UMary Allen
Amaprotheni ne-phosphorus akufanele kwehliswe kakhulu.
Kudingeka ukulungiswa okuhle
Esifweni se-azotemic esingalapheki sezinso (CKD), ukuvinjelwa kwe-phosphorus yokudla kanye namaprotheni kuyisisekelo sokwelapha, kodwa kumakati ane-CKD yesigaba sakuqala, imiphumela yesikhathi eside yokudla okunjalo ekusebenzeni kwezinso ayizange ifundwe kancane. Imiphumela manje isiyatholakala ocwaningweni lwaselabhorethri olubandakanya amakati angu-19 ayene-CKD Isigaba 1 noma sesi-2 ekuqaleni.
Ucwaningo lwesikhathi eside ngokushintsha kokuphakelayo
Esigabeni sokuqala socwaningo, wonke amakati athola ukudla okomile okwancishiswa kakhulu kumaprotheni ne-phosphorus (I-Royal Canin Veterinary Diet Feline Renal Dry, Amaprotheni: 59 g/Mcal, i-phosphorus: 0.84 g/Mcal, isilinganiso se-calcium-phosphorus: 1, 9). Esigabeni sesibili socwaningo, izilwane zithole ukudla okwehlisa amaprotheni ne-phosphorus okusesilinganisweni izinyanga ezingama-22 (ukudla okumanzi nokomile, ingxenye ngayinye engamaphesenti angama-50 esidingo samandla, (iRoyal Canin Senior Consult Stage 2 [manje esiqanjwe kabusha ngokuthi iRoyal Canin. I-Renal Early]), amaprotheni: 76 kuya ku-98 g/Mcal, i-phosphorus: 1.4 kuya ku-1.6 g/Mcal, isilinganiso se-calcium-phosphorus: 1.4 kuya ku-1.6) Izilinganiso zazihlanganisa ingqikithi ye-calcium, i-phosphorus, ne-hormone FGF23, ehilelekile ekulawuleni i-phosphate kuyinto.
Imiphumela nesiphetho
Ekuqaleni, amazinga e-calcium, i-phosphorus, kanye ne-FGF23 aphakathi kwebanga elijwayelekile lamakati anempilo. Inani le-phosphorus lahlala lingashintshile kulo lonke ucwaningo. Esigabeni sokuqala socwaningo, ngaphansi kokuvinjelwa okuqinile kwamaprotheni kanye ne-phosphorus, amazinga e-calcium asho ukuthi anda futhi ngasekupheleni kweqa umkhawulo ophezulu webanga elivamile le-calcium ephelele kumakati angu-5 kanye ne-calcium ionized kumakati angu-13. Isilinganiso sezinga le-FGF23 sikhuphuke safinyelela izikhathi ezingu-2.72 kunenani lesisekelo. Esigabeni sesibili socwaningo, ngokuncishiswa kwamaprotheni kanye ne-phosphorus okusesilinganisweni, i-calcium isiyonke ijwayelekile kuwo wonke amakati angaphambili ane-hypercalcemic, kanye ne-ionized calcium evamile kwamanye ala makati. Isilinganiso sezinga le-FGF23 sehliswe ngohhafu.
Isiphetho
Amakati ezigabeni zokuqala ze-CKD ahlakulela i-hypercalcemia lapho encishiswa kakhulu amaprotheni ne-phosphorus, axazululeka ngemva kokushintshela ekudleni okunokuqukethwe okulinganiselwe kwamaprotheni kanye ne-phosphorus. Ngaphezu kwalokho, izimpawu zezinso kanye nesilinganiso se-calcium-phosphorus sithuthukisiwe ngokudla okusesilinganisweni. Ababhali baphetha ngokuthi ukudla okuncishiswe ngokulingene amaprotheni kanye ne-phosphorus kungase kube yinzuzo kumakati ane-CKD yesigaba sokuqala.
Umbuzo Ovame Ukubuzwa
Yini amakati anenkinga yezinso angadla?
Inyama kufanele ibe yinyama yemisipha ikakhulukazi enamafutha amaningi. Inyama yehansi noma yedada, inyama yenkomo enamafutha (i-prime rib, inyama yekhanda, ubambo oluseceleni), noma ingulube ebilisiwe noma eyosiwe ifaneleka kahle lapha. Izinhlanzi ezinamafutha njenge-saumoni noma i-mackerel zizokwenza kanye ngesonto.
Ungawathuthukisa kanjani amanani ezinso kumakati?
Esinye sezinyathelo zokwelashwa ezivame kakhulu ukudla okukhethekile kwezinso. Ikati lakho elinesifo sezinso kufanele lihambisane nalokhu impilo yalo yonke. Ngaphezu kwalokho, udokotela wezilwane uzonikeza imithi (njengama-ACE inhibitors noma izidakamizwa ezilwa nomfutho wegazi ophezulu) futhi atuse izindlela zokwelapha ezisekelayo.
Ingabe izinso zingalulama emakatini?
Acute kusho ukuthi ikati lakho libe nesifo sezinso isikhathi esifushane. Ngokwelashwa okufika ngesikhathi, izinso ngokuvamile zingalulama ngokugcwele ekuhlulekeni okukhulu kwezinso. Isifo sezinso esingamahlalakhona sisho ukuthi sezinesikhathi eside izinso zekati lakho zinesifo.
Yini enhle ngezinso emakati?
Ngakho-ke ukudla okucebile nge-potassium ne-magnesium kuvame ukunconywa kumakati anesifo sezinso. Ingabe amazinga e-potassium egazi lekati lakho ahlolwe njalo?
Kukangaki ukumnika emakati anesifo sezinso?
Njengoba ikati libekezelela futhi lisadla ukudla. Ungakwazi futhi ukuletha ikati endaweni yokuhlolwa kwezilwane ngezikhathi ezithile ukuze ufakwe emthanjeni umile. Noma unganikeza uketshezi ngaphansi kwesikhumba sekati cishe kabili ngesonto ekhaya.
Kungani amakati amaningi kangaka enesifo sezinso?
Izinkinga zezinso emakati zingabangelwa izifo, umfutho wegazi ophakeme, noma izakhi zofuzo. Ukudla izinto ezinobuthi - okuhlanganisa izitshalo ezithile zasendlini noma izinsimbi ezisindayo (umthofu, i-mercury) - nakho kungabangela ukulimala okukhulu kwezinso.
Yimaphi amavithamini akumakati ahlulekayo kwezinso?
Ukuhlinzekwa kwama-antioxidants ancibilikayo emanzini namafutha afana novithamini C, uvithamini E, kanye ne-?-carotene kuyanconywa njengoba ukucindezeleka okwenziwe nge-oxidative ezicutshini zezinso kungaba nomthelela ekuqhubekeleni phambili kwalesi sifo.
Ikati elinokwehluleka kwezinso kufanele likhishwe nini?
Noma ubani ongumnikazi wekati elinesifo sezinso ngesinye isikhathi uzobhekana nombuzo: Kufanele ngilibeke nini ikati lami elinesifo sezinso phansi? Uma ikati elinesifo sezinso selifinyelele esigabeni sokugcina seCKD futhi izinso zingasebenzi futhi ikati lihlupheka nje, udokotela wakho wezilwane uzokwazisa.