Iimfuno zakho zokutya ziguquka xa isifo sakho sezintso siqhubekela phambili kwisigaba sesithandathu, kwaye udinga i-dialysis. Inguqu enkulu yokutya ephuma kwisidlo sakho esidlulileyo iquka ukunyuka kwindlovu yakho yeeprotheni kunye nokunciphisa i-potassium. Iityuwa kunye ne-phosphorus entake kusadingeka ukuba igcinwe phantsi, kwaye kuya kufuneka uhlolisise ukungena kwamanzi.
Yidla iProtheni engaphezulu
Iprotheni ibalulekile ekwakheni nasekugcineni imizimba kunye nomsebenzi womzimba.
Mhlawumbi wagcina iprotheni yakho yondla phantsi kwezigaba zokuqala zesi sifo kuba iintso zakho azikwazanga ukusingatha i-product-protein ye-protein yam, kodwa ngoku ukuba udialysis, kuya kufuneka udle iiprotheyini ezininzi. Ngokutsho kwe-American Kidney Foundation, uya kudla malunga ne-8 ukuya kwi-10 ii-ounces zokutya eziphezulu.
Khetha ukutya, amaqanda, intlanzi kunye neentlanzi zasemanzini okanye iinkukhu kwi-protein yakho. Imithombo yemifuno yeeprotheyini ezinjengamanqatha, izityalo, izityalo, iimbewu, kunye neeperesi azilungele ukutya oku kuba ziphezulu kwi potassium kunye ne-phosphorus. Ukuba ungumhlaza, kuya kufuneka uthethe ugqirha okanye umdloli ogxininisa kwisidlo sesifo sezintso malunga neeprotheni ezongezelelweyo.
Gcina i-Sodium Low
Ukutya i-sodium eninzi kunokungcolisa ngamanqanaba akho asemzimbeni ukuze uqhubeke nokulandela ukutya okuphantsi kwe-sodium. Jonga i-sodium efihliweyo kwizinto ezifana nokutya, ukuxuba, ukuxuba, isobho, inyama kunye nemifuno.
Hlala kude neentlanzi zokutya.
Hlola iibhile kwizinto zonke zokutya ezibiza ngokuba "yi-sodium ephantsi." Basenokuba ne-sodium engaphezulu kunokuba uyidinga ngokusebenza kwaye kwaye ingaba ne-potassium, nto yinto oya kuyidinga ukuyiphepha.
Intlawulo yasezantsi yePhosphorus
I-Phosphorus enye yeemaminerali ezondla umzimba wakho udinga amathambo anamandla kunye namazinyo kunye nomsebenzi wesiqhelo nesisundu.
Umzimba wakho uthanda ukugcina i-phosphorus efanelekileyo kwigazi lakho, kwaye iinjongo zakho 'umsebenzi wokususa nayiphi na i-phosphorus engaphezulu.
Ukuba umntu unesifo sesifo esingasasigxina, amazinga e-phosphorus angaba phezulu kakhulu ngenxa yokuba iintso azikwazi ukusebenza kakuhle. Oku kubangela ukuba igazi lakho liqhube i-pH. Xa i-pH iphakame kakhulu, umzimba wakho ukhulula i-calcium emathanjeni akho ngenzame yokubuyisela i-pH apho ivela khona. Oku kunokubangela ukuba amathambo abuthathaka, into engeyona into enhle.
Ukunciphisa intlawulo ye-phosphorus, zithintele ikomityi eyodwa ye-1/2 ekhonza ubisi okanye i-1/2 indebe yegour imihla ngemihla. Okanye, ukuba ukhetha, ungadla i-1 enye yeeshizi endaweni yobisi okanye i-yogurt. Ezinye iintlobo zama-cream cheeses zisezantsi kwi-phosphorus ukuze zikwazi ukuzidla xa zilungile ne-dietician yakho. Kufuneka uhlale kude neengqolowa ezipheleleyo, iilentile kunye nobhontshisi obomileyo, iipasta, iisuthi, i-peanuts, i-cocoa, i-cola kunye nobhiya. Kukulungele ukutya iziqhamo, imifuno, izityalo ezicucisiweyo kunye nerayisi.
Amachiza anokunikwa kwakhona ngesidlo ngasinye okanye i-snack enokumisela amandla omzimba ukuba athathe iphosphorus.
I-Potassium Restriction
Unokufuna kwakhona ukugcina i-potassium yakho yondla kunye (ugqirha wakho uya kukuxelela) kuba amazinga aphezulu e-potassium egazini lakho angabangela iingxaki entliziyweni yakho.
Iintyatyambo nemifuno zihlala ziphezulu kwi potassium, kodwa ezi yamkelekileyo:
- IiApile
- Iibhere
- Ibrokholi
- Ikhaphetshu
- IiKaroti
- Icauliflower
- Isileri
- Cherries
- Netyhukhamba
- Isityalo seqanda
- Amagilebhisi
- Iimbotyi eziluhlaza
- Ilethasi
- Anyanisi
- Peaches
- Amapheya
- Pepper
- Ipanapula
- Plums
- Radishes
- Tangerines
- Squash ephuzi
- Uzucchini
IiCarbohydrates kunye namaFats
Ukuba ufuna ukufumana okanye ukugcina ubunzima bakho, ukwandisa iikhalori ngokunyusa ukutya okunokwakheka kwe-carbohydrate kunokunceda. Izityalo, okusanhlamvu kunye nesonka ziyimithombo emihle kakhulu - uya kufuneka ama-6 ukuya ku-11 ama-servings ukusuka kweli qela lokutya imihla ngemihla.
Khetha ukutya okuhlambulukileyo kunokuba ugcwale i-phosphorus. Ukuba unesifo sikashukela, unokufuna ukulandela ukutya okunomdla we-carbohydrate .
Ugqirha wakho unokufuna ukuba ulandele ukutya okuncitshisiweyo xa usengozini yesifo senhliziyo. Isondlo sakho sokutya siya kukuncedisa nayiphi na imithintelo enqatha yokutya
Imenyu yesampula
Nasi umzekelo wemenyu yemihla ngemihla eya kufana neemfuno zakho zokutya ezikhawulelweyo:
Yafutshane
- Ijusi yeCranberry
- Amaqanda ama-2
- Inqabileyo emhlophe ngebhotela, igargarine, i-jelly, okanye isityalo esasazekayo.
Umlenze wokuHlanganisa
- I-karoti ibambelela
Isidlo
- I-salad ye-pasta i-white dinner roll ne bhotela okanye i-margarine
- Iiperesi ezitsha okanye zamathanga
- Ijisi le-Apple okanye i-soda ecacileyo (kungekhona i-cola)
Ngomso wamanzi
- Inkukhu isonka ngesiqwatho esimhlophe
Isidlo
- Isaladi kunye neelayiki, ukhukhamba, iinqathe kunye ne-broccoli ngeoli kunye neviniga njengengubo yokugqoka
- Salmon
- Iimbotyi eziluhlaza
- I-1/2 indebe yobisi
Ixesha lokuhlwa
- Iidiliya okanye amajikijolo
Zondlo
Ukutya kwesifo seengxaki zesifo seengxaki kunokusweleka kwizondlo ezithile, kwaye isondlo sakho sesondlo okanye isondlo sinokukunceda. Qiniseka ukuba uthetha nababoneleli benkonzo yakho yezempilo ngaphambi kokuba ungeze nayiphi na isongezelelo sokutya.
Imithombo:
IAmerican Kidney Foundation. Izikhokelo zeZidlo zabantu abadala eziqala kwiHemodialysis. http://www.kidney.org/atoz/content/dietary_hemodialysis.cfm.
Maher AK. "Imenyu Yokutya Elula." I-Eleventh Edition, eHoboken NJ, eU.SA: Wiley-Blackwell Publishing, Oktobha 2011.