Anthu okhala ndi An Ostomy kapena J-Pouch Adzafunika Kupewa Kutha Kusokonezeka Madzi
Kodi mukupeza kuti muli ndi vuto lokhalabe hydrated chifukwa cha zizindikiro za matenda opatsirana (IBD) ? Kutsekula m'mimba kumayambitsa kutaya madzi m'thupi ngakhale anthu akuluakulu, ndipo akhoza kukhala vuto lapadera pamene IBD imayambitsa matenda otsekula m'mimba. Anthu omwe ali ndi matenda a Crohn ndi matenda a zilonda zam'mimba nthawi zina amachitanso opaleshoni kuti athe kuchiza matenda awo, omwe angathe kuchotsa ena kapena matumbo onse.
Matumbo aakulu ndi pamene madzi ambiri amadziwika, ndipo pamene mbali kapena zonsezi zikusowa, madzi sangakhale ochepa thupi. Ichi ndichifukwa chake kuthamanga ndi malo apadera omwe amawadera nkhawa anthu omwe ali ndi leostomy kapena ochita opaleshoni (ileal pouch-anal anastomosis). Kutaya madzi m'thupi ndilo chifukwa chachikulu chowonekera kuchipatala pambuyo pa opaleshoni ya ileostomy.
Chiyambi Cha Masewera ndi Mphamvu Zamagetsi
Anthu ambiri amapita kumaseŵera a masewera ngati magwero a madzi. Pali magulu angapo osiyana omwe amayamba kumwa zakumwa zomwe zimapangidwira kutulutsa madzi ndi mphamvu. Chodziwika kwambiri mwa iwo chinali choyambirira chopangidwa kuti chigwiritsidwe ntchito ndi othamanga omwe angatayike madzi ambiri mwa kutukuta, makamaka pa nyengo yozizira. Dr. Robert Cade wa yunivesite ya Florida, atapemphedwa ndi mphunzitsi wotsogolera mpira wa yunivesite, adatsogolera timu yomwe idayambitsa zakumwa zomwe zili ndi electrolyte ndi makapu.
Gulu la mpira wa mpikisano linakhala ndi nyengo yopambana kwambiri pamene akumwa zakumwa, ndipo ma sukulu ena anayamba kufunsa. Ichi, ndithudi, chinali kuyamba kwa Gatorade.
M'kupita kwanthaŵi, opanga anayamba kuwonjezera zina zowonjezera zakumwa zawo, kuphatikizapo zokopa monga caffeine , kupanga zakumwa zakumwa. Zambiri zamagetsi ndi masewera a masewera amakhalanso ndi mitundu yokongola ndi zokoma.
Kodi Mapulogalamu Amaseŵera Amayambitsa Kuthetsa Kusungunuka kwa Thupi?
Pali zinthu zochepa zokhudzana ndi masewera ndi zakumwa zomwe zimawapangitsa kukhala osasankha bwino kwa anthu omwe ali ndi IBD omwe amafunika kudzaza madzi ndi electrolytes. Choyamba ndi chakuti iwo samapereka mchere wokwanira wa zakudya: zambiri sizikhala ndi electrolytes okwanira. Chachiwiri ndikuti mankhwala ena ali ndi zinthu zosafunika zomwe zimapangitsa kuti azilawa bwino (shuga kapena zotsekemera zowonongeka ), amawoneka okongola (mitundu yojambula), ndipo amapereka mphamvu (caffeine).
Bungwe la World Health Organization lapanga njira yothetsera madzi m'thupi (ORS) yomwe imagwiritsidwa ntchito padziko lonse lapansi, makamaka m'madera omwe kuchepa kwa madzi kwambiri ndi chifukwa cha matenda ndi imfa. Kugwiritsira ntchito mwapadera mchere ndi madzi kuti mutsegulire m'madzi amatchedwa oral rehydration therapy (ORT) , ndipo umapulumutsa miyoyo m'mayiko omwe matenda otsekula m'mimba amachititsa kuti ana afe. ORS imapezeka m'mayiko a kumadzulo kwa madokotala, mankhwala ogulitsa zipatala, ndipo nthawi zina m'masitolo ogulitsa masewera ndi kitsulo lothandizira. Palinso maphikidwe a ORS omwe angapangidwe kunyumba. ORS kawirikawiri ndi yotsika mtengo, koma muyenera kukaonana ndi dokotala musanayambe kugula kapena kuzipititsa kunyumba.
Kodi Anthu Okhala ndi IBD Angapangidwe Bwanji?
Kusakhalitsa kusungidwa kwa ORS pamanja (ngakhale kuti sizolakwika kuganizira zina ndi zina zanu zofunikira), kodi anthu omwe ali ndi j-poch, analoostomy, kapena IBD, angabwererenso kunyumba? Malinga ndi gulu la IBD la Michigan, kukonzanso thupi mwinamwake kumapangidwa bwino ndi kusakaniza zinthu zochepa zomwe anthu ambiri omwe ali ndi IBD mwinamwake ali nazo kunyumba. Akatswiri a U a M amalangiza kuti masewerawa ndi chiyambi chabe.
Pofuna kutulutsa madzi, amasonyeza kuti amadya ndi kumwa zinthu mu "Chinsinsi" chomwe chimapangidwira ORT:
- 1 lita imodzi ya masewera olimbitsa thupi
- 1/2 chikho cha supse ya nkhuku
- Chimodzi mwa zotsatirazi:
- 1.6 banki
- 1.6 mbatata
- 1.6 mapepala apakatikati
- 1.5 makapu a yogurt
- 1 chikho cha sipinachi
- Mapiritsi 3 1/2 a 650 mg ya sodium bicarbonate (kapena mapiritsi 7 325 mg)
United Ostomy Association of America imakhalanso ndi maphikidwe othetsera m'malo mwa electrolytes ndi madzi. Ichi ndi zakumwa zopangidwa ndi electrolyte:
- Supuni 1 ya mchere
- Supuni 1 ya soda
- Supuni 1 supuni yoyera Karo Karo
- 1 6-ounce akhoza madzi a lalanje a mazira
- Onjezerani madzi kuti mupange quart imodzi, sakanizani bwino
Zimene Mungachite Ngati Muli Wopanda Mpweya
Matenda ochepa a kuchepa kwa madzi amatha kuchitidwa kunyumba. Matenda owopsa a kutaya madzi m'thupi amafunika kuchitidwa ndi dokotala kapena kuchipatala. Chifukwa cha kuchepa kwa madzi kwakukulu, ndi zizindikiro za chisokonezo, chizungulire, kapena kutaya, imbani 911. Ngati muli ndi mafunso ambiri okhudza momwe mungapewe kutaya madzi, kapena zomwe muyenera kudya kapena kumwa ngati mwasiya, funsani dokotala wanu.
Zotsatira:
Gatorade. "Heritage." Gatorade.com. 2016. 22 Jan 2016.
Messaris E, Sehgal R, Deiling S, Koltun WA, ndi al. "Kuperewera kwa madzi m'thupi ndi njira yowonjezera yowonjezera pambuyo pochotsa chilengedwe." Dera la Dis Colon . 2012 Feb; 55 (2): 175-180. 22 Jan 2016.
Pasia M. " Chotsatira Chakudya ndi Chakudya ." United Ostomy Associations of America, Inc. 2011. 25 Jan 2016.
IBD Team IBD. "Kuyesa kubwereranso ndi Gatorade?" Facebook post. 18 Jan 2016. 22 Jan 2016.