Cov Tswv Yim Qhia Txog Kev Noj Qab Haus Huv rau Kev Kho Mob Rau Raum Kab Mob (CKD)

Yam Koj Yuav Tsum Paub Txog Kab Mob Raum Rau Mob (CKD)

Nyob rau hauv xyoo tas los no, qhov tshwm sim ntawm tus kab mob raum ntev tau nce thoob plaws ntiaj teb, thiab cov pej xeem feem ntau tsis muaj kev paub txog kev tiv thaiv thiab kho tus kab mob no. Raws li nws cov etiology, nws tuaj yeem muab faib ua peb hom: thawj, theem nrab, thiab keeb kwm. CKD yog ib yam kab mob uas cuam tshuam nrog kev ua neej. Txoj kev ua neej tsis tsim nyog, tshwj xeeb tshaj yog cov qauv kev noj haus tsis tsim nyog yuav ua rau muaj kev nce qib ntawm cov kab mob raum ntev thiab txhawb qhov tshwm sim ntawm ntau yam teeb meem.

Nyem rau cistanche cov txiaj ntsig thiab cov kev mob tshwm sim rau CKD

Kev pheej hmoo rau kev loj hlob ntawm CKD muaj xws li hyperglycemia, kub siab, urinary protein (xws li microalbuminuria), thiab hypoalbuminemia, ntxiv rau cov ntshav qab zib, hyperlipidemia, phosphorus siab, hnub nyoog laus, kev noj zaub mov tsis txaus, thiab uremia tsub zuj zuj ntawm co toxins yuav txhawb txoj kev loj hlob ntawm cov kab mob. mob raum mob. Raws li kev soj ntsuam ntawm cov neeg mob sab nraud thiab cov neeg mob hauv CKD hauv Department of Nephrology hauv peb lub tsev kho mob hauv 3 lub xyoos dhau los, qhov feem pua ​​​​ntawm cov neeg mob hyperuricemia yog qhov siab. Cov kev tshawb fawb tam sim no tau pom tias hyperuricemia (HUA) yog ib qho teeb meem ntawm cov kab mob raum ntev (CKD). Nws yog ib qho tseem ceeb ntawm kev pheej hmoo rau kev loj hlob ntawm lub raum ua haujlwm hauv cov neeg mob CKD. Yog li, qib ntawm cov ntshav uric acid UA yuav tsum tau tswj xyuas kom ncua kev loj hlob ntawm CKD.

Kev noj zaub mov zoo plays lub luag haujlwm tseem ceeb hauv kev kho mob raum mob ntev. Lub hauv paus ntsiab lus ntawm kev noj haus yog cov calories txaus, tsis tshua muaj ntsev, zoo, tsis muaj protein ntau, thiab kev noj zaub mov zoo ntawm cov poov tshuaj, phosphorus, thiab vitamins. Kev tshawb fawb thiab kev noj zaub mov kom tsim nyog tuaj yeem ncua kev ua haujlwm ntawm lub raum tsis ua haujlwm, ncua kev pib lim ntshav, txo qhov tsub zuj zuj ntawm "toxins" hauv lub cev, kho ntau yam kab mob metabolic, thiab txhim kho kev noj zaub mov zoo, yog li txo qis cov tsos mob ntawm cov neeg mob, txhim kho kev noj qab haus huv. lub neej, thiab nce tus neeg mob ciaj sia. Cov kev tshawb fawb tau pom tias los ntawm theem thib peb ntawm CKD, kev noj phosphorus yuav tsum raug txwv, uas yog, 600-800mg / d, vim tias cov phosphorus siab yog ib qho kev pheej hmoo rau kev tuag ntawm CKD, thiab nws kuj yog ib qho yooj yim ua rau cov tsos mob tsis xis nyob. xws li tawv nqaij khaus hauv cov neeg mob; Thaum GFR poob rau 20 -25ml/(min.1.73m2), tus neeg mob cov zis tso zis tsawg zuj zus, lub peev xwm ntawm lub raum kom tso cov poov tshuaj txo qis, thiab hyperkalemia yuav tshwm sim, yog li kev noj cov poov tshuaj yuav tsum nruj me ntsis txwv. .

Qhov tseem ceeb ntawm "blanching dej"

"Blanching dej" yog muab cov ntaub ntawv ua ntej ua tiav rau hauv lub lauj kaub dej kub kom txog thaum lawv ua tiav ib nrab los yog siav tag nrho, thiab tom qab ntawd coj lawv tawm mus ua ntxiv. "Nan" hu ua "Zhao" hauv Guangdong. Tom qab "blanching dej" ua tiav, cov xim ntawm cov zaub yuav ua kom pom tseeb, qhov txawv txav ntawm cov nqaij yuav raug txo, thiab lub sijhawm ua noj yuav luv. Tshwj xeeb tshaj yog rau cov neeg mob CKD, cov txiaj ntsig ntawm "blanching" cov zaub mov ua tiav yog qhov tseem ceeb tshwj xeeb!

(1) Zaub thiab txiv hmab txiv ntoo raug txiav ua ntej, ces tsau, thiab ces "blanched" rau kev ua thiab noj. Tom qab ua raws li txoj kev no, ib feem ntawm cov poov tshuaj hauv cov zaub yuav raug tshem tawm, yog li txo qhov kev pheej hmoo ntawm hyperkalemia thiab nce hom txiv hmab txiv ntoo thiab zaub uas cov neeg mob tuaj yeem xaiv, tsis yog txwv rau cov zaub thiab txiv hmab txiv ntoo uas tsis tshua muaj poov tshuaj. Tsis tas li ntawd, cov xim ntawm cov zaub ua tiav los ntawm "blanching dej" yog qhov zoo dua, uas tuaj yeem yooj yim txhawb kev qab los ntawm cov neeg mob thiab txhim kho lawv lub neej zoo.

Cov khoom noj uas muaj cov poov tshuaj tsawg (tsawg dua 150mg ntawm cov poov tshuaj ib 100g ntawm cov khoom noj):

Xws li loofah, zaub melon, wax gourd, thiab lwm yam.;

Cov khoom noj uas muaj cov ntsiab lus ntawm cov poov tshuaj tsawg (150mg txog 250mg ntawm potassium ib 100g ntawm cov zaub mov):

suav nrog suav zaub qhwv, leeks, zaub qhwv, zaub qhwv, thiab lwm yam .;

Cov khoom noj uas muaj cov poov tshuaj ntau dua (ntau dua 250mg ntawm poov tshuaj rau 100 g ntawm cov khoom noj):

Xws li citrus, bananas, fungus, nceb, kelp, thiab qos yaj ywm.

Kev ceeb toom sov: Tsis txhob haus cov zaub kua zaub, thiab tsis txhob noj ntau dhau ntawm sodium thiab potassium.

(2) Cov nqaij ntshiv, ntses, thiab lwm yam proteins uas zoo yog marinated thiab "blanched" los yog noj tom qab stewing thiab pov tseg cov kua zaub. Qhov no tuaj yeem tsis tsuas yog txo cov khoom noj purines xwb, tab sis kuj txo cov ntsiab lus ntawm phosphorus, uas yog qhov tsim nyog rau cov neeg laus cov neeg mob uas muaj kab mob hauv lub raum Ib txoj kev ua noj ua haus, xws li cov nqaij npuas kib, los yog cov nqaij do-fried shredded tuaj yeem marinated nrog cov hmoov txhuv nplej siab. ua ntej "blanching", uas tsis yog tsuas yog zoo rau zom tab sis kuj ua kom cov khoom noj muaj txiaj ntsig zoo (kev noj zaub mov yog nyob ntawm tus neeg mob qhov siab, qhov hnyav thiab kev xam tshwj xeeb raws li cov theem ntawm cov kab mob raum).

Cov qib ntawm phosphorus txo qis tom qab "blanching" ua yog cuam tshuam nrog cov khoom xws li cov dej siv, qhov loj ntawm cov khoom xyaw, lub sijhawm ua noj, thiab seb cov tawv nqaij puas tau tev. Txoj kev tswj ntshav phosphorus los ntawm kev txwv cov protein kom tsawg yuav ua rau muaj kev phom sij ntau dua li qhov zoo. Koj yuav tsum xa mus rau qhov piv txwv ntawm phosphorus / protein nyob rau hauv cov zaub mov xaiv cov khoom noj uas muaj protein ntau tab sis cov ntsiab lus phosphorus tsawg dua. Feem ntau, cov khoom noj uas muaj qhov sib piv tsawg dua 12mg / g yog cov khoom noj uas tsis muaj phosphorus, xws li qe dawb, feem ntau hu ua qe dawb, uas muaj cov protein ntau, thiab cov ntsiab lus phosphorus tsuas yog 1.4mg / g.

Txoj kev ntawm "blanching dej" ntxiv txo qhov kev noj phosphorus. Cov kev tshawb fawb tau pom tias kev ua "blanching dej" tuaj yeem txo cov phosphorus hauv zaub los ntawm 51 feem pua, thiab cov phosphorus hauv cov zaub mov nqaij kuj tuaj yeem txo los ntawm 38 feem pua.

Kev nqus ntawm phosphorus hauv cov tsiaj protein yog kwv yees li 50 feem pua, qhov nqus ntawm phosphorus hauv cov nroj tsuag protein yog 30 feem pua, thiab yuav luag tag nrho cov phosphorus hauv cov khoom noj ntxiv yuav raug nqus, yog li kev noj cov zaub mov tsis muaj phosphorus hauv cov zaub mov tiav yuav tsum nruj me ntsis txwv. .

(3) Staple zaub mov "blanching dej" ua. Rau cov neeg mob uas noj ib feem ntawm cov zaub mov tseem ceeb ntawm cov hmoov nplej, tom qab "blanching" mov thiab noodles ua mov thiab noodles, ib feem ntawm cov ntsiab lus phosphorus tuaj yeem txo. Feem ntau ntawm cov khoom noj tseem ceeb ntawm cov hmoov nplej hmoov nplej tau ua tiav nrog dej thaum lub sijhawm tsim khoom, yog li cov ntsiab lus phosphorus kuj tsawg.

(4) Tom qab "blanching dej" ua, cov ntsiab lus ntawm oxalic acid nyob rau hauv cov zaub mov yuav txo tau. Cov neeg mob uas muaj kab mob raum ntev muaj qhov tshwm sim ntawm lub raum anemia thiab kab mob raum pob txha. Nws yog ib qho tsim nyog kom txo qis qhov cuam tshuam ntawm oxalic acid rau kev nqus ntawm calcium thiab hlau hauv tib neeg lub cev. Nyob rau tib lub sijhawm, nce kev noj cov zaub mov uas muaj calcium thiab heme hlau hauv kev noj haus.

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