What diet should glomerulonephritis pay attention to

summary

After the protein in the diet is used by the body, the remaining nitrogen-containing wastes such as urea and uric acid that cannot be used, and the excessive sodium, potassium and phosphorus in the body must be excreted from the kidney. When the function of excreting wastes by the kidney drops to less than 30%, it is called "renal insufficiency". At this time, nitrogen-containing wastes such as urea and uric acid in the blood begin to accumulate, but the urine volume is still normal; If the renal function continues to deteriorate, moderate increase of blood urea nitrogen and creatinine, nocturia, metabolic acidosis, low blood calcium and high blood phosphorus are called "renal failure"; When the renal function drops to less than 10%, it is called "uremia". Nausea, vomiting, general fatigue, loss of appetite and other symptoms may occur. In severe cases, dyspnea may occur due to pulmonary hydrops or heart failure, and the amount of urination may decrease. When it is found that the renal function is slowly declining, in addition to drug treatment, doctors usually recommend patients to reduce the protein intake, so as to reduce the burden on the kidney and delay the time of becoming end-stage renal disease. Besides limiting protein, doctors also choose to limit the diet of sodium, phosphorus or water according to the different conditions,

What diet should glomerulonephritis pay attention to

1. It is generally recommended that the protein intake should be 0.6 g / kg body weight. For example, if the body weight is 50 kg, the daily intake of egg quality should be controlled at 30 G. Our daily food contains more or less protein, among which meat, eggs and milk have better protein quality and high utilization rate, which can be used to repair or maintain muscle strength, such as beans (mung bean, red bean, broad bean, pea kernel, etc.), stone nuts (peanut, melon seed, cashew nut, etc.), gluten products, Cereals, flour products, sweet potato, taro, potato, etc The quality of protein contained in vegetables and fruits is poor, which will produce more waste. Although soybeans and soybean products are plant protein, their quality is no less than meat. Therefore, experts and scholars also suggest limiting protein diet, and soybeans and their products should not be listed in the scope of fasting. It is suggested that at least 2 / 3 of the daily allowance should be supplied by high-quality protein.

2. Under the principle of limiting protein, the intake of rice is limited, which is easy to cause caloric deficiency, increase protein consumption and urea in the body, and make the body lose weight and poor resistance. Therefore, it is necessary to eat more high calorie and very low protein foods (such as sugar: white sugar, ice sugar, honey, fruit sugar, etc.); Vegetable oil and protein powder, such as Chengfen, corn flour, Taibai flour, lotus root flour, winter flour, sago rice, Fenyuan, etc.). Daily calorie intake: 35-45 kcal / kg.

3. If the amount of urine excreted is reduced and the liquid entered through the mouth is retained in the body, resulting in body edema, increased blood pressure and even pulmonary edema, the daily liquid intake must be limited. Generally, the amount of liquid ingested through the mouth is about equal to the amount of urine excreted in the whole day plus 500cc.

matters needing attention

The number of times of continuous hemodialysis treatment (4) was not controlled according to the principle of continuous hemodialysis treatment (4) Daily activity, design a suitable diet.