2014年10月31日星期五

Nephrotic syndrome, food taboos

As the saying goes: Food is closely related to people with diet, eating every day, everyone will do, but for those patients with nephrotic syndrome, it is not the case, they need to eat every day, cautiously, fearing the viewer is not Note that eating the wrong things will make kidney disease worse, then for those patients with nephrotic syndrome in the diet should pay attention to?
(1) sodium intake: edema should enter a low-salt diet, so as not to aggravate edema, generally no more than 2g of salt per day is appropriate, disable preserved foods, less MSG and food base, the swelling subsided, plasma protein close normal, resume normal diet.
(2) protein intake: nephrotic syndrome, a large number of plasma proteins from the urine, human protein decrease in protein malnutrition, hypoproteinemia plasma colloid osmotic pressure decreased, resulting in edema Stubbornly difficult to eliminate, body resistance also decreased. Thus, the patient in the absence of renal failure, its early, should be given a very high quality of the protein diet (1 ~ 1.5g / kg * d), such as fish and meat. This helps to alleviate some of hypoalbuminemia and consequent complications.
However, high-protein diet can renal blood flow and glomerular filtration rate increased, the glomerular capillary at high pressure, while the intake of protein also increased urinary protein can accelerate glomerular sclerosis. Thus, for chronic, non-polar patients with nephrotic syndrome should eat fewer amounts of high-quality protein (0.7 ~ 1g / kg * d), as for chronic renal damage, should low-protein diet (0.65g / kg * d).
(3) fat intake: nephrotic syndrome patients often have hyperlipidemia, this can cause arteriosclerosis and glomerular injury, sclerosis, and therefore should be limited to animal offal, fat, some seafood and other foods rich in cholesterol fat food intake.
(4) Supplementary trace elements: nephrotic syndrome due to increased permeability of the glomerular basement membrane, in addition to the loss of large amounts of protein in the urine, but also at the same time lose some trace elements and hormones and protein binding, resulting in the body of calcium, magnesium, zinc, iron and other elements deficiency, should be given appropriate supplement. Generally eating vitamin and trace element-rich vegetables, fruits, grains, seafood, etc. be added.

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