Kodi zakudya za hemodialysis zizikhala bwanji

Zamkati

• Zakudya za hemodialysis
• 1. Sungani kuchuluka kwa mapuloteni
• 2. Kuchepetsa potaziyamu
• 3. Kuchepetsa mchere
• 4. Kumwa madzi ochepa
• 5. Sungani mchere wamthupi mokhazikika

Pakudyetsa hemodialysis, ndikofunikira kuti muchepetse kudya kwa madzi ndi mapuloteni ndikupewa zakudya zokhala ndi potaziyamu ndi mchere, monga mkaka, chokoleti ndi zokhwasula-khwasula, mwachitsanzo, kuti zisapezeke ndi poizoni mthupi, zomwe zimawonjezera magwiridwe antchito a impso. Mwanjira imeneyi, chakudyacho chikuyenera kutsogozedwa ndi katswiri wazakudya kuti wodwalayo amwe chakudya choyenera ndikukhala wathanzi.

Nthawi zina, pambuyo pa gawo la hemodialysis, lomwe ndi mankhwala osefa magazi ndikuchotsa zinthu zakupha mthupi, wodwalayo amakhala ndi mseru komanso alibe chakudya, ndipo amayenera kudya chakudya chochepa komanso kudya zakudya zochepa kuti abwezeretse zomwe zatayika mphamvu.

Zakudya za hemodialysis

Odwala omwe ali ndi hemodialysis amatha kudya chakudya, monga mpunga, pasitala, ufa, osakhazikika kapena mkate wopanda malire, osalephera ngati mulibe zakudya kuti muchepetse thupi. Zakudya izi, kuphatikiza pakupereka mphamvu, zimakhala ndi zochepa zomanga thupi kapena zopanda puloteni, sodium, potaziyamu ndi phosphorous zomwe zimangodyedwa pang'ono

Chifukwa chake, wodwala yemwe akuchita hemodialysis amasintha magwiridwe antchito a impso, chifukwa chake, amafunika:

1. Sungani kuchuluka kwa mapuloteni

Kumwa kwa mapuloteni kumatha kuchitika koma kuchuluka komwe kumatha kumenyedwa pachakudya chilichonse kumadalira kulemera kwake ndi magwiridwe antchito a impso za wodwalayo, chifukwa chake, mfundozo zimawonetsedwa ndi wazakudya, ndipo ziyenera kulemekezedwa nthawi zonse. Pachifukwa ichi, nthawi zambiri pamafunika kugwiritsa ntchito sikelo kuyeza kuchuluka kololedwa, ndipo nthawi zambiri amalimbikitsidwa 0.8 mpaka 1g / kg / tsiku.

Gwero lalikulu la mapuloteni liyenera kukhala la nyama monga nyama ya nkhuku, nkhukundembo ndi mazira oyera chifukwa limaloledwa bwino ndi thupi ndipo, nthawi zina, pangafunike kumwa zowonjezera zowonjezera monga Ensure Plus, Nepro, Protein Protein Mwachitsanzo, ufa, monga akuwonetsera wazakudya. Dziwani zambiri zakudya zamapuloteni.

2. Kuchepetsa potaziyamu

Ndikofunika kuchepetsa kudya kwa potaziyamu, komwe kumapezeka m'masamba ambiri, zipatso, mkaka ndi chokoleti, popeza potaziyamu wochuluka m'magazi umabweretsa mavuto amtima komanso kufooka kwa minofu.

Pansipa pali tebulo lokhala ndi zakudya zomwe ziyenera kupewedwa komanso zomwe zitha kudyedwa.

Zipatso zouma monga mtedza, timadziti ta zipatso tambiri, msuzi wophika ndi mchere kapena cholowa m'malo mwa mchere nawonso ndi potaziyamu chifukwa chake ayenera kuchotsedwa pazakudya. Onani zakudya zomwe muyenera kuzipewa chifukwa ndi zakudya zokhala ndi potaziyamu.

Momwe mungachepetse kuchuluka kwa potaziyamu: Gawo la potaziyamu limatuluka mchakudyacho, chifukwa chake mutha kulowetsa chakudyacho m'madzi maola 2 musanaphike kapena kudya, kapena kuphika m'madzi otentha.

3. Kuchepetsa mchere

Sodium nthawi zambiri amalowetsedwa kudzera mu zakudya zokhala ndi mchere wambiri komanso mopitilira muyeso amatha kudziunjikira mthupi, zomwe zimapangitsa kuti mumve ludzu, thupi lotupa komanso kuthamanga kwa magazi, zomwe zimawononga thanzi la wodwalayo pa dialysis.

Wodwala yemwe amalandira hemodialysis amatha kudya mpaka 1000 mg wa sodium tsiku lililonse, komabe kuchuluka kwake kuyenera kuwonetsedwa ndi katswiri wazakudya. Chifukwa chake, wodwalayo sayenera kuthira mchere pachakudyacho, chifukwa zakudya zambiri zimakhala ndi sodium.

Monga contrOnani kuchuluka kwa mchere: Werengani malembedwe azakudya, pewani kugula zakudya zokhala ndi mchere wambiri, monga zamzitini, zachisanu zakudya zachangu ndi soseji, kusankha chakudya chatsopano. Njira ina ndikugwiritsa ntchito zitsamba, mbewu, mafuta ndi viniga nyengo yake. Dziwani maupangiri kudziwa Momwe mungachepetsere kumwa mchere.

4. Kumwa madzi ochepa

Kuchuluka kwamadzimadzi omwe mumamwa tsiku lililonse kumasiyana ndi kuchuluka kwa mkodzo wodwala. Komabe, kuchuluka kwa madzi oti muzimwa patsiku sikuyenera kupitilira 800 ml, kuphatikiza madzi, ayezi, madzi, gelatin, mkaka, tiyi, chimarrão, ayisikilimu, khofi kapena msuzi, ndikofunikira kulembetsa madzi omwe amamwa tsiku lililonse.

Madzi amadzipezera mosavuta mthupi, ndikupangitsa kutupa chifukwa impso zikulephera kugwira ntchito, zomwe zimayambitsa kuthamanga kwa magazi ndi mavuto amtima komanso madzi owonjezera mthupi amatulutsa kunenepa, komwe sikuyenera kupitirira makilogalamu 2.5 pakati pagawo lililonse.

Momwe mungayang'anire kuchuluka kwa zakumwa: gwiritsani botolo loyesera ndikumwa ndalamazo masana; ngati muli ndi ludzu ikani chidutswa cha mandimu mkamwa mwanu ndikupanga zotsuka mkamwa ndi madzi koma osameza. Kuphatikiza apo, muyenera kupuma kwambiri kudzera m'mphuno mwanu kuposa pakamwa panu, zimathandiza kuti usaumitse mucosa kwambiri. Dziwani maupangiri oti mudziwe Momwe mungamwe madzi mu impso kulephera.

5. Sungani mchere wamthupi mokhazikika

Wodwala yemwe akudwala dialysis ayenera kukhala ndi phosphorous, calcium, iron ndi vitamini D, moyenera kuti thupi lizigwira ntchito bwino, kukhala kofunikira:

• Phosphor: Kuchuluka kwa phosphorous m'magazi kumatha kuyambitsa kufooka m'mafupa, komwe kumatha kuyambitsa mafupa, kupweteka kwambiri m'malo molumikizana ndi kuyabwa mthupi. Chifukwa chake, ndikofunikira kuwongolera kuchuluka kwa zakudya zomwe zili ndi phosphorous, monga mkaka, tchizi, nyemba, mtedza, ndi zakumwa zozizilitsa kukhosi, chifukwa mcherewu umachotsedwa pang'ono m'thupi nthawi ya dialysis.
• Calcium: Nthawi zambiri, phosphorous ikakhala yochepa, calcium imakhalanso yochepa, popeza michere iyi imapezeka mchakudya chomwecho. Popeza sikofunika kuchepetsa calcium, kungakhale kofunika kutenga calcium supplement kuti mukhale ndi mafupa abwino.
• Vitamini D: Ngati wodwalayo akudwala hemodialysis, pangafunike kumwa vitamini D supplementation, monga Rocaltrol kapena Calcijex monga mapiritsi kapena jakisoni wothandizira kuyamwa calcium ndi phosphorous.
• Chitsulo: Munthawi ya hemodialysis pamakhala kutayika kwa magazi ndi ayironi kapena zakudya zosayenera, zomwe zimatha kubweretsa kuchepa kwa magazi, kukhala kofunika kutenga chitsulo chowonjezera chachitsulo, chomwe dokotala akuwonetsa.

Katswiri wazakudya amayenera kupanga mndandanda woyenera zosowa za wodwala yemwe ali ndi mavuto a impso komanso yemwe akuwunika hemodialysis, posonyeza zakudya zoyenera komanso kuchuluka kwake pazochitika zilizonse.

Komanso phunzirani momwe mungamadye mutayika.