Ukutya kwe-hemodialysis kufanele ukuba njani

Umxholo

• Ukutya kwi-hemodialysis
• 1. Lawula inani leprotein
• 2. Nciphisa ukusetyenziswa kwepotassium
• 3. Nciphisa isixa setyuwa
• 4. Ukusela iziselo ezimbalwa
• 5. Gcina izimbiwa zomzimba zizinzile

Ukondla nge-hemodialysis, kubalulekile ukulawula ukungeniswa kweencindi kunye neeproteni kwaye kuthintelwe ukutya okutyebileyo kwi-potassium kunye netyuwa, njengobisi, itshokholethi kunye nokutya okuncinci, umzekelo, ukuze ungafumani iityhefu emzimbeni, ezenza mandundu ukusebenza izintso. Ngale ndlela, ukutya kufuneka kukhokelwe yingcali yesondlo ukuze isiguli sikwazi ukungenisa izixa ezichanekileyo zezakhamzimba kwaye sihlale sisempilweni.

Ngamanye amaxesha, emva kweseshoni ye-hemodialysis, eyonyango lokucoca igazi kunye nokususa izinto eziyityhefu emzimbeni, isiguli sinesicaphucaphu kunye nokungabinamdla wokutya, kwaye kufuneka sitye ukutya okuncinci kwaye sitye ukutya okuncinci ukuzalisa okulahlekileyo. amandla.

Ukutya kwi-hemodialysis

Izigulana ezikwi-hemodialysis zinokutya ii-carbohydrate, ezifana nerayisi, ipasta, umgubo, iziciko ezingenasityu okanye isonka, ngaphandle kwemida ukuba awutyi ekudleni ukunciphisa umzimba. Oku kutya, ukongeza ekunikezeleni amandla, zineprotein encinci okanye ayinayo kwaphela, isodiyam, i-potassium kunye ne-phosphorus ezinokutyiwa kuphela zincinci

Ngenxa yoko, isigulana esisebenza kwi-hemodialysis sineenguqu ekusebenzeni kwezintso, ke ngoko, kufuneka:

1. Lawula inani leprotein

Ukusetyenziswa kweeproteni kunokwenziwa kodwa isixa esinokungeniswa kwisidlo ngasinye sixhomekeke kubunzima kunye nokusebenza kwezintso zesigulana kwaye, ke ngoko, amaxabiso aboniswa yingcali yesondlo, kwaye kufuneka ihlonitshwe rhoqo. Ngesi sizathu, kwiimeko ezininzi kuyimfuneko ukusebenzisa isikali ukulinganisa isixa esivumelekileyo, kwaye kuhlala kucetyiswa ukuba ngu-0.8 ukuya ku-1g / kg / ngemini.

Owona mthombo weprotheni kufuneka ube yimvelaphi yezilwanyana njengenyama yenkukhu, iturkey kunye neqanda elimhlophe kuba kungcono ukunyamezelwa ngumzimba kwaye, kwezinye iimeko, kungafuneka ukuthatha izongezo zesondlo ezinje nge-Ensure Plus, Nepro, Protein Protein Umgubo, umzekelo, njengoko kubonisiwe yingcali yesondlo. Fumana okunye ukutya okuneeProtein.

2. Nciphisa ukusetyenziswa kwepotassium

Kuyimfuneko ukulawula ukutyiwa kwe potassium, enokufumaneka kuninzi lwemifuno, iziqhamo, ubisi kunye netshokholethi, njengoko i-potassium egqithileyo egazini ikhokelela kwiingxaki zentliziyo kunye nobuthathaka bemisipha.

Apha ngezantsi kukho itafile enokutya ekufuneka kuthintelwe kunye noko kunokutyiwa.

Iziqhamo ezomileyo ezinje ngamandongomane, iijusi yeziqhamo ezixineneyo, umhluzi wokupheka kunye neetyuwa okanye izinto ezingena endaweni zetyuwa encinci nazo zityebile kwi-potassium kungoko kufuneka zisuswe ekutyeni. Jonga ezo zinto kufuneka uziphephe kuba kukutya okune-potassium eninzi.

Ulawula njani inani le potassium: Inxalenye ye potassium iphuma ekutyeni, ukuze ukutye ukutya emanzini iiyure ezi-2 phambi kokupheka okanye ukutya, okanye ukupheke emanzini abilayo.

3. Nciphisa isixa setyuwa

Isodiyam idla ngokutyiwa ngokutya okuneetyuwa eninzi kwaye izixa ezikhulu kakhulu inokuqokelelana emzimbeni, ekhokelela kukuziva unxaniwe, umzimba udumbile kunye noxinzelelo lwegazi oluphezulu, oluyingozi kakhulu kwimpilo yesigulana kwi-dialysis.

Isigulana esisebenzisa i-hemodialysis sinokutya kuphela ukuya kuthi ga kwi-1000 mg yesodium yonke imihla, nangona kunjalo amaxabiso achanekileyo kufuneka aboniswe sisondlo. Ke, isigulana akufuneki songeze ityuwa ekutyeni, kuba ukutya okuninzi sele kunesodium.

NjengesivumelwanoJonga isixa setyuwa: Funda iilebheli zokutya, uphephe ukuthenga ukutya okutyiwa yityuwa, okunkonkxiweyo, okukhenkciweyo Ukutya okukhawulezayo kunye neesoseji, ukukhetha ukutya okutsha. Elinye icebo kukusebenzisa imifuno, imbewu, ioyile kunye neviniga ukuya kwixesha lonyaka. Yazi iingcebiso zokwazi Ukunciphisa ukusetyenziswa kwetyuwa.

4. Ukusela iziselo ezimbalwa

Ubungakanani bolwelo oselwayo mihla le luyahluka ngokwenani lomchamo owenziwa sisigulana. Nangona kunjalo, umyinge wolwelo oza kuselwa ngemini akufuneki udlule kwi-800 ml, kubandakanya amanzi, umkhenkce, ijusi, i-gelatin, ubisi, iti, i-chimarrão, i-ayisikhrim, ikofu okanye isuphu, kubalulekile ukubhalisa ulwelo olungenisiweyo yonke imihla.

Ulwelo ludibana lula emzimbeni, lubangele ukudumba kuba izintso azisebenzi kakuhle, nto leyo ekhokelela kuxinzelelo lwegazi kunye neengxaki zentliziyo kunye nolwelo olugqithisileyo emzimbeni lukhokelela ekuzuzeni ubunzima, okungafanele kudlule kwi-2.5 kg phakathi kweseshoni nganye.

Ulawula njani ubungakanani bolwelo: Sebenzisa ibhotile elinganisiweyo kwaye usele loo mali emini; ukuba unxaniwe faka isiqwenga selamula emlonyeni wakho kwaye wenze into yokuhlamba umlomo ngamanzi kodwa ungaginyeki. Ukongeza, kuya kufuneka uphefumle ngakumbi ngeempumlo zakho kunasemlonyeni wakho, kuyanceda ukungomisi i-mucosa kakhulu. Yazi iingcebiso zokwazi ukuba usele kanjani amanzi ukusilela kwezintso okungapheliyo.

5. Gcina izimbiwa zomzimba zizinzile

Isigulana esisebenzisa i-dialysis kufuneka sigcine amaxabiso e-phosphorus, calcium, iron kunye no-vitamin D, ukulungelelanisa umzimba ukuze usebenze kakuhle, kubalulekile:

• Isiseko: Ukugqithisa kakhulu kwe-phosphorus egazini kunokubangela ukuqaqamba emathanjeni, kunokubangela ukwaphuka, iintlungu ezininzi kumalungu kunye nokurhawuzelela emzimbeni. Ke, kuyimfuneko ukulawula ubungakanani bokutya okutyebileyo kwi-phosphorus, njengobisi, itshizi, iimbotyi, amandongomane, kunye neziselo ezibandayo, njengoko le minerali isuswe kancinci emzimbeni ngexesha ledialysis.
• Ikhalsiyam: Ngokubanzi, xa i-phosphorus ilinganiselwe, ikhalsiyam ikwanomda, njengoko ezi zinongo zifumaneka kukutya okufanayo. Kuba akukho mfuneko yokunciphisa inani le-calcium, kunokuba yimfuneko ukuthatha isongezelelo se-calcium ukugcina amathambo esempilweni.
• Vitamin D: Ukuba isigulana sisebenza kwi-hemodialysis, kunokuba yimfuneko ukuthatha isongezelelo se-vitamin D, njenge-Rocaltrol okanye iCalcijex ngohlobo lweepilisi okanye inaliti ukunceda ukufunxa ikhalsiyam kunye ne-phosphorus.
• Intsimbi: Ngexesha leseshoni ye-hemodialysis kukho ilahleko yegazi kunye nentsimbi okanye ukutya okungalunganga, okunokukhokelela kwi-anemia, kunyanzelekile ukuba uthathe isongezelelo sesinyithi, esiboniswe ngugqirha.

Ingcali yezondlo kufuneka yenze imenyu efanelekileyo kwiimfuno zesigulana esinengxaki yezintso kwaye ngubani owenza i-hemodialysis, ebonisa okona kutya kufanelekileyo kunye nezixa ezichanekileyo zetyala ngalinye.

Kwakhona funda indlela yokutya emva kokufakelwa kwezintso.