Noj cov kab mob raum

Los ntawm kev saib xyuas, kab mob hauv lub raum yuav yog ib qho mob ntawm kev loj hlob sai thiab kis kab mob ua rau mob raum tsis ua haujlwm, lossis nws yuav yog txheej txheem kev loj hlob txij thaum pib raws li mob ntev zuj zus thiab ua rau lub raum tsis ua haujlwm.

Los ntawm kev noj zaub mov zoo, nws yog ib qho tseem ceeb rau kev tswj cov kua dej, ntsev, poov tshuaj thiab protein nyob rau hauv cov kab mob raum. Thaum npaj noj zaub mov, lub cev qhov hnyav, qhov sib npaug ntawm cov dej thiab qhov concentration ntawm electrolytes hauv cov ntshav yuav tsum raug coj mus rau hauv tus account. Hauv kev mob raum tsis ua haujlwm, tshwj xeeb tshaj yog cov ntshav urea concentration, kev noj zaub mov tsis pub muaj protein ntau tau pom zoo, nrog lub zog txaus siab tshaj 30-50 kcal / 1 kg ntawm lub cev hnyav, yog tias tus kab mob tsis muaj teeb meem. Koj yuav tsum tsis suav nrog nqaij, txiav txias, cheese, qe los ntawm kev noj zaub mov, txwv tsis pub mis nyuj thiab zaub mov uas muaj cov poov tshuaj thiab phosphorus. Kev txwv kuj tseem siv rau kev muab ntsev thiab kua dej. Qhov tshwj xeeb yog theem ntawm polyuria thaum ntxov nrog kev pom zoo kom haus dej kom ntau. Kev noj zaub mov zoo nrog qhov sib ntxiv ntawm rusks, qes-protein hmoov nplej yob, boiled txiv hmab txiv ntoo puree, mashed compotes, mashed qos yaj ywm nrog butter. Rog yog pom zoo kom 1g / 1 kg ntawm lub cev hnyav. Nyob rau hauv mob raum tsis ua hauj lwm, cov neeg mob yuav tau kho conservatively los yog dialysis. Thaum koj rov qab los, koj hloov mus rau kev noj zaub mov zoo, maj mam nce cov kua dej thiab cov khoom lag luam protein.

Hauv lub raum tsis ua haujlwm ntev, daim duab kho mob nyob ntawm qhov hnyav ntawm lub raum tsis zoo. Cov lus pom zoo noj zaub mov hauv lub sijhawm no tuaj yeem muab faib ua 4 lub sijhawm: 0,6st lub sijhawm - latent tsis ua haujlwm, qhov twg tsis muaj kev txwv kev noj haus, 0,8nd lub sijhawm - them nyiaj tsis txaus, muaj qhov txo qis ntawm cov protein 1-0,4 g / 0,6, 1 kg ntawm lub cev hnyav, phosphorus, ntsev, Lub Sijhawm III - decompensated insufficiency, nyob rau hauv uas ib tug tsawg-protein noj ntawm 20-25 g / 15 kg ntawm lub cev qhov hnyav yog siv, tsawg-sodium, tsawg-potassium noj, feem ntau yuav tsum tau. enriched nrog high-calorie, low-protein npaj, lub sij hawm IV - kawg-theem tsis ua hauj lwm, nyob rau hauv uas cov khoom noj protein yog 20-XNUMX g / hnub los yog lim ntshav, txwv tsis pub sodium, potassium, phosphorus thiab kua, nws yuav tsum tau ntxiv cov amino acids tseem ceeb. acids XNUMX-XNUMX g / hnub rau cov tais diav, xws li Ketosteril.

General hauv paus ntsiab lus ntawm kev noj haus nyob rau hauv conservative kev kho mob: lub zog thov rau cov neeg mob uas muaj hnub nyoog li 60 xyoo yuav tsum tau muab 35 kcal / 1 kg ntawm lub cev hnyav / hnub, thiab cov neeg mob hnub nyoog qis dua 60 xyoo. nws yuav tsum muab 30-35 kcal / 1 kg ntawm lub cev hnyav / hnub, piv txwv li txog 2000-2500 kcal / hnub. Hauv cov neeg mob uas tsis muaj zog, kev noj zaub mov txaus yog 1800-2000 kcal / hnub. Cov protein txwv tsis pub ncua kev lim ntshav, tus nqi ntawm cov protein yog txiav txim siab los ntawm cov concentration ntawm urea thiab creatinine hauv cov ntshav ntshav thiab creatine clearance (GFR). Cov ntsiab lus tsawg kawg nkaus hauv cov khoom noj yog 20 g / hnub nrog ntxiv ntawm cov amino acids tseem ceeb. Xws li kev txwv tuaj yeem tau txais los ntawm kev siv cov qos yaj ywm noj hauv tus nqi ntawm 1 kg ntawm qos yaj ywm + 300 g ntawm zaub thiab txiv hmab txiv ntoo + 120 g ntawm butter tshiab thiab roj + 50 g suab thaj thiab ntxiv qos yaj ywm hmoov los yog cov hmoov txhuv nplej siab. hmoov nplej nrog tshiab los yog qhuav txuj lom, tsis muaj salting. Cov tswv yim ntawm kev npaj qos yaj ywm tais diav yog ua noj, ci, thaum kib tsis suav nrog cov rog metabolism. Cov tais diav uas tuaj yeem npaj tau yog noodles, dumplings, dumplings, casseroles, stuffed qos yaj ywm, zaub xam lav. Qhov nruab nrab cov protein txwv yog 40-50 g / hnub thiab qhov txwv me me yog 60-70 g / hnub. Protein yuav tsum muaj txiaj ntsig zoo, los ntawm cov khoom tsiaj: nqaij ntshiv, skim mis nyuj, tsev cheese, qe dawb, kefir, yogurt. Kev noj cov rog tsis tas yuav muaj kev txwv ntawm 1 g / 1 kg ntawm lub cev hnyav. Nws yuav tsum tau los ntawm cov khoom cog, xws li txiv ntseej roj, taum roj, roj sunflower, roj rapeseed. Contraindicated fatty khoom ntawm cov tsiaj keeb kwm yog: lard, tallow, hard margarines, nqaij npuas kib, raws li zoo raws li nqaij fatty nqaij xws li mutton, nqaij npuas, offal, duck, goose, fatty ntses, daj thiab tiav cheese, nqaij npuas kib, pates, sausages. Ib yam li ntawd, cov khoom qab zib uas muaj roj ntau, xws li puffs thiab ncuav qab zib, tsis pom zoo. Kev txwv cov kua dej yog nyob ntawm edema, kub siab thiab tus nqi ntawm cov zis tawm thaum nruab hnub. Koj yuav tsum xyuam xim rau cov ntsiab lus dej hauv cov khoom, xws li cov kua ntses, zaub, txiv hmab txiv ntoo, muab qhov nruab nrab ntawm 400-500 ml. txwv tsis pub sodium nyob rau hauv lub sij hawm ntawm compensated insufficiency yog tsis tsim nyog, tab sis nws yog pom zoo kom txwv tsis pub mus rau 3 g (1 teaspoon) ntsev ib hnub twg raws li ib tug tiv thaiv kev ntsuas, vim hais tias ntawm kev siv ntau heev. Nws yog txaus kom tsis txhob ntxiv ntsev rau cov tais diav, tsis suav cov khoom qab ntsev hauv cov txheej txheem thev naus laus zis, xws li: cov khoom noj kaus poom, pickles, cov nqaij txias, cov nqaij ua tiav, smoked cheese, cheese daj, silage, concentrates ntawm soups thiab sauces, npaj txhij. spices, piv txwv li, zaub, zaub, broth cubes. txo phosphorus los ntawm cov khoom uas nplua nuj nyob rau hauv phosphorus, xws li: offal, cereal khoom, rennet thiab tiav cheese, legume noob, ntses, qe qe, nceb, sausages, tag nrho cov mis nyuj hmoov.

Nws tseem pom zoo kom noj cov tshuaj uas khi phosphate hauv plab hnyuv thaum noj mov. Qhov kev thov rau cov poov tshuaj nyob rau lub sijhawm them nyiaj tsis txaus yuav tsum tau nce ntxiv, thiab nyob rau lub sijhawm kawg ntawm qhov tsis ua haujlwm nws yuav tsum raug txwv rau 1500-2000 mg / hnub, tsis suav nrog cov khoom lag luam nplua nuj nyob hauv cov ntxhia no: qhuav legumes, bran, cocoa, chocolate. , txiv ntseej, txiv hmab txiv ntoo qhuav, txiv tsawb, avocados, txiv lws suav, qos yaj ywm, nplooj zaub, nceb. Potassium tuaj yeem txo los ntawm kev ntub dej thiab ua noj cov zaub mov, nrog dej hloov thaum ua noj. qhov xav tau rau lwm cov zaub mov yuav tsum ntxiv calcium uas tsis muaj peev xwm, vim muaj kev txwv ntawm cov khoom noj protein, ntxiv cov hlau tsis muaj peev xwm ua rau cov ntshav tsis txaus. qhov xav tau cov vitamins ntxiv rau cov vitamin tsis txaus. los ntawm pawg B, folic acid, vit. C thiab D vim cov zaub mov tsis muaj poov tshuaj.

Cov ntsiab cai dav dav ntawm kev noj zaub mov thaum lub sijhawm lim ntshav: lub zog xav tau vim tsis muaj zaub mov txaus ntawm cov neeg mob ntshav qab zib yuav tsum yog 35-40 kcal / 1 kg ntawm lub cev hnyav, piv txwv li 2000-2500 kcal / hnub. Lub hauv paus ntsiab lus ntawm carbohydrates yuav tsum yog cov khoom noj khoom haus: pasta, groats, hmoov txhuv nplej siab, cov hmoov txhuv nplej siab tsawg. Hauv cov neeg mob kho nrog peritoneal dialysis, qhov kev xav tau no yog ib feem ntawm cov piam thaj hauv cov kua dej lim ntshav. Cov protein xav tau vim poob thaum lub sijhawm lim ntshav yog 1,2-1,4 g / 1 kg lub cev hnyav hauv cov neeg mob hemodialysed, thiab 1,2-1,5 g / 1 kg lub cev qhov hnyav hauv peritoneal dialysis, piv txwv li 75-110 g / hnub. Kev noj zaub mov tuaj yeem ua kom muaj protein ntau los ntawm cov khoom noj khoom haus, xws li Protifar. Qhov kev thov rau cov rog hauv extracorporeal lim ntshav yuav tsum yog 30-35% ntawm lub zog, thiab hauv peritoneal dialysis 35-40%. lub zog muab tau los ntawm cov khoom cog, feem ntau yog cov roj txiv roj thiab roj. Qhov kev thov rau cov poov tshuaj yuav tsum raug txwv rau 1500-2000 mg / hnub, tsis txhob siv cov nqaij thiab zaub. Qhov kev xav tau ntawm phosphorus yuav tsum txwv tsis pub noj cov khoom uas nplua nuj nyob rau hauv cov khoom no thiab siv cov tshuaj uas khi phosphate hauv plab hnyuv. Kev txwv sodium yog siv. Qhov kev thov rau cov zaub mov thiab cov vitamins yuav tsum tau ntxiv calcium, vit. D, A thiab C. txwv tsis pub dej suav nrog cov zis tso zis + 500 ml, qhov nce ntxiv yog qhia tsuas yog thaum huab cua kub, kub taub hau, ntuav thiab raws plab.

Tau qhov twg los: Chair thiab Department of Nephrology, Hypertension and Internal Diseases, Collegium Medicum im. L. Rydygier hauv Bydgoszcz

1. Kuv lub sijhawm - latent tsis ua haujlwm, qhov twg tsis muaj kev txwv kev noj haus,
2. IV lub sij hawm - qhov kawg-theem tsis ua hauj lwm, nyob rau hauv uas cov mov ntawm cov protein yog 20-25 g / hnub los yog lim ntshav, txwv tsis pub sodium, poov tshuaj, phosphorus thiab kua, nws yuav tsum tau ntxiv cov amino acids tseem ceeb 15-20 g / hnub rau lub cev. cov tais diav, xws li Ketosteril.
3. Cov protein txwv tsis pub ncua kev lim ntshav, tus nqi ntawm cov protein yog txiav txim siab los ntawm cov concentration ntawm urea thiab creatinine hauv cov ntshav ntshav thiab creatine clearance (GFR). Cov ntsiab lus tsawg kawg nkaus hauv cov khoom noj yog 20 g / hnub nrog ntxiv ntawm cov amino acids tseem ceeb. Xws li kev txwv tuaj yeem tau txais los ntawm kev siv cov qos yaj ywm noj hauv tus nqi ntawm 1 kg ntawm qos yaj ywm + 300 g ntawm zaub thiab txiv hmab txiv ntoo + 120 g ntawm butter tshiab thiab roj + 50 g suab thaj thiab ntxiv qos yaj ywm hmoov los yog cov hmoov txhuv nplej siab. hmoov nplej nrog tshiab los yog qhuav txuj lom, tsis muaj salting. Cov tswv yim ntawm kev npaj qos yaj ywm tais diav yog ua noj, ci, thaum kib tsis suav nrog cov rog metabolism. Cov tais diav uas tuaj yeem npaj tau yog noodles, dumplings, dumplings, casseroles, stuffed qos yaj ywm, zaub xam lav. Qhov nruab nrab cov protein txwv yog 40-50 g / hnub thiab qhov txwv me me yog 60-70 g / hnub. Protein yuav tsum muaj txiaj ntsig zoo, los ntawm cov khoom tsiaj: nqaij ntshiv, skim mis nyuj, tsev cheese, qe dawb, kefir, yogurt.
4. Kev txwv cov kua dej yog nyob ntawm edema, kub siab thiab tus nqi ntawm cov zis tawm thaum nruab hnub. Koj yuav tsum xyuam xim rau cov ntsiab lus dej hauv cov khoom, xws li cov kua ntses, zaub, txiv hmab txiv ntoo, muab qhov nruab nrab ntawm 400-500 ml.
5. txwv tsis pub sodium nyob rau hauv lub sij hawm ntawm compensated insufficiency yog tsis tsim nyog, tab sis nws yog pom zoo kom txwv tsis pub mus rau 3 g (1 teaspoon) ntsev ib hnub twg raws li ib tug tiv thaiv kev ntsuas, vim hais tias ntawm kev siv ntau heev. Nws yog txaus kom tsis txhob ntxiv ntsev rau cov tais diav, tsis suav cov khoom qab ntsev hauv cov txheej txheem thev naus laus zis, xws li: cov khoom noj kaus poom, pickles, nqaij, cov nqaij ua tiav, haus luam yeeb, daj cheese, silage, concentrates ntawm soups thiab sauces, npaj txhij-ua txuj lom, Piv txwv li, zaub, zaub, broth cubes.
6. txo phosphorus los ntawm cov khoom uas nplua nuj nyob rau hauv phosphorus, xws li: offal, cereal khoom, rennet thiab tiav cheese, legume noob, ntses, qe yolks, nceb, txias txiav, tag nrho cov mis nyuj hmoov. Nws tseem pom zoo kom noj cov tshuaj uas khi phosphate hauv plab hnyuv thaum noj mov.
7. Qhov kev thov rau cov poov tshuaj nyob rau lub sijhawm them nyiaj tsis txaus yuav tsum tau nce ntxiv, thiab nyob rau lub sijhawm kawg ntawm qhov tsis ua haujlwm nws yuav tsum raug txwv rau 1500-2000 mg / hnub, tsis suav nrog cov khoom lag luam nplua nuj nyob hauv cov ntxhia no: qhuav legumes, bran, cocoa, chocolate. , txiv ntseej, txiv hmab txiv ntoo qhuav, txiv tsawb, avocados, txiv lws suav, qos yaj ywm, nplooj zaub, nceb. Potassium tuaj yeem txo los ntawm kev ntub dej thiab ua noj cov zaub mov, nrog dej hloov thaum ua noj.
8. qhov xav tau rau lwm cov zaub mov yuav tsum ntxiv calcium uas tsis muaj peev xwm, vim muaj kev txwv ntawm cov khoom noj protein, ntxiv cov hlau tsis muaj peev xwm ua rau cov ntshav tsis txaus.
9. qhov xav tau cov vitamins ntxiv rau cov vitamin tsis txaus. los ntawm pawg B, folic acid, vit. C thiab D vim cov zaub mov tsis muaj poov tshuaj.
10. Qhov kev thov rau cov rog hauv extracorporeal lim ntshav yuav tsum yog 30-35% ntawm lub zog, thiab hauv peritoneal dialysis 35-40%. lub zog muab tau los ntawm cov khoom cog, feem ntau yog cov roj txiv roj thiab roj.
11. Qhov kev thov rau cov poov tshuaj yuav tsum raug txwv rau 1500-2000 mg / hnub, tsis txhob siv cov nqaij thiab zaub.
12. Qhov kev xav tau ntawm phosphorus yuav tsum txwv tsis pub noj cov khoom uas nplua nuj nyob rau hauv cov khoom no thiab siv cov tshuaj uas khi phosphate hauv plab hnyuv.
13. Kev txwv sodium yog siv.
14. Qhov kev thov rau cov zaub mov thiab cov vitamins yuav tsum tau ntxiv calcium, vit. D, A thiab C.
15. Kev txwv cov kua dej yog xam los ntawm cov zis tso zis + 500 ml, qhov nce ntxiv yog qhia tsuas yog thaum huab cua kub, kub taub hau, ntuav thiab raws plab.

Qee cov tshuaj txhawb kev kho mob thiab tiv thaiv kab mob raum. Ntawm Medonet Market koj tuaj yeem yuav Herbal detox - ecological herbal tshuaj yej nrog cornflower, pansy, yarrow thiab blackcurrant nyob rau hauv muaj pes tsawg leeg.