{"id":21558,"date":"2025-05-05T16:49:12","date_gmt":"2025-05-05T08:49:12","guid":{"rendered":"https:\/\/drzubaidi.com\/blog\/?p=21558"},"modified":"2025-05-05T16:49:20","modified_gmt":"2025-05-05T08:49:20","slug":"suplemen-pesakit-ckd-dan-ihd","status":"publish","type":"post","link":"https:\/\/drzubaidi.com\/blog\/suplemen-pesakit-ckd-dan-ihd\/","title":{"rendered":"SUPLEMEN PESAKIT CKD DAN IHD"},"content":{"rendered":"\n

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\"\"<\/figure>\n<\/div>\n\n\n

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<\/p>\n\n\n

SUPLEMEN PESAKIT CKD DAN IHD<\/strong><\/p>\n

\u00a0<\/p>\n

Terima kasih Puan yang bertanya mengenai kesihatan suami.

<\/p>\n

Saya simpulkan dahulu ringkasan kesihatan suami:<\/p>\n

\u2705Umur: 49 tahun<\/p>\n

\u2705Creatinine (Cr): 159 \u00b5mol\/L (tinggi \u2013 menunjukkan fungsi buah pinggang terjejas)<\/p>\n

\u2705Urea: 7.4 mmol\/L (atas julat normal \u2013 berpotensi menunjukkan penurunan fungsi ginjal)<\/p>\n

\u2705Sejarah perubatan: Darah tinggi & Ischemic Heart Disease (IHD)<\/p>\n


Secara ringkas,<\/p>\n


1. Creatinine 159 \u00b5mol\/L menunjukkan fungsi buah pinggang telah mengalami penurunan kepada sekitar CKD tahap 2\u20133a, bergantung pada nilai eGFR (yang biasanya dikira dari creatinine + umur + jantina).<\/p>\n


2. Urea 7.4 mmol\/L berada di sempadan atas normal.<\/p>\n


3. Gabungan hipertensi dan IHD boleh mempercepatkan kemerosotan fungsi ginjal.<\/p>\n


4. Perhatian penting: Kawal diabetes dan tahap tekanan darah kerana jika tidak terkawal, ia mempercepatkan kemerosotan fungsi ginjal.<\/p>\n


Selain dari ubat yang diberikan, boleh ambil suplemen yang sesuai dan selamat.<\/p>\n


A. Omega-3 (Minyak Ikan Berkualiti Tinggi)<\/p>\n

1. Mengurangkan keradangan, menstabilkan tekanan darah dan melambatkan kerosakan ginjal.<\/p>\n

2. Mengurangkan risiko serangan jantung susulan (secondary prevention of IHD).<\/p>\n


3. Kajian:
A meta-analisis oleh Zhang et al., 2022 dalam Journal of the American Heart Association menunjukkan Omega-3 menurunkan risiko kardiovaskular dan memperbaiki parameter ginjal seperti proteinuria.<\/p>\n

4. Cadangan dos: 1\u20132 gram EPA\/DHA sehari (bukan sekadar jumlah minyak, lihat kandungan EPA\/DHA).<\/p>\n


B. Coenzyme Q10 (CoQ10)<\/p>\n

1. Menambah tenaga selular di jantung dan buah pinggang.<\/p>\n


2. Menurunkan tekanan darah dan menyokong kesihatan kardiovaskular.<\/p>\n


3. Kajian:
Menurut kajian oleh Zhao et al., 2016 dalam Clinical Nutrition, CoQ10 meningkatkan fungsi buah pinggang dan mengurangkan tekanan darah dalam pesakit dengan CKD dan hipertensi.<\/p>\n

4. Cadangan dos: 100\u2013200 mg sehari (pastikan dalam bentuk ubiquinol).<\/p>\n


C. Tocotrienol (Vitamin E bentuk aktif)<\/p>\n


1. Mengurangkan kerosakan oksidatif buah pinggang dan jantung.<\/p>\n

2. Berperanan sebagai anti-radang dan anti-fibrosis.<\/p>\n


3. Kajian saintifik.
Kajian Budin et al., 2013 dalam Evidence-Based Complementary and Alternative Medicine menunjukkan tocotrienol membantu memperbaiki fungsi buah pinggang dan melindungi daripada kerosakan akibat tekanan darah tinggi.<\/p>\n

Cadangan dos: 50\u2013100 mg tocotrienol sehari.<\/p>\n


D. Minyak Zaitun Extra Virgin (OLIVIE 30 Plus jika boleh)<\/p>\n

1. Sumber polifenol tinggi, baik untuk tekanan darah, jantung dan usus.<\/p>\n


2. Sifat antioksidan yang membantu melindungi buah pinggang.<\/p>\n


3. Kajian:
Covas et al., 2006 dalam American Journal of Clinical Nutrition membuktikan minyak zaitun membantu menurunkan tekanan darah dan keradangan.<\/p>\n

4. Cadangan: 1 sudu pagi sebelum sarapan.<\/p>\n


Perhatian Tambahan:<\/p>\n

1. Elakkan suplemen tinggi potassium atau phosphorus tanpa pemantauan.<\/p>\n

2. Periksa label untuk suplemen \u201crenal-safe\u201d atau \u201ckidney-friendly\u201d.<\/p>\n

3. Minum air cukup, tapi jangan berlebihan jika ada sekatan cecair dari doktor.<\/p>\n


Semoga menjawab soalan yang ditanya.<\/p>\n

#HealthDrZubaidi
#drzubaidimenjawab<\/p>\n\n","protected":false},"excerpt":{"rendered":"

SUPLEMEN PESAKIT CKD DAN IHD \u00a0 Terima kasih Puan yang bertanya mengenai kesihatan suami. Saya simpulkan dahulu ringkasan kesihatan suami: \u2705Umur: 49 tahun \u2705Creatinine (Cr): 159 \u00b5mol\/L (tinggi \u2013 menunjukkan fungsi buah pinggang terjejas) \u2705Urea: 7.4 mmol\/L (atas julat normal \u2013 berpotensi menunjukkan penurunan fungsi ginjal) \u2705Sejarah perubatan: Darah tinggi & Ischemic Heart Disease (IHD) …<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[10],"tags":[],"class_list":["post-21558","post","type-post","status-publish","format-standard","","category-umum"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p10sZy-5BI","jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":21518,"url":"https:\/\/drzubaidi.com\/blog\/benarkah-suplemen-menyebabkan-masalah-fatty-liver\/","url_meta":{"origin":21558,"position":0},"title":"BENARKAH SUPLEMEN MENYEBABKAN MASALAH FATTY LIVER?","author":"admin","date":"30\/04\/2025","format":false,"excerpt":"BENARKAH SUPLEMEN MENYEBABKAN MASALAH FATTY LIVER? \u00a0 \"Assalamualaikum Dr Zubaidi. Saya ingin bertanya. Daripada keputusan ujian darah minggu lalu, saya telah disahkan mengalami masalah hati. Doktor mengesyaki ia mungkin disebabkan oleh pengambilan suplemen. Adakah benar, atau mungkinkah ia berpunca daripada pengambilan gula dan karbohidrat ringkas? Terima kasih\". \u00a0 Waalaikumussalam. 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Escitalopram 10mg Kegunaan: Merawat kemurungan (Major Depressive Disorder - MDD) dan gangguan kebimbangan (Generalized\u2026","rel":"","context":"In "Umum"","block_context":{"text":"Umum","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/umum\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":21765,"url":"https:\/\/drzubaidi.com\/blog\/tinggi-potassium-dalam-air-kencing\/","url_meta":{"origin":21558,"position":2},"title":"TINGGI POTASSIUM DALAM AIR KENCING","author":"admin","date":"02\/07\/2025","format":false,"excerpt":"TINGGI POTASSIUM DALAM AIR KENCING \u00a0 \"Assalamualaikum Dr Zubaidi. 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