E aʻo kākou e pili ana i ka Maʻi Puʻupaʻa Mau Loa (CKD) - pono anei kākou e ʻai pono e pale i ko kākou mau puʻupaʻa?

Ua haʻi aku ke kauka iā ʻoe he maʻi puʻupaʻa mau kou (CKD)? A laila ua hiki i ka manawa e akahele iki ai i kāu mea e ʻai ai a inu ai. No ka mea, ma kēia ʻano, ʻaʻole hiki i ko kākou mau puʻupaʻa ke hoʻopau pono i nā ʻōpala a me nā wai pono ʻole mai ke kino. Akā, mai hopohopo, inā maʻa kākou i kahi meaʻai e pono ai no nā puʻupaʻa, hiki iā kākou ke noho olakino no ka manawa lōʻihi. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī.

He aha ka pāʻina aloha i nā puʻupaʻa?

I ka ʻōlelo maʻalahi, ua like ko kākou mau puʻupaʻa me kahi kānana i loko o ko kākou kino. ʻO kekahi o kā lākou hana nui, ʻo ia ka wehe ʻana i nā huahana ʻōpala pono ʻole a me nā wai keu mai ke kino ma o ka mimi. ʻAʻole wale ia, hana nā puʻupaʻa i kekahi mau hana koʻikoʻi ʻē aʻe.

• Mālama ia i ke kaulike o nā minelala e like me ka paʻakai (sodium) a me ka potassium i loko o ko mākou kino.
• Hoʻoponopono i ka nui o ka wai i loko o ke kino.
• Hoʻopuka ia i nā hormones e hoʻopilikia i ka hana o nā ʻōpū ʻē aʻe.

ʻO ka papaʻai aloha i nā puʻupaʻa e pili ana i ka ʻai ʻana i nā meaʻai e kōkua ai i ka pale ʻana i kou mau puʻupaʻa mai ka hōʻino hou ʻana. Pili kēia i ka palena ʻana i kekahi mau meaʻai a me nā wai. Hana ʻia kēia e pale aku i ka hōʻiliʻili ʻana o nā wai a me nā minelala pono ʻole i loko o ke kino. I ka manawa like, pono mākou e hōʻoia e loaʻa ana iā ʻoe ka nui kūpono o ka protein, nā calorie, nā wikamina, a me nā minelala.

Inā ʻoe i nā pae mua o CKD, ʻaʻohe paha āu mau kapu ʻai nui. Akā i ka holomua ʻana o kou kūlana, pono ʻoe e makaʻala hou aku i kāu mea e hoʻokomo ai i loko o kou kino. E kamaʻilio kāu kauka iā ʻoe e pili ana i kēia. Hiki iā lākou ke paipai iā ʻoe e ʻike i kahi meaʻai meaʻai e kōkua iā ʻoe e koho i nā meaʻai e maʻalahi i kou mau puʻupaʻa.

Pehea e mālama ai i ka sodium?

He mineral ka sodium i loaʻa maoli i nā meaʻai he nui. E like me kā mākou e ʻike nei, loaʻa pinepine ia i ka paʻakai a mākou e hoʻohana ai no ka kuke ʻana.

Hoʻopilikia pololei ka sodium i kou koko. Kōkua nō hoʻi ia i ke kaulike ʻana i ka nui o ka wai i loko o kou kino. Loaʻa i ke kanaka me nā puʻupaʻa olakino kahi pae sodium i kāohi ʻia. Akā me CKD, hōʻiliʻili ka sodium a me ka wai keu i loko o ke kino. Hiki i kēia ke hana i nā pilikia he nui, me nā kuʻekuʻe wāwae pehu, ke koko kiʻekiʻe, ka paʻakikī o ka hanu ʻana, a me ka hōʻiliʻili ʻana o ka wai a puni ka puʻuwai a me nā māmā.

Hiki iā ʻoe ke kāohi i ka sodium ma ka hahai ʻana i kēia mau hana maʻalahi.

E akahele kākou e pili ana i ka Phosphorus a me ka Calcium.

He mea nui kēia mau minelala ʻelua no ka mālama ʻana i ko kākou mau iwi i ke olakino a me ka ikaika. Inā olakino kou mau puʻupaʻa, hoʻoneʻe lākou i ka phosphorus keu mai ke kino. Akā i ka CKD, hiki i kou mau pae phosphorus ke lilo i mea weliweli loa. He mea nui kēia no ka maʻi puʻuwai. I ka manawa like, hāʻule nā ​​​​pae calcium o kou kino. No ka hoʻopiha ʻana i ka nalowale, huki ke kino i ka calcium mai kou mau iwi. Hoʻonāwaliwali kēia i kou mau iwi a ʻoi aku ka maʻalahi o ka haki ʻana.

Inā ʻoe i nā pae holomua o CKD, hiki i kāu kauka ke aʻo aku iā ʻoe ʻaʻole e lawe ma mua o 1,000 milligrams o ka phosphorus i kēlā me kēia lā. Hiki iā ʻoe ke hana i kēia mau mea e kōkua ai:

• E koho i nā meaʻai haʻahaʻa i ka phosphorus (e nānā iā "PHOS" ma nā lepili).
• E ʻai i nā huaʻai a me nā mea kanu hou.
• E koho i nā meaʻai i hana ʻia mai ka kulina a me ka laiki.
• E inu i nā sodas māmā ma kahi o nā mea ʻeleʻele.
• E kaupalena i kāu ʻai ʻana i ka ʻiʻo, ka moa, a me ka iʻa.
• E hoʻemi i nā meaʻai waiū a me nā meaʻai i hana ʻia.

ʻO nā meaʻai i loaʻa i ka calcium he nui ka phosphorus. No laila, e ʻōlelo paha kāu kauka e hōʻemi ʻoe i kāu ʻai ʻana i nā meaʻai waiwai i ka calcium. ʻO kekahi mau meaʻai waiū haʻahaʻa i ka phosphorus:

• Brie a i ʻole ka tīhi Kuikilana
• Kīhi kirīmi maʻamau a haʻahaʻa paha ka momona a i ʻole ka kirīmi ʻawaʻawa
• ʻO Sherbet

Eia kekahi, hiki i kāu kauka ke aʻo aku iā ʻoe e hoʻōki i ka lawe ʻana i nā pila calcium āu e kūʻai ai mai ka hale kūʻai lāʻau a hoʻomaka e lawe i kahi ʻano lāʻau i kapa ʻia he mea hoʻopaʻa phosphorus, ka mea e kaohi ai i nā pae phosphorus.

Pehea e hōʻemi ai i ka lawe ʻana o ka potassium?

He mineral ka potassium e kōkua ana i ko kākou mau aʻalolo a me nā ʻiʻo e hana pono. Akā i ka wā e loaʻa ai iā ʻoe ka CKD, ʻaʻole hiki i kou kino ke kānana i ka potassium keu. Inā piʻi nui nā pae potassium o kou koko, hiki iā ia ke hana i nā pilikia puʻuwai koʻikoʻi.

Loaʻa ka potassium i loko o nā huaʻai a me nā mea kanu he nui. E haʻi aku kāu kauka iā ʻoe inā pono ʻoe e kaupalena i kāu lawe ʻana i ka potassium. Inā pēlā, hiki iā ʻoe ke koho i nā meaʻai haʻahaʻa i ka potassium, e like me ka mea i hōʻike ʻia ma nā papa ma lalo nei.

I ka wā e ʻoi aku ka ʻino o kou CKD, pono paha ʻoe e hana i nā hoʻololi hou aku i kāu papaʻai. No ka laʻana, pono paha ʻoe e hōʻemi i nā meaʻai kiʻekiʻe i ka protein, ʻoiai ka protein holoholona (ʻiʻo, meaʻai kai, nā huahana waiū). Pono paha ʻoe i ka hao hou aku. E kamaʻilio me kāu kauka e pili ana i nā meaʻai waiwai i ka hao hiki iā ʻoe ke ʻai inā loaʻa iā ʻoe ka CKD.

He aha ka ʻai DASH?

ʻO DASH kahi huaʻōlelo pōkole no "Dietary Approaches to Stop Hypertension". I ka ʻōlelo maʻalahi, he ʻai ia e kōkua ai i ka hoʻōki ʻana i ke koko kiʻekiʻe. He ʻai ia e waiwai ana i nā huaʻai, nā mea kanu, nā huahana waiū momona haʻahaʻa, nā palaoa piha, nā iʻa, nā moa, a me nā nati. He haʻahaʻa ia i ka sodium, ke kō, ka momona, a me ka ʻiʻo ʻulaʻula.

Inā loaʻa iā ʻoe ka maʻi CKD, e kamaʻilio me kāu kauka e pili ana i ka papaʻai DASH. E haʻi aku ʻo ia iā ʻoe inā kūpono kēia papaʻai iā ʻoe. Inā ʻoe ma ka dialysis, ʻaʻole kūpono ka papaʻai DASH iā ʻoe.

Pono anei ʻoe e noʻonoʻo e pili ana i nā wai?

Inā ʻoe i nā pae mua o CKD, ʻaʻole paha ʻoe e pono e kaupalena i nā wai. Eia nō naʻe, inā lilo kou kūlana i mea koʻikoʻi, e nīnau kāu kauka inā pono ʻoe e kaupalena i nā wai. Hiki i kēia mau mea ke kōkua iā ʻoe e hoʻokele i kāu mau wai:

• E pale i nā meaʻai kiʻekiʻe i ka paʻakai. Hoʻonui kēia i ka make wai.
• Ke maloʻo kou waha, e hoʻāʻo i kahi mea e like me nā kinikini paʻakikī ʻaʻohe kō, nā ʻāpana hau, a i ʻole nā ​​​​hua waina paʻahau.
• E kākau i lalo i ka nui o ka wai āu e inu ai i kēlā me kēia lā i loko o kahi puke liʻiliʻi, a i ʻole e hoʻohana i kahi ʻōmole me nā māka ana.