Ukulahlekelwa Ukulangazelela Ukudla: Izimbangela, Izimpawu Ezihambisanayo, Ukuxilongwa, Ukwelashwa Nezindlela Zokwelapha

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Ukuphelelwa isifiso sokudla kuyinto ethile eyenzekayo lapho unesifiso esinciphile sokudla. Ukwehla kwesifiso sokudla kubizwa ngokuthi yi-anorexia, lapho izimo ezahlukahlukene zingadala ukungathandi ukudla. Izimbangela ezibhebhetheka kakhulu zokulahlekelwa isifiso sokudla ziye zaxhunyaniswa nezifo zomzimba nezengqondo ^[1] .

Lapho umuntu eba nokulahlekelwa isifiso sokudla, izimpawu ezihambisanayo ezifana nokungondleki nokuncipha kwesisindo nazo ziyabonakala ^[okubili] . Ukuntuleka kokwelashwa kungaholela ezimweni ezikhuphukela ezinkingeni ezinkulu zempilo, kuqaphele ukuthi ukwelashwa okufika ngesikhathi kubalulekile.

Izimbangela Zokulahleka Kokulangazelela

Ukwehla kwesifiso kungaba umphumela wezizathu eziningana. Ezimweni eziningi, ukuthanda komuntu kuzobuyela kokujwayelekile lapho isimo sezimbangela siphathwa. Kungabangelwa ukutheleleka kwefungal, bacteria kanye ne-virus, njengokulandelayo ^[3] :

• I-Meningitis
• I-Colitis
• Inyumoniya
• Umkhuhlane wesisu
• Ukutheleleka okuphezulu okuphefumulayo
• Ukutheleleka kwesikhumba
• I-Acid reflux
• Ubuthi bokudla
• Ukuqunjelwa
• Kuyabanda
• Umkhuhlane
• Izifo zokuphefumula
• Ukungezwani komzimba
• Izinkinga zokugaya ukudla
• Ukungalingani kweHormonal

Izimbangela zengqondo : Ngaphandle kwezizathu ezibalulwe ngenhla, ukulahleka kwesifiso nakho kungadalwa ngenxa yezinkinga ezingokwengqondo ^[4] . Izifundo ezahlukahlukene zihlobanise ukulahleka kwesifiso nemizwa kubantu abadala. Isifiso sakho sokudla singancipha uma udabukile, udabukile, ukhathazekile noma ucindezelekile. Ezinye izifundo zixhumanisa ukucindezeleka nokudinwa nokulahlekelwa isifiso sokudla.

Ukuphazamiseka kokudla, njenge-anorexia nervosa kuyimbangela enkulu yokwehla kwesifiso sokudla, lapho umuntu othintekayo ezohlola izindlela zokwehlisa isisindo ngamandla ^[5] . Abantu abahlushwa i-anorexia nervosa bahlukunyezwa ngokucabanga okungamanga kokuthi bakhuluphele ngokweqile noma bakhuluphele ngokweqile, okubenza balahlekelwe yintshisekelo yokudla ukudla, okuholele ekungondlekeni kahle.

Izimo zezokwelapha : Ezinye izimo zezokwelapha ezifana nesifo esingalapheki sesibindi, ukwehluleka kwezinso, ukwehluleka kwenhliziyo, isifo sokusha kwesibindi, i-HIV, ukuwohloka komqondo kanye ne-hypothyroidism nakho kungaholela ekulahlekelweni isifiso sokudla. Ngaphandle kwalokhu, umdlavuza ubuye ube yimbangela enkulu yokwehla kwesifiso sokudla, ikakhulukazi uma umdlavuza uthinte ikoloni, isisu, amanyikwe kanye namaqanda akho ^{[6] [7]} .

Imithi ethile : Amanye ama-antibiotics, i-morphine kanye ne-chemotherapy izidakamizwa kungadala ukulahlekelwa isifiso sokudla. Ngaphandle kwalokho, nezidakamizwa ezingekho emthethweni ezifana ne-cocaine, i-heroin ne-amphetamine nazo zinomthelela ^[8] .

Ngaphezu kwakho konke lokhu okushiwo ngenhla, ukukhulelwa nakho kungadala ukulahleka kwesifiso phakathi ne-trimester yokuqala. Ukuphelelwa isifiso sokudla kungabuye kuvame kakhulu kubantu abadala, ngenxa yokusebenzisa imithi njalo kanye nezinguquko emzimbeni njengoba zikhula zingathinta uhlelo lokugaya ukudla, amahomoni nomuzwa wephunga noma ukunambitha ^[9] .

Izimpawu Ezihlanganisiwe Zokulahleka Kokulangazelela

Kanye nokulahlekelwa isifiso sokudla, abantu bangathola lezi zimpawu ezilandelayo ^[10] :

• Ubuhlungu besisu
• Isilungulela
• Ukuzizwa ugcwele ngokushesha
• Ukuphuzi kwesikhumba noma kwamehlo
• Igazi ezitulweni

Ukuxilongwa Kokulahlekelwa Ukudla

Udokotela uzohlola izimpawu bese ehlaziya imbangela. Udokotela angahlola isisu somuntu ngokuzwa ngesandla sakhe noma ikuphi ukuqunjelwa, izigaxa, noma isisa, ngalokho abheke ukuthi kukhona yini ukuphazamiseka kwamathumbu.

Ungaqondiswa ukuthi wenze lezi zivivinyo ezilandelayo ^{[ishumi nanye]} :

• Ukuhlolwa kwegazi
• I-CT scan yekhanda lakho, isifuba, isisu, noma i-pelvis
• I-X-ray yesisu
• I-Endoscopy
• Ukuhlolwa kwesibindi, i-thyroid nokusebenza kwezinso
• Uchungechunge oluphezulu lwe-GI, olufaka ama-X-ray ahlola umphimbo, isisu namathumbu akho amancane

Ukwelashwa Ngokulahlekelwa Ukudla

Ukunakekelwa kwezokwelapha nokunakwa kokulahlekelwa isifiso sokudla kuzoya ngesizathu sakho. Uma imbangela iyi-virus noma ibhaktheriya, asikho isidingo sokuthola noma yikuphi ukwelashwa okuthile ngoba ukutheleleka kuzophela ngesikhathi futhi isifiso sakho sokudla sizobuyela kokujwayelekile uma ukutheleleka kwakho sekuphulukisiwe ^[12] .

Udokotela angahle anikeze imishanguzo ethile ukusiza ukukhulisa isifiso sokudla nokunciphisa izimpawu, ezifana nesicanucanu. Uma ukucindezeleka noma ukukhathazeka kubangela abantu ukuthi balahlekelwe isifiso sokudla, izindlela zokwelashwa ezikhulunywayo kanye nemithi elwa nokudangala iyabekwa ^{[ishumi nanye]} .

Uma ukuncipha kwesifiso kudale ukungondleki, unganikezwa izakhamzimba ngentambo efakwa emthanjeni. Ukuphelelwa isifiso sokudla okubangelwa yimithi kungalashwa ngokushintsha isilinganiso sakho noma ngokushintsha imishanguzo yakho.

Qaphela: Njalo xhumana nodokotela ngaphambi kokwenza ushintsho esimisweni sakho nasemithini.

Izinkinga Zokulahlekelwa Ukudla

Uma ishiywe ingalashwa, isimo singavula indlela yokwakhiwa kwalezi zinkinga ezilandelayo zezempilo ^[13] :

• Ukwehla kwesisindo
• Ukukhathala okukhulu
• Ukungondleki
• Ukushaya kwenhliziyo okusheshayo
• Imfiva
• Ukuthukuthela
• Ukuzizwa okuvamile, noma ukugula

Izixazululo Zasekhaya Zokulahlekelwa Ukulangazelela

Uma ukulahlekelwa isifiso kungenxa yesimo sezokwelapha njengomdlavuza noma ukugula okungalapheki, kungaba nzima ukuvuselela isifiso sakho sokudla. Kodwa-ke, kwezinye izimo ezincane, okulandelayo kungasiza ^{[14] [ishumi nanhlanu]} :

• Yidla ukudla okuncane
• Engeza amakhambi, izinongo, noma okunye ukunambitheka
• Yenza ukudla kwakho kube nama-calories amaningi namaprotheni
• Yidla ukudla nabangani bakho nomndeni wakho, kwenze uphumule ngokwengeziwe futhi kumnandi
• Zama ukudla oketshezi njengama-smoothies, iziphuzo zamaprotheni njll.

1. [1]Li, J., Armstrong, C., & Campbell, W. (2016). Imiphumela yomthombo wamaprotheni wokudla nobuningi ngesikhathi sokulahlekelwa isisindo ekudleni, ukusetshenziswa kwamandla, kanye nezimpendulo ze-cardio-metabolic. Izakhi zomzimba, 8 (2), 63.
2. [okubili]UHintze, uL. J., Mahmoodianfard, S., Auguste, C. B., noDoucet, É. (2017). Ukwehla kwesisindo nokulawulwa kwesifiso kwabesifazane. Imibiko yokukhuluphala yamanje, i-6 (3), i-334-351.
3. [3]Mezoian, T., Belt, E., Garry, J., Hubbard, J., Breen, C.T, Miller, L., ... & Wills, A. M. (2019). Ukulahleka kwesifiso ku-ALS kuhlotshaniswa nokuNcipha kwesisindo nokuncipha kokusetshenziswa kwekhalori okuzimele kweDysphagia. Imisipha nezinzwa.
4. [4]IBorda, M. G., Castellanos-Perilla, N., ne-Aarsland, D. (2019). Ubudlelwano phakathi kokulahleka kwesifiso namazinga e-albhamuin kubantu abadala asebekhulile abane-Alzheimer's disease. Revista espanola de geriatria y gerontologia.
5. [5]ULandi, F., Calvani, R., Tosato, M., Martone, A. M., Ortolani, E., Savera, G., ... & Marzetti, E. (2016). I-Anorexia yokuguga: izinto ezinobungozi, imiphumela, kanye nokwelashwa okungahle kube khona. Izakhi zomzimba, 8 (2), 69.
6. [6]UBlauwhoff-Buskermolen, S., Ruijgrok, C., Ostelo, R. W., de Vet, H. C., Verheul, H. M., de van der Schueren, M. A., & Langius, J. A. (2016). Ukuhlolwa kwe-anorexia ezigulini ezinomdlavuza: amanani okusika we-FAACT – A / CS kanye ne-VAS yokudla. Ukunakekelwa Okusekelayo Komdlavuza, 24 (2), 661-666.
7. [7]URahman, M.I, Ripa, M., Hossan, M. S., & Rahmatullah, M. (2018). Ukwakhiwa kwe-polyherbal ekwelapheni i-anemia, ukukhwehlela, ubuhlungu, nokulahlekelwa isifiso sokudla. Ijenali yase-Asia ye-Pharmacognosy, 2 (2), 20-23.
8. [8]ISanchez, L. A., neKharbanda, S. (2019). Ukulahleka Kokulangazelela Neutropenia. Ku-Pediatric Immunology (amakhasi 271-275). I-Springer, i-Cham.
9. [9]UValentova, M., von Haehling, S., Bauditz, J., Doehner, W., Ebner, N., Bekfani, T., ... & Anker, S. D. (2016). Ukucinana kwamathumbu nokungasebenzi kahle kwe-ventricular kwesixhumanisi: ukuxhumana nokulahleka kwesifiso, ukuvuvukala, kanye ne-cachexia ekuhlulekeni kwenhliziyo okungapheli. Ijenali yenhliziyo yaseYurophu, 37 (21), 1684-1691.
10. [10]U-Ozório, G. A., de Almeida, M. M. F. A., Faria, S. D. O., uCardenas, T. D., noWaitzberg, D. L. (2019). Ukuhlolwa Kokulangazelela Kweziguli Ezinomdlavuza Osezibhedlela eBrazil – Isifundo Sokuqinisekisa. Imitholampilo, 74.
11. [ishumi nanye]IPolidori, D., Sanghvi, A., Seeley, R. J., & Hall, K. D. (2016). Ngabe isifiso sokudla sinciphisa kakhulu isisindo? I-Quantification yokulawulwa kwempendulo yokudla kwamandla womuntu. Ukukhuluphala, 24 (11), 2289-2295.
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13. [13]van Strien, T. (2018). Izimbangela zokudla okungokomzwelo nokwelashwa okufanayo kokukhuluphala. Imibiko yesifo sikashukela yamanje, 18 (6), 35.
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