Meaʻai no ka male ʻole o kaʻeha > Meaʻai no ka maʻi maʻi maʻi

ʻO ka hemahema o ka hōʻeha o ka ʻike ʻana i nā kauka he piha piha o nā syndromes nephrotic e alakaʻi ana i kahi palupalu o ka hana kānana a me ka hōʻiliʻili ʻana o nā toxins i ke koko. Maʻa ka hoʻoweliweli ʻana o kahi kūlana no ka pathological he mea paʻakikī ʻole, koi i ka laboratory mandatory a me nā haʻawina hoʻokolohua.

Kālai ʻia i ka ʻikepili helu a me ka mōʻaukala olakino o ka mea maʻi, hoʻākoakoa ʻia ka mālama ʻana. ʻO kahi ʻāpana koʻikoʻi o ka lāʻau lapaʻau ke hahai ʻana i kahi meaʻai kūikawā. ʻO kaʻai kūpono me ka lawa o ka hana o ke kino, ʻo ia ke kumu o ka wanana no ke ola o ke ola a me ke olakino o nā maʻi.

ʻO nā hiʻohiʻona maʻamau o ka maʻi

ʻO ka hiki ʻole o Renal ka hui pū ʻana me nā mea maikaʻi ʻole e hōʻemi ai i ka hana o ke aʻi. Ma ke ʻano o ka hana nui, aia kekahi:

ka hemo ʻana o nā mea i pau ai ke kino mai ke kino,
kaetua o ke koko (ma abbr.
ka hana ʻana o kahi ʻenehana hormonal, ma ka renin nui loa, he nui ka hana i ka hoʻoponopono o ke koko,
ka kaohi o ka electrolyte komposisyon o ke koko,
ka hana o erythropoietin - kahi hana e hana ai i nā ʻāpana o ke koko i loko o ke koko.

Me ka maʻi nephrotic, ke ʻano nui o ka pūpū o ka pēpē e hoʻopili ai i ka urine. E pale aku i ke kua o nā kolohe, ka wai-paʻakai, ke kūpaʻa acid-base, hoʻohemo iki ʻia ke koko. Ma ke ala maʻamau o ka palaualelo, pau nā hana i ka nānā ʻole.

Hoʻohālikelike nā poʻe loea i nā ʻano ʻelua nui o nā patology: aʻeha a me nā maʻi. Me kahi laʻeha haʻahaʻa, hiki ke hoʻololi ʻia nā loli i nā nephrons, ʻoiai hiki ke loaʻa i nā hopena koʻikoʻi ke hoʻomohala i ka nui o nā hana ole a me ka make o nā poʻe maʻi ma muli o ka hoʻonui nui o ka hoʻōho.

Hōʻike ka ʻano maʻi i ka neʻe lohi ʻana o ka hana ʻoi. ʻO ia me ka papalaki ʻole o ka hana kokoleka e pono ai i kahi meaʻai e ola nei a me ka hoʻoponopono ʻana i ka meaʻai.

ʻO nā kumu hanana

ʻO nā kumu o ka nephropathy i nā manawa like ʻole o ka papa he nui, ʻokoʻa ʻole i nā ʻano o ke papa. Hiki i nā maʻi ke hiki i nā kāne a me nā kāne, me nā keiki o kēlā me kēia makahiki, he ʻano ʻole o ka wahine.

Palauleʻa pale huehue

Hoʻopau ʻole nā hopena hanaliki

Puka o nā patula	Nā mea hoʻohilahila
mau maʻi a me nā maʻi vascular (ka hoʻohui pinepine ʻana o ka pilikia ʻole o ka renal), ka hana piha (pane a me ka maʻi mau ʻana, paʻa ʻana o ka ʻili o ka ʻili, kahi overdose o ka diuretics loop), make ikaika līhūpūpū o ka ate, hepatitis me kahi meaʻala kūlike i ke kahe o ke koko venous, nā pōʻino ikaika i nā mea inu, nā lāʻau lapaʻau, nā metala kaumaha, nā ʻuhū, kohola i ka hoʻokaʻawale ʻana i ke koko i ka wā o ke kahe ʻana, hana ʻino i nā pili koko i loko o nā keiki, kahi trauma i kahi hana hana hoʻokahi (me hoʻokahi keiki i waiho ʻia ma ke neʻe ʻana) hōʻeha i ka ulia ʻana i ka ureter i ka wā o ka hoʻomālamalama ʻana, nā ʻōpū a me nā ureter, kulihewa o nā ʻōpū, pani ana o ka thrombus a i ʻole pana o ka aral i ko iʻa, loli ka iwi i loko o ka momona prostate.
nā maʻi paʻa o ka hana o ka pūpū: pyelonephritis, nephritis, glomerulonephritis, maʻi maʻi ʻōnaehana o ka maʻi uila: lupus erythematosus, hemorrhagic vasculitis, scleroderma, hypertension arterial (ma kahi kūʻokoʻa kūʻokoʻa), nā maʻi metabola koʻikoʻi (gouty arthritis, amyloidosis, maʻi mellitus), urolithiasis, polycystosis, multicystosis, ʻōpū, hydronephrosis o nā keiki.

Hōʻike ka ARF i kahi papa spontan me ka hoʻokaʻawale koʻikoʻi i ka hana filtration, excretory a me nā mea huna o nā keiki.

Hiki i nā loiloi Congenital ke aʻa ke kōkua i ka hoʻomohala ʻana o PN.ʻO ka hoʻonui pinepine ʻia o nā kūlana i ka nānā ʻana i ka wā hāpai.

ʻO ke ʻano o ke ʻano o ka nephropathy e paʻakikī i kahi paʻakikī. ʻO ka ʻoi loa o ka hana ʻole o ka pilikia a me ka hana ʻole ʻana a me ka hana ʻole o ka maʻi papalū i helu ʻia e like me ka nui o ka maʻi a me ka hōʻeha ʻana o ka hana pathological.

Nā hōʻailona o ARF

Hoʻomaopopo nā hōʻailona o ke kōpae o nā hana pili kino i ke ʻano o ke ala. Hoʻomaʻamaʻa nā kauka i nā 4 mau kiʻekiʻe o ka hoʻomohala ʻana i ka hiki ʻole o ka hana renal:

Nā ʻōpū	Nā ʻano hana
I ke ʻano mua	ʻAʻohe nā hōʻailona voli, akā ke hoʻomaka nei nā loli i ke kino o ka maʻi
Hōʻike Oliguric (hoʻoliʻiliʻi i kēlā me kēia lā)	malaise laulima, hoemi i ka ai, nausea i ka loli me ka luaʻi, hoʻonui i ka manawa pōkole o ka hanu, ʻimi kūwale o ka hoʻoikaika, arrhythmia, tachycardia.
Māhele Polyuric a hoʻoponopono wā paha	E lilo ka maikaʻi o ke kanaka maʻi, hoʻonui iki ka nui o ka diuresis i kēlā me kēia lā.

No ka hiki ʻole o ka renal failed, hoʻohuli a hiki i ka hiki ʻana o ka hoʻihoʻi piha ʻana o ka kuhi maʻamau i ka ʻano. Eia naʻe, hiki wale kēia ke hana inā he pohō ka pila o ke kino. Me nā lesi koʻikoʻi o nā nephrons, ulu ka ulu ʻole ʻana i loko o kahi hana maʻi me kahi makemake e hoʻohālikelike i nā manawa maʻamau.

Nā hōʻikeʻike maʻi

Ua helu pū ʻia ka CRF i kekahi mau manawa o ka hoʻomohala ʻana, e kau ana i ka hoʻonui lohi i ka creatinine, urea, i ʻole ke kaulike i ka wai-electrolyte, i kahi hoʻololi o ka urine density a me ka proteinuria - ke ʻano o ka protein i ka urine. Wahi a nā loiloi diagnostic, aia nō:

Zero a i ʻole ka pae mua

Nā ʻōpū	Nā ʻano hana
ʻO ka momona kiʻekiʻe, ka makewai mau a me ka maloʻo o ka pharynx. Hōʻike ka hōʻike toto biochemical i kahi hōʻino iki o nā electrolytes i loko o ke koko, a loaʻa i kahi liʻiliʻi o ka protein i ka urine (latent proteinuria).
ʻO Polyuria a me ka hoʻonui ʻana i ka hopena o ka urine i kēlā me kēia lā i ka 2-2,5 lita, he hoʻololi i ka mana o ke koko a me ka hoʻohaʻahaʻa ʻana me ka hoʻokaʻawale i ka urine, ka huki ʻana i nā ʻike o ka pāla. Loaʻa nā hanana pathology uncompensated i kahi lōʻihi.
Hōʻike ka pae o ka hoʻomohala o ke aʻalolo renal e ka hoʻonui pinepine ʻana a i ke kōkua i nā hōʻike hōʻike hōʻailona. I loko o ke koko, creatinine, urea, hoʻōla ka nui o ka ʻaila. Hoʻomaʻamaʻa pinepine nā mea maʻi i ka nausea, luaʻi, ka ʻeleʻele o ka ʻili. E kū'ē i ka kiʻi o ke ahulau intermittent, hoʻonāukiuki nā palena o ka mamao, hele mai ka ʻeha ma ka musculoskeletal tissue.
ʻO ka hiki ke noʻonoʻo psycho-emotional, hoʻonāukiuki i ka hiamoe o ka pō, ke hoʻouka ʻana o ka pono ʻole, azotemia - hopohopo me nā pūlū nitrogenous. E lilo o kaʻeleʻele o ka ʻili, ua edematous ka maka, ka mea nui i ke kakahiaka. Hoʻomaʻamaʻa pinepine ka ʻeha ma ka ʻili o ke kino (ʻōpū, pūpū, hope) ma hope o ka hopohopo, lauoho ka lauoho. Pau ka maloilo ʻākala o ka waha, i hamo ʻia ka alelo me ka pākeke.

Hiki i ka mea maʻi ke hōʻoluʻolu a hiki i kekahi mau makahiki. ʻO ka pilikia o ka hana hope loa o ka hana ʻole o ka renal ka hoʻohui i nā hoʻopiʻi ʻana mai ka puʻuwai, nā kīʻaha koko, nā ʻōpū. Hoʻohālikelike ka hoʻohālikelike o ke kino e hoʻonāukiuki i ke ʻano.

ʻO ka hiʻohiʻona nui o ka CRF i nā keiki a me nā pākeke ke lōʻihi o ka pae hoʻohālikelike. I loko o nā keiki, hiki i kēia manawa ke hiki i 8-12 mau makahiki me kahi pale palekana a me ka meaʻai kūpono, ʻo ia hoʻi ma kahi kiʻekiʻe o ka olakino a me nā ʻōpio o nā io.

Hāʻawi mākou iā ʻoe e nānā i ka papahana "Ola ola", kahi e aʻo ai ʻoe i nā kumu a me nā hōʻailona o ka maikaʻi ʻole.

He aha nā mea kanu moliki?

Koho ʻia ke ʻano o nā mea lapaʻau olakino no nā mea maʻi e like me ke kiʻi no ka maʻi lapaʻau. Eia naʻe, he wahi kai holoʻokoʻa no ka maʻi āpau me ka loaʻa ʻole o ka renal i ʻole. Nui nā hanana hānai nui i kuhikuhi ʻia e like me ka mōʻaukala o ka mea maʻi.

Palapala Kauka No. 6

Papa Hana 6 e like me Pevzner i wae ʻia e hoʻohālikelike i nā kaʻina metabolic, ka hoʻomaʻemaʻe ʻana o nā hoʻomaʻamaʻa - ʻo nā mea hoʻonaninani kūlohelohe, a me ka hōʻemi ʻana i ke kiʻekiʻe o ka waikika uric a me nā hua momona ona - nā paʻakai.Hāpai kēia mau hana āpau i ka alkalization o ka urine a me ka hoʻonui aʻe o ka hiki o ka urine e wehe i nā helu calculous: nā pōhaku, oxalates, urates.

Papa 6E

Hana ʻia ʻo 6E no ka mālama ʻana i nā nephropathies e pili ana i ka obesity a me ka maʻi gouty. Hōʻike ka ʻanoʻai o ka ʻaiʻai i nā mea e hoʻemi ʻia o ka calorie, a ua hōʻea ʻole ka maʻamau i kēlā me kēia lā i ka 2000 Kcal. Ke hoʻokūkū nei i ka papa hana, ʻae ʻia ka uku o ka lā i nā lā i hana ʻia - 60-70 g, nā momona, 75-80 g a me nā haʻaluna - 230-250 g.

Papa helu 7

Hoʻomaopopo ka papa papa lāʻau 7 i ka hōʻemi ʻana i ka maʻi a me ka hoʻohaʻahaʻa i ke koko. Hoʻopuka nā mea kanu i ka wehe ʻana i ke koena o ke koena mai ke kino, e hōʻemi i nā hōʻailona o ka heleʻalā maʻi.

Ma ka puʻuwai o ka meaʻai, he haʻahaʻa o ka protein i kēlā me kēia lā aʻo ka mālama ʻana i ka maʻamau o nā kaila o nā momona a me nā mea kālaiʻai. ʻAʻoleʻoi aku ka ʻike o ka caloric i kēlā me kēia lā ma kahi o 2800 Kcal. ʻAʻole paʻu ʻia nā meaʻai kuke a pau. Aia nā ʻano meaʻai:

Papa 7a. Hoʻomaopopo ʻia ka papa ʻaina lapaʻau no nā maʻi maʻi ʻoiau o nā keiki. ʻO ke kumu nui, he meaʻai maikaʻi i ka nele o ka paʻakai a me ka kaupalena o ka protein i ka 20 g. ʻO ka wai inu inu pono e pili me ka diuresis i kēlā me kēia lā.
Papa 7b. Hoʻonui ka maʻamau o ka protein i kēlā me kēia lā i 40 g i kēlā me kēia lā, a hoʻomau ka nui o ka wai inu i ka nui o ka 1-1.3 lita.
Palapala 7c. Hoʻomaopopo ʻia nā mea kanu no ka nephrotic syndrome me ka swelling, proteinuria. E hōʻea ka maʻamau o ka protein i kēlā me kēia lā i kahi g g i mea hou i ka hapa o ka nalo. Me ka hoʻonui ʻana o ka protein, ka paʻakai a me ka wai hoʻoemi e pau i ka 0.7 lita.
Palapala 7g. Hoʻonohonoho ʻia i nā poʻe maʻi ma ka hemodialysis a i ʻole ma ka papa o ka hana ʻole o ka renal. Hoʻokumu ʻia ka papa kuhikuhi i ka kaupalena o ka protein i ka 60 g, 2-2.5 g ka paʻakai a me 0.8 l o ka wai wai i kēlā me kēia lā.

ʻO ka laina maikaʻi ma waena o ka nui o ka protein o kēlā me kēia lā, nā momona a me nā hāmeʻe e koi ai i ka mālama olakino mandatory. Hoʻomaopopo loa ka hoʻomākaukau ʻana o ka papa hana i kahi nephrologist a i ʻole ka mea hoʻoponoponoʻai i mea e pale ai i nā maʻi hōʻeha.

Papaʻi №14 me urolithiasis

ʻO Urolithiasis kahi kumu maʻamau o ka nephropathy, no laila ke nānā pono nei ka meaʻai kūpono i ka hōʻemi ʻana i nā pōhaku a pono ia no ka wehe ʻana i nā pōhaku.

Pono ka hoʻomehana o nā meaʻai i ka urine e hoʻopau koke i ka sediment calcium-phosphorus a pale aku i ka kūkulu ʻana o ke koena hau.

Naʻaʻai paʻakai

ʻO nā satelite maʻamau o nephropathy o nā ʻano maka i loko o ka edema kūlohelohe a me waho, ke kiʻekiʻe kiʻekiʻe a paʻa ʻole. ʻO ia ke kumu i kauoha ʻia ai ka ʻōlelo paʻakai a me ka hahai ʻana i kahi meaʻaiʻai.

Ke ʻole i ka sodium supplemental, pono e hoʻomanaʻo nā mea maʻi e loaʻa ka liʻiliʻi liʻiliʻi o ka paʻakai i loko o nā meaʻai a pau, ʻoi aku ka iʻa a me ka iʻa kai, a me nā mea kanu kanu.

Pono e hoʻopau hoʻopau i ka paʻakai a ma hope o 2 mau pule ke hoʻopau loa i kona hoʻohana ʻana i ka meaʻai. ʻO ka nānā ʻana i nā lula o nā papaʻaina paʻakai, lawa ia e hoʻomanaʻo i kēia nuances:

ʻai wale ʻia i ka meaʻai ponoʻī,
pono e waiho i ka shaker paʻakai ma ka papaʻaina i hiki i nā home ke hoʻopiʻi kūʻokoʻa i ka paʻakai ma hope o ka kuke ʻana.
e hoʻomaʻamaʻa i ka ʻono, hiki iā ʻoe ke hoʻohui i ka pēpē, nā kāmato a me nā mea ʻala ʻole i paʻakai.

Hiki i ka mea ʻenehana hou a me ka kuke hiki ke hoʻomaikaʻi maikaʻi i ka ʻono o nā meaʻai meaʻai, no laila, ʻaʻole i ʻike nā poʻe maʻi i ka hōʻeha i ka wā o ka ʻoihana loea i ka olakino therapeutic. ʻO ka hōʻaila maʻamau o ka "haukapila" i kahi hiʻohiʻona maikaʻi ʻole i hala.

Kōʻai paʻakai

ʻO kahi kūlana ʻē aʻe he nele o ka sodium a i ʻole hyponatremia. Eia, ke kaukaʻi nei nā kauka i ka paʻakai a i ʻole ka wai wai e hoʻōla i ka hoʻokaʻina wai-electrolyte ma ke kino.

Eia naʻe, i ke koho ʻana i ka mea ʻai paʻakai, pono e pili pono kekahi i kekahi o kēia mau kānāwai:

ka hopena o ka maʻi i kēlā me kēia lā pākaukau paʻakai e like me ke kao ʻana o nā electrolytes,
paʻakai wale nō i nā meaʻai i hoʻomākaukau ʻia ma mua o ka ʻai ʻana,
ka hoʻohele ʻokoʻa ʻana i kēlā me kēia lā paʻakai.

Hoʻohui ʻia, hiki ke hoʻolauna ʻia ka wai mineral me ka ʻole o ka aila, akā ʻaʻole iʻoi aku ma mua o 0,5 lita i kēlā me kēia lā, ke hoʻolako ʻia nei ka paʻakai. Mālama ʻia kahi paʻakai a hiki i ka pae o ka paʻakai ma ka koko.

Meaʻaiʻai Apple

Hoʻomaʻamaʻa ʻia kahi ʻōpū ʻona no ka maʻi o ka pēpē, ka mea i hui pū ʻia e ka huehue, kahe koko ma ke kīpē i nā hana ʻoihana, nā alahele o ka ate a me ka pāpaʻi o ka biliary. Kahi ʻia he 1.5 kg o kaʻaila a iʻa ʻāle ʻia ʻia e ʻai ʻia i ka lā.

Eia kekahi, hiki ke hoʻohuiʻia he 50 ml o ka winika cider apple i ka mea inu. ʻIke ʻia ka meaʻai i nā papa o 7-10 lā me kahi hoʻomaha no nā lā he nui.

ʻO kaʻai momona Protein

Pono ka ʻai liʻiliʻi haʻahaʻa no ka hoʻohuihui ʻana mai ka uremia - kahi hiki ke koi i nā mea nitrous i loko o ke kino, ʻoiai inā loaʻa ʻole ka hemodialysis pōpilikia. ʻO ke kumu o ka meaʻai, e kaupalena i ka protein i ka 25 g i kēlā me kēia lā, me ke piʻi ʻana o nā momona a me nā hāmeʻe.

Hiki ke loli ʻia ka lāʻau o ka protein me ka protein soy. ʻO ka huina o ka ʻikepili o ka waihona ma mua o 2700 Kcal i kēlā me kēia lā. Aia nā meaʻai a pau me ka paʻakai.

Kāhu a me ka ʻawa momona

ʻOi kūpono ka maikaʻi o ka ʻai kāpī-ʻuala no ka oxaluria - excretion o ka oxalic acid i loko o ka urine. I ka wā o ka mālama ʻana i nā mea lapaʻau, ua hoʻopau wale ia ʻo kāpeti a me nā ʻuala, no laila ʻo ka papa o ke ʻano me ka meaʻai ʻaʻole iʻoi aʻe i ka lā 7-10 lā. Hōʻike ʻia kēlā ʻano meaʻai no ka ultrasound kidney ʻo ia me ka hoʻomākaukau ʻana.

ʻAiʻai

ʻAʻole pōkole wale ka decoction oats i ka pōpoki o ka pōpoki, akā kōkua pū ia i ka ho'ōla ʻana o ke kino holoʻokoʻa. Hoʻomaopopo ʻia e ʻai i ka momona oatmeal a inu i ka waiū oat i hui pū ʻia me nā mea ai meaʻai ʻē aʻe i ka lā. Hiki i nā Oats ke hoʻopau i ka acidosis i like like me ka hoʻohana ʻana i nā lāʻau kinona.

E inu i ka oatmeal ma kahi ʻōpū ʻole i ka manawa lōʻihi e hōʻemi i ka hopena o nā pōhaku a me nā one i loko o ka ʻōnaehana genitourinary.

Kalai ʻaʻai kai

ʻAe nā melanima iā ʻoe e hoʻopau i nā toxins mai nā keiki, e pani i ka make o nā nephrons. ʻO kahi papaʻai kūpono i ke kinikini mua o PN ʻoiai e mālama ana i ka hana renal, me ka ʻole o ka pupuhi. Maikaʻi ka meaʻai ʻaʻole iʻoi aku ma mua o 5-7 mau lā, ma hope o ka mea nui ke kau hoʻomaha. Pono ka mākeke loea, kiʻekiʻe, me ke kali ʻole o ka "ʻaʻai" kālaila. ʻAʻole ʻae ʻia kahi meaʻai like me ka pohō nui o ka naʻau a me ka hana koʻikoʻi nui o nā kau.

Kūlana Giordano - Giovanetti

ʻO ka huina o ka nui o ka calorie o ka meaʻai he 2300-2600 Kcal i kēlā me kēia lā ma muli o ka piʻi o nā hāmeʻe i ka 380 g a me nā momona i ka 130 g. Ua hoʻemi ʻia ka prototein i ka liʻiliʻi haʻahaʻa o kēlā me kēia lā he 50 g. Ke hala ʻole o ka edema, ʻo ka wai maʻamau o kēlā me kēia lā e pili ana i ka diuresis. Ua hoʻohālikelike ʻia no ka hoʻohemo ʻana o urea ma mua o ka 0,05 ml / min.

ʻO kahi lōʻihi lōʻihi a kūpono i ka hoʻohana ʻana i kahi lāʻau lapaʻau e hiki ke hoʻokō i nā hopena mau loa e pili ana i ka maʻi lalo. Me ka hanaʻole o ka hana maʻamau, ʻo ka meaʻai ka mea maʻamau.

He pōʻino paha ka meaʻai o ka kidney?

Pono ka ʻai o ke kanaka pono e loaʻa ka piha momona i loaʻa i nā hua moa, nā iʻa, ka ʻai, ka kai a me nā caviar ʻulaʻula. Eia nō naʻe, hana ka nui o ka protein intake a i ʻole ka hoʻohana ʻana i kona ʻano physiological ma ka hana renal ka hopena i ka hopena maikaʻi ʻole.

Inā hiki i nā keiki olakino ke hoʻopuka aku i nā huahana o ka ʻai o ka protein, a laila inā paʻa ka hana o ka renal i ʻole ka hana a kēia kaʻina, a i ʻole nā hanana i ʻole. Ma kēia hihia, hōʻiliʻili ʻia nā hōʻā i nā toxins i loko o ke koko, e alakaʻi ana i ka hoʻopiʻi koʻikoʻi o nā hana o nā kino ʻē aʻe a me nā ʻōnaehana.

Inā loaʻa he nui o ka ʻai o ka protein i ka meaʻai, he mea nui e like me ka hoʻemi ʻana i ka nui o nā kāloli a me nā momona i hoʻopau. ʻO kekahi kīʻai no ka hoʻolilo ʻana o ka paona ma muli o ka protein, he mea nui ia e hoʻonohonoho aku ai me nā mea loea e wehe ʻole ai i ka hoʻolālā.

He kīʻaha like ʻole ka pākelika me ka nui o kaʻai ʻana i nā mea ʻai a pau i pili pākahi, akā maʻalahi ke pale aku i ka ulu ʻana o ka hypokalemia ʻO kēlā me kēia mono-ʻai e hoʻopōʻino i nā pōpoki ma mua o nā maʻi o ka hoʻopili.

Na kapu ʻai

ʻO ka hana nui o ka papaʻai o ka papaʻai ʻo ia nō ka pale ʻana i ka make o nā kōpili o nā papa - nephrons. ʻO ke ala wale nō e hiki ai i ka pae kaulike ma waena o ka saturating o ke kino me nā mea momona a mālama i ka hana o ke koikoi, ʻo ia ka hahai ʻana i ka ʻai me nā kīmina haʻahaʻa a me ka paʻakai, me nā ʻano o kona ʻano. ʻO ka mea e hōʻike ʻia nei ka mea nui:

ka hoʻohaʻahaʻa i ka protein i kēlā me kēia lā i 20-80 g (ʻike ka nui o ka nui o ke ʻano o ke kaʻina pili).
pono ka hoʻonui ʻana o nā kaloli ma o ka hoʻonui ʻana i nā momona o kēlā me kēia lā
ka komo ʻana i ke kī ʻana o nā huaʻai hou, nā hua kanu a me nā mea kanu ʻē aʻe, akā e noʻonoʻo ana i ka māhele o ka protein
ʻai ʻia e ka kuke ʻana, ka ʻū ʻana, ka ʻaihue.

Pono e koho ʻia ka nui o ka wai i hoʻopau ʻia e pili ana i ka kūlana maʻamau a me ka mōʻaukala kauka. Me ka hikiʻole o ka puʻuwai naʻau, ka huhū a me nā hoʻopiʻi ʻē aʻe, pono ke kau ʻana i ka inu ʻona i ka 0.9-1 lita o ka wai kahe. Eia kekahi, pono ʻoe e ʻai i nā meaʻai liʻiliʻi i nā manawa 4-6 i ka lā.

Hoʻomaopopo nā kauka i ke nānā ʻana i ka pololei i nā kuhikuhi lapaʻau, mālama i nā puke eʻai ai i nā meaʻai a mālama pono ʻia nā meaʻai i hoʻohana ʻia i nā meaʻai. ʻOiaʻiʻo, ʻaʻole hiki i nā mea maʻi āpau ke nānā i ke nānā ʻana a me ka hoʻopaʻi, akā, ua hōʻike nā haʻawina hōʻike i ka nui o ka lōʻihi a me ke ʻano o ke ola o nā mea maʻi me ka pilikia ʻole o ka pale ʻana a me ka hoʻokaʻawale ʻana.

Eia kekahi i nā mea nui, ʻaʻole haʻalele ka potassium i ka ʻai (kekahi mau huaʻaina exotic: avocado, mango, banana). Hoʻouka ka paʻakai i ka hana o nā ʻōmaika, e hoʻonā i ka hopena o ka mea meaʻai a kau hou i ka kaulike electrolyte.

Nā ʻōmole a me nā contraindications i ka meaʻai

ʻO ka hōʻike nui no ka hoʻoponopono ʻana i ka meaʻai ma ka hana ʻole i kūpono ʻole ke hōʻoia ʻo ia iho. Hōʻike ʻia ka meaʻai kūpono no ka hoʻomaʻemaʻe i nā keiki. Pono ka lāʻau mālama lāʻau i nā mea maʻi e hoʻololi i kā lākouʻai maʻamau e mālama i ka maikaʻi a me ka manaʻolana.

Hōʻike nā ʻōlelo kikoʻī i nā maʻi concomitant e kūʻē i ke kua ʻana o ka lawa ʻole, me ka lāʻau paʻakikī a me ka mōʻaukala paʻakikī. I waena o nā contraindications i ka mālama 'ana i ka lapaʻau' ōlelo kūikawā:

mau keiki malalo iho o 3 mau makahiki,
hapai a lactation i ka wahine,
kahaia,
hōʻeha paʻa ka naʻau
kūlana maʻi koʻikoʻi.

Ma mua o ke kuhikuhi ʻana i kahi mea ʻai, he mea nui ia i ka noʻonoʻo ʻana i nā koina maʻi maʻamau, no laila ʻaʻole hiki ke ʻike kūʻokoʻa ke hoʻoholo i ka mea ʻai. No ka lālau a me ka lua o ka hana ʻole ʻana o ka maʻi renal, he liʻiliʻi ka loli, hiki ke hoʻolauna ʻia me ka hōʻino ʻole i ka olakino o ka ʻōnaehana genitourinary, akā i ka hana i ka manawa i kau ʻia nā meaʻai i nā mea kapu ʻole.

ʻO ka meaʻai i nā keiki ʻōpio e kū'ē i ke kua o ka maikaʻi o ka renal he mea ʻole wale nō ia, akā maikaʻi pū kekahi. Pono nā keiki e ulu, hoʻomohala i ke koʻikoʻi o ke kino, no laila e pono ka meaʻai, piha me nā protein. ʻO ke kaupalena wale i hoʻopili ʻia i nā keiki he inu ʻana ma ke alo o ka edema.

Me 1, 2, 3, 4 degere o ka maikaʻi ʻole o ka renal

Kaʻana like me nā loea i nā hiʻohiʻona meaʻai i nā pae 1-3 a i ka papa o PN.

Nā Kūlana Kūʻai (IV-V)

E kūlike i ka papaʻa o nā pale o nā hana i ka mea hana, ka mea i hoʻomohala i ka ʻai o ka lā i kēlā me kēia lā he 120 g me ka hoʻokaʻawale like ʻole o ka paʻakai, ka gula (me nā hua ʻai i loaʻa mai ka wai), nā wai ʻai i ka 0.7-0.9 lita i kēlā me kēia lā, kahi mea e pili ana i ka papaʻaina No. 7c. Me ka loaʻa ʻole o ka renal hiki ʻole me ka pono o ka hemodialysis. Kaʻaiʻai maikaʻi ma ka papaʻai papa meaʻai 7g.

Ma ka hana hope o PN, ua hōʻike ʻia kahi palaha o nā lā i ka lā 60-70 g me ka hoʻokaʻawale ʻana i ka paʻakai, nā huahana ʻoni a me ka wai kai (ma muli o ka manaʻo o ka phosphorus), kekahi ʻiʻo a me nā hua. ʻO ka nui o ka huina o ka wai he 0.6-0.7 lita.

ʻAʻole ʻokoʻa nā ʻokoʻa kūikawā ma ka pae 1, 2, 3, koe wale nō nā ʻano like ʻole i ka protein o kēlā me kēia lā i loko o ke kino. I ka manawa lohi, ua hui pū ʻia nā diets PN me kēlā me kēia me ka nānā ʻana. Lawe pinepine nā maʻi i nā ho'āʻo koko no ke kaulike electrolyte. Hoʻokomo ʻia ka Sodium, magnesium, potassium, calcium, chlorine.

Me ka hoʻomanawanui lōʻihi i ka papaʻai o ka papaʻai a me ka lawa ʻana o ka hōʻailona ʻano maʻi, hiki ke hoʻolōʻihi i ka papa o ke ake ʻana o ke aʻalolo maʻi, e hoʻomau i kahi papa I-III kahi o ka pīhoihoi o ke kino no ka manawa lōʻihi.

I ka nephropathy kūloko, ʻo kaʻai o ka papa i ka papa helu No. 7 a i ʻole 7c me kā lākou hoʻohana hou ʻana. ʻO ka nui awelika o ka palekana o kēlā me kēia lā i loko o ka hina ʻōpiopio i hoʻololi ʻia mai ka 50 a 70 mau, ka paʻakai ka palena o ka 4. g Nā kūkākūkā nui no ka mea maʻi e pili ana i ka creatinine, urea, a me nā electrolytes i ke koko.

Ma kahi hoʻomaʻamaʻa renal

ʻO ka pahuhopu o ke kīpē i loko o kahi hana ʻoi aku ka paʻakikī o ka hōʻemi ʻana i ka ukana ma nā nephrons renal, hoʻomaʻa i ke kaʻina metabolic, e hoʻopau ana i ka puffness (me ka edema kūloko), a hoʻopaʻa i ka pume. I kēlā me kēia manawa o ka PN, ka momona a me nā kaila kākawa e hoʻemi maʻalahi i ka pau ʻana, a me ka māhele o ka sodium a me ka protein, ua palena pau loa. I ka pae oliguric, ʻo ka maʻamau maʻamau o ka protein i kēlā me kēia lā he 20 g. ʻO ka huina o ka caloric iʻoi aku ma mua o 2300 Kcal.

I ke kūlana koʻikoʻi, ua ʻōlelo ʻia ka mea maʻi e kaupalena i ka protein i 20 g, mea hōʻalo i ka 450-500 g, a me nā wai i ka 1-2 aniani i kēlā me kēia lā. ʻO ka lōʻihi o nā kau palena paʻa e pili ana i ka hebedoma 1-2 a hiki i ka hoʻokō ʻana o ke kūlana o ka mea maʻi. I ka wā lōʻihi, nāwaliwali nā pono meaʻai.

ʻO ka mea nui i ka meaʻai me ka hiki ʻole o ka renal ka maikaʻi i ka mea nui e kaupalena i ka protein me ka mālama ʻana i nā meaʻai o nā kaloli kiʻekiʻe. Pono kēia e pale i ka luku ʻana i nā umauma o ke kino a pale i ka hoʻouka ikaika ʻana i nā hana kūleʻa.

ʻO ke kumu o ka meaʻai, me ka hoʻomaʻamaʻa ʻana o ia manawa, ʻo ia ka prerogative o ke kauka i hele mai. Kūkulu ʻia ke kulekua ʻoihana therapeutic ma ke kumu ki ke ʻano koko, nā hoʻomaʻamaʻa i ka urine, ka mōʻaukala a me nā maʻi e pili ana. Koho ʻia ka ʻaina holoʻokoʻa ma luna o nā meaʻai i lalo iho nei:

kaʻa o ka moa, veal ʻōpio,
nā huahana pālua a me nā hua (ma mua o 50-100 g i ka lā),
nā mea ʻala a me nā mea ʻai i hoʻonoho ʻia ma luna o lākou,
nā huaʻai pau, nā lau, nā hua waina,
kahea: ka meli, kewaʻa, nā kekona,
inu: decoction o ka rosehip hua, lingonberry a i ʻole cranberry wai, ʻōmaʻomaʻo ʻōmaʻomaʻo, ʻeleʻele me ka waiū, ka wai, maloʻo compote.

Hoʻokomo ʻia ka ʻaila e ka kuke ʻana, ka ʻū ʻana, ka hana. I waena o ka papa inoa laulā o nā huahana i pāpā ʻia no kekahi maʻi maʻi o nā keiki, e hōʻike ʻia nā huahana aʻe:

ʻai momona a me nā iʻa palaoa,
mau paina ʻaina iʻa a me ka iʻa,
mālama, mālama, nā kākele, mālama, heʻai momona,
ʻawaʻawa ʻawa: radish, turnip, ke kāleka, ʻekaʻa,
paʻakiki, hoʻowahāwahā, ʻōpio paʻakai ʻōpio (ʻo ka huahana i ʻokoʻa loa ka hoʻohana ʻana).
mea paena palaoa, pastry palaoa,
ʻōpū
ʻalohi
ʻāʻī, nā lau ʻōpala maloʻo, nā hua āpau, ka maiʻa, nā hua waina,
nā meli a me ke aniani me ka ʻāhā nui, ka naʻau puʻuwai nui,
kahea: ʻoka, ʻeke, ka hau iʻe,
kīwaha ikaika, kī.

Mai nā mea inu he mea nui ia e hoʻokaʻawale i nā kōneka momona, ka wai kōmato sodium, nā mea ʻala ʻawaʻawa me ka hoʻohui o nā mea hōʻoni a me nā mea ʻono maikaʻi. Ma nā pāpale hōʻole ʻole, mai inu i ka koko, hoʻōla i nā mea inu wela a me ka waiʻona. ʻAʻole hiki iā ʻoe ke inu i ka waiʻona i loko o nā koina wai, ʻoiaiʻo ka waina ʻulaʻula maikaʻi loa.

GI i loko o kaʻaiʻai no ka maʻi keiki

Kōʻai paʻakai

ka hopena o ka maʻi i kēlā me kēia lā pākaukau paʻakai e like me ke kao ʻana o nā electrolytes,
paʻakai wale nō i nā meaʻai i hoʻomākaukau ʻia ma mua o ka ʻai ʻana,
ka hoʻohele ʻokoʻa ʻana i kēlā me kēia lā paʻakai.

Eia kekahi, hiki ke hoʻohuiʻia he 50 ml o ka winika cider apple i ka mea inu. ʻIke ʻia ka meaʻai i nā papa o 7-10 lā me kahi hoʻomaha no nā lā he nui.

ʻO kaʻai momona Protein

Hiki ke loli ʻia ka lāʻau o ka protein me ka protein soy. ʻO ka huina o ka ʻikepili o ka waihona ma mua o 2700 Kcal i kēlā me kēia lā. Aia nā meaʻai a pau me ka paʻakai.

ʻAʻole pōkole wale ka decoction oats i ka pōpoki o ka pōpoki, akā kōkua pū ia i ka ho'ōla ʻana o ke kino holoʻokoʻa. Hoʻomaopopo ʻia e ʻai i ka momona oatmeal a inu i ka waiū oat i hui pū ʻia me nā mea ai meaʻai ʻē aʻe i ka lā. Hiki i nā Oats ke hoʻopau i ka acidosis i like like me ka hoʻohana ʻana i nā lāʻau kinona.

E inu i ka oatmeal ma kahi ʻōpū ʻole i ka manawa lōʻihi e hōʻemi i ka hopena o nā pōhaku a me nā one i loko o ka ʻōnaehana genitourinary.

Kalai ʻaʻai kai

Pono ka mākeke loea, kiʻekiʻe, me ke kali ʻole o ka "ʻaʻai" kālaila. ʻAʻole ʻae ʻia kahi meaʻai like me ka pohō nui o ka naʻau a me ka hana koʻikoʻi nui o nā kau.

Kūlana Giordano - Giovanetti

He pōʻino paha ka meaʻai o ka kidney?

Pono ka ʻai o ke kanaka pono e loaʻa ka piha momona i loaʻa i nā hua moa, nā iʻa, ka ʻai, ka kai a me nā caviar ʻulaʻula. Eia nō naʻe, hana ka nui o ka protein intake a i ʻole ka hoʻohana ʻana i kona ʻano physiological ma ka hana renal ka hopena i ka hopena maikaʻi ʻole.

Hoʻolako ʻo Diabetes i kahi kanaka i kēlā me kēia ola e mālama i ka mālamaʻana i nā meaʻai ma muli o ke koho ʻana o nā huahana no GI. Hōʻike kēia kuhikuhi i kahi waiwai i ka hopena o kahi huahana meaʻai i nā pae o ka glucose koko ma hope o kona hoʻohana.

I ke lua o nā maʻi maʻi maʻi, e hana ka mea ʻai me ka mālama nui, a ma ke ʻano hilinaʻi ʻana o ka insulin, he ʻano mālama ka mea e hoʻohui ai i ka ʻomo ʻana i ka insulin.

Hoʻokaʻawale ʻia ka GI i kekahi mau ʻāpana:

0 - 50 PIECES - tima haʻahaʻa,
50 - 69 PIECES - average,
ʻO 70 mau pūʻulu a ma luna aʻe he hōʻailona kiʻekiʻe.

I ke kuhi ʻana o kahi kanaka nui, a laila e hōʻole loa i nā meaʻai me ka GI kiʻekiʻe. Kuhi ʻia ka kīʻai koʻikoʻi e nā huahana me ka haʻahaʻa GI haʻahaʻa, ʻae ʻia ka meaʻai me nā awelika haʻahaʻa e waiho ʻia i loko o ka papa ʻaina he ʻokoʻa i kekahi mau manawa i ka hebedoma.

Me kahi kīʻaha kūpono, inā ʻai ka mea maʻi i nā kalaie nui, ʻaʻole wale ke aniani i ke kō, hiki ke hoʻonui ʻia, akā hiki ke kīʻaha ʻia nā kīʻaha koko, no ka mea, aia ka meaʻai i ka kolokino ʻino.

Kūʻai helu 9 - he aha ia?

Aia ia i 4 mau wā: hoʻomaka, hoʻemi ʻana i ka hopena o ka urine, kona hoʻihoʻi, hoʻolaʻa. ʻO ka manawa o ka hoʻēmi o ka diuresis ka mea paʻakikī loa, kū a hiki i 20 mau lā a hōʻike ʻia i ka hōʻiliʻili o nā lepo lepo i loko o ke koko, ka wai a me ka metabolism mineral, ka hiki ʻana o edema a me ka hoʻomohalaʻana i ka acidosis.

ʻO nā mea maʻi me ka mālama ʻole o ka aʻalopona e hōʻole paha i ka ʻai no ka mea pili lākou i ka nausea a me ka luaʻi. Hoʻopilikia ka pōʻino i ke kūlana, ʻoiai e wikiwiki ka wā e hoʻololi ai ka protein, a hoʻonui ʻia ka haunaele o ka metabola.

ʻO ka loaʻa ʻana o ka maʻi glomerulonephritis hoʻonāʻana i nā pākeke me kahi hopena i ka hana ʻole ʻana o ka renal failed ka 10 mau manawa ma mua o nā keiki. ʻO Pyelonephritis ke kolu o nā kumu o ke ake ʻole o ka aʻalolo.

Hoʻopili pinepine ʻia kahi maʻi Anemia i ka maʻi maʻi o ke aʻa ʻO nā māka pinepine e nānā me ka hoʻohaʻahaʻa ʻana i ka hoʻopiʻi creinine i 40-60 ml / min (i ke kahua III).

He koʻikoʻi ke kūlana o kēia mau mea maʻi, ua koi ikaika ʻia lākou a mālama pono i kā lākou ʻai. E nānā pono ʻoe i ke ʻano o ka meaʻai i nā maʻi o ke keiki me ke kani ʻole ʻana. ʻO ka papa kuhikuhi koʻikoʻi ma Diet 7 a i ʻole nā ʻano ʻē aʻe 7A a me 7B.

I kahi hoʻomaʻamaʻa renal maʻamau, ʻo ka papa nui ka papaʻaina No. 7A, e hāʻawi ana no:

Ke kūpono o ka huna protein (20 g). ʻO kēia mau mea i loaʻa i ka mea maʻi i ka uku o ka waiū, nā mea inu inu, kaono, kaʻaila a me nā hua. Hoʻokuʻu ʻia ka ʻiʻo a me nā iʻa.
Hāʻawi i ka pono o ka ikehu ma o ka hoʻohana ʻana aku i nā hāmeʻa (nā hua, nā hua, nā lau, nā kōpaʻa, ke kumu, nā laiki, ka meli) a me nā momona (a me ka aila o ka aila).
ʻO ka hoʻokumu ʻana o ka wai o 0.4-0.5 l (wai me ka ʻole o ka aila, nā wai palupalu, ka wai inu aila, kefir) a me ka hoʻēmi ʻana i ka paʻakai inā pau ka diuresis. I ka wā e hoʻihoʻi ʻia ai, hiki i ka nui o ka urine ke 2 lita i kēlā me kēia lā, no laila, ua ʻōlelo ʻia ka nui o ka kōʻai i loko. Ka lawa ʻana a i ʻole ka lae kai nui e hoʻomaʻamaʻa i ke aihue hana.
Ke kaupalena ana o nā huahana nā paʻakai a me ka magnesium, a ma mua o ke anuria - hoʻohui ʻia ka sodium.
Ia oe e hōʻola nei, ka hoʻoikaika mau ʻana i ka paʻakai, ka protein - mua a hiki i ka 40 g (Papa ʻākaʻa 7B), a laila i ka maʻamau. Ma hope o kēia papaʻaina, hoʻoneʻe ʻia ka mea maʻi i Diet No. 7 no kahi lōʻihi (a hiki i ka makahiki). No ka hina pono o ka hakahaka o ka papa, ua kauoha koke ʻia ke papaʻa 7, akā me ke kāohi pākia.

Kālana ʻia

Ka ʻokoʻa ka palena o ka protein protein (pili i kēia i ka ʻāʻī o CRF). ʻOi makemake ʻia ʻoi loa ka maʻalahi i ka digestible protein protein a me ka protein o ka hua manu. Heʻuʻuku ka waiwai o ka mea kanu mea kanu.
I ka wā kuke, ʻai ʻia ka ʻai a me ka iʻa mua, a laila hoʻomo a ʻele ʻia. ʻO kēia kaʻina hana hoʻemi i ka nui o nā mea extract.
Hoʻopili i ka waiwai o ka fosfor (waiū, bran, kuʻuna, Granola, ka palaoa huehue, hua, huaʻupuʻu, ʻaina kīʻaha, cereals, mau huaʻai, koko) a me ka pākīkī (kaīpī i nā ʻuala, kalima, ka maiʻa, nā hua ʻai, ka iʻa kai, ka ʻai, ʻokoʻa i ka curry, ʻena, sesame).
Ke lawa nei o ka kōomi (nā huahana wai, nā hua, nā lau). ʻO ke ala ʻoi aku, ʻo ka lawe ʻana i ka calcium carbonate, hoʻonoʻi maikaʻi ʻia a hoʻopaʻa ʻia ka phosphorus i loko o nā ʻāpana. Hoʻopili maoli ʻia ka lāʻau maʻamau o kēlā me kēia lā.
ʻO ka hoʻohui i nā mea tela keto o nā waikina amino pono a me histidine. Ma kā lākou hoʻohana e hiki ai iā ʻoe ke kau palekana i ka protein.
Ke hoʻolako nei i ka ikaika ikaika ma o nā momona (polyunsaturated fatty acid) a me nā haʻalē, e hoʻomaikaʻi ana i ka hoʻihoʻi ʻana o ka protein a hoʻoneʻe i kona wā hōʻeha i loko o ke kino. Me ka nele o nā calories, ua komo nā protein i loko o ka metabolism a piʻi ka pae o ka urea. Pono e hoʻokomo i nā huahana nui (ka momona, ka meli) i kaʻai, akā hoʻohana ia i ka kakahiaka. I ka manawa like, mai hoʻokahe i ka meaʻai me nā kelapona refactory a me kahi nui o nā momi māmā.
Ke nānā nei i ka kūlana o ka hana o ka hana a me ka hoʻopuka maikaʻi ʻana i ka wai a me ka paʻakai. ʻO kā lākou palena palena i ke alo o ka edema a me ke koko kiʻekiʻe. Mākaukau ka ʻai me ka ʻole o ka paʻakai, akā ʻae ʻia kekahi ʻai e ʻai ʻia (pili kēia i ka nui o ka maʻi a me ka nui o ka pohō o ka renal). Kuhi maoli ʻia ka nui o ka wai o ka wai i hōʻike ʻia e ka nui o ka urine i hoʻokuʻu ʻia ma ka lā i hala.
Kūkulu nā huahana me nā aila pono (celery, ʻōmole mua, pāhala, basil, ke kāleka hou a me ka ʻoliki).
Ke kaupalena nei i nā meaʻai me nā pāhare (huaʻai maloʻo, nā lau ʻai hou a me nā hua), ʻoiai nā mea maʻi me ka hana renal impaired i kūkulu i ka hyperkalemia.
ʻO ka kaupalena i nā huahana dairy, nā cereals a me ka pasta.
ʻO ka kīwī ikaika a me nā kīʻaha, nā kīʻaha momona a me ka paʻakai, koko, kīkeke, nā ʻalā, ka mea inu me ka ʻawaʻawa.
ʻO ka hoʻopili ʻana o nā mea paʻakikī o ka vitamina a me nā waikawa amino.
Ke waiho ʻole i ka kaila o ka wai kōmato maona.

Me ka hanaʻole o ka pūpū maʻamau, me ka hoʻohana ʻana i ka ʻai kūpono, hiki iā ʻoe ke hōʻemi i ka hoʻohuʻuhū a me ka holomua o ka hiki ʻole o ka renal ʻole hemahema, hōʻemi i nā hōʻike o ka hyperparathyroidism. Pono ke kaupaona ʻana i ka maʻi maʻi ma kahi mua, i ka wā e hoʻomaka ana ka mea hana ma mua o ka palena maʻamau.

ʻO ka papaʻai no ka hiki ʻole o ka hana renal ka hilinaʻi i ka pae o ka pilikia o ka renal a kau i ka nui o ka protein ʻaʻole i alakaʻi i ka hoʻonui ʻia o ka azotemia, a i ka manawa like ʻaʻole e hoʻonāukiuki i ka pau ʻana o kāna mau hana ponoʻī. Pono ka papa ʻaina klinika e pono e hāʻawi i ka pono o nā waikela amino me kahi haʻahaʻa haʻahaʻa haʻahaʻa, a pēlā e pale ai i ka nui o ka protein.

Hoʻopili i ka pale ʻana i ke kōʻai mua i kaʻai ʻana i ka holomua o ka maʻi. ʻO ka hōʻemi ʻana i ka kaumaha o ka protein e pale i ka hyperfiltration (ʻo kekahi o nā hana o ka hoʻomohala ʻana o ka hiki ʻole o ka pilikia renal), i ka manawa o ka puʻuwai o ke kuhi e hana ai ka nui o ka nui o ka protein.

Hiki i kēia haʻahaʻa ka nui o ka protein e noʻonoʻo i ke ʻano o ka mea maʻi. Manaʻo ʻia e alakaʻi ka mea maʻi i nā lā wikiwiki (a hiki i 3 mau manawa i ka hebedoma) me kahi meaʻai o 7B me kahi haʻahaʻa o ka protein. ʻAʻole pono ia i nā mea papaʻa Amino i kēia manawa.

ʻAʻole kau palena ʻia ka inu wai i ka wā o ka hopena o ka urine, akā pono e pili me ka nui o ka mea i hāʻawi ʻia ma ke ao aku i hala me 400-500 ml.Inā ʻaʻole hoʻoki ʻia ke koʻikoʻi a ʻaʻohe kumu o ka edema, e ʻōlelo ʻia he 4-5 g o ka paʻakai i kēlā me kēia lā. Me ka piʻi o ke kahe o ke koko, ke ʻano o ka edema a me ka loaʻa ʻana o ka paona, hoʻemi ʻia ka wai a me ka hana paʻakai.

I ka hana ʻole o ka renal ʻole o ka pae 2, ka hoʻopiʻi ʻana o ka protein i ka 0.5-0.4 g / kg o ke kaumaha ma ka papaʻaina (Table No. 7B), a me ka phosphorus. I kēia pili, ʻo ka hua manu a me nā moa, nā ʻami, nā hua ʻalā, ua hoʻokaʻawale ʻia nā limu, ka waiū i kaupalena ʻia. Pono ka pipi iʻa, ka iʻa, ka laiki a me nā ʻuala i ʻelua mau manawa i loko o ka wai nui, e kahe ana i ka wai mua.

ʻO kēia haʻawina hoʻemi i nā phosphates i ka aneane hapalua. Aia nā papa kūikawā e helu i ka nui o ka protein a me ka pāhare. Hāʻawi ʻia nā mea momona Amino i ke ʻano o Ketosteril (4-8 papa ʻekolu ʻekolu manawa i ka lā). ʻO nā paʻakai kalepa e kū nei ma loko ona e nakinaki ai i nā phosphates i loko o nā ʻāpana.

No ka hemahema o ka hana ʻole o ka papa 3, Diet No. 7A a i ʻole 7B e hoʻohana ʻia. ʻO lākou ka 20-25 g a 40 g o ka palaka, no kēlā ʻO ia ka mea nui o nā protein holoholona (nā huahana dairy, nā hua, nā iʻa a me ka ʻai. Hoʻololi ʻia ka manawa i hoʻolilo ʻia me kahi papa haʻahaʻa me ka liʻiliʻi o ka ʻai o ka mea maʻi, me ka hoʻomaikaʻi ʻana o ka Papa 7B, ae ʻae ʻia i kona ʻano me ke ʻano maʻamau (a ʻo 3 mau manawa i ka pule) e hoʻi lākou i ka Lā Palani 7-protein haʻahaʻa.

Hiki ke hoʻonui ʻia ka nui o ka paʻakai i 6-8 g a i ʻole, akā i lalo o ka kaohi o ke koko a me ka urine excreted (inā hemo kona nui, a laila ʻaʻole i hoʻonui ka paʻakai). ʻAʻole hoʻolako nā kīʻaha o luna i ka pono o ka mea maʻi no nā mau huaora, ka hao, ka calcium, no laila pono ke hoʻopili ʻia i ka meaʻai me nā lāʻau kūpono.

Ka hana maʻamau i nā mea hoʻonāukiuki o ka phosphorus a me calcium, ʻo ka hoʻohaʻahaʻa i ka phosphorus i loko o kaʻai a me ka hoʻonuiʻana i ka calcium he mea nui, ka mea e hoʻopilikia maikaʻi i ke ʻano o nā kau. Hoʻokaʻawaleʻia nā legumes ma muli o nā kiʻi kiʻekiʻe o ka phosphorus.

Me ka papa helu 4, e hoʻoneʻe ana ka mea maʻi i ka mālama hemodialysis, no laila, ka nui o ka protein e piʻi i ka 1.0-1.3 g / kg o ke kaupaona, ʻoiai nā waikawa amino, nā huaora, nā microelement a me nā oligopeptides i nalowale i ke kaʻina hana o ka hoʻomaʻemaʻe koko.

ʻO ka papaʻai pono e hoʻopau i ka nui. Hoʻonui ka nui o ka ikehu i ka meaʻai, ke hoʻokō ʻia e ka hoʻopau ʻana i nā nui o nā hāmeka (450 g) a me nā momona (90 g). Eia kekahi, ua hoʻokomo ʻia nā waikawa amino i ke ʻano o nā lāʻau lapaʻau.

Hoʻohālikelike ʻia ka nui o ke kahe me nā diuresis. Inā hewa nui ka hana excretory o nā keiki, ua hoʻokomo ʻia nā mea hoʻopiʻi wai. Hoʻohālikelike ʻia ka paʻakai paʻakai ma 5-7 g, akā maʻamau ʻo ia ka helu ʻana, ka helu ʻana me ka hypertension a me ka edema.

Loaʻa ka mea maʻi i ka makemake i loko o ka makemake, ka ʻōpū, ka luaʻi, kahi hoʻololi i ka ʻono. Pā pinepine ka esophagus a me ka ʻōpū, no laila e hoʻomoʻa ʻia nā kīʻaha ʻana i ʻaʻa ʻole i ka ʻaī, a me ka ʻū (maʻa a me ka ʻono a me ka hāmi), nā mea ʻala, a me nā mea ʻala maikaʻi e hoʻohana ai no ka hoʻoikaika i ka ʻono.

ʻO kahi hoʻopiʻi ʻano maʻamau o ka maʻi maʻi nephropathy. I kekahi mau'āina, ua lilo ka nephropathy maʻi i ke kumu nui o ka make i nā poʻe ʻelemakule mai ka maʻi renal. He paʻakikī loa ka loaʻa ʻana o nā maʻi like.

Nā kuʻuna o ka meaʻai no ka hiki ʻana o nā pūpū

Ke hoʻokiʻekiʻe ʻia ke kō, pono e hana ka mea maʻi e hoʻemi i ka mea, no ka mea, ʻo ka hōʻino ʻaʻole wale i ka hana o nā keiki wale nō, akā nā mea ʻē aʻe o nā kino ʻē aʻe. ʻO ka mea nui nui e pili ana i ka paipai ʻana i ke kaʻe o ka glucose koko o ka ʻōnaehana ʻai.

ʻO kahi papa hana i hoʻoponopono ʻia, ʻaʻole wale ia e hoʻomaikaʻi i ke olakino o ka mea maʻi, akā ua kāpae i nā ʻano like ʻole o nā maʻi. He mea koʻikoʻi ia no ka mea e maʻi ana ma ka dialysis e hōʻemi i ka kaila o ka lā maʻamau i kēlā me kēia lā, ʻaʻole pono e ʻoi aku ʻo 70 mau mea i loko.

ʻOi aku ka maikaʻi ma ka paʻakai ʻana, inā hiki, e hoʻemi i ka ʻai paʻakai i ka liʻiliʻi. Pono kahi lā e inu i kahi lita o ka wai maʻemaʻe.

ʻO nā kānāwai kumu o ka meaʻai.

nā meaʻai ma nā wahi liʻiliʻi ʻo 5-6 manawa i kēlā lā,
haʻalele i kaʻaila ikaika, kofe mai ka meaʻai,
intake plue kaila
ʻO ka lāila e ʻae ʻia i kēlā me kēia lā ʻo ka nui o ka protein holoholona ʻaʻole iʻoi aku ma mua o 70 mau grama,
ʻaʻole ʻai ʻia nā lā i kēlā me kēia lā he 150 ka nui o ka hua a i ʻole nā huaʻai
haʻalele i nā mea ʻala a me nā meaʻai momona i ka meaʻai,
hoʻohana i nā meaʻai i ke ʻano o ka wela,
hōʻole i nā huahana e loaʻa ai ka nui o ka waikena oxalic, pākūkā a me ka calcium - hāʻawi lākou i nā kaumaha hou ma ka hana o nā keiki,
ka ʻai hope loa ma ka liʻiliʻi he mau hola ma mua o ka hiamoe.

Eia kekahi, hāʻawi nā nephrologists i nā huahana a pau, me ke ʻole o nā hua, e hoʻomaʻemaʻe i ka mālama wela. Pono ʻoe e hoʻomākaukau i ka ʻai i kēia ala:

wōleʻa
no kekahi mau men
simmer i ka wai a i ʻole ka liʻiliʻi e hoʻohana ʻana i nā aila ʻoliva,
kāʻai i ka umu.

Ke hoʻokipa ʻia ka dialysis ma ka mea maʻi, hiki i ke kauka ke hoʻoponopono iki i ka ʻai, ka hoʻonohonoho ʻana i kēlā me kēia ʻano, e pili ana i ke kiʻi o ka papa o ka maʻi o ka maʻi.

E like me ka mea i hōʻike mua ʻia, ua kāpae ʻia nā meaʻai i hoʻonui ʻia i ka paʻakai a me ka calcium ma ka meaʻai. Pono ia mau mea iʻoi aku ka maikaʻi mai nā keiki, akā me ka pilikia ʻole o ka papalū hiki ʻole hiki ke hiki ʻole.

Pono ʻoe e haʻalele iki i kēia mau huahana:

ʻuala
kēlā me kēia ʻano hua maloʻo
nāʻaila - iʻa, nā līlī, nā pīpī, nā pīni,
pauku ʻaila, kofe a me nā ti,
kihua
nā ʻano āpau āpau
palaoa
kāuaola

ʻO nephropathy Diabetic: ka papa meaʻai, ka laʻana, ka papa inoa o nā huahana i ʻae ʻia a me nā mea i kālai ʻia

ʻO ka hemahema o Renal ka hana i ka hana o nā keiki o ka pūlima. E hoʻihoʻi iā lākou pono ʻoe i ka hoʻomaʻamaʻa kūpono. ʻO kāna kumu kumuʻai eʻai ai no ka pōmaikaʻi o ka hana ʻana. kona hiʻohiʻona he calorie intake int o nā meaʻai a me ka paʻa paʻa o ka kō o ka protein. No laila, aia ka papa o ka mea maʻi i nā aila, nā meaʻai iʻa a me nā ʻono.

Hōʻike pinepine ka hana maʻamau o ka maʻi i loko o ka make, me ka hōʻeha ʻole a me ka hōʻeha koke ʻana mai. ʻO ke kumu nui no kēia ʻano o ke kaupaona ʻana he kaʻe o ka protein i loko o ke kino. No laila, ʻo ka pahuhopu nui o ka meaʻai ka mea e hōʻoia i ka hāʻawi ʻana i ka protein i ka nui kūpono, e pale ai i ka ʻakiʻaka o ka mea i loaʻa i ke kino.

ʻO ka meaʻai a me ka papa ʻaina i kēlā me kēia lā i hōʻuluʻulu ʻia hoʻokahi no nā maʻi. Akā ua lawe ʻia ka papa ʻaina meaʻai 7 a me kāna mau haʻahaʻa. No laila, inā neʻe iki nā hōʻailona o ka loaʻaʻole o ka maʻi, a ma kahi laina i hoʻolālā ʻia ʻo 7a no ka manawa hoʻokahi pule.

Ma hope o ka hoʻololiʻana i ke ʻano o ke kala ʻana, ua kau ke kauka i kahi kanaka i ka papa ʻaina 7b me ka neʻe nui ʻana o ka 7.

ʻOi hoʻi ka mea ʻai, ʻo ka papaʻai no ka maʻi ʻana o ka maʻi palaka e hiki ai iā ʻoe ke ʻai i ka 20-60 grama o ka protein a me ka 1-2 kalā o ka paʻakai i kēlā me kēia lā.

Mandatory no nā kānaka ke momona a me nā kāloe i nā nui nui, e hiki ai iā ʻoe ke hoʻonui i ka waihona o ka calorie o nā meaʻai i 3500 kcal i kēlā me kēia lā. Ke hāʻawi nei ka nui o nā huaora i ke kino i nā huaʻai a me nā lau.

ʻO ka kūleʻa i ka hoʻihoʻi ʻana i ka hana o ka aʻalopona e waiho i ka hōʻole ʻana o kēlā mau huahana e hoʻonāukiuki a hōʻeha i ke kino.

Pono ʻoe e inu i ka wai momona hou loa.

Hōʻike ʻia ka ʻōpū o ka maʻi i ka hōʻike koʻikoʻi o nā hōʻailona i hiki ke hoʻēmi ʻia wale me ke kōkua o nā lāʻau lapaʻau. No laila, ua hāʻawi ʻia kahi papa no ka hiki ʻole i ka maʻi i ka mea maʻi ma hope wale nō o ka hoʻololi o ka maʻi a hiki i kahi o ke kala ʻana a i ka wā postoperative.

ʻO kāna pahuhopu nui e hoʻihoʻi i ka metabolism. No kēia, ʻaʻole pono ka nui o ka protein i ka lā ma mua o 60 mau grama. I loko o ka hopena o ka maʻi, e pili ana ka ʻike caloric o ka meaʻai i kēlā me kēia lā he 3000-3500 kcal.

Loaʻa kēia pae kiʻekiʻe ma muli o ka heleʻana o nā momona a me nā mea i kālaiʻia i ka papa hana.

Eia kekahi, e mālama i kahi lako vitamin i loko o ke kino, pono ʻoe e inu i ka wai o nā wai o kā lākou hou.

Ma hope o hoʻokahi hebedoma o ia ʻanoʻai, hiki iā ʻoe ke hele mālie i ka papaʻaina.

E noʻonoʻo i nā mea kikoʻī i nā mea i ʻae ʻia a pāpā ʻia i nā maʻi ʻōpiko aʻai (CKD) i nā meaʻai. Pono nā huahana o ka palaoa kāwili i kahi liʻiliʻi o ka paʻakai i ka hoʻonohonoho ʻana a hana ʻia mai ka palaoa palaoa. Hōʻole ʻia ka berena lāliʻi.

ʻOi aku ka maikaʻi ma nā kīleʻa ʻana ma nā iʻa a i ʻole ka mea ʻai aiʻa me ka hoʻohui ʻana i nā mea ʻai a me nā mea ʻai. ʻOi aku ka maikaʻi o ke koho ʻana i nā ʻai o nā ʻano haʻahaʻa haʻahaʻa - moa, kahe manu, a me ka ʻīwī pīpī. E hoʻomoʻi a hoʻolapalapa paha.

ʻAʻole kau palena ʻia ka greens ma nā ʻano hou a ma hope o ka mālama ʻana i ka wela.

ʻO ka wai, hoʻāla ʻia e inu i ka wai ʻala a ʻai paha. Pono e inu ʻia ka wai i loko o ka wai me ka wai ma muli o ke ʻano kiʻekiʻe o ke kō. Hiki i nā hua ono a me nā hua ke loaʻa i loko o kekahi ʻano a me kekahi ʻano.

ʻO nā maiʻa wale nō wale nō e waiwai i ka magnesium a me ka pāima ma lalo o ke pāpā. ʻO kā lākou huahana hāmeʻa i protein, hoʻohana ʻia ka hoʻohana paʻa ʻana. Pāʻaiʻaiʻai i nā 6 ʻai i ka lā.

Eia kekahi, ma nā manawa maʻamau.

I nā hana ʻole a pāpā ʻia ka pale ʻana.

ʻO kahi hemahema leʻa e koi ai i kahi hoʻomaha hoʻomaha. ʻO ia ke kumu he mea nui e hāʻawi i ke kino i ka ikehu ma o ka meaʻai. ʻO ka waiū a me nā ʻano huahana like ʻole, me nā kokoleka e pili ana iā lākou, e lilo pono. E like me nā hua, a laila ʻae ʻia i ka wai ʻona i ka lā 1. ʻAe ʻia nā ʻano ʻai a pau me nā huaʻai.

Akā e hoʻomanaʻo ʻoe e pili ana i ka hōʻole hou ʻana i ka palu, ke kāleka a me ke kōkī. Hiki iā ʻoe ke ʻai i nā lau i ʻai maka ʻole ma hope o ka mālama ʻana, akā ʻaʻole ʻohi a kāhili paha. No nā mea ʻono, hāʻawi ʻia nā mea ʻai kīlani, kekahi meli a iʻa paha. ʻO nā huaʻai e like me ka plum, cherry, apple a watermelon he mea pono no nā keiki.

Papa helu waihona

Hiki i nā hōʻailona o CKD ke hōʻike pinepine iā lākou iho pinepine, akā hiki ke ʻike maka ʻole ʻia. I kekahi hihia, ma hope o ka hana ʻana i kēia maʻi, pono ia e hahai i kahi meaʻai i wae ʻia e ka loea. ʻO ka hōʻole liʻiliʻi o ka meaʻai i hāʻawi ʻia e hiki ke hoʻopiʻi i ka papa o ka maʻi. E noʻonoʻo i nā koho no ka papa kuʻuna o kēlā me kēia lā, nā ʻoniʻoni i hiki ke loaʻa ma lalo.

ʻO kahi papa no ka poʻe me CKD, kahi nui o nā mea kanu o ka mea kanu. Nā kakahiaka kakahiaka: ka oatmeal i loko o ka waiū, huakai "Vinaigrette", kīmi ʻōmaʻomaʻo a waiū paha. Ka lā kakahiaka kakahiaka: ʻoki ʻōpala. ʻAina awakea: kukama a kamato, ʻaila kiki, ʻaila, ʻala hua. Snack: kākele ma luna o nā kaila hū. ʻAiina: kāpeti palaoa, pie hua, ʻōmaʻomaʻo. Ma mua o ka hele ʻana e hiamoe: ʻoi hou ka wai.
Ka ʻaina kakahiaka: ʻoi i hoʻomoʻa ʻia i ka ʻuala, huaʻai, ka meli, hou i ka wai ʻaka. I ka ʻaina awakea, hiki iā ʻoe ke ʻai i ka momona ʻono, holoi ʻia me ka mineral wai ka wai. ʻO ka pāʻina i ka ʻala o ka laiki, ka ʻuala a me ka ʻōlepa hua. Kaʻaina ʻaina: kahi kīkī mai nā alahaka lae, kaʻaila mai nā hua a me nā wai wai. E like me ka meaʻī, hiki iā ʻoe ke inu i ka wai.

Hoʻohana pinepine ʻia ka Diet No. 7B no ka hiki ʻole o ka pūpū. Mai ka Diet No. 7, e ʻokoʻa ai ka piʻi ʻana o ka nui o ka protein, ka nui o kaʻai a me ka ʻike kaloria. Hoʻomaopopo ʻia nā papa ʻaina No. 7A a me No. 7B me ka ʻole paʻakai.

Hāʻawi ia e hoʻohana i ka protein-free a me ka paʻakai-kākele waihue a i ka 300-400 g i kēlā me kēia lā. Ke waihoʻole nei, hiki iāʻoe ke ʻai i ka berena achloride.
ʻO nā mea kanu wale nō me ka hoʻohui o nā cereals a me nā lau, hiki iā ʻoe ke kuke i ka palaoa kolupa, borscht a me ka beetroot sop. Lawelawe - 250-350 ml.
Hoʻokomo ʻia ka pipi momona haʻahaʻa, moa, veal a me nā kuhina. Ma hope o ka hoʻolapalapa ʻana, hiki i ka ʻai ke ʻai ʻia a kīpī paha. Hoʻopili mua i ka wai i ka nui o ka wai e hoʻopau i nā mea momona nitrous mai nā huahana. Mālama 55-60 g.
E koho i iʻa iʻa: pike, pike perch, hake, cod saffron, pollack, cod. Hoʻomau ʻia ia ma ke ala like me ka ʻai, like ka ʻāpana.
Huki ʻia, kāloti, kukama, kumo, kāmato, cauliflower, lettuce, pāhala, ʻala hua ʻōmaʻomaʻo, ka ʻoma, ka ʻuala, ka ʻalahala no ka ʻāpana kīʻaha o nā mea ʻai. Palapala a iʻa laupaʻa lau.
ʻO nā cereals, nā kīpē āpau a me nā pasta i palena paʻa i ka meaʻai. Hōʻike ʻia nā kīʻaha sago ma ka wai ma ke ʻano he puddings, cereals, casseroles, pilaf a i ʻokiʻoki.
Palapala ʻōmole mai hoʻokahi hua i ka lā.
ʻO nā hua huaʻai a me nā hua ʻokoʻa ma kahi ʻano kulu a me ka loio. Lawe ʻia ka waihona pālala inā ʻike ʻia kona palena. Palau ʻia ka paʻakai i ka wā e hoʻolapalapa ana i nā huaʻai. Ma ka ae o ke kauka, hiki iā ʻoe ke hoʻohana i nā apricots maloʻo.
Inā ʻaʻohe palena, ka waiū a me ka huahana dairy e hoʻopau i ka 200-300 g i kēlā me kēia lā. Hoʻopili a hoʻopau ʻia ke kōkī ʻaila ma kahi liʻiliʻi (a hiki i 50 g).
Hāʻawi ʻia i ka wai keʻokeʻo ma ka waiū waiū a i ka waiū paha, nā hua a me nā mea kanu ʻai, vinaigrette me ka mea ʻole paila.
Weheweʻa kaʻaila a me ke kofe, kaʻaila hua, rosehip infusion
Butter a me ka lau.

Hōʻike Patologi	Nā hiʻohiʻona nui
Noi ʻia ke papa Helu 7 e kahi paʻa o ka protein i 60-70 g i kēlā me kēia lā, hoʻopau loa ke kō. Hoʻonui ka nui o kaʻaiʻai kūpono ma muli o ka māhele momona. ʻO ka waihona calorie ma kēia hihia he 2500 Kcal. Kūkā ʻia ka ʻai ʻana me ka hue, hoʻōla i ka cholesterol.
Palapala helu papa 7b. ʻAʻoleʻoi aku ka protein o kēlā me kēia lā ma mua o 50 g. ʻO ka nui o ka calorie o nā meaʻai i kēlā me kēia lā ʻaʻole pono e oi aku ma mua o 2000 Kcal. Wahi a nā hōʻike koko, ke kāohi nei lākou i ka pae o ka sodium a, ma nā pae maʻamau, kāpae ʻia ka paʻakai.ʻAʻole ʻae ʻia ka hoʻohana ʻana o nā meaʻai meaʻai e hoʻoulu ai i ka fermentation a me ka bloating.
Hoʻokumu ʻia ka papa kuhikuhi i ka hōʻemi i ka protein i 20 g, ʻaʻole i ka sodium. Hoʻopili i nā hana hoʻoponopono i ka kōʻai ʻana i nā pae 3 o ke kūlana pathological i hoʻokomo ʻia i nā manawa 7-10 mau lā me nā hoʻololi poloka i ka papaʻaina 7 a i ʻole 7b.

Nā mea kanu a me nā greens

Pūnaewele, g	ʻOi, g	Nā kalapu, kā g	Kālā, kcal
zucchini	0,6	0,3	4,6	24
cauliflower	2,5	0,3	5,4	30
ʻuala	2,0	0,4	18,1	80
kāloti	1,3	0,1	6,9	32
beetroot	1,5	0,1	8,8	40
kamato	0,6	0,2	4,2	20
paukō	1,3	0,3	7,7	28

punawai	0,6	0,1	5,8	25
melona	0,6	0,3	7,4	33
figs	0,7	0,2	13,7	49
apana	0,4	0,4	9,8	47

hua ʻōpala	0,8	0,4	7,5	41
Nā ʻōpala a me nā hua maloʻo
palaka	2,9	0,6	66,0	264
apricots maloʻo	5,2	0,3	51,0	215
'ānē	5,0	0,4	50,6	213
nā lā	2,5	0,5	69,2	274
Kakauolelo
ainalaka hola	0,3	0,2	63,0	263
ʻili wale	2,7	0,0	17,9	79
waiū waiū	2,7	4,3	82,3	364
Manou kemana	2,2	4,6	83,6	369
pastille	0,5	0,0	80,8	310
Nā puna wai a me nā kau
Kāleka	3,9	3,2	79,8	261
meli	0,8	0,0	81,5	329
Pāleʻa maloʻo	22,4	4,4	21,2	276
liuliu	0,0	0,0	99,7	398
waiū waiū	2,0	7,1	5,2	84
ʻōmole ʻaʻala	1,9	5,7	5,2	78
nā hua ʻalani	19,8	14,6	11,9	333
maloʻo maloʻo	2,5	0,5	6,3	40
Nā huahana huahana
waiū	3,2	3,6	4,8	64
kefir	3,4	2,0	4,7	51
ʻōpole	2,8	20,0	3,7	205
ʻōmole ʻona	2,8	20,0	3,2	206
ʻunaka	2,9	2,5	4,1	53
acidophilus	2,8	3,2	3,8	57
ʻunaka	4,3	2,0	6,2	60
Nā huahanaʻai
ʻai pipi iʻa	25,8	16,8	0,0	254
ʻānela pipi ʻala	23,9	15,0	0,0	231
ʻai kāpala	30,7	0,9	0,0	131
lālani	21,0	8,0	0,0	156

ka wili palaoa	25,2	7,4	0,0	170
kakawela	19,2	0,7	0,0	84

hua moa	12,7	10,9	0,7	157
Nā Hila a me nā Lāle
kālaʻai ʻo ka ʻohana pānaʻi	1,0	72,5	1,4	662
ʻaila palaoa	0,0	99,9	0,0	899
aila ʻaila	0,0	99,8	0,0	898
aila ʻaila	0,0	99,9	0,0	899
ghee	0,2	99,0	0,0	892
Nā meaʻala inu
wai kohuke	0,0	0,0	0,0	—
kofe me ka waiū a me ke kō	0,7	1,0	11,2	58
ʻeleʻele me ka waiū a me ke kō	0,7	0,8	8,2	43
Nā waiʻona a me nā compotes
wai huapelu	0,9	0,1	9,0	38
wai momona	1,1	0,1	6,4	28
pauka wai	0,0	0,0	9,0	38

* nā data he ma 100 g o ka huahana

ʻO ka iʻa, ka ʻiʻo a me ka mau mea ʻala.
ʻAkohola a me nā mea inu ʻona.
ʻO nā umauma.
ʻO nā meaʻai kiʻekiʻe i ka paʻakai: nā pōkī, nā hua paʻakai, nā meaʻai i kalala, nā ʻena, nā kīwī, nā huʻu, nā ʻula, nā māka, nā huki, nā kīwī, nā ʻele wai, nā ʻāpala paakai, ka margarine.
ʻO nā meaʻai kiʻekiʻe i ka pāharea: kofe, ka waiū paona, curry, sorrel, ka maiʻa, nā hua wai , nā hua ʻai, kāmele hua ʻai, huaʻai, ʻāpala, kōmato kīkī, spinach, beets, artichoke, molases, apple syrup, soy, lentils, hua soy, mau hua.
ʻO nā huahana e kū i ka phosphorus: waiū, bran, mea kāwili, granola, ka palaoa huehue, hua, nā kīlī, nā mea ʻai, ke kō, nā ʻuʻā, nā pōkā.
Ka palena liʻiliʻi, ka hua manu, ka ʻuala.

Kēlā cereals a me nā makana

Pūnaewele, g	ʻOi, g	Nā kalapu, kā g	Kālā, kcal
kiʻiʻukiʻu pīpī (kernel)	12,6	3,3	62,1	313
keʻokeʻo keʻokeʻo	6,7	0,7	78,9	344
ʻamoā	1,0	0,7	85,0	350
Kakauolelo
ainalaka hola	0,3	0,2	63,0	263
ʻili wale	2,7	0,0	17,9	79
waiū waiū	2,7	4,3	82,3	364
Manou kemana	2,2	4,6	83,6	369
pastille	0,5	0,0	80,8	310
Nā puna wai a me nā kau
Kāleka	3,9	3,2	79,8	261
meli	0,8	0,0	81,5	329
Pāleʻa maloʻo	22,4	4,4	21,2	276
liuliu	0,0	0,0	99,7	398
waiū waiū	2,0	7,1	5,2	84
ʻōmole ʻaʻala	1,9	5,7	5,2	78
nā hua ʻalani	19,8	14,6	11,9	333
maloʻo maloʻo	2,5	0,5	6,3	40
Nā huahana huahana
waiū	3,2	3,6	4,8	64
kefir	3,4	2,0	4,7	51
ʻōpole	2,8	20,0	3,7	205
ʻōmole ʻona	2,8	20,0	3,2	206
ʻunaka	2,9	2,5	4,1	53
acidophilus	2,8	3,2	3,8	57
ʻunaka	4,3	2,0	6,2	60
Nā huahanaʻai
ʻai pipi iʻa	25,8	16,8	0,0	254
ʻānela pipi ʻala	23,9	15,0	0,0	231
ʻai kāpala	30,7	0,9	0,0	131
lālani	21,0	8,0	0,0	156

ka wili palaoa	25,2	7,4	0,0	170
kakawela	19,2	0,7	0,0	84

hua moa	12,7	10,9	0,7	157
Nā Hila a me nā Lāle
kālaʻai ʻo ka ʻohana pānaʻi	1,0	72,5	1,4	662
ʻaila palaoa	0,0	99,9	0,0	899
aila ʻaila	0,0	99,8	0,0	898
aila ʻaila	0,0	99,9	0,0	899
ghee	0,2	99,0	0,0	892
Nā meaʻala inu
wai kohuke	0,0	0,0	0,0	—
kofe me ka waiū a me ke kō	0,7	1,0	11,2	58
ʻeleʻele me ka waiū a me ke kō	0,7	0,8	8,2	43
Nā waiʻona a me nā compotes
wai huapelu	0,9	0,1	9,0	38
wai momona	1,1	0,1	6,4	28
pauka wai	0,0	0,0	9,0	38

* nā data he ma 100 g o ka huahana

ʻO ka iʻa, ka ʻiʻo a me ka mau mea ʻala.
ʻAkohola a me nā mea inu ʻona.
ʻO nā umauma.
ʻO nā meaʻai kiʻekiʻe i ka paʻakai: nā pōkī, nā hua paʻakai, nā meaʻai i kalala, nā ʻena, nā kīwī, nā huʻu, nā ʻula, nā māka, nā huki, nā kīwī, nā ʻele wai, nā ʻāpala paakai, ka margarine.
ʻO nā meaʻai kiʻekiʻe i ka pāharea: kofe, ka waiū paona, curry, sorrel, ka maiʻa, nā hua wai , nā hua ʻai, kāmele hua ʻai, huaʻai, ʻāpala, kōmato kīkī, spinach, beets, artichoke, molases, apple syrup, soy, lentils, hua soy, mau hua.
ʻO nā huahana e kū i ka phosphorus: waiū, bran, mea kāwili, granola, ka palaoa huehue, hua, nā kīlī, nā mea ʻai, ke kō, nā ʻuʻā, nā pōkā.
Ka palena liʻiliʻi, ka hua manu, ka ʻuala.

Nā mea kanu a me nā greens

Pūnaewele, g

ʻOi, g

Nā kalapu, kā g

Kālā, kcal

nā lau mea ʻumau

9,1

1,6

27,0

168

sauerkraut

1,8

0,1

4,4

aniani

1,3

0,0

4,6

aniani

1,4

0,0

10,4

kukama kēne

2,8

0,0

1,3

kukama pickled

0,8

0,1

1,7

ʻōpihi

1,2

0,1

3,4

keʻokeʻo keʻokeʻo

1,4

0,0

4,1

ʻōloko

1,5

0,1

6,2

māla

0,9

0,1

2,1

kamala paʻala

1,1

0,1

3,5

huhui

3,2

0,4

10,5

ke kāleka

6,5

0,5

29,9

143

kihua

2,9

0,3

2,0

ʻeha

1,5

0,3

2,9

āpereke

0,9

0,1

10,8

maiʻa

1,5

0,2

21,8

nectarine

0,9

0,2

11,8

poʻe kēkole

0,9

0,1

11,3

ʻōpū

3,5

2,0

2,5

ʻohiʻohi ʻohi

2,2

0,4

0,0

Kēlā cereals a me nā makana

semolina

10,3

1,0

73,3

328

oatmeal

11,9

7,2

69,3

366

mauʻu palaoa

8,3

1,2

75,0

337

Puʻala

9,3

1,1

73,7

320

millats ukiʻi

11,5

3,3

69,3

348

Nā iʻa a me nā kai iʻa

kūʻāʻa

17,5

4,6

0,0

139

iʻa

26,8

9,9

0,0

196

ʻiliʻele caviar

28,0

9,7

0,0

203

caviar laona kamū

32,0

15,0

0,0

263

nā iʻa iʻa

17,5

2,0

0,0

Pehea ka pili ʻana o ka pūpū a me ka maʻi diabetes?

ʻO nā mea kanu meaʻai no ka maʻi hānai o kekahi o nā kūlana koʻikoʻi. A ʻaʻole wale nō kahi o ka mea wale nō ma kēia ala i hiki ai ke pale ʻia ke kaupaona ʻana. E holomua ana ka maʻi mellitus maʻi, ʻoi aku ka ʻano mua (i ka wā e hoʻopilikia ai ka hana a me ka pae o ka glucose i loko o ke koko, e hoʻomāhuahua ʻia ana nā lāʻau hoʻohaʻahaʻa i hoʻolaʻa ʻia. Hoʻololi ʻia nā loli i loko o ke kino, i ka lolo. ʻOiai inā hoʻoponopono ʻia ka meaʻai, i ka manawa, ma muli o ka pae gula i waiho ʻia i loko o ke koko, ke ʻano o nā nephrons, nā pā hale kūkulu ʻana o nā kuli, hiki ke loli. ʻO kēlā me kēia nephron i loko o nā tubules a me glomeruli. Ke piʻi nei ka nui o ke kō, ua hoʻonui ʻia ka nui o ke koko e hele ana ma o nā keiki. Ke hoʻāʻo nei ke kino e hoʻopaʻi i kēia ʻano a huki i ka nui o ka glucose. I ka manawa like, ua hoʻokaʻawale ka nui o nā wai wai, no ka mea ke koaka nei ka piʻi ʻana i nā glomeruli a me nā tubula. Ma ka lōʻihi o ka manawa, alakaʻi kēia i ka hoʻonui ʻana o ka hope ma ka huina, a ma laila, neʻe ʻia o nā kīʻaha koko. I ka hopena, hoʻonui ʻia ka nui o ka nui o ke koko e nā ʻōpū a me nā uremia i ulu iki aʻe. He kulia kēia kulana i kuhi ai nā mea make i ke kō koko.

Hoʻomaʻamaʻa ke kino i ka make ʻana iā ia iho. Hōʻike kēia i ke ʻano o ka hoʻonui ʻana i ka momona, nā ʻeha, ka ʻōpū, ka luhi nui, ka huhū a me nā kīwaha. I kekahi mau hihia, kūlohelohe, pili a me ka ʻeha i ka ʻili.

ʻO kēlā mau hoʻololi i hoʻokahi degree a i ʻole kekahi ke ʻano o ka hapa nui o nā maʻi, akā ʻaʻole koke ma hope o ke ʻano o ka maʻi maʻi, akā ma hope o kekahi mau makahiki. ʻO ka nui o ka pilikia i ka poʻe me ke koko koko kiʻekiʻe (140/90).

I waena o nā loli ʻē aʻe, inā ʻaʻole e hoʻoponopono ʻia ka ʻai i ka manawa, ke ʻano o ka protein albumin i loko o ka pīpī. Hōʻike kēia karoli i ka liʻiliʻi liʻiliʻi, ma muli o ia i hiki ke lanakila i nā paia o nā kīʻaha koko.

ʻO nā hiʻohiʻona o kaʻaiʻai i ka hikiʻole o ka hana a me ka maʻi diabetes

Ma kaʻai ʻana i ka maʻi diabetes, inā hoʻopuka ka pōpilikia, ʻaʻole i hoʻonohonoho wale i ka hoʻokaʻawale i ke kōpaʻa koko a mālama i nā kiʻekiʻe o ka kolamu. Me ka hoʻokaʻawale ʻana o ke kaʻe o ke koko ma o kekahi o nā mea i pale ʻia o ka nānā ʻana o ka huli ʻana o ke ʻano o nā loli.

Inā me ka maʻi mellitus o ka maʻi mua a me ka lua ka hana nui a ka hoʻēmi ʻana i ka nui o nā kāohi aʻai i ke ʻano inu inu, a laila me ka hopena ʻole o ka maʻi papalapa ʻaʻole ia he mea maʻalahi loa. ʻOi no kaʻai ʻana i nā maʻi me ka maʻi diabetes, ma ka lima hoʻokahi, haʻahaʻa-carb. Ma ka ʻaoʻao aʻe, loaʻa kahi liʻiliʻi o nā protein holoholona. Ma ka nānā wale ʻana i kēia mau lula e hiki ʻole iā mākou ke pale i ka nui o ka hoʻōki o ke koko a hōʻemi i nā kaumaha i nā keiki.

ʻO kahi papaʻai no ka hiki ʻole o ka hana renal ka komo pū ʻana me ka hōʻemi o ka nui o ka wai - ʻaʻole iʻoi aku ma mua o 1.5 lita i hoʻokahi lā, a i kekahi mau hanana - ʻaʻole iʻoi aku i ka lita. Inā ʻaʻole, maʻi ka mea maʻi i ka huehue (ʻaʻole hiki i nā keiki ke hoʻokau i ka nui o ka wai o ka papakū). No ia kumu like, lawe ʻia ka paʻakai mai ka meaʻai, ʻoiai e hoʻolauleʻa ana i ka hoʻomoʻe ʻana o ka pulu i ke kino. I ka lā e ʻae ʻia e hoʻohana i ʻole oi aku ma mua o 3 g paʻakai. Puhi ʻia ka paʻaua pau, ʻili ʻia, ʻohi loa a kāpae i ka meaʻai.

ʻAi ʻia nā meaʻai momona. Kōkua ia i ka hoʻonui i ka nui o ka cholesterol i ke koko (kahi kau hou ma luna o nā keiki).

ʻO ka mālamaʻai i ka hiki ʻole o ka hana ʻōla me ka haʻalele ʻana i nā huahana me kahi hopena diuretic. I kahi ʻano "maʻemaʻe", e kau ai lākou i ka meli a me ka melon, ma ke ʻano o ka wai hou i loko o nā ʻūlū - kukama, beets, kāloti, zucchini, peterseli a me ka celery.Me nā decoction herbal e pono e akahele. Inā makemake ʻia lākou no ka maʻi mellitus no ka maʻi maʻamau, a laila me ka hiki ʻole o ka renal ke hiki iā lākou ke alakaʻi i ka maʻi i loko o ke kūlana. Hoʻopili ka diuretics i ka chamomile, lingonberries, nā huaʻomaʻo liar, viburnum, paukena, mau huaʻala a me nā mea ʻalaʻula.

ʻO ka hōʻeha o ka huakaʻi nui loa o ka huehue, aia i ka hopena o ke kino i ke kaumaha, a ua nui ka nui o nā mea pono i hoʻopau ʻia mai ke kino.

ʻO nā ʻōlelo ʻōlelo a nā mea lapaʻau e pili ana i ka papaʻai no ka hiki ʻole o ka renal pumehana a me ka diabetes mellitus penei:

ʻAno ka ʻona o ka meaʻai i kēlā me kēia lā i loko o ka lawelawe lawelawe like lima, e pono ke hoʻopau ʻia me ke anawaena o nā hola 2-3 (me ke kali ʻole no ka ʻike maka ʻole o ka pōloli, no ka mea e hiki ai ke hoʻonāukiuki i kahi kahe nui o ka kōʻai koko).
hōʻole i ke kīwī ikaika a me ke kope. E akahele me ke kīwī ʻōmaʻomaʻo, ʻoiai e kōkua ana i ka hoʻopau ʻana i ke kahe. Pili ka pili i nā kuʻu herbal (chamomile, mint, a pēlā aku).
Mai hoʻopau i nā mea he 70 mau kekona o ka protein holoholona i kēlā me kēia lā i ʻole e kau i ka pēpē.
e mālama i ka pale ʻana, e ʻai i nā mea hou o ka 150 mau huaʻai a i ʻole he huaʻai i ka lā (me ka ʻokoʻa ʻole o ka ʻulaʻula a me ka ʻulaʻula, me nā huaʻai exotic).
haʻalele loa i nā mea ʻala, a ʻoka, marinades, waʻa, ʻai wikiwiki, ʻai i ka ai. Mālama lākou a pau i ke kahe ma ke kino. A mai hamo hoʻi (mai ka lōʻihi o ka hoʻokaʻawale ʻana a hoʻonāukiuki i ka ulu ʻana a me ka constipation) a me ka waiʻona,
kaupalena i ka hoʻohana ʻana o nā meaʻai i ai he nui o ka waikawa oxalic (celery, spinach, sorrel, pāhala, rhubarb). ʻOkakai (pā, ka ʻapeka, nā ʻōpala, ka maiʻa, ka zucchini, nā pīpī, ka pāhala, ka ʻoma, ka blackcurrant, ka lobish, dill, beans, horseradish, spinach a me nā aniani). Me ka calcium (nā huahana dairy). Ua palaki lākou i nā ʻāpana,
E hoʻomoʻa i nā meaʻai i mālama ʻia i ka wela. Mālama lākou i kahi nui o nā mea kanu, akā ua maʻalahi lākou i ka hoʻoili ʻia ma mua o nā mea momona. ʻOi aku ka maikaʻi ma ka kuke ʻana, ʻāla, kuke i loko o kahi pālua pālua a i ʻole ka umu.

He aha hiki a ʻaʻole hiki ke ʻai ʻia me ka uʻi a me ka maʻi diabetes

Hiki	He hiki ole
Lāʻau
Nāwī palaoa palaoa, nā pastries me ka stevia (hoʻōla gula)	ʻApala, huaʻai, croissants, pōpō, ʻōwili
ʻO nā papa mua
ʻO nā kīkī, i ka wā e kahe ai ka wai i ka liʻiliʻi ma 2 mau manawa, e maule i ka ʻala māmā	ʻO kaʻai ikaika, nā iʻa a me nā pala i mau ʻōpū me ka momona
Nā kīʻaha wela
Hoʻokomo ʻia a iʻa ʻia (pipi nā momona): moa, pipi, veal, pipi liʻiliʻi haʻahaʻa, konipi. Nā iʻa: cod, pollock, perch	ʻO ka momona momona me nā mea ʻala, nā iʻa iʻa, ke kai
Nā hua ʻaka
ʻAʻole iʻoi aku ma mua o nā ʻāpana 3-4 i kēlā me kēia lā	ʻOʻoki hoʻolapalapa, ʻoi
Nā huahana huahana
ʻO ka waiū piha (ʻaʻole iʻoi aku ma mua o 150 ml i kēlā me kēia lā), haʻahaʻa puʻupuʻu haʻahaʻa (1 tīpune i kēlā lā)	Kālehi ʻaina, tīhi, nāʻaila i hoʻomoʻa ʻia i ka waiū i loko o kaʻaila, kaʻaila kulimi
Nā makepili
I kahi lā ʻaʻole iʻoi aku i ka 150-200 g: kahi pīpī, oatmeal, bale	Semolina, palaoa, laiki
Nā laupala
Kāliki, beets, kāloti, kukama, kamato, ka laula, nāʻaila ka'ōlio, dill	Oniki, nā ʻuala,
Nā huaʻai a me nā hua waina
Non-acidic, wale ma ke ʻano o ka ʻōmole, mousse, kāpae ʻia	Nā hua maloʻo, nā momona, ka kō, nā hua ʻona

Hiki iā ʻoe ke aʻo hou e pili ana i ka ʻai ʻana me ka hiki ʻole o ka renal failed mai ka wikiō ma lalo nei.

Hoʻololi i ka maʻi pākēneka: ka papaʻai a me ka papa kuhikuhi no ka hebedoma

ʻO ka mea aʻe i ka papaʻai no ka hiki ʻana o nā pēpē a me ka papa maʻi diabetes no kahi hebedoma, hiki ke hoʻololi ʻia e like me nā makemake makemake pilikino. Akā mai poina e pili ana i nā ʻōlelo aʻoaʻo i luna nei.

Pono e hoʻokokoke me ka kuleana āpau i ka lawe ʻana i ka ʻai o ka mea maʻi, no ka mea hiki ʻole ke loiloi i ka mea nui nui e pili ai i nā kānāwai āpau a me nā kumu pono o ka mālamaʻai.

ʻO kekahi ʻōlelo ʻē aʻe kekahi e hoʻolālā i kāu papaʻaina i hiki ai iā lākou ke hele i nā manawa maʻamau. Hoʻopau i ka hiamoe nui a i ka manawa like, e pale i ka pōloli.

ka ʻaina mua - ka ʻāpana o ka berena rye, ka mea ʻono kai,
lua ʻaina - ʻāpala i hoʻomoʻa ʻia, 150 ml ke kefir, he ʻōmole wai maʻemaʻe.
ʻaina awake - kākala ʻaala, bale me ka ʻoki iʻa, mea,
kaʻaina awakea - kolo hua ʻai, kālele hua ʻai, ke kīʻaha wai
ʻaina mua - ka ʻōpala kāpī me ka raiki brown
ʻo ka lua ʻelua o kahi lau curd a laila.

ka ʻaina mua - ka ʻala huina, kaʻaila,
ʻO nā keke a me nā keke, kāwili pā
ʻaina awakea - kākāhu ʻaʻai, mau umō me ka umauma moa i hānai ʻia, kahi kīʻaha wai.
ʻaina ahiahi - huehue i ʻai, kahi ʻāpana o ka berena rye, ke kīʻaha wai
kaʻaʻai mua - kaila ʻaila, kahi ʻāpana o ka berena rye, ke kīwī
ka lua ʻaina ʻaina ʻo ka pāʻina ʻaina me ryazhenka.

ka ʻaina mua - hoʻokahi ʻōpiopio, ke kīkī liʻiliʻi kākole.
ʻaina awakea - oatmeal ma luna o ka wai, ʻōpala i hoʻomoʻa ʻia, kahi aniani o ka wai,
ʻaina awakea - kāhu me ka laiki kīwī, paila i ka uluna laupaʻa, kahi ʻāpana o ka berena rye, ka mea, kākā.
kaʻaina ahiahi - omelet me nā lau, nā kō,
ʻaina mua - palaoa porridge, me ka moa pīʻī kalo, ʻā,
ka lua o ka ʻaina lua ʻole i ʻōmaʻomaʻo.

ka ʻaina mua - ʻaila hua i ka nui o ka 150 grama, kaʻaila me ka ʻāpana o ka berena rye,
ʻaina awakea - oatmeal ma ka wai, kaʻaina,
ʻaina awake - kākala kuke, ʻaila ʻuma, kīʻaha ʻia, ʻā,
ʻaina ahiahi - e kau ʻia ana ma luna o oatmeal, he ʻāpana o ka berena rye,
ka ʻaʻa mua - ka ʻōpala pipi kīwī, paila palaoa i ka wai, ke kō,
ka lua ʻaina ʻaina he kīʻaha o kekahi huahana momona ferment non-fat.

ʻaina mua - ʻaina berry, ʻōpala,
ʻaina awakea - omelet me nā mea kanu, ke kīʻaha wai
ʻaina awakea - kāhu me ka palaoa gela vermicelli, palaoa, kālua kao, ka ʻala, ka pipi.
ahiahi pōkō - kākele i ʻala, ʻono, ka ʻūpī o ka berena rū a me ka pipi tofu,
ʻaina mua - ʻoki ʻai i loko o ka pā me ka moa, kaʻaila,
ka ʻaina lua - curd soufflé, he aniani wai.

ka ʻaina mua - 150 kalama o nā mea ʻala a iʻaila (haʻalulu GI),
ʻaina awakea - oatmeal ma ka wai, kaʻaina,
ʻaina awake - kākela ʻaila, kalala iʻa, ʻekala, kaʻaila,
kaʻaina awakea - kahi ʻāpana o ka berena rye, ka ʻono kai, kaʻaila,
ʻaina mua - ʻeliʻoki i nā hua me nā lau, nā ʻāpana o ka berena rye, nāwaliwali palupalu
ʻaina ʻelua - ʻāpana ʻāpana, ʻala.

ka ʻaina mua - ka hua ʻaila, 150 ml huaʻai,
ʻaina awake
ʻaina awakea - kāʻai iʻa kūloko, ʻokiʻoki iʻa, ka ʻōpala kīkaha, kaʻaila,
kaʻaina awakea - kahi hapa o ka berena rye a me kahi pā pōpō no ka maʻi maʻi ma ka ate moa, kaʻaila,
ʻaina mua - kākala ʻaala, ʻala ʻala, ʻala,
ʻaina lua - 150 kalona o ka oatmeal ma luna o ka wai.

I ke wikiō ma kēia ʻatikala, hoʻomau ʻia ke kumuhana o ka meaʻai no ka hina ʻana o ke keiki.

Mālama i nā pae o ke kō no ka lōʻihi
Hoʻihoʻi hou i ka hana insulin pancreatic

ʻO kahi maʻi diabetes mellitus he maʻi endocrine e pono ai ka hana akahele. Hoʻopili i nā lāʻau lapaʻau, pono i ka mea maʻi e hoʻomaʻamaʻa i ka mālama ʻana i ka meaʻai e pale ai i kona kino mai nā ʻōwili i nā lālā kūpono.

ʻO ka hemahema o Renal i ka maʻi mellitus he mea maʻamau ka maʻi maʻamau, no ka mea me ka hoʻonui pinepine o ka glucose i ke koko, e lawe pū me ka wai me ia, e hoʻonui ana i ka pume ma loko o ka glomeruli. Inā ʻaʻole ʻoe e lawe i ke kō i ke koko i ka maʻamau, a laila pilikia ka maʻi me ka nalowale o ka hana o ka palaka. Pono ka mea maʻi i ka dialysis maʻamau.

Elima mau hōʻailona o ka hoʻomaka ʻana o ka hana ʻole i ka mellitus o ka maʻi mellitus e kūkākūkā ma lalo nei, pehea e hoʻomaikaʻi ai i ka hana ʻana o kēia ʻano me ka mea ʻai, he meaʻai ʻai no ka hiki ʻole o ka renal, a me kahi papa kuhikuhi wikiō e hōʻike ʻia nei.

Nā kakahiaka i ka wina: ʻo ka paila palaoa ma luna o ka wai a i ʻole ka wai skim, waiū me ka palaka, ʻōmaʻomaʻo me ka meli.
ʻAina awakea: kākuhū palaoa me ka waiū ʻalaʻa, 100 g o ka ketī i hānai ʻia.
Snack: nā kuki kīkeke, pālala mahana o kā lākou dogrose me ke kōkō.
ʻAiina ʻaina: nā ʻai iʻa, zucchini casserole, 200 ml o kefir.

ʻElua lā

Nā hola i ka kakahiaka: ʻo ka moa puding kākā, oatmeal me nā kīhā, ʻōmaʻomaʻo.
ʻAina awakea: kākela ʻaila ʻaʻa me ka celery, vinaigrette, crackers.
Snack: 100 g o ka pipi momona a i ka umauma moa kāwili ʻia, ʻele hua paʻakai.
ʻAiina: ʻaina kīlaki me nā laiki a me nā lau ʻai, ʻōpala hoʻohui.

Nā kakahiaka i kakahiaka nui: ʻo ka palaoa kīwī i kāwele ʻia, kahi aniani o ka waiū, kahi kīʻaha o ka meli.
ʻAina awakea: borsch me kaʻaila kulo, ʻai iʻa, ʻala mai nā lau ʻai i ka lau, a me ka aila ʻaila, lau lau.
Snack: ʻeleʻele, keʻa lau.
ʻAiina: ʻaina umauma moa, pasta, kefir.

Nā kakahiaka i kakahiaka: semolina, pōʻai, kīmaʻomaʻo.
ʻAina awakea: kāhu me nā noodle homemade, ʻōkena huala me ka waiū loala a me nā mea kanu, berena.
Snack: oatmeal me nā hua maloʻo, kahi decoction o nā pua rose rose.
ʻAiina: casserole o ka moa me ka ʻuʻu ʻala, kākala ʻoala me ka ʻōmaʻomaʻo.

Nā kakahiaka i loko o ka wana: kāhu palaoa i hana ʻia ma ka waiū haʻahaʻa, kahi keʻokeʻo me ka lettuce a me ka hua manu, kahi mau rosehip.
ʻAina awakea: vinaigrette, kākoti o nā pōpoki, mikolo.
Snack: oatmeal me nā huaʻai, ka waiū wela me ka meli.
ʻAiina: ʻaila hua me ka ʻeneka, zucchini a i ʻole zucchini i loko o ka pā hao.

Nā kakahiaka i ka kakahiaka: ka waiū palaoa, curd cheese, green green.
ʻAiʻaʻa: ʻaala wai i hānai ʻia me ka pipi momona, kāʻai kalapule, apple compote.
Snack: ka mea kīwī ai a me nā lāiki casserole me kaʻaina ʻole a i kaʻaela paha, ʻele.
ʻAe: nā kīleʻa launa me nā laiki a me nā mea ʻai, kefir, nā kīleʻa.

ʻEhiku lā

Nā kakahiaka i kakahiaka nui: kahi uhu o ka ʻōpala i loko o ka waiū, kahi momona rosehip.
ʻAina awakea: kākāū iʻa, beetroot salad me nā ʻōnole a me nā huaʻai, nā iʻa i kupa a me nā ʻuala.
Snack: kākahu ʻaila, ʻai ʻiʻo.
ʻAiina: casserole ʻai me ka pasta i hoʻomoʻa ʻia, kākala huila me kaʻaila kulala.

Hiki ke hoʻololi ʻia ka inu ʻana ma ka papa ʻaina hebedoma. I kaʻaina awakea kakahiaka, he mea nui e hoʻohui i nā hua momona a me nā hua. I ke ahiahi hiki iā ʻoe ke ʻai i nā ʻono: gelatinous jelly, marshmallows, marmalade. I ka pō, ua'ōlelo ʻia e inu i ka kefir, akā ʻaʻole i ʻoi aku ma mua o 150-200 ml.

Nā hiʻohiʻona huina

Inā hanaʻole ʻia ka pilikia o ka pākeke i ka pākeke ka hopena ma muli o kahi maʻi a me ka hoʻopiʻi ʻana i ka maʻi concomitant o ka ʻōnaehana genitourinary, a laila i loko o nā keiki liʻiliʻi ke kumu nui o nā malenue congenital.

Hoʻopili maoli ke kino o ke keiki i nā palena ʻē aʻe e pili ana me ka paʻa ʻole ʻana o ka pūnana renal. Ke ulu wikiwiki nei ke kino o ke keiki, pono lākou i nā ʻōmua protein nui a me nā meaʻai o nā kaloli kiʻekiʻe i kā lākou papaʻai. ʻAʻohe mea hoʻowaiwai i kaʻai ʻole ʻokoʻa, koe wale nō ka kaohi o ka paʻakai ma nā hoʻāʻo wai koko no ka sodium, wai e pale ai i ka puhi ʻana.

I ka wā hāpai, loaʻa i nā wahine nā lākou nuances. Inā pili ʻole kekahi wahine i ka papaʻai ma mua o ka hāpai ʻana, a ma ka wā hiki ke hoʻomau ʻia ka mālama ʻana i kahi meaʻai maʻamau me nā hoʻoponopono liʻiliʻi e like me ka hōʻike a ke kauka.

Inā hōʻike mua ʻia ka pathology ke hāpai ʻana i ka pūpū, a laila hoʻokaʻawale nā kauka i ka wahine i nā huahana maikaʻi āpau, ʻōlelo i ka hoʻolalelale ʻana i ka paʻakai a me ka wai. ʻO ka protein i ka wā hāpai a emi iki.

E kū'ē i ka hope o PN, ulu pinepine ke anemia o ka I-II ma laila, no laila he mea nui e hoʻohui i nā mea paʻakikī huaʻai, nā huahana paʻakai i ka ʻai. I ka wā o kaʻai, he mea nui e nānā i nā hoʻāʻo koko ma kahi o ka manawa 1 i ka 3 mau mahina.

ʻO nā papa mua

Kaʻe ʻoki. E holoi i nā eggplants, ʻokiʻoki i loko o nā ʻāpana a waiho iki i loko o ka ipu me ka ʻaila ʻole. Koti ʻia ka kāloti, nā ʻōpio a me nā ʻuala i loko o kahi liʻiliʻi o ka wai, i hui pū ʻia me ka hua manu a kuke ʻia ma luna o ka wela wela a hiki i ka wā kuke. E hoʻomoʻa ʻia ka ʻupena. No ka hoʻōla, hoʻohui i nā mea kanu iʻa, ʻala ʻo ka lau.
ʻO kahi ʻōniʻu hodgepodge. ʻO ka kāloti, ka ʻuala, ka ʻuala, nā aniani a me nā ʻoki i ʻoki ʻia i loko o nā ʻāpana, hoʻohui i kahi wai liʻiliʻi a hoʻohaʻahaʻa i ka wela wela. Ma hope o ke kupa ʻia ʻana o ka pipi momona, nā mea kanu a hoʻohui ʻia i ka puhala. Ma mua o ka lawelawe ʻana, koi ʻia nā kola no ka hapalua hola.

Nā papa lua

Zucchini paʻa. Hoʻomaʻemaʻe ʻia ka zucchini maʻamau i ka ʻili, viscera, hoʻokaʻawale i ʻelua mau ʻāpana like. No ka hoʻopiha, ka laiki passer, kāloti, hoʻolapalapa i ka laiki liʻiliʻi, kahi hua manu. Hoʻohui ʻia nā ʻikepona a pau me ke ʻano ʻala ʻono. Hoʻopiha i nā hoʻonā i ka zucchini hoʻopiha me ka hoʻopiha, kāpīpī ʻia me ke kuʻi ʻala a me nā mea kanu ma luna, e hoʻokomo i ka umu a hiki i ka kuke ʻana. ʻO nā kekona ʻē aʻe no ka zucchini i kālai ʻia.
Lōkē polū.Hoʻopili i nā mea kanu, ʻokiʻoki i loko o nā ʻāpana liʻiliʻi a kākākī me nā aniani, e ninini i ka 300 ml wai, he hapalua hola. Ma hope o ka kuke ʻana, e hoʻohui i nā greens, i ka wai lemon a me kahi ʻōmole ʻōmaʻomaʻo liʻiliʻi. ʻOi aku ka momona ʻaʻai no ka ʻai pēpē. ʻO nā kīʻaha mauʻu.

Rosehip lua. Kahi ʻia kahi ʻōpala o ka rosehip i holoi ʻia ma lalo o ka wai kahe, waiho ʻia i loko o kahi pā ipu, ninini iā 2 lita o ka wai a kau i ka umu. Hoʻomoʻa ʻia ka kupa no ka 15 mau minuke, ma hope o ka hoʻopau ʻana i ke ahi, a hoʻopaʻa ʻia ka laila a maloʻo loa.
Hoʻohui Apple. Eʻokiʻoki ʻia nā ʻalā 3-4 i loko o nā ʻāpana liʻiliʻi, ma kahi i wehe ai i ka kumu nui. Hoʻopiha ʻia nā Pieces me nā 2 lita o ka wai a lawe i kahi pua. Ma hope o ka haʻalele e hoʻomaha maikaʻi. ʻAʻole pono ke kānana. I nā mea kikoʻī e pili ana i nā pōmaikaʻi a me nā hōʻino o nā ʻaleme.

ʻIke mau meaʻai lāʻau hou i nā ʻano kai like ʻole. Inā ʻoe e hoʻopili i ka noʻonoʻo, hiki ke hoʻohuli ʻia kekahi mau kīʻaha hou i nā ʻenehana maoli.