Abantu abane-An Ostomy noma i-J-Pouch Kuzodingeka Ukugweme Ukudambiswa Kwemvelo
Ingabe uthola ukuthi unenkinga yokuhlala i-hydrated ngenxa yezibonakaliso zezimpawu zesifo sofuba (IBD) ? I-diarrhea ingabangela ukuphelelwa amandla kwamanzi ngisho nabantu abadala abanempilo, futhi kungaba yinkinga ekhethekile uma i-IBD ibangela ukuhuda kwesifo esingavamile. Abantu abane-Crohn's disease kanye ne-ulcerative colitis ngezinye izikhathi nabo bahlinzwa ukuze baphathe isifo sabo, okungabandakanya ukususwa kwamanye noma wonke amathumbu amakhulu.
Umathumbu omkhulu lapho amanzi amaningi athola khona, futhi uma ingxenye noma konke engekho, amanzi angaphansi angase afakwe umzimba. Yingakho i-hydration iyindawo ekhethekile yokukhathazeka ngabantu abane- ileostomy noma abahlinzekiwe nge-j-pouch (i-pouch-anal-anastomosis). Ukwehla kwamanzi emzimbeni kuyimbangela enkulu yokwamukelwa esibhedlela ngemuva kokuhlinzwa kwe-ileostomy.
Umsuka Weziphuzo Zezemidlalo Nezamandla
Abantu abaningi baphendukela ezithandweni zezemidlalo njengomthombo we-hydration. Kunamaqembu ambalwa ahlukene aphuza iziphuzo ezazisetshenziselwa ukuhlinzeka nge-hydration kanye namandla. Okudumile kunawo wonke okwakusungulwa ukuba kusetshenziswe ngabagijimi abangase balahlekelwe amanzi amaningi ngokuthuthumela, ikakhulukazi ngesikhathi sezulu esishisayo. UDkt. Robert Cade waseYunivesithi yaseFlorida, ngesicelo somqeqeshi webhola webhola leyunivesithi, wahola iqembu elaqala ukuphuza isiphuzo esine-electrolyte ne-carbohydrate.
Ithimba lebhola liye laba nenkathi ephumelela kakhulu ngenkathi isebenzisa isiphuzo, namanye amakolishi aqala ukuyicela. Yiqiniso, lokhu kwakuyisiqalo seGatorade.
Ngokuhamba kwesikhathi, abakhiqizi baqala ukwengeza ezinye izithako ngeziphuzo zabo, kuhlanganise nokuvuselela njenge- caffeine , ukwenza iziphuzo zamandla. Amandla amaningi kanye neziphuzo zezemidlalo nazo ziqukethe imibala yokufakelwa kanye nokuthakazelisa.
Ingabe Imidlalo Iphuza Impendulo Yokuphelelwa Imvelo?
Kunezinto ezimbalwa mayelana neziphuzo zezemidlalo nezamandla ezenza kube yisinqumo esingaphansi kunazo zonke kubantu abane-IBD abadinga ukugcwalisa amanzi namanzi. Okokuqala ukuthi abanikeli ngempela ukuxuba okunezakhi zomzimba: iningi aliqukethe i-electrolyte eyanele. Okwesibili ukuthi ezinye izinto ziqukethe izinto ezingadingeki ukuthi zizwakale kangcono (ushukela noma ama-sweetener ), zibukeke zimibalabala (imibala yokufakelwa), futhi zinike amandla amakhulu (i-caffeine).
I-World Health Organization iye yasungula isisombululo somlomo (ORS) esisetshenziswe emhlabeni wonke, ikakhulukazi ezindaweni lapho ukuphelelwa amanzi ngokweqile kuyimbangela yokugula nokufa. Ukusebenzisa inhlanganisela ekhethekile yamanzi usawoti namanzi okuyi-rehydrate kubizwa ngokuthi i- oral rehydration therapy (ORT) , futhi isindisa izimpilo emazweni lapho isifo sohudo yisisusa esiyinhloko sokufa ezinganeni. I-ORS itholakala emazweni aseNtshonalanga kuma-pharmacy, ezitolo zokuthengiswa kwezibhedlela, futhi ngezinye izikhathi ezitolo zezemidlalo ezitolo kanye nezinkampani zokusiza zokuqala. Kukhona futhi izindlela zokupheka ze-ORS ezingenziwa ekhaya. I-ORS ivame ukungabizi imali, kepha kufanele uhlole nodokotela wakho ngaphambi kokuba usebenzise ukuthenga noma ukwenze ekhaya ukuvuselelwa kabusha.
Abantu Bangabhekana Kanjani ne-IBD?
Kufushane ukugcina ukuhlinzekwa kwe-ORS esandleni (nakuba kungewona umqondo omubi ukugcina ezinye ngezidingo zakho eziphuthumayo), abantu abanesikhwama se-j, i-ileostomy, noma i-IBD bangakwazi kanjani ukubuyela emuva ekhaya? Ngokusho kwethimba le-IBD leYunivesithi yaseMichigan, ukulungiswa kabusha kwemvelo kungcono kakhulu kwenziwe ngokuhlanganiswa kwezinto ezimbalwa abantu abaningi abane-IBD cishe kakade bakhona ekhaya. Ochwepheshe base-U of M batusa ukuthi isiphuzo sezemidlalo singumqalo nje.
Ukuletha ukuxhuma, basikisela ukudla nokuphuza izinto kule "recipe" eklanyelwe ukulingisa ORT:
- Ilitha elilodwa lokuphuza ezemidlalo
- 1/2 indebe yesobho sezinkukhu
- Enye yezinto ezilandelayo:
- 1.6 ubhanana
- 1.6 amazambane amazambane
- 1.6 i-avocade ephakathi
- 1.5 izinkomishi ze-yogurt
- 1 inkomishi yesipinashi
- Amaphilisi angu-3 1/2 we-650 mg we-sodium bicarbonate (noma amaphilisi angu-7 325 mg)
I-United Ostomy Association of America nayo inezindlela zokupheka ezitholakalayo zokufaka esikhundleni se-electrolytes namanzi. Lesi isiphuzo esenziwe esikhwameni sokuthi:
- 1 ithisipuni usawoti
- 1 ithisipuni yokupheka soda
- 1 ithisipuni emhlophe isiraphu Karo
- I-6-ounce ingaba ijusi le-orange elibandayo
- Engeza amanzi ukwenza i-quart eyodwa, uhlanganise kahle
Okufanele Ukwenze Uma Uphelelwe amandla
Amacala amancane okudambiswa kwamanzi angasetshenziswa ngokujwayelekile ekhaya. Izimo ezimbi zokuphelelwa amandla kwamanzi zingadinga ukwelashwa udokotela noma esibhedlela. Ukuze uthole ukuphelelwa amandla ngokweqile kwamanzi, ngezimpawu zokudideka, isizungu, noma ukuphelelwa amandla, shayela u-911. Uma unemibuzo eminingi mayelana nokuthi ungakugwema kanjani ukuphelelwa amanzi, noma yini okufanele udle noma uphuze uma uphelelwa amanzi, cela isidokotela sakho.
Imithombo:
I-Gatorade. "Ifa." I-Gatorade.com. 2016. 22 Jan 2016.
Messaris E, Sehgal R, Deiling S, Koltun WA, et al. "Ukukhipha amandla emzimbeni kuyisibonakaliso esivame kakhulu sokufundwa emva kokudalwa kwe-ileostomy." I-Dis Colon Rectum . 2012 Feb; 55 (2): 175-180. 22 Jan 2016.
Pasia M. " Umhlahlandlela Wokudla Nokudla ." United Ostomy Associations of America, Inc. 2011. 25 Jan 2016.
Ithimba le-IBD le-University of Michigan. "Zama ukuvuselelwa kabusha nge-Gatorade?" Ukuthunyelwa kwe-Facebook. 18 Jan 2016. 22 Jan 2016.