Sab saum toj 9 Cov Lus Qhia Txog Kev Noj Qab Haus Huv Rau Cov Neeg Mob raum Mob

Nrog rau qhov poob ntawm lub raum ua haujlwm, cov kws kho mob feem ntau xav kom cov neeg mob mob raum kab mob (CKD) kom muaj cov khoom noj muaj protein tsawg, tsis muaj ntsev, tsis muaj purine, tsawg-phosphorus, thiab cov zaub mov tsis muaj poov tshuaj. Kev noj zaub mov kom tsim nyog tuaj yeem tsis tsuas yog muab lub cev nrog cov as-ham txaus rau kev noj qab haus huv, tab sis txhim kho Cov metabolism hauv ib puag ncig kuj tuaj yeem txo lub nra ntawm lub raum, thiab txhim kho cov tsos mob, yog li ncua kev loj hlob ntawm cov kab mob raum. Kev noj zaub mov zoo rau cov neeg mob CKD tau dhau los ua ib feem tseem ceeb ntawm kev kho mob ntawm CKD.

Nyem rau cov txiaj ntsig ntawm cistanche rau mob raum

Niaj hnub no, kuv xav qhia rau koj txog 9 lub tswv yim kev noj haus rau cov neeg mob CKD thiab saib seb cov neeg mob raum yuav tsum noj li cas thiab noj qab nyob zoo.

Cov neeg mob raum yuav tsum noj li cas thiaj noj qab nyob zoo? Pib nrog 9 yam no!

Ua kom noj zaub mov muaj protein tsawg

Ntau tus neeg yuav xav tsis thoob, yog tias yuav luag txhua tus neeg mob uas muaj kab mob hauv lub raum muaj qhov sib txawv ntawm cov proteinuria, thiab qee cov neeg mob txawm tias muaj mob hypoalbuminemia vim muaj proteinuria ntau. Lawv yuav tsum tsis txhob noj cov zaub mov muaj protein ntau nyob rau lub sijhawm no los ntxiv cov protein uas ploj lawm?

Proteinuria tshwm sim vim hais tias lub glomerular filtration barrier puas lawm, ua rau cov kua protein uas yuav tsum tau reabsorbed rau hauv cov zis. Txoj hauv kev tseem ceeb los daws qhov teeb meem no yog txo qis kev tiv thaiv kab mob ntawm lub raum thiab kho qhov cuam tshuam pom kev puas tsuaj los ntawm kev siv tshuaj tiv thaiv kab mob ua ke nrog kev kho mob ntxiv, tsis yog exogenous protein supplementation, vim hais tias txawm li cas los xij ntxiv rau lub sijhawm no, cov protein tseem nyob. Nws yuav xau los ntawm lub qhov txhab puas, thiab cov khoom siv nitrogenous uas tsim los ntawm cov protein decomposition yuav tsum tau metabolized los ntawm ob lub raum, uas yuav ua rau kom lub nra ntawm lub raum.

Cov txiaj ntsig ntawm kev noj zaub mov muaj protein tsawg rau cov neeg mob CKD:

1. Txhim kho cov txheej txheem metabolic, txo cov khoom uas muaj nitrogen thiab cov kua qaub;

2. Txo cov hyperperfusion thiab hyperfiltration xeev nyob rau hauv lub glomerulus;

3. Txo cov proteinuria thiab ncua qhov tshwm sim ntawm lub raum vascular sclerosis thiab hyperparathyroidism;

4. Txo cov kev ua haujlwm ntawm lub raum tiv thaiv kab mob thiab txo lub raum puas.

Ua kom muaj ntsev tsawg

Txo cov ntsev kom tsawg tuaj yeem txo qhov tshwm sim ntawm cov ntshav siab, tiv thaiv arteriosclerosis, txo glomerular siab, txo cov proteinuria, txhim kho lub raum hemodynamics, thiab ncua lub raum puas.

Kev tswj hwm ntsev yog sodium chloride<6g/d, which is about the capacity of a beer bottle cap.

Ntxiv nrog rau lub rooj ntsev, koj yuav tsum tau them sai sai rau kev noj cov ntsev tsis pom hauv cov khoom noj xws li nqaij qaib, kua ntses, thiab taum paste, nrog rau kev noj cov zaub mov muaj ntsev xws li ntses ntsev, hnyuv ntxwm, spiced melon. noob, thiab candied txiv hmab txiv ntoo. Kev noj ntsev ntau dhau. Txoj kev ua noj yuav tsum yog steamed, qab zib, thiab qaub (cov neeg mob uas tsis yog mob ntshav qab zib) es tsis txhob ntsev thiab kua txob, braised nyob rau hauv soy sauce, thiab lwm yam.

Nws tsis pom zoo kom noj cov ntsev tsawg, vim tias cov ntsev tsawg muaj 30 feem pua ​​​​poov tshuaj chloride, uas tuaj yeem ua rau hyperkalemia hauv cov neeg mob CKD theem 3 lossis siab dua.

Ua raws li kev noj zaub mov tsawg-purine

Tsis tu ncua hyperuricemia tuaj yeem tso urate crystals rau hauv cov ntaub so ntswg interstitial ntawm lub raum medulla, qhib lub zos renin-angiotensin-aldosterone system, puas hlwb endothelial, thiab ua rau siab glomerular siab thiab interstitial fibrosis thiab lwm yam pathological hloov [2], aggravating raum puas. Yog li, cov neeg mob CKD yuav tsum tau noj cov zaub mov uas tsis muaj purine.

Ntxiv nrog rau kev txo kom tsawg ntawm cov khoom noj uas muaj purine xws li nqaij nruab deg, tsiaj offal, thiab taum tshiab, nws raug nquahu kom txo cov rog. Cov txheej txheem ntawm cov rog decomposition nyob rau hauv lub cev yuav tsim ketone lub cev los inhibit lub excretion ntawm uric acid.

Noj zaub tshiab ntxiv, vim tias zaub thiab txiv hmab txiv ntoo yog cov khoom noj alkaline, uas yog qhov zoo rau alkalizing cov zis thiab txhawb kev tso tawm ntawm uric acid. Txawm li cas los xij, qee cov txiv hmab txiv ntoo tauj, xws li pineapple thiab cov txiv ntoo, muaj cov ntsiab lus fructose siab. Fructose tuaj yeem ua kom nrawm ntawm uric acid, yog li nws yuav tsum tsis txhob noj ntau ntau.

Spinach, asparagus, cauliflower, thiab lwm yam zaub thiab nqaij nrog cov ntsiab lus purine siab yog pom zoo kom blanched ua ntej ua noj, uas tuaj yeem txo cov ntsiab lus uric acid los ntawm 80 feem pua.

Kev haus dej cawv, tshwj xeeb tshaj yog npias, tuaj yeem ua rau muaj cov lactic acid nyob rau hauv lub cev, yog li inhibiting lub excretion ntawm uric acid thiab depositing urate, ua rau mob mob gout, uas yuav ua rau lub raum interstitium puas thaum lub sij hawm. Nws raug nquahu kom cov neeg mob tsis txhob haus cawv.

Txoj cai ntawm cov ntsiab lus purine hauv cov zaub mov cog:

Dried bacteria and algae>Dried beans and products>Fresh bacteria and algae>Nuts and seeds>Grains and products>Vegetables and products>Potato starch and products>Txiv hmab txiv ntoo thiab cov khoom

Txoj cai ntawm cov ntsiab lus purine nyob rau hauv tsiaj cov zaub mov:

Cov khoom noj uas muaj dej tsawg (xws li daim siab, ntses ci, thiab lwm yam) > ntses, cws, crab, thiab shellfish > nqaij

Ua tib zoo saib rau kev noj zaub mov tsis muaj rog

Kev puas tsuaj ntawm lipid metabolism tuaj yeem ua rau muaj kab mob hauv lub raum thiab ua kom nws lub cev tsis zoo. Hyperlipidemia ua lub luag haujlwm tseem ceeb hauv kev ua rau lub raum puas tsuaj thiab yog ib qho kev pheej hmoo ywj pheej rau kev loj hlob ntawm CKD, thiab kev noj zaub mov tsis muaj rog tuaj yeem ncua qhov kev ua haujlwm ntawm lub raum tsis zoo rau qee yam.

Cov lus qhia noj cov rog tsawg:

1. Txo cov rog rog;

2. Tswj kev noj cov qe qe, plhaub ntses viscera, thiab lwm yam;

3. Haus mis nyuj nyob rau nruab nrab, muaj roj tsawg lossis skim mis nyuj;

4. Nws raug nquahu kom noj cov ntses tob hauv hiav txwv uas nplua nuj nyob rau hauv unsaturated fatty acids;

5. Txhawb kom noj tag nrho cov nplej xws li oats;

6. Noj txiv hmab txiv ntoo thiab zaub ntau dua.

Khaws cov khoom noj uas tsis muaj phosphorus

Kev noj zaub mov muaj phosphorus siab tuaj yeem ua rau hyperparathyroidism, thiab nws tuaj yeem ua rau cov hlab plawv calcification, suav nrog calcification ntawm microvessels uas ua rau lub raum, ua rau lub raum ua haujlwm tsis zoo ntxiv. Rau cov neeg mob CKD nrog hyperphosphatemia, nws raug nquahu kom noj phosphorus<800 mg/d. Phosphorus usually coexists with protein, and controlling protein controls phosphorus to a certain extent.

Noj cov zaub mov uas tsis muaj poov tshuaj

Ntau tshaj 90 feem pua ​​​​ntawm cov poov tshuaj hauv tib neeg lub cev yog tawm los ntawm ob lub raum. Cov neeg mob uas lub raum tsis ua haujlwm, txo cov zis tso zis, metabolic acidosis, siv cov tshuaj potassium-sparing diuretics, thiab noj cov zaub mov uas muaj cov poov tshuaj ntau yuav pom cov tsos mob ntawm cov poov tshuaj siab. Hyperkalemia tuaj yeem cuam tshuam rau electrophysiology ntawm lub plawv, ua rau bradycardia thiab, thaum mob hnyav, plawv nres.

Cov lus pom zoo rau kev noj zaub mov rau cov neeg mob hyperkalemic nrog CKD:

1. txwv cov zaub mov thiab tshuaj uas muaj poov tshuaj ntau;

2. Ncua kev noj cov txiv hmab txiv ntoo;

3. Cov zaub uas muaj cov poov tshuaj ntau, xws li spinach thiab lettuce, yuav tsum tau blanched ua ntej noj;

4. Tsis txhob noj tsawg-sodium ntsev;

5. Tsis txhob yuav cov khoom noj uas muaj cov poov tshuaj ntxiv (koj tuaj yeem tshawb xyuas cov lus piav qhia ntawm cov khoom noj ntxiv ua ntej yuav khoom).

Ua tib zoo mloog cov dej haus

Cov dej haus yuav tsum txwv rau cov neeg mob uas muaj mob me me mus rau qhov mob hnyav, oliguria saum CKD theem 3, mob plawv tsis txaus, lossis tsis zoo rau kev lim ntshav ultrafiltration.

Cov Lus Qhia Txog Dej Haus:

1. Haus dej hau thiab haus cov kua zaub tsawg (kua zaub tsis tsuas muaj dej xwb tab sis kuj muaj ntsev ntau);

2. Haus dej tshuaj yej, tsis txhob haus cov tshuaj yej muaj zog lossis cov kaus poom (xws li kua txiv hmab txiv ntoo, los yog cola);

3. Haus dej me me ob peb zaug.

Noj cov zaub mov uas muaj hlau ntau dua

Lub raum anemia yog ib qho teeb meem tshwm sim hauv cov neeg mob CKD, thiab ischemia tuaj yeem ua rau lub raum puas.

Cov lus qhia txog kev noj haus:

1. Ntxiv nrog rau kev ntxiv cov tshuaj recombinant tib neeg erythropoietin, nws raug pom zoo kom ntxiv hematopoietic raw cov ntaub ntawv hlau, folic acid, thiab vitamin B12;

2. Noj cov khoom noj tsiaj uas muaj hlau ntau tuaj yeem nqus tau zoo dua los ntawm tib neeg lub cev;

3. Kev noj zaub mov kom zoo, xws li cov ntshav duck, ntshav npua, daim siab npua, thiab nqaij qaib siab (tswj kev noj haus rau cov neeg muaj uric acid thiab ntshav siab).

Noj cov zaub mov uas muaj calcium ntau dua

Cov neeg mob lub raum tsis txaus, vim tsis muaj cov vitamin D, tsis ua haujlwm ntawm lub raum tubular, phosphorus excretion disorder, thiab lwm yam., ua rau cov phosphorus thiab calcium nqus tsis txaus, tshwm sim hauv lub xeev uas tsis tshua muaj calcium thiab phosphorus siab, theem nrab hyperparathyroidism, ua rau pob txha mineralization Cov khoom poob, ua rau cov pob txha dystrophy, nquag mus rau pathological pob txha thiab lwm yam.

Cov lus pom zoo rau kev noj zaub mov calcium:

1. Cov khoom siv mis nyuj tuaj yeem noj mis nyuj, yogurt, cheese;

2. Cov khoom lag luam tau noj tau nrog cov kua mis, kua mis, cov khoom qab zib qhuav, taum paj (pom zoo tofu qub);

3. Zaub yuav noj tau kale, mustard zaub, thiab edamame;

3. Cov nqaij nruab deg tuaj yeem noj tau nrog cov tawv nqaij cw, dej prawns, perch, loach, thiab lwm yam.

Yog xav paub ntxiv:ali.ma@wecistanche.com