Kudya kwehemodialysis kunofanira kunge kuri sei

Zvemukati

• Kudya kwehemodialysis
• 1. Chengetedza huwandu hwepuroteni
• 2. Deredza potassium kushandiswa
• 3. Deredza huwandu hwemunyu
• 4. Kunwa zvinwiwa zvishoma
• 5. Chengetedza zvicherwa zvemuviri zvakatsiga

Mukudyisa hemodialysis, zvakakosha kudzora kudyiwa kwemvura nemapuroteni uye kudzivirira chikafu chakazara mu potassium nemunyu, semukaka, chokoreti uye tudyo, semuenzaniso, kuti irege kuunganidza chepfu mumuviri, izvo zvinowedzera kushanda kwe itsvo. Nenzira iyi, chikafu chinofanirwa kutungamirwa nenyanzvi yezvokudya kuitira kuti murwere anwe zvakaenzana zvinovaka muviri uye arambe aine hutano.

Mune zvimwe zviitiko, mushure memusangano wehemodialysis, unova mushonga wekusefa ropa uye kubvisa zvinhu zvine chepfu kubva mumuviri, murwere ane kusvotwa nekushaya kudya, uye anofanirwa kudya zvishoma zvekudya uye kudya zvakapusa kuzadza izvo zvakarasika. simba.

Kudya kwehemodialysis

Varwere pane hemodialysis vanogona kudya makabhohaidhiretsi, senge mupunga, pasita, furawa, makeke asina kuvharwa kana chingwa, pasina zviyero kana usiri pachikafu kuti uderedze huremu. Idzi zvekudya, pamusoro pekupa simba, zvine mapuroteni mashoma kana asina, sodium, potasium uye phosphorus izvo zvinongogona kudyiwa zvishoma

Nekudaro, murwere ari kuitwa hemodialysis ane shanduko mukushanda kweitsvo uye, nekudaro, inoda:

1. Chengetedza huwandu hwepuroteni

Iko kunwa kwemapuroteni kunogona kuitwa asi huwandu hunogona kumedzwa pakudya kwega kwega kunoenderana nehuremu uye kushanda kweitsvo yemurwere uye, nekudaro, hunhu hunoratidzwa neanodya, uye anofanirwa kugara achiremekedzwa. Neichi chikonzero, muzviitiko zvakawanda zvinodikanwa kushandisa chiyero kuyera huwandu hwakabvumidzwa, uye inowanzo kukurudzirwa 0.8 kusvika 1g / kg / zuva.

Chinonyanya kukosha cheprotein chinofanira kunge chiri chemhuka dzakadai senyama yehuku, turkey uye jena jena nekuti iri nani inoregererwa nemuviri uye, mune dzimwe nguva, zvinogona kuve zvakakosha kutora zvinovaka muviri zvakadai se Ensure Plus, Nepro, Promod Protein Upfu, semuenzaniso, sekuratidzwa nenyanzvi yezvokudya. Tsvaga zvimwe zvekudya zvine mapuroteni.

2. Deredza potassium kushandiswa

Izvo zvinodikanwa kudzora kudyiwa kwe potassium, iyo inogona kuwanikwa mumazhinji miriwo, michero, mukaka uye chokoreti, sezvo yakawandisa potasium muropa inotungamira kumatambudziko emwoyo uye kushaya simba kwemhasuru.

Pazasi petafura ine zvekudya zvinofanirwa kudzivirirwa uye izvo zvinogona kudyiwa.

Michero yakaomeswa senzungu, muto wemichero wakanyatsobikwa, muto wekubikisa uye munyu kana zvinotsiva munyu zvine hupfumi zvakare zvine potasiamu uye nekudaro zvinofanirwa kubviswa kubva mukudya. Ona izvo zvekudya zvaunofanirwa kudzivirira nekuti izvo zvikafu zvakapfuma mu potassium.

Maitiro ekudzora huwandu hwe potasium: Chikamu che potassium chinobuda kunze kwechikafu, saka unogona kunyudza chikafu mumvura maawa maviri usati wabika kana kudya, kana kuibika mumvura inofashaira.

3. Deredza huwandu hwemunyu

Sodium inowanzo kumedzwa kuburikidza nezvikafu zvine munyu uye zvakawandisa zvinogona kuunganidzwa mumuviri, zvichitungamira pakunzwa nyota, kuzvimba muviri uye neBP, izvo zvinokuvadza zvakanyanya kune hutano hwemurwere pane dialysis.

Murwere ari kurapwa hemodialysis anogona kungodya chete kusvika ku1000 mg yesodium zuva nezuva, zvisinei izvo zviyero chaizvo zvinofanirwa kuratidzwa nachiremba wezvehutano. Nekudaro, murwere haafanire kuwedzera munyu muchikafu, sezvo chikafu chizhinji chiine sodium.

SechibvumiranoTarisa uwandu hwemunyu: Verenga zvinyorwa zvekudya, uchidzivirira kutenga zvekudya zvine munyu, zvakadai semakeni, nechando chikafu chekutenga uye masoseji, kusarudza chikafu chitsva. Imwe nzira ndeyekushandisa mishonga, mbeu, mafuta uye vhiniga kumwaka. Ziva matipi ekuziva Maitiro ekuderedza kunwa kwemunyu.

4. Kunwa zvinwiwa zvishoma

Huwandu hwemvura dzaunonwa zuva rega rega hunosiyana neuwandu weti weti inogadzirwa nemurwere. Zvisinei, huwandu hwemvura yekunwa pazuva haufanire kudarika 800 ml, kusanganisira mvura, chando, muto, gelatin, mukaka, tii, chimarrão, ice cream, kofi kana muto, zvakakosha kunyoresa zvinonwiwa zvinwiwa zuva nezuva.

Mvura inoungana nyore mumuviri, zvichikonzera kuzvimba nekuti itsvo hadzisi kushanda, zvichitungamira kukwirisa kweropa uye matambudziko emoyo uye kuwanda kwemvura mumuviri zvinotungamira mukuwedzera huremu, izvo zvisingafanirwe kudarika 2.5 kg pakati pechikamu chimwe nechimwe.

Maitiro ekudzora huwandu hwezvinwiwa: shandisa bhodhoro rakayerwa uye unwe huwandu uhu masikati; kana uine nyota isa chidimbu chemoni mumuromo mako wogeza nemvura mukanwa asi usingamedze. Uye zvakare, iwe unofanirwa kufema zvakanyanya kuburikidza nemhino dzako kupfuura nemumuromo mako, zvinobatsira kuti urege kuomesa mucosa zvakanyanya. Ziva matipi ekuziva Maitiro ekunwa mvura mune isingaperi itsvo kutadza.

5. Chengetedza zvicherwa zvemuviri zvakatsiga

Murwere ari kuitwa dialysis anofanirwa kuchengetedza hunhu hwephosphorus, calcium, iron uye vhitamini D, yakaenzana kuti muviri ushande nemazvo, zvichikosha:

• Phosphor: Kuwedzeredza phosphorus muropa kunogona kukonzera kushaika mumapfupa, izvo zvinogona kukonzera kutsemuka, kurwadziwa kwakanyanya mumajoini uye kuvaviwa mumuviri. Nekudaro, zvakafanira kudzora huwandu hwezvikafu zvakapfuma muphosphorus, senge mukaka, chizi, bhinzi, nzungu, uye zvinwiwa, sezvo ichi chicherwa chisina kubviswa mumuviri panguva yedialysis.
• Calcium: Kazhinji, apo phosphorus inogumira, calcium zvakare ishoma, sezvo izvi zvinovaka muviri zvinowanikwa mune zvimwe chete zvekudya. Sezvo zvisiri zvakafanira kudzikisa huwandu hwecalcium, zvingave zvakafanira kutora calcium calcium kuwedzera kuchengetedza mapfupa ane hutano.
• Vhitamini D: Kana murwere ari kurapwa hemodialysis, zvinogona kuve zvakakosha kutora vhitamini D yekuwedzera, senge Rocaltrol kana Calcijex muchimiro chemapiritsi kana majekiseni kubatsira kupinza calcium nephosphorus.
• Iron: Pakati pechikamu chehemodialysis pane kurasikirwa kweimwe huwandu hweropa nedare kana kunyangwe chikafu chisiri icho, izvo zvinogona kukonzeresa kushomeka, zvichidikanwa kutora simbi yekuwedzera, inoratidzwa nachiremba.

Nyanzvi inoona nezvekudya zvinovaka muviri inofanirwa kuita menyu inoenderana nezvinodiwa nemurwere ane matambudziko eitsvo uye ari kuongororwa hemodialysis, zvichiratidza chikafu chakakodzera uye huwandu hwakaringana penyaya imwe neimwe.

Uyezve dzidza madyiro mushure mekuisirwa kweitsvo.