Zvokudya zvako zvinoda kuchinja apo chirwere chako chepfungwa chinowedzera kusvika panhete yechishanu, uye unoda dialysis. Zvokudya zvakakura zvinoshanduka kubva pane zvekudya zvako zvekare zvinosanganisira kuwedzera kweprotein yako kudya uye kuderedza potassium. Munyu uye phosphorus inowedzera inoda kuchengetwa pasi, uye iwe ucharamba uchitarisa kutora kwako kwemvura.
Edya Zvimwe Protein
Mapuroteni anokosha pakuvaka nekuchengetedza misumbu uye zvirwere zvekudzivirira muviri.
Iwe wakangodaro wakachengetedza mapuroteni ako kupinda pasi panguva dzepakutanga kwechirwere ichi nokuti itsvo dzako hadzigoni kubata nemishonga yeproteine metabolism, asi ikozvino iwe uri pane dialysis, uchada kudya zvimwe mapuroteni. Maererano neAmerican Kidney Foundation, iwe unoda anenge masere 8 kusvika ku10 ezvokudya zvep-protein zuva rimwe nerimwe.
Sarudza nyama, mazai, hove, uye hove kana nyama yekukuvirira kweprotein yako yekudya. Zvinyorwa zvezvirimara zvepuroteni zvakadai semafuta, marumusi, nutswe, mbeu, uye mapepa hazvina kunaka kudya uku nokuti zvinowedzerawo mu potassium uye phosphorus. Kana iwe uri wezvirimwa, iwe unoda kutaura nachiremba wako kana muzvokudya zvinoshandiswa pakugadzira zvirwere zvepfungwa nezvepuroteni kuwedzera.
Chengetai Sodium Low
Kudya sterodium yakawanda kunogona kupisa nemafuta ako kuitira kuti iwe urambe uchitevera zvokudya zvakaderera-sodium. Chenjererai sodium yakavanzwa mune zvinhu zvakadai sekugadzira, kusanganiswa kwechingwa, masvini emakedheni, nyama, nemiriwo.
Gara kure nevhu rakawanda.
Tarisa mavara pazvinhu zvose kunyange zvokudya zvinodaro se "pasi-sodium." Vanogona kunge vachiine sodium yakawanda kupfuura yaunoda pakushanda uye iyo inogona kunge ine potassium, iyowo chimwe chinhu chaunoda kudzivisa.
Lower Phosphorus Intake
Phosphorus ndeimwe yemaminerari anodya muviri wako unoda mafupa akasimba uye mazino uye chirwere chinowanikwa uye musimba basa.
Muviri wako unoda kuchengetedza phosphorous zvakakwana muropa rako, uye idzo itsvo yako 'basa kubvisa chero phosphorus yakawandisa.
Kana munhu ane chirwere chisingaperi chepfungwa, mazinga e phosphorus anogona kukwirira zvikuru nokuti itsvo haigoni kushanda zvakanaka. Izvi zvinokonzera ropa rako pH kuti ribude. Apo pH inokura zvakanyanya, muviri wako unosunungura calcium kubva pamapfupa ako uchiedza kuti pH idzoke pasi payo. Izvozvo zvinogona kuguma nemapfupa asina simba, izvo zvisiri chinhu chakanaka.
Kuti uderedze phosphorus yako kudya, zviisei kune imwe 1/2 mukombe inoshumira mukaka kana 1/2 mukombe we yogurt zuva rimwe nerimwe. Kana, kana uchida, iwe unogona kudya 1 ounce cheese panzvimbo pemukaka kana yogurt. Mimwe mhando yekisiki yakisi yakaderera phosphorus kuitira kuti inogona kuidya iyo kana yakakodzera nemafisi wako. Iwe unofanirwawo kugara kure nemafuta akazara, lentiki uye nenyuchi dzakaoma, peas, nuts, marangi, cocoa, cola, uye doro. Zvakanaka kudya michero, miriwo, mbeu dzakanatswa, uye mupunga.
Mishonga inogona kupiwawo nechikafu chimwe nechimwe kana muhomwe inogadzirisa kukwanisa kwemuviri kubata phosphorus.
Potassium Kurambidzwa
Iwe unogonawo kuisa kuti potassium yako iwedzere kudya zvakare (chiremba wako achakuudza) nokuti yakakwirira ye potassium muropa rako inogona kukonzera zvinetso pamwoyo wako.
Zvibereko nemiriwo zvinowanzowedzera mu potassium, asi izvi zvinogamuchirwa:
- Apples
- Zviyo
- Broccoli
- Cabbage
- Karoti
- Koliflower
- Celery
- Cherries
- Cucumber
- Birplant
- Mazambiringa
- Green bean
- Lettuce
- Anyanisi
- Peaches
- Pears
- Peppers
- Pineapple
- Plums
- Radishes
- Tangerines
- Yellow squash
- Zucchini
Carbohydrates uye Mafuta
Kana iwe uchida kuwana kana kuchengetedza uremu hwako, kuwedzera yako makoriyamu nekuwedzera zvokudya zvakagadzirwa necarbohydrate zvingabatsira. Zviyo, zviyo, nechingwa zvinonyanya kukosha - iwe unoda 6 kusvika ku11 servings kubva kune boka iri rekudya zuva rimwe nerimwe.
Sarudza mbeu dzakanatswa panzvimbo pezviyo zvose kuitira kuti phosphorus yako iwedzere. Kana uine chirwere cheshuga, unogona kutevera kudya kwakagadzirwa nema carbohydrate .
Chiremba wako angada kuti iwe uite chikafu chemafuta mashoma kana iwe uri pangozi yehosha yepfungwa. Zvokudya zvekudya zvichakubatsira iwe nemafungiro emafuta ekudya
Sample Menu
Heano muenzaniso wezvokudya zvezuva nezuva izvo zvichafananidza zvido zvako zvekudya zvinoregererwa:
Breakfast breakfast
- Cranberry juice
- 2 mazai
- Chigunwe chakachena nehotela, margarini, jelly, kana michero yakapararira.
Midmorning Snack
- Carrot inonamatira
Kudya
- Tuna pasta saladhi dhenari doro roll ne bhuru kana margarine
- Zvitsva kana mapeji ane makedheni
- Apple juice kana soda yakachena (kwete cola)
Afternoon Snack
- Chicken sandwich on white bread
Kudya
- Saladi ne lettuce, makomkete, karoti, uye broccoli namafuta nevhiniga sekupfeka
- Sarimoni fillet
- Green bean
- 1/2 mukombe wemukaka
Nighttime Snack
- Mazambiringa kana majiroji
Dietary Supplements
Zvokudya zvezvirwere zvepfungwa zvekupedzisira zvinogona kunge zvisina kukwana mune zvimwe zvinovaka muviri, uye wako wezvokudya kana chikafu chinogona kukubatsira iwe. Iva nechokwadi chekutaura nevatsigiri vako vehutano usati wawedzera chero zvitsva zvekudya zvinowedzera.
Sources:
American Kidney Foundation. "Dietary Guidelines for Adults Kubva paHemodialysis." http://www.kidney.org/atoz/content/dietary_hemodialysis.cfm.
Maher AK. "Zviri nyore Diet Menu." Gwaro Regumi nerimwe, Hoboken NJ, USA: Wiley-Blackwell Publishing, Gunyana 2011.