Vanhu vazhinji vanoita sokuti vanoona kudya zvakadzama sechinhu chinonyanyisa kudya chirwere chepfungwa, kunyanya pakuenzanisa nekudziviswa kana kuchenesa . Uyezve, kuwedzera maitiro kunowanzoonekwa sezvose zvinopindirana nemigumisiro yekuneta (semuenzaniso, Type II chirwere cheshuga mellitus, kukonzerwa neropa, high cholesterol mazinga, nezvimwewo) uye zvishoma nezvishoma. Hazvisi zvechokwadi chokwadi!
Chimwe chiitiko chisingawanzoiti chokuzvinyima (kudya zvokudya zvakasiyana-siyana zvisingawanzoitiki panguva yakatarwa) zvinogona kunge zvakanyanyisa kukura kwechingwa , iyo iyo isingakurumidze kupinda, inogona kuguma nekufa. Vaya vanozvinyima uye avo vanobata vanhu vanozvipira vangangobatsirwa nekuziva pamusoro peizvi.
Kutanga, mune zvisiri zvekurapa, ngatitsanangurirei mazwi anokosha pano. Gastric dilatation inoreva kusiyiwa kwemuviri. Ischemia zvinoreva kusasha kweropa kunopera. Necrosis zvinoreva rufu rwe. Pakupedzisira, kupereta kunoreva kubvarura.
Mhosva Mienzaniso Yezvakanaka Massive Gastric Dilatation
Kunyange zvazvo kune mabhuku akawandisa aripo, mienzaniso yeiyo inowanikwa pasi apa inoratidzira kusuruvara kusingatarisirwi kwokuti kubata kunofamba zvisina kunaka uye kunokonzera kudiwa nokukurumidzira kwekurapa nekuda kwekukurumidza kukurukura kwechingwa.
Munhu ane nhoroondo yeanorexia nervosa :
- Mukadzi ane makore makumi mana nemasere anounza zviratidzo zvaisanganisira kurwadziwa kwepamuviri, maawa maviri ekukwanisa kurutsa, uye kusuruvara. Paanenge achidya, akaudza kuti hapana kudya kunoshamisa kusati kwatanga kupera kwekutambudzika kwake.
- Kurema kwayo kwaive mumutambo wakaderera we BMI; iye akarondedzerwa seonda.
- Kupindira mune zvekurapa kwakaratidza kuti gastric yake yakagadzirwa yaisanganisira 2-gallons yezvokudya zvishoma.
- Uyu murwere akazopedzisira arondedzera nhoroondo yekare ye anorexia nervosa, binge / purge subtype, iyo yakaitika muvechiri kuyaruka. Iye akazopedzisira ataura makore mana asina kubata uye ipapo imwe nguva yemaawa yakatarisana nehurukuro iyi.
- Panguva yekuongororwa kwezvokurapa, aive achitambura nechirwere chekudya chinokonzera pamwe necrosis, iyo inogona kuuraya kana isiri yakarurama uye nokukurumidza yakaongororwa uye yakarapwa.
Munhu wekureruka uremu uye nhoroondo yekuzvinyima, kuita zvekuita zvakanyanya uye kudzivirira:
- Mukadzi ane makore 28 ane makore makumi maviri nemashanu anouya nekurwadziwa kwemuviri nekurwadziwa. Chikonzero chezviratidzo hachina kuzivikanwa panguva yekubvumirwa.
- Kuremera kwake kwaiva mune zvakasvibirira kusvika pasi-yakatarisa BMI.
- Chirwere chekurapa chakabudiswa uye chinoda kubviswa kwezvakawanda zvezvokudya zvisingaverengeki.
- Murwere wacho akazopedzisira arondedzera nhoroondo yezvokudya zvinotyisa kubva pauduku iyo yakavimbika pamitemo yekudzivirira kwekudzivirira uye kuwedzera muviri. Panguva yekugamuchira chipatara, aive achisangana nemabhees ezuva nezuva (nekuchenesa) yakakonzerwa nebasa rekushungurudzika.
- Panguva yekubvumirwa, aive nekurwadziwa nekudengenyeka kwemuviri wake.
Munhu weiyo aizotaridzirwa kuenzana nekureruka nemhau yekuneta uye yeanypical anorexia nervosa :
- Mumwe musikana ane makore gumi nematanhatu anounzwa kurwadziwa kwakakomba, kuputika uye unyoro muimba yemimba mushure mekudya kudya kukuru masikati. Pamberi pezvokudya zvataurwa pamusoro apa, chidimbu chikuru chinonzi chakaitika maawa makumi maviri nemaviri asati apfuura.
- Uremu hwake hwairondedzerwa sechinyakare.
- Kurapa kwechiremba kwakabvisa 5 litita zvezvokudya zvisingaverengeki.
- Chirwere chekudya chekuongorora chakajekesa kuti murwere ainge aona anorexia inypical inenge makore gumi nemashanu. Mharidzo yaro yakaratidza nguva dzezvakaitika zvekudzivirira uye pamwe nekudya nguva dzose. Panenge imwe-nehafu yenguva isati yasvika, kudarika kwemahombekombe kwakabva kune imwe nguva yekutanga. Penguva yekuongororwa uku, chiito chekuzvinyima-zvichida kubata chirwere chekudya-chakaonekwa.
- Kupindira mune zvekurapa kwakaratidza kuwedzera kukuru kwechirwere, kwete kupera, asi chirwere chakatambanudzwa uye chakawedzerwa "chakangozadza chipfuva chakakwana chemuviri." Izvi zvingave zvakauraya kana zvisina kutorwa.
Munhu asina nhoroondo yehutano hwekudya:
- Mumwe mukomana ane makore gumi nemaviri ane marwadzo uye kuvhiringidzika mudumbu uye nguva yekutora pasina kurutsa. Akanga achinzwa achitsanya maawa makumi maviri nemaviri nekuda kwechitendero. Zvadaro, aive nechingwa chakafanana neusiku usiku asati atanga kurapwa kwekukurumidzira usiku hunotevera.
- Akarondedzerwa se "mukomana ane utano" kunze kwenyaya dzepamuviri.
- Chirongwa chezvechiremba chakabviswa anenge 5 malita emvura yakasununguka uye asingagumi kune imwe nzvimbo mudumbu.
- Murwere anonzi akanga asina nhoroondo yehutano hwekudya.
- Akanga achirwara nechirwere chekudya chinokonzera kuputika ne ischemia uye necrosis mudumbu remukati. Izvi zvinogona kutungamirira kurufu kana murwere asina kupiwa rubatsiro rwechipatara panguva yakakodzera.
Munhu ane bulimia nervosa :
- Mukadzi ane makore makumi maviri nemaviri ane makore makumi maviri nemasere anouya nemanzwiro ekurwadziwa kwepamuviri, chirwere, uye kushambidzika kwakatanga pashure pokudya zvokudya zvakawanda. Kwakange kusina zvirwere zvakarondedzerwa nezvechiremba kana zvepfungwa panguva yekubvumirwa.
- Ikoko kwaive nechitarisiko chehutano hwakanaka uye kubudirira (kunze kwemuviri mudumbu).
- Kurapa kwechiremba kwakabviswa 11 litita zvegastric content.
- Pasina mazuva maviri gare gare, murwere uyu akapfuura. Mushure mokufa, mhuri yakaratidza kuti murwere akanga ari kugamuchira kurapwa kwepfungwa nokuda kwe "bulimic kurwisa" (kubata uye kuchenesa).
- Akanga achirwara nechirwere chepachiviri chekudya shure kwekudya kwekudya uye akafa nekuda kwezvinetso zvakafanana.
Research and Community
Zvinyorwa zvisingabatsiri zvinoratidza kuti kutsvakurudza kwakawanda kunodiwa kuti tsanangurire njodzi uye zvinokonzerwa nehutachiva hwekugadzirisa. Mukana wepamusoro wekuitika wakave wakataurwa kune avo vane ikozvino kana nhoroondo yekuve nechinetso chekudya kune avo vasina nzvimbo iyoyo. Zvisinei, semuenzaniso mienzaniso inoratidzira pano (zvimwe zvinogona kuwanika neIndaneti kutsvaga), kunyanya kukurukurirana kwechingwa kunogonawo kuitika kune munhu ane chirwere chekudya chinotyisa kana kusadya dambudziko zvachose. Kutsvakurudza kwakaratidzawo kuti zvinopesana nemafungiro epakutanga, varwere vehumwe uremu hunogona kuve nehutachiona hwekugadzirisa.
Vanhu vane acute gastric dilatation vanogona kunetseka nekurutsira kana kusakwanisa kurutsa, bloat / distension mudumbu remuviri, nekurwadziwa kwepakarepo kwepamuviri. Vanhu vanozvipira vanokurudzirwa kuti vave vakangwarira nekutsanya uye kunyavirira kudya maitiro akafambidzana nemarwadzo emimba. Kana ukashanda nemumwe chiremba wehutano kana hwepfungwa, kukurukura uye kutarisa zviitiko izvi zvinogona kubatsira. Kurapa kwenguva pfupi uye kurapwa kunogona kunge kwakanyanyisa kana hurukuro yepamusoro inokurudzira ichifungidzirwa; kunogona kuve nekufa kwepamusoro kune vanhu vanoona chirwere ichi, uye mishonga yekunyanyisa kwakanyanya kwekugadzirisa gastric inowanzove yekushanda. Zvinetso zvinogona kusanganisira necrosis, perforation, shock, uye rufu.
Ikoko kunoratidzika kuva nemafungiro akapararira pakati pevanhu vose nevanyanzvi nezvekuzvinyima uye kubata chirwere chekudya chinoratidzika sechinhu chakaipa zvikuru kupfuura anorexia nervosa kana bulimia nervosa. Zvisinei, zvinogona kuva nemigumisiro inokonzera uye yakaoma kubva pakuzvinyima. Zvinoratidzika kuti ani naani anobata, anoda mumwe munhu anobata binges, kana anobata mumwe munhu ane binges anogona kubatsira kuchengetedza hupenyu nekuziva pamusoro pechinhu chisingawanzo asi chinogona kuuraya.
Nenzira inofadza, kurapa kwakabudirira kwezvokudya zvekudya zvakanyanya uye zvinetso zvakafanana zviripo.
> Sources:
> Dewangan M, Khare MK, Mishra S, Marhual JC. Kudya kudya kunotungamirira kune zvakanyanya gastric dilatation, inchemic necrosis uye kuparara-nhoroondo yenyaya. J Clin Diagn Res. 2016; 10 (3).
> Gyurkovics E, Tihanyi B, Szijarto A, Kaliszky P, Temesi V, Hedvig SA, Kupcsulik P. Fatal migumisiro inobva kune yakanyanya kugadzika gastric dilation mushure mekudya binge. Int J Eat Disord. 2006; 39 (7): 602-5.
> Holtkamp K, Mogharrebi R, Hanisch C, Schumpelick V, Herpertz-Dahlmann B. Kuwedzera gastric mumusikana aimbova kurema uye anypical anorexia nervosa. Int J Eat Disord. 2002; 32 (3): 372-6.
> Lemke J, Scheele J, Schmidt S, W Mukadzi M, Henne-Bruns D. Kukura kwechirwere chemasikati kunokonzerwa nokudya mabinges anoda kupindira kwekuvhiya: nhoroondo yenyaya. GMS Interdiscip Plast Reconstr Surg Surgery DGPW, 2014; 3.
> Tweed-Kent AM, Fagenholz PJ, Alam HB. Yakanyanya gastric dilatation mumurwere ane anorexia nervosa binge / purge subtype. J Emerg Trauma Shock. 2010; 2 (4): 403-405.