Momma yensua Chronic Kidney Disease (CKD) ho ade - ɛsɛ sɛ yedi aduan pa de bɔ yɛn asaabo ho ban?

So oduruyɛfo no aka akyerɛ wo sɛ wowɔ Asaabo mu Yare a Enni sabea (CKD)? Afei bere aso sɛ wohwɛ yiye kakra wɔ nea wudi ne nea wonom ho. Efisɛ wɔ tebea yi mu no, yɛn asaabo ntumi nyi nwura ne nsu a ɛho nhia mfi nipadua no mu yiye. Nanso mma ɛnhaw wo, sɛ yɛde aduan a mfaso wɔ so ma asaabo no yɛ yɛn su a, yebetumi atra apɔwmuden akyɛ. Momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne aduan a ɛfata asaabo?

Sɛ yɛbɛka no tiawa a, yɛn asaabo te sɛ ade a wɔde yiyi yɛn nipadua mu. Wɔn dwumadi titiriw biako ne sɛ wɔbɛfa nsu mu ayi nwura a ɛho nhia ne nsu a ɛboro so afi nipadua no mu. Ɛnyɛ ɛno nko, na mmom asaabo no yɛ nnwuma afoforo pii a ɛho hia.

• Ɛma nneɛma a ɛwɔ yɛn nipadua mu te sɛ nkyene (sodium) ne potassium kari pɛ.
• Ɛma nsu dodow a ɛwɔ nipadua no mu no kari pɛ.
• Ɛma hormone ahorow a ɛka akwaa afoforo dwumadi.

Aduan a ɛfata asaabo fa nnuan a ɛboa ma wobɔ w’asaabo ho ban fi ɔsɛe foforo ho a wubedi ho. Nea ɛka eyi ho ne sɛ wɔbɛto nnuan ne nsu bi ano hye. Wɔyɛ eyi na amma nsu ne nneɛma a ɛho nhia anboaboa ano wɔ nipadua no mu. Bere koro no ara mu no, ɛsɛ sɛ yɛhwɛ hu sɛ worenya protein, calories, vitamins, ne minerals dodow a ɛfata .

Sɛ wowɔ CKD mfiase a, ebia wunni aduan ho anohyeto kɛse biara. Nanso bere a wo tebea no kɔ so no, ebehia sɛ wohwɛ yiye kɛse wɔ nea wode bɛhyɛ wo nipadua mu no ho. Wo duruyɛfo no ne wo bɛkasa afa eyi ho. Ebia wɔbɛkamfo akyerɛ nso sɛ kɔ aduan ho ɔbenfo nkyɛn ma ɔmmoa wo mma wopaw nnuan a ɛnyɛ den mma w’asaabo.

Ɔkwan bɛn so na wobedi sodium so?

Sodium yɛ ade a ɛwɔ nnuan pii mu wɔ abɔde mu. Sɛnea yenim no, ɛtaa hu wɔ nkyene a yɛde noa aduan no mu.

Sodium ka wo mogya mmoroso tẽẽ. Ɛboa nso ma nsu dodow a ɛwɔ wo nipadua mu no kari pɛ. Obi a n’asaabo yɛ papa no wɔ sodium dodow a wɔahyɛ so. Nanso wɔ CKD mu no, sodium ne nsu a ɛboro so boaboa ano wɔ nipadua no mu. Eyi betumi de ɔhaw ahorow bi aba, a nea ɛka ho ne nansoaa a ɛho ahonhon, mogya mmoroso, ɛyɛ den sɛ ɔbɛhome, ne nsu a ɛbɛboaboa ano wɔ koma ne ahurututu no ho.

Wubetumi adi sodium so denam anammɔn a ɛnyɛ den yi a wubedi akyi no so.

Momma yɛnhwɛ yie wɔ Phosphorus ne Calcium ho.

Saa mineral abien yi nyinaa ho hia na ama yɛn nnompe ayɛ yiye na ayɛ den. Sɛ w’asaabo yɛ apɔwmuden a, eyi phosphorus a ɛboro so fi nipadua no mu. Nanso wɔ CKD mu no, wo phosphorus dodow betumi akɔ soro wɔ ɔkwan a ɛyɛ hu so. Eyi yɛ ade titiriw a ɛde komayare ba. Bere koro no ara mu no, wo nipadua mu calcium dodow so tew. Nea ɛbɛyɛ na nipadua no asiesie nea woahwere no, ɛtwe calcium fi wo nnompe mu. Eyi ma wo nnompe yɛ mmerɛw na ɛma ɛyɛ mmerɛw sɛ ebebubu.

Sɛ wowɔ CKD a emu yɛ den mu a, ebia wo duruyɛfo betu wo fo sɛ ɛnsɛ sɛ wonom phosphorus bɛboro miligram 1,000 da biara. Wubetumi ayɛ nea edidi so yi de aboa:

• Paw nnuan a phosphorus kakraa bi na ɛwom (hwehwɛ "PHOS" wɔ nkyerɛwde no so).
• Di nnuaba ne nhabannuru a wɔayɛ no foforo pii.
• Paw aburow a wɔde atoko ne aburow ayɛ.
• Nom soda a ne kɔla yɛ hann sen sɛ wobɛnom nea ɛyɛ tuntum.
• To nam, nkokɔ, ne mpataa a wudi no ano hye.
• Tow nufusu ne nnuan a wɔayɛ ho adwuma ano hye.

Nnuan a calcium pii wom no taa yɛ nea phosphorus pii wom. Enti, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ tew nnuan a calcium wom a wudi so. Nufusu mu nnuan bi a phosphorus kakraa bi na ɛwom no bi ne:

• Brie anaa Switzerland kyiisi
• Cream cheese anaa sour cream a wɔde di dwuma daa anaasɛ srade kakraa bi na ɛwom
• Sherbet na ɔkyerɛwee

Afei nso, ebia wo duruyɛfo betu wo fo sɛ gyae calcium nnuru a wotɔ fi nnurutɔnbea no nom na fi ase nom aduru bi a wɔfrɛ no phosphorus binder a ɛhwɛ phosphorus dodow so.

Ɔkwan bɛn so na wɔbɛtew potassium a wodi so?

Potassium yɛ mineral a ɛboa ma yɛn ntini ne yɛn ntini yɛ adwuma yiye. Nanso sɛ wowɔ CKD a, wo nipadua no ntumi nyi potassium a ɛboro so no mfi mu. Sɛ potassium dodow a ɛwɔ wo mogya mu no kɔ soro dodo a, ebetumi de komayare a emu yɛ den aba.

Potassium wɔ nnuaba ne nhabannuru pii mu. Wo duruyɛfo bɛka akyerɛ wo sɛ ebia ɛsɛ sɛ woto potassium a wonom no ano hye anaa. Sɛ saa a, wubetumi apaw nnuan a potassium nnim, sɛnea wɔada no adi wɔ pon ahorow a ɛwɔ ase hɔ no mu no.

Bere a wo CKD mu yɛ den no, ebia ebehia sɛ woyɛ nsakrae pii wɔ w’aduan mu. Sɛ nhwɛso no, ebia ebehia sɛ wotew nnuan a protein pii wom so, titiriw mmoa protein (nam, ɛpo mu nnuan, nufusu mu nneɛma). Ebia wubehia dade foforo nso. Wo ne wo duruyɛfo nkasa mfa nnuan a iron wom a wubetumi adi sɛ wowɔ CKD a.

Dɛn ne DASH Adidi no?

DASH yɛ asɛmfua a wɔatwa no tiaa a ɛkyerɛ ``Adidi mu akwan a wɔfa so siw mogya mmoroso''. Sɛ yɛbɛka no tiawa a, ɛyɛ aduan a ɛboa ma mogya mmoroso gyae. Ɛyɛ aduan a nnuaba, nhabannuru, nufusu a srade nnim, aburow a wɔayam, mpataa, nkokɔ, ne nnuaba pii wom. Sodium, asikre, srade, ne nam kɔkɔɔ nni mu.

Sɛ wowɔ CKD a, wo ne wo duruyɛfo nkasa mfa DASH aduan no ho. Ɔbɛka akyerɛ wo sɛ saa aduan yi fata wo anaa. Sɛ woreyɛ dialysis a, DASH aduan no mfata wo.

So ɛsɛ sɛ wususuw nsu ho nso?

Sɛ wowɔ CKD mfiase a, ebia ɛho renhia sɛ wobɛto nsu ano hye. Nanso, sɛ wo tebea no mu yɛ den a, wo duruyɛfo bebisa sɛ ebia ɛsɛ sɛ woto nsu ano hye anaa. Saa nneɛma yi betumi aboa wo ma woahwɛ wo nsu so:

• Kwati nnuan a nkyene pii wom. Eyinom ma sukɔm kɔ soro.
• Sɛ w’ano te nka sɛ ayow a, sɔ biribi te sɛ ahwiesa a ɛyɛ den a asikre nnim, nsukyenee, anaa bobe a wɔahyɛ no nwini hwɛ.
• Kyerɛw nsu dodow a wonom da biara da wɔ nhoma a wɔde kyerɛw nsɛm mu, anaa fa toa a wɔde susuw agyiraehyɛde ahyɛ mu di dwuma.