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Monday, April 18, 2011

কিডনি রোগীর খাদ্য তালিকা


Wv. †gvt †gv¯dv Kvgvj

wKWwb †iv‡Mi bvg ïb‡jB Avgiv Auvr‡K DwV| fve‡Z _vwK Rxeb mvqv‡ý †cuŠ‡Q †MwQ| ïi nq we‡`‡k DbœZ wPwKrmvi Rb¨ †QvUvQywU|
Avgv‡`i †`‡k wKWwb †ivMxi msL¨v AvksKvRbK nv‡i evo‡Q| wKQy wKWwb †ivM Av‡Q hvi mgqg‡Zv Dchy³ wPwKrmv bv n‡j wKWwb †dBjyi n‡q hvq| wKWwb †dBjy‡ii Ab¨Zg KviY nj Awbqwš
¿Z DPi³Pvc Ges Wvqv‡ewUm †ivM| Z‡e wKWwb †dBjyi n‡jI Nve‡o hvIqvi KviY †bB| eZ©gv‡b †`‡k I we‡`‡k Gi AvaywbK wPwKrmv we`¨gvb| †gwWwmb I Ab¨ wPwKrmvi cvkvcvwk wKWwb †dBjy‡i Dietary modification-Gi ¸iZ¡c~Y© f‚wgKv i‡q‡Q| wKWwb dvskb I †dBjy‡ii avc Ges Ab¨vb¨ A‡½i dvskb wbiƒcY K‡i Dchy³ Lv`¨ZvwjKv ˆZwi K‡i mylg Lvevi †L‡j †ivMx cÖvq ¯^vfvweK Rxebhvcb Ki‡Z cv‡ib| Wv‡q‡Ui D‡Ïk¨ nj (1) mwVK cywógvb eRvq ivLv (2) wKWwbRwbZ welwµqv Kwg‡q ivLv (3) kix‡i cÖ‡qvRbxq †cÖvwUb †f‡O †h‡Z evav †`qv (4) †ivMxi kixi fv‡jv jvMv Ges wKWwb †dBjy‡ii eZ©gvb Ae¯’v †_‡K †hb Avi Lvivc bv nq (5) WvqvjvBwm‡mi cÖ‡qvRbxqZv Kwg‡q Avbv| wPwKrmv weÁvbxiv GKgZ n‡q‡Qb, wKWwb †ivMx‡K cÖ‡qvRbxq †cÖvwUb (Amino acid of high biological value) w`‡Z n‡e| †hgb- wWg I `ya| Ab¨vb¨ †cÖvwUbI mxwgZ Ki‡Z n‡e| KviY IBme †cÖvwUb kix‡i Rgv n‡q BDwiqv I bvB‡Uªv‡Rb ˆZwi K‡i| cvkvcvwk ch©vß cwigv‡Y A‡cÖvwUb RvZxq K¨vjwi w`‡Z n‡e †cÖvwU‡bi h_vh_ e¨env‡ii Rb¨|
Lv`¨kw³ (Energy)
G †ivMx‡K ch©vš
cwigvY K¨vjwi w`‡Z n‡e| ch©vß K¨vjwi bv w`‡j kix‡ii wUmy¨ †f‡O i‡³ BDwiqv Ges cUvwkqv‡gi gvÎv evwo‡q w`‡j wKWwbi c‡¶ G¸‡jv AcmviY Kiv `ytmva¨ nq| cÖvßeq¯‹‡`i w`‡Z n‡e 35-40 wK‡jvK¨vjwi kix‡ii cÖwZ †KwR Av`k© IR‡bi Rb¨ A_ev 2000-3000 wK‡jvK¨vjwi cÖwZw`b, hviv wbqwgZ wn‡gvWvqvjvBwmm/†cwiUwb‡qj WvqvjvBwmm K‡ib| †hme †ivMx AbeiZ †cwiUwb‡qj WvqvjvBwmm MÖnY K‡ib Zviv WvqvjvB‡mU †_‡K M­y‡KvR †kvlY K‡i Ges Zv‡`i AwZwi³ IRb ev‡o| †k¦ZmviB K¨vjwii cÖavb Drm Ges †cÖvwU‡bi m‡½ GKm‡½ †L‡Z n‡e| myZivs Lv`¨kw³i Rb¨ †cÖvwUb e¨enƒZ n‡e bv| AwZwi³ †cÖvwUbgy³ †k¦Zmvi Ges Kg B‡jK‡UªvjvBU mvwc­‡g›U MÖnY Ki‡j †ewk cwigv‡Y Lv`¨kw³ ev‡o|
†cÖvwUb
†cÖvwUb 0.6 MÖvg kix‡ii cÖwZ †KwR Av`k© IR‡bi Rb¨ w`‡j bvB‡Uªv‡Rb e¨v‡jÝ fv‡jv nq Ges hv‡`i WvqvjvBwmm nqwb Zviv Gi †_‡K †ewk wbqš
¿Y Ki‡j kixi ïwK‡q hvq| Kg †cÖvwUbmg„× Lvevi (25 MÖv‡gi Kg) hy³ G‡mbwkqvj GgvB‡bv GwmW Ges wK‡Uv GwmW w`‡j wKWwb †dBjyi †ivMx‡`i bvB‡Uªv‡Rb e¨v‡jÝ fv‡jv nq| wn‡gvWvqvjvBwm‡mi †ivMx‡K 1.0 MÖvg †cÖvwUb cÖwZ †KwR kix‡ii IR‡bi Rb¨ w`‡Z n‡e, wn‡gvWvqvjvBwm‡m ¶wZ nIqv †cÖvwUb †gUv‡bvi Rb¨|
†Zj
µwbK wKWwb †dBjy‡i mvaviYZ wjwcW †cÖvdvBj ev‡o myZivs UªvBwM­mvivBW I †Kv‡j‡÷ij Kg ivL‡Z n‡e Ges cwjAvbm¨vPz‡i‡UW †Zj †ewk w`‡Z n‡e|
cUvwkqvg
AwZwi³ ev Kg cUvwkqvg `ywUB †ivMxi Rb¨ Lvivc| µwbK wKWwb †dBjy‡i mvaviYZ cUvwkqvg e„w× nq| †ivMxi i‡³ Ges cÖkÖv‡e cUvwkqv‡gi gvÎv †`‡L WvqvjvBwm‡Ui gvÎv wba©viY Ki‡Z n‡e| WvqvjvBwmm nqwb Ggb †ivMx‡`I 1500 wgwjMÖvg †_‡K 2000 wgwjMÖvg cUvwkqvg w`‡Z n‡e| wn‡gvWvqvjvBwmm †ivMx‡K w`‡Z n‡e 2700 wgwjMÖvg Ges †cwiUwb‡qj WvqvjvBwmm n‡j 3000 †_‡K 3500 wgwjMÖvg| cÖvwYR †cÖvwUb, A‡bK dj Ges kvKmewR‡Z cUvwkqvg †ewk _v‡K| myZivs G¸‡jv ev` w`‡Z n‡e| AbeiZ Pjgvb †cwiUwb‡qj WvqvjvBwmm †ivMx‡`i cUvwkqvg mxwgZ Kivi cÖ‡qvRb †bB|
†mvwWqvg
kix‡i im, D
Pi³Pvc Ges nvU© †dBjy‡ii Kvi‡Y jeY wbqš¿Y Ki‡Z n‡e| WvqvjvBwmm nqwb Ggb DP i³Pvcm¤úbœ †ivMx‡K GK MÖvg †mvwWqvg ˆ`wbK †`qv †h‡Z cv‡i| Z‡e †mvwWqv‡gi Afve _vK‡j `yB MÖvg ˆ`wbK w`‡Z n‡e| wn‡gvWvqvjvBwmm Pj‡Q Ggb †ivMx‡`i ˆ`wbK w`‡Z n‡e 1.0 †_‡K 1.5 MÖvg| †cwiUwb‡qj WvqvjvBwmm †ivMx‡`i 2.0 †_‡K 3.0 MÖvg| AbeiZ Pjgvb †cwiUwb‡qj WvqvjvBwmm †ivMx‡`i †mvwWqvg wbqš¿Y Kivi `iKvi †bB| Z‡e i³Pvc Kg n‡j †mvwWqvg w`‡Z n‡e|
dmdivm
BDwiqv †ewk †ivMx‡`i µgvš^‡q dmdivm †j‡fj †miv‡g evo‡Z _v‡K Ges †ivMxi Gwm‡Wvwmm nq| dmdivm †j‡ej wbqš
¿Y Kivi Rb¨ w`‡b 600 †_‡K 1200 wgwjMÖvg dmdivm Lv‡`¨ w`‡Z n‡e| †WBwii Drcvw`Z Lvevi mxwgZ Ki‡Z n‡e †h‡nZz Zv‡`i g‡a¨ †ewk dmdivm _v‡K Ges Zv‡Z K¨vjwmqv‡gi gvÎv Kg‡e| A¨vjywgwbqvg nvB‡WªvA·vBW †Rj cÖvqB †`qv nq A‡š¿ dm‡dU‡K eÜb Kivi Rb¨|
K¨vjwmqvg
wKWwb †dBjy‡i mvaviYZ K¨vjwmqv‡gi gvÎv K‡g hvq Ges wKWwbi ¶wZ nq| mvaviYZ †cÖvwUb I dmdivm mg„× Lvevi mxwgZ Kivi Kvi‡Y K¨vjwmqvgI K‡g hvq| †mivg K¨vjwmqvg †j‡fj wbweofv‡e ch©‡e¶Y Ki‡Z n‡e Ges GwU mvwc­‡g›U Ki‡Z n‡e I ¯^vfvweK gvÎvq Avb‡Z n‡e| µwbK BD‡iwgK †ivMx‡K w`‡b 1.2 †_‡K 1.6 MÖvg Ges WvqvjvBwmm †ivMx‡K 1.0 MÖvg w`‡Z n‡e|
LwbR
ïay Lv`¨ Avqib Ges †Uªm wgbv‡ij‡mi Pvwn`v †gUv‡Z cv‡i bv| myZivs LwbR mvwc­‡g›U Ki‡Z n‡e| wKWwb †dBjy‡i LvIqvi Ai
wP nq| †m‡¶‡Î wRsK mvwc­‡g›U Ki‡j iwPi cwieZ©b N‡U|
wfUvwgb
WvqvjvBwm‡mi mgq wfUvwgb wm Ges we kixi †_‡K †ei n‡q hvq| GB wfUvwgb¸‡jv Kg LvIqv nq| KviY KuvPv kvKmewR mxwgZ Kiv nq Ges Lv`¨ A‡bK cvwbi g‡a¨ ivbœv Kiv nq cUvwkqv‡gi gvÎv Kgv‡bvi Rb¨| dwjK GwmW Ges Gmg‡q cvBwiWw·‡bi cÖ‡qvRb I GwU cÖ‡qvRb nq Ab¨vb¨ Ily‡ai wecixZ Kvh©KvwiZvi Rb¨| wfUvwgb wWÕi wecvK wµqvq e¨vNvZ N‡U| KviY †dBjyi nIqv wKWwb wfUvwgb wW-†K A¨vKwUf d‡g© wb‡Z cv‡i bv| myZivs me wfUvwgbm mvwc­‡g›U Ki‡Z nq|
cvwb
µwbK wKWwb †dBjy‡i cvwb MÖnY wbweofv‡e gwbUi Ki‡Z n‡e| hw` D
Pi³Pvc ev BwWgv bv _v‡K, Z‡e ˆ`wbK 500 wgwjwjUvi †hvM K‡i †h cwigvY cÖkÖve nq Zv w`‡Z n‡e| †`o †_‡K wZb wjUvi ch©š †`qv †h‡Z cv‡i| hw` cÖkÖve G‡Kev‡iB bv nq ev Kg nq Zvn‡j cvwb †`o wjUv‡ii wb‡P mxwgZ ivL‡Z n‡e| WvqvjvBwmm nIqv †ivMxi IRb ˆ`wbK GK cvDÛ ch©š evo‡Z †`qv †h‡Z cv‡i| AbeiZ †cwi‡Uvwb‡qj WvqvjvBwmm †bqv †ivMxi cvwb mxwgZ Kivi cÖ‡qvRb †bB, KviY Zviv cvwbi cwigvY wbqš¿Y Ki‡Z cv‡i WvqvjvB‡mU †_‡K|
†jLK : wbDwUªkb we‡klÁ
†m›Uªvj nvmcvZvj, MÖxb †ivW, XvKv|

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