2014年5月28日星期三

Edema of iga nephropathy patients how to self care?

1, bed rest, lie low can increase renal blood flow, improve the glomerular filtration rate, reduce water sodium retention, mild oedema patient alternates bed rest and activity, activity to limit, severe edema, bed rest, edema and elevate body to facilitate blood flow, relieve edema.
2, diet.Sodium water and protein restriction
(1) water and salt intake, mild edema, urine volume 1000 ml/d, need not too much water, sodium restricted within the 3 g/d, including sodium food and beverages, such as sausage, bacon, canned foods, such as severe edema with oliguria daily water intake will be limited to 1000 ml, into a salt-free diet, mouth flavored with sugar, vinegar, Onions, etc to increase appetite.
Protein intake (2), a low protein diet can slow the progression of renal injury, severe edema patients with hypoalbuminemia with protein intake, daily 1 g per kg, more than 60% for the high quality protein, in patients with mild edema daily protein 0.5 0.6 / kg, more than 60% of high quality protein such as eggs, lean meat, milk, protein at the same time, there must be plenty of calories, 126-147 kj/kg per day.
3, protect skin edema, prevent skin damage
(1) the patient should wear resistance wide soft cotton clothes, keep flat bed drying, often turn, avoid bone-like compression of skin.
(2) regular use warm water to clean the bath or shower, change underwear frequently, gargle before and after the meal, washing perineum once per day, keep the skin clean and prevent infection.
(3) without violation of diet principle, eating nutritious food as much as possible to improve the body resistance, is advantageous to the damaged skin repair.
4, avoid triggers.Chronic kidney disease, often because of the upper respiratory tract infection or other site infection overwork, mood changes, such as salt water too much make the illness is aggravating, so that the edema, should avoid the inducement, keep good mood and life habits, positive control diet, cooperate treatment nursing, promote the recovery of the disease.
(1) as the change of the weather or clothes in time, prevent colds, avoid going to crowded public places.
(2) pay attention to the mix.
(3) establish the confidence of conquer disease, keep optimistic state of mind, keep the mind at ease, establish a good attitude towards life.

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