Mena kei te pāngia koe e te Mate Tākihi Mau tonu (CKD), kei te rongoatia rānei koe e te dialysis, tera pea kua tohua e tō tākuta he rongoā e kiia nei ko 'Phosphate Binders'. Tērā pea kei te whakaaro koe, "He aha tēnei rongoā? He aha ahau me tango ai i tēnei?" Kaua e mataku. I tēnei rā, ka kōrerohia tēnei mea i roto i te huarahi tino māmā, mārama, me te hoa.
Kia titiro tuatahi tātou, he aha tēnei 'phosphate'?
He mea nui te phosphate mō ō tātou tinana. Pērā i te sima me te pereki e hiahiatia ana hei hanga whare, me hiahia hoki tātou ki te phosphate hei hanga i ngā wheua me ngā niho hauora, hei whakaputa pūngao mō ō tātou pūtau, me te hanga i ngā ngota DNA kei roto ngā mōhiohio ira. Ka whiwhi tātou i ēnei mai i ngā mea e kainga ana e tātou, e inu ana hoki tātou.
I roto i te tangata hauora, ka rite te mahi a ngā whatukuhu ki te tātari. Ka tangohia e rātou te nui o te phosphate e hiahiatia ana e te tinana, ā, ka tukuna te toenga ki roto i te mimi. Heoi, i roto i te tangata he mate whatukuhu mau tonu, ka ngoikore tēnei mahi a ngā whatukuhu. Kātahi ka tīmata te kohikohi o te phosphate nui ki roto i te toto, kaua ki te tukuna mai i te tinana. Ka kiia tēnei āhuatanga ko te hyperphosphatemia.
Nā, he aha ēnei here phosphate?
Āe, ko te wāhanga nui tēnei. He momo rongoā motuhake ngā here phosphate e aukati ana i te mimiti o te phosphate nui rawa i roto i ngā kai e kainga ana e tātou ki roto i ō tātou toto mai i ō tātou whekau.
Whakaarohia pēnei. Ina tangohia e koe tēnei rongoā i a koe e kai ana, ka uru ki roto i tō puku ka piri ki ngā matūriki phosphate i roto i tō kai. He rite ki te aukume e kohi ana i te paura rino. Nā te mea kāore e taea e te tinana te mimiti i tēnei phosphate "herea", ka tukuna tika atu i tō tinana i roto i tō tūtae. Mā tēnei ka āwhina i te whakahaere i te nui o te phosphate e kohia ana i roto i ō toto.
Ina piki ake ngā taumata phosphate i roto i te toto, ka honoa ki te konupūmā i roto i te tinana, ā, ka ngoikore ai ō tātou wheua. Ko te mea tino mōrearea ko te noho ki runga i ngā pakitara o ngā uaua toto, ka ārai i a rātou. Ka piki ake te mōrearea o ngā mate kino pēnei i te mate manawa me te whiu.
He aha ngā kai he nui te phosphate? Kia tūpato hoki tātou ki ēnei!
Pērā i te tango rongoā, he mea nui anō hoki kia mōhio me te whakahaere i ngā kai he nui te phosphate. Kei te ripanga i raro nei ētahi kai he nui te phosphate. Kāore koe e hiahia ki te karo rawa i ēnei, engari he mea nui kia whakahaere i te nui o tāu e kai ana, me te tohutohu a tō tākuta, a tō tohunga kai rānei.
| Kāwai kai | Ngā tauira |
|---|---|
| Miraka me ngā hua miraka | Miraka, miraka kawa, tīhi (ina koa ko te tīhi tukatuka) |
| Ngā kai tukatuka me ngā kai tere | Sōsisi, mītiporo, hāmi, pēkana, nūru inamata |
| Ngā nati me ngā pīni | He kāhew, he pīnati, he rēneti, he pīni kākāriki, he pīni kakariki |
| Ngā inu warowaihā pērā i te houra | Ngā inu ngohengohe pouri pērā i te cola |
| Ngā witi paraoa | Buckwheat, ōti, raihi me te parani |
Me pēhea te whakamahi i tēnei rongoā?
Koinei te mea tino nui hei āwangawanga māu. He mea nui kia tino whai koe i ngā tohutohu a tō tākuta.
Me tango ēnei rongoā me te kai. Nā te mea me mimiti te phosphate i roto i te kai i roto i te puku i mua i te taenga ki ngā whekau. I runga i te momo rongoā e tangohia ana e koe, ka tohutohu pea tō tākuta i a koe kia:
- Ngaungauhia te kai me te horomia 10-15 meneti i mua i te kai.
- Ngaungauhia, ka horomia i te wā tonu ka tīmata koe ki te kai.
- Horomia te papa katoa me ngā waha tuatahi e rua, e toru rānei o te kai.
- Ki te mea he paura, rewahia ki te wai ka inumia me ngā waha tuatahi e rua, e toru rānei o te kai.
- Ngaungauhia, ka horomia ina mutu te kai.
Me kōrero rawa atu koe ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe (ngā huaora, ngā rongoā mō ētahi atu mate), nā te mea ka taunekeneke pea ētahi rongoā me ēnei here phosphate.
He pānga taha anō ō ngā here phosphate?
Pērā i ngā rongoā katoa, he iti noa ngā pānga taha o tēnei. I te nuinga o te wā, kāore ēnei i te kino. Ā muri i tētahi wā, ka taunga tō tinana ki tēnei.
- Mamae puku
- Whakapairuaki me te ruaki
- Te whakakī i te puku, te whakakī i te hau
- Te kōroke
- Korere
- Te panoni o te tae o te tūtae (he mea noa tēnei, kaua e manukanuka)
- Ka taea e ētahi here kei roto he konupūmā te whakanui ake i ngā taumata konupūmā i roto i te toto.
Mena he tino hoha koe ki ēnei pānga taha, he uaua rānei ki te manawanui, me kōrero koe ki tō tākuta.
Ka aha mēnā ka mutu te tango rongoā me te kore he tohutohu a te taote?
Kaua rawa e mahi i tēnei. Ki te mutu ohorere koe i te tango i tēnei rongoā me te kore tohutohu a tō tākuta, ka tere tonu te pikinga o ngā taumata phosphate o tō toto. Tērā pea ka pāngia koe e ēnei tohu:
- Te mākūkū puta noa i te tinana
- Te ngoikore o ngā ngutu me ngā matimati
- Te mamae o te wheua, ina koa i ngā hope me ngā pakihiwi
- Tinana kore ora
- Te whero o ngā kanohi
- Te pikinga ake o te mōrearea o te mate ngakau me te whati wheua
Āhea ahau me kite anō i te tākuta?
Mena he kino ngā pānga taha, kāore rānei e pai ake i roto i te wā, me toro atu ki tō tākuta. Hei tāpiri, i ētahi wā ka iti te taumata konupūmā i roto i te tinana nā te nui o te phosphate i roto i te toto. Ka kiia tēnei ko te hypocalcemia. Me kōrero tonu atu ki tō tākuta mēnā kei a koe ētahi o ēnei tohu e whai ake nei:
- Ngā mamae o te uaua
- Ngā raruraru mahara
- Te riri
- Te ngenge o ngā ngutu, o te arero, o ngā matimati, me/ranei o ngā kapu waewae
- Ngā rerekētanga o te pā o te ngakau (Arrhythmia)
Karere Tangohia ki te Kāinga
- He rongoā nui ngā here phosphate e whakahaere ana i ngā taumata phosphate i roto i te toto o ngā tūroro whatukuhu.
- Me tango tonu tēnei rongoā me te kai, kia rite ki ngā tohutohu a tō tākuta .
- Kaua e mutu te tango i te rongoā me te kore he tohutohu hauora mō tetahi take.
- Mena he kino ngā pānga taha, he tohu rānei o te korenga o te konupūmā (te wiri, te māuiui), me kōrero tonu atu ki tō tākuta.
- Haunga ngā rongoā, he mea tino nui anō hoki te whakahaere i tō kai he nui te phosphate. Kōrero ki tō tākuta mō tēnei.
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