Masifunde ngeSifo sezintso esingapheliyo (CKD) - ngaba kufuneka sitye ngendlela efanelekileyo ukuze sikhusele izintso zethu?

Ngaba ugqirha ukuxelele ukuba unesifo sezintso esinganyangekiyo (CKD)? Ke ngoko lixesha lokuba ulumke ngakumbi ngento oyityayo noyiselayo. Kuba kule meko, izintso zethu azikwazi ukususa ngokufanelekileyo inkunkuma kunye nolwelo olungafunekiyo emzimbeni. Kodwa ungakhathazeki, ukuba siqhelana nokutya okuluncedo kwizintso, singahlala sisempilweni ixesha elide. Makhe sithethe ngale nto ngokweenkcukacha.

Yintoni isidlo esilungele izintso?

Ngamafutshane, izintso zethu zifana nesihluzo emizimbeni yethu. Omnye wemisebenzi yazo ephambili kukususa inkunkuma engeyomfuneko kunye nolwelo olugqithisileyo emzimbeni ngomchamo. Ayipheleli apho, izintso zenza eminye imisebenzi ebalulekileyo emininzi.

• Igcina ibhalansi yeeminerali ezifana netyuwa (i-sodium) kunye ne-potassium emzimbeni wethu.
• Ilinganisela ubungakanani bolwelo emzimbeni.
• Ivelisa iihomoni ezichaphazela ukusebenza kwezinye izitho zomzimba.

Ukutya okulungele izintso kukutya ukutya okunceda ukukhusela izintso zakho ekonakaleni okungakumbi. Oku kubandakanya ukunciphisa ukutya okuthile kunye nolwelo. Oku kwenzelwa ukuthintela ukuqokelelwa kolwelo olungafunekiyo kunye neeminerali emzimbeni. Kwangaxeshanye, kufuneka siqinisekise ukuba ufumana isixa esifanelekileyo seproteni, iikhalori, iivithamini kunye neeminerali.

Ukuba ukwinqanaba lokuqala le-CKD, usenokungabi namiqathango iphambili yokutya. Kodwa njengoko imeko yakho iqhubeka, kuya kufuneka uqaphele ngakumbi ngento oyifaka emzimbeni wakho. Ugqirha wakho uza kuthetha nawe ngale nto. Banokucebisa ukuba ubonane nogqirha wezokutya ukuze akuncede ukhethe ukutya okulula kwizintso zakho.

Ungayilawula njani i-sodium?

I-sodium yiminerali efumaneka ngokwendalo ekutyeni okuninzi. Njengoko sisazi, ifumaneka kakhulu kwityuwa esiyisebenzisela ukupheka.

Isodiyam ichaphazela ngqo uxinzelelo lwakho lwegazi. Ikwanceda ekulinganiseni ubungakanani bamanzi emzimbeni wakho. Umntu onezintso eziphilileyo unezinga lesodiyam elilawulwayo. Kodwa nge-CKD, isodiyam eyongezelelweyo kunye nolwelo ziyaqokelelana emzimbeni. Oku kunokubangela iingxaki ezininzi, kubandakanya ukudumba kwamaqatha, uxinzelelo lwegazi oluphezulu, ubunzima bokuphefumla, kunye nokwakheka kolwelo olujikeleze intliziyo kunye nemiphunga.

Ungayilawula i-sodium ngokulandela la manyathelo alula.

Masiqaphele iPhosphorus kunye neCalcium.

Zombini ezi minerali zibalulekile ekugcineni amathambo ethu ephilile kwaye enamandla. Ukuba izintso zakho ziphilile, zisusa i-phosphorus engaphezulu emzimbeni. Kodwa kwi-CKD, amanqanaba akho e-phosphorus anokunyuka kakhulu. Le yeyona nto ibangela umngcipheko omkhulu wesifo sentliziyo. Kwangaxeshanye, amanqanaba e-calcium emzimbeni wakho ayehla. Ukuze kulungiswe ukulahleka, umzimba utsala i-calcium emathanjeni akho. Oku kwenza amathambo akho abe buthathaka kwaye kuwenze aphuke lula.

Ukuba ukwinqanaba eliphezulu le-CKD, ugqirha wakho unokukucebisa ukuba ungasebenzisi i-phosphorus engaphezulu kwe-1,000 milligrams ngosuku. Ungenza oku kulandelayo ukunceda:

• Khetha ukutya okune-phosphorus encinci (khangela "i-PHOS" kwiileyibhile).
• Yitya iziqhamo nemifuno emitsha ngakumbi.
• Khetha iinkozo ezenziwe ngombona nerayisi.
• Sela iisoda ezinombala okhanyayo endaweni yezimnyama.
• Nciphisa ukutya inyama, iinkukhu kunye neentlanzi.
• Nciphisa ukutya kobisi nokutya okucutshungulweyo.

Ukutya okune calcium eninzi kudla ngokuba ne phosphorus eninzi. Ngoko ke, ugqirha wakho unokucebisa ukuba unciphise ukutya ukutya okune calcium eninzi. Ezinye zokutya zobisi ezine phosphorus encinci ziquka:

• Itshizi kaBrie okanye yaseSwitzerland
• Itshizi yekhrimu eqhelekileyo okanye enamafutha aphantsi okanye ikhrimu emuncu
• ISherbet

Kwakhona, ugqirha wakho unokukucebisa ukuba uyeke ukuthatha iipilisi zecalcium ozithengayo kwikhemesti uze uqale ukuthatha uhlobo lwamayeza olubizwa ngokuba yi-phosphorus binder, olulawula amanqanaba e-phosphorus.

Indlela yokunciphisa ukutya kwe-potassium?

I-Potassium yiminerali enceda imithambo-luvo kunye nemisipha yethu isebenze kakuhle. Kodwa xa une-CKD, umzimba wakho awukwazi ukucoca i-potassium eyongezelelweyo. Ukuba amanqanaba e-potassium egazini lakho aphezulu kakhulu, inokubangela iingxaki ezinkulu zentliziyo.

I-potassium ifumaneka kwiziqhamo nemifuno emininzi. Ugqirha wakho uza kukuxelela ukuba kufuneka unciphise ukutya kwakho i-potassium. Ukuba kunjalo, ungakhetha ukutya okune-potassium encinci, njengoko kubonisiwe kwitheyibhile engasezantsi.

Njengoko i-CKD yakho isiba mandundu, kunokufuneka wenze utshintsho oluninzi kwindlela otya ngayo. Umzekelo, kunokufuneka unciphise ukutya okuneproteni eninzi, ingakumbi iiproteni zezilwanyana (inyama, ukutya kwaselwandle, iimveliso zobisi). Unokufuna ne-iron eyongezelelweyo. Thetha nogqirha wakho malunga nokutya okune-iron eninzi onokukutya ukuba une-CKD.

Yintoni i-DASH Diet?

I-DASH sisifinyezo segama elithi "Iindlela Zokutya Zokumisa Uxinzelelo Lwegazi". Ngamafutshane, kukutya okunceda ekumiseni uxinzelelo lwegazi oluphezulu. Kukutya okutyebileyo kwiziqhamo, imifuno, iimveliso zobisi ezinamafutha aphantsi, iinkozo ezipheleleyo, intlanzi, iinkukhu kunye namandongomane. Incinci kwi-sodium, iswekile, amafutha kunye nenyama ebomvu.

Ukuba une-CKD, thetha nogqirha wakho malunga nokutya kwe-DASH. Uza kukuxelela ukuba olu hlobo lokutya lukulungele na. Ukuba usebenzisa i-dialysis, ukutya kwe-DASH akufanelekanga kuwe.

Ngaba nawe kufuneka ucinge ngezinto ezisetyenziswayo?

Ukuba ukwinqanaba lokuqala le-CKD, usenokungadingi ukunciphisa ulwelo. Nangona kunjalo, ukuba imeko yakho iba mandundu, ugqirha wakho uya kukubuza ukuba kufuneka ukunciphisa ulwelo na. Ezi zinto zinokukunceda ukulawula ulwelo lwakho:

• Kuphephe ukutya okunetyuwa eninzi. Oku kwandisa unxano.
• Xa umlomo wakho uvakala womile, zama into efana neelekese eziqinileyo ezingenaswekile, iityhubhu zomkhenkce, okanye iidiliya ezikhenkcezisiweyo.
• Bhala phantsi ubungakanani bolwelo oluselayo yonke imihla kwincwadi yamanqaku, okanye sebenzisa ibhotile eneempawu zokulinganisa.