Abinci don gazawar koda > Abincin don ciwon sukari

Rashin ƙarfi a cikin fahimtar likitocin babban cikas ne na syndromes nephrotic wanda ke haifar da lalacewa a cikin aikin tantance kwayoyin halitta da tara gubobi a cikin jini. Bayyanar cututtuka na yanayin cututtukan cuta yawanci ba shi da wahala, yana buƙatar ɗakunan bincike masu mahimmanci da kuma nazarin kayan aiki.

Dangane da bayanan nazarin da tarihin likitan haƙuri, an tattara magani. Wani muhimmin al'amari na ilimin likita shine bin wani abinci na musamman. Abinci mai kyau tare da ƙarancin ƙarfin aiki shine tushen tsinkayar da tsammanin rayuwa da lafiyar marasa lafiya.

Janar halaye na cutar

Rashin gajiya shine haɗuwa da dalilai marasa kyau waɗanda ke rage aikin ƙwayar renal. Baya ga babban aikin, akwai wasu:

cire abubuwa masu guba daga jiki,
tsarin karfin jini (a cikin abbr. saukar karfin jini),
samar da wani nau'in hormonal, musamman renin, wanda ke taka rawa sosai wurin tsara karfin hawan jini,
iko kan electrolyte abun da ke ciki na jini,
samar da erythropoietin - wani abu ne da yake samar da sel masu launin ja.

Tare da cutar nephrotic syndrome, damar da kodan ta samar da fitsari ke karuwa sosai. A kan tushen abin da ya faru, ruwa-gishiri, ma'aunin acid-base, hawan jini ke sannu a hankali. A cikin yanayin cutar sanadiyyar cutar ta yau da kullun, duk ayyukan suna tabarbarewa ba tare da jujjuya komai ba.

Kwararrun sun bambanta manyan nau'ikan cututtukan cuta guda biyu: m da na kullum. Tare da matsanancin yanayin mai sauƙi, canje-canje a cikin nephrons na iya zama juyawa, yayin da matsanancin matakai na iya haifar da haɓaka gaɓoɓin ƙwayoyin cuta da yawa da mutuwar marasa lafiya saboda ƙarancin maye.

Tsarin na yau da kullun yana halin jinkirin hana aiki na aikin koda. Yana tare da lalacewar koda na kullum ana buƙatar abinci mai ɗorewa da horo game da abinci.

Sanadin faruwa

Sanadin nephropathy a matakai daban-daban na hanya suna da yawa, sun bambanta a cikin hanyar. Pathology na iya faruwa a cikin mata da maza, da kuma a cikin yara na kowane zamani, ba tare da la'akari da jinsi ba.

M na koda gazawar

Ciwon mara na wucin gadi

Tsarin ilimin cuta	Abubuwan da ake tsinkaya
cututtukan zuciya da na jijiyoyin bugun jini (wahalar da kullun rashin cin nasara na koda), rashin ruwa (amai da gudawa zazzabin ciwan fata, ƙona mai yawa na fata, yawan yawaitar madaukai), mai tsanani mai guba da guba, cirrhosis na hanta, hepatitis tare da halayyar keta hawayen jini, mai guba mai guba ta guba, magunguna, karafa mai nauyi, namomin kaza, gout ruwa mai jituwa yayin watsawa, lahani ga jijiyoyin jini a cikin kodan, rauni ga koda guda ɗaya mai aiki (tare da koda ɗaya ɗaya saboda cirewa), rauni mai rauni ga ureter yayin tiyata, dutsen koda da ureters, cutar da kodan, toshe thrombus ko mugunya na koda nama yana canzawa a cikin hanjin prostate.
cututtuka na kullum na tsarin koda: pyelonephritis, nephritis, glomerulonephritis, systemic cututtukan rheumatic: lupus erythematosus, basur vasculitis, scleroderma, hauhawar jini (a matsayin ƙasa mai cin gashin kanta), cuta mai raunin jiki (gouty arthritis, amyloidosis, ciwon sukari mellitus), urolithiasis, polycystosis, multicystosis, ciwace-ciwacen daji, hydronephrosis na kodan.

Ana nuna ARF ta hanya mai santsi tare da tabarbarewa a cikin lalata, ayyukan motsa jiki da kuma ayyukan ƙodan.

Rashin daidaituwa na sashin jiki na iya taimakawa ci gaban PN.Asingara da yawa, irin waɗannan yanayi ana yin rikodin akan allo yayin daukar ciki.

Hanyar hanya ta nephropathy yana haifar da hadaddun ƙwayar cuta. Mai raunin rashin girman rashin aiki koda kuma gazawar na koda ana rarrabe ne daidai da tsananin matsalar asibiti da kuma cutar da jijiyoyin cutar.

Kwayar cutar ARF

Bayyanar cututtukan cututtukan ƙwayar cuta mai aiki sun dogara da matakin cutar. Likitocin sun bambanta manyan digiri na 4 na haɓakar rashin lafiyar ƙirar ƙasa:

Matsayi	Alamar Stage
Mataki na farko	bayyanannun bayyanar cututtuka ba ya nan, amma canje-canje a cikin ƙwayar ƙwayar koda ya riga ya fara
Oliguric mataki (rage yawan fitsari yau da kullun)	malalata na gaba ɗaya, rage ci, tashin zuciya a cikin maye tare da amai, ƙarancin yawan numfashi, rashin ƙarfi a cikin jijiyoyin wuya, arrhythmia, tachycardia.
Matsayi na polyuric ko lokacin dawowa	Halin mai haƙuri ya zama mafi kyau, ƙarar diuresis yau da kullun yana ƙaruwa kaɗan.

Don gazawar ƙayyadadden asali, juyawa da yiwuwar sake maido da ƙwayar koda koda halayya ce. Koyaya, wannan zai yiwu ne kawai idan aikin ɗan adam yayi rauni sosai. Tare da mummunan rauni na nephrons, ƙarancin ƙwayar ƙwayar cuta na haɓakawa yana faruwa a cikin tsari na yau da kullun tare da hali don yin ɓarna lokaci-lokaci.

Clinical bayyananniyar na kullum na koda gazawar

Hakanan ana rarraba CRF zuwa matakai daban-daban na ci gaba, dangane da hauhawar hankali a creatinine, urea, daidaitawar ruwa-electrolyte, canji a cikin yawan fitsari da furotin protein - bayyanar sunadarin a cikin fitsari. Dangane da tsarin bincike, akwai:

Zero ko matakin farko

Matsayi	Alamar Stage
Babban gajiya, ƙishirwar kullun da bushewar ƙwayar. Gwajin gwaji na kwayoyin halittar yana nuna dan karamin keta abubuwan lantarki a cikin jini, kuma an samu wani karamin sinadari a cikin fitsari (protein na latur).
Polyuria da haɓakawa na fitowar fitsari yau da kullun zuwa lita 2-2.5, canji a cikin jini da raguwa a yawan fitsari, fitar da abin mamaki a cikin mafitsara. Cututtukan ƙwayar cuta marasa iyawa na daɗewa.
Matakin ci gaban lalacewa na koda ana saninsa ne ta hanyar karuwar lokaci da kuma bayyanuwar bayyanar cututtuka A cikin jini, creatinine, urea, metabolism metabolism ya hau. Marasa lafiya galibi suna cikin damuwa game da tashin zuciya, amai, amalan fata. A ƙarshen bango na tsaka-tsakin yanayi, rawar jiki na ƙarshen hancin, jin zafi a cikin jijiyar tsoka yana faruwa.
Rashin nutsuwa na tabin-hankali, tashin hankali na baccin dare, harin rashin daidaito, azotemia - maye tare da ƙwayoyin nitrogenous. Fatar ta yi launin toka, fuska ta kasance edematous, galibi da safe. Sau da yawa, itching a kan fata na jiki (ciki, makamai, baya) yana da damuwa, gashi yana fadowa. Mucous membranes na bakin sun bushe, harshe yana lullube da plaque.

Mai haƙuri na iya jin gamsarwa har zuwa shekaru da yawa. Hadarin na ƙarshe na ƙarshe na lalacewa na koda shine ƙari daga rikice-rikice daga zuciya, tasoshin jini, hanta. M maye na jikin mutum yana kara dagula yanayin.

Babban fasalin CRF a cikin yara da manya shine tsawon lokacin biyan diyya. A cikin yara, wannan lokacin zai iya kai shekaru 8-12 tare da tsarin kariya da abinci mai dacewa, wanda saboda ingantaccen albarkatun kiwon lafiya da matasa na kyallen takarda.

Muna ba ku kallon shirin "Ku zauna lafiya", a cikin abin da zaku koya game da abubuwan da ke haifar da alamomin rashin nasara na koda.

Menene cin abincin koda?

An zaɓi nau'in abincin abinci na likita ga marasa lafiya daidai da hoton asibiti. Abin takaici, rage cin abinci na duniya ga duk marasa lafiya da ke fama da cutar koda. Akwai wasu manyan sanannun abincin da aka tsara dangane da tarihin lafiyar mai haƙuri.

Teburin likita A'a. 6

Tebur A'a 6 bisa ga Pevzner an nada shi don daidaita ayyukan tafiyar matakai, musayar purines - mahaɗan kwayoyin kwayoyin, tare da rage matakin uric acid da samfuran lalata.Duk waɗannan ayyuka suna haifar da alkinta fitsari da karuwa a cikin ikon fitsari don rushe tsarin lissafi: duwatsu, oxalates, urates.

Tebur 6E

Abincin 6E shine don kula da cututtukan ƙwaƙwalwar ƙwayoyi masu haɗari da ke tattare da kiba ko cututtukan cututtukan fata. Abincin abinci mai gina jiki yana nunawa ta hanyar rage yawan kalori, kuma tsarin yau da kullun ya kai 2000 Kcal. Lokacin tattara menu, ana yin la'akari da izinin izinin yau da kullun na furotin - 60-70 g, fats - 75-80 g da carbohydrates - 230-250 g.

Lambar tebur 7

Tsarin teburin magani 7 an yi niyya don rage kumburi da rage karfin hauhawar jini. Abubuwan sunadarai suna taimakawa wajen cire nitrogen mai saura a jiki, rage alamun maye na maye.

A zuciyar abincin shine raguwa a cikin furotin na yau da kullun yayin da yake riƙe da dabi'un ɗabi'a na fats da carbohydrates. Abun caloric na yau da kullun bai wuce 2800 Kcal ba. Duk abincin da aka dafa bai kamata a salwantar da shi ba. Akwai nau'ikan abinci:

Tebur 7a. An wajabta teburin magani don cututtukan m mai kumburi da kodan. Babban ƙa'idar ita ce abinci mai kyau yayin rashin gishiri da ƙarancin furotin zuwa g 20. Ruwan sha yana dacewa da diuresis na yau da kullun.
Tebur 7b. Ka'idodin furotin na yau da kullun na wannan abincin yana ƙaruwa zuwa 40 g kowace rana, kuma yawan adadin mai shan giya ya zauna cikin kewayon lita na 1-1.3.
Tebur 7c. An wajabta abinci mai gina jiki don cututtukan nephrotic tare da kumburi, proteinuria. Tsarin furotin na yau da kullun ya kai 130 g don sake maye gurbin kayan da aka rasa a cikin fitsari. Tare da haɓakar furotin, gishiri da ruwa suna iyakance zuwa lita 0.7.
Tebur 7g. An wajabta wa marasa lafiya akan hemodialysis ko a cikin matakin ƙarancin ƙarancin renal. Tushen ya dogara ne da ƙuntatawa na furotin zuwa 60 g, 2-2.5 g na gishiri da 0.8 l na ruwa kowace rana.

Kyakkyawan layi tsakanin adadin furotin na yau da kullun, mai da carbohydrates yana buƙatar kulawa ta likita. Shirye-shiryen menu shine mafi kyau amintaccen ga likitan nephrologist ko masanin abinci mai gina jiki don guje wa rikice-rikice na cuta.

Tebur №14 tare da urolithiasis

Urolithiasis shine sananniyar hanyar sanadin nephropathy, don haka abinci mai dacewa yana nufin rage duwatsu kuma ya zama dole don cire duwatsu.

Abubuwan da ke cikin abinci ya kamata su fitar da fitsari a hanzarta fitar da sinadarin calcium-phosphorus da kuma hana haɓakar ƙwayoyin nitrogen.

Abincin-gishiri

Satellites na yau da kullun na nephropathy na asali daban-daban sune edema na ciki da na waje, babba da matsi mai tsauri. Wannan shine dalilin da ya sa ake shawarar hana gishirin abinci da bin tsarin lafiya.

Ban da ƙarin sodium, ƙarin marasa lafiya ya kamata tuna cewa mafi ƙarancin gishiri ana samun su a duk samfurori, musamman kifin ruwan teku da abincin teku, abincin shuka.

Wajibi ne a soke gishirin a hankali kuma bayan makonni 2 gaba daya cire amfani da abinci. Kiyaye ka'idodin abinci mai ƙoshin gishiri, ya isa a tuna da waɗannan abubuwan:

Ku ci abincin da aka dafa kansa kawai,
Dole ne a sanya mai gwal ɗin gishiri a kan tebur domin iyalai su iya ƙara gishiri bayan an dafa abinci,
don inganta dandano, zaku iya ƙara barkono, tumatir da sauran kayan ƙanshi marasa gishiri.

Kayan abinci na zamani da dafa abinci na iya inganta ɗanɗano abincin abinci, don haka marassa lafiya ba sa fuskantar rashin jin daɗi yayin sauƙin ƙwararren masani zuwa abinci mai warkewa. Usualarfin nama na "asibiti" da aka saba da shi na bayyanar da ba ta da kyau sun daɗe a baya.

Abincin gishiri

Wani halin asibiti shine rashin sodium ko hyponatremia. Anan, likitocin suna ba da gishiri ko ruwan ma'adinai don daidaita daidaituwar ruwa-mai wari a jiki.

Koyaya, lokacin da ake tsara abin da ake amfani da gishirin, yakamata mutum ya bi wasu ka'idodi masu zuwa:

gwargwadon ƙarfin yau da kullun game da gishirin tebur bisa ga bincike na electrolytes,
salting kawai tattalin abinci kafin cin,
daidaituwar rarraba gishirin yau da kullun.

Bugu da ƙari, ana iya gabatar da ruwa mai ma'adinai ba tare da gas ba, amma ba fiye da lita 0.5 a kowace rana ba, idan dai an gaurayen abincin. Ana kiyaye abincin gishiri har sai an daidaita sodium cikin jini bisa al'ada.

Abincin Apple

An wajabta abincin mai apple don cutar koda, wanda ke haɗuwa da kiba, raguwar jini a cikin tsarin koda, cututtukan hanta da hanta biliary. Har zuwa kilogiram 1.5 na cikakke ko apples mai gasa ana buƙatar cinye shi kowace rana.

Bugu da ƙari, ana iya ƙara 50 ml na apple cider vinegar a cikin abin sha. Ana lura da abincin a cikin darussan kwanaki 7-10 tare da hutu na kwanaki da yawa.

Abincin abinci mai kariya

Abincin furotin mai mahimmanci yana da mahimmanci don maye daga uremia - jinkiri mai mahimmanci a cikin abubuwan da ke cikin nitrogenous a cikin jiki, musamman idan yanayin hemodialysis ba zai yiwu ba. Tushen abincin shine iyakance furotin zuwa 25 g a rana, tare da karuwa mai yawa da carbohydrates.

Za'a iya maye gurbin bangaren furotin tare da furotin soya. Jimlar adadin kuzari na menu bai wuce 2700 Kcal kowace rana ba. Duk abinci ana dafa shi ba tare da gishiri ba.

Kabeji da Abincin Dankali

Musamman tasiri shine abincin kabeji-dankalin turawa don oxaluria - excretion na oxalic acid a cikin fitsari. Lokacin cin abinci na likita, kawai kabeji da dankali ake cinyewa, saboda haka hanya tare da abinci ba ta wuce kwanaki 7-10. Ana ba da shawarar irin wannan abinci mai gina jiki ga duban dan tayi a matsayin shiri.

Abincin abinci na Oat

Abincin ƙamshi ba kawai yana da amfani ga ƙwayar koda ba, har ma yana ba da gudummawa ga warkar da dukkanin kwayoyin. An bada shawarar cin oatmeal Boat da shan madara oat a hade tare da sauran kayan abinci a rana. Oats na iya kawar da acidosis kamar amfani da kwayoyi masu narkewa.

Sha oatmeal a kan komai a ciki na dogon lokaci don rage haɗarin duwatsu da yashi a cikin tsarin ƙwayar cuta.

Abincin kankana

Watermelons ba ku damar cire gubobi daga kodan, dakatar da mutuwar ƙwayoyin nephrons. Kyakkyawan tsarin abinci a farkon matakin PN yayin kiyaye aikin renal, ba tare da kumburi ba. Abincin yana da amfani sama da kwanaki 5-7, bayan wannan yana da mahimmanci don hutu. Watermelons ya kamata ya kasance cikakke, mai inganci, ba tare da tuhuma game da "abinci" ba. Ba a yarda da irin wannan abincin ba tare da gajiyawar zuciya da mummunan rauni na kodan.

Tebur Giordano - Giovanetti

Matsakaicin adadin kuzari na abinci shine 2300-2600 Kcal a kowace rana saboda karuwar carbohydrates zuwa 380 g, kuma fats zuwa 130 g. An rage furotin a cikin mafi ƙarancin abinci na yau da kullum na g 50 g. Yawan sha na yau da kullun shine g 5 g. Idan babu edema, ƙwayar yau da kullun tayi daidai da diuresis. An wajabta shi don izinin urea ƙasa da 0.05 ml / min.

Sai kawai tsawaitawa da kuma isasshen amfani da abincin warkewa zai iya samun sakamako mai dorewa yayin da ya shafi cutar da ke haifar da ci gaba da lalacewa ta koda ko kuma gazawar ƙarancin su. Tare da raunin ƙwayar cuta na koda, yawanci yakan zama mai tsawon rai.

Shin abincin furotin na koda yana da cutarwa?

Abincin ɗan adam mai lafiya yakamata ya ƙunshi cikakken furotin da aka samo a cikin ƙwayayen kaza, kifi, nama, abincin teku da jan caviar. Ko yaya, cin abinci mai gina jiki mai yawa ko kuma yin amfani da dabi'arsa ta hanyar tsarin maye a cikin lalacewa yana haifar da mummunan sakamako.

Idan kodan lafiya suna iya fitar da kayan abinci mai narkewa, to idan akwai matsala na aikin koda, wannan tsari yana faruwa a hankali sosai ko kuma baya faruwa kwata-kwata. A wannan yanayin, tara yawan gubobi a cikin jini yana faruwa, wanda ke haifar da mummunan rauni ga ayyukan sauran gabobin da tsarin.

Idan akwai haɓakar ƙwayar furotin a cikin abinci, yana da mahimmanci don rage yawan carbohydrates da fats ɗin da aka cinye. Duk wani abinci don asarar nauyi saboda furotin yana da mahimmanci don daidaitawa tare da ƙwararrun masana don ware haɓakar ci gaba.

Abincin da ke da wadataccen potassium yana da ka'idoji guda lokacin da mahimmanci don iyakance duk abincin da ke dauke da potassium, amma a matsakaici don hana ci gaban hypokalemia. Duk wani abincin da ake amfani da shi yana da lahani ga kodan a gaban cututtuka na tsarin narkewa.

Dokokin abinci mai gina jiki

Babban aikin abinci mai gina jiki shine hana mutuwar ƙwayoyin ƙwayar ƙwayar koda - nephrons. Hanya guda daya wacce za'a kirkira daidaiton daidaituwa tsakanin gamsar da jiki tare da abubuwa masu amfani da kuma kiyaye aikin yara shine bin wani abinci mai karancin furotin da iyakance gishirin, wanda ya hada da abubuwanda suka kirkiro. Ana ɗaukar halaye masu zuwa da mahimmanci:

raguwa a hankali a cikin furotin na yau da kullum zuwa 20-80 g (ƙarar yana ƙaddara ta mataki na tsarin ilimin cuta),
haɓaka adadin kuzari ya kamata a aiwatar da shi ta hanyar haɓaka mai da yawan kima a kullum,
M hada a cikin abinci na sabo ne 'ya'yan itãcen marmari, tushen amfanin gona da sauran kayan lambu, amma la'akari da tsarin furotin,
dafa abinci ta hanyar dafa abinci, tuki, hurawa.

Ya kamata a zaɓi adadin ruwan da ake amfani dashi yau da kullun dangane da yanayin janar da tarihin asibiti. Tare da rikicewar zuciya, kumburi da sauran rikitarwa, tsarin shayarwa yakamata ya iyakance zuwa 0.9-1 na ruwa. Hakanan, ya kamata ku ci ƙananan abinci sau 4-6 a rana.

Likitocin sun ba da shawarar lura da daidaito a cikin hanyoyin likita, ajiye litattafan abinci mai gina jiki da yin rikodin rikodin abinci a hankali. Tabbas, ba duk marasa lafiya ba ne suke iya lura da irin wannan ruɗani da horo, duk da haka, nazarin asibiti ya nuna karuwa a cikin tsawon lokacin da ingancin rayuwar marasa lafiya tare da gazawar koda da bayyananne horo.

Baya ga manyan hane-hane, ana cire potassium daga abincin (wasu 'ya'yan itaciyar abinci mai ban sha'awa: avocado, mango, banana). Wuce hadarin potassium yana hana aikin tasirin keɓaɓɓu, yana hana sakamako ga abincin kuma yana haɓaka daidaituwar lantarki.

Manuniya da contraindications wa abinci

Babban nuni ga ladabtarwar abinci a gazawar koda shine tabbacin cutar kansa. An nuna abinci mai kyau don tsabtace kodan. Abubuwan kula da kayan abinci na asibiti ya tilasta wa marasa lafiya damar canza abincinsu na yau da kullun don kiyaye ingancin rayuwa da rayuwa.

Takamaiman shawarwari sun tashi tare da cututtukan haɗin gwiwa a kan asalin rashin, tare da rikitarwa na asibiti ko tarihin rayuwa. Daga cikin abubuwan da suke haifar da abinci mai gina jiki musamman an rarrabe su:

yara 'yan shekaru 3,
ciki da lactation a cikin mata,
mai zafi dystrophy,
tsananin rauni na zuciya
yanayin mummunan yanayin.

Kafin tsara abin da ake ci, yana da muhimmanci a yi la’akari da ƙididdigar asibiti da yawa, don haka ba za a yarda a yanke hukuncin cin gashin kai ba. Don matakan 1 da na 2 na lalacewa na koda, canje-canje sun kasance ƙananan, ana iya gabatar da su ba tare da lahani ga lafiyar tsarin ƙwayar cuta ba, amma a cikin matakan ƙirar abinci ya haɗa da ƙarin ƙuntatawa masu tsauri.

Abincin abinci a cikin yara ƙanana da akasarin gazawar haɓaka ba wai kawai ba zai iya tasiri ba, amma yana da lahani. Yara suna buƙatar girma, haɓaka nauyin jiki, don haka abincin yakamata ya cika, cike da sunadarai. Iyakar abin da ƙuntatawa ke amfani da yara shine shan ruwa a gaban edema.

Tare da digiri na 1, 2, 3, 4 na gazawar renal

Kwararrun suna ba da fasalin abinci mai gina jiki a matakai na 1-3 kuma a cikin matakai na PN.

Matakan Tsaro (IV-V)

A kan tushen hanawa ayyukan ayyukan renal, ana ba da shawarar cewa yawan furotin na yau da kullun ya karu zuwa 120 g tare da ƙuntatawa na gishiri a lokaci guda, sukari (ciki har da samfuran da ke dauke da sukari), ruwa mai zuwa 0.7-0.9 lita a rana, wanda ya dace da teburin No. 7c. Tare da gazawar koda na koda tare da buƙatar hemodialysis. Abincin abinci na yau da kullun akan menu na abinci 7g.

A cikin mataki na ƙarshe na PN, ana bada shawarar abun ciki na yau da kullun na 60-70 g tare da ƙuntatawa na lokaci guda na potassium, samfuran kifi da abincin teku (saboda abubuwan da ke cikin phosphorus), kowane nama da ƙwai. Jimlar yawan ruwa shine lita 0.6-0.7.

Babu bambance-bambance na musamman a cikin matakan 1, 2, 3, banda banbanci a cikin furotin yau da kullun a cikin jikin mutum. A ƙarshen mataki, abincin PN yana haɗuwa da juna bisa ga bincike. Marasa lafiya suna ɗaukar gwajin jini akai-akai don ma'aunin lantarki. Ana sarrafa sodium, magnesium, potassium, alli, chlorine.

Tare da tsawaitawa game da abinci mai gina jiki da isasshen maganin cututtukan cuta, yana yiwuwa a rage girman lalacewa ta rashin aiki, don kula da tsayayyen matakin I-III na lalatawar jikin mutum na dogon lokaci.

A cikin cututtukan ƙwaƙwalwar ƙwayar cuta, abincin tebur shine menu Na 7 ko 7c tare da amfani da madadin su. Matsakaicin adadin furotin na yau da kullun a cikin lalacewa na koda na ɗan adam ya bambanta daga 50 zuwa 70 g, gishiri yana iyakance zuwa 4 4. Babban shawarwari ga mai haƙuri ya dace da creatinine, urea, da electrolytes a cikin jini.

A cikin rashin aiki na koda

Manufar abinci mai gina jiki a cikin rashin lalacewa na ƙarancin ɗan adam shine rage kaya a kan ƙwayoyin koda, haɓaka tafiyar matakai na rayuwa, kawar da puffiness (gami da ciki), da kuma daidaita ƙarfi. A kowane mataki na PN, an rage yawan mai da mai a jiki, kuma sodium da abubuwan gina jiki suna da karancin iyaka. A matakin oliguric, tsarin furotin na yau da kullun shine kawai g 20. Jimlar adadin caloric bai wuce 2300 Kcal ba.

A cikin mawuyacin hali, ana ba da shawarar mai haƙuri don iyakance furotin zuwa 20 g, carbohydrates zuwa 450-500 g, da taya zuwa gilashin 1-2 a rana. Matsakaicin adadin ƙaƙƙarfan hani yana ɗaukar kimanin makonni 1-2 har sai yanayin haƙuri ya daidaita. A lokaci mai tsawo, bukatun abinci mai ƙarfi yana rauni.

Babban ka'ida a cikin abinci mai gina jiki tare da gazawar haɓaka mai mahimmanci yana da mahimmanci don iyakance furotin tare da kiyaye abinci mai kalori mai yawa. Wannan ya zama dole don hana lalata lalatattun kayan jikin mutum da hana nauyi mai ƙarfi a kan tsarin keɓaɓɓun.

Dalilin abincin, da kuma gyaranta lokaci-lokaci, shine mahimmancin likitan halartar. An gina tsarin abinci mai gina jiki ne akan gwaje-gwajen jini, gwajin fitsari, tarihin asibiti da cututtuka masu alaƙa. Abincin gabaɗaya ya dogara da waɗannan abincin:

Kayan kaji, naman akuya,
kayayyakin kiwo da ƙwai (ba fiye da 50-100 g kowace rana),
kayan lambu da nama mai rauni broths da miya bisa ga su,
nunannun 'ya'yan itatuwa, kayan marmari, berries,
Sweets: zuma, alewa, marshmallows,
sha: a decoction na rosehip berries, lingonberry ko ruwan 'ya'yan itace cranberry, shayi mai rauni kore, shayi mai baƙar fata tare da madara, ruwa,' ya'yan itacen bushe compote.

Ana aiwatar da dafa abinci ta hanyar dafa abinci, sata, yin burodi. Daga cikin janar na samfuran da aka haramta na kowane cuta na koda, samfuran da ke gaba an rarrabe su:

m nama da kifi broths,
hadaddun jita-jita na nama da kifi sake sarrafawa,
adanawa, abubuwan tarawa, marinade, adana, ƙona naman,
kayan lambu mai ɗaci: radish, turnip, tafarnuwa, radish,
mai kauri, daskararre, cheran cheeses na masara (samfurin an rage shi sosai a amfani),
irin kek, irin kek
namomin kaza
legumes
kwayoyi, bushe apricots, prunes, ayaba, inabi,
kankana da kankana da tsananin zafin rai, tsananin bugun zuciya,
Sweets: cakulan, cream, ice cream,
kofi mai karfi, shayi.

Daga abubuwan sha yana da mahimmanci don ware syrups mai dadi, ruwa mai ma'adinin sodium, abubuwan sha da ke tare da ƙari na dyes ko kayan zaki. A cikin gazawar koda, kada ku sha koko, ruwan sha mai narkewa da giya. Ba za ku iya shan barasa ba a kowane allurai, har ma da ingancin jan giya mai ingancin gaske.

GI a cikin maganin rage cin abinci don cutar koda

Abincin gishiri

gwargwadon ƙarfin yau da kullun game da gishirin tebur bisa ga bincike na electrolytes,
salting kawai tattalin abinci kafin cin,
daidaituwar rarraba gishirin yau da kullun.

Bugu da ƙari, ana iya ƙara 50 ml na apple cider vinegar a cikin abin sha. Ana lura da abincin a cikin darussan kwanaki 7-10 tare da hutu na kwanaki da yawa.

Abincin abinci mai kariya

Za'a iya maye gurbin bangaren furotin tare da furotin soya. Jimlar adadin kuzari na menu bai wuce 2700 Kcal kowace rana ba. Duk abinci ana dafa shi ba tare da gishiri ba.

Abincin ƙamshi ba kawai yana da amfani ga ƙwayar koda ba, har ma yana ba da gudummawa ga warkar da dukkanin kwayoyin. An bada shawarar cin oatmeal Boat da shan madara oat a hade tare da sauran kayan abinci a rana. Oats na iya kawar da acidosis kamar amfani da kwayoyi masu narkewa.

Sha oatmeal a kan komai a ciki na dogon lokaci don rage haɗarin duwatsu da yashi a cikin tsarin ƙwayar cuta.

Abincin kankana

Watermelons ya kamata ya kasance cikakke, mai inganci, ba tare da tuhuma game da "abinci" ba. Ba a yarda da irin wannan abincin ba tare da gajiyawar zuciya da mummunan rauni na kodan.

Tebur Giordano - Giovanetti

Shin abincin furotin na koda yana da cutarwa?

Abincin ɗan adam mai lafiya yakamata ya ƙunshi cikakken furotin da aka samo a cikin ƙwayayen kaza, kifi, nama, abincin teku da jan caviar. Ko yaya, cin abinci mai gina jiki mai yawa ko kuma yin amfani da dabi'arsa ta hanyar tsarin maye a cikin lalacewa yana haifar da mummunan sakamako.

Cutar sankara da kanta tana wajabta wa mutum duk tsawon rayuwarsa ya bi tsarin maganin abinci dangane da zaɓin samfuran GI. Wannan mai nuna alama a cikin darajar dijital yana nuna tasirin samfurin abinci a kan matakan glucose jini bayan amfaninsa.

A nau'in na biyu na ciwon sukari, abincin yana aiki a matsayin babban magani, kuma a cikin nau'in insulin-dogara, magani ne mai gamsarwa wanda ya cika aikin insulin.

GI ya kasu kashi biyu:

0 - BATSA 50 - low nuna alama,
50 - 69 LATSA - matsakaita,
Unitsungiyoyi 70 kuma a sama babban alama ne.

Lokacin da mutum yana da sukari mai yawa, to, cikakken ƙin abinci tare da babban GI. Babban abincin da aka gina shi ne ta samfuran da ke da ƙananan GI, ana ba da izinin abinci tare da alamu matsakaici a cikin menu kamar banda da yawa sau a mako.

Tare da rage cin abinci mara kyau, lokacin da mai haƙuri ya ci carbohydrates mai sauri-narkewa, ba wai kawai ana iya ƙara yawan sukari jini ba, har ma tasoshin jini na iya zama ruɓewa, tunda irin wannan abincin yana ƙunshe da mummunan cholesterol.

Yawan abinci 9 - menene?

Tana da lokaci 4: farko, rage fitowar fitsari, maidowa, murmurewa. Yawan rage fitsari a cikin mafi yawan wahala, yana wucewa har zuwa kwanaki 20 sannan kuma ana nuna shi ta hanyar lalacewar nitrogenous a cikin jini, gurbataccen ruwa da ma'adinan ma'adinai, abin da ke faruwa na edema da haɓakar acidosis.

Marasa lafiya da raunin koda koda na ƙin iya cin abinci saboda suna damuwa da tashin zuciya da amai. Yunwar na tsananta yanayin, yayin da ake hanzarin lalacewar furotin, kuma hargitsi na rayuwa yana ƙaruwa.

Hadarin cututtukan ƙwayar cuta mai narkewar ƙwayar cuta a cikin manya tare da sakamako a cikin gazawar ƙarancin ƙwaƙwalwar ƙwayar cuta ya ninka sau 10 fiye da yara. Pyelonephritis shine na uku a cikin abubuwan sanadin lalacewa na koda.

Cutar cutar sankara ana yawan fama da cutar koda kuma shine farkon rikicewar rashin koda na koda. Ana lura da mafi yawan lokuta tare da raguwa game da keɓaɓɓiyar izini zuwa 40-60 ml / min (a mataki na III).

Halin waɗannan marasa lafiya yana da tsanani, ana tilasta su koyaushe don kulawa da su sosai kuma suna saka idanu sosai a kan abincinsu. Bari mu bincika abincin da aka sanya wa cututtukan koda tare da gazawar koda. Babban teburin magani shi ne Abincin 7 ko bambance-bambancensa Ba No. 7A da No. 7B.

A cikin rashin cin nasara na yara, babban tebur shine Table No. 7A, wanda ya tanadi don:

Proteinuntataccen ƙuntataccen furotin (20 g). Wannan adadin mai haƙuri yana karɓar madara, abubuwan sha, madara, kirim mai tsami da ƙwai. Nama da kifi ba a cire su.
Bayar da buƙatun makamashi ta hanyar amfani da carbohydrates ('ya'yan itãcen marmari, berries, kayan lambu, sukari, sago, shinkafa, zuma) da fats (man shanu da kayan lambu).
Gabatarwar 0.4-0.5 l na ruwa (ruwa ba tare da gas ba, shayi mai rauni, ruwan lemon tsami, kefir) da ƙuntataccen gishiri a ƙarshen diuresis. Yayin dawowarsa, yawan fitsari na iya zama lita 2 a kowace rana, saboda haka, yana bada shawarar yawan shan ƙwayar ruwa. Rashin wadataccen ruwa ko kuma wuce kima ya wuce gona da iri.
Iyakance samfuran da ke ɗauke da potassium da magnesium, kuma a gaban anuria - ƙari da sodium.
Yayinda kake murmurewa, gabatarwar hankali game da gishiri, furotin - da farko har zuwa 40 g (Table No. 7B), sannan kuma ga al'ada. Bayan wannan tebur, an tura mai haƙuri zuwa Diet No. 7 na dogon lokaci (har zuwa shekara guda). Don ƙarancin lalacewa na ƙarancin abinci, ana bada shawarar nan da nan tebur 7, amma tare da hana potassium.

Gasa dafaffen nama

Daban-daban digiri na hana furotin (wannan ya dogara da tsananin CRF). An fi son su kamar yadda yafi sauƙi a ciki sune furotin madara da furotin kwai. Sunadaran tsire-tsire basu da ƙimar abinci mai mahimmanci.
Lokacin dafa abinci, ana dafa nama da kifi da farko, sannan a stewed ko a gasa. Wannan dabarar tana rage adadin abubuwan cirewa.
Taƙaita yawan amfani da sinadarin phosphorus (madara, bran, cuku, granola, burodin hatsi gaba ɗaya, ƙwai, lemo, ƙyallen gida, hatsi, koko) da potassium (ƙuntata dankali, zobo, ayaba, ruwan 'ya'yan itace, kifin teku, nama, ware curry, tsaba, sesame).
Isasshen ci na alluran (kayan kiwo, qwai, kayan lambu). Hanya mafi kyau ita ce ɗaukar baƙin ƙarfe wanda ke cikin ƙwayar baƙin ƙarfe, wanda ke da kyau kuma yana ɗaure phosphorus a cikin hanjin. Ana lissafta kashi na yau da kullun na miyagun ƙwayoyi daban-daban.
Ofarin ƙari na samfuran keto na mahimmancin amino acid da kuma histidine. Amfani da su yana ba ka damar ƙuntata furotin.
Bayar da isasshen makamashi saboda yawan kitse (polyunsaturated fat acids) da carbohydrates, wanda ke inganta shan furotin kuma yana rage fashewar sa a jiki. Tare da rashin adadin kuzari, sunadarai suna cikin metabolism kuma matakin urea ya tashi. Wajibi ne a hada samfuran makamashi mai tsami (kirim mai tsami, zuma) a cikin abincin, amma a yi amfani da su da safe. A wannan yanayin, kada a ɗora abincin a cikin mai mai cike da ƙiba da yawan ɗimbin carbohydrates mai sauƙi.
Yin la'akari da yanayin aikin hutawa da ingantaccen gabatarwar ruwa da gishiri. Iyakancewarsu a gaban edema da hawan jini. An shirya abinci ba tare da gishiri ba, amma an ƙaddara adadin adadin (wannan ya dogara da tsananin cutar da tsananin matsalar rashin cin abinci na koda). Ana lissafta adadin yawan ruwan da akayi ne daban-daban da yawan fitsarin da aka fitar a ranar da ta gabata.
Ban da samfuran samfuran mai mai mai mahimmanci (seleri, dill fresh, faski, basil, tafarnuwa da albasarta).
Iyakancewar abinci da ke ɗauke da potassium (drieda fruitsan itaciya, kayan lambu da 'ya'yan itatuwa), kamar yadda marasa lafiya da ke fama da rauni na aikin haɓaka ke haɓaka hyperkalemia.
Iyakar abubuwan kiwo, hatsi da taliya.
Shayi mai ƙarfi da kofi, kayan yaji da gishiri, koko, cakulan, cuku, sha giya an cire su.
Hada da abubuwan bitamin da amino acid.
Ban da ci daga ruwan ma'adinin sodium.

Tare da gazawar koda, na amfani da abinci mai kyau, zaku iya rage maye da ci gaban ƙarancin koda, rage alamun bayyanar cututtuka. Ya kamata a tsara rigakafin rage cin abinci a farkon matakin, lokacin da creatinine kawai yake fara wuce iyaka.

Abincin abinci don gazawar ƙwayar ƙwayar ƙwayar cuta ya dogara da ƙarancin lalacewa na koda kuma ya haɗa da adadin furotin wanda bazai haifar da karuwa azotemia ba, kuma a lokaci guda ba zai haifar da rushewar sunadaran kansa ba. Abincin abinci na asibiti yakamata ya samar da buƙatar amino acid tare da ƙarancin furotin, don haka ya hana karancin furotin.

Restricuntata sunadarin furotin a cikin abinci mai gina jiki na iya rage ci gaba da cutar. Rage nauyin furotin yana hana haɓakar hyperfiltration (ɗayan hanyoyin ci gaban ci gaban ƙarancin koda), lokacin da ɓangaren ƙwayar ƙwayar koda ya ɗauka a kan yawan nauyin furotin.

Wannan matsakaicin adadin furotin na iya rage yin la'akari da yanayin mai haƙuri. An ba da shawarar cewa mai haƙuri ya gudanar da kwanakin azumi (har sau 3 a mako) tare da abincin 7B tare da rage yawan abubuwan gina jiki. Ba a buƙatar ƙarin amino acid a wannan lokacin.

Ba a iyakance yawan shan ruwa yayin fitar fitsari na yau da kullun ba, amma ya dace da adadin da aka kasafta a ranar da ta gabata da ƙari 400-500 ml.Idan matsa lamba ba a ɗaga shi ba kuma babu edema, ana shawarar 4-5 g na gishiri a kowace rana. Tare da haɓakar hawan jini, bayyanar edema da nauyin jiki, rage ruwa da haɗarin gishiri.

A cikin lalacewar na koda na koda na digiri na 2, ana buƙatar ƙuntatawa na furotin zuwa 0.5-0.4 g / kg na nauyi (Table No. 7B), da kuma phosphorus. A cikin wannan haɗin, kwai gwaiduwa da kaji, alatu, kwayoyi, legumes an cire, madara yana da iyaka. Naman sa, kifi, shinkafa da dankali ya kamata a dafa shi sau biyu a cikin ruwa mai yawa, yana matso ruwan farko.

Wannan dabarar ta rage phosphates da rabi. Akwai tebur na musamman don lissafa adadin furotin da potassium. An tsara maganin amino acid a cikin hanyar Ketosteril (Allunan 4-8 sau uku a rana). Ts ts ciumts ts gishirin da ke dauke da sinadarin phosphates a cikin hanjin.

Don gazawar ƙirar ƙarancin ɗan aji na 3, ana amfani da Abincin A'a 7A ko No. 7B. Sun ƙunshi 20-25 g ko 40 g na furotin, bi da bi. Wadannan sunadarai sune dabbobi (kayan kiwo, qwai, kifi da nama). Lokaci da aka kashe akan abinci tare da ƙarancin furotin ya dogara da yanayin mai haƙuri, tare da haɓaka Table 7B an yarda, amma a kan banbancinsa lokaci-lokaci (har zuwa sau 3 a mako) suna komawa toan tebur mai ƙarancin furotin 7A.

Adadin gishirin ana iya haɓaka har zuwa 6-8 g ko fiye, amma a ƙarƙashin kulawar hawan jini da fitar fitsari (idan adadinsa ya ragu, to gishirin ba ya ƙaruwa). Abubuwan da ake amfani da su a sama ba su ba da buƙatar haƙuri ga bitamin, baƙin ƙarfe, alli, don haka dole ne a haɗu da abinci mai dacewa tare da magunguna masu dacewa.

Don daidaita daidaituwar metabolism na phosphorus da alli, raguwa a cikin phosphorus a cikin abincin abinci da haɓaka alli yana da mahimmanci, wanda ya shafi lafiyar kodan sosai. An cire Legumes na takin saboda babban sinadarin phosphorus.

Tare da aji na 4, ana tura mai haƙuri zuwa maganin hemodialysis, saboda haka, adadin furotin yana ƙaruwa zuwa 1.0-1.3 g / kg na nauyi, tunda amino acid, bitamin, microelements da oligopeptides sun ɓace a cikin aikin tsarkake jini.

Abincin yakamata ya kasance cikakke gwargwadon iyawa. Energyimar kuzarin abinci yana ƙaruwa, wanda aka samu ta hanyar cinye mafi carbohydrates (450 g) da kitsen (90 g). Bugu da ƙari, an gabatar da amino acid ta hanyar kwayoyi.

Yawan idan aka kwatanta shi da diureis. Idan aikin motsa jiki na kodan ya yi rauni, ana gabatar da ƙuntatawa na ruwa. Abincin gishiri yana iyakance ga 5-7 g, amma yawanci ana lissafta shi daban-daban, la'akari da hauhawar jini da edema.

Marasa lafiya suna da tabarbarewa cikin ci, tashin zuciya, amai, canji na ɗanɗano. Esophagus da ciki suna shafar sau da yawa, saboda haka ya kamata a dafa abinci ko dafaɗɗa, kuma miya (m da m da m), kayan yaji, da kayan lambu masu yaji don inganta dandano.

Rikicin halayyar cutar sankarau shine nephropathy. A wasu ƙasashe, cutar sankarau ta zama sanadi mafi mutu sanadiyar tsofaffi daga rashin aikin koda. Kula da irin wannan marasa lafiya yana da matukar wahala.

Ka'idojin abinci don gazawar koda

Lokacin da aka haɓaka sukari, mai haƙuri yakamata yayi kowane ƙoƙari don rage shi, saboda yana lalata aikin ƙodan ba kawai, har ma da sauran gabobin mahimmanci. Muhimmin mahimmanci wajen tasiri matakan glucose na jini shine tsarin abinci mai gina jiki.

Tsarin menu da aka haɗa daidai ba kawai yana inganta lafiyar mai haƙuri ba, har ma yana kawar da alamun daban-daban na cutar. Yana da mahimmanci ga mara lafiyar da ke fuskantar dialysis don rage cin abincin yau da kullun, wanda bai kamata ya wuce gram 70 ba.

Dafa abinci ya fi kyau kada a rage gishiri, in ya yiwu, a rage yawan amfani da gishiri a mafi ƙaranci. A ranar daya kamata a sha lita na ruwa tsarkakakke.

Ka'idojin ka'idodin abinci:

abinci a cikin kananan rabo 5-6 sau a rana,
ware karfi na teas, kofi daga abinci,
shan ruwa mai matsakaici
yanayin halatta a rana irin na furotin dabbobi baya wuce gram 70,
yau da kullun ci fiye da gram 150 na 'ya'yan itace ko berries,
ware kayan yaji da abinci mai yaji daga abincin,
yi amfani da abinci kawai a cikin zafin rana,
ƙin samfuran da ke ɗauke da adadin ƙwayoyin oxalic acid, potassium da alli - suna ba da ƙarin nauyi a kan aikin kodan,
Abinci na ƙarshe aƙalla fewan awanni kafin lokacin kwanciya.

Bugu da kari, masana ilimin dabbobi suna bada shawarar duk samfuran, ban da 'ya'yan itatuwa, don sha zafin zafi. Ya kamata ku shirya abinci ta hanyoyi masu zuwa:

tafasa
ga ma'aurata
simmer a ruwa ko kuma a ɗan yi amfani da man zaitun,
gasa a cikin tanda.

Lokacin da aka yi dialysis a kan mai haƙuri, likita na iya ɗan daidaita tsarin abincin, ƙayyadadden lokaci, bisa la’akari da hoton asibiti na hanyar cutar.

Kamar yadda aka yi bayani a baya, ana cire abincin da ke haɓakar potassium da alli a cikin abincin. Irin waɗannan abubuwa suna buƙatar haɓaka mafi girma daga kodan, amma tare da gazawar na koda ba shi yiwuwa.

Ya kamata gaba daya barin waɗannan samfuran:

dankali
kowane irin 'ya'yan itace bushe
Legumes na takin - Peas, lentil, chickpeas, wake,
koko foda, kofi da shayi,
alayyafo
kowane nau'in kwayoyi
alkama
waken soya.

Cutar masu ciwon sukari: abinci, menu na samfurori, jerin abubuwan da aka ba da izini da abubuwan da aka haramta

Rashin gaza shine raunin aikin ƙodan. Don mayar da su, kuna buƙatar magani da ya dace. Tushenta shine abinci ga koda gajiya. fasalinsa shine babban adadin kuzari na abinci da kuma tsananin sarrafa abinci mai gina jiki. Don haka, menu na mai haƙuri ya ƙunshi mai, abinci da soyayyen abinci.

Matsakaicin matakin cutar yana bayyana kanta a hankali, ba tare da matsanancin rauni ba kuma kwatsam. Babban dalilin wannan nau'in gazawar koda shine rashi mai gina jiki a jiki. Sabili da haka, babban burin abinci shine tabbatar da samar da furotin a cikin adadin da ya dace, yana hana fashewar abubuwanda suka kasance a jiki.

Ana tattara abincin da abincin yau da kullun daban-daban ga marasa lafiya. Amma tebur na abinci 7 da raginsa ana ɗauka azaman tushe. Don haka, idan alamun rashin isasshen ƙwayar cuta suna da matsala musamman, to an wajabta rage cin abinci 7a na tsawon mako guda.

Bayan sauye-sauye zuwa lokaci na kafara, likita ya nada mutum tebur 7b tare da sauye sauye zuwa 7.

Amma game da tsarin abincin, abincin da ake fama da shi na koda yana ba ku damar cin gram 20-60 na furotin da gasa 1-2 na gyada kowace rana.

M ga ɗan adam sune ƙoshin mai da carbohydrates a cikin mai yawa, wanda ke ba ka damar ƙara yawan adadin kuzari na abinci har zuwa 3500 kcal a kowace rana. Yawan shan bitamin a jiki yana samar da 'ya'yan itatuwa da kayan marmari.

Samun nasarar dawo da aikin koda ya ta'allaka ne ga kin wadancan samfuran da suke damun mutane da cutar da su.

Ya kamata ku sha ruwan 'ya'yan itace da aka matse shi da yawa.

Ana nuna mummunan yanayin cutar ta hanyar bayyanar cututtuka na bayyanar cututtuka waɗanda za a iya sauƙaƙe kawai tare da taimakon magunguna. Sabili da haka, ana wajabta rage cin abinci don gazawar renal ga mai haƙuri kawai bayan canji na cutar zuwa mataki na yin kafara ko a cikin bayan aikin.

Babban burinta shi ne dawo da metabolism. A saboda wannan, adadin furotin a rana kada ya wuce gram 60. A cikin mummunan lokaci na cutar, abun da ke cikin caloric na abincin da aka cinye kowace rana ya zama 3000-3500 kcal.

Ana samun wannan matakin saboda kasancewar fats da carbohydrates a cikin menu.

Bugu da kari, don kula da wadataccen kayan abinci na jiki a cikin jiki, ya kamata ku sha ruwan 'ya'yan itace da yawa wanda aka matse shi sosai.

Bayan mako guda na irin wannan abincin, a hankali zaku iya zuwa tebur 7. Abincin yana kasancewa tsawon watanni 8-12.

Yi la'akari da cikakkun bayanai game da abin da aka halatta da abin da aka haramta a cikin cututtukan koda na koda (CKD). Abubuwan yin burodi dole ne su ƙunshi ƙarancin gishiri a cikin abun da ke ciki kuma a yi su daga alkama. Nisar yana ƙarƙashin gurasar hatsin rai.

Soannena dafa abinci ya fi dacewa bisa kifi ko kayan lambu mai kayan abinci tare da ƙari da kowane kayan lambu da hatsi. Zai fi kyau a zaɓi naman nau'ikan mai mai ƙanƙanya - kaza, nama zomo ko kaji. Saro shi ko tafasa shi.

Ba a iyakance yawan amfani da ganye a duka sabo ne da kuma bayan zafin rana.

Amma ga ruwa, an yarda ya sha koren shayi ko ganye. Za a iya narkar da ruwan da aka matse cikin ruwa da shi saboda yawan sukari a cikinsu. Berries da 'ya'yan itatuwa na iya zama a cikin kowane nau'i da nau'i.

Ayaba ne kawai waɗanda ke da wadatar magnesium da potassium sun faɗi ƙarƙashin dokar. Abun lalacewarsu shine furotin, amfanin da yake da iyaka. Abinci ya ƙunshi har zuwa abinci 6 a rana.

Haka kuma, a lokaci-lokaci na yau da kullun.

A cikin gazawar koda, an haramta ayaba.

M gazawar na koda na bukatar tsayayyen gado. Abin da ya sa yana da mahimmanci don samar da jiki ta hanyar abinci. Milk da kowane nau'in kayan kiwo, gami da hadaddiyar giyar da aka danganta da su, zasu zama da amfani. Amma ga qwai, to halatta 1 a kowace rana ya halatta. An yarda da kowane irin kayan lambu da 'ya'yan itatuwa.

Amma ya kamata ku tuna game da kin amincewa da Legumes na takin, tafarnuwa da alayyafo. Kuna iya cin kayan lambu mai ɗanɗano ko kuma bayan lokacin zafi, amma ba zaɓaɓɓun ciyawa ko ciyawa. A kayan zaki, an ba shi damar cin alewa, ɗan zuma ko jam. Ruwan ciki irin su plum, ceri, apple ko kankana suna da amfani ga ƙodan.

Sample menu

Kwayar cutar CKD na iya bayyana kansu sau da yawa isa, amma kuma ana iya zama mara ganuwa. A kowane hali, bayan yin wannan binciken, ya zama dole a bi abincin da ƙwararren masanin ya zaɓa. Slightarancin ƙin yarda da abincin da aka sanya zai iya rikitar da cutar. Yi la'akari da zaɓuɓɓuka da yawa don menu na yau da kullun, girke-girke na wanda za'a iya samu a ƙasa.

Tsarin menu na mutanen da ke da CKD, wanda yawancin sunadaran asalin shuka suka mamaye. Karin kumallo 1: oatmeal a cikin madara, salatin “Vinaigrette”, koren shayi ko madara. 2 karin kumallo: kabeji cutlets. Abincin rana: kokwamba da salatin tumatir, kayan lambu miya, stew, jelly 'ya'yan itace. Abun ciye-ciye: broth dangane da kwatangwalo na fure. Abincin dare: soyayyen kabeji, kek 'ya'yan itace, koren shayi. Kafin zuwa gado: ruwan 'ya'yan itace wanda aka matso shi.
Karin kumallo: mashed Boiled dankali, kwai, zuma, ruwan 'ya'yan itace orange matsi. A abincin rana, zaku iya cin kirim mai tsami, wanda aka wanke tare da ruwan ma'adinin har yanzu. Abincin rana ya ƙunshi miyan shinkafa, stew kayan lambu da kuma jelly. Abincin dare: farar shinkafa daga abincin shinkafa, jam daga 'ya'yan itatuwa da ruwan' ya'yan itace da aka ba da izini. A matsayin abun ciye-ciye, zaku iya shan ruwan 'ya'yan itace.

Abincin mai lamba 7B shine mafi yawanci ana amfani dashi don gazawar koda. Daga Abincin A'a. 7, ya bambanta a cikin yawan adadin furotin, jimlar abinci da adadin kuzari. An yi jita-jita na Tables Ba 7A da No. 7B ba tare da gishiri ba.

An ba shi izinin yin amfani da buhunan masara mara gishiri da gishiri-gishiri a kowace rana. Idan babu shi, zaku iya cin gurasar achloride.
Miyar cin ganyayyaki kawai tare da ƙari na hatsi da kayan marmari, kuna iya dafa miyan kabeji, borscht da miyan beetroot. Yin aiki - 250-350 ml.
Cookedanana mai ƙoshin mai, kaji, naman maroƙi da turkey ana dafa su. Bayan tafasa, za a iya dafa naman ko a soya. Yin tafasasshen ruwa a cikin ruwa mai yawa yana kawar da abubuwa masu guba a cikin samfuran. Bauta 55-60 g.
Zabi kifi mai durƙusuwa: pike, pike perch, hake, saffron cod, pollack, kwalin. An shirya shi daidai kamar yadda nama, rabon yayi kama.
Karas, cucumbers, beets, Dill, tumatir, farin kabeji, letas, faski, albasa kore, tumatir, dankali, kabeji an ba da izinin kayan lambu na gefen kayan lambu. Tafasa ko kayan lambu stew.
Cereals, duk kayan lemo da taliya an iyakance su cikin abincin. Shawarar da aka yi jita-jita na sago a kan ruwa a cikin nau'i na puddings, hatsi, casseroles, pilaf ko cutlets.
Ganyen omelet a kwai daya a kowace rana.
'Ya'yan itãcen marmari da berries daban-daban a cikin raw da Boiled form. Ana yin amfani da sinadarin potassium idan an ayyana iyakancinta. Ana rasa potassium a lokacin da ake tafasa 'ya'yan itatuwa. Da izinin likita, zaka iya amfani da busasshen apricots.
Idan babu ƙuntatawa, ana cinye madara da kayan kiwo har zuwa 200-300 g kowace rana. Cire gida cuku ko cinye shi a cikin adadi kaɗan (har zuwa 50 g).
An yarda da farin miya a kan kirim mai tsami ko madara, 'ya'yan itace da salatin kayan lambu, vinaigrette ba tare da kayan lambu ba.
Rashin shayi da kofi, ruwan 'ya'yan itace, jiko na rosehip.
Butter da kayan lambu.

Matsanancin ƙwaƙwalwar ƙwaƙwalwa	Babban al'amurran
Ana bada shawarar menu na 7 tare da ƙuntataccen furotin na 60-70 g kowace rana, ana cire sodium gaba daya. Jimlar darajar abinci mai gina jiki yana ƙaruwa saboda sashin mai-carbohydrate. Calorie abun ciki a wannan yanayin shine 2500 Kcal. Irin wannan abincin yana rage kumburi, yana ba da tasirin cholesterol.
Lambar da aka ba da shawarar 7b. Abubuwan gina jiki na yau da kullun ba su wuce 50 g. Abincin kalori na abinci a rana kada ya wuce 2000 Kcal. Dangane da gwajin jini, suna sarrafa matakin sodium kuma, a matakan yau da kullun, har yanzu ba'a cire gishirin ba.Ba a yarda da amfani da kayan abinci wanda ke haifar da fermentation da bloating ba.
Tasirin menu yana dogara ne akan rage furotin zuwa 20 g, ban da sodium. An ƙaddamar da matakan ƙuntatawa a cikin abinci mai gina jiki a matakai na 3 na yanayin cututtukan cututtukan a cikin kwanakin 7-10 kwana tare da sauyawa zuwa teburi mai lamba 7 ko 7b.

Kayan lambu da ganye

Sunadarai, g	Fatalwa, g	Carbohydrates, g	Kalori, kcal
zucchini	0,6	0,3	4,6	24
farin kabeji	2,5	0,3	5,4	30
dankali	2,0	0,4	18,1	80
karas	1,3	0,1	6,9	32
beets	1,5	0,1	8,8	40
tumatir	0,6	0,2	4,2	20
kabewa	1,3	0,3	7,7	28

kankana	0,6	0,1	5,8	25
guna	0,6	0,3	7,4	33
ɓaure	0,7	0,2	13,7	49
apples	0,4	0,4	9,8	47

strawberries	0,8	0,4	7,5	41
Kwayoyi da 'ya'yan itatuwa bushe
raisins	2,9	0,6	66,0	264
bushe apricots	5,2	0,3	51,0	215
apricot	5,0	0,4	50,6	213
kwanakin	2,5	0,5	69,2	274
Kayan kwalliya
matsawa	0,3	0,2	63,0	263
jelly	2,7	0,0	17,9	79
madara Sweets	2,7	4,3	82,3	364
alewa	2,2	4,6	83,6	369
pastille	0,5	0,0	80,8	310
Kayan aiki da kayan yaji
kirfa	3,9	3,2	79,8	261
zuma	0,8	0,0	81,5	329
faski mai bushe	22,4	4,4	21,2	276
sukari	0,0	0,0	99,7	398
madara miya	2,0	7,1	5,2	84
kirim mai tsami	1,9	5,7	5,2	78
iri na caraway	19,8	14,6	11,9	333
bushe dill	2,5	0,5	6,3	40
Kayayyakin madara
madara	3,2	3,6	4,8	64
kefir	3,4	2,0	4,7	51
kirim	2,8	20,0	3,7	205
kirim mai tsami	2,8	20,0	3,2	206
yogurt	2,9	2,5	4,1	53
acidophilus	2,8	3,2	3,8	57
yogurt	4,3	2,0	6,2	60
Kayan abinci
dafa naman sa	25,8	16,8	0,0	254
Boiled naman sa	23,9	15,0	0,0	231
Boiled naman maroƙi	30,7	0,9	0,0	131
zomo	21,0	8,0	0,0	156

dafaffen kaza	25,2	7,4	0,0	170
turkey	19,2	0,7	0,0	84

ƙwai kaza	12,7	10,9	0,7	157
Man shafawa da mai
man shanu ba su da kyau	1,0	72,5	1,4	662
masara	0,0	99,9	0,0	899
man zaitun	0,0	99,8	0,0	898
man sunflower	0,0	99,9	0,0	899
ghee	0,2	99,0	0,0	892
Abincin Mummuna
ruwan kwalba	0,0	0,0	0,0	—
kofi tare da madara da sukari	0,7	1,0	11,2	58
shayi mai baƙar fata tare da madara da sukari	0,7	0,8	8,2	43
Juices da compotes
ruwan 'ya'yan itace apricot	0,9	0,1	9,0	38
ruwan karas	1,1	0,1	6,4	28
ruwan kabewa	0,0	0,0	9,0	38

* bayanan suna cikin 100 g na samfur

Kifi, nama da naman kaza
Barasa da abin sha mai cike da shaye-shaye.
Fats na maimaitawa.
Abubuwan abinci masu gishiri cikin gishiri: kwakwalwan kwamfuta, gwal mai gishiri, abincin gwangwani, kirji, sausages, biredi, ketchups, marinades, soups nan da nan, cubes mai sauƙi, man gyada, margarine.
Abincin da ke sama a cikin potassium: kofi, madara foda, Curry, sorrel, ayaba, ruwan 'ya'yan itace, kifin teku, nama, tsaba, sesame, cakulan, kayan kiwo, bushe' ya'yan itace, bushe apples, kwayoyi, marzipan, giya, giya, rhubarb, avocado , ruwan 'ya'yan itace, ruwan tumatir, gyada mai, ketchup, tumatir tumatir, alayyafo, beets, artichoke, molasses, apple syrup, soya, lentil, kayan soya, namomin kaza.
Kayayyakin da ke dauke da sinadarin phosphorus: madara, bran, cuku, granola, burodin hatsi gaba ɗaya, ƙwai, kayan ƙwari, cuku gida, hatsi, kwayoyi, koko.
Milkarancin madara, ƙwai, dankali.

Ganyayyaki da hatsi

Sunadarai, g	Fatalwa, g	Carbohydrates, g	Kalori, kcal
buckwheat groats (kernel)	12,6	3,3	62,1	313
farin shinkafa	6,7	0,7	78,9	344
sago	1,0	0,7	85,0	350
Kayan kwalliya
matsawa	0,3	0,2	63,0	263
jelly	2,7	0,0	17,9	79
madara Sweets	2,7	4,3	82,3	364
alewa	2,2	4,6	83,6	369
pastille	0,5	0,0	80,8	310
Kayan aiki da kayan yaji
kirfa	3,9	3,2	79,8	261
zuma	0,8	0,0	81,5	329
faski mai bushe	22,4	4,4	21,2	276
sukari	0,0	0,0	99,7	398
madara miya	2,0	7,1	5,2	84
kirim mai tsami	1,9	5,7	5,2	78
iri na caraway	19,8	14,6	11,9	333
bushe dill	2,5	0,5	6,3	40
Kayayyakin madara
madara	3,2	3,6	4,8	64
kefir	3,4	2,0	4,7	51
kirim	2,8	20,0	3,7	205
kirim mai tsami	2,8	20,0	3,2	206
yogurt	2,9	2,5	4,1	53
acidophilus	2,8	3,2	3,8	57
yogurt	4,3	2,0	6,2	60
Kayan abinci
dafa naman sa	25,8	16,8	0,0	254
Boyayyen naman sa	23,9	15,0	0,0	231
Boiled naman maroƙi	30,7	0,9	0,0	131
zomo	21,0	8,0	0,0	156

dafaffen kaza	25,2	7,4	0,0	170
turkey	19,2	0,7	0,0	84

ƙwai kaza	12,7	10,9	0,7	157
Man shafawa da mai
man shanu ba su da kyau	1,0	72,5	1,4	662
masara	0,0	99,9	0,0	899
man zaitun	0,0	99,8	0,0	898
man sunflower	0,0	99,9	0,0	899
ghee	0,2	99,0	0,0	892
Abincin Mummuna
ruwan kwalba	0,0	0,0	0,0	—
kofi tare da madara da sukari	0,7	1,0	11,2	58
shayi mai baƙar fata tare da madara da sukari	0,7	0,8	8,2	43
Juices da compotes
ruwan 'ya'yan itace apricot	0,9	0,1	9,0	38
ruwan karas	1,1	0,1	6,4	28
ruwan kabewa	0,0	0,0	9,0	38

* bayanan suna cikin 100 g na samfur

Kifi, nama da naman kaza
Barasa da abin sha mai cike da shaye-shaye.
Fats na maimaitawa.
Abubuwan abinci masu gishiri cikin gishiri: kwakwalwan kwamfuta, gwal mai gishiri, abincin gwangwani, kirji, sausages, biredi, ketchups, marinades, soups nan da nan, cubes mai sauƙi, man gyada, margarine.
Abincin da ke sama a cikin potassium: kofi, madara foda, Curry, sorrel, ayaba, ruwan 'ya'yan itace, kifin teku, nama, tsaba, sesame, cakulan, kayan kiwo, bushe' ya'yan itace, bushe apples, kwayoyi, marzipan, giya, giya, rhubarb, avocado , ruwan 'ya'yan itace, ruwan tumatir, gyada mai, ketchup, tumatir tumatir, alayyafo, beets, artichoke, molasses, apple syrup, soya, lentil, kayan soya, namomin kaza.
Kayayyakin da ke dauke da sinadarin phosphorus: madara, bran, cuku, granola, burodin hatsi gaba ɗaya, ƙwai, kayan ƙwari, cuku gida, hatsi, kwayoyi, koko.
Milkarancin madara, ƙwai, dankali.

Kayan lambu da ganye

Sunadarai, g

Fatalwa, g

Carbohydrates, g

Kalori, kcal

legumes kayan lambu

9,1

1,6

27,0

168

sauerkraut

1,8

0,1

4,4

albasarta kore

1,3

0,0

4,6

albasa

1,4

0,0

10,4

gwangwani gwangwani

2,8

0,0

1,3

yankakken cucumbers

0,8

0,1

1,7

radish

1,2

0,1

3,4

farin fari

1,4

0,0

4,1

turnip

1,5

0,1

6,2

seleri

0,9

0,1

2,1

gwangwani tumatir

1,1

0,1

3,5

maharbi

3,2

0,4

10,5

tafarnuwa

6,5

0,5

29,9

143

alayyafo

2,9

0,3

2,0

zobo

1,5

0,3

2,9

apricots

0,9

0,1

10,8

ayaba

1,5

0,2

21,8

nectarine

0,9

0,2

11,8

peach

0,9

0,1

11,3

namomin kaza

3,5

2,0

2,5

namomin kaza pickled

2,2

0,4

0,0

Ganyayyaki da hatsi

Semolina

10,3

1,0

73,3

328

oatmeal

11,9

7,2

69,3

366

masara grits

8,3

1,2

75,0

337

lu'u-lu'u

9,3

1,1

73,7

320

gero groats

11,5

3,3

69,3

348

Kifi da abincin teku

kifin kifi

17,5

4,6

0,0

139

kyafaffen kifi

26,8

9,9

0,0

196

baki caviar

28,0

9,7

0,0

203

babban dutsen salmon caviar

32,0

15,0

0,0

263

gwangwani kifi

17,5

2,0

0,0

Yaya alaƙar gajiya da ciwon suga?

Abincin abinci mai gina jiki don ciwon sukari shine ɗayan yanayi masu mahimmanci. Kuma abu ne ba a duk abin da kawai ta wannan hanyar za a iya guje wa karuwar nauyi riba. Yayinda ciwon sukari mellitus ke ci gaba, musamman nau'in farko (lokacin da samar da insulin ya rikice kuma matakin glucose a cikin jini yana karuwa koyaushe, an tsara magungunan rage sukari don rage shi). Canje-canje masu lalacewa suna faruwa a jiki, musamman a cikin ƙodan. Ko da idan an daidaita abinci mai gina jiki, na tsawon lokaci, saboda matakin sukari da aka rataye a cikin jini, tsarin nephrons, ginin kodan, na iya canzawa. Kowane nephron ya ƙunshi tubules da glomeruli. Yayinda matakan sukari ke ƙaruwa, yawan jinin da aka zubarwa ta hanyar kodan shima yana ƙaruwa. Jiki yana ƙoƙarin rama wannan yanayin kuma yana cire wuce haddi a jiki. A lokaci guda, ana cire babban adadin ruwa, saboda wanda matsin lamba ke ƙaruwa a cikin glomeruli da tubules. A tsawon lokaci, wannan yana haifar da karuwa a ƙarshen ɗimbin girma kuma, ta haka, ƙauracewar hanyoyin jini. Sakamakon haka, ƙarancin jini ya kwantar da ita ta hanjin kodan kuma ƙwaƙwalwar uremia a hankali take haɓaka. Wannan yanayin yanayin pathology ne wanda abubuwa masu guba ke haɗuwa cikin jini.

Jiki na fama da cutar kansa. Wannan yana nuna kanta a cikin nau'in ƙara yawan gajiya, ciwon kai, rashin bacci, gajiya mai yawa, tashin zuciya da baƙin ciki. A wasu halayen, fitsari, kumburi, da itching na iya bayyana akan fatar.

Irin waɗannan canje-canje zuwa digiri ɗaya ko wata halayyar yawancin marasa lafiya ne, amma ba nan da nan bayan bayyanar cutar sankara ba, amma bayan wasu shekaru. Wadanda suka fi haɗarin sune mutanen da ke fama da cutar hawan jini (140/90).

Daga cikin wasu canje-canje masu lalacewa, idan ba a daidaita abincin ba cikin lokaci, bayyanar sunadarin albumin a cikin fitsari. Wannan nau'in furotin ana saninsa da girman girma, saboda wanda yakan shagaltar da bangon jijiyoyin jini.

Siffofin abinci mai gina jiki a cikin gazawar koda na koda da ciwon sukari

Abincin masu ciwon sukari, idan gazawar koda ya inganta, ana yin shi ne ba kawai a daidaita matakan sukari na jini ba da kuma daidaita matakan cholesterol. Kazalika da daidaituwa na hawan jini kamar ɗayan matakan kariya na bayyanar canje-canje a cikin tsarin kodan.

Idan tare da ciwon sukari na mellitus na farko da na biyu babban aikin shine rage adadin carbohydrates da kuma bin tsarin shaye-shaye, to tare da lalacewa na koda na yanzu ba mai sauƙi bane. Abincin abinci don kodan tare da ciwon sukari ya kamata, a gefe guda, ƙananan carb. A gefe guda, ƙunshi ƙarancin furotin na dabbobi. Ta hanyar kiyaye waɗannan ƙa'idodin ne kawai zamu iya gujewa karuwa mai yawa a cikin glukos din jini da rage nauyin akan ƙodan.

Abincin abinci don gazawar ƙwayar ƙwayar ƙwayar cuta ya haɗa da rage yawan ƙwayar ruwa - ba fiye da lita 1.5 a kowace rana ba, kuma a wasu yanayi - ba fiye da lita ɗaya ba. In ba haka ba, mai haƙuri yana fama da kumburi (kodan bazai iya jure yawan adadin ruwa mai shigowa ba). Don manufa guda, an cire gishiri daga abincin, saboda yana inganta riƙewar ruwa a cikin jiki. A ranar ya halatta a yi amfani da 3 g na gishiri. Duk kyafaffen, salted, pickled da yaji an cire su daga abincin.

An hana abinci mai mai mai yawa Yana taimakawa wajen kara adadin cholesterol a cikin jini (karin nauyi a jikin kodan).

Gina abinci mai gina jiki a cikin lalacewa na koda na ɗan adam ya haɗa da kin amincewa da samfuran tare da sakamako diuretic. A cikin "tsabta" siffar, sun haɗa da kankana da kankana, a cikin nau'ikan ruwan da aka matse - cucumbers, beets, karas, zucchini, faski da seleri.Tare da kayan ado na ganye kuna buƙatar yin hankali. Idan an ba su shawarar don ciwon sukari na mellitus, to, tare da gazawar koda kuma suna iya haifar da lalata a cikin yanayin. Diuretics sun hada da chamomile, lingonberries, strawberries, daji, viburnum, kabewa, kaberan fure da wake.

Hadarin dake tattare da fitar ruwa mai lalacewa shine kodan ya gaji damuwa, sannan ana fitar da abinci mai yawa daga jiki.

Shawarwarin da masana ilimin abinci suka bayar game da rage cin abinci na koda da kuma cututtukan sukari sune kamar haka:

yakamata a raba abincin yau da kullun zuwa kashi 5-6 na cin abinci iri ɗaya, wanda yakamata a cinye shi zuwa wani lokaci na tsawon awanni 2-3 (ba tare da jiran wani yunƙurin yunwar ba, saboda wannan na iya haifar da hauhawar sukari cikin jini),
hana mai karfi shayi da kofi. Yi hankali da koren shayi, domin yana taimakawa kawar da ruwa. Wannan ya shafi kayan ado na ganye (chamomile, Mint, da sauransu),
cinye sama da gram 70 na furotin na dabba a rana don kada ku ɗauki nauyin kodan,
don kula da rigakafi, cinyewa ba ya wuce gram 150 na peran itace ko berries a rana (ban da jannad da ruwan lemo mai haske, kazalika da 'ya'yan itatuwa masu tsami),
gaba daya watsi da kayan yaji, pickles, marinades, biredi, abinci mai sauri, kyafaffen nama. Dukkansu suna riƙe da ruwa a jiki. Kuma daga gari (ana daukar tsayi da yawa kafin a narke da tsokana a ciki da kuma yawan maye) da barasa,
iyakance amfani da abinci dauke da adadin sinadarin oxalic acid (seleri, alayyafo, zobo, faski, rhubarb). Potassium (Peas, apricots, abarba, ayaba, zucchini, peach, faski, tumatir, blackcurrant, radish, Dill, wake, horseradish, alayyafo da dankali). Kazalika da alli (kayan kiwo). Dukkansu sun sauke nauyin yara,
Ci abinci galibi-da abinci mai zafi. Suna riƙe isasshen adadin abubuwan gina jiki, amma sun fi sauƙi a narkewa fiye da wadatattun abubuwa. Zai fi kyau a dafa, stew, dafa a cikin tukunyar roba ko tanda.

Abin da za a iya ci da rashin cin abinci tare da gazawar koda na koda da ciwon sukari

Can	Ba zai yuwu ba
Gyada
M gari, gari tare da stevia (madadin sukari)	Donuts, crepes, croissants, da wuri, mirgine
Darussan farko
Broths, lokacin da ruwa ke drained akalla sau 2, haske kayan lambu kayan yaji	Meataƙƙarfan nama, kifi da soyayyen naman kaza da mai mai yawa
Miyar abinci
Boiled ko gasa nama (mai-mai): kaza, turkey, naman maroƙi, ɗan mara mai ƙoshin saro, zomo. Kifi: kwalin, pollock, perch	Nama mai nama tare da kayan yaji mai yawa, kifi mai soyayyen, abincin teku
Qwai
Babu fiye da guda 3-4 a rana: furotin omelettes	Hard Boiled, yolks
Kayayyakin madara
Duk madara (ba fiye da 150 ml a rana ba), cuku mai-mai mai mai (1 teaspoon a rana)	Cheeseanɗana gida, cuku, man zaitun mai sauyi, kirim mai tsami
Dabbobin
Ranar da ba ta wuce 150-200 g: buckwheat, oatmeal, sha'ir	Semolina, masara, shinkafa
Kayan lambu
Kabeji, beets, karas, cucumbers, tumatir, letas, kore albasa, Dill	Albasa, dankali,
'Ya'yan itãcen marmari da berries
Non-acidic, kawai a cikin nau'i na jelly, mousse, gasa	'Ya'yan itãcen marmari,' ya'yan itace, 'ya'yan lemo,' ya'yan itace mai ɗaci

Kuna iya ƙarin koyo game da yadda ake cin abinci yadda yakamata tare da gazawar koda na koda daga bidiyon da ke ƙasa.

Rashin ƙarfi a cikin ciwon sukari: abinci da menu na mako guda

Abinda zai biyo baya shine rage cin abinci ga koda da menu na ciwon sukari na mako guda, wanda za'a iya canza shi gwargwadon abubuwan dandano na mutum. Amma kar ka manta game da shawarwarin da aka bayar a sama.

Ya kamata a kusance shi tare da duk wani nauyi a cikin tsara abincin mai haƙuri, saboda ba shi yiwuwa a tantance yadda yake da mahimmanci a bi duk ƙa'idodi da ka'idodin maganin abinci.

Wani shawarar kuma shi ne ka shirya abincinka domin su wuce a lokaci-lokaci. Kauda yawan cin abinci kuma a lokaci guda, ka guji yunwar.

karin kumallo na farko - yanki na hatsin hatsin rai, cakulan tofu, shayi,
karin kumallo na biyu - apples mai gasa, 150 ml na kefir, gilashin tsarkakakken ruwa,
abincin rana - miyan kayan lambu, sha'ir tare da abincin kifi, shayi,
yamma da shayi - kwai dafaffen, salatin kayan lambu, gilashin ruwa,
abincin dare na farko - stewed kabeji tare da shinkafa launin ruwan kasa,
na biyu abincin dare shine mai dafa abinci.

karin kumallo na farko - salatin kayan lambu, shayi,
Gurasar cuku mara-koko da shayi, aya ɗaya
abincin rana - miyan kayan lambu, buckwheat tare da dafaffiyar nono, gilashin ruwa,
abincin rana da yamma - salatin kayan lambu, yanki mai burodin hatsin rai, gilashin ruwa,
farko abincin dare - kayan lambu stew, yanki na hatsin rai, shayi,
abincin dare na biyu shine cuku na gida tare da ryazhenka.

karin kumallo na farko - apple guda ɗaya, cuku mai ƙarancin mai,
abincin rana - oatmeal akan ruwa, gasa burodi, gilashin ruwa,
abincin rana - miya tare da shinkafa launin ruwan kasa, pike a kan matashin kayan lambu, yanki mai burodin hatsin rai, shayi,
yamma shayi - omelet tare da kayan lambu, shayi,
abincin dare na farko - sha'ir kwalliya tare da dafaffiyar hanta kaza, shayi,
na biyu abincin dare ne unsweetened yogurt.

karin kumallo na farko - salatin 'ya'yan itace a cikin adadin kilogram 150, shayi tare da yanki na burodin hatsin rai,
abincin rana - oatmeal akan ruwa, shayi,
abincin rana - miyan kayan lambu, kayan lambu mai yadudduka, Boiled squid, shayi,
abincin rana da rana - jelly bisa oatmeal, yanki na hatsin rai,
abincin dare na farko - dafaffen harshen nama, ganyen alkama mai kayan kwalliya a kan ruwa, shayi,
abincin dare na biyu shine gilashin kowane samfurin madara mara mai mai.

karin kumallo na farko - salatin Berry, shayi,
abincin rana - omelet tare da kayan lambu, gilashin ruwa,
abincin rana - miya tare da alkama na alkama na alkama, sha'ir, gyada, shayi,
abincin rana da yamma - burodin da aka gasa, shayi, yanki na burodi mai hatsin rai da cuku mai tofu,
abincin dare na farko - stewed kayan lambu a cikin kwanon rufi tare da kaza, shayi,
abincin dare na biyu - curd soufflé, gilashin ruwa.

karin kumallo na farko - 150 grams na kowane kayan lambu ko berries (low GI),
abincin rana - oatmeal akan ruwa, shayi,
abincin rana - miyan kayan lambu, naman sa tafasasshen, buckwheat, shayi,
yamma shayi - wani yanki na hatsin rai, cocin cuku, shayi,
abincin dare na farko - qwai da aka soke tare da kayan lambu, yanki na burodin hatsin rai, kofi mai rauni 4
abincin dare na biyu - man gyada, shayi.

karin kumallo na farko - salatin fruita fruitan itace, samfurin 150 na kayan kiwo,
abincin rana - launin ruwan kasa shinkafa tare da kayan lambu, shayi,
abincin rana - abincin miya, abincin abincin kifi, abincin farin kabeji, shayi,
yamma shayi - wani yanki na hatsin rai da kuma manna ga masu ciwon sukari daga kaza hanta, shayi,
farko abincin dare - kayan lambu stew, kwai dafaffen, shayi,
na biyu abincin dare - 150 grams na oatmeal a kan ruwa.

A cikin bidiyon a cikin wannan labarin, ana ci gaba da batun cin abinci don gazawar koda.

Yana daidaita matakan sukari na dogon lokaci
Maido da aikin samarda insulin

Ciwon sukari mellitus cuta ce ta endocrine wacce ke buƙatar kulawa da hankali. Baya ga ilimin magani, mai haƙuri yana buƙatar maganin abincin don kare jikinsa daga rikice-rikice a kan gabobin da aka yi niyya.

Rashin nasarar fitsari a cikin ciwon sukari mellitus abu ne mai sauƙin yanayin, saboda tare da karuwar glucose a cikin jini akai-akai, yana ɗaukar ruwa tare da shi, don haka yana kara matsin lamba a cikin glomeruli. Idan ba ku kawo sukarin jini zuwa al'ada ba, to cutar tana da haɗari tare da cikakken asarar aikin koda. Mai haƙuri zai buƙaci dial na yau da kullun.

Za a tattauna alamun biyar na farkon lalacewa na renal a cikin ciwon sukari mellitus a ƙasa, yadda za a inganta aikin wannan sashin tare da abinci, abinci don gazawar renal na kullum, da kuma ƙaddamar da menu na kusan mako.

Awanni na safe: shinkafa shinkafa akan ruwa ko madara mara skim, curd tare da raisins, koren shayi tare da zuma.
Abincin rana: miyan kayan lambu tare da kirim mai tsami, 100 g na naman alade mai durƙusad da nama.
Abun ciye-ciye: kukis ɗin biski, broth mai laushi na ƙoshin kare ba tare da sukari ba
Abincin dare: kifi steaks, zucchini casserole, 200 ml na kefir.

Rana ta biyu

Awanni na safiya: ɗakin cuku gida, oatmeal tare da raisins, koren shayi.
Abincin rana: kabewa kirim miya tare da seleri, vinaigrette, mahaukata.
Abun ciye-ciye: 100 g na naman sa na durƙusar ko dafaffen kaza na nono, lokacin farin ciki Berry jelly.
Abincin dare: meatballs tare da shinkafa da kayan lambu, apple compote.

Awanni na safiya: tafasasshen burodin buckwheat, gilashin madara, cokali na zuma.
Abincin rana: borsch tare da kirim mai tsami, dafaffen nama, salatin daga kayan lambu da kayan mai mai sabo, gurasar da aka bushe.
Abun ciye-ciye: lokacin farin ciki, jelly, stew kayan lambu.
Abincin dare: kaji na nama, taliya, kefir.

Awanni na safiya: semolina, burodi, koren shayi.
Abincin rana: miya tare da noodles na gida, salatin kokwamba tare da kirim mai tsami da ganye, burodi.
Abun ciye-ciye: oatmeal tare da 'ya'yan itatuwa da aka bushe, ƙawataccen fure na fure.
Abincin dare: casserole na kaza tare da dankalin da aka dafa, cuku mai zaki mai laushi tare da koren shayi.

Awanni na safiya: gero gero a kan madara mai ƙarancin kitse, sanwic ɗin tare da takardar salatin da eggplant, fure na rosehip.
Abincin rana: vinaigrette, miyan kabeji, tours.
Abun ciye-ciye: oatmeal tare da 'ya'yan itatuwa, madara mai dumi tare da zuma.
Abincin dare: stew kayan lambu tare da eggplant, zucchini ko zucchini a cikin tukunya.

Awanni na safiya: madara madara buhun shinkafa, cuku cuku, koren shayi.
Abincin rana: miyan kayan lambu tare da naman sa da aka dafa, dafaffen buckwheat, apple compote.
Abincin ciye-ciye: cuku gida da shinkafa casserole tare da jam ko jam, jelly.
Tuni: ƙabbaren nama tare da shinkafa da kayan marmari, kefir, raisins.

Rana ta bakwai

Awanni na safiya: buhun burodin buhu a cikin madara, kayan zaki.
Abincin rana: miyan kayan lambu, salatin beetroot tare da walnuts da prunes, kifin da aka dafa da dankalin da aka dafa.
Abun ciye-ciye: kayan lambu, stew nama.
Abincin dare: nama na casserole tare da taliya da aka dafa, salatin kokwamba tare da kirim mai tsami.

Shayarwa a cikin menu na mako-mako na iya bambanta. A tsakiyar abincin ci da safe, yana da mahimmanci don ƙara sabbin berries da 'ya'yan itatuwa. A maraice zaku iya cin kayan zaki: gelatinous jelly, marshmallows, marmalade. Da dare, ana bada shawara a sha kefir, amma ba fiye da 150-200 ml ba.

Siffofin abinci

Idan gazawar koda na manya a cikin manya yakan haifar da sakandare kuma rikicewar cuta ce ta haɗuwa da tsarin jijiyoyin jini, to a cikin yara ƙanana shine babban dalilin cutar rashin haihuwa a ciki.

Jikin yarinyar yana da matukar kulawa ga iyakoki daban-daban dangane da lalacewar koda na koda. Jikin yarinyar yana haɓaka cikin hanzari, suna buƙatar wadataccen furotin da kuma adadin kuzari a cikin abincinsu. Babu ƙuntataccen abinci na abinci, sai dai don sarrafa gishirin ta gwajin jini na sodium, ruwa don hana kumburi.

A lokacin daukar ciki, mata suna da nasu abubuwan. Idan mace ta gabata ta bi tsarin tsarin abinci kafin samun juna biyu, to a lokacin haila yana yiwuwa a kula da abincin da aka saba da shi tare da ƙaramin gyara bisa ga shaidar likita.

Idan aka fara gano cutar sankara yayin yin tayin, to likitoci sun shagaltar da matar a dukkan kayayyakin cutarwa, suna bada shawarar rage gishiri da ruwa. Protein yayin daukar ciki yana raguwa kadan.

A kan asalin PN, ƙwayar cuta na rashin ƙarfi na digiri I-II sau da yawa yana tasowa, saboda haka yana da mahimmanci a haɗa da abubuwan bitamin, samfuran baƙin ƙarfe a cikin abincin. Yayin cin abinci, yana da muhimmanci a kula da gwajin jini aƙalla 1 lokaci cikin watanni 3.

Darussan farko

Miyar miya. A wanke eggplants, a yanka a cikin yanka sai a ɗanɗaɗa kadan a cikin kwanon ba tare da mai ba. Karas, barkono kararrawa da dankali ana stewed a cikin ruwa kaɗan, haɗe tare da kwai da dafa abinci a kan zafi kaɗan har dafa shi. Miyan dole ne a nace. Don dandano, ƙara yankakken ganye, sabo tafarnuwa.
Kayan lambu hodgepodge. Karas, dankali, kabeji, albasa da tumatir an yanke su a cikin cubes, ƙara ruwa kadan da simmer akan zafi kadan. Bayan yankakken yankakken naman sa, ganye da ƙara miya. Kafin yin hidima, miyan an nace don rabin sa'a.

Na biyu Darussan

Cushe zucchini. Matsakaicin matsakaici an tsabtace kwasfa, viscera, rarraba kashi biyu daidai. Don cika, albasa mai wucewa, karas, tafasa shinkafa kaɗan, kwai. Dukkan abubuwan an hade su kuma a hade su da kirim mai tsami. Abun ciki a cikin zucchini ya cika tare da cikawa, yayyafa shi da cuku da ganye a saman, saka a cikin tanda har dafa shi. Sauran girke-girke na cushe zucchini.
Braised Suman.Kwasfa kayan lambu, a yanka a kananan guda kuma stew tare da albasa, zuba ruwa 300 na ruwa, kimanin rabin sa'a. Bayan dafa abinci, ƙara ganye, ruwan lemun tsami da ɗan kirim mai tsami. Girke-girke yana da kyau ga abincin jariri. Dishesarin jita-jita kabewa.

Kayan fure. A dintsi na rosehip berries an wanke a karkashin ruwa gudu, sanya shi a cikin wani saucepan, zuba 2 lita na ruwa da kuma sa a kan kuka. Ana tafasa garin awan na kimanin mintuna 15, bayan haka wutar tana kashewa, kuma an dage da ruwan har sai ya yi sanyi gaba daya.
Apple compote. An yanke apples 3 a cikin kananan yanka, tun da farko an cire tushen. Pieces suna cike da lita 2 na ruwa kuma an kawo tafasa. Bayan barin yayi sanyi gaba daya. Yin tacewa ba lallai bane. A cikin ƙarin daki-daki game da fa'idodi da lamuran affle.

Kayan abinci na zamani ya san girke-girke da yawa daban-daban. Idan kun haɗa tunanin, za a iya juya wasu kyawawan jita-jita zuwa manyan ƙira na ainihi.