Ukudla kwe-hemodialysis kufanele kube kanjani

-Delile

• Ukudla kwe-hemodialysis
• 1. Lawula inani lamaprotheni
• 2. Nciphisa ukusetshenziswa kwe-potassium
• 3. Nciphisa inani likasawoti
• 4. Ukuphuza iziphuzo ezimbalwa
• 5. Gcina amaminerali omzimba azinzile

Ekuphakeleni i-hemodialysis, kubalulekile ukulawula ukuphuza uketshezi namaprotheni nokugwema ukudla okunothe nge-potassium nosawoti, njengobisi, ushokoledi nokudla okulula, ngokwesibonelo, ukuze unganqwabeli ubuthi emzimbeni, obukhulisa ukusebenza kwe izinso. Ngale ndlela, indlela yokudla kufanele iqondiswe yisazi sokudla ukuze isiguli sikwazi ukufaka amanani afanele ezakhamzimba futhi sihlale siphilile.

Kwezinye izimo, ngemuva kweseshini ye-hemodialysis, eyindlela yokuhlunga igazi nokususa izinto ezinobuthi emzimbeni, isiguli sinesicanucanu futhi asinakho ukudla, futhi kufanele sidle inani elincane lokudla futhi sidle ukudla okulula ukugcwalisa okulahlekile amandla.

Ukudla kwe-hemodialysis

Iziguli ezikwi-hemodialysis zingadla ama-carbohydrate, njenge-rice, i-pasta, ufulawa, ama-cracker angenasisekelo noma isinkwa, ngaphandle kwemikhawulo uma ungekho ekudleni ukuze wehlise isisindo. Lokhu kudla, ngaphezu kokunikeza amandla, kunamaprotheni amancane noma akukho, i-sodium, i-potassium ne-phosphorus okungadliwa kuphela ngamanani amancane

Ngakho-ke, isiguli esisebenza nge-hemodialysis sinezinguquko ekusebenzeni kwezinso, ngakho-ke, sidinga:

1. Lawula inani lamaprotheni

Ukusetshenziswa kwamaprotheni kungenziwa kepha inani elingafakwa ekudleni ngakunye kuncike esisindweni nasekusebenzeni kwezinso zesiguli, ngakho-ke, amanani akhonjiswa ngongoti wezokudla, futhi kufanele ahlonishwe njalo. Ngalesi sizathu, ezimeni eziningi kuyadingeka ukusebenzisa isikali ukukala inani elivunyelwe, futhi kuvame ukunconywa u-0.8 kuye ku-1g / kg / ngosuku.

Umthombo oyinhloko wamaprotheni kumele ube owezilwane ezifana nenyama yenkukhu, i-turkey kanye neqanda elimhlophe ngoba kubekezelelwa kangcono ngumzimba futhi, kokunye, kungadingeka ukuthatha izithako zokudla okunomsoco ezifana ne-Ensure Plus, Nepro, Protein Protein I-powder, isibonelo, njengoba kukhonjisiwe yisazi sokudla. Thola okunye ukudla okunothe ngamaphrotheni.

2. Nciphisa ukusetshenziswa kwe-potassium

Kuyadingeka ukulawula ukutholakala kwe-potassium, engatholakala kwimifino eminingi, izithelo, ubisi noshokoledi, njengoba i-potassium eyeqile egazini iholela ezinkingeni zenhliziyo nobuthakathaka bemisipha.

Ngezansi kwetafula elinokudla okufanele kugwenywe nalokho okungadliwa.

Izithelo ezomisiwe njengamantongomane, amajusi wezithelo aminyene, umhluzi wokupheka nosawoti noma okufakwa esikhundleni sikasawoti okhanyayo nakho kunothe nge-potassium ngakho-ke kufanele kususwe ekudleni. Bona lokho kudla okufanele ukugweme ngoba kungukudla okunothe nge-potassium.

Ungalawula kanjani inani le-potassium: Ingxenye ye-potassium iphuma ekudleni, ngakho-ke ungamanzisa ukudla emanzini amahora amabili ngaphambi kokupheka noma kokudla, noma ukupheke emanzini abilayo.

3. Nciphisa inani likasawoti

Isodium ivame ukufakwa ekudleni okunothe kasawoti futhi ngamanani amaningi ngokweqile inganqwabelana emzimbeni, okuholele ekuzweni ukoma, umzimba uvuvukele nomfutho wegazi ophakeme, okuyingozi kakhulu empilweni yesiguli esiku-dialysis.

Isiguli esisebenzisa i-hemodialysis ngokuvamile singadla kuze kufike ku-1000 mg we-sodium nsuku zonke, kepha amanani ngqo kufanele akhonjiswe ngongoti wezokudla. Ngakho-ke, isiguli akufanele sifake usawoti ekudleni, njengoba ukudla okuningi sekuvele kune-sodium.

NjengesivumelwanoBheka inani likasawoti: Funda amalebula okudla, ugweme ukuthenga ukudla okunosawoti, njengokusemathinini, iqandisiwe ukudla okusheshayo namasoseji, ukukhetha ukudla okusha. Elinye isu ukusebenzisa amakhambi, imbewu, uwoyela noviniga ukufaka isizini. Yazi amathiphu okwazi Ukwehlisa kanjani ukusetshenziswa kasawoti.

4. Ukuphuza iziphuzo ezimbalwa

Inani loketshezi oliphuza nsuku zonke liyahlukahluka nenani lomchamo owenziwa isiguli. Kodwa-ke, inani loketshezi okufanele uliphuze ngosuku akufanele leqe ku-800 ml, kufaka phakathi amanzi, iqhwa, ujusi, i-gelatin, ubisi, itiye, i-chimarrão, u-ayisikhilimu, ikhofi noma isobho, kubalulekile ukubhalisa uketshezi oludliwe nsuku zonke.

Uketshezi luhlangana kalula emzimbeni, kudale ukuvuvukala ngoba izinso azisebenzi kahle, okuholela ekushayweni umfutho wegazi ophakeme nezinkinga zenhliziyo noketshezi oluningi emzimbeni kuholela ekutholeni isisindo, okungafanele kweqe 2.5 kg phakathi kweseshini ngayinye.

Ungalawula kanjani inani leziphuzo: sebenzisa ibhodlela elilinganisiwe bese uphuza lelo nani emini; uma womile faka ucezu lukalamula emlonyeni wakho bese ugeza ngamanzi ngomlomo kodwa ungagwinyi. Ngaphezu kwalokho, kufanele uphefumule kakhulu ngamakhala akho kunasemlonyeni wakho, kuyasiza ukungomisi i-mucosa kakhulu. Yazi amathiphu okwazi ukuthi uphuza kanjani amanzi ekuhlulekeni okungapheli kwezinso.

5. Gcina amaminerali omzimba azinzile

Isiguli esithola i-dialysis kufanele sigcine amanani we-phosphorus, calcium, iron ne-vitamin D, okulinganisela umzimba ukuze usebenze kahle, kubalulekile:

• I-Phosphor: I-phosphorus eyeqile egazini ingadala ukuqaqamba emathanjeni, okungadala ukuphuka, ubuhlungu obuningi emajoyintini nokunwaya emzimbeni. Ngakho-ke, kuyadingeka ukulawula inani lokudla okunothe ku-phosphorus, njengobisi, ushizi, ubhontshisi, amantongomane, neziphuzo ezibandayo, njengoba le minerali isuswa kancane emzimbeni ngesikhathi se-dialysis.
• I-calcium: Ngokuvamile, lapho i-phosphorus ilinganiselwe, i-calcium nayo iyalinganiselwa, njengoba lezi zakhi zomzimba zitholakala ekudleni okufanayo. Njengoba kungadingeki ukunciphisa inani le-calcium, kungadingeka ukuthatha isithasiselo se-calcium ukugcina amathambo aphilile.
• Uvithamini D: Uma isiguli senziwa i-hemodialysis, kungadingeka ukuthatha i-vitamin D supplementation, efana neRocaltrol noma iCalcijex ngendlela yamaphilisi noma imijovo yokusiza ukumunca i-calcium ne-phosphorus.
• Insimbi: Ngesikhathi seseshini ye-hemodialysis kukhona ukulahleka kwesilinganiso esithile segazi ne-ayoni noma ngisho nokudla okungalungile, okungaholela ekushoneni kwegazi, kudingekile ukuthatha isithasiselo sensimbi, esikhonjiswe ngudokotela.

Isazi sokudla okunempilo kufanele senze imenyu efanele izidingo zesiguli esinezinkinga zezinso nokuthi ubani owenza i-hemodialysis, ekhombisa ukudla okufanele kakhulu namanani afanelekile odaba ngalunye.

Futhi funda ukuthi ungadla kanjani ngemuva kokufakelwa kabusha kwezinso.