Zakudya za matenda a impso > Zakudya za shuga

Kulephera kumvetsetsa kwa madokotala ndi zovuta zonse za ma nephrotic syndromes zomwe zimayambitsa kuwonongeka mu kusefa kwa chiwalo ndi kudziunjikira kwa poizoni m'magazi. Kuzindikira kwa matenda a pathological nthawi zambiri kumakhala kovuta, kumafunikira maphunziro a labotor ndi othandizira.

Kutengera ndi kusanthula ndi mbiri yakachipatala ya wodwalayo, chithandizo chimapangidwa. Gawo lofunika la chithandizo chamankhwala ndikutsatira zakudya zapadera. Zakudya zoyenera zomwe zimakhala ndi kuchepa kwa thupi ndi zomwe zimaneneratu zaka zokhala ndi moyo komanso thanzi la odwala.

Zambiri za matendawa

Kulephera kwammimba ndikulumikizana kwa zinthu zoyipa zomwe zimachepetsa magwiridwe antchito a impso. Kuphatikiza pa ntchito yayikulu, palinso ena:

Kuchotsa kwa poyizoni m'thupi,
kuthamanga kwa magazi (mu abbr. kuthamanga kwa magazi),
kupanga gawo la mahomoni, makamaka renin, yomwe imatenga gawo lalikulu pakuwongolera kuthamanga kwa magazi,
kuwongolera mawonekedwe a magazi,
kupanga erythropoietin - chinthu chomwe chimapanga maselo ofiira m'magazi.

Ndi nephrotic syndrome, kuthekera kwa impso kupanga mkodzo kumakula kwambiri. Poyerekeza ndi zakuphwanya, mchere wamchere, acid-base, ndi kuthamanga kwa magazi zimasokonezeka pang'onopang'ono. Munthawi yamaphunziro a zamatenda, ntchito zonse zimawonongeka mosasintha.

Akatswiri amasiyanitsa mitundu iwiri yayikulu ya matenda: pachimake komanso chovuta. Ndi siteji yofatsa kwambiri, kusintha kwa ma nephrons kumatha kusintha, pomwe magawo olimba angayambitse kukula kwa ziwalo zingapo komanso kufa kwa odwala chifukwa cha kuledzera kwambiri.

Fomu yamtundu imadziwika ndi kufulumira kwa impso. Ndi chifukwa cha kulephera kwa impso komwe munthu ayenera kudya nthawi yayitali komanso kumangolipiritsa chakudya.

Zomwe zimachitika

Zomwe zimayambitsa nephropathy m'magawo osiyanasiyana a maphunzirowo ndi angapo, zimasiyana mitundu yamaphunzirowa. Pathology imatha kuchitika mwa amayi ndi abambo, komanso mwa ana azaka zilizonse, mosaganizira kuti ndi amuna kapena akazi.

Kulephera kwaimpso

Kulephera kwa impso

Mawonekedwe a matenda	Zakutsogolo
matenda a mtima ndi a mtima (kuphatikizika pafupipafupi kwa matenda aimpso) kusowa kwamadzi (kusanza ndi kutsekula m'mimba kosalekeza, kutentha kwambiri pakhungu, mankhwala osokoneza bongo ambiri, kuledzera koopsa ndi poyizoni, matenda a chiwindi, chiwindi ndi kuphwanya kwina kwa magazi amatuluka, poyizoni wowopsa wa ziphe, mankhwala, zitsulo zolemera, bowa, gout magazi osagwirizana panthawi ya kuikidwa magazi, kuwonongeka kwamitsempha yamagazi m'm impso, kuvulala kwa impso imodzi (ndi impso imodzi yatsala kuti wachotsa), ngozi mwadzidzidzi kwa oreter pa nthawi yochita opaleshoni, miyala yamiyendo ndi obwezera, Kulakwika kwa impso, blockage wa thrombus kapena mafinya a impso kusintha kwa minyewa.
matenda opatsirana a impso: pyelonephritis, nephritis, glomerulonephritis, matenda amisempha: lupus erythematosus, hemorrhagic vasculitis, scleroderma, matenda oopsa (monga dziko lodziyimira pawokha), matenda akulu a metabolic (gouty nyamakazi, amyloidosis, shuga mellitus), urolithiasis, polycystic, multicystosis, zotupa, hydronephrosis a impso.

ARF imadziwika ndi njira yokhayo yokhala ndi kuwonongeka kowopsa mu kusefedwa, ntchito zowonekera komanso zobisika za impso.

Kubadwa kolakwika kwa limba kumathandizira kuti PN ipangidwe.Kuchulukirachulukira, mikhalidwe yotere imalembedwa pakuwunika pa nthawi yomwe muli ndi pakati.

Mawonekedwe a mapangidwe a nephropathy amayambitsa zovuta. Kuopsa kwa pachimake aimpso kulephera komanso kupweteka kwa aimpso kumayang'aniridwa molingana ndi kuuma komanso matenda azachipatala.

Zizindikiro za ARF

Zizindikiro za pachimake kugwira ntchito kwa thupi zimadalira gawo la matenda. Madokotala amasiyanitsa madigiri 4 a chitukuko cha kupweteka kwaimpso:

Masiteji	Khalidwe
Gawo loyambirira	Zizindikiro zowoneka bwino kulibe, koma kusintha kwa minyewa ya impso kwayamba kale
Gawo la Oliguric (kutsika kwamkodzo tsiku lililonse)	General malaise, utachepa kudya, nseru mu kusinthana ndi kusanza, kuchuluka kupuma, kudzipereka kwa minofu, kusokonekera, tachycardia.
Gawo la Polyuric kapena nthawi yobwezeretsa	mkhalidwe wodwala umakhala bwinoko, kuchuluka kwa diuresis tsiku ndi tsiku kumawonjezeka pang'ono.

Chifukwa cha kulephera kwamphumo, kupatsanso mwayi komanso kubwezeretsanso minofu ya impso ndi chikhalidwe. Komabe, izi ndizotheka pokhapokha ngati ziwalozo sizinachite bwino. Ndi chotupa chachikulu cha nephrons, kulephera kwaimpso kumayamba kukhala kwakanthawi ndipo kumakhala kotupa kwa nthawi yayitali.

Matenda owonetsera a matenda a impso kulephera

CRF imagawidwanso m'magulu angapo a chitukuko, kutengera kuwonjezeka pang'onopang'ono kwa creatinine, urea, kusowa kwa madzi mu electrolyte, kusintha kwa kachulukidwe ka mkodzo ndi proteinuria - mawonekedwe a mapuloteni mumkodzo. Malinga ndi njira zodziwira matenda, pali:

Zero kapena gawo loyamba

Masiteji	Khalidwe
Kutopa kwambiri, ludzu losatha ndi kuyanika kwa pharynx. Kupenda kwamomwe magazi kumavumbula kuphwanya pang'ono ma electrolyte m'magazi, ndipo mapuloteni ochepa amapezeka mumkodzo (latent proteinuria).
Polyuria ndi kuwonjezeka kwamkodzo kwamkodzo tsiku lililonse mpaka malita 2-2,5, kusintha kwa kapangidwe ka magazi ndi kuchepa kwa kachulukidwe ka mkodzo, kukoka kwa zotupa mu chikhodzodzo. Zida zam'magazi zosagwiritsidwa ntchito zimatha nthawi yayitali.
Gawo la chitukuko cha matenda aimpso kulephera limadziwika ndi kuwonjezeka kwa nthawi ndi nthawi komanso kuwonekeranso kwa chizindikiro. M'magazi, metabolinine, urea, metabolism ya nitrogen imakwera. Odwala nthawi zambiri amakhala ndi nkhawa chifukwa cha mseru, kusanza, kufinya khungu. Poyerekeza ndi momwe gawo lakhalira, kugwedezeka kwa mbali zam'mphepete, kupweteka kwa minofu yam'mimba kumachitika.
Kusakhazikika kwa m'maganizo, kusokonezeka kwa kugona tulo usiku, kuzunza kosayenera, azotemia - kuledzera ndi mankhwala asafe. Khungu limakhala imvi, nkhope yake imakhala yotupa, makamaka m'mawa. Nthawi zambiri, kuyabwa pakhungu la thupi (pamimba, mikono, kumbuyo) kumasokoneza, tsitsi limayamba kutuluka. Zilonda zamkamwa zouma, lilime limakhala louma.

Wodwalayo angamve kukhala wokhutira mpaka zaka zingapo. Choopsa cha gawo lotsiriza la kulephera kwa impso ndichakudziwonjezera kochokera mu mtima, mitsempha yamagazi, chiwindi. Kuledzera kwa thupi kumakulitsa vutoli.

Chomwe chimasiyanitsa kwambiri ndi CRF mwa ana ndi akulu nthawi yayitali. Mu ana, nthawi imeneyi imatha kufikira zaka 8-12 ndi boma loteteza komanso kudya zakudya zoyenera, zomwe zimachitika chifukwa cha chitetezo chamtundu komanso unyamata wa minofu.

Tikukupemphani kuti muwone pulogalamu yokhala ndi "Moyo wathanzi", momwe muphunzirira zomwe zimayambitsa ndi zizindikiro za kulephera kwa impso.

Kodi zakudya zama impso ndi ziti?

Mtundu wa zakudya zamankhwala umasankhidwa kwa odwala malinga ndi chithunzi cha chipatala. Tsoka ilo, chakudya chaponseponse kwa odwala onse omwe ali ndi vuto la impso kulibe. Pali zakudya zingapo zodziwika zofunika kudya malinga ndi mbiri yachipatala ya wodwalayo.

Tebulo la zamankhwala No. 6

Gome No. 6 malinga ndi Pevzner amasankhidwa kuti azisinthasintha zochita za metabolic, kusinthanitsa purosesa - mankhwala asafe a nitrogenous, komanso kuchepetsa mulingo wa uric acid ndi zinthu zake zowola - mchere.Ntchito zonsezi zimayambitsa mkodzo wa mkodzo ndikuwonjezereka kwa kuthekera kwa mkodzo kusungunula zinthu zowerengeka: miyala, oxalates, urates.

Tebulo 6E

Zakudya 6E ndizothandiza mankhwalawa omwe amaphatikizana ndi kunenepa kwambiri kapena nyamakazi ya gouty. Chakudya chimadziwika ndi kuchepa kwa kalori, ndipo chizolowezi cha tsiku lililonse chimafikira 2000 Kcal. Mukamalemba menyu, tsiku lililonse mapuloteni amakhudzidwa - 60-70 g, mafuta - 75-80 g ndi chakudya - 230-250 g.

Gawo 7

Gome lachipatala lachi 7 limapangidwa kuti muchepetse kutupa ndi kutsitsa magazi. Zosakaniza zimathandizira kuchotsa zotsalira za nayitrogeni m'thupi, kuchepetsa zizindikiro za kuledzera kosatha.

Pamtima pazakudya ndikuchepa kwamapuloteni tsiku ndi tsiku ndikukhalabe ndizolimbitsa thupi zamafuta ndi chakudya. Zolemba tsiku ndi tsiku za caloric sizidutsa 2800 Kcal. Zakudya zonse zophika siziyenera kusambitsidwa. Pali zakudya zamitundu mitundu:

Gawo 7a. Gome lothandizira limayikidwa matenda owopsa a impso. Chachikulu ndichakudya chopatsa thanzi pakalibe mchere komanso kuchepetsedwa kwa mapuloteni mpaka 20 g.
Tebulo 7b. Tsiku lililonse mapuloteni awa amadya mpaka 40 g patsiku, ndipo kuchuluka kwa madzimadzi oledzera kumakhalabe kwa malita 1-1.3.
Gome 7c. Chakudya chopatsa thanzi ndi mankhwala a nephrotic ndi kutupa, proteinuria. Protein ya tsiku ndi tsiku imafikira pa 130 g kuti ikonzenso gawo lotayika mu mkodzo. Pamodzi ndi kuchuluka kwa mapuloteni, mchere ndi madzi ndizochepa kwambiri malita 0,7.
Tebulo 7g. Amawerengera odwala hemodialysis kapena omwe akudwala matenda obanika. Mndandanda umakhazikitsidwa ndikuletsa mapuloteni mpaka 60 g, 2-2,5 g mchere ndi 0,8 l amadzimadzi patsiku.

Mzere wabwino pakati pa kuchuluka kwa mapuloteni amtundu wa tsiku ndi tsiku, mafuta ndi chakudya amafunika chisamaliro chamankhwala. Kukonzekera kwamasamba kumayikidwa bwino kwa nephrologist kapena wathanzi kuti apewe zovuta.

Gome №14 ndi urolithiasis

Urolithiasis ndi omwe amachititsa nephropathy, kotero zakudya zoyenera zimapangidwa kuti muchepetse miyala ndipo ndikofunikira pochotsa miyala.

Zakudya ziyenera kutsanulira mkodzo kuti usungunuke mwachangu calcium ndi phosphorous ndikuletsa kupangidwanso kwa nayitrogeni wotsalira.

Zakudya zopanda mchere

Ma satelites wamba a nephropathy ochokera kumayendedwe osiyanasiyana ndi edema yamkati ndi yakunja, yapamwamba komanso yosasunthika. Ichi ndichifukwa chake kuletsa kwamchere ndikutsata zakudya zopatsa thanzi kumalimbikitsidwa.

Kupatula sodium yowonjezera, odwala ayenera kukumbukira kuti mchere wocheperako umapezeka muzakudya zonse, makamaka nsomba zam'madzi ndi nsomba zam'nyanja, komanso zakudya zamasamba.

Ndikofunikira kusiya mcherewo pang'onopang'ono ndipo patatha milungu iwiri ndikuchotsa mokwanira kugwiritsa ntchito zakudya. Kuwona malamulo a zakudya zopanda mchere, ndikokwanira kukumbukira zina zotsatirazi:

Idyani zakudya zophika zokha,
chosunga mchere uyenera kuyikidwa pathebulo kuti mabanja athe kuwonjezera mchere pakuphika,
kusintha kukoma, mutha kuwonjezera tsabola, tomato ndi zonunkhira zina zopanda mchere.

Zakudya zamakono komanso kuphika kwamakono zimathandizira kwambiri kakomedwe ka zakudya, kotero odwala samakumana ndi zosokoneza pakagwiridwe kantchito kachipatala. "Chipatala" chofala masiku onse a mawonekedwe osakondweretsa adapita kale.

Zakudya zamchere

Vuto linanso lazachipatala ndi kusowa kwa sodium kapena hyponatremia. Apa, asing'anga amatenga mchere wamchere kapena mchere wam'madzi kuti ukhale wathanzi lamadzi amthupi.

Komabe, popereka zakudya zamchere, ayenera kutsatira malamulo angapo otsatirawa:

Malangizo a tsiku ndi tsiku a tebulo mchere malinga ndi kusanthula kwa ma elekitirodi,
kusesa mchere wokhazikitsidwa musanadye,
yogawa yunifolomu yamchere yamasiku onse.

Kuphatikiza apo, mchere wam'madzi umatha kuyambitsidwa popanda mpweya, koma osaposa malita 0,5 patsiku, malingana kuti mbale zimatsuka. Zakudya zamchere zimasungidwa mpaka mulingo wa sodium m'magazi ukonzedwa.

Zakudya za Apple

Zakudya za apulo zimapangidwira matenda a impso, omwe amayenda ndi kunenepa kwambiri, kuwonongeka kwa magazi m'magazi a impso, ma pathologies a chiwindi komanso a biliary. Mpaka mpaka 1.5 makilogalamu a maapulo ak kucha kapena anaphika amafunika kuti azidyedwa patsiku.

Kuphatikiza apo, 50 ml ya viniga cider viniga ikhoza kuwonjezeredwa ku chakumwa. Chakudyacho chimawonedwa m'masiku asanu ndi awiri ndi kupumula kwa masiku angapo.

Zakudya zaulere zama protein

Zakudya zochepa zomanga thupi ndizofunikira kuledzera kwa uremia - kuchedwa kwambiri kwa zinthu za nayitrogeni m'thupi, makamaka ngati hemodialysis yodzidzimutsa siyingatheke. Maziko a chakudyacho ndikuchepetsa mapuloteni mpaka 25 g patsiku, komanso kuwonjezeka kwamafuta ndi chakudya.

Gawo lamapuloteni limatha kusintha mapuloteni a soya. Zambiri zopatsa mphamvu zamagulu onse azakudya siziyenera kupitilira 2700 Kcal patsiku. Zakudya zonse zimaphikidwa popanda mchere.

Zakudya Zamabichi ndi Mbatata

Yothandiza kwambiri ndi kabichi-mbatata zakudya za oxaluria - chimbudzi cha oxalic acid mkodzo. Pa nthawi ya zakudya zamankhwala, kabichi ndi mbatata zokha zimadyedwa, ndiye kuti chithandizo chamankhwala sichikupitilira masiku 7-10. Chakudya choterocho chimalimbikitsidwa kwa ultrasound ya impso ngati kukonzekera.

Zakudya zamafuta

Kuboola kwa oats sikungopindulitsa minyewa ya impso, komanso kumathandizira kuchiritsa thupi lonse. Ndikulimbikitsidwa kudya oatmeal yophika ndi kumwa mkaka wa oat osakanikirana ndi zakudya zina patsiku. Oats amatha kuthetsa acidosis ngati kugwiritsa ntchito mankhwala othandizira.

Imwani msuzi wa oat pamimba yopanda kanthu kwa nthawi yayitali kuti muchepetse chiopsezo cha miyala ndi mchenga pazinthu za genitourinary system.

Zakudya zamadzi

Mavwende amakupatsani mwayi kuti muchotse poizoni ku impso, siyani kufa kwa nephrons. Zakudya zoyenera kumayambiriro kwa PN pomwe mukusungira ntchito yaimpso, popanda kutupa. Zakudyazo ndizothandiza osaposa masiku 5-7, pambuyo pake ndikofunikira kupuma. Mavwende ayenera kucha, apamwamba kwambiri, popanda kukayikira kuti "kudyetsa" kwa mankhwala. Zakudya zotere sizimaloledwa ndi kulephera kwamtima komanso kuwononga kwambiri impso.

Gome la Giordano - Giovanetti

Zakudya zonse zopatsa mphamvu ndizakudya za 2300-2600 Kcal patsiku chifukwa kuwonjezeka kwa chakudya chamafuta kupita 380 g ndi mafuta mpaka g 130. Mapuloteni amachepetsa pang'ono tsiku lililonse 50 g.Chumwa lamchere lamasiku onse ndi 5 g. Popanda edema, madzimadzi a tsiku ndi tsiku pafupifupi amafanana ndi diuresis. Amawerengera chilolezo cha urea zosakwana 0,05 ml / min.

Kugwiritsa ntchito nthawi yayitali komanso yokwanira pochiritsa odwala kumatha kukwaniritsa zotsatira zokhudzana ndi matenda omwe amachititsa kuti matenda a impso akulephera kapena aimpso. Ndi vuto lalikulu la impso, zakudya zimatha kukhala moyo wonse.

Kodi zakudya zamapuloteni a impso ndi zovulaza?

Chakudya chamunthu chathanzi chimayenera kukhala ndi mapuloteni athunthu omwe amapezeka mu mazira a nkhuku, nsomba, nyama, nsomba zam'madzi ndi caviar ofiira. Komabe, kudya kwambiri mapuloteni kapena kugwiritsa ntchito mphamvu zake m'thupi pakulephera kwa impso kumabweretsa zotsatirapo zoyipa.

Ngati impso zathanzi zimatha kuyimitsa zinthu zopezeka m'mapuloteni, ndiye kuti vuto laimpso silili bwino, njirayi imachitika pang'onopang'ono kapena sizimachitika konse. Potere, kuphatikiza kwa poizoni m'magazi kumachitika, zomwe zimapangitsa kuwonongeka kwakukulu kwa ziwalo zina ndi machitidwe.

Ngati pali kuchuluka kwa mapuloteni m'zakudya, ndikofunikira kuti mulingo wochepetsa kuchuluka kwa chakudya ndi mafuta omwe amedwa. Zakudya zilizonse kuti muchepetse kunenepa chifukwa cha mapuloteni ndikofunikira kugwirizanitsa ndi akatswiri kuti asatenge kukula kwa zovuta.

Chakudya chopanda potaziyamu chimakhala ndi mfundo zomwezo pamene chikufunika kuchepetsa zakudya zonse zomwe zili ndi potaziyamu, koma moyenera kuti muchepetse kukula kwa hypokalemia. Zakudya zilizonse zomwe zimadya mono ndizovulaza impso pamaso pa matenda am'mimba.

Malamulo a zopatsa thanzi

Ntchito yayikulu yazakudya ndizopewera kufa kwa minofu ya impso - ma nephrons. Njira yokhayo yopangira malire oyenera pakati pokhutiritsa thupi ndi zinthu zopindulitsa ndikusunga ntchito ya impso ndikutsatira zakudya zama protein ochepa komanso kuchepetsa mchere, kuphatikizapo zomwe zimachokera. Zotsatirazi ndizofunikira:

kutsika kwapang'onopang'ono kwa mapuloteni tsiku ndi tsiku mpaka 20-80 g (voliyumu imatsimikiziridwa ndi gawo la njira yothandizira),
kuwonjezeka kwa zopatsa mphamvu kuyenera kuchitika ndikuwonjezera mafuta tsiku ndi tsiku ndi chakudya,
kuphatikiza pakudya zipatso zatsopano, muzu wazipatso ndi ndiwo zamasamba, koma poganizira zomwe zimapangidwa ndi protein,
kuphika kuphika, kudyetsa, kuwonda.

Kuchuluka kwamadzi tsiku lililonse komwe kumamwa kumayenera kusankhidwa malinga ndi chikhalidwe komanso mbiri yazachipatala. Ndi kulephera kwamtima kosagwirizana, kutupa ndi mavuto ena, njira yodyetserayi imayenera kuchepetsedwa ndi malita 0,9-1 amadzi. Komanso, muyenera kudya zakudya zazing'ono pafupipafupi 4-6 pa tsiku.

Madokotala amalimbikitsa kuti aziona kulondola kwa njira zamankhwala, kusunga zolemba zamatenda ndikujambulitsa mosamala zakudya zomwe zimagwiritsidwa ntchito pachakudya. Zachidziwikire, si odwala onse omwe amatha kuyang'anitsitsa komanso kulipira, komabe, maphunziro a zamankhwala adawonetsa kuwonjezeka kwa nthawi yayitali komanso moyo wa odwala omwe ali ndi vuto lozungulira aimpso komanso kuwongolera momveka bwino.

Kuphatikiza pazoletsa zazikulu, potaziyamu samachotsedwa muzakudya (zipatso zina zosowa: avocado, mango, nthochi). Potaziyamu yowonjezera imasokoneza magwiridwe antchito a impso, imasokoneza zotsatira za zakudya komanso zimakhumudwitsa malire a electrolyte.

Zizindikiro ndi contraindication kwa zakudya

Chizindikiro chachikulu cha kulangidwa kwachakudya pakulephera kwa impso ndikudzitsimikizira kokhako. Kudya koyenera kumasonyezedwa kuyeretsa impso. Zakudya zamankhwala zimakakamiza odwala kuti asinthe zakudya zomwe amakonda kuti akhale ndi moyo wabwino komanso chiyembekezo.

Malangizo apadera amadza ndi matenda ophatikizana ndi maziko a kusakwanira, ndi zovuta kuchipatala kapena mbiri ya moyo. Mwa zina zotsutsana ndi matenda azakudya ndizodziwika bwino:

ana osakwana zaka 3,
mimba ndi mkaka wa akazi,
matenda otupa kwambiri,
kulephera kwamtima kwambiri
zambiri zowopsa.

Musanalembe zakudya, ndikofunikira kuganizira zingapo zamankhwala, chifukwa chake nchosavomerezeka kudziyimira nokha zakudya. Pazigawo 1 ndi 2 za kulephera kwa impso, zosinthika ndizochepa, zimatha kuyambitsidwa popanda kuvulaza thanzi la dongosolo la genitourinary system, koma m'magawo owopsa zakudya zimaphatikizanso zovuta zina.

Zakudya zomwe zili mwa ana aang'ono motsutsana ndi maziko a kulephera kwa impso sikuti zimangothandiza, komanso ndizovulaza. Ana amafunika kukula, kukulitsa thupi, kotero chakudya chizikhala chokwanira, chokwanira ndi mapuloteni. Chowoletsa chokha chomwe chimagwiritsidwa ntchito kwa ana ndikumwa pamaso pa edema.

Ndi 1, 2, 3, 4 digiri kulephera kwaimpso

Akatswiri amagawana zakudya zopezeka mgawo la 1-3 ndi magawo a PN.

Masitayilo a terminal (IV-V)

Poyerekeza ndi kuletsa kwa ntchito zaimpso, tikulimbikitsidwa kuti mapuloteni a tsiku ndi tsiku azikula kufika ku 120 g ndi kutsekeka munthawi yomweyo kwamchere, shuga (kuphatikizapo zinthu zokhala ndi shuga), timadzi titafika malita 0,7-0.9 patsiku, omwe amafanana ndi tebulo No. 7c. Ndi matenda aimpso kulephera ndi hemodialysis. Zakudya zomveka bwino pazakudya za 7g.

Mu gawo lomaliza la PN, mapuloteni a tsiku ndi tsiku a 60-70 g amalimbikitsidwa nthawi imodzi ya potaziyamu, nsomba ndi nsomba zam'madzi (chifukwa cha phosphorous), nyama iliyonse ndi mazira. Voliyumu yonse yamadzimadzi ndi 0,6-0.7 malita.

Palibe zosiyana zapadera mu gawo 1, 2, 3, kupatula kusintha kwa mapuloteni amthupi tsiku ndi tsiku. Posachedwa, zakudya za PN zimaphatikizidwa wina ndi mnzake malinga ndi kusanthula. Odwala nthawi zambiri amatenga mayeso amwazi wa mulingo wa electrolyte. Sodium, magnesium, potaziyamu, calcium, chlorine imayendetsedwa.

Ndi kutsatira kwa nthawi yayitali zakudya zamagulu m'thupi komanso kuperekera chithandizo chokwanira, kumatha kuchepetsedwa kwambiri kulephera kwa aimpso, kukhalabe gawo lolimba la I-III lachiwindi kwa nthawi yayitali.

Matenda a nephropathy, zakudya za patebulo ndi mndandanda Na. 7 kapena 7c ndi njira ina. Pulogalamu yamapuloteni amtundu wa tsiku ndi tsiku omwe amalephera kupweteka aimpso imasiyana kuchokera pa 50 mpaka 70 g, mchere umangokhala ndi 4 g.

Mu pachimake aimpso kulephera

Cholinga cha kuperewera kwa chakudya m'thupi pachakudya ndikuchepetsa mphamvu pamitsempha, kufulumizitsa kagayidwe kachakudya, kuthetsa kufooka (kuphatikizapo edema yamkati), ndikukhazikika pazovuta. Pa gawo lililonse la PN, mafuta ndi chakudya chamagulu ochepa amachepetsa pang'ono, ndipo gawo la sodium ndi protein ndilotsala kotheratu. Pa gawo la oliguric, mapuloteni amtundu wa tsiku ndi tsiku amangokhala 20 g. Zokwanira zonse za caloric sizidutsa 2300 Kcal.

Woopsa, wodwalayo akulimbikitsidwa kuti achepetse mapuloteni ku 20 g, zakudya kwa 450-500 g, ndi zakumwa zakumwa za magalasi 1-2 patsiku. Kutalika konse koletsedwa kwamphamvu kumatenga pafupifupi sabata ziwiri mpaka mkhalidwe wa wodwala ukhazikika. Popita nthawi, zofunika pa thanzi zimafooka.

Mfundo yayikulu yakudya yokhala ndi vuto la kupweteka kwa impso ndikofunikira kuti muchepetse mapuloteni komanso kusunga zakudya zopatsa mphamvu zambiri. Izi ndizofunikira popewa kuwonongeka kwa minofu yathupi lathu ndikutchingira kuti katundu wambiri aimpso.

Cholinga cha kadyedwe, komanso kukonza kwakanthawi, ndizofunikira kwa adokotala. Chiwonetsero chazakudya zochizira chimamangidwa pamaziko a kuyesa kwa magazi, kuyesa kwa mkodzo, mbiri yakale yazachipatala ndi matenda ena okhudzana nawo. Zakudya zonse zimatengera zakudya zotsatirazi:

nyama ya nkhuku, nyama yamwana wamphongo,
zopangidwa mkaka ndi mazira (zosaposa 50-100 g patsiku),
msuzi wamasamba ndi nyama yofowoka ndi msuzi wokhazikika pa iwo,
zipatso, masamba, zipatso,
maswiti: uchi, maswiti, marshmallows,
chakumwa: decoction wa rosehip zipatso, lingonberry kapena kiranberi, wopanda tiyi wobiriwira, tiyi wakuda ndi mkaka, madzi, zipatso zowuma.

Kuphika kumachitika ndikuphika, kudyetsa, kuphika. Pakati pa mndandanda wazonse zoletsedwa zamatenda a impso, zotsatirazi ndizodziwika:

nyama zodzaza ndi msuzi wa nsomba,
Zakudya zowerengeka za nyama ndi nsomba zomwe zinapangidwanso,
kusungira, zipatso, marinade, kusunga, kusuta nyama,
masamba owawa: radish, turnip, adyo, radish,
tchizi zolimba, zovuta kuzikongoletsa, (zomwe zimagwiritsidwa ntchito nthawi zambiri zimakhala zochepa),
makeke, kuphika makeke,
bowa
nyemba
mtedza, maapulo owuma, zipatso, nthochi, mphesa,
chivwende ndi vwende ndi kuwomba kwambiri, kulephera kwamtima,
maswiti: chokoleti, kirimu, ayisikilimu,
khofi wamphamvu, tiyi.

Kuchokera zakumwa ndikofunikira kupatula madzi otsekemera, mchere wa mchere wa sodium, zakumwa zozunguliridwa ndi mpweya komanso kuwonjezera kwa utoto kapena zotsekemera. Polephera aimpso, osamwa cocoa, zakumwa zotentha zosungika ndi mowa. Simungamwe mowa uliwonse, ngakhale vinyo wofiira kwambiri.

GI mu zakudya mankhwala a matenda a impso

Zakudya zamchere

Malangizo a tsiku ndi tsiku a tebulo mchere malinga ndi kusanthula kwa ma elekitirodi,
kusesa mchere wokhazikitsidwa musanadye,
yogawa yunifolomu yamchere yamasiku onse.

Kuphatikiza apo, 50 ml ya viniga cider viniga ikhoza kuwonjezeredwa ku chakumwa. Chakudyacho chimawonedwa m'masiku asanu ndi awiri ndi kupumula kwa masiku angapo.

Zakudya zaulere zama protein

Gawo lamapuloteni limatha kusintha mapuloteni a soya. Zambiri zopatsa mphamvu zamagulu onse azakudya siziyenera kupitilira 2700 Kcal patsiku. Zakudya zonse zimaphikidwa popanda mchere.

Kuboola kwa oats sikungopindulitsa minyewa ya impso, komanso kumathandizira kuchiritsa thupi lonse. Ndikulimbikitsidwa kudya oatmeal yophika ndi kumwa mkaka wa oat osakanikirana ndi zakudya zina patsiku. Oats amatha kuthetsa acidosis ngati kugwiritsa ntchito mankhwala othandizira.

Imwani msuzi wa oat pamimba yopanda kanthu kwa nthawi yayitali kuti muchepetse chiopsezo cha miyala ndi mchenga pazinthu za genitourinary system.

Zakudya zamadzi

Mavwende ayenera kucha, apamwamba kwambiri, popanda kukayikira kuti "kudyetsa" kwa mankhwala. Zakudya zotere sizimaloledwa ndi kulephera kwamtima komanso kuwononga kwambiri impso.

Gome la Giordano - Giovanetti

Kodi zakudya zamapuloteni a impso ndi zovulaza?

Chakudya chamunthu chathanzi chimayenera kukhala ndi mapuloteni athunthu omwe amapezeka mu mazira a nkhuku, nsomba, nyama, nsomba zam'madzi ndi caviar ofiira. Komabe, kudya kwambiri mapuloteni kapena kugwiritsa ntchito mphamvu zake m'thupi pakulephera kwa impso kumabweretsa zotsatirapo zoyipa.

Matenda a shuga enieni amakakamiza munthu moyo wake wonse kuti azitsatira machiritso azakudya chifukwa cha kusankha kwa mankhwala a GI. Chizindikiro ichi mu digito chimawonetsa mphamvu ya chinthu chomwe amapezeka nacho pamlingo wa glucose m'magazi atatha kugwiritsa ntchito.

Mtundu wachiwiri wa shuga, chakudyacho chimakhala ngati chithandizo chachikulu, ndipo mwa mtundu wodalira insulin, ndiye chithandizo chofanana chomwe chimakwaniritsa insulin.

GI imagawidwa m'magulu angapo:

0 - 50 PIECES - chizindikiro chotsika,
50 - 69 PIECES - pafupifupi,
Mayunitsi 70 ndi pamwambapa ndi chizindikiro chachikulu.

Munthu akakhala ndi shuga wambiri, ndiye kuti kukana kwathunthu zakudya zomwe zili ndi GI yayikulu. Chakudya chachikulu chimapangidwa ndi zinthu zomwe zimakhala ndi GI yotsika, chakudya chokhala ndi zisonyezo zapakati zimaloledwa kuphatikizidwa mumenyu monga kusiyapo kangapo pa sabata.

Ndi zakudya zosayenera, wodwala akamadya chakudya chamafuta othamanga, sikuti shuga yokha imangokulitsidwa, komanso mitsempha ya magazi imatha kutsekeka, chifukwa chakudya chotere chimakhala ndi cholesterol yoyipa.

Zakudya nambala 9 - ndi chiyani?

Ili ndi nthawi 4: koyamba, kutsitsa kwamkodzo potulutsa, kubwezeretsa, kuchira. Nthawi yochepetsedwa kwa diuresis ndiyovuta kwambiri, imatenga masiku 20 ndipo imadziwika ndi kuchuluka kwa zinthu zopanda pake zomwe zimapezeka m'magazi, madzi osokoneza ndi mineral metabolism, kupezeka kwa edema ndi kukula kwa acidosis.

Odwala omwe ali ndi vuto la impso kwambiri amatha kukana kudya chifukwa amadandaula ndi mseru komanso kusanza. Njala imakulitsa vutoli, chifukwa kuwonongeka kwa mapuloteni kumathandizira, komanso kusokonezeka kwa metabolic kumawonjezeka.

Chiwopsezo cha matenda pachimake glomerulonephritis akuluakulu ndi zotsatira zovuta aimpso kulephera ndi kakhumi kuposa ana. Pyelonephritis ndi wachitatu pakati pazomwe zimayambitsa kuperewera kwaimpso.

Kuchepa kwa magazi nthawi zambiri kumayendera limodzi ndi matenda a impso ndipo ndi vuto loyambirira la matenda a impso. Nthawi zambiri zimadziwika ndi kuchepa kwa chilolezo cha creatinine mpaka 40-60 ml / mphindi (mu gawo lachitatu).

Mkhalidwe wa odwalawa ndiwowopsa, amakakamizidwa kuti azilandira mosamala ndikuwonetsetsa kuti adye. Tiyeni tiwone zakudya zomwe zimayikidwa matenda a impso limodzi ndi kulephera kwa aimpso. Gome lalikulu la chithandizo ndi Zakudya 7 kapena mitundu yake No. 7A ndi No. 7B.

Pakulephera kwa impso, tebulo lalikulu ndi tebulo No. 7A, lomwe limapereka:

Kuletsa kwakukulu kwa mapuloteni (20 g). Ndalama zomwe wodwala amalandira atawononga mkaka, zakumwa za mkaka, kirimu, kirimu wowawasa ndi mazira. Nyama ndi nsomba sizimayikidwa.
Kupereka mphamvu zamagetsi pogwiritsa ntchito chakudya (zipatso, zipatso, masamba, shuga, Saga, Mpunga, Uchi) ndi Mafuta (batala ndi Mafuta a masamba).
Kukhazikitsidwa kwa 0,4-0,5 l amadzimadzi (madzi opanda mpweya, tiyi ofooka, timadziti ta sitimadzi, kefir) ndi kuletsa mchere kumapeto kwa diuresis. Pakukachira kwake, kuchuluka kwa mkodzo kumatha kukhala malita awiri patsiku, chifukwa chake, kuchuluka kwamadzi ambiri kumalimbikitsidwa. Mafuta osakwanira kapena owonjezera amachititsa kuti magazi azikhala ndi nkhawa.
Kuchepetsa kwa zinthu zomwe zimakhala ndi potaziyamu ndi magnesium, komanso pamaso pa anuria - kuwonjezera sodium.
Mukachira, pang'onopang'ono kukhazikitsidwa kwa mchere, mapuloteni - woyamba mpaka 40 g (Gawo No. 7B), kenako kukhala wabwinobwino. Pambuyo pa tebulo ili, wodwalayo amasamutsidwa ku Zakudya Nambala 7 kwa nthawi yayitali (mpaka chaka). Chifukwa cha kufooka kwa impso kovuta, Table 7 imalimbikitsidwa nthawi yomweyo, koma poletsa potaziyamu.

Nyama yophika yophika

Mulingo wambiri woletsa mapuloteni (izi zimatengera kuuma kwa CRF). Akamakonda zomwe zingakonongeke mosavuta ndi mapuloteni amkaka ndi mapuloteni a dzira. Mapuloteni azomera ali ndi phindu lochepa.
Mukaphika, nyama ndi nsomba zimayamba zophika, kenako zopatsa kapena kuphika. Njira imeneyi imachepetsa kuchuluka kwa zochulukirapo.
Chepetsa kudya kwa phosphorous (mkaka, chinangwa, tchizi, mkate, tirigu, mazira, nthochi, tchizi), chimanga, mtedza, koko) ndi potaziyamu (kuletsa mbatata, sore, nthochi, zipatso zam'madzi, nsomba zam'nyanja, nyama, kupatula curry, mbewu, sesame).
Kudya calcium wokwanira (zinthu monga mkaka, mazira, masamba). Njira yabwino kwambiri ndiyo kumwa calcium calciumate, yomwe imamwa bwino ndipo imangiriza phosphorous m'matumbo. Mlingo wa tsiku ndi tsiku wa mankhwalawa amawerengedwa aliyense payekha.
Kuphatikiza kwa keto analogi ofunikira amino acid ndi histidine. Kugwiritsa ntchito kumakupatsani mwayi woletsa mapuloteni.
Kupereka mphamvu zokwanira chifukwa cha mafuta (polyunsaturated mafuta acids) ndi chakudya chamafuta, zomwe zimapangitsa kuti mapuloteni azitha komanso kuchepetsa kuchepa kwa thupi. Ndi wopanda ma calories, mapuloteni amaphatikizidwa mu metabolism komanso kuchuluka kwa urea kumakwera. Ndikofunikira kuphatikiza zinthu zopangira mafuta ambiri (kirimu wowawasa, uchi) muzakudya, koma muzigwiritsa ntchito m'mawa. Nthawi yomweyo, musadzaze zakudyazo ndi mafuta okuthandizani komanso mafuta ambiri osavuta.
Poganizira mkhalidwe wa ntchito ya excretion ndi kuyambitsa koyenera kwamadzimadzi ndi mchere. Kuchepetsa kwawo pamaso pa edema ndi kuthamanga kwa magazi. Zakudya zimaphikidwa popanda mchere, koma zochuluka zimaloledwa kuti zidyedwe (izi zimatengera kuuma kwa matendawa ndi kuuma kwa matenda aimpso). Kuchuluka kwake kwamadzimadzi kumawerengeredwa payekha ndi kuchuluka kwa mkodzo womwe umatulutsidwa tsiku lapitalo.
Zopatulidwa ndizopangidwa ndi mafuta ofunikira (udzu winawake, katsabola watsopano, parsley, basil, adyo watsopano ndi anyezi).
Kuchepetsa zakudya zokhala ndi potaziyamu (zipatso zouma, masamba atsopano ndi zipatso), ngati odwala omwe ali ndi vuto laimpso amakula hyperkalemia.
Kuchepetsa kwa zinthu mkaka, phala ndi phala.
Tiyi yamphamvu ndi khofi, zokometsera komanso mchere wamchere, koko, chokoleti, tchizi, zakumwa zoledzeretsa siziphatikizidwa.
Kuphatikizidwa kwa vitamini complexes ndi ma amino acid.
Kupatula kudya kwa mchere wa sodium mchere.

Ndi kulephera kwa impso, kugwiritsa ntchito zakudya zoyenera, mutha kuchepetsa kuledzera komanso kupitirira kwa matenda aimpso kulephera, kuchepetsa mawonekedwe a hyperparathyroidism. Mankhwala othandizira pakudya ayenera kuyankhidwa atangoyamba kumene, pamene creatinine akungoyamba kumene kupitirira malirewo.

Zakudya za kuperewera kwa aimpso zimadalira kuchuluka kwa kulephera kwa impso ndipo zimaphatikizanso kuchuluka kwa mapuloteni omwe sangayambitse kuchuluka kwa azotemia, ndipo nthawi yomweyo sikuti kuyambitsa kuwonongeka kwa mapuloteni ake omwe. Zakudya zamankhwala ziyenera kupereka kufunika kwa ma amino acid okhala ndi mapuloteni otsika, motero kupewa kuperewera kwa mapuloteni.

Kuletsa mapuloteni koyambirira m'zakudya kungachedwetse matendawa. Kuchepetsa mphamvu ya mapuloteni amalepheretsa kuchepa mphamvu (imodzi mwazomwe zimachitika kuti matenda a impso alephere), pomwe mbali yayikulu ya minyewa imayamba kuchuluka.

Mapuloteni awa amatha kuchepa poganizira momwe wodwalayo alili. Ndikulimbikitsidwa kuti wodwala azisala kudya (mpaka katatu pa sabata) ndi chakudya cha 7B chokhala ndi mapuloteni ochepetsedwa. Amino acid othandizira safunikira nthawi imeneyi.

Zakudya zamadzimadzi panthawi yovomerezeka ya mkodzo sizikhala zochepa, koma ziyenera kufanana ndi kuchuluka komwe kunaperekedwa tsiku lapitalo kuphatikiza 400-500 ml.Ngati kupanikizika sikunakwezedwa ndipo palibe edema, mchere wa 4-5 g patsiku umalimbikitsidwa. Ndi kuchuluka kwa kuthamanga kwa magazi, maonekedwe a edema ndi kulemera kwake, kuchuluka kwa madzi amchere ndi mchere kumachepetsedwa.

Pathupi kulephera kwa digiri 2, kuletsa mapuloteni kwa 0,5-0.4 g / kg pa kulemera kumafunika (Table No. 7B), komanso phosphorous. Paziphatikiza izi, dzira la mazira ndi nkhuku, tchizi, mtedza, miyendo imasiyidwa, mkaka ndi wochepa. Ng'ombe, nsomba, mpunga ndi mbatata ziyenera kuphikidwa kawiri m'madzi ambiri, ndikutsitsa madzi oyamba.

Njira imeneyi imachepetsa phosphates pafupifupi theka. Pali matebulo apadera kuwerengera kuchuluka kwa mapuloteni ndi potaziyamu. Amino acid zowonjezera zimayikidwa mu mawonekedwe a Ketosteril (mapiritsi a 4-8 katatu patsiku). Mchere wamchere womwe umakhalapo umamangirira ma phosphates m'matumbo.

Chifukwa cha kulephera kwaimpso kwa kalasi 3, Zakudya No. 7A kapena No. 7B imagwiritsidwa ntchito. Muli mapuloteni 20-25 g kapena 40 g, motsatana. Izi makamaka ndi mapuloteni amtundu wa nyama (mkaka, mazira, nsomba ndi nyama). Nthawi yomwe idagwiritsidwa ntchito pakudya yokhala ndi mapuloteni otsika zimatengera momwe wodwalayo alili, ndikusintha kwake Table 7B imaloledwa, koma motsutsana ndi maziko ake (mpaka katatu pa sabata) amabwereranso ku Table 7A yotsika.

Kuchuluka kwa mchere kumatha kuwonjezeka mpaka 6-8 g kapena kuposa, koma moyang'aniridwa ndi kuthamanga kwa magazi ndi mkodzo wothira (ngati kuchuluka kwake kumachepa, ndiye kuti mcherewo sukulira). Zakudya zomwe zili pamwambapa sizimapatsa wodwala zosowa zamavitamini, chitsulo, calcium, kotero zakudya zimayenera kuphatikizidwa ndi mankhwala oyenera.

Kuti matenda asavutike kwa phosphorous ndi calcium, kuchepa kwa phosphorous muzakudya ndi kuchuluka kwa calcium ndizofunikira, zomwe zimakhudza kwambiri impso. Ma legamu samachotsedwa chifukwa cha phosphorous yambiri.

Ndi terminal 4, wodwalayo amasamutsidwa ku hemodialysis chithandizo, motero, kuchuluka kwa mapuloteni kumawonjezeka mpaka 1.0-1.3 g / kg pa kulemera kwake, chifukwa ma amino acid, mavitamini, ma microelements ndi oligopeptides amatayika pakuyeretsa magazi.

Zakudya ziyenera kukhala zokwanira momwe zingathere. Kuthanso kwa chakudya kumachuluka, komwe kumatheka chifukwa chodya mafuta ochulukirapo (450 g) ndi mafuta (90 g). Kuphatikiza apo, ma amino acid amayamba mu mawonekedwe a mankhwala.

Kuchuluka kwa madzimadzi poyerekeza ndi diuresis. Ngati ntchito ya impso ichulukirachulukira, kuletsa kwamadzi kumayambitsidwa. Zakudya zamchere zimangokhala pa 5-7 g, koma nthawi zambiri zimawerengeredwa payekhapayekha, potengera ziwopsezo zamagazi ndi edema.

Odwala amakhala ndi vuto lakudya, nseru, kusanza, kusintha kukoma. Esophagus ndi m'mimba zimakhudzidwa nthawi zambiri, chifukwa chake mbale ziyenera kuwiritsa kapena kuwotcha, ndipo masuzi (wowawasa komanso okoma ndi wowawasa), zonunkhira, ndi masamba azonunkhira amagwiritsidwa ntchito kupititsa patsogolo kukoma.

Vuto la matenda ashuga ndi nephropathy. M'mayiko ena, matenda a shuga ndi matenda ochititsa chidwi kwambiri. Chithandizo cha odwala chotere ndi chovuta kwambiri.

Mfundo zachakudya zolepheretsa impso

Shuga akamakwezedwa, wodwalayo ayenera kuyesetsa kuti achepetse, chifukwa amawononga osati ntchito ya impso, komanso ziwalo zina zofunika. Chofunikira pakuthandizira kuchuluka kwa shuga m'magazi ndi dongosolo lazakudya.

Menyu yopangidwa moyenera siyimangoyendetsa bwino thanzi la wodwalayo, komanso imachotsa zizindikiro zosiyanasiyana za matendawo. Ndikofunikira kuti wodwalayo adziwe dialysis kuti achepetse mapuloteni a tsiku ndi tsiku, omwe sayenera kupitirira 70 magalamu.

Kuphika ndibwino kuti musakhale mchere, ngati zingatheke, muchepetse kugwiritsa ntchito mchere pang'ono. Tsiku ayenera kumwa lita imodzi ya madzi oyeretsedwa.

Malamulo oyambira pazakudya:

Zakudya zazing'ono magawo 5-6 patsiku,
kupatula tiyi wamphamvu, khofi kuchokera pakudya,
kudya kwamadzi ambiri
Pulogalamu yovomerezeka ya tsiku ndi tsiku ya mapuloteni a nyama sapitilira magalamu 70,
tsiku lililonse osadya zoposa magalamu 150 a zipatso kapena zipatso,
osakaniza zonunkhira ndi zakudya zazonunkhira zakudya,
gwiritsani ntchito zakudya mwanjira yotentha,
Zinthu zotaya zomwe zimakhala ndi oxalic acid, potaziyamu ndi calcium - zimawonjezera ntchito ya impso,
chakudya chomaliza osachepera maola angapo asanagone.

Kuphatikiza apo, ma nephrologists amalimbikitsa zinthu zonse, kupatula zipatso, kuti azitha kulandira chithandizo cha kutentha. Muyenera kuphika zakudya motere:

wiritsani
kwa okwatirana
owira pamadzi kapena kugwiritsa ntchito mafuta ochepa,
kuphika mu uvuni.

Pamene dialysis ikuchitika kwa wodwala, dokotala amatha kusintha pang'ono pang'onopang'ono chakudya, payokhapayokha malinga ndi chithunzi cha matendawa.

Monga tafotokozera kale, zakudya zomwe zidachulukitsa potaziyamu ndi calcium siziperekedwa kuchakudya. Zinthu zotere zimafunikira kwambiri kuchokera ku impso, koma ndi kulephera kwaimpso ndikosatheka.

Muyenera kusiya izi:

mbatata
zipatso zamtundu uliwonse zouma
nyemba - nandolo, malenje, anapiye, nyemba,
cocoa ufa, khofi ndi tiyi,
sipinachi
mitundu yonse ya mtedza
tirigu
soya.

Matenda a shuga a shuga: zakudya, zitsanzo mndandanda, mindandanda wazovomerezeka ndi zoletsedwa

Kulephera kwamkamwa ndikuphwanya magwiridwe antchito a impso. Kuti muwabwezeretse, muyenera kulandira chithandizo choyenera. Maziko ake ndikudya kwa kulephera kwa impso. mawonekedwe ake ndi zakudya zopatsa mphamvu zama calorie ambiri komanso kuwongolera kwambiri kuchuluka kwa mapuloteni. Chifukwa chake, menyu wodwala amakhala ndi mafuta, zakudya ndi yokazinga.

Mlingo wodwalayo umadziwonekera pang'onopang'ono, popanda kuchitika mwadzidzidzi komanso mwadzidzidzi. Cholinga chachikulu cha mtundu uwu wa kulephera kwa impso ndikusowa kwa mapuloteni mthupi. Chifukwa chake, cholinga chachikulu cha chakudyacho ndikuwonetsetsa kuti mapuloteni amapezeka mokwanira, kupewa kuthana ndi zomwe ziripo m'thupi.

Zakudya ndi zakudya zamasiku onse zimapangidwira payekhapayekha kwa odwala. Koma tebulo lazakudya 7 ndi masanjidwe ake amatengedwa ngati maziko. Chifukwa chake, ngati zizindikiro za kuperewera kwa magazi ndizovuta kwambiri, ndiye kuti chakudya cha 7a chimakhazikitsidwa kwa sabata limodzi.

Pambuyo pakusintha kwa gawo lachikhululukiro, dokotala amayika munthu patebulo 7b lomwe limasintha pang'onopang'ono kupita ku 7.

Ponena za kadyedwe, zakudya zamatenda a impso zimakupatsani mwayi kuti muzidya 20-60 magalamu a mapuloteni ndi magalamu 1-2 amchere patsiku.

Chofunikira kwa anthu ndi mafuta ndi chakudya chamagulu ambiri, chomwe chimakupatsani mwayi wowonjezera zakudya zopitilira 3500 kcal patsiku. Kudya mavitamini m'thupi kumapereka zipatso ndi ndiwo zamasamba.

Kuchita bwino pakubwezeretsa ntchito ya impso kumakhala kukanidwa kwa zinthu zomwe zimakwiyitsa komanso kuvulaza thupi.

Muyenera kumwa madzi ambiri atsopano.

Gawo lodziwika bwino la matendawa limadziwika ndi chiwonetsero chakuthwa cha zizindikiro zomwe zimatha kutsitsidwa mothandizidwa ndi mankhwala okha. Chifukwa chake, kudya kwa kulephera kwa impso kumayikidwa kwa wodwala pokhapokha kusintha kwa matendawa kupita pagawo lokhululukidwa kapena pambuyo pake.

Cholinga chake chachikulu ndikubwezeretsa metabolism. Kwa izi, kuchuluka kwa mapuloteni patsiku sikuyenera kupitirira 60 magalamu. Mu pachimake gawo la matenda, caloric zili chakudya kudya patsiku ayenera 3000-3500 kcal.

Mlingo uwu umatheka chifukwa cha kupezeka kwa mafuta ndi chakudya chamagulu menyu.

Kuphatikiza apo, kuti mukhale ndi mavitamini abwinobwino mthupi, muyenera kumwa zamadzimadzi zatsopano zatsopano.

Pambuyo pa sabata la zakudya zoterezi, pang'onopang'ono mutha kupita pagome 7. Zakudya zimatha miyezi 8-12.

Ganizirani mwatsatanetsatane zomwe zimaloledwa komanso zoletsedwa mu matenda a impso. Zinthu zophika buledi ziyenera kukhala ndi mchere wocheperako ndipo zimapangidwa ndi ufa wa tirigu. Wotsutsidwa ndi rye mkate.

Kuphika soup kumakhala bwino kutengera nsomba kapena msuzi wamasamba ndikuphatikiza zamasamba ndi mbewu zilizonse. Ndikwabwino kusankha nyama yamitundu yamafuta ochepa - nkhuku, nyama ya kalulu kapena nkhuku ya nkhuku. Kuwotcha kapena kuwiritsa.

Kuledzera kwa amadyera sikumangokhala kokha mwatsopano mawonekedwe atatha kutentha.

Koma zamadzimadzi, amaloledwa kumwa tiyi wobiriwira kapena tiyi wamasamba. Timadziti tofika posachedwa tiyenera kumadzipaka ndi madzi chifukwa cha kuchuluka kwa shuga mkati mwake. Zipatso ndi zipatso zimatha kukhala zamtundu uliwonse komanso mawonekedwe.

Ndi nthochi zokha zomwe zimakhala ndi magnesium ndi potaziyamu zomwe zimagwera pansi pa chiletso. Zowonongeka zawo ndizapuloteni, kugwiritsa ntchito kwake komwe kuli ndi malire. Zakudya zimaphatikizapo pafupifupi zakudya 6 patsiku.

Komanso, pafupipafupi.

Pakulephera kwa impso, nthochi ndizoletsedwa.

Kulephera kwa impso kumafunika kugona pogona kwambiri. Ichi ndichifukwa chake ndikofunikira kupatsa thupi mphamvu kudzera mu chakudya. Mkaka ndi mitundu yonse ya mkaka, kuphatikiza ma cocktails potengera momwemo, zingakhale zothandiza. Ponena za mazira, ndiye kuti puloteni imodzi patsiku ndizovomerezeka. Mitundu yonse ya masamba ndi zipatso zimaloledwa.

Koma muyenera kukumbukira za kukanidwa kwa nyemba, adyo ndi sipinachi. Mutha kudya masamba osaphika kapena mukatha kutentha, koma osawazidwa kapena kuwaza. Kwa mchere, amaloledwa kudya maswiti, uchi wina kapena chodzaza. Madzi monga maula, chitumbuwa, apulo kapena chivwende ndizothandiza kwa impso.

Zosintha zachitsanzo

Zizindikiro za CKD zimatha kudziwonetsa zokha kokwanira, koma zimatha kukhala zosaoneka. Mulimonsemo, mutazindikira izi, ndikofunikira kutsatira zakudya zosankhidwa ndi katswiri. Kukana pang'ono kwambiri kwa zakudya zomwe zapatsidwa kungapangitse matenda. Onani njira zingapo zomwe mungagwiritse ntchito tsiku ndi tsiku, maphikidwe omwe amapezeka pansipa.

Chosankha cha anthu omwe ali ndi CKD, momwe mapuloteni azomera amayambira. Chakudya cham'mawa choyamba: oatmeal mkaka, saladi "Vinaigrette", tiyi wobiriwira kapena mkaka. 2 Chakudya cham'mawa chachiwiri: cutlets kabichi. Chakudya chamasana: nkhaka ndi saladi wa phwetekere, msuzi wamasamba, mphodza, zakudya zonona. Zosakhwima: msuzi wokhazikitsidwa m'chiuno cha rose. Chakudya chamadzulo: kabichi yokazinga, chitumbuwa cha zipatso, tiyi wobiriwira. Musanagone: mwatsopano mwamafinya madzi.
Chakudya cham'mawa: mbatata zophika, dzira, uchi, mwatsopano madzi a lalanje. Pa nkhomaliro, mumatha kudya kirimu wowawasa, wotsukidwa ndi mchere wopanda madzi. Chakudya chamasana chimakhala ndi msuzi wa mpunga, masamba ophikira ndi masamba odzola. Chakudya chamadzulo: phala kuchokera ku mpunga, mpesa kuchokera ku zipatso zololedwa ndi msuzi. Monga akamwe zoziziritsa kukhosi, mutha kumwa madzi.

Zakudya No. 7B nthawi zambiri imagwiritsidwa ntchito kulephera kwa impso. Kuyambira Zakudya Na. 7, zimasiyana pakuwonjezeka kwa kuchuluka kwa mapuloteni, chakudya chonse ndi zopatsa mphamvu. Zakudya za matebulo No. 7A ndi Na. 7B zakonzedwa zopanda mchere.

Amaloledwa kugwiritsa ntchito chimanga chofufumitsa chopanda mchere komanso chopanda mchere mpaka 300-400 g patsiku. Popanda, mungathe kudya zipatso za achloride.
Zakudya zokhazokha zamasamba ndizowonjezera zamasamba ndi masamba, mutha kuphika msuzi wa kabichi, borscht ndi msuzi wa beetroot. Kutumikira - 250-350 ml.
Ng'ombe yokhala ndi mafuta ochepa, nkhuku, nyama yamwana wamphongo ndi nkhukuzi zimaphika. Pambuyo kuwira, nyamayo ikhoza kuphika kapena yokazinga. Kuwotcha madzi ambiri kumachotsa zinthu za nayitrogeni pazinthu. Kugwira 55-60 g.
Sankhani nsomba zotsamira: pike, pike perche, hake, safironi cod, pollack, cod. Imakonzedwa chimodzimodzi ndi nyama, gawo limafanana.
Kaloti, nkhaka, beets, katsabola, tomato, kolifulawa, letesi, parsley, anyezi wobiriwira, phwetekere, mbatata, kabichi amaloledwa mbale zamasamba. Wiritsani masamba kapena mphodza.
Zakudya monga mandimu, nyemba zonse ndi pasitala zimachepa kwambiri pakudya. Zakudya zolimbikitsidwa za sago pamadzi mu mawonekedwe a puddings, chimanga, casseroles, pilaf kapena cutlets.
Mapuloteni omvera dzira limodzi patsiku.
Zipatso ndi zipatso zosiyanasiyana mu zosaphika ndi owiritsa. Zomwe zili potaziyamu zimaganiziridwa ngati kuchepa kwake kumanenedwa. Potaziyamu amatayika pamene zipatso zowira. Mwachilolezo cha dokotala, mutha kugwiritsa ntchito ma apricots owuma.
Ngati palibe zoletsa, mkaka ndi mkaka zimadyedwa mpaka 200-300 g patsiku. Tchizi tchizi sichimachotsedwa kapena kudyedwa pang'ono (mpaka 50 g).
Msuzi wololedwa pa kirimu wowawasa kapena mkaka, saladi wazipatso ndi zamasamba, vinaigrette yopanda masamba.
Tiyi yofooka ndi khofi, misuzi ya zipatso, kulowetsedwa.
Batala ndi masamba.

Pathology	Zambiri
Mndandanda Nambala 7 umalimbikitsidwa ndi kuletsa kwamapuloteni 60-70 g patsiku, sodium imathetsedwa kwathunthu. Mtengo wathunthu wazakudya umachulukitsidwa chifukwa chamafuta amafuta. Zopatsa mphamvu za calorie pamenepa ndi 2500 Kcal. Chakudya choterechi chimachepetsa kufooka, ndipo chimachepetsa cholesterol.
Yotsimikizika tebulo 7b. Mapuloteni a tsiku ndi tsiku saposa 50 g. Zopatsa mphamvu zopatsa mphamvu patsiku siziyenera kupitirira 2000 Kcal. Malinga ndi kuyezetsa magazi, amawongolera mulingo wa sodium ndipo, pamlingo wamba, mchere umasiyidwa.Kugwiritsa ntchito zakudya zomwe zimayambitsa kuphuka komanso kutulutsa sikuloledwa.
Zosankha zake zachokera pakuchepetsa mapuloteni ku 20 g, kupatula sodium. Njira zodzikakamiza muzakudya pa magawo atatu a zikhalidwe za pathological zimayambitsidwa mu zigawo za masiku 7-10 ndikusintha kosavuta ku tebulo No. 7 kapena 7b.

Masamba ndi amadyera

Mapuloteni, g	Mafuta, g	Zakudya zomanga thupi, g	Zopatsa mphamvu, kcal
zukini	0,6	0,3	4,6	24
kolifulawa	2,5	0,3	5,4	30
mbatata	2,0	0,4	18,1	80
kaloti	1,3	0,1	6,9	32
kachiromboka	1,5	0,1	8,8	40
tomato	0,6	0,2	4,2	20
dzungu	1,3	0,3	7,7	28

chivwende	0,6	0,1	5,8	25
vwende	0,6	0,3	7,4	33
nkhuyu	0,7	0,2	13,7	49
maapulo	0,4	0,4	9,8	47

sitiroberi	0,8	0,4	7,5	41
Mtedza ndi zipatso zouma
zoumba	2,9	0,6	66,0	264
ma apricots owuma	5,2	0,3	51,0	215
apurikoti	5,0	0,4	50,6	213
masiku	2,5	0,5	69,2	274
Confectionery
kupanikizana	0,3	0,2	63,0	263
odzola	2,7	0,0	17,9	79
maswiti amkaka	2,7	4,3	82,3	364
maswiti	2,2	4,6	83,6	369
pastille	0,5	0,0	80,8	310
Zida zoyipa ndi zokometsera
sinamoni	3,9	3,2	79,8	261
wokondedwa	0,8	0,0	81,5	329
parsley wouma	22,4	4,4	21,2	276
shuga	0,0	0,0	99,7	398
msuzi wamkaka	2,0	7,1	5,2	84
msuzi wowawasa	1,9	5,7	5,2	78
mbewu za caraway	19,8	14,6	11,9	333
katsabola wowuma	2,5	0,5	6,3	40
Zinthu zamkaka
mkaka	3,2	3,6	4,8	64
kefir	3,4	2,0	4,7	51
zonona	2,8	20,0	3,7	205
wowawasa zonona	2,8	20,0	3,2	206
yogati	2,9	2,5	4,1	53
acidophilus	2,8	3,2	3,8	57
yogati	4,3	2,0	6,2	60
Zinthu zopangidwa ndi nyama
ng'ombe yophika	25,8	16,8	0,0	254
lilime la ng'ombe yophika	23,9	15,0	0,0	231
nyama yamwana yophika	30,7	0,9	0,0	131
kalulu	21,0	8,0	0,0	156

nkhuku yophika	25,2	7,4	0,0	170
nkhuku	19,2	0,7	0,0	84

mazira a nkhuku	12,7	10,9	0,7	157
Mafuta ndi Mafuta
batala la amphaka opanda nkhawa	1,0	72,5	1,4	662
mafuta a chimanga	0,0	99,9	0,0	899
mafuta a azitona	0,0	99,8	0,0	898
mafuta a mpendadzuwa	0,0	99,9	0,0	899
ghee	0,2	99,0	0,0	892
Zakumwa Zofewa
madzi amchere	0,0	0,0	0,0	—
khofi ndi mkaka ndi shuga	0,7	1,0	11,2	58
tiyi wakuda wokhala ndi mkaka ndi shuga	0,7	0,8	8,2	43
Madzi ndi ma compotes
msuzi wa apurikoti	0,9	0,1	9,0	38
msuzi wa karoti	1,1	0,1	6,4	28
dzungu dzungu	0,0	0,0	9,0	38

* Zambiri ndi za 100 g

Nsomba, nyama ndi msuzi wa bowa.
Mowa ndi zakumwa zoziziritsa kukhosi.
Mafuta owonjezera.
Zakudya zokhala ndi mchere wambiri: tchipisi, mtedza wokhathamira, zakudya zamzitini, tchizi, soseji, soseji, ketchups, marinade, soups pompopompo, cubes msuzi, batala wamchere, margarine.
Zakudya zokhala ndi potaziyamu yambiri: khofi, mkaka wa ufa, curry, sore, nthochi, nsomba zam'madzi, nsomba zam'madzi, nyama, mbewu, nthangala zamasamba, chokoleti, mkaka wosakaniza, zipatso zouma, maapulo owuma, mtedza, marzipan, vinyo, mowa, rhubarb, avocado , zipatso zamadzimadzi, msuzi wa phwetekere, batala la peanut, ketchup, msuzi wa phwetekere, sipinachi, beets, artichoke, molasses, madzi a apulo, soya, mphodza, zinthu za soya, bowa.
Zinthu zomwe zimakhala ndi phosphorous: mkaka, chinangwa, tchizi, granola, buledi, tirigu, mazira, nyemba, tchizi, kanyumba, mtedza, koko.
Mkaka wochepa, mazira, mbatata.

Mphesa ndi chimanga

Mapuloteni, g	Mafuta, g	Zakudya zomanga thupi, g	Zopatsa mphamvu, kcal
bulowheat groats (kernel)	12,6	3,3	62,1	313
mpunga woyera	6,7	0,7	78,9	344
sago	1,0	0,7	85,0	350
Confectionery
kupanikizana	0,3	0,2	63,0	263
odzola	2,7	0,0	17,9	79
maswiti amkaka	2,7	4,3	82,3	364
maswiti	2,2	4,6	83,6	369
pastille	0,5	0,0	80,8	310
Zida zoyipa ndi zokometsera
sinamoni	3,9	3,2	79,8	261
wokondedwa	0,8	0,0	81,5	329
parsley wouma	22,4	4,4	21,2	276
shuga	0,0	0,0	99,7	398
msuzi wamkaka	2,0	7,1	5,2	84
msuzi wowawasa	1,9	5,7	5,2	78
mbewu za caraway	19,8	14,6	11,9	333
katsabola wowuma	2,5	0,5	6,3	40
Zinthu zamkaka
mkaka	3,2	3,6	4,8	64
kefir	3,4	2,0	4,7	51
zonona	2,8	20,0	3,7	205
wowawasa zonona	2,8	20,0	3,2	206
yogati	2,9	2,5	4,1	53
acidophilus	2,8	3,2	3,8	57
yogati	4,3	2,0	6,2	60
Zinthu zopangidwa ndi nyama
ng'ombe yophika	25,8	16,8	0,0	254
lilime la ng'ombe yophika	23,9	15,0	0,0	231
nyama yamphongo yophika	30,7	0,9	0,0	131
kalulu	21,0	8,0	0,0	156

nkhuku yophika	25,2	7,4	0,0	170
nkhuku	19,2	0,7	0,0	84

mazira a nkhuku	12,7	10,9	0,7	157
Mafuta ndi Mafuta
batala la amphaka opanda nkhawa	1,0	72,5	1,4	662
mafuta a chimanga	0,0	99,9	0,0	899
mafuta a azitona	0,0	99,8	0,0	898
mafuta a mpendadzuwa	0,0	99,9	0,0	899
ghee	0,2	99,0	0,0	892
Zakumwa Zofewa
madzi amchere	0,0	0,0	0,0	—
khofi ndi mkaka ndi shuga	0,7	1,0	11,2	58
tiyi wakuda wokhala ndi mkaka ndi shuga	0,7	0,8	8,2	43
Madzi ndi ma compotes
msuzi wa apurikoti	0,9	0,1	9,0	38
msuzi wa karoti	1,1	0,1	6,4	28
dzungu dzungu	0,0	0,0	9,0	38

* Zambiri ndi za 100 g

Nsomba, nyama ndi msuzi wa bowa.
Mowa ndi zakumwa zoziziritsa kukhosi.
Mafuta owonjezera.
Zakudya zokhala ndi mchere wambiri: tchipisi, mtedza wokhathamira, zakudya zamzitini, tchizi, soseji, soseji, ketchups, marinade, soups pompopompo, cubes msuzi, batala wamchere, margarine.
Zakudya zokhala ndi potaziyamu yambiri: khofi, mkaka wa ufa, curry, sore, nthochi, nsomba zam'madzi, nsomba zam'madzi, nyama, mbewu, nthangala zamasamba, chokoleti, mkaka wosakaniza, zipatso zouma, maapulo owuma, mtedza, marzipan, vinyo, mowa, rhubarb, avocado , zipatso zamadzimadzi, msuzi wa phwetekere, batala la peanut, ketchup, msuzi wa phwetekere, sipinachi, beets, artichoke, molasses, madzi a apulo, soya, mphodza, zinthu za soya, bowa.
Zinthu zomwe zimakhala ndi phosphorous: mkaka, chinangwa, tchizi, granola, buledi, tirigu, mazira, nyemba, tchizi, kanyumba, mtedza, koko.
Mkaka wochepa, mazira, mbatata.

Masamba ndi amadyera

Mapuloteni, g

Mafuta, g

Zakudya zomanga thupi, g

Zopatsa mphamvu, kcal

nyemba zamasamba

9,1

1,6

27,0

168

sauerkraut

1,8

0,1

4,4

anyezi wobiriwira

1,3

0,0

4,6

anyezi

1,4

0,0

10,4

nkhaka zamzitini

2,8

0,0

1,3

nkhaka zosemedwa

0,8

0,1

1,7

radishi

1,2

0,1

3,4

radish yoyera

1,4

0,0

4,1

mpiru

1,5

0,1

6,2

udzu winawake

0,9

0,1

2,1

phala zamzitini

1,1

0,1

3,5

nsapato

3,2

0,4

10,5

adyo

6,5

0,5

29,9

143

sipinachi

2,9

0,3

2,0

sorelo

1,5

0,3

2,9

ma apricots

0,9

0,1

10,8

nthochi

1,5

0,2

21,8

nectarine

0,9

0,2

11,8

mapichesi

0,9

0,1

11,3

bowa

3,5

2,0

2,5

bowa wowaza

2,2

0,4

0,0

Mphesa ndi chimanga

semolina

10,3

1,0

73,3

328

oatmeal

11,9

7,2

69,3

366

chimanga cha chimanga

8,3

1,2

75,0

337

ngale barele

9,3

1,1

73,7

320

mapira akudya

11,5

3,3

69,3

348

Nsomba ndi nsomba zam'nyanja

nsomba

17,5

4,6

0,0

139

ankasuta nsomba

26,8

9,9

0,0

196

caviar wakuda

28,0

9,7

0,0

203

granular nsomba caviar

32,0

15,0

0,0

263

nsomba zamzitini

17,5

2,0

0,0

Kodi kulephera kwa impso ndi matenda ashuga zikugwirizana bwanji?

Zakudya za anthu odwala matenda ashuga ndi imodzi mwazinthu zofunika kwambiri. Ndipo chinthucho sichiri konse ayi pokhapokha mwa njira iyi yomwe kulemera kosalamulirika kungapewere. Pamene matenda a shuga akupita patsogolo, makamaka mtundu woyamba (pamene kupanga kwa insulin kusokonezeka komanso kuchuluka kwa glucose m'magazi kumakhala kukuchulukirachulukira, mankhwala ochepetsa shuga amaikidwa kuti achepetse). Kusintha kowononga kumachitika mthupi, makamaka impso. Ngakhale zakudya zitasintha, pakapita nthawi, chifukwa cha kuchuluka kwa shuga m'magazi, mapangidwe a ma nephrons, mapangidwe omangira impso, amatha kusintha. Nephron iliyonse imakhala ndi tubules ndi glomeruli. Mlingo wa shuga ukamachuluka, kuchuluka kwa magazi omwe amayendetsedwa kudzera mu impso kumakulanso. Thupi likuyesera kulipirira izi ndikuchotsa glucose owonjezera. Nthawi yomweyo, madzi ambiri amachotsedwa, chifukwa cha momwe kupanikizika kumakulirakulira mu glomeruli ndi tubules. Popita nthawi, izi zimapangitsa kuwonjezeka komaliza ndipo, potero, kusamutsidwa kwamitsempha yamagazi. Zotsatira zake, magazi ochepa kwambiri amayeretsedwa ndi impso ndipo uremia imayamba kukula. Umu ndi momwe zimakhalira ndi poizoni yemwe amapezeka m'madzi a m'magazi.

Thupi limakhala ndi poizoni. Amadziwonetsera ngati kutopa kwambiri, kupweteka mutu, kusowa tulo, kutopa kwambiri, kukwiya komanso kukokana. Nthawi zina, totupa totupa, kutupa, ndi kuyabwa kumatha kuonekera pakhungu.

Kusintha kotero pamlingo wina kapena kwina kuli kodziwika kwa odwala ambiri, koma osati atazindikira kuti ali ndi matenda ashuga, koma patatha zaka zochepa. Omwe ali pachiwopsezo chachikulu ndi anthu omwe ali ndi kuthamanga kwa magazi (140/90).

Mwa zina zowonongeka, ngati chakudyacho sichinasinthidwe mu nthawi, ma protein a albin mumkodzo. Puloteni iyi imadziwika ndi kukula kochepa, chifukwa chomwe imagonjetsera mosavuta makoma amitsempha yamagazi.

Zomwe zimapatsa thanzi pakadwala aimpso komanso matenda ashuga

Zakudya za anthu odwala matenda ashuga, ngati kulephera kwa impso kumakula, sikuti kungokulitsa misempha ya magazi ndi kukhazikika m'magazi a cholesterol. Komanso matenda a kuthamanga kwa magazi monga njira imodzi yodzitetezera ya kusintha kwa impso.

Ngati ndi matenda a shuga a mtundu woyamba ndi wachiwiri ntchito yayikulu ndikuchepetsa kuchuluka kwa chakudya cham'magazi ndikutsatira boma lakumwa, ndiye kuti kulephera kwaimpso sikophweka. Zakudya za impso ndi matenda a shuga ziyenera kukhala, mbali imodzi, otsika-carb. Komabe, khalani ndi mapuloteni ochepa a nyama. Pokhapokha pakuwona malamulowa titha kupewa kuwonjezeka kwambiri kwa glucose wamagazi ndikuchepetsa kulemetsa kwa impso.

Kudya kwa matenda aimpso osakhazikika kumaphatikizanso kuchepetsa kuchepa kwamadzi - osapitirira 1.5 malita patsiku, ndipo nthawi zina - osapitirira lita imodzi. Kupanda kutero, wodwalayo amakhala ndi zotupa (impso sizitha kuthana ndi kuchuluka kwamadzimadzi). Pa chifukwa chomwechi, mchere umachotsedwa muzakudya, chifukwa zimapangitsa kuti madzi azisungidwa mthupi. Patsikulo ndizovomerezeka kugwiritsa ntchito osaposa 3 g mchere. Onse omwe amasuta, amchere, amasakanizidwa ndi zonunkhira samachotsedwa muzakudya.

Zakudya zamafuta ndizoletsedwa. Zimathandizira kuwonjezera kuchuluka kwa cholesterol m'magazi (mtolo wowonjezera pa impso).

Kupatsa thanzi kulephera kupweteka kwa impso kumaphatikizapo kukana kwa mankhwala omwe ali ndi diuretic. Mwanjira "yoyera", amaphatikiza mavwende ndi vwende, mawonekedwe amadzimadzi atsopano - nkhaka, beets, kaloti, zukini, parsley ndi udzu winawake.Ndi mankhwala azitsamba muyenera kusamala. Ngati akulimbikitsidwa ndi matenda a shuga, ndiye kuti kulephera kwa aimpso kungayambitse kuwonongeka. Ma diuretics amaphatikizapo chamomile, lingonberries, sitiroberi zamtchire, viburnum, dzungu, cranberries ndi nyemba zobiriwira.

Kuopsa kowonjezera madzi am'madzi ndikuti impso zimakumana ndi nkhawa, ndipo michere yambiri imachotsedwa m'thupi.

Malangizo a akatswiri azakudya zokhudzana ndi kadyedwe chifukwa cha kupweteka kwa aimpso ndi matenda a shuga ndi motere:

Zakudya za tsiku ndi tsiku ziyenera kugawidwa m'magawo ofanana amitundu isanu ndi umodzi, zomwe zimayenera kudyedwa ndi maola 2-3 (osadikirira kuti mumve njala, chifukwa izi zitha kupangitsa kuti magazi achepe).
kukana tiyi ndi khofi wamphamvu. Samalani ndi tiyi wobiriwira, chifukwa amathandizira kuthetsa madzi. Zomwezi zikugwiranso ntchito mankhwala azitsamba (chamomile, timbewu, ndi zina),
osadya magalamu 70 a protein ya nyama patsiku kuti asatopetse impso,
kukhala ndi chitetezo chokwanira, osadya zoposa magilogalamu 150 a zipatso kapena zipatso patsiku (kupatulapo ofiira owala ndi lalanje, komanso zipatso zosowa),
musiye kwathunthu zonunkhira, ma pickles, marinade, soseji, chakudya chofulumira, nyama yofuka. Zonsezi zimasungabe madzi mthupi. Komanso kuchokera ku ufa (zimatenga nthawi yayitali kuti izigaya pansi ndikukwiyitsa kutulutsa ndi kudzimbidwa) ndi mowa,
letsa kugwiritsa ntchito zakudya zomwe zili ndi kuchuluka kwa oxalic acid (udzu winawake, sipinachi, sorelo, parsley, rhubarb). Potaziyamu (nandolo, maapulo, zinanazi, nthochi, zukini, mapichesi, phwetekere, tomato, radish, katsabola, nyemba, horseradish, sipinachi ndi mbatata. Komanso calcium (zinthu zamkaka). Onse amadzaza impso,
Gwiritsani ntchito zakudya zoyatsidwa ndi kutentha kwambiri. Amasunga zakudya zokwanira, koma ndizosavuta kugaya kuposa zosaphika. Ndikofunika kuphika, mphodza, kuphika mu boiler kapena uvuni wowirikiza.

Zomwe sizingadye komanso zomwe sizingadyeredwe ndi matenda a impso komanso matenda ashuga

Chitha	Sizingatheke
Utsi
Mkate wosalala, makeke ndi stevia (wogwirizira shuga)	Ma donuts, crepes, croissants, makeke, masikono
Maphunziro oyambira
Broths, pomwe madzi amatsanulidwa osachepera 2, soups zamasamba opepuka	Nyama yamphamvu, nsomba ndi msuzi wa bowa wokhala ndi mafuta ambiri
Zakudya zotentha
Nyama yophika kapena yophika (yamafuta ochepa): nkhuku, nkhukundembo, nyama yamwana wang'ombe, wonenepa. Nsomba: nsomba zamkati, pollock, nsomba	Mafuta onenepa okhala ndi zonunkhira zambiri, nsomba yokazinga, nsomba zam'nyanja
Mazira
Osaposa 3-4 zidutswa patsiku: mapuloteni omeleta	Yophika yophika, yolks
Zinthu zamkaka
Mkaka wonse (osaposa 150 ml patsiku), tchizi chamafuta ochepa (supuni 1 patsiku)	Kanyumba tchizi, tchizi, mafuta ophikira amkaka, kirimu wowawasa
Mbale
Tsiku osaposa 150-200 g: Buckwheat, oatmeal, barele	Semolina, chimanga, mpunga
Zamasamba
Kabichi, beets, kaloti, nkhaka, phwetekere, letesi, anyezi wobiriwira, katsabola	Anyezi, mbatata,
Zipatso ndi zipatso
Zopanda acidic, mwa mawonekedwe a zakudya, mousse, ophika	Zipatso zouma, zosowa, zipatso, zipatso zowawasa

Mutha kuphunzira zambiri zamomwe mungadye moyenera ndi matenda aimpso kuyambira pakanema.

Kulephera kwamphamvu m'magazi a shuga: zakudya ndi menyu sabata limodzi

Chotsatira ndi chakudya cha kulephera kwa impso ndi matenda ashuga a sabata, omwe angasinthidwe malinga ndi zomwe amakonda. Koma musaiwale za malingaliro omwe ali pamwambapa.

Iyenera kuyang'aniridwa ndi udindo wonse pakupeza chakudya cha wodwalayo, chifukwa ndizosatheka kuwunika kuti ndikofunikira kutsatira malamulo ndi mfundo zamankhwala azakudya.

Umboni wina ndikuti mukonze zakudya zanu kuti zitha kudya pafupipafupi. Pewani kudya kwambiri komanso nthawi yomweyo, pewani njala.

kadzutsa woyamba - chidutswa cha mkate rye, tchizi tofu, tiyi,
kadzutsa wachiwiri - maapulo ophika, 150 ml ya kefir, kapu yamadzi oyeretsedwa,
nkhomaliro - supu yamasamba, barele yodulidwa, tiyi,
tiyi wamasana - dzira lophika, saladi wa masamba, kapu yamadzi,
chakudya chamadzulo choyamba - kabichi wodyetsedwa ndi mpunga wopanda bulawuni,
Chakudya chachiwiri ndichokondweretsa.

kadzutsa woyamba - masamba saladi, tiyi,
Makapu a tchizi opanda shuga ndi tiyi, peyala imodzi
nkhomaliro - msuzi wamasamba, buckwheat wokhala ndi bere la nkhuku yophika, kapu yamadzi,
Chakudya chamasana - saladi wa masamba, chidutswa cha mkate wa rye, kapu yamadzi,
chakudya chamadzulo - chakudya chamasamba, buledi, tiyi,
chakudya chachiwiri ndi tchizi tchizi ndi ryazhenka.

kadzutsa woyamba - apulo umodzi, tchizi chamafuta ochepa,
nkhomaliro - oatmeal pamadzi, maapulo ophika, kapu yamadzi,
nkhomaliro - msuzi wokhala ndi mpunga wamafuta, pike papilo lamasamba, kagawo ka mkate wa rye, tiyi,
tiyi wamadzulo - omelet ndi masamba, tiyi,
chakudya choyamba - phala la barele ndi msuzi wa chiwindi, tiyi,
chakudya chachiwiri ndi yogati yopanda mafuta.

kadzutsa woyamba - saladi wa zipatso wokwanira magalamu 150, tiyi wokhala ndi buledi wa rye,
nkhomaliro - oatmeal pamadzi, tiyi,
nkhomaliro - msuzi wamasamba, masamba otentha, squid wophika, tiyi,
Chakudya chamadzulo - zakudya zonunkhira zochokera ku oatmeal, kagawo ka mkate wa rye,
chakudya choyamba - lilime yophika nyama, phala lopanda tirigu pamadzi, tiyi,
chakudya chachiwiri ndi kapu ya mkaka uliwonse wamafuta wopanda mafuta.

kadzutsa woyamba - saladi wa mabulosi, tiyi,
nkhomaliro - omelet ndi masamba, kapu yamadzi,
nkhomaliro - msuzi wokhala ndi durum tirigu vermicelli, barele, zinziri zophika, tiyi,
Chakudya chamasana - maapulo ophika, tiyi, chidutswa cha mkate rye ndi tchizi tofu,
chakudya chamadzulo choyamba - ndiwo zamasamba zopaka poto ndi nkhuku, tiyi,
chakudya chachiwiri - curd soufflé, kapu yamadzi.

kadzutsa woyamba - magalamu 150 a masamba aliwonse kapena zipatso (otsika GI),
nkhomaliro - oatmeal pamadzi, tiyi,
nkhomaliro - msuzi wamasamba, ng'ombe yophika, tiyi wowotcha, tiyi,
tiyi wamadzulo - chidutswa cha mkate rye, tchizi tofu, tiyi,
chakudya chamadzulo choyamba - mazira oswidwa ndi masamba, kagawo ka mkate wa rye, khofi wofooka4
chakudya chachiwiri - apulo wophika, tiyi.

kadzutsa woyamba - saladi wa zipatso, 150 ml ya mkaka,
nkhomaliro - mpunga wakuda ndi masamba, tiyi,
nkhomaliro - msuzi wa buckwheat, cutlet ya nsomba, kolifulawa yophika, tiyi,
tiyi wamadzulo - chidutswa cha mkate wa rye ndi phala la odwala matenda ashuga a chiwindi, tiyi,
chakudya choyamba - chakudya chamasamba, dzira lophika, tiyi,
chakudya chachiwiri - magalamu 150 a oatmeal m'madzi.

Mu kanema munkhaniyi, mutu wa zakudya zoperewera kwa impso ukupitilira.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Matenda a shuga ndi matenda amtundu wa endocrine omwe amafunikira mosamala. Kuphatikiza pa chithandizo chamankhwala, wodwalayo amafunika chithandizo chamankhwala kuti ateteze thupi lake ku zovuta za ziwalo zomwe zikulipidwa.

Kulephera kwamkati mu shuga ndi chizolowezi chomachitika pafupipafupi, chifukwa ndi kuchuluka kwa glucose m'magazi, kumatenga madzimadzi limodzi nawo, potero kumakulitsa kuthinikizidwa mkati mwa glomeruli. Ngati simubweretsa kuchuluka kwa shuga m'magazi, ndiye kuti nthendayo ndiyowopsa ndikutayika kwathunthu kwa impso. Wodwala amafunikira kuyimba pafupipafupi.

Zizindikiro zisanu zakuyamba kwa kulephera kwa impso mu matenda a shuga zidzafotokozedwa pansipa, momwe mungapangitsire kugwira ntchito kwa chiwalochi pogwiritsa ntchito chakudya, zakudya zomwe zimalepheretsa impso kufotokozedwa, ndipo mndandanda wapafupifupi wa sabata umaperekedwa.

Maola a m'mawa: phala la mpunga pamadzi kapena mkaka wopanda skim, wopaka ndi zoumba, tiyi wobiriwira ndi uchi.
Chakudya chamasana: msuzi wamasamba wowawasa wowawasa, 100 g a nyama yophika yophika.
Zosakhazikika: makeke ophika mabisiketi, msuzi wotentha wa zipatso zawo wopanda shuga.
Chakudya chamadzulo: nsomba zowonda, zukini casserole, 200 ml ya kefir.

Tsiku lachiwiri

Maola a m'mawa: kanyumba tchizi pudding, oatmeal ndi zoumba, tiyi wobiriwira.
Chakudya chamadzulo: msuzi wa kirimu wowonda ndi udzu winawake, vinaigrette, osaka.
Zosakhazikika: 100 g nyama yodala kapena yophika nkhuku, ndi mabulosi akhungu.
Chakudya chamadzulo: masamba a nyama ndi mpunga ndi ndiwo zamasamba, apple compote.

Maola a m'mawa: phala lophwaphika la buckwheat, kapu imodzi ya mkaka, supuni ya uchi.
Chakudya chamadzulo: borsch ndi kirimu wowawasa, nyama yophika, saladi kuchokera masamba atsopano ndi masamba a masamba, mkate wowuma.
Zakudya zokhazokha: wandiweyani wonenepa, masamba ophikira.
Chakudya chamadzulo: nkhuku yam'mawere, pasitala, kefir.

Maola a m'mawa: semolina, mkate, tiyi wobiriwira.
Chakudya chamasana: msuzi ndi Zakudyazi zopangidwa tokha, saladi wa nkhaka ndi kirimu wowawasa ndi zitsamba, mkate.
Zosadya: oatmeal ndi zipatso zouma, decoction yamtchire maluwa.
Chakudya chamadzulo: casserole nkhuku yophika mbatata, tchizi chotsekemera chokoma ndi tiyi wobiriwira.

Maola a m'mawa: mapira owiritsa pamkaka wopanda mafuta, sangweji yokhala ndi letesi ndi biringanya, msuzi wa rosehip.
Chakudya chamadzulo: vinaigrette, msuzi wa kabichi, zoseweretsa.
Zosadya: oatmeal ndi zipatso, mkaka ofunda ndi uchi.
Chakudya chamadzulo: supu yamasamba yokhala ndi biringanya, zukini kapena zukini mumphika.

Maola a m'mawa: phala la mpunga wamkaka, tchizi cha curd, tiyi wobiriwira.
Chakudya chamasana: msuzi wamasamba ndi ng'ombe yophika, buwheat wophika, apulo compote.
Zosakhazikika: tchizi chimbudzi ndi mpunga casserole ndi kupanikizana kapena kupanikizana, zakudya.
Pokhapokha: mabatani a nyama ndi mpunga ndi ndiwo zamasamba, kefir, zoumba.

Tsiku lachisanu ndi chiwiri

Maola a m'mawa: phala la buckwheat mkaka, msuzi wa rosehip.
Chakudya chamasana: msuzi wamasamba, saladi ya beetroot ndi walnuts ndi prunes, nsomba yophika ndi mbatata yophika.
Zakudya zokhazokha: chakudya cha masamba, nyama yophika.
Chakudya chamadzulo: nyama casserole yophika pasitala, saladi wa nkhaka ndi kirimu wowawasa.

Kumwa mu mndandanda wamlungu uliwonse kumatha kukhala osiyanasiyana. Pazakudya zam'mawa, ndikofunikira kuwonjezera zipatso ndi zipatso. Madzulo mumatha kudya mchere: gelatinous jelly, marshmallows, marmalade. Usiku, amalimbikitsidwa kumwa kefir, koma osapitirira 150-200 ml.

Zolemba pa chakudya

Ngati kulephera kwa impso mwa akulu kumakhala ndi chinthu chachiwiri ndipo ndikovuta kwa matenda amtunduwu, ndiye kuti mu ana ang'onoang'ono chifukwa chachikulu ndi kusabereka.

Thupi la mwana limazindikira kwambiri zolephera zina chifukwa cha kuperewera kwaimpso. Thupi la mwana likukula msanga, amafunika zakudya zambiri zomanga thupi komanso zakudya zopatsa mphamvu. Palibe zoletsa zapadera pazakudya, kupatula pakuwongolera mchere pogwiritsa ntchito kuyezetsa kwa magazi kwa sodium, madzi kuti mupewe kutupa.

Pa nthawi yoyembekezera, azimayi amakhala ndi mfundo zawo. Ngati mayi adamatira machitidwe azakudya asanabadwe, ndiye kuti pakatha nthawi yakhazikitsidwa, ndizotheka kukhala ndi zakudya zomwe mumazisintha pang'ono malinga ndi umboni wa dokotala.

Ngati matenda atapezeka koyamba ndi mwana wosabadwayo, ndiye kuti madokotala amaletsa mzimayiyu pazinthu zonse zoyipa, ndikulimbikitsa kuchepetsa mchere ndi madzi. Mapuloteni pa nthawi ya pakati amachepetsa pang'ono.

Potengera momwe PN idakhalira, kuchepa kwa magazi a digiri ya I-II nthawi zambiri kumayamba, chifukwa chake ndikofunikira kuphatikiza mavitamini, zinthu zomwe zimakhala ndi chitsulo muzakudya. Pakudya, ndikofunikira kuwunika mayeso a magazi osachepera kamodzi m'miyezi itatu.

Maphunziro oyambira

Msuzi wa biringanya. Sambani ma biringanya, kudula mzidutswa ndi kulowetsa poto pang'ono popanda mafuta. Kaloti, tsabola wa belu ndi mbatata zimapatsidwa madzi ochepa, kuphatikiza ndi biringanya ndi kuphika pamoto wochepa mpaka kuphika. Msuzi uyenera kukakamizidwa. Kuti mumve kukoma, onjezani zitsamba zosankhidwa, adyo watsopano.
Masamba hodgepodge. Kaloti, mbatata, kabichi, anyezi ndi tomato amazidula mu ma cubes, kuwonjezera madzi pang'ono ndikuwotcha moto wochepa. Atadulidwa nyama yophika, zitsamba ndikuwonjezera msuzi. Asanayambe, msuzi umakakamizidwa pafupifupi theka la ola.

Maphunziro achiwiri

Zozikika zucchini. Zukini wapakati umatsukidwa ndi peel, viscera, ndikugawana magawo awiri ofanana. Podzazitsa, anyezi odutsa, kaloti, wiritsani mpunga pang'ono, dzira. Zosakaniza zonse zimasakanizidwa ndikuphatikizidwa ndi msuzi wowawasa wowawasa. Kupsinjika kwa zukini kudzaza ndikudzaza, kuwaza ndi tchizi yophika ndi zitsamba pamwamba, kuyika uvuni mpaka kuphika. Maphikidwe ena a zukini wokhazikitsidwa.
Dzungu loluka.Kusenda masamba, kudula mutizidutswa tating'ono ndi mphodza ndi anyezi, kutsanulira 300 ml ya madzi, pafupifupi theka la ola. Mukatha kuphika, onjezerani amadyera, mandimu ndi kirimu wowawasa pang'ono. Chinsinsi chake ndichabwino pa chakudya cha ana. Zowonjezera dzungu zambiri.

Msuzi wa Rosehip. A zipatso zingapo za rosehip zimatsukidwa pansi pamadzi, zimayikidwa mu sosele, kutsanulira malita 2 a madzi ndikuyika pachitofu. Msuziwu umawiritsa kwa mphindi 15, kenako moto umazimitsidwa, msuzi umalimbikitsidwa mpaka utaziratu.
Apple compote. Maapulo a 3-4 amawudula m'magawo ang'onoang'ono, atachotsa pakati. Malekerewo amadzazidwa ndi malita awiri amadzi ndikubweretsa chithupsa. Atachoka kuti ayambe kuziziratu. Kusefa sikofunikira. Mwatsatanetsatane pazabwino ndi zovuta za maapulo.

Zakudya zamakono zimadziwa maphikidwe osiyanasiyana. Ngati mulumikizitsa malingaliro, mbale zina zatsopano zimatha kusandulika kukhala zida zaluso.