找回密码
 注册
搜索
查看: 759|回复: 6

[疾病防治] 肾结石患者饮食讲究多

[复制链接]
发表于 2010-12-2 11:08 PM | 显示全部楼层 |阅读模式


新闻来源:39健康网   更新时间:2008-6-20 11:02:14  

     结石中有兜%是由钙或含钙的产品形成的。如果你上一回的结石,主要是钙的成分,则你得注意钙质的摄取。如果你正服用营养补充晶,首先需要请教医师是否必要。

  如果你上一回的结石,主要是钙的成分,则你得注意钙质的摄取。如果你正服用营养补充晶,首先需要请教医师是否必要。其次是检查每天高钙食物的摄取量,包括牛奶、干酪、奶油及其他乳制品。牛奶及抗酸剂可能产生肾结石。

  肾结石患者饮食之“宜”

  肾结石患者在日常生活中要特别注意饮食,有些食物会加重肾结石病情,下面就一一列举肾结石患者应特别注意的食物。

  控制钙的摄取量

  结石中有兜%是由钙或含钙的产品形成的。如果你上一回的结石,主要是钙的成分,则你得注意钙质的摄取。如果你正服用营养补充晶,首先需要请教医师是否必要。其次是检查每天高钙食物的摄取量,包括牛奶、干酪、奶油及其他乳制品。牛奶及抗酸剂可能产生肾结石。

  勿吃富含草酸盐的食物

  大约60%的结石属于草酸钙结石。因此,应限量摄取富含草酸的食物,包括豆类、甜菜、芹菜、巧克力、葡萄、青椒、香菜、菠菜、草莓及甘蓝菜科的蔬菜。也避免酒精、咖啡因、茶、巧克力、无花果干、羊肉、核果、青椒、红茶、罂粟子等。

  注意蛋白质的摄取

  肾结石与蛋白质的摄取量有直接的关联。蛋白质容易使尿液里出现尿酸、钙及磷,导致结石的形成。假使你曾患过钙结石,应特别注意是否摄取过量蛋白质,尤其假使你曾有尿酸过多或胱胺酸结石的病历。每天限吃180克的高蛋白食物,这包括肉类、干酪、鸡肉和鱼肉。

  少吃盐

  如果你有钙结石,应该减少盐分的摄取。你应将每日的盐分摄取量减至2—3克。

  避免L—胱胺酸

  如果你有肾结石病历或目前正患肾结石.血避免L-胱胺酸。这种氨基酸的堆积可在肾内结晶,产生大型的结石,堵塞肾脏的内部。

  限制维生素c的用量

  如果你容易形成草酸钙结石,应限制维生素c的用量。一天超过3-4公克,可能增加草酸的制造,因而提高结石的几率。勿摄取高效力的维生素c补充物。

  勿服用过多维生素D

  过量的维生素D可能导致身体各部堆积钙质。维生素D的每日摄取量最好勿超过RDA所定的400IU。

  检查你的胃药

  某些常见的制酸剂含高量的钙。假使你患钙结石,同时你也正在服用制酸剂,则应查此药的成分说明,以确定是否含高钙。若含高钙,应改用别的药。

  肾结石患者饮食之“忌”

  肾结石有若干种类,一旦医师确认你的结石种类,改变生活习惯可以预防和减少结石的生长和发病。下列食物有助于减少复发的机会。

  多喝水

  不论你的结石属于哪一类,最重要的预防之道是提高水分的摄取量。水能稀释尿液,并防止高浓度的盐类及矿物质聚积成结石。合适的饮水量是达到一天排2升的尿液,就算足够。如果你一整天都在烈日下工作,你需要喝2加仑的水。

  补充纤维素

  加食米糠,可以防止结石发生。

  吃富含维生素A的食物

  维生素A是维持尿道内膜健康所必要的物质,它也有助于阻碍结石复发。健康的成年人,一天需摄取5,O00单位(Iu)的维生素A。一杯胡萝卜便能提供10,055 Iu的维生素A。其他富含维生素A的食物尚有绿花椰菜、杏果、香瓜、南瓜、牛肝。(维生素A在高剂量时有毒。故欲补充维生素A之前,应先经由医师同意。)

  补充营养素

  ①氧化镁或氯化镁

  每天500毫克。减少钙的吸收。研究发现每日服用镁,可减少90%的复发率。因为镁和钙——样,皆可与草酸结合。但与草酸钙不同的是,草酸镁较不会形成疼痛的结石。

  ②维生素B6

  10毫克,每天2次。与镁并用时,B6能减少尿液中的草酸盐,这是肾结石中常见的矿物盐。

  ③蛋白质分解酵素

  用量依照产品指示,两餐之间使用。帮助消化正常。

  ④ 维生素A乳剂或胶囊25000IU。治疗受结石损坏的尿道衬膜。

  多吃西瓜

  西瓜是天然的利尿剂。要经常吃西皿,且要单独吃,不与其他食物并用。西瓜有清净体内的作用,但勿与其他食物同时食用。
 楼主| 发表于 2010-12-3 12:03 AM | 显示全部楼层
oxalates 草酸盐...oxalic acid 草酸
回复 鲜花 鸡蛋

使用道具 举报

 楼主| 发表于 2010-12-3 12:05 AM | 显示全部楼层
草酸盐是草酸形成的盐类,含有草酸根离子(C2O4或(COO)2)。由于草酸是二元酸,因此草酸盐分为正盐草酸盐与酸式盐草酸氢盐两类,后者含有HC2O4。

  草酸根离子可作配体,与很多金属离子形成配合物,尤其是螯合物。该离子中,含有一
草酸盐草酸盐
个平面的八电子π体系,电子稳定性特别突出。它属于还原性阴离子,可被氧化剂,如高锰酸钾氧化为二氧化碳。

  草酸盐有毒,人吞食可能导致肾脏疾病甚至死亡,具体参见草酸盐中毒。草酸根离子可沉淀钙离子,生成不溶于水的草酸钙。 

  含草酸盐高的食物有番茄、菠菜、草莓、甜菜、巧克力等。 大豆食品含草酸盐和磷酸盐都高。

  草酸盐对粘膜具有较强的刺激作用,故大量摄入草酸盐时可刺激胃肠道粘膜,从而引起腹泻,甚至导致胃肠炎。草酸盐可被反刍动物瘤胃微生物降解,经代谢转化为碳酸盐和重碳酸盐。因此反刍动物对草酸盐的耐受力较非反刍动物强。反刍动物只有在短时间内大量摄入草酸盐时(如饥饿时),由于一部分草酸盐来不及转化而进入皱胃并被动物吸收后才引起中毒。草酸盐也可在血管中结晶,并渗入血管壁,引起血管坏死,导致出血。草酸盐晶体有时也能在脑组织内形成,从而引起中枢神经系统的机能紊乱。
回复 鲜花 鸡蛋

使用道具 举报

 楼主| 发表于 2010-12-3 12:06 AM | 显示全部楼层
oxalates.jpg
回复 鲜花 鸡蛋

使用道具 举报

 楼主| 发表于 2010-12-3 12:20 PM | 显示全部楼层
oxalates.jpg

oxalates_1.jpg

oxalates_2.jpg

oxilates_3.jpg
回复 鲜花 鸡蛋

使用道具 举报

 楼主| 发表于 2010-12-3 12:23 PM | 显示全部楼层
上面草酸含量表,几个不同来源有矛盾,依我看,回避不管谁说草酸高的就比较好
回复 鲜花 鸡蛋

使用道具 举报

 楼主| 发表于 2010-12-3 01:08 PM | 显示全部楼层
Oxalic Acid and Foods

What Oxalic Acid Is

Oxalic acid is, of course, a chemical substance. At high concentrations, it is a dangerous poison, but such immediately toxic levels are not found in foodstuffs but rather in manufactures, such as some bleaches, some anti-rust products, and some metal cleaners (among other things). It is also a naturally occurring component of plants, and is found in relatively high levels in dark-green leafy foods (relatively high, though, is just that).

    The chemical formula for oxalic acid is C2O2(OH)2. An acid (from the Latin acidus, meaning "sour") is typically a corrosive substance with a sharp, sour taste (but tasting an acid can be extremely dangerous, depending on its strength). Acids can range from very mild to very strong, and a given type of acid can be made weaker by diluting it (with, for example, water). Oxalic acid is inherently a strong acid: it is about 3,000 times stronger than acetic acid, which is the chemical name for the acid in ordinary vinegar (usually sold as around a 5% solution of acetic acid). Oxalic acid is so strong that it is widely used industrially for bleaching and heavy-duty cleaning, notably for rust removal. If oxalic acid is not heavily diluted--as it is in plants--it is quite dangerous to humans, being both toxic and corrosive.

The effects of oxalic acid in the human body, when ingested in foods, flow from its ability to combine chemically with certain metals commonly found in--and important to--the human body, such as magnesium and calcium. When oxalic acid combines with such metals, the result is, in chemical terms, a "salt" (table salt is just one specimen of the general class of salts); those oxalic-acid+metal salts are called oxalates. Since oxalic acid is not (so far as is known today) a useful nutrient, it is--like all such unneeded components of diet--processed by the body to a convenient form, those oxalates, and that byproduct is then eventually excreted--in this case, in the urine.

Assessing Oxalic-Acid Risks

The potential problems with oxalates in the human body are two. First, they mean that the metal in them--say calcium--has been made unavailable to the body; if a large amount of oxalic acid is ingested, the oxalates formed mean that the body is being to some degree deprived of certain essential nutrients. For normal, healthy persons, that risk is nearly trivial provided that great amounts of oxalic acid are not consumed on a continuing, long-term basis. The second effect is not chemical but mechanical: the crystals of oxalate, very small but very sharp, can be large enough to irritate the body. The chiefest and most famous example of this is kidney stones--probably 80% of kidney stones derive from calcium oxalate.

The extent to which foods high in oxalic acid are a potential health problem varies from person to person. Individuals with especial vulnerability to oxalates--notably those with kidney disorders, gout, rheumatoid arthritis, or certain forms of chronic vulvar pain (vulvodynia)--need to be careful about their intake of oxalic acid. Normally healthy people probably do not, unless, as noted before, they are consuming unusually large amounts of oxalic acid on a long-term continuing basis.

Despite the plethora of articles on the web, there is little hard data--many references are either from inherently unreliable sources, or seem to be parroting material they scarcely understand. Here is what we have gleaned.

Toxicity

Sheer toxicity--actual poisoning--from ingested oxalic acid is wildly unlikely. The only foodstuff that contains oxalic acid at concentrations high enough to be an actual toxicity risk is the leaves--not the stalks, which is what one normally eats--of the rhubarb plant. (And you'd need to eat an estimated eleven pounds of rhubarb leaves at one sitting for a lethal dose, though you'd be pretty sick with rather less.) For just about every other foodstuff, the risk--if any--is not immediate toxicity but a contribution to the development of oxalate crystals.

Nutrient Deprivation

Some have argued that by readily combining with calcium, oxalic acid in the diet reduces one's effective intake of dietary calcium. That is true, but the size of the effect is, for anyone getting decent nourishment, not meaningful. Even the conservative RDA for calcium is a gram or so (1000 mg) a day, and many believe that 1.5 to 2 g a day is better. As one source put it: "While research studies confirm the ability of phytic acid and oxalic acid in foods to lower availability of calcium, the decrease in available calcium is relatively small." And the NIH (National Institues of Health) states that "For people who eat a variety of foods, these interactions probably have little or no nutritional consequence and, furthermore, are accounted for in the overall calcium DRIs [Dietary Reference Intakes], which take absorption into account."

Nor need one be afraid to boost one's calcium intake. The belief that high calcium intake aggravates the formation of kidney or bladder stones has now been pretty well discarded, with studies showing that even intakes well above 2 g/day do not participate in stone formation in persons who do not otherwise have a stone problem. In fact, some studies suggest that calcium-loading (as by drinking milk) when ingesting foods high in oxalic acid helps the body to better absorb and dispose of the oxalic acid. Further, getting decent amounts of potassium in one's diet will also minimize the effects of calcium participation in stone formation for those who do have a problem. Worth noting in this connection is that magnesium improves the absorption of ingested calcium, so making sure to maintain a proper dietary balance of the two (often given as 2:1 calcium:magnesium) is also important.

Stones and Gout

It is now generally believed that the normal human body can dispose of oxalic acid at even relatively high dietary quantities without trouble; though it is very poorly absorbed (having no metabolic use), it is readily enough excreted. Trouble comes only to those unfortunate enough to have one or another condition--usually genetic in origin--that impairs, to a greater or lesser degree, their bodies' ability to process oxalic acid. (Though sometimes stones and gout are not related to oxalic acid at all.) For those folk, oxalic acid is not the cause of their problems, but it is the raw material for it, and they do indeed need to regulate their intake of it, just as diabetics need to monitor their sugar intake despite sugar normally being a harmless substance.

Those with a need for caution include sufferers from kidney disorders and kidney stones, gout, rheumatoid arthritis, and certain forms of chronic vulvar pain (vulvodynia).

    (Gout is a painful condition caused by crystals, such as oxalates, being deposited in the extremities, typically the feet; it is thus clearly related to kidney- and bladder-stone conditions.)
回复 鲜花 鸡蛋

使用道具 举报

您需要登录后才可以回帖 登录 | 注册

本版积分规则

手机版|小黑屋|www.hutong9.net

GMT-5, 2024-6-2 06:23 AM , Processed in 0.038852 second(s), 17 queries .

Powered by Discuz! X3.5

© 2001-2024 Discuz! Team.

快速回复 返回顶部 返回列表