Izigidi ezingama-26 zaseMelika zinesifo esinganyangekiyo sezintso.UJacob Postuma Izintso zethu zibalulekile ekugcineni imizimba yethu isebenza ngokufanelekileyo ngokulawula ukwakheka kunye nomthamo wegazi, ukususa inkunkuma engafunekiyo emzimbeni wethu ivithamini D. iyimfuneko ekufunxweni kwe calcium kunye nempilo yethambo. Ukuba izintso zethu azisebenzi ngokusemandleni, yonke into iya kwi-haywire.
Xa umntu ehlaselwa sisifo sezintso esinganyangekiyo (CKD), ukusebenza kwala malungu abalulekileyo kuyehla ngokuhamba kwexesha. Njengokuba esi sifo siba mandundu, inkunkuma iyanda egazini nto leyo ikhokelela kwiingxaki ezifana noxinzelelo lwegazi, ianemia, amathambo abuthathaka, impilo enkenenkene yezempilo kunye nokonakala kwemithambo-luvo.
I-CKD isenokungabi sisifo esichazwa rhoqo kwiindaba, kodwa malunga ne-31 yezigidi zaseMelika inayo (malunga neepesenti ezilishumi zabemi). Uninzi, nangona kunjalo, alunakufumanisa umba de ube mkhulu. Kwimeko yayo ehambele phambili, ekuphela kwonyango olunokukhethwa yi-dialysis okanye ukufakelwa kwezintso.
Izizathu eziqhelekileyo zokuba kutheni abantu bephuhlisa i-CKD kukuba sele bejongana nemiba yoxinzelelo lwegazi okanye isifo seswekile. Ezinye izizathu zibandakanya:
- Imbali yosapho yokusilela kwezintso
- Ukwaluphala (iminyaka engama-60 okanye ngaphezulu)
- Imbali yamatye ezintso
- I-Lupus kunye nezinye izifo ezizimeleyo
- Izifo ezenzeka rhoqo kumchamo
- Izidumba okanye i-prostate gland eyandisiweyo emadodeni
Amanqanaba, iimpawu kunye neempawu ze-CKD
Kukho amanqanaba amahlanu e-CKD. Amanqanaba okuqala kunye namabini ahlala engenazo iimpawu, kodwa umntu unokufumanisa ukuba une-CKD ukuba unyangwa uxinzelelo lwegazi oluphezulu okanye isifo seswekile. Ukuvavanywa kunokuveza oku kulandelayo:
- Ngaphezulu kwamanqanaba aqhelekileyo e-creatinine okanye i-urea egazini
- Igazi okanye iprotheni kumchamo
- Ubungqina bomonakalo wezintso kwi-MRI, kwi-CT scan, kwi-ultrasound okanye kwi-x-ray eyahlukileyo
Inqanaba lesithathu kunokwenzeka ukuba lifumaneke ngenxa yomntu ophuhlisa iingxaki zoxinzelelo lwegazi, i-anemia okanye isifo samathambo. Umntu unokufumana ezi mpawu zilandelayo:
- Ukudinwa
- Ulwelo oluninzi olukhokelela ekudumbeni (i-edema) kwimilenze esezantsi, ezandleni okanye ecaleni kwamehlo.
- Igwebu, orenji omnyama, omdaka, umbala weti okanye umchamo onegazi
- Rhoqo isidingo sokuchama ebusuku
- Ingxaki yokuwa nokulala; ukurhawuzelela, ukuqunjelwa zihlunu okanye imilenze engenakuphumla ebusuku
Isigaba sesine sineempawu ezininzi ezifanayo kwinqanaba lesithathu, kodwa ngezinye iingxaki ezongezelelweyo:
- Isicaphucaphu
- Utshintsho kwincasa, njengokutya ngesiquphe ungcamla intsimbi
- Umphunga onukayo, kunye ne-urea eyakha egazini
- Ukuphelelwa ngumdla wokutya
- Kunzima ukugxila
- Iingxaki zemithambo-luvo, njengokubhabha okanye ukurhawuzelela iinzwane okanye iminwe
Inqanaba lesihlanu libandakanya iimpawu ezifanayo njengenqanaba lokuqala ukuya kwisine, kunye:
- Utshintsho kumbala wolusu
- Ukwanda kwesikhumba sombala
Kwinqanaba lesihlanu, izintso azinakuphinda zisuse inkunkuma kunye nolwelo emzimbeni ukuze iityhefu zande egazini zibangele ukuba umntu azive egula kakhulu. Okwangoku, i-nephrologist iya kuthatha isigqibo phakathi kwe-dialysis okanye ukufakelwa kwezintso kunyango.
Ukhetho lokutya ukunceda ukulawula i-CKD
Xa ufunyaniswe une-CKD, kuya kufuneka ujonge ukutya kwakho kuqala, kwaye utshintshele kwisicwangciso sokutya esifanelekileyo sezintso. Oku kuya kunciphisa amaminerali athile kukutya okutyayo, ukunceda ukuthintela inkunkuma eyakhiweyo egazini. Ukwenza njalo kunokunceda ukucothisa inkqubela phambili yeCKD.
Izimbiwa eziphambili ezihlala zifuna ukwehliswa yi-sodium, i-potassium kunye ne-phosphorus. Kuya kufuneka unciphise ukutya kwakho iiprotein.
Isodium kufuneka icuthwe ukunceda ukunciphisa uxinzelelo lwegazi, olunokuthi lucothise i-CKD. Ukutya kakhulu nge-sodium kuhlala emzimbeni, kwenza uxinzelelo lwegazi lonyuke, kuba izintso ezonakeleyo azinakucoca isodiyam emzimbeni kunye nezintso ezinempilo. Cwangcisa ngaphantsi kwama-2,300 mg we-sodium ngosuku kwaye uzame ukugcina uxinzelelo lwegazi ngaphantsi kwe-140/90 mmHg.
Ukutya okuphezulu kwi-sodium ekufuneka uyinciphisile kubandakanya ibhekoni, inyama yenkomo, izinja ezishushu, inyama yasemini, isoseji, isuphu enkonkxiweyo kunye nangoko, imixube ebhokisiweyo njengokutya kwehamburger kunye nemixube yepancake, imifuno enkonkxiweyo, ukhuko, icottage cheese, ukutya okubandayo, ukutya okutyiwa ii-pretzels, ii-crackers, iichips, isosi yesosi, izinto ezibhakiweyo kunye nesonka.
Potassium kufuneka incitshiswe kuba kwi-CKD, izintso zingenako ukususa i-potassium eyongezelelweyo egazini. Ukongeza, amanye amayeza anokunyusa amanqanaba akho e-potassium, anokuchaphazela isingqi sentliziyo yakho.
Ukutya okuphantsi kwe potassium ukukhetha ama-apile, amaqunube amnyama, iiblueberries, ikhaphetshu, iminqathe, icauliflower, umbona, iikomkomere, isitshalo seqanda, iidiliya, iimbotyi eziluhlaza, amakhowa, amatswele, iipesika, amapere, ipayinapile, iplums, iirobheri, amaqunube, itangerines kunye nevatala.
Ngelixa ifosforasi Iyafuneka ukuze kugcinwe amathambo esempilweni kwaye kuncede imithambo yegazi kunye nezihlunu zisebenze ngokufanelekileyo, kwi-CKD, i-phosphorus inokwakha egazini, yenze amathambo acekeceke kwaye abe buthathaka, kwaye ibangele ulusu olurhawuzayo kunye nethambo kunye nentlungu edibeneyo. Ukutya okuninzi okuhlanganisiweyo kune-phosphorus, ke jonga igama elithi phosphorus okanye i-PHOS ngamagama anjenge-pyrophosphate kwiileyibhile zezithako.
Gwema ukutya okuphezulu kwi-phosphorus, ebandakanya:
- Inyama, iinkukhu kunye nentlanzi: isahlulo esiphekiweyo kufuneka sibe malunga nee-ounces ezi-2 ukuya kwezi-3 okanye ubungakanani bomgangatho wamakhadi
- Ukutya kobisi: Isiqingatha sendebe yobisi okanye iyogathi, okanye isilayi esinye seshizi
- Iimbotyi neelentile: Izahlulo kufuneka zibe sisiqingatha sendebe yeembotyi eziphekiweyo kunye neelentile
- Amantongomane: Nciphisa ubungakanani besabelo sakho malunga nekota yekomityi
- Sika ii-bran cereal, i-oatmeal, ii-colas kunye nezinye iti zebhotile
Iiprotheni ibonelela ngeebhloko zokwakha ukunceda ukugcina nokulungisa izihlunu kunye namalungu. Nangona kunjalo, xa umzimba usebenzisa iprotein, uvelisa inkunkuma efuna ukususwa zizintso. Ukuba usebenzisa iprotheni eninzi, izintso zakho kufuneka zisebenze ixesha elongezelelekileyo. Ukulandela izikhokelo zokunciphisa ukutya kwakho kwe-phosphorus kuya kuba nesibonelelo esongeziweyo sokulawula iiproteni.
Ukukhetha ukutya kwenza umahluko ekuncedeni ukucothisa ukuqhubela phambili kwe-CKD. Ukwenza utshintsho olulula lokutya kunokuhamba indlela ende yokugcina izintso zakho zisempilweni.
Ukufumana ulwazi olongezelelweyo ngeCKD, ndwendwela Inkqubo Yemfundo Yesifo Sezintso Kuzwelonke okanye Isiseko seNtso seSizwe .
Ugqirha Samadi yibhodi eqinisekisiweyo ye-urologic oncologist eqeqeshwe kutyando oluvulekileyo nolwesintu kunye ne-laparoscopic kwaye yingcali yotyando lwe-robotic prostate. Usihlalo we-urology, inkosi yoqhaqho lweerobhothi kwisibhedlele iLenox Hill. Ungumnikeli kwezonyango kwiQela leendaba lezonyango leFox News. Landela uGqirha Samadi Twitter , I-Instagram , IPintrest , SamadiMD.com , davidsamadiwiki , davidsamadibio kwaye Facebook
