Saturday, October 5, 2013

The eight points for attention in patients with nephropathy


Appear giddy if is always smooth blood pressure normal friend suddenly appeared dizziness, measuring found abnormally elevated blood pressure, symptoms such as blurred vision, headache, even be especially vigilant, to hospital in time, find out whether there is renal hypertension and find out the cause of the kidney disease, and should not ignore the illness, delayed treatment. To the practice of taking drugs is not recommended.
Nausea and vomiting in the event of loss of appetite, nausea, vomiting, especially after long-term treatment digestive department did not see obvious improvement, the proposal in kidney function and biochemical examination, except with renal insufficiency.
Need to pay attention to regular health checks, kidney related inspection such as urine routine, renal function and renal ultrasound is a simple inspection method, best check every year.
As the saying goes, "food hygiene, it is not only show that diet to health, is more of a reminder for people and food, not scientific diet will cause illness, illness, affect the treatment of diseases. Shenzhen hospital little doctor pointed out, especially in patients with nephropathy, in dietary respect have eight points for attention, and many kidney disease patients are often due to diet is not strict and appear a variety of complications or aggravating illness.

1. Low salt low fat

Limit salt: kidney disease such as edema or high blood pressure, should limit salt dosage, average daily salt with 2, 4 g advisable. Because of the low sodium salt diet is helpful to avoid water retention, prevent aggravating edema and hypertension. Low fat, fat can cause hardening of the arteries, and kidney disease itself is the performance of the renal arteries, so we should use vegetable fat more, eat less animal fat, vegetable oil and daily intake below 60-70 g. Vegetable oils such as soybean oil, sunflower oil, palm oil or peanut oil instead of animal fat as a source of energy, such as saturated fatty acid content rarely, and contains more unsaturated fatty acid, not only it will not cause the artery to hardening of the arteries, but also can lower cholesterol.

2. High quality low protein

Little points out, excessive intake of protein, can aggravate kidney burden, so to control the amount of protein intake. But protein as important nutrients, it is indispensable to human body, especially essential amino acid is the body can't synthesis must from migrant intake, so more high quality protein contains essential amino acids should be guaranteed. And the concrete implementation is should try to reduce the plant protein, because of plant protein contains a lot of purine alkaloid, excessive intake of the burden will add to the kidney, appropriate adding milk, egg, fish, lean meat and other animal protein.

3. The calories

Insufficient heat will use the body's own proteins, make higher creatinine and urea nitrogen, aggravating illness, so make up quantity of heat is very important. At the low protein diet, heat supply must be sufficient, in order to maintain normal physiological needs, 30-35 kcal/kg body weight per day of heat energy. "Can choose a few contains quantity of heat high and low protein content of staple foods, such as potato, lotus root starch, fans, taro, sweet potatoes, yams, pumpkin, water chestnut powder, water chestnut powder, etc., make dietary total quantity of heat to achieve standard range, ensure the balance between supply and demand." Little said.

4. A low potassium diet

Hyperkalemia is one of the most common complication of chronic renal failure. Severe hyperkalemia can cause cardiac arrest, such as life, reason should be very alert. To prevent hyperkalemia, daily potassium intake should be limited in under 2 g, eating food high in potassium, can also through the cooking methods will contain the food with high potassium to k "such as water immersion, water vegetables cooked in water to refuse food dishes, abandoned after fruit sugar boiled water feed pulp, etc."

5. High calcium low phosphorus

Of chronic renal disease, electrolyte disturbance is common with low calcium and high phosphorus, so should pay attention to diet of high calcium low phosphorus. But unfortunately foods high calcium phosphorous is higher, such as pork ribs, dried small shrimps, etc. So high calcium low phosphorus diet emphasizes low phosphorus diet. Little said, "should be eating animal internal organs such as brain, liver, kidney, don't eat roast goose, seafood, the old fire soup, don't drink alcohol, eat less dried fruit such as pumpkin seeds."

6. Low purine

Due to the large number of purine metabolism in the body the burden will add to the kidney, especially in patients with gout, high purine diet can cause gout attacks, aggravating gout disease. And celery, spinach, peanuts, chicken soup, broth, bath chap, sardines, and animal innards contain a large number of purine, therefore, should be strictly limited. Meat also contains purine, when eating can will cook the meat in the water first, abandon soup to eat.

7. Vitamin supplements, etc

The intake of adequate vitamins, trace elements. Vitamin B, vitamin C and zinc, calcium, iron, etc., can be up to the kidney protection. Little advice, "variety, the trace elements in Jin Weikang ratio appropriate, use convenient, 1 tablet per day, vitamin E can be a daily dose of 11 international unit, vitamin C 0.3 g per day."

8. Appropriate high-fiber diet

High dietary fiber is beneficial to maintain defecate unobstructed, discharge toxins, human body metabolic balance. Kidney patients should be appropriate to eat more whole grains, "such as corn, wheat flour, taro, kelp silk, certain fruits, vegetables, etc."

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