Uma unesifo sezinso esingamahlalakhona (CKD), noma uphathwa nge-dialysis, udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi 'i-Phosphate Binders'. Ungase uzibuze, "Uyini lo muthi? Kungani kudingeka ngiwuthathe?" Ungesabi. Namuhla, sizoxoxa ngalokhu ngendlela elula kakhulu, eqondakalayo, futhi enobungane.
Ake siqale sibone, iyini le 'phosphate'?
Kalula nje, i-phosphate iyiminerali ebalulekile emizimbeni yethu. Njengoba nje sidinga usimende nezitini ukuze sakhe indlu, sidinga ne-phosphate ukuze sakhe amathambo namazinyo anempilo, ukukhiqiza amandla amangqamuzana ethu, nokwenza ama-molecule e-DNA aqukethe ulwazi lwethu lwezakhi zofuzo. Sithola lokhu ezintweni esizidlayo nesiphuzayo.
Kumuntu ophilile, izinso zisebenza njengesihlungi. Zithatha inani le-phosphate elidingwa ngumzimba bese zikhipha okungaphezulu emchameni. Kodwa-ke, kumuntu onesifo sezinso esingamahlalakhona, lo msebenzi wezinso uyaphazamiseka. Ngemuva kwalokho , i-phosphate eningi iqala ukuqongelela egazini esikhundleni sokukhishwa emzimbeni. Lesi simo sibizwa ngokuthi i-hyperphosphatemia.
Ngakho-ke ziyini lezi zihlanganisi ze-phosphate?
Kulungile, manje sekuyingxenye ebalulekile. Ama-phosphate binders uhlobo olukhethekile lomuthi oluvimba i-phosphate eningi ekudleni esikudlayo ukuthi ingangeni egazini lethu isuka emathunjini ethu.
Cabanga ngale ndlela. Uma uthatha lo muthi ngenkathi udla, ungena esiswini sakho bese unamathela ezinhlayiyeni ze-phosphate ekudleni kwakho. Kufana ne-magnet ethatha impuphu yensimbi. Le phosphate "eboshiwe", ngoba ayikwazi ukumuncwa ngumzimba, idluliselwa emzimbeni wakho ngqo esitulweni sakho. Lokhu kusiza ukulawula inani le-phosphate eliqongelela egazini lakho.
Uma amazinga e-phosphate egazini ekhuphuka, ahlangana ne-calcium emzimbeni futhi enze amathambo ethu abe buthaka. Okuyingozi nakakhulu ukuthi angahlala ezindongeni zemithambo yegazi futhi ayivimbe. Lokhu kwandisa ingozi yezimo ezibucayi njengesifo senhliziyo kanye nesifo sohlangothi.
Yikuphi ukudla okune-phosphate eningi? Masiqaphele nalokhu!
Njengokuthatha imithi, kubalulekile futhi ukuqaphela nokulawula ukudla okune-phosphate eningi. Ithebula elingezansi libala okunye kokudla okune-phosphate eningi. Akudingeki ukuthi ukugweme ngokuphelele lokhu, kodwa kubalulekile ukulawula inani olidlayo, ngeseluleko sikadokotela wakho noma isazi sokudla okunempilo.
| Isigaba sokudla | Izibonelo |
|---|---|
| Ubisi nemikhiqizo yobisi | Ubisi, iyogathi, ushizi (ikakhulukazi ushizi ocutshunguliwe) |
| Ukudla okucutshunguliwe kanye nokudla okusheshayo | Amasoseji, ama-meatball, i-ham, i-bacon, ama-noodle asheshayo |
| Amantongomane kanye nemifino | Ama-cashew, amakinati, amalentili, ama-chickpeas, ubhontshisi oluhlaza |
| Iziphuzo ezine-carbonated njenge-soda | Iziphuzo ezibandayo ezinombala omnyama njenge-cola |
| Okusanhlamvu okunofulawa | I-Buckwheat, i-oats, ilayisi ne-bran |
Ungayisebenzisa kanjani le mithi?
Lena yinto ebaluleke kakhulu okufanele uyikhathazeke ngayo. Kubalulekile ukuthi ulandele imiyalelo kadokotela wakho ngqo.
Le mithi kufanele ithathwe ngesikhathi sokudla. Lokhu kungenxa yokuthi i-phosphate ekudleni idinga ukumuncwa esiswini ngaphambi kokuba ifinyelele emathunjini. Kuye ngohlobo lomuthi owuthathayo, udokotela wakho angase akucebise ukuthi:
- Hlafuna bese ugwinya ukudla imizuzu eyi-10-15 ngaphambi kokudla.
- Hlafuna bese ugwinya ngokushesha nje lapho uqala ukudla.
- Gwinya iphilisi lonke kanye nokudla okubili noma okuthathu kokuqala.
- Uma kuyimpuphu, yincibilikise emanzini bese uyiphuza kanye nezindebe ezimbili noma ezintathu zokuqala zokudla.
- Hlafuna bese ugwinya ngokushesha nje lapho uqeda ukudla.
Kufanele nakanjani utshele udokotela wakho nganoma yimiphi eminye imithi oyithathayo (amavithamini, imithi yezinye izifo), njengoba eminye imithi ingase ihlangane nalezi zihlanganisi ze-phosphate.
Ingabe ama-phosphate binders anemiphumela emibi?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi emincane. Esikhathini esiningi, lokhu akukubi kangako. Ngemva kwesikhathi esithile, umzimba wakho uyawujwayela.
- Isisu esibuhlungu
- Isicanucanu nokuhlanza
- Ukugcwalisa isisu, ukugcwalisa ngegesi
- Ukuqunjelwa
- Uhudo
- Ukushintsha kombala wendle (lokhu kuvamile, ungakhathazeki)
- Ezinye izinto zokubopha eziqukethe i-calcium zingakhuphula amazinga e-calcium egazini.
Uma le miphumela emibi ikukhathaza kakhulu noma kunzima ukuyibekezelela, qiniseka ukuthi ukhuluma nodokotela wakho ngayo.
Kwenzekani uma uyeka ukuthatha imithi ngaphandle kweseluleko sikadokotela?
Ungalokothi wenze lokhu. Uma uyeka ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho, amazinga akho e-phosphate egazini azokhuphuka ngokushesha. Ungase ube nezimpawu ezinjengalezi:
- Ukuluma umzimba wonke
- Ukungabi namandla kwezindebe neminwe
- Ubuhlungu bethambo, ikakhulukazi ezinqeni nasemahlombe
- Umzimba ongenampilo
- Ukubomvu kwamehlo
- Ingozi eyengeziwe yesifo senhliziyo kanye nokuqhekeka kwamathambo
Kufanele ngiphinde ngimbone nini udokotela?
Uma imiphumela emibi imbi kakhulu noma ingathuthuki ngokuhamba kwesikhathi, qiniseka ukuthi ubona udokotela wakho. Ngaphezu kwalokho, ngezinye izikhathi amazinga aphezulu e-phosphate egazini angabangela amazinga aphansi e-calcium emzimbeni. Lokhu kubizwa ngokuthi i-hypocalcemia. Tshela udokotela wakho ngokushesha uma unezinye zezimpawu ezilandelayo:
- Ukuqaqamba kwemisipha
- Izinkinga zememori
- Ukuzizwa ucasukile
- Ukuba ndikindiki kwezindebe, ulimi, iminwe, kanye/noma izithende zezinyawo
- Ukuphazamiseka kwenhliziyo (i-Arrhythmia)
Umlayezo Wokuya Nawe Ekhaya
- Ama-phosphate binders ayimithi ebalulekile elawula amazinga e-phosphate egazini leziguli zezinso.
- Njalo thatha lo muthi kanye nokudla, njengoba kuyalelwe udokotela wakho .
- Ungayeki ukuthatha imithi ngaphandle kweseluleko sikadokotela nganoma yisiphi isizathu.
- Uma imiphumela emibi inzima noma uma unezimpawu zokuntuleka kwe-calcium (ukushaqeka, ukungazweli), tshela udokotela wakho ngokushesha.
- Ngaphezu kwemithi, ukulawula ukudla kwakho okune-phosphate eningi nakho kubaluleke kakhulu. Khuluma nodokotela wakho ngalokhu.
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