I-Hemophilia A: Izeluleko Zokudla Nokudla

-Delile

• Amathiphu okudla okunempilo
• Ukudla okune-calcium ne-iron
• Ukudla nezithako okufanele uzigweme
• Ukuhlala kunamanzi amaningi
• Kufundwa amalebula okudla
• Ukuthatha

Ukudla okukhethekile akudingeki kubantu abane-hemophilia A, kodwa ukudla kahle nokugcina isisindo esinempilo kubalulekile. Uma une-hemophilia A, umzimba wakho unamazinga aphansi ento yokuvala igazi ebizwa nge-factor VIII. Ngenxa yalokhu, ungopha isikhathi eside ngemuva kokulimala kunabantu abaningi. Ungase futhi wophele ezinhlangothini nasemisipheni yakho.

Uma unenkinga yokulawula isisindo sakho, amakhilogremu athe xaxa awagcini nje ngokufaka ubunzima emajoyintini akho, kodwa futhi andisa inani le-factor VIII yokwelashwa okufanele uyelaphe noma uvimbele ukopha.

Ukudla ukudla okunempilo kungaqinisa amathambo akho namalunga, kukusize ugcine isisindo esifanele, futhi wehlise ubungozi bezifo ezingamahlalakhona ezinjengesifo sikashukela nomfutho wegazi ophezulu.

Uma ingane yakho ine-hemophilia A, uzoyifuna idle ukudla okunothe ngamavithamini namaminerali, njengoba kubalulekile ekukhuleni kwayo.

Amathiphu okudla okunempilo

I-United States Department of Agriculture (USDA) wokubala isisindo somzimba ingakusiza ukunquma ukuthi mangaki ama-calories okufanele uwadle nsuku zonke ukugcina noma ukunciphisa isisindo sakho.

Kwesinye isikhathi kunzima ukulinganisa inani lama-calories owadlayo, noma mangaki ama-calories adliwa ingane yakho. Kodwa kuhle ukuqaphela ukuthi iyiphi imali wena noma ingane yakho okufanele niyilwele usuku ngalunye njengesiqondiso esijwayelekile. Ukupakisha ukudla kwasemini kwengane yakho, ngokungafani nokuthi ingane yakho ithenge okuthile endaweni yokudlela yesikole sayo, futhi nokwazi ukuphakelwa kosayizi kuyizindlela zokuphatha kangcono ukuthi zingakanani nokuthi yiziphi izinhlobo zokudla ezikudlayo.

I-USDA ithuthukise i-MyPlate ukukusiza ukubona ngeso lengqondo ukuthi ukudla okunempilo kubukeka kanjani. IHarvard School of Public Health kanye neHarvard Medical School yakhe inguqulo eguquliwe ye-MyPlate ngokususelwa kwisayensi yokudla okunempilo engcono kakhulu futhi ekhona manje. Ipuleti likhombisa ukuthi ungakha kanjani ukudla okunempilo usebenzisa izinhlobo ezinhlobonhlobo zokudla:

• Gcwalisa isigamu sepuleti lakho nge izithelo futhi imifino, kepha ikakhulukazi imifino, efana ne-broccoli noma ubhatata.
• Khetha okuncikile amaprotheni umthombo, njengezinhlanzi, inkukhu, i-turkey, amaqanda, ubhontshisi, amantongomane, noma i-tofu. Yidla ukudla kwasolwandle okungenani kabili ngesonto.
• Faka konke okusanhlamvu ngokukhetha okusanhlamvu onsundu ngaphezu kwezinhlamvu ezihlanjululwe kakhulu ezimhlophe nezicutshunguliwe.
• Gcwalisa isidlo ngenkomishi engenamafutha noma ephansi ubisi, noma amanzi, ngenhloso ukugwema iziphuzo ezinoshukela lapho udla.

Lapho uthatha isinqumo sokuthi yikuphi ukudla ongakudla, cabanga ngalezi zeluleko:

• Khetha uthingo lwezithelo nemifino enemibala. Imifino enamaqabunga amnyama imithombo enhle yamavithamini, amaminerali kanye nefayibha.
• Ukudla okubhakiwe, okubhakiwe noma okugosiwe kunempilo kunokuthosiwe.
• Izinhlamvu eziphelele, njenge-oats nelayisi elinsundu, nezinkwa zokusanhlamvu eziphelele kungasiza ekunciphiseni isifiso sakho sokudla nokuqinisa ushukela wegazi lakho. Lokhu kungasiza ekunciphiseni izifiso zamaswidi futhi kwandise amazinga akho wamandla.
• Lwela ukudla okuphansi kumafutha agcwele, kepha naka okuqukethwe ushukela. Okunye ukudla okukhangiswa njengamafutha amancane noma okungenamafutha kungaqukatha inani elikhulu likashukela esikhundleni salokho. I-American Heart Association (AHA) incoma ukuthi kungadlulwa amathisipuni angaphezu kwayi-6 (amagremu angama-25) kashukela owengeziwe ngosuku kwabesifazane, namathisipuni ayi-9 (amagremu angama-36) kwabesilisa. Ithini elilodwa lama-ounce ayi-soda ejwayelekile liqukethe amathisipuni ayisishiyagalombili kashukela.
• Amafutha angagcotshwanga abhekwa njengamafutha aphilile. Lezi zitholakala ezinhlanzini, ukwatapheya, iminqumo, ama-walnuts, nosoya, ngokwesibonelo.
• Amafutha anjengommbila, i-safflower, i-canola, i-olive, ne-sunflower nawo angamafutha angagcotshwanga. Lokhu kungasiza ekuthuthukiseni i-cholesterol yakho uma uyisebenzisa esikhundleni samafutha agcwele futhi adluliswa njengebhotela, isinqumelo, noma ukunciphisa.

Ukudla okune-calcium ne-iron

I-calcium nensimbi kubaluleke kakhulu ezinganeni nasebusheni. Ngalesi sikhathi, amathambo akhula ngokushesha. I-calcium iyadingeka ukwakha amathambo aqinile nokugcina amazinyo aphilile. Kubalulekile ukuthi abantu abane-hemophilia A babe namazinyo aphilile, ngoba isifo sezinsini nomsebenzi wamazinyo kungaholela ekuphumeni kwegazi. Ukudla okunothe nge-calcium kufaka:

• ubisi olunamafutha amancane noma olungenamafutha
• ushizi onamafutha amancane
• I-yogurt yamaGrikhi namaphesenti ama-2 e-milkfat cottage shizi
• ubisi lwe-soy oluqinile lwe-calcium nejusi le-orange
• okusanhlamvu okuqiniswe nge-calcium
• ubhontshisi
• imifino enamaqabunga amnyama njengesipinashi kanye ne-broccoli
• ama-alimondi

Umzimba wakho usebenzisa insimbi ukwenza amangqamuzana abomvu egazi, athwala umoya-mpilo emisipheni yakho. Lapho wopha, i-iron ilahleka. Uma unesiqephu esopha, ukudla okunothe ngensimbi kungakusiza ukuthi ululame ngokushesha okukhulu. Ukudla okunothe ngensimbi kufaka lokhu okulandelayo:

• inyama ebomvu ebomvu
• ukudla kwasolwandle
• isibindi
• ubhontshisi
• uphizi
• izinkukhu
• imifino eluhlaza okotshani (isipinashi, i-kale, i-broccoli, i-bok choy)
• okusanhlamvu okuqinisiwe
• izithelo ezomisiwe njengamagilebhisi omisiwe nama-apricot

I-iron imuncwa kangcono uma udla umthombo kavithamini C kanye nokudla okune-iron, okufana nalokhu:

• amawolintshi nezinye izithelo ezisawolintshi
• utamatisi
• upelepele obomvu nohlaza okotshani
• i-broccoli
• amakhabe
• ama-strawberry

Uma ungowesifazane onesikhathi esinzima sokuya esikhathini, usengozini enkulu yokushoda ngensimbi. Kufanele unake ngokukhethekile ukuthi uthola i-iron engakanani ekudleni kwakho.

Ukudla nezithako okufanele uzigweme

Ngokuvamile, uzofuna ukugwema ukudla okunamafutha agcwele noshukela. Ukudla okuthosiwe, ukudla okulula, uswidi, nesoda akuyona ingxenye yokudla okunempilo. KULUNGILE ukuzitika kanye ngesikhashana ucezu lekhekhe lokuzalwa noma ibha yoshokholethi, kodwa lokhu akufanele kube yinto ejwayelekile yansuku zonke. Ngaphezu kwalokho, nciphisa ukudla kwakho okulandelayo:

• izingilazi ezinkulu zejusi
• iziphuzo ezibandayo, iziphuzo zamandla netiye enoshukela
• gravies esindayo nososo
• ibhotela, ukunciphisa, noma isinqumelo
• imikhiqizo yobisi egcwele
• uswidi
• ukudla okuqukethe amafutha athengiswayo, kufaka phakathi ukudla okuthosiwe nezimpahla ezibhakiwe (amaqebelengwane, i-pizza, uphaya, amakhukhi, nama-crackers)

Ukulinganisela izinyo elimnandi lengane yakho kungaba yinkohliso. Kepha uma uqala ukuphatha i-dessert njengokwelashwa okukhethekile, hhayi umkhuba wansuku zonke, ungaqala ukwakha ubudlelwano obunempilo nama-dessert nokunye ukudla okunoshukela ekhaya.

Cabanga ukukhetha izithelo ezinoshukela ngokwemvelo njengamagilebhisi omisiwe, amagilebhisi, ama-cherries, ama-apula, amapentshisi namapheya njengenye indlela enempilo yokudla okwenziwe ngoshukela.

Ungathathi izithasiselo zikavithamini E noma uwoyela wezinhlanzi uma une-hemophilia A. Zingavimbela ama-platelet akho ekuminyekeni. Izithako ezithile zamakhambi zingenza ukopha kube kubi kakhulu, ngakho-ke akufanele uthathe isengezo ngaphandle kokubonisana nodokotela wakho kuqala. Ikakhulu, gwema ukuthatha izithasiselo zamakhambi alandelayo:

• I-ginseng yase-Asia
• umkhuhlane
• ginkgo biloba
• igalikhi (ngobuningi)
• ujinja
• amagxolo omnyezane

Ukuhlala kunamanzi amaningi

Amanzi ayingxenye enkulu yokudla okunempilo. Amaseli akho, izitho, kanye namajoyinti adinga amanzi ukuze asebenze kahle. Ngokwengeziwe, uma usufakwe amanzi amaningi, kulula ukuthola umthambo ukuze uzinike ukumnika. Hlela izinkomishi zamanzi eziyi-8 kuye kwezingu-12 (ama-ounces angama-64 kuya kwangama-96) nsuku zonke - ngaphezulu uma usebenza kakhulu.

Kufundwa amalebula okudla

Amalebula okudla aqukethe imininingwane eminingi. Lapho uthatha isinqumo phakathi kwemikhiqizo, naka okulandelayo:

• mangaki amasayizi wokuphaka asephakheji ngayinye
• inani lamakholori kokusebenza okukodwa
• amafutha agcwele kanye namafutha we-trans
• ushukela
• i-sodium
• amavithamini namaminerali

Uzofuna ukunciphisa ukudla kwakho kwamafutha agcwele futhi adlulisiwe ngangokunokwenzeka. Zama ukungadli amathisipuni angaphezu kuka-6 kashukela ngosuku uma ungowesifazane, nezipuni eziyi-9 ngosuku uma ungowesilisa. Ukudla kwe-sodium akufanele kube ngaphezu kwama-milligram ayi-1,500 ngosuku kubantu abadala abaningi.

Ukuthatha

Azikho izincomo ezikhethekile zokudla kubantu abane-hemophilia A. Kodwa-ke, ukuthola inani elifanele lamavithamini namaminerali kokudla okunomsoco, okunempilo nokugcina isisindo somzimba esinempilo kubalulekile ekuvikeleni izinkinga.