When kidney dysfunction, urinary toxins can not be excreted, accumulate in
the blood causing symptoms of poisoning (uremia), will lead the body has too
much hydrogen, sodium and potassium ions.
Control diet, for chronic renal failure patients is a basic treatment, can
reduce the production of toxins in urine, the body can maintain a minimum
balance of nutrition demand and electrolyte, but this plan is the patients
themselves and their families need to try to overcome a challenge, because often
need to give up some food to satisfy their appetites.
The diet principles:
1, the appropriate protein intake;
2, adequate intake of calories;
3, pay attention to controlling moisture and salt (sodium) intake;
4, to avoid high potassium and high phosphorus-containing foods.
First, the intake of high quality protein
Patients with renal failure, the need to limit the intake of protein, to
alleviate the burden on the kidneys, but if you eat a big small, the consumption
of the body's muscles and visceral tissues, it must eat properly and sufficient
"quantity" and "quality" of the protein, the amount of per kilogram of body
weight per day should be 1 to 1.2 grams, intake of high quality biological value
of animal protein foods, such as: milk, eggs, meat. Due to lower utilization of
vegetable protein in the body, resulting in more nitrogenous waste metabolized,
so we can not any food, such as: beans (red beans, green beans, peas, beans,
soybeans, peas ren), soy products ( tofu, tofu, soy milk), gluten products
(gluten, flour sausage, roasted bran), stone fruits (melon seeds, peanuts,
walnuts, cashew, chestnut) and the like. Since the essential amino acids
vegetarian soy products and cereals contain not complete, in order to improve
the utilization of vegetarian protein, these foods should be together with food,
can play a complementary effect; the best change to eat custard vegetarian
appropriate, protein intake according to quantitative criteria.
Second, adequate intake of calories
Limiting protein intake, in order to avoid inadequate calorie intake, it will
increase the generation of nitrogenous waste, can eat more high-calorie and low
protein foods to supplement. Vegetable oils (such as: soy, peanut oil), low
protein starch (such as: Cheng flour, white powder, lotus root starch,) and
carbohydrates (such as: sugar, honey, ginger candy, fruit sugar) to produce a
variety of tasty snacks, the heat The intake per day per kilogram of body weight
30 to 40 calories, so weight loss over what.
Third, careful control of moisture
When kidney failure and decreased urine output, the water will accumulate in
the body load, the cardiovascular system is increased, it will no vitality,
edema, weight gain, cough, shortness of breath, lie down, hematocrit (Hct)
reduced, and concurrency high blood pressure, heart failure, pericarditis, and
dialysis due to dehydration drama, prone to headaches, ah, vomiting, muscle
cramps imbalance syndrome. Daily weight increase to no more than one kilogram is
limited, and water intake for the day before the total urine output plus 500 to
700 milliliters (ml). If the day before the urine of 500ml, then 500cC + 500
(7D0) ml = 1000 ~ 1200ml, that is, the amount of water to drink throughout the
day, including water, rice, milk, soup and beverages. Avoid drinking mostly
water, can ice mouthwash, chewing gum or squeeze a little lemon juice to reduce
the feeling of thirst, try taking the time to focus on to soup consumption,
reduce the amount of water.
Fourth, pay attention to the control of salt
Unable to discharge water, salt when renal failure, prone to edema and
increased blood pressure. Patient one day should eat no more than 5 grams of
salt. 1 g (1/5 tea soup) salt = 6/5 = 1 tea tea soup soy sauce soup MSG, so the
above seasoning contains not arbitrarily add salt; can be used instead of sugar,
onion, ginger, garlic and so on to improve the taste. And should be limited to
high-sodium foods, such as processed canned, salted and smoked products, Levin
sauce, pickles, pickles and fast food. If poor appetite, no salt restriction, to
be able to eat nutritious for the former title, until a good appetite, there is
enough nutrition after another limit salt.
Fifth, beware of potassium too high
Potassium can not be discharged because of the severe damage to the kidneys,
causing "hyperkalemia" may cause finger numbness, fatigue, weakness, chest
tightness, tongue stiffness, difficulty speaking, loss of consciousness, severe
arrhythmia or cardiac arrest.
The reason hyperkalemia include: 1, inadequate dialysis; 2, no appetite; 3,
constipation; 4, high potassium intake of foods high in potassium vegetables,
can go Peel and small, with plenty of clean boiled 3 ~ 5 minutes picked up, then
mixed with oil or fried; potassium content of coffee, tea, chicken concoction
will be higher and cause hyperkalemia.
Potassium vegetables: green leafy vegetables (such as spinach, water spinach,
amaranth, lettuce), mushrooms, seaweed, kelp, carrots, potatoes.
Potassium fruits: bananas, tomatoes, dates, oranges, oranges, mango,
persimmon, melon, grapefruit, carambola (easy hiccups), recommended that each
time a fruit-based, serving approximately 1/6 appropriate.
Potassium fruits: pineapple, papaya, watermelon, pear, strawberry, lemon,
etc., but not Yichi lot.
Sixth, to maintain the balance of calcium and phosphorus
Calcium and phosphorus are important body minerals, both can maintain good
growth of bones and teeth, muscles and nerves to function properly. When calcium
deficiency shall eat milk, calcium and vitamin D, can reduce the renewal of
deputy hyperthyroidism occurred. Phosphorus exists in all protein-containing
foods, to have sufficient nutritional intake, but also to reduce the absorption
of phosphorus, only chew when eating while taking aluminum hydroxide, calcium
carbonate and other phosphate binders to bind food phosphorus. Note that high
phosphorus foods: whole grains and products (such as brown rice, embryo rice,
whole wheat bread), offal (liver, kidney, brain), stone fruits (peanuts,
cashews, walnuts) and butter products (peanut butter), chocolate, intake of egg
yolks, milk, dairy products and the like.
Seven, less consumption of "aluminized and purine" foods to avoid aluminum
toxicity and gout.
Aluminous diet: 1, tea; 2, yogurt; 3, tea; 4, Cake; 5, to aluminum containers
cooking.
High-purine diet: 1, gravy; 2, lentils; 3, concentrated broth; 4, lean meat,
duck; 5, cerebral type; 6, mushrooms; 7, offal (liver, kidney, heart); 8,
sardines; 9, eel class; 10 asparagus. 11, chronic nephritis; diet; health.
The experts in Shijiazhuang Kidney Disease Hospital which is a professional
hospital in treating kidney disease with Chinese herbal medicines can reply you
by email: kidneyhospitalabroad@hotmail.com.
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