Kutaya Kwa Njala: Zomwe Zimayambitsa, Zizindikiro Zogwirizana, Kuzindikira, Chithandizo ndi Zithandizo

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Kutaya njala ndichinthu chomwe chimachitika mukakhala ndi chilakolako chofuna kudya. Kuchepetsa kudya kumankhwala kumatchedwa kuti anorexia, komwe zinthu zosiyanasiyana zimatha kuyambitsa njala. Zomwe zimayambitsa kufooka kwa njala zakhudzana ndi matenda amthupi komanso amisala ^[1] .

Munthu akayamba kusowa njala, zizindikilo zake monga kuperewera kwa zakudya m'thupi komanso kuonda zimawonekeranso ^[ziwiri] . Kuperewera kwa chithandizo kumatha kubweretsa zovuta zomwe zimakulitsa mavuto azaumoyo, kuzindikira kuti chithandizo chanthawi yake ndichofunikira.

Zoyambitsa Kutaya Kwa Njala

Kulakalaka kudya kumatha kukhala chifukwa cha zifukwa zingapo. Nthawi zambiri, njala yamunthu imabwerera mwakale pamene vutoli lathandizidwa. Zitha kuyambitsidwa chifukwa cha matenda a mafangasi, bakiteriya ndi ma virus, monga awa ^[3] :

• Meningitis
• Matenda opatsirana
• Chibayo
• Fuluwenza m'mimba
• Matenda apamwamba opuma
• Matenda akhungu
• Reflux ya acid
• Chakudya chakupha
• Kudzimbidwa
• Kuzizira
• Chimfine
• Matenda opuma
• Nthendayi
• Mavuto am'mimba
• Kusamvana kwa mahomoni

Zoyambitsa zamaganizidwe : Kupatula pazifukwa zomwe tatchulazi, kusowa kwa njala kungayambitsenso chifukwa cha zovuta zamaganizidwe ^[4] . Kafukufuku wosiyanasiyana wasonyeza kuti kusowa kwa chilakolako kumakhudzanso akulu. Kulakalaka kwanu kumatha kuchepa ngati muli achisoni, achisoni, kuda nkhawa kapena kukhumudwa. Kafukufuku wina amalumikiza kupsinjika ndi kunyong'onyeka ndi kusowa chilakolako.

Mavuto akudya, monga anorexia nervosa ndi omwe amachititsa kuchepa kwa njala, komwe munthu amene wakhudzidwayo adzafufuza njira zochepetsera thupi ^[5] . Anthu omwe ali ndi vuto la anorexia amanosa amakhala ndi malingaliro olakwika akuti onenepa kwambiri kapena onenepa kwambiri, kuwapangitsa kuti asataye mtima kudya chakudya, zomwe zimadzetsa kusowa kwa zakudya m'thupi.

Zochitika zamankhwala : Matenda ena monga matenda a chiwindi, impso, kulephera kwa mtima, matenda a chiwindi, HIV, matenda amisala komanso hypothyroidism amathanso kudetsa kudya. Kupatula izi, khansara ndichomwe chimayambitsa kuchepa kwa njala, makamaka ngati khansa yakhudza matumbo anu, m'mimba, kapamba ndi mazira ^{[6] [7]} .

Mankhwala ena : Maantibayotiki ena, morphine ndi chemotherapy amatha kuyambitsa njala. Kupatula apo, mankhwala osokoneza bongo monga cocaine, heroin, ndi amphetamine nawonso ali ndi vuto ^[8] .

Kuphatikiza pa zomwe tatchulazi, kutenga mimba kumathandizanso kuti munthu asakhale ndi chilakolako chokwanira m'nthawi ya trimester yoyamba. Kusowa kwa njala kumathanso kufala kwa achikulire, chifukwa chogwiritsa ntchito mankhwala mosasintha komanso kusintha kwa thupi pakadali zaka zomwe zimatha kukhudza kugaya kwam'mimba, mahomoni komanso kununkhiza kapena kulawa ^[9] .

Zizindikiro Zogwirizana Ndi Kutayika Kwa Njala

Kuphatikiza pa kusowa kwa njala, anthu atha kukhala ndi izi ^[10] :

• Kupweteka m'mimba
• Kutentha pa chifuwa
• Kumva kukhuta msanga
• Chikasu cha khungu kapena maso
• Magazi pamipando

Kuzindikira Kutaya Kwa Njala

Dokotala adzawona zizindikirazo ndikusanthula zomwe zimayambitsa. Dokotala amatha kuyesa m'mimba mwa munthu ndikumverera ndi dzanja lake ngati ali ndi zotupa zachilendo, zotupa, kapena zachikondi, potero amafufuza ngati pali vuto la m'mimba.

Mutha kulamulidwa kuti mukachite mayeso otsatirawa ^{[khumi ndi chimodzi]} :

• Kuyesa magazi
• Kujambula kwa CT pamutu panu, pachifuwa, pamimba, kapena m'chiuno
• X-ray m'mimba
• Endoscopy
• Kuyesedwa kwa chiwindi, chithokomiro, ndi impso
• Mndandanda wapamwamba wa GI, womwe umaphatikizapo ma X-ray omwe amayang'ana kummero kwanu, m'mimba, ndi m'matumbo ang'ono

Chithandizo Cha Kutaya Kwa Njala

Chithandizo chamankhwala ndi chisamaliro chakuchepa kwa njala zimadalira chifukwa chake. Ngati chifukwa chake ndi kachilombo kapena bakiteriya, palibe chifukwa chopeza chithandizo chilichonse chifukwa matendawa amatha nthawi yanu ndipo njala yanu ibwerera mwakale mukachira ^[12] .

Dokotala amatha kupereka mankhwala kuti athandize kuwonjezera chidwi komanso kuchepetsa zizindikilo, monga nseru. Ngati kukhumudwa kapena nkhawa zikuchititsa kuti anthu asakhale ndi chilakolako chofuna kudya, mankhwala olankhulira ndi opatsirana pogonana amapatsidwa ^{[khumi ndi chimodzi]} .

Ngati kuchepa kwa njala kwadzetsa kuperewera kwa zakudya m'thupi, mutha kupatsidwa michere kudzera mumtambo. Kuchepa kwa chilakolako choyambitsidwa ndi mankhwala kumathandizidwa posintha mulingo wanu kapena kusintha mankhwala anu.

Chidziwitso: Nthawi zonse funsani dokotala musanasinthe machitidwe anu ndi mankhwala.

Mavuto Akutaya Kwa Njala

Ngati sanalandire chithandizo, vutoli limatha kupititsa patsogolo chitukuko cha zinthu zotsatirazi ^[13] :

• Kuchepetsa thupi
• Kutopa kwambiri
• Kusowa zakudya m'thupi
• Kugunda kwamtima mwachangu
• Malungo
• Kukwiya
• Kusamva bwino, kapena kufooka

Zithandizo Zanyumba Zakutaya Njala

Ngati kusowa kwa njala kumachitika chifukwa cha matenda monga khansa kapena matenda osachiritsika, zitha kukhala zovuta kukulitsa chidwi chanu. Komabe, pazochitika zina zazing'ono, zotsatirazi zitha kukhala zopindulitsa ^{[14] [khumi ndi zisanu]} :

• Idyani chakudya chochepa
• Onjezerani zitsamba, zonunkhira, kapena zina zotsekemera
• Pangani chakudya chanu kukhala ndi zopatsa mphamvu komanso zomanga thupi
• Idyani chakudya ndi anzanu komanso abale, kuti zikhale zosangalatsa komanso zosangalatsa
• Yesetsani kukhala ndi zakudya zamadzimadzi monga ma smoothies, zakumwa zamapuloteni etc.

1. [1]Li, J., Armstrong, C., & Campbell, W. (2016). Zotsatira zamapuloteni azakudya komanso kuchuluka kwakanthawi kochepera pakudya, kugwiritsa ntchito mphamvu, komanso mayankho amadzimadzi. Zakudya zopatsa thanzi, 8 (2), 63.
2. [ziwiri][Adasankhidwa] Hintze, L. J., Mahmoodianfard, S., Auguste, C. B., & Doucet, É. (2017). Kuchepetsa thupi komanso kulakalaka kudya kwa akazi. Malipoti amakono onenepa kwambiri, 6 (3), 334-351.
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7. [7]Rahman, M.I, Ripa, M., Hossan, M. S., & Rahmatullah, M. (2018). Kupanga kwa polyherbal pochiza kuchepa kwa magazi, kutsokomola, kupweteka, komanso kusowa kwa njala. Magazini a ku Asia a Pharmacognosy, 2 (2), 20-23.
8. [8]Sanchez, L. A., & Kharbanda, S. (2019). Kutaya Njala ndi Neutropenia. Mu Pediatric Immunology (pp. 271-275). Mphukira, Cham.
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