Cov ntsiab cai tseem ceeb ntawm kev noj zaub mov nrog nce ntshav creatinine, cov ntawv qhia zaub mov

2024 Tus sau: Isabella Gilson | [email protected]. Kawg hloov kho: 2023-12-17 03:27

Feem ntau, cov neeg mob tuaj kuaj ntshav biochemical hauv kev ntseeg siab tias lawv tsis muaj teeb meem loj. Thiab txawm tias tom qab tus kws kho mob tshaj tawm cov xov xwm hais txog qhov nce ntxiv ntawm creatinine hauv cov ntshav, tsis tshua muaj leej twg pib ua suab nrov nrov. Lub caij no, qhov no yog ib qho tseem ceeb tshaj plaws ntawm kev kuaj ntshav biochemical, uas qhia txog teeb meem loj rau lub raum. Qee zaum, qhov no yog cov tsos mob tseem ceeb ntawm kev loj hlob ntawm lub raum tsis ua haujlwm ntev. Tus neeg mob yuav tau hloov nws txoj kev ua neej ib zaug thiab rau tag nrho kom tsis txhob ua neeg tsis taus. Kev noj zaub mov nrog cov ntsiab lus ntxiv ntawm creatinine hauv cov ntshav yog ib qho ntawm cov xwm txheej tseem ceeb rau kev tswj lub peev xwm ua haujlwm thiab kev noj qab haus huv.

YDab tsi yog creatinine thiab urea

Creatinine yog ib yam khoom uas tshwm sim los ntawm kev tawg ntawm creatine phosphate. Nws tuaj yeem txiav txim siab qib ntawm cov tshuaj no hauv cov ntshav uas siv cov ntshav biochemical kuaj. Rau ib qho ntxivdaim duab kho mob feem ntau kuj yuav tsum tau urinalysis. Creatinine yog qhov taw qhia tseem ceeb uas qhia txog qhov mob ntawm lub raum.

Urea raug tso tawm thaum lub sijhawm tawg ntawm nitrogenous compounds hauv lub cev. Kev nce hauv urea feem ntau mus "tes hauv tes" nrog qhov ntsuas tawm ntawm creatinine. Qhov no yog qhov ntsuas thib ob tseem ceeb tshaj plaws, qhov nce ntxiv uas qhia tias muaj teeb meem loj rau cov kabmob ntawm cov zis.

Cov ntsuas no ua li cas hauv kev ntsuas ntshav hais

Nce creatinine thiab urea feem ntau qhia tias muaj protein ntau intoxication lossis kev loj hlob ntawm lub raum tsis ua haujlwm. Qee zaum cov duab kho mob no tshwm sim nrog mob pyelonephritis lossis glomerulonephritis.

siab creatinine kuj tseem qhia tau cov kab mob hauv qab no:

• kab mob kis;
• hyperthyroidism;
• myocardial infarction;
• ammonia lom;
• lub cev ua haujlwm dhau lub sijhawm pub ntshav.

Koj tsis tuaj yeem ncua mus pw hauv tsev kho mob yog tias qib creatinine tau nce siab tshaj ib puas units. Tsis muaj kev kho mob txaus yuav ua rau tus neeg mob tuag.

Lub raum tsis ua haujlwm yog dab tsi

Nov yog ib qho mob uas lub raum poob lawv txoj haujlwm. Yog li ntawd, lub cev pom nws tus kheej nyob rau hauv tej yam kev mob ntawm heev intoxication. Tus mob no yuav tsum tsis txhob muab xam: yog tias tsis muaj kev ntsuas rau kev kho mob, tom qab ob peb hnub tus neeg mob yuav tuag.

Ua ke nrog kev nce hauv creatinine thiab urea, cov hauv qab no tshwm sim. Tus neeg mob xav tias dhia hauv cov ntshav siab, cov leeg nqaij tsis muaj zog, tsis muaj zis, kiv taub hau. Ib tug neeg tsis tuaj yeem ua haujlwm thiab ua lub neej ib txwm muaj. Nws yuav tsum tam sim ntawd mus rau lub tuam tsev kho mob uronephrology kom kuaj tau qhov tseeb.

Txoj kev kho mob raum tsis ua haujlwm

Hnub no, cov tshuaj niaj hnub no tsuas muaj ob txoj hauv kev los daws qhov teeb meem: hloov lub raum lossis ua rau hemodialysis (txhim kho cov ntshav purification).

Ob txoj hauv kev no tseem cuam tshuam tus neeg mob noj zaub mov. Nrog nce creatinine, qhov no yog qhov tsim nyog. Ua raws li tag nrho cov kev cai ntawm kev noj zaub mov kom muaj txiaj ntsig zoo thiab tsis raug kev txom nyem los ntawm kev qaug zog tas li, nce siab thiab kiv taub hau.

Yog li, yog tias creatinine nce siab, cov zaub mov twg yuav pab ua kom tus mob zoo li qub? Nws tsim nyog sau cia tias txoj kev noj zaub mov kom raug rau tus kab mob no tau tsim los ntev.

Cov ntsiab cai tseem ceeb ntawm kev noj zaub mov rau lub raum tsis ua haujlwm thiab nce creatinine tau sau tseg hauv "xov tooj 7" raws li Pevzner. Ib tus kws kho mob nephrologist yuav qhia rau nws tus neeg mob txog qhov yuav tsum tau ua raws li cov cai ntawm kev noj haus no thoob plaws hauv nws lub neej. Txawm hais tias lub raum tau hloov pauv thiab tus neeg mob lub cev tsis muaj zog, koj tseem yuav tsum tsis txhob noj qee yam zaub mov thiab dej haus ib zaug.

Cov ntsiab lus tseem ceeb ntawm kev noj zaub mov zoo

Ua raws li kev noj zaub mov nrog cov ntshav siab creatinine yuav tsum ua raws li ntau lub hauv paus ntsiab lus:

1. Qhov mob tseem ceeb yog txwv tsis pub muaj protein ntau ntawm cov tsiaj thiab zaub keeb kwm. Cov khoom noj txhua hnub yuav tsum tsis pub ntau tshaj 60 grams ntawm cov khoom noj. Lub hauv paus ntawm kev noj haus yuav tsum yog carbohydrates. Proteins muaj tshuaj lom heev rau lub raum thiab ua rau muaj kev ntxhov siab tsis tsim nyog rau cov zis.
2. Yog tus neeg mob yav dhau los tau koom nrog hauv kev txhawb nqa hnyav thiab noj cov khoom noj muaj protein ntau, ces koj yuav tsum tso koj qhov kev nyiam ua. Kev txais tos ntawm cov protein shakes ntawm kev noj zaub mov nrog creatinine siab yog txwv.
3. Kev haus dej kom txaus yog ib qho tseem ceeb rau kev noj qab haus huv nrog creatinine siab. Tus nqi ntawm cov kua (dej ntshiab) ib hnub twg yuav tsum yog 30 ml ib 1 kg ntawm lub cev qhov hnyav. Nyob rau tib lub sijhawm, cov kua dej los ntawm thawj chav kawm, borscht, kua zaub, mis nyuj, kefir, kas fes thiab tshuaj yej tsis suav nrog. Yog tias nws nyuaj rau haus ntau npaum li ntawd, yuav tsum haus tsawg kawg ib thiab ib nrab litres ntawm cov dej ntshiab.
4. Yog tias qhov nce hauv creatinine nrog rau kev dhia hauv ntshav siab, kiv taub hau, ntsev yuav luag tag nrho. Yog tias tsis muaj teeb meem zoo li no, koj tsuas yog yuav tsum zam cov khoom qab ntsev thiab ntsim thiab zaub mov. Tau kawg, nws yog txwv tsis pub noj chips, qab ntsev thiab ntses thiab lwm yam khoom zoo sib xws.
5. Ib qho yuam kev yog txiav cov protein hauv cov zaub mov kom tiav. Qhov no yog lub tshuab tiag tiag rau lub cev. Koj yuav tsum yuav lub chav ua noj thiab ntsuas txhua daim nqaij lossis ntses. Tam sim no koj yuav tsum suav tus lej tas licov as-ham hauv kev noj haus. Txoj cai no yuav pab koj zoo siab thiab rov qab mus rau koj qhov kev ua haujlwm qub.

Sample menu for the week

Piv txwv ntawm cov ntawv qhia zaub mov hauv qab no yog nruab nrab, koj tuaj yeem hloov cov tais diav thiab hloov lub sijhawm noj mov yog tias koj xav tau. Qhov no tsuas yog ib hom kev noj zaub mov kom nce ntshav creatinine thiab urea hauv cov poj niam thiab txiv neej.

1. Hnub Monday: zaub stew, ib qe dawb, ib pob ntawm cov tsev cheese, lean borscht tsis muaj nqaij, ib pob khoom noj tag nrho-grain los yog rye hmoov crispbreads, whole-wheat hmoov pancakes tsis muaj roj ntxiv, ob peb txiv kab ntxwv los yog lwm yam txiv hmab txiv ntoo citrus, oatmeal nrog txiv hmab txiv ntoo qhuav.
2. Tuesday: Buckwheat porridge nrog skimmed mis nyuj, ob lub txiv apples, zaub nyias hnav nrog zaub roj, zaub kua zaub, tsev cheese casserole nrog cov hmoov nplej tag nrho.
3. Hnub Wednesday: oatmeal nrog txiv hmab txiv ntoo qhuav, ib pob ntawm tsev cheese tsis muaj rog, pilaf nrog nqaij qaib fillet, ib khob ntawm kefir, ib lub txiv apple nrog cinnamon ci hauv qhov cub, nqaij nruab deg nrog zaub roj.
4. Thursday: Noj omelet nrog txiv lws suav thiab zaub ntsuab, lean borscht, zaub stew, celery smoothie, ib khob ntawm kefir, grilled mackerel.
5. Friday: buckwheat porridge nrog skimmed mis nyuj, ib pob khoom noj khoom haus tag nrho cov nplej los yog rye breads, zaub xam lav hnav khaub ncaws nrog zaub roj, zaub zaub, mov porridge nrog txiv hmab txiv ntoo qhuav; ib daim ntawm grilled ntses fillet.
6. Hnub Saturday: ib txhais tes ntawm koj nyiam txiv ntoo (tsis ntau tshaj 50grams), zaub kua zaub, tsev cheese casserole nrog tag nrho cov hmoov nplej, ib lub qe boiled qaib, zaub stew, ib khob ntawm kefir.
7. Sunday: noj omelette nrog zaub qhwv thiab zaub paj, lean borscht, dib zaub xam lav nrog zaub roj, txiv hmab txiv ntoo smoothie, qhov cub ci txiv apple nrog cinnamon, ib khob ntawm fermented ci mis nyuj.

Kev noj zaub mov kom nce ntshav creatinine hauv cov txiv neej thiab poj niam

Tsis muaj qhov sib txawv loj vim yog poj niam txiv neej hauv zaub mov. Cov txiv neej feem ntau muaj cov leeg nqaij ntau dua, yog li nws tsim nyog rau lawv kom nce qib ntawm cov protein hauv kev noj haus txog li 70 grams. Qhov no yog qhov siab tshaj plaws rau cov neeg ncaws pob uas muaj tag nrho lub cev hnyav ntawm ntau tshaj ib puas kilograms. Yog lawm, vim muaj tus kab mob, dhau sijhawm, yuav muaj qhov txo qis hauv cov leeg nqaij.

Cov poj niam uas lub cev hnyav - txog 45-55 kg - yuav tsum txwv lawv cov protein kom ntau li 50 grams tauj ib hnub. Yog tias tus mob mob hnyav, yuav tsum txo qis rau 30-35 grams.

Nws tsis muaj teeb meem dab tsi protein yog suav tias yog - tsiaj lossis tsob nroj keeb kwm. Ob hom no muaj tshuaj lom nyob rau hauv lub raum kev puas tsuaj thiab txhawb nqa lub load, uas thaum kawg yuav inevitably ua rau kom nce qib ntawm creatinine thiab urea.

Daim ntawv tso cai cov khoom

Cov zaub mov uas tso cai rau noj ntawm cov zaub mov rau lub raum tsis ua haujlwm thiab siab creatinine:

• txiv hmab txiv ntoo uas tsis muaj poov tshuaj;
• zaub;
• nqaij ntshiv (tsis muaj ntxivib puas grams tauj ib hnub);
• nqaij qaib qe protein (tsis pub ntau tshaj ib hnub);
• cov khoom noj muaj roj tsawg;
• berries;
• ntses muaj roj tsawg - tsis pub ntau tshaj ib puas grams tauj ib hnub;
• txiv ntseej - tsis ntau tshaj tsib caug grams tauj ib hnub thiab tsis pub ntau tshaj ib zaug hauv ib lub lis piam;
• porridge los ntawm buckwheat, oats, mov;
• neeg tsis noj nqaij thiab zaub kua zaub, suav nrog zaub qhwv kua zaub, borscht thiab beetroot.

Daim Ntawv Ceeb Toom Khoom Noj

Cov khoom noj uas txwv tsis pub noj ntawm lub raum tsis ua haujlwm thiab creatinine siab:

• nqaij rog;
• noj nqaij noj ntau tshaj ib puas grams tauj ib hnub;
• fried and fatty foods;
• fast food;
• khoom noj kaus poom;
• Spicial Spices, Monosodium Glutamate, Horseradish.

Nws yuav tsum tau muab sau tseg tias cov protein thiab creatine muaj nyob hauv ntau hom nqaij sib txawv. Raws li cov ntaub ntawv no, koj yuav tsum tsim kom muaj kev noj haus ntawm cov khoom noj uas muaj creatinine ntxiv:

• siab tshaj plaws creatine cov ntsiab lus hauv venison, elk thiab boar nqaij;
• nyob rau hauv qhov chaw thib ob yog cov nqaij ntawm hare, pigeons thiab qus ducks.
• nyob rau hauv qhov chaw thib peb cov nqaij noj yog qaib ntxhw, nqaij qaib, luav nqaij;
• cov ntsiab lus qis tshaj plaws hauv cov ntses uas muaj roj tsawg - hake, pollock, mackerel. Herring thiab salmon ntses muaj cov qib siab ntawm creatine.

haus dej dab tsi?

Kev noj zaub mov nrog nce creatinine thiab urea cuam tshuam qhov kev txwv tsis yog xwbzaub mov, tab sis kuj haus dej. Yog tias koj tsis ua raws li cov kev cai no, qhov kev tsis zoo ntawm kev noj qab haus huv yog qhov tsis muaj tseeb. Nov yog dab tsi tawm ntawm cov khoom noj creatinine siab:

• yuav haus cawv yuav tsum raug cais tawm ntawm kev noj haus ib zaug;
• kas fes dub yuav tsum tau hloov nrog chicory (tsis pub ntau tshaj ib khob ib hnub);
• tshuaj yej dub;
• cov mis nyuj muaj roj ntau haus thiab smoothies;
• sweet carbonated drinks;

Daim ntawv tso cai haus dej

Nws suav nrog:

• tus kheej-ua txiv hmab txiv ntoo thiab txiv hmab txiv ntoo qhuav;
• txiv hmab txiv ntoo haus nrog ntxiv qab zib los ntawm berries, txiv hmab txiv ntoo;
• zaub broths;
• zaub thiab txiv hmab txiv ntoo smoothies;
• sov-mis haus uas muaj roj tsawg.

Kev noj zaub mov kom siab rau lub raum creatinine cuam tshuam tas li saib xyuas cov protein thiab creatine hauv cov khoom noj. Yog tias qhov xav tau ntawm cov protein los ntawm cov nqaij twb tau noj hnub no, koj yuav tsum tsis kam kefir thiab mis nyuj, vim lawv kuj muaj cov protein.

Tus neeg mob yuav tsum ua tus tswj hwm cov ntsiab cai ntawm kev noj haus. Nce creatinine, mob raum tsis ua haujlwm, urea tawm mus, ntshav siab dhia - qhov no tsuas yog cov npe luv luv ntawm cov teeb meem kev noj qab haus huv uas tos cov neeg ua txhaum cai ntawm kev kho mob khoom noj khoom haus. Txawm tias thaum hemodialysis, koj yuav tsum ua raws li cov cai yooj yim rau kev tsim cov khoom noj.

Txoj kev siv cov txuj lom

Cov neeg mob lub raum tsis ua haujlwm feem ntau xav ua kom lawv tus kheej txaus siab nrog zaub mov qab. Ib txwmcov neeg tau accustomed mus rau tsw enhancers thiab ntau yam txuj lom nyob rau hauv cov tais diav. Yog li ntawd, qhov yooj yim saj ntawm cov zaub mov zoo li insipid thiab uninteresting rau lawv.

Koj tuaj yeem faib cov saj ntawm cov zaub mov zoo tib yam nrog zaub ntsuab, curry, coriander. Koj tuaj yeem ntxiv cov txuj lom no ntxiv rau hauv ib lub pinch rau npaj ua kua zaub, zaub stews, nqaij goulash.

Raws li txwv ntsev, koj yuav tsum tsis txhob tshem tawm tag nrho. Tsuas yog tias tus mob hnyav heev, thiab tus kws kho mob tuaj koom tau pom zoo tias nws yuav tsum tau tso tseg tag nrho ib ntus, yuav tsum tau ua raws li cov lus qhia. Nyob rau hauv ib txwm lub xeev thiab tsis muaj jumps nyob rau hauv cov ntshav siab, zaub mov yuav tsum tau s alted me ntsis. Tau kawg, raws li twb tau hais lawm, nws yog txwv tsis pub noj chips, qab ntsev thiab ntses thiab lwm yam khoom zoo sib xws.