Tuesday, September 23, 2014

Dietary Treatment of Glomerulonephritis

Glomerulonephritis fractal many clinical manifestations are very complicated, the patient in the treatment of diet is very important. A good diet can reduce the burden on the kidneys.

Protection of normal renal units, repair damaged kidney cells, correction of electrolyte metabolism, eliminate or reduce symptoms. However, diet therapy according to the degree of renal function and nephritis disease to develop, to take into account the patient's edema, hypertension and other conditions into account, depending on type.

For patients with mild cases of kidney disease patients in the diet experts recommend limiting protein and a little salt. Daily protein (protein food) limit of about 0.8 g / kg body weight, or about 40 to 50 grams daily. Sodium limit is based on the degree of edema and hypertension, usually about salt daily limit of four grams.

And to patients with moderate and severe cases, this time serious condition, because the quality of blood nitrogen retention, more stringent dietary control.

First, protein: early should be strictly limited. Day should be less than 0.5 g / kg body weight, an average of 20 to 40 g / day.

Second, the sodium salt: edema and hypertension patients if applied low-salt, no salt or low-sodium diet. Low-salt diet generally provides 2 to 3 grams of salt per day (soy sauce (oil products) from 10 to 15 ml).

Third, potassium: when patients oliguria, urine retention or elevated serum potassium, that should limit eating potassium-rich vegetables (vegetable food) and fruit (fruit food) categories. Full daily intake should be less than 500 milligrams of potassium.

Fourth, the fluid volume: how much daily urine output should be considered to control the amount of fluid. In addition to the general control method is to add a day before the discharge of urine, more intake of 500 to 1000 ml. Where less urine accompanied by swelling, the daily amount of fluid should be less than 1000 ml.


Fifth, the total energy: the patient should stay in bed, heat is not too high, a day for about 25 to 30 kcal / kg body weight (0.10 to 0.13 MJ / kg body weight), full-day of about 1600 to 2000 kcal (6.69 ~ 8.37 MJ ). Carbohydrate and fat as the main source of heat for about 90% of total calories. But not too much fat content and should be eaten contain polyunsaturated fatty acids rich in fats and oils, namely vegetable oil-based.

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