2015年7月26日星期日

New Theory in Nutritional Therapy for Renal Failure Patients

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shijiazhuang patient vioceMost people know that Renal Failure Patients should limit diet and low-protein diet is a well-known choice for them. There are various limitations in choosing food. Patients are suggested to eat meat instead of vegetables with abundant protein, such as bean products. In order to meet the requirements of low protein but high quality diet, patients become asitia and lose joy from diet because of the dull recipe before Uremia stage. After a long time, patients will gradually emaciate and can not support themselves.
Medical community proposed Nutritional Therapy at the beginning of 1980s: supplement necessary amino acid or α-ketonic-acid orally on the basis of low-protein diet. Though nutrition improves further, due to the limitation of variety of food, patients still have poor mood and appetite, which may relate to patients' eating habits. After dialysis, the limitation of protein is reduced. Especially for patients with peritoneal dialysis, they are encouraged to eat more food rich in protein, but they still feel monotonous because they can not eat bean protein.
It is considered that nutritional therapy is necessary at the stage of Kidney Failure, especially after renal function declines and before dialysis. Proper nutritional therapy can not only ensure necessary nutrition but also lighten the discomfort of Uremia. What’s more important, it can delay the developing speed of Renal Failure. Proper diet can lighten the burden of remaining healthy renal unites, protect kidneys and relieve the degree of nephrosclerosis. Diet is a key treatment therapy for Renal Failure patients, especially for patients who do not take dialysis.
How to carry out nutritional therapy properly? Great changes have happened recently. The main methods are as follows. Some of them are regulated and carried out by doctors. However, how much and what food can Kidney Failure patients eat?
1. New collocation of food: Traditional concept on treating Renal Failure pays lots of attention to high-quality protein: choose animal meat as much as possible and avoid vegetable protein. Therefore, there is the saying of avoiding soybean. Someone says that “one egg is much better than a bowel of rice". Due to this concept, many patients become thin because of insufficient calories, anorexia and even lose interest in life due to the limitation of receipt, affecting treating effects. However, it is found in recent researches that vegetable protein may relieve high-load in kidneys. According to animal experiment, vegetable protein can reduce Proteinuria, thus alleviating series of damage to kidneys caused by Proteinuria. Hence, Renal Failure can eat certain soybeans. Recently, experts propose that patients can eat some vegetable protein on the basis of sufficient animal protein about 50-60%. If combined with necessary amino acid or α-ketonic-acid, the patients don’t need to limit animal protein and vegetable protein. There fore, patients can choose their receipt freely, which will naturally bring more pleasures.
2. Arrange protein intake properly: A basic method of calculation is made by medical community that each kilogram of weight should ensure at least 0.6 to 0.8 grams protein in a day. For example, a person with weight of 50kg should intake 30 to 40 grams protein in a day, but the amount declines with the declining degree of renal function. Specifically speaking, at the beginning of Renal Insufficiency, when serum creatinine increases to 221ummol/L, patients should begin to have low-protein diet based on the standard of 0.7 to 0.9 grams per kilogram weight in a day. When serum creatinine exceeds 442umol/l, the amount of protein should reduce to 0.6 to 0.7 grams. For Diabetic Nephropathy patients, the daily intake of protein should be 0.05 to 0.2 grams more than Non-diabetic Nephropathy patients.
Due to there are certain moisture, fibre, fat, amylum and other materials except protein in food, the total amount of food is not the standard in calculating protein in nutriology. Patients can know protein contain in different food from food composition chart. For example, protein contain in every 100g food is that: lean-pork 16.7g, beef 20g, chicken 23g, grass carp 17.9g, one egg 5g, soybean 36g, rice 2.6g, noodles 7.4g, flour 9.9g, potato 1.9g, pumpkin 0.5g, etc.

Proper diet is important for treating Chronic Renal Failure, so doctors of Shijiazhuang Kidney Disease Hospital suggest Renal Failure patients to insist on healthy diet so as to further improve curable effects and living-quality.

Shijiazhuang Kidney Disease Hospital

Shijiazhuang Kidney Disease Hospital is located in Shijiazhuang city, capital of Hebei Province, which is adjacent to the capital of China, Beijing. It was founded in 1986 and his name has become more widely known in recent decades.....Read More

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