Saturday, June 16, 2012

Nephropathy in patients with eating misunderstanding


In kidney patients, eat and drink is very important, because of the need to import food by renal excretion, believe it will increase the burden on the kidneys. However, in life, many patients in the diet, mishandled, or chaos fill to eat, or the diet is too strict, that it makes the condition ups and downs. Kidney disease, experts say in the diet, kidney patients must pay attention to the low-salt, low fat, high-quality low-protein, light digestible best tonic must consider the physical condition before, under the guidance of a doctor, dialectical implementation.
Some patients said that my kidney problems can be much more to eat tonic. This is not the right extreme point of view. Many drugs are excreted from the kidneys, and therefore need to carefully measure the benefits of drugs and medication burden to the kidney.
Question 1
Patients with kidney disease can eat meat?
Under normal circumstances, eat into the body of the plant protein to metabolic changes, and finally most of the nitrogenous waste excreted by the kidneys. Therefore, eating too much protein-containing food, will increase the burden on the kidneys.
Kidney disease, experts say, is generally recommended that patients with nephropathy, protein intake is 0.6 grams per kilogram of body weight. For example, in patients weighing 60 kg, the intake of protein a day for 60 × 0.6 = 36 grams every two meat contains 9 grams of protein, so kidney patients day eat about two 4 meat.
Containing proteins in the food we eat daily, more or less, including meat, eggs, milk protein quality, high utilization of the human body, can be used to repair or maintain muscle strength, others such as beans (green beans, red beans etc.), stone fruits (peanuts, melon seeds, cashews, etc.), whole grains, sweet potatoes, taro, potato, vegetables, fruits contain protein quality is poor, will create more waste, kidney patients intake of protein to animal protein-based, and also to control the amount of 3-4 two-meat can be.
Question 2
Patients with kidney disease can not eat salt?
Folk often think that patients with kidney disease must quit the salt ", repeated the baseless assertion, mistakenly not shallow. We know that salt is an essential ingredient of the human body, long-term salt will lead to electrolyte imbalance, such as hyponatremia, the body adversely.
Kidney disease, experts say, matter what kind of nephritis, absolute quit salt is wrong. Should be considered when the patient has significant edema or increased blood pressure, reducing salt intake, so as not to aggravate the sodium retention. When the patient clinically and no edema or hypertension, salt intake does not have more restrictions.
Generally speaking, are suffering from kidney disease, oliguria, hypertension, edema either case should limit salt intake, mild edema and hypertension salt intake of 2-3 g / day; a high degree of edema to avoid salt, so the ring does not quit the salt depends on the disease situation.
Question 3
Kidney patients drink Diet soup?
The food is diverse, as long as renal function is normal, what to cook soup for strictly limited. Fish, chicken, lean meat, eggs, soup, add some herbs can also as the Diet. Such as Codonopsis, the Beiqi pot chicken, lotus, Mainz real burning lean spleen, cordyceps stewed duck Kidney Yin, soil Fuling to burn turtles can Yin and diuresis. Liu Xusheng renal insufficiency in patients with gout should be taken to avoid drinking the old fire soup, because soup purine on renal function, may induce gout.
In clinical practice, the experts found that some patients always thought that traditional Chinese medicine non-toxic, there are some herbs (such as Guan Mu Tong) may have serious kidney damage after taking the drug in cases of acute renal failure in nonvolatile memories.
In addition, the renal toxicity of traditional Chinese medicine cantharidin, centipede, bee venom, cinnabar, realgar, red lead, Motherwort, Magnolia, Asarum, Hook, Arrowhead Mountain, pornographic films, these drugs must be strictly followed in the use the range, and careful application.
Question 4
Kidney patients a day to drink plenty of water?
A healthy day for adults at least 1200 ml of water to drink. However, acute Chronic nephritis, acute renal failure, oliguria, and nephrotic syndrome, chronic renal failure with oliguria edema patients, to control the amount of drinking. Otherwise, go to drink did not break out, and water retention in the human body to increase the edema, but also easy to increased blood pressure, this time, the amount of water the day before urine output plus 500 ml is appropriate.
Kidney disease, experts say, usually one day's urine output was 1200-1500 ml when urine output is increased, the amount of water can be relaxed. In addition, the drinking water for dialysis patients, depending on the circumstances may be. Just the start of dialysis due to the presence of some residual renal function, a certain amount of urine, with the prolonged duration of dialysis, residual renal function is gradually lost, the urine output is less and less, the need for strict control of water intake.
There is a saying in the past: that dialysis patients can let go of the food and drink, the present point of view: peritoneal dialysis patients there are also excessive volume load, the patient can be expressed as edema, poor blood pressure control, the same should follow "Expenditure and Revenues" principle.

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