Ukudla okungenayo i-vitamin K: umhlahlandlela ophelele wokugwema ukusebenzisana nabanciphisa igazi

Lapho umuntu eqala ukwelashwa ngama-anticoagulants afana ne-warfarin noma i-acenocoumarol (eyaziwa kangcono ngokuthi i-Sintrom), enye yezindaba ezibaluleke kakhulu okufanele iqashwe ukudla kwabo kwansuku zonke, ikakhulukazi okuqukethwe kwayo kwe-vitamin K. Abantu abaningi abaqapheli ukuthi ukudla okuthile kungaphazamisa kanjani imiphumela yale mithi, okungenza kube nzima ukulawula ukujiya nokwandisa ingozi yokopha kanye ne-thrombosis. Ngakho-ke, ukuqonda ukuthi yikuphi ukudla okuqukethe uvithamini K, okungenawo uvithamini K, nokuthi yiziphi iziqondiso zokudla okufanele zilandelwe kubalulekile ukuze kuphephe nokusebenza kokwelashwa.

I-Vitamin K idlala indima ebalulekile ekujiyeleni igazi futhi inomthelela empilweni yamathambo nemithambo yegazi. Kodwa-ke, lapho sithatha ama-anticoagulants omlomo asebenza ngokumelene nale vithamini, ukuphuza okungajwayelekile noma ngokweqile kungashintsha kakhulu ukusebenza kokwelashwa. Ngezansi, sizobheka kabanzi mayelana nokudla okunovithamini K ophansi, indlela yokuhlela ukudla okuphephile ukuze ugweme ukusebenzisana, nokuthi yiziphi izincomo ezijwayelekile okufanele zilandelwe ukuze kugcinwe ukudla okunempilo ngaphandle kokuyekethisa ukulawulwa kwe-anticoagulant therapy.

Kungani i-vitamin K ibalulekile kubantu abasebenzisa izidakamizwa zegazi?

I-Vitamin K ephikisana ne-anticoagulant, njenge-warfarin noma i-acenocoumarol, inqunyelwe ukuvimbela amahlule egazi kubantu abasengozini enkulu yenhliziyo, i-atrial fibrillation, ama-valve okufakelwa, noma umlando we-thrombosis. Lezi zidakamizwa zisebenza ngokuvimbela isenzo sikavithamini K ekusebenziseni izici ze-coagulation., okunganciphisa amandla omzimba okwenza amahlule. Ngakho-ke, ukushintsha okungazelelwe kokuthatha i-vitamin K kungashintsha umphumela womuthi, okwandisa ingozi yokopha noma amahlule egazi uma kusetshenziswe kakhulu noma kuncane kakhulu, ngokulandelana.

Ngakho-ke, Okubalulekile akukona ukuqeda ngokuphelele i-vitamin K ekudleni, kodwa ukugcina ukudla okuzinzile nokulinganiselwe.. Lokhu kuqinisekisa ukuthi ukwelashwa kusebenza ngokuphepha nangokubikezela.

Imithamo enconyiwe yansuku zonke kavithamini K

Inani elinconyiwe likavithamini K liyahlukahluka kuye ngeminyaka, ubulili, nesimo somzimba. Kwabadala, Ukudla okunconyiwe yi-120 micrograms/ngosuku kwabesilisa kanye nama-microgram angama-90/ngosuku kwabesifazane.. Lawa manani angase alungiswe ngokusekelwe emiyalweni kachwepheshe, ikakhulukazi ezigulini ezelashwa nge-anticoagulant.

Yikuphi ukudla okunothe ngovithamini K?

Isinyathelo sokuqala sokugwema ukusebenzisana siwukujwayelana nokudla okunenani eliphezulu likavithamini K, ngokuvamile otholakala ngobuningi emikhiqizweni ethile yezitshalo nakwezinye izitho zomzimba:

• Imifino enamahlamvu aluhlaza: Isipinashi, i-kale, i-chard, imifino ye-collard, ulethisi, i-kale, i-arugula, nemifino yesinaphi iqukethe amazinga aphezulu kavithamini K.
• Eminye imifino: I-Broccoli, ukholifulawa, amahlumela aseBrussels, i-asparagus, uphizi, imifino yetheniphu, neklabishi nakho kugqama ngokuqukethwe kwakho okuphezulu.
• Khetha izithelo: Ukwatapheya, i-kiwi, amagilebhisi, amakhiwane, ama-plums namagilebhisi omisiwe anganikeza amanani abalulekile.
• I-Viscera: Isibindi, ikakhulukazi enkukhu kanye nenyama yenkomo, singenye yemithombo eyinhloko yezilwane kavithamini K.
• Imikhiqizo evutshiwe: I-Sauerkraut, i-kimchi, nama-gherkins afakwe emanzini anosawoti, ngenqubo yokuvutshelwa kwamagciwane, inikeza umnikelo obalulekile.

Ukudla okunovithamini K omaphakathi

Kunemikhiqizo okuthi, nakuba ingacebile kakhulu kuvithamini K, inganikeza amanani aphakathi nendawo uma idliwe ngezingxenye ezinkulu noma njalo. Phakathi kwazo kukhona:

• Imayonnaise, imajarini, namafutha emifino njengobhontshisi wesoya, ummbila, amakinati, noma ubhekilanga.
• I-apula (ikakhulukazi ngesikhumba), upelepele, u-anyanisi, ikhukhamba, utamatisi, isanqante nesilimo esidliwayo esinamagatsha anamanzi.
• Amantongomane anjengamakinati nama-pistachios.
• Ukufakwa okufana netiye eliluhlaza, itiye elimnyama, i-chamomile, neziphuzo ze-licorice.
• Inyama ecutshunguliwe: amasoseji, i-ham, amasoseji, i-fuet, i-chorizo ​​​​kanye ne-pâté.
• Izinhlanzi ezisemathinini: i-tuna ekheniwe, ama-sardine emafutheni, i-surimi, ne-salmon ebhenywayo.
• Amasoso wezimboni (uhlobo lwe-ketchup) nesoso yesoya.

Le mikhiqizo ingahlanganiswa ekudleni, kodwa ukuhluka okukhulu ekusetshenzisweni kwayo kufanele kugwenywe.

Yikuphi ukudla okungenawo noma amanani amancane kavithamini K?

Ngenhlanhla, kuningi ukudla okuvamile ekudleni kwaseMedithera okuqukethe uvithamini K omncane futhi kungadliwa ngaphandle kwemikhawulo ekhethekile:

• I-pasta, irayisi, isinkwa, okusanhlamvu, amazambane kanye nokuphuma kokunye: Lokhu kudla okuyisisekelo kunikeza amandla, ukusutha, futhi akuphazamisi izinto ezinciphisa igazi.
• Imikhiqizo yobisi e-skimmed noma enamafutha aphansi: Ubisi, iyogathi kanye noshizi omhlophe kunikeza amaprotheni ne-calcium, engenawo uvithamini K.
• Izithelo ezahlukahlukene: I-pear, i-apula (ngaphandle kwesikhumba), i-peach, i-papaya, i-melon, ikhabe, i-strawberry, i-orange, i-cherries noma i-ananas yizinketho eziphephile, ezihlala zilinganiselwe futhi zigwema i-kiwi, amagilebhisi, amakhiwane nama-plums.
• Inyama engenamafutha nezinhlanzi ezintsha: Inkukhu, i-turkey, inyama yenkomo, ingulube, kanye nezinhlanzi ezimhlophe neziluhlaza ezingakalungiswa, zingafakwa ngokujwayelekile, ngaphandle kwenyama yesitho esinjengesibindi noma imikhiqizo egayiwe.
• Amaqanda ne-curd Ziyimithombo emihle yamaprotheni ngaphandle kokuguqula amazinga kavithamini K.
• Izembe: Ubhontshisi omhlophe, uphizi, nodali kungadliwa ngezingxenye ezivamile, nakuba uphizi nobhontshisi obanzi kufanele kudliwe ngokusesilinganisweni.
• Amafutha namafutha: El i-virgin olive oilNakuba kungamafutha anovithamini K omningi, umnikelo wawo mncane uma uqhathaniswa nezinzuzo zawo futhi ungasetshenziswa njengamafutha okupheka ayinhloko.
• Iziphuzo: Amanzi, amajusi ezithelo, ikhofi nama-cola kungadliwa ngaphandle kwenkinga.

Amathiphu okudla abantu abanciphisa igazi

Ukuze unciphise ubungozi bokusebenzelana nezinkinga, ochwepheshe batusa ukulandela le mihlahlandlela ebalulekile:

• Gwema izinguquko ezinkulu ekusetshenzisweni kokudla okunothe ngovithamini K; gcina imvamisa kanye nenani lemifino enamahlamvu eluhlaza izinzile ngangokunokwenzeka.
• Beka kuqala ukudla okunovithamini K futhi ugcine ukudla okuhlukahlukene okuhlangabezana nezidingo zomzimba.
• Qaphela ngezithako zamavithamini nezitshalo zokwelapha (i-ginseng, i-ginkgo biloba, i-orlistat, i-bile acid sequestrants), njengoba zingase ziguqule ukumuncwa kanye nokusetshenziswa kwe-vitamin K noma imithi.
• Hlala wazisa ithimba lakho lezokwelapha mayelana nanoma yiziphi izinguquko emikhubeni yokudla, ukwethulwa kwezithako zokudla, noma izimo ezingase ziguqule ukumuncwa kwezakhi.
• Ungalokothi uyeke ukwelashwa ngaphandle kweseluleko esicacile sochwepheshe bezempilo.

I-athikili ehlobene:

Umhlahlandlela ophelele wokudla okungenayo i-FODMAP ukuze uthuthukise impilo yakho yokugaya.

Isibonelo semenyu ephephile yeziguli ezine-anticoagulated

Ukuklama imenyu kulula uma ukhetha ukudla okuphansi kwe-vitamin K futhi i-monotony iyagwenywa. Isiphakamiso singaba:

• ISIKRISTU: Ikhofi noma itiye elinobisi oluncibilikisiwe, isinkwa se-rye esifakwe amafutha omnqumo kanye nocezu lwesithelo (ipheya noma i-apula elingenasikhumba).
• UKUDLA: Isifuba senkukhu eyosiwe, irayisi notamatisi wemvelo kanye nekhukhamba nesaladi ye-carrot; for dessert, izithelo zonyaka.
• ISIKISO: Isaladi lesithelo (ukugwema lezo ezinikeza uvithamini K), noshizi omusha kanye nedlanzana lama-alimondi.
• ISIDLO: Ukhilimu wesobho lemifino (ngaphandle kwesipinashi noma i-broccoli), i-omelet yamazambane kanye nezithelo ezithambile ezifana nekhabe noma ikhabe.

Ezinye izici ezingashintsha umphumela wama-anticoagulants

Ezinye izimo okufanele zicatshangelwe ezingase ziguqule ukusebenza kokwelashwa yilezi:

• Iziqephu zokuhlanza, isifo sohudo, noma imfiva enciphisa ukumuncwa kwe-vitamin K kanye nomuthi emathunjini.
• Ukuphuza utshwala ngokweqile, okungathuthukisa umphumela we-anticoagulant futhi kwandise ingozi yokopha.
• Amagciwane, izinguquko zamahomoni, ukushintshashintsha kwesisindo somzimba, nokuphazamiseka kwesibindi nakho kungaba nomthelela ekuphenduleni ekwelashweni.

Uma kwenzeka noma yiluphi ushintsho olubalulekile, kunconywa ukuthi uthintane ngokushesha nodokotela wakho noma ithimba le-anticoagulation. ukulungisa umthamo uma kunesidingo.

Imibuzo evame ukubuzwa mayelana nokudla kanye nezinto ezinciphisa igazi

Ingabe kufanele ngisuse ngokuphelele i-vitamin K ekudleni kwami?

Akunconywa ukuyisusa ngokuphelele., njengoba umzimba udinga i-vitamin K yeminye imisebenzi (amathambo, imithambo, amasosha omzimba). Isihluthulelo siwukuthi gcina ukudla njalo nokulawulwayo.

Ngingakwazi ukuphuza utshwala uma ngithatha i-Sintrom noma i-warfarin?

Ingilazi eyodwa kabhiya noma iwayini ivunyelwe ngosuku kwabesifazane futhi kuze kube ezimbili kwabesilisa.. Ukweqa le mingcele kwandisa ingozi yokopha.

Ingabe kuyingozi ukuthatha izithasiselo noma izitshalo zokwelapha?

Ezinye izithasiselo namakhambi (njenge-ginseng ne-ginkgo biloba) zingashintsha izikhathi zokujiyisa. Hlala uthintana ngaphambi kokufaka noma yimuphi umkhiqizo wamakhambi noma isithako ekudleni kwakho..

Kufanele ngithathe nini i-anticoagulant?

Njengomthetho ojwayelekile, kuthathwa phakathi 17:00 futhi 19:00. Lokhu kungenxa yokuthi ukuhlolwa kokulawula kuvame ukwenziwa ekuseni, okuvumela umthamo ukuthi ulungiswe ngokushesha uma kunesidingo.

Ngenzenjani uma ngiphuthelwa umthamo?

Imithamo emibili akufanele ihlanganiswe ngosuku olufanayo.. Uma ukhohlwa ukuphuza imithi yakho, khuluma nodokotela wakho mayelana nokuthi yini okufanele uyenze ngokulandelayo.

Izincomo zokugcina zokuqinisekisa ukuphepha nokusebenza ngempumelelo

Impumelelo yokwelashwa kwe-anticoagulant incike kukho kokubili ukulawulwa kwemithi kanye a ukudla okwaziyo kanye nolwazi oluphelele. Kuyafaneleka:

• Hlela ukudla kwakho masonto onke ukuze uqinisekise njalo futhi ezihlukahlukene.
• Funda amalebula amasoso, ukudla okuphekiwe, nezinto ezilondoloziwe, njengoba zingase zibe nezithako ezinothe ngovithamini K.
• Rekhoda ukudla okudlayo uma ukwelashwa kuqalwa ukuze kutholwe ukuhluka okungaba khona okungafuneki.
• Hlala uxoxisana nanoma yikuphi okukukhathazayo nethimba lakho lezempilo futhi unganciki kuphela emithonjeni evamile noma i-inthanethi.

Ukuze ufunde kabanzi mayelana nokudla okungenayo i-vitamin K, sincoma ukuthi uhlole lokhu Umhlahlandlela ophelele wokudla okungenalo i-gluten kanye nezinzuzo zako zokugaya ukudla.