Meaʻai no ka hemodialysis keiki: nā lula meaʻai

Hemodialysis he hana maʻi no ka poʻe maʻi me ka hopena end-stage pilikia kūlohelohe, ka mea o ka hoʻohana pono ʻana i nā ʻenehana hana e hoʻomaʻemaʻe i ke kino o ka mea maʻi mai nā mea huʻakai a me ka hoʻomaʻamaʻa ʻana i ke kaupaona wai-paʻakai (hemodialysis hoʻonohonoho ʻia/huehue peritoneal) ʻO ka mea pōʻino, ʻaʻole hemodialysis maʻamau e hoʻohuli i ka hana o ke keiki, e kōkua ana e mālama i ka nui o nā pilikia hoʻokūkūʻano hiʻohiʻona o nā mea maʻi me ka hiki ʻole o ka renal hina ʻole.

Eia kekahi, i ka wā dialysis, aia nā hopena hopena e alakaʻi ana i ka nalowale o ka nui o nā pono o nā meaʻai a me ka hoʻomohala ʻana o ka pauku o ka protein-ikehu. No laila, ʻo ka kūlana o nā mea maʻi e kau ana ma ka hemodialysis e hoʻoholo nui ʻia e nā lāʻau lapaʻau kūpono. Ke kīleʻa o nā meaʻai o kēlā me nā maʻi he nui: ʻo ka nui o / a me ka lōʻihi o nā kaʻina hana, ka nui a me ke ʻano o nā loli metabolic, nā hiʻohiʻona o ka hopena dialysis a me ka hele mai / paʻakikī o nā hoʻopiʻi. No laila, he mea hoʻomohala nui i ka wā o ka hemodialysis e koi ai i ke koho kanaka i kekahi ʻai.

Ma kahi o ka mālama ʻana i ke kūlana pono o ka maʻi o ka mea maʻi, hoʻonaninani ka therapeutic i ka hoʻolalelale ʻana i ka hoʻomohala ʻana o nā maʻi cardiovascular vascular a me nā hoʻololi cerebrovascular, e pale ai i nā maʻi o ka mineral-bone a me ka hoʻoponopono ʻana i nā maʻi metabolic e hopena ana i ka hoʻomāeʻa ʻana i ka uremia, a pinepine ʻole i hiki ʻole ka dialysis o nā keiki. I ka manawa like, ʻoiai ka mea e pono ai kahi neʻe ʻana o ka mea pono i ka mea o ka maʻi o nā maʻi e pā ana i ka hemodialysis maʻamau, aia nā loina nui o nā pono o ka pono, i hōʻike ʻia ma lalo nei.

Hoʻokumu ʻia nā Diet no ka hemodialysis renal i ke olakino Papa Helu 7 G Wahi a Pevzner, ma kekahi mau mea ʻē aʻe mai nā ʻano lāʻau lapaʻau i loko o ka wā pre-hemodialysis. Kālai ʻia ka meaʻai i ka kōʻai ʻona ʻana o nā meaʻai macro / micronutrients, e noʻonoʻo ana i nā ʻano o kēlā me kēia ʻano o ka hana hoʻoliʻi a me ka hoʻomaha ʻana o nā hopena o ka hemodialysis.

Hāʻawi ka meaʻai i ka hoʻonui ʻana i ka kaila o ka protein i kahi pae o 1.0-1.2 g / kg ka nui o ke kino / lā (60-75 g), ka mea i hōʻemi ʻia e ka protein i ka wā o ka hana hemodialysis, he hōʻemi i loko o kāna kaʻa ʻana a me ka hoʻonui ʻana ma loko o ka huina. ʻO ia me ka nui o ka protein e kū ai ke kino albumin a ke mālama nei i ka pae kaulike kūpono / kūlike kaulike. Eia kekahi, ʻaʻole ka hoʻoluhi ʻia o ka protein i kēia pae e hoʻonāukiuki i ka hoʻowalewale uremic.

Hoʻopiʻi ka ʻike o ka protein e lawa ai i ka meaʻai i ke kūkulu ʻana i ka hapa o ka nui o ka protein (hoʻemi i ka pae o ke kaumaha o ke kino, nā pae prealbumin, albumin, kolamu) a hoʻonui i ka pilikia o ka make. Hoʻonui ka ʻākala i ka momona i loko o ka meaʻai i ka nui o ke koko o nā palapani nitrogenous a me ka hoʻomohala ʻana o ka uremia. ʻO ka prototein ka mea maʻamau ka hoʻomaka ʻana o nā holoholona, ​​ke kumu o ka mea e ʻai ai i ka ʻiʻo ʻulaʻula, ka pīpī, ka moa, ka momona momona, nā hua moa, ke kīwī, ka waiū a me nā mea inu waiū.

Kuhi ʻia ka waiwai o ka meaʻai i kēlā lā i kēia lā mai ka pae o 35-40 kcal / kg / lā (2800-2900 kcal / lā). I ka manawa like, ʻike ʻia kahi pae kaulike ma ka hoʻopau ʻana iā 35 kcal / kg / lā. Ke ʻae ʻia nā kānaka a i ʻole nā ​​mea ma luna o ka moena e hōʻemi i ka waiwai o ka papaʻai i 2400-2500 Kcal / lā.

Manaʻo ia e hoʻopili i loko o ka meaʻai i nā mea ʻai a me nāʻaila o nā iʻa, kahi kumu o nā momona momona o ka polyunsaturated. Me ka makemake ʻole a me nā hōʻailona hypoglycemia Hiki ke hoʻonui ʻia i ka ʻai o nā kākoi aʻai i maʻalahi (confectionery, honey, jam, jelly, mousse). Eia naʻe, inā loaʻa maʻi mellitus maʻiʻi, hōʻemi ʻia nā kākeke i ka meaʻai.

He wahi kūikawā i ka papaʻai o nā mea maʻi ma ka hemodialysis i kahi e pili ana i ka sodium chloride a me ka manuahi manuahi. Hoʻoholo ka helu ʻia o kēlā me kēia ma muli o ka pae o ke koko a me ka kiʻekiʻe o ka mālama wai i loko o ke kino. I ka wā o ka hemodialysis, ma ke ʻano he kānāwai, e hoʻomau mau ana ka nui o ka urine i ka manawa e hiki ai i ka sodium mālama i loko o ke kino, a me ka hōʻemi iki ʻana i kona hoʻohana e hoʻonui i ka makewai a hoʻonui i ka hoʻohana ʻana i ke kao manuahi, ka mea i kōkua i ka hoʻomohala ʻana. haehae maʻi, enema.

Eia kekahi, ʻo ka loaʻa nui o ka paʻakai paʻakai i ka poʻe maʻi ma ka hemodialysis e alakaʻi i ka nui o ka paona kino ma waena o nā papa o ka hemodialysis, myocardial hypertrophy, hoʻomohala ʻia puʻuwai paʻakikī. ^ E Ha yM. No laila, ua kaupalena ka ʻike o ka sodium i ka papaʻaʻai i ka 2.0-2.8 g / lā (4-5 g o ka paʻakai paʻakai). ʻAʻohe lākou i ka ʻai. I ka nele ʻana o ka edema a me ke koko kiʻekiʻe, ʻo 2-3 g ka paʻakai e ʻae ʻia i ka meaʻai no ka paʻakai o ka meaʻai i mākaukau, a inā e loaʻa ana, hoʻokaʻawale ka paʻakai mai ka meaʻai, a me ka ʻai paʻakai - nā meaʻai i hoʻoulu ʻia, nā kīkona, nā mea ʻuma a me nā ʻili.

ʻO ka nui o nā wai kahe i hoʻohana ʻia, e helu ʻia mai ke kaulike: 600 ml + nui o nā lā o ka diuresis + i kēlā me kēia lā a me nā kumu o ka huhū. Ka awelika - 800-1000 ml wai o ka wai. Ke kāohi nei i ka hana o ka wai, pono i ke kaupaona ʻana o ka mea maʻi a me ka hoʻoholo ʻana i ka hoʻopuka urine no ka lā ma mua. ʻAʻole hoʻonui ka hoʻonui ʻana i ke kaumaha o ke kino ma waena o nā hana dialysis ma mua o 1.5-2 kg. Me ka nui o ka hoʻohana ʻana i ka wai o ka wai o ka hopena he nui i ka lawehalake ulu nei hyponatremiahele a hewa.

Ke hoʻopiʻi nei no ka nalowale o nā kōmoli me ka hemodialysis maʻamau, ʻoi ʻia e hoʻohui i ka papaʻai me ka hoʻomākaukau ʻana ma multivitamin (hui B, C, E,) 1-2 papa i kahi lā a lawe vitamina De like me ka maʻi e loaʻa anaD-hypovitaminosis. ^ E Ha yM. Hāpai hou beta kalana a Palapala A mea hiki ʻole.

ʻO ka mea maʻamau o ka hoʻohanaʻana i ka phosphorus, potassium a me ka calcium e hoʻoholo nui ʻia e nā ʻenehana a me nā hōʻailona kūloko. I ka poʻe maʻi ma ka hemodialysis hyperkalemia pili me ka pilikia nui o ka make. No laila, ʻo ka nui o ka kōpaʻa pākaha huakaʻi no nā maʻi dialysis ʻaʻole pono eʻoi aku i ka 3 g o ka potassium / lā. Loaʻa ka paʻakai ma ka nui o nā hua / nā lau maloʻo (raisins, date, apricots, figs), banana, mani mai ka palaoa palala, ʻāala momona, kalala, ʻaila hua, ketchup, kofe koke, koko. I loko o ka lā, hiki i ka mea maʻi ke ʻai i ka ʻai ma mua o ka mea kanu a me ka huaʻai (i loko o kekahi ʻano). I ka manawa like, pono e hoʻomoʻi ʻia nā lau ʻai ʻala a me nā huaʻai, holoi ʻia me ka wai a waiho ʻia no nā hola 2-3 i ka wai, ʻoiai hoʻomaʻemaʻe mau ka paʻakai ma ka wai.

ʻO ka pono o ka magnesium i nā maʻi ma ka hemodialysis he 200-300 mg / lā. Haumāna Hypermagnesemia ma muli o ke kaona haʻahaʻa o ka magnesium i nā huahana meaʻai a me kona hoʻohaʻahaʻa haʻahaʻa ʻana i nā ʻōpū (40-50%), ʻoi aku ka liʻiliʻi o ka hyperkalemia, akā naʻe i ka nānā ʻana i ka lawelawe ʻana o nā lāʻau i loaʻa i ka magnesium he mea nui (konukia, antacids), ʻoiai e hiki ke hana i kahi ʻano koʻikoʻi o ka hypermagnesemia me ke kaumaha o ke ea, nā maʻi neurological.

ʻO ka pono o ka calcium ma nā maʻi e pili ana i ka hemodialysis ma kahi o ka 1.5 g / lā. ʻO ka hoʻohana nui o ka calcium mahuka ma muli o ka hoʻohana ʻana i nā mitika calcium e hana ʻia e hoʻopaʻa i ka phosphates (kaleka acetate, kalaka, kaleka ka calcium gluconate) ʻO ka hoʻohana nui o ka calcium calcium e alakaʻi i ka hypercalcemia, me ka penaʻana i ka vascular / tissue.Inā ʻaʻohe mea e mālama i ka phosphorus me nā kahu kōloko, ʻo ia ka mea e pono ai e hoʻemi i ka calcium intake i ka 900-1000 mg / lā.

ʻO ka pono o ka phosphorus i kaʻai o ke olakino olakino is 1600-1700 mg / lā. No hoʻokahi kaʻina hana hemodialysis, kahi aweline o ka 250 mg o ka posforoma e neʻe aku ana. ʻO ia kēlā, ʻaʻole ia e hōʻoia i ka hemodialysis i ka wehe ʻana o ka phosphorus mai ke kino i ka nui e koi ai a pale i ka ulu ʻana hyperphosphatemia ʻaʻole hiki. Mai ka hoʻonui ʻana i ka nui o ka phosphorus myocardial infarction a me ka hoʻomohala ʻana o ka maʻi cardiovascular, ka hoʻopau ʻana i ka phosphorus i ka wā dialysis e pono ʻole e pau. ʻO ka mea nui ka phosphoavila ka nui o ka bioavailable, pono nā palena o nā huahana holoholona i kau mua ʻia i nā huahana holoholona i loaʻa iā ia i nā nui a ma kahi liʻiliʻi loa, nā huahana kanu.

Ke noʻonoʻo nei i ka protein ke kumu nui o ka fosfor, ʻoi aku ka maikaʻi o ke komo pū ʻana me nā meaʻai o ka meaʻai me ka liʻiliʻi o ka puna o ka phosphorus e pili ana i ka protein - hua keʻokeʻo, ka iʻa kai, ka pahu kīwī, ka pipi, ka peke kai, puaʻa, a me nā palena o nā huahana e like me ke kao, waiū, granola, bran, ʻaʻai palaoa holoʻokoʻa, pōpoki, pākana, cereals, ʻaina keʻa, nā nati. Inā ʻaʻole hiki ke hoʻomaʻamaʻa i ka pae o ka phosphorus, ua kō ka calcium / me ka kalapona o ka calcium-nā mea i hoʻopaʻa ʻia.

ʻO ka meaʻai no nā renal hemodialysis e hāʻawi no ka wehe ʻana i nā helu o ka huahana. ʻO ka papa inoa o nā huahana i pāpā ʻia no ka hoʻohana ʻana i ka dialysis: nā mea i honi ʻia i ka ʻiʻo / iʻa / ʻāhu, ka momona momona o nā holoholona a me ka wai wai, nā mea ʻai ʻāpala (koe wale nō ka protein soy), sausages, mau ipe, nā ʻūhā, nā puʻupaʻa, nā aʻalolo, nā kīnē i hoʻopaʻa ʻia, paʻakikī kao, ka paʻakai / ʻai ʻia nā meaʻai a me nā mea kanu i momona i ka waikawa oxalic, hua paʻalapa ʻia, nā momona ʻai manu, margarine, sīkī, kuʻuna, ka ʻameka, nā hua waina, ʻāʻama, ka huʻu, ka currants ʻeleʻele, ka maiʻa, nā hua maloʻo, ka pepa, ka ʻami, ka ʻūnike, ka mustasa, ka koko . ^ E Ha yM.

No ka hoʻāʻo ʻana i ka meaʻai a me ka hoʻomaikaʻi ʻana i ka ʻono o nā kīʻaha paʻakai, nā ʻano ʻāpana like ʻole o nā huahana kuke, ʻo ia hoʻi me ka kāwili a me ka ʻū ʻana, hoʻohui i nā mea ʻala, kava kūlohelohe, ka waikū citric, a me ka hoʻohana ʻana i ka pā i ka home.

No ka hoʻomaikaʻi ʻana i ka makemake kaumaha, hiki ke hoʻonui ʻia ka papa inoa o nā huahana me ka hoʻohui ʻana i nā mea inu ʻona (inā ʻaʻohe contraindications) - hua ʻawa maloʻo a maloʻo / semi-malo, vermouth, sherry a i ʻole nā ​​mea inu ʻawaʻawa, ka inu ʻana o nā mana (ma nā huaʻōlelo etilika) no nā wahine ʻaʻole pono. uaʻoi aku ma mua o 20 g / lā a me 40 g / lā no nā kāne. Hoʻomaopopo ʻia ka hoʻopili ʻana i ka meaʻai ʻaiʻai i nā ʻāpana liʻiliʻi 5-6 mau manawa i ka lā.

Nā ʻĀina huahana

ʻO ka papaʻai o nā mea maʻi ma ka hemodialysis e pili ana i ka hoʻohana ʻana i ka papa paʻakai a me nā mea ʻai ʻai ʻole me ka hoʻohui ʻana i nā lau lau a me nā mea ʻai, a me ka pōkole o ka pahu, beetroot, a me ka borsch. No nā papa ʻelua, ʻōlelo ʻia nā ʻano momona like ʻole (veal, pipi), moa, pipi, pīpī, i lawelawe ʻia i ka palaoa, ua ʻōlelo ʻia. ʻO ka hoʻolapalapa mua i ka ʻai he mea kīnā, ʻoiai i ka wā e kuke ai i ka kuke nui i ka wai nui, hoʻokaʻawale nā ​​mea nitrous mai nā huahana.

Ma hope o ka hoʻolapalapa ʻana, e hoʻomoʻi ʻia ka ʻiʻo i ka ʻai. Mai ka iʻa, maiʻa nā iʻa lauʻa ʻole a i ʻole nā ​​moku lau (pollock, pike, hake, pike perch, cod), ka mea i hoʻomākaukau ʻia ma nā ʻano like, e ʻōlelo ʻia.

Hāʻawi ʻia nā mea kanu a me nā mea kanu huaʻai (kamato, kāloti, dill, lettuce, kukato beets, parsley, cauliflower, kamato, nā ʻalaʻala, nā ʻuala), ka mea i hoʻolapalapa a ʻala ʻia hoʻi. Hiki ke hoʻopau ʻia nā hua moa i ka nui o nā ʻāpana he 2-4 i loko o ka hebedoma ma ke ʻano o ka waiū uala a palupalu paʻu paha. I ka nele o nā kaupalena, ua ʻae ʻia e komo i ka wai ʻai meaʻai a me nā huahana momona i ka nui o ka 200-300 g i kēlā me kēia lā.

Lā ʻia nā kīwī home ʻai ma loko o kaʻaila waiū / waiū, vinaigrette mai i nā mea kanu ʻole, ʻāpono mai nā mea kanu / hua. E like me nā momona, nāʻaila paʻa ʻole, ua ʻōlelo ʻia nā aila ʻaila like ʻole. Hiki ke hoʻopau i ka hua / hua i nā ʻano like ʻole, me ka noʻonoʻo ʻana i ka waihona pāhare, inā pili kāna mea pili i ka mea maʻi. ʻO nā mea inu hiki iā ʻoe ke inu i ka infusion rosehip, kīwīwī palupalu a me ke kō, nā wai momona i hua ʻia.

Nā mea kanu a me nā greens

zucchini0,60,34,624 cauliflower2,50,35,430 ʻuala2,00,418,180 kāloti1,30,16,932 kamato0,60,24,220 paukō1,30,37,728 punawai0,60,15,825 melona0,60,37,433 apana0,40,49,847 hua ʻōpala0,80,47,541

Kēlā cereals a me nā makana

kiʻiʻukiʻu pīpī (kernel)12,63,362,1313 oatmeal11,97,269,3366 keʻokeʻo keʻokeʻo6,70,778,9344 ʻamoā1,00,785,0350

Kakauolelo

ainalaka hola0,30,263,0263 ʻili wale2,70,017,979 waiū waiū2,74,382,3364 Manish kemanū2,24,683,6369 pastille0,50,080,8310

Nā puna wai a me nā kau

Kāleka3,93,279,8261 meli0,80,081,5329 Pāleʻa maloʻo22,44,421,2276 liuliu0,00,099,7398 waiū waiū2,07,15,284 ʻōmole ʻaʻala1,95,75,278 nā hua ʻalani19,814,611,9333

Nā huahana huahana

waiū3,23,64,864 kefir3,42,04,751 ʻōpole2,820,03,7205 ʻōmole ʻona2,820,03,2206 ʻunaka2,92,54,153 acidophilus2,83,23,857 ʻunaka4,32,06,260

Nā huahanaʻai

puaa puaa16,021,60,0259 ʻai pipi iʻa25,816,80,0254 ʻānela pipi ʻala23,915,00,0231 kalua30,70,90,0131 lālani21,08,00,0156 ka wili palaoa25,27,40,0170 kakawela19,20,70,084 hua moa12,710,90,7157

Pono ʻia

ʻO kekahi mau mea maʻi, ma ka hemodialysis o nā pēpē, haʻalele i ka lāʻau therapeutic, me ka noʻonoʻo i ka mea hou a me ka hana a nā kauka.

E kōkua nā mea i lalo i ke kāohi ʻana i kēia kuhi hewa.

• ʻO nā ʻōpana no ke kaʻina hana ka pyeloectasia (hoʻonui i ka pelvis) a me nā pilikia ʻole o ka renal. Me kēia mau maʻi, ʻaʻole hiki i nā keiki ke hoʻonā i kā lākou mau hana, e hōʻea i ka hōʻemi ʻana i nā mea laʻala a me nā mea laʻa. ʻO ka hoʻomaʻamaʻa ʻana i ka meaʻai e hoʻomaikaʻi hou i kēia kaʻina hana, e hōʻemi i ka maʻi metabolic.
• Ke hana mau nei nā kuli o kahi kanaka olakino, ʻaʻole i kāpae ʻia no kekona i loko o kā lākou mau ola, a me nā mea i ʻike ʻia - i ʻekolu wale nō i ka hebedoma no 5 mau hola. No laila, he mea koʻikoʻi loa ia e hōʻoia e like me nā mea liʻiliʻi a me nā mea laikini ke komo i ke kino i ka wā o ka inter-dialysis.

Eia kekahi, i ka wā he hemodialysis o nā keiki, ka nalowale o nā mea nui no ke kino a me ka hoʻomohala ʻana o ka pono o ka meaʻai (BEN). Hiki i kēia mau mea ke alakaʻi i nā hoʻopiʻi kaumaha a me nā anorexia.

No laila, mālama ka therapeutic i ka wā o ka hemodialysis e hoʻopakele mai i nā poloka o ka naʻau, nā pilikia cerebrovascular me ka hoʻopaleʻole cerebral vascular, pale i ka maʻi cat a me ke kūkulu ʻana i ka uricemia.

Kālala ʻia ka mea kanu palapona ma ka papa lāʻau olakino 7 a me nā ʻano. Ma waho o nā kuʻuna maʻamau o ka meaʻai, ua wae ʻia ke ʻano o nā huahana hoʻokahi no kēlā me kēia maʻi, e hilinaʻi nei i nā hiʻohiʻona o ka metabolism, ke kaumaha a me nā maʻi pili.

Nā huahana kūʻai a hoʻopaʻa ʻia

Hoʻololi ka nui o nā huahana mai ka meaʻai i ka wā e hemodialysis. ʻO ka mea mua, ʻo kēia mau mea nāʻaina, uala a ʻohi i nā ʻaina. Ua papa ʻia i ka ʻai i ka saturated ʻai, ka ʻalihi a me nā mea iʻa i loko o ka iʻa, sausages, nā huahana semi-oti a me nā huahana meaʻai koke. Aia nā mea āpau āpau i kahi hapa nui o nā mea mālama a me nā mea hoʻonaninani ʻono e hoʻopā ai i ka makewai a ʻawaʻawa i ke kino.

ʻO nā huahana hemodialysis i pāpā ʻia:

• bean
• Konohiki,
• ʻōmaʻomaʻo keʻokeʻo a me nā aniani hou,
• nā mea inu ʻoki
• ʻōpio, ʻipi, rarihi, ʻōkoti, ka ʻūhā, ke kōwā, ka ʻona, ke ʻāʻī, ke kōkuhi, ka rhubarb,
• ʻōpala, nā hua pua, nectarine, nāʻaina, nā ʻākeke,
• ʻōpū
• millet, pearl barley, mais and semolina,
• pasta
• ʻano kāʻala
• ʻona
• holoholona a me ka aila ʻaila, momona,
• waiʻona
• ka waiʻeleʻele ʻeleʻele a me kaʻaila, ka ʻōmato wai.

ʻAʻole kēia he papa kuhikuhi piha o nā palena. ʻAʻole hiki ke maʻalahi ka papa inoa ʻana o lākou āpau. ʻO ka mea nui ka pono i ka mea maʻi e hoʻomaopopo i ka loiloi laulā o ka meaʻai - ua kī ʻia nā meaʻai e hiki ai i ka make wai.

ʻO ka papaʻaʻai i loaʻa ai ka nui o ka pāharea a me ka phosphorus e hoʻopau i ka nui helu. Hoʻopili kēia i nā hua kanu a me nā nati, nā hua maloʻo, ka lau a me ka wai momona, ka hua, ka momona, ka huaʻai, ke kī a me ka wai paʻakai.

Nā Papa Pahu i ka maʻi Diabetes

ʻO ka papa hana ʻōnaehana ʻoi aku ma mua o 100 tausani "glomeruli" - nā kānana kūikawā e hoʻokuʻu ana i ke koko mai nā huahana metabola a me nā mea pono ʻole.

Ke hele nei ke koko i nā kīʻaha liʻiliʻi o kēia mau kānana, e hoʻihoʻi ʻia nā mea ʻino mai nā keiki mai ka pala, a hoʻi ka wai a me nā mea nui e hoʻi i ka kahe. A laila, me ke kōkua o ka urethra, lawe ʻia nā huahana waiwai a pau mai ke kino.

Ma muli o ke ʻano maʻi o ka maʻi maʻamau e hoʻonui ʻia ka nui o ka glucose, hoʻonui loa i ka ukana ma luna o nā huina paʻa. E hoʻoneʻe i ke kō nui i ke kō mai ke kino, pono hou ka lolo, e like me ka hopena, ke piʻi ka paʻakikī o kēlā me kēia glomerulus.

ʻO kēlā me kēia mau papa hana neʻe i ka manawa e kaohi ai i ka helu o nā kānana ikaika, ka hopena no ka hoʻomaʻemaʻe ʻana i ke koko.

Me kahi papa lōʻihi o ka "maʻi aloha", ʻōpiopio ka pau i nā pilikia o ke keiki. ʻO kāna mau hiʻohiʻona nui:

• hōʻeha a me ka momona
• nā huʻi a me nā pale o ka luaʻi,
• ka pōkole o ka hanu me ka liʻiliʻi o ka hoʻoikaika kino,
• kaʻiliʻili
• ʻili metala
• ka pōpō a me nā manamana o nā haʻahaʻa haʻahaʻa, ʻoi aku ka maikaʻi i ka pō,
• mea hanu
• nāwaliwali a me ka coma.

Ke ulu nei kēia kūlana ma hope o nā makahiki he 15-20 i ka hana like ʻole o ka maʻi maʻi. No ka loiloi i ka hana o nā kuhi, hiki i ke kauka ke kuhikuhi i kahi urine a i ʻole ka hoʻāʻo ʻia no ka creatinine a i ʻole he urine test no ka albumin a i ʻole microalbumin.

Ke hōʻoia nei i ka hoʻomohala ʻana, hiki i ke kauka ke kuhikuhi i kahi kaʻina hoʻomaʻemaʻe koko. ʻAe nui nā poʻe loea e hemodialysis no ka maʻi diabetes e pono ai ka mālama kūikawā. No laila, pono e loli nā mea maʻi i kahi regimen kūikawā o ka maʻi insulin - injections me insulins kanaka. ʻO ka mea nui o kēia hoʻomaʻamaʻaʻana e hoʻopau i nā inikini o kahi hormone o ka manawa maʻamau i ke kakahiaka.

Eia kekahi, ʻaʻole mākou e poina e pili ana i ka mālama mau ʻana i ka glycemia i mea e pale ai i nā hopena ʻē aʻe i ka hopena ʻē aʻe.

Nā ʻĀina Huakaʻi

ʻAʻole hiki ke ʻōlelo ʻia ʻo ka ʻai o ka poʻe maʻi ma ka hemodialysis o nā pēpē he ilihune a hana ʻino i ke kanaka i kahi hapalua-a makaʻala. Nui i kahi kīʻaha e ʻae ʻia e hoʻopau i ka wā mālama. Eia kekahi, hiki i ka papaʻai ke inu i ka 20-40 g o ka maloʻo maloʻo a i ʻole semi-malo i ka lā e hoʻomaikaʻi ai i ka makemake a e hoʻopiha i nā pono o ka ikehu.

Nā papa inoa o nā huahana i ʻae ʻia no ka hemodialysis kidney:

• nā huaʻala (paukena, kukama, kāloti, ʻuala, kāpala, zucchini),
• nā ʻanuʻu, melemele, melon,
• keʻokeʻo keʻokeʻo, kāwele, oatmeal, sago,
• gula, kaʻaina, meli, pastille, marshmallows, kōpaʻa,
• kefir, ka ʻaka, ka ʻakaʻala, kaʻaila, ka ʻoni,
• ʻai ʻai, moa, kunia, pihi,
• ka pipi a me ka aila palaoa,
• kaʻaila me ka waiū.

I ka wā mua, ua ʻōlelo ʻia e lawelawe i nā mea kanu ʻai me ka cereal, kāwele kaʻa, borsch, beetroot. ʻO ka kīʻaha lua kahi iʻa ʻai ʻia a iʻa paha me kahi pānaʻi ʻaoʻao. ʻAe ʻia nā huaʻai e hoʻopau wale ʻia ma ke ʻano o kahi omelet, ʻaʻole iʻoi aʻe ma mua o 4 mau ʻāpana no ka pule. Inā hoʻomanawanui maikaʻi ka lactose, kahi 200-300 g o nā huahana wai hoʻomau i ka lā i hoʻokomo ʻia i ka lāʻai.

Hōʻikeʻike menu no ka pule

No ka poʻe maʻi e hoʻokomo ana i ka hemodialysis, kahiʻai koʻikoʻi kahi mea nui. No laila, he mea koʻikoʻi loa ia ʻaʻole e lilo i ka mea ʻino, a maikaʻi ke ʻai a paʻa loa. Nui me nā kīʻaha a me ka hoʻohana ʻana i nā waiū niu, ka mea i ʻala ʻia a me ka gravy e kōkua iā ʻoe e hana ai i ka paʻakai paʻakai.

ʻO ka mea aʻe kahi papa kuhikuhi i kahi papa hana no ka pule, hiki ke lawe i ke ʻano o ke koho ʻana i ka meaʻai.

Pōʻakahi:

ʻAina kakahiaka	Omelet, huila huapalaoa, ʻōleʻa oatmeal
Snack	ʻAe i hoʻomoʻa ʻia i ka mākele
ʻAi awakea	ʻO ka palaʻai i ka lau ʻai, mea moa kolo, ʻala i kālai ʻia i ka wai i loko o kaʻaila, inu wai
Kāpī nui	Hoʻokomo ʻōwili, infusion rosehip
Kai ʻaina	Kāpeti zrazy me ka ʻiʻo minced a me nā aniani, ʻoi me ka waiū
Ma mua o ka hele ʻana e hiamoe	Ke aniani o kefir
ʻO ka lā a pau	ʻO ka paʻakai paʻakai paʻakai - 200 g, gula - 50 g, kahiʻai a me ka meli paha - 40 g, pipi wai -20 g.

Poalua:

ʻAina kakahiaka	Hōʻalo ʻia me ka huaʻala, nā pancakes, ka wai
Snack	ʻO ka hua a me ka huaʻaʻa
ʻAi awakea	Nīleʻa i nā ʻai ʻai, nā iʻa kuke, nā moʻo kanu palaoa, ʻoi
Kāpī nui	Butter bun, rosehip infusion
Kai ʻaina	ʻO ka hua Pilaf, 100 ml ʻōmole kaʻaʻai, kaʻaila me ka waiū
Ma mua o ka hele ʻana e hiamoe	Uhu o ka koka
ʻO ka lā a pau	E like me ke kakahiaka

Pōʻalima:

ʻAina kakahiaka	ʻO ka kalaka kākā momona me ka kō, nā pancakes, wai wai
Snack	Hoʻōla
ʻAi awakea	ʻO ka borsch Vegetarian me kaʻaila kulala, stew, buckwheat, ʻohe
Kāpī nui	ʻO ka kīʻaha cupcake, rosehip
Kai ʻaina	Nā ʻōpio kāpeti, nā mea ʻai me ke kōī ʻaina, kaʻaila
Ma mua o ka hele ʻana e hiamoe	He aniani o ka kime
ʻO ka lā a pau	E like me ke kakahiaka

Poaha:

ʻAina kakahiaka	Lohi mai ka pala, coleslaw, ʻoi kūlohelohe
Snack	Hoʻōla
ʻAi awakea	Supa-puree mai nā mea kanu prefabricated, ʻaila palaoa me ka ʻuala, compote
Kāpī nui	ʻŌpala ʻokoleka, mauʻu rosehip
Kai ʻaina	Hoʻomoʻa ʻia ʻo Peppers i loko o kaʻaila momona, ke kō kō
Ma mua o ka hele ʻana e hiamoe	Ke aniani o kefir
ʻO ka lā a pau	E like me ke kakahiaka

Pōʻalima

ʻAina kakahiaka	Omelet, vinaigrette, oatmeal pīpī
Snack	Hala huole
ʻAi awakea	ʻO ka waiū kaʻaila kaona, ka moa moa, palaoa, huaʻai
Kāpī nui	ʻŌpala kā kaloti, infusion rosehip
Kai ʻaina	ʻO ka pulupulu kākoti me ka ʻiʻo, ʻona ʻona, kaʻaila
Ma mua o ka hele ʻana e hiamoe	Uhu o ka kuki
ʻO ka lā a pau	E like me ke kakahiaka

Pōʻaono:

ʻAina kakahiaka	ʻO ka hua Pilaf, pancakes, wai
Snack	Kissel oat
ʻAi awakea	Buckwheat mea momona me ka waiū iʻa, nā iʻa i hoʻomoʻa ʻia, nā moʻo kanu manu, compote
Kāpī nui	Kākau Uila Pahu Uleo
Kai ʻaina	ʻO ka momona lau me nā moa, kaʻaila me ka waiū
Ma mua o ka hele ʻana e hiamoe	ʻOi o ka waiū i hoʻomoʻa ʻia
ʻO ka lā a pau	E like me ke kakahiaka

Lāpule:

ʻAina kakahiaka	ʻO nā hua ʻai me ka waiū, nā keke Dutch, ke aniani oatmeal
Snack	Kōkua
ʻAi awakea	Hoʻokomo i nā ʻai, pilaf me ka moa, compote
Kāpī nui	Koti zrazy, infusion rosehip
Kai ʻaina	Piʻi ʻopoki, ʻōhia ʻopa, ʻopa
Ma mua o ka hele ʻana e hiamoe	Ke aniani o kefir
ʻO ka lā a pau	E like me ke kakahiaka

ʻAʻole hope ka papa ʻōlelo ma luna nei. Hiki ke hoʻololi ʻia ka papa ʻaina i kou manaʻo, me ka haʻalele ʻole ʻana mai ka papa inoa o nā huahana ʻae ʻia a ʻae ʻia.

Pono i nā ponoʻai no ka hemodialysis o nā puʻuwai. I ka manawa pinepine, i ke koho ʻana i ka mea ʻai momona kūpono loa, pono ke alakaʻi e alakaʻi ʻole ʻia e nā ʻōnaehana maʻamau e like me ka loli ʻana o ke ʻano o ka mea maʻi, kona kaupaona ʻana a me kona wā, ʻoi ke koko, a me ka nui o ke kō o ka protein. No laila, he mea makemake no ka mea maʻi ma ka papaʻai e mālama i kahi pāʻina meaʻai, kahi e kuke ai kēlā me kēia lā i ka kākau ʻana i nā meaʻai a pau a i hoʻomaopopo ʻia ke ʻano o ke olakino.

ʻO ka meaʻai kūpono i ka wā o ka dialysis kidney

ʻO ke kumu o ka kūpono kūpono no ka hāʻule ʻana o nā keiki i kahi ʻōnaehana kūikawā. Kūkulu ʻia kahi meaʻai no ka dialysis līpī i ka noʻonoʻo ʻana i ka helu o ka metabolic rata o ka mea maʻi a me ka ʻike o ka hoʻomaʻemaʻe ʻana i ke koko. ʻO ka mea maoli ma muli o ke kaʻina o ka peritoneal a hemodialysis, ʻaʻole wale nā ​​toxins i lawe ʻia mai ke kino, akā ke ʻano pono nō hoʻi: nā waikawa amino, nā huaora.

ʻO ka papa o ke ʻano kemana o ka meaʻai no nā poʻe maʻi ma ka dialysis

Aia i nā mana calorie e koi ʻia e hōʻoia i ka wā kūpono o nā mea pono (35-40 kcal pāpaʻi o ke kaumaha o ka mea hoʻomanawanui, me ke ʻano wahaheʻe - 30).

Hōʻike ʻia ka meaʻai dialysis e kekahi mau kūlana o ka like me ka mea i hoʻokohu ʻia i nā meaʻai.

Mea ʻai meaʻai	Loaʻa kēlā me kēia lā	Nā hiʻohiʻona ʻōlelo
ʻO nā kākela	60	ʻAʻole ka hapanui o nā kumu nā holoholona.
ʻO nā ʻōpala	100	25-30% nā kumu kanu.
Pūleapohola	350	Ma luna o ka hapalua - momona (ʻaʻole palaoa) ka meaʻai a me ka meli.
Nā mea hele (K, Na, Ca)	2,4	ʻAʻohe hāpai ʻia ka hoʻonui ʻana i nā inane i hōʻike ʻia.
Hoʻopuka	1000	Hoʻowahāwahā ʻia ka hana hōʻino.
Paakai	4-5	He mea pono ke hoʻohana ʻole, e like me ka NaCl hoʻonāukiuki i ka makewai.

ʻO nā kauoha no ka meaʻai a me nā meaʻai no hemodialysis

Pono ka hoʻomaʻamaʻa kukuna i ka hemodialysis.He paʻakikī kēia hana e lawe a lawe ʻia ma kahi keʻena kūikawā o ke haukapila. Hoʻolālā ʻia ʻo Diet no hemodialysis e hōʻemi i ka kaumaha ma luna o nā keiki, no laila e hoʻomaikaʻi ai i nā hopena lapaʻau.

Nā rula ʻaʻai a me ke kuke palaoa

Hoʻomaopopo nā kauka i nā mea maʻi fractional maʻamau ma ka dialysis (5-6 ʻai i ka lā). ʻO kēia ala e hoʻonohonoho ai i ka hoʻopiʻi ʻana i ka meaʻai a hoʻemi i ka ukana ma ka ʻōnaehana a me ka ʻōnaehana excretory. Kaʻaʻa - mālama, me ke mālama pono o nā mea kanu. I mea e ʻike ai i ka nui o ka meaʻai, pono ʻoe i kahi pahu kīhini. ʻO kēlā hōʻiliʻili kālā e hoʻokae iā ʻoe i ke koho pololei i ke kaumaha o kahi lawelawe hoʻokahi. No ka kikoʻī i ka ʻano o kēlā me kēia huahana, aia kahi papahana kūikawā e kau ʻia ma ke kelepona. I nā hihia koʻikoʻi, hiki i ka nui o ke kōmua, ka momona a me nā mea i kālai ʻia i ka meaʻai ma ka Pūnaewele.

Nā hiʻohiʻona hana

No ka maʻi koʻikoʻi o ka pēpē, ua hōʻike ʻia nā meaʻai ʻai liʻiliʻi, ʻo ka hōʻemi ʻana o ka protein i ka creatinine i hoʻoili ʻia, ammonia, bilirubin, a me urea.

Akā inā kuhikuhi ʻia ka hemodialysis i ka mea maʻi, hoʻokaʻawale loa ka ʻōmala, no laila e ʻokoʻa ka meaʻai i kēia hihia. ʻO nā mea lapaʻau olakino i ka wā he hemodialysis i hoʻomohala ʻia ma mua o 30 mau makahiki i hala aku nei, ʻaʻole ia i nalo i kahi mea pili.

ʻO ia kahi mea e pono ai ka mālama ʻana i nā poʻe me ka pauʻole o ka hana renal hope.

Pono kaulike ka ʻai. Kūkulu ʻia e ka mea loea ma ke kanaka hoʻokahi, me ka mālama i nā ʻano o ke ʻano o ka maʻi, ka lōʻihi a me ke "ʻike" no ka dialysis, a me nā ʻōkuhi o ka laboratore o ka hana kidney. ʻO ka hapa nui o nā mea e hoʻohemo ai ka hemodialysis i loko o ke kino me ka meaʻai. ʻO ka hana nui ʻo ke kālele ʻana i ka hana o nā kuli a mālama i nā hana kino āpau i ka pae kūpono.

Meaʻai nā mea ʻai

ʻO ka papa inoa o nā huahana meaʻai no hemodialysis o nā pēpē he ākea loa. Ke hana nei i kahi papa kuhikuhi kūpono loa i kēlā me kēia maʻi. Ke hōʻike nei mākou i kahi papa inoa o nā meaʻai i ka wā o ka dialysis:

• Hiki ke hoʻopau ʻia nā huahana Flour, akā ma kahi palena palena (a hiki i ka 170 g i kēlā me kēia lā). Hoʻonohonoho ʻia e hoʻokomo i ka berena rye i ka meaʻai. Kūleʻa nā poʻe hōʻike i ka hana ʻana i nā mea i ʻole i hale anu me ka hoʻohana ʻana i ka paʻakai.
• ʻO nā mea lau ʻia i nā momona ʻAʻoleʻoi aku ka maʻamau o kēlā me kēia lā ma mua o 250 gram.
• ʻO nā huahana o ka ʻai a me nā iʻa (nā ʻano haʻahaʻa, 100 g no 24 mau hola). Kaʻa wīwī, pipi, rabbit - ʻaʻa ʻia a palapalapa paha. A laila hiki iā ʻoe ke hoʻomāmā i ka aila ʻaila. Pono ke koho ʻia o ka iʻa me ka haʻahaʻa haʻahaʻa haʻahaʻa: pollock, perch, a me nā ʻaina ʻaina uliuli.
• ʻOi aku ka nui o nā huahana momona: 150 g i kēlā me kēia lā - kiʻekiʻe no ka waiū, i hoʻohui ʻia i nā kīnī i hoʻomākaukau ʻia, 140 g - waiū hāmole, koloā kolo - 30 g.
• ʻO 200 ka nui o ka nui o ka cereal. ʻOi aku ka maikaʻi e hāʻawi i ka makemake i ka laiki a me ka sago. ʻAʻole hiki ke hoʻohui ʻia nā ʻoliʻoli me nā kīʻaha ʻai.
• Hiki ke hoʻopau ʻia nā hua ʻai a me nā huaʻai i kekahi ʻano, koe wale nō me nā mea pili ʻole, e kūkākūkā ʻia ma lalo nei.
• Koho ʻia nā mea kanu i ka hoʻomākaukau o ka papa inoa e ke kauka hele, e pili ana i ka helu i ʻae ʻia. Maʻaneʻi e hiki ke ʻai: ka ʻuala (250 g), nā kukama, kamato. Hoʻohana maikaʻi loa: huehala, nā ʻano kīlani, nā greens, kāloti.
• ʻO nā ʻohi: mousse, jelly, sugar, meli. (Ke helu ʻole nei ka maʻi diabetes).
• Kūkulu ʻia nā ʻōmole, ʻaʻa i ka lole kuki ma ke kumu o ka ʻono o ka waiū, ka pata, ka ʻoma. Mai nā mea ʻala, hiki iā ia ke hoʻohui i ka waikawa citric a me ke vanilla.
• ʻO nā inu: ʻeleʻele a me nā kopa ahi, nāwaliwali palupalu, nā wai momona.
• ʻO nā momona: nā aila hinu (60 g), pata (30 g).

Nā ʻōlelo kūʻai

ʻO ka loina nui o ka meaʻai e ʻai i ka nui o ka protein.

Inā paʻakikī ka poʻe i ka renal kakō i ka protein ma mua o hemodialysis, a laila i ka manawa o ke kaʻina hana e pono ai lākou e ʻai i ke olakino.

I ka wā dialysis, nalowale nā ​​mea maʻi i nā waikawa āpau āpau, a pono lākou e hoʻōla hou. ʻAno ka momona o ka protein 1,2 g / kg kino kino i kēlā me kēia lā.

ʻAi ʻia ka momona a me nā ʻaina i loko o nā kumukūʻai maʻamau, ke ʻole, ʻoiaʻiʻo, pono ka mea maʻi e hoʻemi i ke kaumaha o ke kino, ʻaʻole nō hoʻi iā ia ka maʻi diabetes. ʻO nā kumumanaʻai kai maikaʻi:

1. Hoʻohui i ka paʻakai. Ma mua o ka dialysis i loko o kahi kanaka me ka nele ʻole o ka maʻi, kahi kūlana hana ola, hyperkalemia hiki. Ke hoʻokō nei ʻoe i nā kaʻina hana, ka nui o ka pāhana me ka emi ʻana o ka pāhana, akā ma waena o nā papa i hōʻike ʻia ai ka nui o ka hōʻike. No laila, ʻo nā huahana i loaʻa i kahi mea pono e palena iki (ʻo kekahi mau hua, nā hua maloʻo).
2. Ke hoʻoponopono ʻana i ka phosphorus a me ka metabolism. Nui nā poʻe i ka hemodialysis e hoʻomohala i ka osteoporosis, ka hana parathyroid. Hoʻomaopopo ʻia e lawe i ka hoʻomākaukau o ka calcium a me ka vitamin D3, me ka palena ʻana i nā meaʻai i loaʻa ka phosphorus - nā huahana sairy, nā pīpī, berena, cereals.
3. ʻO ka maʻamau o ka pae o ka alumini. Hoʻopili loa kēia mea kuʻuna i nā pūpū, alakaʻi i ka nui o nā hoʻopiʻi ʻana mai nā iwi, ʻōnaehana, a me ka ʻōpū iwi. Pono ka mea maʻi e hoʻokaʻawale i ka ʻai ʻana ma ka kīʻaha alumina, a ʻaʻole hoʻi i ʻai i nā meaʻai me kēia mea (pistachios, pī, kiwi).
4. ʻOhi aupuni wai. Hoʻomaʻamaʻa ka hele ʻana o ka paʻakai i ka poʻe maʻi dialysis, no ka mea ke holomua nei ka renal. He mea nui ka hoʻopili ʻana i ka pau ʻana o ka ʻaila, inā paha he hypertension a i ʻole ka puʻuwai naʻau. Aia kahi kau palena: mai ka hālāwai i ka hālāwai, inu i ka wai ma kahi kaila ʻaʻole iʻoi aku ma mua o 4% o ka nui o ke kino.
5. ʻO nā mea ʻē aʻe he meaʻai paʻakai. ʻO nā kīʻaha ʻana, nā ʻokiʻoki, nā iʻa paʻakai a me nā huahana ʻē aʻe e hoʻokaʻawale ʻia a laila pono e haʻalele.

Nā huahana kūʻai

Hoʻopili ka ʻōnaehana hemodialysis i ka hoʻohana ʻana i kekahi mau huahana i ka papa kuhikuhi. ʻO ka laʻana, ʻo nā mea e loaʻa ana i ka pāhare, ka phosphorus. Hōʻailona ʻole kēia mau mea hana i nā lāʻau maikaʻi ʻole. Hiki i nā momona kiʻekiʻe o K ke momona. Me ka loaʻa ʻole o ka renal, aia kekahi mau huahana e pau ʻole e hoʻopau:

• ʻai a me nā decoction,
• kaena, hōʻai manu, iʻa i ka ʻai, ka iʻa paʻakai,
• kuke (he nui ka paʻakai a me ka protein),
• nā huaʻai: nā hua waina, nā ʻamekele, nā maiʻa, nā lau
• nā huawa: cherries, currants,
• nā mea kanu: nā kīʻaha, nā hua ʻohi a, spinach, uhau,
• ʻono: ʻai, huaʻai maloʻo, muffin momona,
• koko
• pipi momona (momona).

ʻO ka waikona Oxalic kekahi mea pono ʻole i ka papa o ka mea maʻi hemodialysis. E hoʻihoʻi hou i nā mea i nalowale, hiki ke kau ke kauka i nā lāʻau lapaʻau kūikawā. ʻAʻole hiki ke loaʻa nā lāʻau lapaʻau kūpono.

Palapala inu

ʻAʻole hiki i nā lāʻau maʻi ke hoʻopili i ka nui o nā wai o ka mua, no laila e nānā nā mea maʻi ma ka dialysis i ka nui o kona kōʻai. ʻO ka wai i hoʻopau ʻia, a me nā mea ʻai i ʻāpono ʻia, ʻaʻole pono eʻoi aku i ka 1 liter i ka lā. Manaʻo nā mea hōʻike i ka hoʻohemo ʻana i ka make wai me ka wai maʻemaʻe.

Nā kiʻi ʻono no nā kīʻaha maikaʻi a me ke olakino i ka wā o ka dialysis

No nā kānaka he nui, ʻo ka papaʻai ʻo ka papa ʻaina e ʻai hou ana i ka ʻai, ʻona (akā, maikaʻi) ka meaʻai. Kuhihewa kuhihewa.

Lawe mākou i kou mahalo i ʻekolu mau kumu hoʻohālike o nā ʻatikala mai nā loiloi ma nā papa kūkala.

• "Buckwheat ma ke ʻano kālepa." ʻO nā heihei ʻalapona, hoʻomoʻa maloʻo i ka aila ʻaila a hiki i ka momona. A laila e holoi i nā huaʻala, kaline ma ka pā. A laila, pono ʻoe e lawe i nā kīʻaha me nā paia pā (ʻoi aku ka ʻaha hoʻokahi), e kau i nā mea āpau, ninini i ka wai a me ka simmer. Hiki iā ʻoe ke hoʻohui i kahi tōmato, a i ʻole kaʻaila ʻona.
• "Kulu i ka umu." Hoʻohui ʻia ʻo Flour (1 kīʻaha) me nā mea ʻala (ʻo ia wale nō ʻae ʻia e ka kauka). ʻO ka turmeric, cumin, basil, coriander a me nā meaʻono ʻē aʻe e ninini ʻia i ka ʻono me ka ʻole o ka hōʻino i ke olakino. E hōʻoki i ka hua i loko o ka palu a hoʻohui i kahi aila ʻaila liʻiliʻi. Hoʻohui maikaʻi i nā mea a pau. Mai ka palaoa e hana mākou i ka palaoa a hoʻomoʻa i ka hapalua hola.
• Huamalo "Hrum-hrum". Hoʻokomo ʻia nā kāloti wai a me nā hua manu i nā kaula. Hoʻohui ʻia ka kāleka palupulu a hoʻomoʻi ʻia me ka paʻi.Kālī ʻia nā ʻōpala ma ke ʻano like me nā mea ʻai ʻē aʻe, a laila holoi ʻia i ka wai nui (2 mau hola). Ma hope o ka hoʻomalolo ʻana, pono ke kolo i ka hua a hiki i ka ʻulaʻula gula. Hoʻohui kāwili āpau i kahi hāʻule o ka paʻakai a me ke kō.

ʻAʻole ia e waiho i kekahi mea i ka manaʻo ʻole ʻole. Hiki ke hāʻawi maluhia ʻia nā kīʻaha i hōʻike ʻia i ka poʻe malihini, ʻaʻole hoʻi lākou e manaʻo hānai ʻia me ka "kīkohu" kūikawā.

ʻO nā koho papa i kēlā me kēia lā

ʻO ka hana ʻana i kahi meaʻai kūikawā he kuleana. Aia kekahi mau hiʻohiʻona paʻa o ka menus meaʻai i ka wā o ka dialysis. Hāʻawi mākou i kahi papa inoa o nā kīʻaha kaulana loa no kekahi lā o ka pule.

ʻaina kakahiaka	snack	ʻaina awakea	ʻaina awakea	ʻaina awakea
1. ʻO ka paila a me ka waiū (50 g), ʻeleʻele, ʻoka palupalu (200 g).	1. ʻO ka huaʻai hua hua me ka waiū (150 g).	1. Vegetarian sop puree (250 g), kālua pipi momona (50 g), rye palaoa (150 g), huapalaʻi mākala (160 g).	1. Hua huaʻai (100 g).	1. Kīhai ʻia (steamed), 250 g, umauma moa kuke me ka waiū ʻala wai (75 g), mau hua momona nā lau (150 g), decoction herbal (200 g).
2. Lāʻule lauwili (100 g), vinaigrette me ka aila ʻaila (150 g), nāwaliwali palupalu (200 g).	2. Ua ʻōwili ʻia (100 g).	2. Beetroot i ka waiūʻai (125 g), ka momona stroganoff mai ka palaoa i hoʻolapalapa ʻia (55/100 g), mashed kentang (180 g), Cote compote (150 g).	2. Kaʻaʻe o ka pua kūlohelohe (100 g).	2. schnitzel kāpala kōkuhi (200 g), nā mea ʻai me ka pēhi ʻaole (1 2 mau lawelawe o b / s 110 g), ʻO ka ʻāpana Cranberry (150 g).
3. ʻO ka ʻihi hanini Protein (110 g), nā lauʻaʻi hou, (170 g) - kaʻaʻi (200 g).	3. Hoʻomoʻa wai (200 g).	3. ʻO ka palaoa kīlepa iʻa me nā lau ʻai (250 g), ʻai ʻai holoholona (55/260 g), wai huaʻai (kekahi, 200 g).	3. ʻ .maʻomaʻo.	3. Zucchini neʻe (200 g), ʻ p nūpī ʻehā (150 g), pupa (150 g).

ʻO ka pale ʻana o ka maʻi maʻi

I mea e hiki ʻole i ke kino ke hāʻawi i nā "hemahema" koʻikoʻi, ʻaʻole haʻalele ʻia ke nānā ʻana i ka lāʻau lapaʻau. E ʻoluʻolu ʻoe i kou mau maʻi me ke olakino maikaʻi loa, inā e hahai ʻoe i nā kānāwai maʻalahi:

• Mana mode aku. Pono ka liʻiliʻi o ka momona, nā meaʻai momona.
• Ka hōʻole ʻia o ka paʻakai a me ka waiʻona.
• Ka inu wai inu: 30-40 ml / kg o ke kaumaha. (He pono ke kapu no ka pākeke olakino, no kahi keiki ka ʻokoʻa o nā kiʻi.
• ʻO ke ola bowel (pale aku i ka constipation).
• ʻO ka pale kaulike a me ka hoʻoikaika i ka pale ʻana. (Palekana mai ka hypothermia).

Mālama loa i ka yoga, ʻike i ka hulahula. Akā hiki i ka hana kino koʻikoʻi ke hana i ka hanaʻino.

Hoʻohālikelike

"Nā keikiʻi, nā keiki, me nā pōhaku, nā ʻeke" - ke mele ʻia i loko o ke mele hīmeni hoʻokahi. ʻAe, ʻo ia wale nō i ka manawa he hanana koʻikoʻi, ʻaʻole hiki i kahi kanaka ke akaʻakaʻaka. No laila, pono e mālama ʻia ke olakino "mai ka ʻōpio." No nā mea i loaʻa i kahi maʻi o nā hui pili, he mea nui loa ia e hahai i nā ʻōlelo a ke kauka a me kahi meaʻai kūikawā.

Nā Hila a me nā Lāle

kāla pālahalaha ʻaʻa pākahi1,072,51,4662 ʻaila palaoa0,099,90,0899 aila ʻaila0,099,80,0898 aila ʻaila0,099,90,0899 ghee0,299,00,0892

ʻO ke ʻano nui o ke kaʻina hemodialysis

ʻO Hemodialysis kahi hana hoʻomaʻemaʻe koko extrarenal.

Hoʻopili i kahi paahana kūikawā i ke koko o ka mea maʻi ma o ka membrane, no laila hoʻomaʻemaʻe ia i nā meaʻokoʻa a me nā wai. No laila, kapa pinepine ʻia ka mea hana i ka "ʻano kūlohelohe."

ʻO ka pilikino o ka hana o ka hāmeʻa e like me kēia. Komo ke koko mai kahi vein i loko ona, a hoʻomaka ke kaʻina o kona hoʻomaʻemaʻe.

Ma kekahi ʻaoʻao o ka membrane kūikawā, kahe o ke koko, a ma ka ʻaoʻao ʻē aʻe, dialysate (hoʻonā). Loaʻa ia nā mea i hoʻokaʻawale i ka wai nui a me nā mea pakano. Koho ʻia kona ʻano no kēlā me kēia maʻi i kēlā me kēia.

"Nā huaʻōlelo kūloko" loaʻa kēia i nā hana:

1. Hoʻopau i nā huahana decay. Pono e hoʻomaopopo ʻia ma loko o ke koko o ka mea maʻi e hoʻomehana nei i ka papaha o ka renal, kahi mākaʻikaʻi overestimated o nā toxins, protein, urea a me nā mea ʻē aʻe i ʻike ʻia. Eia nō naʻe, ʻaʻohe mea maoli i loko o ka dialysate. Wahi a nā kānāwai o ka hoʻokaʻawale ʻana, nā ʻāpana āpau mai nā wai wai me ko lākou hoʻonaninani nui i ka wai me ka hoʻohaʻahaʻa haʻahaʻa.
2. Hoʻopau i ka wai nui. Loaʻa kēia ma ka ultrafiltration. Mahalo i ka paila, hele mai ke koko i ka kānana ma lalo o ke kaomi, a i loko o ka laha e loaʻa i ka dialysate, he haʻahaʻa ka paʻu. No ka mea nui ka ʻāʻī o ke koʻikoʻi, hele ka mea nui loa i ka hopena dialysis.Mālama kēia hana i ka hōʻā ʻana o nā māmā, ka lolo a me nā ʻāpana, a wehe hoʻi i ka wai e hōʻuluʻulu ai a puni ka naʻau.
3. Nā maʻamau maʻamau pH. Ke hoʻomau nei i ka kaulike acid-base, ʻike ʻia kahi kī lōkōkāne pālua me ke kōkōlele. Komo ʻia i loko o ka plasma, a laila i loko o nā ʻāpana koko ʻulaʻula, e hoʻomaikaʻi ana i ke koko me nā kumu.
4. Hoʻohālike i nā pae electrolyte. I mea e hoka ʻole ai i ke koko o nā mea pono e like me Mg, K, Na a me Cl, loaʻa lākou i ka waihona like me ka moʻolelo o ka dialysate. No laila, lilo ka nui o nā electrolytes i ka hoʻonā, a ua ʻano maʻamau nā ʻike.
5. Kāohi i ka hoʻomohala ʻana o ka embolism ea. Hoʻoholo ʻia kēia hana ma ka loaʻa ʻana o ka "hau kalika" ma ka pahu, e hoʻihoʻi ana i ke koko i ka ulia. Me ke kahe ʻana o ke koko, e hoʻāā ʻia kahi paʻakikī (mai 500 a 600 mm Hg). Hāpai ke kāʻei i nā ʻōmuku hau a pale iā lākou mai ke komo koko.

Eia kekahi, ʻo ka hoʻohana ʻana o ka pēpē aipū e pale ai i ka hoʻokumu ʻana o nā māka koko.

Mahalo i ka heparin, kahi i mālama ʻia e hoʻohana nei i kahi pākeke, ʻaʻole i hiki mai ka coagulation koko.

Hemodialysis: hōʻailona hōʻailona a me nā contraindications

Hoʻolaha ʻia kēia hana ma nā manawa 2-3 i 7 mau lā.

Ma hope o ka nānāʻana i ka hemodialysis, ua hoʻoholo ʻia ka nui o ka hopena o ka filtration koko.

Ke hoʻokō ʻia nei ke kaʻina hana i ʻekolu mau manawa i ka hebedoma, a laila aia kēia hōʻailona ma ka liʻiliʻi o 65%. Inā hana ʻia ka hemodialysis ʻelua manawa i ka hebedoma, a laila pono ka nui o ka huina o ka hoʻomaʻemaʻe e pili ana i 90%.

Pono e hoʻokō ʻia ka maʻi Hemodialysis ma hope o ka hoʻoholo ʻana i ka maʻi a me ka ʻae ʻana o ke kauka lapaʻau. Ua kuhikuhi ʻia ke kaʻina hoʻomaʻemaʻe koko i kēia mau hihia:

• i ka hopena ʻole o ka renal i hopena mai ka hopena o ka glomerulonephritis, pyelonephritis a me ka hana ʻana o ka ʻāpana urinary,
• i loko o ka uha ʻole pilikia,
• me nā mea e hoʻomāloʻi ana i ka wai (antibiotics, sulfonamides, pills hiamoe, sedatives, and others),
• me ka hakahaka me nā poʻi (pale toadstool a arsenic),
• no ka hoʻomohala pū me ka wai momona methyl a Ethylene glycol paha i loko o ka waiʻona,
• me ka hyperhydration (nui i loko o ke kino),
• me ka hoʻowalewale me ka lāʻau lapaʻau narkotic (morphine a i ʻole heroin),
• i ka hihia o ka eaʻole ma loko o ka manaʻo o ka electrolyte ma muli o ke kaʻi ʻana o ka ʻōpū, cystic fibrosis, dehydration, Burns, peritonitis a hoʻokiʻekiʻe nui paha ke kino.

Eia nō naʻe, ʻaʻole pono nā mea i hoʻohana ʻia i kahi "kidney maoli" i mua o kekahi o kēia mau papa. ʻO ka maʻi maʻi maʻi a i ʻole kahi mea maʻi me kahi maʻi kūlohelohe maʻamau e kuhikuhi ʻia i hemodialysis inā:

No kekahi mau māhele o ka poʻe maʻi, hiki i ka maʻi hemodialysis. ʻAʻole ʻae ʻia ia e hoʻohana i kahi pono no ka kānana ʻana i ke koko i kēia mau mea:

• i ka wā e hopu ʻia ai ka pōpilikia,
• me ka hoʻomohala ʻana o nā maʻi noʻonoʻo (schizophrenia, psychosis a epilepsy),
• me ka ulu mau ʻana i ka neʻe koko,
• ma hope o kahi hōʻeha ʻana a i ʻole wā kī ʻia myocardial,
• me nā maʻi ʻōpio,
• me ka puuwai hema ʻole,
• me ka maʻi pākia a me ka maʻi maʻi,
• me nā maʻi koko (leukemia a me ka anemia aplastic),

Eia kekahi, ʻaʻole i hoʻohana ʻia ka hemodialysis i nā makahiki he 80 o ka makahiki.

Kina helu 7 no ka hemodialysis

Hoʻohana ʻia kēlā meaʻai maʻamau no nā maʻi maʻi e pili ana i ka insulin no ka hemodialysis i mea e kaulike ai i ka hoʻopihapiha ʻana a pale i ka hoʻomohala ʻana i nā ʻaoʻao ʻaoʻao ma muli o ke kaʻina hana filtration koko.

ʻO ka pinepine, kapa ʻia ka helu 7 i kapa ʻia "renal."

ʻO kāna kumu nui nui, ʻo ia ka mea e kaupalena i ka ʻai o kēlā me kēia lā ka paʻakai, ka protein a me ka wai.

Nui nā ʻano o nā kīʻaha, akā pau nā mea āpau i ka hoʻohana ʻana i nā meaʻai i hoʻokomo ʻia i ka paʻakai, a me nā meaʻai i kiʻekiʻe i ka paʻakai. Eia nō naʻe, ua ʻae ʻia kekahi mau mea ʻala a me nā ʻihi e uku no ka nele o ka paʻakai.

E like me ka mea ʻaina 7, e ʻae ʻia nā meaʻai a me nā kīʻaha:

• nā hua a me nā mea ʻai i nā ʻai, me ka ʻuala, kumo, pāhala, pata, ka ʻala (ka ʻū ʻia a ʻālaʻi ʻia).
• berena, pancakes a me nā pancakes ʻole paʻakai,
• pipi momona haʻahaʻa, puaʻa manuʻa, veal, rabbit, Turkey, moa (hiki ke ʻō a ʻū ʻia paha)
• iʻa ʻia nā iʻa momona haʻahaʻa, a laila e hoʻomoʻi ʻia a i ʻole ka palaoa,
• vinaigrette me ka ʻole paakai, nā māla mai nā hua hou a me nā mea kanu.
• saala a me nā mea ʻala - kamato, ka ʻaina, ka hua a me ka aniani huaʻai, kanemona, suka,
• hua pālua maloʻo ʻelua i ka lā, i ke ʻano o ka omelettes, yolks ma ka hana ʻana o nā pā,
• hua ʻaihue ʻole ʻia e like me ka peach, ka ʻulaʻula, ka lemona, nā ʻalā ʻōmaʻomaʻo,
• nā palaoa - palaoa, palaoa,
• waiū, ʻāmi, kaʻaila paʻakai, keʻa oki, nā kīʻī paila, hoʻomoʻi ʻia i ka wai paʻaka, kefir a me ka yogurt,
• tiʻa ʻole honu, nā ʻoni ʻoni ʻole, decoction of rose hips,
• aila ʻaila.

Ma kahi o ka nānā ponoʻana i nā meaʻai kūikawā, pono ia i nā hana hou me ka hoʻomaha maikaʻi. ʻO ke kaumaha koʻikoʻi kekahi mea nui i ka hana o ke aʻalolo a me ke kōpaʻa koko.

I ka wā o kaʻai, pono ka poʻe maʻi e hahai i nā ʻōlelo a pau a ke kauka e pale ai i nā hōʻeha. I kēia hihia, ʻaʻole pāpā ʻia ka lāʻau lapaʻau ponoʻī, ʻoiai hiki i ka mea maʻi ke hōʻeha wale iā ia iho.

ʻO ke wikiō i kēia ʻatikala e kikoʻī i ka hana o nā palaka ma ka maʻi diabetes.

Hoʻohui hui

No ka poʻe maʻi, ʻai kūpono ka ʻai ʻana me 7g me kahi hoʻoponopono pilikino. Hōʻike ʻia ia e kahi kao o ka nui o ka protein, kahi paʻa o ka pāhare pālolo, sodium klorida, a me kahi kaohi o ka kō wai. Hoʻomoʻa nā waihona amino i loko o ke kino me ka ʻiʻo, nā hua, ma kahi liʻiliʻi me ka iʻa. Pau nā meaʻai kīʻaha i nā liʻiliʻi liʻiliʻi.

Pono nā maʻi no ka mea maʻi i ke mahana maʻamau. Diet - 5 mau manawa i kahi lā. ʻO ka mea kikoʻī o ka meaʻaiʻai ka mea penei:

• nā protein - 60 g, kahi o 70% he mau holoholona holoholona,
• nā momona, 100 g, kahi o 30% ka mea kanu,
• nā kāloli - 450 g
• Kāohi - emi iho ma kahi o 2,5 g
• wai - a i 0.8 lita,
• calorie content - 2900 kcal,
• paʻakai - 2-6 g (hilinaʻi i ka paʻakikī o ka maʻi).

ʻAi ʻia a pāpā ʻia ʻole nā ​​meaʻai

Pono nā huahana:

1. ʻAi, ʻai. Hōʻī ka moa momona, manuahi, moa, kuhukukū, mai nā hua iʻa - cod, salmon pink. Pono e ʻai i ka ʻai i ka kuke ʻia, kaʻaʻala, ka ʻano ʻaʻa.
2. Mea ʻai kīnā. Ma kahi liʻiliʻi (a hiki i ka 100 g) waiū, ʻona kuke, ʻona kaʻaila e ʻae ʻia.
3. Kūʻai Hiki iā ʻoe ke kele wale, ka palaoa paʻakai (ʻole i kēlā me kēia lā - a hiki i 150 g).
4. Kauā Hiki iā ʻoe ke ʻai i ka ʻai ma nā mea kanu me nā mea kanu, ʻaʻole pili i nā sereals, ka waiū. ʻO ke ʻano o ka mea i mauʻu i ka lā a i ka 300 g.
5. Nā hua. A hiki i ka 2-3 huaʻai i kēlā me kēia lā ʻaʻole lākou e hōʻino i ka mea maʻi.
6. Nā makepili. ʻOi aku ka maikaʻi ma ka ʻai wale i ka laiki, sago, ʻaʻole hui pū me ka ʻai (a hiki i ka 200 g i ka lā).
7. Nā laupala. Hiki iā ia ke ʻai i 300 g o nā ʻuala, a me nā mea ʻai i koe - ua emi iho ma mua o 400 g (kāpeti, kukala, kāloti, beets, kamato, greens).
8. Nā huaʻai, nā hua hua. Hiki iā ʻoe ke ʻai i nā mea āpau koe wale nō i ka blackcurrants, cherries, hua waina, nā peaches, nā apricots, nā fālaʻa, nā maiʻa.
9. Nā loea. Hāʻawi ʻia ka ʻai i ka mousse, ʻele, ʻoi, ke kō hānai, ka meli.
10. Nā kuʻuna. He mea pono i ka wā lau me ka citric acid, nā hua caraway, palena liʻiliʻi loa ka mea eʻai ai i ka pepa, horseradish, mustard, ketchup.
11. Nāu. E hoʻopau iā 65 g o ka aila hinu, 35 g o ka pata.

• mauʻa momona
• kekahi lulu
• pickles
• meaʻai kai
• kaala
• nā mea inu ʻoki
• leaka
• bean
• ʻōpū
• kihua
• ʻeha
• kahakai
• rhubarb
• hānai kaiʻai
• ʻona
• hua maloʻo
• koko.

Papa helu waihona

1. ʻAina kakahiaka: ka ʻai ʻaole, meli, ʻonoʻeleʻele.
2. ʻAina kakahiaka lua: ʻĀpōlahalili me ka lemona, 25 g ke kīkī moʻo.
3. ʻAi awakea: kākala ʻaala, kupa i paila ʻia me nā pateta peni, ʻōkena laila, kahi ʻāpana o ka berena, kaʻaila ʻala.
4. Kāpī nui: jelela cranberry.
5. Kai ʻaina: ʻāpala iʻa, ʻalē i ka iʻa iʻa ʻia, ʻōmato salati, kahi inu.

Kauka Kauka ʻoihana lapaʻau

Hoʻonohonoho maikaʻi mākou e hoʻokipa iā ʻoe i kā mākou kumuwaiwai, kahi lāʻau lapaʻau lāʻau lapaʻau e pili ana i nā maʻi a me nā lāʻau lapaʻau e pono ai ke kanaka e kūleʻa maikaʻi i nā maʻi like ʻole.

Hoʻonohonoho ʻia kā mākou nūpepa lapaʻau e kōkua iā ʻoe e loaʻa i kahi wehewehe ʻana i nā maʻi koʻikoʻi a loaʻa i ka ʻike e pili ana i nā kumu, nā hōʻailona a me nā ʻano o kā lākou mālama ʻana, me ka loaʻa ʻana o nā pane i kāu mau nīnau a ʻimi paha i nā ʻōlelo aʻoaʻo mai nā loea kūikawā o ka ʻike kūpono i ka pūnaewele.

Ua hoʻāʻo mākou e hana i nā mea āpau i hiki ʻole i nā huna kanaka ke hūnā ma hope o nā ʻīlima ʻehiku, no ka mea, ua ʻike mākou e pono ai ka ʻike piha o ka maʻi maʻi e hōʻeha i nā maʻi me nā hōʻeha ʻole.

ʻO ia no ke kumu a noiʻi kā mākou noiʻi olakino i nā poʻe maʻamau ʻike ʻole i ka ʻōlelo lapaʻau kūikawā a makemake lākou e loaʻa nā ʻike e pono ai i kahi ʻōlelo maʻalahi a maʻalahi ma mua o ka hele ʻana i kahi kauka.

MRI o ka lima - i ka manawa a no ke aha

ʻO MRI paha ke koho ʻoi loa ka hopena diagnostic i kēia lā, i hiki iā ia ke hoʻoholo maʻalahi i ke kūlana o ke kino. Ke hoʻoikaika nui nei ka lima MRI e nā kauka kūikawā. Ua lōʻihi ka nui o nā loea ...

ʻO ka hana hou ʻana ma hope o ka hoʻoiho ʻana i ka cataract

ʻO ka hoʻoponopono hou aku ma hope o ka hoʻoiho ʻana o ka cataract hiki ke lōʻihi i kahi manawa ʻokoʻa, kahi e hilinaʻi nei i ka kūleʻa o ka hana a me nā kūpono adaptive o ka mea maʻi. Hāʻawi ʻia nā ʻōlelo hōʻike ma hope o ka lawe ʻana i ka cataract ma lalo nei. Hoʻomohana Kaʻauʻau ...

Ka hoʻohana ʻana i nā resonance e hoʻohuli ai i ka ʻōpū o ka ʻōpū

Ehia mau e ke kipa o nā kānaka hou i nā wahi olakino e loaʻa ai ka mālama maikaʻi? Loaʻa, nui paha ka helu. Akā, ʻaʻole ʻoe i manaʻo e maʻalahi maʻalahi e pale aku i nā maʻi āpau ʻaʻole wale nō ...

Hana i MRI ma Moscow

He ʻano ʻo MRI i ka loiloi ʻana i nā ʻāpana kū kūloko a me nā ʻōnaehana o kekahi kanaka, ka nui o nā makahiki he nui i hoʻomaikaʻi ʻia e ka poʻe kōkua ma waena o nā poʻe loea. I kēia lā ...

Ke kaʻina hana ultrasound i loko o kahi keʻena pilikino

He nui loa nā hiki o ka lāʻau lapaʻau ʻenehana, a he hana nui hoʻi nā mea hoʻonaʻauao o kēia manawa, me ke kōkua o ka mea hiki i nā mea loea maoli ke kāohi i nā maʻi he nui. He lawelawe koʻikoʻi ma kekahi mau mea ...

Mea paʻakikī LFK Autism

Hoʻopihaʻia ko mākou honua i kēia manawa me ka nui o nā maʻi like o ka palu a me nā ʻōnaehana uila, ʻo ia kekahi o ka autism. Maʻa ka maʻi ka paʻakikī a koi ʻia ka manaʻo kūikawā, nā mea lapaʻau a me nā koho ...

Hoʻike e pili ai ʻikepili e pili ana iā Blepharoplasty

ʻO ka Blepharoplasty kahi hana i ka wā i hoʻoponopono ai ka mea maʻi i ke ʻano o nā haki a me / a i ʻole ka hapa maka. I ka wā o ka wawao, hoʻāla ʻia ka nui o nā ʻili a me nā momona. Inā makemake ʻia, hiki i ka mea maʻi ke koi i ka hana, ʻoiai inā no ...

ʻO Arthroscopy: nā pono a me nā hōʻike

ʻO Arthroscopy kahi hana loiloi o ka hoʻokaʻawale ʻana i hana ʻia me kaʻole o ke kūpaʻa i kona kūpaʻa. Hiki i ke kauka ke ʻike i ke kaila mai loko mai me ka hoʻohana ʻana i kahi kāʻei optic fiber i loaʻa ma ka palena o ka pahu i hoʻokomo ʻia i loko o ka lua pū me ka ʻike. Ma kēia ʻano hana ...

Nā hōʻailona a me ka mālama ʻana i ka atherosclerosis vascular

ʻO ka pathology Vascular, i hele pū me ka hōʻiliʻili ʻana o nā pōpoki mai ka momona i nā paia o nā kīʻaha koko a hoʻopaʻa ʻia iā lākou, ka mea i kapa ʻia ʻo arteriosclerosis o nā kīlio. Hoʻohana ʻia kēia maʻi i kēia lā i ke kumu nui no ka hoʻopōʻino o nā ʻokoʻa ʻē aʻe ma muli o kahi kue ...

Piʻi pana no nā keiki - pono ia?

Ke hoʻonui nei ka nui o nā poʻe me ka maʻi i kēlā me kēia makahiki. Hoʻopili ʻia ke kūlana me ka ʻoi aʻe o nā kuʻina hou o kēia maʻi i kēlā me kēia makahiki. I ka pilikia ma mua ke keiki a me nā mākua. ʻO ke alakaʻi ke ...

Nā Kauka Peloectasia i nā keiki a me nā pākeke

ʻO ka Renal pyeloextasia i nā keiki ka hopena o nā pilikia anatomical e hele ana i ka wā o ka hoʻolālāʻana o kahi fetus. I ka nui o nā hihia, ua kau ʻia ma ka makahiki mua o ke ola. Hoʻopili ʻia ka maʻi maʻi me ka hoʻonui ʻia ʻana o nā pelvis a me nā ureter, e hāʻawi nei ...

Hoʻopili i nā lau

Me ka reflux, hoʻonui i ka pelvis renal, kahi i hiki ai ke hoʻonāukiuki pā i ka pā a me ka hoʻoluhi ʻana i nā kānana. Hāʻawi ʻia ka hōʻike ʻana o ka maʻi reflux i kēlā mau keiki kahi e hoʻi aku ai ka urin mai ka papa mai i ka pūpū.Kāʻe ...

ʻO ka pāpale hoʻomaʻamaʻa ʻiʻo i ke keiki

ʻO ka pelvis renal i keiki i hala i hoʻokahi makahiki. I ka wā o kēia manawa, ua ʻoki ke kaina o ka papa holoʻokoʻa o ke keiki. ʻO ka pelvis pūlea kahi lua kūikawā no ka hōʻiliʻili ʻana o ka urine. Ma hope o ke hele ʻana ma o ke kānana filtration ...

ʻO nā ʻike āpau e pili ana i ka momona Buckwheat

ʻO ka meaʻai ʻo Buckwheat he mea kaulana loa i waena o nā wahine o nā ʻano a i kēia wā. E hoʻāʻo mākou e hoʻomaopopo i nā kumu no kēia kaulana. ʻO ka pōmaikaʻi a me ka hōʻoluʻolu o ka meaʻai No nā pono o kēia ʻōnaehana ʻai, ʻo ia ka buckwheat i hiki ke hoʻoulu i ka momona nui ...

Nā kūlohelohe kūlohelohe no ka luhi ʻana o nā keiki

A hiki i kēia lā, ua hōʻea ke kiʻekiʻe o ka hoʻolālā ʻana o ka lāʻau lapaʻau i nā mea kiʻekiʻe kiʻekiʻe. Mahalo i kaʻenehana hou, ua hiki i ka hoʻomohala a hana i kahi nui o nā lāʻau synthetic, ʻo ka hopena e hōʻike ʻia nei ...

ʻO nā hua a me nā meaʻai ʻai no kahi kino slim

ʻO kahi kīʻai e pili ana i ka hoʻohana ʻana i nā huaʻai a me nā mea kanu ʻai hiki i ke kaʻina o ke kaoi ʻana i ka hookeokeo i kahi pīhoihoi leʻaleʻa wale nō me nā hua momona a me nā momona. ʻO kēia ka koho maʻamau loa no ka mālama pilikino - ma hope o ka ʻai ʻana, i ka ʻai ...

Nā hōʻailona a me ka mālama ʻana i nā maʻi pākīpū

ʻO ke maʻi maʻi o nā pūpū i kēia lā he maʻi koʻikoʻi a paʻakikī loa, ʻoiai ke kauā nei nā kauka i nā mea ʻē aʻe ma mua o nā pilikia like ʻole. ʻO ke kuamoʻo nui o kēia maʻi he kiʻekiʻe ka nui o ka pale ʻana ...

Nā kumu o ka angiomyolipoma o ka ʻākau a me ka hema

I ka hapanui pinepine, ʻo kēia maʻi e pili ana i nā pōpoki, ʻo ke ʻano maleign. Kūkulu ʻia ke ʻano o nā angiomyolipomas o ka adipose a me ka ʻiʻo ka ʻili o ke ʻano, me nā pū kekahi epithelial. ʻO ka liʻiliʻi o ka hoʻonaʻauao e hiki ai iā ʻoe ke kūkulu i lawa ...

ʻO ka hoʻomaʻamaʻa ʻana i kaʻeha o ka maʻi lā

ʻO nā maʻi o ka pūpū he maʻi maʻi ia i hōʻike ʻia e ka hiʻohiʻona a me ka hoʻonui nui ʻana o kahi kaila maʻi lahilahi. Hoʻokomo ʻia hoʻokahi a ʻelua paha nā ʻōuli o ka maʻi ma ke kino holoʻokoʻa. Ua hōʻike ʻia kēlā ...

ʻO nā maʻi Renal: nā hōʻailona a me ka mālama

I ka kahi liʻiliʻi o ka maʻi maʻi o ke keiki, pono ke mālama ʻia e ke olakino maʻi. ʻO ka nele ʻana o nā hana hoʻoholo e hiki ai i nā maʻi o kēia ʻili a i ʻole ka hoʻomohala ʻana o ka nui o nā kolikine bacterial ma ke kino. Herepona Oih ...

Diet a me nā meaʻai no nā dialysis o ke keiki: kahi papa inoa o nā meaʻai i pāpā ʻia, he papa kuhikuhi kuhi no ka hiki ʻole o ka pūpū

ʻO ka poʻe e hōʻoleʻole i ko lākou olaʻana e loaʻa pinepine i nā maʻi o kā lākou kino kūloko. Hoʻohā nui ʻia nā ʻōpū o kahi kanaka.

Koi aku kā mākou mea heluhelu

ʻO kā mākou mea heluhelu maʻamau i pale i nā pilikia o ka palaka me kahi ala kūpono. Ua hoʻāʻo ʻo ia iā ia iho - he hopena 100% ka hopena - hōʻoluʻolu i ke kaumaha a me nā pilikia me ka urination. He hopena kūlohelohe kēia e pili ana i nā mea kanu. Ua nānā mākou i kēia ʻano a hoʻoholo mākou e aʻo iā ʻoe. Wikiwiki ke hopena.

Hoʻomaʻamaʻa ʻia nā puʻuwai keiki i ka hihia o nā maʻi maʻi kino. Māla pinepine pinepine ʻia ka maʻi ʻōlapa me ka maʻi diabetes. ʻO ka pōʻino e nā mea ʻona e hoʻopili i ka hana a nā huina paʻa.

Ma kaʻai ʻana a me ke kīpī i ka wā o ka dialysis kōkua e hōʻoluʻolu i ka pathology a hoʻomaikaʻi i ka maikaʻi holoʻokoʻa.

Hoʻolaha ka hemodialysis me ka hoʻohana ʻana i kahi hana kūikawā: hoʻomaʻemaʻe ʻia ke koko a me nā mea ponoʻae i puka mai i ka wā o ka hana metabolism. Hoʻololi ke kaʻina hana i nā kaulike wai a me nā electrolyte.

No ke aha e pono ai ka papa dialysis?

Ma ke kaʻina o ka hoʻomohala ʻana i nā pathologies kidney, ua pau ka kino o ke kanaka i nā mea nui a nui. No laila, pono ʻoe e makaʻala i nā meaʻai i ʻai ʻia.

ʻO ke ʻano pilikino o ka ʻōnaehana a me nā ʻōnaehana kūwaho o kēlā me kēia kanaka e pili ana i ka kūkākūkā me kahi kauka lapaʻau e pili ana i ke koho ʻana i nā huahana meaʻai no ka dialysis.

Ke kūkākūkā ʻia nā pilikia Nutrition me kāu mea e mālama ai i ka mea e mālama ai me ka mea e mālama ai i ka mea e mālama ai.

Loaʻa ka pae ʻia o ka hilahila metabolible i ka wā o ke aʻo ʻana. Wahi a nā hualoaʻa o nā loiloi, kūkulu ka lāʻau lapaʻau i kahi papa kuhikuhi no ka mea maʻi. Akā pono ʻoe e hoʻomanaʻo mau i kēlā me kēia papaʻaina i ka wā dialysis he pono maʻamau nā a pau.

Nā ʻōlelo Hoʻomaopopo Ola

ʻOkoʻa nā mea ʻoniʻoni a me nā keiki maoli ma ke ʻano o kā lākou hana. Hoʻomaʻemaʻe ka mea mua i ke koko ʻekolu mau manawa i ka hebedoma i hoʻokahi mau hola, a ʻo ka lua ka hana ʻana a puni ka uaki. ʻO nā manawa hemodialysis nūhou e hoʻoikaika i ka mea maʻi e nānā i kāna mea e ʻai ai. ʻO ka nānā kikoʻana e uku ʻia ana i ka nui o ka wai a me nā mea waiʻawaʻa.

Hoʻonui ka pae i ka uku o ka ikehu i kēlā me kēia kaʻina hana, hoʻomāhuahua ke kaʻina o ka catabolism. ʻO ka hoʻonā kānana ka mea e loaʻa ai ka hapa o ka protein wale nō. ʻO ka poʻe me ka pani ʻole ʻana e pono e hoʻokō pono i nā rula kumu nui o ka pono:

• E hoʻemi i ka holo o ka wai ʻauʻau.
• Hoʻemi i ka nui o ka paʻakai.
• E hoʻokomo i nā meaʻai protein i kāu papaʻai.
• Hoʻonui i nā kiko o ka calorie o ka meaʻai.
• Hoʻopili i ka hoʻohana ʻana o nā meaʻai i loaʻa ka phosphorus a me ka pāima.

ʻO ka ʻai hemodialysis e loaʻa nā meaʻai kiʻekiʻe-protein. Ke hoʻowahāwahā nei i kēia hana i loko o ka meaʻai e hoʻonāukiuki i ke ʻano o ka mea maʻi: hoʻemi ka nui o ka naʻau a hoʻohemo ʻia ke kino. ʻO ke ʻano o nā palekala i kūpono ʻia e mālama ʻia i ka lā, he 1 ka nui i ka 1 kg o ka paona.

ʻO ka kumu, ke kuhikuhi nei i nā mea hoʻohana i ke kō o ka protein o ka holoholona, ​​no ka mea, he waiwai nui o nā waikawa amino. Hiki i kēia ʻenehana ke loaʻa i loko o ia mau huahana:

• kahi momona pipi i loaʻa i kahi momona liʻiliʻi,
• ka wili palaoa
• turkey
• kālai ʻia iʻa ʻia.

Lawe ʻia ka meaʻai nui-protein ma lalo o ka kāohi, a ma ka manawa like me nā koina o nā phosphorus kiʻekiʻe. Aia i ka:

ʻO ke ʻano maʻamau o ka waiū i kēlā me kēia lā i ka wā dialysis he 1 aniani. ʻO ka helu ʻokoʻa o ka hoʻohana ʻana i kaʻaila ʻona e piʻi i ka 150 grama. ʻAi ʻia nā hua hua a hiki i nā ʻāpana he 4 i ka wā e hoʻolapalapa ʻia i ka hebedoma. ʻAi ʻia nā ʻiʻo a me nā iʻa.

ʻO nā kāʻai a me nā momi

Pono ka momona i nā loiloi ma kekahi manawa i ke kaʻina hana dialysis. Kūloli nā mea ʻai i ka ʻai ʻana i hoʻokahi ʻeka o ka pata (20-25 kalā) me ka berena i ka lā. ʻO ka meli a me nā aila oliva, pono wale nō i ka wā e kuke ai, ʻaʻole i haʻalele ʻia mai ka meaʻai. Hoʻonohonoho lākou i ka cholesterol i ke koko kanaka.

Pono nā kalaiwa e pili pono i ka helu i ʻōlelo ʻia ʻia. ʻO ka hapa o ke kaupaona e hoʻopau ʻia e ka ʻai ʻana i nā meaʻai momona mau. Eia paha nā huahana penei:

Hoʻopau ʻia ka palena paʻa i nā pā pasta. ʻOi aku ka maikaʻi ma ka hoʻohuiʻana i nā cereals i ka meaʻai:

ʻO ka poʻe i hōʻike ʻia i ka maʻi mellitus e hoʻomalu i kā lākou kaina o nā huahana kalaka me ka insulin i ka wā dialysis ma lalo o ka mākaʻi loea koʻikoʻi.

ʻO ka paʻakai a me nā mea ʻala

Inā inu kekahi kanaka i ka wā dialysis ma ka papa paʻakai ma mua o ka maʻamau, a laila hoʻonui ʻo ia i ka nui o ka wai i loko o ke kino. No laila, ʻoi ʻia ke hoʻokaʻawale ʻia a hoʻopau loa paha mai ka meaʻai i hoʻopau ʻia. Hoʻololi ʻia ka paʻakai me ka ʻōlelo aʻe:

ʻAʻole hoʻopau kahi iʻa piha ʻole me ka paʻakai. I kēia hihia, hiki iā ʻoe ke hoʻololi iā ia me nā ʻula a me nā pepa. Hoʻohui ʻia ʻo Basil i ka ʻehā. Kī ʻia ʻia i kā ʻia ʻia me nā ʻoliki a me ke kāleka. Hoʻokomo ʻia ka ʻōmole a me ka pepa i loko o nā papa me nā mea wela.

Pono ka mea maʻi e ʻai i nā pickles, nā pipi a me nā ʻano ʻāpana ʻē aʻe i hoʻomākaukau ʻia me ka paʻakai. Akā, hiki ke hoʻohui ʻia i kahi liʻiliʻi. Pono e hoʻonui ʻia ka helu o kēlā me kēia lā.

Ke ʻano inu ʻana

Pono ka meaʻai e nānā i ka nui o ka wai i inu i nā maʻi. ʻO ka hala o ka manawa, hoʻemi ka hemodialysis i nā hana excretory o nā keiki. Hoʻololi malo wale ʻia ka wai mai ke kino.

Ma kahi hihia koʻikoʻi, hoʻopau pinepine ka mea maʻi i ka urethine excrete. He maʻamau ke kaulike o ka wai inā hūnā ʻia ka urine i ka nui o ka nui.

Ke pau ka ʻai ʻana i ka inu ʻana, ua pau ka mea maʻi i ka komo ʻana i ka wai.

Hoʻopili ʻia ka ʻōnaehana wai ma ka mālama ʻana i nā maʻi lōkō. Holo ka hana o ka huna ʻimi ʻana a i ʻole mau paha i ka paʻakikī o ke ʻano o ka maʻi. Na ka maʻi maʻi mellitus a me glomerulonephritis e hoʻonāukiuki i ka pau o nā hana o ka ʻōnaehana genitourinary, a me ka pyelonephritis a me ka polycystic i hoʻopaʻa iā lākou. Akā pili ke kānāwai: ma waena o nā papa hemodialysis, pono e huki nā mea maʻi ma mua o 5% wai.

Ke hoʻohana nei i kahi huakaʻe pili kino, nā meaʻawaʻawa a me nā wai momona e hoʻopau aku i ke kino. I ka manawa pinepine ma hope o ka hana dialysis, hiki i ke kanaka ke hōʻeha nui a hoʻomohala i ka naʻau puʻuwai ma muli o ka inu ʻana.

ʻ contentlelo kaloli

ʻO nā mea maʻi e hoʻomoʻa nei i ka dialysis mauʻai e ʻai i nā meaʻai kiʻekiʻe. Hoʻopilikia ka hana kino i ka hoʻomākaukau ʻana i nā kalori o kēlā me kēia lā. ʻO ka papaʻai no ka dialysis o ke kino e hōʻike i ka hoʻohana o 35 kcal i ka 1 kg o ka paona o ke kino.

ʻO nā kalapona a me nā mea momona i mea kākau mua ma ka papa inoa kalori. E hoʻolapalapa i ka ʻai, a laila hoʻomoʻi i loko o ka pā. Hoʻonui nā greens greens a me nā wai momona i ka makemake o ka mea maʻi. ʻAe nā kauka i ka hoʻohana ʻana i ka waiʻona. ʻAe ʻia ka mea maʻi e inu i kahi aniani o ka waina ʻulaʻula maloʻo a i ʻole kahi aniani o ka brandy, akā ʻaʻohe mea ʻē aʻe.

Kaliumala, Kalikialia, Phosphorus

Hoʻopau nā mea Nutrists i nā pale i nā huahana pāka. Manaʻo ka kino o ke kanaka i ka hoʻonui ʻana i nā pae o ka paʻakai. Me nā maʻi o ka pēpē, ke kīpē nei kā lākou hana, a no laila, e pau ka potassium mai ke kino me ka paʻakikī. ʻO ka hoʻohana nui ʻana i nā huahana me kēia element e hoʻonāukiuki i ka hoʻomohala ʻana o ka hyperkalemia i ka mea maʻi. Ke alakaʻi nei kēia ʻano i ka make. ʻO nā huahana i piha i kēia mau mea.

ʻIke ʻia ka pāmato liʻiliʻi i ka ʻiʻo. Hoʻokumu ʻia nā hana meaʻai ʻae ʻia e ke kauka hele mai.

Hoʻopilikia ka pae o ka phosphorus a me ka calcium i ke koko i ka wā o ka hana hemodialysis. Pono ka poʻe lapaʻau e nānā mau i ka nui o ka calcium a me ka phosphorus i ke koko. Kuhi ʻia kahi pae kiʻekiʻe e nā lāʻau lapaʻau: nā mea paʻa me ka vitamin D3. I ka manawa like, ua palena nā huahana dairy me kahi nui o ka phosphorus kiʻekiʻe.

ʻO nā mea maʻi me ka dialysis lōpū e pono e hōʻemi i ka kaila o ka vitamin A. E hoʻopau ʻia nā mea ʻona cell red red inā e lawe ka mea maʻi i ka contraindicated vitamin B. Loaʻa i nā mea maʻi dialysis nā mea pono i ka hui pū ʻana. No laila, e ulu ana ka pae o nā mea i pono no ke kino, ʻaʻole e hoʻopau ʻia.

Hoʻomaopopo ʻia nā hoʻomākaukau no Multivitamin, hiki ke kūʻai ʻia i nā hale kūʻai i nā lāʻau lapaʻau. Hoʻopili ke kākoi lāʻau maka i nā kumu o nā mea pono i ke kino o ke kanaka.

ʻ .lelo aʻoaʻo

Nā huahana palaoa i ka wā o ka dialysis, pono i ka mea maʻi e ʻai i nā mea liʻiliʻi. ʻAʻole pono lākou i kā lākou intake ma mua o 200 pākaha i kēlā me kēia lā. Hoʻonohonoho ʻia e ʻai i ka berena hou a i ʻole ponoʻī. ʻO ka koho koho maikaʻi he rye.

Nā mea lau ʻai i ka lau A paipai ʻia e ʻai ma mua o ka ʻai. ʻAʻole ia e hāʻawi ʻia i ka ʻai i ka mea momona ʻaiu. Ma muli o kona hoʻopili ʻana, kapa ʻia ka mea kanu hua i ka mea kanu. ʻO ka loaʻa ʻana o kahi kīnā ʻole pono e hānai ma mua o 250 grama.

ʻO nā aʻa a me nā iʻa iʻa hiki ke hoʻopau ʻia i ka nui o 100 grama. Eia kekahi, pono e paʻa pono. ʻO kā ka iʻa momona ua pāpā ʻia ʻole. ʻOi aku ka maikaʻi o ka ʻai ʻana i ka poloka ʻaʻai a i ʻole perch paha. Hiki iā ʻoe ke kuke i ka iʻa iʻa.

ʻAʻohe hihia e hoʻomoʻa i ka ʻiʻo a me ka iʻa. ʻO ka mea mua ʻoe e kuke ai i nā huahana, a laila e hoʻomoʻa iki a maloʻo paha i kahi pākuʻi me ka liʻiliʻi o ka aila. Hiki ke hoʻohui ʻia kekahi mau mea ʻala i nā kīʻaha.

ʻAʻole hiki iā ʻoe ke ʻai i ka momona waʻuala a me nā maiʻaʻaiʻai: ua nui ka paʻakai.

Nā huahana huahana ʻoi aku ka maikaʻi me ka hoʻokomo ʻole ʻana i ka meaʻai. Hiki i nā kauka ke inu i hoʻokahi ipu o ka waiū - 150 kalama i kēlā me kēia lā. Hiki iā ʻoe ke ʻai i ka waiū i loko o ka wai ka nui o ka 150 gle, akā pono ʻoe e makaʻala me ke kālai lāʻau - pono ke hoʻemi ʻia ka hoʻohana ʻana i 30 greneka i kēlā me kēia lā.Kūʻē paʻa ʻia nā kāhi ma kekahi ʻano.

ʻAʻole pono nā lawehala e hōʻino ʻia.. ^ E Ha yM. Ma kahi o 300 mau'āpana e ʻae ʻia i kēlā me kēia lā. ʻOi ʻia nā mauʻu i loaʻa i kahi kūpono hou. Me ia e hiki ai iā ʻoe ke kuke i ka pālaʻi a me nā aniani. ʻAʻole ʻae ʻia ia e ʻai i ka la me ka pipi, ka pīpī a me ka moa.

Hiki iā ʻoe ke hoʻokomo i ka ʻai nā huaʻai a me nā hua waina. ^ E Ha yM. Akā e hūnā i nā hua waina, ke kō ʻākoko a me nā meaʻai momona loa mai kēia ʻano. ʻOi aku ka maikaʻi ma ka kuke ʻana i ka wai palu a me nā wai i paʻu ʻia mai nā ʻano mea like ʻole. Hoʻomaopopo ʻia nā lālani e ʻai me ka ʻole o ke kō.

Inā hele ka mea maʻi i ka hemodialysis, a laila e like me ka papa inoa o nā huahana i kuhikuhi ʻia, hiki iā ʻoe ke hoʻohana nā mea kanu. ^ E Ha yM. A hiki i ka 250 pākaha o nā ʻuala i loko o kekahi ʻano e hiki ke hoʻohui pū i ka meaʻai. Hiki ke koena ke ʻai a hiki i ka 400 kareka i kēlā me kēia lā. I kahi hapa ʻole, kauka nā kauka e pili pū me ka pīpī, ʻĀpana a me nā aniani i ka meaʻai. He pōʻino eʻai i nā meaʻai a me nā spinach.

Meaʻai momona hiki ke hoʻohanaʻia e kahi mousse. ʻOi aku ka maikaʻi e hoʻohui i ka meli i ke kofe a kaʻaahi paha. Hoʻokomo i nā meaʻai i papa ʻia nā kuki a me nā kaulike. ʻAe ʻia nā meaʻai i hui ʻia me ka ʻōmato a me ka pata. I ka liʻiliʻi, pono ia e hōʻemi i ka hoʻohana ʻana i ka lāʻau wela.

I ka wā dialysis, pono e mālama pono ʻaʻole wale no nā huahana, akā e pili ana i nā mea inu. Lawe ʻia lākou i ka manaʻo. No ka mea hoʻonoho manaʻo ʻōpala pipi. ^ E Ha yM. Hoʻohana pū ʻia ka kī Diuretic a me nā ʻeleʻele i kēia hihia.

ʻAʻole hāmeʻa ʻia nā momona i ka meaʻai. Kūpono ʻaila hiki ke hoʻopau ʻia ma ka nui o 60 grama, a ʻiliala - 30 kalama.

Hōʻike ʻ Menulelo Helu I kēlā me kēia lā

Nā ʻōlelo no ka papa kuhikuhi i kēlā me kēia lā i ka wā o ka dialysis:

1. Ka ʻaina kakahiaka: ʻo ka pīpī iōwili me ka kōnī ʻaʻai a me ka hoʻohui ʻana i ka waiū a i ʻole yogurt, ma hope o ʻoe e inu ai i kaʻa kīwī.
2. Snack: ʻaila huaʻaʻoki, ʻānai ʻia, ʻokoʻa me ka momona ʻona a i ʻole ʻano maoli.
3. ʻAina awakea: nā mea ʻai i ʻole a i ʻole ka palaoa hānai i ka palaoa me ka panikina, kahi ʻāpana o ka berena rye, he huila ʻaila i hana ʻia me ka lau a i ʻole ʻaila ʻoliva.
4. Snack: ʻele hua ʻai a haʻahaʻa paha kefir.
5. ʻAno ʻaina: ʻāpala ʻia me nā moa i hoʻolapalapa ʻia, ninini ʻia me nā pā wai momona, a me ka palaoa lobis. Ma mua o ka hele ʻana e moe, pono ʻoe e inu, a laila inu ʻoe i ke ʻōmaʻomaʻo kohu ʻia.

Inā maopopo ʻoe iā ʻoe iho nei nā ʻōkuhi i lalo.

• hoʻomau i ka ʻeha ʻana o hope
• paʻakikī ka ʻokiʻoki ʻana
• hōʻole i ke koko.

ʻO ke ala wale nō? E kali a, ʻaʻole hoʻi e hana me nā ʻano radical. Hiki ke hoʻōla ʻia ka maʻi! E hāhai i ka loulou a ʻike i ke ʻano ʻo ke Kākoʻo Hoʻomaopopo ʻana i ka mālama ʻana ...

I ka manawa i kuhikuhi ʻia ai ka hemodialysis a pehea e hana ai ka maʻi maʻi?

Ke hoʻohana nei i nā hemodialysis, hoʻomaʻemaʻe lākou i ke koko o nā toxins, nā toxins a me nā huahana metabolic. Ma ka maʻi mellitus, ua hoʻohana pinepine ʻia kēia ʻano hana, no ka mea me kēia pathology e hui pū ʻia me nā hoʻopiʻi a me ka hōʻiliʻili ʻana o nā huahana metabolic, kahi hiki ʻole ke hoʻokaʻawale ke kino. E pono ke kaʻina hana e like me kekahi algorithm.

Nā hōʻailona no ka hemodialysis i ka maʻi diabetes

I kēia lā, ma 30% o nā hihia o ka pono no ka hemodialysis, he maʻi maʻi nā maʻi. Pili ka mea maoli kēia mea me ka ulu pinepine ʻana i ka nephropathy maʻi maʻi, e alakaʻi ana i ka hana ʻole o ka renal. Hana ʻia ʻo Hemodialysis e like me kekahi mau hōʻailona:

• ka huhū o ke kino e hoʻoulu ʻia e ka ʻohi ʻana o nā mea ʻeha kino,
• ka hemo o ke kino,
• hana hōʻemi ka hana maamaina no 10-15ml / min (ma muli o ka paona)
• ka overdose o nā lāʻau
• nīpū a hopena ʻole paha o ka renal,
• pirelonephritis,
• nā huehuee a
• ka hyperhydration (nui ka wai i loko o ke kino), inā ʻaʻole hiki ke paʻa ʻia e kekahi ala ʻē aʻe,
• huakino me ka waiʻona i loko o kahi wai (hoʻonā),
• ka hōʻuluʻulu ʻana o ka wai, hoʻoweliweli i ka ʻā o ka lolo a i ʻole kola
• kūlohelohe mai ke ʻano o kekahi mau hōʻailona (protein, urea, glucose, uric acid, creatinine) i ka nānā ʻana i ke koko a me ka wai.

Pehea e hana ai ke kaʻina hana?

Pono ka hana hemodialysis e loaʻa i nā hola he nui. Aia kona lōʻihi i kēlā me kēia ʻano o ka hihia. Hoʻolālā ʻia ka ʻano maʻamau o ke kaʻina. Ma kahi hana renal gagal, mālama ʻia ka hemodialysis i kēlā me kēia 4-7 mau lā, ka puka ʻano maʻamau - hoʻokahi manawa i kēlā me kēia lā 3-4.

Hoʻoholo ʻia ke kaʻina hana i kēia ʻōkuʻu:

1. Kuhi ka mea maʻi i kahi noho kūikawā a i ʻole i ka noho.
2. Aia kahi pilina ma kahi o ka kelepona (dialyzer), kahi mea i kapa ʻia kekahi ʻehā kūlohelohe.
3. Hoʻomaka ke kaʻina o ka hoʻomaʻemaʻe i ke koko. Hoʻohui kahi pōpoki kūikawā i ke koko mai ke kino ma o ka pua. I ka hoʻonāʻauhau, ua hōʻike ʻia i ka hoʻonā ʻana huina na kahi hoʻomaʻemaʻe. Hoʻi hou ke koko hoʻomaʻemaʻe i ke kino ma o kekahi pua.

Hāʻawi ʻia ka hopena hoʻomaʻemaʻe koko i ka dialysate. E hoʻomaʻemaʻe ʻia ka wai maʻemaʻe a me kahi hopena o nā paʻakai a me nā kinikona. Hoʻomaopopo ka paʻakai, ka glucose, magnesium, calcium, chlorine, bicarbonate, akā maikaʻi loa ka sodium.

Pono i hemodialysis kahi papaʻai. Pono kēia e mālama i ka hopena o ka hoʻomaʻamaʻa. Eia nā ʻōlelo pono e ukali ʻia:

• Hoʻopau i nā momona momona a hoʻomaʻamaʻa maʻalahi. ʻAʻole hiki iā ʻoe ke ʻai i ka momona momona, nā iʻa momona, nā mea manamana, ke kalai, kīwila. Pono e haʻalele i nā sausages, nā meaʻai a pau, i nā mea momona.
• Hoʻonui i ka nui o ka protein i ka meaʻai. Kuhi lākou i ka lōʻihi ma muli o ke kaumaha o ke kino o ka mea maʻi. No kēlā me kēia kilokilo makemake ʻoe 1,2 g o ka paka. Ma mua o ka dialysis, ʻokoʻa ka hōʻailona o ke ʻano o ka protein - 0,5 gram pākahi o ka paona.
• Pālā paʻakai. I kahi lā ʻaʻole iʻoi aʻe ma mua o 5 mau grama.

• ʻAʻole pono nā calories o kēlā me kēia lā e 2500 kcal. Pono kēia palena paʻa e mālama i ka paona maʻamau a me ke kūlohelohe kūlohelohe o ka protein.
• Nānā i ka regimen inu inu. Me ka hemodialysis ma waena o nā kaʻina hana, ʻae ʻia ka hoʻohana ʻana o ka wai o ka maʻi ma mua o 5% e ka paona o ka mea maʻi.
• E hoʻohui i nā mea kanu hou aku a me ka sele maikaʻi i ka meaʻai: buckwheat, pearl barley, oat (oatmeal).
• Wehe i nā mea ʻai nui ma ka acidal oxalic. Pono ʻoe e haʻalele i ka mokamoka, ʻōpala, ʻōpala, mau ʻala ʻupena, celery, rhubarb.
• Hoʻopili i nā meaʻai kiʻekiʻe i ke kalai, ka phosphorus, a me ka pāhare.

ʻO ka control glycemic

I ka wā hemodialysis no ka maʻi maʻi, he mea nui e pale i ka pae glycemia o ka mea maʻi. Hiki iā ia ke hana paʻa i ka wā o ke ao.

Kumuhana i loaʻa pālahalaha maʻi i ka wā o ka hoʻohana ʻana i ka dialysis, hiki i ka anuria (ʻaʻohe i loko o ka pā i ka liket), i ka wā ʻaʻole ka haʻalele o ka glucose i ke kino. Hiki i kēia ke alakaʻi i kahi kūlana hyperosmolar e hoʻoweliweli i ka ola a koi aku i ke kōkua koke.

He ʻoi aku ka pilikia o Hemodialysis hypoglycemiaaia ka pae o ka glucose i kahi 3.3 mmol / L. I kēia hihia, hiki ke pilikia ka hemodynamic, kaʻina neural, a me nā mea he rheological o ke koko.

No nā maʻi maʻi i ka hemodialysis, ua palena ʻia ka papa inoa o nā lāʻau lapaʻau haʻahaʻa. Hoʻomaʻamaʻa pinepine ʻia i ka hoʻomaka ʻana o ka glipizide pōkole o ka hana, akā ʻaʻole iʻoi aku ma mua o 10 mg i kēlā me kēia lā. Noanau ʻia e hōʻole i ka meglitinides (prandial regulators), no ka mea, ua hoʻonui ko lākou intake i ka hopena o ka hypoglycemia. Hoʻopilikia maoli ʻo Metformin i ka hemodialysis.

Hāʻawi ʻia nā maʻi diabetes i ka hemodialysis i kahi ulu lāʻau ikaika o ka ʻomo ʻana o ka insulin. I ka lā o ke kaʻina hana, pono e hoʻemi ʻia ka nui o ka insulin - ʻo kēia ana ke pale ʻana i ka hypoglycemia intradialysis. No kahi hana pōkole hana pōkole, lawa ia e hōʻemi i ka dosage koke ma mua o ke kaʻina hana, i kekahi mau hihia ke hoʻopau ʻia i mua o ka hālāwai.

Hoʻohana ʻia ka Hemodialysis e hoʻomaʻemaʻe i ke koko i ka wā i hiki ʻole ai i nā keiki ke hoʻokō i kēia hana. Pono e kaʻina ʻia ke kaʻina ma lalo o ka nānā ʻana o kahi loea.I ka wā o ia ʻano hana, pono ia e hahai i kekahi kīpē a me ka mālama ʻana i ka glycemia, no ka mea e hoʻoponopono pono ʻia nā dosis a me ka lāʻau hypoglycemic (hiki ke loli) ia.

Nā Kau Kuʻi Pipi

Kahi paakiki paʻakikī e pili ana i kahi hana ʻole a me ka make cell o kēia kino i kapa ʻia ke kūleʻa o ka kidney renal.

Lohi pinepine ʻia ka hoʻomohala ʻia o ka maʻi e nā maʻi ʻeha lohi, no ka laʻana, pyelonephritis, glomerulonephritis, ka hoʻomohala ʻana i nā calculi i nā pūpū, amyloidosis, etc.

I ka 75% o nā hihia, he hopena ʻole ka hopena o ka renal i ka hopena o ka maʻi mellitus, glomerulonephritis (kahi maʻi autoimmune e hoʻopili ana i ka glomeruli o ka ren) a me ka hypertension arterial.

ʻO nā mea maʻi i hoʻokomo ʻia i ka hoʻomohala ʻana o ka pathology i ke kahua hope loa ua hōʻike ʻia nā hemodialysis maʻamau. ʻO ia kahi hana loea e pili ana i ka hoʻomaʻemaʻe extrarenal o ke koko o nā huahana metabolic toxic. I ka wā hemodialysis, hele mai ka maʻamau o ka wai a me ka nānāʻoleʻana i ka electrolyte.

Ke kū mai nei ka pono no ka dialysis wale nō ʻaʻole e kūlohelohe a me ke kūleʻa o ka pilikia renal, akā i ka hihia pū me nā mea kanu, alcohols, poʻi. ʻO ka hyperhydration hoʻoweliweli i ke ola (e.g., cerebral a pulmonary edema) kekahi ʻano hōʻailona no ka hoʻomaʻemaʻe ʻana i ka hoʻāla i ka mīkini.

No ke aha he mea nui ka meaʻai

ʻO ka hopena o ke kaʻina hana, ʻo ia ka nalowale o kekahi mau waiwai nui, no laila e loaʻa ana i ka meaʻai ka mea nui i ka dialysis o ka lolo. Pono e ʻono ʻia nā nuances o ka papa ʻaina me ke kauka e komo ana (kūkākūkā me kahi mea hoʻomaʻamaʻa a me ka nephrologist)

ʻO ke kino o kēlā me kēia kanaka. ʻO ke ʻano a me ke ʻano o ka hoʻohālikelike o ka metabola, ʻo ka pihi a me ka lōʻihi o ka hoʻomaʻemaʻe ʻana i ke koko, a me ka hoʻohui pū ʻana o nā hopena dialysis e pili ana i nā ʻano meaʻai.

Akā, no nā maʻi āpau e hana maʻamau nei i nā kaʻina hana, ua hoʻomohala ʻia nā pono kumu o ka pono.

ʻOi aku ka nui o nā pā

ʻAʻole pono kekahi kanaka e loaʻa i ka hemodialysis ma mua o 6 g ʻo ka sodium i kēlā me kēia lā. ʻO ke kūpono, inā hōʻole loa ka mea maʻi i ka papa paʻakai. ʻO ka papaʻai o nā poʻe me ka haehae hypertension me ka paʻakai ʻole.

Hiki iā ʻoe ke hoʻomaikaʻi i ka hoʻonoina o kahi pāʻai me ka hoʻohui ʻana i nā mea ʻala like ʻole, nā kohu, kahi puaa a hoʻoheheʻe ʻia, he ʻula wīwī palupalu. ʻOkoʻa ʻole - horseradish, pepa a me nā kinamona

ʻO nā poʻe Organs o kahi mea i loaʻa ka pilikia papalū ke paʻakikī i ka lawe ʻana i ka potassium. Hoʻopau ka huina keu trace i ka wā o ka dialysis. ʻO ka hōʻiliʻili nui o ka paʻakai ma waena o nā hālāwai hiki i ka weliweli a hiki ke hoʻopiʻi i ka hopu ʻana o ka cardiac. Pono e hoʻomanaʻo ʻia o ka hōʻailona mua o ka hyperkalemia o ka palu a me ka nāwaliwali o nā wāwae.

I nā mea maʻi e hoʻomaʻemaʻe ana i ke koko, hoʻomaʻamaʻa pinepine ʻia nā phosphorus-calcium metabolism. Hiki ke ʻike ʻia kahi nānā pana ʻia e ka poʻe loea ma ka hāʻawi ʻana i kahi ʻano hōʻike e hōʻike ana i ke kiʻekiʻe o ka calcium a me ka phosphorus i ke koko. ʻAʻole hiki i nā mea i hoʻopili ʻia ke hoʻokuʻi i ka wehe o nā kahe nui, nā mea me ka leaching o ka calcium mai nā iwi. Ke alakaʻi nei kēia i ka nāwaliwali a me ka palupalu o ka ʻūhā, a me nā hoʻopiʻi ʻē aʻe.

Hoʻopuka ʻia ka hoʻoponopono ʻana ma o ka hoʻopaʻa ʻana i ka papahele o ka pāʻai a me nā huahana waiwai nui o ka phosphorus. Eia kekahi, koho ke kauka i ka hoʻomākaukau ʻana i ka calcium a me nā lāʻau lapaʻau e pili ana i ka D3. Hoʻomaʻamaʻa pinepine ʻia nā mea paʻa phosphate e hoʻopili ʻia me ka hoʻopili ʻana o ka fosfor, no ka laʻana, almagel a i ʻole civilylamer. E kiʻi i ka hopena i makemake ʻia mai nā lāʻau lapaʻau, pono e lawe ʻia lākou e like me nā kauoha.

No ka mea maʻi e loaʻa ana i ka hana kūleʻa, mea ʻeha loa ka alumini. ʻO nā hoʻomākaukau e loaʻa ana e hiki ke hōʻeha nui i ke kino, no ka laʻana, e alakaʻi i ka anemia koʻikoʻi, ka luku ʻana i ka iwi iwi, hoʻonāukiuki i ka ʻōnaehana o ka pīpī - alumini dementia.

ʻAʻole pono e koho kūʻokoʻa nā maʻi i nā mea paʻakikī multivitamin e loaʻa ana i nā mea hoʻohui mineral

ʻO ka papa inoa o nā huahana i hōʻole i ka wā hemodialysis e loaʻa:

• ʻO nā hua maloʻo i kālai ʻia - kismis a me nā hua ʻōpala maloʻo.
• nā hua kanu, nā hua waina a me nā maiʻa.
• kiniani a me nā ʻala
• ka ʻai a me ka ʻala,
• offal, no ka laʻana, nā kauā, ka puʻuwai, ka ate,
• kekahi mau lau (kamala a me ka ʻala i kālai ʻia)
• pua (sorrel a me spinach),
• nā huahana wai pālala
• iʻa ʻū ʻia a i paʻakai ʻia a me ka caviar.
• Nā inu Isotonic
• koko
• hua moa
• nā meaʻai iʻa, nā kīwī a me nā kō
• Nā huahana palaoa
• nā cereals (ʻokoʻa - ka laiki).

Inā hōʻike ʻia ka mea maʻi i ka dialysis renal, ʻaʻole ia e pāpā ʻia e hoʻohana i nā papa alumina i ka wā e kuke ai.

Pono e hoʻolapalapa mua i ka ʻiʻo a me nā iʻa. ʻAʻole hiki ke ʻae ʻia nā mea maʻi e hoʻomaikaʻi ʻia i ka mea ʻala. Maʻa hou ka lau ʻana i ka momona. Hiki i ka ʻai a me nā iʻa keʻa a i ʻalī ʻia e ka hoʻohui ʻana i nā mea ʻala maikaʻi.

Hoʻonui ʻia (no 6 a 10 mau hola) e hoʻomoʻa i nā mea kanu kulu ʻia i kōkua i ka hoʻēmi ʻana i ka nui o ka sodium a me ka pāima i loko o nā meaʻai. Ma ke kaʻina hana, pono e hoʻololi i ka wai i nā manawa he nui (inā inā momona ka maikaʻi o ka meaʻai i ka paʻakai, ua hoʻololi ʻia ka wai ma ka liʻiliʻi he 10 mau manawa, a hoʻonui ʻia ka manawa ʻeke ma kahi o 24 mau hola)

ʻO nā huahana a ʻāpana paha

Hāʻawi ka mea ʻai no nā mea maʻi ma ka hemodialysis no ka wehe ʻana mai ka papaʻaina o ka lau iʻa / iʻa a me nā iʻa kalo: nā ʻano momona ʻē aʻe, nā momona momona, nā meaʻai paʻakai kiʻekiʻe (nā kīʻaha, ʻohe / hoʻōla i kola ʻia, ʻāhi, kīkē wai, a me nā wai paʻakai, sausages, saos, marinades, ketchups, paʻakai paʻakai, margarine, kēne ʻai), nāʻaila, nā ate, kaole, nā ʻōpū, ka mauʻu i ʻoki ʻia, nā ʻuʻoki ʻole i hoʻopaʻa ʻia, ka huaʻai a me ka pasta, nā huahana pāʻai.

Hoʻopili i ka hoʻohana ʻana i nā meaʻai nā nui pāhala - kuʻuna, ʻamu, kahe, ka waiū ʻuala, nā hua ʻona, sorrel, bananas, iʻa kai, nā hua kanu, nā hua ʻuma, nā hua soy, ka waiū, ka waiū waiū, nā manamana maloʻo, ʻāala hānai, nā hua maloʻo, rhubarb , ketchup, spinach, beets, pia, avocado, nā wai hua ʻai, kōwai huaʻa, apricots, molases, hua waina, cherries, figs, lentils.

Pākuʻi ʻia nā huahana nā Phosphorus: bran, nati, palaoa kāʻai palaoa, cereals, cocoa milk, cheese, egg, legumes, muesli, cottage cheese. Kuke / kuki ikaika, koko, pākeke waiwa no ka haʻalele ʻia i nā mea inu.

Nā iʻa a me nā kai iʻa

kūʻāʻa17,54,60,0139 iʻa26,89,90,0196 ʻiliʻele caviar28,09,70,0203 caviar laona kamū32,015,00,0263 nā iʻa iʻa17,52,00,088

Nā waiʻona a me nā compotes

pauka wai0,00,09,038

* nā data he ma 100 g o ka huahana

ʻO nā huahana a ʻāpana paha

Hāʻawi ka mea ʻai no nā mea maʻi ma ka hemodialysis no ka wehe ʻana mai ka papaʻaina o ka lau iʻa / iʻa a me nā iʻa kalo: nā ʻano momona ʻē aʻe, nā momona momona, nā meaʻai paʻakai kiʻekiʻe (nā kīʻaha, ʻohe / hoʻōla i kola ʻia, ʻāhi, kīkē wai, a me nā wai paʻakai, sausages, saos, marinades, ketchups, paʻakai paʻakai, margarine, kēne ʻai), ka pipi, pōpoki, kaole, ʻāʻī, nā mea i hoʻolapalapa ʻia i nā ʻuʻakai, nā ʻuʻana kūlū, ka huaʻai a me ka pasta, nā huahana dairy.

Hoʻopili i ka hoʻohana ʻana i nā meaʻai nā nui pāhala - kuʻuna, ʻamu, kahe, ka waiū ʻuala, nā hua ʻona, sorrel, bananas, iʻa kai, nā hua kanu, nā hua ʻuma, nā hua soy, ka waiū, ka waiū waiū, nā manamana maloʻo, ʻāala hānai, nā hua maloʻo, rhubarb , ketchup, spinach, beets, pia, avocado, nā wai hua ʻai, kōwai huaʻa, apricots, molases, hua waina, cherries, figs, lentils.

Pākuʻi ʻia nā huahana nā Phosphorus: bran, nati, palaoa kāʻai palaoa, cereals, cocoa milk, cheese, egg, legumes, muesli, cottage cheese. Kuke / kuki ikaika, koko, pākeke waiwa no ka haʻalele ʻia i nā mea inu.

ʻAi ʻia nā huahana Papa Kūʻai

Nā mea kanu a me nā greens

Pūnaewele, g	ʻOi, g	Nā kalapu, kā g	Kālā, kcal
nā lau mea ʻala	9,1	1,6	27,0	168
sauerkraut	1,8	0,1	4,4	19
aniani	1,3	0,0	4,6	19
aniani	1,4	0,0	10,4	41
kukama kēne	2,8	0,0	1,3	16
kukama pickled	0,8	0,1	1,7	11
ʻōpihi	1,2	0,1	3,4	19
keʻokeʻo keʻokeʻo	1,4	0,0	4,1	21
ʻōloko	1,5	0,1	6,2	30
māla	0,9	0,1	2,1	12
kamala paʻala	1,1	0,1	3,5	20
huhui	3,2	0,4	10,5	56
ke kāleka	6,5	0,5	29,9	143
kihua	2,9	0,3	2,0	22
ʻeha	1,5	0,3	2,9	19
āpereke	0,9	0,1	10,8	41
maiʻa	1,5	0,2	21,8	95
nectarine	0,9	0,2	11,8	48
poʻe kēkole	0,9	0,1	11,3	46
ʻōpū	3,5	2,0	2,5	30
ʻohiʻohi ʻohi	2,2	0,4	0,0	20
Kēlā cereals a me nā makana
semolina	10,3	1,0	73,3	328
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
ʻO Flour a me Pasta
pasta	10,4	1,1	69,7	337
ʻona	5,4	35,3	56,5	544
Nā puna wai a me nā kau
pua nani	5,7	6,4	22,0	162
laikini	1,8	0,8	15,8	80
ketchup	1,8	1,0	22,2	93
ʻona	2,4	67,0	3,9	627
ʻanuʻu ʻeleʻele	10,4	3,3	38,7	251
ʻōmato ʻōhua	1,7	7,8	4,5	80
Kālea a me nā mea ʻono
keke ʻaʻano	17,2	5,0	1,8	121
Nā huahanaʻai
momona	2,4	89,0	0,0	797
paulo moa	27,5	8,2	0,0	184
pāu	16,5	61,2	0,0	346
iʻa poni	19,0	28,4	0,0	337
soole	16,1	33,3	0,0	364
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	88
Nā Hila a me nā Lāle
momona holoholona	0,0	99,7	0,0	897
ʻai momona	0,0	99,7	0,0	897
Nā waiʻona a me nā compotes
wai kamato	1,1	0,2	3,8	21

* nā data he ma 100 g o ka huahana

ʻO nā hoʻopiʻi a me ka hoʻohuihui

NOHO	Cons
Hoʻemi i ka azotemia, hoʻōla i ke koko kiʻekiʻe, hoʻoneʻe i ka edema, kāpae i nā haunaele i ka protein o ka phosphorus-calcium. ʻAʻole kālā.	ʻO kahiʻaiʻai ikaika i ka mālama o ka hana.

ʻLelo ʻana a me nā hopena

He kīʻai koʻikoʻi nā poʻe maʻi ma ka hemodialysis e pono ai, no nā mea maʻi me ke koko kiʻekiʻe, ka manawa o ka edema a me ka pākīpī o ka calcium-phosphorus metabolism. Wahi a nā mea maʻi, he paʻakikī ke hoʻomaʻamaʻa ʻole i nā meaʻai ʻae ʻole a i ʻole ka paʻakai liʻiliʻi, ʻono ʻole ka papaʻa, akā ʻaʻohe koho.

• «... Ma hope o ka hōʻino ʻana o ka pōʻino a me ka hoʻomohala ʻana i ka maʻi ʻōpiopio, ua ʻōlelo ʻia ʻo ia i hemodialysis. Nui nā hoʻokolohua maikaʻi, hoʻonui mau i ke kahe o ke koko, huehue. Hāʻawi ʻia i kahi meaʻai me nā paʻakai paʻakai. He mea paʻakikī loa ia e hoʻohana koke ʻia i ka meaʻai meaʻai ʻole. Kōkua o ka māla (pāhulu, ʻeho, ke kāleka, ka aniani, nā pānipolo) i kōkua, a hoʻomākaukau pū ʻia ka huʻu e pili ana i ka waiū a me ka momona. Pono au e hoʻopaʻa paʻa i kaʻu meaʻai. Kuke wau i nā mea āpau i ka aila ʻaila. ʻOiai e mālama nei wau i kahi meaʻai maʻamau, a ʻaʻohe wahi e hele ai, pono ʻoe e hoʻoponopono inā makemake ʻoe e ola».

Nā Kauka Hoʻolālā Pīpika no ka maʻi maʻi

Hoʻokomo ka poʻe maʻi maʻi maʻi e hoʻomohala i nā hana renal i ka papa hope loa e kākoʻo i ko lākou ola ma o nā kaʻina dialysis. I loko o kēia mau kaʻina hana, ka wā i hoʻokaʻawale ʻia ka nitrogen i ka koko.

ʻO ka Dialysis ke kumukūʻai kūʻai nani a maikaʻi ʻole, me ke kiʻekiʻe o ka maʻi maʻi. E hōʻemi i kona pinepine nui, e koi ʻia nā mea maʻi e kaupalena i kā lākou intake a me ka wai o ka wai.

I kēia manawa o ka hana renal, he meaʻai haʻahaʻa-hoʻokaʻawaʻu, ʻai nui ka ʻai ʻana i ka protein. I ka nui o nā manawa, ua hoʻohālikelike ʻia nā kākalaʻaiʻai no ka huameka.

Hoʻomaopopo kekahi o nā kikowaena dialy Western i kā lākou mau maʻi maʻi maʻi 'aʻai i ka ʻaila ʻoliva ma mua o nā pale. He nui na momona kūʻai monounsaturated.

GI i loko o kaʻaiʻai no ka maʻi keiki

ʻO kahi papaʻai no ka maʻi maʻi maʻi liʻiliʻi e haʻahaʻa a loaʻa i kahi liʻiliʻi o nā protein holoholona. ʻAʻole ʻo ia e hoʻolako i ka hoʻokahe o ke koko, ma laila ke hoʻokumu a i ka manawa like ʻole e hoʻoluhi i ka hana o nā keiki.

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:

1. 0 - 50 PIECES - tima haʻahaʻa,
2. 50 - 69 PIECES - average,
3. ʻO 70 mau pūʻulu a ma luna aʻe he hōʻailona kiʻekiʻe.

I ka loaʻa ʻana o ke kō hānai kiʻekiʻe ke kanaka, 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 manawa i ka hebedoma.

Me kahi kīʻaha kūpono, inā ʻai e hiki i ka mea maʻi ke hoʻokeo wikiwiki i ka momona, ʻaʻole wale nō ke hoʻonui i ke kōʻai koko, akā hiki ke hoʻopili ʻia nā kīʻaha koko, no ka mea, aia ka meaʻai i ka kolokino ʻino.

Ke hōʻike nei ka mea maʻi i ka maʻi papalapa a me ka hoʻonui pinepine o kona koko koko, pono ia e hoʻohana i nā meaʻai me kahi haʻahaʻa glycemic index.

Nā hōʻailona no ka hemodialysis maʻamau

ʻO nā maʻi āpau i loaʻa i ke kuapo o ke "terminal stage o ka renal gagal ʻole" (CRF) i hōʻike ʻia he kaʻina hoʻomaʻemaʻe koko ma o kahi "hana kūlohelohe" hana

Inā makemake ka mea heluhelu i kahi mea ʻai no ka dialysis o ka lolo, a ma laila pono ʻoe e hoʻomaopopo pono i nā kūlana koʻikoʻi e hoʻohana ʻia ke kaʻina hana o nā lāʻau kūlohelohe. ʻOiai ke ʻano o nā pilikia o ka maʻi pathological a me ka mea kūpono kūpono i ke kūpaʻa ʻana me lākou o nā mea hoʻohui i ka hopena ʻoi aku ka lōʻihi o ka lōʻihi o ke ola ʻana o ka mea maʻi me ka maʻi papaleka maʻi.

No laila, ma ka hemodialysis, ʻo nā mea maʻi me ka maikaʻi ʻole i loko o ia mau hihia:

• Hoʻonui ka hōʻuluʻulu ʻana o ka wai ma ke kino o ka mea maʻi, hiki ke alakaʻi i ka edema pulmonary.
• ʻO ka hōʻemi koʻikoʻi nui i ke kaʻina hana filtration i loko o kahi glomeruli o ka renal (ma lalo o 15-20 ml / min).
• Ka overestimation o ka ʻike 'ana o ka mea hana i loko o ke koko (mai o 600 mmol / L a i ʻole).
• ʻO ka hōʻikeʻana o nā hōʻailona o ka luhi nui ma ka ʻaoʻao o ka azothermia.
• Hoʻomoe kaumaha i ke kino o ka mea maʻi me nā ʻōnaehana break i nā huahana a me nā hana kaʻina metabola i hala.

He mea nui: i ʻole e lawe mai i ka mea maʻi i kēlā mau ʻano koʻikoʻi, e pono ke hoʻomaka i ka hemodialysis i nā mea mua no lākou. A ʻo ka manawa koke ke kuhikuhi ʻia ke kaʻina hana, ʻo ka nui ka manawa i laila e hoʻonui i ke ola o ka mea maʻi.

He mea kūpono ia e ʻike nei, ʻaʻole e hoʻopili maoli ka hemodialysis i nā hana o nā keiki olakino. ʻO ka mea maʻi e kau nei i ka hoʻomaʻemaʻe koko hoʻonaninani, i kahi hoʻokahi a i kekahi, e loaʻa i kahi metabolism hoʻopilikiaʻole, me ka loaʻa ʻana o nā mea trace, nā minamina waiwai, etc.

ʻO ia ke kumu no ka hoʻomaopopo ʻana i ka ʻai kūpono no ka hemodialysis ke kī i ke kūlana olakino maoli a me ka noʻonoʻo o nā mea maʻi me ka hoʻomaʻamaʻa ʻole o ka renal. Pono hoʻi ke ʻike he pili i ka mālamaʻai ʻana ʻo kaʻai ponoʻī iā ia ma ka maʻamau o ke kaʻina hana, ʻo kona lōʻihi i ka wā o hoʻokahi hālāwai, ʻo ka maikaʻi o ka hopena dialysis a me nā hiʻohiʻona o ka maʻi o ke kino o ka mea maʻi.

ʻO ia ke kumu he mea nui loa e kūkākūkā i kāu papaʻa me kahi mea loea aʻoaʻo ma mua o hemodialysis. E hāʻawi ʻia nā ʻōlelo kuʻuna no kaʻai pono kūpono no nā maʻi dialysis ma lalo nei.

Ka hana o ka protein, nā momona, nā huapalapala a me ka paʻakai

I ka wā o ka mālama ʻana i nā maʻi ʻeha me ka hemodialysis, he nui ka nui o ka protein i hoʻopau ʻia - ʻaʻole iʻoi aʻe ma mua o g g i ka kilogram o ka paona maʻi i kēlā me kēia lā. Pili ka pili i ka paʻakai - 5 g a i ʻole i kēlā me kēia lā. Inā hui pū ʻia ka maʻi me ka piʻi pinepine o ka kaomi, a laila ʻaʻole i ʻōlelo ʻia ka paʻakai e hoʻopau ʻia - lawa ke ʻano o kona kūlohelohe i nā meaʻai.

Me ka hemodialysis, ma kahi ʻē aʻe, ua ʻōlelo ʻia ka hoʻonui ʻana i ka protein. ʻO kēia ma muli o ka nalowale nui o nā mea kanu i ka wā o ke kaʻina hana: nā trace element, amino acid, vitamina a me oligopeptides. ʻO ka kaʻai ʻana i kēlā me kēia lā e pono ai ma ka liʻiliʻi o 1,2 mau grika no ka paona o ka paona.

Pono ke kau ʻana o nā momona a me nā haʻalulu i mea maikaʻi loa, koe wale nō i nā kūlana i hoʻokomo ʻia ka pilikia o ka renal e ka mellitus maʻi. Hoʻohā palena ʻia ka nui o nā kapehu i loko o ka meaʻai i kēia hihia.

Ke kolo wai

I ka mea maʻi i hoʻomoʻi i ka hemodialysis, hoʻemi nui ʻia ka hana o ka renal, i hoʻopilikia ʻia i ka nui o ka urine i hoʻopuka ʻia. I kekahi mau pilikia, hiki i ka urination ke paʻakikī a paʻakikī paha, ʻoiai ʻo ia ka hana maoli pilikino nei e hiki ai iā ʻoe ke hoʻoponopono i ka pae wai i loko o ke kino.

No laila, ʻo nā mea maʻi, ʻoi aku me ka hala ʻole o ka naʻau a me ka hypertension arterial, pono e kaupalena ʻia i ka nui o ka wai i hoʻopau. ʻO ka wai e komo ana i ke kino a ke hoʻi ʻole mai i ka nui kūpono e hiki ai ke hoʻonāukiuki i ka ʻike ʻana o edema, a ʻoi hoʻi ka lele ma ka pīhoihoi koko.

Eia nō naʻe, i kekahi mau hihia, ʻaʻole hiki ke ʻae ʻia kēia kāohi.No laila, me ka polycystic a pyelonephritis paha, e pilikia paha ka pilikia me ka urination, a me ka maʻi maʻi, nā diuresis i kēlā me kēia lā.

Hiki i ke kīleʻa kūleʻa o nā pūhui nitrogenous i loko o ke koko ke hiki pūleʻa. Eia naʻe, ma muli o ka wai ke komo i ke kino, hiki ke hoʻemi nui ʻia ko lākou ʻike, e hoʻomaikaʻi ana i ke kūlana o ka mea maʻi. Pēlā, hiki i ka palena o ke kaʻi inu ʻana i ka wā hemodialysis ke hiki pololei i like me nā hōʻailona a ma hope o ke kūkā pono ʻana me ke kauka.

Hoʻomoʻa a ka Micronutrient

ʻO ka maʻi hemodialysis kahi ʻano e hoʻomaʻemaʻe i ke kino o nā mea āpau i ka hiki ʻole i nā keiki a ke kanaka ke hoʻokō i kēia hana ma luna o lākou. Nā mea hoʻohālike e like me kēia penei: - Acute aʻa ʻole a me ka hopena ʻole.

- Poina. - Ke kaukaʻi ʻana i kahi lāʻau lapaʻau.

- Hoʻohuikahi me ka waiʻona. - Nui ka wai ma loko o nā palu a me nā hui.

Ke hoʻohana nei i ka dialysis, ke unuhi ʻia kēia nā mea mai ke kino: - Kūʻai nui loa (ʻo ka hopena hope loa o ka protein hōʻemi). - Urea.

- Nā pūhui waikawa Boric. - Kaleponi.

- Sulfanilamides. - Ethyl a me methyl waiʻona.

- ʻO ka wai ākea. - Nā puna uila o ka paʻakai, sodium, calcium.

Nā poʻomanaʻo like ʻole. ʻO ka hapa nui o kēia mau mea e komo i ke kino me ka meaʻai.

E lilo wale ka lōʻihi a me ka luhi me ka mālama ʻole inā ʻaʻohe hoʻololi i ka mea maʻi.

Paʻaʻai no ka hemodialysis o nā keiki i ka pūnao o nā ʻōnaehana koʻikoʻi i hoʻomohala i ka makahiki hope. Ua kāhea nā kauka i kāna papa helu 7.

Ua hana ʻia me ka lawe ʻana i ka hana a ka wīwī o ke kanaka i ka wā o ka hoʻomaʻemaʻe ʻana i ke koko ma o kahi ʻōpio huna. Ua nānā ʻia i ka wā o ka mālama ʻia iho a me kekahi manawa ma hope.

ʻO kaʻoi aku o ka nui ʻole o ka nui o ka protein ma ka papa kuhikuhi, ʻo ka hapa nui o ia mea e komo i ke kino me ka meaʻai o nā mea kanu. ʻO ka protine nā kumu holoholona i kaupalena ʻia a pono e hoʻomaʻamaʻa i ka mālama ʻana i ka wela.

Hoʻololi ʻia ka kō mai ʻana o ka kō. ʻAʻole hiki i nā keiki o ke kanaka ke hele aku i ka hemodialysis ke kū i kahi kaumaha.

Ma ka awelika, ʻōlelo aku nā kauka i ka inu ʻana ma mua o 1 lita o ka wai i kēlā me kēia lā, me ka hapa nui o ka wai maʻemaʻe maʻamau. Mākaukau nā meaʻai a pau me ka ʻole paʻakai.

Hiki i nā mea liʻiliʻi liʻiliʻi ke kiʻi wale i ke kauka, akā ʻaʻole kēia ma kahi o 2-3 g i kēlā me kēia lā. ʻOi aku ka maikaʻi o ka ʻai paʻakai ma mua o ka hoʻohana ʻana.

ʻO nā huahana me kahi haʻahaʻa kiʻekiʻe o ka potassium, calcium, sodium, oxalic acid a hoʻopau loa a hoʻopau paha. Hoʻomaopopo ʻia e ʻai i ka meaʻai o ke mahana wela.

Eono ʻia nā papa ʻaina i kahi lā. ʻO ka maʻamau, ʻaʻole pono nā poʻe maʻi e hana i kā lākou menus.

Me ka hemodialysis kidney, nui i lalo i ke ʻano maʻi inpatient a ma lalo o ka mākaʻikaʻi ʻana o nā kauka. Ua ʻili ʻia kēlā me kā lākou meaʻai.

Eia nō naʻe, aia nō nā ʻano ʻaoʻao like ʻole no nā hemodialysis o nā keiki i ka home. E pōmaikaʻi ka poʻe i lalo o ke ʻano o ka mālama ʻana mai nā kulekele kai me nā kikoʻī.

Pono i ka meaʻai Hemodialysis kahi mea hoʻolālā kūikawā a koho maikaʻi paha. nā mea e pili ana i nā mea he nui, me ka komo ʻana a me ka ʻole o nā hoʻopiʻi ʻana, ka lōʻihi o ka hoʻōla ʻana, a me nā mea ʻē aʻe. ʻO ia ke kumu e hoʻoikaika ikaika ʻia nei e hoʻokō i nā ʻōlelo aʻo a pau o ke kauka hele i ʻike i nā ʻano o ke kino o kona maʻi, a me nā nuances o kāna mālama.

Inā ʻoe e aʻo i kahi papahana mālama maʻi diabetes type 1 a i ʻole ʻano lā 2 a me ka hoʻohana ʻana i ka hoʻomaka ʻana i nā ʻōkuhi, a laila ʻike ʻoe ua hāleʻike kaʻai haʻahaʻa i ka wai hoʻohaʻahaʻa i ke koko i ka maʻamau a mālama pono iā ia, e like me ka poʻe olakino ʻole me ka maʻi maʻi.

Heluhelu hou i ke ʻano o ke ala o nā amo liʻiliʻi. Ua ʻike ʻoe iā ʻoe iho kahiʻai "ʻai", me ka hoʻokaʻawale ʻana me ka wai momona a me ka momona momona, ʻaʻole ʻoe e ʻae i ka hilahila e hoʻomaʻamaʻa maʻamau.

Ke kaumaha loa lākou me nā palaka, no laila ke kōpaʻa koko i loko o kahi mea maʻi me ka piʻi ʻana o ka maʻi diabetes a hoʻomohala hou i nā hoʻopiʻi.

Eia nō naʻe, hoʻomau nā kauka i ke kīpē haʻahaʻa i ka ʻai liʻiliʻi no ka maʻi maʻi e hoʻolohi i ka hoʻomohala ʻana o ka hiki ʻana o ka pūpū a hoʻolohi i ka hoʻomaka ʻana o ka dialysis. Ma kēia meaʻai, ua hoʻowalewale ʻia ka nui o ka protein o ka meaʻai i nā mea kākena.

Ke manaʻoʻiʻo ia nei kēia ala o ka mālamaʻai e hōʻemi i ka lawe ʻana i nā mea kaumaha ma luna o nā keiki, ʻoiai me ka mea ʻole ia e ʻae i ka maʻi maʻi maʻi e mālama i ke kō koko maʻamau. Pehea e koho ai i ka meaʻai kūpono loa i ke akea? ʻO wai ka meaʻai maikaʻi - haʻahaʻa haʻahaʻa a hōʻemi paha i ka haʻahaʻa? ʻLelo: E pili ana i ke ʻano o ka maʻi nephropathy maʻi.

Me kahi hoʻi o ka hoʻihoʻi ʻole ʻole. Inā e hele ʻoe, e pōʻino ka glomeruli a ʻo ka normalization o ke kō i loko o ke koko ʻaʻole i ʻae iā ʻoe e hoʻihoʻi hou a hoʻomaikaʻi i ka hana o ka keiki.

Kauka ʻia ʻo Dr. Bernstein ʻo kēia manawa hoʻi i ke hoʻi ʻana he glomerular filtration rate o nā keiki ma kahi o 40 ml / min. Inā he haʻahaʻa ka nui o ka filtration glomerular, a laila hoʻoneʻe iki ʻia kahi meaʻai haʻahaʻa me ka protein, akā e hoʻolōʻihi i ka hoʻomaka ʻana o ka hana o ka hana hoʻokau.

Inā 40-60 ml / min ka hopena o ka filomation glomerular, a laila ʻo ka hana maʻamau i ke kōpaʻa o ke koko me ka haʻahaʻa haʻahaʻa-momona e kōkua i ka hana ʻana i ka hana o ka lolo no ka manawa lōʻihi. ʻO ka mea hope loa, inā heʻoi aku ka nui o ka filtration glomerular ma mua o 60 ml / min, a laila ma lalo o ka mana o kahi meaʻai haʻahaʻa-haʻahaʻa, ua hoʻihoʻi hou ʻia nā hana a hana, e like me ka poʻe olakino.

E ʻike i ka pehea e helu ai i ka helu filtration glomerular ma aneʻi.

Hoʻomaʻomaʻo ʻaʻole e mālama pololei kaʻai i ka haʻahaʻa-aʻai i nā pōpoki. Kuhi ʻole, kōkua ia e mālama i ke kō koko koko maʻamau i ka maʻi diabetes.

Ua manaoia no keia no ka hana o keia keiki, ke hoihoi hou ia ke kumu o keia hoi ana mai. No ka mālama i ka kōʻai maʻamau paʻa, ʻoi hoʻi ma ka lāʻau o ka haʻahaʻa haʻahaʻa-nui, pono ʻoe e ʻimi i ka hoʻoponopono.

Pono ʻoe e lilo i kaʻai ʻole ʻole o nā meaʻaiʻai ʻole e like me ka mālama ʻana i nā mea kūʻiʻo pono ʻole i ka puaʻa a me nā ʻuhane. Hoʻonohonoho i ke kō me ka glucometer ma kahi o 5 mau manawa i ka lā, e noho i loko o kahi noho mana o ka mālama pono ʻana i ke kō o ke koko.

ʻO ka hoʻāʻo e pono ai e hana e uku ʻia i nā manawa he nui inā e hōʻoia ʻoe i ka nī o ke kō. Ma hope o kekahi mau mahina, hōʻike nā hōʻike i ka hana o nā keiki i ke kūleʻa ʻana a hoʻomaikaʻi paha.

ʻO nā maʻi ʻē aʻe e pili ana i ka maʻi diabetes.