Ukuba unesifo se-Chronic Kidney Disease (CKD), okanye unyangwa nge-dialysis, ugqirha wakho usenokuba ukunike iyeza elibizwa ngokuba yi-'Phosphate Binders'. Usenokuba uzibuza, "Lithini eli yeza? Kutheni kufuneka ndilithathe?" Musa ukoyika. Namhlanje, siza kuthetha ngale nto ngendlela elula kakhulu, eqondakalayo, neyobuhlobo.
Masiqale sibone, yintoni le 'phosphate'?
Ngamafutshane, i-phosphate yiminerali ebalulekileyo emizimbeni yethu. Kanye njengokuba sifuna isamente kunye nezitena ukwakha indlu, sikwadinga i-phosphate ukwakha amathambo namazinyo aphilileyo, ukuvelisa amandla kwiiseli zethu, nokwenza iimolekyuli ze-DNA eziqulethe ulwazi lwethu lwemfuza. Sizifumana ezi zinto kwizinto esizityayo nesiziselayo.
Kumntu ophilileyo, izintso zisebenza njengesihluzo. Zithatha ubungakanani be-phosphate efunekayo emzimbeni kwaye zikhuphe okungaphezulu kumchamo. Nangona kunjalo, kumntu onesifo sezintso esingapheliyo, lo msebenzi wezintso uyaphazamiseka. Emva koko , i-phosphate egqithisileyo iqala ukuqokelelana egazini endaweni yokuba ikhutshwe emzimbeni. Le meko siyibiza ngokuba yi-hyperphosphatemia.
Ngoko ke zithini ezi zibophelelo ze-phosphate?
Kulungile, ngoku kuza inxalenye ebalulekileyo. Iifosphate binders luhlobo olukhethekileyo lwamayeza oluthintela iphosphate engaphezulu ekutyeni esikutyayo ukuba ingangeni egazini lethu esuka emathunjini ethu.
Cinga ngale ndlela. Xa usela eli yeza ngelixa usitya, lingena esiswini sakho lize linamathele kumasuntswana e-phosphate ekutyeni kwakho. Lifana nemagnethi ethatha umgubo wesinyithi. Le phosphate "ebotshiweyo", kuba ayinakutsalwa ngumzimba, idluliselwa emzimbeni wakho ngqo kwindle yakho. Oku kunceda ukulawula ubungakanani be-phosphate eqokelelana egazini lakho.
Xa amanqanaba e-phosphate egazini enyuka, adibana ne-calcium emzimbeni aze enze amathambo ethu abe buthathaka. Okuyingozi nangakumbi kukuba anokugcwala eludongeni lwemithambo yegazi aze ayivale. Oku kwandisa umngcipheko wezifo ezinzulu ezifana nesifo sentliziyo kunye nestroke.
Zeziphi ukutya eziqulethe i-phosphate eninzi? Masiqaphele nezi!
Njengokuthatha amayeza, kubalulekile ukuqaphela nokulawula ukutya okune-phosphate eninzi. Le theyibhile ingezantsi idwelisa ukutya okune-phosphate eninzi. Akufuneki ukuba uziphephe ngokupheleleyo ezi zinto, kodwa kubalulekile ukulawula ubungakanani bokutya okutyayo, ngengcebiso kagqirha wakho okanye ingcali yesondlo.
| Udidi lokutya | Imizekelo |
|---|---|
| Ubisi kunye neemveliso zobisi | Ubisi, iyogathi, itshizi (ingakumbi itshizi ecutshungulweyo) |
| Ukutya okucutshungulweyo kunye nokutya okukhawulezayo | Iisoseji, iibhola zenyama, iham, ibhekoni, iinoodles ezikhawulezayo |
| Amantongomane kunye neembotyi | Iikhetshi, amandongomane, iilentile, iitshizi, iimbotyi eziluhlaza |
| Iziselo ezine-carbonated ezifana ne-soda | Iziselo ezibandayo ezimnyama ezifana ne-cola |
| Iinkozo ezicoliweyo | I-Buckwheat, i-oats, irayisi ene-bran |
Ungayisebenzisa njani le yeza?
Le yeyona nto ibalulekileyo ekufuneka uyixhalabele. Kubalulekile ukuba ulandele imiyalelo kagqirha wakho ngokuchanekileyo.
La mayeza afanele athathwe xa kutyiwa. Oku kungenxa yokuba i-phosphate ekutyeni kufuneka ifunxwe esiswini ngaphambi kokuba ifikelele emathunjini. Ngokuxhomekeke kuhlobo lwamayeza owasebenzisayo, ugqirha wakho unokukucebisa ukuba:
- Hlafuna uze uginye ukutya imizuzu eli-10-15 ngaphambi kokutya.
- Hlafuna uze uginye kwangoko nje ukuba uqale ukutya.
- Ginya ipilisi yonke kunye neengqayi zokuqala ezimbini okanye ezintathu zokutya.
- Ukuba ngumgubo, yinyibilikise emanzini uze uyisele kunye neengqayi zokuqala ezimbini okanye ezintathu zokutya.
- Hlafuna uze uginye kwangoko wakugqiba ukutya.
Ngokuqinisekileyo kufuneka uxelele ugqirha wakho malunga namanye amayeza owasebenzisayo (iivithamini, amayeza ezinye izifo), njengoko amanye amayeza anokunxulumana nezi zinto zidibanisa i-phosphate.
Ngaba izinto ezidibanisa i-phosphate zinemiphumo emibi?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi emincinci. Uninzi lwexesha, le miphumo ayibi mibi kangako. Emva kwexesha elithile, umzimba wakho uyaqhela.
- Isisu esibuhlungu
- Isicaphucaphu nokuhlanza
- Ukuzalisa isisu, ukuzalisa ngegesi
- Ukuqhinwa
- Urhudo
- Ukutshintsha kombala we-chain (oku kuqhelekile, ungakhathazeki)
- Ezinye izinto zokubopha ezine-calcium zinokunyusa amanqanaba e-calcium egazini.
Ukuba ezi ziphumo bezingalindelekanga ziyakukhathaza kakhulu okanye kunzima ukuzinyamezela, qiniseka ukuba uthetha nogqirha wakho ngazo.
Kuza kwenzeka ntoni ukuba uyeka ukusebenzisa amayeza ngaphandle kwengcebiso kagqirha?
Ungaze uyenze le nto. Ukuba uyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho, amanqanaba akho e-phosphate egazini aya kunyuka kwakhona ngokukhawuleza. Usenokubona iimpawu ezifana nezi:
- Ukurhawuzelela umzimba wonke
- Ukungabi namandla kwemilebe kunye neminwe
- Intlungu yamathambo, ingakumbi ezinqeni nasemagxeni
- Umzimba ongenabomi
- Ubomvu bamehlo
- Umngcipheko ophezulu wesifo sentliziyo kunye nokuqhekeka kwamathambo
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Ukuba iziphumo ebezingalindelekanga zinzima okanye aziphucuki ngokuhamba kwexesha, qiniseka ukuba ubona ugqirha wakho. Ukongeza, ngamanye amaxesha amanqanaba aphezulu e-phosphate egazini anokubangela amanqanaba aphantsi e-calcium emzimbeni. Oku kubizwa ngokuba yi-hypocalcemia. Xelela ugqirha wakho ngoko nangoko ukuba unezinye zezi mpawu zilandelayo:
- Ukuqaqamba kwemisipha
- Iingxaki zememori
- Ukuziva unomsindo
- Ukungabi namandla kwemilebe, ulwimi, iminwe, kunye/okanye iintende zeenyawo
- Ukungasebenzi kakuhle kwentliziyo (i-Arrhythmia)
Umyalezo Wokuya Ekhaya
- Izibopheleli ze-phosphate ziyimfuneko elawula amanqanaba e-phosphate egazini labantu abanesifo sezintso.
- Soloko usela eli yeza kunye nokutya, njengoko ugqirha wakho eyalele .
- Musa ukuyeka ukuthatha amayeza ngaphandle kwengcebiso kagqirha nangasiphi na isizathu.
- Ukuba iziphumo ebezingalindelekanga zinzima okanye ukuba uneempawu zokungabikho kwe-calcium (ukurhawuzelela, ukungaziva mnandi), xelela ugqirha wakho ngoko nangoko.
- Kunye namayeza, ukulawula ukutya kwakho okune-phosphate eninzi nako kubaluleke kakhulu. Thetha nogqirha wakho ngale nto.











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