Diet for Patients Who Have IgA Nephropathy in Different Stages

IgA nephropathy is a group of more causes of chronic renal disease have the same immune pathological characteristics. Clinically, approximately 40% -45% of patients present with the naked eye or microscopic hematuria, 35% -40% of patients showed microscopic hematuria with proteinuria, nephrotic syndrome and the rest of renal failure. IgA nephropathy nephropathy is a common worldwide glomerular diseases, IgA nephropathy prevalent in different continents, different in different countries or different regions in a country great. World Health Organization (WHO) will lga Kidney histology were divided into five: Ⅰ mild damage; grade Ⅱ small lesions with a small amount segmental proliferation; Ⅲ level focal segmental glomerulonephritis; Ⅳ grade diffuse mesangial damage associated with the proliferation and hardening; Ⅴ grade diffuse sclerosing glomerulonephritis involving more than 80% of the glomeruli. Diet for IgA nephropathy patients, as important as the treatment strategy, but diet can not generalize, IgA nephropathy patients at different stages of their diet is not the same principle. Here according to the different stages of IgA nephropathy, introduce suitable diet program at this stage.

IgA nephropathy mild damage grade Ⅰ: obvious symptoms usually appear back pain, hematuria or mild edema and simple (and) mild proteinuria.

The amount of added iron, zinc, copper, manganese and other trace elements, such as: milk, carrots, etc., promote metabolism, expand body immunity.
Suitable light digestible eat and the amount of fresh fruits and vegetables, such as: cucumber, tomato, lily, melon, watermelon, red bayberry, etc., and proper drinking water;
Low sodium diet: intake of 2-3 grams of salt per day is generally appropriate (after regular beer pad cover removed, a flat cover of salt is about 6 g). Do not eat salty foods such as pickles, salted fish, bacon, salted and other preserved foods.

IgA nephropathy Ⅱ grade small lesions with a small amount of segmental proliferation. This stage is asymptomatic microscopic hematuria (often persists), red blood cells with abnormal red blood cells in urine-based (≥80%), accompanied by mild proteinuria (<1g / 24h).

For microscopic hematuria, the patient should eat apples, black sesame seeds, fungus and other nourishing yin pathogenic fire food.
Taking food recipes, such as loofah drink, Chine cane water, Chine porridge, porridge shepherd's purse, black Douyu rule hematuria, treatment proteins medicated.

IgA nephropathy focal segmental glomerulonephritis Ⅲ grade. IgA nephropathy hypertension is uncommon (less than 5% -10%) with the extended duration of the increased incidence of high blood pressure, to the level Ⅲ This symptom is more common.
We might add some anti-hypertensive food, such as fresh dark green vegetables, seaweed, mushrooms, oats.

Far three white (sugar, white salt, animal fat) nearly black (black rice, black fungus, seaweed), and drunk green tea, yogurt.
Control energy intake, promote eating complex carbohydrates such as starch, corn, etc., to prevent elevated blood lipids.

IgA nephropathy Ⅳ level with diffuse mesangial proliferation and hardening damage. Proteinuria, hypoalbuminemia and microscopic hematuria accounted for about 7% ~ 16% lga kidney disease, often severe back pain. Renal biopsy may show acute tubular necrosis, a wide range of red blood cell casts and small crescent portion is formed.

Low-volume high-protein diet. Moderate consumption of eggs, milk, lean meat and other animal protein rich in essential amino acids, but the exact amount to be determined as appropriate intake (normal renal function, but the higher number of daily urine protein intake maintained at 1 ~ 1.5g / kg * d, severe renal impairment should limit protein in 0.6 ~ 0.8g / kg * d).

IgA nephropathy Ⅴ grade diffuse sclerosing glomerulonephritis involving more than 80% of the glomeruli. Iga progression to chronic renal failure, or even
Uremia. Clinically rare, poor prognosis.

This stage is to reduce the burden on the kidneys, supply about 20 grams of protein per day is probably more appropriate, usually used eggs, milk, fish and other better, and secondly can be administered orally or intravenously essential amino acids.

To choose when urine excessive potassium foods such as: mushrooms, green beans, peanuts and so on. Such as urine in 1000 ml or less, the choice of arrowroot flour, pumpkin, shrimp and other low potassium foods.

Patients with non-diabetic nephropathy iga, may be appropriate to add the sugar and fat, because of its metabolites into water and carbon dioxide is discharged from the lungs and skin, not through the kidneys, reduce the burden on the kidneys.


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