Ukudla kwakho kudinga ukuguquka lapho isifo sakho sezinso sifinyelela esigabeni sesihlanu, futhi udinga i-dialysis. Izinguquko ezinkulu zokudla ezivela ekudleni kwakho kwangaphambili zibandakanya ukwanda kwamaphrotheni akho nokunciphisa i-potassium. Ukufakelwa kasawoti kanye ne-phosphorus kusadingeka kugcinwe phansi, futhi uzobe usadingeka ukuqapha ukungenisa kwakho oketshezi.
Yidla amaprotheni amaningi
Amaprotheni abalulekile ekwakheni nasekulondolozeni imisipha kanye nesistimu yomzimba womzimba.
Mhlawumbe wagcina amaprotheni akho adla phansi ngezigaba zokuqala zesifo ngoba izinso zakho azikwazanga ukusingatha i-by-products of protein metabolism, kodwa manje ukuthi use-dialysis, kuzodingeka udle amaprotheni amaningi. Ngokusho kwe-American Kidney Foundation, uzodinga ama-ounces angu-8 kuya kwangu-10 wokudla okuphezulu kwamaprotheni nsuku zonke.
Khetha inyama, amaqanda, izinhlanzi, nezinhlanzi zasolwandle noma izinkukhu zokudla kwamaprotheni. Imithombo yemifino yamaprotheni ezinjengama-peanuts, ama-nut, ama-nati, imbewu, kanye ne-peas akuzona ezinhle kakhulu kulokhu kudla ngoba nazo ziphakeme kakhulu nge-potassium ne-phosphorus. Uma ungumlimi wezitshalo, kuzodingeka ukhulume nodokotela wakho noma u-dietitian onguchwepheshe ngokudla kwesifo sezinso mayelana nezithako zeprotheyini.
Gcina i-Sodium Low
Ukudla kakhulu i-sodium kungadla amazinga akho oketshezi ukuze uqhubeke ulandela ukudla okuphansi kwe-sodium. Hlola i-sodium efihliwe ezintweni ezinjengokugaya, ukuxuba ukudla, izobho ezikhonjiwe, inyama, nemifino.
Hlala kude nezinqolobane zokudla okusawoti.
Hlola amalebuli kukho konke ngisho nokudla okuthiwa "yi-sodium ephansi." Basengaba ne-sodium engaphezulu kunalokho okudingayo ekukhonzeni futhi bangase babe ne-potassium, okunye okuzodinga ukugwema.
Ukungena kwe-Lower Phosphorus
I-Phosphorus ingenye yamaminerali okudla umzimba wakho udinga amathambo anamandla namazinyo nokusebenza okujwayelekile kwesisindo nesisu.
Umzimba wakho uthanda ukulondoloza i-phosphorus ecacile egazini lakho, futhi kuyisimo sakho sezinso ukususa noma iyiphi i-phosphorus eyengeziwe.
Uma umuntu enesifo sezinso ezingelapheki, amazinga e-phosphorus angakhuphuka kakhulu ngoba izinso azikwazi ukusebenza kahle. Lokhu kubangela ukuthi i-pH yegazi yakho ivuke. Uma i-pH iphakama kakhulu, umzimba wakho ukhulula i-calcium emathanjeni akho ngomzamo wokuthola i-pH iphinde iphinde iphinde ingene. Lokho kungaholela emathanjeni abuthakathaka, okuyinto engeyona into enhle.
Ukuze unciphise ukudla kwakho kwe-phosphorus, vimbela ikhobe eyodwa ye-1/2 ekhonza ubisi noma 1/2 indebe yegour nsuku zonke. Noma, uma ukhetha, ungadla u-1 ounce ushizi kunobisi noma i-yogurt. Ezinye izinhlobo zama-kiriyi ezincane zikhilimu ziphansi e-phosphorus ukuze zikwazi ukuzidla uma zilungile nomculi wakho wezilwane. Kumele futhi uhlale kude nohlamvu olugcwele, i-lentile nobhontshisi owomile, i-peas, amantongomane, amantongomane, i-cocoa, i-cola, nobhiya. Kuhle ukudla izithelo, imifino, okusanhlamvu okuhlanziwe, nelayisi.
Imithi ingase inikezwe ngesidlo ngasinye noma ukudla okunciphisa ikhono lomzimba lokubamba i-phosphorus.
Ukuvinjelwa kwePotassium
Kungase kudingeke futhi ugcine i-potassium yakho iphinde isetshenziswe kahle (udokotela wakho uzokutshela) ngoba amazinga aphakeme we-potassium egazini lakho angabangela izinkinga zenhliziyo yakho.
Izithelo nemifino ivame ukuphakama nge-potassium, kodwa lokhu kuyamukeleka:
- Ama-apula
- Amajikijolo
- I-broccoli
- Iklabishi
- Izaqathe
- Ukholifulawa
- I-Celery
- Ama Cherries
- Ikhukhamba
- Isitshalo seqanda
- Amagilebhisi
- Obhontshisi abaluhlaza okotshani
- Ulethisi
- Anyanisi
- Amapayipi
- Amapheya
- I-Pepper
- Uphayinaphu
- I-Plums
- Radishes
- I-Tangerines
- I-squash ephuzi
- Zucchini
Ama-carbohydrate namafutha
Uma udinga ukuthola noma ukugcina isisindo sakho, ukwandisa amakholori akho ngokufaka ukudla okune-carbohydrate-ocebile kungasiza. Izinhlamvu, okusanhlamvu, nesinkwa imithombo enhle kakhulu - uzodinga ama-6 kuya ku-11 ama-servings kusuka kuleli qembu lokudla nsuku zonke.
Khetha okusanhlamvu okuhlanziwe kunokuba ugcwale konke okusanhlamvu ukuze kugcinwe phansi i-phosphorus yakho. Uma unesifo sikashukela, kungase kudingeke ulandele ukudla okuhambisanayo kwe-carbohydrate .
Udokotela wakho angathanda ukuthi ulandele ukudla okunamafutha aphansi uma usengozini yesifo senhliziyo. I-dietitian yakho izokusiza nganoma yimiphi imithwalo yemingcele yokudla okunamafutha
Imenyu yesampula
Nasi isibonelo semenyu yansuku zonke eyofanelana nezidingo zakho zokudla ezivinjelwe:
Ukudla kwasekuseni
- Ijusi le-Cranberry
- Amaqanda amabili
- Inhlamba emhlophe nebhotela, i-margarine, i-jelly, noma isithelo esasakazekayo.
I-Midmorning Snack
- I-carrot izama
Ukudla
- I-pasta isaladi i-white dinner roll nebhotela noma i-margarine
- Ama-peaches amasha noma asemathinini
- Ijusi le-Apple noma i-soda ecacile (hhayi i-cola)
Umswakama wasekuseni
- Inkukhu isinkwa ngesinkwa esimhlophe
Dinner
- Isaladi nge-ulethisi, ukhukhamba, izaqathe, ne-broccoli ngamafutha noviniga njengokugqoka
- I-Salmon fillet
- Obhontshisi abaluhlaza okotshani
- Ubisi lwe-1/2 indebe
Snack Nighttime
- Amagilebhisi noma amajikijolo
Izithako Zokudla
Ukudla kwesifo sesifo sezinso sekwephuzile kungase kungabi nakwezinye izakhi zomzimba, futhi isidlo sakho sokudla noma isondlo singakusiza ngalokhu. Qinisekisa ukuthi ukhuluma nabahlinzeki bakho bezempilo ngaphambi kokungeza ezinye izithako zokudla ezintsha.
Imithombo:
I-American Kidney Foundation. "Izinkombiso Zezinkukhu Zabantu Abadala Eziqala Hemodialysis." http://www.kidney.org/atoz/content/dietary_hemodialysis.cfm.
Maher AK. "Imenyu Yokudla Elula." I-Eleventh Edition, eHoboken NJ, eU.SA: Wiley-Blackwell Publishing, ngo-Okthoba 2011.