Tiyeni tiphunzire za Matenda a Impso Osatha (CKD) - kodi tiyenera kudya bwino kuti titeteze impso zathu?

Kodi dokotala wakuuzani kuti muli ndi matenda a impso osatha (CKD)? Ndiye nthawi yakwana yoti musamale kwambiri ndi zomwe mumadya ndi kumwa. Chifukwa mu mkhalidwe uwu, impso zathu sizingathe kuchotsa bwino zinyalala ndi madzi osafunikira m'thupi. Koma musadandaule, ngati tizolowera zakudya zomwe zimathandiza impso, titha kukhala ndi thanzi labwino kwa nthawi yayitali. Tiyeni tikambirane za izi mwatsatanetsatane.

Kodi chakudya chokoma kwa impso n'chiyani?

Mwachidule, impso zathu zili ngati fyuluta m'thupi lathu. Ntchito yawo yaikulu ndikuchotsa zinyalala zosafunikira ndi madzi ochulukirapo m'thupi kudzera mu mkodzo. Sikuti zokhazo, impso zimagwiranso ntchito zina zofunika.

• Zimasunga bwino mchere monga mchere (sodium) ndi potaziyamu m'thupi lathu.
• Kumalimbitsa kuchuluka kwa madzi m'thupi.
• Amapanga mahomoni omwe amakhudza ntchito ya ziwalo zina.

Zakudya zabwino kwa impso ndi kudya zakudya zomwe zimathandiza kuteteza impso zanu kuti zisawonongeke kwambiri. Izi zimaphatikizapo kuchepetsa zakudya zina ndi madzi. Izi zimachitika kuti tipewe kuchuluka kwa madzi ndi mchere wosafunikira m'thupi. Nthawi yomweyo, tiyenera kuonetsetsa kuti mukupeza mapuloteni, ma calories, mavitamini, ndi mchere wokwanira .

Ngati muli kumayambiriro kwa matenda a CKD, mwina simungakhale ndi malamulo akuluakulu okhudzana ndi zakudya. Koma pamene matenda anu akupita patsogolo, muyenera kusamala kwambiri ndi zomwe mumaika m'thupi lanu. Dokotala wanu adzakulankhulani za izi. Angakulimbikitseninso kuti mukakumane ndi katswiri wa zakudya kuti akuthandizeni kusankha zakudya zomwe sizivuta kukhudza impso zanu.

Kodi mungayang'anire bwanji sodium?

Sodium ndi mchere womwe umapezeka mwachilengedwe m'zakudya zambiri. Monga momwe tikudziwira, umapezeka kwambiri mu mchere womwe timagwiritsa ntchito pophika.

Sodium imakhudza mwachindunji kuthamanga kwa magazi anu. Imathandizanso kuti thupi lanu likhale ndi madzi okwanira. Munthu amene ali ndi impso zabwino amakhala ndi sodium yokwanira. Koma ndi matenda a impso (CKD), sodium ndi madzi ochulukirapo zimasonkhana m'thupi. Izi zingayambitse mavuto ambiri, kuphatikizapo kutupa kwa akakolo, kuthamanga kwa magazi, kupuma movutikira, komanso madzi ozungulira mtima ndi mapapo.

Mukhoza kuchepetsa sodium mwa kutsatira njira zosavuta izi.

Tiyeni tisamale ndi phosphorous ndi calcium.

Michere yonseyi ndi yofunika kwambiri kuti mafupa athu akhale athanzi komanso olimba. Ngati impso zanu zili ndi thanzi labwino, zimachotsa phosphorous yochulukirapo m'thupi. Koma mu matenda a mtima (CKD), phosphorous yanu imatha kukhala yoopsa kwambiri. Ichi ndi chifukwa chachikulu choyambitsa matenda a mtima. Nthawi yomweyo, calcium m'thupi lanu imatsika. Kuti abwezere kutayika, thupi limakoka calcium m'mafupa anu. Izi zimafooketsa mafupa anu ndipo zimapangitsa kuti asweke mosavuta.

Ngati muli ndi matenda a CKD, dokotala wanu angakulangizeni kuti musamwe phosphorous yoposa mamiligalamu 1,000 patsiku. Mutha kuchita izi kuti muthandize:

• Sankhani zakudya zomwe zili ndi phosphorous yochepa (yang'anani "PHOS" pa zilembo).
• Idyani zipatso ndi ndiwo zamasamba zatsopano zambiri.
• Sankhani chimanga chopangidwa kuchokera ku chimanga ndi mpunga.
• Imwani soda zopepuka m'malo mwa zakumwa zakuda.
• Chepetsani kudya nyama, nkhuku, ndi nsomba.
• Chepetsani kudya mkaka ndi zakudya zopangidwa kale.

Zakudya zokhala ndi calcium yambiri nthawi zambiri zimakhala ndi phosphorous yambiri. Chifukwa chake, dokotala wanu angakulangizeni kuti muchepetse kudya zakudya zokhala ndi calcium yambiri. Zakudya zina za mkaka zomwe zili ndi phosphorous yochepa ndi izi:

• Brie kapena tchizi cha ku Switzerland
• Tchizi cha kirimu wamba kapena wopanda mafuta ambiri kapena kirimu wowawasa
• Sherbet

Komanso, dokotala wanu angakulangizeni kuti musiye kumwa mapiritsi a calcium omwe mumagula ku pharmacy ndikuyamba kumwa mankhwala otchedwa phosphorus binder, omwe amawongolera kuchuluka kwa phosphorous.

Kodi mungachepetse bwanji kudya potaziyamu?

Potaziyamu ndi mchere womwe umathandiza mitsempha ndi minofu yathu kugwira ntchito bwino. Koma mukakhala ndi matenda a CKD, thupi lanu silingathe kusefa potaziyamu wowonjezera. Ngati potaziyamu m'magazi mwanu yakwera kwambiri, ingayambitse mavuto aakulu a mtima.

Potaziyamu imapezeka mu zipatso ndi ndiwo zamasamba zambiri. Dokotala wanu adzakuuzani ngati muyenera kuchepetsa kudya potaziyamu. Ngati ndi choncho, mungasankhe zakudya zokhala ndi potaziyamu yochepa, monga momwe tawonetsera patebulo pansipa.

Pamene matenda a CKD anu akuipiraipira, mungafunike kusintha zakudya zanu. Mwachitsanzo, mungafunike kuchepetsa kudya zakudya zokhala ndi mapuloteni ambiri, makamaka mapuloteni a nyama (nyama, nsomba zam'madzi, mkaka). Mungafunikenso chitsulo chowonjezera. Lankhulani ndi dokotala wanu za zakudya zokhala ndi ayodini zomwe mungadye ngati muli ndi CKD.

Kodi Zakudya za DASH ndi chiyani?

DASH ndi chidule cha "Dietary Approaches to Stop Hypertension". Mwachidule, ndi zakudya zomwe zimathandiza kuchepetsa kuthamanga kwa magazi. Ndi zakudya zokhala ndi zipatso, ndiwo zamasamba, mkaka wopanda mafuta ambiri, tirigu wonse, nsomba, nkhuku, ndi mtedza. Ndi zakudya zochepa za sodium, shuga, mafuta, ndi nyama yofiira.

Ngati muli ndi CKD, lankhulani ndi dokotala wanu za zakudya za DASH. Iye adzakuuzani ngati zakudyazi zili zoyenera kwa inu. Ngati muli pa dialysis, zakudya za DASH sizili zoyenera kwa inu.

Kodi muyeneranso kuganizira za madzi?

Ngati muli kumayambiriro kwa matenda a CKD, simungafunike kuchepetsa madzi. Komabe, ngati vuto lanu lakula kwambiri, dokotala wanu adzakufunsani ngati muyenera kuchepetsa madzi. Zinthu izi zingakuthandizeni kuchepetsa madzi anu:

• Pewani zakudya zokhala ndi mchere wambiri. Izi zimawonjezera ludzu.
• Pakamwa panu pakakhala pouma, yesani china chake monga maswiti olimba opanda shuga, ma cubes a ayezi, kapena mphesa zozizira.
• Lembani kuchuluka kwa madzi omwe mumamwa tsiku lililonse m'buku lanu, kapena gwiritsani ntchito botolo lokhala ndi zizindikiro zoyezera.