Zakudya za impso nephropathy komanso matenda ashuga

Mfundo zopangira chakudya ndi kuwonongeka kwa impso:

• kupatula shuga ndi yoyera, zopangidwa ndi index yayikulu ya glycemic,
• kuletsa zakudya zamafuta okhala ndi cholesterol,
• kutsika kwa sodium mankhwala enaake m'zakudya, kukonza potaziyamu, phosphorous,
• mosamala mitundu yambiri ya mapuloteni.

Ndi mankhwala a insulin ndikofunikira kuti musapitirire muyeso wa tsiku ndi tsiku wa zakudya (300 g), gawani zogawanitsa. Mtundu wachiwiri wa matenda, ndikofunikira kugwiritsa ntchito zakudya zamagulu okhala ndi chisonyezo chotsika cha glycemic pa menyu.

Zogulitsa zomwe zimakhala ndi mafuta a nyama zokhala ndi mafuta ndizopanda zakudya monga momwe zingathere. (nkhumba, ng'ombe yayitali, tsekwe, offal, mafuta). Gwero lamafuta likhoza kukhala mafuta a masamba ndi mafuta a nsomba.

Kumwa nsomba zamafuta nthawi zonse ndi nephropathy kumakhala ndi zotsatirazi:

• Imachepetsa kuchepa kwa chiwerengero cha ma nephrons omwe amagwira ntchito,
• bwino magazi aimpso, kuchuluka kwa mtima ndi kuthamanga kwa magazi,
• Kuchepetsa kupindika kwa impso,
• amachepetsa kuthamanga kwa magazi.

Ndi nephropathy odwala matenda ashuga chakudya chokwanira chokhala ndi mapuloteni a 1.5 g pa 1 makilogalamu amalemera zimabweretsa kuchepa kwakukulu kwa impso. Pakudya mbale zam'mimba, kulephera kwa impso kumawonjezeka mofulumira, pasanakhale chifukwa chofunikira kulumikizira odwala ku zida zoyeretsera magazi (hemodialysis). Kuchepetsa nyama muzakudya kumathandizira kuti nthawi yomweyo muchepetse cholesterol.

Kutengera ndi gawo la nephropathy, tikulimbikitsidwa kusintha motere:

• ndi microalbuminuria, mapuloteniwo amangokhala 1 g / kg,
• Pamene proteinuria yafupika kukhala 0,7 g / kg, izi zimathandiza kuchepetsa kutulutsa kwa mapuloteni mumkodzo, kusunga kusefera kwa mkodzo,
• ndi kulephera kwa aimpso - mpaka 0.5-0.3 g / kg, kupewa njere zamapuloteni, zosakanikirana ndi ma amino acid ofunikira zimaphatikizidwanso (mu dontho).

Amino acid dontho

Pa siteji ya kuchepa kwa mapuloteni ochepa mkodzomchere suyenera kupitirira 6 g m'mbale. Izi zikutanthauza kusiyanitsidwa kwa ma pickles onse, marinade, chakudya zamzitini, soseji, tchizi chamchere, zokhwasula-khwasula. Chakudya chimaphikidwa popanda mchere, ndipo supuni ya khofi yopanda pamwamba imaperekedwa kuti iwonjezere mbale yomwe yatha.

Ndi kuthamanga kwambiri komanso edema, mpaka mchere wa 2.5 g patsiku amaloledwa. Pochita, odwala sangangowonjezera chakudya, komanso amasinthira kuzinthu zomwe zimakhala ndi kuchuluka kwake:

• mpunga wa bulauni, oats
• kabichi, nkhaka, zukini,
• zander, Pike,
• buledi wopanda mchere kuchokera ku ufa wachiwiri.

Ndi nephropathy, ndende ya potaziyamu m'magazi imakwera, ndipo kuchepa kwa insulin komanso kuwonongeka kwaimpso kumathandizira pakuwonjezeka kwake. Ngati kachiromboka kachilumikizidwa, kuvulala kapena kutentha kwambiri, potaziyamu yambiri imatha kufika pazovuta zazikulu.

Chifukwa chake Zapamwamba zam potaziyamu ndizoletsedwa - zipatso zouma, mtedza, mbatata, sipinachi, nthochi, currants zakuda ndi mabulosi. Zakudya zomwe zalimbikitsidwa ndi dzungu, kabichi yoyera, buliberries, blueberries, nkhaka ndi tsabola wa belu.

Ndi kupita patsogolo kwa kulephera kwa aimpso, zomwe zimakhala ndi calcium zimachepa ndipo phosphates zamagazi amawonjezeka. Kuti muchepetse mavutowa, ndikofunikira kuphatikiza tchizi tchizi, zakumwa za mkaka wowawasa, udzu winawake mumenyu. Kuchepetsa kudya kwa phosphates kuchokera ku chakudya, kabichi yofiira, mtedza, ndi bowa ndizochepa.

Iwo ali osavomerezeka kuti adye matenda:

• shuga, zinthu zonse za confectionery, kuphatikiza ndi zotsekemera, ngati zimakhala ndi ufa woyera, ma molasses, maltodextrin, uchi,
• msuzi wa nyama iliyonse, nyama yofinya,
• misuzi yamafakitale, timadziti, zinthu zamzitini, zakumwa ndi mpweya, shuga, utoto,
• ma pickles, marinade, soseji, tchizi zonunkhira,
• mpiru, nsombazi, adyo, anyezi yaiwisi, sorelo, daikon, radish, bowa,
• tiyi wamphamvu, koko ndi chokoleti,
• mafuta ophikira, nyama mafuta, margarine,
• mowa
• mchere wa mchere.

Chololedwa kuphatikiza pazosankha:

• msuzi wamafuta wokhala ndi kirimu wowawasa, zitsamba,
• nyama yotsitsa ya nkhuku, kalulu, nkhuku imayamba yophika, kenako ndikuwuphika kapena kudyetsa masamba. Msuzi uyenera kuthiridwa, osagwiritsidwa ntchito ngakhale msuzi. Zakudya zamafuta sizingadyedwe mopitilira katatu pa sabata, 100 g patsiku,
• nsomba yophika, yosenda, yodzikiritsa kapena yophika mukangowira. Zina zomwe zimaphatikizidwa ndizosakaniza ndi 60 g pa masiku osowa nyama,
• osaposa dzira limodzi m'malo mwa nsomba kapena nyama,
• mbewu monga zofiirira, zofiirira kapena zakuda, mpunga, ngale, ngale. Osaposa 2 kawiri pa sabata yokonza pasitala kuchokera ku tirigu wa durum. Ndikulimbikitsidwa kuti adye pang'ono pang'ono ndi kudya bwino.
• masamba onse amaloledwa, koma ndi mtundu 2 shuga, mbatata, beets ndi kaloti owiritsa ndizochepa. Onetsetsani kuti mumadya saladi wa nkhaka zatsopano, kabichi, tomato, masamba a saladi kamodzi patsiku,
• gwiritsani ntchito kanyumba tchizi wosapitirira 9% mafuta 50 g patsiku, mkaka wowawasa wowonda - 100 ml wopangidwa kunyumba kapena malo ogulitsira popanda zowonjezera, kirimu wowawasa ndi wowawasa - osaposa supuni zitatu m'mbale,
• mankhwala othira soya ndi tofu tchizi,
• zipatso ndi zipatso: mabulosi abulu, maapulo, mabulosi akuluakulu, nkhanu,
• zakumwa: tiyi wopanda mphamvu, khofi, chicory, decoction wa zipatso zouma,
• masamba mafuta 30 g patsiku kuphika.

Mwachitsanzo mndandanda wa matenda ashuga nephropathy:

• m'ma 8 kadzutsa, phala yopangidwa kuchokera ku oatmeal yokhala ndi nthomba ndi fulakesi, tiyi wa rooibos kapena zipatso zamtengo wapatali,
• pa ma 10 ma nkhomaliro a nkhomaliro, dzungu limakhala ndi mpunga, chicory,
• 2 p.m. pa nkhomaliro, msuzi wamasamba wokhala ndi zitsamba ndi sago, tofu ndi saladi wa phwetekere ndi basil,
• nthawi 16 koloko chakudya cham'mawa kwambiri 50 g ya kanyumba tchizi chokhala ndi apurikoti wopanda msuzi, msuzi wa duwa lakuthengo
• m'ma 19 chakudya chamadzulo, belu tsabola wokhala ndi masamba, mkate wopanda mchere ndi hummus kapena nyemba phala,
• musanagone 100 ml ya kefir ndi supuni ya chinangwa.

Werengani nkhaniyi

Zolemba za zakudya za impso nephropathy ndi matenda ashuga

Mfundo zopangira chakudya ndi kuwonongeka kwa impso:

• kusiyanitsidwa kwa shuga ndi zoyera za ufa, zopangidwa zina zokhala ndi index yayikulu ya glycemic. Izi ndizofunikira makamaka ndi matenda a mtundu 2,
• kuletsa zakudya zamafuta a cholesterol,
• kutsika kwa sodium mankhwala enaake m'zakudya, kukonza potaziyamu, phosphorous,
• mosamala mitundu yambiri ya mapuloteni.

Ndipo izi ndizambiri pazakudya za matenda ashuga amitundu iwiri.

Malangizo pazakudya zamagulu owonjezera amathandizirana pamafotokozedwe achakudya chazovuta za matenda osavuta a shuga. Ndi mankhwala a insulin, ndikofunikira kuti musapitirire mlingo wa tsiku ndi tsiku (300 g), ndikugawa moyenera monga zakudya, osagwiritsa ntchito shuga, ufa woyera ndi mbale zonse zomwe zili nazo. Mtundu wachiwiri wa matenda, ndikofunikira kugwiritsa ntchito zakudya zamagulu okhala ndi chisonyezo chotsika cha glycemic pa menyu.

Kuphwanya kuthekera kwa impso kumapangitsa kuti magazi asinthe kwambiri. Ndi kukula kwa nephropathy, kukula kwa atherosulinosis kumathandizira. Chifukwa chake, zakudya zomwe zimakhala ndi mafuta azinyama (nyama ya nkhumba, mafuta a ng'ombe, tsekwe, offal, mafuta anyama) sizimachotsedwa muzakudya momwe mungathere. Gwero lamafuta likhoza kukhala mafuta a masamba ndi mafuta a nsomba.

Zakudya zomwe zimakhala ndi mafuta azinyama

Kafukufuku waposachedwa adawonetsa kuti kugwiritsa ntchito nsomba zamafuta nthawi zonse (poganizira zomwe zili mumapuloteni ndi cholesterol momwemo) nephropathy ali ndi zotsatirazi:

• Imachepetsa kuchepa kwa chiwerengero cha ma nephrons omwe amagwira ntchito,
• bwino magazi aimpso, kuchuluka kwa mtima ndi kuthamanga kwa magazi,
• Kuchepetsa kupindika kwa impso (kumachotsa kufalikira kwa ulusi wa fibrin),
• amachepetsa kuthamanga kwa magazi.

Mafuta Aakulu

Ndi nephropathy mu matenda ashuga, zakudya zomwe zili ndi mapuloteni a 1.5 g pa 1 makilogalamu amodzi zimabweretsa kuchepa kwakukulu kwa impso. Pakudya mbale zam'mimba, kulephera kwa impso kumawonjezeka mofulumira, pasanakhale chifukwa chofunikira kulumikizira odwala ku zida zoyeretsera magazi (hemodialysis). Kuchepetsa nyama muzakudya kumathandizira kuti nthawi yomweyo muchepetse cholesterol.

Kutengera ndi gawo la nephropathy, zosintha zotsatirazi ndizovomerezeka:

• ndi microalbuminuria, mapuloteniwo amangokhala 1 g / kg,
• pamene proteinuria imachepetsedwa kukhala 0,7 g / kg. Izi zimathandiza kuchepetsa kuchuluka kwa mapuloteni mumkodzo, ndikukhalabe kusefa kwa mkodzo,
• ndi kulephera kwa aimpso, chepetsani mpaka 0,5-0.3 g / kg. Popewa kufa ndi njala ya mapuloteni, kusakaniza ndi ma amino acid ofunikira (mu dontho) amakhazikikanso.

Msuzi wamasamba

Pa gawo la kuchepa kwa mapuloteni ochepa mkodzo, chloride wa sodium sayenera kupitirira 6 g m'mbale. Izi zikutanthauza kusiyanitsidwa kwa ma pickles onse, marinade, chakudya zamzitini, soseji, tchizi chamchere, zokhwasula-khwasula. Chakudya chimaphikidwa popanda mchere, ndipo supuni ya khofi yopanda pamwamba imaperekedwa kuti iwonjezere mbale yomwe yatha.

Pothamanga kwambiri komanso edema, mpaka mchere wa 2.5 g patsiku umaloledwa. Zochita, odwala sangangowonjezera chakudya, komanso amasinthana ndi zakudya, zomwe poyamba zimakhala ndi zochepa:

• mpunga wa bulauni, oats
• kabichi, nkhaka, zukini,
• zander, Pike,
• buledi wopanda mchere kuchokera ku ufa wachiwiri.

Mpunga wakuda

Ndi nephropathy, kuchuluka kwa potaziyamu m'magazi kumawonjezeka, ndipo kuchepa kwa insulin ndi vuto laimpso zimathandizira pakuwonjezeka kwake. Pakakhala kachiromboka, kuvulala kapena kutentha thupi, potaziyamu yambiri imatha kufika pazovuta zazikulu.

Chifukwa chake, pansi pa chiletso ndi zinthu zomwe zimakhala ndi izi mosamala kwambiri - zipatso zouma, mtedza, mbatata, sipinachi, nthochi, zakuda zakuda ndi mabulosi. Zakudya zomwe zalimbikitsidwa ndi dzungu, kabichi yoyera, buliberries, blueberries, nkhaka ndi tsabola wa belu.

Mndandanda wazinthu zoletsedwa ndi zololedwa

Iwo ali osavomerezeka kuti adye matenda:

• shuga, zinthu zonse za confectionery, kuphatikiza ndi zotsekemera, ngati zimakhala ndi ufa woyera, ma molasses, maltodextrin, uchi,
• msuzi wa nyama iliyonse, nyama yofinya,
• misuzi yamafakitale, timadziti, zinthu zamzitini, zakumwa ndi mpweya, shuga, utoto,
• ma pickles, marinade, soseji, tchizi zonunkhira,
• mpiru, nsombazi, adyo, anyezi yaiwisi, sorelo, daikon, radish, bowa,
• tiyi wamphamvu, koko ndi chokoleti,
• mafuta ophikira, nyama mafuta, margarine,
• mowa
• mchere wa mchere.

Mwa zakudya zoletsedwa pali msuzi pa nyama, nsomba ndi bowa.

Chololedwa kuphatikiza pazosankha:

• msuzi wamafuta wokhala ndi kirimu wowawasa, zitsamba,
• nyama yotsitsa ya nkhuku, kalulu, nkhuku imayamba yophika, kenako ndikuwuphika kapena kudyetsa masamba. Msuzi uyenera kuthiridwa, osagwiritsidwa ntchito ngakhale msuzi. Zakudya zamafuta sizingadyedwe mopitilira katatu pa sabata, 100 g patsiku,
• nsomba yophika, yosenda, yophika kapena yophika imadyedwa pambuyo pokhwimitsa. Zina zomwe zimaphatikizidwa ndizosakaniza ndi 60 g pa masiku osowa nyama,
• osaposa dzira limodzi m'malo mwa nsomba kapena nyama,
• mbewu monga zofiirira, zofiirira kapena zakuda, mpunga, ngale, ngale. Osaposa 2 kawiri pa sabata yokonza pasitala kuchokera ku tirigu wa durum. Ndikulimbikitsidwa kuti azikhala omata pang'ono ndi kudya bwino kuti muchepetse mzere wa glycemic,
• masamba onse amaloledwa, koma ndi mtundu 2 shuga, mbatata, beets ndi kaloti owiritsa ndizochepa. Onetsetsani kuti mumadya saladi wa nkhaka zatsopano, kabichi, tomato, masamba a saladi kamodzi patsiku,
• tchizi cha kanyumba sichikukwera kuposa 9% mafuta 50 g patsiku, zakumwa zowotchera mkaka - 100 ml yopangidwa kunyumba kapena malo osungirako, kirimu ndi wowawasa zonona - osaposa supuni zitatu m'mbale,
• zinthu za soya - cholowa m'malo mwa nyama ndi tchizi tofu,
• zipatso ndi zipatso: mabulosi abulu, maapulo, mabulosi akuluakulu, nkhanu,
• zakumwa: tiyi wopanda mphamvu, khofi, chicory, wochokera ku zipatso zouma,
• masamba mafuta 30 g patsiku kuphika.

Zosankha za matenda a shuga

Ndikulimbikitsidwa kuti tsiku limodzi pa sabata lipangidwe zonse zamasamba:

• m'ma 8 kadzutsa, phala yopangidwa kuchokera ku oatmeal yokhala ndi nthomba ndi fulakesi, tiyi wa rooibos kapena zipatso zamtengo wapatali,
• pa ma 10 ma nkhomaliro a dzungu lungu ndi mpunga, chicory,
• 2 p.m. pa nkhomaliro, msuzi wamasamba wokhala ndi zitsamba ndi sago, tofu ndi saladi wa phwetekere ndi basil,
• nthawi 16 koloko chakudya cham'mawa kwambiri 50 g ya kanyumba tchizi chokhala ndi apurikoti wopanda msuzi, msuzi wa duwa lakuthengo
• m'ma 19 chakudya chamadzulo, belu tsabola wokhala ndi masamba, mkate wopanda mchere ndi hummus kapena nyemba phala,
• musanagone, imwani 100 ml ya kefir ndi supuni ya chinangwa.

Ndipo izi ndizambiri pazakuwunika kwa mkodzo kwa matenda ashuga.

Zakudya za matenda a shuga a nephropathy zimapangidwa poganizira kuphatikiza mafuta osavuta, kuletsa kwa cholesterol, mapuloteni ndi sodium chloride. Zakudya zonse zokometsera, zamafuta ndi mchere ndizoletsedwa. Amalimbikitsa masamba, chimanga, maphunziro oyamba zamasamba, zipatso ndi zipatso.

Zopangira mkaka zimaphatikizapo zazing'ono. Nyama kapena nsomba siziloledwa kupitanso kamodzi patsiku. Ngati pali kuphwanya kwa zinthu zamagetsi zamagetsi, zosintha zina ziyenera kuchitika pazosankha.

Kodi nephropathy ndi chiyani?

Matenda a shuga amayambitsa matenda a impso. Vutoli limatchedwa nephropathy ndipo limayambitsa kulephera kwa impso. Kuwopsa kwaimfa. Nephropathy imafuna mankhwala azakudya. Zikakhala kuti zapita patsogolo kwambiri, hemodialysis kapena kupatsirana kwa impso ndikofunikira. Pali magawo 5 a nephropathy:

• Pa gawo 1, kuwonjezeka pang'ono kwa mitsempha ya impso kumawonedwa. Chithunzi cha chipatala palibe. Kufufuza kwamankhwala sikuwonetsa kupatuka pakuwunika.
• Gawo lachiwiri, kapangidwe kazombo kamasinthidwe, makhoma amayamba kunenepa. Chithunzi cha chipatala mulinso.
• Gawo 3, pali nephropathy oyamba. Mkhalidwe wa wodwalayo suwonjezereka, koma mayeso amawonetsa kuchuluka kwamapuloteni mumkodzo.
• Ndi gawo 4, zizindikirazo zimayamba kutchulidwa. Kufufuza kwamankhwala kumawonetsa kupatuka kwamphamvu kwamapuloteni mumkodzo kuchokera pazizolowezi.
• Pa gawo 5, kulephera kwa impso kumachitika. Njira zokhazokha zomwe zingapulumutse moyo wa wodwala: hemodialysis kapena kupatsirana kwa impso.

Mu magawo oyambirira a matenda a impso, palibe mawu otchulidwa. Anthu odwala matenda ashuga ayenera kupendedwa pafupipafupi. Izi zikuthandizani kuzindikira zovuta zam'mbuyomu.

Zoyambitsa Nephropathy

Matenda a shuga ndi amene amayambitsa matenda a impso. Koma pali zinthu zomwe zimawonjezera chiopsezo cha nephropathy:

• matenda oopsa
• matewera m'magazi,
• kunenepa
• lipid kagayidwe kachakudya,
• matenda amtundu
• osagwirizana ndi zakudya zotchulidwa,
• kumwa mankhwala oopsa
• zizolowezi zoipa ndi mowa.

Zizindikiro za Nephropathy

Kukhalapo kwa nephropathy m'magawo oyamba kuwonetsedwa ndi kuchuluka kwa mapuloteni. Palibe mawonekedwe akunja. Gawo 3, zizindikiro za matendawa zimawonekera:

• kuwonda
• kuthamanga kwa magazi
• kuda kwa khungu la mkodzo ndi kupezeka kwa magazi mkati mwake (pambuyo pake),
• kusanza ndi kusanza
• mutu ndi chizungulire,
• kusadya bwino
• ludzu
• kupuma pang'ono, kupweteka mtima,
• kutupa ndi kudzikundikira kwamadzi m'mimba,
• kuphwanya kuzungulira kwa akazi.

Kutengera ndi kuchuluka kwa matendawa, chithandizo chimayikidwa:

• kumwa mankhwala
• kudya kwa impso
• kuyeretsa kwa magazi - hemodialysis.

Gawo lotsogola la nephropathy limafunikira kulowererapo. Ziwalo zopereka zimatumizidwa kwa wodwala.

Shuga wokwanira pawokha amafunika chakudya. Kulephera kutsatira malangizo a dokotala okhudzana ndi matenda ashuga nephropathy kumayambitsa zovuta komanso kufa.

Mwachangu zakudya

Menyu yazithandizo imapangidwa mosiyanasiyana kwa wodwala aliyense. Cholinga cha kadyedwe ndikuchepetsa mphamvu ya impso, kusintha momwe thupi limakhalira, kuchepetsa kapena kusiya kugwiritsa ntchito zinthu zovulaza.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

• mapuloteni ochepa a nyama, mapuloteni enanso ambiri,
• kuchepetsa mchere,
• Kuchepetsa chakudya, ndi pakati pa chakudya osaposa maola 2-3,
• kusintha kwa potaziyamu yambiri kapena pansi,
• kusiyanasiyana ndi zakudya zamafuta owonjezera,
• kusintha kwa madzi, kugwiritsa ntchito mankhwala okhala ndi chitsulo,
• kagwiritsidwe ntchito ka zinthu zopangidwa ndi phosphorous,
• kusiyapo zokazinga, mchere, kusuta, zakudya zopanda pake ndi zinthu zomalizidwa.
• kuphika, kuwira kapena kuphika chakudya muma boiler awiri.

Ma nitrogen omwe amapangidwa pogwiritsa ntchito mapuloteni amtundu amayala impso.

Kuti muchepetse zovuta pa matenda, mapuloteni a nyama amasinthidwa ndi mapuloteni azomera.

Kukana kwambiri kwa mapuloteni zakudya kumapangitsa kuti thupi likhale lopanikizika. Ndikofunikira kuti muchepetse kuchuluka kwa mapuloteni pang'ono ndi pang'ono, m'malo mwa nyama yodwala ndi matenda ashuga. Kenako sinthani mapuloteni azomera.

Anthu odwala matenda ashuga amalimbikitsidwa kuti azikhala ndi madzi okwanira tsiku lililonse. Ndi diabetesic nephropathy, madzi ndi katundu wowonjezereka pazinthu zomwe zakhudzidwa. Mlingo wa tsiku ndi tsiku wamadzimadzi umachepetsedwa 2 times. Chizindikiro chachikulu cha kumwetsa kwambiri kwamadzi ndi kutupa.

Tsatani zinthu

Kuchulukana kwa phosphorous m'thupi kumathandizira kukulitsa minyewa yolumikizana impso komanso kuthetseratu calcium. Madokotala amalimbikitsa kuchepetsa kudya zakudya zamafuta a phosphorous.

Potaziyamu imathandizira kuti impso zizigwira bwino ntchito. Imatha kuyamwa mosavuta ndipo imatulutsa msanga. Ndikofunikira kuyang'anira kuchuluka kwa potaziyamu m'thupi.

Kumayambiriro kwa matendawa, kuchuluka kwa zakudya zopezeka potaziyamu m'zakudya kumalimbikitsidwa;

Zogulitsa za Gi

Anthu odwala matenda ashuga saloledwa kudya zakudya zokhala ndi chisonyezo cha glycemic. GI ndi manambala osonyeza kuchuluka kwa chakudya chamagulu am'magazi. Anthu odwala matenda ashuga amalangizidwa kuti azidya chakudya ndi GI wochepera 50.

Zogulitsa zomwe zili ndi mtengo wochepera 50:

• chipatso
• masamba
• zipatso
• zipatso zouma
• zopanda zopanda shuga,
• phwetekere ndi msuzi wa mphesa,
• nyemba
• Buckwheat ndi mpunga wakuda,
• tchizi chamafuta ochepa
• yogati yachilengedwe
• chinangwa
• bowa
• zonunkhira
• nsomba
• mbalame
• mazira
• nyama yokonda.

Kutengera ndi kuchuluka kwa matendawa, mitundu itatu ya zakudya imayikidwa:

Timapereka kuchotsera kwa owerenga tsamba lathu!

• Zakudya 7 zimatanthawuza kudya kwa madzi osakwana 1 lita, chakudya chama calori chokwanira 2900 kcal, mafuta osaposa 110 magalamu, mapuloteni osaposa 80, chakudya choposa 450. Amayikiridwa kuti apititse patsogolo kagayidwe kachakudya ka matenda.
• Zakudya 7a amatanthauza zonse zopatsa mphamvu zamagulu 2200, mafuta Ololedwa

Pakudya, mbale zimaphikidwa popanda kuwonjezera mchere kapena ndi mafuta ochepa. Zovomerezeka:

• supu zamasamba
• zipatso ndi masamba
• nyama ndi nsomba,
• zinthu zamafuta zopanda mafuta, kupatula tchizi cholimba,
• mpunga ndi mbewu yotsekemera,
• buledi wathunthu
• mazira mpaka 2 kawiri pa sabata,
• mafuta a masamba
• ma compotes, chindapusa ndi tiyi wazitsamba.

Katundu Woletsedwa

Pamagawo oyamba a matendawa, kuchuluka kwa chakudya chamagulu ochulukitsa kumayamba kuchepetsedwa. Pamilingo yayikulu kwambiri, mapuloteni a nyama ndi zinthu zina zokhala ndi diuretic sawerengedwa. Kuchuluka kwa madzi omwe amamwa kumachepa. Mndandanda wazinthu zoletsedwa ukuphatikizapo:

• nyama yamafuta ndi nsomba,
• mikate yoyera ndi makeke amchere,
• tchizi zolimba
• bowa
• Chocolate ndi khofi
• zonunkhira zotentha ndi adyo.

Zosankha sabata

• mapuloteni omele okhala ndi masamba,
• masamba saladi
• msuzi wamasamba, masamba awiri otentha, tiyi wobiriwira,
• masamba saladi, compote,
• tsabola wokhathamira ndi tiyi,
• kapu ya yogati.

• tchizi chokoleti ndi kirimu wowawasa, apulo 1, mkate wa rye,
• kefir wokometsedwa zipatso saladi
• msuzi wa barele, phala la mphodza ndi mtanda wa nsomba ndi msuzi wa kiranberi,
• kanyumba tchizi casserole, compote,
• nsomba zothina ndi masamba, kagawo ka mkate,
• kapu yamkaka yophika mkaka.

• saladi wa masamba, tiyi wokhala ndi tchizi zopepuka,
• apulo ndi zakudya zonunkhira ndi buledi
• phala lakuda la mpunga wakuda ndi masamba ndi nkhuku yambewu, zakudya,
• kapu ya kefir ndi 2 rye mkate, 1 apulo,
• kabichi wopaka ndi lilime la ng'ombe, tiyi,
• tchizi chamafuta ochepera komanso kagawo ka mkate wa rye.

• Dzira 1, tomato awiri ndi mkate wagalasi, chikho cha compote,
• saladi wamasamba wokhala ndi zonona pang'ono
• nsomba yamasamba ndi masamba, chidutswa cha mkate wa rye, tiyi,
• msuzi wowoneka bwino wamasamba ndi katsitsumzukwa,
• phala lophwaphidwa ndi chidutswa cha nkhuku, phwetekere 1, buledi
• 1 apulo ndi zipatso zouma.

• kapu ya yogati yachilengedwe, magawo awiri a mkate wa rye,
• Mpunga wabwino ndi zipatso, tiyi,
• msuzi wamasamba ndi nsomba yankhonya,
• tchizi choko ndi zipatso zouma ndi tiyi wobiriwira,
• chiwindi cutlet ndi mphodza, zipatso zouma zipatso,
• masamba saladi.

• supu yamasamba yokhala ndi magawo awiri a mkate,
• odzola ndi ma cheesecake awiri opepuka,
• nsomba yophika ndi masamba, msuzi wa phwetekere, magawo awiri a mkate,
• saladi wa zipatso wokhala ndi wowawasa wowawasa zonona,
• bere yophika nkhuku, tomato 2, tsabola 1 wokoma, tiyi wobiriwira,
• kapu ya yogati.

• masamba omelet ndi 2 rye mkate,
• Wodula wankhwawa ndi zipatso zouma,
• Buckwheat ndi msuzi wa chiwindi, 1 apulo ndi tiyi wobiriwira,
• nsomba zamkati ndi masikono awiri amafuta,
• makeke a nkhuku ndi masamba, kiranberi compote,
• saladi wa zipatso

Zakudya ndi njira yochepetsera mtolo wowonjezereka pazinthu zodwala.

Molumikizana ndi mankhwala osokoneza bongo, mkhalidwe wa wodwalayo udzasintha kwambiri. Njira za metabolic mthupi zimasinthidwa.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wambiri wamagazi ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Momwe mungazindikire matendawa munthawi yake

Nthawi zambiri shuga wambiri pakapita nthawi imakhala ndi zotsutsana ndi impso. Nthawi zambiri, kulephera kwa impso kumachitika mu mtundu wachiwiri wa matenda ashuga, pomwe glycemia imabisika osalandira chithandizo.

Matenda a shuga ndi impso zimalumikizana. Izi zikufotokozedwa mophweka - kuchuluka kwa shuga m'magazi kumapangitsa kupsinjika mkati mwa glomeruli la impso. Zigoba zawo zimakula nthawi, zomwe zimayendetsa mitsempha yamagazi. Kusokonezeka kwa thupi kotereku kumaphatikizapo kuyeretsa kwamphamvu kwa magazi. Ngati matendawa sanalandiridwe, amatha kudwala, kenako wodwalayo adzafunika dialysis.

Kutsegula m'mimba ndi njira yomwe imagwirira ntchito m'malo azachipatala mothandizidwa ndi zida zoyeretsera magazi. Kutsegula pakhungu limodzi ndi kulephera kwaimpso ndikofunikira, ndi madokotala okha omwe amafotokozera kutalika kwake. Kuti muzindikire kuwonongeka kwa aimpso mu matenda a shuga, ndikofunika kulabadira izi:

• nseru
• kuchepetsa kukodza
• kusanza
• kupweteka mutu pafupipafupi
• kukokana.

Kuwona izi, kapena chimodzi mwazo, muyenera kulankhulana ndi nephrologist. Ngati ntchito ya impso mu matenda ashuga imalephera chifukwa cha kuchepa kwa ma nephrons, ndiye kuti matenda amtunduwu amatchedwa kulephera kwa impso.

Popewa matenda, odwala omwe ali ndi insulin amayenera kufufuza pafupipafupi ngati magazi awo akwezedwa. Pofuna kupewa matenda, mankhwalawa amayikidwa kuti athandize kuchepetsa kuchuluka kwa shuga. Endocrinologist imayang'anira kayendetsedwe ka mankhwala osokoneza bongo (Metformin, Glucobay) ndi zakudya zapadera zochokera ku glycemic index (GI).

Pofuna kupewa kupweteketsa kotero mu impso ndi shuga, ndikofunikira kuyendera endocrinologist ndi nephrologist chaka chilichonse.

Zakudya za matenda a impso kulephera - malamulo amotsatira ndi menyu

Mkhalidwe womwe umayamba chifukwa cha kuwonongeka kwa impso mothandizidwa ndi matenda ena a mthupi (impso, mtima ndi zina) ndi matenda a impso (CRF). Ngakhale pa gawo loyambirira la kupezeka kwake, muyenera kusintha zakudya zanu ndikutsatira zakudya zina, chifukwa ndizopatsa thanzi zomwe zimakupatsani thupi.

Zakudya za matenda a impso

Zakudya zonse zomwe zimayikidwa matenda a impso zimakhazikika pa mfundo zazikuluzikulu:

• kutsitsa kuchuluka kwa mapuloteni omwe amadya 20-70 g patsiku,
• kuwonjezera mafuta ambiri ndi chakudya chamagulu azakudya kuti mutsimikizire mphamvu,
• kumwa zamasamba ndi zipatso nthawi zonse,
• kuphika koyenera
• malamulo othandizira kudya zamchere ndi zamadzimadzi.

Zakudya za matenda a impso komanso matenda ashuga ali ndi mfundo zake zomwe zimafuna chisamaliro chapadera. Chisamaliro chachikulu chiyenera kulipidwa pamndandanda wazakakamizidwa zakudya, popeza zimaphatikizapo maswiti, maswiti ndi shuga. Chifukwa cha izi, chakudya cha matenda a impso chofunikira chimafunikira kuwunikidwa kowonjezera ndi katswiri, chifukwa wodwalayo amatha kuwonjezera kuchuluka kwa shuga m'magazi.

Zakudya za matenda a impso - mankhwala

Zakudya zopatsa thanzi ngati mukudwala matenda a impso zimaphatikizapo mindandanda yazakudya zovomerezeka ndi zoletsedwa. Mwapadera, nyama zonse zomwe zimasuta, zakudya zazakudya zamchere, chimanga, pasitala, nyemba, zakudya zokhala ndi purine komanso oxalic acid, bowa, ndi zina zambiri.

Zakumwa zomwe zimakhala ndi mowa komanso tiyi wa khofi (kuphatikizapo tiyi wamphamvu) ziyenera kutayidwa. Ngakhale mutafunikira kudya zipatso ndi ndiwo zamasamba, zina mwa izi nzoletsedwa: mitengo, nthochi, maapricots owuma, zoumba, apricots, turnips, adyo, radish ndi radishes.

Zakudya zoyenera zodwala matenda a impso ziyenera kuphatikizapo supu zamasamba, nyama yodontha ndi nsomba, maswiti, mkate wa chinangwa wochokera ku chimanga (kapena china, chosakhala ndi mapuloteni), ndi zina zambiri.

Mu zakumwa, amakonda kuperekedwa kwa timadziti ta sitimadzi ndi msuzi wa rosehip. Zonunkhira zimagwira ntchito yofunika kwambiri muzakudya zoyenera.

Muyenera kulabadira zakuda ndi allspice, vanila, cloves, sinamoni ndi Bay bay.

Zakudya zomanga thupi zochepa za matenda a impso

Chakudya chopanda puloteni cha matenda a impso chodwala chimagwiritsidwa ntchito mokwanira pochiza matendawa, chifukwa zimaphatikizapo kuchepa kwa chiwopsezo cha zovuta. Amadziwikanso ngati kumwa kwambiri ku uremia ndikusatheka kwa chithandizo chanthawi yake ndi zida "zopangira impso". Ngati zakudya zopanda mapuloteni zimaperekedwa, zakudya zimatha kukhala motere:

• Chakudya cham'mawa choyamba chimakhala ndi saladi wamasamba wokhala ndi mafuta a masamba, mpunga ndi pudding ya apulo ndi tiyi wopanda mphamvu.
• pa chakudya chamasana, kaloti wokazinga ndi shuga ndi batala amaloledwa,
• pa nkhomaliro, idyani msuzi wamasamba, mbatata yophika ndi nkhuku mu msuzi wa mkaka ndi compote yazipatso zouma,
• kukhala ndi chakudya chamadzulo chofuna msuzi wa rosehip ndi shuga,
• pa chakudya chamadzulo, perekani zikondamoyo za apulosi, dzira lowiritsa ndi tiyi wopanda mphamvu,
• imwani zipatso zamasamba musanagone.

Zakudya za matenda a impso - mndandanda wa sabata

Zakudya za kulephera kwa impso, menyu omwe amapereka mitundu yambiri ya zinthu zosiyanasiyana kuti akhale ndi mphamvu, ayenera kukonzedwa pasadakhale. Ndi bwino kukonzeratu zakudya zanu zonse kwa masiku angapo, kwa sabata limodzi. Mndandanda wake ukuphatikizapo:

1. M'mawa, tikulimbikitsidwa kudya zakudya zopepuka zokhala ndi mapuloteni osachepera: omelet ndi zitsamba, kanyumba tchizi casseroles, porridges mkaka, zipatso ndi masamba a masamba. Ndikulimbikitsidwa kumwa chilichonse ndi tiyi ndi mandimu.
2. Chakudya chokwanira chimaperekedwa ku nkhomaliro. Mutha kuphika mitundu yosiyanasiyana ya supu zamasamba ndi borscht potengera msuzi wamasamba, nkhuku yophika ndi msuzi wamkaka (mbalameyo ikhoza kusinthidwa ndi nsomba kapena nyama yopendekera), mbatata yophika kapena mpunga. Zakumwa, zomwe amakonda zimaperekedwa kwa odzola, timadziti ndi ma compotes a zipatso zouma.
3. Ngati zakudya zimayendetsedwa chifukwa cha kulephera kwa impso, chakudya chamadzulo chimatha kukhala ndi phala la mkaka, patties zamasamba ndi mikanda yazithunzi.Onetsetsani kuti muli ndi tiyi wokoma.

Zakudya za kulephera kwa impso - maphikidwe

Kuti mukhale ndi thanzi labwino ngati mukudwala matenda a impso, maphikidwe sayenera kukhala ndi zakudya zoletsedwa pamndandanda uno. Chimodzi mwa zosavuta zophika bwino ndizodula karoti. Zapangidwa mophweka:

• semolina - 100 g
• kaloti - 0,5 makilogalamu
• shuga - supuni 1,
• mchere
• wowawasa zonona ndi zitsamba kuti mulawe.

1. Wiritsani kaloti. Kuziziritsa, peel ndi kabati bwino.
2. Onjezani theka la semolina, shuga ndi mchere.
3. Kani mtanda ndi kupanga cutlets. Pereka iwo semolina.
4. Mwachangu mu masamba mafuta - mphindi zitatu mbali imodzi ndi 10 mbali inayo, mutatsitsa kutentha ndikuphimba poto ndi chivindikiro.
5. Musanatumikire, onjezerani kuvala kirimu wowawasa ndi zitsamba.

Zakudya za kulephera kwa impso ndi matenda ashuga: menyu sabata limodzi, momwe mungatetezere impso

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 kumawonjezera kukanikizika 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 matenda a impso mu matenda a shuga zizifotokozedwa pansipa, momwe mungapangitsire kagwiridwe kameneka ndi chakudya, chakudya chambiri chifukwa cha kulephera kwa impso, komanso mndandanda woyenera wa sabata.

Guy mu zakudya mankhwala a matenda a impso

Tikufufuza

Zakudya za impso zamagulu a shuga ziyenera kukhala zochepa-carb ndipo zimakhala ndi mapuloteni ochepa a nyama. Zakudya zoterezi sizichulukitsa shuga wamagazi, motero kukhazikitsa komanso nthawi yomweyo osalemetsa ntchito ya impso.

Matenda a shuga enieni amakakamiza munthu moyo wake wonse kuti azitsatira chithandizo chamankhwala malinga ndi kusankha kwa mankhwala a GI. Chizindikiritso ichi mu digito chimawonetsa mphamvu ya chinthu chomwe chimapangidwa mu chakudya m'magazi a glucose pambuyo pake.

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:

1. 0 - 50 PIECES - chizindikiro chotsika,
2. 50 - 69 PIECES - pafupifupi,
3. 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 chomwe chimakhala ndi zolembera zingapo chimaloledwa 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.

Wodwala akapezeka kuti ali ndi vuto laimpso ndipo magazi ake amawonjezereka pafupipafupi, ndikofunikira kugwiritsa ntchito zakudya zomwe zili ndi index yotsika ya glycemic.

Mfundo zachakudya zolepheretsa impso

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

Menyu yopangidwa moyenera siyimangoyambitsa thanzi la wodwalayo, komanso amachotsa 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,
• kukana zakudya zokhala ndi kuchuluka kwa 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:

1. wiritsani
2. kwa okwatirana
3. owira pamadzi kapena kugwiritsa ntchito mafuta ochepa,
4. 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.

Kudzaza kuperewera kwa potaziyamu ndi calcium, dokotala wa nephrologist amapereka mankhwala apadera. Pankhaniyi, kudzipereka nokha koletsedwa.

Zakudya za pachimake komanso matenda aimpso kulephera: mapuloteni ochepa, tebulo 7, mchere woletsedwa

Matenda akulu a impso nthawi zonse amafunikira chithandizo chokwanira. Yofunikira yothandizira kuchiritsa ndi chakudya chamagulu. Kodi ndi zakudya zamtundu wanji zomwe zimaperekedwa kwa odwala omwe ali ndi vuto la aimpso zomwe tikambirane m'nkhaniyi.

Mfundo zoyambirira za zakudya

Ntchito yodyetsa zakudya ndikuyimitsa imfa ya impso. Njira yabwino yopangira izi ndikutsatira zakudya zama protein ochepa kuphatikiza ndi zoletsa zina za sodium. Ndi dongosolo lotere lazakudya lomwe lingathandize kuchotsa zinthu m'magazi zomwe zimawonekera pakupanga mapuloteni. Izi ndi:

• Creatinine
• Urea
• Nitrogen wotsalira
• Uric acid.

Popeza kulephera kwa aimpso, kukwezeka kwa creatinine, uric acid, kusefedwa kwamagazi koyipa kumachitika, zinthu izi zimadziunjikira ndikuwononga thupi.

Kuphatikiza pa kugwiritsa ntchito mankhwala kapena makina awo, ndikofunikira kuti muchepetse kudya kwa mapuloteni m'thupi.

Zakudya zoyenera zimatha kuchepetsa creatinine, yomwe iyenera kutsimikiziridwa ndi mayeso omwe amachitika pafupipafupi.

Kuphatikiza pa creatinine, chakudya chokhala ndi mapuloteni otsika chifukwa cha kulephera kwa impso zimathandizira kuchepetsa uremic kuledzera, zomwe zimachitika chifukwa cha kuphatikiza kwa nayitrogeni - zomwe zimapangitsa kupukusidwa kwa mapuloteni a nyama.

Ngati mungasinthe mapuloteni amanyama ndi masamba, kuchuluka kwa uremia kumachepa. Koma kukana kwathunthu mapuloteni a nyama sikuvomerezeka, chifukwa kungayambitse minyewa ya minyewa, kuchepa kwa kapangidwe ka mahomoni, ma antibodies, michere, kusintha kosiyanasiyana kwa poizoni. Kuphatikiza mapuloteni obzala ndi ma amino acid omwe mulibe mwa iwo, odwala ayenera kugwiritsa ntchito kukonzekera kwapadera.

Chifukwa chiyani mchere mu chakudya cha wodwala uyeneranso kukhala wopanda malire? Chowonadi ndi chakuti impso zomwe zimakhudzidwa zimaphatikizanso sodium kwambiri, zimakhazikika m'maselo ndikulola minofu kuti ipange madzi. Zotsatira zake ndikuwoneka kotupa, kuthamanga kwa magazi. Chifukwa chake, kuchepetsa mchere mumenyu ndi cholinga chofunikira cha wodwala. Mchere utha kusinthidwa ndi masamba osiyanasiyana azonunkhira, zonunkhira, mavalidwe ndi masosi opepuka.

Mwa munthu wathanzi, impso zimagwira ntchito yabwino kwambiri yokhala ndi phosphorous pazosankha. Imapezekanso muzakudya zama protein, makamaka mwa nyama. Ngati kulephera kwa impso, phosphorous imadzilimbitsa, kumawawononga ndikuyambitsa mavuto akulu.Kuchuluka kwa potaziyamu mumenyu kumatha kuvulanso thupi - kumayambitsa kufooka kwa minofu, arrhythmia, ndi zina za mtima.

Mapeto ake ndi awa: kuphatikiza kuti wodwalayo ali ndi chakudya chama protein komanso mchere wambiri, muyenera kusiya chakudya chochuluka ndi potaziyamu (zipatso zouma, nthochi, avocados, ndi zina zambiri).

Chakudya chokhala ndi protein yoletsa chimatha nthawi yayitali chikukhudzana ndi matendawa - kungochotsa zomwe zimayambitsa matenda ndikuwongolera ntchito ya impso ndi komwe kumadzakhala kuyimitsidwa kwa zakudya zamtunduwu.

Kwambiri, kadyedwe kamakhala moyo wonse.
Mu kanemayo, mfundo zoyambirira za kadyedwe kolephera matenda a impso:

Zakudya zoyenera

Zakudya zopatsa thanzi zimapangidwa mogwirizana ndi tebulo la mankhwala No. 7.

Mwa kulephera kwakuthupi komanso kosatha kwa impso mwa anthu, zomwe zimachitika pakadali pano sizofanana, koma mfundo zake ndizofala:

1. Kutsika kwakukulu kwa kuchuluka kwa mapuloteni mpaka 20-70 g / tsiku (kuwerengera kokha ndi dokotala kutengera zotsatira za kusanthula).
2. Ena amawonjezeka m'mafuta ndi chakudya chamafuta - kupatsa thupi mphamvu yofunikira.
3. Kudya michere yokwanira ndi mavitamini.
4. Kuchepetsa mchere mpaka 2-6 g.
5. Okhwima malamulo a madzimadzi kudya (osaposa 1.2 malita / tsiku).
6. Kukhala ndi masiku osala kudya.
7. Kuchuluka kwa chakudya - mpaka nthawi 6 / tsiku muzinthu zazing'ono, kupewa njala.
8. Kuphika ndi kuwira, kuwira mphamvu, kuwotcha. Kukuwotcha, kuwotcha saloledwa.
9. Kukhalapo kwa fiber yoperekedwa ndi zakudya zamasamba (masamba, zipatso, zipatso).

Mwa mapuloteni, ndi 50-60% yokha omwe angakhale ochokera ku nyama, ndipo mitundu ikuluikulu ya matendawa, ngakhale yocheperako. Mafuta mpaka 25% ayenera kuyimiridwa ndi zakudya zamasamba. Chachilengedwe cha chakudya cham'madzi ndi 400-450 g / tsiku, mpaka 90 g shuga.

Kudya kalori wokwanira kumakhala ndi 2800 kcal / tsiku. Kwa odwala omwe amalephera kupweteka aimpso, gome la chithandizo nambala 7 linapangidwa, kuphatikiza 7a, 7b chifukwa cha kulephera kwaimpso, 7c kwa nthawi yayitali.

Mu pachimake aimpso kulephera

Cholinga cha dongosolo lazakudya ndikukulitsa ntchito yofatsa ya impso, imathandizira kutulutsa kwa zinthu za metabolic, ndikuchepetsa matenda oopsa ndi edema.

Chakudya, makamaka, ndicho zamasamba, mapuloteni ndi mchere ndizochepa, ndipo mafuta ndi chakudya amachepetsa pang'ono.

Woopsa m'matendawa, zakudya za 7a zimagwiritsidwa ntchito, malinga ndi zomwe, mapuloteni amapanga 20 g / tsiku, chakudya - 350 g, mafuta - 80 g, mchere - 2 g. Calorie kudya - 2200 kcal.

Zakudya zina:

• Chakudya chimangophika, chaphika
• Zopangidwa ndi oxalic acid, mafuta ofunikira sawerengedwa
• Mkate umangogwiritsidwa ntchito mopanda mchere
• Chiwerengero cha zakudya - 5-6
• Mapuloteni amayimiriridwa ndi mapuloteni ambewu (masamba, chimanga, mtedza)
• Masaladi omwe amapezeka masamba ndi mafuta
• Masiku osala kudya - kamodzi pa sabata (pa mavwende, maapulo, maungu)

Zakudya 7b zimayambitsidwa ndi zovuta za wodwalayo, koma zimachepetsa potaziyamu.

Pulogalamu yamapuloteni nthawi ya chithandizo imakwera mpaka 40 g, chakudya - mpaka 500 g, mchere - mpaka 3 g, mafuta amakhalabe pamlingo wazakudya zam'mbuyomu.

Voliyumu yamadzimadzi yomwe imagwiritsidwa ntchito munjira yamatumbo yoposa imapitilira kuchuluka kwa madzi omwe amatuluka mumkodzo pagalasi iliyonse. Kutalika kwa chakudya nthawi zambiri sikupita milungu iwiri, kenako kumakhala kokhazikika.

Mu aakulu aimpso kulephera

Munthawi yayitali, zakudya za 7 kapena 7c ndizoyenera, komanso njira zomwe wodwala amasankha payekha. Chithandizo cha mankhwala othandizira zakudya zimadalira mankhwala a matenda, kuuma kwake, kupezeka kwa zovuta zina, komanso kuchuluka kwa kuchuluka.

Ngati pa siteji yotsala ya matenda a protein sangakhale apamwamba kuposa 20 g, ndiye kuti pamapeto pake osakokoka amatha 40-70 g (zenizeni zimawerengedwa molingana ndi chizindikiro cha impso). Mchere wamchere suyenera kupitilira 4 g.

Mwambiri, mfundo zofananira kuphika ndi kudya ndizofanana mu mtundu wazowopsa wa matenda.

Zoyambira za mapuloteni

Zinthu Zololedwa

Wodwala amaloledwa kudya:

1. Mkate wopanda mchere - tirigu, pa wowuma chimanga.
2. Supu yophika masamba, ndi mbatata, chimanga.
3. Ng ombe yokhala ndi mafuta ochepa, kalulu, nkhuku, nsomba zodontha (mosamala monga momwe amapangira mapuloteni).
4. Cottage tchizi (pokhapokha ngati nyama ndi nsomba sizikuchitika lero), mkaka, kirimu wowawasa, zonona, mkaka wowawasa - poganizira kuchuluka kwa mapuloteni.
5. Mazira - osaposa theka lowiritsa owiritsa patsiku.
6. Mkuyu.
7. Masamba, amadyera (kupatula zoletsedwa) - stewed, mu saladi, vinaigrette.
8. Zipatso - zilizonse.
9. Maswiti - odzola, zipatso zokoma, uchi, kupanikizana, maswiti opanda chokoleti.
10. Gravy, msuzi ndi tomato, kirimu wowawasa, sinamoni, zipatso ndi vanila, ndi anyezi wophika (stewed), masamba a bay.
11. Tiyi wakuda, wofulidwa pang'ono, kulowetsedwa kwa rosehip, tiyi wazitsamba, misuzi yazipatso.
12. Mafuta ophikira, batala.

Kulephera kwaimpso

Matenda owopsa, koma nthawi zambiri amasinthiratu. Impso zimatha kubwezeretsa magwiridwe antchito. Mu matenda a shuga, kulephera kwa impso kumatha kuchitika chifukwa cha matendawa. Koma, monga lamulo, matendawa amapezeka chifukwa cha kuwonongeka kwadzidzidzi kwa minofu ya impso:

• kutaya magazi kwambiri, kugwedezeka kwambiri, kupindika kwakukulu ndi kulephera mtima,
• Poizoni wokhala ndi zitsulo zolemera, ziphe kapena mankhwala osokoneza bongo, chifukwa choti mimbulu yaimpso imafa,
• zotsatira za urolithiasis.

Pakulephera kwa impso, wodwalayo amamva kuchepa kwakukulu kwamkodzo, kupweteka kwambiri komwe kumachitika chifukwa cha kuthamanga kwa magazi komanso kuthamanga kwa mtima.

Popita nthawi, zizindikirazi zimakulirakulira, ndipo matendawo akudwala kwambiri, zotheka zimatha. Koma ndi chithandizo choyenera komanso chithandizo chamankhwala chapanthawi yake, ntchito yofanana ndi impso imabwezeretseka pakatha miyezi iwiri mpaka itatu.

Ntchito yofunikira kwambiri pakuchira imayendetsedwa ndi kuperewera kwaimpso.

Zakudya za pachimake aimpso kulephera

Munthawi yonse ya chithandizo ndikuchira, odwala ayenera kutsatira zakudya zopanda chilimbikitso, zomwe zimakhala zosiyana pang'ono ndi zakudya zonse zomwe sizikhala zama calorie.

Chakudyachi chikufotokozedwa ndikuti odwala omwe ali ndi vuto lochepa kwambiri la impso amayenera kulandira kuchuluka kwa zopatsa mphamvu tsiku ndi tsiku, apo ayi chitetezo cha mthupi chidzalowa kunkhondo, ndipo mapuloteni agwiritsidwe ntchito kuti apeze mphamvu zofunika, zomwe zimakulitsa nthawi yonse ya matendawa komanso momwe alili wodwala. Mu shuga mellitus, tikulimbikitsidwa kuti tikwaniritse kufunika kwa thupi kwa chakudya chamafuta ndi mafuta a maolivi.

Zinthu zomwe sizilimbikitsidwa chifukwa cha kupweteka kwa impso

• Mchere
• Tchizi
• Ziphuphu
• Zinthu zophika buledi zopangidwa ndi mchere,
• Nyama yamphamvu, nsomba ndi msuzi wa bowa,
• Kuzifutsa, masamba kapena mchere.
• Garlic, radish, sorelo, sipinachi,
• Chocolate

Pazonse, zinthu zomwe zimakhala ndi potaziyamu, magnesium ndi sodium ndizochepa. Kuchuluka kwa madzimadzi omwe amamwa kumawongoleredwa malinga ndi gawo la matendawa, zikuwonetsa za kusanthula ndi kuchuluka kwa mkodzo tsiku lomaliza.

Matendawa amadutsa magawo anayi ndipo aliyense wa iwo amadziwika ndi mtundu wake wazogulitsa, zomwe zimayendetsedwa mosamalitsa ndi adokotala. Mu matenda ashuga, chakudya chamagulu ali ndi mawonekedwe ofanana kwambiri a zakudya zovomerezeka.

Chifukwa chake, odwala omwe ali ndi matendawa amagwiritsa ntchito ma canon omwewo mu zakudya zawo zokha monga zimakonzedwa pazinthu zomwe zimakhala ndi shuga.

Kulephera kwa impso

Wodwala amasintha pang'onopang'ono pang'onopang'ono.

Cholinga cha izi ndi chifukwa cha kuwonongeka kwa pang'onopang'ono m'ntchito ya impso, komwe kumayendetsedwa ndi kuphwanya kwamchere wamadzi mthupi, chifukwa chotsatira chomwe kudziwonetsa poyizoni kwa thupi pogwiritsa ntchito zinthu za metabolic (uremia) ndizotheka.

Nthawi zambiri, kulephera kwa impso kumachitika mu shuga.Odwala omwe ali ndi matenda otere ayenera kuthandizira kuchuluka kwa shuga m'magazi ndikutsatira zakudya zoyenera.

Zakudya zamankhwala odwala matenda a impso amalephera kuyang'anitsitsa kuchuluka kwa mapuloteni omwe amadya kuti asawonongeke omwe amapezeka ndi mapuloteni awo. Ndi kulephera kwa aimpso, chomwe chimayambitsa kuwonongeka kwa thupi komanso njira ya matendawa ndi kuchepa kwa mapuloteni, komwe kumayambitsa matenda a impso.

Chifukwa chiyani izi zimachitika? Ili ndi funso la machitidwe a kagayidwe kachakudya mthupi la munthu.

Kuchepetsa kudya mapuloteni mumenyu ndikulimbikitsidwa kale pa gawo loyamba la matenda osachiritsika. Zinthu zovomerezeka zomanga thupi zopezeka mu chakudya zimawerengeredwa kuchokera pa 1 g pa 1 kg ya kulemera kwa thupi la wodwala.

Mu gawo lachiwiri, muyezo wa 0,8 g pa kilogalamu umaloledwa, ndipo lachitatu ndi lotsatira, 0,6 g pa 1 makilogalamu.

Izi ndizochepa kwambiri, motero, pofuna kupewa kuperewera kwa zakudya m'thupi, kuyambira gawo lachitatu, dokotala yemwe akupezekapo angalimbikitse wodwala kuti atenge asidi wa keto kapena amino acid. Koma asanafike pagawo lotere, adotolo amafotokozera mfundo zazikuluzikulu za menyu za wodwalayo.

Mfundo ya zakudya zoperewera mu impso kulephera ndikukhutitsa thupi ndi zopatsa mphamvu zamafuta ndi mafuta momwe mungathere (ndi matenda ashuga, muyenera kusamala ndi chakudya).

Koma munthawi yomweyo, munthu wothandizanso ndi vuto la impso amalephera kudya, kusanza, kusanza, komanso kusintha kwakomedwe. Pazinthu zoterezi, ndikovuta kuti pakhuta thupi, motero njira yodyetsera zakudya iyenera kukhala yopangidwa mwaluso.

1. Kuphatikiza pa kugwiritsa ntchito zida zoyenera pakukonzekera, ziyenera kugwiritsidwa ntchito mosavuta kuti zisamalowetse dongosolo logaya chakudya.
2. Zakudya ziyenera kukopa wodwalayo pakuwoneka. Izi zitha kuchitika mukamasewera pang'ono pazakudya zamafuta mumbale.
3. Chakudya chamadzulo chatsopano chomwe chimapangidwira kununkhira bwino.

Chakudya choperewera chaimpso

Chakudya chimatsatiridwa ndi kugwiritsa ntchito kosalekeza popanda mapuloteni ndi mkate wopanda mchere, komanso sago (phala kuchokera ku wowuma).

Kuphatikiza apo, kuchuluka kwa mkodzo womwe umatulutsidwa tsiku latha kumayang'aniridwa. Kuchuluka kwa madzimadzi aulere omwe amatha kuledzera popanda chiwopsezo chowonjezera pa impso zimadalira chizindikiro ichi. Odwala omwe ali ndi vuto la impso amamva ludzu. Amakonda kumwa madzi ambiri, koma osamvetsetsa kuti impsoyo singakwanitse kuyimitsa mulingo woyenera.

Zotsatira zake ndi matenda oopsa komanso edema. Mu shuga mellitus, zizindikiro zotere ndizosayenera kwambiri. Pa gawo loyambirira la matenda osachiritsika, pamakhala malire pa kuchuluka kwa madzi omwe amalowa mthupi - malita awiri.

Kuyambira gawo lachitatu, kuchuluka kwa mkodzo wa tsiku ndi tsiku komwe kumatsitsidwa, nthawi zambiri axiom imayamba kugwira ntchito - timamwa mochuluka monga tsiku lomwe mkodzo wake sunatulutsidwe kuphatikiza mazana asanu ml.

Ngati ndizovuta kuthana ndi ludzu, mutha kuthamangitsa thupi pang'ono ndikumwa gawo limodzi mwazomwe zimachitika tsiku ndi tsiku mu mawonekedwe a ayezi (amaundana mbali ina).

Zakudya za kulephera kwa impso zimathandiza kwambiri pakuchira, koma ndizosavuta kutsatira. Chovuta kwambiri ndikukana mchere.

Koma chosangalatsa ndichakuti pakupita nthawi, adotolo amalola kubwerera pang'onopang'ono kwa mchere kuzakudya za wodwala. Ndipo, inde, muyenera kutsatira njira yophika yathanzi - yosenda, kuphika.

Zakudya zofunika pakulephera kwa impso

Zinthu zophika buledi	Kuphika mapuloteni wopanda mchere ndi mkate wopanda mchere
Maphunziro oyambira	Msuzi wazipatso, msuzi wamasamba, msuzi wa sago. Onse opanda mchere.
Zakudya zoyipa	Sago phala, masamba ophika. Zochepa okha.
Zinthu zamkaka	Mutha kupanga zonse zamkaka kupatula tchizi. Kugwiritsa ntchito zochepa.
Maswiti	Odzola, odzola, timadziti, uchi, shuga, zipatso.Mu matenda ashuga, ndi zipatso zochepa zomwe zimatha kudya.
Zakumwa	Mapikisano, timadziti, madzi, tiyi. Chilichonse sichimakhudzidwa komanso popanda shuga mu shuga.

Kutengera mndandanda wazogulitsazi, mutha kupanga menyu okoma. Ndipo chakudyacho sichidzawoneka ngati chilango chifukwa cha kulephera kwa impso. Ngati kukoma kwakeko si kokwanira, mutha kusefa ndi mandimu. Mu matenda ashuga, izi ndizothandiza kwambiri. Kutumiza sikuyenera kukhala kwakukulu, ndipo zakudya ziyenera kuthyoledwa kangapo ka 5-6.

Mwanjira imeneyi, zimakhala zosavuta kuti thupi ligaye ndikudya chakudya chomwe chafika, ndipo wodwalayo ayambanso mseru.

Makina osakanizira pafupifupi azakudya za tsiku ndi tsiku:

• Mkate 100-150 magalamu,
• nyama kapena nsomba magalamu 100,
• Dzira 1
• mkaka 80 magalamu, kirimu wowawasa 45 magalamu, batala 60 magalamu,
• masamba mafuta 20 magalamu,
• shuga 110 magalamu (shuga asiyiratu)
• sago 70 magalamu
• ufa 25 magalamu,
• mbatata, zoyera kapena kolifulawa, kaloti, beets, tomato, nkhaka, masamba ena mpaka 1 kg,
• Madzimadzi (kuphatikiza mbale yoyamba) sayenera kupitirira malita awiri (kutengera nthawi ya matendawa).

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Zomwe mungadye ndi kulephera kwa impso

Zotulutsa za Akazi - Kuchepetsa Thupi - Zakudya - Zomwe Mungadye Ndi Kulephera Kwina

Lumikizanani ndi dokotala wanu pafupipafupi

Kulephera kwamphamvu m'masiku athu ano ndiye woyamba mndandanda wa malipoti azachipatala omwe amapezeka kwambiri. Matendawa amagwirizana ndi chimodzi mwazinthu zofunika kwambiri zaumunthu, zomwe zimafuna kuwunikidwa ndi dokotala pafupipafupi, komanso kudya chifukwa cha kulephera kwa impso ndi njira yovomerezeka nthawi yonse yochizira matenda opweteka.

Kodi kulephera kwa impso ndi chiyani?

Pali mitundu ingapo ya kulephera impso.

Kulephera kwamakina ndikuphwanya kwakukulu ntchito zofunikira kwambiri za impso monga kuchotsa zinthu za metabolic, kusunga acid-base ndi mchere wamchere. Mankhwala amakono amagawa matendawa m'magulu awiri:

• pachimake aimpso kulephera (pachimake aimpso kulephera) - lakuthwa, ndipo (munthawi yakupezeka kwa dokotala) kuzimiririka kwakanthawi kwa chiwalo. Imayendera limodzi ndi kuchepa kwakukulu (mpaka 40 ml / tsiku) pokodza, kukomoka, kudya. Nthawi zambiri kumachitika chifukwa cha zowawa, matenda, kuledzera, kutsekeka kwamikodzo,
• aakulu aimpso kulephera (CRF) - kusinthika aimpso kukanika. Mwa zina mwazomwe zimapangitsa kuti pakhalepo ndikuwonongeka kwa zida zama glomerular, urolithiasis, ndi zina. Nthawi zambiri zimapezeka ndi matenda osokoneza bongo a mtundu woyamba komanso wachiwiri, komanso hepatitis B ndi C. Ili ndi madigiri 5 a chitukuko (kuchepetsa kuchuluka kwa kusefedwa kwa glomerular).

Kuyambika mwa anthu amisinkhu yosiyanasiyana, dera lomwe akukhala komanso mtundu wa zochitika, matendawa amatha kuzindikirika onse pogwiritsa ntchito zida zowonetsa pang'onopang'ono (magazi, kusanthula kwamkodzo). Pankhaniyi, kulephera kwa impso mu gawo loyamba kumatha kupezeka mu labotale.

Chofunika cha zakudya mu kulephera kwa aimpso

Kutalika kwa zakudya kumadalira matendawa.

Njira yachakudya yolephera chifukwa cha kupweteka kwa impso ndikugwiritsa ntchito komanso kuphatikiza zinthu zomwe zimapangidwa zomwe zimapatsa mphamvu odwala. Ndikofunikanso kupanga zakudya kuti "onse omwe atsala" mgawo lazigawo asakhudzidwe ndi zinthu zomwe zikusowapo.

ARF imachitika pakangotha ​​maola ochepa, ndipo chithandizo chake nthawi zambiri sichitenga milungu yopitilira iwiri, yomwe wodwalayo amakhala nthawi zambiri mzipinda zachipatala. Chifukwa chake, uchi umasamalira zakudya zanu zoyenera panthawiyi. bungwe (mwina aliyense amakumbukira chakudya chatsopano cha chipatala cha canteens).

Zakudya za kulephera kwa impso Kodi zingadyedwe bwanji chifukwa cha matenda a impso?

Pyelonephritis, chakudya cha matenda a impso

Zakudya za kulephera kwa impso ndizovuta zazitali zazovomerezeka zomwe zimasankhidwa mosiyanasiyana komanso kuphatikiza.

Zimatsimikiziridwa ndi adotolo aliyense payekha, kutengera kuchuluka kwa matendawo ndi mawonekedwe a thupi la wodwalayo. Komabe, pali zinthu zingapo komanso zakudya, kugwiritsa ntchito zomwe sizingavulaze munthu amene akudwala.

Monga nthawi ya chakudya cha matenda a impso, komanso kupewa kupewa matenda a chiwindi ndi matenda a mtima kapena matenda ashuga, madotolo ambiri amalimbikitsa zakudya zofunikira.

Zakudya zotere nthawi zina zimatha kuoneka ngati zosakoma, koma mawonekedwe ake opindulitsa nthawi zambiri amakhala apamwamba kuposa zakudya zokazinga, zosuta, kapena zopatsa mphamvu.

Kuphatikiza apo, mafuta owiritsa kawiri amagulitsidwa m'masitolo ambiri opangira zida zapakhomo ndipo amatenga mtengo wotsika mtengo kuposa zida zina zambiri zapakhitchini.

Zakudya matebulo Pevzner

Mutha kupanga zakumwa zamasamba

Izi menyu zimakupatsani mwayi wogwiritsa:

• nyama - nkhumba yophika yophika, nkhumba, nkhuku, kalulu, nkhuku,
• nsomba - mitundu yopanda mafuta munjira yophika kapena yotentha,
• mazira - choteteza kumkaka kapena mazira awiri owiritsa tsiku lililonse,
• mkaka - mankhwala aliwonse amkaka a mafuta ochepa,
• maphunziro oyamba - makamaka popanda msuzi. M'm supu, ndibwino kungoyang'ana mbatata ndi chimanga, kugwiritsa ntchito anyezi ndi kaloti mu mawonekedwe owiritsa,
• pasitala - yesani kudya pang'ono, mosiyana ndi njere,
• mankhwala a ufa - mtanda wa zikondamoyo ndi zikondamoyo - wopanda mchere. Mkate - makamaka tirigu,
• lokoma - muyenera kupewa maswiti osiyanasiyana ndi maswiti ena "ogulitsa". Uchi wokhazikika tokha, kupanikizana, zakudya, etc.,
• zakumwa - mopepuka zakumwa zotentha, ma compotes opanga tokha, msuzi wa rosehip, zipatso ndi ndiwo zamasamba.

Nthawi yomweyo, kudya mchere tsiku lililonse sikuyenera kupitirira 6g, mapuloteni - 80g, mafuta - 90g, chakudya - 450g, ndikumwa madzi - 1l.

Kulephera kwa impso sikulepheretsa munthu kugwiritsa ntchito maphikidwe ake monga:

• tsabola (wakuda, allspice),
• tsamba
• zovala
• sinamoni
• vanila

Kutengera ndi momwe kufooka kwa impso kulipo, chakudya 7a, 7b, 7c, 7g, 7r chitha kuyikidwa.

Chifukwa, mwachitsanzo, 7a imakulolani kuti muzitha kuyamwa 2g yokha ya mchere, 20g ya mapuloteni patsiku, ndipo kuchuluka kwa madzimadzi omwe mumamwa kungangodutsa 200-300 ml ya kuchuluka kwa mkodzo womwe umachotsedwa m'thupi.

Kuphatikiza apo, ngati kulephera kwa impso kumatha kuchitika pakumodzi mwa magome awa, ndiye kuti chakudya chodwala matenda aimpso nthawi zambiri chimasinthana ndi zina zolimba (sabata 7, ndiye 7b, ndi zina).

Mndandanda wamankhwala zakudya tsiku lonse

Chakudya chamadzulo, mutha kupanga saladi wa masamba

Tebulo lonenedwa Na. 7a (chakudya cha matenda a impso kapena matenda a shuga) chikhoza kulembedwa motere:

• chakudya cham'mawa - phala ndi mkaka wochokera ku chimanga chophika, apulo ndi chidutswa cha karoti wophika mafuta a mpendadzuwa, tiyi wopanda mphamvu,
• brunch - zipatso kapena msuzi wokhathamira kumene,
• nkhomaliro - theka la supu yamasamba, mbatata yosenda ndi nsomba yofinya mu msuzi wa phwetekere, zakudya,
• Chakudya chamadzulo - msuzi wa tirigu wokhala ndi shuga kapena uchi,
• chakudya chamadzulo - msuzi wa zipatso, tiyi wamasamba wa masamba,
• asanagone - compote.

Nthawi yomweyo, chakudya No. 7b, chogwiritsidwa ntchito ngati kuperewera kwa impso kwadziwika kale ndi njira zonse za labotale komanso zothandizira, chitha kuwoneka motere:

• kadzutsa - omelet wa mkaka kuchokera mazira awiri, tiyi wokhala ndi mkaka, mkate wopanda mchere ndi kupanikizana,
• brunch - semolina mkaka phala, mkaka ndi makeke a tirigu,
• nkhomaliro - msuzi wa buckwheat ndi nyama yophika. Pilaf wamphesa wokhala ndi nsomba zathanzi lopanda khungu. Compote
• Chakudya chamadzulo masana - zakudya zonunkhira, zopanda mchere,
• chakudya chamadzulo - curd wowawasa, tiyi wobiriwira wokhala ndi mkaka,
• asanagone - mkaka.

Mwakutero, chakudyacho chimaphatikizapo kudya nthawi 5-6 patsiku.

Zakudya za matenda a impso

Osamamwa zakumwa zambiri kuposa zabwinobwino

Zakudya za kuperewera kwaimpso komanso kusokonekera kwa impso zimakupatsani mwayi wophatikiza saladi wa shrimp mumenyu yanu:

1. Shrimp - 400g.
2. Apple - 1 pc.
3. Mbatata - 3pcs.
4. Nkhaka yatsopano - 2pcs.
5. Mafuta opanga masamba - 1 tbsp. supuni.

Thirani shrimp yaying'ono mu microwave kapena kutentha pang'ono (madzi ena mu skillet ndi chivindikiro chatsekedwa). Shimphu yayikulu imadulidwa pakati. Opaka apulo wachoyowo pa grater yoyera. Peel, wiritsani ndi kuwaza mbatata. Kuwaza nkhaka, onjezerani mafuta amasamba, ndipo sakanizani zinthu zonse mosakaniza.

Zakudya ziyenera kuphatikizapo maphunziro oyamba. Chokoma kwambiri komanso chopatsa thanzi ndi msuzi wa masamba (masamba):

1. Mbatata - 4 ma PC.
2. White kabichi - 110g.
3. Anyezi - 1 pc.
4. Kaloti - 1 pc.
5. Mitundu - 10g.
6. Mafuta opanga masamba - 1 tbsp. supuni.

Peel mbatata, kusema cubes. Dulani kabichi. Sulutsani kaloti ndi anyezi, wowaza bwino. Simila kaloti pamoto wochepa (bweretsani kukonzekera theka, dzazani 1/3 ndi gawo lamadzi). Wiritsani anyezi ndi mwachangu.

Bweretsani madzi kwa chithupsa, kuwonjezera mbatata, kuphika kwa mphindi 10. Onjezani kabichi, kuphika wina mphindi 10. Onjezani kaloti ndi anyezi, kuphika mpaka kuphika.

Onjezani amadyera, kulawa - analola zokometsera, thimitsani kutentha ndikulola msuziwo kutulutsa.

Kusagwirizana kumatsogolera ku edema, kupweteka kwambiri m'dera la impso ndipo kumakhala kukuwonjezeka ndi kuwonjezeka kwa matendawa. Chifukwa chake, wina ayenera kuganizira kuchuluka kwa madzi osati zakumwa zokha, komanso maphunziro oyamba.

Zakudya No. 7 sizimaletsanso kupezeka kwa menyu wodwala ndi nkhuku casseroles:

1. Nyama ya nkhuku - 500g.
2. Bun - 50g.
3. Mkaka - 150g.
4. Mazira - 1 pc.
5. Kirimu wowawasa - 125 g.
6. Batala - 1 tbsp. supuni.

Kuphika nkhuku, kudutsa chopukusira nyama. Zilowerere mpukutuwo mkaka, onjezerani dzira yolk, batala ndi kirimu wowawasa. Pogaya zomwe zili mkati ndikuwonjezera dzira loyera. Sakanizani bwino ndi kutsanulira mbale yothira mafuta. Thirani madzi pang'ono pachophika chophika, chilimbikitseni ndikuyika mbale. Kuphika mpaka kuphika.

Chakudyacho chikuyenera kuvomerezana ndi adokotala

Kudya chifukwa cha kulephera kwa impso kumayambitsa kukhazikitsidwa kwa mndandanda wapadera womwe umachepetsa kwambiri mchere, madzi, ndi zinthu zofunika monga mapuloteni, mafuta, ndi chakudya.

Ngakhale kuchuluka kwa maphikidwe otetezedwa a matendawa, zakudya zilizonse ziyenera kuvomerezedwa ndi adokotala. Izi zimakupatsani mwayi wosankha zakudya zopatsa thanzi komanso kuchepetsa nkhawa yodwala.

(Mtundu sunakhalepo, onjezerani)
Tikutsegula ...

Kodi impso za anthu zimakonzedwa bwanji?

Impso zimasefa madzi, glucose owonjezera, mankhwala osokoneza bongo komanso zinthu zina zomwe zingakhalepo m'magazi, ndiye kuti zinyalalazo zimathira mkodzo. Impso ndi chiwalo momwe mkodzo umapangidwira. Nthawi zambiri, impso iliyonse imakhala ndi zosefera miliyoni miliyoni zomwe magazi amadutsa akapanikizika. Zosefera izi zimatchedwa glomeruli. Magazi amalowa mu glomerulus kudzera mumtsempha waung'ono womwe umatchedwa kuti arteryole wofikira (wobwera). Arteriole uyu amathera ndi unyinji wazombo zing'onozing'ono kwambiri zotchedwa capillaries. Mu capillaries muli ma microscopic mabowo (pores) omwe amakhala ndi magetsi osafunikira.

Mapeto am'munsi mwa capillary iliyonse amayenda mu arteriole (momwemo) yemwe mulifupi mwake umakhala wocheperako kawiri kuposa womwe wakubwera. Chifukwa cha kufupika kumeneku, kupanikizika kowonjezereka kumachitika pamene magazi akuyenda mtunda wa capillaries. Mothandizidwa ndi kukakamizidwa kowonjezereka, gawo lamadzi kuchokera m'magazi amatuluka kudzera m'matumba. Madzi omwe adayikiramo amayenda m'mutu wamapulogalamu oyendayenda, ndikuchokera pamenepo nkufika pamachubu.

Ma pores mu capillaries ndi a m'mimba mwake mpaka mamolekyulu ang'onoang'ono, monga urea ndi glucose owonjezera, omwe amapanga mkodzo, amatuluka kuchokera m'magazi ndi madzi.Muzobisika, mamolekyulu akulu a ma protein sangathe kudutsa ma pores. Mapuloteni ambiri amwazi amakhala ndi magetsi osafunikira. Amathamangitsidwa kuchokera ku ma pillaries, chifukwa amakhalanso ndi vuto. Chifukwa cha izi, ngakhale mapuloteni ang'ono kwambiri samasefa ndi impso ndipo sanatulutsidwe mkodzo, koma amabwezeretsedwa m'magazi.

• Kuwonongeka kwa impso mu matenda a shuga, momwe amathandizira komanso kupewa
• Ndi mayeso ati omwe muyenera kudutsa kuti muwone impso (kutsegula pawindo lina)
• Diabetes nephropathy: magawo, Zizindikiro ndi chithandizo
• Mitsempha yam'mimba
• Matenda a impso

Gomerular filtration rate (GFR) ndi chizindikiro cha kuchuluka kwa kusefera kwa magazi komwe impso zimagwira nthawi yayitali. Itha kuwerengedwa ndikudutsa kuyesa kwa magazi kwa creatinine (momwe mungachitire izi, mwatsatanetsatane). Pamene kulephera kwa impso kukukwera, kuchuluka kwa kusefera kwa madzi kumachepa. Koma mwa anthu odwala matenda ashuga omwe adakweza kwambiri magazi, pomwe impso zikugwirabe ntchito moyenera, choyamba kuchuluka kwa kusefedwa kwamphamvu kumawonjezeka. Zikatero, zimakwezeka kuposa zabwinobwino. Izi ndichifukwa choti glucose wambiri m'magazi amatunga madzi kuzinthu zoyandikana. Chifukwa chake, kuchuluka kwa magazi kumawonjezeka, kuthamanga kwa magazi ndi kuchuluka kwa magazi ake kudzera mu impso kumakulanso. Odwala omwe ali ndi matenda ashuga, kumayambiriro kwa matendawa, matenda a impso asanayambike, kuchuluka kwa kusefedwa kwa mankhwalawa kumatha kukhala 1.5-2 kuchulukirapo kuposa kwawonekera. Masana, anthu otere ngati mkodzo amatulutsa magawo angapo a shuga.

Chifukwa chachikulu chomwe chimawopseza impso ndi shuga wambiri

Glucose owonjezereka m'magazi amakhala ndi poizoni m'thupi osiyanasiyana, chifukwa mamolekyu am'magazi amaphatikiza mapuloteni ndikusokoneza ntchito yawo. Izi zimatchedwa reaction glycosylation. Asayansi asanaphunzire mofatsa za izi, adanenanso kuti kuchepa kwa thupi, i.e., kukulitsa kusefukira kwa thupi ndi kuchuluka kwa kupsinjika kwa impso, ndizomwe zimayambitsa matenda ashuga. Mukawerenga gawo lakale la nkhaniyi, tsopano mukudziwa kuti kukweza kwa glomerular kusefera sikuti chifukwa, koma zotsatira zake. Choyambitsa chenicheni cha kulephera kwa impso ndi poizoni yemwe kuchuluka kwa shuga m'magazi amakhala nawo pama cell.

Mukugwiritsa ntchito mapuloteni azakudya mthupi, zinthu zotayidwa zimapangidwa - urea ndi ammonia, zomwe zimakhala ndi nayitrogeni. Kubwerera mkati mwa zaka za zana la makumi awiri, asayansi amati kuchuluka kwa kusefedwa kwa impso kumawonjezeka chifukwa chakufunika kuyeretsa magazi kuchokera ku urea ndi ammonia. Chifukwa chake, odwala matenda a shuga adalimbikitsa ndipo amalimbikitsabe kudya mapuloteni ocheperako kuti muchepetse nkhawa pa impso. Koma kafukufuku yemwe asayansi aku Israel adachita adawonetsa kuti mwa anthu athanzi popanda matenda ashuga, kuchuluka kwa kusefedwa kwa impso ndi chimodzimodzi pazakudya zomanga thupi zambiri komanso zakudya zamasamba. Kwa zaka zambiri, zapezeka kuti zomwe zimapangitsa kuti ana asamadye masamba ndi omwe amadya nyama sizachilendo kwenikweni. Zikuwonetsedwanso kuti kuchuluka kwa kusefedwa kwa glomerular sikofunikira kapena kokwanira kuti pakhale matenda a shuga.

Kafukufuku wa Harvard adawonetsa zotsatirazi. Gulu la makoswe a labotale adasungira shuga wamwazi pamlingo pafupifupi 14 mmol / L. Matenda a diabetes nephropathy anakula mwachangu mu makoswe onsewa. Ngati mapuloteni ochulukirapo adawonjezeredwa ku zakudya zawo, ndiye kuti kukula kwa aimpso kunathandizira. Pagulu loyandikana ndi makoswe, shuga wamagazi anali 5.5 mmol / L. Onse ankakhala bwinobwino. Palibe m'modzi wa iwo amene ali ndi matenda ashuga, ngakhale atadya kwambiri. Ndizosangalatsanso kuti ntchito ya impso mu makoswe idabwezeretsedwa patangotha ​​miyezi ingapo shuga wawo wamagazi atatsikira.

Momwe shuga imawonongera impso: chiphunzitso chamakono

Malingaliro amakono a chitukuko cha matenda ashuga nephropathy ndikuti nthawi yomweyo zinthu zingapo zimakhudza ma capillaries mu glomeruli a impso. Kuchulukana kwamapuloteni chifukwa cha shuga m'magazi, komanso ma antibodies a mapuloteni onenepa, kuchuluka kwa mapulateleti m'magazi ndikutulutsa ziwiya zazing'onoting'ono ndimagazi. Kumayambiriro kwa matenda a impso a shuga, mphamvu zamagetsi zamagetsi zamagetsi zimachepa. Zotsatira zake, mapuloteni osokoneza bongo a m'mimba yaying'ono kwambiri, makamaka, albumin, amayamba kutuluka kuchokera m'magazi kulowa mkodzo. Ngati urinalysis akuwonetsa kuti ili ndi albumin, ndiye kuti amatchedwa microalbuminuria ndipo amatanthauza ngozi yowonjezereka ya kulephera kwa impso, kugunda kwa mtima, ndi stroke.

Mapuloteni ogwirizana ndi shuga amayenda m'matumbo a impso mosavuta kwambiri kuposa mapuloteni abwinobwino. Kuchulukitsa kwa magazi, komanso kuchuluka kwambiri kwa insulin m'magazi, imathandizira kusefedwa kwa impso, ndipo motero mapuloteni ochulukirapo amalowerera pazosefera. Ena mwa mapuloteni awa, omwe amaphatikizidwa ndi glucose, amamatira mesangium - uwu ndiye minofu pakati pa capillaries. Zambiri zokhala ndi ma protein a glycated ndi ma antibodies kwa iwo zimapezeka mu impso glomeruli ya anthu omwe ali ndi matenda ashuga, m'makoma a capillaries komanso mesangium. Masango awa amakula pang'onopang'ono, mesangium imakulirakulira ndikuyamba kufinya capillaries. Zotsatira zake, m'mimba mwake mwa ma pores mumawonjezereka, ndipo mapuloteni ochulukitsa m'mimba amatha kutuluka m'magazi kudzera mwa iwo.

Njira yowonongera impso imathandizira, chifukwa mapuloteni ochulukirachulukira amakakamira mu mesangium, ndipo akupitilirakulira. Mapeto ake, mesangium ndi capillaries amasinthidwa ndi minofu yaying'ono, chifukwa chomwe aimpso glomerulus amasiya kugwira ntchito. Kunenepa kwa mesangium kumadziwika mwa odwala omwe sangathe kuwongolera matenda ashuga, ngakhale albin ndi mapuloteni ena asanayambe kuwonekera mkodzo.

Kafukufuku wambiri mwa anthu awonetsa kuti ngati kusintha kwa shuga m'magazi kumakhazikika, ndiye kuti m'magawo a matenda ashuga, nephropathy, kuchuluka kwa kusefera kwa m'magazi kumatsika kumakhala koyenera, ndipo kuchuluka kwa mapuloteni mumkodzo kumacheperanso. Ngati shuga adakwezedwa kwambiri, ndiye kuti kuwonongeka kwa impso kumapitirirabe. Pofufuza makoswe a matenda ashuga, asayansi adawona kuti ngati achepetsa shuga la magazi awo ndikuligwira bwino, ndiye kuti ma glomeruli atsopano amawoneka impso m'malo mwa owonongeka.

Kodi cholesterol imakhudza impso?

Kuchulukana kwama cholesterol “oyipa” komanso mafuta a triglycerides (m'magazi) kumathandizira kuti magazi azitsekeka chifukwa cha magazi. Aliyense amadziwa kuti izi zimayambitsa matenda oopsa a mtima. Likukhalira kuti ziwiya zomwe zimapereka magazi ku impso zimadutsa atherosulinosis chimodzimodzi ndi mitsempha yayikulu. Ngati ziwiya zomwe zimadyetsa impso zilephereka ndi zolembedwa za atherosselotic, ndiye kuti impso imayamba kufa ndi mpweya. Izi zimatchedwa stenosis (kuchepa) kwa mitsempha ya impso ndipo zimatanthawuza kuti kulephera kwa impso mu shuga kumayamba mofulumira. Pali njira zina zomwe mafuta “oyipa” cholesterol ndi triglycerides owonjezera m'magazi amawonongera impso.

Mapeto ake ndikuti muyenera kuyang'anira cholesterol yanu ndi triglycerides m'magazi, ndiye kuti, mumakayezetsa matenda ashuga nthawi zonse. Kuti azisungabe pamlingo woyenera, madokotala akhala akupereka mankhwala kwa gulu la ma statins kwazaka zambiri. Mankhwalawa ndi okwera mtengo ndipo ali ndi zovuta zake zingapo: amawonjezera kutopa ndipo amatha kuwononga chiwindi. Nkhani yabwino: chakudya chamafuta ochepa sichimangokhala shuga, komanso cholesterol ndi triglycerides. Tengani ma statin pokhapokha ngati mayeso obwereza pambuyo pa masabata 6 akuwonetsa kuti zakudya zopatsa thanzi sizithandiza.Izi ndizokayikitsa kwambiri ngati mumalangidwa muzakudya ndikupewa kwathunthu zakudya zoletsedwa.

Sankhani pakati pa zakudya zamafuta ochepa

Ngati mwaphunzira pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu yachiwiri ya matenda ashuga ndikuyesetsa kutsatira malingaliro ake, ndiye kuti mukudziwa kuti kudya zakudya zamagulu ochepa kumakupatsani mwayi wochepetsa shuga wamagazi kuti ukhale wabwinobwino komanso wosakhalitsa, monga momwe zimakhalira ndi anthu athanzi popanda matenda ashuga. Werengani mwatsatanetsatane njira yanji yazotupa yaying'ono. Mudadzionera nokha kuti kudya "moyenera", komanso kudya pang'ono kwama protein komanso ochepa mafuta, musalole kuti shuga asinthe. Amadzaza ndi chakudya, motero shuga m'magazi omwe amadwala matenda a shuga amalumpha ndipo mavuto amakula msanga.

Komabe, madokotala akupitiliza kulimbikitsa chakudya chochepa chama protein a odwala matenda ashuga kuti achepetse kukula kwa kulephera kwa impso ndikachedwa kuyambiranso. Pazakudya izi, zochuluka za mapuloteni azakudya zimasinthidwa ndi chakudya. Amakhulupirira kuti njirayi imachepetsa nkhawa pa impso, ngakhale kuti sizilola shuga kukhala ndi shuga wabwinobwino. Kodi mungasankhe bwanji zakudya zabwino kwambiri kwa impso? Ndi zakudya ziti zomwe zili bwino - mapuloteni ochepa kapena ochepa mafuta? Yankho: zimatengera gawo lomwe matenda anu a matenda ashuga ali nawo.

Pali mfundo yoti palibe kubwerera. Ngati mungadutse, glomeruli imakhala yowonongeka kwambiri kotero kuti shuga mumagazi silimakupatsaninso mwayi wobwezeretsa kapena kukonza impso. Dr. Bernstein akuwonetsa kuti mfundo iyi yobwererayi ndi kuchuluka kwa impso pafupifupi 40 ml / min. Ngati kuchuluka kwa kusefera kwa m'munsi kumatsika, ndiye kuti chakudya chamafuta ochepa chokhala ndi mapuloteni sichingathandizenso, koma kungathandizire kuyambika kwa gawo loti matendawa alephere. Ngati kuchuluka kwa kusefera kwa glomerular ndi 40-60 ml / min, ndiye kuti kukula kwa shuga m'magazi ochepetsa chakudya chamthupi kumathandizira kukhazikika kwa impso kwa nthawi yayitali. Pomaliza, ngati kuchuluka kwa kusefedwa kwa glomerular kupitirira 60 ml / min, ndiye, motsogozedwa ndi chakudya chamafuta ochepa, impso zimabwezeretsedwa mokwanira ndikugwira ntchito, monga momwe zimakhalira ndi anthu athanzi. Dziwani momwe mungawerengere kuchuluka kwako kwa kusefera kuno.

Kumbukirani kuti chakudya chamafuta ochepa sichimagwira impso. Mosakayikira, zimathandizira kukhala ndi shuga wabwinobwino m'magazi a shuga. Amaganiziridwa kuti chifukwa cha izi, ntchito ya impso imabwezeretseka ngati mfundo yoti palibe kubwerera siyidaperekedwe. Kuti mukhale ndi shuga wabwinobwino, ngakhale pakudya chamafuta ochepa, muyenera kutsatira boma mosamalitsa. Muyenera kukhala osalolera zakudya zosavomerezeka monga Asilamu okhulupirika ali oleza nkhumba ndi mizimu. Pangani shuga ndi glucometer osachepera 5 pa tsiku, khalani mu boma la kudziletsa kwathunthu la shuga. Khama lomwe mukufunikira kuti lipindule nthawi zambiri ngati muonetsetsa kuti shuga yanu ikhazikika. Pakatha miyezi yochepa, mayeso amawonetsa kuti ntchito ya impso ndiyokhazikika kapena ikusintha. Mavuto ena a matenda ashuga adzathanso.

Dialysis Impso Zakudya Zam'magazi

Odwala omwe ali ndi matenda ashuga omwe amayamba kulephera a impso mu gawo lotsiriza amathandizira miyoyo yawo kudzera mu njira za dialysis. Munthawi izi, zinyalala zomwe zimakhala ndi nayitrogeni zimachotsedwa m'mwazi. Kutsetsereka ndi njira yodula komanso yosasangalatsa, yokhala ndi chiwopsezo chachikulu chotenga kachilomboka. Kuti achepetse kuchuluka kwake, odwala amalimbikitsidwa kuti achepetse kuchuluka kwa mapuloteni ndi madzi. Pakadali pano kulephera kwa impso, chakudya chamafuta ochepa, zama protein ambiri sizabwino. Nthawi zambiri, mapuloteni azakudya amakalowa chakudya. Madera ena a Western dialysis tsopano amalimbikitsa kuti odwala awo odwala matenda ashuga azitha kuthira mafuta a azitona m'malo mwa chakudya.Ili ndi mafuta ambiri athanzi.

Kuledzera kwa mapuloteni muzakudya sikuti kumayambitsa chitukuko cha impso, kuphatikiza odwala omwe ali ndi matenda ashuga. Pokhapokha ngati poti palibe kubwerera kwayamba kudutsa ndipo impso zawonongeka kale, pokhapokha ngati mapuloteni odyetsedwa angathandizire kukulitsa kulephera kwa impso. Matenda a diabetes a nephropathy samayamba ngati wodwala agwiritsa ntchito mtundu wina wa chithandizo cha matenda ashuga kapena mtundu wachiwiri wa matenda ashuga, amatsatira boma ndikumangokhala ndi shuga. Zakudya zamapuloteni sizikhala ndi vuto lililonse pa impso. Shuga wokweza m'magazi amawonongeratu impso ngati matenda ashuga sawayendetsa bwino.

Zomwe zimachitika

Zomwe zimapangitsa kuti pakhale kulephera kwa impso zimatha kugawidwa m'magulu awiri.

Matenda achiwiri samayenderana ndi kuwonongeka kwa impso:

• matenda ashuga
• matenda oopsa
• matenda a matenda
• virus hepatitis.

Ndi matenda onsewa, kufa kwa impso kumachitika. Ma nephroni akufa amaloledwa ndi minofu yolumikizira.

M'magawo omaliza a matenda aimpso osakhazikika, wodwalayo amayamba kugundika kwa mtima, encephalopathy, ndi uremic coma. Pankhaniyi, hemodialysis kapena kufalitsa impso kumaonekera kwa munthuyo.

Zomwe zimayambitsa kulephera kwa impso mu shuga ndi:

• Matenda a shuga Imakhala ngati gawo limodzi la matenda ashuga, imayambitsa kusintha kwamitsempha yamagazi ndi ma capillaries, ndikupangitsa kufupika.
• Kuphwanya kagayidwe kachakudya njira. Metabolism yogwira imachotsedwa, katundu pa aimpso amawonjezeka, pakapita nthawi, makinawo samapirira ndipo kusapeza bwino kumachitika.
• Kubadwa kwa majini obadwa nako. Matenda a shuga amakhala ngati othandizira kukhazikika kwa zoperewera, zomwe zimakhudza kugwira ntchito kwa impso. Izi, mosawerengeka, zimatsimikiziridwa ndikuti sikuti aliyense wodwala matenda ashuga ali ndi mtundu wawowonjezera wa matenda.

Mu magawo oyamba a kulephera kwa aimpso, kuchuluka kwa glucose komwe kumachitika m'thupi la wodwalayo kumawonedwa. Zotsatira zake, kusinthika pang'ono kwa minyewa. Pali zifukwa zingapo zosinthira. Kuphatikiza pa matenda apamwamba a shuga, omwe sanalandiridwe kapena kuthandizidwa molakwika, kugwira ntchito kwaimpso kungayambitse kunenepa kwambiri, kuthamanga kwa magazi, komanso cholowa.

Tiyenera kudziwa kuti matendawa amawonekera pazifukwa zosiyanasiyana. Gawo lodana kwambiri ndi kulephera kwa impso limayamba chifukwa:

• mavuto okhudzana ndi kulephera mtima, arrhythmia komanso kuchepa kwa magazi,
• matenda a impso, monga pyelonephritis kapena nephritis,
• ma pathologies omwe amasokoneza kuchuluka kwa genitourinary system.

Fomu yovuta imalumikizidwa ndi urolithiasis, matenda a metabolic, matenda ashuga, mtima wamitsempha yamagazi, matenda amitsempha komanso majini.

Ndizodziwikiratu kuti matendawo amayamba chifukwa thupi silitha kuthana ndi ntchito zake zazikulu, zomwe zimaphatikizapo chimbudzi komanso kusilira zinthu. Ichi ndichifukwa chake zakudya zapadera za kulephera kwa impso ziyenera kuganiziridwanso, menyu omwe tidzakambirana pansipa.

Mitundu yamatenda

Kuyerekezera njira	Mutu
	Lakuthwa	Matenda
Zifukwa	Poizoni, zoopsa, kuchepa kwa madzi, matenda opatsirana	Njira yayitali yotsutsana ndi impso, kuthamanga
Kukula kwa matenda	Wofulumira	Pang'onopang'ono
Ntchito ya Impso	Kuphwanya malamulo kumakhala kosinthika	Kuphulika kumakulitsidwa nthawi iliyonse.
Chithandizo	Kuthetsa zoyambitsa, kugwiritsa ntchito maantibayotiki	Hemodialysis, kupatsirana kwa impso

Magawo a matenda

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 ochulukirapo, zomwe zimakupatsani mwayi wowonjezera zakudya zopatsa mphamvu mpaka 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.

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. Pakuphika, zakudya sizingagwiritsidwe ntchito mchere, koma nthawi yomweyo musanagwiritse ntchito, mchere wochepa umaloledwa.

Ndikwabwino kuyambitsa kudya ndi gawo loyipa la matendawa kuchokera pagome 7b. Pambuyo pa sabata la zakudya izi, pang'onopang'ono mutha kupita pagome 7.

Chakudyacho chimatha miyezi 8-12.

1. Mkate wamba, zopangidwa ndi ufa ndi kuwonjezera kwa mchere.

2. Nyama, nsomba, msuzi wa bowa, msuzi wa mkaka, soups wokhala ndi chimanga (kupatula sago) ndi nyemba.

3. Zakudya zonse za nyama ndi nsomba (zamzitini chakudya, soseji).

5. Mbewu zonse za mpunga (mpunga) ndi pasitala.

6. Kuzifutsa, masamba, mchere.

7. Sorelo, sipinachi, kolifulawa, nyemba, adyo, radish, bowa.

8. Chocolate, ayisikilimu, mkaka odzola.

9. nyama, bowa, nsomba msuzi, mpiru, horseradish, tsabola.

10. Khofi wachilengedwe, cocoa, madzi amchere omwe ali ndi sodium.

11. Nkhumba, ng'ombe, mafuta a mutton.

1. Gawo loyamba ndi chakudya Na. 7 mukasinthanitsa mkate ndi mkate wopanda mapuloteni (1 g protein imodzi pa 1 makilogalamu a kulemera kwa wodwala) kapena chakudya No. 7 ndi masiku osala kudya 7b (protein 40g, nyama 70-75%) kapena zakudya No. 7 (protein 70g, masamba 70-75%).

- Zizindikiro zotsika: Zakudya za 7b ndi nthawi yokhazikitsidwa ndi zakudya 7 (masiku otanganidwa).

- multisymptomatic: Zakudya 7b ndi masiku osala kudya 7a (protein 20g, yomwe nyama - 70-75%).

- zosavuta: pa hemodialysis, zakudya No. 7 yokhala ndi masiku osala kudya imayikidwa, zakudya 7b kapena zakudya 7g (protein 60g, yomwe nyama - 75%).

- zovuta: zakudya 7a ndi zovuta nkhawa masiku zakudya 7b.

Chakudya cham'mawa choyamba: phala la mkaka sago, apulo ndi chidutswa cha karoti ophika mu mafuta a masamba, tiyi.

Chakudya cham'mawa chachiwiri: zipatso zatsopano.

Chakudya chamasana: supu khumi ndi ziwiri za supu zamasamba kuchokera ku masamba ophatikizika, mbatata yophika, nyama yophika ndi msuzi wa phwetekere, kissel.

Zakudya za matenda a impso kulephera koyambira (1 digiri) yamatenda imakhudzanso kuperewera kwa mapuloteni - 1 g pa 1 makilogalamu. Choyambirira ndicho mapuloteni am'mera, omwe amapezeka muzinthu zambiri monga:

Chowonadi ndi chakuti zopangidwa ndi mapuloteni awa zimakhala zosavuta kuchotsa. Kuphatikiza apo, ali ndi mitundu yambiri ya zamchere zomwe zimalepheretsa acidosis.

Ndikofunikira kwa odwala omwe ali ndi vuto la aimpso kulephera kukhala ndi zakudya zopatsa mphamvu zambiri zamafuta ndi chakudya chamagulu m'zakudya. Mwa izi, zofunikira kwambiri ndizomwe zimapezeka mu zipatso ndi ndiwo zamasamba, ndipo ziyenera kuphatikizidwa m'maphikidwe a kadzutsa, nkhomaliro komanso chakudya chamadzulo. Komabe, ndi matenda ashuga ndizoletsedwa kudya nthochi, mavwende, maapulo okoma.

Mchere wolephera kulephera kwa impso suyenera kukhala wochepa kwambiri.Sizingatheke kukhala ndi mchere pakuphika, koma pafupifupi 5-6 g mutha kuthiramo masana. Kwa odwala omwe ali ndi polyuria (kuchuluka kwa mkodzo), pamakhala lamulo lina. Amatha kuonjezera mulingo wamchere tsiku lililonse mpaka 5-6 g pa lita imodzi ya mkodzo wothira.

Madzi amadzimadzi tsiku lililonse omwe amalephera kupweteka aimpso ayenera kukhala 500 ml kuposa kuchuluka kwa mkodzo patsiku lomaliza. Izi ndizofunikira kutulutsa zinthu zonse zamkati. Kupanda kutero, amadziunjikira, zomwe zimayambitsa kuwonongeka kwa ziwalo zamkati.

Tsiku limodzi sabata iliyonse liyenera kutsitsa. Pochita izi:

Ndi matenda a shuga, kutsitsa mavwende sikungatheke. Maapulo amalimbikitsidwa kuti asankhe unsweetened.

Zakudya za kulephera kwa impso m'malo mwake kusintha kwa nthendayi kukhala gawo lotchulidwa ndizosiyana pang'ono. Kugwiritsa ntchito mapuloteni kuyenera kukhala ochepa - mpaka 20-24 g patsiku, ndipo mpaka 75% ya bukuli ayenera kukhala ndi zakudya za nyama: mazira, nsomba, nyama ndi mkaka.

Chifukwa chake, thupi lidzalandira kuchuluka kwa amino acid. Ngakhale zakudya zamkaka sizoletsedwa m'matenda a shuga, amatha kumamwa kokha ndi kuvomerezedwa ndi dokotala, apo ayi matenda a wodwalayo akhoza kukulirakulira.

Kuchuluka kwa mapuloteni okhala ndi CRF yayikulu kuyenera kuchepetsedwa, motero ndikofunikira kuwonjezera zomwe zili zamafuta ndi zakudya m'zakudya tsiku lililonse.

Kuti chakudya chiwoneke chatsopano, amaloledwa kugwiritsa ntchito zonunkhira, zitsamba, mandimu. Zowola zakuthwa siziyenera kuperekedwa kuchakudya, makamaka mpiru ndi tsabola, zomwe ndizofunikira kwambiri kwa matenda ashuga. Ngati CRF imachitika popanda edema komanso kuthamanga kwambiri, mchere umaloledwa, koma osapitilira 3 g patsiku.

Choyimira chachikulu pakugawanika pamlingo wolephera kupweteka kwa aimpso ndicho kuchuluka kwa kusefedwa kwa glomerular. GFR ndi kuchuluka kwa mkodzo woyamba womwe umayamba mu impso pachimake chimodzi cha nthawi. Nthawi zambiri, GFR ndi 80-120 ml / mphindi.

Odwala amatha kuona khungu limachepa, kuchepa pang'ono kwa magazi ndi kugwedezeka.

Kulephera kwa impso kumagawika magawo anayi. Kugawikaku kumapereka mwayi kwa azachipatala kusankha njira zoyenera zothandizira pa vuto lililonse.

Mlingo wosefera wa glomerular 60 - 89 ml / min. Fomu yotsala kapena yotsala imatchedwa choncho chifukwa ilibe zizindikiro zenizeni. Mawonetsero ake akuluakulu ndi:

• kutopa,
• kamwa yowuma
• kufooka kosalekeza.

Koma ngati gawoli lilibe zizindikiro, izi sizitanthauza kuti sazindikira. Kuyesedwa kwa magazi ndi mkodzo kungasonyeze:

• kusintha kwa phosphorous-calcium metabolism,
• dysaminoaciduria,
• kuchepa kwa ntchito zachinsinsi za tubules,
• kuchuluka kwa shuga,
• proteinuria.

Kupitilira

GFR 15 - 30 ml / min. Zimadziwika ndi kutha kwathunthu kwa zizindikiro zonse za matenda, kenako ndikuwonekeranso. Kwa omwe ali pamwambowo akuwonjezeredwa:

• kuteteza khungu,
• Khungu limatayika, limafota,
• minofu kamvekedwe kofooka
• kupweteka kwa mafupa ndi mafupa kumawonekera.

Pokwelera

Sitingasinthe. Impso sizikwaniritsa ntchito zawo, pamakhala kugonjetsedwa kwa ziwalo zina zamkati. Chizindikiro chachikulu ndikuchepa kwa kutulutsa mkodzo, mpaka pakutha kwathunthu kwa mkodzo. GFR 15 - 5 ml / min. Zizindikiro zina zimaphatikizapo:

• kukhazikika mtima
• kusowa tulo
• mawu mokweza
• mpweya wa ammonia
• fungo la mkodzo kuchokera kwa wodwala.

Kupulumutsa moyo wa wodwala pakadali pano ndikotheka kokha ndi hemodialysis.

Tiyeni tikambirane mwatsatanetsatane kuti ndi iti mwa magawo asanu ndi awiri aakudya yomwe imagwiritsidwa ntchito pakuchepa kwa impso, komanso kuti wodwalayo achire msanga.

Menyu ndi zakudya mu 1 mawonekedwe

Pomwe matenda akakhazikika, koyambirira, wodwalayo amapatsidwa chakudya No. 7. Mkate suyenera kukhala ndi mapuloteni. Kuchuluka kwa mapuloteni tsiku ndi tsiku sikuyenera kupitirira 60 g, koma kuchuluka kumeneku kumatha kutsika kutengera ndi kuchuluka kwa wodwala.

Odwala oterewa amalangizidwa kuti azisala kudya masiku awiri, katatu kapena katatu pa sabata. Masiku ano, munthu ayenera kutsatira zakudya za 7B, ndiko kuti, kudya mapuloteni ochepa.

Pakadali pano, kudya kwamadzimadzi sikochepa.

Ndalamayi imaloledwa kumwa kwa wodwala tsiku lotsatira.

Chovomerezedwa mpaka 5 g mchere, bola wodwala alibe edema komanso kuthamanga kwa magazi.

Mu gawo lachiwiri

Mu kulephera kwa aimpso, giredi 2, wodwalayo amawonetsedwa kuti amatsatira zakudya No. 7B nthawi zonse. Ndi chakudya, kuwonjezera pa mapuloteni, ndikofunikira kuchepetsa kuchuluka kwa phosphorous muzakudya. Wodwala saloledwa kuphatikiza chakudya:

• dzira yolk
• nyama yankhuku
• mtedza
• nyemba
• zopangidwa mkaka.

Phunzirani momwe mungachepetse creatinine m'magazi pogwiritsa ntchito zomwe zalembedwa.

Gawo 1 - mawonekedwe ofatsa matendawa, omwe amatha kuchitika osadziwika. Chifukwa chake, panthawiyi ndikulimbikitsidwa kuti muchepetse kuchuluka kwa mapuloteni mpaka 70 magalamu patsiku.

Ndikwabwino kudya mapuloteni okhala ndi masamba omwe amapezeka mumasamba, mtedza, ndi mkate.

Komanso, dziikeni pang'ono pakudya zamchere mpaka 4-5 magalamu patsiku, koma ndikofunikira, mwachitsanzo, kuphika chakudya chopanda mchere konse. Kuchuluka kwa zakumwa zamadzimadzi siziyenera kupitirira mkodzo monga momwe zimaperekedwa patsiku zoposa 500 magalamu.

Kamodzi pa sabata, ndibwino kuti impso zimatha tsiku lokhazikika (apulo, mbatata, dzungu).

Gawo lachiwiri - pali vuto laimpso pang'ono, koma osakhala ndi matchulidwe. Pakadali pano, kuchuluka kwa mapuloteni patsiku kumachepetsedwa mpaka 20-25 magalamu, ndipo gawo lalikulu la mapuloteni liyenera kupangidwa ndi mapuloteni omwe amayambira nyama: nsomba, mkaka, nyama, dzira.

Chifukwa cha kuchepa kwambiri kwa mapuloteni mthupi, mphamvu yamagetsi imayenera kuwonjezeka chifukwa cha mapuloteni ammasamba ndi mkaka, komanso, zakudya. Mchere umatha kudyedwa magalamu 2-3 patsiku.

Kuchuluka kwa madzimadzi sikuyenera kupitilira kuchuluka kwa mkodzo patsiku zoposa 500 magalamu. Madzi amathiridwa m'malo ndi madzi ndi zipatso zamasamba.

Ndikofunikira kupatula khofi, cocoa, chokoleti, msuzi wa bowa, nyama ndi msuzi wa nsomba, komanso, mowa pazakudya.

Gawo lachitatu - lagawidwa m'magawo A ndi B. Gawo B limakhala kuti zidziwitso zimawonekera, monga kuziziritsa, kutopa, kupweteka kwa mafupa. Choyambirira kupatula ndi nyama, nsomba, mkate.

Mchere wamchere tsiku lililonse ndi magalamu awiri a 2-4, mafuta 120 magalamu, chakudya 250-350 magalamu. Madziwo amakhalabe ogwirizana ndi kuchuluka kwa mkodzo watsiku ndi tsiku. Mutha kugwiritsa ntchito masamba, zipatso, mafuta amkaka, mafuta a masamba muzakudya zanu.

Chenjezo: horseradish, adyo, radish, mpiru, ketchup - siyenera kukhala m'zakudya zanu.

Gawo 4 - kusokonezeka kwa impso, kupsinjika, kulephera kudya. Kuchuluka kwa mapuloteni amayenera kuwerengedwa, 0,7-1 gramu / 1 kg ya thupi patsiku. Chakudya chopanda mchere, ngati kuthamanga kwa arthritic kuli kochepa, kumaloledwa mpaka magalamu awiri patsiku.

Zakudya zamasamba, zipatso, mkaka, kabichi, bowa ndizochepa. Apricot, nthochi, mitengo yamapiri, zoumba - sizimaphatikizidwa kwathunthu ndi zakudya za tsiku ndi tsiku. Mafuta - 700-800 magalamu patsiku. Mafuta ndi magalamu 110, chakudya - 450 magalamu. Chakudya 6 pa tsiku, m'magawo ang'onoang'ono.

Gawo 5 - pakadali pano, impso sizingagwire ntchito moyenera. Pakadali pano, mafuta sayenera kupitirira 70 magalamu, chakudya 400 magalamu. Blackcurrant, vwende, pichesi, udzu winawake, chicory samachotsedwa kwathunthu kuzakudya. Zakudya zamphamvu komanso zamchere, zakudya zamzitini, soseji, chokoleti, bowa ndi msuzi wa nyama (msuzi) ndizoletsedwa.

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Odwala omwe ali ndi matenda ashuga omwe amayamba kulephera a impso mu gawo lotsiriza amathandizira miyoyo yawo kudzera mu njira za dialysis. Munthawi izi, zinyalala zomwe zimakhala ndi nayitrogeni zimachotsedwa m'mwazi.

Kutsetsereka ndi njira yodula komanso yosasangalatsa, yokhala ndi chiwopsezo chachikulu chotenga kachilomboka. Kuti achepetse kuchuluka kwake, odwala amalimbikitsidwa kuti achepetse kuchuluka kwa mapuloteni ndi madzi.

Pakadali pano kulephera kwa impso, chakudya chamafuta ochepa, zama protein ambiri sizabwino. Nthawi zambiri, mapuloteni azakudya amakalowa chakudya.

Madera ena a Western dialysis tsopano amalimbikitsa kuti odwala awo odwala matenda ashuga azitha kuthira mafuta a azitona m'malo mwa chakudya. Ili ndi mafuta ambiri athanzi.

Kwa tsiku limodzi, mutha kupatsa munthu yemwe ali ndi gawo ili la matendawa, menyu otsatirawa:

• Chakudya cham'mawa chimakhala ndi tiyi wopepuka ndi uchi kapena kupanikizana, mazira a nkhuku yophika ndi mbatata zingapo zophika.
• Pazakudya zazakumwa, imwani tiyi wazakudya ndipo idyani wowawasa kirimu kapena yogurt.
• Idyani m'mbale ya msuzi ndi mphodza zamasamba.
• Pa chakudya chamadzulo, mutha kudya phala la mpunga ndi mkaka ndi kapu ya tiyi ndi jamu.

Ndi matendawa, ntchito ya impso ikukulira. Pakadali pano, chakudya chofunikira kwambiri chimakhala chofunikira kwambiri kuposa momwe chinalili kale.

Thupi limakhala ndi poizoni ndi zomwe limapanga michere, ndichifukwa chake ziwalo zambiri zamkati zimakhudzidwa. Kuphatikiza pa kuwerengera mosamala mlingo wa tsiku ndi tsiku wa mapuloteni, zakudya zopanda mafuta ziyenera kudyedwa.

Mkaka, masamba ndi zipatso, komanso bowa, amachepetsa kwambiri. Zakudya zina zimayenera kusachotsedwa kwathunthu kuzakudya.

Izi zimaphatikizapo nthochi, ma apulosi, zipatso zouma, zakudya zonunkhira ndi masoseji. Amaloledwa kumwa phwetekere, apulo, chitumbuwa ndi mandimu.

Zizindikiro zakulephera kwa impso mu shuga

Ndi zizindikiro zoyambirira za kuwonongeka kwa impso mu shuga, albumin imawonekera mkodzo (puloteni yaying'ono yomwe imatha kudutsa m'makoma a mitsempha yamagazi ndi kuchuluka kwowonjezereka) pang'ono. Komabe, chiwerengerochi ndi chochepa kwambiri kotero kuti maphunziro azomwe amachita nthawi zonse sangathe kulembetsa zonyansa.

Kutsimikiza kwa mapuloteni a mkodzo kumachitika kawiri, chifukwa zakudya, zolimbitsa thupi zimatha kukhudza kutuluka kwa mapuloteni mumkodzo. Ngati chimbudzi cha mapuloteni ndi mkodzo chikujambulidwa nthawi zonse, ndiye kuti titha kulankhula za magawo oyamba a kulephera kwa impso.

Kwa odwala matenda a shuga, mayesowa amayenera kuchitika chaka chilichonse. Komabe, kukhalapo kwa mapuloteni a mkodzo sikuti nthawi zonse kumangowonetsa kuwonongeka kwa impso.

Ndi matenda a kuthamanga kwa magazi, kuchepa kwa kuchuluka kwa shuga m'magazi, kukhazikika kwa kuchuluka kwa cholesterol, ndizotheka kuti musangoletsa kupititsa patsogolo kwa matendawa, komanso kusintha mkhalidwe.

Zakudya zoyenera, chithandizo choyenera cha matenda osokoneza bongo chitha kusiya kupita patsogolo, kusintha mkhalidwe wa wodwalayo.

Zizindikiro zotsatirazi zikusonyeza kukula kwa aimpso motsutsana ndi matenda a shuga:

• kusokonekera kwakukulu,
• kulimbikira kapena pafupipafupi kumutu
• kudzimbidwa limodzi ndi mseru komanso kusanza,
• Khungu lowuma komanso loyera
• kulawa koyipa mkamwa, makamaka zachitsulo,
• kupuma movutikira komwe munthu amapuma.
• mpweya wabwino
• kukokana ndi malovu m'misempha ya ng'ombe.

Kuzindikira mkhalidwe wa impso pamaso pa matenda a shuga

Kuti mudziwe kuchuluka kwa kuwonongeka kwa impso kwa odwala omwe akudwala matenda a shuga, ndikofunikira kuchita izi:

1. Khalani ndi ma impso.
2. Patsani magazi kuti mupeze urea ndi uric acid mkati mwake.
3. Dziwani kuchuluka kwa creatinine m'magazi.
4. Ikani urinalysis ndikuwona kukhalapo kapena kusakhalapo kwa macro- ndi microalbuminuria mmenemo.
5. Dziwani kuchuluka kwa mapuloteni mu mkodzo.
6. Chitani chithunzi chamiyendo cha impso ngati mwapezeka ndi glomerulonephritis, matenda a impso omwe amakhudzidwa ndi glomerulitis (glomeruli ya impso).

Asanayambe kuyesa mkodzo ndi magazi, madokotala amalimbikitsa kuti mukhale odekha osatulutsa thupi kuti lizichita zolimbitsa thupi zomwe zingasokoneze zotsatira za maphunziro.

Kuyesedwa kwa matenda ashuga

• Onani magazi a urea ndi uric acid.
• Tengani kuti muwerenge momwe mulili wa enodrogenic creatinine.
• Khalani ndi scan scanner.
• Ndi matenda a glomerulonephritis, chitani impso.
• Tengani mkodzo kuti muwone ma micro- ndi macroalbuminuria.
• Onani mapuloteni (proteinuria).
• Surrender for creatinine - kuwerengera liwiro pomwe glomerular fyuluta - nephron Zosefera. Momwe zimakhudzira kwambiri chiwalocho, chimachepetsa. Norm - 120 ml ya magazi mphindi.
• Kuyang'ana mkodzo wa micro- ndi macroalbuminuria, kuwulula kuchuluka kwa albumin ndi creatine.
• Albirin ndi mapuloteni mu mkodzo. Kupatuka kwake kumakhala kofanana ndi gawo loyamba la kuwonongeka kwa mtima. Ngati izi zadziwika, muyenera kupita kukaonana ndi mtima.

Musanayambe kuyesa mkodzo ndi magazi, sikulimbikitsidwa kuti muwonjezere masewera olimbitsa thupi - chinthu chomwe chimakhudza kuchuluka kwamapuloteni. Mimba, kutentha thupi, kudya mapuloteni, matenda amtima, kapena ma ducts omwe ali ndi matendawa amatha kusokoneza chisonyezo.

Mndandanda wazidziwitso za kusanthula shuga

Popeza taphonya gawo loyambirira la matendawo, wodwalayo atenga zovuta zowonjezera - proteinuria (mamolekyulu a protein amapitilira kukula).

Kuchiza matenda

Chithandizo cha kulephera kwa impso mu shuga zimatengera gawo la zotupa. Nthawi zina zakudya zoyenera ndi chithandizo choyenera zimabweretsa zotsatira zabwino. Ndipo pa siteji yotsiriza, hemodialysis ndi zida zochitira impso zofunika.

Tikunena zinthu zazikuluzikulu zomwe ziyenera kuonedwa kuti zili ndi chiyembekezo komanso ndi chithandizo pamlingo uliwonse.

1. Mphamvu yamagalasi Ichi ndi chofunikira onse kuchipatala komanso kupewa. Manambala abwinobwino a shuga azithandiza kuiwalako za matenda osatha kwa zaka zikubwera.
2. Kuyendetsa magazi. Chithandizo cha izi chidzathandiza kupewa kuchuluka kwa zida za impso.
3. Onetsetsani kuchuluka kwa mafuta m'thupi.
4. Kuthandiza pa nthawi yake matenda opatsirana a impso ndi kwamikodzo, chifukwa n`zotheka kuwononga mitsempha yomwe imalengeza kudzaza kwa chikhodzodzo.

Chithandizo cha nephropathy chimayamba ndi shuga. Kupatula apo, ndizofunikira kwambiri za shuga zomwe zimayambitsa kukula kwa impso mu shuga.

Njira yotsatira yolimbana bwino ndi matendawa ndi kuchepa kwa kuthamanga kwa magazi.

Ndikofunikira kuti kupanikizika kutha kukhala kosavuta pamlingo wa 130/80, ndipo kungakhale kwabwinoko ngakhale pang'ono.

Pomaliza, zakudya zimathandiza kwambiri kulephera kwa impso, matenda ashuga. Inde, kutsatira malamulo ena okhudzana ndi zakudya kumatha kuchepetsa kuchuluka kwa shuga m'magazi ndikuchepetsa nkhawa pa impso, motero kupewa kugonjetsedwa kwa ma capillaries atsopano.

Nditamaliza mayeso ofunikira, achipatala amapereka lingaliro lotsimikizira kuti matendawo apezeka ndi matendawa. Pazifukwa izi, chithandizo chidzaperekedwa.

Magawo a mkhutu aimpso ntchito:

• wamba ndi 1,
• mwana - 2,
• zolimbitsa - 3 A ndi 3 B,
• kutchulidwa - 4,
• kulephera kosalephera - 5.

Zonsezi zimadalira kuchuluka kwa kusefedwa kwa glomerular. Zizindikirozo ndi 90, wokhala ndi mawonekedwe osakwana - 15 ml / min. Popanda kuyambitsa matenda, vuto silinatchulidwe. Imadziwoneka yokha mu gawo lachinayi, ndi mlingo wa 15 mpaka 29 ml / min.

Panthawi ya matenda a impso a shuga odwala matenda ashuga panthawi ya mankhwalawa, ndikofunikira kumwa mankhwala ochepetsa shuga. Amasankhidwa kutengera gawo la ndondomekoyi. Mlingo umasinthidwa nthawi ya 4 - 5, popeza pali china chake cha hypoglycemia.

Kuwongolera ADT

Fotokozerani zoletsa za ATD zomwe zimathandizira kukakamiza kwa mitsempha ya glomerular. Kugwiritsa ntchito mitundu yayitali kwakanthawi kovomerezeka kumakhala kovomerezeka (ali m'thupi kwa maola 24). Mankhwala achilendo amagwira ntchito kwa 3-4. Angiotensin-II receptor blockers ali ndi zovuta zochepa kuposa ATP inhibitors, zomwe zimayambitsa kutsokomola mukamatenge.

Kuwongolera triglycerides ndi lipoproteins

• Kuwonjezeka kwa cholesterol yabwino - lipoproteins yapamwamba imapereka chitetezo ku ziwiya kuti zisawonongeke.
• Triglycides imagwira ntchito yopanga maselo atsopano m'thupi. Kuwonjezeka kwa msambo wawo ndi kuchepa kwa cholesterol yabwino kumapangitsa kuphwanya kwamitsempha yamagazi.
• Cholesterol yoyipa - lipoprotein yotsika kwambiri, ikachulukitsa zomwe zili m'magazi, zimayamba kukhazikika pamakoma a mitsempha yamagazi ndikuchepetsa. Izi zimatha kuyambitsa matenda a impso ndi nephropathy.
• Pofuna kupewa njirayi, ma statin ndi omwe amapatsidwa.

Kuletsa matenda

Mndandanda wa mankhwala othandizira ochizira matenda a impso mu shuga

Matenda amitsempha kumayambitsa matenda osokoneza bongo. Choyambitsa chimatha kukhala neuropathy - matenda amanjenje mu shuga, omwe amakhudza minofu yamitsempha yamagazi ndi mitsempha yamagazi. Njirayi imakhudza minofu ya chikhodzodzo komanso thirakiti.

Njira yotsika yochotsa dongosolo lonse, imatsogolera, nthawi zina, kumatenda kuchokera pakukodza kwa mkodzo wosayenda. Zotupa zamtunduwu zimatchedwa "neurogenic." Kuzindikira kumeneku kumakhazikitsidwa chifukwa cha kuwonongeka kwa mitsempha yotsiriza, yomwe imayimira kudzazidwa kwa chikhodzodzo kapena kutaya kwake.

Pamene prerequisites yokhala ndi matendawa itawonekera, kuyesedwa kowonjezereka kumayikidwa.

Mankhwala ogwiritsa ntchito

Chithandizo cha impso ndi matenda a shuga chimachitika mothandizidwa ndi nephroprotectors omwe amaonetsetsa kuti metabolism yachilengedwe imakhala yachilendo. Mankhwala amathandizidwa ndi adokotala, aliyense payekha kwa wodwala aliyense.

Ngati ndi kotheka, mankhwalawa amagwiritsidwa ntchito pochepetsa kuthamanga kwa magazi kapena kupewa magazi m'thupi (erythropoiesis stimulants). Komabe, m'malo ovuta kwambiri, mankhwala akasiya kuthandiza, dialysis (hemo- kapena perinatal dialysis) imagwiritsidwa ntchito.

Kuthandizira pakuchita opaleshoni ndikotheka, komwe kufalikira kumachitika. Poterepa, ngozi yake ili m'thupi kukanidwa ndi thupilo. Mu nthawi ya ntchito, wodwalayo amapatsidwa mankhwala omwe amachepetsa chitetezo cha mthupi, zomwe zimawonjezera mwayi wokhala ndi chiwalo chatsopano. Wodwala wodwala matenda ashuga azikhala ndi shuga wambiri, apo ayi kuonongeka kwa ziwalo kudzachitika.

Chithandizo cha impso ku matenda a shuga chimayikidwa ndi dokotala, kutengera gawo la nthendayo komanso thanzi la wodwalayo.

M'milandu yapamwamba kwambiri, pamene mankhwala osokoneza bongo sanabweretse zotsatira zomwe zinali zofunika, ndipo sizotheka kuyambiranso kugwira ntchito kwa impso.

Zakudya za impso ndi shuga

Chofunikira pakugwirira ntchito kwa odwala matenda ashuga omwe ali ndi vuto limodzi la impso sikuti kungokhala chithandizo choyenera, komanso kutsatira zakudya zapadera. Amadziwika ndi malamulo otsatirawa:

• Chepetsani kugwiritsa ntchito zinthu zamapuloteni mpaka 50 g patsiku, komanso mu magawo owopsa a kulephera kwa aimpso - kuthetsani kwathunthu.
• Bwezerani ndalama zamagetsi ndi mafuta ochulukirapo komanso mafuta.
• Phatikizani masamba ndi zipatso za pectin muzakudya.
• Pewani zakudya zamzitini zokhala ndi mchere wambiri mzakudya.
• Kukana masoseji, kusuta nyama ndi zipatso, nyama yamafuta.
• Chepetsani kuchuluka kwa tiyi wamphamvu, khofi, nyama ndi msuzi wopangidwa ndi nsomba.
• Osamadya zakudya zomwe zili ndi potaziyamu ambiri kwambiri - mtedza, zipatso zouma, mapichesi, mapeyala ndi kiwi.
• Bwezeretsani mndandawo ndi zakudya zamafuta ambiri: nsomba zamafuta ochepa ndi nyama, mazira (onaninso - mndandanda wazakudya za shuga sabata limodzi).
• Kuphika pogwiritsa ntchito poto, mwachangu, mphodza.
• Chepetsani kudya kwamchere ndipo, ngati zingatheke, muchepetsani zero.
• Pitani ku menyu yazokondweretsa - kubwereza chakudya kangapo patsiku 5-6 patsiku, ndikupanga magawo mwaluso.

Atangozindikira matenda a shuga, wodwalayo ayenera kusiya zizolowezi zoipa monga kumwa mowa ndi kusuta.

Mndandanda wachindunji wazoletsa zoletsedwa komanso zololedwa zimatengera gawo la matendawa, amapangidwa ndi adokotala pawokha.

GI mu zakudya mankhwala a matenda a impso

Zakudya za pachimake aimpso kulephera amatithandizanso kupewa kuwonongeka kwa mapuloteni ku minofu ya thupi. Cholinga chake chachikulu ndikubwezeretsa metabolism yachilengedwe. Komabe, ndi gawo loyambirira la kulephera kupweteka kwa impso, kudya sizotheka. Munthu panthawiyi ali osazindikira chifukwa chodzidzimutsa, kuvulala kapena kuchitidwa opaleshoni yayikulu.

Kufunika kwa osiyidwa kumatha, wodwalayo amasinthira ku zakudya zamankhwala. Zakudya pankhaniyi ziyenera kusankhidwa ndi dokotala, ndipo wodwalayo ayenera kutsatira malangizo onse ngati akufuna kukhala bwino.

Chinthu chachikulu mu chakudya chifukwa cha pachimake aimpso kulephera ndikuchepetsa mapuloteni 40-60 g patsiku. Wodwala ayenera kusankha zakudya zomwe zili ndi zakudya zamafuta kwambiri komanso mafuta, kuwonjezera pa mwanawankhosa, ng'ombe ndi nkhumba. Zakudya zonse zopatsa mphamvu ziyenera kukhala zapamwamba, popeza chiletso chimakhazikitsidwa ndi mapuloteni. Kuti abwezeretse mavitamini ambiri, wodwalayo ayenera kumwa timadziti tamphamvu tambiri, tomwe timathandiza:

Zakudya zoperewera zaimpso zimafuna kuti zakudya zonse ziziphikidwa popanda mchere, koma zimatha kuthiridwa mchere pang'ono ataphika. Nyama ndi nsomba zam'madzi zimatha kudyeka zophika, broth zochokera pazinthu izi ndizoletsedwa. Misuzi yonse iyenera kukhala yokonzedwa molingana ndi maphikidwe a anthu azamba.

Zamasamba omwe ali ndi vuto loti impso limachita, zotsatirazi ndizothandiza:

• mbatata
• karoti
• beets
• kolifulawa
• saladi
• tomato
• nkhaka
• anyezi wobiriwira
• katsabola
• parsley.

Mazira amathanso kupezekanso pamasamba a odwala; mapiritsi amtundu umodzi amathanso kudyedwa patsiku. Za maswiti, kupanikizana, uchi, maswiti ovomerezeka.

Ngati nkovuta kuyendetsa popanda mchere, chakudya chimaloledwa kukoletsedwa ndi mandimu, viniga. Amaloledwa kuwonjezera pang'ono horseradish, anyezi, adyo.

Zakudya zomwe zimalepheretsa impso kulephera kupereka thupi ndi kuchuluka kwa michere kuti tipewe kuwonongeka kwa mapuloteni am'mimba ndi mapangidwe a urea.

Kutsatira mfundo zachakudya ndikusankha zakudya zololedwa zokha, odwala amathandizira kuti azichira mwachangu. Malinga ndi madokotala - popanda kudya, kuchiritsa ndikosatheka.

Zakudya za impso zamagulu a shuga ziyenera kukhala zochepa-carb ndipo zimakhala ndi mapuloteni ochepa a nyama. Zakudya zoterezi sizichulukitsa shuga wamagazi, motero kukhazikitsa komanso nthawi yomweyo osalemetsa ntchito ya impso.

Matenda a shuga enieni amakakamiza munthu moyo wake wonse kuti azitsatira chithandizo chamankhwala malinga ndi kusankha kwa mankhwala a GI. Chizindikiritso ichi mu digito chimawonetsa mphamvu ya chinthu chomwe chimapangidwa mu chakudya m'magazi a glucose pambuyo pake.

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:

1. 0 - 50 PIECES - chizindikiro chotsika,
2. 50 - 69 PIECES - pafupifupi,
3. 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 chomwe chimakhala ndi zolembera zingapo chimaloledwa 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.

Wodwala akapezeka kuti ali ndi vuto laimpso ndipo magazi ake amawonjezereka pafupipafupi, ndikofunikira kugwiritsa ntchito zakudya zomwe zili ndi index yotsika ya glycemic.

Tikufufuza

Zakudya za impso zamagulu a shuga ziyenera kukhala zochepa-carb ndipo zimakhala ndi mapuloteni ochepa a nyama.Zakudya zoterezi sizichulukitsa shuga wamagazi, motero kukhazikitsa komanso nthawi yomweyo osalemetsa ntchito ya impso.

Chinsinsi cha njira ya hemodialysis

Hemodialysis ndi njira yowonjezera yoyeretsera magazi.

Chipangizo chapadera chimasefa magazi a wodwalayo kudzera mu umwini, ndikuyeretsa poizoni ndi madzi osiyanasiyana. Chifukwa chake, zida zamtunduwu nthawi zambiri zimatchedwa "impso yokumba."

Mfundo zoyendetsera chipangizochi ndi motere. Magazi ochokera mu mtsempha amalowa mkati mwake, ndipo machitidwe oyeretsa ake amayamba.

Kumbali imodzi ya nembanemba yapadera, magazi amayenda, ndipo mbali inayo, dialysate (yankho). Muli zinthu zomwe zimakopa madzi ochulukirapo komanso mitundu yambiri ya poizoni. Kuphatikizika kwake kumasankhidwa kwa wodwala aliyense payekhapayekha.

Zizindikiro zikuluzikulu zakugwira ntchito kwa ziwalo zophatikizika kwa genitourinary system ndizomwe zili mu albumin mu mkodzo, kuchuluka pakati pa kuchuluka kwa albumin ndi creatinine mu mkodzo, GFR. Chifukwa chake, wodwala pachaka amakumana ndi mayeso, monga:

• kuyesa kwamkodzo kwa albumin,
• kuyang'ana mkodzo ndi magazi a creatinine.

Kafukufuku amachitika ndi pafupipafupi:

• Mukazindikira matenda ashuga amtundu woyamba, atangoyamba kumene kapena atakula, impso zimayang'aniridwa zaka 5 pambuyo pakupezeka kwa matenda amisempha, mayeso amtsogolo amachitika chaka chilichonse.
• Anthu omwe ali ndi matenda a mtundu woyamba omwe amadwala kutha msambo amayendera nthawi yomweyo, popeza ali pachiwopsezo, mayeso omwe amadzaperekedwa mobwerezabwereza amabwerezedwa chaka chilichonse.
• Mukazindikira matenda amtundu wachiwiri, impso zimayang'aniridwa nthawi yomweyo, kubwereza njirayi pachaka.

Kuku ndi Apple Saladi

Zosakaniza: bere la nkhuku, tomato, mbatata, maapulo, nkhaka zatsopano, mafuta a azitona kapena masamba. Chinsinsi: wiritsani nkhuku ndi mbatata mpaka kuphika. Peulo maapulo ndi mbewu. Dulani zosakaniza zonse mu kanyumba kabiri, ikani mu mbale ya saladi ndi nyengo ndi batala. Ngati mungafune, muchepetse mchere ndi kukongoletsa ndi masamba musanatumikire.

Carrot cutlets

Zakudya izi ndizosavuta komanso zosavuta kukonza, sizifunikira zosakaniza zapadera. Kaloti a Chinsinsi ichi angagwiritsidwe ntchito yophika komanso yaiwisi.

Zinafunika:

• 300g kaloti,
• 80g semolina,
• Dzira limodzi la nkhuku
• 25g ya mafuta masamba.

Pogaya karoti (yaiwisi kapena yophika). Onjezani semolina ndi dzira, sakanizani bwino zosakaniza zonsezo.

Thirani mafuta a masamba mumphika wamoto. Pangani ma cutlets ndi supuni, ikulungirani zotsalira za chimanga ndikuyika poto.

Ma cutlets amafunika kuwaza mbali zonse mpaka golide wagolide kwa mphindi zingapo. Kenako ayikeni kwa mphindi zingapo pansi pa chivindikiro.

Tumikirani cutlets ndi kirimu wowawasa.

Zipatso zonona

Mutha kuphika zakudya zosiyanasiyana ndi zipatso. Kuti mukonzekere, muyenera kutsatira izi:

• Zipatso 300g
• Magalasi atatu amadzi
• magawo atatu a chikho cha shuga,
• Supuni 3 za wowuma wa mbatata.

Chipatso chimasankhidwa, kutsukidwa ndi madzi, kudulidwa kapena kupukutidwa kuti chikhale ngati yunifolomu. Wiritsani makapu awiri a madzi, uzipereka shuga ndi wowuma, wothira mu chikho chimodzi cha madzi ozizira. Pambuyo otentha yikani grated zipatso. Chotsani nthawi yomweyo pamoto ndi kutsanulira mu mbale kuti kuzizire.

Borsch wamasamba

Kuti mukonzekere muyenera:

• 1 kachikumbu
• 300g kabichi,
• 2 mbatata
• 1 phwetekere
• Anyezi 1,
• 1.5 malita a madzi
• amadyera
• 1 karoti
• uzitsine shuga.

Beets amafunika kutsukidwa ndikuwaphika m'madzi otentha mpaka theka kuphika. Pambuyo pozizira komanso pogaya ndi grater masamba.

Mphodza anyezi osankhidwa ndi kaloti ndi kuwonjezera kwa phwetekere mu masamba mafuta. Tulutsani mbatata, kudula mu magawo ndikuviika mu msuzi wa beet.

Pambuyo mphindi 10 yikani akanadulidwa kabichi. Onjezani masamba ophikidwa mu batala ndi shuga pamene kabichi ikonzeka.

Mukatumikira, mutha kuwonjezera kirimu wowawasa ngati mukufuna.

Dzungu phala

Kuti mukonzekere, muyenera kutenga:

• 400g dzungu
• 0,4 malita mkaka
• 150g mpunga
• 0,3 malita a madzi
• batala ndi shuga monga mukufuna.

Dzungu liyenera kusomedwa ndi njere ndikuphwanyidwa masentimita 1. Bweretsani mkakawo chithupsa, ikani dzungu lowotchera pamenepo ndi kuwira kwa mphindi 20.

Pakadali pano, sambani mpunga wosambitsidwa ndi madzi ndikuphika kwa mphindi 10. Dzungu lowiritsa mumkaka liyenera kuchotsedwa pamoto ndikusenda pogwiritsa ntchito blender kapena pusher yapadera.

Ndiponso, bwerera kumoto ndikuwonjezera mpunga wophika. Wiritsani phala kwa mphindi zina 5 pa kutentha kochepa kwambiri.

Amapereka phala ndi batala ndi shuga.

Cottage Cheese Casserole

Kuti mukonzekere muyenera kutenga:

• 300g kanyumba tchizi
• Dzira 1
• Supuni ziwiri semolina,
• 100g kefir,
• shuga kulawa
• zipatso ndi zipatso kulawa.

Ndikofunikira kusakaniza semolina ndi kefir ndikusiya kwa mphindi 10-15 kuti phala limatupa. Pogaya tchizi tchizi ndi dzira, onjezani shuga kuti mulawe (mutha nawonso popanda iwo), sakanizani ndi chisakanizo cha kefir ndi semolina.

Ngati mukufuna, mutha kuwonjezera zipatso zosankhidwa kapena zipatso zingapo. Ikani chophikacho mu mbale yophika ndikuyika mu uvuni womwe umaphatikizidwa mpaka 180 ° C kwa mphindi 30-40.

Chotsani mbale yomalizidwa pafomupo ndikuwotcha wowawasa zonona, ngati mukufuna.

Powerengera mwachidule, tiyenera kudziwa kuti kutsatira kadyedwe ndikutsatira zakudya zopatsa thanzi kumalola odwala kuchepetsa kwambiri kutupa, kusintha magazi, kubwezeretsanso zinthu zoperewera m'thupi komanso kuwononga thanzi.

Koma nthawi yomweyo, ndikofunikira kukumbukira kuti kuyamba kuchita pankhaniyi ndikosavomerezeka. Anthu omwe akudwala matenda ena a impso sangathe kugwiritsa ntchito mankhwala ochiritsira kulephera kwa impso.

Dokotala wokhawo amene amapezekapo, kutengera zotsatira za kafukufuku ndi matenda, ndi omwe angapereke malangizo pazakudya zoyenera ndikupereka mankhwala kapena zakudya.

Kuti mukhale ndi thanzi labwino ngati mukudwala matenda a impso, maphikidwe sayenera kukhala ndi zakudya zoletsedwa pamndandanda uno. Chimodzi mwa zosavuta zophika bwino ndizodula karoti. Zapangidwa mophweka:

1. Wiritsani kaloti. Kuziziritsa, peel ndi kabati bwino.
2. Onjezani theka la semolina, shuga ndi mchere.
3. Kani mtanda ndi kupanga cutlets. Pereka iwo semolina.
4. Mwachangu mu masamba mafuta - mphindi zitatu mbali imodzi ndi 10 mbali inayo, mutatsitsa kutentha ndikuphimba poto ndi chivindikiro.
5. Musanatumikire, onjezerani kuvala kirimu wowawasa ndi zitsamba.

• semolina - 100 g
• kaloti - 0,5 makilogalamu
• shuga - supuni 1,
• mchere
• wowawasa zonona ndi zitsamba kuti mulawe.

Dzungu Puree Msuzi

Zosakaniza: theka la kilogalamu ya dzungu, 500 ml ya nkhuku, mutu umodzi wa anyezi, supuni imodzi ya batala, magalamu 8 a curry ufa, uzitsine mchere.

Kukonzekera: Dulani dzungu laudawo mutizidutswa tating'ono. Ponya mafuta ndi anyezi wosenda bwino mu poto. Mwachangu mpaka golide bulauni ndi kutsanulira curry, dzungu, mchere. Kenako amathira msuzi ndi kapu imodzi yamadzi. Kuphika mpaka wachifundo, pafupifupi mphindi 20. Pogwiritsa ntchito chosakanizira, panga msuzi wosenda ndi kuyimitsa mutawira.

Dzungu msuzi ndi urolithiasis

Zosakaniza: kilogalamu imodzi ya tchizi tchizi, mazira atatu, 300 magalamu a shuga, zoumba, magalamu atatu amchere, vanillin, batala kuti apaka mawonekedwe, 100 magalamu a semolina, kirimu wowawasa, mkaka.

Kukonzekera: kutsanulira semolina mkaka, zilowerere zoumba. Tsitsani shuga ndi mazira. Mu kanyumba tchizi onjezerani semolina, mazira omenyedwa ndi shuga, mchere, zoumba, kirimu wowawasa. Ikani chilichonse pachikombole chomwe chimaphikidwa mafuta ndi kuwaza ndi ufa. Sungunulani misa ndi mafuta ndi dzira kapena kirimu wowawasa. Kuphika kwa mphindi 55 pa madigiri a 180 mu uvuni wa preheated. Ikhoza kuthandizidwa ndi kirimu wowawasa, kupanikizana, uchi.

Saladi wa Beetroot

Zosakaniza: ma beets atatu apakatikati, mazira atatu, 200 magalamu a tchizi wolimba, 100 ml ya kirimu wowawasa, mchere, tsabola kuti mulawe.

Kukonzekera: beets zithupsa ndi mazira. Mu mbale yayikulu, ikani beets ndi tchizi grated pa grarse coarse. Pangani mazira ndikuyika pamodzi ndi zosakaniza zina zambiri.Muziganiza bwino mpaka osalala.

Hemodialysis: Zizindikiro ndi ma contraindication

Zakudya za zakudya zimaperekedwa kwa odwala omwe ali ndi matenda a impso, edema komanso matenda operewera.

Ndi matenda a impso, odwala amapatsidwa chakudya No. 7. Ili ndi mitundu yambiri ya 7A, 7B, 7B, 7G, 7r.

Choyimira chachikulu pakupanga zakudya izi ndi kuchuluka kwa mapuloteni, ndiwo:

1. Chakudya chokhala ndi mapuloteni ochepa-7A chimapereka mpumulo waukulu kwa impso, chimachotsa chimanga ndi zinthu za metabolic m'thupi, ndipo izi zimathandizanso kuchepetsa magazi ndipo zimakhala ndi anti-yotupa. Kugwiritsa ntchito zakudya 7A kumaphatikizapo kugwiritsa ntchito mapuloteni osaposa 20 g patsiku.
2. Zakudya za 7B zimafotokozedwera matenda opakika la ziwalo zophatikizana kwambiri ndi azotemia. Ndi iyo, 40-60 magalamu a mapuloteni patsiku amaloledwa.
3. Zakudya 7B zimakupatsani mwayi kuti muzidya mapuloteni 120 a protein. Zakudya zotere zimachepetsa cholesterol, zimachepetsa ma protein a mkodzo, komanso zimatha edema.
4. Zakudya za 7G ​​zimaperekedwa kwa odwala nthawi zonse pa hemodialysis.
5. Zakudya 7p zotchulidwa pa siteji yotsika aimpso.

Kwa odwala hemodialysis, kuchuluka kwa mapuloteni kumawonjezereka mpaka 1.6 g pa kg iliyonse ya kulemera kwabwino kwa wodwala. Mwanjira ina, ndi 110 - 120 g ya mapuloteni pazosankha za tsiku ndi tsiku. Woopsa matendawa, odwala ena omwe ali ndi hemodialysis amaloledwa 70 g kokha patsiku.

Ndondomeko ikuchitika katatu mu masiku 7.

Pambuyo pakuchitika hemodialysis, kuchuluka kwa kusefera kwa magazi, kapena m'malo mwake, kutsitsa ndende ya urea, kutsimikiza.

Mchitidwewo ukachitika katatu pa sabata, ndiye kuti chizindikirochi chikuyenera kukhala 65%. Ngati hemodialysis ikuchitika kawiri pa sabata, ndiye kuti kuchuluka kwa kuyeretsa kumayenera kukhala pafupifupi 90%.

Kupewa kuwonongeka kwa impso mu shuga

Matenda a shuga amakhalanso amakhudza kugwira ntchito kwa impso, komwe kumayambitsa zovuta zazikulu. Chifukwa chake, kukhazikitsa malingaliro oyambira kudzakhala olondola, awa:

• kayendedwe ka magazi a shuga,
• kuyesa pafupipafupi kwa impso,
• kuthamanga kwa magazi
• kukhalabe zoyenera
• kudya
• kukana zosokoneza bongo.

Matenda a shuga ndi matenda owopsa omwe amakhudza machitidwe onse a thupi. Chimodzi mwazomwezi ndi dongosolo la impso. Pali zomwe zimakhudza ziwiya ndi ma capillaries, zimayambitsa kuwonongeka ndipo zimayambitsa kuwonjezeka kwa impso. Popita nthawi, impso siyimilira ndipo kulephera kwa impso kumayamba, kunyalanyaza vutoli kumayambitsa kulephera kwa impso.

Mtengo wazakudya

Matenda a shuga ndi matenda omwe nthawi zambiri amayambitsa matenda a impso. Zotsatira zake ndikutukuka kwa CKD.

Pankhaniyi, zakudya ziyenera kuyendetsedwa osati ndi urologist, komanso ndi endocrinologist. Mfundo zazikuluzikulu za kadyedwe ka matenda a impso ndi matenda a shuga ndizofanana ndi shuga a magazi, kuchepetsa kudya ndi mchere komanso mapuloteni.

Muyenera kudya pang'ono, ndiye kuti, m'magawo ang'onoang'ono, koma osachepera 6 pa tsiku. Ndikofunikira kusiya mankhwala omwe angayambitse kuperewera kwa maliseche.

Mu gawo la pachimake, kukonza kwa wodwalayo kumachitika pogwiritsa ntchito chakudya No. 7 A.

1. Idyani zakudya zopatsa mphamvu zambiri, zomwe zimapereka mphamvu zofunika. Izi ndi masamba, mpunga, zipatso, shuga, uchi. Thupi limalandiranso mphamvu kuchokera ku mafuta azamasamba, ndiwo batala kapena mafuta a masamba.
2. Chepetsani kuchuluka kwa potaziyamu ndi magnesium.
3. Mu anuria, chepetsa kudya kwa sodium.
4. Pewani mchere muzakudya.
5. Choyamba ikani theka la lita imodzi yamadzimadzi, ndiye kuti voliyumu imayendetsedwa ndi adokotala kutengera mawonekedwe a diuresis. Ndikulimbikitsidwa kumwa madzi popanda mpweya, timadzi tokoma, tiyi wopanda mphamvu, kefir.
6. Kudya kwa protein tsiku lililonse sikuyenera kupitirira 20 g.

Matendawa atadutsa nthawi yake yotsika ndipo thupi limayamba kuchira, kusintha kwa tebulo No. 7 B. kumachitika. Kuchuluka kwa mchere mumakonzedwe kumachulukanso, ndipo mapuloteni amafikira 40 g.

Pambuyo pakuyesa mayeso, dokotalayo amasamutsa wodwalayo pagome No. 7. Iyenera kuonedwa kwa chaka chimodzi. Ngati kulephera kwa impso ndi kofatsa, ndiye kuti tebulo No. 7 limawonedwa kuchokera tsiku loyamba la chithandizo, koma kupatula pazinthu zomwe zimakhala ndi potaziyamu.

Impso iyenera kunyamulidwa pang'ono. Samalani mfundo za zakudya za matenda aimpso osakhazikika, omwe amagwiritsidwa ntchito pakudya.

- kuletsa kwa mapuloteni 20-70g patsiku, kutengera kuuma kwa impso.

- kuchuluka kwa mchere, Poganizira zovuta za edema, matenda oopsa, mapuloteni odziwitsa mkodzo.

-Kuwonetsa kudya kwa caloric chifukwa cha mafuta komanso chakudya.

Mu gawo loyambirira la kulephera kwa impso, chakudya No. 7 chimayikidwa.

Zakudya za kulephera kwa impso poyambira zili ndi magalamu 70 a mapuloteni (omwe mpaka 30% mapuloteni a nyama) kapena 60 g mapuloteni, omwe 40-50% ya mapuloteni a nyama.

Zakudya za kulephera kwa impso mu gawo lomwe likuwonetsedwa zimakhala ndi 20 g mapuloteni (zakudya No. 7a) kapena 40 g ya mapuloteni (zakudya No. 7b), 70-75% yomwe ndi mapuloteni amanyama chifukwa cha nyama, nsomba, mkaka, mazira. Madzi akumwa amadzaza malita 1-1,5 patsiku, koma ayenera kufanana ndi kuchuluka kwa mkodzo womwe watulutsidwa m'mbuyomu, kuphatikiza malita 0,4-0.6.

Ndi kulephera kwambiri kwa aimpso, chakudya cha 7a chimayikidwa koyamba, ndikusintha kwa mkhalidwe wa wodwalayo, zimasinthidwa kuzakudya 7b, zomwe kudya 7a zimagwiritsidwa ntchito nthawi ndi nthawi.

Pogwiritsa ntchito zakudya za 7a, wodwalayo amapatsidwa mchere wambiri wa 2-4 g m'manja mwake kuti awonjezere mchere ku chakudya. Kutupa kukachitika, mcherewo umapangidwanso 1 g kapena kupatula.

- apulosi-shuga, mpunga-compote, mbatata.

1. Zakudya za Apple-shuga: 1.5 makilogalamu a maapulo akucha kapena anaphika patsiku, ogawidwa mu ufa waukulu wa 300 g, 50-100 g shuga

2. Zakudya za mpunga: kwa tsiku 1.5 zipatso zatsopano kapena 240 g zouma zipatso, 120 g shuga, 50 g la mpunga. Kuphika compote ndi mpunga wa mpunga m'madzi. 1 chikho chokoma compote 6 pa tsiku, 2 zina pomwe ndi phala lokoma la mpunga, owiritsa popanda mchere m'madzi.

3. Zakudya za mbatata: 1.5 makilogalamu a mbatata patsiku. Wiritsani mbatata m'matumba awo popanda mchere kapena kuphika. Idyani 300g ya mbatata kasanu patsiku.

4. Zakudya zaphatikizo za mbatata zomwe zimaperekedwa kwa matenda osatha a glomerulonephritis ndi kulephera kwa aimpso: mbatata - 1 makilogalamu (kulemera kwaukonde), masamba ena kapena zipatso - 300 g, masamba mafuta - 50 g, batala - 70 g, shuga - 50 g.

Culinary pokonza zopangira zakudya No. 7a ndi 7b popanda kuwononga makina.

Chakudyacho chimaphikidwa, kenako ndikuphika ndikuwotcha mkaka.

Idyani nthawi 5-6 patsiku.

Chakudya chimaphikidwa popanda mchere, mkate umaperekedwa wopanda mchere.

- Zakudya zamasamba ndi sago, masamba, mbatata, zipatso, poganizira madzi ovomerezeka. Msuzi wokometsedwa ndi kirimu wowawasa, zitsamba, wowiritsa, kenako anyezi wosenda.

- Zakudya za nyama ndi nsomba: 50-60 (kulemera kwakukulu) ng'ombe kapena mafuta amphaka, nkhumba (nyama yopanda mafuta), kalulu, nkhuku, nkhuku, nsomba. Nyama yophika ndi nsomba, yophika kapena kuwotcha pang'ono mutawiritsa, chidutswa kapena kudula.

- Zinthu za mkaka: 60g mkaka, kirimu, kirimu wowawasa, tchizi tchizi - kupatula nyama ndi nsomba.

- Zakudya - zongokulira, mpunga wocheperako, pasitala wopanda mapuloteni okha. Konzani mbale mumkaka kapena m'madzi mu mawonekedwe a chimanga, pilaf, mabatani a nyama, casseroles, puddings.

- Mazira: 1 / 4-1 / 2 mazira patsiku (mazira osenda, mazira owiritsa).

- Zamasamba: mbatata 200-250g ndi masamba atsopano 400-450g (kulemera kwakukulu) mwanjira yazakudya zingapo. Anyezi wowiritsa ndi wokazinga monga chowonjezera m'mbale, katsabola ndi parsley.

- Zipatso ndi zipatso zosiyanasiyana mu zosaphika, zouma, zophika, shuga, uchi, kupanikizana, maswiti osapatsa chokoleti, odzola, compote, odzola.

- Kuti musinthe kukoma kwamasamba, gwiritsani ntchito mafuta amchere, zipatso zowawasa komanso zipatso zamasamba.

- Zosavuta: masamba saladi ndi mafuta masamba.

- Sauces: phwetekere, kirimu wowawasa, msuzi wokoma ndi wowawasa, masamba ndi zipatso zamchere. Anyezi wokazinga pambuyo pakuwotcha, citric acid, sinamoni, vanillin.

.- Mafuta: batala wopanda mafuta, ghee, masamba mafuta.

- Zogulitsa: 100 g ya protein, yopanda mchere, wopanda mchere wopanda mafuta, pomwe mkate, 50 g wa mkate wopanda mchere kapena zinthu zina zopanda ufa wosaphika.

Malamulo oyenera kutsatiridwa chifukwa cha matenda ashuga komanso kulephera kwa impso.

1. Kutsika kwa mapuloteni okwanira 50 g patsiku, ngakhale kutsika kwambiri m'magawo a kulephera kwa impso.
2. Kubwezeretsanso ndalama zamagetsi ndi chakudya chamafuta (osakwiya) ndi mafuta.
3. Kutentha kwakukulu kwa zipatso ndi masamba m'mawa. Zokonda zimaperekedwa kwa iwo omwe alibe index yayikulu ya glycemic.
4. Kuphatikiza kuwotcha, kudyetsa, kuwotcha kuti musangalale komanso kusadya.
5. Kuchepetsa mchere wambiri kapena kudzipatula kwathunthu kuzakudya.

Monga mapuloteni, timalimbikitsidwa kugwiritsa ntchito zinthu zachilengedwe. Amatuluka thupi mofulumira kwambiri. Komanso, malo oyambira pazinthu izi ndi zamchere. Zimathandizira kulipira acidosis ndikuchepetsa kukula kwa zikhalidwe zamatenda.

Kuchepetsa katundu pazinthu za impso, sikulimbikitsidwa kugwiritsa ntchito:

• tiyi wamphamvu
• khofi
• msuzi kutengera nsomba, nyama,
• chokoleti
• zinthu zophika mkate.

Mu shuga, masamba ndi zipatso amalimbikitsidwa kuti azidya, zomwe sizikhudza kwambiri kuchuluka kwa shuga m'magazi. Mutha kugwiritsa ntchito katsabola ndi parsley. Sizoletsedwa kudya adyo, mpiru, chifukwa amachita zinthu zoyipa.

Kuchuluka kwa mchere kuyenera kukhala kochepa. Ndikwabwino ngakhale kuphika zakudya zopanda mchere. Komabe, zakudya ziyenera kukhala zabwino komanso kuphatikiza mavitamini amaminidwe ochepa, popeza ndizofunikira kwa thupi lofooka.

Kuchuluka kwa ma kilocalories omwe adya sikuyenera kupitilira 3000. Mphamvu yayikulu yamphamvu iyenera kukhala chakudya chamafuta ndi mafuta. Kuchuluka kwa madzimadzi sikuyenera kupitirira 700 ml, kuti musapange katundu wowonjezera pa impso.

Chakudya chizikhala pafupipafupi. Osachepera 5 pa tsiku. Ndipo magawo sayenera kukhala akulu.

Matenda a impso kulephera (CRF) amadziwika ndi kusasinthika komanso pang'onopang'ono kwa vuto laimpso. Izi zitha kuchitika ndi matenda oopsa, matenda osagwirizana ndi matenda a m'mimba, matenda a shuga komanso matenda ena.

Thupi limadzaza zinthu zomaliza za mapuloteni kagayidwe, kamene kamayambitsa kusokonezeka kwa madzi amchere amchere, azotemia (kuchuluka kwa nayitrogeni m'magazi), acidosis, komanso kudziwitsa poyizoni m'thupi - uremia, yomwe imakhudza machitidwe ndi ziwalo zosiyanasiyana.

Chifukwa chake, monga momwe zimakhalira ndi ARF, zakudya zimapangidwa kuti muchepetse kuchuluka kwa mapuloteni. Ndikofunikira kudziwa kuchuluka kwa mapuloteni omwe amadya omwe samatsogolera kuwonongeka kwa mapuloteni awo, sikungathandize pakukula kwa azotemia.

Pamaso pa edema ndi matenda oopsa, ndikofunikira kuchepetsa kugwiritsa ntchito madzi ndi sodium chloride. Madzi omwe amamwa ndi wodwala sangadutse tsiku lililonse diureis (kutulutsa mkodzo) ndi 500 ml.

Kulephera kwa aimpso, Pevzner zakudya 7A imagwiritsidwa ntchito, monga kulephera kwaimpso. Matenda a wodwalayo akakhala bwino, amasinthidwa kukhala chakudya cha 7B, chomwe chimasiyana:

• zopatsa mphamvu za 2600 kcal patsiku,
• kuphika wopanda mchere
• kuchuluka kwa mapuloteni, mosiyana ndi chakudya cha 7A, mpaka 45-50gr,
• kudya chakudya chopatsa mphamvu mpaka 450g patsiku,
• kudya mafuta mpaka 90g.

Zotsatirazi ndizoletsedwa:

• nyama m'migodi,
• nyama yosuta, masoseji,
• nyama zamafuta zamitundu yonse
• bowa, nyemba,
• ayisikilimu, mkaka wokometsedwa,
• cocoa, chokoleti, khofi,
• zakumwa zoziziritsa kukhosi.

Kusiyana kwa zakudya 7A ndiko kupezeka kwa zakudya zamasamba 7B zamasamba atsopano, pasitala.

Zakudya za tsiku ndi tsiku zitha kuwoneka motere.

Chakudya cham'mawa chimaphatikizapo kanyumba tchizi casserole ndi kirimu wowawasa kapena dzungu phala, kaloti wowotchera ndi shuga, tiyi ndi mandimu ndi shuga.

Chakudya chamasana, msuzi woyenera wamasamba wokhala ndi Zakudyazi kapena borscht pa msuzi wa masamba, nsomba yophika ndi mbatata zosenda kapena mbatata casserole, zipatso zonunkha kapena zipatso zowuma.

Ndikofunikira kutsatira zofunika zazikulu:

• kuchepetsa kuchuluka kwa mapuloteni omwe amwedwa,
• kuchepa kwakukulu kwa sodium (mchere) mu chakudya,
• kutsika kwa phosphorous muzakudya,
• kusamala mosamala ndi kugwiritsa ntchito potaziyamu,
• kuchepa kwamadzi akumwa.

Chifukwa chiyani izi ndizofunikira:

Zakudya zomanga thupi zotsika mtengo ndizofunikira, chifukwa mapuloteni amawonjezera katundu pa impso ndikuthandizira kukula kwamatenda. Madokotala amalimbikitsa kuchepetsa kuchuluka kwa mapuloteni poyambira matenda;

kuchepa kwakukulu kwa mchere kumathandiza kupewa kuwoneka ndi kutukuka kwa edema, popeza kusinthana kwamchere kumayenderana kwambiri ndi madzi. Kusungidwa kwa sodium kumapangitsa kuti madzi azisungidwa mthupi,

chifukwa chogwira ntchito impso pang'ono, phosphorous imachotsedwa pang'onopang'ono kuchokera ku dongosolo lathu, zomwe zimapangitsa kuti kuchuluka kwa phosphorous m'thupi kuonjezeke, ndipo kenako kumatenga calcium kuchokera mthupi, yomwe imatha kusintha kukhala mafupa a mafupa.

ndi matenda a impso, hyperkalemia imayamba - ichi ndi chowopsa chomwe chimayambitsa kuphwanya mzere wamtima komanso kugunda kwamtima.

kuyambira gawo loyamba la matendawa, pali kumverera kwa ludzu ndipo chifukwa cha izi kufunikira kwamadzi ambiri, koma impsoyo siyitha kuchotsa madzi ochuluka, ndipo chifukwa chake, imatha kudzetsa matenda monga matenda oopsa, edema.

Zosankha izi ndi zitsanzo chabe ndipo ndizoyenera kwambiri panthawi yovuta kwambiri ya impso. Mutha kuyisintha ndikuwonjezera nyama ndi nsomba pang'ono pakudya, ngati dokotala alola. Mutha kutenga mavitamini owonjezera, omwe dokotala angakulangizeni.

Tikufuna kuwonjezera chisangalalo chanu pachakudya chanu ndikupereka chophika chophika cha karoti chakudya chamadzulo kapena nkhomaliro. Ndizothandiza kwambiri komanso ndizokoma, ndipo kaloti ndiokwera mtengo, ndiye kuti mbale iyi singapange bowo lalikulu mu bajeti yanu ya banja.

Kukonzekera cutlets muyenera:

1. paundi ya kaloti,
2. theka kapu ya semolina,
3. supuni imodzi ya shuga granated
4. dontho lamchere (ngati dokotala alola),
5. kirimu wowawasa pakuvala,
6. amadyera kulawa.

Choyamba yikani kuphika kaloti, kenako uziziziritsa komanso kuti ukhale woyera. Pambuyo pake, ikani masamba awa pabwino grater ndi kuwonjezera kotala chikho cha semolina, supuni ya shuga ndi mchere kwa iwo. Sakanizani zonse bwino ndi manja anu. Kenako pangani ziwalozo ndikuzikoka mu semolina yotsala.

Kenako, ikani poto wokazinga kuti utenthe pa kutentha pang'ono. Poto wokazinga utatentha, ndiye kuti ponyani kachidutswa kakang'ono ka batala, ndikasungunuka, tumizani ku poto yokazinga.

Choyamba, mwachangu zidutswazo pamoto wokhazikika mbali imodzi kwa mphindi 4, kenako nkutembenuka, kuphimba poto ndikuwukha moto. Finyani zigawo kwa mphindi khumi.

Kenako thimirani kutentha, ikani patties pambale ndikuwonjezera zonona wowawasa ndi amadyera osenda bwino kwa iwo.

Mutha kudya izi monga nyama yodziyimira nokha, kapena monga zowonjezera zamasamba, mpunga kapena mbatata yosenda mumkaka komanso batala.

Zidzakhala zokoma kumwa iwo mkaka. Nayi chakudya chosankhidwa chifukwa cha kulephera kwa impso. Tikukufunirani kuchira mwachangu komanso chidwi cha bon! Chinthu chachikulu chomwe muyenera kudziwa musanadye zakudya zamankhwala, ndikofunikira kuti mupite kukakumana ndi adokotala.

Munthawi yonse ya chithandizo ndikuchira, odwala ayenera kutsatira zakudya zopanda chilimbikitso, zomwe zimakhala zosiyana pang'ono ndi zakudya zonse zomwe sizikhala zama calorie.

Chithandizo chazakudya ndizakuti muyenera kuchepetsa kuchuluka kwa mapuloteni ndikuwadyetsa thupi mokulira ndi chakudya komanso mafuta.

Chakudyachi chikufotokozedwa ndikuti odwala omwe ali ndi vuto lochepa kwambiri la impso amayenera kulandira kuchuluka kwa zopatsa mphamvu tsiku ndi tsiku, apo ayi chitetezo cha mthupi chidzalowa kunkhondo, ndipo mapuloteni agwiritsidwe ntchito kuti apeze mphamvu zofunika, zomwe zimakulitsa nthawi yonse ya matendawa komanso momwe alili wodwala.

Mu shuga mellitus, tikulimbikitsidwa kuti tikwaniritse kufunika kwa thupi kwa chakudya chamafuta ndi mafuta a maolivi.

Zojambulajambula zoletsedwa

Thupi la ziwengo ndi chidziwitso chowonjezeka cha thupi pazinthu zosiyanasiyana, kotero kudya zakudya zoyenera kwa allerge ndikofunikira. Choyambirira, kudya zakudya zilizonse zomwe zimafunidwa kumafuna kusinthana ndi zinthu zama hypoallergenic ndikuwunika mosamala mayankho.

Zakudya zenizeni zokhala ndi ziwengo zimayenera kusankhidwa payekha ndi dokotala. Zomwezi zimagwiranso ntchito pakudya kwa urticaria, komanso zakudya zam'minyewa - mitundu iyi ya mkwiyo pakhungu nthawi zambiri imayambitsidwa ndi chifuwa.

Zakudya za urticaria nthawi zambiri zimayamba ndi kusala kwachakudya, ndiye kuti mitundu yosiyanasiyana yazinthu zimapangidwira pang'onopang'ono, ndipo patatha pafupifupi sabata imodzi zakudya zama urticaria zimafanana ndi zakudya za ziwengo.

Zakudya za dermatitis ndizosavuta - muyenera kuunikira zomwe zimayambitsa thupi ndikusiyanitsa zakudya.

Zakudya zamatenda a nyamakazi sizili mwanjira iliyonse - yamtundu uliwonse wa nyamakazi, zakudya zoyenera zimalimbikitsidwa, zomwe adotolo ayenera kusankha. Kusankha zakudya zamankhwala oyambitsa matenda a nyamakazi kuyenera kufikiridwa mosamala kwambiri, chifukwa ndi nyamakazi, zakudya sizingathandize, komanso zimapweteka ngati zimagwiritsidwa ntchito molakwika.

Ndi arteriossteosis, chakudyacho chimakhala imodzi mwanjira zazikulu zochizira. Choyamba, chakudya cha arteriosulinosis ndicholinga chochepetsa chakudya chopatsa thanzi, ndiko kuti, kuchepetsa kudya kwamphamvu zamafuta. Zakudya za odwala omwe ali ndi arteriosulinosis zimaphatikizanso kuchepa kwa mchere ndi mafuta m'zakudya, komanso kugwiritsa ntchito madzi amchere.

Zakudya zamatenda am'mimba, komanso zakudya za gastritis (yokhala ndi acidity yachilendo kapena yayikulu) kapena zakudya zamafuta, ziyenera kukhala zofatsa komanso zopepuka. Zakudya zoziziritsa kutentha ndi kudya kwa acidity yayikulu ziyenera kuphatikizapo zakudya zambiri zomwe zingathandize kuchepetsa kuchuluka kwa asidi m'mimba.

Zakudya zamatenda am'mimba komanso zakudya za gastritis zimasankhidwa kuti makamaka zichepetse kupweteka, kuchepetsa mwayi wa kufalikira ndipo pang'onopang'ono zimathandizira kuchira. Ndi gastroduodenitis, zakudya zimagwiranso ntchito yofunika.

A gastroduodenitis aakulu, zakudya zimagwiritsidwa ntchito, zomwe zimaphatikizapo sokogonnye zinthu.

Zakudya za m'mimba zimangophatikiza mbale zophika ndi zotentha zokha. Chofunikira kwambiri pakudya kwa kutentha kwa kutentha ndi zakudya zamagulu a gastritis ndiko kusankha koyenera kwa zakudya.

Ndi matenda a chiwindi - cirrhosis, hepatitis C, hepatosis - zakudya ziyenera kusankhidwa ndi adokotala. Zakudya za cirrhosis, zakudya za hepatitis C, zakudya za hepatosis ziyenera kuthandizira kubwezeretsa chiwindi ndi kuthandiza matenda a metabolism ambiri.

Chifukwa chake, zakudya zamatenda a chiwindi nthawi zonse zimaphatikizapo mapuloteni omwe amatha kupukusa mosavuta, mafuta ndi chakudya, komanso mavitamini. Zakudya za matenda a chiwindi zitha kugwiritsidwa ntchito zaka zingapo.

Maziko a chakudya cha matenda amphongo, kudya kwa hepatitis C, zakudya za hepatosis ndimadya pafupipafupi 5-6 patsiku.

Ndi kuthamanga kwa magazi, kudya kungakhale kothandiza kwambiri. Zakudya zomwe zidasankhidwa ndi dotolo chifukwa cha matenda oopsa zimathandizira kuthamanga kwa magazi komanso kukhala ndi kulemera koyenera. Zakudya zomwe zimakhala ndi kuthamanga kwa magazi zimapangitsa kuchepetsa kuchuluka kwa mchere ndi mafuta, kupewa zakudya zomwe zimayambitsa kuthamanga kwa magazi, ndikuchepetsa zonse zama calori m'mbale.

Zakudya zoyamwitsa ndizofunika kwambiri pa thanzi la mayi ndi mwana. Chofunikira kwambiri ndikamajambula zakudya zoyamwitsa ndikuwapatsa chakudya chokwanira komanso chosiyanasiyana. Mukamadyetsa, chakudyacho chimathandizira kuyang'anira chitetezo chamkaka kwa akhanda. Kuphatikiza apo, zakudya nthawi yakudya ziyenera kuphatikizapo kuchuluka kwa madzimadzi, omwe amafunikira mayi panthawi imeneyi.

Ndi matenda a shuga a 2, muyenera kutsatira zakudya pamoyo wanu wonse. Chifukwa chake, zakudya zamagulu a shuga a 2 ziyenera kukhala zosangalatsa komanso zosiyana, ndipo nthawi yomweyo zimathandizira kuchepetsa kulemera kwa magazi komanso kufalikira kwa kuchuluka kwa shuga m'magazi.

Kuletsedwa kwa zakudya zopezeka mthupi kumabweretsa chifukwa choti mphamvu zomwe zimasungidwa mu mawonekedwe a adipose minofu zimayamba kudyeka, mafuta "amawotchedwa" ndipo munthu amalemera.

Zakudya zopatsa mphamvu za matenda a shuga a mtundu wachiŵiri ziyenera kukambitsirana ndi omwe amakuthandizani pazaumoyo.

Zakudya za bysary dyskinesia zimalepheretsa kutukusira kwa ndulu ndipo zimakhazikitsidwa potsatira mfundo izi: muyenera kudya pafupipafupi, kuchotsera nyama zomwe zimanunkhidwa komanso zakudya zamafuta ndikudya masamba ambiri momwe mungathere.

Zakudya za cholecystitis zili chimodzimodzi. Zakudya za pachimake cholecystitis ndi gulu la zakudya No. 5 ndipo zotchulidwa ndi dokotala.

Nthawi zina matendawa amapita mpaka pomwe chikhodzodzo chimayenera kuchotsedwa. Zakudya zokhala ndi ndulu yochotsedwa sizimachotsa mafuta onse azinyama ndi zakudya zokazinga, zakudya zonse ziyenera kuwiritsa, kuwiritsa kapena kuwotcha.

Zakudya zamatenda a impso zimapangidwa makamaka pakukonza njira za metabolic. Zomwe zimapangidwa pakudya koteroko ndizoletsa mchere, kupatula nyama yamafuta, nsomba zam'nyanja, nyemba, chokoleti, zakudya zonunkhira ndi nyama zofunikira.

Zakudya zamiyala ya impso ndizovuta ngakhale: chiwindi, impso, ubongo, nyama yokazinga komanso yoyamwa, khofi, cocoa ndi tiyi wamphamvu sizimaphatikizidwa ndi zakudya. Zakudya za pyelonephritis zimaphatikizapo masamba ndi zipatso zomwe zimakhala ndi diuretic.

Zakudya za kulephera kwa impso zimayikidwa ndi dokotala, koma zazikulu zake ndizosowa mchere, kuchuluka kwa mapuloteni komanso zakudya zopatsa mphamvu zambiri.

Kudzimbidwa kumawerengedwa ngati palibe masiku atatu oyenda matumbo. Zakudya za kudzimbidwa zimayesedwa ndi dokotala wanu ndipo nthawi zambiri zimaphatikizapo zakudya zochuluka za fiber zowunda zomwe zimakhala ndi fiber yambiri.

Kunenepa kwambiri ndi vuto lodziwika bwino, chifukwa njira yothetsera mavutowo, ngati sichinali mazana ambiri a zakudya. Mfundo zawo zazikulu ndi menyu ochepera kalori. Chifukwa cha izi, kudya kwa kunenepa kwambiri kumachepetsa kudya zamafuta ndi michere yambiri, ndipo nthawi zina ngakhale mapuloteni.

Gout ndikuphwanya mapuloteni kagayidwe. Zakudya zamatumbo zimafanana ndi zakudya za urolithiasis. Zakudya zamchere zochepa, nyama, nsomba, nyemba, bowa. Pickles, marinade, nyama zosuta ndi mowa ndizoletsedwa. Chotsalira ndi chiyani? Zakudya za gout zimalola masamba ndi zipatso, timadziti, tchizi chochepa-kanyumba tchizi, mkate wakuda ndi zoyera.

Psoriasis ndimalo osasangalatsa omwe amayamba chifukwa chophwanya kagayidwe kazonse. Monga momwe thupi lilili, zakudya za psoriasis zimatengera kupatulidwa kuchokera kuzakudya zomwe zimayambitsa kuwonongeka, komanso zakumwa zoledzeretsa, zakudya zonunkhira ndi zonunkhira, zakudya zamafuta.

Khansa imathanso kukhudzana ndi ziwalo zosiyanasiyana, choncho nthawi iliyonse yamatendawa, muyenera kusankha zakudya ndi dokotala. Koma pafupifupi aliyense amavomereza kuti zakudya za khansa ziyenera kuphatikizapo masamba ndi zipatso.

Cystitis ndi kutukusira kwa chikhodzodzo. Monga matenda a impso, kudya cystitis kumachepetsa kudya mchere, wowuma, ndi zakudya zomanga thupi. Ndikulimbikitsidwa kuti madzi ambiri azamasamba ambiri komanso phala lonse la phala monga momwe mungathere.

Matenda a impso komanso kwamikodzo amatha kumayendera limodzi ndi kupangika kwamiyala yosiyanasiyana mwa iwo chifukwa cha kusayenda bwino kwa kagayidwe kuyambira pakubadwa.Kuphwanya oxalic acid kagayidwe kamalimbikitsa mapangidwe a oxalates, momwe ndikofunikira kuti wodwala azitsatira zakudya zoyenera.

Zakudya zamiyala ya oxalate pano ndi njira yothandiza kwambiri pochiritsira, komanso kupewa matendawa, omwe amadziwika m'magulu azachipatala.

Bisani / Onetsani

Zimayambitsa oxalate mu mkodzo ndi zoyambira zakuti "zakudya za oxaluria"

Zimayambitsa oxalate mu impso ndi zakudya zopatsa thanzi

Kulephera kwa renti sikuti kumangowonjezera moyo wa munthu, komanso kumamukakamiza kuti asinthe kadyedwe.

Pofuna kulemetsa impso, koma kusintha mkhalidwe wawo, odwala omwe ali ndi vuto lozungulira aimpso komanso owonongeka aimpso amalembedwa zakudya zapadera. Menyu iyenera kukonzedwa ndi dokotala wopezekapo poganizira zofunikira zonse komanso pamaso pa matenda ena.

Zakudya zoyenera zimatha kusintha mkhalidwe wa odwala.

Ndi kuchepa kwa mphamvu ya impso, kusakhazikika kwa zinthu zingapo (makamaka, zopangidwa ndi kuwola kwa mapuloteni) kumayipa, kupangidwa kwa ma amino acid - magawo a maphatikizidwe apuloteni, zosintha za glucose zimasinthika, kupanga mafuta owopsa kumachuluka, ndipo kusowa kwa chakudya kumatha.

Chifukwa chake, odwala oterowo ayenera kudya mwapadera. Magawo a zakudya za odwala omwe ali ndi vuto la impso amatha kusiyanasiyana.

Kupatula apo, zakudya zimatengera:

• mtundu wa kulephera kwa aimpso (pachimake kapena chovuta),
• madigirii ake
• kupezeka kwa kukonzedwa mwa njira za dialysis (hemodialysis kapena peritoneal dialysis),
• matenda omwe amatsogolera pakuwonongeka kwa aimpso, kapena matenda ophatikizika (mwachitsanzo, matenda a shuga).

Zakudya za matenda a impso

Kulephera kwa aimpso, kuchuluka kwa madzimadzi kumachepa.

Asanayambe kudya wodwala aliyense payekha, kuwunika kwa kusefedwa kwa m'magazi (chimodzi mwazofunikira kwambiri zothandizira chitetezo cha impso), kuchuluka kwa mkodzo, shuga, creatinine ndi mchere wina wamagazi.

Zotsatira zimatha kusintha zakudya. Koma kwa odwala ambiri omwe ali ndi matenda a impso olephera, madokotala amalangizidwa kutsatira mfundo izi:

• zoletsa mapuloteni
• kukonza kwa chakudya chamafuta ndi mafuta
• regimen yocheperako
• kuchepetsa mchere
• phosphorous kuchepetsa
• zoletsa za potaziyamu.

Zakudya zochepa zomanga thupi zimatha kuchepetsa kuchepa kwa matendawa, kuthana ndi magazi a impso, kuchuluka kwa mapuloteni otayika mumkodzo ndikuthana ndi acidization (acidosis) ya thupi.

Madokotala omwe akungofuna vutoli adapeza mitundu yazakudya zotere (malinga ndi S. Giovannetti, zamasamba, mbatata ndi dzira, kalori yayikulu, etc.). Kuchuluka kwa mapuloteni mwa iwo kumasiyana kuchokera pa 0,3 mpaka 0,6 g pa kilogalamu yodwala.

Amaperekedwa ndi mapuloteni ofunika kwambiri kwachilengedwe ndipo ali ndi:

Nthawi zina zakudya zachikhalidwe zimathandizidwa ndi zosakaniza zapadera zochizira (Nutricomp Renal, Renamine, etc.), zogulitsidwa mu network ya pharmacy. Amapangidwa kuti aziganizira zofunikira za odwala otere, chifukwa chake amasiyana mu gawo lama protein ndipo ali ndi ma amino acid omwe amafunikira (histidine, threonine, etc.).

Dziwani kuti kuchuluka kwa mapuloteni azakudya ndikofunikira kwa odwala omwe ali ndi kuchepa kwa kusefukira kwa glomerular osakwana 35 ml / min. Ndi zazikulu zazikulu izi, kuchepetsa mapuloteni sikofunikira komanso koopsa. Mwa chakudya, nkofunika kusankha osasankhidwa (amapezeka mumzimbe, masamba, zitsamba, zipatso), chifukwa

amaletsa kapena kuchepetsa kutsika kwa kagayidwe kazakudwala. Kuchuluka kwa mafuta kuyenera kukhala kofanana ndi kupatsa 30% yokha ya zopatsa mphamvu zonse za tsiku ndi tsiku. Mafuta okhathamiritsa a nyama amayesa kusinthidwa ndi mafuta osakanizidwa amafuta (mafuta a nsomba, ndi zina zambiri) momwe angathere.

), chifukwa amachepetsa machitidwe aimpso. Kuthamanga kwa zakudya kumafanana ndi chakudya chamagulu athanzi (pafupifupi 35 kcal / kg).

Zakudya zonse zomwe zimapangidwira odwala zimakonzedwa popanda mchere. Kuchepetsa phosphorous kumakhala ndi phindu pamapeto a nephropathy, chifukwa chake amayesa kuchepetsa kuchuluka kwa zakudya ndi kuchuluka kwa phosphorous muzakudya: cocoa, mtedza, nyemba, nyama, nsomba, ndi zina zambiri.

Mafuta a potaziyamu ambiri amadziwika kuti ndi amodzi a ma labotale omwe amawonetsa kulephera kwa impso.

Malamulo onse

Kulephera kwamkati ndi mkhalidwe womwe, pazifukwa zosiyanasiyana, kuwonongeka kwa impso. Zomwe zimalepheretsa kupweteka kwambiri kwa impso ndi kuledzera, matenda opweteka kwambiri, kuwotcha, kuvulala ndi nephritis pachimake.

Ili ndi nthawi 4: koyamba, kutsitsa kwamkodzo potulutsa, kubwezeretsa, kuchira.

Mankhwala othandizira odwala matenda a impso amakhala ndi gawo lofunikira, chifukwa impso ndi gawo lalikulu la dongosolo lachiberekero, ndi ntchito yopuwala yomwe zida zoyipa zimasungidwa m'thupi, zimapangitsa kuti zidzipweteke. Chifukwa chake, kudya zakudya zophatikizidwa bwino sikuti kumangochepetsa nkhawa pa impso, komanso kupewa kukula kwa matendawa.

Tanthauzo la Migwirizano

Polankhula za zakudya zoyenera komanso vuto laimpso, muyenera kubweretsa kumveka bwino. Pakadali pano, muzochitika zamankhwala, mawu akuti "kulephera kwa impso" amagwiritsidwa ntchito pokhapokha pokhudzana ndi "dialysis" odwala omwe zida "za impso" zimagwira ntchito ya impso.

Ndipo anthu ena omwe ali ndi matenda a impso ochepetsedwa omwe safunika kuchita dialysis amapezeka ndi matenda a impso. Mwanjira ina, mkhalidwe wa impso ukhoza kukhala wosiyana, ndipo kutengera izi, chikhalidwe chake chimasintha.

Pamene ntchito ya impso imayamba kuipiraipira, kuwongolera kuchuluka kwake komanso kuchuluka kwa zakudya zomwe zimadyedwa kumalimbitsidwa kuti muchepetse nkhawa pama impso omwe akudwala kale.

Tsopano mawu oti "kulephera kwa impso" amangogwira ntchito kwa odwala olumikizidwa ku "impso yokuchita"

Matenda a impso

Kodi matenda a impso osachiritsika ndi mkhalidwe womwe umadziwika ndi kuchepa kwa impso nthawi yonseyi? Miyezi itatu, pomwe palibe funso la kulephera kwa impso. Zikatero, adotolo amakupatsani mankhwala a tebulo la Na. 7 malinga ndi Pevzner. Siyani tebulo nambala 7 ndi nambala 7a.

Masamba, zipatso ndi zipatso ndizovomerezeka mwanjira iliyonse

Zakudya Nambala 7 ndizoyenera kwa anthu omwe ali ndi nephritis ndi nephrosis yopanda azotemia (yomwe imatsimikiziridwa ndi kuyesa kwamwazi wama biochemical). Chofunikira pa tebulo lamankhwala awa ndikuletsa mchere, zakumwa, zakunja ndi zakudya zamafuta.

Kulephera kwa impso kumapangitsa hemodialysis. Njirayi ndizovuta kuchita ndipo imachitika mu dipatimenti yapadera ya chipatala. Zakudya za hemodialysis zimapangidwa kuti muchepetse nkhawa pa impso, potero kusintha zotsatira za chithandizo.

Mawonekedwe Amphamvu

Chifukwa cha matenda oopsa a impso, zakudya zama protein ochepa zimalimbikitsidwa, popeza mapuloteniwo amayamba kusungidwa bwino mu creatinine, ammonia, bilirubin, ndi urea.

Koma ngati hemodialysis imaperekedwa kwa wodwala, puloteniyo amawola mwachangu, ndiye momwemonso zakudya muzochita zosiyanasiyana. Zakudya zamankhwala pa hemodialysis zidapangidwa zaka zopitilira 30 zapitazo, koma sizinatayike.

Ndi gawo lofunikira la mankhwalawa kwa anthu omwe ali ndi vuto loti aimpso amalephera.

Chakudya chiyenera kukhala choyenera. Imapangidwa ndi katswiri payekhapayekha, poganizira momwe matendawo amayendera, pafupipafupi komanso “zokumana nazo” zam'mimba, komanso zolozera zamankhwala a impso. Zinthu zambiri zomwe hemodialysis zimachotsa zimalowa m'thupi ndi chakudya. Ntchito yayikulu ndikukhathamiritsa magwiridwe antchito ndikuwonetsetsa kuti ntchito zonse za thupi zili pamlingo woyenera.

Lamulo lofunikira lazakudya ndikugwiritsa ntchito mapuloteni okwanira.

Ngati anthu omwe ali ndi vuto la impso amakhala ndi mapuloteni ochepa kwambiri asanakhale hemodialysis, ndiye kuti munthawi yomwe akufunika amapeza zofunika kudya kuposa munthu wathanzi.

Pa dialysis, odwala amataya ma amino acid onse, ndipo ayenera kuyambiranso. Puloteni ambiri pafupifupi 1,2 g / kg thupi patsiku.

Mafuta ndi zakudya zamafuta zimadyedwanso pamlingo woyenera, pokhapokha, wodwalayo ayenera kuchepetsa thupi, kapena alibe matenda ashuga. Mfundo zina zofunika zaumoyo:

1. Potaziyamu poletsa. Asanafike dialysis mwa munthu wolephera aimpso, vuto lomwe lingakhale lowopsa, hyperkalemia, n`zotheka. Mukamaliza njira, kuchuluka kwa potaziyamu kumachepa, koma pakati pa magawo kusanthula kumawonetseranso chowonjezera. Chifukwa chake, zinthu zomwe zimakhala ndi chinthu ziyenera kukhala zochepa chabe (zipatso zina, zipatso zouma).
2. Kuwongolera phosphorous ndi calcium metabolism. Anthu ambiri pa hemodialysis amakumana ndi mafupa, ntchito ya parathyroid imalephera. Ndikulimbikitsidwa kuti muthe kukonzekera calcium ndi vitamini D3, komanso kuchepetsa zakudya zomwe zimakhala ndi phosphorous - mankhwala a mkaka, nyemba, mkate, chimanga.
3. Matenda a mtundu wa zotayidwa. Izi zimapweteketsa impso, zomwe zimayambitsa zovuta zingapo kuchokera m'mafupa, zamanjenje, komanso m'mafupa. Odwala sayenera kupatula kuphika mu zotayira za aluminium, komanso osadya zakudya zomwe zili ndi pistachios, nandolo, kiwi).
4. Ulamuliro wapadera wamadzi. Excretion wa mkodzo mu dialysis odwala ndi mkhutu, chifukwa aimpso kulephera. Kuchepetsa kudya kwamadzi ndikofunikira, makamaka ngati pali matenda oopsa kapena mtima. Pali lamulo: kuyambira gawo limodzi, kumwa madzi osaposa 4% ya kulemera kwa thupi.
5. Chosiyana ndi zakudya zamchere. Tchipisi tonse, ma boti, nsomba zamchere ndi zinthu zina zimatunga madzi ndipo sitiyenera kuzisankha.

Zakudya

Kwa odwala, kudya No. 7g ndi kuwongolera kwamunthu kumakhala koyenera. Amadziwika ndi kudya mapuloteni okwanira, kuletsa kwa potaziyamu, sodium chloride, ndi kuchepa kwa madzi. Ma acino ofunikira amalowa m'thupi ndi nyama, mazira, ocheperako ndi nsomba. Zakudya zamkaka zimadyedwa pang'ono.

Zakudya za wodwalayo zizikhala pa kutentha wamba. Zakudya - 5 pa tsiku. Kapangidwe kazakudya kameneka ndizotsatira (ziwerengero zimaperekedwa):

• mapuloteni - 60 g, omwe 70% ndi mapuloteni a nyama,
• mafuta - 100 g, pomwe 30% ndi masamba,
• chakudya - 450 g
• potaziyamu - zosakwana 2,5 g
• madzi - mpaka malita 0,8,
• zopatsa mphamvu - 2900 kcal,
• mchere - 2-6 g (malingana ndi kuopsa kwa matendawa).

Zakololedwa ndi zoletsedwa

Gwiritsani ntchito ziyenera kukhala zinthu ngati izi:

1. Nyama, nsomba. Ng'ombe zokonda, kalulu, nkhuku, nkhuku, kuchokera ku nsomba zamakola - nsomba zamkati, pinki. Ndikofunikira kudya nyama yophika, yophika, yamafuta.
2. Zakudya zamkaka. M'miyeso yaying'ono (mpaka 100 g) mkaka, tchizi chokoleti, kirimu wowawasa amaloledwa.
3. Mkate Mutha kokha rye, tirigu wopanda mchere (patsiku - mpaka 150 g).
4. Supu Mutha kudya supu zamasamba ndi ndiwo zamasamba, zomwe sizimakhazikitsidwa pang'ono monga chimanga, mkaka. Nthawi zambiri msuzi patsiku ndi 300 g.
5. Mazira. Kufikira mazira 2-3 patsiku sizivulaza wodwala.
6. Mbale. Ndikwabwino kungodya mpunga, sago, osaphatikiza ndi nyama (mpaka 200 g patsiku).
7. Zamasamba. Chovomerezeka kudya 300 g ya mbatata, ndi masamba otsala - osakwana 400 g (kabichi, nkhaka, kaloti, beets, tomato, amadyera).
8. Zipatso, zipatso. Mutha kudya chilichonse kupatula ma blackcurrants, ma cherries, mphesa, mapichesi, apricots, nkhuyu, nthochi.
9. Maswiti. Amaloledwa kudya mousse, zakudya, zakudya, shuga pang'ono, uchi.
10. Zonunkhira. Ndikofunikira kupaka mbale ndi citric acid, nthangala za caraway, ochepa kwambiri omwe amadya tsabola, horseradish, mpiru, ketchup.
11. Mafuta. Imwani 65 g mafuta a masamba, 35 g a batala.

• mafuta msuzi
• msuzi uliwonse
• maapulo
• chakudya zamzitini
• soseji
• ankasuta nyama
• tchizi
• nyemba
• bowa
• sipinachi
• sorelo
• marinade
• rhubarb
• makeke okoma
• chokoleti
• zipatso zouma
• cocoa.

Zosintha zachitsanzo

Anthu osasamala mu moyo wawo nthawi zambiri amakhala ndi matenda a ziwalo zawo zamkati. Impso za munthu zimakhudzidwa kwambiri.

Njira yovuta yophatikizana ndi vuto laimpso ndi kufa kwa seloyo imatchedwa kuti aimpso kulephera.

Nthawi zambiri, kukula kwa matendawa kumayambitsa matenda a impso, mwachitsanzo, pyelonephritis, glomerulonephritis, mapangidwe a calculi mu impso, amyloidosis, etc.

Mu 75% ya milandu, kuperewera kwa impso ndi zotsatira za matenda a shuga, glomerulonephritis (nthenda ya autoimmune yokhudza impso glomeruli) komanso matenda oopsa.

Odwala omwe kukula kwa matenda atalowa gawo lomaliza akuwonetsedwa pafupipafupi hemodialysis. Iyi ndi njira yaukadaulo yophatikizira kuyeretsa kwina kwa magazi a zinthu zopangidwa ndi poizoni. Pa hemodialysis, matenda a madzi ndi kusalinganika kwa electrolyte kumachitika.

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

Ndemanga ndi Zotsatira

Izi zothandizanso kuchiritsa ndizofunikira kwambiri kwa odwala, makamaka ndi kulephera kwambiri kwaimpso. Kuwerengedwa kwamphamvu kwa mapuloteni ndi potaziyamu ndi kuletsa kwawo kumapangitsa kuti kusakhale kosiyanitsa zakudya ndi mbale zatsopano.

Malinga ndi odwala ambiri, kusowa kwa zakudya sikungosungika, chifukwa chake mbale zopanda zakudya, zomwe ndizovuta kuzizolowera. Komabe, kukhalapo kwa edema ndi kuthamanga kwa magazi kumafunikira mchere wopanda nthawi.

Kuchita bwino kumadziwika mu ndemanga - patatha masiku angapo, edema imachepetsedwa kwambiri, kuthinikizidwa kumachepetsedwa.