Nā meaʻai e hōʻalo ai me ka Atrial Fibrillation

Anter

• Nā meaʻai e hōʻalo ai
• ʻAlekohola
• Kāpena
• Momona
• Paakai
• Kōpaʻa
• ʻO Wikamina K
• Gluten
• Pākaʻakai
• ʻAi kūpono i ka ʻai no AFib
• Makanekiuma
• Pāpaʻakai
• ʻAi no AFib
• Ke laina lalo

Aibrial fibrillation (AFib) i ka wā e wāwahi ai ka pauma rhythmic maʻamau o nā keʻena o luna o ka puʻuwai, i kapa ʻia ʻo atria.

Ma kahi o ka puʻuwai puʻuwai maʻamau, ka pulupili atria, a i ʻole fibrillate, i ka wikiwiki a i ʻole ka helu maʻamau.

A ʻo kahi hopena, ʻoi aku ka maikaʻi o ka hoʻokō ʻana o kou puʻuwai a pono e hoʻoikaika i ka hana.

Hiki i ka AFib ke hoʻonui i ka makaʻu o ke kanaka no ka hahau a me ka puʻuwai puʻuwai, hiki i nā mea ʻelua ke make inā ʻaʻole e mālama koke ʻia me ka maikaʻi.

Ma waho aʻe o nā mālama ʻana e like me ka mediasi, ke ʻoki ʻana, a me nā kaʻina hana ʻē aʻe, aia kekahi mau loli nohona, e like me kāu papaʻai, hiki ke kōkua i ka mālama ʻana iā AFib.

Nānā kēia ʻatikala i ka mea e hōʻike ai i nā hōʻike i kēia manawa e pili ana i kāu papaʻai a me AFib, me nā alakaʻi e pili ana a me nā meaʻai e hōʻalo ai.

Nā meaʻai e hōʻalo ai

Hiki i kekahi mau meaʻai ke hoʻopili maikaʻi ʻole i kou olakino puʻuwai a hōʻike ʻia e hoʻonui i ka makaʻu o nā pilikia puʻuwai, e like me AFib, a me nā maʻi puʻuwai.

ʻO nā papaʻai kiʻekiʻe i nā meaʻai i hana ʻia, e like me ka meaʻai wikiwiki, a me nā mea kiʻekiʻe i hoʻohui ʻia i ke kō, e like me ka soda a me nā mea i hoʻomoʻa ʻia i ka wai, ua hoʻopili ʻia i ka hoʻonui ʻia ʻana o ka maʻi puʻuwai (,)

Hiki iā lākou ke alakaʻi i nā hopena olakino maikaʻi ʻē aʻe e like me ka loaʻa ʻana o ke kaupaona, ka maʻi diabetes, ka hōʻemi o ka noʻonoʻo, a me kekahi mau maʻi maʻi maʻi ().

E heluhelu e aʻo ai i nā meaʻai a me nā mea inu e hōʻalo ai.

ʻAlekohola

ʻO ka inu ʻana i ka waiʻona nui hiki ke hoʻonui i kou makaʻu no ka hoʻomohala ʻana iā AFib.

Hiki paha iā ia ke hoʻoulu i nā ʻāpana AFib i ka poʻe i loaʻa iā AFib, keu hoʻi inā loaʻa ʻoe i ka maʻi maʻi maʻi a i ʻole ka maʻi diabetes ().

Hiki i ka inu waiʻona ke kōkua i ka hypertension, momona, a me ka hanu hiamoe ʻole (SDB) - nā mea āpau āpau no AFib (5).

ʻOiai he mea weliweli loa ka inu ʻana i ka inu ʻana i ka binge, hōʻike nā noiʻi e hiki i ka inu ʻana i ka waiʻona ke lilo i mea pilikia no AFib (6).

Hōʻike nā mea hou e pili ana i kēlā me kēia mea e pili ana i nā palena i ʻōlelo ʻia - ʻelua inu i kēlā me kēia lā no nā kāne a me hoʻokahi mea inu no nā wahine - ʻaʻole i hoʻonui ʻia ka makaʻu no ka AFib (7).

Inā loaʻa iā ʻoe ʻo AFib, ʻoi aku ka maikaʻi e kaohi i kāu ʻai ʻana i ka waiʻona. Akā ʻo ka hele ʻana i ka turkey anuanu paha kāu keu ʻoi aku ka palekana.

Ua loaʻa kahi noiʻi ma 2020 i ka haʻalele ʻana i ka waiʻona i hoʻoliʻiliʻi nui i ka hoʻi hou ʻana o ka arrhythmia i nā mea inu maʻamau me AFib (8).

Kāpena

I loko o nā makahiki, hoʻopaʻapaʻa ka poʻe loea i ka hopena o ka caffeine i ka poʻe me AFib.

Aia kekahi mau huahana i loko o ka caffeine:

• kope
• tī
• guarana
• soda
• nā mea inu ikehu

No nā makahiki, he kūlana maʻamau e paipai i ka poʻe me AFib e hōʻalo i ka caffeine.

Akā ʻaʻole i hōʻike ʻia nā noiʻi hoʻokolohua he nui i kekahi loulou ma waena o ka lawe ʻana i ka caffeine a me nā ʻāpana AFib (,). ʻO ka ʻoiaʻiʻo, hiki i ka ʻai ʻana i ka caffeine maʻamau ke hōʻemi i kou makaʻu no AFib ().

ʻOiai ʻo ka inu ʻana i ka kofe e hoʻonui ai i ke kahe o ke koko a me ke kūpaʻa ʻana o ka insulin i ka wā mua, ua ʻike ʻia nā noiʻi wā lōʻihi ʻaʻole pili ka ʻai ʻana o ke kofe mau me ka pilikia o ka maʻi puʻuwai ().

Ua loaʻa kahi noiʻi ma 2019 i nā kāne i hōʻike i ka inu ʻana i 1 i 3 mau kīʻaha kope i kēlā me kēia lā i kahi makaʻu haʻahaʻa no AFib (13).

ʻO ka ʻai ʻana a hiki i ka 300 milligrams (mg) o ka caffeine - a i ʻole 3 mau kīʻaha kope - i kēlā me kēia lā e palekana (14).

Eia nō naʻe, he moʻolelo hou ka inu inu ikehu.

ʻO ia no ka mea aia nā mea inu ikehu i ka caffeine ma nā kiʻekiʻe kiʻekiʻe ma mua o ka kofe a me ke kī. Hāpai pū ʻia lākou me ke kō a me nā kemika ʻē aʻe e hiki ke hoʻoulu i ka ʻōnaehana puʻuwai ().

Ua hoʻopili ka nui o nā noiʻi naʻau a me nā hōʻike i ka inu inu ikehu me nā hanana maʻi puʻuwai koʻikoʻi, e like me nā arrhythmia a me ka make ʻana o ka naʻau make ʻole (16, 17, 18, 19).

Inā loaʻa iā ʻoe ʻo AFib, makemake paha ʻoe e hōʻalo i nā mea inu ikehu, akā maikaʻi paha kahi kīʻaha kope.

Momona

ʻO ka loaʻa ʻana o ka momona a me ke koko kiʻekiʻe ke hoʻonui i kou makaʻala no AFib, no laila he mea nui e ʻai i ka papaʻai kaulike maikaʻi.

Hiki paha i nā Cardiologists ke ʻōlelo aku iā ʻoe e hōʻemi i kekahi mau ʻano momona inā loaʻa iā ʻoe ʻo AFib.

Ua hōʻike ʻia kekahi mau noiʻi noiʻi e pili ana nā papaʻai kiʻekiʻe i nā momona a me nā momona trans me ka hoʻonui ʻia o ka makaʻu o ka AFib a me nā ʻano maʻi puʻuwai (,).

ʻO nā meaʻai e like me ka waiūpaʻa, ka tī, a me ka ʻulaʻula i loaʻa i ka momona momona momona.

Loaʻa nā momona trans ma:

• margarine
• nā meaʻai i hana ʻia me nā aila mea kanu hydrogenated hapa
• kekahi pahūpahū a me nā kuki
• ʻuala ʻuala
• donut
• nā meaʻai palai ʻē aʻe

Ua ʻike ʻia kahi noiʻi ma 2015 i nā papaʻaina kiʻekiʻe i loko o nā momona momona a haʻahaʻa hoʻi i nā monounsaturated fatty acid i pili me ka nui o ka makaʻu o ka AFib mau a mau paha.

Loaʻa nā momona momona monounsaturated i nā meaʻai mea kanu, e like me:

• hua kukui
• ʻāpala
• ʻaila ʻoliva

Akā ʻo ke kuapo ʻana i nā momona momona me kahi mea ʻē aʻe ʻaʻole ia ka hoʻoponopono maikaʻi loa.

Ua loaʻa kahi noiʻi 2017 i kahi piʻi iki o ka AFib i nā kāne i pani i nā momona momona me nā momona polyunsaturated.

Eia nō naʻe, ua hoʻopili nā mea ʻē aʻe i nā papaʻai kiʻekiʻe i ka momona omega-3 polyunsaturated me kahi haʻahaʻa o AFib.

Maliʻa paha ka loaʻa ʻole o nā kumu olakino olakino o nā momona polyunsaturated, e like me ka aila kulina a me ka aila soybean, i nā hopena ʻokoʻa ma ka makaʻu AFib ma mua o nā kumu olakino o nā momona polyunsaturated e like me salmon a sardine.

Pono nā noiʻi kiʻekiʻe kiʻekiʻe e hoʻoholo ai i ka hopena o nā momona polyunsaturated i ka pilikia o AFib.

ʻO ka nūhou maikaʻi, inā ʻaʻole i loaʻa iā ʻoe kahi papa olakino olakino i ka wā ma mua, aia nō ka manawa e hoʻohuli i nā mea.

Ua ʻike nā kānaka noiʻi o Australia i ka poʻe me ka momona i ʻike i ka pohō kaumaha o 10% hiki ke hōʻemi a hoʻohuli paha i ka holomua kūlohelohe o AFib (23).

Nā ala maikaʻi e hoʻoponopono ai i ke kaupaona a hoʻomaikaʻi i ke olakino puʻuwai holoʻokoʻa, e hoʻopili pū me:

• e hoʻemi ana i ka lawe ʻana i nā meaʻai i hoʻoliʻiliʻi kiʻekiʻe-calorie
• e hoʻonui ana i ka lawe fiber i ke ʻano o nā mea kanu, nā huaʻai, a me nā pī,
• ʻoki kō kō

Paakai

Hōʻike nā noiʻi e hiki i ka lawe ʻana i ka sodium ke hoʻonui i kou manawa o ka hoʻomohala ʻana iā AFib (24).

ʻO ia no ka mea hiki i ka paʻakai ke hoʻokiʻekiʻe i kou kaomi koko ().

Hiki i ka hypertension, a i ʻole ke koko kiʻekiʻe, aneane pālua i kou manawa o ka hoʻomohala ʻana iā AFib ().

Hiki ke kōkua iā ʻoe i ka hōʻemi ʻana i ka sodium i kāu papaʻai.

• mālama i ke olakino puʻuwai
• hoʻohaʻahaʻa i ke koko i kou kaomi
• e hoʻēmi i kāu makaʻi AFib

Hoʻohana ka nui o nā meaʻai i hana ʻia a paʻa i ka paʻakai ma ke ʻano he mea mālama a me ka mea ʻono. E heluhelu pono i nā lepili a hoʻāʻo e pili me nā meaʻai hou a me nā meaʻai me ka sodium haʻahaʻa a ʻaʻohe paʻakai i hoʻohui ʻia.

Hiki i nā mea kanu a me nā mea ʻono hou ke mālama i ka meaʻai me ka ʻole o ka paʻakai i hoʻohui ʻia.

Paipai ka ʻōlelo i ka ʻai ʻana ma lalo o 2,300 mg o ka sodium i kēlā me kēia lā ma ke ʻano he ʻāpana o kahi papaʻai olakino ().

Kōpaʻa

Hōʻike ka noiʻi e 40% ka poʻe me ka maʻi diabetes e hoʻomohala i ka AFib ke hoʻohālikelike ʻia me ka poʻe ʻaʻohe diabetes.

ʻAʻole maopopo ka poʻe loea i ke kumu o ka loulou ma waena o ka maʻi diabetes a me AFib.

Akā ʻo ke kiʻekiʻe o ke kō glucose, ʻo ia kahi hōʻailona o ka maʻi kō, he kumu nō paha.

Ua ʻike ʻia kahi noiʻi ma Kina ma 2019 i hiki i nā kamaʻāina ma luna o 35 me nā kiʻekiʻe o ka glucose koko (EBG) ke ʻike i ka AFib ke hoʻohālikelike ʻia i nā kamaʻāina me ka ʻole o EBG.

Hiki i nā meaʻai ke kiʻekiʻe i ke kō ke hoʻokiʻekiʻe i kāu pae kō glucose.

ʻO ka ʻai ʻana i nā meaʻai kō a mau ka mea e hoʻonāukiuki ai i ka hoʻoikaika ʻana o ka insulin, kahi e hoʻonui nui ai i kou hiki ke hoʻomohala i ka maʻi diabet ().

Pono e noiʻi hou e hoʻoholo pehea e hiki ai i nā pae glucose i ke koko ke hoʻopili iā AFib.

E hoʻāʻo e kaupalena:

• soda
• nā mea ʻai i hoʻomoʻa ʻia ke kō
• nā huahana ʻē aʻe i piha nā kō i hoʻohui ʻia

ʻO Wikamina K

ʻO ka Vitamin K kahi hui o nā wikamina hiki ke hoʻonā ʻia i ka momona e hana nui i:

• kāpili koko
• ola kino iwi
• ola kino puʻuwai

Aia ka Vitamin K i nā huahana i loaʻa:

• nā lau lau ʻōmaʻomaʻo, e like me ka milo a me ka kale
• pālua
• parsley
• kī ʻōmaʻomaʻo
• ate o ke keiki bipi

Ma muli o ka hopohopo o nā poʻe he nui me ka AFib no ka hahau ʻana, kuhikuhi ʻia lākou i nā mea lahilahi e kōkua i ka pale ʻana i ke koko.

Hana ka wīwī maʻamau lahilahi warfarin (Coumadin) ma ka pale ʻana i ka wikamina K mai ka hana hou ʻana, ke hoʻokiʻoki ʻana i ka cascade kāpili koko.

I ka wā ma mua, ua aʻo ʻia nā poʻe me AFib e kaohi i nā pae vitamin K no ka mea hiki ke hoʻoliʻiliʻi i ka hopena o ka mea lahilahi.

Akā ʻaʻole kākoʻo nā hōʻike i kēia manawa i ka hoʻololi ʻana i kāu ʻai K (kaona K).

Ma kahi o, he mea ʻoi aku paha ka maikaʻi o ka mālama ʻana i nā pae vitamin K, pale i nā loli nui i kāu papaʻai ().

ʻOi aku ka maikaʻi e kamaʻilio me kāu kauka ma mua o ka hoʻonui ʻana a hoʻemi ʻana paha i kāu lawe ʻana i ka lāʻau K.

Inā ʻoe e lawe ana i ka warfarin, e kamaʻilio pū me kāu kauka e pili ana i ka hiki ke hoʻololi i kahi non-vitamin K oral anticoagulant (NOAC) no laila ʻaʻole hopohopo kēia mau pilina.

ʻO nā laʻana o nā NOAC me:

• Dabigatran (Pradaxa)
• rivaroxaban (Xarelto)
• apixaban (Eliquis)

Gluten

ʻO Gluten kekahi ʻano protein i ka palaoa, ka rai, a me ka bale. Loaʻa ia i nā huahana i komo pū me:

• palaoa
• nā pāʻina
• mea ʻono
• he nui nā meaʻai pūʻolo

Inā ʻoe he gluten-intolerant a i ʻole he Celiac Disease a i ʻole he allergy palaoa, hiki i ka gluten a i ʻole ka hoʻohana ʻana i ka palaoa ke hoʻonā i kou kino.

Hiki paha i ka mumū ke hoʻopili i kou aʻa maloʻo. Hiki i kēia aʻalolo ke loaʻa ka hopena nui i kou puʻuwai a maʻalahi iā ʻoe i nā hōʻailona AFib ().

I loko o ʻelua mau noiʻi ʻokoʻa, ua ʻike nā kānaka noiʻi he kanaka me ka maʻi celiac i mālama ʻole ʻia i hoʻolōʻihi ʻia ai ka lohi electromekanical atrial (EMD) (32).

Kū ʻo EMD i ka lohi ma waena o ka hoʻomaka ʻana o ka hana uila i hiki ke ʻike ʻia i ka puʻuwai a me ka hoʻomaka ʻana o ka contraction.

He wānana koʻikoʻi ʻo EMD no AFib (,).

Inā hana nā pilikia digestive e pili ana i ka gluten a i ʻole ka mumū e hana i kāu AFib, hoʻemi i ka gluten i kāu papaʻai hiki ke kōkua iā ʻoe e hoʻokele iā AFib.

E kamaʻilio me kāu kauka inā manaʻoʻiʻo ʻoe he gluten kou ʻike a i ʻole allergy palaoa.

Pākaʻakai

ʻAʻole maikaʻi paha ka ʻai ʻana i ka huaʻulu ke loaʻa ʻoe iā AFib a ke lawe nei ʻoe i nā lāʻau e mālama ai.

Loaʻa i ka wai huaʻai ka mea kemika ikaika i kapa ʻia ʻo naringenin (33).

Ua hōʻike ʻia nā noiʻi kahiko e hiki i kēia kemika ke hoʻopilikia i ka pono o nā lāʻau antiarrhythmic e like me amiodarone (Cordarone) a me dofetilide (Tikosyn) (35,).

Hiki i ka wai huaʻakai ke hoʻopili i ka hopena o nā lāʻau ʻē aʻe i loko o ke koko mai nā ʻōpū.

Pono ʻia kahi noiʻi hou e ʻike ai pehea e hiki ai i ka grapefruit ke hoʻololi i nā lāʻau antiarrhythmic.

E kamaʻilio me kāu kauka ma mua o ka ʻai ʻana i ka huaʻōlele ʻoiai e lāʻau ana.

ʻAi kūpono i ka ʻai no AFib

Kūpono kekahi mau meaʻai no ke olakino o ka ʻōnaehana cardiovascular a kōkua paha e hoʻomaikaʻi i ka hana puʻuwai ().

Pākuʻi ʻia lākou:

• nā momona momona e like me ka iʻa momona momona he omega-3, avocados, a me ka aila ʻoliva
• nā huaʻai a me nā lauʻai e hāʻawi i nā kumuwaiwai o ka vitamina, nā minelala, a me nā antioxidant
• nā meaʻai nui e like me nā ʻoka, flax, nā nati, nā hua, nā hua, a me nā mea kanu

Ua hōʻike ʻia nā noiʻi he nui i kahi papaʻai Mediterranean (kahi papaʻai i loko o ka iʻa, aila ʻoliva, nā huaʻai, nā mea kanu, nā hua piha, a me nā nati) e kōkua ai e hōʻemi i ka makaʻu o ka AFib (38).

Ua ʻike ʻia kahi noiʻi ma ka makahiki 2018 i ka hoʻopiha ʻana i kahi papaʻai Mediterranean me ka aila ʻoliva wahine puʻupaʻa a i ʻole nā ​​nati i hoʻoliʻiliʻi i ka makaʻala o ka mea komo no nā hanana puʻuwai puʻuwai nui ke hoʻohālikelike ʻia me kahi papa momona momona.

Hōʻike nā hōʻike e lilo paha ka papaʻai papa lāʻau i mea pono i ka wā e mālama ai a hoʻemi ana i nā mea pilikia e pili pū ana me AFib ().

Hiki i nā papaʻai mea kanu ke hoʻemi i nā pilikia kuʻuna e pili ana me AFib, e like me ka loaʻa ʻana o ka hypertension, hyperthyroidism, momona, a me ka maʻi kō ().

Ma waho o ka ʻai ʻana i kekahi mau meaʻai, hiki i kekahi mau meaola a me nā minelala ke kōkua i ka hoʻohaʻahaʻa ʻana i kou makaʻi no AFib.

Pākuʻi ʻia lākou:

Makanekiuma

Hōʻike kekahi noiʻi e hiki i nā pae magnesium haʻahaʻa i kou kino ke hopena maikaʻi ʻole i kāu puʻuwai puʻuwai.

Maʻalahi ke kiʻi i ka magnesium keu i kāu papaʻai ma ka ʻai ʻana i kekahi o nā meaʻai aʻe:

• nā nati, keu hoʻi nā ʻalemona a i ʻole nā ​​cashews
• peanuts and peanut butter
• milo
• ʻāpala
• palaoa holoʻokoʻa
• yogurt

Pāpaʻakai

Ma ka ʻaoʻao hoʻohuli o ka sodium nui ka makaʻu o ka potassium haʻahaʻa. He mea nui ka potassium no ke olakino puʻuwai no ka mea e ʻae ia i nā mākala e hana pono.

Nui paha ka poʻe i loaʻa nā pae potassium haʻahaʻa no ka papaʻai kaulike ʻole a mai ka lawe ʻana i kekahi mau lāʻau e like me diuretics.

Hiki i nā pae potassium haʻahaʻa ke hoʻonui i kou makaʻi o arrhythmia ().

ʻO kekahi mau kumuwaiwai maikaʻi o ka potassium:

• nā huaʻai, e like me nā avokado, maiʻa, ʻapelika, a me nā ʻalani
• nā aʻa aʻa, e like me nāʻuala a me nā beets
• wai niu
• ʻōmato
• prunes
• paukū

Ma muli o ka hiki o ka potassium ke launa pū me kekahi mau lāʻau, e kamaʻilio me kāu kauka ma mua o ka hoʻonui ʻana i ka potasiuma i kāu papaʻai.

Kūpono kekahi mau meaʻai a me nā koho hānai i ke kōkua ʻana iā ʻoe e mālama iā AFib a pale i nā ʻōuli a me nā pilikia. E hāhai i kēia mau ʻōkuhi i ka hoʻoholo ʻana i ka mea e ʻai ai.

ʻAi no AFib

• No ka ʻaina kakahiaka, koho i nā meaʻai piha i ka fiber e like me nā huaʻai, nā kīʻaha piha, nā nati, nā hua, a me nā mea kanu. ʻO kahi laʻana o ka ʻaina kakahiaka maikaʻi e unsweetened oatmeal me nā hua, nā ʻalemona, nā hua chia, a me kahi pēpē o ka yogurt Greek momona momona.
• E hoʻemi i kāu paʻakai a me ka lawe sodium. AIM e kaupalena i kāu lawe ʻana i ka sodium ma lalo o 2,300 mg i kēlā me kēia lā.
• Hōʻalo i ka ʻai nui ʻana i ka ʻiʻo a i ʻole ka waiū momona piha, i piha ka nui o nā momona holoholona momona.
• E ʻimi no 50 mau pākēneka e hana i kēlā me kēia pāʻina e kōkua i ka hānai ʻana i ke kino a hāʻawi i ka fiber a me ka māʻona.
• E mālama i kāu mau ʻāpana liʻiliʻi a hōʻole i ka ʻai ʻana i nā ipu. E hoʻopau i nā ʻāpana hoʻokahi o kāu mau meaʻai māmā punahele ma kahi.
• Hōʻalo i nā meaʻai i kālua ʻia a i uhi ʻia i ka waiūpaka a kō paha.
• Ka palena i kāu caffeine a me ka inu waiʻona.
• E noʻonoʻo i kāu lawe ʻana i nā mineral pono, e like me ka magnesium a me ka potassium.

Ke laina lalo

ʻO ka pale ʻana a i ʻole ka palena ʻana i kekahi mau meaʻai a mālama i kou olakino hiki ke kōkua iā ʻoe e alakaʻi i kahi ola me AFib.

I mea e hōʻemi ai i kou makaʻā o nā ʻāpana AFib, e noʻonoʻo e lawe i kahi papa ʻāina Mediterranean a i ʻole nā ​​papa mea kanu.

Hiki paha iā ʻoe ke hōʻemi i kāu lawe ʻana i ka momona momona, ka paʻakai, a me ka kō kō.

Hiki i kahi papaʻai olakino ke kōkua me ke ʻano o ke olakino, e like me ke kiʻekiʻe o ke koko, ke kiʻekiʻe o ke kolesterol, a me nā momona.

Ma ke kamaʻilio ʻana i kēia mau kūlana olakino, hiki iā ʻoe ke hoʻohaʻahaʻa i kou manawa kūpono e hoʻomohala iā AFib.

E kamaʻilio pono me kāu kauka e pili ana i nā lāʻau a me nā pilina o ka meaʻai.