Mary Allen
Mapuloteni ndi phosphorous sayenera kuchepetsedwa kwambiri.
Kusintha kwabwino kumafunika
Mu azotemic matenda a impso (CKD), kuletsa zakudya za phosphorous ndi mapuloteni ndiye maziko a chithandizo, koma amphaka omwe ali ndi CKD yoyambirira, zotsatira za nthawi yayitali za zakudya zotere pakugwira ntchito kwa impso sizinaphunzirepo pang'ono. Zotsatira zilipo tsopano kuchokera ku kafukufuku wa labotale wokhudza amphaka 19 omwe anali ndi CKD Stage 1 kapena 2 poyambira.
Kuphunzira kwa nthawi yayitali ndi kusintha kwa chakudya
Mu gawo loyamba la phunziroli, amphaka onse adalandira chakudya chouma chomwe chinachepetsedwa kwambiri mu mapuloteni ndi phosphorous (Royal Canin Veterinary Diet Feline Renal Dry, Mapuloteni: 59 g / Mcal, phosphorous: 0.84 g / Mcal, chiŵerengero cha calcium-phosphorus: 1, 9). Mu gawo lachiwiri la kafukufukuyu, nyamazo zinalandira chakudya chochepa cha mapuloteni ndi phosphorous kwa miyezi 22 (chakudya chonyowa ndi chouma, 50 peresenti ya mphamvu zofunikira, (Royal Canin Senior Consult Stage 2 [tsopano yotchedwa Royal Canin) Early Renal]), mapuloteni: 76 mpaka 98 g/Mcal, phosphorous: 1.4 mpaka 1.6 g/Mcal, chiŵerengero cha calcium-phosphorous: 1.4 mpaka 1.6) Miyezo inaphatikizapo calcium, phosphorous, ndi hormone FGF23, yomwe imakhudzidwa ndi malamulo a phosphate. ndi.
Zotsatira ndi mapeto
Pachiyambi, milingo ya calcium, phosphorous, ndi FGF23 inali m'gulu la amphaka athanzi. Phindu la phosphorous linakhalabe losasinthika mu phunziro lonse. Mu gawo loyamba la kafukufukuyu, pansi pa kuletsa kwamphamvu kwa mapuloteni ndi phosphorous, kuchuluka kwa kashiamu kumawonjezeka ndipo chakumapeto kunadutsa malire apamwamba a kashiamu wathunthu mu amphaka 5 ndi calcium ionized mu amphaka 13. Mulingo wa FGF23 womwe umatanthawuza ukuwonjezeka kufika pa 2.72 nthawi yamtengo wapatali. Mu gawo lachiwiri la phunziroli, ndi kuchepa kwa mapuloteni ndi phosphorous, calcium yonse imakhala yokhazikika mwa amphaka onse omwe kale anali a hypercalcemic, ndi calcium ionized normalized mu angapo amphakawa. Mulingo wa FGF23 udachepetsedwa ndi theka.
Kutsiliza
Amphaka mu magawo oyambirira a CKD anayamba hypercalcemia pamene kwambiri yafupika mu mapuloteni ndi phosphorous, amene anatsimikiza pambuyo kusintha kwa zakudya ndi zolimbitsa yafupika mapuloteni ndi phosphorous okhutira. Kuphatikiza apo, zolembera za impso ndi chiŵerengero cha calcium-phosphorous chinakula bwino ndi zakudya zolimbitsa thupi. Olembawo amawona kuti zakudya zochepetsera mapuloteni ndi phosphorous zitha kukhala zopindulitsa kwa amphaka omwe ali ndi CKD yoyambirira.
Funso Lofunsidwa Kawirikawiri
Kodi amphaka omwe ali ndi vuto la impso angadye chiyani?
Nyama iyenera kukhala ndi nyama yokhala ndi mafuta ambiri. Goose kapena nyama ya bakha, ng'ombe yamafuta (nthiti yayikulu, nyama yamutu, nthiti yam'mbali), kapena nkhumba yophika kapena yokazinga ndizoyenera pano. Nsomba zamafuta monga salimoni kapena mackerel zimachita kamodzi pa sabata.
Kodi mungasinthe bwanji malingaliro a impso mu amphaka?
Chimodzi mwazofala kwambiri zochizira ndi zakudya zapadera za impso. Mphaka wanu yemwe ali ndi matenda a impso ayenera kutsatira izi kwa moyo wake wonse. Kuphatikiza apo, veterinarian adzapereka mankhwala (monga ACE inhibitors kapena antihypertensive mankhwala) ndikupangira chithandizo chothandizira.
Kodi impso zimachira mwa amphaka?
Acute zikutanthauza kuti mphaka wanu wakhala ndi matenda a impso kwakanthawi kochepa. Ndi chithandizo chanthawi yake, impso zimatha kuchira pachimake kulephera kwaimpso. Matenda a impso amatanthauza kuti impso za mphaka wanu zadwala kwa nthawi yayitali.
Ndi chiyani chomwe chili chabwino kwa impso mu amphaka?
Zakudya zokhala ndi potaziyamu ndi magnesium nthawi zambiri zimalimbikitsidwa kwa amphaka omwe ali ndi matenda a impso. Kodi mphaka wanu wawunika magazi a potaziyamu pafupipafupi?
Kodi kulowetsedwa mu amphaka ndi matenda a impso kangati?
Momwe mphaka amalekerera ndikudyabe chakudyacho. Mukhozanso kubweretsa mphaka ku chipatala cha Chowona Zanyama nthawi ndi nthawi kuti mulowetsedwe mtsempha. Kapena mungapereke madzi pansi pa khungu la mphaka pafupifupi kawiri pa sabata kunyumba.
Chifukwa chiyani amphaka ambiri ali ndi matenda a impso?
Mavuto a impso mwa amphaka amatha chifukwa cha matenda, kuthamanga kwa magazi, kapena majini. Kudya zinthu zapoizoni - kuphatikizapo zomera zina zamkati kapena zitsulo zolemera ( lead, mercury ) - kungayambitsenso kuwonongeka kwa impso.
Ndi mavitamini ati omwe ali mu amphaka olephera aimpso?
Kupereka kwa antioxidants osungunuka m'madzi ndi mafuta monga vitamini C, vitamini E, ndi ?-carotene akulimbikitsidwa chifukwa kupsinjika kwa okosijeni mu minofu ya impso kungathandize kuti matendawa apitirire.
Ndi liti pamene mphaka yemwe ali ndi vuto la aimpso ayenera kulangidwa?
Aliyense amene ali ndi mphaka yemwe ali ndi matenda a impso pa nthawi ina adzayang'anizana ndi funso: Kodi ndiyenera kuika liti mphaka wanga ndi matenda a impso? Ngati mphaka yemwe ali ndi matenda a impso wafika kumapeto kwa CKD ndipo impso zikulephera ndipo mphaka akungovutika, dokotala wanu adzakudziwitsani.