Sunday, July 28, 2013

Treatment of nephrotic syndrome is very important nutrient intake

Treatment of nephrotic syndrome, nutritional intake is important, this is not a bubble, but after experts confirmed the results of the treatment of nephrotic syndrome, and ultimately fixed several nutrient intake, which, of course, including basic energy and protein , Now listen Sina medicine experts give us a detailed introduction.

In the treatment of nephrotic syndrome in the process of nutrient supplementation is essential for the effect of treatment of nephrotic syndrome significant impact.

Treatment of nephrotic syndrome, nutritional intake is very important, in general, common nutritional treatment of nephrotic syndrome are:

I. Energy

Sufficient energy can improve the utilization of protein, nitrogen heat ratio = 1:200 suitable energy supply by 35kcal / (kg · d), is very useful for the treatment of nephrotic syndrome.

II protein

Due to considerable loss of protein, the traditional method of nutritional treatment of nephrotic syndrome advocate high protein diet [1. 5-2. 0g / (kg · d)]. But clinical practice has proved that when the energy supply 35kcal / d, protein supply 0. 8-1. 0g / (kg · d), the albumin synthesis rate near normal protein breakdown decreased, hypoalbuminemia improved blood lipids reduction can be achieved by a positive nitrogen balance. Such as energy supply constant supply of protein> 1. 2g / (kg · d), protein synthesis rate decreased albumin decomposition adds, hypoalbuminemia has not been corrected, but increased urinary protein. This is because the high-protein diet can cause glomerular filtration promote glomerulosclerosis. High-protein diet can activate the renal tissue renin - angiotensin system, blood pressure, elevated blood lipids, further deterioration of renal function. Therefore, patients in the supply of proteins suitable energy supply adequate conditions, should be 0. 8-10. g / (kg · d). Such as a very low protein diet should be added in 10-20g / d of essential amino acids. There is a suggestion as to the normal protein diet [1. 0g / (kg · d)], can be added with angiotensin converting enzyme inhibitors (ACE), can reduce urinary protein, also increased serum albumin. It is also common method of treatment of nephrotic syndrome.

It can be seen in the treatment of nephrotic syndrome in the process, the intake of nutrients is extremely crucial point, only to ensure that the body needs nutrients to ensure the body heal better.

Nephrotic syndrome patients should pay attention to nutritional intake

Food conditioning is a key point of treating disease in Chinese medicine is also very respected not only because of food conditioning can be added directly to the patient the necessary nutrients, or a method of treating disease using the ingredients. Therefore, the life of the nephrotic syndrome patients should pay attention to nutritional intake, is well founded. Only to ensure basic nutritional intake, in order to achieve the treatment of patients with nephrotic syndrome secondary effects of the disease.

Scientific terms, nephrotic syndrome patients, often accompanied by hyperlipidemia. Minimal change disease patients can be improved due to the short term, it is not restricted fat intake; pairs of membranous nephropathy nephrotic syndrome, long-term atherosclerosis can cause hyperlipidemia, therefore, should be limited to hoof Bang, fertilizer meat and animal fat-rich foods.

Clinical manifestations of nephrotic syndrome: massive proteinuria hypoalbuminemia, hyperlipidemia, and degree of edema, diet therapy is very important.

Nephrotic syndrome patients should pay attention to nutritional intake, focusing on the following items:

First, the fat

Patients with nephrotic syndrome is often accompanied by hyperlipidemia. Minimal change disease patients can be improved due to the short term, it is not restricted fat intake; pairs of membranous nephropathy nephrotic syndrome, long-term atherosclerosis can cause hyperlipidemia, therefore, should be limited to hoof Bang, fertilizer meat and animal fat-rich foods.

Second, limiting salt

Patients should be based on the degree of edema, depending on altitude edema avoid salt, edema and deficiencies by low salt (about 3 grams per day), edema subsided to restore near-normal plasma protein, it can give ordinary diet.

Third, the protein intake

Nephrotic syndrome with massive proteinuria discharge, hypoalbuminemia often makes colloid osmotic pressure so stubborn Nanxiao edema, resulting in reduced body resistance, so early in the nephrotic syndrome without renal failure cases, Adults should ensure that all the time on a daily about 0.7 ~ 1.0 g / kg body weight of protein intake helps relieve hypoproteinemia consequent complications.

Four, vitamins, calcium and trace elements intake

In patients with nephrotic syndrome due to increased permeability of the glomerular basement membrane, in addition to loss of protein in their urine outside, while missing some elements and protein binding and hormone can indirectly cause calcium, magnesium, zinc, etc., on the This can be drugs or food supplements.

So, nephrotic syndrome dietary requirements is still relatively high, and only in accordance with the scientific method appropriate complementary nephrotic syndrome nutrients the body needs in order to ensure that patients with nephrotic syndrome, the most basic nutritional needs, is conducive to the disease rehabilitation.

1 comment:

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