ʻAi i ka maʻi kīkī

Mai ka ʻaoʻao lapaʻau, ʻo ka maʻi kīkī ke ʻano o ka ulu wikiwiki ʻana a me ka hoʻolaha ʻana o ka maʻi ʻaʻai e alakaʻi ana i ka hōʻino ʻana o ka renal, a i ʻole he kaʻina holomua mai ka hoʻomaka ʻana e like me ke ʻano o ka maʻi maʻi maʻi a hiki ke hoʻopilikia i ka hana ʻāʻī.

Mai ka manaʻo o ka meaʻai, he mea nui ka lawelawe ʻana i ka wai, ka paʻakai, ka potassium a me ka protein i ka maʻi maʻi. I ka hoʻolālā ʻana i kahi meaʻai, pono e noʻonoʻo ʻia ke kaumaha o ke kino, ke kaulike wai a me ka neʻe ʻana o nā electrolytes i ke koko. I ka hōʻino ʻole ʻana o ka renal, ʻoi aku hoʻi me ke kiʻekiʻe o ke koko urea, ua ʻōlelo ʻia kahi meaʻai i hoʻopaʻa ʻia i ka protein, me ka hāʻawi ʻana i ka ikehu i ka 30-50 kcal / 1 kg o ke kaumaha o ke kino, inā ʻaʻohe pilikia o ka maʻi. Pono ʻoe e hoʻokaʻawale i ka ʻiʻo, nā ʻoki anu, ka paʻakai, nā hua manu mai ka meaʻai, kaohi i ka waiū a me nā meaʻai i waiwai i ka potassium a me ka phosphorus. Hoʻopili pū ʻia nā kapu i ka hāʻawi ʻana i ka paʻakai a me ka wai. ʻO ka ʻokoʻa ka pae o ka polyuria mua me ka ʻōlelo ʻana e inu nui i ka wai. ʻO kahi meaʻai gruel me ka hoʻohui ʻana i nā rusks, ʻōwili palaoa palaoa haʻahaʻa-protein, puree hua i hoʻolapalapa ʻia, mashed compotes, ʻuala mashed me ka pata. Manaʻo ʻia ka momona he 1g / 1 kg o ke kaumaha o ke kino. I ka hōʻino ʻole o ka renal, hiki ke mālama ʻia nā mea maʻi me ka conservative a i ʻole me ka dialysis. I kou ola hou ʻana, hoʻololi ʻoe i kahi meaʻai physiological, e hoʻonui mālie i ka nui o ka wai a me nā huahana protein.

I ka hana ʻole o ka renal maʻi, pili ke kiʻi maʻi i ka nui o ka hōʻino ʻana i ka renal. Hiki ke hoʻokaʻawale ʻia nā ʻōlelo aʻoaʻo meaʻai i kēia manawa i 4 mau manawa: 0,6st manawa - latent failure, kahi ʻaʻohe mea ʻai meaʻai, 0,8nd manawa - uku ʻole ʻia, aia kahi hōʻemi o ka protein 1-0,4 g / 0,6, 1 kg o ke kaumaha o ke kino, phosphorus, paʻakai, Wā III - decompensated insufficiency, kahi i hoʻohana ʻia ai kahi meaʻai haʻahaʻa haʻahaʻa o 20-25 g / 15 kg o ke kaumaha o ke kino, haʻahaʻa-sodium, haʻahaʻa-potassium ʻai, pono pinepine ia. hoʻonui ʻia me ka hoʻomākaukau ʻana i ka calorie kiʻekiʻe, haʻahaʻa haʻahaʻa, ka wā IV - ka pau ʻole o ka pae hope, kahi i hāʻawi ʻia ai ka protein he 20-XNUMX g / lā a i ʻole dialysis, ka palena o ka sodium, potassium, phosphorus a me nā wai, pono ia e hoʻohui i ka amino pono. waikona XNUMX-XNUMX g / lā i nā kīʻaha, e laʻa me Ketosteril.

ʻO nā loina maʻamau o ka meaʻai i ka mālama conservative: ʻO ka koi ikaika i nā mea maʻi me ke kaumaha o ke kino maʻamau ma mua o 60 mau makahiki pono e hāʻawi i 35 kcal / 1 kg o ke kaumaha o ke kino / lā, a i nā mea maʻi ma lalo o 60 mau makahiki. pono e hāʻawi i 30-35 kcal / 1 kg o ke kaumaha o ke kino / lā, ʻo ia hoʻi ma kahi o 2000-2500 kcal / lā. I nā maʻi maʻi liʻiliʻi, ʻo ka lawa o ka intake he 1800-2000 kcal / lā. Hoʻopaneʻe ka palena o ka protein i ka mālama ʻana i ka dialysis, ʻo ka nui o ka protein e hoʻoholo ʻia e ka neʻe ʻana o ka urea a me ka creatinine i loko o ke koko koko a me ka creatine clearance (GFR). ʻO ka liʻiliʻi liʻiliʻi o ka protein i loko o ka meaʻai he 20 g / lā me ka hoʻohui o nā waikawa amino pono. Hiki ke loaʻa ia palena ma ka hoʻohana ʻana i ka ʻai ʻuala i ka nui o 1 kg o ka uala + 300 g o nā mea kanu a me nā hua + 120 g o ka pata hou a me ka ʻaila + 50 g o ke kō a me ka hoʻohui ʻana i ka palaoa ʻuala a i ʻole ka starch protein haʻahaʻa. ka palaoa me nā mea ʻala hou a maloʻo paha, me ka paʻakai ʻole. ʻO nā ʻenehana o ka hoʻomākaukau ʻana i nā kīʻaha ʻuala ke kuke ʻana, ka kuke ʻana, ʻoiai ʻaʻole i hoʻopili ʻia ka palai i ka hihia o nā maʻi metabolism momona. ʻO nā kīʻaha hiki ke hoʻomākaukau ʻia he noodles, dumplings, dumplings, casseroles, stuffed potatoes, salads. ʻO ka palena nui o ka protein he 40-50 g / lā a ʻo ka palena liʻiliʻi he 60-70 g / lā. Pono e maikaʻi ka protein, mai nā huahana holoholona: ka ʻiʻo lean, ka waiū skim, ka paʻakai, ka hua manu keʻokeʻo, kefir, ka yogurt. ʻAʻole pono ka hāʻawi ʻana i ka momona i ka palena o 1 g / 1 kg o ke kaumaha o ke kino. Pono ia mai nā mea kanu, ʻo ia hoʻi ka ʻaila ʻoliva, ka aila soy, ka ʻaila sunflower, ka aila rapeseed. Contraindicated momona huahana o ka holoholona kumu: lard, tallow, paakiki margarines, puaʻa, a me ka momona iʻiʻo e like me muton, puaʻa, offal, duck, kuihi, momona iʻa, melemele a me ka hanaʻia cheese, bacon, pates, sausages. Pēlā nō, ʻaʻole ʻōlelo ʻia nā huahana confectionery i loaʻa ka nui o ka momona, e like me nā puffs a me nā keke. ʻO ka palena o ka wai e pili ana i ka edema, hypertension a me ka nui o ka mimi i hoʻokuʻu ʻia i ka lā. Pono ʻoe e hoʻolohe i ka ʻike wai i loko o nā huahana, e laʻa i nā ʻuala, nā mea kanu, nā hua, e hāʻawi ana i ka awelika o 400-500 ml. ʻAʻole koi ʻia ka hoʻokaʻawale ʻana i ka sodium i ka manawa o ka lawa ʻole, akā ua ʻōlelo ʻia e kaupalena i ka 3 g (1 teaspoon) o ka paʻakai i kēlā me kēia lā ma ke ʻano he mea pale, ma muli o ka nui o ka hoʻohana ʻana. ʻAʻole lawa ka hoʻohui ʻana i ka paʻakai i nā kīʻaha, hoʻokaʻawale i nā huahana paʻakai i ke kaʻina hana ʻenehana, e like me: ka meaʻai canned, pickles, ʻiʻo anu, ka ʻiʻo i hana ʻia, ka paʻakai puhi, ka paʻakai melemele, silage, concentrates o nā soups a me nā meaʻai, mākaukau i hana ʻia. nā mea ʻala, e laʻa me nā mea kanu, nā mea kanu, nā cubes broth. e ho'ēmi i ka phosphorus mai nā huahana waiwai i ka phosphorus, e like me: offal, cereal products, rennet and processed cheese, legume seeds, fish, egg yolks, mushrooms, sausages, whole milk powder.

Manaʻo ʻia hoʻi e ʻai i nā mea hoʻomākaukau e hoʻopaʻa i ka phosphate i loko o ka digestive tract i ka wā ʻai. Pono e hoʻonui ʻia ke koi no ka pālolo i ka manawa o ka lawa ʻole, a i ka manawa o ka pau ʻole o ka pae hope e kaupalena ʻia i 1500-2000 mg / lā, me ka ʻole o nā huahana waiwai i kēia mineral: nā legumes maloʻo, bran, koko, kokoleka. , nati, hua maloʻo, maiʻa , avocados, tōmato, ʻuala, lau lau, halo. Hiki ke hoʻemi ʻia ka pāpaʻa ma ka hoʻomoʻa ʻana a me ka kuke ʻana i ka meaʻai, me ka hoʻololi ʻana o ka wai i ka wā kuke. ʻO ka pono o nā minela ʻē aʻe e hoʻohui i ka nele o ka calcium, ma muli o nā palena o nā huahana protein, ka hoʻohui ʻana o ka hao hao e alakaʻi ai i ka anemia. ʻo ka pono o nā huaora e hoʻohui i nā hemahema o nā huaora. mai ka hui B, folic acid, vit. C a me D ma muli o ka ʻai haʻahaʻa o ka potassium.

ʻO nā loina maʻamau o ka meaʻai i ka wā dialysis: ʻo ka koi o ka ikehu ma muli o ka malnutrition pinepine o nā mea maʻi dialysed he 35-40 kcal / 1 kg o ke kaumaha o ke kino, ʻo ia hoʻi 2000-2500 kcal / lā. ʻO ke kumu nui o nā carbohydrates he mau huahana cereal: pasta, groats, starch flour, haʻahaʻa-protein starch berena. I nā poʻe maʻi i mālama ʻia me ka dialysis peritoneal, ua uhi ʻia kēia koi e ka glucose i ka wai dialysis. ʻO ke koi protein ma muli o nā poho i ka wā dialysis he 1,2-1,4 g / 1 kg ke kaumaha o ke kino i nā maʻi hemodialysed, a me 1,2-1,5 g / 1 kg ke kaumaha o ke kino i ka dialysis peritoneal, ʻo ia hoʻi 75-110 g / lā. Hiki ke hoʻonui ʻia ka meaʻai me ka protein mai nā mea hoʻohui meaʻai, e laʻa me Protifar. ʻO ke koi no ka momona i ka extracorporeal dialysis pono e 30-35% o ka ikehu, a ma ka peritoneal dialysis 35-40%. ka ikehu i loaʻa mai nā mea kanu, ka nui o ka aila ʻoliva a me ka aila. pono e kaupalena ʻia ka koi no ka pālolo i 1500-2000 mg / lā, ʻaʻole pono e hoʻohana ʻia nā ʻiʻo a me nā mea kanu. ʻO ka pono o ka phosphorus e kaupalena i ka ʻai ʻana i nā huahana waiwai i kēia ʻāpana a me ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻopaʻa ai i ka phosphate i ka ʻōpū o ka ʻōpū. pili ka palena sodium. ʻO ke koi no nā minerala a me nā huaora e pono ai ka hoʻonui ʻana i ka calcium, vit. ʻO D, A a me C. ka palena wai i helu ʻia ma ka nui o ka mimi puka + 500 ml, ʻo ka nui o ka nui i hōʻike ʻia i ka wā wela, ke kuni kiʻekiʻe, ka luaʻi a me ka maʻi maʻi.

Source: Noho a me ka 'Oihana o Nephrology, Hypertension a me na ma'i Kuloko, Collegium Medicum im. L. Rydygier ma Bydgoszcz

1. I ka wā - latent hemahema, kahi ʻaʻohe palena ʻai,
2. ʻO ka wā IV - ka pau ʻole o ka pae, kahi o ka hāʻawi ʻana i ka protein he 20-25 g / lā a i ʻole dialysis, ka palena o ka sodium, potassium, phosphorus a me nā wai, pono ia e hoʻohui i nā waikawa amino pono 15-20 g / lā i ka lā. nā kīʻaha, eg Ketosteril.
3. Hoʻopaneʻe ka palena o ka protein i ka mālama ʻana i ka dialysis, ʻo ka nui o ka protein e hoʻoholo ʻia e ka neʻe ʻana o ka urea a me ka creatinine i loko o ke koko koko a me ka creatine clearance (GFR). ʻO ka liʻiliʻi liʻiliʻi o ka protein i loko o ka meaʻai he 20 g / lā me ka hoʻohui o nā waikawa amino pono. Hiki ke loaʻa ia palena ma ka hoʻohana ʻana i ka ʻai ʻuala i ka nui o 1 kg o ka uala + 300 g o nā mea kanu a me nā hua + 120 g o ka pata hou a me ka ʻaila + 50 g o ke kō a me ka hoʻohui ʻana i ka palaoa ʻuala a i ʻole ka starch protein haʻahaʻa. ka palaoa me nā mea ʻala hou a maloʻo paha, me ka paʻakai ʻole. ʻO nā ʻenehana o ka hoʻomākaukau ʻana i nā kīʻaha ʻuala ke kuke ʻana, ka kuke ʻana, ʻoiai ʻaʻole i hoʻopili ʻia ka palai i ka hihia o nā maʻi metabolism momona. ʻO nā kīʻaha hiki ke hoʻomākaukau ʻia he noodles, dumplings, dumplings, casseroles, stuffed potatoes, salads. ʻO ka palena nui o ka protein he 40-50 g / lā a ʻo ka palena liʻiliʻi he 60-70 g / lā. Pono pono ka protein, mai nā huahana holoholona: ka ʻiʻo wīwī, ka waiū skim, ka paʻakai, keʻokeʻo hua manu, kefir, yogurt.
4. ʻO ka palena o ka wai e pili ana i ka edema, hypertension a me ka nui o ka mimi i hoʻokuʻu ʻia i ka lā. Pono ʻoe e hoʻolohe i ka nui o ka wai i loko o nā huahana, e laʻa i nā ʻuala, nā mea kanu, nā hua, e hāʻawi ana i ka awelika o 400-500 ml.
5. ʻAʻole koi ʻia ka hoʻokaʻawale ʻana i ka sodium i ka manawa o ka lawa ʻole, akā ua ʻōlelo ʻia e kaupalena i ka 3 g (1 teaspoon) o ka paʻakai i kēlā me kēia lā ma ke ʻano he mea pale, ma muli o ka nui o ka hoʻohana ʻana. ʻAʻole lawa ka hoʻohui ʻana i ka paʻakai i nā kīʻaha, haʻalele i nā huahana paʻakai i ke kaʻina hana ʻenehana, e like me: ka meaʻai canned, pickles, ʻiʻo, ʻiʻo i hana ʻia, puhi ʻia, cheese yellow, silage, concentrates o soups a me nā ʻuala, nā mea ʻala i hana ʻia, e laʻa i nā mea kanu, nā mea kanu, nā cubes broth.
6. e ho'ēmi ana i ka phosphorus mai nā huahana waiwai i ka phosphorus, e like me: offal, cereal products, rennet and processed cheese, legume seeds, fish, egg yolks, mushrooms, cold cuts, whole milk powder. Manaʻo ʻia hoʻi e ʻai i nā mea hoʻomākaukau e hoʻopaʻa i ka phosphate i loko o ka digestive tract i ka wā ʻai.
7. Pono e hoʻonui ʻia ke koi no ka pālolo i ka manawa o ka lawa ʻole, a i ka manawa o ka pau ʻole o ka pae hope e kaupalena ʻia i 1500-2000 mg / lā, me ka ʻole o nā huahana waiwai i kēia mineral: nā legumes maloʻo, bran, koko, kokoleka. , nati, hua maloʻo, maiʻa , avocados, tōmato, ʻuala, lau lau, halo. Hiki ke hoʻemi ʻia ka pāpaʻa ma ka hoʻomoʻa ʻana a me ka kuke ʻana i ka meaʻai, me ka hoʻololi ʻana o ka wai i ka wā kuke.
8. ʻO ka pono o nā minela ʻē aʻe e hoʻohui i ka nele o ka calcium, ma muli o nā palena o nā huahana protein, ka hoʻohui ʻana o ka hao hao e alakaʻi ai i ka anemia.
9. ʻo ka pono o nā huaora e hoʻohui i nā hemahema o nā huaora. mai ka hui B, folic acid, vit. C a me D ma muli o ka ʻai haʻahaʻa o ka potassium.
10. ʻO ke koi no ka momona i ka extracorporeal dialysis pono e 30-35% o ka ikehu, a ma ka peritoneal dialysis 35-40%. ka ikehu i loaʻa mai nā mea kanu, ka nui o ka aila ʻoliva a me ka ʻaila.
11. pono e kaupalena ʻia ka koi no ka pālolo i 1500-2000 mg / lā, ʻaʻole pono e hoʻohana ʻia nā ʻiʻo a me nā mea kanu.
12. ʻO ka pono o ka phosphorus e kaupalena i ka ʻai ʻana i nā huahana waiwai i kēia ʻāpana a me ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻopaʻa ai i ka phosphate i ka ʻōpū o ka ʻōpū.
13. pili ka palena sodium.
14. ʻO ke koi no nā minerala a me nā huaora e pono ai ka hoʻonui ʻana i ka calcium, vit. ʻO D, A a me C.
15. Ua helu ʻia ka palena o ka wai mai ka nui o ka urine + 500 ml, hōʻike ʻia ka nui o ka nui i ka wā wela, ke kuni kiʻekiʻe, ka luaʻi a me ka maʻi maʻi.

Kākoʻo kekahi mau mea kanu i ka mālama ʻana a me ka pale ʻana i nā maʻi maʻi puʻupaʻa. Ma ka Medonet Market hiki iā ʻoe ke kūʻai aku i ka Herbal detox - ka lāʻau lāʻau ékological me ka cornflower, pansy, yarrow a me blackcurrant i ka haku mele.