Chronic renal failure diet adjustment

Diet recuperating non- dialysis chronic renal failure is the most basic , the most effective measure is the foundation of all drug treatment . Its role is as follows :
① maintain good nutritional status ;
② slow the progression of renal failure ;
③ prevent and alleviate metabolic disorders caused by renal failure ;
④ postponed after entering the number of dialysis dialysis to reduce the time and dialysis .
Its contents include: high quality low volume protein diet ; high-calorie diet and adequate intake of vitamins and minerals ; controlled sodium, potassium, phosphorus , purine and lipid intake. So, patients with chronic renal failure diet should pay attention to what ?
1 water restrictions : If discharged decreased urine output, fluid retention through the mouth into the body, causing swelling of the body , blood pressure, pulmonary edema and even at this time, must be limited to the daily fluid intake , usually by mouth approximately equal to the amount of fluid intake throughout the day urine output plus 500cc appropriate.
2 , high-quality low-protein diet : Patients with chronic renal failure promote quality protein diet which is rich in essential amino acids. Such as milk , eggs, lean meat , fish and so on. Protein intake should be adjusted according to the patient's creatinine clearance . Usually recommended protein intake is 0.6 grams per kilogram of body weight , for example, weighs 50 kg , a daily protein intake should be controlled to 30 grams. While under strictly limited protein intake must be carefully selected sources of protein , the body can be fully utilized, allowing the daily recommended amount of at least 2/3 of the supply of high -quality protein. Protein -rich plant foods such as peanuts , beans and products : tofu , tofu , soy milk, Yuba and other caution.
3 , low-salt diet :
While 80% of patients with chronic renal failure with hypertension, renal insufficiency when , unable to discharge the body of excess sodium ions , causing high blood pressure , edema , ascites, pleural effusion , increasing the burden on the heart , falling easily lead to heart failure . Excessive sodium intake can cause sodium and water retention , not only can aggravate edema, and can aggravate high blood pressure. Therefore, we must limit sodium intake, sodium intake can be limited to 2 ~ 3g / d according to the disease , while fasting and other preserved foods , salt , soy sauce, monosodium glutamate , tomato sauce, barbeque sauce , which contain a lot of sodium , processed and canned pickled sodium content is also a lot , so try to choose natural foods everyday life , you can make more use of cooking sugar, vinegar , onion, ginger , garlic, spices, cinnamon , pepper, parsley , etc. to make foods other flavor, increase food palatability .
4 , limiting phosphorus ions: The main function of phosphorus is to strengthen bones, almost all foods contain phosphorus, kidney failure patients because the kidneys do not work properly, the excess accumulation of phosphorus in the blood , causing high blood phosphorus can lead to itchy skin and bone lesions . Physicians usually prescribe to aluminum or calcium hydrogen tablets, both of which are phosphate binders This can be combined with dietary phosphorus , making it discharged from feces. In addition to taking phosphate binders , but for higher phosphorus foods such as dairy products , soft drinks , cola , yeast, organs, dried beans , whole grains ( brown rice , whole wheat bread ) , eggs, dried fish , also care should be taken to avoid more food . Chronic renal failure , hyperuricemia, should be strictly controlled diet high purine foods , such as milk, egg yolks , organ meats , bone marrow, and other seafood .
5 , limit potassium ions:
When poor kidney function , may not effectively remove excess potassium, high potassium can cause serious cardiac conduction and contraction abnormalities, and even death. Potassium intake, as long as more than 1000ml generally do not limit the amount of urine , serum potassium is high, the choice should be less high potassium content of fruits and vegetables . Such as seaweed , bamboo shoots, spinach, potherb mustard , corn , mushrooms, cauliflower , spinach, spinach, bamboo shoots , carrots, mustard , guava , loquat , hard persimmon , orange , banana , longan , etc. ; Others, such as coffee, tea , chicken cattle sperm , ginseng extract , concentrated broth, thin salt soy sauce , salt soy sauce, half salt, salt substitutes such as potassium content is also high .
6 , to supplement the heat : chronic renal failure patients should supply a sufficient amount of carbohydrates and fats , to ensure sufficient heat to reduce protein breakdown , nitrogen low-protein diet has been fully utilized , reducing the consumption of protein . Daily supply should be no less than 30kcal/kg, edible vegetable oil and sugar , rice and noodles because of the poor quality of the protein also contains therefore encourage patients to eat more sweet potatoes, taro , potato, yam powder , lotus root powder. It should be noted also supply rich in vitamin C, B vitamins, folic acid and iron food. Daily calorie intake recommendations: per kg body weight of 35 to 45 kcal .
Chronic renal failure patients ate it?
1 , should be soft diet , avoid hard food and fried foods
Chronic renal failure patients because of toxins in the body retention and blood microcirculation and other reasons caused by gastrointestinal mucosa often has congestion, erosion of the state , such as eating hard food , fried foods such as sugar, sesame cake , fried donuts , etc. , often leading to food cut through the blood vessels and cause stomach bleeding . Due to chronic renal failure , coagulation function in patients with uremia obstacles , bleeding difficult to stop , it will lead to death.
2, the diet should be light , avoid spicy food
Chronic renal failure , gastrointestinal mucosa in patients with uremia often has congestion, erosion status , such as eating chili , white wine , spicy food , often aggravate erosion of the gastrointestinal mucosa , leading to the stomach lining of blood vessels bleeding .
3 , dogs, sheep, chickens, fish, geese and other food should be cautious

Chinese medicine believes that dog meat, lamb, fish, chicken , goose and other fat objects , can lead to relapse or worsening really see the clinical systemic lupus erythematosus or chronic nephritis caused by renal failure patients to eat dog meat after exacerbations , remains to be seen whether a coincidence , but in patients with chronic renal failure or not to eat these foods as well. This is also the chronic renal failure patients need to pay attention to diet is a problem .