2014年9月30日星期二

what are patients with stage 4 CKD should pay attention to diet conditioning ?

Chronic kidney disease is kidney-related checks appeared abnormal, such as hematuria, proteinuria, renal biopsy problems, B ultrasonic examination showed morphological changes of the kidney or renal function decline, etc., and the course lasted more than three months.
According to the degree of decline in kidney function, chronic kidney disease is divided into five. That final phase of treatment usually relies on five dialysis, kidney transplantation, and 1-4 of the places on conservative therapy. 4 chronic kidney disease as a dialysis before the last "mark" and its effective treatment determines whether or not the patient needs dialysis treatment, when to start dialysis treatment, and therefore in the whole course of treatment is significant.
However, the development of chronic kidney disease is closely related to diet, medication can not simply rely on to achieve satisfactory results. Only on the basis of drug treatment, relying on the patient's own diet conditioning, two-pronged approach in order to take effect. So, what are patients with  stage 4  CKD  should pay attention to diet conditioning?
1, the diet should be light principle, Eat greasy, spicy food; cooking with steam, boil, stew, etc, and less use of frying, etc..
2, using high-quality, low-protein diet principles. Quality protein food means lean meat, chicken, fish, eggs, milk, intake of these foods are best accounted for more than 60% of total protein daily intake; low protein refers to the total protein intake is maintained at 0.6g protein / kg body weight / day, of course, the specific amount can be calculated by a physician or dietitian for help.
3, no diabetes, should be based on the control of protein to ensure adequate supply of heat, can maximize the use of wheat starch foods instead of rice as a daily staple (starchy foods because wheat protein content is very much less than rice, so to ensure both energy supply, without increasing protein intake). GM food product include: water chestnut cake, needles flour, noodles, lotus root starch, etc., or buy their own wheat starch made ​​into noodles, dumplings, bread and so on. If the merger with diabetes, sugar, honey, syrup, sugary drinks, also have to pay attention to diet restriction.
4, appropriate consumption of fruits vitamin supplements, but it should be fasting carambola, Shensi some heat fruits such as mango, pineapple, litchi, longan, etc., every day does not exceed 200g, not immediately after a meal to eat, you should eat in two hours after a meal.
5, do not drink the old fire soup, including gravy, chicken broth, soup, soup and so on.
6, when the need to control hyperuricemia purine intake, inedible animal offal, soups, seafood, beer, high-purine foods. After the meat should be cooked in boiling water to boil water for human consumption.
7, the intake of foods high in potassium serum electrolytes should be considered depending on test results, but renal failure patients discharged less than normal serum potassium, so try to eat high potassium foods, such as bananas, oranges, mushrooms, seaweed, mushroom and so on.
8, when the high serum phosphorus content, should be appropriate to limit the intake of phosphorus-rich foods, such as egg yolks, offal, beans, mushrooms, tea, mushrooms, oats.
9, edema, hypertension and oliguria should limit salt, should be less than 3 grams a day. And eat less or do not eat pickles, fermented bean curd, egg, soy sauce, MSG and other foods high in sodium (salt because the main ingredient is sodium chloride, these foods contain more sodium).

10 patients with edema of more stringent control of water intake, the total daily intake of water and specialist physician or dietitian can be agreed, less eating porridge, milk, soup, fruit water content and more food.

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