Yog koj muaj mob raum ntev (CKD), lossis tab tom kho mob dialysis, tej zaum koj tus kws kho mob yuav tau sau tshuaj rau koj hu ua 'Phosphate Binders'. Tej zaum koj yuav xav tias, "Cov tshuaj no yog dab tsi? Vim li cas kuv thiaj yuav tsum noj cov tshuaj no?" Tsis txhob ntshai. Hnub no, peb yuav tham txog qhov no hauv txoj kev yooj yim, nkag siab, thiab tus phooj ywg.
Cia peb xub saib, qhov 'phosphate' no yog dab tsi?
Hais yooj yim xwb, phosphate yog ib yam mineral tseem ceeb rau peb lub cev. Ib yam li peb xav tau cement thiab cib los ua tsev, peb kuj xav tau phosphate los ua kom cov pob txha thiab cov hniav noj qab nyob zoo, los tsim lub zog rau peb cov cell, thiab los ua cov DNA molecules uas muaj peb cov ntaub ntawv genetic. Peb tau txais cov no los ntawm cov khoom uas peb noj thiab haus.
Hauv ib tug neeg noj qab nyob zoo, lub raum ua haujlwm zoo li lub lim dej. Lawv nqus tau cov phosphate uas lub cev xav tau thiab tso cov phosphate ntau dhau tawm hauv cov zis. Txawm li cas los xij, rau ib tug neeg uas muaj kab mob raum ntev, qhov kev ua haujlwm ntawm lub raum no raug cuam tshuam. Tom qab ntawd , cov phosphate ntau dhau pib sib sau ua ke hauv cov ntshav es tsis yog raug tso tawm ntawm lub cev. Peb hu qhov mob no ua hyperphosphatemia.
Yog li cov phosphate binders no yog dab tsi?
Zoo, tam sim no los txog qhov tseem ceeb. Cov tshuaj khi phosphate yog ib hom tshuaj tshwj xeeb uas tiv thaiv cov phosphate ntau dhau hauv cov zaub mov uas peb noj kom tsis txhob nqus mus rau hauv peb cov ntshav los ntawm peb txoj hnyuv.
Xav txog nws li no. Thaum koj noj cov tshuaj no thaum noj mov, nws mus rau hauv koj lub plab thiab lo rau cov khoom phosphate hauv koj cov zaub mov. Nws zoo li lub hlau nplaum uas khaws cov hmoov hlau. Cov phosphate "khi" no, vim nws tsis tuaj yeem nqus tau los ntawm lub cev, raug tso tawm ntawm koj lub cev ncaj qha hauv koj cov quav. Qhov no pab tswj cov phosphate uas sib sau ua ke hauv koj cov ntshav.
Thaum cov phosphate hauv cov ntshav nce ntxiv, lawv sib xyaw nrog calcium hauv lub cev thiab ua rau peb cov pob txha tsis muaj zog. Qhov txaus ntshai tshaj plaws yog tias lawv tuaj yeem tso rau ntawm phab ntsa ntawm cov hlab ntsha thiab thaiv lawv. Qhov no ua rau muaj kev pheej hmoo ntawm cov mob hnyav xws li kab mob plawv thiab mob hlwb.
Cov khoom noj twg muaj phosphate ntau? Cia peb paub txog cov no thiab!
Ib yam li kev noj tshuaj, nws tseem ceeb heev uas yuav tsum paub thiab tswj cov khoom noj uas muaj phosphate ntau. Lub rooj hauv qab no teev qee cov khoom noj uas muaj phosphate ntau. Koj tsis tas yuav tsum zam cov no tag nrho, tab sis nws yog ib qho tseem ceeb uas yuav tsum tswj cov khoom noj uas koj noj, nrog rau cov lus qhia ntawm koj tus kws kho mob lossis tus kws noj zaub mov.
| Pawg khoom noj | Piv txwv |
|---|---|
| Mis nyuj thiab cov khoom siv mis nyuj | Mis nyuj, yogurt, cheese (tshwj xeeb yog cheese ua tiav) |
| Cov khoom noj ua tiav thiab cov khoom noj ceev ceev | Cov hnyuv ntxwm, cov nqaij pob, cov nqaij npua, cov nqaij npuas kib, cov noodles tam sim ntawd |
| Cov txiv ntoo thiab cov noob taum | Txiv laum huab xeeb, txiv laum huab xeeb, taum pauv, taum pauv ntsuab |
| Cov dej haus uas muaj cov pa roj carbon zoo li dej qab zib | Cov dej qab zib xim tsaus xws li cola |
| Cov nplej zom uas muaj hmoov nplej | Buckwheat, oats, mov nrog bran |
Yuav siv cov tshuaj no li cas?
Qhov no yog qhov tseem ceeb tshaj plaws uas koj yuav tsum txhawj txog. Nws yog ib qho tseem ceeb uas koj yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej.
Cov tshuaj no yuav tsum noj nrog pluas noj. Qhov no yog vim tias cov phosphate hauv cov khoom noj yuav tsum tau nqus rau hauv lub plab ua ntej nws thiaj li mus txog cov hnyuv. Nyob ntawm hom tshuaj uas koj noj, koj tus kws kho mob yuav qhia koj kom:
- Tom thiab nqos zaub mov 10-15 feeb ua ntej noj mov.
- Tom thiab nqos thaum koj pib noj mov.
- Nqos cov ntsiav tshuaj tag nrho nrog ob lossis peb lub qhov ncauj thawj zaug ntawm cov khoom noj.
- Yog tias nws yog hmoov, yaj nws rau hauv dej thiab haus nrog ob lossis peb lub qhov ncauj thawj zaug ntawm cov khoom noj.
- Tom qab koj noj tas, zom thiab nqos.
Koj yuav tsum qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj (cov vitamins, tshuaj rau lwm yam kab mob), vim tias qee cov tshuaj yuav cuam tshuam nrog cov phosphate binders no.
Cov tshuaj phosphate binders puas muaj cov kev mob tshwm sim?
Ib yam li lwm yam tshuaj, cov tshuaj no muaj tej yam tsis zoo me ntsis. Feem ntau, cov no tsis loj heev. Tom qab ib ntus, koj lub cev yuav siv tau rau nws.
- Mob plab
- Xeev siab thiab ntuav
- Ua kom lub plab puv, ua kom muaj roj ntau
- Kab mob cem quav
- Mob raws plab
- Kev hloov xim ntawm cov quav (qhov no yog ib txwm muaj, tsis txhob txhawj)
- Qee cov tshuaj uas muaj calcium tuaj yeem ua rau cov calcium hauv cov ntshav nce ntxiv.
Yog tias cov kev mob tshwm sim no ua rau koj ntxhov siab lossis nyuaj rau zam, nco ntsoov nrog koj tus kws kho mob tham txog nws.
Yog koj tsis noj tshuaj yam tsis tau kev qhia los ntawm kws kho mob lawm, yuav muaj li cas?
Tsis txhob ua li no. Yog tias koj tsum tsis noj cov tshuaj no tam sim ntawd yam tsis tau koj tus kws kho mob qhia, koj cov ntshav phosphate yuav nce siab dua sai sai. Tej zaum koj yuav muaj cov tsos mob zoo li no:
- Khaus thoob plaws lub cev
- Kev tsis muaj zog ntawm daim di ncauj thiab cov ntiv tes
- Mob pob txha, tshwj xeeb tshaj yog nyob rau hauv lub duav thiab xub pwg nyom
- Lub cev tsis muaj sia
- Qhov muag liab
- Muaj kev pheej hmoo ntawm kab mob plawv thiab pob txha tawg ntau ntxiv
Kuv yuav tsum mus ntsib kws kho mob dua thaum twg?
Yog tias cov kev mob tshwm sim hnyav heev lossis tsis zoo dua raws sijhawm, nco ntsoov mus ntsib koj tus kws kho mob. Tsis tas li ntawd, qee zaum cov phosphate ntau hauv cov ntshav tuaj yeem ua rau cov calcium qis hauv lub cev. Qhov no hu ua hypocalcemia. Qhia rau koj tus kws kho mob tam sim ntawd yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no:
- Mob nqaij ntshiv
- Teeb meem nco qab
- Kev chim siab (Feeling irritability)
- Kev tsis muaj zog ntawm daim di ncauj, tus nplaig, cov ntiv tes, thiab/lossis cov taw
- Kev ua tsis taus ntawm lub plawv dhia (Arrhythmia)
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj khi phosphate yog cov tshuaj tseem ceeb uas tswj cov phosphate hauv cov ntshav ntawm cov neeg mob raum.
- Noj cov tshuaj no nrog zaub mov tas li, raws li koj tus kws kho mob qhia .
- Tsis txhob tsum noj tshuaj yam tsis tau kev qhia los ntawm kws kho mob rau txhua qhov laj thawj.
- Yog tias cov kev mob tshwm sim hnyav heev lossis yog tias koj muaj cov tsos mob ntawm qhov tsis txaus calcium (tig, loog), qhia rau koj tus kws kho mob tam sim ntawd.
- Ib yam li kev noj tshuaj, kev tswj koj cov zaub mov uas muaj phosphate ntau kuj tseem ceeb heev. Tham nrog koj tus kws kho mob txog qhov no.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus