Kana muchirwara nechirwere cheChronic Kidney Disease (CKD), kana kuti muri kurapwa nedialysis, chiremba wenyu anogona kunge akakupai mushonga unonzi 'Phosphate Binders'. Munogona kunge muchishamisika kuti, "Mushonga uyu chii? Sei ndichifanira kuunwa?" Musatya. Nhasi, tichataura nezvazvo nenzira iri nyore, inonzwisisika, uye ine hushamwari.
Ngatitangei taona, chii chinonzi 'phosphate' iyi?
Zvichitaurwa zviri nyore, phosphate imineral inokosha kumiviri yedu. Sezvatinoda simende nezvidhinha kuti tivake imba, tinodawo phosphate kuti tivake mapfupa nemazino ane hutano, kuti tigadzire simba remasero edu, uye kuti tigadzire mamorekuru eDNA ane ruzivo rwemajini edu. Tinowana izvi kubva muzvinhu zvatinodya nekunwa.
Mumunhu ane hutano hwakanaka, itsvo dzinoshanda sesefa. Dzinotora huwandu hwephosphate hunodiwa nemuviri uye dzinoburitsa yakawandisa muweti. Zvisinei, mumunhu ane chirwere cheitsvo chisingaperi, basa iri reitsvo rinokanganiswa. Zvadaro , phosphate yakawandisa inotanga kuungana muropa pachinzvimbo chekubuda mumuviri. Tinonzi chirwere ichi hyperphosphatemia.
Saka chii chinonzi phosphate binders?
Zvakanaka, zvino ndiyo nyaya inokosha. Mishonga inosunga phosphate imhando yemishonga inodzivisa phosphate yakawanda muchikafu chatinodya kuti isanyure muropa redu ichibva mudumbu redu.
Funga nezvazvo nenzira iyi. Paunotora mushonga uyu uchidya, unopinda mudumbu mako wonamatira pazvidimbu zvephosphate zviri muchikafu chako. Zvakafanana nemagneti inotora upfu hwesimbi. Iyi phosphate "yakasungwa", nekuti haigone kunyudzwa nemuviri, inoburitswa mumuviri wako zvakananga mutsvina yako. Izvi zvinobatsira kudzora huwandu hwephosphate inoungana muropa rako.
Kana huwandu hwephosphate muropa hukawedzera, hunosanganiswa necalcium mumuviri uye hunopedza simba mapfupa edu. Chinonyanya kuipa ndechekuti hunogona kuungana pamadziro etsinga dzeropa uye hunodzivhara. Izvi zvinowedzera njodzi yezvirwere zvakakomba zvakaita sechirwere chemwoyo uye sitiroko.
Ndezvipi zvekudya zvine phosphate yakawanda? Ngatizviziveiwo!
Kungofanana nekutora mishonga, zvakakoshawo kuziva uye kudzora chikafu chine phosphate yakawanda. Tafura iri pazasi inoratidza zvimwe zvekudya zvine phosphate yakawanda. Haufanire kurega izvi zvachose, asi zvakakosha kudzora huwandu hwaunodya, uchibatsirwa nachiremba wako kana nyanzvi yezvekudya.
| Chikamu chezvekudya | Mienzaniso |
|---|---|
| Mukaka nezvigadzirwa zvemukaka | Mukaka, yogati, chizi (kunyanya chizi chakagadziriswa) |
| Zvekudya zvakagadzirwa uye zvekudya zvinokurumidza | Masoseji, nyama dzenyama, ham, bhekoni, manoodles epakarepo |
| Nzungu nenyemba | Makoshe, nzungu, nyemba, nyemba, nyemba dzegirini |
| Zvinwiwa zvine carbonated zvakaita sesoda | Zvinwiwa zvisina kunyorova zvine ruvara rwakasviba zvakaita secola |
| Zviyo zveupfu | Buckwheat, oats, mupunga ne bran |
Mushonga uyu ungashandiswa sei?
Ichi ndicho chinhu chinonyanya kukosha chaunofanira kunetseka nacho. Zvakakosha kuti utevedzere mirairo yachiremba wako nemazvo.
Mishonga iyi inofanira kutorwa panguva yekudya. Izvi zvinodaro nekuti phosphate iri muchikafu inofanira kunyudzwa mudumbu isati yasvika muura. Zvichienderana nerudzi rwemushonga wauri kutora, chiremba wako anogona kukukurudzira kuti:
- Kutsenga uye kumedza chikafu kwemaminitsi gumi kusvika gumi nemashanu usati wadya.
- Chenga uye medza nekukurumidza paunotanga kudya.
- Medza piritsi rese pamwe chete nezvikafu zviviri kana zvitatu zvekutanga.
- Kana iri hupfu, inyungudise mumvura woinwa pamwe chete nezvikafu zviviri kana zvitatu zvekutanga.
- Chenga womedza kana wangopedza kudya.
Unofanira kuudza chiremba wako nezve mimwe mishonga yauri kutora (mavhitamini, mishonga yezvimwe zvirwere), sezvo mimwe mishonga inogona kukanganisana ne phosphate binders idzi.
Ko phosphate binders ine migumisiro yakaipa here?
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro midiki. Kazhinji, izvi hazvina kuipa. Mushure mechinguva, muviri wako unojaira.
- Marwadzo emudumbu
- Kusvotwa nekurutsa
- Kuzadza dumbu, kuzadza negasi
- Kuzvimba
- Manyoka
- Kuchinja kweruvara rwetsvina (izvi zvakajairika, musazvidya moyo)
- Zvimwe zvinhu zvine calcium zvinogona kuwedzera huwandu hwecalcium muropa.
Kana migumisiro iyi ichikunetsa zvikuru kana kuti ichikuomera kutsungirira, iva nechokwadi chekutaura nachiremba wako nezvazvo.
Chii chinoitika kana ukarega kushandisa mishonga usina kupiwa mazano nachiremba?
Usambofa wakaita izvi. Kana ukarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako, huwandu hwephosphate muropa rako huchakwira zvakare nekukurumidza. Unogona kuona zviratidzo zvakaita seizvi:
- Kukwenya muviri wese
- Kushaya simba kwemiromo nezvigunwe zvemaoko
- Kurwadziwa kwemapfupa, kunyanya muhudyu nemapfudzi
- Muviri usina upenyu
- Kutsvuka kwemaziso
- Kuwanda kwenjodzi yezvirwere zvemwoyo uye kutyoka kwemapfupa
Ndinofanira kuona chiremba zvakare rini?
Kana migumisiro yacho yakanyanya kana kuti isingavandudzike nekufamba kwenguva, iva nechokwadi chekuona chiremba wako. Pamusoro pezvo, dzimwe nguva kuwanda kwephosphate muropa kunogona kukonzera calcium shoma mumuviri. Izvi zvinonzi hypocalcemia. Udza chiremba wako nekukasika kana uine chimwe chezviratidzo zvinotevera:
- Kurwadziwa kwetsandanyama
- Matambudziko ekurangarira
- Kunzwa hasha
- Kuveveva kwemiromo, rurimi, zvigunwe, uye/kana pasi petsoka
- Kusarongeka kwekurova kwemoyo (Arrhythmia)
Mharidzo Yekuenda Nayo Kumba
- Mishonga inosunga phosphate mushonga unokosha unodzora huwandu hwephosphate muropa revarwere veitsvo.
- Nguva dzose tora mushonga uyu pamwe chete nechikafu, sezvakarairwa nachiremba wako .
- Usarega kutora mushonga usina kupiwa mazano nachiremba chero chikonzero chipi zvacho.
- Kana migumisiro yacho yakanyanya kuipa kana kuti uine zviratidzo zvekushaikwa kwecalcium mumuviri (kugwinha, kusanzwa), taurira chiremba wako nekukasika.
- Pamusoro pemishonga, kudzora kudya kwako ne phosphate yakawanda kwakakoshawo. Taura nachiremba wako nezveizvi.
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