Abantu abaninzi babonakala bexhala ngokutya njengento yokutya yokuphazamiseka kwesifo, ngakumbi xa kuthelekiswa nomqobo okanye ukuhlanjululwa . Ukongezelela, iziphumo zokuzibhokoxa zibhekwa njengento ehambelana nemiphumo yokunyanya (umzekelo, uhlobo lwe-Type II lwesifo sikashukela, uxinzelelo lwegazi oluphezulu, amanqanaba aphezulu e-cholesterol, njl. Akunjalo ngokwenene!
Umphumo obunqabileyo wokubethwa (ukutya ukutya okuninzi ngokungaqhelekanga ngexesha elide) kunokuba nzima kakhulu ukunyuka kwesantya , okungekho ngokukhawuleza ukuba khona, kunokubangelwa ukufa. Abo baxhamla kunye nabaphatha abantu abazincama banokuzuza ngokukwazi ngale nto.
Okokuqala, ngolwimi olungelona unyango, machaze imigaqo ephambili apha. Ukuxutywa kwegastric kuthetha ukuvalwa kwesisu. I-Iskemia kuthetha ukungahambi kwegazi. I-Necrosis ithetha ukufa. Ekugqibeleni, ukugqithisa kuthetha ukulila.
Imizekelo yeMeko yokuHlulwa kweGastric Acoustic
Nangona kukho iincwadi ezininzi ezikhoyo, imimiselo yeemeko ihlinzekwe ngezantsi ebonisa ukuxakeka okungalindelekanga kwimeko yokukhwela ingxaki kwaye kudala isidingo esiphuthumayo sokunakekelwa ngonyango ngenxa yokunyuka okukhulu kwesisu.
Umntu onembali ye- anorexia nervosa :
- Umfazi oneminyaka engama-26 ubudala eneempawu ezibandakanya iintlungu zesisu, iiyure ezingama-2 zokungakwazi ukuhlanza, kunye neentlanzi. Ekudleni, wathi akukho ukutya okungaqhelekanga okuphambili kokuqala kwentlungu yakhe.
- Ubunzima bayo bebubanzi obuqhelekileyo beBMI; wayechazwe njengomzimba omncinci.
- Ukungenelela kwezonyango kuye kwafumanisa ukuba umxholo wakhe wesantya wawuquka i-2-gallons yokutya okutyunyiwe.
- Esi sigulane ekugqibeleni sichaza imbali edlulileyo ye-anorexia nervosa, i-binge / purge subtype, eyenzeke entsha yakhe. Kanti ekugqibeleni wachaza iminyaka engama-4 ngaphandle kokuxinwa kwaye emva kweeyure eziyi-1 zithatha le ntetho.
- Ngexesha lokuvavanywa kwezokwelapha, wayenobulwelwe obunzima be-necrosis, enokuthi ibulawe ukuba ingazange ifumaneke ngokuchanekileyo kwaye ngokukhawuleza ifunyaniswe kwaye iphathwe.
Umntu wesisindo esifanelekileyo kunye nomlando wokuxilwa, ukuzivocavoca ngokweqile kunye nokuthintela:
- Umfazi oneminyaka engama-28 ubudala onikezwe ngokukhawuleza ngesisu nangentlungu. Isizathu sempawu asizange sichazwe ngexesha lokungeniswa.
- Ubunzima bakhe buqhelekile kwibala eliqhelekileyo le-BMI.
- Ukuphononongwa kwezonyango kubonakalisiwe kwaye kufuneka ukuba kususwe inani elikhulu lokutya okungapheliyo.
- Isigulane ekugqibeleni sichaza imbali yesifo sokutya ukususela ebuntwaneni esithembele kwimilinganiselo yokuhlawula isithintelo nokuzivocavoca ngokweqile. Ngexesha lokungeniswa kwesibhedlele, wayekade ebhekene nemibhobho yemihla ngemihla (kunye nokuhlanjululwa) okubangelwa ukuxinwa komsebenzi.
- Ngethuba lokungeniswa, wayenomdla wokuphuphuma okukhulu kwesisu sakhe.
Umntu wezinto eziza kuthathwa njengesixinzelelo esifanelekileyo kunye nomlando wokunyanya kuninzi kunye ne-anorexia nervosa :
- Umfazi oneminyaka engama-16 ubudala onomvandedwa obukhulu, ukuqhafaza kunye nobumfesane kwisithuba esiswini emva kokudla isidlo esikhulu emini. Ngaphambi kwesidlo esicatshulwe ngasentla, ibhokisi ebalulekileyo ibonakalisiwe yenzeke iiyure ezingama-24 zangaphambili.
- Ubunzima bakhe buchazwe njengesiqhelo.
- Ukungenelela kwezonyango kususwe iilitha ezingama-5 zokutya okungenagqirha.
- Ukuhlolwa kweengxaki zokutya kwandibonisa ukuba isigulane safumana i-anorexia ye-atypical engama-14 ubudala. Ingxelo yakhe ibonise ixesha elidlulileyo lezinto zombini kunye nokutya okuqhelekileyo rhoqo. Kwimizuzu engama-anesiqingatha ngaphambi kohlengahlengiso, wayefumene ubunzima obukhulu bokulahleka kwinqanaba lokuqala. Ngeli xesha lovavanyo, umzekelo wokutywala-mhlawumbi utywala ukutya okuphazamisekileyo-kwaqatshelwa.
- Ukungenelela kwezonyango kubonakalise ukuhluthwa okukhulu, akukho nzopho, kodwa isisu esandisiweyo nesandisiweyo "sasizalisa sigcwele isisu esiswini." Oku bekuya kubulala ukuba kungaphathwa.
Umntu ongenalo mlando wesifo sokutya:
- Indoda eneminyaka eli-17 ubudala enentlungu kunye ne-distension kwingingqi yesisu kunye nexesha lokubuya ngaphandle kokuhlanza. Wayexelele ukuba uzila ukudla malunga neeyure ezingama-24 kwiinjongo zonqulo. Emva koko, wayenokudla isidlo sakusihlwa ngobusuku ngaphambi kokuba afune unyango lwangxamisekileyo ngobusuku obulandelayo.
- Wachazwa ngokuba "yinkwenkwe enempilo" ngaphandle kweengxaki zomzimba.
- Ukungenelela kwezonyango kususwe malunga neelitha ezingama-5 ze-free fluid kunye nokutya okungenakugqithiselwa kwisisu esiswini.
- Isigulane esichaziweyo sasingenayo imbali yesifo sokutya.
- Wayebhekene ne-acute gastric dilatation ne-ischemia ne-necrosis yodonga lwesisu. Oku kungakhokelela ekufeni ukuba isigulane asizange sithole ukungenelela kwonyango olufike ngexesha.
Umntu one- bulimia nervosa :
- Umfazi oneminyaka engama-22 ubudala onikezelwe izikhalazo zesisu esiswini, isifo sohudo kunye nokuhlanza okwaqala emva kokudla ukutya okuninzi. Kwakungekho zichaso zonyango okanye eziphathelene nengqondo ngexesha lo kwamkelwa.
- Kwakukho imbonakalo yempilo eqhelekileyo kunye nophuhliso (ngaphandle kwesisu esisaluselweyo).
- Ukungenelela kwonyango kususwe iilitha ezili-11 zomxholo wesisu.
- Ngaphantsi kweentsuku ezimbini emva koko, lesi sifo sidlulile. Emva kokufa, intsapho yachaza ukuba isiguli sasifumana unyango lwengqondo "ukuhlaselwa kwe-bulimic" (ukuxilonga nokuhlanza).
- Wayenobulwelwe obunzima bokutya emva kokutya ukutya kwaye wafa ngenxa yeengxaki ezinxulumene nazo.
Uphando kunye noluntu
Uncwadi oluncinci lubonisa ukuba uphando olongezelelweyo lufunekayo ukuze kucaciswe ingozi kunye nezimbangela zokunyuselwa kwegastric acute. Ilungelo eliphezulu lezehlakalo libikwe ngalabo abanomdla okanye umlando wokuba banesidlo sokutya kunye nalabo abangenayo loo mbali. Nangona kunjalo, njengemimiselo yeemeko kuboniswe apha (ngaphezulu kunokufunyanwa nge-intanethi yosesho), ukuxiliswa kwe-gastric esisisigxina kunokuba kwenzeka kumntu onesifo sokutya esidlangalaleni okanye engadli ukuphazamiseka kokutya. Uphando luye lwabonisa ukuba ngokuphambene nemibono yangaphambili, izigulane zanoma yisiphi isisindo sinokuthi zithinteke ngokunyuka kwesantya.
Abantu abanesisindo sokugcoba esiswini abanokuvavanya okanye ukuhlanza okanye ukungakwazi ukuhlanza, ukuqhawula / ukujikeleza kwindawo yesisu, kunye nokuqala ngokukhawuleza kweentlungu zesisu. Abantu abaxhamlayo bayakhuthazwa ukuba baqaphele ukuzila ukutya kunye neentlanzi zokutya kunye neentlungu zesisu. Ukuba usebenza kunye nezobugcisa okanye yengqondo yengqondo yengqondo, ukuxoxa nokubeka iliso kula mava kunokuba luncedo. Ingqwalasela yonyango kunye nonyango lunokuthi lube luba lukhulu xa kukhankanywa ukukhushulwa okukhulu kwesisu; kukho ukufa okuphezulu kubantu abajongene nale meko, kwaye izilungiso zesifo sokuxhamla esiswini esininzi sisisifo sokutya. Iingxaki zingabandakanya i-necrosis, i-perforation, ukutshatyalaliswa nokufa.
Kubonakala ngathi isimo sengqondo phakathi kweendawo zikarhulumente kunye neengcali malunga nokuxilwa kunye nokutya okuxilisayo kubonakala kunobungozi kakhulu kunokuba i-anorexia nervosa okanye i-bulimia nervosa. Nangona kunjalo, kunokubangelwa ngokukhawuleza kunye nemiphumo emibi ekubethweni. Kubonakala ngathi nabani na oqhankqalayo, othanda umntu obophayo, okanye ophatha umntu owenza i-binges unokunceda ulondoloze ubomi ngokukwazi ngale meko engabonakaliyo kodwa enokuba yingozi.
Ngenhlanhla, unyango oluyimpumelelo yokutya ukutya kunye neengxaki ezinxulumene nazo ziyafumaneka.
> Imithombo:
> Dewangan M, Khare MK, Mishra S, Marhual JC. Ukutya okudliwayo kukukhokelela ekunyuseni kwe-gastric dilatation, inchemic necrosis kunye nokuphuka-ingxelo yengxelo. J Clin Diagn Res. 2016; 10 (3).
> Gyurkovics E, Tihanyi B, Szijarto A, Kaliszky P, Temesi V, Hedvig SA, Kupcsulik P. Imiphumo ebulalayo esuka ekuxilweni okukhulu kwesisu emva kokutya. Int J Eat Disord. 2006; 39 (7): 602-5.
> Holtkamp K, Mogharrebi R, Hanisch C, Schumpelick V, Herpertz-Dahlmann B. Ukunyuselwa kwegastric kwintombazana eyayisandul 'ukukhuluphala kunye ne-anorexia nervosa. Int J Eat Disord. 2002; 32 (3): 372-6.
> Lemke J, Scheele J, Schmidt S, Wittau M, Henne-Bruns D. Ukunyuka kwesantya esisiswini esibangelwa ukutya kweebinge ezifuna ukungenelela ngoncedo: inxelo yecala. I-GMS i-Interdiscip Plast Yenza kwakhona i-Surgery DGPW, ngo-2014; 3.
> Tweed-Kent AM, Fagenholz PJ, Alam HB. Ukugqithisa kwesisu esisisigxina kwisigulane nge-anorexia nervosa binge / purge subtype. J Emerg Trauma Shock. 2010; 2 (4): 403-405.