2014年12月27日星期六

Diet for chronic kidney disease

If you suffer from chronic renal kidney failure in a regular hospital for treatment after a reasonable must do so from the basic life care disease Diet is a major, then? What type of diet should be what is reasonable? Here are the details of the nephrologist for you:

Chronic kidney disease (CKD) is an irreversible disease that has no cure, patients with advanced depend on dialysis or a kidney transplant to maintain life, early patient treatment aimed at controlling the rate of disease progression, time delay dialysis soon. The diet therapy is a non-dialysis stage of deterioration of renal function is very important for effective action.

1. Patients conIRCson usually accompanied by edema and hypertension should be low in salt (<3 g / d) diet, severe oliguria edema, should limit the intake of water and potassium foods (longan, white fungus, sesame, etc)

2. Patients with CKD not on dialysis, you should give a low protein diet to reduce metabolites (blood urea nitrogen) source, reduce the load on the kidneys, reducing the rate of deterioration of renal function. Protein intake should be based on reasonable adjustments for renal impairment. When the glomerular filtration rate (GFR) decreases 50 ml / min or less, should be carried out when adequate protein restriction (0.6g / kg) to meet the basic needs of the body's physiology without malnutrition. GFR <10 ml / min, which is the uremia, the protein must be strictly limited to 20 g / d, GFR> 20 ml / min, could add 5 g / d. And require more than 60% of high quality protein, essential amino acids containing animal proteins such as eggs, milk, meat origin and thus prevent low on.For protein malnutrition caused, can be added with essential amino acids and preparation mixed α-keto acid α-keto acid itself does not contain nitrogen, ammonia in the body with the essential amino acids combine to form the corresponding (EAA), EAA in the process of protein synthesis can use part of the urea, that can reduce the levels of blood urea nitrogen, improves symptoms of uremia.

3. High calorie intake: Adequate intake of carbohydrates, fats, to supply the body with enough heat to provide heat to prevent decomposition of proteins, reducing protein intake. For proper calorie intake, you can eat more margarine, vegetable oil and sugar. Food should be rich in vitamin B, C, folic acid, also give oral tablets.

4. Patients with CKD often have high phosphorus, hypocalcemia, easily lead to renal osteodystrophy, should be taken to limit phosphorus diet (containing 15 mg of protein per gram of phosphorus, limiting protein intake also limits the intake of phosphorus) and use of intestinal phosphate binders. It should be added calcium, every day should complement 1000 ~ 1500 mg, such as calcium carbonate, calcium supplements can not only correct the acidosis is phosphorus binders.

5. Patients with CKD on dialysis and do not need strict dietary restrictions, but should be according to height, weight, dialysis, frequency of dialysis and urine tests to develop your own diet program.

This is introduced prior knowledge of chronic renal failure diet nephrologist care, I hope my friends can pay attention to the patient as soon as possible to correct their mistakes diet, I wish you a speedy recovery!

if you have any questions please comment below, email or live chat. Our mailbox is mailto: enfermedad-renal@hotmail.com.

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