Ntshav qab zib nephropathy yog lub tswvyim dav dav uas suav nrog ntau lub raum mob. Nws tuaj yeem txhim kho mus rau theem kawg, thaum tus neeg mob yuav tau lim ntshav tsis tu ncua.
Txhawm rau kom txo cov tsos mob thiab txhim kho daim duab hauv chav kho mob, yuav tsum tau ua zaub mov noj tshwj xeeb. Nws tuaj yeem yog ob qho tib si-carbohydrate thiab protein tsawg (nyob rau theem kawg ntawm tus kab mob).
Kev noj haus rau cov ntshav qab zib nephropathy yuav tau piav qhia hauv qab no, cov zaub mov kwv yees yuav raug nthuav tawm, thiab tseem muaj txiaj ntsig ntawm cov zaub mov uas tsis muaj cov carbohydrate rau hom 1 thiab hom 2 mob ntshav qab zib mellitus yuav tau piav qhia.
Kev noj zaub mov zoo rau 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 txoj kab 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 suav nrog qhov chaw txhab ntawm lub glomeruli, tubules, lossis cov 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.
Cov tsos mob ntawm tus kab mob:
- nkees;
- nws yog xim hlau xim hauv lub qhov ncauj;
- kev nkees;
- 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 pom zoo rau tus neeg mob uas mob ntshav qab zib kom kuaj ntshav ib zaug lossis ib xyoos ob zaug:
- cov zis kuaj 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 yog cov nqaijrog tau txais kev pab raws li kev txhim kho 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 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 glycemic (GI).
Glycemic Khoom Taw Qhia
Kev noj zaub mov kom tsawg-tswj kom ua rau cov ntshav qab zib mellitus hom 2 mob ntshav qab zib, thaum thawj hom txo cov tshuaj insulin luv luv thiab luv luv. 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 taw qhia qis dua, khoom noj muaj kev ruaj ntseg 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 zaug hauv ib lub lim tiam. 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 khoom muaj 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;
- rwj;
- hauv microwave;
- simmer 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 khoom uas los ntawm cov kev noj haus zoo li cas.
Cov Khoom Noj Muaj Mob
Cov zaub mov ntawm tus neeg mob yuav tsum muaj ntau yam. Cov khoom 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 raug ua kom zoo nkauj thiaj li tsis mus nce GI. 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 ua ntej siv txhawm rau txhawm rau khaws cov zaub mov muaj txiaj ntsig zoo thiab muaj peev xwm 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
- Npauj npaim tuaj
- 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:
- quav;
- noob dos loj;
- qij
- lws suav;
- Txiv lws suav
- ntsuab taum;
- lentils
- tshiab thiab qhuav zuaj peas;
- txhua hom zaub qhwv - zaub paj dawb, zaub cob pob, zaub qhwv dawb thiab liab;
- kua txob qab heev.
Los ntawm cereals, koj tuaj yeem ua noj ob sab thiab ntxiv rau thawj cov tais diav. Nrog lawv cov kev xaiv, koj yuav tsum ceev faj heev, raws li qee qhov 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 cia pob kws nplej noj - GI hauv kev txwv ntau, vim nws muaj ntau hauv cov khoom noj muaj txiaj ntsig. Tab sis nrog rau cov ntshav qab zib nephropathy, nws txoj kev noj nws yog contraindicated. Txij li txawm tias qhov dhia tsawg kawg hauv cov ntshav qab zib tso kev nyuaj siab rau lub raum.
Cov zaub mov uas tso cai:
- pearl barley;
- barley groats;
- xim av mov;
- thoob ham.
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;
- cream 20% rog;
- qab zib thiab txiv hmab txiv ntoo yogurt;
- butter;
- margarine;
- tawv cheeses (me me qhov ntsuas, tab sis cov ntsiab lus muaj calorie);
- cov kua mis;
- ci khob curd cheese;
- curd loj (kom tsis txhob to taub meej nrog tsev cheese).
Cov qe raug tso cai rau hauv 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 tau xaiv cov khoom noj muaj roj tsawg, tshem tawm los ntawm lawv cov seem ntawm daim tawv nqaij thiab rog. Caviar thiab mis nyuj yog txwv tsis pub. Nqaij thiab ntses cov tais diav yog nyob rau hauv kev noj zaub mov txhua hnub, nyiam dua ib zaug ib hnub.
Pub rau cov nqaij thiab cov offal:
- nqaij qaib ua si;
- quail;
- qaib ntxhw;
- luav nqaij;
- nqaij;
- nqaij nyuj;
- nqaij nyug siab;
- nqaij qaib mob siab;
- nqaij nyuj nplaig.
Los ntawm ntses, koj tuaj yeem xaiv:
- dav;
- pollock;
- pike
- cod;
- perch.
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 qhov tsawg GI thiab raug ua haujlwm kom raug cua 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 cov ntshav qab zib dhia. Noj hauv qee qhov me me, tsib mus rau rau zaus ib hnub.
Yog tias koj xav tias muaj kev tshaib nqhis, koj tau txais 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.
Hnub Monday:
- thawj zaug noj tshais - txiv hmab txiv ntoo nyias;
- thib ob noj tshais - omelet los ntawm cov nqaijrog thiab zaub, tshuaj yej ntsuab nrog ib qho hlais ntawm cov qhob cij rye;
- noj su - zaub kua zaub, pearl barley nrog ib tug ntses patty, kas fes ntsuab nrog qab zib;
- tav su tshuaj yej - zaub xam 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.
Tuesday:
- thawj zaug noj tshais - ib lub txiv apple, tsev me;
- thib ob noj tshais stew rau hom 2 mob ntshav qab zib xws li txaij, lws suav, dos thiab kua txob qab, ntsuab tshuaj yej;
- noj su - buckwheat kua zaub, barley porridge nrog lub ncu nqaij cutlet, ntsuab kas fes nrog qab zib;
- cov khoom noj txom ncauj yav tav su - jelly nrog oatmeal, ib qhov hlais ntawm cov qhob cij rye;
- noj hmo - meatballs, zaub xam lav.
Hnub Wednesday:
- thawj zaug noj tshais - cov txiv hmab txiv ntoo nyias muaj kua nrog kefir;
- qhov noj tshais thib ob - lub tshav omelet los ntawm cov nqaijrog, kas fes nrog qab zib;
- noj su - zaub kua zaub, barley porridge nrog gravy los ntawm stewed nqaij qaib siab, ntsuab tshuaj yej;
- cov khoom noj txom ncauj yav tav su - 150 ml yogurt;
- thawj noj hmo - stewed zaub qhwv nrog mov thiab nceb, ib daim ntawm cov mov ci;
- lub thib ob noj hmo yog tshuaj yej nrog ntshav qab zib cheesecakes.
Hnub Thursday:
- thawj zaug noj tshais - jelly ntawm oatmeal, ib daim ntawm cov mov ci;
- thib ob noj tshais - zaub xam lav, hau qe, ntsuab tshuaj yej;
- noj su - hlaws kua zaub, ci eggplant stuffed nrog qaib cov txwv minced nqaij, tshuaj yej;
- khoom noj 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 boiled nqaij tus nplaig, tshuaj yej;
- thib ob noj hmo - 150 ml ntawm ryazhenka.
Hnub Friday:
- thawj zaug noj tshais - txiv hmab txiv ntoo nyias;
- noj su - zaub xam lav, ib qho hlais 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 zaug noj hmo - barley, ncu ntses patty, tshuaj yej ntsuab;
- lub hmo thib ob yog khob kua roj uas tsis muaj rog-kefir.
Hnub Saturday:
- thawj zaug noj tshais - kas fes ntsuab nrog qab zib, peb daim ntawm cov ua ntshav qab zib rau ntawm fructose;
- thib ob noj tshais - chav omelet nrog zaub, tshuaj yej ntsuab;
- noj su - kua zaub nrog mov ci, stewed taum nrog veal, ib qho hlais ntawm qhob cij qhob cij, tshuaj yej;
- khoom noj txom ncauj rau yav tav su - jelly ntawm oatmeal, ib qhov hlais ntawm cov qhob cij rye;
- thawj zaug noj hmo - perch, ci hauv lub tes tsho nrog zaub, tshuaj yej;
- thib ob noj hmo - ib nrab ib khob ntawm yogurt.
Hnub Sunday:
- thawj zaug noj tshais - tshuaj yej nrog cheesecakes;
- qhov thib ob noj tshais - ib qho omelet los ntawm cov nqaijrog thiab zaub, ib qho hlais ntawm qhob cij rye;
- noj su yuav taum mog kua zaub rau cov muaj ntshav qab zib hom 2 nrog hlais cov mov ci, cov mov ci nrog rau 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, tshuaj yej ntsuab;
- 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.
