Papaʻai paʻakai haʻahaʻa

Hiki ke maikaʻi ʻole ka nui o ka sodium i kāu papaʻai. Inā loaʻa ʻoe i ke kiʻekiʻe o ke koko a me ka puʻuwai o ka puʻuwai, e noi ʻia paha ʻoe e kaupalena i ka nui o ka paʻakai (kahi i loaʻa ka sodium) āu e ʻai ai i kēlā me kēia lā. E kōkua kēia mau ʻōlelo aʻoaʻo iā ʻoe e koho i nā meaʻai ma lalo o ka sodium.

Pono kou kino i ka paʻakai e hana pono. Loaʻa ka paʻakai i ka paʻakai. Kōkua ka Sodium i kou kino e kaohi i nā hana he nui. Hiki ke maikaʻi ʻole ka nui o ka sodium i kāu papaʻai. No ka hapanui o ka poʻe, ʻo ka sodium paʻakai e hele mai mai ka paʻakai i loko a i hoʻohui ʻia i kā lākou meaʻai.

Inā loaʻa ʻoe i ke kiʻekiʻe o ke koko a me ka puʻuwai o ka puʻuwai, e noi ʻia paha ʻoe e palena i ka nui o ka paʻakai āu e ʻai ai i kēlā me kēia lā. ʻOiai ʻo ka poʻe me ke kaomi koko maʻamau e loaʻa i ke kahe o ke koko haʻahaʻa (a ʻoi aku ke olakino) inā hoʻohaʻahaʻa lākou i ka nui o ka paʻakai a lākou e ʻai ai.

Ana ʻia ka sodium i ka milligrams (mg). E haʻi paha kāu mea mālama ola iā ʻoe e ʻai ma mua o 2,300 mg i ka lā ke loaʻa iā ʻoe kēia mau ʻano. Loaʻa i kahi teaspoon o ka pākaukau paʻakai ka 2,300 mg o ka sodium. No kekahi poʻe, 1,500 mg i ka lā kahi pahuhopu ʻoi aku ka maikaʻi.

Hiki ke kōkua i ka ʻai ʻana i nā meaʻai like ʻole i kēlā me kēia lā ke kaupalena ʻia i ka paʻakai. E hoʻāʻo e ʻai i ka papaʻai kaulike.

Kūʻai i nā mea kanu a me nā huaʻai ke hiki. Kū haʻahaʻa maoli lākou i ka paʻakai. Loaʻa i nā meaʻai i kēpau i ka paʻakai ka mālama ʻana i ke kala o nā meaʻai a mālama i ka mea hou. No kēia kumu, ʻoi aku ka maikaʻi o ke kūʻai ʻana i nā meaʻai hou. E kūʻai hoʻi:

• ʻO nā ʻiʻo hou, ka moa a moa paha, a me nā iʻa
• ʻO nā mea kanu hou a i ʻole ka hau

E nānā i kēia mau huaʻōlelo ma nā lepili:

• Low-sodium
• ʻAʻohe Sodium
• ʻAʻohe paʻakai i hoʻohui ʻia
• Hoʻoemi ʻia ʻo Sodium
• Kālepa ʻole ʻia

E hōʻoia i nā lepili āpau no ka nui o nā meaʻai paʻakai no kēlā me kēia lawelawe.

Helu ʻia nā mea hoʻohui i ke ʻano o ka nui o ka meaʻai. Hōʻalo i nā meaʻai e papa inoa i ka paʻakai ma kahi kokoke o ka papa inoa o nā mea hoʻohui. ʻO kahi huahana me ka liʻiliʻi o 100 mg o ka paʻakai no kēlā me kēia lawelawe ʻana he maikaʻi.

E haʻalele i nā meaʻai e paʻakai mau ana i ka paʻakai. ʻO kekahi mau mea maʻamau:

• Nā meaʻai i hana ʻia, e like me nā ʻola i hoʻōla ʻia a i puhi ʻia paha, ka puaʻa, nā ʻīlio wela, ka sausage, bologna, ham, a me nā salami
• ʻO nā anchovies, ʻoliva, pickles, a me ka sauerkraut
• ʻO nā mea kanu Soy a me Worcestershire, kōmato a me nā wai momona ʻē aʻe, a me ka hapa nui o nā paʻi waiū
• Nui nā ʻōpala salakeke ʻōmole a me nā kāwili salakeke i kāwili ʻia
• ʻO ka hapa nui o nā meaʻai māmā, e like me nā ʻāpana, nā pahū, a me nā mea ʻē aʻe

Ke kuke ʻoe, hoʻololi i ka paʻakai me nā mea ʻono ʻē aʻe. ʻO ka pepa, kālika, nā mea kanu, a me ka lemona nā koho maikaʻi. Hōʻalo i nā kāwili kāwili pūʻolo. Loaʻa iā lākou ka paʻakai.

E hoʻohana i ka ʻōlika a me ka ʻoka onika, ʻaʻole i ka kālika a me ka paʻakai onion. Mai ʻai i nā meaʻai me ka monosodium glutamate (MSG).

Ke hele ʻoe i waho e ʻai, pili i ka mahu, hoʻomoʻa, hoʻomoʻa, hoʻolapalapa ʻia, a me nā meaʻai pūlehu ʻia me ka paʻakai ʻole, ka ʻono, a me ka tī Inā manaʻo ʻoe e hoʻohana paha ka hale ʻaina iā MSG, e noi iā lākou ʻaʻole e hoʻohui ia i kāu ʻoka.

E hoʻohana i ka aila a me ka vīnega i nā salakeke. Hoʻohui i nā mea kanu hou a maloʻo paha. ʻAi i ka huaʻai a i ʻole sorbet hou no ka mea hoʻonoe, ke loaʻa iā ʻoe kahi mea ʻono. Lawe i ka mea haʻalulu paʻakai i kāu pākaukau. E kuapo iā ia me kahi kāwili ʻaina paʻakai ʻole.

E noi i kāu mea lawelawe a kauka paha he aha nā antacids a me nā laxatives i loaʻa ka liʻiliʻi a ʻaʻohe paʻakai, inā pono ʻoe i kēia mau lāʻau. Nui ka paʻakai o kekahi.

Hoʻohui nā palupalu wai home i ka paʻakai i ka wai. Inā loaʻa iā ʻoe hoʻokahi, e kaupalena i ka nui o ka wai piula āu e inu ai. Inu wai omole ma kahi.

E noi i kāu mea hāʻawi inā palekana kahi mea paʻakai iā ʻoe. Loaʻa i ka hapa nui ka potassium. He mea ʻino paha kēia inā loaʻa iā ʻoe kekahi ʻano olakino a i ʻole inā e lawe ʻoe i kekahi mau lāʻau. Eia nō naʻe, inā ʻaʻole mea ʻino iā ʻoe ka potasiuma keu i kāu papaʻai, he ala maikaʻi kahi pani paʻakai e hoʻohaʻahaʻa i ka nui o ka sodium i kāu papaʻai.

Papaʻai haʻahaʻa-sodium; Palena paʻakai

• ʻAiʻai sodium haʻahaʻa

Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA / ACC alakaʻi ma ka mālama ʻana i ka nohona e hōʻemi i ka pilikia o ka maʻi puʻuwai: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. ʻO J Am Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. PMID: 24239922 pubmed.ncbi.nlm.nih.gov/24239922/.

Elijovich F, Weinberger MH, Anderson CA, et al. ʻO ka paʻakai o ke kahe koko: kahi ʻōlelo ʻepekema mai ka ʻAmelika ʻAmelika Hui Pū ʻIa. Hypertension. 2016; 68 (3): e7-e46. PMID: 27443572 pubmed.ncbi.nlm.nih.gov/27443572/.

Hensrud DD, Heimburger DC. ʻO ka pilina o Nutrition me ke olakino a me nā maʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed.Piladelapia, PA: Elsevier; 2020: chap 202.

Rayner B, Charlton KE, Derman W. Nonpharmacologic kāohi a me ka mālama ʻana i ke kiʻekiʻe. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 35.

ʻO kā US Department of Agriculture a me US Department of Health and Human Services. Nā Kuhi Meaʻai no nā ʻAmelika, 2020-2025. 9th ed. www.dietaryguidelines.gov/site/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf. Hoʻohou i Kēkēmapa 2020. Loaʻa iā Kēkēmapa 30, 2020.

ʻO Victor RG, Libby P. Pūnaehana hypertension: hoʻokele. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 47.

• Angina
• Hoʻokomo ʻia ka Angioplasty a me stent - carotid artery
• Nā kaʻina hana hoʻopau Cardiac
• Maʻi maʻi coronary
• ʻOki kino bypass
• ʻOki kino bypass - minimally invasive
• Hewa puʻuwai
• Puʻuwai puʻuwai
• Nā pae kolesterol kiʻekiʻe
• Ke koko kiʻekiʻe - nā mākua
• Imi i ka cardioverter-defibrillator

• ʻO Cholesterol a me ka nohona
• Cirrhosis - hoʻokuʻu
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• Puʻuwai puʻuwai - hoʻokuʻu
• Maʻi maʻi puʻuwai - nā mea weliweli
• Hewa ka puʻuwai - hoʻokuʻu
• Hewa ka puʻuwai - nā wai a me nā diuretics
• Ka maikaʻi ʻole o ka naʻau - ka nānā ʻana i ka home
• Hewa ka puʻuwai - he aha e nīnau aku ai i kāu kauka
• Ke koko kiʻekiʻe - he aha e nīnau aku ai i kāu kauka
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai Mediterranean
• Hahau - hoʻokuʻu

• Piʻi Kī kiʻekiʻe
• Pehea e pale ai i ke kahe koko kiʻekiʻe
• Sodoma