Cov yam ntxwv ntawm kev noj zaub mov noj rau ntshav qab zib ua rau mob nephropathy

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.

Cov lus pom zoo dav

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 yog siv hau los yog faus grilled,
cov khoom noj noj rau me nyuam yaus zoo ib yam li xaiv rau cov laus.

Ntau ntxiv ntawm cov khoom noj khoom haus Cheebtsam

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.

Cov nyhuv ntawm kev noj haus ntawm lub raum ua haujlwm

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 mov lub rooj tooj 7

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

Kev noj zaub mov zoo rau tus mob ntshav qab zib nephropathy

Tus kab mob no yog ib qho chaw ntawm txoj hauv kev tus neeg tuag nyob rau hauv cov ntshav qab zib. Feem coob ntawm cov neeg mob sawv ntsug hauv kab rau kev hloov raum thiab lim ntshav yog cov neeg mob ntshav qab zib.

Mob ntshav qab zib nephropathy yog lub tswv yim dav dav uas muaj kev puas tsuaj rau lub glomeruli, tubules, lossis hlab ntsha uas pub lub raum. Tus kab mob no loj tuaj vim yog muaj ntshav nce qib siab.

Qhov phom sij ntawm kev mob ntshav siab rau cov neeg mob ntshav qab zib yog qhov kawg theem yuav pib thaum lim ntshav. Hauv qhov no, cov protein uas ua rau kev ua haujlwm ntawm lub raum ua kom siab dua rau lub siab.

nkees
nws yog xim hlau ci hauv qhov ncauj
qaug zog,
txhais ceg cramps, feem ntau nyob rau yav tsaus ntuj.

Feem ntau, ntshav qab zib nephropathy tsis pom nws tus kheej thaum ntxov. Yog li nws raug nquahu kom tus neeg mob ntshav qab zib txhawm rau kuaj qhov no ib zaug lossis ib xyoos ob zaug:

tso zis rau creatinine, albumin, microalbumin,
Ultrasound ntawm ob lub raum
kuaj ntshav rau creatinine.

Thaum ua kev ntsuam xyuas, ntau tus kws kho mob pom zoo kom cov zaub mov muaj protein tsawg, ntseeg tias yog lawv tus uas nce lub nra rau lub raum. Qhov no yog qee yam muaj tseeb, tab sis tsis muaj cov protein ua haujlwm yog kev txhim kho rau cov mob ntshav qab zib nephropathy. Qhov laj thawj rau qhov no yog muaj suab thaj ntau ntxiv, uas muaj cov tshuaj lom neeg lub raum tsis ua haujlwm.

Txhawm rau zam dhau ntu kawg ntawm kab mob raum, koj yuav tsum ua raws li kev noj haus kom zoo.Cov kev kho kev noj haus zoo li no yuav saib xyuas qhov ua rau muaj tus kabmob - ntshav qab zib kom ntau.

Qhov kev xaiv ntawm cov khoom hauv kev npaj ntawm cov ntawv qhia zaub mov yuav tsum ua raws lawv cov ntawv txheeb glycemic (GI).

Glycemic Khoom Taw Qhia

Kev noj zaub mov kom tsis txhob rog-tswj cov ntshav qab zib mellitus hom 2 mob ntshav qab zib, thaum thawj hom txo cov tshuaj insulin luv luv thiab ultrashort. Nws yog cov cuab yeej no uas yuav pab kom zam dhau ntau yam mob ntshav qab zib.

Lub tswv yim ntawm GI yog qhov taw qhia digital ntawm kev nkag thiab rhuav tshem ntawm carbohydrates hauv cov ntshav, cuam tshuam rau theem ntawm cov piam thaj hauv cov ntshav, tom qab lawv siv. Qhov ntsuas qis dua, "zaub mov" muaj kev nyab xeeb dua.

Cov npe ntawm cov khoom lag luam nrog GI tsawg heev yog qhov dav heev, uas tso cai rau koj los ua kom tiav cov zaub mov noj, tsis tas yuav poob ntawm cov tais diav. Qhov qes dua yuav ua tau siab li 50 qhov, qhov nruab nrab ntawm 50 txog 70 units, thiab siab dua 70 ntu.

Feem ntau, nrog hom 1 thiab ntshav qab zib hom 2, zaub mov uas muaj qhov ntsuas nruab nrab raug tso cai ntau zaus hauv ib lub lis piam. Tab sis nrog mob ntshav qab zib nephropathy qhov no yog contraindicated.

Kev noj qab haus huv nephropathy cov ntaub ntawv tsis tsuas yog cov zaub mov nrog GI tsawg, tab sis tseem siv cov txheej txheem kev kho cua sov ntawm cov tais diav. Cov zaub mov hauv qab no siv tau:

rau ib nkawm niam txiv
boil
hauv microwave
stew nyob rau hauv ib qho me me ntawm zaub roj,
ci
nyob rau hauv lub tshuab ua kom qeeb qeeb, tshwj tsis yog rau hom "kib".

Hauv qab no yog cov npe ntawm cov khoom lag luam los ntawm cov kev noj haus uas ua.

Cov Khoom Noj Muaj Mob

Cov zaub mov ntawm tus neeg mob yuav tsum muaj ntau yam. Cov zaub mov noj txhua hnub muaj cov cereals, nqaij lossis ntses, zaub, txiv hmab txiv ntoo, cov khoom noj siv mis thiab mis-mis. Kev ntsuas dej ntawm cov kua dej yog ob liv.

Nws yog tsim nyog kom paub tias cov txiv hmab txiv ntoo thiab cov kua txiv hmab txiv ntoo, txawm tias los ntawm cov txiv hmab txiv ntoo nrog GI tsawg, raug txwv rau kev noj zaub mov zoo. Nrog txoj kev kho no, lawv poob fiber ntau, uas ua txoj haujlwm ntawm kev hnav khaub ncaws tsis zoo li ntawm cov piam thaj hauv cov ntshav.

Cov txiv hmab txiv ntoo thiab cov berries yog qhov zoo tshaj plaws noj thaum sawv ntxov, tsis pub ntau tshaj 150 - 200 grams. Lawv yuav tsum tsis txhob raug coj los ua qhov kev mob ntshiab kom tsis txhob nce GI ntxiv. Yog tias cov txiv hmab txiv ntoo nyias npaj los ntawm cov khoom lag luam, tom qab no qhov no yuav tsum tau ua tam sim ntawd ua ntej siv los khaws cov tshuaj muaj vitamins thiab zaub mov kom ntau li ntau tau.

Tsawg GI Txiv Hmab Txiv Ntoo thiab Txiv Hmab Txiv Ntoo:

currants dub thiab liab,
gooseberry
txiv apples ntawm txhua yam, lawv cov tsos tsis cuam tshuam rau qhov ntsuas,
pear
apricot
blueberries
txiv pos nphuab
txiv pos nphuab
qus txiv pos nphuab.
yam twg ntawm cov txiv qaub txiv ntoo - txiv qaub, txiv kab ntxwv, mandarin, pomelo, txiv qaub.

Cov zaub ntsuab yog lub hauv paus ntawm cov khoom noj muaj ntshav qab zib thiab ua ib nrab ntawm tag nrho cov zaub mov noj. Lawv tuaj yeem noj rau pluas tshais, ob qho tib si, thiab rau yav tsaus ntuj tshuaj yej thiab noj hmo. Nws yog qhov zoo dua los xaiv cov zaub raws caij nyoog, lawv muaj ntau yam ntxiv.

Zaub rau cov ntshav qab zib tsawg GI ua rau tsis haum nephropathy:

lub taub
dos
qij
txaij
txiv lws suav
ntsuab taum
lentils
tshiab thiab qhuav crushed peas,
txhua hom zaub qhwv - zaub paj dawb, zaub cob pob, zaub qhwv dawb thiab xim liab,
kua txob qab heev.

Los ntawm cov zaub mov kaus poom, koj tuaj yeem ua tau ob sab thiab ntxiv rau thawj cov tais diav. Lawv cov kev xaiv yuav tsum ua kom tsis tshua muaj neeg paub, vim qee tus muaj GI nruab nrab thiab siab GI. Nrog rau cov ntshav qab zib, tsis muaj lub nra hnyav los ntawm lwm yam kab mob, cov kws kho mob qee zaum pub pob kws noj zaub mov noj - GI hauv kev txwv ntau, vim nws muaj nplua nuj nyob hauv cov as-ham. Tab sis nrog rau cov ntshav qab zib nephropathy, nws txoj kev noj tau contraindicated. Txij li txawm tias qhov dhia tsawg kawg hauv cov ntshav qab zib tso kev nyuaj siab rau lub raum.

Yuav luag txhua yam ntawm lawv cov khoom noj siv mis thiab qaub-mis muaj GI tsawg, tsuas yog xws li yuav tsum tau cais tawm:

qaub cream
qab zib 20% rog,
qab zib thiab txiv ntoo yogurt,
butter
margarine
tawv cheeses (me me Performance index, tab sis cov ntsiab lus ntawm calorie siab),
cov mis ua kua
ci cheese,
curd loj (kom tsis txhob to taub meej nrog tsev cheese).

Cov qe raug tso cai rau hauv cov ntshav qab zib tsis pub ntau tshaj ib hnub ib zaug, vim cov yolk muaj cov roj (cholesterol) phem. Nrog cov nephropathy no, nws yog qhov zoo dua los txo qhov siv ntawm cov khoom lag luam kom tsawg.

Qhov no tsis siv rau cov protein, lawv GI yog 0 PIECES, thiab yolk Performance index yog 50 PIECES.

Nqaij thiab ntses yuav tsum xaiv hom muaj roj tsawg, tshem tawm ntawm lawv cov seem ntawm daim tawv nqaij thiab rog. Caviar thiab mis nyuj yog txwv tsis pub. Nqaij thiab ntses cov tais diav nyob hauv cov khoom noj txhua hnub, nyiam dua ib zaug ib hnub.

Pub rau cov nqaij thiab cov offal:

qaib
quail
qaib keej
phaub nqaij
nqaij menyuam nyuj
nqaij nyuj
nqaij nyug siab
nqaij qaib mob siab
nqaij nyuj nplaig.

Los ntawm ntses, koj tuaj yeem xaiv:

Ua rau tus neeg mob ntshav qab zib noj cov khoom noj los ntawm cov khoom lag luam ntawm txhua nqe lus saum toj no, ib tus neeg tau txais zaub mov zoo thiab noj qab haus huv.

Nws lub hom phiaj tswj cov ntshav qab zib kom nyob rau hauv ib txwm muaj.

Qauv ntawv qhia zaub mov

Cov zaub mov hauv qab no tuaj yeem hloov raws li qhov nyiam saj ntawm tus neeg. Qhov loj tshaj plaws yog tias cov khoom lag luam muaj GI qis thiab raug ua haujlwm kom raug sov. Nws yog txwv tsis pub kom ntsev ntxiv rau hauv zaub mov; nws zoo dua kom txo ntsev kom tsawg rau qhov tsawg.

Tsis txhob pub tshaib plab thiab kub dhau. Ob yam no ua rau dhia hauv ntshav qab zib. Noj hauv qee qhov me me, tsib mus rau rau zaus ib hnub.

Yog tias koj xav noj tshaib nqhis dej, nws raug tso cai rau muaj khoom noj txom ncauj me me, piv txwv li, ib qho me me ntawm cov zaub xam lav lossis ib khob mis uas muaj kua mis.

thawj zaug noj tshais - txiv hmab txiv ntoo nyias,
thib ob noj tshais - omelet los ntawm cov nqaijrog thiab zaub, ntsuab tshuaj yej nrog ib qho hlais ntawm cov qhob cij rye,
noj su - zaub kua zaub, barley nrog ntses cutlet, ntsuab kas fes nrog qab zib,
tav su tshuaj yej - zaub xas lav, tshuaj yej,
thawj noj hmo - kua txob qab zib stuffed nrog minced nqaij qaib nrog mov ci, tshuaj yej,
thib ob noj hmo - ib nrab ib khob ntawm yogurt.

thawj zaug noj tshais - ib qho kua txiv, tsev cheese,
thib ob noj tshais zaub mov noj rau cov ntshav qab zib hom 2 xws li txaij, lws suav, dos thiab kua txob qab, tshuaj yej ntsuab,
noj su - buckwheat kua zaub, barley porridge nrog chav nqaij cutlet, ntsuab kas fes nrog qab zib,
khoom txom ncauj rau yav tav su - jelly nrog oatmeal, ib daim ntawm cov mov ci rye,
noj hmo - meatballs, zaub xam lav.

thawj pluas tshais - cov txiv hmab txiv ntoo nyias noj nrog kefir,
noj su - ib chav omelet los ntawm cov protein, kas fes nrog qab zib,
noj su - zaub kua zaub, barley porridge nrog gravy los ntawm stewed nqaij qaib siab, ntsuab tshuaj yej,
tav su tshuaj yej - 150 ml ntawm yogurt,
thawj noj hmo - stewed zaub qhwv nrog mov thiab nceb, ib qho hlais ntawm cov qhob cij,
lub thib ob noj hmo yog tshuaj yej nrog ntshav qab zib cheesecakes.

thawj zaug noj tshais - jelly ntawm oatmeal, ib daim ntawm cov mov ci txhuv,
noj su - zaub xam lav, hau qe, ntsuab tea,
noj su - hlaws kua zaub, txhoov eggplant nrog cov nqaij qaib hauv av, tshuaj yej,
khoom txom ncauj rau yav tav su - 150 grams ntawm tsev cheese thiab ib txhais tes ntawm cov txiv ntoo qhuav (txiv qhuav apricots, prunes, figs),
thawj noj hmo - buckwheat nrog nqaij nyug hau, tshuaj yej,
thib ob noj hmo - 150 ml ntawm ryazhenka.

thawj zaug noj tshais - txiv hmab txiv ntoo nyias,
noj su - zaub xam lav, ib qho mov ci ntawm cov mov ci,
noj su - zaub kua zaub, stewed nceb nrog nqaij qaib, ntsuab kas fes nrog qab zib,
tav su tshuaj yej - 150 grams ntawm tsev cheese, txiv hmab txiv ntoo qhuav, tshuaj yej,
thawj noj hmo - barley, ncu ntses patty, tshuaj yej ntsuab,
lub hmo thib ob yog khob kua roj uas tsis muaj rog-kefir.

thawj zaug noj tshais - kas fes ntsuab nrog qab zib, peb daim ntawv ua cov khoom qab zib ntawm fructose,
noj su - ncu omelet nrog zaub, tshuaj yej ntsuab,
noj su - xim av mov kua zaub, taum taum nrog nqaij nyuj, ib nplais ntawm cov txhuv cij, tshuaj yej,
Khoom txom ncauj rau yav tav su - jelly ntawm oatmeal, ib nplais ntawm cov ncuav txhuv
thawj noj hmo - perch, ci hauv lub tes tsho nrog zaub, tshuaj yej,
thib ob noj hmo - ib nrab ib khob ntawm yogurt.

thawj zaug noj tshais - tshuaj yej nrog cheesecakes,
thib ob noj tshais - omelet los ntawm cov nqaijrog thiab zaub, ib qho hlais ntawm cov qhob cij,
noj su yuav taum mog kua zaub rau cov neeg mob ntshav qab zib hom 2 nrog hlais cov mov ci, cov mov ci nrog ib cov ntses patty, kas fes ntsuab,
tav su tshuaj yej - tsev cheese nrog txiv hmab txiv ntoo qhuav, tshuaj yej,
thawj noj hmo - lentils, nplooj siab rog, ntsuab tshuaj yej,
zaum thib ob yog khob kua mis nyeem qaub.

Cov vis dis aus hauv tsab xov xwm no piav qhia tias vim li cas lub raum puas ntshav ntshav qab zib tau tshwm sim.

Noj qab zib rau cov ntshav qab zib

Kev kho ntawm endocrine pathology tsis yog tsuas yog kev kho kom haum xeeb. Kev noj zaub mov zoo rau ntshav qab zib ua lub luag haujlwm tseem ceeb rau tswj cov qib ib txwm muaj qabzib hauv cov ntshav, nrog rau kev zom zaub mov kom txaus (kev zom zaub mov).

Vim tias muaj qhov txawv txav hauv kev ua haujlwm ntawm cov tshuaj hormones tseem ceeb - insulin, kev noj haus yuav tsum ua raws cai txhawm rau kom zam dhau kev txhim kho hyperglycemic coma (ntshav qabzib qib> 10 mmol / l).

Cov khoom noj muaj txiaj ntsig zoo rau ntshav qab zib yuav tsum xyuas kom cov khoom noj tshiab ntawm cov txiv hmab txiv ntoo, zaub thiab tshuaj ntsuab txhua hnub.

Nws raug nquahu kom txhua yam zaub mov ntawm tsiaj keeb kwm, nrog rau kib thiab qab ntsev, pov tseg.

Kev noj haus rau ntshav qab zib yuav tsum:

Ua kom tau raws li lub zog xav tau ntawm lub cev (qhov nruab nrab ntawm 2000-3000 kcal rau cov neeg nquag),
Muab cov vitamins thiab enzymes sib npaug,
Faib rau 5-6 txais tos thoob plaws hnub,
Ua kom txo lub cev nyhav (nrog ntshav qab zib hom 2)
Ntim maj mam nqus cov carbohydrates (hmoov txhuv nplej siab, fiber, pectin), cov hauv paus ntawm cov uas yog legumes, cereals, zaub nplooj.

Qhov xaiv txoj cai khoom

Kev noj haus rau ntshav qab zib yuav tsum ua raws li kev zom plab nrog rau tus kab mob no, yog li ntawd, muaj kev xaiv nruj heev ntawm cov khoom lag luam kom muaj kev tiv thaiv kev mob hauv tsev (kev nyab xeeb) nrog ib qho kev nyiam hyperglucoseemia (nce ntxiv nyob rau hauv cov ntshav).

Ntawm cov ntshav qab zib, koj tuaj yeem noj cov khoom lag luam uas tsis tshua muaj ntau uas xaiv tshwj xeeb rau cov neeg muaj kab mob endocrine pancreatic pathologies.

Cov Khoom Uas Pom Zoo Txog Ntshav Qab Zib:

Neeg rau, nyiam dua nyoos,
Zaub kua zaub, okroshka, pickle,
Cov khoom siv khaub thuas, xws li taum paj, kua taum pauv,
Taum, taum paj, lentils,
Cov zaub tshiab (dib, txiv lws suav, zaub qhwv, zaub ntsuab, beets),
Cov txiv hmab txiv ntoo thiab cov txiv uas tsis qab zib (pears, txiv apples, txiv kab ntxwv, txiv qaub, txiv moj mab, txiv lws suav),
Cov txiv hmab txiv ntoo qhuav los yog xaum cov khoom,
Porridge (buckwheat, millet, oatmeal),
Cov kua txiv tshiab thiab dej ntxhia,

Ntshav Qab Zib Cov Khoom yuav tsum tsis muaj qab zibCov. Rau qhov no, muaj cov analogues uas tau muab faib ua ob pawg:

Cov uas muaj lub zog nqi: xylitol, fructose, sorbitol,
Cov uas tsis muaj nqi zog: aspartame, saccharin,

Feem ntau noj cov khoom qab zib yog qhov tsis txaus siab, vim tias lawv tuaj yeem ua rau muaj kev phiv tsis zoo thiab ua rau kom quav ntxiv.

Ua noj ua haus nyob rau hauv daim ntawv ntawm stewing, boil, ci yog tso cai yog tias tsim nyog. Cov tshuaj ntsuab siv nyob rau hauv daim ntawv nyoos yog qhov muaj txiaj ntsig ntau dua los siv yam tsis siv.

Koj yuav tsum noj nrog mob ntshav qab zib feem ntau tab sis hauv feem me meCov. Qhov no yuav pab tswj ntshav qab zib kom zoo.

Kev Txwv Cov Khoom Ntshav Qab Zib:

Qab zib, ntsev, chocolate, khoom qab zib, dej qab zib,
Jam, pickles thiab marinades,
Yogurts, qab zib, roj qaub cream thiab mis nyuj,
Rog kua zaub
Tej dej cawv,
Txiv hmab txiv ntoo haus, dej haus uas muaj suab thaj,
Qab zib pastries thiab hmoov khoom.

Cov lus qhia thiab cov ncauj lus zoo rau ntshav qab zib

Rau cov neeg mob ntshav qab zib, cov ntawv qhia zaub mov uas tsim nyog tau xaiv, uas yuav tsum pom. Qhov tseem ceeb carbohydrate load muab rau pluas tshais, nrog rau lub koob tshuaj qis rau pluas su, noj hmo yuav tsum tau noj tsawg.

Ua raws li hom kabmob, cov khoom noj kom ntshav qab zib tau nws tus kheej cov yam ntxwv:

Menus rau hom ntshav qab zib hom 2 yuav tsum yog tsis tshua muaj calorie, ib txwm ua thiab ua ke nrog kev tawm dag zog, raws li cov neeg mob xav kom poob phaus.
Cawv hauv cawv cov cawv txwv tsis pub. los ntawm cov khoom noj haus ntshav qab zib, li lawv yog cov muaj qhov siab thiab tsis yog lub hom phiaj rau kev noj haus.
Cov tshuaj noj rau cov ntshav qab zib hom 1 tuaj txog tsis suav cov khoom qab zib, kuj yog ib qho kev ua raws cai ntawm tseem hwv thiab. Kev sib xyaw ua ke ntawm cov khoom lag luam yog qhov tsim nyog rau kev ua kom muaj txiaj ntsig ntawm cov protein, cov rog thiab carbohydrates. Koj tsis tuaj yeem nce cov ntsiab lus ntawm qhov calories txhua hnub.Nws yog ib qho tsim nyog yuav tau xav txog kev noj zaub mov nrog kev qhia kom siv cov tshuaj insulin.

Kev Tiv Thaiv

Txhawm rau tiv thaiv kev mob ntshav qab zib (hyperglycemic, hypoglycemic coma), nws raug pom zoo kom brew teas thiab ua decoctions raws li cov nroj tsuag hauv qab no:

Ginseng
Chicory (siv kas fes)
John lub wort
Eleutherococcus,
Dandelion
Ntshiab
Npauj npaim tuaj
Walnut nplooj
Burdock hauv paus
Cov noob flax

Phytopreparations Lawv nrov ntawm cov neeg mob ntshav qab zib rau kev siv txhua hnub, txij li lawv tsis cuam tshuam cov chav kawm ntawm cov txheej txheem hauv lub cev, txawm tias tawm cov theem ntawm cov piam thaj hauv cov ntshav thiab tsis muaj kev txwv rau kev siv. Lawv kuj tseem muaj cov tonic ntau thiab cov nyhuv soothing.

Kev noj haus rau lub raum nephropathy

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.

Ua rau ntawm kev mob ntsws leeg

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.

Cov yam ntxwv dav dav ntawm kev noj haus

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.

Cov cai ntawm kev noj zaub mov zoo

Maj mam txo cov tsiaj protein nyob rau hauv cov zaub mov noj txhua hnub thiab maj mam hloov mus rau cov zaub protein.
Txo cov ntsev kom tsawg.
Txwv tsis pub cov khoom noj muaj protein ntau ntxiv nrog kev noj cov tshuaj potassium nyob hauv cov ntshav.
Kev nce ntxiv ntawm cov zaub mov muaj protein ntau nrog cov ntshav qis ntxiv ntawm cov calcium.
Txwv tsis pub cov zaub mov muaj phosphorus ntau.
Txwv kev siv cov khoom noj ntsim, roj roj, kaus poom thiab zaub mov pickled.
Hloov mus rau kev noj zaub mov zoo.
Haus dej haus kom txaus.
Kev nqus ntawm cov vitamins, minerals thiab cov zaub mov muaj hlau.
Noj zaub mov uas txo cov roj cholesterol.
Txo cov carbohydrates yooj yim hauv koj cov kev noj haus.

Cov ntsiab lus ntawm cov khoom sau

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.

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.

Nyeem ntxiv txog kab keeb potassium

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.

Hais txog phosphorus thiab dej

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.

Hais Txog Cov vitamins thiab Cov Cholesterol

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.

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.

Cov zaub mov thiab hmoov nplej

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.

Zaub thiab zaub ntsuab

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.

Qab zib zaub mov

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.

Cov kua ntses thiab txuj lom

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.

Ntau yam dej qab zib

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.

Roj thiab cov rog

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.

Cov khoom noj kom zoo rau lub raum IgA nephropathy

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.

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.

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%.

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.

Ntshav qab zib yog ntshai ntawm cov tshuaj no, zoo li hluav taws!

Nws tsuas yog tsim nyog thov.

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 plaws, koj tsis tuaj yeem noj 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 yuav tsum tau muab tshem 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.

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 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.

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.

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.

Tshem tawm cov ua rau muaj kev nyuaj siab
Normalizes siab tsis pub dhau 10 feeb tom qab tswj hwm

Kev txhim kho ntawm lub raum mob ntshav qab zib, lossis ntshav qab zib nephropathy, yog nrog los ntawm kev tsis ua haujlwm ntawm lub raum tsis ua haujlwm. Cov theem ntawm cov ntshav qab zib nephropathy: theem ntawm microalbuminuria, theem ntawm proteinuria nrog cov tshuaj tua kab mob nitrogen excretory muaj nuj nqi ntawm lub raum, theem ntawm kev mob raum tsis ua haujlwm. Rau cov theem sib txawv ntawm cov mob raum ua kom tsis zoo, cov kws qhia kev noj haus tau txhim kho peb hom zaub mov muaj protein tsawg: 7P, 7b thiab 7a, uas tau siv rau hauv kev kho mob ntshav qab zib mob nephropathy.

Nws yog siv rau cov mob nephritis mob thib peb mus rau plaub lub lim tiam ntawm kev kho mob thiab mob nephritis ntev.

Nws tshem tawm cov khoom lag luam nitrogenous tawm hauv lub cev, ua kom tsis txhob o, txo lub siab.

Carbohydrates thiab cov rog tsawg. Ntsev tsis yog siv rau hauv kev ua noj. Yog tias tus kws kho mob tso cai, ces cov tais diav ntxiv thaum lub sijhawm ua haujlwm. Tus nqi ntawm cov kua hauv ib hnub (suav nrog kua zaub thiab chav kawm thib peb) tsis pub dhau 1 liter. Txwv tsis pub cov khoom siv roj tseem ceeb (dos, qij, horseradish), oxalic acid, tshuaj tsw qab, ntses thiab nqaij.

Ua noj nrog kev siv tshuaj lom neeg tsawg (kib yog tsis suav) thiab tsis muaj qhov siv tshuab (tsis txhob so tais diav). Boil ntses thiab nqaij nyob rau hauv ib qho nyiaj ntawm 100-150 g ib hnub. Khoom noj yuav sov so.

Fritters tsis muaj ntsev thiab poov xab, pancakes, khob cij tsis muaj qab hau,

Neeg tsis noj nqaij kua zaub nrog qos yaj ywm, cereals thiab zaub, kua zaub,

Tus nplaig hau, nqaij nyuj muaj roj tsawg, nqaij nyuj, txiav thiab nqaij npuas, nqaij qaib ntxhw, qaib, luav thiab yaj,

Cov roj ntses uas muaj roj tsawg, tom qab los ntawm lub teeb ci lossis kib, aspic, cov nqaij, txhoov thiab thooj ntses,

Mis nyuj, qaub cream, tsev cheese nyias thiab sib xyaw nrog mov, txiv apples, carrots, dej qab zib-mis, qab zib,

Txog li ob lub qe tauj ib hnub (muab cov qe ua kom sib xyaw lossis cov qe muag muag) nrog tsawg tsev me, cheese lossis nqaij Koj tseem tuaj yeem siv yolks ntxiv rau cov tais diav,

Cov nplej zom hauv ib qho kev npaj, pearl barley, pob kws, pob kws, sago,

Zaub thiab qos yaj ywm hauv kev ua,

Zaub nyoos ntawm cov txiv hmab txiv ntoo thiab zaub tshiab, vinaigrettes yam tsis muaj pickles,

Mis nyuj khov, khoom qab zib, khaws cia, zib ntab, jellies, jelly, hau thiab cov txiv ntoo nyoos thiab txiv hmab txiv ntoo.

Hmoov cov khoom uas muaj ntsev, cov mov mog ib txwm,

Nceb, ntses, nqaij nqaij, nqaij taum,

Cov nqaij siav, noj nqaij, nqaij hnyuv ntxwm, hnyuv ntxwm, stewed thiab kib zaub mov tsis muaj roj, muaj roj ntau yam,

Cov kaus poom ntses, caviar, haus, salted, oily ntses,

Cov nceb, pickled, salted thiab pickled zaub, radishes, spinach, sorrel, radish, qej, dos

Nws tau sau tseg rau qhov mob hnyav hnyav glomerulonephritis nrog cov tsos mob ntawm lub raum tsis ua haujlwm tom qab hnub yoo mov thiab mob hnyav nrog lub raum tsis ua haujlwm los ntawm thawj hnub mob, tus mob glomerulonephritis nrog cov hlaus tsis ua haujlwm.

Nws lub hom phiaj: qhov siab tshaj plaws ntawm lub raum muaj nuj nqi, txhim kho ntawm kev nthuav tawm ntawm cov khoom lag luam metabolic los ntawm lub cev, txo qis ntawm cov hlab ntsha tawg thiab edema.

Nws yog ib qho feem ntau cog cov ntoo uas muaj zaub mov noj nrog kev txwv ntse ntawm cov protein thiab ntsev. Tus lej ntawm cov rog thiab carbohydrates muaj ntsis txo. Tsis suav cov zaub mov muaj nplua nuj nyob hauv cov tshuaj rho tawm, cov roj tseem ceeb, oxalic acid. Ua noj ua haus yam tsis muaj qhov sib txig: txaij, ci, txhaw yooj yim. Khoom noj yog npaj tsis muaj ntsev, khob cij tsis muaj ntsev. Cov zaub mov noj 5-6 zaug hauv ib hnub.

Cov protein ntau - 20 g ib hnub (50-60% tsiaj, thiab nrog lub raum tsis ua haujlwm ntev - 70%), cov rog - 80 g (15% zaub), carbohydrates - 350 g (80 g suab thaj), ntsev tsis suav, kua dawb tsis sib npaug tus nqi ntawm cov zis ntxiv rau 500 ml. Cov ntsiab lus ntawm cov calories ntawm qhov khoom noj yog 2100-200 kcal.

Mov ci thiab hmoov khoom. Protein-tsis muaj ntsev tsis muaj ncuav nyob ntawm cov pob kws muaj hmoov nplej - 100 g nyob rau ib hnub, thaum tsis muaj nws 50 g ntawm cov nplej dawb uas tsis muaj ntsev los yog lwm cov khoom noj hmoov ci rau cov poov xab tsis muaj ntsev,

Kua zaub nrog sago, zaub, qos, txiv hmab txiv ntoo. Lub caij nrog boiled toasted dos, qaub cream, tshuaj ntsuab,

Txog li 50-60 g ntawm nqaij nyuj muaj roj tsawg, nqaij nyuj, nqaij thiab nqaij npuas sab hauv, luav, nqaij qaib, qaib ntxhw, ntses. Tom qab npau npau, koj tuaj yeem ci lossis maj mam kib ib qho los yog txhoov,

60 g (lossis ntau dua vim yog nqaij thiab ntses) ntawm mis, cream, qaub cream. Tsev cheese - tshwj tsis yog nqaij thiab ntses,

Cov qe raug ntxiv rau cov tais diav ntawm tus nqi ntawm 1 / 4-1 / 2 qe hauv ib hnub rau ib tus neeg lossis 2-3 zaug hauv ib lub lim tiam rau ib lub qe (muag-ua kom npau, nqaij ntuag qe),

Los ntawm cereals: sago, txwv - mov, nplej zom protein tsis muaj ntxiv. Npaj nyob rau hauv dej thiab mis nyuj nyob rau hauv daim ntawv ntawm cereals, puddings, casseroles, pilaf, cutlets,

Qos yaj ywm (200-250 g) thiab zaub tshiab (400-450 g) nyob rau hauv daim ntawv ntawm ntau yam lauj kaub tais diav. Cov hauv paus siav thiab kib yog muab ntxiv rau cov tais diav, zaub txhwb thiab zaub txhwb nyoos,

Cov zaub xas lav thiab vinaigrettes nrog cov roj zaub uas tsis muaj ntsev thiab de zaub,

Txiv hmab txiv ntoo, tais diav thiab khoom qab zib, ntau yam txiv hmab txiv ntoo thiab txiv ntoo (nqaij nyoos, qhuav, ci), jelly, txiv hmab txiv ntoo thiab kua txiv ntoo,

Qab zib, zib ntab, jam, tsis chocolate,

Txhawm rau txhim kho txoj kev saj ntawm cov tais diav uas tsis muaj ntsev, qab zib thiab qaub kua txiv, soob, qab zib, zaub thiab txiv hmab txiv ntoo, vanillin, cinnamon, citric acid yog siv,

Tsis muaj zog tshuaj yej nrog txiv qaub, txiv hmab txiv ntoo thiab kua txiv hmab txiv ntoo, rosehip broth,

Ntawm cov rog, cov roj tsw qab, melted nyuj, roj zaub.

Lub khob cij dawb, hmoov nplej nrog ntsev,

Nqaij, nqaij ntses thiab nceb nqaij ntses, mis nyuj, cereals (tshwj tsis yog sago) thiab legumes,

Txhua cov nqaij thiab ntses cov khoom lag luam (cov khoom noj kaus poom, nqaij nqaij uas haus luam yeeb, pickles),

Lwm cov cereals uas tsis yog sago thiab mov thiab nplej zom (tsuas yog tsis muaj protein ntau),

Cov zaub uas muaj ntsev, qaub thiab qaub ncaug, legumes, zaub ntsuab, pias, zaub paj, nceb, zaub ntsuab, qij,

Qhob noom xim kasfes, mis jelly, mis nyuj khov,

Nqaij, ntses thiab nceb ntses, kua txob, mustard, horseradish,

Cocoa, ntuj kas fes, dej muaj tshuaj sodium nplua nuj,

Cov rog ntxiv (mutton, nqaij nyuj, nqaij npuas, thiab lwm yam).

Nws siv rau cov mob glomerulonephritis mob nrog cov tsos mob ntawm lub raum tsis ua haujlwm tom qab kev noj haus No. 7a, mob nephritis nrog mob raum tsis ua haujlwm.

Lub Hom Phiaj: qhov siab tshaj plaws ntawm lub raum kev ua haujlwm, txhim kho ntawm kev nthuav tawm ntawm cov khoom lag luam metabolic los ntawm lub cev, txo qis ntawm txoj kev mob ntshav ntawm txoj hlab ntshav thiab edema.

Hauv cov zaub mov no, cov protein ntau tau txo ntau, cov ntsev kom tsawg. Cov rog thiab carbohydrates nyob rau hauv ib txwm muaj. Lub zog tus nqi yuav tsum nyob hauv qhov ib txwm muaj, uas yog, nrog kev txo protein, nws tau nce hauv cov rog thiab qab zib.

Kev ua zaub mov noj, daim ntawv teev cov khoom noj uas tau tso cai thiab txwv tsis pub muaj yog tib yam li hauv zaub mov No. 7a. Txawm li cas los xij, tus nqi ntawm cov protein yog ob npaug vim qhov nce ntxiv txog li 125 g ntawm nqaij thiab ntses, 1 qe, txog li 125 g ntawm mis thiab qaub cream. Nqaij thiab ntses tuaj yeem hloov nrog tsev cheese, noj mus rau hauv tus account cov ntsiab lus protein hauv cov khoom no. Txog kev noj zaub mov No. 7b, cov protein tsis muaj ntsev ntau rau cov mov ci, pob kws (lossis mov), thiab cov qos thiab zaub (300 g thiab 650 g, feem), qab zib thiab zaub roj kuj tau nce ntxiv rau 150 g. Cov zaub mov noj 5-6 zaug hauv ib hnub.

Cov protein ntau 40–50 g (50-60% tsiaj, thiab nrog mob raum tsis ua hauj lwm 70%), cov rog 85-90 g (20-25% zaub), carbohydrates 400-450 g (100 g suab thaj), ntsev tsis suav, kua dawb qhov nruab nrab ntawm 1-1.2 litres tswj hwm ntawm diuresis. Zog tus nqi ntawm 2500-2600 kcal.

Cov yam ntxwv dav dav: kev noj zaub mov hyponatrium, ua tiav hauv cov tshuaj lom neeg thiab muaj txiaj ntsig ntawm lub zog muaj txiaj ntsig, nrog cov protein ntawm cov nroj tsuag feem ntau (75%), nrog kev tshem tawm ntau tshaj plaws ntawm purine puag.

Kev ua noj ua haus: txhua lub tais yog npaj tsis muaj ntsev, nqaij thiab ntses - hauv daim ntawv ua noj lossis nrog ci ntxiv.

Tus nqi zog: 00 kcal (142 kJ).

Cov khoom xyaw: protein 70 g, rog, carbohydrate.

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 me me ntawm tus dev (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.

Tus mob ntsig txog ntshav qab zib muaj txoj hauv kev nyob rau theem kawg ntawm ntshav qab zib hom phab ntsa (hom 1 thiab hom 2). Nws, raws li lub npe cuam tshuam, cuam tshuam rau lub raum. Tab sis nws thawj cov cim tshwm sim tsawg kawg 10 xyoo tom qab lub sijhawm kuaj ntshav qab zib.

Kev mob ntshav qab zib yog insidious heev, vim nws ua rau qeeb qeeb, tab sis kev vam meej thiab tsis tuaj yeem ua rau lub raum ua haujlwm, mus txog rau mob raum tsis ua haujlwm thiab uremia (tsub zuj zuj ntawm cov tshuaj nitrogenous hauv cov ntshav). Cov mob no yuav tsum muaj kev lim ntshav tas mus li lossis hloov raum.

Ntshav qab zib nephropathy yog tus cwj pwm los ntawm:

hloov zuj zus lawm thiab maj mam tawg raum,
albuminuria, uas tseem nyob rau theem tshaj 300 mg rau 24 teev,
maj mam thiab qeeb txo hauv kev pom kev glomerular,
ntshav siab
qhov muaj peev xwm siab ntawm kev tsim txoj kev loj ntawm cov kab mob plawv.

Cia peb xav txog nyob rau hauv ntau dua cov txheej txheem nyob rau hauv uas mob ntshav qab zib nephropathy kev loj hlob.

Cov piam thaj hauv ntshav siab txiav txim siab nce ntxiv nyob rau hauv cov piam thaj hauv cov zis, uas tau lim los ntawm glomeruli ntawm ob lub raum. Txij thaum lub cev tsis muaj peev xwm them taus cov piam thaj ntau dhau ntawm cov zis, yog li ntawd, nws yuav tsum nce ntxiv nws cov tshuaj rau hauv lub raum ze ntawm lub raum, uas tshwm sim nrog kev hloov chaw sodium sodium ntau dua.
Reabsorbed sodium ions khi dej thiab, yog li ntawd, ua rau kev nce hauv qhov ntau ntawm cov ntshav ncig (volemia).
Ib qho kev nce ntawm willemia, nyeg, ua rau muaj kev nce ntxiv hauv cov ntshav siab thiab txuas ntxiv ntawm cov hlab ntsha uas pub glomeruli ntawm lub raum. Lub tshuab tshuaj tshuaj - Densa Macula - nyob hauv qhov ze ntawm tub menyuam lub raum, txhais qhov xwm txheej ua rau txo ntshav siab thiab cuam tshuam los ntawm kev tso tawm cov ntshav eninme, uas ua rau lub tshuab uas ua rau muaj kev nce siab ntxiv.
Kev kub siab, uas tau los ntawm tag nrho cov txheej txheem nyuaj no, ua rau muaj qhov nce siab hauv lub glomeruli, uas ua rau muaj qhov nce ntawm glomerular pom npaum li cas.
Ib qho kev nce ntawm tus nqi pom ua rau muaj kev hnav ntau dhau ntawm cov nephrons (theem pib lub raum lim).

Cov txheej txheem tau piav qhia yog qhov ua rau tus mob nephrotic syndrome thiab albuminuria, tab sis tsis tsuas yog nws yog lub luag haujlwm rau kev pib mob ntshav qab zib nephropathy.

Hyperglycemia tseem teev nyob rau hauv cov lus tsa suab lwm cov txheej txheem twb tau piav qhia hauv tsab xov xwm txog kev mob ntshav qab zib neuropathy, uas txiav txim siab hloov pauv ntawm cov protein ua glomeruli. Cov txheej txheem no suav nrog: protein glycation, sorbitol tsim thiab ua kom muaj protein kinase C.

Qhov tshwj xeeb yog qhov tshwm sim ntawm kev ua ntawm cov txheej txheem no yuav yog qhov hloov pauv ntawm cov qauv ntawm glomerular nqaij. Cov kev hloov pauv nce ntxiv permeability ntawm capillary phab ntsa thiab glomerular sclerosis.

Qhov xwm ceev ntawm pathology khaws cia hauv theem ntawm tus neeg mob rau txhua lab tus neeg yug. Qhov sib piv ntawm tus txiv neej thiab poj niam hauv kev nyiam ntawm yav dhau los yog 2 rau 1. Hom 1 ntshav qab zib mellitus lossis insulin-tiv thaiv cov ntshav qab zib tau pom nyob hauv 30% ntawm tus neeg mob ntshav qab zib nephropathy. Hom 2 mob ntshav qab zib mellitus - hauv 20%.Muaj ntau haiv neeg, xws li cov Neeg Qhab Asmeskas thiab cov neeg Asmeskas, muaj ntau dua, pom tshwm sim vim caj ces.

Cov duab hauv chaw soj ntsuam cov mob ntshav qab zib nephropathy pib qeeb heev, ntau dua nees nkaum xyoo.

Tsib theem ntawm tus kabmob muaj qhov txawv txav, txhua qhov ntawm tus yam ntxwv los ntawm nws tus kheej cov tsos mob.

Qhov tseeb, yog tias koj nqes mus rau cov ntsiab lus, koj tuaj yeem nrhiav polyuria (tshem tawm ntawm cov zis ntau npaum li cas), cov piam thaj nyob ntawm cov piam thaj hauv cov zis thiab ib qho kev nce ntxiv hauv glomerular filtrate. Lub sijhawm ntawm qhov theem ntawm tus kabmob no nyob ntawm seb koj tuaj yeem tswj qib hauv qabzib hauv cov ntshav: tswj tau zoo dua, ntev dua 1 theem yuav muaj.

Qeb theem ntawm tus kabmob no tseem yog asymptomatic. Daim phiajcim nkaus xwb uas nephropathy zoo li lub sijhawm dhau mus yog lub microalbuminuria tam sim tom qab kev mob siab rau lub cev. Feem ntau nws pib ob peb xyoos tom qab pib mob ntshav qab zib thiab kav ntev mus ib xyoos.

Cov Khoom Noj Muaj Mob Ntshav Qab Zib Neohonathy

Peb txhua tus paub tias kev noj zaub mov noj txhua hnub ua lub luag haujlwm tseem ceeb hauv peb lub neej, tshwj xeeb tshaj yog nyob rau lub neej ntawm cov neeg mob raum muaj kab mob hauv lub raum. Tam sim no, ntau tus neeg hauv ntiaj teb muaj kev mob ntshav qab zib.

Peb txhua tus paub tias ntxiv rau txoj kev kho mob kom zoo, kev noj zaub mov kom zoo kuj tseem ceeb rau cov neeg mob ntshav qab zib nephropathy. Raws li peb paub, cov neeg mob ntshav qab zib nephropathy muaj kev noj haus nruj nruj.

Yog li dab tsi ua lawv noj zoo rau lawv kev noj qab haus huv? Tom ntej no, peb yuav muab cov lus teb ntxaws ntxaws rau koj, thiab peb vam tias koj tuaj yeem tau txais txiaj ntsig los ntawm cov lus hauv qab no. Thov ua tib zoo mloog rau cov qauv hauv qab no, thov:

Khoom noj khoom haus rau ntshav qab zib nephropathy muaj plaub lub hauv paus, raws li hauv qab no.

1. Zoo hypoprotein noj

Cov protein ntau dhau tuaj yeem ua rau lub raum ntau dua, yog li cov neeg mob xav tau los tswj cov protein ntau uas lawv tau siv. Hauv lub neej txhua hnub, sim noj zaub protein thiab txwv koj cov zaub mov staple. Thiab koj tuaj yeem noj qee cov mis nyuj, ntses thiab cov nqaij ntshiv, vim tias cov khoom no muaj protein tsiaj.

2. Noj muaj roj tsawg

Ntxiv cov nqi ntawm cov cua sov rau cov ntshav qab zib nephropathy yuav tsum muaj tus nqi tsim nyog. Yog tias qhov nyiaj ntawm lub tshav kub tsis txaus, creatinine thiab urea yuav nce ntxiv. Thiab thaum cov nqi ntawm cov cua sov ntau dhau, nws muaj kev phom sij rau cov ntshav qab zib. Cov neeg mob yuav tsum noj mij thiab mij.

3. Khoom noj khoom haus malophosphorous

Tus kws kho mob yuav txwv tsis pub cov neeg mob noj tsiaj hauv tsev, zoo li lub hlwb, daim siab, ob lub raum, thiab noj me me noj txiv hmab txiv ntoo qhuav, xws li cov noob taub, thiab lwm yam.

Yog tias koj muaj lwm lo lus nug, koj tuaj yeem xa email tiv thaiv email lossis hu rau + 86-311-89261580 thiab peb yuav teb koj cov lus nug sai li sai tau.Peb zoo siab los pab koj. Txhua qhov zoo tshaj plaws!

Tej teeb meem raum? Hu rau peb Cov Kws Kho Mob Hauv Online. Kev mob siab rau tus neeg mob nce mus txog 93%.

Yav dhau los ： Kuv Puas Tuaj Yeem Tau Yam Mob Tus Neeg Mob Ntshav Qab Zib?

Tom ntej ： Khoom Noj Khoom Haus Zoo rau Ntshav Qab Zib Ntshav

Yog tias koj muaj lus nug lossis xav paub ntau ntxiv, thov sau cia rau hauv qab ntawv.

Mob ntshav qab zib nephropathy - txhua yam koj yuav tsum paub txog mob raum

Ntshav qab zib mellitus provokes ib tug xov tooj ntawm tsis zoo hloov nyob rau hauv lub cev, cuam tshuam yuav luag txhua yam hauv nruab nrog cev thiab ua rau lawv dysfunctions. Yog li, ib qho ntawm cov kab mob theem ob feem ntau txhim kho hauv cov neeg mob insulin thiab cov neeg mob tsis muaj tshuaj insulin yog cov ntshav qab zib nephropathy, uas ob lub raum yog qhov "hom phiaj" pathological.

Kev noj haus rau raum mob ntshav qab zib

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.

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.

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.

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.

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.

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.

Ntshav qab zib yog ntshai ntawm cov tshuaj no, zoo li hluav taws!

Nws tsuas yog tsim nyog thov.

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.

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.

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.

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

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.

Tshem tawm cov ua rau muaj kev nyuaj siab
Normalizes siab tsis pub dhau 10 feeb tom qab tswj hwm

Ntses, nqaij thiab nceb nqaij ntses. Cawv thiab dej haus. Refractory cov rog. Cov zaub mov muaj ntsev ntau: cov chips, salted ceev, cov zaub mov hauv kaus poom, cheeses, hnyuv ntxwm, kua ntses, ketchups, marinades, kua zaub sai, kua zaub cub, ntsev xyaw ntsev, margarine.

Cov khoom noj muaj protein ntau: kas fes, mis hmoov, curry, sorrel, txiv tsawb, kua txiv, ntses hiav txwv, nqaij, noob hnav, noob hnav, chocolate, mis nyuj sib tov, txiv hmab txiv ntoo qhuav, txiv av qhuav, noob txiv, marzipan, cawv, npias, rhubarb, avocado , kua txiv hmab txiv ntoo, kua txiv lws suav, kua txiv laum huab xeeb, ketchup, lws suav ntses, zaub ntsuab, beets, artichoke, zib suab thaj, kua phoov, kua taum, kua txiv laum laum, kua txiv taum pauv, nceb.

Ntshav qab zib nephropathy - kev faib tawm los ntawm theem

Qhov kev cuam tshuam ntawm ntshav qab zib yog cuam tshuam nrog kev ua txhaum ntawm cov metabolism ntawm carbohydrates thiab lipids hauv cov hlab ntsha ua rau lub raum, uas ua rau kev puas tsuaj rau cov hlab ntsha, cov hlab ntsha, capillary glomeruli thiab tubules ntawm lub cev. Maj mam, kev ua haujlwm tsis zoo hauv lub raum qhov tsis muaj kev kho ua rau kev ua tiav ntawm lawv txoj haujlwm thiab dhau los ua kev hem thawj rau lub neej.

Hauv ntiaj teb kev coj ua, kev faib tawm ntawm qhov kev cuam tshuam no ua tsib ntu, tsim los ntawm Mogensen, yog siv. Cia peb xav txog hauv kev nthuav dav ntxiv theem dab tsi uas cov kab mob ntshav qab zib tau muab faib ua, lawv cov yam ntxwv tseem ceeb:

Thawj theem yog kev hloov khoom nruab nrog cev. Nws tshwm sim nyob rau hauv lub sijhawm pib ntawm kev mob ntshav qab zib mellitus thiab yog tus cwj pwm los ntawm kev nce ntxiv ntawm cov hlab ntshav ntawm lub raum thiab ua kom cov ntshav khiav hauv lawv, nce ntxiv ntawm qhov kev tshem tawm thiab lim tawm ntawm cov zis. Cov khoom nruab nrog nws tus kheej yog qee qhov nce me ntsis, thaum tseem tsis tau pom cov protein nyob hauv cov zis.
Qeb ob yog kev hloov pauv ntawm cov khoom hauv lub koomhaum. Nws tshwm sim thaj tsam peb xyoos los ntawm qhov pib ntawm ntshav qab zib. Nyob rau qib no ntawm tus kab mob pathology, cov phab ntsa ntawm cov hlab ntsha ntawm lub raum txuas ntxiv mus tuab, kho cov pa glomeruli thiab nthuav dav ntawm qhov chaw intercellular tau pom. Tsis muaj cov protein ua tau.
Qhov thib peb theem yog pib mob hlwb. Ib tsab ntawv tshaj tawm ntawm qib no pib pib nyob rau xyoo thib tsib txog rau xya xyoo tom qab kuaj pom mob ntshav qab zib. Vim yog qhov pheej nce siab mus rau hauv cov hlab ntsha ntawm ob lub raum, ua rau muaj qhov siab me ntsis ntawm cov dej lim thiab cov dej tsis tshua muaj molecular hnyav sib txuas los ntawm lub raum lim. Qhov tso tawm ntawm qhov tsis txaus ntawm cov protein nyob hauv cov zis pib.
Qeb plaub yog lub sijhawm uas mob ntshav qab zib khov nephropathy. Nws tau txiav txim siab hauv cov neeg mob ntshav qab zib mellitus nrog "kev paub" ntau dua 10-15 xyoo. Nyob rau theem no, cov protein ntau loj yog tas li ua kom tso zis, cov txheej txheem tswj kev ua haujlwm tau ua haujlwm hauv lub cev los tswj nws cov qib siab. Muaj kev ua kom qeeb hauv cov ntshav txaus hauv lub raum thiab glomerular tus nqi pom, tsis pom kev tiv thaiv kev mob ntshav qab zib (hypertrophy).
Qeb tsib yog uremic. Yuav luag txhua cov hlab yog sclerotic, tsis tuaj yeem ua haujlwm excretory.Hauv cov theem kawg ntawm tus kabmob, vim yog lub raum tsis ua haujlwm, cov ntaub so ntswg intoxication nrog derivatives cov protein metabolism tshwm sim, cov proteinuria loj heev, kev txhim kho ntawm ntshav liab thiab ntau lwm cov kab mob pathological tau pom.

Ntshav Qab Zib Nephilathy - Cov tsos mob

Kev mob ntshav qab zib nephropathy, qhov ua rau thiab txhim kho cov tswv yim ntawm cov uas tseem tsis tau to taub tag nrho, yog asymptomatic rau lub sijhawm ntev.

Yog li, nrog 1-3 theem, hu ua preclinical, nws tsis yooj yim sua kom kuaj lub raum puas yam tsis muaj kev kawm tshwj xeeb. Thawj "lub tswb" yog feem ntau ib txwm tshwm sim hauv cov ntshav siab.

Lwm yam tsos mob ntawm tus mob ntshav qab zib nephropathy, txhim kho raws li tus kab mob pathology loj zuj zus:

o tuaj
muaj zog tiv thaiv tsis tau zoo
poob phaus
mob taub hau
kev nqhis dej
xeev siab
ammonia ua tsis taus pa
txog siav
mob lub plawv
daim tawv nqaij qhuav
khaus tawv
kev pom, thiab lwm yam.

Kab Mob Ntshav Qab Zib - Kev kuaj mob

Vim tias qhov tseeb tias kev sim tshuaj hauv tsev sim tsis muaj peev xwm muab cov ntaub ntawv hais txog cov theem ntawm preclinical ntawm pathology, ntshav qab zib nephropathy yuav tsum kuaj hauv cov neeg mob ntshav qab zib mellitus siv cov kev tshwj xeeb (lawv yuav tsum tau ua hauv cov neeg mob ib xyoos ib zaug). Yog li, nws muaj peev xwm kuaj pom kev tsis txaus ntseeg los ntawm ob qhov kev sim hauv qab no:

kev txiav txim siab ntau ntawm cov tshuaj albumin (protein) hauv cov zis,
kev txiav txim siab (kev txiav txim siab) ntawm glomerular filtration tus nqi noj mus rau hauv tus account lub siab ntawm cov ntshav creatinine.

Tsis tas li ntawd, tus kab mob ntshav qab zib nephropathy raug tshawb pom nrog kev pab ntawm cov kev tshawb fawb no:

kev soj ntsuam dav dav ntawm cov ntshav thiab zis,
kev kuaj ntshav biochemical,
Doppler ultrasound ntawm lub raum,
hloov khoom nruab nrog cev.

Mob ntshav qab zib nephropathy - kho mob

Qhov xwm txheej tseem ceeb tshaj plaws rau kev kho mob kom zoo rau qhov kev cuam tshuam no yog ib qho txiaj ntsig zoo ntawm lub hauv paus - kev nce siab hauv cov ntshav nyob rau hauv cov ntshav. Lwm qhov uas yuav tsum tau muaj yog cov normalization ntawm ntshav thiab lipid metabolism. Vim yog qhov kev tswj hwm ntawm cov ntsuas no, kev tiv thaiv kab mob ntshav qab zib thiab kev ncua ntawm nws txoj kev nce qib tau nqa tawm.

Nyob rau hauv cov ntaub ntawv ntawm lub sijhawm tshawb nrhiav ntawm nephropathy mob ntshav qab zib mellitus kho tau zoo, thiab ntau nyob ntawm tus neeg mob. Ua raws li cov xwm txheej hauv qab no tuaj yeem ua rau kom muaj ntau qhov tshwm sim:

ntxiv dag zog ua si,
txiav kev haus cawv thiab haus luam yeeb,
txo hauv kev ntxhov siab hauv hlwb,
kev noj haus.

Hemodialysis rau mob ntshav qab zib nephropathy

Thaum edema ua dav thiab tsis muaj kev tswj hwm thaum mob ntshav qab zib nephropathy, muaj cov tsos mob ntawm intoxication loj heev, tsis pom kev tsis pom kev, uas qhia txog theem mob hnyav thiab tau lees paub los ntawm kev txheeb xyuas, hemodialysis tsis tuaj yeem siv nrog. Txoj hau kev no suav nrog kev ua ntshav huv los ntawm cov cuab yeej tshwj xeeb. Feem ntau cov ntshav qab zib mob nephropathy xav tau kev phais mob rau lub raum.

Kev noj haus rau ntshav qab zib nephropathy

Khoom noj khoom haus kom zoo yog ib qho ntawm lub hauv paus rau kev ua tiav zoo ntawm qhov kev ua tsis tau no. Kev noj haus rau cov ntshav qab zib lub raum nephropathy, daim ntawv teev cov khoom lag luam uas muaj tsawg tsawg cov zaub mov muaj txiaj ntsig thiab muaj ntsev tsawg, yuav tsum muaj lub siab nyeem ntau dhau los. Pub:

zaub, txiv hmab txiv ntoo,
mis porridge
Cov ntsev tsis muaj ncuav
khoom noj siv mis,
txiv roj roj
cov nqaij ntshiv, thiab lwm yam.

muab nqaij noj, muaj roj,
marinades
cheeses
taum
nceb
dej qab zib
caviar, thiab lwm yam.

Kev noj haus thiab zaub mov noj ntshav qab zib. Pub thiab Txwv cov Khoom

Cov khoom noj kom tsim nyog, meej pem thiab ua tib zoo noj ntshav qab zib rau cov ntshav qab zib yog qhov tseem ceeb rau kev tswj cov txiaj ntsig zoo kom lub cev muaj txiaj ntsig zoo rau kev yug cov metabolism.

Hmoov tsis zoo, lub sijhawm tam sim no tsis muaj cov tshuaj zoo uas tuaj yeem cawm ib tus neeg mob ntshav qab zib, yog li ntawd, nws yog khoom noj, nrog rau kev noj qab haus huv txhua hnub thiab, yog tias tsim nyog, tshuaj noj,tuaj yeem pab tus neeg mob lub neej kom yooj yim thiab tsis muaj kev ntshai rau kev noj qab haus huv.

Theem 4 - Nifaisropathy

Nws yog tus cwj pwm los ntawm cov tsos mob hauv qab no:

Macroalbuminuria nrog cov nqi ntau dua 200 mcg ib feeb twg.
Arterial tawg.
Muaj kev ploj zuj zus hauv lub raum muaj nuj nqi nrog kev nce ntawm creatinine.
Ib qho zuj zus zuj zus nyob rau hauv lub raum glomerular pom, tus nqi uas nqis los ntawm 130 milliliters ib feeb doml / min.

Lub davhlau ya nyob twg ntawm tus kab mob. Lub raum tsis muaj kev cia siab. Glomerular pom cov nqi tsawg dua 20 ml / min; cov roj ntsha muaj nitrogen cov khoom sib ntxiv hauv cov ntshav. Nyob rau theem no, kev lim ntshav lossis hloov khoom nruab nrog cev yuav tsum muaj.

Tus kab mob tuaj yeem txhim kho me ntsis zoo heev, nyob ntawm daim ntawv mob ntshav qab zib, uas yog:

nyob rau ntawm hom ntshav qab zib hom 1, tej theem ua ntej uas yuav ua kom puv ntia ntshav daj ntev li 1 mus rau 2 xyoos, thiab theem ntawm tus kab mob degenerates sai npaum li cas rau hauv hyperuricemia - ntawm 2 txog 5 xyoos.
nyob rau hauv hom 2 mob ntshav qab zib mellitus, txoj kev nyiam ua haujlwm dua li tsis txaus ntseeg, macroalbuminuria tshwm sim tsawg kawg tom qab 20 lossis ntau xyoo los ntawm qhov pib ntawm ntshav qab zib.

Kev kawm txog niaj hnub kho mob tsis tuaj yeem qhia qhov tseeb qhov tseeb ntawm kev txhim kho cov ntshav qab zib nephropathy. Txawm li cas los xij, muaj cov laj thawj txaus los qhia txog ntau lub hauv paus rau nws txoj kev txhim kho.

Cov yam no yog:

Kev tshuaj ntsuam genetic predisposition Cov. Muaj ib qho kev txheeb cia sau tseg hauv keeb kwm ntawm txhua tus neeg mob. Qhov tsis txaus ntseeg feem ntau tshwm sim los ntawm tus yam ntxwv ntawm ib qho: 2 tsev neeg thiab haiv neeg. Qee haiv neeg (Cov Neeg Qhab thiab Neeg Asmeskas) muaj feem ntau yuav ntsib kev mob hlwb.
Qog Ntshav Cov. Kev tswj cov ntshav qab zib yog qhov txiav txim siab. Nws tau sim tsim tias kev tswj hwm kev pom zoo ntawm cov piam thaj hauv ob hom ntshav qab zib ua rau lub sijhawm ntev los ntawm qhov pib ntawm ntshav qab zib thiab qhov pib ntawm albuminuria.
Tawg siab Cov. Ntshav siab txhawb pab txhawb kev txhim kho kabmob. Qhov no muaj tseeb rau cov ntshav qab zib hom 1 nrog rau hom ntshav qab zib 2. Yog li, nyob rau hauv cov neeg mob ntshav qab zib, kev kho mob ntawm txoj kev mob ntshav siab tseem ceeb heev.
Kev Proteinuria Cov. Proteinuria tuaj yeem yog ob qho tib si kev mob tshwm sim ntawm ntshav qab zib nephropathy thiab nws ua rau. Qhov tseeb tiag, cov proteinuria txiav txim siab mob interstitial, uas ua rau cov nqaij fibrosis (hloov cov ntaub so ntswg uas tsis muaj cov yam ntxwv ua haujlwm ntawm thawj daim ntaub). Raws li qhov tshwm sim, lub raum ua haujlwm ploj mus.
Muaj protein ntau noj Cov. Kev noj cov zaub mov muaj protein ntau yog txiav txim siab txog qib protein ntau hauv cov zis thiab yog li ntawd, kev muaj peev xwm ntawm cov ntshav qab zib ntau dua ntxiv tuaj. Cov lus no tau tsim los ntawm kev soj ntsuam kev sim ntawm cov neeg ntawm Qaum Teb Europe, uas nws cov neeg haus ntau cov tsiaj muaj protein.
Ua luam yeeb Cov. Cov neeg haus luam yeeb uas muaj ntshav qab zib feem ntau yuav tsim muaj mob nephropathy dua li cov tsis haus luam yeeb.
Dyslipidemia Cov. Ntawd yog, theem siab ntawm cov ntshav lipids thiab, yog li ntawd, cov roj cholesterol thiab triglycerides. Tshwm sim rau cov neeg mob uas tsis muaj qhov mob ntshav qab zib-insulin-tiv thaiv kab mob ntshav qab zib thiab nrawm nrawm rau kev txhim kho lub raum tsis ua haujlwm.

Kev kuaj mob nephropathy nyob rau hauv cov neeg mob ntshav qab zib yog ua raws li urinalysis thiab albumin nrhiav. Yog lawm, yog tias koj muaj albuminuria lossis microalbuminuria, txhawm rau kev ntseeg siab rau kev kuaj ntshav qab zib, nws yog qhov yuav tsum tau tshem tawm tag nrho lwm yam uas yuav ua rau tus mob no (mob txeeb zig lossis mob lub cev ntev dhau mus ntev).

Kev kawm txog cov qib albumin yog nrog los ntawm ib qho kev ntsuas ntawm glomerular pom kev npaum li cas thiab ntshav dej cov ntsiab lus creatinine. Qhov zoo ntawm micro / macroalbuminuria yog qhov paub tseeb tom qab tsawg kawg 2 qhov kev ntsuas pom zoo hauv peb lub hlis.

Cov neeg mob uas mob ntshav qab zib hom 1 mob ntshav qab zib mellitus, yuav tsum kuaj microalbuminuria tsawg kawg ib xyoos ib zaug, pib txij li lub sijhawm kuaj ntshav qab zib.

Hauv kev muaj mob rau cov neeg mob uas mob ntshav qab zib hom 2, txoj kev tshawb fawb ntawm microalbuminuria yuav tsum tau ua thaum lub sijhawm kuaj mob ntshav qab zib, thiab tom qab ntawd txhua xyoo.

Kev kho mob zoo tshaj plaws rau mob nephropathy yog kev tiv thaiv. Txhawm rau paub nws, nws yog qhov yuav tsum tau kuaj xyuas microalbuminuria kom raws sijhawm thiab maj mam nws kev loj hlob.

Txhawm rau kom tshwm sim ntawm microalbuminuria, koj yuav tsum:

Tswj tuav koj cov ntshav qab zib kom qis Cov. Ib qho xwm txheej uas ua tiav los ntawm kev noj zaub mov kom zoo, noj tshuaj tiv thaiv ntshav qab zib thiab ua haujlwm qoj ib ce aerobic.
Tswj ntshav siab tswj Cov. Txhawm rau ua qhov no, koj yuav tsum tswj lub cev lub cev qhov hnyav, ua raws li cov zaub mov muaj ntsev thiab ntsev ntau ntau, thiab siv cov tshuaj antihypertensive.
Ua raws li cov khoom noj muaj protein tsawg Cov. Kev noj cov protein txhua hnub yuav tsum yog nyob nruab nrab ntawm 0.6 thiab 0.9 gram ib kilogram ntawm lub cev qhov hnyav.
Tswj cov roj cholesterol LDL hauv qab no 130 mg rau ib deciliter ntawm cov ntshav.

Thaum tus mob loj zuj zus mus rau lub davhlau ya nyob twg, kho mob rau lub cev lossis hloov raum ua qhov kev kho mob xwb. Hauv cov neeg mob uas muaj mob ntshav qab zib hom 1, nyob rau hauv lub hlwb uas ua rau pancreatic tsis tso cov tshuaj insulin, lub raum thiab cov leeg phais plab txig yog qhov zoo tshaj.

Raws li peb tau pom, protein ntau thiab sodium yog qhov tseem ceeb txaus ntshai. Yog li, txhawm rau tiv thaiv kev nce qib ntawm cov kab mob pathology, yuav tsum muaj cov protein tsawg thiab kev noj zaub mov sodium.

Kev noj tshuaj rau cov protein yuav tsum nyob nruab nrab ntawm 0.6 txog 1 g ib phaus ntawm lub cev hnyav.

Cov ntsuas nyob hauv nruab nrab ntawm 30 thiab 35 kcal ib kg ntawm lub cev hnyav.

Rau tus neeg mob hnyav txog 70 kg, zaub mov noj yuav tsum muaj txog calories, ntawm 15% yog protein.

Cov tsos mob ntawm lub raum nephropathy tshwm sim vim yog lub raum tsis ua haujlwm. Nees mob rau cov ntshav yog tsis muaj feem nrog tus mob raum xub thawj. Raws li kev xav txog kev kho mob, kev mob qa yuam yog ua txhaum ntawm lub raum kev ua haujlwm.

Nealropathy raum txhais tau tias tag nrho cov txheej txheem pathological uas tshwm sim hauv cov kabmob no.

Ua rau ntawm pathology

Ib qho kev ua hauj lwm ntev-ntev pathological ntawm lub cev uas tshwm sim hauv kev cuam tshuam ntawm microcirculation tuaj yeem ua rau muaj kev cuam tshuam ntawm kev lim dej thiab tshem tawm cov ntsev thiab lwm cov khoom lag luam hauv lub plab.

Kev ua txhaum ntawm cov txheej txheem ntawm kev lim dej thiab tawm ntawm cov khoom lag luam metabolic nrog cov zis tshwm sim tawm tsam ntawm keeb kwm yav dhau los

cov txheej txheem mob ntev, kev hloov pauv ntawm lub cev lub cev, kis mus rau cov tshuaj lom neeg, ua rau cov nqaij mos thaum lub sij hawm cov txheej txheem qog, hormonal ntshawv siab.

Cov laj thawj tam sim ntawd ua rau muaj kev ua tsis taus ntawm lub raum yog:

Lub caij nyoog siv ntev ntawm cov tshuaj, intoxication ntawm lub cev nrog cov hlau hnyav, domestic intoxication, teeb meem metabolic, hluav taws xob, kev tsis txawv txav ntawm lub raum, gout, lub raum pob zeb, ntshav qab zib mellitus.

Tus kab mob tuaj yeem txhim kho rau ntau qhov laj thawj hauv kev sib txuas nrog qhov no, nws siv ntau hom, uas yog:

lom, dysmetabolic, ntshav qab zib, roj ntsha, kab mob analgesic, endemic, gouty, metabolic, paraneoplastic.

Txhua ntawm cov foos ua rau kev puas tsuaj rau lub raum, ib qho nce ntxiv thiab kev tawm ntawm lawv cov ntaub so ntswg sib txuas.

Cov tsos mob tseem ceeb ntawm tus kab mob

Cov tsos mob ntawm lub raum nephropathy nce ntau zuj zus. Ib tus neeg tuaj yeem cuam tshuam los ntawm tus kab mob no ntev thiab tsis paub txog nws muaj.

Thawj qhov tsos mob uas koj yuav tsum them sai sai yog:

qaug zog ntau dhau, ib qho kev xav tsis muaj zog txaus, qhov mob ntawm qhov xwm nyob hauv thaj chaw lumbar, qhov ncauj qhuav, kev poob siab, kev nyuaj siab thiab ntxhov siab, xeev siab, mob taub hau, mob taub hau.

Cov tsos mob ntawm nephropathy:

ntshav siab (feem ntau tau nce mus rau qhov siab tshaj plaws thaum nruab hnub ua haujlwm thiab xyaum tsis ua yuam kev), ntau dhau hws (tshwm sim thaum sawv ntxov nyob rau hauv lub qhov muag thiab zoo li txav ntawm sab saum toj mus rau hauv qab), muaj cov protein nyob hauv cov zis (qhov no yog qhov taw qhia tseem ceeb tshaj plaws hauv kev kuaj tus kab mob), muaj cov halitosis (nco qab ammonia).

Thawj qhov kev kuaj mob ntawm tus neeg mob qhia pom meej nrawm ntawm cov rog txheej thiab ua txhaum ntawm lub plawv, tawm hws ntau dhau thiab cuam tshuam hauv cov ntshav siab.

Yog hais tias tus neeg mob tau kub siab tshaj plaws, hnov mob thaum tso zis. Qee lub sij hawm lawv nrog cov tawm los ntawm pus thiab cov ntshav.

Cov phiajcim no tau qhia tias pyelonephritis tau koom nrog tus kabmob pib.

Toxic nephropathy

Tshwm sim raws li qhov txiaj ntsig ntawm kev rhuav tshem ntawm cov tshuaj lom hauv lub cev.

Nws muaj ntau hom:

tshwj xeeb: tshwm sim los ntawm kev noj cov ntsev ntawm cov hlau hnyav rau hauv tib neeg lub cev, tsis tseem ceeb: tshwm sim los ntawm kev nkag mus rau hauv cov ntshav ntawm cov tshuaj lom uas muaj cov tshuaj lom rau hauv lub cev.

Cov cim tseem ceeb ntawm kev ua rau mob hlwb nephropathy yog qhov mob nraub qaum, qhov zoo li yuav tawm ntawm cov ntshav tawm hauv cov zis thiab tso zis ntxiv.

Txais daim ntawv

Nws pom nyob rau ntawm cov gene thiab cov chromosomal qib. Nws txawv ntawm cov ntaub ntawv dhau los hauv qhov ntev ntawm cov kab mob, uas tuaj yeem nyob rau txhua lub sijhawm muab txoj hauv kev hloov pauv. Cov yam ntxwv ntawm tus kab mob zoo ib yam li yav tas los.
Kev mob hlwb nephropathy.

Qhov ua kom tshwm sim yog qhov teeb meem ntawm lub cev zom zaub mov.

Cov ntawv ntawm nephropathy

Nyob ntawm keeb kwm, tus kab mob no muaj 2 daim ntawv:

Thawj Xa mus rau cov kab mob uas muaj cai, thiab yog tus cwj pwm ntawm kev nruam ntej. Qhov tshwm sim ntawm thawj daim ntawv yog qhov kev loj hlob sai ntawm lub raum ua haujlwm thiab urolithiasis. Thib Ob Tus kab mob ncaj qha sib luag rau lub raum mob.

Cov laj thawj tseem ceeb yog:

kev mob plab zom mov, kev zom zaub mov tsis zoo, los yog lawv lub cev ntau dhau hauv lub cev, qhov cuam tshuam tsis zoo ntawm cov tshuaj tsis raug xaiv, kev ua txhaum ntawm calcium metabolism hauv lub cev.

Cov tsos mob ntawm metabolic nephropathy:

kev mob plab zom mov, pob zeb lossis xuab zeb hauv lub raum, mob rau cov kab mob genitourinary, tso zis ntau zaus, qaug zog, tsis xis nyob thiab mob hauv plab, ntau dhau ntawm cov qe ntshav dawb thiab ntshav liab nyob hauv cov zis.

Kev paub tab thiab kev kho mob txoj kev

Mob raum nephropathy kho nyob rau theem. Ua ntej sau ntawv noj tshuaj, tus kws kho mob pom zoo cov kev ntsuas nram qab no:

Hloov pauv hauv txoj kev ua neej. Kev noj haus txhua hnub ntawm cov kua hluav taws xob loj. Ua raws nraim li kev noj haus.

Txhawm rau kev kho mob kom coj tau qhov txiaj ntsig zoo, qhov ua rau tus kab mob yog qhov tsim nyog. Thiab nws pom muaj sai dua, kev ua haujlwm zoo dua ntawm kev kho cov mob nephropathy yuav.

Kev kho mob ntawm cov neeg mob uas tau kuaj pom no yog nqa tawm hauv tsev kho mob tom qab kev kuaj mob thiab kuaj pom.

Lub hom phiaj ntawm kev kho mob yog txhawm rau txo cov ntshav siab thiab tshem tawm kev o.

Kev kho mob ntawm nephropathy ntawm cov poj niam cev xeeb tub tsis muab cov nyhuv xav tau. Yog li ntawd, tus kws kho mob mus koom saib xyuas daim duab ntawm kev txhim kho kabmob thiab txiav txim siab txog cov txheej txheem thiab sijhawm.

Kev kho mob ntawm cov tshuaj lom nephropathy tsom rau pub dawb tus neeg mob los ntawm co toxins. Ua li no, cov txheej txheem xws li mob plab, hemosorption, hemodialysis, thiab lwm yam.

Dab tsi yog qhov ua rau lub cev qhuav thiab tev tawv?

Ntev daim ntawv ntawm pathology

Txoj kev loj hlob ntawm pathology yog ua ntej los ntawm cov txheej txheem mob tshwm sim rau lub sijhawm ntev heev hauv cov kab mob genitourinary. Daim ntawv mob niaj hnub tuaj yeem tshwm sim ntawm keeb kwm ntawm myocarditis, endocarditis, tuberculosis, kev quav dej quav cawv, quav yeeb tshuaj, quav tshuaj, quav tshuaj, noj tshuaj analgesics hauv ntau.

Kev mob ntshav siab lossis ntshav qab zib nephropathy hloov mus ua daim ntawv ntev. Hauv cov txheej txheem no:

nephrons yog ploj, glomeruli hypertrophy, yauv yauv mob pob txha.

Lub raum tsis ua haujlwm, tsis ua tiav:

filtration nres lossis cuam tshuam, tus mob kis mus rau sab hauv lub cev, pyelonephritis thiab cystitis pib, thiab pob zeb daim ntawv.

Nrog kev muaj mob ntawm tus kabmob, ntshav tau khov nrog cov uremic toxins, uas nyob rau hauv lem pib qeeb qeeb cov pob txha pob txha.

Ob lub raum pib muaj qhov tsis txaus:

folic acid, vitamin B12, hlau.

Tus neeg mob muaj cov cim tsis tiv thaiv.

Vim lub fact tias nrog tus kab mob tus neeg mob poob ntau qhov tseem ceeb ntawm protein, tus neeg mob yog kws kho cov khoom noj muaj protein ntau.

Lub hom phiaj ntawm kev noj haus yog pab ob lub raum txhawm rau kom txuas ntxiv lawv cov haujlwm.

Hauv kev sib txuas nrog kev tso tawm ntawm cov protein ntau ua ke nrog zis, qhov kev taw qhia tseem ceeb ntawm kev noj zaub mov kom rov qab ua kom lub cev muaj protein, kuj tshem tawm cov kua dej ntau vim yog lub raum tsis zoo thiab cov tsos mob o.

Khoom noj khoom haus rau nephropathy yog tsom rau:

kev nce ntxiv ntawm kev noj haus ntawm cov khoom noj uas muaj protein ntau, txo qis hauv kev siv cov khoom noj muaj roj, kev khov kho lub cev nrog lipolipids kom txhim kho cov metabolism, thiab kuj txo cov roj cholesterol hauv cov zis.

Txhawm rau tshem tawm cov tsos mob ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum ua raws li cov ntsiab cai ntawm:

Satiety ntawm kev noj haus txhua hnub nrog cov khoom lag luam nplua nuj nyob hauv cov protein. Txo cov kev siv cov khoom noj muaj rog. Txhawb lub cev nrog cov khoom uas ua kom cov metabolism hauv lub cev tsis zoo, thiab txo cov roj cholesterol. Yog tias tus neeg mob lub raum raug mob hnyav, yuav tsum tau noj protein tsawg. Txo kev siv cov ntsim tais diav thiab txuj lom. Nws yog ib qho tsim nyog yuav tau nqa tawm 1-2 hnub ua haujlwm ib hnub. Tsis txhob cia haus kua txwv.

Lub lauj kaub tais diav tseem ceeb uas yuav tsum tau muaj nyob hauv kev noj haus:

cov khoom noj ua ntsev uas tsis muaj ntsev, ua kua zaub mov, muaj roj tsawg ntawm cov nqaij ci hauv qhov cub lossis faus, txhua yam khoom noj muaj mis, tsis muaj roj ntau yam ntawm cov ntses, ci lossis ua noj, buckwheat, cereals.

qos yaj ywm, taub dag, zucchini, carrots, beets, taub dag.

Ntawm cov dej haus, kev nyiam yuav tsum tau muab rau cov compotes npaj lawv tus kheej. Tshaj tawm los ntawm txiv pos nphuab, raspberries thiab lingonberries zoo tshaj plaws tshem tawm los ntawm cov txheej txheem ua mob.

Koj tuaj yeem ntxiv cov nplooj ntoo ntawm cov nroj no rau nws. Tsis txhob hnov qab txog tshuaj ntsuab. Lawv tseem muaj txiaj ntsig rau lub raum.

Cov khoom lag luam muaj nqis hais tias “Tsis Yog”:

mis nyuj khov, chocolate, dos, qij.

Cov pluas noj zaub mov noj nrog ntau hom ntshav khov yog txawv, yog li ua ntej koj zaum ntawm nws, koj yuav tsum sab laj nrog cov kws kho mob tshwj xeeb.

Piv txwv, noj zaub mov rau cov qog ntshav qab zib muaj xws li:

tsis tshua muaj txais txiaj ntsig ntawm cov khoom muaj protein, noj ntsev ntau ntau, ib qho kev tsis ua tiav ntawm cov ntxhia pob zeb thiab cov zaub mov qab ntsev.

Cov zaub mov yuav tsum ua kom tsis muaj ntsev thiab tsuas yog los ntawm cov khoom ntuj tsim xwb.

Kev noj haus txhua hnub ntawm tus neeg mob yuav tsum muaj:

cov rog muaj roj ntau hom ntses thiab nqaij, cov zaub mov muaj roj tsawg, ua cov hmoov txhuv nplej.

Cov calories tag nrho cov ntsiab lus yuav tsum tsis pub tshaj 2500 kcal.

Nrog 100% kev noj haus, tus neeg mob twb nyob hauv thawj lub lim tiam muaj kev txhim kho kev noj qab haus huv tseem ceeb.

Kho mob raum tshuaj kho neeg lub siab

Yog lawm, nrog lub raum nephropathy, tus kws kho mob cia li sau ib qho kev kho mob nrog cov tshuaj sib txawv. Tab sis txij li puag thaum ub los, muaj ntau yam zoo tshaj plaws rau tshuaj kho lub raum nephropathy, uas kuj tau txais txiaj ntsig zoo.

Peb yuav qhia nyob rau hauv ntau yam ntxiv ob peb cov zaub mov txawv ntawm pej xeem tus nqi rau kev kho mob ntawm lub raum no, uas zoo kawg nkaus kho mob thiab tswj lub raum ua tau zoo:

Suav sau 1. Rau sau no koj yuav xav tau: 30 g ntawm St. John lub wort, 25 g ntawm coltsfoot, 25 g ntawm yarrow paj, 20 g ntawm nettle. Tag nrho cov tshuaj no tau txiav zoo thiab xyaw zoo. Ob lossis peb dia ntawm kev sau ncuav 14 liv dej kub, muab tso rau hauv qhov chaw tsaus rau kev lis ntshav. Qhov cub txias txias tau muab faib ua ob feem sib luag thiab coj ua ob theem. Siv nws tsawg kawg yog 25 hnub. Kev Sau Tseg No. 2. Noj ob rab diav ntawm cov noob flax, comfrey, nplooj liab thiab liab twm hawj. Peb sib tov cov tshuaj ntsuab no nrog nplooj blackberry (1 ntu) thiab juniper berries (1 ntu). Ncuav nws tag nrho hla 14 cov dej npau, rhaub me ntsis dhau ntawm cov cua sov. Peb haus dej npaj tau ob peb zaug ib hnub rau ib hlis. Suav sau 3. Peb noj ib feem ntawm cov pob kws thiab tsob txiv ntoo txiv ntoo, sib xyaw ua ke nrog ob feem ntawm bearberry thiab plaub feem ntawm peb-nplooj saib. Ib lub rooj ntawm cov ntawm kev sau no yog nchuav nrog 250 ml ntawm dej kub, rhaub rau 12 feeb dua li tsawg cua sov. Siv ib lub decoction 2-3 zaug hauv ib hnub. Suav sau 4. Lingonberries yog ib qho kev pabcuam zoo rau lub raum nephropathy. Dhau cov berries los ntawm ib tug nqaij grinder, ntxiv qab zib 1: 1 mus rau lub resulting mashed qos yaj ywm. Ncuav cov zom qos yaj ywm rau hauv lub rhawv, npog nrog parchment ntawv thiab muab tso rau qhov txias. Muab 1 tablespoon ntawm no mashed qos yaj ywm rau hauv ib lub mug, ncuav hau dej thiab haus raws li lub ntsej muag ua kom zoo nkauj. Suav sau 5. Strawberry nplooj thiab nws cov txiv ntoo tau zoo heev hauv kev sib ntaus cov txheej txheem. Peb noj cov kua txob thiab nplooj ntawm cov txiv pos nphuab hauv tib cov nyiaj, nchuav 1 khob dej thiab muab rhaub kom ntev li 10 feeb. Siv ib lub npaj-ua decoction ntawm 2 diav peb zaug ib hnub. Suav sau lej 6. Rau kev sau no koj yuav xav tau peels tev. Peb noj 2-3 lub txiv ntoo peels, cov tshuaj rau hauv me me, ncuav 200 ml ntawm dej npau, muab tso rau hauv qhov chaw tsaus kom pom zoo. Npaj broth noj 2 dia peb zaug ib hnub twg.

Tab sis, nco ntsoov tias ua ntej thov ib daim ntawv qhia pej xeem, koj yuav tsum xub kuaj nrog tus kws tshaj lij thiab tau txais kev tso cai siv cov nqi no lossis tus nqi ntawd. Vim tias qee qhov ntawm lawv tuaj yeem ua rau ua xua.

Lub tswv yim dav dav ntawm cov neeg mob txog kev siv tshuaj kho mob nephropathy thiab tshuaj ntsuab rau pej xeem

Qee tus neeg mob raum nephropathy tau txais qhov tsis zoo rau kev kho tshuaj, zoo li nyob hauv lub ntiaj teb niaj hnub no tau muaj tus mob thaum, vim yog siv tshuaj kho mob, tus kab mob tsuas yog nce lub zog ntau dua ntawm kev txhim kho.

Tshwj xeeb yog tias koj noj tshuaj uas tsis muaj kev pab los ntawm kws kho mob thiab kev noj tshuaj ntau. Tsis tas li ntawd, yuav luag txhua cov tshuaj tam sim no ntxiv cov tshuaj muaj kuab lom ntau, uas tuaj yeem ua rau muaj kev tsis haum. Thiab yog li ntawd, ntau tus neeg qhia kom siv tshuaj ntsuab ntau dua, vim tias lawv siv tau zoo dua thiab muaj txiaj ntsig zoo. Thiab cov tshuaj yuav tsum tsuas yog siv nruj me ntsis raws li kws kho mob tau sau ntawv thiab hauv qhov yuav tsum tau siv, tsis txhob siv ntau dua.

Txawm li cas los xij, tshuaj ntsuab tshuaj tseem muaj lawv cov qhov tsis zoo. Txij li tam sim no txhua tus neeg tseem tabtom nrhiav qee yam tshuaj ntsuab los kho tus kab mob hauv lub raum pheej yig dua, hauv cov khw tsis muaj daim ntawv tso cai rau cov khoom lag luam, thiab tseem muaj cov kev mob tshwm sim ntawm cov tshuaj no thiab nws kev nyab xeeb tsis paub txog. Yog li nws yog qhov zoo tshaj plaws los yuav tshuaj ntsuab lub raum nqi hauv cov khw muag tshuaj thiab siv tsuas yog qhia los ntawm tus kws kho mob, tom qab ntawd lawv yuav muab koj 100% qhov tshwm sim.

Nco ntsoov, koj tuaj yeem tsis tau tus kheej tshuaj tsob qaij thiab lwm yam mob raum, vim tias ob lub raum yog qhov nkag siab zoo rau cov tshuaj sib txawv, tsis hais nws yog tshuaj los yog tshuaj noj rau pej xeem. Thiab ib qho ntawm lawv tuaj yeem muaj qee cov tshuaj tiv thaiv, piv txwv li, los ntawm cov tshuaj lom lom rau lub raum tsis ua haujlwm, thiab qee zaum txawm tias ua tiav lub raum tsis ua haujlwm thiab ntau yam mob raum.

Qhov tshwm sim thiab tshwm sim ntawm pathology

Qhov tsis zoo tshaj plaws ntawm kev mob nephropathy yog lub raum tsis ua haujlwm. Ntawd yog, yog tias tus kab mob no tsis tau kho ntev ntev, ces lub raum qhov ua tau zoo yuav ua tsis taus ntxiv. Tab sis kuj yog tus kab mob no tuaj yeem txhim kho mus rau ntau hom mob ntsig txog mob ntev ntev, piv txwv, pyelonephritis thiab cystitis.

Feem ntau, lub raum nephropathy tso qab rau cov kev phom sij uas yuav tsim teeb meem rau tus neeg lub neej.

Ntawm no, piv txwv, yog:

anemia, kev mob plawv, mob plawv dhia tsis txaus, ntshav siab, ntsws tsis txaus, lub raum khiav tsis zoo.

Raws li ntau tus kws kho mob, tag nrho cov kev hloov kho thiab cov teeb meem tam sim no tau nce mus rau hauv kev loj hlob ntau.

Yog li, yog tias koj tsis nrhiav kev pab ntawm tus kws tshaj lij hauv lub sijhawm thiab tsis pib kho kom raug, ces ntau cov txheej txheem pathological yuav pib hauv lub cev uas yuav cuam tshuam kev ua haujlwm ntawm txhua qhov tseem ceeb hauv nruab nrog cev thiab tshuab. Tsis tas li ntawd, kev ua haujlwm ntawm lub cev thiab lub hlwb yuav zoo heev, ntau qhov teeb meem txaus ntshai, thiab tseem muaj kev tuag, yuav tshwm sim.

Cov hau kev rau kev tiv thaiv tus kab mob no

Yog tias koj lub raum nephropathy kuaj pom, ces tsuas yog cov kws kho mob muaj txiaj ntsig zoo tuaj yeem pab koj nrog kev kho mob. Thiab koj, nyeg, yuav tsum tsuas yog nruj me ntsis raws li txhua cov lus pom zoo. Ua ntej koj yuav tsum txheeb xyuas thiab tshem tawm qhov ua rau muaj tus mob tiag.

Hauv qhov no, menyuam yuav tsum tau ua ntau qhov kev kuaj kom paub tseeb thiab tiv thaiv ntau yam kab mob yug los ntawm kev tsim kho. Rau cov neeg muaj ntshav qab zib, yuav tsum tau kuaj ntshav thiab kuaj mob ntau dhau.

Ntawm no yog cov lus qhia tseem ceeb rau tus tib neeg uas muaj mob nephropathy txhawm rau txhawm rau txhim kho lawv tus mob thiab tiv thaiv kom tsis txhob muaj teeb meem:

soj ntsuam koj cov ntshav siab tas li, noj kom raug, noj zaub ntau, txiv hmab txiv ntoo, tsis txhob noj khoom kib, roj, qab ntsev thiab ntau yam khoom noj qab zib, soj ntsuam qhov ntsuas koj haus dej, haus ntau yam muaj cov vitamins, ua si kev tawm dag zog txhua hnub.

Yog tias koj ua tiav txhua qhov yuav tsum tau piav qhia saum toj no, tom qab ntawd koj tuaj yeem tsis tsuas yog ncua kev txhim kho ntxiv ntawm pathology, tab sis kuj tseem txhim kho cov mob ntawm lub cev.

Yog li, cov txheej txheem prophylactic ntawm nephropathy suav nrog kev saib xyuas nruj ntawm kev noj zaub mov kom zoo (nyob rau hauv cov ntaub ntawv ntawm kev noj haus nephropathy - noj zaub mov noj), cov cai ntawm kev tso dej tawm, nrog rau kev soj ntsuam raws sij hawm thiab kho cov kab mob ua ntej nephropathy.

Raum nephropathy - cov tsos mob thiab kev kho mob

Cov teeb meem ntawm lub raum mob, xws li lub raum nephropathy, yog qhov txaus ntshai heev rau tib neeg lub neej. Cov ua rau ntawm tus kabmob no txawv. Feem ntau muaj cov kab ke hauv lub nruab nrog cev ua rau ua kom muaj tus mob no. Thaum xub thawj, lub pathology tsim muaj asymptomatically thiab zoo nkaus li tsuas yog tom qab ua kev puas tsuaj loj rau cov khoom siv glomerular thiab lub plawv hlaus.

Cov thawj thiab lwm yam ua rau

Lub hauv paus pib ntawm tus kab mob yog thawj thiab lwm yam. Hauv qee kis, cov roj ntsha muaj pob txha mos yuav loj hlob tuaj. Tus nrab yog suav raum thiab mob raum tsis ua hauj lwm. Nephropathies mob thib ob yog tshwm sim los ntawm nephrosis, tshuaj vasculitis thiab qog hauv lub raum thiab thaum kawg ua rau muaj kev ua haujlwm tsis zoo ntawm lub raum glomeruli. Thawj daim ntawv provokes lub pathological kev loj hlob ntawm tej yam hloov khoom nruab nrog lossis ob lub raum lawv tus kheej nyob rau hauv lub sij hawm ua ntej:

lub raum dystopia (qhov chaw tsis tsim nyog), lub raum zoo li lub cev, mob pob ntseg pob ntseg hauv lub raum, lub cev tsis ua haujlwm ntawm lub raum glomeruli.

Hom thiab cov tsos mob

Pathologies nrog kev txhim kho ntawm kev hloov khoom nruab nrog ib tus kabmob.

Qhov tseeb, nephropathy yog lub sijhawm sib xyaw ua ke rau cov txheej txheem pathological uas tau pom los ntawm kev puas tsuaj rau ob lub raum. Hauv tshwj xeeb, lub raum nqaij, cov hlab ntsha thiab cov hlab ntshav cuam tshuam. Kev ua haujlwm ntawm lub cev no muaj qhov ua tsis tau zoo. Yog hais tias kev kho mob rau lub raum nephropathy tsis tau pib, lub txim hnyav yog qhov ua tau.

Kev loj hlob qeeb ntawm tus kab mob txhais tau hais tias pom cov tsos mob tshwm sim. Cov theem pib feem ntau tsis ua rau lawv tus kheej hnov.

Tom qab qee lub sijhawm, tus neeg mob pib yws ntawm qee cov tsos mob: qaug zog, mob ntawm thaj chaw lumbar, nqhis dej tsis tu ncua. Lub qab los noj mov cuam tshuam ntau dua thiab ntau dua, kev tso zis tawm tuaj ntau zuj zus. Sij hawm dhau mus, puffiness tshwm, ntshav nce siab. Ua raws li qhov ua rau thiab mob rau lub raum, cov qog ntshav tau faib ua ntau hom. Cia peb xav txog txhua ntawm lawv nyob rau hauv kom meej.

Rov qab rau cov lus txheej txheem

Kev zom zaub mov

Kev mob hlwb nephropathy yog thawj thiab theem nrab. Nrog cov kab mob pathology no, cov kev ua haujlwm metabolic tau cuam tshuam. Thawj cov ntawv yog suav tias yog raws caj ces, muaj kev nyuaj tshwm sim sai sai: mob raum tsis ua haujlwm thiab urolithiasis. Daim foos thib ob tshwm sim vim cuam tshuam los ntawm cov tshuaj lom thiab lwm yam kab mob.

Rov qab rau cov lus txheej txheem

Dysmetabolic

Tus kabmob yog tshwm sim los ntawm kev ntshaus siab cov zaub mov.

Qhov no tseem hu ua urate nephropathy, tshwm sim los ntawm kev tsis sib haum xeeb hauv cov roj metabolism hauv lub cev. Tsis tas li ntawd nrog lub raum puas vim yog ntsev tso nyiaj. Oxalic acid, oxalates thiab urates tsuas yog muab tso rau hauv lub raum. Dysmetabolic nephropathy tau muab faib ua 2 hom nyob ntawm kev ua kom muaj ntsev zoo: oxalate thiab urate.

Rov qab rau cov lus txheej txheem

Thaum cev xeeb tub

Cov tsos mob tseem ceeb ntawm cov kab mob pathology, uas yog txaus ntshai thaum cev xeeb tub, yog mob ntshav khov thiab mob o. Nees me nyuam hauv qib 1 yog luag yeej tsis quav ntsej thaum cev xeeb tub. Feem ntau, cov neeg mob mus cuag kws kho mob nrog cov lus tsis txaus siab hauv qhov xwm txheej 2 lossis 3 tau tshwm sim, uas yog tus cwj pwm mob hnyav dua thiab qhov ua rau muaj kev pheej hmoo ntawm menyuam poob.

Ntshav qab zib mellitus yog ib yam kab mob endocrine uas yuav tsum ua kom zoo. Ntxiv nrog rau kev siv tshuaj kho mob, tus neeg mob xav tau kev kho mob kev noj haus txhawm rau txhawm rau tiv thaiv nws lub cev los ntawm cov kev mob tsis zoo ntawm cov phiaj xwm cov kabmob.

Mob raum tsis ua haujlwm rau cov ntshav qab zib mellitus yog qhov muaj tshwm sim tsis tu ncua, vim tias nrog cov piam thaj hauv ntshav ntxiv, nws yuav muaj dej ntau nrog nws, thiaj li ua rau lub siab nyob hauv glomeruli. Yog tias koj tsis nqa cov piam thaj hauv ntshav kom rov zoo li qub, ces tus kab mob yog qhov txaus ntshai nrog kev ua tiav ntawm lub raum ua haujlwm. Tus neeg mob yuav tau lim ntshav tas li.

Tsib lub cim ntawm qhov pib ntawm lub raum tsis ua haujlwm nyob rau hauv cov ntshav qab zib mellitus yuav tham txog hauv qab no, yuav ua li cas txhawm rau txhim kho txoj haujlwm ntawm lub cev no nrog kev noj zaub mov, kev noj zaub mov rau mob raum tsis ua haujlwm, thiab cov zaub mov kwv yees txhua lub limtiam.

Cov ntshav qab zib cov ntshav siab dhau sijhawm muaj qhov tsis zoo rau lub raum. Feem ntau, raum tsis ua haujlwm tshwm sim hauv hom 2 mob ntshav qab zib, thaum glycemia zais thiab tsis kho.

Ntshav qab zib thiab lub raum cov ntsiab lus sib cuam tshuam. Qhov no tau piav qhia yooj yim heev - ntau dhau ntawm cov kua nplaum tawm tsis ua rau sab hauv lub glomeruli ntawm lub raum. Lawv lub plhaub tuab ib zaug dhau ib zaug, uas ua rau cov hlab ntshav tawm. Xws li lub siab lub cev cuam tshuam cuam tshuam rau ib cov ntshav tsis huv. Yog hais tias tus kab mob no tsis kho, nws tuaj yeem dhau mus ua ntev, thiab tom qab ntawd tus neeg mob yuav tsum lim ntshav.

Kev lim ntshav yog txheej txheem nyob hauv cov tsev kho mob nrog kev pab los ntawm lub tshuab tshuaj ntxuav cov ntshav. Kev lim ntshav nrog lub raum tsis ua haujlwm yog qhov tseem ceeb, tsuas yog kws kho mob tau sau tseg nws lub sijhawm. Txheeb xyuas qhov tsis ua haujlwm ntawm lub raum hauv ntshav qab zib mellitus, nws tsim nyog them rau cov tsos mob hauv qab no:

xeev siab, tso zis tsawg, ntuav, mob taub hau tsis tu ncua, cramps.

Kev saib cov tsos mob no, lossis tsawg kawg ib ntawm lawv, koj yuav tsum hu rau tus kws kho mob nephologist sai li sai tau. Yog tias kev ua haujlwm ntawm lub raum nrog mob ntshav qab zib yog qhov tsis muaj zog vim tias qhov ua tsis tau zoo ntawm nephrons, ces cov kab mob no hu ua lub raum ua haujlwm tsis zoo.

Txhawm rau tiv thaiv kev mob, cov neeg mob insulin-ywj siab yuav tsum kuaj xyuas tas li seb lawv cov piam thaj hauv ntshav puas nce siab. Txog kev tiv thaiv tus kab mob thawj zaug, kev kho mob yog kho los txo qis cov piam thaj. Tus kws endocrinologist tau sau tseg rau kev tswj hwm tshuaj mob ntshav qab zib (Metformin, Glucobay) thiab kev noj zaub mov tshwj xeeb raws li glycemic index (GI).

Txhawm rau tiv thaiv cov kev mob tshwm sim ntawm lub raum hauv ntshav qab zib mellitus, nws tsim nyog mus xyuas tus kws kho qhov muag endocrinologist thiab tus kws kho nephrologist txhua xyoo.

Kev noj cov raum rau cov ntshav qab zib yuav tsum muaj carb tsawg thiab muaj cov tsiaj protein tsawg tsawg. Cov khoom noj haus zoo li no tsis nce nyob hauv cov ntshav nyob rau hauv ntshav, thiaj li tsim thiab tib lub sijhawm tsis ua kom lub luag haujlwm ntawm ob lub raum.

Tus mob ntshav qab zib nws tus kheej kom ib tus neeg thoob plaws nws lub neej ua raws li kev noj haus raws li kev xaiv khoom ntawm GI. Qhov ntsuas no hauv tus nqi digital qhia txog cov nyhuv ntawm cov khoom lag luam rau cov ntshav cov ntshav tom qab nws siv.

Hauv ob hom ntshav qab zib, kev noj zaub mov noj yog qhov kev kho mob tseem ceeb, thiab nyob hauv hom insulin-tiv thaiv, nws yog ib qho kev kho mob uas ua tiav cov tshuaj insulin.

GI tau muab faib ua ntau pawg:

0 - 50 PIECES - qhov ntsuas qhov ntsuas qis, 50 - 69 PIECES - qhov ntsuas nruab nrab, 70 PIECES thiab sab saud - qhov ntsuas siab.

Thaum ib tus neeg twg muaj cov piam thaj hauv siab, tom qab ntawd ua tsis tiav cov zaub mov uas muaj GI siab. Kev noj zaub mov tseem ceeb yog tsim los ntawm cov khoom lag luam nrog GI tsawg, cov zaub mov uas muaj qhov ntsuas nruab nrab raug tso cai rau hauv cov zaub mov raws li kev zam ob peb zaug hauv ib as thiv.

Nrog rau kev noj haus tsis zoo, thaum tus neeg mob noj zaub mov sai sai, ua kom cov ntshav qab zib, tsis tsuas ntxiv cov ntshav qab zib tuaj yeem nce, tab sis kuj tseem tuaj yeem ua rau ntshav txhaws, vim tias cov zaub mov no muaj cov roj (cholesterol) phem.

Thaum tus neeg mob tau kuaj pom tias lub raum tsis ua haujlwm thiab nws cov ntshav qab zib tau nce siab, nws yog qhov tseem ceeb uas yuav tau siv cov zaub mov nrog qis glycemic index.

Thaum cov suab thaj nce siab, tus neeg mob yuav tsum ua txhua yam los txo nws, vim nws ua rau tsis tsuas ua haujlwm ntawm lub raum, tab sis kuj tseem muaj lwm cov plab hnyuv siab raum. Ib qho tseem ceeb uas cuam tshuam rau cov ntshav qabzib hauv cov ntshav yog khoom noj khoom haus.

Cov zaub mov raug suav ua kom zoo tsis yog txhim kho tus neeg mob noj qab haus huv xwb, tab sis kuj tshem tawm ntau yam tsos mob ntawm tus kab mob. Nws yog ib qho tseem ceeb rau tus neeg mob tau lim ntshav kom txo qis ntawm cov protein niaj hnub, uas yuav tsum tsis pub ntau tshaj 70 grams.

Kev ua noj ua haus zoo dua tsis txhob ntsev, yog tias ua tau, txo kev noj ntsev kom tsawg. Ib hnub yuav tsum haus dej haus ib lim dej.

Cov cai ntawm kev noj zaub mov zoo:

cov pluas noj nyob rau qee qhov me me 5-6 zaug hauv ib hnub, tsis suav cov kas fes muaj zog, kas fes, haus dej kom tsawg los ntawm kev noj zaub mov, kev tso cai rau cov tsiaj protein txhua hnub tsis pub tshaj 70 grams, noj tsis ntau tshaj 150 grams ntawm cov txiv hmab txiv ntoo lossis cov kua txiv txhua hnub, tsis suav cov txuj lom thiab ntsim ntsim los ntawm kev noj haus, siv cov khoom noj tsuas yog hauv daim ntawv sov, tsis kam noj zaub mov uas muaj ntau ntxiv oxalic acid, potassium thiab calcium - lawv muab lub nra ntxiv rau lub raum, cov zaub mov kawg tsawg kawg yog ob peb teev ua ntej yuav mus pw.

boil, steamed, simmer on dej los yog siv tsawg kawg nkaus ntawm txiv roj roj, ci hauv qhov cub.

Thaum lim ntshav ua rau ntawm tus neeg mob, tus kws kho mob tuaj yeem kho me ntsis kev noj haus, cais tus kheej lub sijhawm tau teem sijhawm, raws li kev saib xyuas daim duab ntawm chav kawm ntawm tus mob.

Raws li tau piav ua ntej, cov khoom noj uas tau nce poov tshuaj thiab calcium ntau ntxiv mas tsis suav rau hauv kev noj haus. Xws li cov tshuaj xav tau ntau dua kev ua tau zoo los ntawm lub raum, tab sis nrog mob raum tsis ua haujlwm nws yog tsis yooj yim sua.

Koj yuav tsum tso cov khoom no tag:

cov qos yaj ywm, txhua yam txiv ntoo qhuav, legumes - taum pauv, lentils, chickpeas, taum, cocoa hmoov, kas fes thiab tshuaj yej, spinach, txhua hom txiv ntoo, nplej, taum pauv.

Txhawm rau them nyiaj rau qhov tsis txaus ntawm cov poov tshuaj thiab calcium, nephrologist muab tshuaj tshwj xeeb.Hauv qhov no, kev siv tus kheej yog txwv.

Hauv qab no yog khoom noj rau raum tsis ua haujlwm thiab cov ntawv qhia ntshav qab zib rau ib lim tiam, uas tuaj yeem hloov pauv raws li tus kheej nyiam saj. Tab sis tsis txhob hnov qab txog cov lus pom zoo saum toj no.

Nws yuav tsum mus kom ze nrog txhua lub luag haujlwm hauv kev teeb tsa tus neeg mob txoj kev noj haus, vim nws tsis tuaj yeem ntsuas qhov nws tseem ceeb npaum li cas kom ua raws li tag nrho cov cai thiab cov cai ntawm kev noj haus.

thawj pluas tshais - cov hlais rye cij, taum taum, tshuaj yej, pluas tshais thib ob - cov txiv ncuav qab zib, 150 ml ntawm kefir, ib khob dej uas tau lim dej, noj su - zaub kua zaub, hlaws barley nrog ib tug ntses cutlet, tshuaj yej, tav su tshuaj yej - ib lub qe hau, zaub xam lav, ib khob dej, thawj zaug noj hmo - stewed zaub qhwv nrog mov daj, noj hmo thib ob - curd soufflé. thawj pluas tshais - zaub xam lav, tshuaj yej, noj tshais thib ob yuav muaj cov cheesecakes tsis muaj qab zib thiab tshuaj yej, ib pear, noj su - zaub kua zaub, buckwheat nrog hau nqaij qaib mis, ib khob dej, tav su dej xas - zaub xas lav, ib qho khob cij, ib khob dej, thawj hmo - zaub stew, ib daim ntawm rye qhob cij, tshuaj yej, ib pluas hmo thib ob - tsev cheese nrog fermented ci mis nyuj. thawj pluas tshais - ib qho kua txiv, cov nqaij npuas uas muaj roj tsawg, tshais thib ob - cov oatmeal rau hauv dej, ci txiv av, ib khob dej, noj su - kua zaub nrog mov ci, pike ntawm cov zaub hauv ncoo, ib nplais ntawm rye cij, tshuaj yej, khoom noj txom ncauj thaum tav su - scrambled qe nrog zaub, tshuaj yej, thawj hmo - barley porridge nrog nqaij qaib daim siab ntses, tshuaj yej, noj hmo thib ob - yogurt tsis qab zib. thawj pluas tshais - cov txiv hmab txiv ntoo noj hauv qhov nyiaj ntawm 150 grams, tshuaj yej nrog ib nplais ntawm cov mov ci, noj tshais thib ob - oatmeal ntawm dej, tshuaj yej, noj su - zaub kua zaub, zaub xas lav, hau squid, tshuaj yej, tav su tshuaj yej - jelly ua raws ntawm oat hmoov, ib nplais rye qhob cij, thawj hmo noj mov - nqaij nyug hau tus nplaig, cov nplej uas muaj cov hmoov nplej ntawm cov dej, tshuaj yej, noj hmo ob - ib khob ntawm ib qho khoom noj uas tsis muaj roj fermented mis. thawj pluas tshais - cov txiv hmab txiv ntoo nyias, tshuaj yej, noj tshais thib ob - omelet nrog zaub, ib khob dej, noj su - kua zaub nrog durum nplej vermicelli, barley, hau quail, tshuaj yej, tav su tshuaj yej - ci txiv av, tshuaj yej, ib qho ncuav ntawm rye cij thiab taum paj cheese, thawj noj hmo - stewed zaub nyob rau hauv ib lub lauj kaub nrog nqaij qaib, tshuaj yej, noj hmo thib ob - tsev cheese soufflé, ib khob dej. thawj pluas tshais - 150 grams ntawm tej zaub lossis txiv ntseej (nrog GI tsawg), noj tshais thib ob - oatmeal ntawm dej, tshuaj yej, noj su - zaub kua zaub, hau nqaij nyug, buckwheat, tshuaj yej, tshuaj yej tav su - ib qho ncuav ntawm rye cij, taum taum, tshuaj yej, thawj hmo - omelet nrog zaub, ib daim ntawm rye qhob cij, tsis muaj zog kas fes4 noj hmo thib ob - ci kua, tshuaj yej. thawj pluas tshais - cov txiv hmab txiv ntoo ua kua, 150 ml ntawm cov khoom noj muaj mis nyuj, pluas tshais thib ob - cov xim av nrog cov zaub, tshuaj yej, noj su - kua zaub nrog buckwheat, ntses cutlet, hau zaub paj qab, hau dej, tshuaj yej, yav tav su - ib qho ntawm rye cij thiab muab tshuaj txhuam rau cov mob ntshav qab zib los ntawm daim siab qaib tshuaj yej, noj hmo thawj zaug - zaub ntxhw, hau qe, tshuaj yej, noj hmo thib ob - 150 grams oatmeal rau hauv dej.

Hauv cov yeeb yaj kiab hauv tsab xov xwm no, cov ncauj lus ntawm kev noj haus rau lub raum tsis ua hauj lwm txuas ntxiv.

Qhia qhov koj muaj piam thaj lossis xaiv poj niam txiv neej rau cov lus pom zoo

Tsis hlauv - Qhov no yog qhov xwm txheej uas, rau ntau yam laj thawj, lub raum tsis ua haujlwm. Qhov ua rau mob raum tsis ua haujlwm yog intoxication, mob hnyav, kub hnyiab, raug mob thiab mob jade .

Nws muaj 4 lub sijhawm: thaum pib, kev tso zis tawm, nws txoj kev txhim kho, rov ua haujlwm. Lub sij hawm ntawm diuresis txo yog qhov nyuaj tshaj plaws, nws kav txog 20 hnub thiab yog tus cwj pwm los ntawm kev txuam nrog nitrogenous co toxins hauv cov ntshav, ib qho kev ua txhaum ntawm cov dej thiab cov zaub mov metabolism, qhov tshwm sim ntawm edema thiab kev loj hlob tshuaj mob ntsws Cov. Cov neeg mob raum tsis ua haujlwm yuav tsis kam noj vim tias lawv txhawj xeeb txog xeev siab thiab ntuav. Kev tshaib kev nqhis ua rau qhov teeb meem no, vim tias muaj cov protein tsawg zuj zus, thiab kev cuam tshuam ntawm cov metabolic nce ntxiv.

Mob raum tsis ua hauj lwm txuam nrog kev puas tsuaj rau lub raum ua haujlwm hauv lawv cov pathology, uas yog tas li hloov zuj zus. Cov ua rau nws tuaj yeem yog cov kab mob mus ntev:

glomerulonephritis , urolithiasis , pyelonephritis , hlav, mob xws li kab mob, mob ntshav qab zib mellitus , leeg ntshav siab , mob gout thiab cov kab mob muaj keeb.

Kev pheej hmoo mob mob vwm glomerulonephritis rau cov neeg laus uas muaj tshwm sim mob raum tsis ua haujlwm, 10 npaug ntau dua rau cov menyuam yaus. Pyelonephritis zaum thib peb ntawm cov ua rau mob raum tsis ua hauj lwm.

Mob Kev Plab feem ntau ua ke nrog mob raum thiab yog qhov xub pib ntawm kev mob raum tsis ua hauj lwm zoo. Ntau tshaj qhov pom nrog txo txig neeg tsim tswv txog 40-60 ml / min (nyob rau theem III). Qee lub sijhawm pom nyob rau theem ua ntej. Nws qhov kev kawm tshwj xeeb tshaj tawm yog hais hauv lub davhlau ya nyob twg ntawm qhov tsis muaj txhij txhua.

Qhov xwm txheej ntawm cov neeg mob no yog qhov mob hnyav, lawv raug yuam kom kho tas li thiab ua tib zoo tshuaj lawv cov zaub mov noj. Caw mus saib cov khoom noj dab tsi tau noj rau lub raum mob nrog raum tsis ua haujlwm. Lub ntsiab kev kho mob yog Kev noj haus 7 lossis nws cov ntau hom No. 7A thiab No. 7B .

Ntawm mob raum tsis ua haujlwm lub rooj tseem ceeb yog cov lus No. 7A, uas muab rau:

Tseem ceeb muaj protein ntau txwv (20 g). Tus nqi uas tus neeg mob tau txais los ntawm cov mis, mis nyuj haus, qab zib, qaub cream thiab qe. Nqaij thiab ntses tsis suav nrog. Muab cov kev xav tau ntawm lub zog los ntawm kev siv cov khoom noj carbohydrates (txiv hmab txiv ntoo, berries, zaub, qab zib, sago, mov, zib ntab) thiab cov rog (butter thiab zaub roj). Cov lus qhia ntawm 0.4-0.5 l ntawm cov kua (dej tsis muaj roj, tshuaj yej tsis muaj zog, kua nyeem tsis tau, kefir) thiab kev txwv ntsev thaum diuresis tsis kam. Thaum lub sijhawm nws rov ua kom rov zoo li qub, cov zis yuav tsum yog 2 liv rau ib hnub, yog li ntawd, cov kua dej ntau ntxiv yog pom zoo. Kev tsis txaus los yog haus dej kom ntau dhau ua rau lub raum khiav tsis zoo. Txwv tsis pub cov khoom muaj cov poov tshuaj thiab magnesium, thiab nyob rau hauv muaj anuria - ntxiv rau sodium. Raws li koj rov qab zoo, maj mam tswj hwm ntsev, protein - thawj zaug txog 40 g (Rooj No. 7B ), thiab tom qab ntawd rau qhov qub. Tom qab cov lus no, tus neeg mob pauv mus rau Noj Mov hauv 7 tsis ntev (ntev txog ib xyoos). Txog rau mob raum tsis zoo, Cov Lus Qhia 7 tau pom zoo tam sim, tab sis nrog rau cov kab mob potassium ntxiv.

Ntawm mob raum tsis ua hauj lwm kev noj zaub mov ua kom muaj lub raum txawv thiab lub ntsiab cai ntawm kev noj haus yog:

Ci nqaij siav

Qib sib txawv ntawm cov kev txwv cov protein (qhov no nyob ntawm qhov mob ntawm CRF). Xav kom yooj yim dua zom tau yooj yim yog mis nyuj thiab qe protein. Cov protein cog muaj cov zaub mov muaj txiaj ntsig tsawg dua. Thaum ua zaub mov noj, cov nqaij thiab cov ntses yog thawj zaug npau npau, thiab tom qab ntawd stewed lossis ci. Cov txheej txheem no txo cov khoom siv tsawg. Txwv tsis pub kom muaj cov phosphorus (mis nyuj, xua, cheese, granola, ncuav mov, qe, legumes, tsev cheese, zaub mov, noob txiv, cocoa) thiab poov tshuaj (txwv txiav cov qos yaj ywm, sorrel, txiv tsawb, kua txiv, ntses hiav txwv, nqaij, tsis suav nrog curry, noob, noob hnav). Tsim nyog cov khoom noj ntawm calcium (cov khoom noj siv mis, qe, zaub). Qhov zoo tshaj plaws tawm yog coj cov calcium carbonate, uas yog qhov nqus tau zoo thiab khi phosphorus hauv cov hnyuv. Cov koob tshuaj txhua hnub ntawm cov tshuaj tau muab xam ib tus zuj zus. Ntxiv rau keto analogs ntawm cov amino acids tseem ceeb thiab histidine. Lawv txoj kev siv tso cai rau koj kom txwv tsis pub muaj protein ntau. Muab lub zog txaus vim muaj cov rog (polyunsaturated fatty acids) thiab carbohydrates, uas txhim kho kev nqus ntawm cov protein thiab txo nws cov kev rhuav tshem hauv lub cev. Nrog rau qhov tsis muaj calories, cov protein nyob hauv cov metabolism thiab theem ntawm urea nce. Nws yog ib qho tsim nyog yuav tsum muaj cov khoom siv ua kom muaj zog (qaub cream, zib ntab) rau hauv kev noj haus, tab sis siv thaum sawv ntxov. Nyob rau tib lub sijhawm, tsis txhob thauj cov khoom noj nrog cov roj refractory thiab cov ntau ntawm cov carbohydrates yooj yim. Coj mus rau hauv tus account lub xeev ntawm kev ua haujlwm ntawm kev nthuav tawm thiab qhov kev pom zoo ntawm kev ua kua thiab ntsev. Lawv qhov kev txwv nyob rau ntawm muaj edema thiab ntshav siab. Cov zaub mov npaj tau yam tsis muaj ntsev, tab sis qee qhov nyiaj pub rau noj (qhov no nyob ntawm qhov mob hnyav thiab qhov mob tsis zoo rau lub raum tsis ua haujlwm). Tus nqi ntawm cov kua dej yog muab xam rau ib leeg zuj zus los ntawm qhov tso zis ntau dhau ib hnub dhau los. Raug tshem tawm yog cov khoom lag luam nrog cov roj tseem ceeb (celery, tshiab dill, zaub txhwb qaib, basil, tshiab qej thiab dos). Txwv tsis pub cov khoom noj muaj cov poov tshuaj (cov txiv hmab txiv ntoo qhuav, zaub tshiab thiab txiv hmab txiv ntoo), raws li cov neeg mob uas lub raum tsis ua haujlwm loj hlob tuaj hyperkalemia Cov. Kev txwv cov khoom noj siv mis, cereals thiab nplej zom. Cov tshuaj yej muaj zog thiab kas fes, ntsim thiab qab ntsev tais diav, cocoa, chocolate, cheeses, haus dej cawv tsis suav nrog. Xam nrog cov vitamin complexes thiab amino acids Cov. Tsis suav nrog kev ua kom muaj cov dej ntsev sodium ntxhia.

Nrog kev mob raum tsis ua haujlwm, siv cov khoom noj kom zoo, koj tuaj yeem txo kev qaug cawv thiab kev vam meej ntawm mob raum tsis ua hauj lwm zoo, txo cov tsos mob hyperparathyroidism Cov. Kev noj haus kev noj haus yuav tsum tau sau tseg thaum nyuam qhuav pib thaum twg neeg tsim yeej nyuam qhuav pib tshaj li qhov kev cai.

Kev noj haus rau lub raum tsis ua hauj lwm zoo yog nyob ntawm qhov neeg lub raum tsis ua hauj lwm thiab suav nrog cov protein uas yuav tsis ua rau nce azotemia, thiab tib lub sij hawm yuav tsis ua rau lub cev puas tsuaj mus. Cov chaw pabcuam kev noj haus yuav tsum muaj cov kev xav tau amino acids nrog cov ntsiab lus protein tsawg, uas txhais tau tias tiv thaiv kom muaj protein tsawg. Kev txwv cov protein ntxov hauv kev noj zaub mov zoo tuaj yeem ua rau qeeb zuj zus ntawm tus kab mob. Txo cov load ntawm cov protein inhibits hyperfiltration (ib qho ntawm cov txheej txheem ntawm kev muaj mob ntawm kev mob raum tsis ua haujlwm), thaum qhov mob ntawm lub raum cov ntaub so ntswg yuav siv sij hawm nce ntawm cov protein. Kev noj zaub mov kom muaj protein tsawg thiaj li ua kom cov ntshav poob qis. Nrog txoj kev noj kom tsawg ntawm cov protein, qib ntawm urea (qhov khoom kawg ntawm nws cov hniav lwj) poob qis, qaug cawv tsawg, thiab cov mob ntawm cov neeg mob txhim kho.

Kev nkag ua kua dej thaum lub sijhawm tso zis tawm tsis yog txwv, tab sis nws yuav tsum sib haum nrog cov nyiaj uas tau faib nyob rau hnub dhau los ntxiv rau 400-500 ml. Yog tias lub siab tsis nce ntxiv thiab tsis muaj edema, 4-5 g ntawm ntsev rau ib hnub yog pom zoo. Nrog rau qhov nce ntxiv hauv cov ntshav siab, cov tsos ntawm edema thiab nce phaus, cov kua dej thiab ntsev ntxiv yuav txo.

Hauv kev mob raum tsis ua hauj lwm ntawm qib 2, kev txwv tsis pub muaj protein ntau mus txog 0.5-0.4 g / kg ntawm qhov hnyav yog xav tau (Cov lej 7B ), thiab zoo li phosphorus. Hauv qhov kev sib txuas no, qe lub qe thiab nqaij qaib, cov cheese, noob txiv, legumes raug cais tawm, mis tsis muaj txwv. Nqaij nyuj, ntses, mov thiab qos yaj ywm yuav tsum tau muab rhaub ob zaug hauv qhov dej loj, ua kom dej ntws tawm thawj zaug. Cov txheej txheem no txo qis phosphates los ntawm yuav luag ib nrab. Muaj cov ntaub ntawv tshwj xeeb los laij cov protein thiab potassium. Cov tshuaj amino acid yog kho raws li cov tshuaj Ketosteril (4-8 ntsiav tshuaj peb zaug ib hnub). Cov tshuaj ntsev ntsev uas muaj nyob rau hauv nws khi phosphates hauv cov hnyuv.

Nrog mob raum tsis ua haujlwm ntawm 3 qib ua ntawv thov Cov pluas noj zaub mov naj npawb 7A lossis No. 7B Cov. Lawv muaj 20-25 g lossis 40 g ntawm protein, feem. Cov no feem ntau yog cov tsiaj muaj protein (khoom noj siv mis, qe, ntses thiab nqaij). Lub sijhawm siv ntawm cov khoom noj muaj protein tsawg nyob ntawm seb tus neeg mob li cas, nrog kev txhim kho nws tau tso cai Cov lej 7B , tab sis tawm tsam nws cov keeb kwm yav dhau los (txog 3 zaug hauv ib lub lis piam) lawv rov qab mus rau cov protein tsawg Cov lej 7A .

Cov ntsev muaj peev xwm nce ntxiv mus rau 6-8 g lossis ntau dua, tab sis kev tswj hwm ntshav siab thiab tso zis (yog tias nws cov nyiaj tsawg dua, ces ntsev tsis nce ntxiv). Cov kev noj haus saum toj no tsis ua rau cov neeg mob xav tau cov vitamins, hlau, calcium, yog li kev noj haus yuav tsum muaj cov tshuaj kom tsim nyog. Yuav ua kom lub cev tsis zoo ntawm phosphorus thiab calcium, ib qho kev txo qis ntawm phosphorus hauv kev noj zaub mov hauv lub cev thiab nce ntxiv hauv calcium yog qhov tseem ceeb, uas ua rau muaj txiaj ntsig zoo ntawm lub raum. Legumes raug tshem tawm vim yog lub ntsiab lus phosphorus. Cov tshuaj calcium ntxiv rau kev siv tshuaj. Nws tsis pom zoo kom noj zaub tshiab thiab txiv hmab txiv ntoo, vim yog cov ntsiab lus ntawm cov poov tshuaj ntau, lawv yuav tsum tau muab rhaub.

Nrog cov davhlau ya nyob twg 4 qib, tus neeg mob pauv mus rau kev kho mob hemodialysis , yog li ntawd, cov protein nce ntxiv rau 1.0-1.3 g / kg ntawm qhov hnyav, zoo li hauv cov txheej txheem kev ntxuav cov ntshav tau ploj amino acids , cov vitamins , kab kawm thiab oligopeptides. Kev noj haus yuav tsum ua kom tiav raws li muaj peev xwm. Lub zog cov nqi ntawm cov zaub mov nce ntxiv, uas ua tiav los ntawm kev siv cov khoom noj ntau ntxiv (450 g) thiab cov rog (90 g).Txuas ntxiv, cov amino acids raug tshaj tawm hauv cov tshuaj.

Tus nqi ntawm cov kua dej yog piv nrog diuresis. Yog tias qhov kev ua haujlwm tsis zoo ntawm lub raum ua kom tsis zoo, muaj kev txwv cov dej. Kev noj ntsev rau hauv lub cev tsuas yog txwv 5-7 g, tab sis feem ntau nws yog xam ua ib leeg zuj zus, ua rau muaj kev cuam tshuam txog cov kev mob ntshav siab thiab edema. Nws pom zoo kom cov zaub mov tsis suav nrog salted nqaij thiab ntses, cheeses, zaub mov hauv kaus poom, ntsev qab ntsev thiab ncuav mov zoo tib yam. Hauv kev lim ntshav rau cov neeg mob, nws yog ib qho muaj ntau hyperphosphatemia .

Cov neeg mob muaj lub cev tsis qab los hauv lub siab, xeev siab, ntuav, hloov ntawm saj. Txoj hlab pas thiab lub plab feem ntau cuam tshuam, yog li cov tais diav yuav tsum tau muab rhaub los yog ncu, thiab cov kua ntses (qaub thiab qab zib thiab qaub), txuj lom, thiab cov zaub ntsim yog siv los txhim kho qhov saj. Feem ntau siv cov hnub yoo mov (txiv av, txiv av thiab taub dag), uas yuav pab txo tshuaj mob ntsws thiab azotemia .

Cov xeeb ceem ntawm cov nyom mob ntshav qab zib mellitus yog nephropathy Cov. Hauv qee lub tebchaws, mob ntshav qab zib nephropathy tau dhau los ua kev tuag rau cov neeg laus los ntawm kev mob raum tsis ua haujlwm. Kev kho mob ntawm cov neeg mob ntawd yog qhov nyuaj heev. Hauv raum tsis ua haujlwm thiab ntshav qab zib, tswj siab thiab kho cov teeb meem metabolic yog qhov tseem ceeb (hyperlipidemia , hyperuricemia ) Cov carbohydrates nyob rau hauv kev noj haus ntawm cov neeg mob ntawd tsuas yog txwv.

Noj cov zaub mov naj npawb 7B feem ntau siv rau lub raum tsis ua haujlwm. Ntawm Cov pluas noj zaub mov naj npawb 7A tsiag ntawv los ntawm qhov nce ntawm cov protein, tag nrho kev noj haus thiab calories. Lauj kaub tais diav Cov lej naj npawb 7A thiab No. 7B siav siv tsis tau ntsev.

Nws raug tso cai kom siv cov protein tsis muaj ntsev thiab ntsev-tsawg pobkws cov hmoov txhuv nplej siab txog 300-400 g nyob rau ib hnub. Thaum tsis muaj nws, koj tuaj yeem noj cov qhob cij achloride. Tsuas yog cov neeg tsis noj nqaij kua zaub nrog rau ntxiv ntawm cov zaub mov thiab zaub, koj tuaj yeem noj zaub qhwv kua zaub, borscht thiab kua zaub beetroot. Kev pabcuam - 250-350 ml. Cov nqaij nyuj uas muaj rog tsawg, nqaij qaib, nqaij tsiaj thiab nqaij qaib cov txwv. Tom qab npau npau, nqaij yuav ci los yog muab kib. Npaj ua ntej hauv qhov dej loj kom tshem tawm cov khoom ntawm nitrogenous los ntawm cov khoom. Feem 55-60 g. Ntses yog xaiv tau ntshiv: pike, pike perch, hake, saffron cod, pollock, cod. Nws tau npaj tib yam li nqaij, seem yog qhov zoo sib xws. Carrots, cucumbers, beets, dill, txiv lws suav, zaub paj, zaub xas lav, zaub txhwb qaib, dos ntsuab, txiv lws suav, qos yaj ywm, zaub pob yog pub rau sab lauj kaub zaub. Boil lossis stew zaub. Cereals, txhua yam ntawm cov txhuv thiab nplej zom yog nyob rau hauv cov khoom noj tsis ntau. Pom zoo cov tais diav ntawm sago ntawm cov dej nyob rau hauv daim ntawv ntawm puddings, cereals, casseroles, pilaf lossis cutlets. Protein omelet los ntawm ib lub qe tauj ib hnub. Txiv hmab txiv ntoo thiab thiab cov txiv ntoo sib txawv hauv cov nqaij nyoos thiab hau. Cov ntsiab lus ntawm cov poov tshuaj yog xav txog yog tias nws qhov kev txwv yog ntaus nqi. Cov poov tshuaj yog ploj thaum yub txiv hmab txiv ntoo. Los ntawm kev tso cai los ntawm tus kws kho mob, koj tuaj yeem siv cov apricots qhuav. Yog tias tsis muaj kev txwv, cov mis thiab cov khoom noj siv mis ua kom tshem tawm txog 200-300 g ib hnub. Tsev cheese tau tshem tawm lossis siv ua kom me me (txog li 50 g). Tso cai rau cov ntses dawb ntawm qaub cream lossis mis nyuj, txiv ntoo thiab zaub nyoos, vinaigrette yam tsis muaj zaub ntsev. Tsis muaj zog tshuaj yej thiab kas fes, kua txiv, kua txiv rosehip. Butter thiab zaub.

Noj qab haus huv kho mob

Cov kws kho mob tau paub txog qhov xav tau khoom noj kom ntshav qab zib tau ntev - nws yog khoom noj khoom haus kho mob hauv lub sijhawm ua ntej tshuaj tua kab uas yog tib txoj kev kho mob los tiv thaiv qhov teeb meem no.

Kev noj haus ntawm cov ntshav qab zib hom 1 tseem ceeb tshwj xeeb, qhov twg muaj qhov tshwm sim tsis zoo ntawm lub cev ntaj ntsug thaum decompensation thiab txawm tuag.

Rau cov neeg mob ntshav qab zib nrog hom mob thib ob, cov neeg saib xyuas kev noj zaub mov zoo ib txwm muaj los kho qhov hnyav thiab muaj kev paub tseeb tseeb txog tus mob.

Cov hauv paus ntsiab lus

Lub tswv yim tseem ceeb ntawm kev kho mob ntshav qab zib rau cov ntshav qab zib ntawm ib hom yog cov hu ua chav ua mov ci - kev ntsuas qhov ntsuas ntawm qhov sib npaug ntawm kaum grams ntawm carbohydrates.Cov khoom noj khoom haus niaj hnub tau tsim tshwj xeeb cov rooj rau txhua yam ntawm cov khoom qhia qhov ntau npaum li cas ntawm XE ib 100 grams ntawm cov khoom.

Txhua txhua hnub, tus neeg mob ntshav qab zib raug nquahu kom nqa cov khoom nrog "tus nqi" ntawm 12-24 XE - qhov ntau npaum li cas yog xaiv tau tus kheej, nyob ntawm lub cev qhov hnyav, hnub nyoog thiab theem ntawm kev siv lub cev ntawm tus neeg mob. Khaws ib daim ntawv qhia zaub mov noj kom ntxaws. Txhua cov zaub mov noj yuav tsum sau cia kom thiaj li, yog tias tsim nyog, tus neeg noj khoom noj khoom haus ua kom muaj kev txhim kho ntawm cov khoom noj khoom haus.

Muaj ntau yam ntawm kev txais tos. Qhia rau cov neeg mob ntshav qab zib 5-6 zaug ib pluas noj. Nyob rau tib lub sijhawm, noj tshais, noj su thiab noj hmo yuav tsum muaj 75 feem pua ntawm cov khoom noj txhua hnub, tshuav 2-3 khoom noj txom ncauj - seem 25 feem pua.

Kev cais tawm ntawm cov khoom noj khoom haus kho mob.

Kev kawm txog niaj hnub no pom zoo rau kev noj zaubmov rau lub sijhawm dhau los, haum rau lub siab ntawm tus neeg mob lub cev, cov lus qhia hauv cheeb tsam (ib pawg ntawm cov tais diav thiab kab lis kev cai) thiab lwm yam kev ntsuas, thaum tswj kev sib npaug ntawm txhua feem ntawm kev noj zaub mov kom zoo. Kev sib luag ntawm kev hloov pauv.

Yog tias koj hloov cov zaub mov noj, tom qab ntawd cov khoom noj uas raug xaiv yuav tsum sib pauv hauv calories, nrog rau qhov sib piv ntawm cov protein, rog, carbohydrates. Hauv qhov no, cov pab pawg tseem ceeb ntawm cov khoom sib xyaw ua ke nrog cov khoom uas muaj cov khoom noj tshaj tawm (1), protein (2), cov rog (3) thiab multicomponent (4). Hloov chaw yuav tau tsuas yog nyob hauv cov pab pawg no.

Yog tias qhov hloov tau tshwm sim hauv (4), tom qab ntawd cov kws qhia zaub mov ua kom haum rau kev sib xyaw ntawm tag nrho kev noj zaub mov, thaum hloov cov ntsiab lus los ntawm (1) nws yog qhov tsim nyog yuav tsum coj mus rau hauv tus lej sib npaug ntawm glycemic index - cov ntxhuav XE tau piav saum toj no tuaj yeem pab tau.

Hom Mob Ntshav Qab Zib Cov Khoom Noj

Tub XyoojCov. Hom kev noj haus kev noj qab haus huv no tau tsim rov qab rau thaum 30s40 ntawm lub xyoo pua nees nkaum thiab nws yog qhov sib npaug, txawm tias yog hom kev noj haus zoo. Tus neeg sawv cev tiag tiag ntawm nws hauv kev noj haus ntawm Lavxias yog cov lus 9 nrog cov kev hloov pauv ntau, tsis ntev los no.

Hom khoom noj khoom haus zoo rau kev noj qab haus huv no haum rau yuav luag txhua tus neeg mob ntshav qab zib nrog hom 1 thiab ntshav qab zib hom 2. Niaj hnub.

Lub hauv paus ntsiab lus ntawm kev faib tawm tus kheej thiab kev xav ntawm cov tib neeg kev sib raug zoo tau ua rau muaj ntau yam khoom noj thiab cov zaub mov tshiab, uas tsis tshua muaj kev txwv tsis pub muaj qee yam khoom noj thiab suav txog cov khoom tshiab pom nyob rau tom kawg, uas tso cai qhia txog yav dhau los txwv tsis pub cov khoom mus rau hauv cov khoom noj txhua hnub.

Cov hauv paus ntsiab lus ntawm no yog qhov ntawm kev siv "tiv thaiv" carbohydrates uas muaj cov khoom noj kom txaus rau kev noj haus fiber ntau. Txawm li cas los xij, nws yog qhov tsim nyog kom nkag siab tias hom kev noj qab haus huv ntawm kev noj haus no raug xaiv nruj me ntsis thiab tsis tuaj yeem suav tias yog kev siv rau kev txhim kho rau cov metabolism. Tsawg cov zaub mov carb ntau.

Tsim qauv feem ntau rau cov neeg mob ntshav qab zib hom II nrog lub cev hnyav dua qub. Lub hauv paus ntsiab lus yog cais tawm kom ntau li ntau tau ntawm kev noj zaub mov ntau hauv cov khoom noj carbohydrates, tab sis tsis ua rau muaj kev cuam tshuam ntawm kev noj qab haus huv.

Txawm li cas los xij, nws yog contraindicated rau cov menyuam yaus, thiab nws kuj yuav tsum tsis txhob siv rau cov neeg muaj teeb meem lub raum (mob lig rau theem nephropathies) thiab ntshav qab zib uas muaj ntshav qab zib hom 1 thiab mob ntshav qab zib siab heev. Neeg tsis noj nqaij.

Raws li kev tshawb nrhiav pom thaum pib ntawm lub xyoo pua 20, vegan cov zaub mov muaj txiaj ntsig nrog kev txiav txim siab tseem ceeb txo qis ntawm kev noj cov zaub mov muaj roj ntau ntau, tsis tsuas yog ua rau poob phaus, tab sis kuj txo cov ntshav qab zib. Coob tus ntawm tag nrho cov nroj tsuag, nplua nuj nyob hauv cov zaub mov muaj fiber ntau thiab fiber ntau, qee qhov tseem ceeb tshaj qhov tshwj xeeb cov zaub mov tshwj xeeb, tshwj xeeb tshaj yog cov neeg tsis noj zaub mov txhais tau tias yuav txo qis ntawm cov calories tag nrho ntawm cov zaub mov noj txhua hnub.Qhov no, nyeg, txo txoj kev pheej hmoo ntawm kev mob ntshav qab zib hauv kev mob ntshav qab zib ua ntej, muaj peev xwm ua qhov kev ywj siab hais tawm thiab muaj peev xwm tawm tsam qhov pib ntawm ntshav qab zib.

Cov zaub mov txhua hnub

Hauv qab no, peb xav txog kev noj zaub mov zoo rau cov neeg mob ntshav qab zib ntawm yam 1 thiab thib 2 ntawm tus kab mob, uas yog qhov zoo tshaj rau cov neeg mob uas muaj ntshav qab zib tsawg thiab mob hnyav.

Nyob rau hauv cov teeb meem ntawm decompensation loj, nyiam thiab hyper- thiab hypoglycemia, ib qho kev noj zaub mov zoo ib leeg yuav tsum tau tsim los ntawm tus neeg noj zaub mov noj rau hauv tib neeg cov physiology, teeb meem kev noj qab haus huv tam sim no thiab lwm yam.

Cov protein - 85-90 grams (rau caum feem pua ntawm cov tsiaj keeb kwm).
Cov rog - 75-80 grams (ib feem peb - cov nroj tsuag hauv paus).
Carbohydrates - 250-300 grams.
Cov kua ua kua dawb - txog li ib thiab ib nrab litres.
Ntsev yog 11 grams.

Lub kaw lus hluav taws xob yog fractional, tsib mus rau rau ib zaug hauv ib hnub, qhov siab tshaj plaws txhua hnub ntawm tus nqi zog tsis tshaj 2400 kcal.

Cov Khoom Txwv:

Nqaij / khoom noj muaj rog, cov kua ntses savory, kua txiv qab, muffins, kua zaub nplua nuj, qab zib, pickles thiab marinades, cov nqaij rog thiab ntses, khaws cia, qab ntsev thiab taum ntxhiab, nplej zom, semolina, txhuv, qab zib, khaws cia, cawv, dej qab zib thiab khoom qab zib. muaj piam thaj raws li, txiv hmab, txhua yam raisins thiab tsawb nrog cov hnub / figs.

Uas thiab cereals

Cov muaj protein, g

Cov rog, g

Cov roj nplej, g

Cov calories, kcal

semolina

10,3

1,0

73,3

328

oatmeal

11,9

7,2

69,3

366

pob kws

8,3

1,2

75,0

337

pearl barley

9,3

1,1

73,7

320

millet groats

11,5

3,3

69,3

348

Cov khoom siv raw thiab lub caij nyoog

mustard

5,7

6,4

22,0

162

qhiav

1,8

0,8

15,8

ketchup

1,8

1,0

22,2

mayonnaise

2,4

67,0

3,9

627

av kua txob dub

10,4

3,3

38,7

251

lws suav

1,7

7,8

4,5

Nqaij khoom

nqaij npuas

16,0

21,6

0,0

259

rog

2,4

89,0

0,0

797

haus qaib

27,5

8,2

0,0

184

16,5

61,2

0,0

346

haus os

19,0

28,4

0,0

337

yaj

16,1

33,3

0,0

364

Ntses thiab nqaij ntses

taub ntses

17,5

4,6

0,0

139

haus ntses

26,8

9,9

0,0

196

caviar dub

28,0

9,7

0,0

203

granular salmon caviar

32,0

15,0

0,0

263

cov kaus poom ntses

17,5

2,0

0,0

Cov ntawv qhia zaub mov rau lub raum tsis ua hauj lwm (Kev noj haus)

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.

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.

Kuj pom zoo

Txoj kev zoo tshaj plaws los txhim kho kev tiv thaiv rau cov laus thiab dab tsi yuav tsum tsis txhob ua
Tib neeg muaj ntau npaum li cas cov pob txha thiab lawv cov qauv yog dab tsi?
Tus menyuam feem ntau ntsais - vim li cas
Yuav kho cov mob herpes ntawm daim di ncauj
Mob thaum khiav - vim li cas sab xis lossis sab laug mob
Cov cai hais txog kev npaj thiab siv lub qhov ncauj qhov ntswg

Kev kho mob ntshav qab zib nephropathy muaj ntau qhov kev qhia:

normalization suab thaj ntau ntau hauv lub cev,
tswj ntshav siab
rov qab los ntawm cov rog metabolism,
kev tshem tawm lossis kev tso tseg ntawm kev txhim kho pathological hloov pauv ntawm ob lub raum.

Kev kho yog txheej los ntawm kev ntsuas:

tshuaj kho mob
zaub mov noj
zaub mov txawv ntawm cov tshuaj ib txwm muaj.

Hauv kev mob raum ntau, kev kho lub raum tau ua tiav.

Thiab, tus neeg mob yuav tsum:

tsim nyog ua kom lub cev ua si,
muab mus rau qhov tsis zoo (haus luam yeeb, haus dej cawv),
txhim kho psycho-kev xav tom qab, zam kev ntxhov siab,
tswj kev ua kom lub cev zoo dua qub.

Thiab yog tias nyob rau thawj theem kev kho mob tau sau tseg nyob rau hauv daim ntawv ntawm kev tiv thaiv kev ntsuas, kev tsis saib xyuas kis tau muab rau ib txoj kev xav tau hnyav dua.

Txog kev kho mob ntshav qab zib nephropathy, txhua txoj hau kev rau kev tshem tawm cov kab mob pathology yog kws kho mob sau tseg.

Cov Khoom Noj Protein Zaub

Kev tsis lees txais ntawm cov protein tsis pom zoo.

Kev kho muaj nyob hauv kev noj zaub mov noj qab haus huv, kho cov metabolism carbohydrate, txo cov ntshav siab, thiab rov qab cov rog rog. Lub ntsiab lus tseem ceeb yog kom ua tiav kev them nyiaj rau ntshav qab zib los ntawm kev siv tshuaj insulin lossis kev siv cov tshuaj txo cov ntshav qab zib.

Tus kws kho mob vas sab - kws paub tshwj xeeb uas daws teeb meem raum hauv cov neeg mob ntshav qab zib

Cov tshuaj tsis raws tshuaj yog raws cov ntsiab lus hauv qab no:

ntxiv dag zog rau lub cev, tab sis kom muaj qhov tsim nyog,
tsis kam haus luam yeeb thiab haus cawv,
txwv kev cuam tshuam ntawm qhov xwm txheej ntxhov siab,
kev txhim kho ntawm cov paj hlwb-kev xav hauv qab.

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

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 albumin 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.

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

Metformin (Siofor, Glucofage)

Glibenclamide, suav nrog micronized (Maninyl)

Gliclazide thiab Gliclazide MV (Glidiab, Actos)

Glimepiride (Amaryl)

Glycvidone (Glurenorm)

Glipizide, suav nrog lub caij nyoog ntev (Movogleken, Glibens retard)

Repaglinide (NovoNorm, Diagninid)

Pawg Pawg (Starlix)

Pioglitazone (Aactos)

Sitagliptin (Januvius)

Vildagliptin (Galvus)

Saxagliptin (Onglisa)

Linagliptin (Trazhenta)

Exenatide (Baeta)

Liraglutid (Victoza)

Acarbose (Glucobai)

Cov tshuaj insulin

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 kho cov kua nplaum ntawm lub cev ua rau li yav dhau los ntawm kev kho cov mob nephropathy, vim hais tias nws yog cov kab mob ua suab thaj tshaj dhau los uas yog qhov tseem ceeb ntawm kev txhim kho kabmob.

Cov kev tshawb fawb soj ntsuam tau tsim: yog tias ntev lub sijhawm glycemic hemoglobin index tsis ntau tshaj 6.9%, nws muaj peev xwm tiv thaiv kev txhim kho ntawm nephropathy.

Cov kws tshaj lij lees tias glycated hemoglobin muaj nuj nqis ntau dua 7% ntawm kev pheej hmoo ntawm lub qog ntshav hauv lub xeev, zoo li hauv cov neeg mob loj lub plawv.

Hauv kev kho mob ntshav qab zib nephropathy, ntsuas ntawm qab zib hauv lub cev yuav tsum tau coj los ze zog

Txog kev kho cov tshuaj insulin nws yog qhov tsim nyog: los xyuas cov tshuaj uas siv, lawv cov koob tshuaj thiab ntau npaum li cas.

Raws li txoj cai, cov txheej txheem hauv qab no siv: kev siv tshuaj insulin ntev ntev yog 1-2 zaug hauv ib hnub, tshuaj yeeb-tshuaj luv luv - ua ntej txhua pluas noj.

Qhov kev xaiv ntawm cov tshuaj muaj ntshav qab zib kom tsawg dua rau cov mob raum yog txwv. Kev siv tshuaj, tshem tawm ntawm uas yog nqa los ntawm ob lub raum, nrog rau muaj qhov ua tsis zoo hauv lub cev, yog qhov tsis xav tau.

Nrog lub raum pathology, kev siv:

cov mob loj loj tuaj yeem ua rau cov kab mob lactic acidosis tsis nco qab,
thiazolinedione, pab txhawb kom cov kua dej ceev cia hauv lub cev,
glibenclamide vim qhov txaus ntshai txo qis cov piam thaj hauv ntshav.

Rau cov ntshav qab zib hom 2, kev siv cov tshuaj tiv thaiv qhov ncauj muaj kev nyab xeeb, uas muaj qhov feem pua tsawg ntawm cov zis los ntawm ob lub raum, pom zoo:

Yog tias nws tsis tuaj yeem ua tiav kev them nyiaj txaus siab ntawm kev them nyiaj ntawm cov ntsiav tshuaj hauv ntshav qab zib hom 2, cov kws kho mob tshwj xeeb tshaj yog siv los kho kev siv tshuaj insulin ntev.

Nyob rau theem ntawm kev mob raum tsis zoo, kev siv cov ntsiav tshuaj yog contraindicated, tsuas yog siv cov tshuaj insulin. Qhov tshwj tsis yog glycidone, kev siv uas yog ua tau nrog qee qhov ntsuas.

Thaum pathological hloov lub raum tshwm sim, nws yog ib qho tseem ceeb heev rau normalize ntshav siab ntsuas thiab tshem tawm txawm tias lawv cov tsawg tshaj li qhov dhau hwv lawm.

Thaum ntxov ntawm txoj kev loj hlob ntawm tus kab mob, lub siab yuav tsum tsis pub tshaj 130/85 mm RT. Kos duab. thiab tsis pub tsawg dua 120/70 hli RT. Kos duab.

Ntshav siab, tus qauv tsim nyog tshaj plaws, tso cai rau koj kom qeeb ntawm txoj kev kho pathological hauv lub raum.

Thaum xaiv cov tshuaj, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv lawv qhov cuam tshuam rau lub cev hloov. Raws li txoj cai, cov kws tshaj lij nyiam rau cov tshuaj hauv qab no:

ACE inhibitors (Lisinopril, Enalapril). Cov tshuaj yog siv rau txhua theem ntawm tus kab mob pathology. Nws yog ntshaw tias lub sijhawm ntawm lawv kis tsis ntau tshaj 10-12 teev. Hauv kev kho mob ntawm ACE inhibitors, nws yog ib qho tsim nyog yuav tau txo qis siv ntawm cov lus ntsev rau 5 g ib hnub thiab cov khoom noj muaj potassium.
Angiotensin receptor blockers (Irbesartan, Lozartan, Eprosartup, Olmesartan). Cov tshuaj ua haujlwm pab txo qis tag nrho cov kev mob ntshav thiab txoj hlab ntshav hauv lub raum.
Saluretikam (Furosemide, Indapamide).
Cov calcium blockers (Verapamil, thiab lwm yam).Cov tshuaj tiv thaiv cov kev nkag mus ntawm cov calcium uas nyob rau hauv cov kab mob ntawm lub cev. Cov nyhuv no pab txhim kho cov hlab ntshav hlab ntsha, txhim kho cov ntshav txaus hauv cov leeg mob plawv thiab, vim li ntawd, tshem tawm cov kev mob ntshav siab.

Txij li nws siab glycemia uas suav tias yog qhov tshwm sim hauv kev txhim kho cov ntshav qab zib nephropathy, nws yog ib qho tsim nyog los ua txhua yam kom paub tseeb tias cov piam thaj hauv qab thaj chaw tau tso cai.

Tseem Ceeb! Cov kev tshawb fawb pom tau hais tias lub sijhawm ntev ntawm kev tuav cov glycated hemoglobin tsawg dua 6.9% tuaj yeem tiv thaiv kev txhim kho ntawm lub raum pathology.

Qhov ntsuas pom saum toj no 7% raug tso cai rau cov neeg mob uas muaj kev pheej hmoo loj ntawm kev muaj ntshav qab zib, nrog rau cov neeg mob uas muaj mob plawv thiab lawv lub neej muaj kev cia siab.

Nrog txoj kev kho insulin, txoj kev kho kom haum tus mob yog nqa los ntawm kev tshuaj xyuas ntawm cov tshuaj uas siv, lawv kev tswj hwm thiab noj tshuaj rau lub zog. Cov tshuaj noj zoo tshaj plaws yog suav tias yog txhaj tshuaj insulin ntev ntev 1-2 zaug hauv ib hnub thiab tshuaj "luv" ua ntej txhua pluas noj hauv lub cev.

Cov tshuaj muaj piam thaj rau kev kho mob ntshav qab zib nephropathy kuj tseem muaj siv tshwj xeeb. Thaum xaiv, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv txoj hauv kev ntawm kev tshem tawm cov tshuaj nquag los ntawm tus neeg mob lub cev thiab cov chaw muag tshuaj ntawm cov tshuaj.

Cov ntsiab lus tseem ceeb

Ntshav qab zib Angiopathy

Biguanides tsis siv rau lub raum tsis ua haujlwm vim qhov txaus ntshai ntawm kev mob tuag tes tuag taw tsis tso zis.
Thiazolinediones tsis raug tshuaj vim qhov tseeb tias lawv ua rau muaj kua dej hauv lub cev.
Glibenclamide tuaj yeem ua rau txo cov ntshav qab zib kom txaus vim tias lub raum pathology.
Nrog cov lus teb ib txwm ntawm lub cev, Repaglinide, Gliclazide raug tso cai. Thaum tsis muaj kev ua tau zoo, kev kho mob insulin yog qhia.

Kev ua tau zoo tshaj yog tsawg dua 140/85 hli Hg. Txuj ci., Txawm li cas los xij, cov naj npawb tsawg dua 120/70 hli RT. Kos duab. kuj yuav tsum tau zam. Ua ntej tshaj plaws, cov tshuaj nram qab no thiab lawv cov sawv cev raug siv rau kev kho mob:

ACE inhibitors - Lisinopril, enalapril,
angiotensin receptor blockers - losartan, olmesartan,
tshuaj kho mob - Furosemide, Indapamide,
calcium channel blockers - Verapamil.

Kev kho cov ntsuas ntshav siab - theem ntawm kev kho kom zoo

Tseem Ceeb! Thawj ob pawg neeg tuaj yeem sib hloov pauv nyob ib puag ncig tus kheej kev sib txuas siab mus rau cov khoom siv nquag.

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.

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

Txog ntawm CBJU Cov Lus Qhia

KBZhU tau suav rau txhua tus neeg, suav rau hauv nws cov nta.

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.

rau ib nkawm niam txiv
boil
hauv microwave
stew nyob rau hauv ib qho me me ntawm zaub roj,
ci
nyob rau hauv lub tshuab ua kom qeeb qeeb, tshwj tsis yog rau hom "kib".

KBZhU tau suav rau txhua tus neeg, suav rau hauv nws cov nta.

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.

Cov Khoom Uas Siv / Pov Thawj:

Hmoov cov khoom - pub rye thiab bran cij, thiab inedible hmoov khoom.
Kua zaub - zoo rau kev noj qab haus huv ntawm borscht, zaub qhwv, zaub kua zaub, nrog rau cov kua zaub nrog cov rog tsawg. Qee zaum okroshka.
Cov nqaij. Tsawg-rog ntau yam ntawm nqaij nyug, nqaij, nqaij npuas.

Txwv tsis pub muaj nqaij qaib, luav, yaj, nqaij nyoos thiab nplooj siab. Los ntawm cov ntses - txhua yam uas tsis muaj roj nyob hauv daim ntawv hau, ncu lossis ci tsis muaj roj roj. Khoom noj siv mis. Cov mis nyuj uas muaj rog tsawg, khoom noj siv mis nyuj uas tsis muaj qab zib ntxiv. Txwv - 10 feem pua qaub cream, roj tsawg lossis ua rau daim tawv nqaij tuab.

Cov qe noj yam uas tsis muaj yolks, nyob rau hauv huab, nyob rau hauv daim ntawv ntawm omelets.

Cereals. Oatmeal, barley, taum, buckwheat, qe, millet.

Zaub. Pom zoo cov carrots, beets, zaub qhwv, taub dag, zucchini, eggplant, cucumbers thiab txiv lws suav. Qos - txwv.

Khoom noj txom ncauj thiab kua txob. Fresh zaub zaub nyoos, txiv lws suav thiab cov kua ntses uas tsis muaj rog, horseradish, mustard thiab kua txob.

Txwv -tshuaj (squash) lossis lwm yam zaub caviar, vinaigrette, jellied ntses, zaub mov nqaij ntses nrog zaub roj tsawg, noj nqaij nyuj nqaij nyuj tsawg.

Sibhawm - txwv rau zaub, butter thiab ghee.

Txooj.

Cov dej qab zib tsis muaj qab zib (tshuaj yej, kas fes, rosehip broth, kua zaub), jelly, mousses, tshiab qab zib thiab qaub tsis muaj kua txiv hmab txiv ntoo, txawv. Tsawg tsawg xwb - zib ntab thiab khoom qab zib ntawm cov qab zib.

Hnub Monday

Peb yuav muaj tshais nrog ob puas grams ntawm cov nqaij qaib uas muaj roj tsawg, hauv qhov no koj tuaj yeem ntxiv ob peb lub txiv ntoo.
Qhov thib ob thaum peb noj tshais nrog ib khob ntawm ib feem pua kefir.
Peb muaj su noj nrog 150 gram ci nqaij ci, ib phaj ntawm zaub kua zaub. Garnished - stewed zaub nyob rau hauv ib qho nyiaj ntawm 100-150 grams.
Muaj ib tav su lav nrog zaub xam lav tshiab ntawm zaub qhwv thiab cucumbers, seasoned nrog ib me nyuam diav ntawm txiv roj roj. Qhov ntim tag nrho yog 100-150 grams.
Peb yuav noj hmo nrog zaub grilled (80 grams) thiab ib qho roj ntses uas hnyav txog li ob puas grams.

Peb muaj noj tshais nrog ib lub tais ntawm buckwheat porridge - tsis pub ntau dua 120 grams.
Rau qhov thib ob lub sijhawm peb tau noj tshais nrog ob lub paj hauv nruab nrab.
Peb noj hmo ntawm ib lub phaj zaub borsch, 100 grams nqaij nyoos hau. Koj tuaj yeem haus cov zaub mov nrog compote yam tsis ntxiv qab zib.
Muaj ib tav su khob ntawm broth los ntawm Rose hips.
Peb muaj noj hmo nrog ib lub tais ntawm zaub tshiab zaub xam lav nyob rau hauv ib qhov nyiaj ntawm 160-180 grams, thiab ib lub hau ntses muaj roj tsawg (150-200 grams).

Peb muaj noj tshais nrog tsev me cheese ncuav - 200 grams.
Ua ntej noj su, koj tuaj yeem haus haus ib khob kua txiv los ntawm sawv duav.
Peb noj mov rau ntawm ib lub phaj ntawm kua zaub zaub qhwv, ob lub ntses me me thiab cov nqaij zaub xyaw zaub tsib.
Noj su thaum tav su nrog ib lub qe hau.
Noj hmo yog ib lub tais ntawm stewed zaub qhwv thiab ob qho khoom noj nruab nrab nqaij me me ncuav hauv qhov cub lossis ua noj.

Peb muaj tshais nrog mov (omelet) los ntawm ob lub qe.
Ua ntej noj hmo, koj tuaj yeem noj ib khob ntawm yogurt ntawm qhov muaj roj tsawg lossis ua rau tsis qab zib.
Peb muaj noj su nrog zaub qhwv kua zaub thiab ob chav ntawm cov hmoov kua txob ua raws li cov nqaij ntshiv thiab pub mis uas ua kom tsawg.
Peb muaj khoom noj txom ncauj rau yav tav su nrog ob puas grams ntawm casserole los ntawm tsev rog uas muaj roj tsawg thiab tshij.
Peb muaj noj hmo nrog stewed nqaij qaib (ib daig ntawm ob puas grams) thiab ib lub phaj ntawm zaub xam lav.

Peb yuav muaj noj tshais nrog ib lub mov me ntawm pob zeb porridge thiab ib lub txiv av.
Ua ntej noj hmo, noj ob txiv kab ntxwv nruab nrab.
Peb muaj su noj nrog nqaij goulash (tsis pub dhau ib puas grams), ib lub tais ntses kua zaub thiab ib qho mov ci.
Muaj su noj nrog ib phaj tshiab ntawm zaub xam lav tshiab.
Peb muaj noj hmo nrog ib feem zoo ntawm stewed zaub nrog menyuam yaj, nrog tus thawj hnyav txog li 250 grams.

Peb yuav muaj tshais noj nrog lub tais ntawm porridge raws ntawm bran, ib pear tuaj yeem noj nrog ib qho tom.
Ua ntej noj hmo, nws muaj cai noj ib lub qe muag-hau.
Peb noj hmo ntawm lub phaj loj ntawm zaub stew nrog ntxiv ntawm cov nqaij ntshiv - tsuas yog 250 grams.
Muaj khoom noj txom ncauj rau yav tav su uas muaj ntau lub txiv hmab txiv ntoo tso cai.
Peb yuav noj hmo nrog rau ib puas gram ntawm stewed yaj thiab ib lub tais ntawm zaub xam lav hauv qhov ntau npaum li ntawm 150 grams.

Hnub Sunday

Pluas tshais muaj ib lub tais ntawm cov nqaij nyuj uas muaj roj tsawg nrog ib qho me me ntawm cov txiv ntseej - txog li ib puas daim roj nyob hauv tag nrho.
Rau noj su, ob puas grams ntawm nqaij qaib.
Peb tau noj su nrog ib lub tais zaub kua zaub, ib puas ntawm goulash thiab ib lub tais ntawm zaub xam lav.
Muaj tav su phaj ntawm cov txiv hmab txiv ntoo nyias - txog li 150 gram ntawm tag nrho.
Peb yuav muaj noj hmo nrog ib puas gram taum muab taum thiab ob puas grams ntawm cov cw nqaij ua kua.

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.

Kev kho cov ntshav siab

Thaum lub raum ua rau lub raum piam, cov roj (cholesterol) yuav tsum tsis pub tshaj 4.6 mmol / L, triglycerides - 2.6 mmol / L. Ib qho kev zam yog kab mob plawv, nyob rau hauv uas theem ntawm triglycerides yuav tsum tsawg dua 1.7 mmol / L.

Cov lipid tsis ua hauj lwm zoo ua rau txoj kev loj hlob tseem ceeb ntawm cov kab mob hloov pauv hauv ob lub raum

Txhawm rau tshem tawm qhov kev ua txhaum no, nws yog qhov tsim nyog los siv rau cov pawg hauv qab no ntawm cov tshuaj:

Staninov (Lovastatin, Fluvastatin, Atorvastatin). Cov tshuaj noj tshuaj txo qis kev tsim cov enzymes koom nrog hauv cov hluavtaws roj.
Fibrates (Fenofibrate, Clofibrate, Cyprofibrate). Tshuaj txo qis ntshav muaj roj ntau dua los ntawm kev ua kom cov lipid metabolism.

Cov tsos mob ntawm cov theem ntawm tus mob ntshav qab zib nephropathy

Qhov kev xaiv ntawm cov khoom hauv kev npaj ntawm cov ntawv qhia zaub mov yuav tsum ua raws lawv cov ntawv txheeb glycemic (GI).

Yog tias koj xav noj tshaib nqhis dej, nws raug tso cai rau muaj khoom noj txom ncauj me me, piv txwv li, ib qho me me ntawm cov zaub xam lav lossis ib khob mis uas muaj kua mis.

thawj zaug noj tshais - txiv hmab txiv ntoo nyias,
thib ob noj tshais - omelet los ntawm cov nqaijrog thiab zaub, ntsuab tshuaj yej nrog ib qho hlais ntawm cov qhob cij rye,
noj su - zaub kua zaub, barley nrog ntses cutlet, ntsuab kas fes nrog qab zib,
tav su tshuaj yej - zaub xas lav, tshuaj yej,
thawj noj hmo - kua txob qab zib stuffed nrog minced nqaij qaib nrog mov ci, tshuaj yej,
thib ob noj hmo - ib nrab ib khob ntawm yogurt.

thawj zaug noj tshais - ib qho kua txiv, tsev cheese,
thib ob noj tshais zaub mov noj rau cov ntshav qab zib hom 2 xws li txaij, lws suav, dos thiab kua txob qab, tshuaj yej ntsuab,
noj su - buckwheat kua zaub, barley porridge nrog chav nqaij cutlet, ntsuab kas fes nrog qab zib,
khoom txom ncauj rau yav tav su - jelly nrog oatmeal, ib daim ntawm cov mov ci rye,
noj hmo - meatballs, zaub xam lav.

thawj pluas tshais - cov txiv hmab txiv ntoo nyias noj nrog kefir,
noj su - ib chav omelet los ntawm cov protein, kas fes nrog qab zib,
noj su - zaub kua zaub, barley porridge nrog gravy los ntawm stewed nqaij qaib siab, ntsuab tshuaj yej,
tav su tshuaj yej - 150 ml ntawm yogurt,
thawj noj hmo - stewed zaub qhwv nrog mov thiab nceb, ib qho hlais ntawm cov qhob cij,
lub thib ob noj hmo yog tshuaj yej nrog ntshav qab zib cheesecakes.

thawj zaug noj tshais - jelly ntawm oatmeal, ib daim ntawm cov mov ci txhuv,
noj su - zaub xam lav, hau qe, ntsuab tea,
noj su - hlaws kua zaub, txhoov eggplant nrog cov nqaij qaib hauv av, tshuaj yej,
khoom txom ncauj rau yav tav su - 150 grams ntawm tsev cheese thiab ib txhais tes ntawm cov txiv ntoo qhuav (txiv qhuav apricots, prunes, figs),
thawj noj hmo - buckwheat nrog nqaij nyug hau, tshuaj yej,
thib ob noj hmo - 150 ml ntawm ryazhenka.

thawj zaug noj tshais - txiv hmab txiv ntoo nyias,
noj su - zaub xam lav, ib qho mov ci ntawm cov mov ci,
noj su - zaub kua zaub, stewed nceb nrog nqaij qaib, ntsuab kas fes nrog qab zib,
tav su tshuaj yej - 150 grams ntawm tsev cheese, txiv hmab txiv ntoo qhuav, tshuaj yej,
thawj noj hmo - barley, ncu ntses patty, tshuaj yej ntsuab,
lub hmo thib ob yog khob kua roj uas tsis muaj rog-kefir.

thawj zaug noj tshais - kas fes ntsuab nrog qab zib, peb daim ntawv ua cov khoom qab zib ntawm fructose,
noj su - ncu omelet nrog zaub, tshuaj yej ntsuab,
noj su - xim av mov kua zaub, taum taum nrog nqaij nyuj, ib nplais ntawm cov txhuv cij, tshuaj yej,
Khoom txom ncauj rau yav tav su - jelly ntawm oatmeal, ib nplais ntawm cov ncuav txhuv
thawj noj hmo - perch, ci hauv lub tes tsho nrog zaub, tshuaj yej,
thib ob noj hmo - ib nrab ib khob ntawm yogurt.

thawj zaug noj tshais - tshuaj yej nrog cheesecakes,
thib ob noj tshais - omelet los ntawm cov nqaijrog thiab zaub, ib qho hlais ntawm cov qhob cij,
noj su yuav taum mog kua zaub rau cov neeg mob ntshav qab zib hom 2 nrog hlais cov mov ci, cov mov ci nrog ib cov ntses patty, kas fes ntsuab,
tav su tshuaj yej - tsev cheese nrog txiv hmab txiv ntoo qhuav, tshuaj yej,
thawj noj hmo - lentils, nplooj siab rog, ntsuab tshuaj yej,
zaum thib ob yog khob kua mis nyeem qaub.

Cov vis dis aus hauv tsab xov xwm no piav qhia tias vim li cas lub raum puas ntshav ntshav qab zib tau tshwm sim.

Cov piam thaj hauv ntshav siab txiav txim siab nce ntxiv nyob rau hauv cov piam thaj hauv cov zis, uas tau lim los ntawm glomeruli ntawm ob lub raum. Txij thaum lub cev tsis muaj peev xwm them taus cov piam thaj ntau dhau ntawm cov zis, yog li ntawd, nws yuav tsum nce ntxiv nws cov tshuaj rau hauv lub raum ze ntawm lub raum, uas tshwm sim nrog kev hloov chaw sodium sodium ntau dua.
Reabsorbed sodium ions khi dej thiab, yog li ntawd, ua rau kev nce hauv qhov ntau ntawm cov ntshav ncig (volemia).
Ib qho kev nce ntawm willemia, nyeg, ua rau muaj kev nce ntxiv hauv cov ntshav siab thiab txuas ntxiv ntawm cov hlab ntsha uas pub glomeruli ntawm lub raum. Lub tshuab tshuaj tshuaj - Densa Macula - nyob hauv qhov ze ntawm tub menyuam lub raum, txhais qhov xwm txheej ua rau txo ntshav siab thiab cuam tshuam los ntawm kev tso tawm cov ntshav eninme, uas ua rau lub tshuab uas ua rau muaj kev nce siab ntxiv.
Kev kub siab, uas tau los ntawm tag nrho cov txheej txheem nyuaj no, ua rau muaj qhov nce siab hauv lub glomeruli, uas ua rau muaj qhov nce ntawm glomerular pom npaum li cas.
Ib qho kev nce ntawm tus nqi pom ua rau muaj kev hnav ntau dhau ntawm cov nephrons (theem pib lub raum lim).

Cov txheej txheem tau piav qhia yog qhov ua rau tus mob nephrotic syndrome thiab albuminuria, tab sis tsis tsuas yog nws yog lub luag haujlwm rau kev pib mob ntshav qab zib nephropathy.

Qhov tshwj xeeb yog qhov tshwm sim ntawm kev ua ntawm cov txheej txheem no yuav yog qhov hloov pauv ntawm cov qauv ntawm glomerular nqaij. Cov kev hloov pauv nce ntxiv permeability ntawm capillary phab ntsa thiab glomerular sclerosis.

Ib qho kev tsis lees paub txog cov khoom noj protein ua rau lub siab ntxhov siab rau lub cev. Nws yog ib qho tsim nyog yuav tau txo cov khoom noj protein tsawg, hloov pauv cov nqaij rog nrog ntshav qab zib. Tom qab ntawd hloov mus rau zaub protein.

Cov neeg mob ntshav qab zib tau pom zoo kom haus cov kua dej txhua hnub hauv qhov tsawg kawg yog 2 litres. Nrog mob ntshav qab zib nephropathy, dej yog ib qho ntxiv rau kev ua haujlwm ntawm cov kabmob. Qhov muab tshuaj rau txhua hnub ntawm cov kua dej yog txo qis 2 zaug. Qhov cim loj ntawm kev tso dej ntau dhau yog o.

Ib co ntsiab lus

Ib qho dhau heev ntawm phosphorus hauv lub cev ua rau muaj qhov loj zuj zus ntawm cov nqaij mos raum thiab tshem tawm cov calcium. Cov kws kho mob pom zoo txo cov zaub mov uas muaj phosphorus-ntim cov zaub mov.

Cov tshuaj poov tshuaj pab ua haujlwm zoo rau lub raum. Nws yog yooj yim nqus thiab sai sai.Nws yog ib qho tsim nyog yuav tau soj ntsuam qib ntawm cov poov tshuaj hauv lub cev.

Tus mob ntshav qab zib raug txwv tsis pub noj cov zaub mov nrog lub siab glycemic index. GI yog kev qhia txog lej ntawm cov nyhuv ntawm cov carbohydrates noj ntawm cov zaub mov ntawm cov ntshav qabzib. Tus mob ntshav qab zib tau qhia kom noj zaub mov nrog GI tsawg dua 50.

Cov khoom uas muaj tus qhab nia tsawg dua 50:

txiv ntoo
zaub
txiv ntoo qab zib
txiv hmab txiv ntoo qhuav
tsis muaj piam thaj compotes,
kua txiv lws suav thiab txiv kab ntxwv qaub,
taum
buckwheat thiab txhuv dub,
tsis tshua muaj rog tsev cheese
ntuj yogurt
ceg
nceb
txuj lom
ntses
noog
qe

Txog kev kho ntshav qab zib kom ua tau zoo hauv tsev, cov kws tshaj lij qhia DiaLife
Cov. Nov yog qhov cuab yeej tshwj xeeb:

Normalizes ntshav qabzib
Regulates pancreatic muaj nuj nqi
Tshem tawm puffiness, tswj hwm dej metabolism
Kho txhim qhov muag pom
Haum rau cov laus thiab menyuam yaus.
Muaj tsis muaj contraindications

Cov neeg tsim khoom tau txais tag nrho cov ntawv tso cai tsim nyog thiab cov ntawv pov thawj zoo muaj nyob rau hauv Russia thiab hauv cov tebchaws nyob sib ze.

Peb muab cov luv nqi rau cov nyeem ntawm peb lub xaib!

Yuav ntawm lub vev xaib raug cai

Kev noj haus 7 cuam tshuam rau cov dej haus tsawg dua 1 liter, muaj cov ntsiab lus tag nrho ntawm calorie ntawm 2900 kcal, cov rog tsis ntau dua 110 grams, cov protein tsis ntau dua 80, carbohydrates tsis ntau dua 450. Nws tau raug kho los txhim kho cov txheej txheem ntawm kev zom zaub mov kom tsis txhob o.
Cov Khoom Noj 7a cuam tshuam tag nrho cov calories kom tsawg ntawm 2200 cov rog

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.

Kev luam ntawm cov xaib cov khoom tso tawm yog tsis tau txais kev pom zoo ua ntej - yog tias ib qho nquag muaj qhov txuas rau cov khoom raug tsim.

Cov ntaub ntawv ntawm lub xaib tau npaj rau kev siv dav dav. Peb xav kom koj sab laj tus kws kho mob rau kev sib tham thiab kho ntxiv.

Kev rov qab siv hluav taws xob sib npaug

Lub peev xwm ntawm cov tshuaj enterosorbent kom nqus cov teeb meem ntawm lub plab zom mov ua rau muaj qhov txo qis hauv kev ua txhaum los ntawm kev ua tsis zoo rau lub raum thiab cov tshuaj siv.

Cov tshuaj Enterosorbents (siv hluav ncaig hluav taws xob, Enterodesis, thiab lwm yam) yog cov kws kho mob tau sau tseg thiab tau noj ib thiab ib nrab rau ob teev ua ntej noj mov thiab noj tshuaj.

Theem siab ntawm cov poov tshuaj hauv lub cev (hyperkalemia) raug tshem tawm nrog kev pab los ntawm cov poov tshuaj antagonists, kev daws ntawm calcium gluconate, insulin nrog piam thaj. Nrog kev kho mob tsis ua haujlwm, hemodialysis ua tau.

Cov txheej txheem kho nram qab no yog siv:

Sib ntaus sib tua muaj protein ntau hauv cov ntshav. Siv ib qho kev daws teeb meem ntawm calcium gluconate, insulin nrog piam thaj, tov ntawm sodium bicarbonate. Kev tsis muaj peev xwm ntawm cov tshuaj yog ib qho taw qhia rau hemodialysis.
Kev tshem tawm azotemia (qib siab ntawm nitrogenous tshuaj nyob rau hauv cov ntshav). Enterosorbents (kev ua kom cov pa roj carbon, Povidone, Enterodesum) raug kho.
Kev kho cov qib siab phosphate thiab cov lej calcium. Ib qho kev daws teeb meem ntawm calcium carbonate, iron sulfate, Epoetin-beta tau qhia.

Kev kho mob infusion yog ib qho ntawm cov theem ntawm kev kho mob ntshav qab zib nephropathy

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.

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.

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.

Kev lim ntshav - ntshav ntxuav los ntawm lub tshuab tshwj xeeb lossis dhau ntawm peritoneum. Nrog rau hom no, nws tsis tuaj yeem kho lub raum. Nws lub hom phiaj yog los hloov lub cev. Cov txheej txheem tsis ua rau mob thiab feem ntau ua siab ntev rau cov neeg mob.

Cov hlaws pob ntseg kho "txuag tau txoj sia" ntawm ntau cov neeg mob uas mob raum tsis zoo

Rau hemodialysis, ib qho cuab yeej tshwj xeeb siv - lub tshuab lim. Nkag mus rau hauv lub tshuab ntsuas, cov ntshav tau ua kom tshem tawm ntawm cov tshuaj lom dej thiab ua kua dej ntau dhau, uas pab tswj cov electrolyte thiab alkaline sib npaug thiab ua kom cov ntshav siab.

Cov txheej txheem tau ua tiav peb zaug hauv ib lub lis piam thiab kav ntev li 4-5 teev hauv kev mob thiab tuaj yeem ua rau:

xeev siab thiab ntuav
tej ntshav siab,
voos ntawm daim tawv nqaij,
muaj zog rog ntau zuj zus
txog siav
mob plawv kawg,
anemia
amyloidosis, uas cov protein ntxiv hauv cov pob qij txha thiab cov leeg.

Peb tseem qhia koj kom nyeem: Ntshav qab zib nephropathy thiab nws cov tsos mob

los ntshav kev ntshawv siab
qhov tsis muaj peev xwm ua kom tau txais kev nkag mus tsim nyog rau cov nkoj (nrog txo qis los yog hauv menyuam yaus),
Kev mob plawv
kev ntshaw ntawm tus neeg mob.

Nrog peritoneal lim ntshav, cov ntshav tau ntxuav kom huv los ntawm peritoneum, uas hauv qhov no yog lim ntshav.

Cov txheej txheem tuaj yeem nqa tau ob qho tib si hauv kev kho mob thiab hauv tsev ob lossis ntau zaug hauv ib hnub.

Raws li kev txiav txim siab ntawm peritoneal lim ntshav, cov hauv qab no tuaj yeem pom:

cov kab mob peritoneum (peritonitis),
hnov mob plab
hlov.

Kev lim ntshav tsis ua nrog:

kev nyuaj siab mob hlwb
oncological kab mob
mob leukemia
myocardial infarction nrog lwm cov hlab plawv pathologies,
daim siab ua hauj lwm
mob ntsws.

Yog tias tus txheej txheem raug tsis kam lees, tus kws tshaj lij yuav tsum tau lees nws qhov kev xav.

Raum hloov raum

Tsuas yog lub hauv paus rau kev hloov khoom nruab nrog cev yog lub davhlau ya nyob twg ntawm kev mob ntshav qab zib nephropathy.

Kev phais zoo tuaj yeem kho tau tus neeg mob lub neej kev noj qab haus huv.

Lub sijhawm ua haujlwm tsis ua nrog rau lub cev tsis sib xws:

tsis sib xws ntawm tus neeg mob lub cev thiab khoom nruab nrog ntawm cov pub,
cov qog tshiab ntawm lub siab phem,
kev mob plawv hauv qhov mob nyhav,
pathologies muaj mob loj,
tsis saib xyuas cov kev mob puas siab puas ntsws uas yuav cuam tshuam rau kev kho mob tom qab ntawm tus neeg mob (mob hlwb, kev quav dej quav cawv, quav yeeb quav tshuaj),
cov kab mob nquag (mob ntsws, mob HIV).

Muaj peev xwm ntawm kev phais rau cov teeb meem hauv lub cev, nrog rau ntau yam mob hauv lub raum: membrane-proliferative glomerulonephritis, hemolytic uremic syndrome thiab lwm yam kab mob, yog txiav txim siab los ntawm tus kws tshwj xeeb hauv txhua kis.

Kev hloov ntshav tso cai rau koj kom tshem tawm ntawm lub raum tsis ua tiav, tab sis qee qhov tsis kam lees thiab qhov tshwm sim ntawm kev kis teeb meem yog tau.

Dab tsi tsim nyog siv?

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.

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

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 faib tawm

Qhov kev faib niaj hnub ntawm lub raum pathology nyob rau hauv kev muaj ntshav qab zib mellitus muaj 5 theem, thawj ob yog tau xav txog kev xav ua ntej thiab qhov chaw kuaj mob. Qhov tshwj xeeb ua ntej yog hloov pauv ncaj qha hauv lub raum, tsis muaj cov tsos mob tshwm sim ntawm pathology.

Tus kws tshaj lij tuaj yeem txiav txim siab:

hyperfiltration ntawm ob lub raum,
tuab ntawm glomerular qab daus membrane,
nthuav dav ntawm mesangial matrix.

Hauv cov theem no, tsis muaj qhov hloov pauv ntawm qhov kev ntsuas dav dav ntawm cov zis, ntshav siab feem ntau tsis muaj dab tsi, tsis muaj kev hloov pauv ntawm cov hlab ntsha ntawm pob nyiaj seem. Kev cuam tshuam raws sij hawm thiab kev teem sij hawm ntawm kev kho mob tuaj yeem kho tus neeg mob noj qab haus huv. Cov theem no tau txiav txim siab thim rov qab.

pib mob ntshav qab zib nephropathy,
mob ntshav qab zib mob ntshav qab zib,
uremia.

Tseem Ceeb! Cov theem no suav hais tias yog cov txheej txheem txuas ntxiv, hauv qhov nws ua tau me ntsis kho tus neeg mob tus mob thiab tswj hwm nws lub neej zoo, tab sis tsis kho nws.

Kev Noj Qab Haus Huv Txog Ntshav Qab Zib Ntshav: Cov Khoom Muag

Cov lus pom zoo dav

Ntau ntxiv ntawm cov khoom noj khoom haus Cheebtsam

Cov nyhuv ntawm kev noj haus ntawm lub raum ua haujlwm

Noj mov lub rooj tooj 7

Kev noj zaub mov zoo rau tus mob ntshav qab zib nephropathy

Glycemic Khoom Taw Qhia

Cov Khoom Noj Muaj Mob

Qauv ntawv qhia zaub mov

Noj qab zib rau cov ntshav qab zib

Qhov xaiv txoj cai khoom

Cov lus qhia thiab cov ncauj lus zoo rau ntshav qab zib

Kev Tiv Thaiv

Kev noj haus rau lub raum nephropathy

Ua rau ntawm kev mob ntsws leeg

Cov yam ntxwv dav dav ntawm kev noj haus

Cov cai ntawm kev noj zaub mov zoo

Cov ntsiab lus ntawm cov khoom sau

Ntxiv rau ntsev

Nyeem ntxiv txog kab keeb potassium

Hais txog phosphorus thiab dej

Hais Txog Cov vitamins thiab Cov Cholesterol

Nqaij lauj kaub tais diav

Cov zaub mov thiab hmoov nplej

Zaub thiab zaub ntsuab

Qab zib zaub mov

Cov kua ntses thiab txuj lom

Ntau yam dej qab zib

Roj thiab cov rog

Cov khoom noj kom zoo rau lub raum IgA nephropathy

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

Cov Khoom Noj Muaj Mob Ntshav Qab Zib Neohonathy

Mob ntshav qab zib nephropathy - txhua yam koj yuav tsum paub txog mob raum

Kev noj haus rau raum mob ntshav qab zib

Ntshav qab zib nephropathy - kev faib tawm los ntawm theem

Ntshav Qab Zib Nephilathy - Cov tsos mob

Kab Mob Ntshav Qab Zib - Kev kuaj mob

Mob ntshav qab zib nephropathy - kho mob

Hemodialysis rau mob ntshav qab zib nephropathy

Kev noj haus rau ntshav qab zib nephropathy

Kev noj haus thiab zaub mov noj ntshav qab zib. Pub thiab Txwv cov Khoom

Theem 4 - Nifaisropathy

Ua rau ntawm pathology

Cov tsos mob tseem ceeb ntawm tus kab mob

Toxic nephropathy

Txais daim ntawv

Cov ntawv ntawm nephropathy

Kev paub tab thiab kev kho mob txoj kev

Ntev daim ntawv ntawm pathology

Kho mob raum tshuaj kho neeg lub siab

Lub tswv yim dav dav ntawm cov neeg mob txog kev siv tshuaj kho mob nephropathy thiab tshuaj ntsuab rau pej xeem

Qhov tshwm sim thiab tshwm sim ntawm pathology

Cov hau kev rau kev tiv thaiv tus kab mob no

Cov thawj thiab lwm yam ua rau

Hom thiab cov tsos mob

Kev zom zaub mov

Dysmetabolic

Thaum cev xeeb tub

Noj qab haus huv kho mob

Cov hauv paus ntsiab lus

Hom Mob Ntshav Qab Zib Cov Khoom Noj

Cov zaub mov txhua hnub

Cov Khoom Txwv:

Uas thiab cereals

Cov khoom siv raw thiab lub caij nyoog

Nqaij khoom

Ntses thiab nqaij ntses

Cov ntawv qhia zaub mov rau lub raum tsis ua hauj lwm (Kev noj haus)

Kuj pom zoo

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

Cov ntsiab lus tseem ceeb

Txog ntawm CBJU Cov Lus Qhia

Cov Khoom Qhia

Cov Khoom Uas Siv / Pov Thawj:

Hnub Monday

Hnub Sunday

Hom haus

Kev kho cov ntshav siab

Cov tsos mob ntawm cov theem ntawm tus mob ntshav qab zib nephropathy

Ib co ntsiab lus