Zakudya Zomwe Muyenera Kupewa Ndi Matenda a Atrial

Zamkati

• Zakudya zofunika kupewa
• Mowa
• Kafeini
• Mafuta
• Mchere
• Shuga
• Vitamini K
• Mchere wogwirizanitsa
• Chipatso champhesa
• Kudya koyenera kwa AFib
• Mankhwala enaake a
• Potaziyamu
• Idyani AFib
• Mfundo yofunika

Matenda a Atrial fibrillation (AFib) amapezeka pomwe kupopera kwabwinobwino kwazipinda zapamtima, zotchedwa atria, kumawonongeka.

M'malo mochita kugunda kwa mtima, atria imagunda, kapena fibrillate, mwachangu kapena mosasinthasintha.

Zotsatira zake, mtima wanu suchita bwino ndipo muyenera kugwira ntchito molimbika.

AFib ikhoza kuonjezera chiopsezo cha munthu kupwetekedwa mtima komanso kulephera kwa mtima, zonse zomwe zimatha kupha ngati sizichiritsidwa mwachangu komanso moyenera.

Kuphatikiza pa chithandizo chamankhwala monga kuchitira pakati, kuchitira opareshoni, ndi njira zina, pali zosintha zina m'moyo, monga zakudya zanu, zomwe zingathandize kuyang'anira AFib.

Nkhaniyi ikuwunikanso zomwe umboni wapano ukukhudzana ndi zomwe mumadya komanso AFib, kuphatikiza malangizo omwe mungatsatire komanso zakudya zomwe muyenera kupewa.

Zakudya zofunika kupewa

Zakudya zina zimatha kusokoneza thanzi la mtima wanu ndipo zawonetsedwa kuti zimawonjezera mavuto azovuta zamtima, monga AFib, komanso matenda amtima.

Zakudya zomwe zili ndi zakudya zopangidwanso kwambiri, monga chakudya chofulumira, komanso zinthu zowonjezera shuga, monga soda ndi zinthu zouma zotsekemera, zalumikizidwa ndi chiwopsezo cha matenda amtima (,).

Zitha kupanganso zotsatira zina zoyipa zathanzi monga kunenepa, matenda ashuga, kuchepa kwamaganizidwe, ndi khansa zina ().

Werengani kuti muphunzire zakudya ndi zakumwa zomwe muyenera kupewa.

Mowa

Kumwa mowa kwambiri kumawonjezera chiopsezo chanu chokhala ndi AFib.

Zingayambitsenso magawo a AFib mwa anthu omwe ali ndi AFib kale, makamaka ngati muli ndi matenda amtima kapena matenda ashuga ().

Kumwa mowa kumatha kubweretsa matenda oopsa, kunenepa kwambiri, komanso kupuma movutikira (SDB) - zonse zomwe zimayambitsa AFib (5).

Ngakhale kumwa mopitirira muyeso kumakhala koopsa kwambiri, kafukufuku akuwonetsa kuti ngakhale kumwa mowa pang'ono kumatha kukhala pachiwopsezo cha AFib (6).

Umboni waposachedwa ukusonyeza kuti anthu omwe amatsatira malire - zakumwa ziwiri patsiku kwa amuna ndi zakumwa chimodzi kwa akazi - alibe chiopsezo chachikulu cha AFib (7).

Ngati muli ndi AFib, ndibwino kuti muchepetse kumwa mowa. Koma kupita kuzizira kozizira kumatha kukhala kubetcha kwanu kotetezeka kwambiri.

Kafukufuku wa 2020 adapeza kuti kusiya kumwa mowa kumachepetsa kuchepa kwa arrhythmia mwa omwe amamwa pafupipafupi ndi AFib (8).

Kafeini

Kwa zaka zambiri, akatswiri akhala akutsutsana momwe caffeine imakhudzira anthu omwe ali ndi AFib.

Zina mwazinthu zomwe zili ndi caffeine ndi monga:

• khofi
• tiyi
• guarana
• koloko
• zakumwa zamagetsi

Kwa zaka zambiri, zinali zovomerezeka kuti anthu omwe ali ndi AFib apewe caffeine.

Koma maphunziro angapo azachipatala alephera kuwonetsa kulumikizana kulikonse pakati pa kudya kwa caffeine ndi magawo a AFib (,). M'malo mwake, kumwa mowa mwa khofi nthawi zonse kungachepetsenso chiopsezo cha AFib ().

Ngakhale kumwa khofi kumatha kuwonjezera kuthamanga kwa magazi komanso kukana kwa insulin koyambirira, kafukufuku wa nthawi yayitali apeza kuti kumwa khofi pafupipafupi sikungakhudzidwe ndi chiwopsezo cha mtima ().

Kafukufuku wa 2019 adapeza kuti amuna omwe amati amamwa makapu 1 mpaka 3 a khofi patsiku anali pachiwopsezo chochepa cha AFib (13).

Kuwononga mpaka 300 milligrams (mg) wa caffeine - kapena makapu atatu a khofi - patsiku kumakhala kotetezeka (14).

Komabe, kumwa zakumwa zamagetsi ndi nkhani ina.

Ndi chifukwa chakumwa mphamvu chimakhala ndi khofiine wambiri kuposa khofi ndi tiyi. Amakhalanso ndi shuga ndi mankhwala ena omwe angalimbikitse mtima wamtima ().

Kafukufuku wambiri wowunika komanso malipoti adalumikiza kumwa zakumwa zamagetsi ndi zochitika zazikulu zamtima, kuphatikiza arrhythmias ndi kufa kwamwadzidzidzi kwamtima (16, 17, 18, 19).

Ngati muli ndi AFib, mungafune kupewa zakumwa zamagetsi, koma khofi mwina ndibwino.

Mafuta

Kukhala ndi kunenepa kwambiri komanso kuthamanga kwa magazi kumatha kukulitsa chiopsezo cha AFib, chifukwa chake ndikofunikira kudya chakudya choyenera.

Akatswiri azaumoyo angakulimbikitseni kuti muchepetse mitundu ina yamafuta ngati muli ndi AFib.

Kafukufuku wina wasonyeza kuti zakudya zomwe zili ndi mafuta okwanira komanso opatsirana amatha kuphatikizidwa ndi chiopsezo chowonjezeka cha AFib ndi matenda ena amtima (,).

Zakudya monga batala, tchizi, ndi nyama yofiira zimakhala ndi mafuta ambiri.

Mafuta a Trans amapezeka:

• margarine
• zakudya zopangidwa ndi mafuta a masamba ochepa a hydrogenated
• ena osokoneza ndi ma cookies
• tchipisi cha mbatata
• madontho
• zakudya zina zokazinga

Kafukufuku wa 2015 adapeza kuti zakudya zomwe zili ndi mafuta ochulukirapo komanso otsika kwambiri mu monounsaturated fatty acids zimayanjanitsidwa ndi chiopsezo chachikulu chokhazikika kapena chosatha cha AFib ().

Mafuta a monounsaturated amapezeka muzakudya zamasamba, kuphatikiza:

• mtedza
• mapeyala
• mafuta a maolivi

Koma kusinthanitsa mafuta okhutira ndi chinthu china mwina sikungakhale kukonza kwabwino.

Kafukufuku wa 2017 adapeza chiwopsezo chowonjezeka cha AFib mwa amuna omwe adasintha mafuta odzaza ndi mafuta a polyunsaturated.

Komabe, ena alumikizanso zakudya zomwe zili ndi mafuta ambiri omega-3 polyunsaturated omwe ali ndi chiopsezo chochepa cha AFib.

Zikuwoneka kuti mafuta ochepa opangidwa ndi polyunsaturated, monga mafuta a chimanga ndi mafuta a soya, amakhala ndi zotsatirapo zosiyanasiyana pachiwopsezo cha AFib kuposa mafuta amtundu wa polyunsaturated monga salmon ndi sardines.

Kufufuza kwapamwamba kwambiri kumafunikira kuti mudziwe momwe mafuta a polyunsaturated amakhudzira chiopsezo cha AFib.

Nkhani yabwino ndiyakuti, ngati simunakhalepo ndi zakudya zopatsa thanzi m'mbuyomu, pali nthawi yosinthiratu zinthu.

Ofufuza aku Australia adapeza kuti anthu onenepa kwambiri omwe adalandira 10% ya kuchepa thupi amatha kuchepetsa kapena kusintha kusintha kwachilengedwe kwa AFib (23).

Njira zabwino zothanirana ndi kunenepa kwambiri ndikukhalitsa ndi thanzi lamtima, kuphatikiza:

• kuchepetsa kudya kwa zakudya zopangidwa ndi ma calorie ambiri
• kukulitsa kudya kwa fiber ngati masamba, zipatso, ndi nyemba,
• kudula shuga wowonjezera

Mchere

Kafukufuku akuwonetsa kuti kudya sodium kungakulitse mwayi wanu wopanga AFib (24).

Ndi chifukwa chakuti mchere umatha kukweza kuthamanga kwa magazi ().

Kuthamanga kwa magazi, kapena kuthamanga kwa magazi, kumatha kuwirikiza kawiri mwayi wanu wokhala ndi AFib ().

Kuchepetsa sodium mu zakudya zanu kungakuthandizeni:

• sungani mtima wathanzi
• kutsitsa magazi kuthamanga kwanu
• kuchepetsa chiopsezo chanu cha AFib

Zakudya zambiri zosungunuka komanso zachisanu zimagwiritsa ntchito mchere wambiri ngati chinthu choteteza komanso kununkhira. Onetsetsani kuti mwawerenga zolemba ndikuyesera kumamatira zakudya zatsopano ndi zakudya zopanda sodium kapena mchere wowonjezera.

Zitsamba zatsopano ndi zonunkhira zimatha kusunga chakudya popanda sodium yowonjezera.

Awa amalimbikitsa kudya zosakwana 2,300 mg wa sodium patsiku ngati gawo la zakudya zabwino ().

Shuga

Kafukufuku akuwonetsa kuti anthu omwe ali ndi matenda ashuga ali ndi mwayi wokwanira 40% wokhala ndi AFib poyerekeza ndi omwe alibe matenda ashuga.

Akatswiri sakudziwika bwinobwino zomwe zimayambitsa kulumikizana pakati pa matenda ashuga ndi AFib.

Koma kuchuluka kwa magazi m'magazi, omwe ndi chizindikiro cha matenda ashuga, atha kukhala chifukwa.

Kafukufuku wa 2019 ku China adapeza kuti anthu opitilira 35 omwe ali ndi milingo yokwera m'magazi (EBG) amatha kukhala ndi AFib poyerekeza ndi omwe alibe EBG.

Zakudya zomwe zili ndi shuga wambiri zimatha kukweza magazi m'magazi anu.

Kudya zakudya zambiri zotsekemera nthawi zonse kungayambitsenso insulin kukana kukula, zomwe zimawonjezera mwayi wanu wokhala ndi matenda ashuga ().

Kafufuzidwe kafukufuku amafunika kuti adziwe momwe magulu amwazi wamagazi angakhudzire AFib.

Yesetsani kuchepetsa:

• koloko
• katundu wophika shuga
• mankhwala ena omwe ali ndi shuga wambiri wowonjezera

Vitamini K

Vitamini K ndi gulu la mavitamini osungunuka mafuta omwe amatenga gawo lofunikira pa:

• kutseka magazi
• thanzi la mafupa
• mtima wathanzi

Vitamini K amapezeka muzinthu zomwe zimaphatikizapo:

• masamba obiriwira, monga sipinachi ndi kale
• kolifulawa
• parsley
• tiyi wobiriwira
• chiwindi cha ng'ombe

Popeza anthu ambiri omwe ali ndi AFib ali pachiwopsezo chodwala sitiroko, amapatsidwa magazi ochepetsa magazi kuti athandizire kupewa magazi.

Wodziwika bwino wamagazi warfarin (Coumadin) amagwira ntchito poletsa vitamini K kuti isapangidwenso, kuimitsa magazi omwe amatseka magazi.

M'mbuyomu, anthu omwe ali ndi AFib adachenjezedwa kuti achepetse kuchuluka kwa vitamini K chifukwa kumatha kuchepetsa kuchepa kwa magazi.

Koma maumboni apano sagwirizana ndi kusintha kwa mavitamini K anu ().

M'malo mwake, zitha kukhala zothandiza kwambiri kuti milingo ya vitamini K isasunthike, kupewa kusintha kwakukulu pazakudya zanu ().

Ndi bwino kukambirana ndi dokotala musanawonjezere kapena kuchepetsa kudya kwa vitamini K.

Ngati mukumwa warfarin, kambiranani ndi adotolo za kuthekera kosintha mankhwala osagwiritsa ntchito vitamini K amlomo anticoagulant (NOAC) kuti izi zisakhale nkhawa.

Zitsanzo za NOACs ndi monga:

• Chililabombwe (Pradaxa)
• Rivaroxaban ufa (Xarelto)
• apixaban (Eliquis)

Mchere wogwirizanitsa

Gluten ndi mtundu umodzi wa mapuloteni mu tirigu, rye, ndi barele. Amapezeka muzinthu zomwe zimaphatikizapo:

• mikate
• pasitala
• zokometsera
• zakudya zambiri zam'matumba

Ngati ndinu wosagwirizana ndi gilateni kapena muli ndi Matenda a Celiac kapena zovuta za tirigu, gilateni kapena kumwa tirigu kumatha kuyambitsa kutupa mthupi lanu.

Kutupa kumatha kukhudza mitsempha yanu ya vagus. Minyewa imeneyi imatha kukhudza mtima wanu kwambiri ndikupangitsani kuti muzitha kuyambitsa matenda a AFib ().

M'maphunziro awiri osiyana, ofufuza adapeza kuti anthu omwe ali ndi matenda a leliac omwe sanalandire chithandizo anali atachedwa kuchepa kwamagetsi (EMD) [32].

EMD imatanthawuza kuchedwa pakati pa kuyambika kwa magwiridwe amagetsi mumtima ndi kuyambika kwa chidule.

EMD ndiwonetseratu za AFib (,).

Ngati mavuto okhudzana ndi kugaya kapena kutukuka akupangitsa kuti AFib ichitepo kanthu, kuchepetsa kuchepa kwa zakudya zanu kungakuthandizeni kuti muyambe kuyang'aniridwa ndi AFib.

Lankhulani ndi dokotala wanu ngati mukukhulupirira kuti muli ndi vuto la gluten kapena zovuta za tirigu.

Chipatso champhesa

Kudya zipatso za manyumwa sikungakhale lingaliro labwino ngati muli ndi AFib ndipo mukumwa mankhwala kuti muwachiritse.

Madzi amphesa ali ndi mankhwala amphamvu otchedwa naringenin (33).

Kafukufuku wakale wasonyeza kuti mankhwalawa amatha kusokoneza mphamvu ya mankhwala osokoneza bongo monga amiodarone (Cordarone) ndi dofetilide (Tikosyn) (35,).

Madzi amphesa amathanso kukhudza momwe mankhwala ena amalowerera m'magazi kuchokera m'matumbo.

Kafukufuku waposachedwa amafunikira kuti adziwe momwe zipatso za manyumwa zingakhudzire mankhwala osokoneza bongo.

Lankhulani ndi dokotala musanadye zipatso zamphesa mukamamwa mankhwala.

Kudya koyenera kwa AFib

Zakudya zina ndizothandiza kwambiri pamatenda amtima ndipo zimathandizira kukonza magwiridwe antchito amtima ().

Zikuphatikizapo:

• mafuta athanzi monga omega-3 nsomba zamafuta olemera, mapeyala, ndi maolivi
• zipatso ndi ndiwo zamasamba zomwe zimapereka mavitamini, michere, ndi ma antioxidants
• zakudya zopatsa mphamvu kwambiri monga oats, fulakesi, mtedza, mbewu, zipatso, ndi ndiwo zamasamba

Kafukufuku wochuluka wasonyeza kuti chakudya cha ku Mediterranean (chakudya chokhala ndi nsomba, mafuta, zipatso, ndiwo zamasamba, mbewu zonse, ndi mtedza) chingathandize kuchepetsa chiopsezo cha AFib (38).

Kafukufuku wa 2018 adapeza kuti kuwonjezera chakudya cha ku Mediterranean ndi maolivi osapitirira namwali kapena mtedza kumachepetsa chiopsezo cha omwe akutenga nawo mbali pazinthu zazikulu zamtima poyerekeza ndi zakudya zonenepa.

Umboni ukusonyeza kuti zakudya zopangidwa ndi mbewu zitha kukhalanso chida chofunikira pakuwongolera ndikuchepetsa zomwe zimayambitsa chiopsezo chokhudzana ndi AFib ().

Zakudya zopangidwa ndi mbewu zitha kuchepetsa zovuta zambiri pachikhalidwe zomwe zimakhudzana ndi AFib, monga kukhala ndi matenda oopsa, hyperthyroidism, kunenepa kwambiri, ndi matenda ashuga ().

Kuphatikiza pa kudya zakudya zina, michere ndi michere ingathandize kuchepetsa chiopsezo cha AFib.

Zikuphatikizapo:

Mankhwala enaake a

Kafukufuku wina akuwonetsa kuti milingo yotsika ya magnesium mthupi lanu imatha kukhala ndi zotsatira zoyipa pamitima yanu.

Ndikosavuta kupeza magnesium yowonjezera pazakudya zanu mwa kudya zina mwa izi:

• mtedza, makamaka amondi kapena cashews
• chiponde ndi batala
• sipinachi
• mapeyala
• mbewu zonse
• yogati

Potaziyamu

Pa mbali ya sodium yochulukirapo pali chiopsezo cha potaziyamu wochepa. Potaziyamu ndiyofunikira pa thanzi lamtima chifukwa imalola kuti minofu igwire bwino ntchito.

Anthu ambiri atha kukhala ndi potaziyamu wochepa chifukwa chodya moperewera kapena kumwa mankhwala ena monga okodzetsa.

Kuchuluka kwa potaziyamu kumawonjezera chiopsezo cha arrhythmia ().

Zina mwa potaziyamu ndizo:

• zipatso, monga mapeyala, nthochi, ma apricot, ndi malalanje
• muzu zamasamba, monga mbatata ndi beets
• madzi a kokonati
• tomato
• prunes
• sikwashi

Chifukwa potaziyamu imatha kulumikizana ndi mankhwala ena, lankhulani ndi dokotala musanawonjezere potaziyamu pazakudya zanu.

Zakudya zina ndi zakudya zopatsa thanzi ndizothandiza makamaka kukuthandizani kuyang'anira AFib ndikupewa zizindikilo ndi zovuta. Tsatirani malangizowa posankha zomwe mungadye:

Idyani AFib

• Chakudya cham'mawa, sankhani zakudya zonse zopatsa thanzi monga zipatso, mbewu zonse, mtedza, mbewu, ndi ndiwo zamasamba. Chitsanzo cha chakudya cham'mawa chabwino ndi oatmeal wopanda zipatso ndi zipatso, maamondi, nthanga za chia, komanso chidole cha yogurt yamafuta ochepa.
• Pezani mchere wanu komanso kudya kwa sodium. Khalani ndi malire ochepetsa kuchuluka kwa sodium wochepera 2,300 mg patsiku.
• Pewani kudya nyama yochuluka kwambiri kapena mkaka wamafuta wathunthu, womwe uli ndi mafuta ochulukirapo azinyama.
• Cholinga cha zokolola za 50 peresenti pachakudya chilichonse kuti muthandize kudyetsa thupi ndikupatsanso fiber komanso kukhuta.
• Sungani magawo anu pang'ono ndikupewa kudya pazotengera. Chotsani magawo amodzi a zokhwasula-khwasula zomwe mumakonda m'malo mwake.
• Dulani zakudya zokazinga kapena zokutidwa ndi batala kapena shuga.
• Chepetsani kumwa khofi kapena mowa.
• Dziwani kuti mumadya mchere wofunikira, monga magnesium ndi potaziyamu.

Mfundo yofunika

Kupewa kapena kuchepetsa zakudya zina ndikusamalira thanzi lanu zitha kukuthandizani kuti mukhale moyo wachangu ndi AFib.

Pochepetsa chiopsezo chanu cha magawo a AFib, lingalirani zakuyambitsa chakudya cha Mediterranean kapena chomera.

Mwinanso mungafunike kuchepetsa kudya mafuta, mchere, komanso shuga wowonjezera.

Kudya koyenera kumatha kuthandizira pazomwe zimayambitsa thanzi, monga kuthamanga kwa magazi, cholesterol, komanso kunenepa kwambiri.

Pothana ndi mavutowa, mutha kuchepetsa mwayi wanu wokhala ndi AFib.

Onetsetsani kuti mwalankhula ndi adotolo za zamankhwala komanso momwe zakudya zimayendera.