Les nā pōhaku poʻi he pilikia olakino maʻamau.

ʻO ka hele ʻana i kēia mau pōhaku he mea ʻeha loa ia, a ʻo ka mea pōʻino, ʻoi aku ka nui o ka poʻe i loaʻa i nā pōhaku kīkī ke loaʻa hou ().

Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kēia pilikia.

Hōʻike kēia ʻatikala i ke ʻano o nā pōhaku kīkī a wehewehe i nā ala ʻai 8 e hakakā ai iā lākou.

He aha ke ʻano o nā pōhaku ʻāʻī?

ʻIke ʻia hoʻi ʻo nā pōhaku kīkī a i ʻole nephrolithiasis, ua hana ʻia lākou me ka ʻōpala paʻa paʻa e hōʻiliʻili i loko o nā puʻupaʻa a hana i nā kristal.

ʻEhā mau ʻano nui, akā ma kahi o 80% o nā pōhaku āpau he pōhaku calcium oxalate. ʻO nā ʻano liʻiliʻi maʻamau ka struvite, uric acid, a me ka cysteine.

ʻOiai ʻaʻole pilikia nā pōhaku liʻiliʻi, hiki i nā pōhaku nui ke hoʻopaʻa i kahi ʻāpana o kāu ʻōnaehana urinary ke haʻalele lākou i kou kino.

Hiki i kēia ke alakaʻi i ka ʻeha nui, ka luaʻi a me ke koko.

He pilikia olakino maʻamau ka pōhaku ʻāʻī. ʻO ka ʻoiaʻiʻo, ma kahi o 12% o nā kāne a me 5% o nā wahine ma ʻAmelika Hui Pū ʻIa e hoʻomohala i kahi pōhaku kīkī i ko lākou ola ʻana ().

Eia kekahi, inā loaʻa iā ʻoe ka pōhaku kīkī i hoʻokahi manawa, ʻōlelo ʻia nā haʻawina e piʻi ana ʻoe i ka 50% ʻoi aku ka nui o ka hana ʻana i pōhaku hou i loko o 5 a 10 mau makahiki (, , ).

Aia ma lalo iho he 8 mau ala maʻamau e hōʻemi ai i ka pilikia o ke kūkulu ʻia ʻana o nā pōhaku ʻē aʻe.

hōʻuluʻulu manaʻo He mau puʻupuʻu paʻa nā pōhaku kīʻaha i hana ʻia mai ka ʻōpala crystallized i loko o nā puʻupaʻa. He pilikia olakino maʻamau lākou a ʻo ka hele ʻana i nā pōhaku nui hiki ke ʻeha loa.

1. Noho wai

I ka hiki ʻana mai i ka pale ʻana i nā pōhaku kīkī, ʻōlelo pinepine ʻia ka inu ʻana.

ʻO nā wai e hoʻoheheʻe a hoʻonui i ka nui o nā mea hana pōhaku i loko o ka mimi, me ka liʻiliʻi o ka crystallize ().

Eia naʻe, ʻaʻole like nā wai a pau i kēia hopena. No ka laʻana, pili ka hoʻohana nui ʻana i ka wai me ka haʻahaʻa haʻahaʻa o ke kūkulu ʻia ʻana o nā pōhaku kīkī (,).

ʻO nā mea inu e like me ke kofe, ke kī, ka pia, ka waina a me ka wai ʻalani i pili pū me ka pilikia haʻahaʻa (, , ).

Ma ka ʻaoʻao ʻē aʻe, ʻo ka ʻai ʻana i ka nui o ka soda hiki ke kōkua i ka hoʻokumu ʻana o nā pōhaku kīkī. He ʻoiaʻiʻo kēia no nā sodas sugary a me nā mea ʻono i hana ʻia ().

Loaʻa i nā mea inu momona ka fructose, ka mea i ʻike ʻia e hoʻonui i ka excretion o ka calcium, oxalate a me ka uric acid. ʻO kēia nā kumu nui no ka pilikia o nā pōhaku kīkī (,).

Ua hoʻopili pū kekahi mau haʻawina i ka hoʻohana nui ʻana i ke kō a me ka colas i hoʻomaʻamaʻa ʻia i ka piʻi ʻana o nā pōhaku maʻi, ma muli o kā lākou phosphoric acid content (, ).

hōʻuluʻulu manaʻo He mea nui ka noho wai wai no ka pale ʻana i nā pōhaku kīkī. ʻOiai ʻo kekahi mau mea inu e hoʻemi i ka pilikia, hiki i kekahi ke hoʻonui.

2. E hoʻonui i kāu ʻai citric acid

he ʻakika organik i loaʻa i nā huaʻai a me nā mea kanu, ʻoi aku ka nui o nā hua citrus. He waiwai nui nā Lemona a me nā limes i kēia pūhui mea kanu ().

Hiki i ka ʻakika Citric ke kōkua i ka pale ʻana i nā pōhaku kīkī calcium oxalate ma nā ala ʻelua ():

1. Kāohi i ka hana pōhaku: Hiki iā ia ke hoʻopaʻa i ka calcium i loko o ka mimi, e hōʻemi ana i ka pilikia o ka hana ʻana o nā pōhaku hou (, ).
2. Kāohi i ka hoʻonui ʻia ʻana o ka pōhaku: Hoʻopili ia i nā kristal calcium oxalate i kēia manawa, e pale ana iā lākou mai ka ulu ʻana. Hiki iā ia ke kōkua iā ʻoe e hele i kēia mau kristal ma mua o ka lilo ʻana i mau pōhaku nui (, ).

ʻO kahi ala maʻalahi e ʻai ai i ka waika citric ʻoi aku ka nui o ka ʻai ʻana, e like me ka huaʻala, ʻalani, lemona a i ʻole nā ​​lime.

Hiki iā ʻoe ke hoʻohui i ka lime a i ʻole ka wai lemon i kāu wai.

hōʻuluʻulu manaʻo ʻO ka waika Citric kahi mea kanu i hiki ke kōkua i ka pale ʻana i ka hana ʻana o nā pōhaku kīkī. ʻO nā hua Citrus nā kumu meaʻai maikaʻi loa.

3. E kaupalena i nā meaʻai kiʻekiʻe i ka oxalates

he antinutrient i loaʻa i ka nui o nā meaʻai mea kanu, me nā lau lau, nā huaʻai, nā mea kanu, a me ka koko ().

Eia kekahi, hana nui kou kino ia mea.

Hiki ke hoʻonui i ka oxalate excretion i loko o ka mimi, hiki ke pilikia i ka poʻe e hana i ka oxalate ().

Hiki i ka Oxalate ke hoʻopaʻa i ka calcium a me nā minela ʻē aʻe, e hana ana i nā kristal e hiki ke alakaʻi i ka hoʻokumu ʻana i nā pōhaku ().

Eia nō naʻe, ʻoi aku ka maikaʻi o nā meaʻai kiʻekiʻe i ka oxalate, no laila ʻaʻole ʻōlelo ʻia ka ʻai haʻahaʻa haʻahaʻa oxalate no nā mea hana pōhaku a pau.

ʻO ka ʻai haʻahaʻa-oxalate wale nō ka manaʻo no ka poʻe e loaʻa ana i ka hyperoxaluria, kahi maʻi i hōʻike ʻia e nā kiʻekiʻe o ka oxalate i loko o ka mimi ().

Ma mua o ka hoʻololi ʻana i kāu meaʻai, e nīnau i kāu mea mālama ola a i ʻole ka meaʻai meaʻai e ʻike inā e pōmaikaʻi paha ʻoe i ka hoʻopaʻa ʻana i kāu ʻai ʻana i nā meaʻai kiʻekiʻe i ka oxalate.

hōʻuluʻulu manaʻo Hiki i nā meaʻai kiʻekiʻe i ka oxalate ke pilikia no kekahi poʻe. Eia naʻe, e ʻimi i ka ʻōlelo aʻoaʻo mai ke kauka lapaʻau ma mua o ka hoʻopaʻa ʻana i kēia mau meaʻai, no ka mea, ʻaʻole pono kēia i nā mea a pau i loaʻa i ka pōhaku.

6. E hoemi i ka paakai

Hoʻopili ʻia kahi meaʻai momona i ka piʻi nui ʻana o nā pōhaku kīkī i kekahi poʻe (,).

ʻO ka lawe nui ʻana i ka sodium, kahi ʻāpana o ka paʻakai papaʻaina, hiki ke hoʻonui i ka excretion calcium ma o ka mimi, ʻo ia kekahi o nā kumu pilikia nui no nā pōhaku ʻāʻī ().

ʻO kēlā ʻōlelo, ʻaʻole i loaʻa i kekahi mau haʻawina i nā ʻōpio ʻōpio kahi hui (, , ).

ʻO ka hapa nui o nā alakaʻi meaʻai e ʻōlelo i nā kānaka e kaupalena i kā lākou inu sodium i 2 mg i kēlā me kēia lā. Eia naʻe, ʻoi aku ka nui o ka poʻe i ʻai i kēia nui (, ).

ʻO kekahi o nā ala maikaʻi loa e hōʻemi ai i kāu ʻai ʻana i ka sodium ʻo ka ʻoki ʻana i nā meaʻai i hoʻopaʻa ʻia ().

hōʻuluʻulu manaʻo Inā maʻalahi ʻoe i ka hoʻokumu ʻia ʻana o nā pōhaku kīkī, hiki ke kōkua ka hoʻemi ʻana i ka sodium. Hiki i ka sodium ke hoʻonui i ka nui o ka calcium āu e hoʻokuʻu ai i ka mimi.

7. Hoʻonui i kāu ʻai magnesium

ʻO ka Magnesium kahi mineral koʻikoʻi i ʻai ʻole ʻia e nā poʻe he nui i ka nui ().

Hoʻopili ʻia ia i nā haneli o nā hopena metabolic i loko o kou kino, me ka hoʻoulu ʻana o ka ikehu a me ka neʻe ʻana o ka ʻiʻo ().

Aia kekahi mau hōʻike e hiki ai i ka magnesium ke kōkua i ka pale ʻana i ka hoʻokumu ʻana o nā pōhaku oxalate calcium (, , ).

ʻAʻole maopopo ke ʻano o kēia hana, akā ua manaʻo ʻia e hiki i ka magnesium ke hoʻemi i ka absorption o ka oxalate i loko o ka ʻōpū (, , ).

Eia naʻe, ʻaʻole ʻae nā haʻawina a pau i ke kumuhana (, ).

ʻO ka Reference Daily Intake (RDI) no ka magnesium he 420 mg i kēlā me kēia lā. Inā makemake ʻoe e hoʻonui i ka ʻai ʻana i ka magnesium, ʻoi aku ka maikaʻi o nā avocados, legumes, a me ka tofu.

No ka loaʻa ʻana o nā pōmaikaʻi nui loa, e ʻai i ka magnesium me nā meaʻai momona i ka oxalate. Inā ʻaʻole ia he koho, e hoʻāʻo e ʻai i kēia mineral i loko o 12 mau hola o ka ʻai ʻana i nā meaʻai momona oxalate ().

hōʻuluʻulu manaʻo Hōʻike kekahi mau haʻawina ʻo ka hoʻonui ʻana i kāu ʻai magnesium hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i ka oxalate absorption a hōʻemi i ka pilikia o nā pōhaku kīkī.

8. E ʻai liʻiliʻi i ka protein holoholona

ʻO ka meaʻai momona i nā kumu protein holoholona, ​​​​e like me ka iʻa a me nā huahana waiu, pili i ka nui o ka pilikia o nā pōhaku ʻeke.

Hiki i ka lawe nui ʻana i ka protein holoholona ke hoʻonui i ka excretion calcium a hoʻemi i nā pae citrate (,).

Eia kekahi, he kiʻekiʻe nā kumu protein holoholona i nā purines. Ua wāwahi ʻia kēia mau pūhui i loko o ka ʻakika uric a hiki ke hoʻonui i ka pilikia o ka hoʻokumu ʻana i nā pōhaku uric acid (,).

Loaʻa nā purine i nā meaʻai a pau ma nā ʻano like ʻole.

ʻO nā puʻupaʻa, nā ate a me nā mea ʻē aʻe he waiwai nui i ka purines. Ma kekahi ʻaoʻao, ʻilihune nā meaʻai mea kanu i kēia mau mea.

hōʻuluʻulu manaʻo ʻO ka ʻai nui ʻana i ka protein holoholona hiki ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i nā pōhaku kīkī.

ʻO ka laina lalo

Inā loaʻa iā ʻoe ka pōhaku ʻāʻī, e ulu hou ana ʻoe i loko o 5 a 10 mau makahiki. ʻO ka mea pōmaikaʻi, ʻo ka lawe ʻana i kekahi mau meaʻai hiki ke kōkua i ka hōʻemi ʻana i kēia pilikia.

No ka laʻana, hiki iā ʻoe ke hoʻāʻo e hoʻonui i kāu inu wai, ʻai i nā meaʻai momona i kekahi mau meaʻai, ʻai ʻole i ka protein holoholona, ​​​​a pale aku i ka sodium.

Hiki i kekahi mau ʻanuʻu maʻalahi ke hele lōʻihi i ka pale ʻana i nā pōhaku ʻeha ʻeha.