Kev mob ntshav qab zib nephropathy: zaub mov noj, zaub mov noj zaub mov, npe ntawm cov khoom tau tso cai thiab txwv tsis pub

• currants dub thiab liab,
• gooseberries, txiv apples, pear, apricot,
• blueberries, raspberries, txiv pos nphuab,
• txiv pos nphuab, txiv qaub, txiv kab ntxwv, mandarin, pomelo, txiv qaub

• taub, dos, qij,
• txaij, soob, ntsuab taum,
• lentils, carrots, beets,
• tshiab thiab qhuav crushed peas,
• txhua hom zaub qhwv - zaub paj dawb, zaub cob pob, zaub paj dawb thiab xim liab, kua txob qab zib

• qaub cream, qab zib 20% rog,
• qab zib thiab txiv hmab txiv ntoo yogurt, butter, margarine, tawv cheeses,
• cov mis, cov lus ci, ci txhawv, curd

Qaub cream thiab butter - tsis pub ntau tshaj ib lub rooj ntawm ib hnub, nyiam dua nyob rau hauv daim ntawv ntawm hnav khaub ncaws lossis ua kua

Kev siv cov nqaij rau cov ntshav qab zib thiab ntshav qab zib nephropathy muaj qhov sib txawv. Yog tias cov neeg mob ntshav qab zib pom zoo kom noj cov nqaij ntshiv (nqaij qaib, qaib ntxhw, luav, nqaij), tom qab ntawd nrog nephropathy, txawm tias maj mam nws yuav tsum tau tso tseg. Txwv tsis pub, lub raum yuav poob txhua.

Lus qhia kev noj haus! Nrog rau cov ntshav qab zib nephropathy, cov qauv ntawm lub raum hloov pauv - cov tubules thiab glomeruli nce ntxiv vim qhov loj hlob ntawm cov nqaij sib txuas. Vim tias qhov no, kev tawm ntawm cov ntshav yog cuam tshuam, yog li lub peev xwm los lim nws thiab tshem tawm cov co toxins yog qhov ua tsis zoo. Cov zaub mov muaj protein ntau ntawm cov tsiaj keeb kwm ib tug neeg noj, lub nra hnyav rau lub raum. Nitrogen sib txuas, cov khoom kawg ntawm cov protein tawg, nkag mus rau hauv cov hlab ntshav. Yog tias koj tsis ua cov kev ntsuas kom ncav sijhawm thiab mus rau cov npe ntawm cov khoom lag luam muaj zaub mov protein (piv txwv, legumes), kev lim ntshav yuav tsum tau nyob ze yav tom ntej. Qhov no yog cov txheej txheem kho vajtse ntawm cov ntshav ua kom huv, uas, zoo li lub raum, tso cai rau koj lim cov khoom lag luam metabolic thiab tshem tawm hauv lub cev.

Qhov siab tshaj plaws uas tso cai rau cov protein ntau ib hnub yog 70 g.

Lwm qhov sib txawv hauv kev noj zaub mov noj rau cov neeg mob ntshav qab zib mellitus thiab cov neeg mob ntshav qab zib nephropathy.Tus nqi ntawm cov kua dej rau ib hnub. Hauv thawj kis, qhov tsawg kawg ntawm cov kua hauv ib hnub yog 1.5-2 litres. Nws yog nws uas tso cai rau koj kom muaj dej-ntsev sib npaug.

Nrog tus mob ntshav qab zib nephropathy, cov kua dej yog txo los ntawm ib nrab los txo lub nra ntawm lub raum. Ob daim ntawv teev npe cov khoom lag luam thiab qhov siab tshaj ntawm cov kua dej ib hnub yog txiav txim los ntawm tus kws kho mob uas tuaj koom.

Thaum noj zaub, txiv hmab txiv ntoo thiab berries, zam rau cov uas muaj oxalic acid. Hauv cov koob tshuaj me me, celery, spinach, sorrel, zaub txhwb qaib, thiab rhubarb raug tso cai. Raws li zoo li apricots, pineapples, tsawb, zucchini, txiv duaj, zaub txhwb qaib. Tseem muaj txiv lws suav, blackcurrants, radishes, dill, taum, horseradish, spinach thiab qos yaj ywm. Yog hais tias koj siv lawv, tom qab ntawd hauv daim ntawv ntawm cov zaub xam lav lossis ua ib feem ntawm cov kua zaub.

Hauv cov ntshav qab zib nephropathy, tsis yog cov txheej txheem ua haujlwm ntawm ob lub raum (nephrons), tab sis kuj tseem muaj cov hlab ntsha nyob ib sab, raug kev txom nyem. Nyob rau hauv tom kawg, cov roj cholesterol tsim, vim qhov uas cov phab ntsa ntawm cov hlab tau ua nyias zog thiab, yog li ntawd, lawv cov permeability rau cov qauv protein nce. Thiab vim muaj kev hloov pauv hauv ob lub raum, ntshav nce siab. Ib ntawm lub hom phiaj tseem ceeb ntawm kev noj haus yog kom tswj cov roj thiab txhaws ua kom ntshav siab.

Cov yam ntxwv ntawm cov zaub mov thiab kev sib xyaw ua ke yog nyob ntawm theem ntawm tus kab mob. Nyob rau theem pib, koj yuav tsum txo qis cov carbohydrates kom tsis txhob muaj mob ntshav qab zib.

Yog tias tus kabmob tau dhau mus rau theem ntev, ua ntej ntawm txhua yam, txo cov tsiaj protein ntau. Hom phiaj, nws raug muab tso pov tseg, hloov nws nrog zaub - tsis ntau dua 70 g nyob rau ib hnub. Cov kauj ruam tom ntej yog kev txwv dej (txog 1 liter ib hnub). Kev tsis kam ntawm cov khoom lag luam diuretic (cucumbers, zucchini, dib liab, zaub kav, zaub txhwb qaib). Txhua yam no txhawm rau tiv thaiv kev loj hlob ntawm cov nqaij sib txuas hauv ob lub raum, txo qis kev qaug cawv, txo lub nra ntawm lub raum thiab ncua sijhawm teem ntshav.

Cov ntawv qhia ua noj haus nrog nephropathy tuaj yeem pom hauv video hauv qab no.

Mob ntshav qab zib nephropathy yog txoj hlab ntsha hauv lub raum uas cov nqaij thiab cov hlab ntsha cuam tshuam nrog, cuam tshuam ntau dua li kev mob ntshav qab zib. Txog kev kho mob, tshuaj noj thiab noj zaub mov tshwj xeeb rau cov mob ntshav qab zib lub raum tsis zoo yog qhov sau tseg, uas yuav pab txo qis lub nra ntawm lub tso zis thiab mob hnyav ntawm cov tsos mob.

Kev xaiv ntawm kev noj haus rau cov tshuaj nephropathy yog nqa los ntawm tus kws kho mob mus koom, raws li cov ntaub ntawv tau txais thaum kuaj. Daim duab ntawm khoom noj khoom haus nyob rau hauv lub sij hawm mob ceev ntawm tus kab mob yuav pab tiv nrog loj o ntawm lub cev, normalize dej-ntsev tshuav. Vim qhov no, qhov hnyav ntawm cov cim ntawm intoxication ntawm lub cev txo thiab lub diuretic muaj nuj nqi normalizes. Kev xaiv ntawm lub rooj noj kom muaj pluas noj yog qhov tsawg ntawm cov teeb meem sib txuas uas yuav los ntawm cov zaub mov.

Ua raws li qhov mob hnyav ntawm cov tsos mob, qhov ua rau ntawm tus txheej txheem pathological, nrog rau cov xwm txheej dav dav ntawm tus neeg mob, cov zaub mov noj zaub mov 7, 7a, 7b yog tshuaj.

Txhua qhov ntawm kev noj zaub mov zoo yog raws li cov hauv paus ntsiab lus:

• txo cov khoom noj muaj roj thiab cov tsiaj muaj protein, uas maj mam hloov los ntawm cov rog zaub,
• txo tus nqi ntawm cov ntsev noj ib kilogram ntawm qhov hnyav,
• tsis kam ntawm cov kaus poom, kib, haus, qab ntsev, ntsim thiab zaub mov qaub,
• dej cawv haus tsoom fwv,
• fractional mov nrog pluas mov noj tsawg ntawm ntu me,
• tshem tawm ntawm lub teeb carbohydrates thiab qab zib,
• nrog rau kev nce siab ntawm cov poov tshuaj hauv cov ntshav - txo qis hauv nws cov khoom noj nrog zaub mov,
• nrog rau theem qis ntawm cov poov tshuaj - xyuas kom muaj txaus ntawm nws nrog zaub mov noj,
• qhov ua kom tsawg ntawm cov khoom noj muaj phosphorus,
• noj zaub mov uas muaj hlau ntau,
• tag nrho cov khoom siv tau noj rhaub lossis hau zaub rau parugril,
• cov khoom noj noj rau me nyuam yaus zoo ib yam li xaiv rau cov laus.

Nyob rau lub sijhawm kev mob nkeeg ntawm kev sib deev, lawv qhov kev ua tau zoo tsis txaus, uas yog ua rau txo qis ntawm kev tshem tawm cov co toxins thiab co toxins tawm ntawm lub cev. Qhov nyuaj tshaj plaws rau lub raum yog cov tshuaj tiv thaiv nitrogen, uas tau tsim los ntawm cov khoom protein ntawm tsiaj keeb kwm. Yog li, tag nrho cov pluas noj rau lub raum pathologies yog tsom rau ntawm cov neeg cov tsiaj protein noj tsawg zuj zus txhua hnub thiab nws hloov nrog zaub protein.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov tsis lees paub meej ntawm cov khoom siv protein ua rau lub cev tsis muaj zog thiab tuaj yeem ua rau muaj kev cuam tshuam tsis zoo. Yog li ntawd, txoj kev no yuav tsum maj mam tiav. Nws raug nquahu kom koj xub hloov cov khoom noj muaj roj nrog cov khoom noj muaj roj (nqaij qaib, nqaij ntses tsis muaj rog, nqaij ntses).

Cov ntsev ntau nyob rau hauv kev noj zaub mov txhua hnub ua rau kev tsim ntawm o thiab nce siab ntawm cov ntshav thiab ntshav siab. Yog li, txhawm rau txo qhov mob hnyav ntawm cov phiajcim no, maj mam maj mam noj ntsev yog qhov tsim nyog.

Nws raug nquahu kom ua zaub mov noj tsis muaj ntsev los yog, yog tias tsim nyog, ntxiv qee cov ntsev noj ua ntej siv. Txhawm rau txhim kho qhov qab yam ntxwv ntawm cov khoom noj khoom noj, ntsev tuaj yeem hloov nrog kua txiv lws suav uas tsis muaj ntsev, kua txiv qaub, qej, dos, tshuaj ntsuab.

Kev ua haujlwm ntawm lub raum ua rau muaj kev cuam tshuam ntawm cov txheej txheem ntawm kev nthuav tawm ntawm cov poov tshuaj hauv lub cev, uas yog lub luag haujlwm rau kev ua haujlwm ntawm cov piaj plab hauv lub plab, lub plawv thiab cov leeg. Yog li ntawd, nws dhau los lossis tsis muaj peev xwm ua rau muaj kev cuam tshuam tsis zoo hauv lub cev. Cov kws kho mob pom zoo kom nce ntxiv cov poov tshuaj ntau ntxiv hauv cov theem pib ntawm nephropathy, thiab txo nws cov ntshav tom qab.

Ntau cov phosphorus hauv cov ntshav ua rau cov ntshav calcium tawm ntawm lub cev, ua rau cov leeg mob pob txha thiab pob txha mos. Phosphorus tseem ua rau cov ntaub so ntswg ua kom tawv nqaij, ua rau txoj kev loj hlob sai ntawm cov nqaij sib txuas ntawm lub raum, lub plawv mob, pob qij txha thiab lub ntsws. Yog li ntawd, txoj kev rov qab mob raum yog tshwm sim los ntawm khaus dermatoses, lub plawv tsis zoo thiab lub siab nyob hauv lub ntsws. Hauv lub sijhawm mob, nws yog ib qho tsim nyog yuav tsum tau ua kom nruj rau qhov kev nkag ntawm no, uas yuav pab kho kom sai sai.

Kev haus dej txaus rau kev haus dej kom txaus yog ib qho tseem ceeb rau kev noj zaub mov kom zoo. Dej pab ntxuav lub cev ntawm cov tebchaw tsim kev puas tsuaj, uas cuam tshuam rau qhov zoo ntawm qhov rov qab los. Txhawm rau kom muaj kev tso cai tso zis zoo, thaum kho nws yuav tsum tso tseg cov ntsim, oily, qab ntsev thiab zaub mov kaus poom, uas khaws cov dej hauv lub cev thiab ua rau nws muaj kuab paug thiab nce ntxiv.

Thaum lub sij hawm lub sij hawm ntawm lub raum pathologies thiab mob raum tsis ua haujlwm, cov ntawv qhia zaub mov yuav tsum suav nrog cov zaub mov muaj hlau, zinc, calcium thiab selenium. Hauv chav kawm ntawm tus kabmob, lub cev tsis txaus ntseeg ua rau tsis muaj cov khoom tseem ceeb uas tsim nyog rau kev ua haujlwm ntawm lub cev thiab cov haujlwm tsis zoo.

Noj zaub mov rau cov ntshav qab zib nephropathy No. 7 tau pom zoo kom rov qab cov txheej txheem metabolic, txo qis kev o, mob ntshav siab thiab ntshav siab. Nws siv rau cov mob ntshav qab zib thiab dysmetabolic nephropathy, glomerulonephritis, mob raum tsis ua haujlwm thiab lwm yam mob hauv lub raum.

Raws li cov lus pom zoo ntawm lub rooj, cov khoom lag luam nrog cov ntsiab lus siab ntawm carbohydrates thiab cov rog cov rog poob rau hauv kev txwv. Lauj kaub tais diav yog npaj tsis tau ntsev. Qhov ntim txhua hnub ntawm cov kua dej haus tau tsis yog ntau dua 1 liter. Cov ntsiab lus calorie niaj hnub ntawm cov khoom tsis tshaj 2900 kcal, nrog rau cov carbohydrates - txog li 450 g, cov protein - txog 80 g, cov rog - txog li 100 g, qab zib - txog li 90 g.

Thaum lub sij hawm noj haus No. 7 nws tso cai rau haus:

• soups on zaub broth,
• nqaij ntshiv thiab tus nplaig,
• muaj roj ntses tsawg
• khoom noj siv mis, tshwj tsis yog cheese,
• porridge
• zaub
• txiv ntoo
• cov qe tsis pub ntau tshaj 2 pcs.,
• zib ntab, jam, jelly,
• khob cij thiab pancakes yam uas tsis muaj ntsev.

• salted hmoov khoom
• nqaij thiab ntses cov khoom lag luam ntawm cov rog ntau yam thiab nyob ntawm lawv cov khoom noj khoom haus,
• nceb
• nyuaj thiab mos cheese,
• taum
• cov khoom lag luam nrog kev faib ua feem ntawm oxalic thiab ascorbic acids,
• Qhob noom xim kasfes

Nws yog tshuaj rau nephropathy, mob raum ua haujlwm tsis zoo, glomerulonephritis kom txo qis lub nra rau cov kabmob muaj mob, ua kom cov metabolism zoo li qub thiab txo qhov hnyav ntawm cov tsos mob (edema, ntshav siab).

Proteins thiab ntsev yog raug rau cov kev txwv, rog thiab carbohydrates yog me ntsis txo. Qhov Xaiv yog muab rau cov khoom lag luam ntawm cov hauv paus pib. Kev noj cov protein txhua hnub tsis ntau tshaj 20 g, ib nrab ntawm cov tsiaj keeb kwm. Tus nqi ntawm cov rog yuav tsum tsis txhob ntau dua 80 g, 350 carbohydrates, ntawm uas 1/3 yog qab zib. Kev noj cov dej txhua hnub tau muab xam raws li qhov ntim zis txhua hnub cais, ntxiv rau 0.5 liv.

Daim ntawv teev cov khoom lag luam pom zoo:

• cov khoom noj uas ntsev tsis muaj ntsev,
• zaub kua zaub
• tawv nqaij thiab ntses,
• cov khoom noj siv mis (siv tsev cheese yog raug tso cai nrog kev ua tiav ntawm cov nqaij)
• qe, tsis pub ntau tshaj 2 pcs. ib lis piam
• txiv ntoo
• zaub
• nplej zom tsis muaj protein, sago, mov,
• zaub thiab tsiaj roj,
• qab zib, zib ntab, jam, khoom qab zib, jellies,
• tshuaj ntsuab decoctions, teas, compotes.

Sau cov zaub mov raug txwv:

• salted hmoov khoom
• rog nqaij thiab ntses,
• nceb
• nyuaj cheese
• taum
• cereals
• dej qab zib
• kasfes, cocoa,
• txuj lom, mustard, horseradish.

Cov lus pom zoo ntawm lub rooj No. 7b yog tsom rau kev rov qab cov metabolism, ntshav siab hauv cov hlab ntsha, thiab tshem puffiness. Nws yog siv nyob rau hauv lub raum pathologies tom qab kev ua zaub mov noj lub rooj No. 7a. Protein thiab ntsev poob rau hauv qab qhov txiav npluav; nqaijrog thiab carbohydrates tsis txwv ntau. Khoom noj khoom haus No. 7b hais txog qhov tsis txaus ntshai tshaj plaws.

Kev noj cov protein txhua hnub yuav tsum tsis pub dhau 60 g, ntawm 60% ntawd yog los ntawm tsiaj los. Cov rog - txog li 90 g, ntawm uas 20 g yog ntawm zaub keeb kwm. Tus naj npawb ntawm carbohydrates txhua hnub tsis ntau tshaj 450 g, qab zib raug tso cai rau 100 g. Cov haus dej haus hom - txog li 1.5 liv.

Daim ntawv teev cov khoom noj tau tso cai thiab txwv tsis pub muaj ntsis zoo sib xws nrog rau cov khoom noj hauv lub rooj noj mov No. 7a

Kev noj haus yog qhov ua kom zoo rau kev kho mob rau lub raum kab mob ntawm ntau yam etiologies. Pab txo lub nra rau cov kabmob thiab cov mob hnyav ntawm cov duab kuaj mob. Pab ua kom cov txheej txheem kev zom zaub mov muaj zog thiab tso zis. Txog kev kho mob, kev noj haus cov zaub mov No. 7, 7a thiab 7b yog siv.

Lo lus nephropathy sib txuam nrog cov txheej txheem pathological uas tshwm sim hauv lub raum. Kev noj zaub mov rau lub raum nephropathy yog qhov tseem ceeb rau kev tswj kev noj qab haus huv. Cov khoom noj zoo li no tau tsom rau kev ua haujlwm ntawm cov metabolism hauv lub cev. Ntxiv nrog rau kev noj zaub mov hauv tsev kho mob, nws yog ib qho tsim nyog yuav tsum tau tshem tawm cov tsos mob ua ke, kom tsis txhob muaj tus kab mob uas ua rau kev loj hlob ntawm nephropathy.

Tus cem ntawm qhov teeb meem yog:

• mob ntshav qab zib
• cev xeeb tub
• mob gout
• mob cancer
• tsawg hemoglobin
• noob neej
• tshuaj lom neeg lossis tshuaj lom,
• kev hloov hormonal
• metabolic ntshawv siab
• mob txeeb zig
• raum pob zeb.

Rov qab rau cov lus txheej txheem

Kev noj haus tau kos tom qab kev ua tiav kev soj ntsuam ntawm tus neeg mob txhawm rau txiav txim siab rau tus neeg qhov kev xav tau thiab tus yam ntxwv ntawm tus neeg mob. Hauv cov mob thaum ntxov ntawm tus kabmob, nws yog qhov txaus los suav nrog kev noj zaubmov me me rau kev tiv thaiv. Nrog rau daim ntawv tshaj, khoom noj khoom haus yuav tsum yog tshuaj kho. Nrog kev pab ntawm kev noj zaub mov kom zoo, dej-ntsev kom sib npaug hauv lub cev tau rov qab los. Ua tsaug rau cov khoom lag luam tshwj xeeb uas tau xaiv, lub chaw tso zis pib ua haujlwm nquag, vim li ntawd, o ntawm qhov kawg rov qis dua lossis ploj tag nrho. Ntshav siab rov ua dua, intoxication ntawm lub cev hla.

Rov qab rau cov lus txheej txheem

Cov ntsiab lus ntawm cov khoom sau

Txo cov protein ntau txhua hnub, ib qho tseem ceeb ntawm kev kho mob siab rau cov neeg mob.

Lub raum tsis zoo yog qhov nyuaj los tshem tawm cov tshuaj phiv ntau, feem ntau lawv tsim cov protein ntawm cov tsiaj keeb kwm.Txawm li cas los xij, ib qho kev tsis lees paub ntawm cov khoom tsiaj yog kev ntxhov siab rau lub cev, uas txuas ntxiv rau lub xeev ntawm kev noj qab haus huv. Kev noj cov protein txhua hnub yuav tsum maj mam txo. Nws raug nquahu kom hloov mus rau kev noj nqaij nqaij, ntses, thiab tom qab ntawd ua rau cov zaub protein.

Rov qab rau cov lus txheej txheem

Ntxiv rau ntsev

Nrog kev tsim ntawm edema, ntshav siab, nws yog qhov tsim nyog los txo cov ntsev kom tsawg. Thaum ua zaub mov noj, tsis txhob ntxiv ntsev rau txhua lub sijhawm, me ntsis ntxiv ntsev rau cov zaub mov ua ntej siv. Kev hloov mus rau qhov tsis pub muaj ntsev ntau tshwm sim maj mam hloov qhov kev xav ntawm saj. Ntsev pab txoj kev saj ntawm cov zaub mov; yog li ntawd, thaum hloov mus rau txoj kev noj ntsev uas tsis muaj ntsev, nws yog ib qho tseem ceeb kom pib siv lwm cov khoom noj uas ua kom zoo dua cov zaub mov qab: kua txiv lws suav lossis kua ntses uas tsis muaj ntsev, kua txiv qaub, tshuaj ntsuab qhuav, qej qhuav thiab dos, zaub ntug hauv paus ntsev.

Rov qab rau cov lus txheej txheem

Nyob ntawm cov txiaj ntsig ntawm qhov kev txheeb xyuas, nws tsim nyog nce lossis txo qis hauv kev noj haus ntau ntawm cov khoom muaj cov poov tshuaj hauv lawv. Feem ntau, nrog kev tshwm sim thaum ntxov ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum tau nce poov tshuaj ntau dua, thiab tom qab ntawd, ntawm qhov tsis tooj, txwv tsis pub tshaj. Txiv tsawb yog nplua nuj nyob hauv cov poov tshuaj, ntau cov txiv ntoo, tsev cheese, buckwheat, zaub ntsuab, avocado, oatmeal. Yog tias muaj kev xav kom txo cov poov tshuaj hauv cov khoom, kev kho kom sov yog siv.

Rov qab rau cov lus txheej txheem

Kev maj mam yau zuj zus hauv phosphorus hauv kev noj haus muaj qhov zoo rau kev kho mob, ua kom qeeb ntawm kev loj hlob hauv lub raum ntawm cov ntaub so ntswg sib txuas thiab cov tsos mob tshwm sim ntawm mob ntev los yog mob nyhav. Cov ntsim, rog, cov kaus poom thiab zaub mov siav muab lub zog tso zis tso zis. Dej yuav tsum tau haus kom ntau txaus, thaum sawv ntxov, kev nqus dej pib txhua tus txheej txheem hauv lub cev thiab ntxuav lub cev ntawm cov co toxins uas nthuav thaum hmo ntuj. Txawm li cas los xij, nrog rau qhov hnyav nce sai, vim yog txhawm rau txhawm rau, nws yog qhov yuav tsum tau txo qis dej kom tsawg rau lub sijhawm uas tshem tawm qhov ua rau.

Rov qab rau cov lus txheej txheem

Nyob rau lub sijhawm kev mob nkeeg thiab kev kho mob, tib neeg lub cev poob ntau yam tshuaj muaj txiaj ntsig. Yog li, nws yog qhov yuav tsum tau noj cov tshuaj vitamin, suav nrog cov kab ntawm cov hlau, zinc, selenium, calcium. Suav cov khoom noj uas muaj hlau hauv cov khoom noj: txiv hmab, beets, pomegranates. Tseem ceeb heev hauv kev noj zaub mov yuav ua rau cov zaub mov muaj roj tsawg dua: zaub qhwv ntawm ntau yam, tshuaj ntsuab, ntsuab nplej txhaws. Ib qho ntxiv, tsis txhob ua kom sai cov roj carbohydrates ua kom cov ntshav muaj roj cholesterol thiab insulin ntau ntau.

Rov qab rau cov lus txheej txheem

Nqaij lauj kaub tais diav

Cov neeg tsis noj nqaij thiab vegan zaub tais nrog ntxiv cov zaub mov lossis tsis muaj cov zaub mov noj. Cov nqaij tsis tsim nyog, zaub mov nceb, qe. Thaum hloov mus rau cov zaub protein, ntses kua zaub thiab kua zaub raug tso cai. Cov nqaj ntses, cov kaus poom, cov ntsev thiab cov ntses uas haus tau yog txwv tsis pub. Nws yog ib qho tseem ceeb kom tshem tawm cov khoom noj siv mis.

Rov qab rau cov lus txheej txheem

Tag nrho cov khoom ua noob nplej, tshwj xeeb tshaj yog gluten tsis pub, yog qhov zoo: millet (millet), buckwheat, amaranth, quinoa, chia, txhuv xim av, txhua qhov legumes zoo. Nws yog ib qho tsim nyog yuav tsum tau tso tseg cov txhuv dawb, oatmeal, tshwj xeeb tshaj yog teeb meem tam sim ntawd flakes. Gluten groats yog qhov tsis xav tau: pob kws, nplej, nplej, oat. Durum nplej nplej zom tau tso cai. Koj tuaj yeem noj cov qoob loo tag nrho, tsis muaj poov xab lossis tsis muaj ncuav. Tag nrho cov khoom ci bakery nrog piam thaj thiab poov xab ua los ntawm cov hmoov dawb dawb thiab dub yog txwv tsis pub.

Rov qab rau cov lus txheej txheem

Yuav luag txhua cov zaub muaj txiaj ntsig: qos yaj ywm, beets, carrots, zaub qhwv dawb, Zaub pob zaub, zaub paj, zaub paj, taub dag, taum ntsuab, zucchini, tswb kua txob, txaij, lws suav, dib, zaub ntsuab. Koj yuav tsum ceev faj txog kev siv cov radish, radish, sorrel, spinach, qej thiab cov dos tshiab. Cov kaus poom thiab de zaub tsis raug txwv.

Rov qab rau cov lus txheej txheem

Hauv thawj ib nrab, nws yog qhov txaus siab los siv cov khoom qab zib: txiv hmab txiv ntoo, cov txiv ntoo, cov txiv hmab txiv ntoo qhuav, zib ntab.Txawm li cas los xij, nrog kev sib kis ntawm tus kab mob, nws tsim nyog tso tseg rau lawv. Qhob noom xim kasfes, granola, kua mis, cov khoom qab zib, khoom qab zib, ncuav qab zib, ib qho khoom noj qab zib thiab confectionery nrog qab zib, cov khoom qab zib uas muaj suab thaj hloov yuav tsum muab tshem tawm tag nrho.

Rov qab rau cov lus txheej txheem

Qoos qhuav, qej, dos, cov tshuaj tsw qab muaj txiaj ntsig yog: daim tawv nqaij, coriander, fennel, turmeric, asafoetida. Cov kua ntses nrog kua txiv qaub raws li cov taub dag cov noob thiab cov paj noob hlis yog qhov zoo. Hom kua ntses lws suav muaj txiaj ntsig. Horseradish, mustard, mayonnaise, ketchup, kua ntses, kua ntses, kua txob kua txob, qhiav, dub kua txob txwv tsis pub.

Rov qab rau cov lus txheej txheem

Cov tshuaj ntsuab zoo, kua ntses rosehip, haus nrog txiv qaub, ntsuab daj raws cov dej thiab ntsuab ua txhauv, ntsuab kua zaub, dej ntshiab. Nws yog ib qho tsim nyog kom tsis suav dub thiab ntsuab dej kas fes, kas fes, cocoa, dej cawv, mis nyuj, kua, dej nplua nuj hauv sodium, haus dej haus. Cov dej qab zib hauv Barley, haus muv nqaij tau txais kev tso cai.

Rov qab rau cov lus txheej txheem

Paj noob hlis thiab pob kws thiab paj noob hlis, taub, almonds, cashews yog qhov zoo. Cov noob flax, chia tau zoo heev. Kev siv roj uas tsis siv roj txias txias tau tso cai, uas cov roj txiv roj zoo tshaj plaws. Nrog ceev faj, Walnut, Brazilian, txiv laum huab xeeb, txiv laum huab xeeb yuav tsum tau noj. Nws yog txwv tsis pub ghee, butter, ntses thiab tsiaj rog, muaj roj.

Rov qab rau cov lus txheej txheem

Tom qab waking, haus 1 liv dej, nrog rau qhov sib ntxiv ntawm ib qho me me ntawm cov kua txiv txiv tshiab. Tom qab 15 feeb, haus dej ntsuab ib lub smoothie raws dej, ntsuab cog ntawm cov nplej thiab txiv qaub, lossis noj txiv hmab txiv ntoo. Ib teev tom qab txiv hmab txiv ntoo, nws yog qhov txaus siab kom noj zaub xam lav. Cov zaub ntsuab siv tshiab, raws caij nyoog. Ntxiv ib qho kev xaiv ntawm cov taub dag, paj noob hlis lossis flax noob rau cov zaub xam lav, lub caij nrog roj zaub. Los ntawm 12:00 txog 15:00 qhov kev zom zom muaj zog tshaj plaws, yog li ntawd, nws yog qhov zoo yog tias noj su poob rau lub sijhawm no. Noj su yuav tsum thawm thiab tib lub teeb. Nco ntsoov suav nrog cov tais diav los ntawm cov zaub xam lav tshiab, stewed zaub thiab zaub mov siav lossis legumes. Koj tuaj yeem noj cov qoob loo tag nrho, cov ncuav tsis muaj poov xab. Txwv tsis haus kua su nrog kua. 2 teev tom qab noj mov, noj ib decoction ntawm immunomodulatory tshuaj ntsuab. Rau noj hmo, nws yog qhov zoo rau noj cov zaub siav thiab tshiab.

Rov qab rau cov lus txheej txheem

IgA nephropathy yog nrog ntau yam mob lossis lwm yam kabmob ntawm lwm yam kabmob thiab cov kabmob. Txoj hlab plawv thiab pob txha pob txha, mob siab, thiab lub plab zom mov txom nyem. Lub hom phiaj ntawm kev noj zaub mov kom zoo rau IgA-nephropathy yog kom txo qis ntshav siab, muab cov zaub mov zoo, thiab ua kom muaj zog hauv lub cev. Ib qho kev qhia tseem ceeb hauv kev noj haus yog los ntawm kev nqus ntawm cov pob zeb hauv av hlau hauv tus neeg mob lub cev, kev cais tawm ntawm cov tsiaj protein thiab cov rog, tsis suav nrog cov carbohydrates ceev.

Rov qab rau cov lus txheej txheem

Ntshav qab zib nephropathy yog nrog ntshav cov ntshav qabzib. Nrog kev pab hauv chaw kho mob noj haus, lub raum piam yuav txo qis los yog tsum kiag li. Kev noj haus rau cov ntshav qab zib nephropathy muaj nyob rau hauv kev tswj ntshav qab zib, rau qhov kev noj zaub mov kom qis-carb no yog siv. Cov khoom noj qab zib tsis meej rau hauv kev noj zaub mov: zib ntab, txiv hmab txiv ntoo qhuav, qab zib, cov txiv qab zib, txhua lub khw muag khoom qab zib.

Tsev »Noj cov zaub mov» Kev mob ntshav qab zib nephropathy: zaub mov noj, zaub mov noj zaub mov, npe ntawm cov khoom tau tso cai thiab txwv tsis pub

Mob ntshav qab zib ua rau cov nyom txaus ntshai heev. Ntawm cov ntshav qab zib, ntau pawg ntawm tib neeg cov kabmob muaj feem cuam tshuam, suav nrog kev ua haujlwm ntawm lub raum.

Qhov no, nyeg, ua rau muaj kev mob nkeeg txaus ntshai, thiab yog tias tsis kho, txawm tias tus neeg mob yuav tuag.

Kev noj haus rau ntshav qab zib thiab lub raum muaj teeb meem, nrog rau kev noj tshuaj uas yog, tuaj yeem pab daws qhov teeb meem no.

Tab sis vim li cas yog vim li cas cov piam thaj siab tsis zoo cuam tshuam rau lub raum kev ua haujlwm? Muaj ntau qhov tseem ceeb cuam tshuam tsis zoo rau lub raum hauv ntshav qab zib.

Ua ntej tshaj plaws, kev dhau ntawm cov piam thaj hauv cov ntshav muaj qhov tsis zoo.

Nws ua ke nrog cov nqaij protein - glycation tshwm sim, uas cuam tshuam txoj haujlwm ntawm lub raum. Glycated protein ua rau lub cev tsim cov tshuaj tiv thaiv tshwj xeeb, qhov cuam tshuam uas kuj cuam tshuam rau lub raum.

Tsis tas li ntawd, nyob rau hauv cov ntshav ntawm cov ntshav qab zib muaj feem ntau muaj cov ntsiab lus ntau dhau ntawm platelets, uas txhaws cov hlab ntsha me. Thiab thaum kawg, qhov tsis zoo nqus dej mus rau hauv lub hlwb thiab qhov tsis txaus ntawm nws raug tshem tawm ntawm lub cev nce cov ntshav uas yuav tsum tau ntxuav los ntawm kev dhau los ntawm nws tus kheej, lub raum.

Tag nrho cov no ua rau muaj qhov tseeb tias glomerular hyperfiltration tshwm sim - kev ua haujlwm ntawm lub raum glomeruli. Thiab ultrahigh thauj khoom tsis zoo cuam tshuam rau lub cev kev ua haujlwm thiab ua rau lub ntsej muag ntawm lub ntsej muag glomerular apparatus lesions - ntshav qab zib nephropathy. Nws yog tus cwj pwm los ntawm kev txo qis hauv tus naj npawb ntawm active glomeruli vim yog txhaws ntawm hlab ntsha ntawm hlab ntsha.

Thaum tus naj npawb ntawm glomeruli cuam tshuam txog qee yam, cov tsos mob tshwm sim qhia tias kev txhim kho lub raum tsis ua haujlwm:

• mob taub hau
• xeev siab thiab ntuav
• lub plab zom mov tsis haum
• ua pa txog siav
• nws yog xim hlau saj thiab ua pa tsw phem,
• khaus tawv
• cramps thiab cramping.

Nrog kev txhim kho ntxiv ntawm tus kab mob, cov kev mob tshwm sim hnyav ntxiv yog ua tau - tsaus muag thiab tsis nco qab lawm. Yog li, nws yog qhov tseem ceeb heev uas yuav tsum tau pib kho kom ntxov li ntxov tau, thaum lub raum tseem tiv taus nrog kev ua ntshav kom huv.

Kev kho mob nephropathy pib nrog kev tswj qab zib. Tom qab tag nrho, nws yog qhov tseem ceeb tshaj cov qauv ntawm cov piam thaj uas ua rau kev loj hlob ntawm lub raum puas hauv ntshav qab zib.

Qhov yuav tsum tau ua ua ntej rau kev sib tw kom muaj txiaj ntsig ntawm tus kabmob yog txo qis ntshav siab.

Nws yog qhov tsim nyog tias lub siab ua haujlwm tsis tseem ceeb ntawm theem ntawm 130/80, thiab nws yuav zoo dua txawm tias qis dua.

Thaum kawg, khoom noj khoom haus ua si lub luag haujlwm tseem ceeb hauv lub raum tsis ua haujlwm, nyob rau hauv ntshav qab zib. Qhov tseeb tiag, kev ua raws li qee qhov kev noj zaub mov zoo tuaj yeem txo qhov kev ua kom muaj suab thaj hauv cov ntshav thiab txo lub nra rau lub raum, yog li tiv thaiv qhov kev yeej ntawm cov capillaries tshiab.

Kev noj haus yuav tsum pom zoo nrog koj tus kws kho mob.

Noj cov qauv

Lub hauv paus ntsiab lus tseem ceeb hais tias kev noj zaub mov yuav tsum ua raws li muaj ntshav qab zib ua kom tsis txhob muaj ntshav qab zib yog kom tiv thaiv kev nce ntxiv hauv qab zib thiab txo lub nra ntawm lub raum. Cov lus qhia khoom noj khoom haus txawv ntawm ntau theem ntawm tus kab mob.

Yog li, thawj theem, yooj yim theem, nws yog qhov tseem ceeb heev los tswj cov ntsiab lus ntawm tsis tsuas qab zib, tab sis kuj muaj protein hauv cov zaub mov. Cov kev ntsuas no yog tsim nyog los txhawb kev ua haujlwm ntawm lub raum.

Kev noj zaub mov muaj protein tsawg txo qhov hnyav rau lub raum thiab pab tiv thaiv kab mob. Ib qho ntxiv, kev ua kom ntshav siab yog qhov tseem ceeb rau tus kabmob. Hauv qhov no, nws raug nquahu kom txwv tsis pub nqus cov khoom noj ntau li ntau tau.

Yog tias nyob rau thawj theem ntawm tus kabmob muaj ntshav qabzib tswj nyob hauv thawj qhov chaw, tom qab ntawd nrog kev txhim kho kabmob ntshav qab zib ua qhov tseem ceeb tshaj plaws yog kev tswj hwm ntawm tsiaj cov protein kom tsawg. Tom qab tag nrho, muaj cov tshuaj tshwj xeeb los txo cov suab thaj kom tsawg, thaum ua haujlwm ntawm cov tshuaj uas ua rau txo lub nra ntawm lub raum tsawg dua.

Qhov kev xaiv zoo tshaj plaws yuav luag txhua qhov hloov tsiaj protein nrog zaub. Raws li cov kev tshawb fawb soj ntsuam, qhov feem pua ​​ntawm cov tsiaj protein nyob hauv tus neeg mob cov zaub mov yuav tsum tsis pub tshaj 12%.

Cov Khoom Noj Protein Zaub

Tsis tas li ntawd, ntxiv rau kev txwv txiav cov kev noj ntsev, protein thiab qab zib, nws pom zoo tias cov zaub mov muaj phosphates yuav raug txo qis thaum lub sijhawm kev txhim kho kabmob. Phosphorus tseem muaj peev xwm cuam tshuam rau lub raum thiab ua rau lub siab ua kom hnyav ntxiv.

Ntxiv rau, qhov kev txwv ntawm kev siv ntawm cov tsiaj cov rog yog ua yeeb yam.Tom qab tag nrho, lawv yog qhov ntawm cov roj (cholesterol) uas ua rau cov hlab ntsha nqaim ntawm cov quav hniav. Ntxiv mus, xws li qhov nqaim yog cov yam ntxwv tsis yog tsuas yog ntawm cov hlab ntsha hauv lub hlwb - cov roj (cholesterol) ntau dhau kuj muaj cov txiaj ntsig tseem ceeb ntawm cov hlab ntsha hauv lub raum, ua ib qho kev pheej hmoo ntxiv rau lawv txhaws.

Kev tsis lees txais ntawm cov protein tsis pom zoo.

Yam khoom twg txwv?

Muaj ntau qhov khoom noj khoom haus zoo, uas, yog tias kev noj zaub mov zoo raug rau kev mob raum tsis ua haujlwm rau cov ntshav qab zib mellitus, tsis yog tsuas yog tsis pom zoo - nws yog qhov txwv tsis pub ua.

Ua ntej tshaj, koj tsis tuaj yeem noj cov qab zib thiab cov khoom uas muaj nws, lossis ntau ntawm fructose, suav nrog zib ntab, kua txiv hmab txiv ntoo thiab lwm yam. Cov khoom lag luam zoo sib xws yuav tsum raug cais tawm tag nrho.

Tsis tas li, koj tsis tuaj yeem siv cov pastries ua los ntawm hmoov dawb. Muaj ntau ntau ntawm cov carbohydrates ceev hauv cov zaub mov no. Txwv kev noj cov txiv hmab txiv ntoo nrog ntau tus fructose ntau - tsawb, hnub, txiv hmab, txiv ntoo. Koj yuav tsum tsis txhob noj cov qab qab zib ntau yam ntawm pears, txiv apples, dib.

Tsis txhob noj zaub kib, roj ntau. Banned nqaij npuas, nqaij yaj, rog rog. Nws kuj tseem tsis pom zoo kom noj cov khoom noj muaj roj ntau nrog cov roj ntau hauv cov zaub mov - cov rog hauv tsev cheese, qaub cream, thiab lwm yam

Ntxiv rau, koj tsis tuaj yeem noj cov khoom noj pickles thiab cov nqaij uas haus luam yeeb - lawv kuj ib txwm muaj ntsev ntau, uas ua rau muaj kev ntxhov siab ntau dua.

Tsis suav butter thiab margarine, muaj ntau ntawm cov tsiaj rog. Kev siv cov mayonnaise kuj tsis zoo.

Nws yog txwv tsis pub siv cov dej qab zib, tshwj xeeb tshaj yog cov dej qab zib, nrog rau kua txiv, txawm tias lub ntuj tshiab khiv zom zaws - lawv qhov kev nqus tau tuaj yeem ua rau nce qib hauv qabzib.

Nyob rau hauv qhov kev txwv, ntawm chav kawm, txhua qhov koob tshuaj ntawm dej cawv, nrog rau cov ntsim kev ua si thiab txuj lom. Cov tshuaj yej yuav tsum tau siv nrog ceev faj, thiab kas fes yuav tsum tau muab pov tseg tag nrho.

Kev noj zaub mov zoo tuaj yeem ua teeb meem nrog quav, uas daws tau los ntawm kev noj tshuaj kho mob me me.

Dab tsi tsim nyog siv?

Qhov tseem ceeb ntawm cov khoom noj yuav tsum yog zaub. Lawv yuav tsum tau noj cov nqaij nyoos, faus, stewed, hau - tsis yog kib.

Tsis muaj kev txwv cov zaub, tsuas yog kev zam qos yaj ywm. Nws raug nquahu kom siv nws hauv daim ntawv ci, tsis ntau dua 200 grams nyob rau ib hnub.

Buckwheat yuav tsum tau lees paub tias yog cov txiaj ntsig uas muaj txiaj ntsig zoo tshaj plaws, uas yuav tsum tau muab qhia rau hauv cov khoom noj kom ntshav qab zib rau cov ntshav qab zib. Muaj cov suab tsis yooj yim carbohydrates contraindicated hauv cov ntshav qab zib. Lwm cov cereals, tshwj xeeb tshaj yog semolina, yuav tsum siv nrog ceev faj.

Nws yog ib qho txiaj ntsig kom noj cov zaub ntsuab hauv dav dav thiab zaub ntsuab hauv qhov tshwj xeeb. Cov tsiaj rog tau zoo tshaj plaws los ntawm cov khoom noj siv mis los ntawm kev tswj hwm lawv cov nyiaj.

Los ntawm cov kua txiv, nws pom zoo kom siv txiv lws suav thiab sib xyaw ntawm lws suav nrog lwm cov kua txiv.

Los ntawm cov kua txiv hmab txiv ntoo, nws yog qhov lees txais los noj me me ntawm plum kua txiv tshiab.

Feem ntau, khoom noj khoom haus thaum muaj mob raum tsis ua haujlwm thiab ntshav qab zib mellitus, ntxiv rau kev txwv qee yam zaub mov, yuav tsum sib txawv hauv cov kev tiv thaiv ib nrab. Nyob rau hauv tsis muaj ib qho yuav tsum tau koj overeat - qhov no tsis zoo cuam tshuam rau ob qho kev tshuav ntawm cov enzymes hauv lub cev thiab kev mob ntawm ob lub raum.

Tsis txhob siv cov hlaws barley - nws muaj ntau cov carbohydrates.

Kev noj zaub mov rau raum tsis ua haujlwm thiab ntshav qab zib, cov ntawv qhia zaub mov noj txhua lub lim tiam

Cov ntawv qhia zaub mov hauv qab no yog cov piv txwv rau kev tsim cov zaub mov zoo rau mob ntshav qab zib nephropathy.

Lawv tuaj yeem hloov, sib xyaw, hloov pauv, yam tsis hnov ​​qab txog daim ntawv teev npe txwv tsis pub thiab cov khoom lag luam uas tsis xav tau. Kev ua raws li kev noj haus zoo li no yuav pab tiv thaiv kev mob raum thiab txhim kho kev mob ntawm lub cev thiab kev noj qab haus huv ntawm tus neeg mob.

Kev xaiv thawj cov zaub mov suav nrog steamed protein omelet noj tshais, mov ci ncuav ci thiab ob txiv lws suav. Yog tias cov piam thaj hauv ntshav tsis siab dhau, kev haus kas fes nrog lub qab zib yog qhov zoo.

Noj su yuav tsum tau muaj cov kua zaub ntshiv thiab ob mus rau peb qho ncuav ci los ntawm wholemeal.Rau ib qho khoom noj txom ncauj thaum tav su, koj yuav tsum noj txiv kab ntxwv lossis txiv qaub jelly nrog lub qab zib lossis mis nyuj jelly. Rau noj hmo - hau nqaij qaib muaj roj tsawg, zaub xas lav nrog tsis muaj qab hau yogurt tsis muaj qab hau, tshuaj yej tsis muaj qab zib nrog txiv qaub yog ua tau.

Qhov thib ob version ntawm lub rooj noj mov rau jade tshwm sim los ntawm ntshav qab zib.

Rau pluas tshais - cov nqaij rog muaj roj tsawg cheese nrog ib qho ci, cov zaub xam lav ntawm cov txiv ntseej. Rau pluas su - ntses kua zaub siv cov ntses tsis muaj roj, ci qos yaj ywm, tshuaj yej.

Noj su thaum tav su - ntsuab unsweetened txiv apples. Rau noj hmo - zaub xam lav ntawm tshiab dib thiab zaub xas lav, ib qho dej rosehip.

Qhov kev xaiv thib peb yog kev xaiv ntawm cov tais diav. Rau pluas tshais - buckwheat porridge nrog mis nyuj. Rau pluas su - neeg tsis noj nqaij qhwv kua zaub, chav nqaij qaib cutlet, zaub xas lav tsis muaj roj. Thaum tav su - tsis muaj piam thaj protein mousse ntau. Noj hmo - nqaij ntses nyoo zaub xam lav thiab tshuaj yej tsis qab zib.

Yog lawm, kev noj haus rau cov raum ntshav qab zib nephropathy muaj ntau daim ntawv teev cov zaub mov thiab cov tais diav.

Kev xaiv ntawm cov tais diav tuaj yeem ua tau los ntawm koj tus kheej, zam cov tais txwv tsis pub noj thiab ua raws li txoj cai yooj yim ntawm kev sib txuas ntawm cov khoom.

Nqaij los yog ntses cov tais diav yuav tsum tsis txhob noj nyob rau hauv ib qho mus nrog cov khoom noj siv mis, txawm tias muaj roj tsawg.

Qhov tshwj xeeb tsuas yog tuaj yeem tso cai yog qhov sib ntxiv ntawm ntuj tsis muaj qab zib yogurt los yog tsis muaj roj tsawg kefir rau cov zaub xas lav.

Tsis txhob ua phem rau cov txuj lom thiab cov khoom xyaw, thiab cov khoom ua kua.

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Cov Ntsiab Lus Txog Ntshav Qab Zib:

Kev ua raws li kev noj zaub mov noj yuav pab tiv thaiv tus kabmob thiab txo cov ntshav qab zib, ntxiv rau txhim kho txoj kev noj qab haus huv zoo rau tus neeg mob thiab nce ntxiv ntawm cov tshuaj tau hais tseg.

Yuav kom txo cov kev tshwm sim ntawm cov tsos mob thiab kho cov duab hauv chav kho mob, kev noj zaub mov yog qhov tsim nyog rau lub hlwb tsis muaj dab tsi. Txhua yam kab mob ntawm qhov kev tso tawm lub tsev muaj feem cuam tshuam rau kev ua haujlwm ntawm ntau yam. Cov khoom noj muaj rog yuav tsum muaj cov protein tsawg thiab cov zaub mov carb tsawg. Ua tsaug rau qhov muaj peev xwm tshaj tawm cov khoom noj muaj txiaj ntsig, muaj txiaj ntsig ntawm kev siv tshuaj txhim kho, cov txheej txheem hauv lub cev hauv lub cev yog qhov qub.

Hauv cov theem thaum ntxov ntawm tus kab mob, kev noj zaub mov zoo yog txaus. Nrog tus kab mob siab heev, yuav tsum noj tshuaj kho kom haum.

Kev noj zaub mov zoo yog pom zoo tom qab kuaj xyuas tus neeg mob. Kev noj zaub mov zoo ua rau nws muaj peev xwm los rov qab ua kom dej-ntsev sib npaug ntawm lub cev. Daim ntawv teev cov zaub mov kom raug yog pab ua kom qhov txheej txheem txhawm rau ua haujlwm nquag, o ntawm tes thiab taw yog txo qis. Ntshav siab yog ruaj khov, qhov tshuaj lom hauv lub cev tsawg heev.

Kev noj haus rau cov mob ntshav qab zib nephropathy yog ua raws li cov ntsiab cai hauv qab no:

• Txo hauv cov zaub mov ntawm cov tsiaj protein thiab ib qho kev hloov ua tiav rau zaub protein.
• Txwv txiav kev noj ntsev.
• Nrog cov ntsiab lus nce ntxiv ntawm cov paj taub potassium (K) hauv cov hlab ntsha, yuav tsum txo qis cov zaub mov uas muaj cov ntsiab lus tseem ceeb ntawm cov tshuaj no yog qhov tsim nyog.
• Nrog rau cov ntsiab lus txo cov poov tshuaj (K) hauv cov hlab ntshav, kev noj zaub mov nrog cov kab kawm no yuav tsum nce ntxiv.
• Khoom noj khoom haus kev txwv nrog lub siab ntawm phosphorus.
• Cov kaus poom, nplua nuj raws caij nyoog nrog cov txuj lom, rog rog, haus luam yeeb thiab zaub mov pickled tsis suav nrog qhov khoom noj no.
• Haus dej haus kom huv txaus.
• Noj yuav tsum nquag.
• Cov vitamins, minerals, thiab cov zaub mov muaj hlau ntau yuav tsum muaj nyob hauv cov khoom noj.
• Txwv cov suab thaj ntau ntau thiab yooj yim zom cov zaub mov carbohydrates.

Rov qab rau cov lus txheej txheem

Nrog nephropathy, khoom noj khoom haus yuav tsum muaj qhov siab-calorie thiab yuav tsum yog 3,500 kcal ib hnub. Cov zaub mov yuav tsum nce siab hauv cov zaub mov ua rog thiab ua kom qeeb. Ib qho kev txo qis hauv cov ntsiab lus hauv lub cev ua rau lub cev ua rau lub cev pib siv nws cov protein, vim qhov ntawd lom los ntawm cov kuab lom uas tshwm sim thaum cov tshuaj tiv thaiv no tshwm sim. Hauv qhov no, lub nra rau lub raum nce ntxiv.

Rau qhov tseeb xam ntawm cov calories, cov rog, carbohydrates, cov protein nkag mus rau hauv lub cev nrog zaub mov, muaj KBJU qhov ntsuas. Rau txhua tus neeg mob, qhov ntsuas tau suav raws tus kheej, suav txog hnub nyoog thiab hom phiaj. Siv cov zauv muaj nuj nqis ntawm qhov muaj pes tsawg leeg ntawm cov khoom, koj tuaj yeem xam cov calories. Piv txwv li, ib daig ntawm nyuaj cheese hnyav 10 g muaj 2.4 g ntawm protein, 3 g ntawm cov rog thiab 0.2 g ntawm carbohydrates. Cov ntsuas calorie yog siv cov mis hauv qab no: 2.4 × 4 + 30 × 9 + 0.2 × 4 = 37 kcal.

Rov qab rau cov lus txheej txheem

Cov Khoom Qhia

Pom zoo rau tus kab mob:

• ntsev tsis muaj zaub mov noj
• zaub, neeg tsis noj nqaij, mis los, kua txiv,
• cov rog rog tsis muaj roj,
• nqaij ntshiv
• tawv nqaij ntses ntau yam.

Nrog nephropathy, koj tsis tuaj yeem noj radishes.

Nrog nephropathy, cov zaub mov hauv qab no cais tawm:

• Butter ci
• rog tsev cheese, qaub cream, mis,
• legumes txwv tsis pub los ntawm cov zaub
• smoked, ntsim, pickled lauj kaub tais diav.

Rov qab rau cov lus txheej txheem

Cov kua dej uas yuav tsum tau pab ua kom tshem tawm cov ntsev uric acid thiab ua rau cov txheej txheem kev zom zaub mov muaj sia. Nws yog ib qho tseem ceeb kom ua raws li kev haus dej haus cawv. Haus dej kom ntau txaus txhua hnub txhawm rau tso zis tawm. Cov kua no raug muab faib thoob plaws txhua hnub. Nws yog qhov tsim nyog los haus dej huv, tshuaj yej, infusions ntawm tshuaj ntsuab, piv txwv li, los ntawm paj chamomile, Txoj kev lis ntshav ntawm cov duav rose thoob plaws ib hnub. Cov dej ntxhia, cocoa, haus tonic muaj zog yog cais tawm ntawm cov zaub mov.

Rov qab rau cov lus txheej txheem

Nws yog ib qho tseem ceeb kom soj ntsuam qhov tshwj xeeb tawm ntawm cov zaub mov nrog IgA nephropathy (mob ntev tsis kis kab mob glomerulonephritis), nrog rau cov kev tsis sib haum hauv kev ua haujlwm ntawm ntau cov kab mob hauv lub cev. Nrog rau tus kab mob no, txoj kev hloov pauv tsis zoo los ntawm cov kab mob plawv, cov pob txha pob txha, thiab lub siab ua haujlwm ntawm lub plab. Lub hom phiaj ntawm kev noj zaub mov zoo hauv cov kab mob zoo li no yog txhawm rau txo cov ntshav siab, ua kom lub cev muaj zog tiv thaiv kab mob thiab ua kom muaj cov zaub mov tseem ceeb. Nws yog ib qho tseem ceeb kom tsis suav cov tsiaj protein thiab rog, lub teeb carbohydrates los ntawm cov ntawv qhia zaub mov.

Cov neeg muaj ntshav qab zib nephropathy yuav tsum tau muab cov txiv hmab txiv ntoo qhuav.

Nrog rau cov ntshav qab zib nephropathy, nrog rau kev nce ntxiv ntawm cov ntshav qab zib, nws yog ib qho tsim nyog yuav tsum txo qis lub nra rau lub raum. Kev noj zaub mov zoo nrog rau kev mob nkeeg muaj nyob rau hauv kev tswj ntshav qab zib, uas kev noj zaub mov kom tsawg los siv. Cov npe ntawm cov khoom txwv tsis pub cov neeg mob yog li nram no:

• qab zib
• txiv hmab txiv ntoo qhuav
• high-qab zib txiv hmab txiv ntoo
• Butter ci
• qab zib kas fes, tshuaj yej.

Rov qab rau cov lus txheej txheem

Ib qho piv txwv ntawm cov zaub mov noj rau cov neeg mob uas tau mob nephropathy, rau 1 hnub:

• Pluas tshais - 1 lub kua, unsweetened tsev cheese.
• Noj su - zaub stew, tshuaj yej ntsuab.
• Noj su - herculean kua zaub, buckwheat porridge nrog steamed nqaij patty, unsweetened ntsuab kas fes nrog qab zib.
• Khoom txom ncauj - oatmeal jelly, ib daim ntawm cov mov ci txhuv.
• Noj hmo - zaub xam lav thiab nqaij ntses.

Rov qab rau cov lus txheej txheem

Ua raws li kev noj haus yuav pab txhim kho txoj kev noj qab haus huv zoo rau cov neeg mob raum nephropathy. Ua ntej yuav pib noj cov zaub mov kev kho mob, koj yuav tsum nrhiav kev tawm tswv yim ntawm tus kws kho mob nephrologist, endocrinologist, lossis kws noj zaub mov. Ntawm thawj cov cim ntawm kev tsis zoo rau txoj kev noj qab nyob zoo, koj yuav tsum hu rau lub tsev kho mob thiab paub seb dab tsi ua rau muaj kev hloov pauv.

Los ntawm kev noj haus, koj tuaj yeem kho qhov theem ntawm homeostasis hauv lub cev.

Yog li, nws tau paub tias kev noj zaub mov protein, uas yog los ntawm tsiaj keeb kwm, ua kom hloov ntshav hauv lub raum: muaj ntshav nce siab thiab ntshav tawm hauv cov ntshav glomeruli, muaj mob plab raum tsawg dua. Tsis tas li, nrog kom muaj protein ntau ntxiv, cov ntsiab lus ntawm glycation cov khoom lag luam nce ntxiv. Qhov no yog qhov ua rau mob interstitial fibrosis, thiab tseem ua rau kev txhim kho ntawm tubular atrophy.

Proteins ntawm tsob nroj keeb kwm ua rau lub zog tsis txaus ntsig rau lub raum, yog li tsawg dua cuam tshuam zoo rau hemodynamics ntawm ob lub raum.Cov khoom noj cog rau hauv cov nroj tsuag tseem muaj cov hlab plawv hlab plawv ntshav, mob ntshav tes pab thiab tiv thaiv sclerotic.

Cov nyhuv ntawm cov protein tsis muaj zaub mov noj rau cov mob muaj mob

Raws li kev siv tshuaj kho mob, hauv kev kho mob ntawm cov neeg mob lub sijhawm ua ntej kev lim ntshav rau cov mob raum (CKD), muaj ntau cov kev noj zaub mov noj txog kev noj protein thiab nws cov kev txwv. Cov khoom noj muaj protein tsawg - 0.7-1.1 g protein / kg ib hnub, kev noj zaub mov muaj protein tsawg - 0.3 g protein / kg ib hnub.

Cov txiaj ntsig ntawm kev noj haus zoo li no tau sib xyaw. Tab sis tseem, cov kev soj ntsuam tsis ntev los no ua rau nws pom tseeb tias txo cov protein nyob hauv cov zaub mov tiag tiag muab cov txiaj ntsig zoo ib nrab.

Hauv qhov no, Cochrane muaj kev tshuaj xyuas txog 40 txoj kev tshawb fawb hauv 2,000 tus neeg mob CKD uas tsis muaj ntshav qab zib tau txiav txim siab tias nrog kev txo qis ntawm cov khoom muaj protein ntau, cov neeg tuag tsawg dua 34% piv nrog cov neeg mob uas tau noj ntau dua lossis ib txwm muaj protein.

Muaj pov thawj tias kev suav nrog cov amino acids tseem ceeb, nrog rau lawv cov keto analogs (ketosteril), hauv kev noj zaub mov muaj protein tsawg (MBD) muaj qhov cuam tshuam zoo rau kev qeeb ntawm kev loj hlob ntawm CKD. Kev qhia ntawm cov khoom noj zoo li no hauv kev noj haus ua ntej lim ntshav yuav tsis cuam tshuam qhov kev hloov pauv tom qab.

Ntxiv rau cov kev tshawb fawb uas txiav txim siab kev siv ketosterol hauv CKD theem IV-V, nws tsim nyog sau rau hauv 2012 Hungarian Pharmacoeconomic Txoj Kev Kawm. Nws pom qhov ua tau ntawm kev qhia ntxov ntawm keto-noj haus mus rau hauv tus neeg mob lub neej (CKD theem III) hauv kev sib piv nrog qhov pib lig.

Ketodiet yog zaub mov tsis muaj protein ntau (NDB) nrog ketosteril. Nws siv nyob rau hauv cov koob tshuaj hauv qab no - 1 ntsiav tshuaj rau txhua 5 kg ntawm tus neeg mob lub cev ib hnub. Kev siv cov khoom noj no los ntawm ib hnub ua ntej yog pom zoo, nrog qhov txo GFR txog 60 ml / min.

Ntawm ib pawg neeg sawv cev thoob ntiaj teb tau mob siab rau cov metabolism thiab zaub mov noj ntawm cov kab mob hauv lub raum, nws tau tshaj tawm tias kev qhia ntawm NDB rau hauv kev noj haus tau nrog los ntawm tsuas yog nce me me ntawm cov nyiaj phosphorus thiab nitrogenous slag piv rau MDB. Cov nyhuv no qhia pom tias thawj theem pib ntawm kev hloov kho raum rov qab txog li ib xyoos tom qab rau qee cov neeg mob piv rau MDB.

Kev txuas ntxiv ntawm keto acids ua rau nws muaj peev xwm nce qhov rhiab heev ntawm cov ntaub so ntswg rau insulin, txo lipid profile tsis zoo, txhim kho ntshav siab tswj, txo proteinuria thiab txhim kho lub neej ntawm cov neeg mob.

Keto kua qaub, ntxiv rau qhov hloov pauv cov amino acids uas sib cuam tshuam, tseem muaj qhov sib luag ntawm nitrogen. Keto acids kuj muaj cov khoom nram qab no:

• khaws cov nitrogen thaum hloov ntawm cov amino pawg rau keto acid. Qhov no yog nrog los ntawm kev tshem tawm ntawm ureagenesis,
• inhibit protein degradation, txhawb nws synthesis. Yog li, kev siv leucine txhawb nqa kev sib txuas ntawm cov protein,
• ib nrab kho cov amino acid profile hauv tus neeg mob uremic. Qhov no favorably cuam tshuam cov kev cai ntawm metabolic acidosis. Ib qho ntxiv, cov protein tawm mus nrog cov zis yog txo cov keeb kwm ntawm kev noj zaub mov nrog nws kev txwv, nrog rau kev noj keto / amino acids,
• ntshiab si albumin concentration ntawm lub nce,
• keto acids tsis ua rau muaj kev ua haujlwm ntawm lub raum,
• metabolic acidosis vim los ntawm kev tshem tawm tsis raug ntawm hydrogen ions los ntawm leej faj cov amino acids muaj qhov tsis zoo rau cov protein metabolism. Tsis tas li, cov piam thaj hauv lub cev thiab cov pob txha metabolism hloov. Tsuas yog ib qho kev txwv lossis txo qis hauv cov khoom muaj protein ntau tuaj yeem cuam tshuam cov kev kho ntawm cov metabolism hauv kev ua haujlwm thiab acidosis,
• cov pluas noj nrog kev noj zaubmov tsiaj tsawg yuav txo tau kev noj phosphorus, thiab muaj cov calcium zoo cuam tshuam rau lub cev kev hloov kho ntawm phosphorus thiab calcium, nrog rau hyperparathyroidism ntxiv,
• keto / amino acid kev kho tuaj yeem txhim kho qee qhov kev mob ntawm cov metabolism hauv cov metabolism uas tshwm sim nrog uremia.Raws li qhov tshwm sim, cov ntaub so ntswg rhiab rau insulin kho tau zoo tuaj, thiab cov concentration ntawm circulating insulin txo qis. Kev txo qis ntawm hyperinsulinemia nyob rau hauv kev kho mob keto / amino acids muaj cov txiaj ntsig zoo rau kev kho mob ntawm cov neeg mob uremia, tshwj xeeb tshaj yog muaj cov kab mob ntshav qab zib insulin, kev rog thiab CKD,
• keto / amino acid kev kho muaj qhov cuam tshuam zoo rau kev kho cov lipid tsis zoo, tshwj xeeb tshaj yog triglycerides. Qhov no tseem ceeb heev vim tias thaum uremia, atherosclerosis feem ntau pom. Tab sis nws tsis pom zoo kom pib kho cov tshuaj statin rau hauv cov neeg mob uas raug lim ntshav (theem ntawm cov pov thawj 1B).

Hauv peb lub tebchaws, rau kev kho ketoacidosis, cov kua qaub rau kev tswj hwm hauv tsoomfwv yog ua tiav siv. Qee zaum cov neeg mob siv nws tus kheej.

Cov kab mob hloov pauv hauv calcium thiab phosphorus homeostasis, nrog rau cov duab saib xyuas ntawm kev nce qib hyperparathyroidism, kev nce qib nyob ntawm GFR txo. Tus nqi tseem ceeb yog 60 ml / min. Ntawm cov ntsiab lus no, osteodystrophy, calcification ntawm cov hlab ntshav thiab cov nqaij mos mos pib, thiab cov theem ntawm lub plawv mob nce siab.

Yog li ntawd, nws tsim nyog ntxiv cov phosphate khi cov khoom noj rau cov neeg mob nrog nephropathy. Lawv khi phosphorus hauv txoj hnyuv, tiv thaiv nws kom tsis nqus. Txoj hmoo zoo ib yam tseem tos cov nquag metabolites ntawm vitamin D Qhov no vim yog qhov muaj peev xwm txo qis ntawm lub raum hauv CKD los hloov cov vitamin D rau hauv nws daim foos.

Dab tsi yog qhov tseem ceeb kom nco ntsoov txog kev kho cov hyperuricemia hauv cov neeg mob DN

Yog li, nws raug nquahu kom txo thiab txo cov protein ntau hauv kev noj haus ntawm cov neeg mob DN. Nws yog qhov chaw kho mob thiab kev lag luam muaj peev xwm los hloov qhov tsis txaus ntawm cov as-ham nrog keto acids nrog qhov txo qis hauv GFR tsawg dua 60 ml / min. Kev kho cov sodium yog qhov tsim nyog los ntawm kev siv tshuaj thiab kev noj haus, nrog rau cov vitamin D, phosphates, lipids tsis txaus, calcium, lub cev nyhav tswj kom tsis txhob nco lub cev qhov hnyav.

Nws muaj peev xwm ncua sijhawm hemodialysis thiab kev vam meej ntawm CKD hauv feem ntau ntawm cov neeg mob. Nws tsuas yog tsim nyog los pab lawv hauv qhov no, tham txog kev noj zaub mov kom raug thiab kev ua neej. Tom qab tag nrho, qhov tseem ceeb yog tus neeg mob txoj kev ntseeg siab tias nws tau coj tus cwj pwm kom raug thiab nws nyob hauv kev saib xyuas ntawm ib tus kws tshaj lij.

Cov leeg nqaij hlav ntshav - cov lus no ua ke tag nrho cov kab mob hauv lub raum, suav nrog cov kab mob pathological.

Txog ntawm CBJU Cov Lus Qhia

Nrog nephropathy, khoom noj khoom haus yuav tsum muaj qhov siab-calorie thiab yuav tsum yog 3,500 kcal ib hnub. Cov zaub mov yuav tsum nce siab hauv cov zaub mov ua rog thiab ua kom qeeb. Ib qho kev txo qis hauv cov ntsiab lus hauv lub cev ua rau lub cev ua rau lub cev pib siv nws cov protein, vim qhov ntawd lom los ntawm cov kuab lom uas tshwm sim thaum cov tshuaj tiv thaiv no tshwm sim. Hauv qhov no, lub nra rau lub raum nce ntxiv.

Rau qhov tseeb xam ntawm cov calories, cov rog, carbohydrates, cov protein nkag mus rau hauv lub cev nrog zaub mov, muaj KBJU qhov ntsuas. Rau txhua tus neeg mob, qhov ntsuas tau suav raws tus kheej, suav txog hnub nyoog thiab hom phiaj. Siv cov zauv muaj nuj nqis ntawm qhov muaj pes tsawg leeg ntawm cov khoom, koj tuaj yeem xam cov calories. Piv txwv li, ib daig ntawm nyuaj cheese hnyav 10 g muaj 2.4 g ntawm protein, 3 g ntawm cov rog thiab 0.2 g ntawm carbohydrates. Cov ntsuas calorie yog siv cov mis hauv qab no: 2.4 × 4 + 30 × 9 + 0.2 × 4 = 37 kcal.

Hom haus

Cov kua dej uas yuav tsum tau pab ua kom tshem tawm cov ntsev uric acid thiab ua rau cov txheej txheem kev zom zaub mov muaj sia. Nws yog ib qho tseem ceeb kom ua raws li kev haus dej haus cawv. Haus dej kom ntau txaus txhua hnub txhawm rau tso zis tawm. Cov kua no raug muab faib thoob plaws txhua hnub. Nws yog qhov tsim nyog los haus dej huv, tshuaj yej, infusions ntawm tshuaj ntsuab, piv txwv li, los ntawm paj chamomile, Txoj kev lis ntshav ntawm cov duav rose thoob plaws ib hnub. Cov dej ntxhia, cocoa, haus tonic muaj zog yog cais tawm ntawm cov zaub mov.

Cov yam ntxwv ntawm kev noj haus hauv qee yam kabmob

Nws yog ib qho tseem ceeb kom soj ntsuam qhov tshwj xeeb tawm ntawm cov zaub mov nrog IgA nephropathy (mob ntev tsis kis kab mob glomerulonephritis), nrog rau cov kev tsis sib haum hauv kev ua haujlwm ntawm ntau cov kab mob hauv lub cev. Nrog rau tus kab mob no, txoj kev hloov pauv tsis zoo los ntawm cov kab mob plawv, cov pob txha pob txha, thiab lub siab ua haujlwm ntawm lub plab. Lub hom phiaj ntawm kev noj zaub mov zoo hauv cov kab mob zoo li no yog txhawm rau txo cov ntshav siab, ua kom lub cev muaj zog tiv thaiv kab mob thiab ua kom muaj cov zaub mov tseem ceeb. Nws yog ib qho tseem ceeb kom tsis suav cov tsiaj protein thiab rog, lub teeb carbohydrates los ntawm cov ntawv qhia zaub mov.

Cov neeg muaj ntshav qab zib nephropathy yuav tsum tau muab cov txiv hmab txiv ntoo qhuav.

Nrog rau cov ntshav qab zib nephropathy, nrog rau kev nce ntxiv ntawm cov ntshav qab zib, nws yog ib qho tsim nyog yuav tsum txo qis lub nra rau lub raum. Kev noj zaub mov zoo nrog rau kev mob nkeeg muaj nyob rau hauv kev tswj ntshav qab zib, uas kev noj zaub mov kom tsawg los siv. Cov npe ntawm cov khoom txwv tsis pub cov neeg mob yog li nram no:

• qab zib
• txiv hmab txiv ntoo qhuav
• high-qab zib txiv hmab txiv ntoo
• Butter ci
• qab zib kas fes, tshuaj yej.

Txij li thaum tus neeg mob tau muaj protein ntau nrog tso zis hauv lub cev nephropathy, cov khoom noj yog tsom mus rau lub cev txaus nrog protein ntau.

Raws li qhov tseeb tias lub raum tsis ua haujlwm zoo, muaj dej ntau ntxiv hauv lub cev. Yog li, cov zaub mov kev noj zaub mov ua kom pom tseeb txog kev txo qis thiab tshem tawm puffiness tag nrho.

Cov yam ntxwv tseem ceeb ntawm kev noj haus rau tus kab mob:

1. 1 kom cov khoom noj muaj protein ntau ntxiv,
2. 2 txo kev noj cov zaub mov muaj roj (li 40% yuav tsum yog cov rog ntawm cov zaub ntsuab),
3. 3 lub cev ua kom lub cev nrog cov tshuaj lipotropic uas pab txhawb rau kev ua kom cov lipid metabolism hauv lub cev thiab cov roj cholesterol tsawg dua,

• ntsev tsis muaj zaub mov noj
• zaub, neeg tsis noj nqaij, mis los, mis nyuj, kua zaub,
• cov nqaij ntshiv: nqaij ntswj, nqaij nyuj, cov nqaij ntshiv, nqaij siav lossis ci hauv ib thooj,
• ntses - lean ntau yam, siav hauv ib thooj thiab txhoov, me ntsis kib tom qab npau npau lossis ci,
• tag nrho cov khoom noj siv mis, tab sis nrog cov ntsiab lus rog,
• cereals - puddings los ntawm oat thiab buckwheat, cereals, cereals,
• ntawm zaub, qhov tseem ceeb tshaj plaws yog qos yaj ywm, carrots, zucchini, zaub paj, taub dag, beets. Tseem ceeb ntsuab peas hauv ci, hau, stewed,
• tej txiv ntoo thiab txiv ntoo. Lawv daws cov pos nphuab ntawm txiv pos nphuab, raspberries, lingonberries,
• Los ntawm cov dej qab zib, ib qho yuav tsum muab kev nyiam rau compotes, kua txiv hmab txiv ntoo, tshuaj ntsuab kho kom zoo nkauj.

Cov tshuaj kho neeg mob rau kev kho mob ntawm nephropathy

Muaj ntau yam kev kho mob pej xeem thiab tus nqi uas daws qhov mob thiab ua haujlwm li qub ntawm lub raum.

Txog kev sau koj yuav tsum nqa St. John lub wort nyom (30 g), coltsfoot (25 g), yarrow paj (25 g) thiab nettles (20 g). Txhua daim thiab txhua qhov sib xyaw. 40 grams ntawm kev sau ncuav ¼ liv ntawm cov dej npau thiab cia nws brew me ntsis. Lub broth tau faib ua ib nrab thiab qaug ua ob ntu. Koj yuav tsum haus li 25 hnub.

Cov noob flax, comfrey, nplooj bearberry, gorse dyeing. Txhua cov tshuaj ntsuab yuav tsum tau noj nyob rau hauv ob ntu thiab sib xyaw nrog nplooj blackberry (1 feem) thiab txiv hmab txiv ntoo juniper (1 ntu). Sib tov txhua yam kom huv si, n ¼ liv dej kub, rhaub rau li 10-15 feeb ntawm tshav kub tsawg. Lub resulting broth, noj peb zaug ib hnub twg.

Nws yog ib qho tsim nyog yuav tau coj ib feem ntawm pob kws thiab tsob ntoo txiv ntoo, sib xyaw nrog ob feem ntawm bearberry, ntxiv plaub seem ntawm peb-nplooj saib rau lawv. Ncuav dej npau npau (250 ml) hauv ib rab diav sau thiab siav li 10-12 feeb ntawm hluav taws kub. Koj yuav tsum haus cov kua zaub hauv peb koob.

Zoo heev rau kev kho cov lingonberry berries. Ntswj cov berries thiab sib tov nrog piam thaj 1: 1. Lub txiaj ntsig sib tov yog nteg tawm hauv tsev nyiaj, muab cov ntaub qhwv ua ke nrog daim ntawv thiab muab tso rau qhov chaw txias. Ntxiv cov berries los saj hauv dej thiab haus zoo li compote.

Strawberry nplooj thiab berries daws daws o zoo.Nws yog ib qho tsim nyog yuav tau noj cov txiv ntoo thiab cov nplooj txiv pos nphuab 1: 1, nchuav qhov sib tov nrog ib khob dej thiab ua noj rau li 10 feeb. Koj yuav tsum haus 20 g peb zaug ib hnub.

Txiv mab txiv ntoo tev decoction

Nws pab txhawm rau tshem tawm puffiness tsis tsuas yog nqaij ntawm cov kua ntoo, tab sis kuj nws ua kaub puab, uas yuav tsum tau tawg.

Ntshav qab zib nephropathy yog lub npe rau feem ntau lub raum mob ntshav qab zib. Lo lus no piav qhia txog qhov ntshav qab zib uas qhov tseem ceeb ntawm qhov lim tawm ntawm lub raum (glomeruli thiab tubules), nrog rau cov hlab ntsha uas pub rau lawv.

Kev mob ntshav qab zib yog qhov txaus ntshai vim tias nws tuaj yeem ua rau qhov kawg (qhov xaus) theem ntawm lub raum tsis ua haujlwm. Hauv qhov xwm txheej no, tus neeg mob yuav tsum tau lim ntshav lossis hloov raum.

Mob ntshav qab zib nephropathy yog ib qho ntawm cov kev mob tshwm sim ua rau tuag ntxov thiab muaj mob xiam oob qhab hauv cov neeg mob. Ntshav qab zib yog nyob deb ntawm qhov ua rau lub raum teeb meem. Tab sis ntawm cov uas muaj kev lim ntshav thiab sawv ntsug hauv kab rau ib lub raum pub rau hloov ntshav, feem ntau muaj ntshav qab zib. Ib qho laj thawj rau qhov no yog qhov nce ntxiv ntawm qhov kev tshwm sim ntawm tus mob ntshav qab zib hom 2.

Cov laj thawj rau kev txhim kho mob ntshav qab zib nephropathy:

• cov ntshav qab zib rau hauv tus neeg mob,
• cov roj (cholesterol) phem thiab triglycerides hauv cov ntshav,
• ntshav siab (nyeem peb qhov "tus viv ncaus" rau qhov kub siab),
• anemia, txawm tias "mob me" (hemoglobin hauv ntshav Cov theem ntawm ntshav qab zib nephropathy).

Yuav luag txhua tus neeg mob ntshav qab zib yuav tsum tau kuaj ib xyoos ib zaug txhawm rau soj qab lub raum ua haujlwm. Yog tias tus mob ntshav qab zib ua rau mob nce hlwb, tom qab ntawd nws yog qhov tseem ceeb heev kom kuaj pom nws nyob rau theem thaum ntxov, thaum tus neeg mob tseem tsis tau hnov ​​cov tsos mob. Kev kho thaum ntxov rau tus mob ntshav qab zib nephropathy pib, kev muaj feem ntau ntawm txoj kev vam meej, uas yog, tus neeg mob yuav muaj peev xwm nyob tsis muaj kev lim ntshav lossis lub raum hloov ntshav.

Nyob rau xyoo 2000, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm Lavxias tso cai pom zoo rau kev faib tawm cov ntshav qab zib nephropathy los ntawm theem. Nws suav nrog cov hauv qab no formulations:

• theem ntawm microalbuminuria,
• theem proteinuria nrog cov tshuaj tiv thaiv nitrogen-nthuav tawm lub raum kev ua haujlwm,
• theem ntawm kev mob raum tsis ua haujlwm (kev kho ntshav los yog lub raum hloov ntshav).

Tom qab ntawd, cov kws tshaj lij tau pib siv cov txheej txheem qhia txawv teb chaws ntawm kev mob raum ntawm cov ntshav qab zib. Hauv nws, tsis yog 3, tab sis 5 theem ntawm kev mob ntshav qab zib nephropathy tau txawv. Saib theem ntawm lub raum mob ntev kom paub cov ntsiab lus. Dab tsi theem ntawm ntshav qab zib nephropathy nyob rau hauv tus neeg mob tshwj xeeb yog nyob ntawm nws lub siab txhaws (nws tau piav qhia meej npaum li cas nws tau txiav txim siab). Qhov no yog qhov ntsuas tseem ceeb tshaj plaws uas qhia tau hais tias kev tswj hwm raum zoo li cas.

Nyob rau theem ntawm kev kuaj mob ntshav qab zib nephropathy, nws yog ib qho tseem ceeb rau tus kws kho mob kom paub tseeb tias lub raum cuam tshuam los ntawm ntshav qab zib los yog lwm qhov laj thawj. Ib qho kev kuaj mob ntshav qab zib nephropathy nrog lwm cov kab mob hauv lub raum yuav tsum tau ua:

• mob raum pyelonephritis (mob sib kis ntawm lub raum),
• raum tuberculosis,
• glomerulonephritis mob thiab mob ntev.

Cov tsos mob ntawm tus mob pyelonephritis:

• cov tsos mob ntawm intoxication (qaug zog, nqhis dej, xeev siab, ntuav, mob taub hau),
• mob hauv qab qis thiab plab hauv sab ntawm lub raum cuam tshuam,
• ⅓ cov neeg mob - ceev ceev, tso zis mob heev,
• kev ntsuam xyuas qhia pom muaj cov qe ntshav dawb thiab kab mob nyob hauv cov zis,
• yam ntxwv duab nrog ultrasound ntawm lub raum.

Nta ntawm lub raum tuberculosis:

• hauv cov zis - leukocytes thiab mycobacterium tuberculosis,
• nrog excretory urography (xoo hluav taws xob ntawm ob lub raum nrog kev tso ntshav ntawm qhov nruab nrab nruab nrab) - ib qho duab tshwj xeeb.

Kev noj haus rau raum mob ntshav qab zib

Feem ntau cov mob ntshav qab zib muaj teeb meem, kev noj ntsev ntau ntxiv yuav pab txo ntshav siab, txo qhov o, thiab qeeb ntawm kev mob ntshav qab zib. Yog tias koj li ntshav siab yog qhov qub, ces noj tsis ntau tshaj 5-6 grams ntsev hauv ib hnub. Yog tias koj twb tau tawg lawm, ces txwv koj kev noj ntsev kom tsawg li 2-3 gram ib hnub twg.

Tam sim no qhov tseem ceeb tshaj plaws.Cov tshuaj kho mob pom zoo kom noj zaub mov "sib npaug" rau cov ntshav qab zib, thiab tseem qis dua cov protein rau cov ntshav qab zib mob nephropathy. Peb xav tias koj xav txog kev siv zaub mov muaj protein ntau kom koj cov ntshav qab zib kom qis. Qhov no tuaj yeem ua tiav ntawm glomerular pom kev ntsuas siab tshaj 40-60 ml / min / 1.73 m2. Hauv tsab xov xwm “Kev noj zaub mov rau raum muaj ntshav qab zib,” lub ntsiab lus tseem ceeb no tau piav qhia txhua qhov.

Ntshav Qab Zib Kho Tus Mob Ntshav Qab Zib

Qhov tseem ceeb ntawm kev tiv thaiv thiab kho tus mob ntshav qab zib yog ua kom cov ntshav qab zib kom qis thiab tom qab ntawd tswj nws kom nyob ze rau cov tib neeg noj qab haus huv. Saum toj no, koj tau kawm yuav ua li cas ua li no nrog kev noj haus tsawg-carb. Yog tias tus neeg mob ntshav cov ntshav hauv cov ntshav muaj ntshav nce siab lossis txhua lub sijhawm nce ntawm qhov siab mus rau ntshav qis, ces txhua lwm yam haujlwm yuav tsis tshua muaj siv.

Tshuaj kho mob ntshav qab zib kom tsis txhob mob hlwb nephropathy

Rau kev tswj hwm ntawm txoj hlab ntshav txhaws, ntxiv rau intracranial kub siab hauv lub raum, ntshav qab zib yog feem ntau siv tshuaj - ACE inhibitors. Cov tshuaj no tsis tsuas yog txo cov ntshav siab xwb, tab sis kuj tiv thaiv lub raum thiab lub plawv. Lawv siv txo txoj kev pheej hmoo ntawm lub davhlau ya nyob twg tsis ua hauj lwm. Tej zaum, ACE cov tshuaj thaiv ntev ua haujlwm zoo dua li cov captopril, uas yuav tsum tau noj 3-4 zaug hauv ib hnub.

Yog hais tias tus neeg mob tau txhim kho qhov hnoos qhuav raws li kev noj tshuaj los ntawm pab pawg ntawm ACE inhibitors, tom qab ntawd cov tshuaj raug hloov nrog angiotensin-II receptor blocker. Cov tshuaj hauv pawg no muaj nqi ntau dua li ACE inhibitors, tab sis ntau tsawg yuav ua rau muaj kev phiv. Lawv tiv thaiv ob lub raum thiab lub plawv nrog txog kev ua haujlwm zoo ib yam.

Lub hom phiaj ntshav siab rau ntshav qab zib yog 130/80 thiab qis dua. Feem ntau, hauv cov neeg mob uas muaj ntshav qab zib hom 2, nws tsuas tuaj yeem ua tiav siv txoj kev siv tshuaj ua ke. Nws tuaj yeem muaj ACE inhibitor thiab cov tshuaj "los ntawm cov siab" ntawm lwm pab pawg: diuretics, beta-blockers, calcium antagonists. ACE inhibitors thiab angiotensin receptor blockers ua ke tsis pom zoo. Koj tuaj yeem nyeem txog cov tshuaj sib xyaw rau kev kub siab, uas tau pom zoo siv rau cov ntshav qab zib, ntawm no. Kev txiav txim siab zaum kawg, uas ntsiav tshuaj yuav tshuaj, yog ua los ntawm kws kho mob nkaus xwb.

Cov raum muaj teeb meem li cas rau kev saib xyuas ntshav qab zib

Yog tias tus neeg mob kuaj mob ntshav qab zib nephropathy, ces cov hau kev ntawm kev kho mob ntshav qab zib sib txawv. Vim tias ntau yam tshuaj yuav tsum tau ua kom ncua tseg lossis lawv cov tshuaj kom tsawg. Yog hais tias tus glomerular pom npaum li cas txo, ces ntau npaum li cas ntawm cov kua dej yuav tsum tau txo, vim tias lub raum tsis muaj zog ua rau nws muaj ntau qeeb dua.

Thov nco ntsoov tias cov tshuaj nrov rau hom 2 mob ntshav qab zib metformin (siofor, glucophage) tuaj yeem siv tsuas yog ntawm glomerular pom kev siab dua 60 ml / min / 1.73 m2. Yog hais tias tus neeg mob lub raum ua haujlwm tsis muaj zog, ces txoj kev pheej hmoo ntawm lactic acidosis, qhov kev phom sij txaus ntshai heev, tau nce ntxiv. Hauv cov xwm txheej zoo li no, metformin thim tawm.

Yog tias tus neeg mob tshuaj ntsuam pom tias tsis muaj ntshav, ces nws yuav tsum tau kho, thiab qhov no yuav qeeb rau kev txhim kho cov ntshav qab zib nephropathy. Tus neeg mob yog tshuaj kho mob uas tsim kho erythropoiesis, i.e., kev tsim cov qe ntshav liab hauv cov pob txha pob txha. Qhov no tsis tsuas yog txo qis kev pheej hmoo ntawm lub raum tsis ua hauj lwm, tab sis kuj tseem txhim kho lub neej zoo. Yog tias qhov mob ntshav qab zib tseem tsis tau ua lim ntshav, cov tshuaj noj hlau kuj tseem tuaj yeem kho tau.

Yog hais tias prophylactic kho mob ntshav qab zib nephropathy tsis pab, ces lub raum tsis ua haujlwm. Hauv qhov xwm txheej no, tus neeg mob yuav tsum tau lim ntshav, thiab yog tias ua tau, tom qab ntawd hloov lub raum. Peb nyias muaj nyias ib tsab xov xwm hais txog kev hloov raum, thiab peb yuav tham me ntsis txog hemodialysis thiab peritoneal lim ntshav hauv qab no.

Hemodialysis thiab peritoneal lim ntshav

Thaum lub sij hawm ua tus txheej txheem hemodialysis, tus tso raj rau dej rau tus neeg mob txoj hlab ntshav.Nws txuas nrog cov lim dej sab nraud uas lim cov ntshav ua kom lub raum tsis huv. Tom qab ua kom huv, cov ntshav yuav muab xa rov qab mus rau tus neeg mob cov ntshav. Hemodialysis tsuas tuaj yeem ua nyob hauv tsev kho mob chaw. Nws tuaj yeem ua rau poob hauv ntshav siab lossis mob kis tau.

Peritoneal lim ntshav yog thaum lub raj tsis tso rau ntawm cov leeg ntshav, tab sis mus rau hauv lub plab plab. Tom qab ntawd, cov kua dej loj tau pub rau hauv nws los ntawm kev nrog qhov qauv. Qhov no yog kua tshwj xeeb uas thim cov pov tseg. Lawv raug tshem tawm raws li cov kua dej tawm los ntawm kab noj hniav. Peritoneal lim ntshav yuav tsum ua txhua hnub. Nws muaj kev pheej hmoo kis tus kab mob rau ntawm qhov chaw uas cov raj nkag rau hauv lub plab hauv plab.

Ntawm cov ntshav qab zib mellitus, kua dej tawm, cuam tshuam kev cuam tshuam ntawm nitrogen thiab electrolyte tshuav kev loj hlob ntawm cov qib siab txhaws txhaws. Qhov no txhais tau tias cov neeg mob ntshav qab zib yuav tsum hloov mus rau txoj kev lim ntshav thaum ntxov dua li cov neeg mob uas muaj lwm txoj hlab ntsws. Qhov kev xaiv ntawm txoj kev lim ntshav nyob ntawm tus nyiam ntawm tus kws kho mob, tab sis rau cov neeg mob nws tsis muaj qhov sib txawv.

Thaum twg thiaj pib kho mob raum (hloov ntshav los yog lub raum hloov chaw) rau cov neeg mob ntshav qab zib mellitus:

• Tus nqi glomerular pom ntawm lub raum yog 6.5 mmol / l), uas tsis tuaj yeem raug txo los ntawm kev txuag txoj kev kho mob,
• Kev ceev cov kua dej kom tsis txhob mob hauv lub cev nrog txoj kev pheej hmoo ntawm kev tsim mob ntsws ntsws,
• Cov tsos mob tshwm sim ntawm cov protein-lub zog tsis zoo.

Lub hom phiaj taw qhia rau kev ntsuas ntshav hauv cov neeg mob ntshav qab zib uas tau kho ntshav tes taw:

• Glycated hemoglobin - tsawg dua 8%,
• Ntshav hemoglobin - 110-120 g / l,
• Parathyroid hormone - 150-300 pg / ml,
• Cov tshuaj phosphorus - 1.13–1.78 mmol / L,
• Tag nrho cov calcium - 2.10–2.37 mmol / l,
• Cov khoom lag luam Ca × P = Tsawg dua 4.44 mmol2 / l2.

Yog tias lub raum ua kom muaj ntshav qab zib rau cov neeg mob ntshav qab zib rau kev lim ntshav, erythropoiesis cov tshuaj tiv thaiv kab mob tau noj (epoetin-alpha, epoetin-beta, methoxypolyethylene glycol epoetin-beta, epoetin-omega, darbepoetin-alpha), zoo li cov tshuaj ntaus hlau lossis txhaj tshuaj. Lawv sim tswj kom ntshav siab qis dua 140/90 hli Hg. Txuj ci., ACE inhibitors thiab angiotensin-II receptor blockers tseem tshuav cov tshuaj ntawm kev xaiv rau kev kho mob siab. Nyeem kab lus “Cov Ntshav Qab Zib Hom 1 thiab Hom 2 Ntshav Qab Zib” kom paub ntau ntxiv.

Hemodialysis lossis peritoneal lim ntshav yuav tsum raug suav tias tsuas yog ib qib kev npaj tam sim no rau kev hloov raum. Tom qab lub raum ua tiav rau lub sij hawm hloov ntshav hloov tsis ua haujlwm, tus neeg mob kho tsis tuaj yeem mob raum. Ntshav qab zib nephropathy hloov kho, tus neeg mob txoj sia muaj sia zuj zus.

Thaum npaj lub raum hloov raum rau cov ntshav qab zib, cov kws kho mob tau sim los soj ntsuam seb yuav ua li cas tus neeg mob yuav muaj mob plawv (mob plawv lossis mob hlab ntsha tawg) thaum lossis tom qab phais tas. Rau qhov no, tus neeg mob yauv mus kuaj mob ntau yam, suav nrog ECG nrog lub nra.

Feem ntau cov txiaj ntsig ntawm kev soj ntsuam no qhia tau tias cov hlab ntsha uas pub rau lub plawv thiab / lossis lub hlwb tau cuam tshuam ntau heev los ntawm atherosclerosis. Saib kab lus “Rawv raum mob ntshav liab” kom paub cov ntsiab lus. Hauv qhov no, ua ntej lub raum hloov chaw, nws raug pom zoo kom phais neeg rov qab kho qhov qub txeeg qub teg ntawm cov hlab ntsha no.

Hmoov tsis zoo, ntshav qab zib feem ntau ua rau lub raum mob nyuaj, thiab nws yog qhov txaus ntshai heev. Kev puas tsuaj rau lub raum hauv ntshav qab zib ua rau tus neeg mob muaj teeb meem ntau heev. Vim tias kev kho mob raum tsis ua haujlwm, cov txheej txheem lim ntshav yuav tsum tau nqa tawm tas li. Yog tias koj muaj hmoo txaus kom nrhiav neeg pab nyiaj, ces lawv ua tiav lub raum kev ua haujlwm. Kab mob hauv lub raum hauv ntshav qab zib feem ntau ua rau tuag mob rau cov neeg mob.

Yog tias cov ntshav qab zib ua tau zoo rau kev tswj ntshav qab zib, ces cov teeb meem lub raum tuaj yeem zam dhau.

Qhov xov xwm zoo yog: yog tias koj tswj ntshav qab zib kom nyob ze rau qhov ib txwm nyob, koj tuaj yeem yuav tiv thaiv kom lub raum puas. Txhawm rau ua qhov no, koj yuav tsum koom tes nrog koj kev noj qab haus huv.

Koj tseem yuav txaus siab tias cov kev ntsuas tiv thaiv kab mob raum ib txhij pab txhawm rau txhawm rau tiv thaiv lwm yam kab mob ntshav qab zib.

Mob ntshav qab zib li cas ua rau lub raum puas

Hauv txhua lub raum, tus neeg muaj ntau pua txhiab tus neeg hu ua “glomeruli”. Cov no yog cov lim uas ntxuav cov ntshav ntawm cov pov tseg thiab cov co toxins. Ntshav kis hauv qab qhov siab los ntawm cov capillaries me me ntawm glomeruli thiab yog lim. Feem ntau ntawm cov kua dej thiab cov ntshav txuam rov qab rau lub cev. Thiab cov khib nyiab, nrog rau cov kua tsawg tsawg, kis tau los ntawm ob lub raum mus rau lub zais zis. Tom qab ntawd lawv tau tawm mus sab nraud dhau ntawm qhov zis.

Ntawm ntshav qab zib, ntshav uas muaj cov piam thaj hauv ntshav ntau dhau ntawm ob lub raum. Cov kua nplaum nqus cov kua dej ntau, uas ua rau muaj zog ntxiv rau hauv txhua lub glomerulus. Yog li, txhawm rau txhaws txhaws txhaws qhov no - qhov no yog qhov tseem ceeb ntawm kev ua haujlwm ntawm lub raum zoo - feem ntau nce hauv cov ntshav qab zib thaum ntxov. Lub glomerulus yog puag ncig los ntawm daim ntaub uas hu ua "glomerular hauv qab daus daim nyias nyias". Thiab cov membrane no txawv txav tuab, zoo li lwm cov ntaub so ntswg uas nyob ib sab ntawm nws. Raws li qhov tshwm sim, cov hlab ntsha hauv hauv glomeruli yog maj mam hloov chaw. Qhov ua hauj lwm tsawg dua glomeruli nyob twj ywm, lub raum lim ntshav ntxiv zuj zus. Txij li thaum tib neeg lub raum muaj qhov tseem ceeb tshwj xeeb ntawm glomeruli, cov txheej txheem ntawm cov ntshav ua kom huv txuas ntxiv.

Thaum kawg, ob lub raum yog li ua rau lawv pom tshwm cov tsos mob ntawm lub raum tsis ua haujlwm:

• nkees
• mob taub hau
• ntuav
• zawv plab
• daim tawv nqaij khaus
• nws yog xim hlau ci hauv qhov ncauj
• ua pa tsw phem, nco tso zis,
• txog siav ua pa, txawm hais tias lub cev tsawg dhau kev tawm dag zog thiab dormancy,
• cramps thiab cramps, tshwj xeeb tshaj yog yav tsaus ntuj, ua ntej yuav mus pw,
• tsis nco qab, tsis nco qab lawm.

Qhov no tshwm sim, raws li txoj cai, tom qab 15-20 xyoo ntawm cov mob ntshav qab zib, yog tias cov piam thaj hauv ntshav tau nce siab, i.e. ntshav qab zib tau tsis zoo kho. Uricemia tshwm sim - kev sib txuam ntawm cov pa nitrogenous hauv cov ntshav uas lub raum cuam tshuam tsis tuaj yeem lim.

Kev txheeb xyuas thiab tshuaj xyuas ntawm lub raum hauv ntshav qab zib

Txhawm rau kuaj xyuas koj ob lub raum ua ntshav qab zib, koj yuav tsum tau kuaj cov ntawv nram qab no

• kuaj ntshav rau creatinine,
• zis tsom xam rau albumin lossis microalbumin,
• urinalysis rau kev ua si rau creatinine.

Kev paub txog qib ntawm creatinine hauv cov ntshav, koj tuaj yeem xam tus nqi ntawm glomerular filtration ntawm ob lub raum. Lawv kuj pom tawm yog tias muaj microalbuminuria lossis tsis tau, thiab suav cov feem ntawm albumin thiab creatinine hauv kev tso zis. Yog xav paub ntxiv txog tag nrho cov kev ntsuas thiab ntsuas ntawm lub raum kev ua haujlwm, nyeem "Dab tsi los ntsuas kom dhau los kuaj xyuas lub raum" (qhib rau lwm lub qhov rai).

Qhov xub pib ntxov tshaj plaws ntawm teeb meem raum hauv ntshav qab zib yog microalbuminuria. Albumin yog cov protein uas cov lwg me me ntawm lub taub. Lub raum noj qab haus huv dhau mus me me rau hauv cov zis. Sai li lawv ua haujlwm txawm tias me ntsis zuj zus, muaj cov kab mob ntxiv rau hauv cov zis.

Kev kuaj mob ntawm albuminuria

Koj yuav tsum paub tias qhov nce ntxiv ntawm cov albumin hauv cov zis yuav tsis yog tsuas yog vim yog lub raum puas. Yog tias nag hmo muaj qhov teeb meem loj ntawm lub cev, hnub no albuminuria yuav siab dua qhov ib txwm muaj. Qhov no yuav tsum raug coj los txiav txim thaum npaj hnub ntsuas. Albuminuria tseem nce ntxiv: cov khoom noj muaj protein ntau, ua npaws, tso zis mob txeeb zig, lub plawv tsis ua haujlwm, cev xeeb tub. Qhov sib piv ntawm cov albumin rau creatinine hauv cov zis yog qhov ntsuas tau zoo dua ntawm lub raum. Nyeem ntxiv txog nws ntawm no (qhib rau lwm lub qhov rai)

Yog tias tus neeg mob ntshav qab zib tau pom thiab tau lees paub ntau zaus nrog microalbuminuria, qhov no txhais tau tias nws muaj kev pheej hmoo ntau ntxiv tsis tsuas yog mob raum, tab sis kuj muaj kab mob plawv. Yog tias tsis kho, tom qab ntawd tom qab lub peev txheej ntawm lub raum yuav tsis muaj zog txaus, thiab lwm cov protein tawm ntawm qhov loj dua tshwm sim hauv cov zis. Qhov no yog hu ua cov proteinuria.

Qhov lub raum ua haujlwm tsis zoo, yuav tsum muaj kev tsim ntau ntau hauv cov ntshav.Tom qab kev suav lub glomerular pom npaum li cas, nws muaj peev xwm txiav txim siab nyob rau theem dab tsi ntawm tus neeg mob lub raum puas.

Cov theem muaj mob raum, nyob ntawm seb tus mob glomerular npaum li cas

Sau ntawv rau qhov rooj. Cov ntaub ntawv ua pov thawj ntawm lub raum teeb meem uas qhia pom kev xeem thiab kev kuaj mob. Nws tuaj yeem yog:

• microalbuminuria,
• proteinuria (muaj cov protein loj nyob rau hauv cov zis),
• cov ntshav nyob rau hauv cov zis (tom qab tag nrho lwm yam ua tau txiav txim siab lawm),
• cov teeb meem hauv plab, uas pom tias muaj lub zog ntawm lub raum,
• glomerulonephritis, uas tau lees paub los ntawm lub raum ua haujlwm.

Raws li txoj cai, cov tsos mob pib tshwm sim tsuas yog nyob rau qib 4 ntawm tus mob raum. Thiab tag nrho cov theem ua ntej mus txuas ntxiv yam tsis muaj pom sab nraud. Yog tias nws hloov tawm mus tshawb nrhiav teeb meem lub raum thaum ntxov thiab pib kho mob raws sijhawm, tom qab ntawd txoj kev loj hlob ntawm lub raum tsis ua haujlwm tuaj yeem tiv thaiv. Ib zaug ntxiv, peb pom zoo kom koj yuav tsum ua qhov kev ntsuam xyuas tsawg kawg ib xyoos ib zaug, raws li tau piav qhia hauv kem “Yam dab tsi uas yuav tsum kuaj xyuas koj ob lub raum.” Nyob rau tib lub sijhawm, koj kuj tseem tuaj yeem tshawb xyuas qib ntawm urea thiab uric acid hauv cov ntshav.

Cov ntshav qab zib hom 2 uas raug tso cai siv nyob rau ntau theem ntawm kab mob raum

Nco ntsoov rau lub rooj.

* Thaum 4-5 qib ntawm lub raum puas, koj yuav tsum tau kho lub koob tshuaj ntawm cov tshuaj. Tsis tas li, raws li lub raum mob zuj zus, kev rhuav tshem cov tshuaj insulin hauv lub cev qeeb qeeb. Qhov no yuav ua rau muaj kev pheej hmoo ntawm lub qog ntshav qab zib. Yog li, cov tshuaj insulin yuav tsum tau kho kom qis dua.

Cov neeg mob muaj feem yuav ua mob raum tsis ua hauj lwm zoo.

Kev tiv thaiv raum ua kom mob ntshav qab zib

Tus kab mob raum mob ntev ntev kwv yees li ntawm 1/3 ntawm cov neeg mob uas muaj yam 1 thiab ntshav qab zib hom 2, uas yog deb ntawm txhua yam. Yuav ua li cas koj thiaj li yuav pom cov tsos mob ntawm lub raum tsis ua raws li kev tshuaj ntsuam peb tau piav hauv ntu lus dhau los. Kuaj xyuas thiab sib tham txog lawv cov txiaj ntsig nrog koj tus kws kho mob.

Koj tuaj yeem ua dab tsi los tiv thaiv cov raum hauv cov ntshav qab zib:

• ua kom koj cov ntshav qab zib nyob ze rau qhov qub - qhov no yog qhov tseem ceeb tshaj plaws
• kawm kab lus “Noj rau raum nrog ntshav qab zib,”
• nquag ntsuas ntshav siab nyob hauv tsev nrog lub tshuab ntsuas kub (yuav ua li cas thiaj ua kom raug yog qhov txiaj ntsig raug qhov tseeb),
• koj cov ntshav siab yuav tsum zoo, hauv qab 130/80,
• ua kev soj ntsuam uas ntsuas xyuas lub raum kev ua haujlwm tsawg kawg 1 zaug hauv ib xyoos,
• ua txhua yam tsim nyog los tswj cov piam thaj, ntshav siab, roj cholesterol thiab ntshav qab zib, nrog rau kev noj tshuaj uas koj tus kws kho mob tau sau tseg,
• lo rau cov khoom noj kom zoo rau cov ntshav qab zib (hauv qhov teeb meem no, cov lus qhia "official" txawv heev ntawm peb, nyeem hauv qab hauv kab lus no),
• ua kom ib ce muaj zog tsis tu ncua, sim ua kev tawm dag zog hauv tsev nrog lub ntsej muag dumbbells, uas muaj kev nyab xeeb kiag rau lub raum,
• haus dej cawv "ua piv txwv", tsis txhob haus cawv,
• txiav luam yeeb
• nrhiav kws kho mob zoo uas yuav ua "koj tus mob ntshav qab zib", thiab mus cuag nws tsis tu ncua.

Cov kev tshawb fawb tau pom tseeb tias kev haus luam yeeb nws tus kheej yog qhov tseem ceeb uas ua rau muaj kev pheej hmoo ntawm kev mob hauv lub raum tsis ua haujlwm hauv ntshav qab zib. Txiav kev haus luam yeeb tsis yog kev cai pom zoo, tab sis yog ib qho xav tau ceev.

Kho Mob Raum Mob Ntshav Qab Zib

Tus kws kho mob sau ntawv kho mob raum rau cov ntshav qab zib, nyob ntawm theem dab tsi lawv qhov mob nyob ntawm.Lub luag haujlwm tseem ceeb rau kev teem sijhawm yog nyob nrog tus neeg mob. Ib yam dab tsi kuj yog nyob ntawm cov tswv cuab ntawm nws tsev neeg.

Peb sau cov chaw tseem ceeb ntawm kev kho mob rau cov mob raum hauv ntshav qab zib:

• Kev tswj ntshav qab zib kom zoo
• txo qis ntshav siab rau lub hom phiaj ntawm 130/80 hli RT. Kos duab. thiab hauv qab
• tswj cov khoom noj zoo tshaj plaws rau cov ntshav qab zib muaj teeb meem,
• tswj cov roj cholesterol thiab triglycerides (rog) hauv cov ntshav,
• lim ntshav
• raum hloov ntshav.

Mob ntshav qab zib thiab raum: yam koj yuav tsum nco ntsoov

Yog tias muaj teeb meem nrog lub raum, tom qab ntawv kuaj ntshav rau creatinine thiab zis rau microalbuminuria tuaj yeem kuaj pom lawv ntxov. Yog tias txoj kev kho mob tau pib raws sijhawm, qhov no yuav ua rau txoj hauv kev muaj feem. Yog li, cov kev tshuaj ntsuam uas tau piav qhia ntawm no (qhib rau hauv lub qhov rais cais) yuav tsum tau xa tawm ib zaug ib xyoos ib zaug. Txiav txim siab siv cov khoom noj uas tsis muaj rog ntau kom koj cov ntshav qab zib kom zoo. Nyeem ntxiv hauv kab lus “Noj rau raum mob ntshav qab zib.”

Rau ntau tus neeg mob ntshav qab zib uas muaj ntshav siab, ntxiv rau cov tshuaj noj, txwv ntsev rau hauv lawv cov zaub mov yuav pab tau. Sim ua kom koj txo qis koj cov dej qab ntsev sodium, i.e. ntsev noj mov, thiab ntsuas qhov ntsuas uas koj tau txais. Txhua tus neeg muaj lawv tus kheej rhiab rau ntsev.

Lwm qhov kev pheej hmoo, mob ntshav qab zib neuropathy, tuaj yeem ua rau cov hlab ntsha uas tswj lub zais zis. Hauv qhov no, txoj haujlwm ntawm kev ua kom lub zais zis poob qis. Hauv cov zis, uas tseem nyob txhua lub sijhawm, ib qho kev kis mob uas ua rau lub raum ua puas tsuaj ntau ntxiv. Tib lub sijhawm, nyob rau hauv cov neeg mob ntshav qab zib muaj peev xwm ua kom cov ntshav qab zib tsis txaus, feem ntau neuropathy thim rov qab los ua qhov thim rov qab, i.e., kis tau tag nrho.

Yog tias koj muaj teeb meem tso zis lossis lwm yam qhia txog mob txeeb zig, ntsib koj tus kws kho mob tam sim ntawd. Cov teeb meem no tuaj yeem cuam tshuam loj hlob ntawm lub raum mob ntshav qab zib.

Morbidity cov ntaub ntawv tau txais kev tu siab txhua xyoo! Lavxias Kev Ntshav Qab Zib Lavxias thov tias ib ntawm 10 tus neeg hauv peb lub tebchaws muaj ntshav qab zib. Tab sis qhov tseeb lim hiam tshaj plaws yog tias nws tsis yog tus kab mob nws tus kheej uas ntshai, tab sis nws qhov kev nyuaj thiab kev ua neej uas coj mus rau. Kuv yuav ua li cas thiaj li kov yeej tus kab mob no, hais hauv kev xam phaj ...

Ob lub raum yog ib qho khoom tseem ceeb heev. Lawv ua hauj lwm raws li lub hauv paus ntsiab lus lim, tshem cov khoom protein protein tawm hauv cov ntshav. Hauv ob lub raum muaj cov nkoj me me ntau - capillaries, uas ua rau glomeruli ntawm ob lub raum nrog rau cov qog uas muaj qhov me me. Nws yog nyob rau hauv cov kev qhib no uas cov khoom lag luam ntawm cov protein metabolism - urea thiab creatinine, tawm hauv lub cev nrog zis mus rau hauv. Tseem ceeb tshaj rau cov ntshav liab, cov protein hauv qhov tsis nkag thiab txuas ntxiv mus rau hauv cov ntshav.

Kev noj zaub mov rau lub raum nephropathy yog ib qho tseem ceeb ntawm kev saib xyuas kev noj qab haus huv, pab ua kom cov metabolism hauv kev ua haujlwm. Cov khoom noj tshuaj rau lub cev yog ib qho tseem ceeb ntawm kev kho mob uas txhim kho cov nyhuv tshuaj. Txhua lub raum mob cuam tshuam txoj hauj lwm ntawm ntau yam plab hnyuv siab raum thiab cov kab ke hauv lub cev. Ua ntej tshaj plaws, qhov no cuam tshuam nrog cov kev hloov hauv cov txheej txheem ntawm kev txuam nrog cov khoom lag luam hauv cov ntshav thiab cuam tshuam hauv cov dej-electrolyte thiab acid tshuav nyiaj li cas.

Cov kev hloov pauv no ua rau muaj qhov tshwm sim hauv qab no:

• tsim ntawm puffiness,
• ntshav siab
• manifestation ntawm intoxication nyob rau hauv lub cev los ntawm nws tus kheej metabolic khoom.

Kev kho pathology

Ua ntej tshaj plaws, thaum pib ntawm kev kho mob ntawm nephropathy, nws yog qhov yuav tsum tau ua kom tshem tawm cov xwm txheej uas ua rau muaj qhov tshwm sim ntawm nephropathy. Nws yog qhov yuav tsum tau ua tiav cov kev noj tshuaj uas tuaj yeem pab txhawb kev txhim kho pathology, kom deb li deb tau tshem tawm cov kev cuam tshuam rau lub cev ntawm cov hlau hnyav, hluav taws xob, nrog rau lwm yam kev lag luam lossis hauv tsev.

Kuj, txhawm rau siv txoj kev kho mob kom ua tiav, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam tas li kev txhim kho ntawm gout.Ntshav qab zib mellitus yog tias muaj.

Nws yog ib qho tseem ceeb kom txhim kho lub concentration ntawm cov rog hauv cov ntshav thiab purine metabolism.

Cov neeg mob yuav tsum ua raws li cov zaub mov tshwj xeeb uas muaj protein, cov rog, cov vitamins thiab carbohydrates. Nws yog ib qho tseem ceeb kom tso tseg cov ntsev thiab kua dej ntau dhau.

Kev noj haus rau nephropathy

Kev noj zaub mov nruj rau lub raum puas yog ua rau tus neeg mob lub raum tsis ua haujlwm thiab glomerulonephritis. Nrog rau lwm lub raum pathologies, nws tsis yog qhov yuav tsum tau txwv rau kev noj zaub mov noj, nws txaus los txo qhov kev noj ntawm lub caij sov, ntsev thiab txuj lom.

Khoom noj khoom haus nrog kev txhim kho ntawm lub raum muaj teeb meem yuav tsum tau txo qis hauv cov protein uas los nrog zaub mov noj. Nrog cov metabolism hauv cov protein, nitrogenous slags pib tsim, uas nrog txoj kev nyuaj yuav tuaj yeem dhau los ntawm lub raum ua puas thiab yog li maj mam nthuav tawm hauv cov ntshav. Nyob rau tib lub sijhawm, cov protein yog cov khoom siv hauv tsev rau lub hlwb hauv lub cev, yog li lawv yuav tsum muaj kev txwv, tsis yog tshem tawm tag nrho. Ntawm cov khoom noj muaj protein, nws pom zoo kom siv cov roj ntsha muaj roj tsawg ntawm cov ntses thiab nqaij, tab sis tsis kam rau cov zaub mov kib.

Kev noj zaub mov muaj protein ntau nrog lub raum pathologies tuaj yeem pom tsis pub ntev tshaj ib mus rau ob lub lis piam, vim hais tias ib tus tib neeg txoj kev noj qab nyob zoo tuaj yeem cuam tshuam loj heev los ntawm kev tsis lees cov zaub mov muaj protein ntau. Nrog lub ntsej muag ntawm lub raum tsis zoo, kev txwv cov protein tsis tas yuav tsum muaj, nws txaus los npaj hnub yoo mov ib zaug ib lub lim tiam.

Lwm qhov tseem ceeb ntawm kev noj haus nrog nephropathy yog nws cov ntsiab lus hauv calorie. Cov khoom lag luam yuav tsum nyob nrog qhov muaj calorie ntau thiab qhov ntau ntawm cov calories kom ib hnub yuav tsum yog kwv yees li 3500 kcal. Lub ntsiab tseem ceeb yuav tsum yog nyob ntawm kev noj ntawm cov rog thiab carbohydrates. Kev txo qis hauv cov calories kom yuag ua rau kev noj haus ntawm lawv cov protein ntau, thiab yog li ntawd, kev tsim cov khoom noj khoom haus muaj txiaj ntsig hauv lub cev pib rau hauv lub cev, yog li lub nra ntawm lub raum nce ntau.

Hauv nws tus kheej, cov zaub mov yuav tsum nyob twj ywm thiab ua ntu zus, koj yuav tsum noj 4-6 zaug ib hnub.

Kev noj ntsev yuav tsum muaj tsawg tsawg xwb nrog ntshav siab thiab tsim kab mob hnyav ntxiv. Nyob rau tib lub sijhawm, koj tsis tas yuav ntsev cov tais diav hauv kev ua zaub mov noj, nws yog qhov zoo dua rau lawv ntxiv thaum twb siv.

Ntau cov khoom noj npaj, xws li mov ci thiab lwm yam ncuav, muaj ntsev ntau, yog li nws yuav zoo dua rau ua ncuav ncuav nyob hauv tsev. Hauv qhov no, nws yog txwv tsis pub noj sausages, haus, marinades, cheeses nyuaj, ntsev qab ntsev, haus dej ntxhia thiab cocoa.

Nws yog qhov zoo dua rau tso tseg cov khoom noj muaj protein thiab phosphorus, tshwj xeeb tshaj yog cov txiv ntoo, cov txiv ntoo qhuav, tsev me, txiv tsawb, thiab lwm yam.

Kev xaiv yuav tsum tau muab rau cov khoom lag luam hauv qab no: nplej zom, cereals, hau, zaub tshiab thiab zaub, zaub, roj thiab zaub roj, jelly thiab txiv hmab txiv ntoo stewed, kua los ntawm lub duav sawv, kas fes tsis muaj zog thiab tshuaj yej.

Kev noj zaub mov rau lub raum ua rau muaj kev txwv lossis ua kom tiav cov khoom lag luam hauv qab no: nceb, qhob noom xim kasfes, nqaij qaib thiab nqaij nqaij, dos thiab qij, radishes, legumes, ntsim thiab kua txob heev. Cov lus sib xyaw ua ke ntawm cov khoom lag luam no suav nrog cov roj tseem ceeb uas muaj qhov tsis haum xeeb rau lub raum mob. Thaum ua zaub mov noj, koj yuav tsum siv cov cinnamon, cov nplooj Bay thiab cov kib dos me me.

Mob ntshav qab zib nephropathy - cuam tshuam rau kev puas tsuaj rau lub raum, uas tshwm sim los ntawm cov ntshav qab zib ntev. Ntxiv nrog rau kev kho tshuaj, nrog tus kab mob no koj yuav tsum ua raws kev noj haus, uas yog lub luag haujlwm tseem ceeb hauv kev tswj cov raum ua haujlwm.

Khoom noj khoom haus nyob rau hauv cov ntaub ntawv no implies ib qho kev txwv ntawm yooj yim carbohydrates. Cov khoom ntshav qab zib kuj tseem yuav tau txais txiaj ntsig. Txwv tsis pub haus cov ntshav qab zib. Nws raug nquahu kom haus dej ntau dua tsis muaj qab zib (ntuj), uas yog nplua nuj nyob hauv cov potassium.

Yog tias cov ntshav qab zib nephropathy tshwm sim tiv thaiv keeb kwm yav dhau los ntawm txoj hlab ntshav siab, tom qab ntawd cov zaub mov muaj ntsev tsawg yuav tsum ua raws.

Noj cov zaub mov thaum nyuam qhuav pib ntawm nephropathy

Nyob rau qib no, txum tim rov qab los ntawm intrarenal puab ncaj qha nyob ntawm kev noj zaub mov kom zoo. Qhov no qhia tau hais tias muaj tsawg tsawg ntawm cov protein. Yog tias ntsuas kab mob ntshav siab, ces kev noj ntsev yuav tsum tsis pub tsawg li ntawm plaub grams tauj ib hnub. Qhov tsis kam noj ntawm cov ntsev los yog ntsev me ntsis cov zaub thiab ntses kuj tseem yuav muaj txiaj ntsig zoo. Khoom noj yuav tsum npaj tshwj xeeb los ntawm cov khoom tshiab tsis muaj salting. Cov neeg saib xyuas kev noj qab haus huv pom zoo tias tag nrho cov calories ntau ntawm cov zaub mov yuav tsum tsis pub ntau tshaj 2500 calories.

Proteinuria kev noj haus

Nyob rau theem no, kev noj zaub mov muaj protein tsawg yog qhov xav tau, uas yog ib feem ntawm kev kho cov tsos mob. Kev ua kom muaj protein ntau yog txo kom tsawg dua 0.7 g ib 1 kg ntawm tib neeg qhov hnyav. Ntsev tseem muaj ob peb hnub tauj ib hnub. Hauv lwm lo lus, koj yuav tsum ua noj tsis tsuas yog tsis muaj ntsev noj, tab sis kuj pauv mus rau cov khob cij tsis muaj ntsev. Nws raug nquahu kom siv cov khoom noj uas muaj ntsev tsawg, xws li: mov, carrots, oats, semolina, zaub qhwv (dawb lossis zaub paj), qos yaj ywm, beets. Veal yuav dhau los ua cov zaub mov muaj txiaj ntsig zoo los ntawm cov khoom lag luam nqaij, thiab perch, pike, carp, thiab pike perch los ntawm cov khoom lag luam ntses.

Noj rau lub sij hawm mob raum tsis ua hauj lwm zoo

Nyob rau theem no, kev noj zaub mov noj yog tuaj txo cov protein kom 0.3 g ib kilogram ntawm tib neeg qhov hnyav. Zoo heev yog qhov kev txwv ntawm phosphates. Txawm hais tias qhov no hauv qee kis ua rau muaj qhov tsis muaj protein ntau tsis haum thiab pom tias txo lub neej zoo ntawm cov tib neeg uas muaj kev mob ntsws raum tsis ua haujlwm. Txhawm rau kom tsis txhob muaj protein starvation syndrome, nws yog qhov yuav tsum siv cov tshuaj uas muaj cov amino acids tseem ceeb.

Kev noj zaub mov rau lub raum nephropathy mob ntshav qab zib

Lub raum yog lub cev koom nrog hauv tib neeg lub cev uas ua lub luag haujlwm ntawm lub taub lim. Cov ntshav ua paug nrog cov slag, co toxins, thiab lwm yam khoom pov tseg nkag mus rau lub raum. Vim yog cov yam ntxwv ua haujlwm ntawm lub raum, cov tog paug no tshem tawm, thiab cov ntshav tawm cov raum kom huv. Thiab co toxins thiab toxins tshem tawm ntawm lub cev nrog zis.

Yog hais tias muaj mob tshwm sim hauv tib neeg lub cev vim muaj kab mob, ob lub raum yuav tsum ua haujlwm hauv kev ua kom zoo dua. Qee zaum lawv tsis tuaj yeem tiv thaiv, thiab ib qho ntawm cov kab mob ntawm lub raum pib.

Nees Qaum Zog yog lub npe dav dav rau txhua yam kab mob hauv lub raum. Kev kho kab mob hauv lub raum koom nrog kev noj tshuaj tshwj xeeb thiab ua raws li kev noj haus rau lub raum mob rau lub hlwb.

Hom thiab ua rau mob raum

Muaj ntau ntau yam ua rau nephropathy, qhov tseem ceeb yog:

Nyob ntawm qhov ua kom muaj tus kabmob, cov kabmob ntawm cov nephropathy hauv qab no yog qhov txawv:

• ntshav qab zib
• lom
• xeeb tub
• roj ntsha.

Nyob ntawm qhov ua rau thiab tus yam ntxwv ntawm tus kab mob nws tus kheej, tus kws kho mob tau sau ntawv noj zaub mov rau lub raum nephropathy.

Feem ntau cov neeg mob tsis saib xyuas tus kws kho mob cov lus qhia txog khoom noj rau lub raum. Tab sis qhov no tsis tuaj yeem ua tiav, vim tias cov khoom lag luam hauv cov ntawv hloov mus rau hauv cov ntshav, thiab tom qab ntawd rau hauv lub raum thiab tuaj yeem ua rau lawv cov mob tsis zoo ntxiv. Tib lub sijhawm, cov ua haujlwm ntawm kev noj tshuaj tuaj yeem txo kom tsawg.

Cov lus qhia txog kev noj zaub mov zoo rau txhua tus kab mob yuav muab los ntawm tus kws kho mob uas koom, tab sis muaj cov cai dav rau cov neeg muaj kab mob hauv lub raum:

• Cov zaub mov yuav tsum yog feem me (5-6 zaug hauv ib hnub hauv qhov me me). Koj tuaj yeem tsis tshaj qhov dhau los lub raum uas twb tsis muaj zog lawm nrog kev noj loj ib zaug. Nov yog txoj cai tseem ceeb ntawm kev noj zaub mov rau lub raum nephropathy.
• Nws yog ib qho tsim nyog yuav tsum tau cais tawm cov khoom noj uas ua rau ua kev ua pa, ua kom puas (rhuav tshem) ntawm cov tub ua haujlwm. Cov khoom lag luam suav nrog tag nrho cov zaub mov kaus poom, cov txuj lom, cov offal, cawv.
• Tsis suav cov khoom uas muaj oxalates uas pab txhawb kev tsim cov pob zeb. Qhov no yog sorrel thiab spinach.
• Txwv tsis txhob noj ntsev ntau. Feem ntau ib tus neeg noj ntsev txog 10-15 g ntawm ib hnub, cov neeg muaj lub raum yuav tsum txo cov nyiaj no 2-3 zaug.
• Suav ntau cov khoom noj siv mis, zaub thiab txiv hmab txiv ntoo, roj hauv cov khoom noj tsis tau.
• Thaum ua zaub mov noj cov khoom tsim nyog yuav tsum tau muab rhaub, ci, stew. Fried zaub mov yog contraindicated.

Cov zaub mov muaj raum

Txhawm rau txhawb nqa raum kev ua haujlwm, koj yuav tsum nce ntxiv cov zaub mov muaj txiaj ntsig zoo rau lawv:

Kev noj zaub mov rau lub qog nephropathy yog tsim los ntawm tus kws kho mob koom nrog hauv txhua kis thiab tej zaum yuav muaj qee qhov sib txawv ntawm cov lus pom zoo nyob ntawm tus yam ntxwv ntawm tus neeg mob thiab tus kab mob.

Cov tsos mob ntawm tus kab mob

Txij li thaum tus kab mob tau tsim ntev txaus, thiab thaum xub thawj, nws tsis ua nws tus kheej. Yav tom ntej, cov tsos mob hauv qab no pib tshwm:

Qaug zog, tsis muaj zog, lub zog thiab nquag mob taub hau, nqhis dej tas li, ua kom duav rov qab mob nraub qaum, o, mob ntshav siab, tso zis zis tsawg dua.

Cov cai ntawm cov khoom noj muaj txiaj ntsig rau kab mob

Ib qho tseem ceeb ntawm kev noj zaub mov hauv lub raum nephropathy yog cov lus qhia hauv calorie hauv cov zaub mov tau siv. Cov zaub mov yuav tsum muaj calories ntau. Ib tug neeg yuav tsum haus txog 3,500 calories nyob rau ib hnub. Yog tias lawv cov lej raug txo tsawg, tom qab ntawd cov khoom siv tshuaj lom metabolic yog tsim nyob rau hauv lub cev, uas ua rau ntau lub nra hnyav rau lub raum.

Kev haus luam yeeb, qaub, zaub mov, chees nyuaj, dej qab zib, thiab cocoa tsis pom zoo rau lub raum tsis zoo.

Cov zaub mov muaj poov tshuaj ntau yuav tsum tau muab cais tawm. Cov no yog cov txiv tsawb, txiv ntoo, txiv hmab txiv ntoo qhuav.

Kev noj zaub mov noj rau lub raum nephropathy txwv kev siv mis nyuj khov, chocolate, dos thiab qij. Cov zaub mov no muaj cov roj tseem ceeb uas ua rau lub raum mob.

Vim tias kev noj zaub mov kom zoo thiab kev sib koom ua ke ntawm cov khoom lag luam zoo, cov neeg mob muaj kev txhim kho tseem ceeb hauv lawv txoj kev noj qab haus huv. Twb tau peb hnub ntawm qhov pib ntawm kev noj haus, koj tuaj yeem pom tias muaj txiaj ntsig zoo. Lub sijhawm, qhov kev ua tau zoo ntawm kev noj haus nce ntxiv.

Folk kev

Hauv cov tshuaj pej xeem, muaj kev kho kom zoo nkauj tshwj xeeb thiab tus nqi, ua tsaug uas koj tuaj yeem txhim kho txoj haujlwm ntawm lub raum.

• Lub taub Rau edema, nws raug nquahu kom npaj decoctions ntawm pulp thiab peels ntawm watermelon.
• Lingonberry. Rubbed nrog qab zib berries cranberries muaj peev xwm daws mob. Cov sib tov yog ntxiv thiab dej thiab qaug dej raws li compote.
• Tsiaj qus txiv pos nphuab. Kev lom zem ntawm cov txiv ntseej thiab nplooj ntawm cov txiv pos nphuab muaj feem cuam tshuam rau kev ua haujlwm ntawm lub raum.

Ntxiv rau kev noj haus rau kev mob raum (nephropathy), tshuaj ntsuab thiab tshuaj kho mob kuj tau hais txog. Hom kev kho mob yog nyob ntawm tus yam ntxwv ntawm tus neeg mob thiab mob hnyav ntawm cov kab mob.

Qhov tsim muaj cov ntshav qab zib mob nephropathy yog nrog kev ua haujlwm tsis zoo rau lub raum. Tus kab mob loj hlob zuj zus. Hauv qhov no, ntau theem ntawm tus kabmob raug txawv, rau txhua tus uas qee cov tsos mob thiab qib ntawm kev puas tsuaj rau lub nruab nrog yog cov xeeb ceem. Txog kev kho thiab tiv thaiv tus kab mob ntawm txhua theem, ntxiv rau kev kho mob nrog tshuaj, koj yuav tsum ua raws li kev noj haus kom zoo. Kev noj haus rau ntshav qab zib nephropathy nyob ntawm theem ntawm tus kab mob. Raws li txoj cai, ib ntawm peb hom khoom noj muaj protein tsawg yog siv - 7, 7 a, 7 b. Txhua ntawm cov pluas noj yog siv rau hauv txoj kev kho mob ntshav qab zib mob nephropathy.

Kev noj zaub mov noj nrog kua zaub ntsuab no tso cai rau koj kom tshem tawm cov khoom lag luam nitrogenous hauv lub cev, pab ua kom lub siab thiab txo qis. Nws yog tshuaj nyob rau theem pib ntawm tus kabmob, thiab tseem siv rau cov mob nephritis mob thiab raug kho los ntawm 3-4 lub lis piam los ntawm kev pib kho. Tsis tas li, kev noj haus yog qhov haum rau cov jade ntev.

Cov khoom noj noj haus no tsuas yog txwv cov rog thiab carbohydrates ntau hauv cov neeg mob lub cev. Txog kev npaj cov khoom noj muaj roj, koj yuav tsum yuav luag tso tseg kev siv ntsev. Nrog kev tso cai los ntawm tus kws kho mob, koj tuaj yeem me ntsis ntxiv ntsev rau lub tais ua ntej siv. Tus nqi haus kua txhua hnub kuj tseem txwv - noj mus rau hauv tus account kua zaub, nws yuav tsum tsis pub ntau tshaj 1 liter.

Tseem Ceeb: kev noj haus No. 7 txwv tsis pub siv cov roj tseem ceeb, uas yog, horseradish, dos thiab qej, nrog rau oxalic acid, cov rog rog, ntses, nceb thiab cov tshuaj rho tawm.

Hauv kev npaj ua khoom noj ntawm cov khoom noj, qhov zoo siab yog muab rau ci, txhoov thiab muab cub. Fried zaub mov yog contraindicated. Nws tsis yog yuav tsum tau siv cov tshuab zom zaub mov, yog li, nws tsis tas yuav zom thiab zom. Cov nqaij uas tsis muaj roj ntau thiab cov ntses muaj peev xwm tuaj yeem hau thiab noj 100-130 g nyob rau ib hnub. Txhua yam zaub mov yuav tsum sov so.

Noj cov calories kom tag nrho - 2700-2900 kcal:

1. Carbohydrates - 40-460 g (ntawm cov suab thaj tsuas yog 80-90 g).
2. Proteins - 80 g (tsuas yog ib nrab ntawm lawv tuaj yeem yog tsiaj keeb kwm).
3. Cov rog - 90-110 g (ib quarter lawv yuav tsum yog zaub).
4. Cov ntsev - tsis pub ntau tshaj 10 g nyob rau ib hnub.
5. Cov kua dej (txhais tau tias tsis tsuas yog dej, tab sis kuj muaj kua zaub, tshuaj yej) - tsis ntau tshaj li 1.1 litres.
6. Noj 4-5 zaug nrog kev sib luag ntawm cov zaub mov sib luag.

Daim ntawv teev cov khoom lag luam:

• cov khob cij ntsev tsis xws luag, qab zib, poov xab pancakes tsis muaj ntsev,
• txiv hmab txiv ntoo thiab nqaij tsis noj kua zaub ua kua zaub thiab cereals,
• muaj roj nqaij nyuj muaj roj, muaj tus nplaig hau, nqaij nyug, nqaij qaib, nqaij qaib, nqaij yaj thiab nqaij nyuj uas muaj roj tsawg.
• cov ntses uas muaj rog tsawg (koj tuaj yeem ci ntses, cov khoom, sau),
• khaub noom mis, qaub cream, mis, tsev cheese nrog mov, carrots thiab txiv apples,
• tsis pub ntau tshaj ob lub qe hauv ib lub lis piam (koj tuaj yeem ib hnub, tab sis tom qab ntawd koj yuav tsum txo cov ntses, nqaij thiab tsev cheese), yolks tuaj yeem muab ntxiv rau cov tais diav,
• mov, pob kws thiab pearl barley, sago,
• nplej zom
• tej zaub (hau siav los sis ci, ci),
• vinaigrette tsis muaj pickles,
• txiv ntoo thiab zaub nyoos,
• txiv ntoo thiab txiv ntoo nyoos,
• Jam, zib ntab, jelly thiab jelly yog tso cai nyob rau hauv kev noj haus, tab sis tsuas yog cov neeg mob ntshav qab zib tuaj yeem siv cov khoom qab zib tshwj xeeb rau cov ntshav qab zib.

• cov khob cij zoo nkauj thiab cov ntsev ua hmoov sib xyaw,
• taum
• nqaij hauv nqaij, ntses lossis nceb,
• cov nqaij haus luam yeeb, nqaij hauv kaus poom, hnyuv ntxwm,
• kib zaub mov
• cov ntses thiab haus ntses, cov kaus poom ntses, caviar,
• pickles, pickles, pickled zaub,
• radish, dos, qij, raws li zoo li horseradish, spinach, radish, sorrel,
• dej qab zib
• nceb.

Qhov kev noj haus zoo rau noj no raug kho thaum thawj thawj cov tsos mob ntawm tus mob ntshav qab zib nephropathy tshwm, nrog rau cov mob glomerulonephritis mob nrog PN loj. Xws li kev noj zaub mov rau lub raum nephropathy yog tsom rau kev txhim kho kev tsis pom zoo ntawm cov khoom lag luam metabolic, txo edema, txo cov tsos mob ntawm kev mob ntshav ntawm lub raum, kom lub siab zoo rau lub raum.

Nrog lub raum tsis ua haujlwm thiab nephropathy, qhov kev cog qoob loo ntawm tsob ntoo no feem ntau yog siv nrog cov ntsev thiab protein ntau kom tsawg. Tus nqi ntawm cov carbohydrates thiab cov rog yog txo kom tsawg. Cov zaub mov uas muaj nplua nuj nyob hauv cov roj tseem ceeb, oxalic acid, yog qhov tsim nyog yuav tsum tsis suav nrog cov khoom noj. Tib lub sijhawm, kev ua noj tsuas yog ci, ncu thiab ncaij. Cov khoom lag luam tsis tas yuav tsum ua kom sib tsoo ntau. Txhua yam zaub mov ua tau siav yam tsis muaj ntsev. Koj tsuas tuaj yeem noj cov khob cij tsis muaj ntsev. Rau-lub sijhawm khoom noj.

Cov calories tag nrho cov ntsiab lus ntawm cov khoom noj no yog 2150-2200 kcal:

1. Cov protein ntau - 20 g (ib nrab ntawm lawv yog cov protein ntawm tsiaj keeb kwm, thiab nrog CRF - 70%).
2. Cov rog - 80 grams (tsuas yog 15% ntawm lawv yog cov rog zaub).
3. Carbohydrates - 350 g (uas suab thaj tsis ntau tshaj 80 g).
4. Nws yog ib qho tseem ceeb kom tshem tawm cov ntsev tag.
5. Qhov ntim ntawm cov kua dej yog txiav txim siab los ntawm qhov tso zis txhua hnub. Nws yuav tsum tsis pub tshaj nws los ntawm ntau tshaj 0.5 litres.

Daim ntawv teev cov zaub mov tau tso cai:

• muaj mov tsis muaj protein thiab tsis muaj ntsev (raws li cov hmoov txhuv nplej siab) tsis ntau tshaj 100 gram lossis cov qhob noom ntsev tsis pub ntau tshaj 50 g / d, lwm cov poov xab hmoov tsis muaj ntsev,
• tus neeg tsis noj nqaij kua zaub (lawv tuaj yeem yog cov kua zaub qab zib qab, kua tshuaj ntsuab thiab hau kib dos),
• muaj roj tsawg nqaij ntawm cov luav, nqaij qaib, nqaij menyuam nyuj, nqaij nyuj, nqaij qaib ntxhw - tsis ntau dua 50-60 grams toj ib hnub,
• cov rog uas muaj rog tsawg - tsis ntau tshaj 50 g / d (koj tuaj yeem ua noj, ci lossis ci),
• cream, qaub cream thiab mis nyuj - tsis ntau dua 60 grams (ntau dua tuaj yeem ua yog tias cov protein tsawg niaj hnub txo vim ntses thiab nqaij)
• tsev cheese yuav ua tau, yog tias nqaij thiab ntses raug cais tawm tag nrho,
• ¼ lossis ½ qe nyob rau ib hnub ntxiv rau cov khoom noj ntxiv lossis 2 lub qe ib as thiv,
• Cov khaub noom - sago raug tso cai, mov yuav tsum tau txwv. Lawv tau hau hauv dej lossis mis nyuj xws li khaub noom, pilaf, taum pauv, paj npleg lossis nqaij me nyuam,
• nplej zom tsis muaj protein ntau,
• zaub tshiab - li 400-500 g ib hnub,
• qos yaj ywm tsis ntau tshaj 200-250 g / d,
• Koj tuaj yeem noj zaub txhwb qaib thiab dill, nrog rau kib cov hauv paus dos (ntxiv rau cov tais diav),
• txiv hmab txiv ntoo, berries, txiv hmab txiv ntoo haus, ntau yam txiv ntoo thiab cov txiv ntoo daj,
• zib ntab, jam (rau cov ntshav qab zib tsuas tshwj xeeb cov khoom qab zib ntshav qab zib),
• koj tuaj yeem siv cov kua ntses qab zib thiab qaub los txhim kho qhov qab (qab zib thiab qaub),
• tso cai cinnamon, citric acid, vanillin, txiv hmab txiv ntoo thiab zaub tom qab,
• tso cai rau haus dej tshuaj yej uas tsis muaj zog nrog hlais cov txiv qaub, diluted kua txiv thiab kua txiv ntawm cov tsiaj qus sawv,
• Los ntawm cov rog, koj tuaj yeem noj cov butter (unsalted) thiab roj zaub.

Ntawm cov khoom noj uas tsis pub tiv thaiv yog cov hauv qab no:

• tag nrho cov hmoov nplej thiab khoom ci ci nrog ntsev,
• taum
• mis nyuj thiab cereal kua zaub (tshwj tsis yog sago),
• kua zaub ntawm nqaij, ntses thiab nceb,
• rog ntau yam ntawm cov ntses thiab nqaij,
• cov nqaij haus, cov zaub mov hauv kaus poom, cov khoom noj pickles thiab marinades,
• nyuaj cheese
• nplej zom (tsis suav cov protein tsis pub dawb),
• txhua cereals tsuas yog sago thiab mov,
• pickled, salted thiab pickled zaub,
• sorrel, spinach, nceb, radish, zaub paj, qej,
• mis jelly, chocolate, chocolate,
• nqaij, ntses thiab nceb ntses,
• horseradish, kua txob, raws li zoo li mustard,
• ntuj kas fes, ntxhia dej nrog ntau cov dej qab ntsev, cocoa,
• tsiaj rog.

Qhov kev noj haus no tuaj yeem siv nyob rau theem peb ntawm tus mob ntshav qab zib nephropathy, nrog mob glomerular nephritis zoo, nrog rau lub raum ua tsis zoo. Qee lub sij hawm nws tau kho mob rau cov mob nephritis tom qab noj 7 ntawm ib qho nrog PN.

Lub hom phiaj ntawm cov khoom noj no zoo ib yam li hauv thawj ob - kev nthuav tawm cov khoom lag luam tawm hauv lub cev, txo qis ntawm edema thiab leeg ntshav tawg. Cov khoom noj ua noj no yuav tsum txwv ntsev thiab protein ntau. Nyob rau tib lub sijhawm, tus nqi ntawm cov carbohydrates thiab cov rog yog nyob rau hauv ib txwm muaj. Txij li thaum lub zog cov nqi ntawm cov zaub mov tsis tuaj yeem raug txo qis dua ib txwm, nws qhov tsis muaj vim tias muaj protein tsawg yog ntxiv nrog cov rog thiab cov khoom qab zib uas tso cai rau cov neeg mob ntshav qab zib.

Cov ntsiab lus calories ntau ntawm kev noj zaub mov yog kwv yees li 2500-2600 kcal:

1. Protein - 40-50 g (ib nrab ntau ntawm lawv cov tsiaj keeb kwm).
2. Cov rog - 83-95 g (peb lub hlis twg ntawm lawv ntawm tsob ntoo keeb kwm).
3. Carbohydrates - 400-460 g ntawm uas txog 100 g suab thaj.
4. Ntsev yog ua kom tiav.
5. Cov kua dej tsis ntau tshaj 1.2 l nrog kev soj ntsuam tas li ntawm diuresis.

Kev noj haus nyob ntawm theem ntawm tus kab mob

fraught nrog ntau lub txim hnyav rau lub cev. Hauv nws cov theem tom qab, kev mob ntshav qab zib nephropathy tuaj yeem tsim muaj, ib qho kev phom sij tshaj plaws. Nws kuaj tau rau hauv ib feem peb ntawm cov neeg mob ntshav qab zib thiab nthuav qhia nws tus kheej hauv qhov tsis muaj peev xwm ntawm lub raum los ntxuav cov ntshav los ntawm cov khoom lag luam ntawm cov protein metabolism. Hauv kev kho cov mob ntshav qab zib nephropathy, noj zaub mov noj lub luag haujlwm tseem ceeb, nws cov khoom sib xyaw thiab ntau ntau tau xaiv nyob ntawm theem ntawm DN.

Kev noj haus rau ntshav qab zib nephropathy nyob rau theem ntawm proteinuria

Kev noj zaub mov muaj protein tsawg rau kev mob ntshav qab zib muaj ntshav qab zib nyob rau theem ntawm cov proteinuria yog txoj kev kho mob tshwm sim. Kev noj cov protein tsawg dua rau 0.7-0.8 g rau 1 kg ntawm tus neeg mob lub cev. Ntsev raug pom zoo kom muaj tsawg li 2-2.5 g nyob rau ib hnub. Hauv kev coj ua, qhov no txhais tau tias nws yog qhov yuav tsum tsis txhob ua zaub mov noj tsis muaj ntsev, tab sis kuj pauv mus rau qhov tsis muaj ntsev thiab ncuav. Kuj pom tias yog kev siv cov zaub mov uas muaj ntsev tsawg - mov, cereals los ntawm oats thiab semolina, carrots, zaub qhwv (zaub paj dawb thiab dawb), beets, qos yaj ywm. Los ntawm cov khoom lag luam nqaij veal yuav pab tau, los ntawm ntses - carp, pike perch, pike, perch.

Noj nyob rau theem ntawm kev mob raum tsis ua haujlwm

Lub hauv paus ntsiab lus tseem ceeb ntawm kev noj zaub mov noj yog txwv cov protein kom 0.6-0.3 g ib kilogram ntawm tus neeg mob lub cev. Qhov kev txwv ntawm phosphates nyob rau hauv kev noj haus rau cov ntshav qab zib nephropathy nyob rau theem ntawm kev mob raum tsis zoo tseem ua tau zoo heev. Txawm li cas los xij, qhov no tsis yog ib txwm ua tiav, ua rau cov protein tsis tshaib plab thiab txo lub neej zoo ntawm cov neeg mob. Txhawm rau kom tsis txhob muaj protein starvation syndrome, tshuaj yog kws kho uas muaj cov amino acids tseem ceeb.

Rau qib CRF, cov kws kho mob tsim peb hom kev noj haus: 7a, 7b, 7P, hauv txhua qhov qib ntawm kev txwv cov khoom muaj protein, nrog rau phosphorus thiab potassium, tau hais meej meej. Lawv siv tau contraindications, yuav tsum tau saib xyuas kev kho mob tas mus li thiab kuaj kuaj.

Zoo sib xws rau Kev Noj Ntshav Qab Zib thiab Mob Ntshav Qab Zib

Ntshav qab zib nephropathy yog lub tswvyim ua ntau. Nws suav nrog ib pab pawg ntawm lub raum mob uas tshwm sim los ntawm qhov hloov pauv tsis tu ncua hauv cov ntshav qab zib. Ib qho kev qhia txog cov ntshav qab zib mob nephropathy yog mob raum tsis ua haujlwm.

Nrog rau cov ntshav qab zib ua rau lub cev ntshav qab zib, kev noj zaub mov ua kom haum rau cov neeg mob ib txwm muaj thiab tiv thaiv cov teeb meem uas yuav muaj. Yog tias koj piv cov khoom noj muaj ntshav qab zib thiab zaub mov noj nrog lub raum nephropathy, cov qauv yuav zoo ib yam:

• Tshuav pes tsawg leeg. Muaj ntshav qab zib, ob qho tib si hauv thawj theem thiab hauv daim ntawv ntev, koj yuav tsum tso pov cov khoom lag luam feem ntau. Cov no yog haus nqaij, marinades, haus dej cawv, txuj lom, ntsev, qab zib, hmoov. Xws li qhov tsis ua haujlwm ua rau lub cev tsis muaj zaub mov txaus, yog li koj yuav tsum tau rov qab thov lawv vim yog kev noj zaub mov kom zoo. Thaum cov ntshav qab zib dhau mus rau theem ntev, ntau cov txheej txheem cuam tshuam tshwm sim hauv lub cev. Ib qho ntawm lawv yog qhov ua haujlwm tsis zoo hauv lub raum. Cov tom kawg ua rau leaching ntawm qhov tsim nyog micro thiab macro ntsiab ntawm lub cev. Cov khoom noj tshwj xeeb nrog suav nrog ntawm cov khoom lag luam xws li pomegranate, beets, txiv quav ntswv nyoos, zaub qhwv hauv cov zaub mov yuav pab ua rau poob.
• Me ntu. Nrog ntshav qab zib, nws yog ib qho tseem ceeb kom tsis txhob noj ntau dhau. Hauv qhov no, qhov kev thauj mus los ntawm lub plab zom mov yog nce ntau, thiab qhov no yog fraught nrog ntse dhia hauv cov ntshav qab zib. Tsis tas li ntawd, nyob rau hauv hom mob ntshav qab zib, kev tsim cov enzymes zais cia los ntawm cov zom zaub mov yog qhov tsis taus. Qhov no ua rau txhaws ntswg, zawv plab, tsam plab, xeev siab, duav, pom kev. Yog tias koj txo qhov ntau thiab tsawg rau 250-300 g (kwv yees li lub nrig me me), lub plab thiab cov hnyuv yuav muaj kev ntxhov siab tsawg dua.
• Tsawg qab zib. Cov lus hais tsis tsim nyog - qhov qis kawg ntawm cov piam thaj tuaj yeem ua rau tsis meej meej nyob hauv tus neeg mob lub cev. Yog li, ntxiv rau kev npaj zaub mov noj kom yuag, nws tseem yog ib qho tseem ceeb kom tswj cov qib qab zib sai, ob teev tom qab noj mov thiab ua ntej yuav mus pw.
• Tsis kam ntsev. Cov suab thaj thiab ntsev ntxiab dej hauv lub cev. Qhov no yog vim li cas feem ntau cov neeg mob ntshav qab zib raug kev txom nyem los ntawm edema. Qhov ntau tshaj plaws uas tau tso cai ntsev ntau nyob hauv ib hnub yog 3 g.
• Noj cov zaub mov uas muaj glycemic index (GI) tsawg yog qhov taw qhia ntawm tus nqi ntawm cov carbohydrates hauv cov zaub mov tau nqus los ntawm lub cev thiab nce ntshav qab zib.