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Dietary principles of nephrotic syndrome(I)

Jun 12, 2017

Nephrotic syndrome is a syndrome caused by the loss of large amounts of plasma proteins caused by loss of urine due to increased permeability of the glomerular filtration membrane. The initial symptoms of this disease are not very obvious. The later period is mainly manifested in the eyelids, and also the visceral serosa cavity effusion, such as pleural effusion and ascites. Edema serious skin thin and translucent, slightly damaged skin, it will ooze water. Edema affects the circulation of the blood, reduces local resistance and can easily cause infection. According to the cause of disease and the age of onset can be pided into primary, secondary and congenital three categories, primary nephropathy is pided into simple and two kinds of nephritis nephropathy.
1, salt intake: edema should be in 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, can restore the normal diet.
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 very given the high quality of high protein diet (1~1. 5g/kg*d) such as fish and meat. 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 should be ingested in chronic, non polar nephrotic syndrome (0). (7~1g/kg*d) as for chronic renal impairment, a low protein diet (0) should be used. 65g/kg*d).
3, fat: nephrotic syndrome patients often have hyperlipidemia, this can cause arteriosclerosis and glomerular injury, hardening, therefore should be limited to animal offal, meat, seafood and some rich in cholesterol and fat intake.
4, 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, resulting in calcium, magnesium, zinc, iron and other elements lack, should be given the appropriate supplement. Generally can eat vitamin and trace elements rich vegetables, fruits, grains and so on to be added.

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