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Nephrotic syndrome diet notes

Jun 12, 2017

Patients with nephrotic syndrome are often associated with gastrointestinal edema and ascites, affecting digestion and absorption. Suitable intake, digestible, light and semi liquid diet. When kidney disease, urine protein is lost in large quantity, and the body is in the state of protein malnutrition. By the end of 80s, we advocated a high protein diet (1.2 ~ 1.5 g /kg.d) in an attempt to alleviate low protein white blood disease and a series of complications associated with it. But animal experiments and human kidney disease were confirmed: high protein diet, while the hepatic synthesis of albumin increased, but urinary protein excretion also increased, and help to correct the low protein in white, anti glomerular hyperperfusion, high pressure and high filtration speed, non inflammatory glomerular sclerosis. Limiting protein intake may slow down the development of chronic renal impairment. It is now advocated high-quality protein diet, daily weight of 0.7 to 1 grams per kilogram.
Almost all of the patients had hyperlipidemia, limiting animal fat intake, dietary supply is rich in polyunsaturated fatty acids (such as oil) and vegetable oils (soybean oil, rapeseed oil, sesame oil). People with high edema limit sodium intake. Daily intake of salt is less than 3 grams, appropriate supplement of trace elements.
Following the diet principle please note: (1) Na Yan intake: edema should be a low salt diet, to avoid aggravating edema, generally by the daily amount of salt should be less than 2G, disable preserved food, use less MSG and edible alkali, edema subsided, plasma protein was close to normal, but the ordinary diet recovery.
(2) protein intake: nephrotic syndrome, a plasma protein in the urine, human protein decreased in protein malnutrition, hypoalbuminemia to plasma colloid osmotic pressure decreased, resulting in edema stubborn Nanxiao body resistance, also decreased, so in the absence of renal failure, the early stage, should be given high quality high protein diet (1 ~ 1.5g/kg*d), such as fish and meat etc.. This can help to alleviate hypoproteinemia and some complications associated with it. But high protein diet can make the renal blood flow and glomerular filtration rate increased, so that the glomerular capillaries in a high pressure state, while eating large amounts of protein, but also increase urinary protein, can accelerate the hardening of the glomerulus. Therefore, a small amount of high quality protein (0.7 to 1g/kg*d) should be ingested in patients with chronic and non polar nephrotic syndrome. Low protein diet (0.65g/kg*d) should be used when chronic renal dysfunction occurs.
(3) fat intake in patients with nephrotic syndrome often have hyperlipidemia, this can cause arteriosclerosis and glomerular damage and hardening, therefore should be limited to animal offal, fat, some seafood rich in cholesterol and fat intake.
(4) add trace elements: because patients with nephrotic syndrome of glomerular basement membrane permeability increase in urine in addition to loss of a large number of proteins, but also the loss of some trace elements and protein binding and hormone, the body of calcium and magnesium, zinc, iron and other elements lack, should be given the appropriate supplement. Generally can eat vitamin and trace elements rich vegetables, fruits, grains, seafood and so on to be added.

Nephrotic syndrome diet notes

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