Me ako tātou mō te Mate Tākihi Mau tonu (CKD) - me kai tika tātou hei tiaki i ō tātou tākihi?

Kua kōrerotia mai e te tākuta kei a koe te mate whatukuhu mau tonu (CKD)? Kua tae ki te wā kia tino tupato koe ki tāu e kai ana, e inu ana hoki. Nā te mea i roto i tēnei āhuatanga, kāore e taea e ō tātou whatukuhu te tango tika i ngā para me ngā wai kore e hiahiatia mai i te tinana. Engari kaua e manukanuka, ki te taunga tātou ki tētahi kai e whai hua ana mō ngā whatukuhu, ka taea e tātou te noho hauora mō te wā roa. Me kōrero taipitopito tātou mō tēnei.

He aha te kai e pai ana mō ngā whatukuhu?

He māmā noa iho, he rite ō tātou whatukuhu ki te tātari i roto i te tinana. Ko tētahi o ā rātou mahi matua ko te tango i ngā para koretake me ngā wai taikaha mai i te tinana mā te mimi. Ehara i te mea koinā anake, he maha atu anō ngā mahi nui a ngā whatukuhu.

• Ka pupuri i te taurite o ngā kohuke pēnei i te tote (konutai) me te pāhare pāporo i roto i tō tātou tinana.
• Ka whakataurite i te nui o te wai i roto i te tinana.
• Ka whakaputa i ngā homoni e pā ana ki te mahi a ētahi atu okana.

Ko te kai e pai ana mō ngā whatukuhu ko te kai i ngā kai hei tiaki i ō whatukuhu mai i ngā kino atu anō. Kei roto i tēnei ko te whakawhāiti i ētahi kai me ngā wai. Ka mahia tēnei hei ārai i te kohikohinga o ngā wai me ngā kohuke kore e hiahiatia i roto i te tinana. I taua wā anō, me whakarite tātou kei te whiwhi koe i te nui tika o te pūmua, te kaora, ngā huaora, me ngā kohuke.

Mena kei ngā wāhanga tōmua o te CKD koe, kāore pea he here nui mō te kai. Engari i te haere tonu o tō āhua, me tino tupato koe ki ngā mea ka tukuna e koe ki roto i tō tinana. Ka kōrero tō tākuta ki a koe mō tēnei. Tērā pea ka tūtohu rātou kia toro atu koe ki tētahi tohunga kai hei āwhina i a koe ki te whiriwhiri i ngā kai e ngāwari ana ki ō whatukuhu.

Me pēhea te whakahaere i te konutai?

He kohuke te konutai e kitea noatia ana i roto i te maha o ngā kai. E mōhio ana tātou, ko te nuinga o te wā ka kitea i roto i te tote e whakamahia ana e tātou mō te tunu kai.

Ka pā tika te konutai ki tō toto toto. Ka āwhina hoki i te taurite o te nui o te wai i roto i tō tinana. Ko te tangata he hauora ōna whatukuhu, he taumata konutai kua whakahaeretia. Engari ki te mate huka pūkahukahu (CKD), ka kohia te konutai me te wai tāpiri ki roto i te tinana. Ka taea e tēnei te whakararu i te maha o ngā raruraru, tae atu ki te pupuhi o ngā pona waewae, te toto toto tiketike, te uaua ki te manawa, me te kohi wai huri noa i te ngākau me ngā pukahukahu.

Ka taea e koe te whakahaere i te konutai mā te whai i ēnei mahi ngāwari.

Kia tūpato tātou mō te Phosphorus me te Calcium.

He mea nui ēnei kohuke e rua hei pupuri i te hauora me te kaha o ō tātou wheua. Mēnā he hauora ō whatukuhu, ka tangohia e rātou te nui o te whākawa i roto i te tinana. Engari i roto i te CKD, ka tino teitei ake ō taumata whākawa. He take nui tēnei mō te mate manawa. I taua wā anō, ka heke ngā taumata konupūmā o tō tinana. Hei whakakapi i te ngaronga, ka tangohia e te tinana te konupūmā mai i ō wheua. Ka ngoikore ai ō wheua, ā, ka ngāwari ake te whati.

Mena kei roto koe i ngā wāhanga matatau o te CKD, ka tohutohu pea tō tākuta kia kaua e neke atu i te 1,000 mirikaramu o te whākōkī i te rā. Ka taea e koe te mahi i ēnei hei āwhina:

• Kōwhiria ngā kai he iti te phosphorus i roto (rapua te kupu "PHOS" i runga i ngā tapanga).
• Kai atu i ngā hua me ngā huawhenua hou.
• Kōwhiria ngā witi i hangaia mai i te kānga me te raihi.
• Inumia ngā inu wai mā te tae mārama, kaua ngā inu wai pouri.
• Whakawhāitihia te kai mīti, heihei, me te ika.
• Whakawhāitihia ngā kai miraka me ngā kai tukatuka.

Ko ngā kai he nui te konupūmā, he nui hoki te whākōkī. Nō reira, ka tūtohu pea tō tākuta kia whakaitihia e koe te kai i ngā kai he nui te konupūmā. Ko ētahi o ngā kai miraka he iti te whākōkī ko:

• Tīhi Brie, tīhi Swiss rānei
• Tīhi kirīmi, kirīmi kawa rānei, he tīhi noa, he iti te ngako rānei
• Hepeti

Waihoki, ka tohutohu pea tō tākuta kia mutu te tango i ngā pire konupūmā ka hokona e koe i te whare rongoā, ka tīmata ki te tango i tētahi momo rongoā e kiia nei ko te herenga phosphorus, e whakahaere ana i ngā taumata phosphorus.

Me pēhea te whakaiti i te kai pāhare pāporo?

He kohuke te pāhare pākawa e āwhina ana i ō tātou io me ngā uaua ki te mahi tika. Engari ki te pāngia koe e te CKD, kāore e taea e tō tinana te tātari i te pāhare pākawa tāpiri. Ki te nui rawa ngā taumata pāhare pākawa o roto i tō toto, ka pāngia pea koe e ngā raruraru nui o te ngākau.

Kei roto i te maha o ngā hua me ngā huawhenua te pāhare pākawa. Mā tō tākuta koe e kī atu mēnā me whakawhāiti te kai pāhare pākawa. Ki te pērā, ka taea e koe te whiriwhiri i ngā kai he iti te pāhare pākawa, e whakaaturia ana i ngā ripanga i raro nei.

I te kino haere o tō CKD, me nui ake pea ngā huringa ki tō kai. Hei tauira, me whakaiti pea koe i ngā kai nui te pūmua, inā koa ko te pūmua kararehe (mīti, kaimoana, hua miraka). Me nui ake pea te rino. Kōrero ki tō tākuta mō ngā kai nui te rino ka taea e koe te kai mēnā he CKD tōu.

He aha te Kai DASH?

Ko te DASH he kupu whakarāpopoto mō te "Dietary Approaches to Stop Hypertension". He kai ngāwari tēnei hei āwhina i te aukati i te toto toto tiketike. He kai e nui ana i ngā hua, huawhenua, hua miraka iti-ngako, witi katoa, ika, heihei, me ngā nati. He iti te konutai, te huka, te ngako, me te mīti whero.

Mena kei a koe te CKD, kōrero ki tō tākuta mō te kai DASH. Māna koe e kī atu mēnā he tika tēnei kai māu. Mena kei te dialysis koe, kāore te kai DASH i te tika māu.

Me whakaaro anō hoki koe ki ngā wai?

Mena kei ngā wāhanga tōmua o te CKD koe, kāore pea koe e hiahia ki te whakawhāiti i ngā wai. Heoi, ki te kaha haere tō āhua, ka pātai atu tō tākuta mēnā me whakawhāiti koe i ngā wai. Mā ēnei mea koe e āwhina ki te whakahaere i ō wai:

• Āta karohia ngā kai he nui te tote. Ka nui ake te matewai i ēnei.
• Ki te maroke tō waha, whakamātauria tētahi mea pēnei i te monamona mārō kore huka, te huka poraka, te karepe tio rānei.
• Tuhia te nui o te wai e inuhia ana e koe i ia rā ki roto i tētahi pukatuhi, whakamahia rānei he pounamu me ngā tohu ine.