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Kidney disease. What vegetables can you eat? Dietitian Edition.

2025/8/3 Edited to

... Read moreเวลาคนไข้ถามฉันบ่อยสุดคือ “โรคไตกินผักอะไรได้บ้าง” เพราะกลัวโพแทสเซียมสูงจนต้องงดทุกอย่าง จริงๆ ไม่จำเป็นต้องเครียดหรือแบนผักทั้งหมดค่ะ หลักสำคัญคือ “ดูค่าเลือด (Lab) และระยะโรคไต” ก่อน โดยเฉพาะโพแทสเซียม (K) และโซเดียม (Na) รวมถึงถ้าเป็นผู้ป่วยล้างไต/ระยะที่ 5 ก็จะเข้มงวดกว่าคนที่ยังไม่ล้างไต แนวคิดเลือกผักแบบเข้าใจง่าย - ถ้าโพแทสเซียมในเลือดเริ่มสูง ให้เน้น “ผักโพแทสเซียมน้อย” และคุมปริมาณ - ถ้ายังปกติ อาจกินได้หลากหลายขึ้น แต่ยังต้องระวังการปรุงรสเค็มจัด - ผัก “สีอ่อน” มักมีโพแทสเซียมน้อยกว่าผักสีเข้ม (เป็นกฎคร่าวๆ ไม่ได้ 100%) ตัวอย่างผักที่มักเป็นตัวเลือกที่ดี (โพแทสเซียมค่อนข้างน้อย) ฉันมักแนะนำให้เริ่มจากผักสีอ่อน เช่น กะหล่ำปลี แตงกวา ฟักเขียว บวบ น้ำเต้า ถั่วงอก ผักกาดขาว (ขึ้นกับการปรุง) เพราะโดยรวมคุมโพแทสเซียมง่ายกว่าผักบางชนิด และเอาไปทำเมนูได้หลายแบบ เช่น ต้มจืดผักกาดขาว-เต้าหู้ (ลดเครื่องปรุงเค็ม) หรือผัดกะหล่ำปลีแบบใช้น้ำมันน้อย ผักที่ควร “ระวัง” เมื่อค่า K สูง กลุ่มที่โพแทสเซียมค่อนข้างสูงมักต้องจำกัด โดยเฉพาะในผู้ป่วยล้างไต ระยะที่ 5 เช่น ฟักทอง มันสำปะหลัง รวมถึงผักบางชนิดที่สีเข้ม/หัว-รากบางอย่าง (สุดท้ายให้ยึดตามใบคำแนะนำของทีมรักษาและผลแล็บของเรา) ทริคลดโพแทสเซียมจากผักแบบที่ทำได้จริง - หั่นชิ้นเล็ก แช่น้ำ แล้ว “ต้มทิ้งน้ำ” 1 รอบ (ผักจะยุบลง) ช่วยลดโพแทสเซียมได้ระดับหนึ่ง - เลี่ยงการใช้น้ำต้มผัก/น้ำซุปจากผักปริมาณมาก ถ้ากำลังคุม K - เลือกวิธีต้ม/ลวกมากกว่าผัดแห้งหรือยำเข้มๆ เมื่อจำเป็นต้องคุมเข้ม อย่าลืมอีกเรื่อง: โซเดียมก็สำคัญไม่แพ้กัน หลายคนคุมโพแทสเซียมได้ แต่พลาดตรง “โซเดียม” จากอาหารแปรรูปและการปรุงเพิ่ม เช่น ซอสต่างๆ ผงปรุงรส น้ำปลา ซีอิ๊ว บะหมี่กึ่งสำเร็จรูป ของหมักดอง ทำให้บวม ความดันสูง และกระทบไตได้ค่ะ เทคนิคที่ฉันใช้คือชิมก่อนปรุง เลือกเครื่องเทศ/สมุนไพรเพิ่มกลิ่นแทนความเค็ม และกำหนด “โควตาเครื่องปรุง” ต่อมื้อ สรุปคือ โรคไตไม่ได้แปลว่าห้ามกินผัก แต่ต้องเลือกชนิด-ปริมาณ-วิธีปรุงให้เหมาะกับค่าเลือดของตัวเอง ถ้าไม่แน่ใจ ลองจดเมนูที่กิน + ผลแล็บล่าสุด แล้วคุยกับนักกำหนดอาหาร จะจัดแผนที่กินได้จริงและไม่เครียดค่ะ

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Some all-time favorites that I can’t wait to make again #fall #fallfood #dietitian #rd #recipes
jillian.genna.dietitian

jillian.genna.dietitian

111 likes

#type2diabetes #kidney #dialysis
Lemon8er

Lemon8er

15 likes

A white bowl of yogurt with sliced bananas, strawberries, blackberries, and granola, next to a white plate of scrambled eggs, on a marble countertop. Text overlay reads 'what i eat in a day'.
A white bowl of yogurt with sliced bananas, strawberries, blackberries, and granola, with a spoon, next to a white plate of scrambled eggs, on a marble countertop.
A text display showing a coffee order: Caffè Latte, Grande, 3 Shots, Almond, Cinnamon Powder, and 3 Packet(s) Stevia in the Raw.
what I eat in a day 🍓
hi babes! 🥰 welcome back to another WIEIAD! It’s been a while since I last posted these but I will try to post these more often. currently my goal is to stick to a whole foods + high protein diet while also following the 80/20 rule. *disclaimer: I have been practicing intermittent fasting
iluvvjennny 💌

iluvvjennny 💌

109 likes

The "Eat the Rainbow" Dessert Bowl 🍓🥝✨
Between the hospital, content creation, and traveling for family, I don't always have the energy for a complex bake. 🏃‍♀️ When I need something sweet but want to skip the sugar crash, I go back to basics. This isn't just a fruit salad; it's a bowl of nature's candy that looks like a
RealLifeDietitianLauren

RealLifeDietitianLauren

106 likes

A diverse grocery haul displayed on a wooden surface, featuring fresh cherries, apples, peaches, sweet potato tots, chicken breasts, canned beans, canned corn, and vanilla bean ice cream, representing a budget-friendly shopping trip.
Essential grocery items on a wooden surface, including a bag of sweet potato tots, three apples, and a mesh bag of round cheese snacks, highlighted as grab-and-go options for low-energy nights.
Ingredients for a new recipe laid out on a wooden surface, comprising boneless, skinless chicken breasts, canned black beans, canned cannellini beans, canned whole kernel corn, fresh cilantro, an avocado, and a green bell pepper.
What's in my Grocery Cart? Dietitian Edition. Total Bill ~$100 for 2
Proof that a double-digit grocery budget can still net a massive variety of fresh, whole foods. Swipe through to see the star players of this week’s haul and tips on how I’m using them! ➡️ ​To be fully transparent, hitting this number consistently takes a strategy. Here is how we keep the total
RealLifeDietitianLauren

RealLifeDietitianLauren

17 likes

Dietitian’s Top 10 Protein Picks
Straight from my Amazon past purchases, these are my top 10 proteins I always keep on hand as a dietitian! Save this video for your next grocery trip! #protein #proteinshake #dietitan #healthyfood #highprotein
Amy | Dietitian

Amy | Dietitian

772 likes

A vibrant collage titled 'Be your own Nutritionist' features images of studying, healthy eating, exercise, and self-care. Key phrases include 'Eat good, Feel good,' 'Stay Focused,' and 'daily healthy habits,' alongside a 'Good Mood Nutrition Facts' label. The visuals promote a holistic approach to personal well-being and nutritional knowledge.
Be your own Nutritionist: 🍓
🍓Becoming your own nutritionist and dietitian involves educating yourself about nutrition, understanding how to read food labels, planning balanced meals, and making healthier lifestyle choices. Here’s how you can get started, along with a sample grocery list with estimated prices. ### Steps to
Purple Flower

Purple Flower

32 likes

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