Inā ʻoe e ʻeha nei i ka Maʻi Kidney Mau Loa (CKD), a i ʻole ke hele nei ʻoe i ka lāʻau dialysis, ua kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau i kapa ʻia ʻo 'Phosphate Binders'. Ke noʻonoʻo nei paha ʻoe, "He aha kēia lāʻau? No ke aha e pono ai iaʻu e lawe i kēia?" Mai makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi, maopopo, a aloha hoʻi.
E nānā mua kākou, he aha kēia 'phosphate'?
I ka ʻōlelo maʻalahi, he mineral koʻikoʻi ka phosphate no ko kākou kino. E like me kā kākou e pono ai i ka sima a me nā piliki e kūkulu i hale, pono pū kākou i ka phosphate e kūkulu i nā iwi a me nā niho olakino, e hana i ka ikehu no ko kākou mau cell, a e hana i nā molekala DNA e loaʻa ana kā kākou ʻike genetic. Loaʻa iā kākou kēia mau mea mai nā mea a kākou e ʻai ai a inu ai.
I ke kanaka olakino, hana nā puʻupaʻa e like me ke kānana. Lawe lākou i ka nui o ka phosphate e pono ai ke kino a hoʻokuʻu i ke keu i loko o ka mimi. Eia nō naʻe, i ke kanaka me ka maʻi puʻupaʻa mau, ua pilikia kēia hana o nā puʻupaʻa. A laila , hoʻomaka ka phosphate keu e hōʻiliʻili i loko o ke koko ma kahi o ka hoʻokuʻu ʻia ʻana mai ke kino. Kāhea mākou i kēia ʻano he hyperphosphatemia.
No laila he aha kēia mau mea hoʻopaʻa phosphate?
ʻAe, i kēia manawa ke hele mai nei ka ʻāpana koʻikoʻi. ʻO nā mea hoʻopaʻa phosphate kahi ʻano lāʻau lapaʻau kūikawā e pale ai i ka phosphate keu i loko o ka meaʻai a mākou e ʻai ai mai ke komo ʻana i loko o ko mākou koko mai ko mākou ʻōpū.
E noʻonoʻo i kēia ʻano. Ke lawe ʻoe i kēia lāʻau lapaʻau i ka wā e ʻai ana, komo ia i loko o kou ʻōpū a pipili i nā ʻāpana phosphate i loko o kāu meaʻai. Ua like ia me kahi magnet e ʻohi ana i ka pauka hao. ʻO kēia phosphate "paʻa", no ka mea, ʻaʻole hiki ke omo ʻia e ke kino, ua hoʻopuka pololei ʻia mai kou kino i loko o kāu ʻōpala. Kōkua kēia i ka kaohi ʻana i ka nui o ka phosphate e hōʻiliʻili ana i loko o kou koko.
Ke piʻi aʻe ka nui o ka phosphate i loko o ke koko, hui pū lākou me ka calcium i loko o ke kino a hoʻonāwaliwali i ko kākou mau iwi. ʻO ka mea ʻoi aku ka weliweli, hiki iā lākou ke waiho ma nā paia o nā kīʻaha koko a ālai iā lākou. Hoʻonui kēia i ka pilikia o nā maʻi koʻikoʻi e like me ka maʻi puʻuwai a me ka hahau.
He aha nā meaʻai i kiʻekiʻe i ka phosphate? E makaʻala hoʻi kākou i kēia mau mea!
E like me ka lawe ʻana i ka lāʻau lapaʻau, he mea nui hoʻi e makaʻala a kāohi i nā meaʻai i kiʻekiʻe i ka phosphate. Ua papa inoa ka papa ma lalo nei i kekahi mau meaʻai i kiʻekiʻe i ka phosphate. ʻAʻole pono ʻoe e pale loa i kēia mau mea, akā he mea nui e kāohi i ka nui āu e ʻai ai, me ka ʻōlelo aʻo a kāu kauka a meaʻai meaʻai paha.
| Māhele meaʻai | Nā Laʻana |
|---|---|
| Waiū a me nā huahana waiū | Waiū, yogurt, tīhi (ʻoi aku ka tīhi i hana ʻia) |
| Nā meaʻai i hana ʻia a me nā meaʻai wikiwiki | Nā sausage, meatballs, ham, bacon, noodles koke |
| Nā nati a me nā legume | ʻO Cashews, pīnati, lentil, chickpeas, pīni ʻōmaʻomaʻo |
| Nā mea inu kalapona e like me ka soda | Nā mea inu palupalu ʻeleʻele e like me ke kola |
| Nā meaʻai palaoa | ʻO ka buckwheat, ka ʻoka, ka laiki me ka bran |
Pehea e hoʻohana ai i kēia lāʻau lapaʻau?
ʻO kēia ka mea nui loa āu e hopohopo ai. He mea nui e hahai pono ʻoe i nā ʻōlelo a kāu kauka.
Pono e lawe ʻia kēia mau lāʻau lapaʻau me nā meaʻai. ʻO kēia no ka mea pono e omo ʻia ka phosphate i loko o ka meaʻai i loko o ka ʻōpū ma mua o kona hiki ʻana i nā ʻōpū. Ma muli o ke ʻano o ka lāʻau lapaʻau āu e lawe nei, hiki i kāu kauka ke aʻo aku iā ʻoe:
- E nau a ale i ka meaʻai 10-15 mau minuke ma mua o ka ʻai ʻana.
- E nau a moni i ka wā e hoʻomaka ai ʻoe e ʻai.
- E ale holoʻokoʻa i ka papa me nā waha mua ʻelua a ʻekolu paha o ka meaʻai.
- Inā he pauka ia, e hoʻoheheʻe i loko o ka wai a inu pū me nā ʻōpū mua ʻelua a ʻekolu paha o ka meaʻai.
- E nau a moni koke ke pau kāu ʻai ʻana.
Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (nā huaora, nā lāʻau lapaʻau no nā maʻi ʻē aʻe), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me kēia mau mea hoʻopaʻa phosphate.
Loaʻa nā hopena ʻaoʻao o nā mea hoʻopaʻa phosphate?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao liʻiliʻi. ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia. Ma hope o kekahi manawa, maʻa kou kino iā ia.
- ʻeha ka ʻōpū
- Ka luaʻi a me ka luaʻi
- Hoʻopiha i ka ʻōpū, hoʻopiha i ke kinoea
- Ka paʻa ʻana o ka ʻōpū
- Ka maʻi pākī
- Hoʻololi i ke kala o ka ʻōpala (he mea maʻamau kēia, mai hopohopo)
- Hiki i kekahi mau mea hoʻopaʻa i loaʻa ka calcium ke hoʻonui i nā pae calcium koko.
Inā hoʻopilikia loa kēia mau hopena ʻaoʻao iā ʻoe a paʻakikī paha ke ʻae, e kamaʻilio me kāu kauka e pili ana i ia mea.
He aha ka mea e hana ai inā e ho'ōki ʻoe i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka?
Mai hana i kēia. Inā ʻoe e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka, e piʻi koke hou ana kou mau pae phosphate koko. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:
- ʻO ka ʻūlū ma ke kino holoʻokoʻa
- Ka mae ʻana o nā lehelehe a me nā manamana lima
- ʻEha iwi, ʻoiai ma nā pūhaka a me nā poʻohiwi
- Kino make ʻole
- ʻUlaʻula o nā maka
- ʻO ka hoʻonui ʻia o ka maʻi puʻuwai a me nā haki iwi
Āhea wau e ʻike hou ai i ke kauka?
Inā koʻikoʻi nā hopena ʻaoʻao a ʻaʻole hoʻi e hoʻomaikaʻi i ka hala ʻana o ka manawa, e ʻike pono i kāu kauka. Eia kekahi, i kekahi manawa hiki i nā pae kiʻekiʻe o ka phosphate i loko o ke koko ke hoʻohaʻahaʻa i nā pae calcium i loko o ke kino. Ua kapa ʻia kēia he hypocalcemia. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- ʻEhaʻeha o nā ʻiʻo
- Nā pilikia hoʻomanaʻo
- Manaʻo huhū (Irritability)
- Ka mae ʻana o nā lehelehe, ke alelo, nā manamana lima, a me/a i ʻole nā kapuwaʻi o nā wāwae
- Nā ʻano ʻino o ka puʻuwai (Arrhythmia)
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi nā mea hoʻopaʻa phosphate e kaohi ai i nā pae phosphate i loko o ke koko o nā maʻi puʻupaʻa.
- E lawe mau i kēia lāʻau me ka meaʻai, e like me ke kuhikuhi a kāu kauka .
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻoaʻo lapaʻau no kekahi kumu.
- Inā koʻikoʻi nā hopena ʻaoʻao a inā he mau hōʻailona o ka nele o ka calcium (twitching, numbness), e haʻi koke i kāu kauka.
- Ma waho aʻe o ka lāʻau lapaʻau, he mea nui loa ka kaohi ʻana i kāu meaʻai kiʻekiʻe i ka phosphate. E kamaʻilio me kāu kauka e pili ana i kēia.
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