2012年8月5日星期日

Nephrotic syndrome dietary requirements


Reasonable scientific diet determines the patient's life and safety, even in disease recovery or recovered, poor eating can still lead to kidney metabolism disorders, hardening of the kidney unit will never be renewable, residual renal units even restore function , but after all, suffered serious injuries, after recovery of renal function is very fragile, if the excessive intake of sodium, water, protein, and it will just restore renal function has once again been high perfusion, high filtration, high metabolic hit, which aggravated injury. It is a strict diet is essential.
The clinical manifestations of nephrotic syndrome with massive proteinuria, low protein in blood levy, the hyperlipidemic levy and a high degree of swelling, diet therapy is very important. The specific requirements are as follows:
(1) to restrict salt intake:
The amount of salt should be based on the degree of patients with edema, a high degree of edema should avoid salt, swelling to reduce the edema is not fully dissipated by low-salt diet (salt intake about 3 grams per day), to edema completely subsided, plasma albumin recovery to near normal when recoverable ordinary diet.
2 protein intake requirements:
Nephrotic syndrome with massive proteinuria daily and hourly in the discharge, low protein in blood sign to the colloid osmotic pressure, so that the edema the stubborn Nanxiao, immunity, resistance continued to decline, so the protein into the nephrotic syndrome patients The amount of the specific requirements of the following:
(1) In the case of renal failure, should ensure that adult patients with nephrotic syndrome protein intake of about 90-100 grams per day per person is generally able to maintain the body's positive nitrogen balance.
(2) in loss of appetite, do not eat into the give 1 g / kg / day. Conditioning, spleen and kidney function in Chinese medicine and give diuretics in order to reduce the gastrointestinal tract edema.
(3) Subject to the appetite improved, you can gradually increase the protein intake up to 1.5 g / kg / day.
(4) When the patients appetite is good, allowing free access to food until the plasma albumin can be pulled close to normal or after the swelling subsided into ordinary diet.
3 fat intake requirements:
Hyperlipidemic patients with nephrotic syndrome often have symptoms, minimal change disease patients due to the short period of time the condition can be improved, and fat intake is unrestricted, but on refractory nephrotic syndrome, especially patients with membranous nephropathy and other long-term high lipemia levy caused by arteriosclerosis, fat and animal fat-rich foods should be strictly limited.
Vitamins, calcium, trace elements intake.
Patients with renal comprehensive addition to the loss of a large number of proteins from the urine, but also loss of other elements of the combination of protein, can be indirectly caused by calcium deficiency, magnesium deficiency, zinc deficiency, can be used medication or diet.