Nheyo Dzakakosha Unofanira Kuisa Pfungwa
Zvimwe zvirongwa zvekudya zvinovaka muviri ndezvikamu zvinokosha zvekurapa uye kutarisa chirwere chepfungwa. Zvichienderana nehupfungwa yako yepurogiramu uye chirongwa chekurapa iwe ungada kuomerera pane zvimwe zvinorambidza kudya. Apo itsvo dzenyu dzisingashandisi zvakakwana, vane nguva yakaoma kubvisa zvimwe zvimiti, zvepfu, uye mvura inoshandiswa muropa renyu.
Panguva ino inokosha kwazvo kutevera chirongwa chakanaka chokudya. Kazhinji nguva iyo vanhu vane chirwere chepfungwa chepamusoro chinotapurirwa kunoshandiswa kune real dietitianiti - a dietitian anonyanya kugadzirisa zvirwere zvepfungwa. Chirwere chakakosha chepfungwa kudya kunofunga nezvehutano hwako hwehutano nehutano hwehutano. Kana uine chirwere cheshuga chetachiona uye chirwere chepfungwa zvinogona kuva zvakaoma kuenzanisa kudya kunovaka muviri kana uchitarisana nemiganhu yekudya, asi hazvibviri. Iko kune zvimwe zvivako zvakakosha zvinofanirwa kutorwa munyaya iyi:
Sodium
Kunyange zvazvo sodium yakakosha kuti muviri wako uite zvakanaka, inogona kuvaka apo itsvo dzatanga kutadza. Kuwedzera kweyerodi mumuviri kunogona kukonzera kushanduka kwemvura kunowedzera mumatumbu. Izvi zvinonzi edema . Edema kazhinji inowanikwa muchiso, maoko, uye pasi.
Kudya kwepasi-sodium inowanzotanga mutsara wekudzivirirwa apo basa rehpondo rinotanga kuderera.
Mazhinji masangano anorudzira kuderedza sodhi kusvika 1 500-2300mg / zuva nezuva. Nzira yakanakisisa yekuderedza sodium muzvokudya ndeyokuderedza zvakare pazvokudya zvakagadzirwa. Kudzidza kuverenga mabhuku kuchakubatsira kuti ucheke zve sodium yako zvakare.
Deredza zvipembenene zvakanyanya zve sodium zvakadai sebhekoni uye ham; kutonhora kunotonhora; mikate yakabhoderedzwa (soy, bhengi muto ); bouillon cubes; makedheni, mvura yakasvibiswa kana muto wechinguva; makimini yemakwenzi; cheese; crackers; manyowa emunyu; miorivhi; pickles; machipisi; kugadziriswa zvokudya zvinodiwa; sauerkraut; uye (zvechokwadi) tafura yemunyu.
Potassium
Potassium inokosha inoshandiswa maminara nemasumbu uye nemoyo. Kana itsvo dzisingagoni kubudisa potaziyamu, zvakawanda zvinogona kupararira muropa rako. Kuwedzerwa kwe potassium kunogona kuva nengozi nokuti inogona kukonzera kusagadzikana kwepfungwa, iyo inogona kuva yakaoma zvakakwana kuita kuti mwoyo wako usiye kushanda. Kudzivirira kukwirira kwe potassium kunogona kubatsira kudzivirira izvi kuti zvirege kuitika.
Nguva dzose kuongororwa kweropa kutarisa mapotasium zvinogonawo kukurudzira chiremba wako kumatambudziko anokwanisa. Chiremba wako achakuudza iwe kana iwe uchida kuderedza kudya kwako kwepamusoro yezvokudya zve potassium. Kana iwe uchifanira kuvharira potassium yako mazinga, vanhu vakawanda vanoda kuvhara kudya kwavo ~ ~ 2000mg / zuva nezuva. Kana iwe uri munhu ane chirwere cheshuga uye kazhinji uine shuga yakaderera yeropa , iwe unoda kudzivisa kubata nemuchero wearangi uye unoda kushandisa mahwendefa eglucose pane.
Zvimwe zvepamusoro-potassium zvokudya zvipfeko; kubika nyemba; bananas; beet; broccoli; cantaloupe; chocolate; collard nemamwe magreen; molasses; mushroom; nuts; oranges; peanut butter; mbatata; michero yakaomeswa; mazambiringa akaomeswa; munyu unotsiva; uye tomato.
Phosphorus
Hyperphosphatemia (yakanyanya phosphorus mazinga muropa) haisi kuonekwa pachena kusvika padanho rechina rinorwara zvirwere zvepfungwa.
Apo tsitsi dzinotanga kukundika, phosphorus inogona kutanga kuvaka mumuviri wako. Izvi zvinokonzera kusaenzana ne calcium, iyo inoita kuti muviri ushandise calcium kubva pamapfupa. Zvakakosha kuchengetedza phosphorus mazinga ari pedyo neanoita sezvaanogona kudzivirira mapfupa kubva pakuora simba. Kuderedza uwandu hwekudya zvakanyanya phosphorus iwe waunodya ndeimwe nzira yekuchengeta phosphorus mazinga pasi. Chiremba wako achakuudza iwe kana uchifanira kuderedza kudya kwako. Kana uchida, vanhu vakawanda vanobatsirwa nekudzivirira phosphorus kusvika 800-1000mg / zuva nezuva. Imwe yenzira dzinonyanya kukosha yekuderedza phosphorus yako mazinga ndeyokuderedza kudya kwephosphate additives.
Semuenzaniso, ngwarira zvokudya zvine zvigadzirwa zvakadai se, sodium acid pyrophosphate kana monocalcium phosphate. Kumbira muchero wako wezvokudya kana kuti mudzidzisi ane chirwere cheshuga kuti awane mamwe mashoko.
Zvimwe zvokudya zvinowanikwa phosphorus zvinosanganisira: doro; bransi zviyo; caramels; cheese; cocoa; cola; nyemba dzakaomeswa; ayizi kirimu; chiropa; mukaka nemukaka wemukaka; nuts; peanut butter ; uye sardines.
Carbohydrates
Kana iwe une chirwere cheshuga iwe unogara uchifunga nezvekucherechedza kudya kwako kwemaginhaidhyrate, sezvo ichi ndicho chikafu chekudya chinoita kuti shuga yeropa isanyanya . Kana iwe une chirwere cheshuga uye chirwere chepfungwa iwe uchiri kuda kusanganisira mishonga yemagidhihydrate kubva mumiriwo, michero, uye mbeu yose. Iwewo unoda kuvhara shuga yakawedzerwa uye zvinwiwa nepamusoro fructose corn syrup uye sucrose. Kana iwe uri munhu ane chirwere chepfungwa chinokurudzira iwe unogona kunge uchikurukurirana kuderedza kudya kwepamusoro pe potasium uye yakakwirira phosphorus zvinyorwa zvekhabhohydrate pamwe neyekudya.
Protein
Puroteni yakawanda inogona kuva yakaipa kune itsvo dzako kana une chirwere chepvo. Kurukura zvaunoda newaini yako yezvokudya sezvo inogona kusiyana zvichienderana neurongwa hwekurapa. Pakusarudza mapuroteni, chinangwa chokubatanidza zvakakosha zvitubu zveprotini, zvakadai semucheka nyama yakachena, hove, turkey, uye nyama yakaonda.
Mafuta
Nhamba yemafuta yaunoda zuva nezuva inosiyana kubva kumunhu kusvika kumunhu. Funga nezvekuisa mafuta ane utano muzvokudya zvakadai samafuta, uye hove dzakakora uye usapinda mafuta akazara uye mafuta - kutengesa nyama, mafuta-full cheese, uye mabikira.
Diet Kubatsira
Apo tsitsvo dzinotanga kukundikana, inguva yekuwana tsanangudzo yeutsvo kukubatsira iwe nezvokudya, kurapwa, uye mishonga. Imwe nyanzvi inonzi inonzi nephrologist. Nekurapa kwechiremba uye kuchinja kwezvokudya, zviratidzo zvinogona kuderedzwa, uye kufambira mberi kwechirwere kunogona kuderedzwa.
Sources
Zvokudya zvinovaka muviri uye Indwara Dambudziko reHIV. http://www.davita.com/kidney-disease/diet-and-nutrition/diet-basics/nutrition-and-chronic-kidney-disease/e/5305
Potassium, Phosphorus uye Dialysis Zvokudya. http://www.davita.com/kidney-disease/diet-and-nutrition/diet-basics/potassium,-phosphorus-and-the-dialysis-diet/e/5309