Friday, July 7, 2017

Healthy health: chronic kidney disease should pay attention to control diet

Clinical chronic kidney disease more and more patients in China, the occurrence of glomerulonephritis in patients with chronic kidney disease up to about 40%, with the crowd diet and lifestyle changes, other secondary chronic kidney disease (such as high Blood pressure, diabetes, etc.) is increasing. The incidence of chronic kidney disease, "three high", "three low": high incidence, accompanied by high prevalence of cardiovascular disease, high mortality; the whole society on chronic kidney disease awareness is low, low control rate, accompanied by Cardiovascular disease awareness is low. Survey shows that our population over the age of 40 chronic kidney disease prevalence rate of more than 10%, awareness rate is less than 5%.
Onset more concealed
Chronic renal failure is more conceited, early in addition to backache fatigue, loss of appetite and other performance and no obvious clinical symptoms, often found in the physical examination of proteinuria and renal dysfunction. Hyperkalemia is a chronic renal failure stage of the occurrence of more serious metabolic abnormalities, the cause is due to kidney damage, decreased glomerular filtration rate, renal row of potassium decreased, mostly in patients with excessive intake of potassium foods , Some drugs, etc., caused by severe arrhythmia, and even cardiac arrest and death.
Early intervention in chronic kidney disease control, to prevent the deterioration of the progress of patients with chronic kidney disease is the key to physical rehabilitation. Diet therapy is an important measure for the treatment of kidney disease, for kidney patients, reasonable and healthy eating habits, with the correct drug treatment, kidney disease control, reduce the burden on the kidneys, delay the deterioration of renal function has important significance.
How to control the diet
Low salt low fat: limit the amount of salt consumption, the general daily intake of salt 2-4g is appropriate, so you can avoid sodium and water retention, to prevent increased edema and high blood pressure, you can choose a meal without any salt food, low fat diet can be Slow down atherosclerosis, lower cholesterol, protect the kidneys.
High quality low protein: reduced intake of protein can make blood urea nitrogen levels decreased, given 0.6g / kg of protein a day, most patients can meet the basic needs of the body. And should try to avoid plant protein, appropriate to add milk, eggs, fish, lean meat and other high-quality animal protein. Do not recommend kidney disease patients to eat "protein powder". At present, many of our patients with varying degrees of excess nutrients, including excessive intake of protein, which invisible increase the burden on the kidneys.
Supplemental calorie: adequate energy intake can reduce the protein to provide heat and decomposition, reduce the body's protein consumption, can delay the progress of kidney disease, but also to prevent malnutrition, the daily heat of 125.6 kJ / kg, High and low protein content of the staple food, like potatoes, yam, taro and so on.
Low potassium diet: potassium mainly by the kidney excretion, eat more rows, eat less row, do not eat no row. Hyperkalemia is one of the serious complications of chronic renal failure, which can lead to cardiac arrest, so it is necessary to strictly limit the intake of potassium in food (less than 2g / day), caution with high potassium diet, such as kelp, seaweed, Bananas, peanuts and so on.
High calcium and low phosphorus: chronic kidney disease often occurs low calcium and high phosphorus, serious harm to health, it should pay attention to food in food high calcium and low phosphorus. Such as liver, seafood, old soup, dried fruit should eat less, or try not to eat, reduce the intake of phosphorus in food, but also play a role in protecting the kidneys.Once suffering from chronic kidney disease, it is difficult to cure. Doctors often tell patients that the treatment of chronic kidney disease is a long-term process, self-management ability will directly affect your treatment effect. (Such as chronic nephritis) and its risk factors (such as proteinuria, hypertension) and other timely and effective treatment, but also may cause secondary damage to kidney disease (such as diabetes, ventilation, high blood pressure Etc.) and risk factors (such as smoking, hyperlipidemia, etc.) for timely and effective treatment and control to prevent the occurrence of chronic kidney disease and deterioration of progress.

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