecandelo lamachiza, ugqirha wakho unokufuna ukumisa amayeza (ukuba ayimfuneko) okanye uzame enye.
Inkxaso yeZondlo
Kukho izikolo ezimbini zokucinga malunga nokutya ekupheleni kobomi: Omnye ukholelwa ukuba umntu ogulayo kufuneka asebenzise ukutya okunomsoco kwaye omnye ukholelwa ukuba umntu ogulayo kufuneka adle nantoni na ayifunayo. Abantu abaninzi baya kugxuma phakathi phakathi, banike ukutya okunomsoco kunye nokutya okufutshane kodwa bavumele ukuxoxwa kwexesha ngamanye amaxesha. Le ndlela mhlawumbi iyona ndlela isilumko. Ukuba umthandayo ulahlekelwa ngumzimba kwaye akanalo umdla ekudleni ukutya kodwa uthanda i-chocolate pudding, ndithi kumnike i-chocolate pudding!
Ezinye izilwanyana ezinomsoco kwaye ezinomsoco kakhulu zithengiswa. (Ukuqinisekisa kunye nokuphakamisa mhlawumbi kudlalwa kakhulu.) Ukongeza izongezelelo kwisondlo sakho somthandayo kunokunyusa i-calorie yayo yonke into kunye nokunceda ukulungiselela ukungabikho kokunqongophala kwesondlo.
Isondlo sokufakelwa komzimba ngesimo se-tube feedings yinkathazo engqubuzana ne-ACS. Njengoko kuphawuliwe ngasentla, xa isigulane sisigxina, ukuxhaswa kwezondlo, kubandakanywa nokutya kwetyhubhu , akuyikuguqula. Ukunyuswa kwe-Tube nakho kunokuba nemiphumo emibi okanye yingozi kwaye kaninzi kwandisa ukugula komguli.
Mayeza
Amachiza amaninzi anokunceda izigulane nge-ACS zandisa ukondla kwazo kwaye zenze isisindo. Eziqhelekileyo ziquka i-megestrol (Megace), i-steroids njenge-dexamethasone (i-Decadron), i-cannabinoids (i-Marijuana) kunye ne-Metoclopramide (Reglan). Buza ugqirha wakho omthandayo ukuba nayiphi na le mayeza angakunceda. Oogqirha baya kuthi bazama enye okanye ngaphezulu kwala mayeza ngexesha kwaye bayeke xa bengasebenzi. Kubalulekile ukuba uqaphele apha ukuba indlela yokutshaya i-marijuana isemthethweni.
Inkxaso Yengqondo Nengokomoya
Ukuxhalabisa, ukuxinezeleka, iintsapho ezixinzelelekileyo kunye nezinye izinto ezinokwenyama nezingokomoya zingabangela i-ACS. Ukunciphisa ukutya okunokuthi kunokukhokelela kwisigulo sengqondo esisodwa esithandwa ngumntu omthandayo njengokutya ngamaxesha ekuhlaleni. Umsebenzi wezentlalo-ntsapho (MSW), umfundisi, okanye u-psychotherapist unokukwazi ukunceda wakho umthandayo usebenze ngeemvakalelo ezinjalo.
Yintoni Ongayenza Ukuze Ukuncede?
Ngezinto ezininzi ezinokuba negalelo ekunciphiseni isondlo, ungase ufumane ukutshatyalaliswa kakade. Nangona kubalulekile ukukhumbula ukuba imizamo yakho ekunyuseni isondlo ayinakusebenza, kubaluleke ngokulinganayo ukuba ungalilahli ithemba. Funda "iindlela ezi-7 zokutya ukutya" malunga neengcebiso kunye neengcinga zokuvuselela ukuthanda ukutya. Ukusebenzisana kunye nomboneleli wakho wezempilo uya kubonisa indlela ephumelelayo yokuhlangula ukutya okufayo.
> Imithombo:
> Ferrell BR, uCoyle N. Iincwadi zeNcwadana yoLondolozo lwePalliative, Edition 2. Oxford Press, ngo-2006.
> Kinzbrunner BM, Weinreb NJ, i-Policzer JS. 20 Iingxaki eziqhelekileyo: Ukuphela koKhathalelo loBomi. McGraw-Hill, 2002.