Ukunciphisa Ukudla kwesidlo kanye nokulahlekelwa kwesisindo ekupheleni kokuphila
Ukunciphisa ukudla futhi kubangelwa ukulahleka kwesisindo kuvamile ngezifo eziningi ezisongela impilo futhi kuyisimo abanye abagulayo abakushoyo njengokucindezela, noma okungaphezu kwalokho okubuhlungu . Iziguli ezigulayo ziyazi ukuthi zidinga ukudla kodwa ngezinye izikhathi azikwazi ukuziletha ukuzenza. Kungani lokhu kwenzeka?
Ungase uzithole uzibuza ukuthi ungasiza kanjani. Yikuphi ukudla ongayenza okuzokwenza kube lula ukudla?
Ungayeka kanjani ukulahlekelwa isisindo noma ukuwuguqula?
Ngaphambi kokuba uhlabe izitsha zakho ezithandayo kakhulu, usebenzisa i-spatula yakho njengenkemba enamandla, kubalulekile ukuqonda ukuthi kungani le mpi iqhubeka.
I-Anorexia ngokumelene ne-Cachexia
I-anorexia ichazwa ngokuthi "ukungabi namandla noma ukulahleka kwesifiso , okubangelwa ukungakwazi ukudla." Le-anorexia ihlukile kunesifo sengqondo i-anorexia nervosa. Kungenzeka cishe cishe zonke izinhlobo zokugula okulinganiselwe ukuphila kodwa kuvame kakhulu ezincelweni zomdlavuza eziphakeme. I-Anorexia ibangela ukulahlekelwa kwesisindo okuyinhloko yamafutha kodwa kungafaka ukulahleka kwemisipha. Uma kubanjwa kusenesikhathi, i-anorexia ingase iphathwe futhi isisindo sokulahlekelwa isisindo sishintshe ngezingxenye zokudla okunomsoco noma ukwandiswa kokudla.
I-cachexia ichazwa njengesizwe "sokugula okuvamile nokuntuleka kokudla okunomsoco, okuphawulwe obuthakathaka kanye nokuphazamiseka." Kubuye kuvame kakhulu emdlalweni wegciwane lesandulela ngculaza kanye ne-AIDS kanye nezinye izifo ezithintekayo zokuphila okufana nokuhluleka kwenhliziyo .
I-cachexia ivela ezingaphezu kuka-80% zeziguli zomdlavuza ngaphambi kokufa futhi iyimbangela enkulu yokufa kuma-20% alawa gciwane.
Ngokuphambene ne-anorexia, ukulahlekelwa isisindo ne-cachexia akuhileleki ekulahlekelweni kwamanoni nesisindo kuphela, kodwa futhi nesifo samathambo . Ukwengeza, i-cachexia ayiphenduli ukwesekwa kokudla okunomsoco noma ukusetshenziswa kokwandiswa kokudla.
Igama elithi ochwepheshe bezokwelapha abangase basebenzise noma yimuphi umthombo wokulahlekelwa isisindo "i-anorexia / cachexia syndrome" (ACS).
Izimbangela ze-ACS
Izinguquko zeMetabolic
Eziguleni ezifana ne-cancer ephakeme ne-AIDS, umzimba ukhululeka ngamakhemikhali athile okuthiwa i-cytokines. Ama-cytokines adala impendulo yokuvuvukala emzimbeni ongashintsha indlela umzimba ulungisa ngayo izakhi.
Izimpawu zomzimba
Izimpawu zalesi sifo zingabangela ukuncipha kwesifiso, ngakho-ke ukulahleka kwesisindo. Izimpawu ezivamile ezingabangela i-anorexia zihlanganisa:
- Ubuhlungu
- I-Dysgeusia - ushintsho lokunambitha, ngokuvamile kuhlanganisa ukuphikiswa kwenyama
- Ageusia - ukulahlekelwa ukunambitheka
- I-Hypersomnia - ukuzwela ukuphunga, ngokuvamile kubangela ukuphazamiseka kokudla
- I-Dysphagia - kunzima ukugwinya ukudla
- Dyspnea - ukuphefumula
- I-nausea kanye / noma ukuhlanza
- Ukuqokwa noma isifo sohudo
- Nokunye okuningi
Imithwalo Yemizila Yomuthi
Imithi esetshenziselwa ukwelapha izifo noma ukwandisa induduzo ingaba nemiphumela emibi edala i-anorexia. Iminingi yemiphumela emibi ifana nempawu ezibonakalayo ngenhla.
Ukucindezeleka kwengqondo noma ngokomoya
Masiqede noma singanaki ngokuphelele indima yokucindezeleka ngokomzwelo, kwengqondo, noma ngokomoya engadlala ku-anorexia. Imiphumela yokugula kanye nokwelapha, kanye nezimpendulo zengqondo ezifana nokukhathazeka noma ukucindezeleka nokuphendula okungokomoya njengokungathembeki, kungabangela intshiseko yokunciphisa ukudla kanye / noma ukuntuleka kwamandla ukulungiselela nokuwudla.
Ezinye Izimbangela
Ezinye izimbangela ze-anorexia zingabhekwa kalula kodwa zingabonakala ziphawulekayo. Izibonelo zibandakanya amazinyo angalungile kanye nezifo zomlomo noma isifo.
Ukwelapha i-ACS
Into yokuqala okufanele uyenze ukuxoxa ngenkinga nomhlengikazi wakho noma udokotela. Zizokusiza ukuba uhlakulele uhlelo lokunakekelwa ukubhekana nezici ezinikelayo. Le ndlela ivame ukuhlukahluka, igxile ekuphathweni kwezimpawu, ukusekelwa okunomsoco, imithi, izinsizakalo zenhlalakahle kanye nokusekelwa okungokomoya. Kubalulekile ukukhumbula ukuthi izindlela zokwelapha i-anorexia ne-cachexia ezifweni eziphambili azisebenzi ngaso sonke isikhathi.
Uma kunezibonakaliso zokugula ezifaka isandla ekunciphiseni ukudla kanye nokulahleka kwesisindo, lezo kufanele zibhekiswe kuqala. Ubuhlungu, isicashu, ukukhathala nokucindezeleka yizona zimpawu ezivame kakhulu zokuvimbela i-anorexia futhi ngokuvamile zilula ukuzophatha. Uma izimpawu ziyimiphumela emibi yemithi, udokotela wakho angase afune ukumisa imithi (uma kungadingekile) noma uzame okuhlukile.
Ukusekelwa Kwezomsoco
Kunezikole ezimbili zokucabanga mayelana nokudla ekupheleni kokuphila: Omunye ukholwa ukuthi umuntu ogulayo kumele abe kuphela ukudla ukudla okunomsoco futhi omunye ukholelwa ukuthi umuntu ogulayo kufanele adle noma yini ayifunayo. Abantu abaningi bazohamba phakathi phakathi, banikeze ukudla okunomsoco kanye nokudla okulula kodwa bavumele ukuzithokozisa ngezikhathi ezithile. Lokhu cishe kuyindlela ehlakaniphile kunazo zonke. Uma othandekayo wakho elula futhi engenandaba nokudla kodwa uthanda i-chocolate pudding, ngithi umnike i-chocolate pudding!
Ezinye izithako ezinomsoco futhi ezinomsoco ngempela zisemakethe. (Ukuqinisekisa nokukhuphula cishe kuyithandwa kakhulu.) Ukwengeza izithako ekudleni komuntu oyithandayo kungandisa ukondla kwekhalori lakho lonke futhi kusize ukwenza noma yikuphi ukuphuluka kokudla okunomsoco.
Ukudla okunomsoco ngendlela ye-tube feedings kuyindlela yokuphikisana kwe-ACS. Njengoba kuphawuliwe ngenhla, uma isiguli singumlutha wegazi, ukwesekwa kokudla okunomsoco, kuhlanganise nokudla kwe- tube , akuyikuguqula. Ukondliwa kwe-Tube nakho kungaba nemiphumela emibi noma eyingozi futhi kuvame ukukhulisa ukukhathazeka kwesiguli esifa.
Imithi
Imithi eminingi ingasiza iziguli ezine-ACS zanda ukondla kwazo futhi zithole isisindo. Izinto ezivamile zihlanganisa i-megestrol (i-Megace), i-steroids njenge-dexamethasone (i-Decadron), i-cannabinoids (i-Marijuana), ne-Metoclopramide (Reglan). Buza udokotela wakho othandekayo uma noma iyiphi yale mithi ingasiza. Odokotela ngokuvamile bazama eyodwa noma ngaphezulu yale mithi isikhathi futhi bayishiye uma bengasebenzi. Kubalulekile ukuphawula lapha ukuthi indlela yokubhema inambuzane isemthethweni.
Ukusekelwa Kwengqondo Nezingokomoya
Ukukhathazeka, ukucindezeleka, ukucindezeleka komndeni, nezinye izinto ezingokomzwelo nezingokomoya zingase zibe nomthelela ku-ACS. Ukwehlisa isifiso kungase kuholele ekubeni nesiguli esithandana nomuntu othandekayo njengokudla izikhathi zokuzijabulisa. Isisebenzi sezenhlalakahle wezokwelapha (MSW), umfundisi wezemfundo, noma isazi se-psychotherapist angakwazi ukusiza othandekayo wakho asebenze ngemizwa enjalo.
Yini Ongayenza Ukuze Usize?
Njengoba kunezici eziningi ezingabangela ekudleni okuncipha, ungase uzithole uzizwa unqobile kakade. Yize kubalulekile ukukhumbula ukuthi imizamo yakho ekukhuliseni isifiso ngeke isebenze, kubalulekile ngokulinganayo ukuba ungalahli ithemba. Funda "Izindlela Ezingu-7 Zokugqoka Isifiso" for amathiphu namasu ukukhuthaza ukunciphisa ukudla. Ukusebenza kanye nomhlinzeki wakho wezempilo uzobonisa indlela ephumelela kakhulu yokukhulula ukudla okufisa.
> Imithombo:
> Ferrell BR, Coyle N. Umbhalo Wezincwadi Zokuhlengikazi Nge-Palliative, Edition 2. Oxford Press, 2006.
> Kinzbrunner BM, Weinreb NJ, i-Policzer JS. Izinkinga ezivamile: Ukuphela kokuKhathalela impilo. McGraw-Hill, 2002.