Diabetic nephropathy, I can eat meat?
Often for everyone to share the tips of many diets, careful readers may find, in these articles inside, there is always one such thing:
Diabetic nephropathy in patients with more complex, can not directly refer to the above, need to consult a nutritionist to determine.
Diabetic nephropathy patients always "special treatment", in fact, there is a reason: diabetic nephropathy, often need low-protein diet.
Low-protein diet is Gesha? But also how to do? After reading the article today we will understand.
Tips, because the diabetic nephropathy low-protein diet is complex, today's article is relatively long, we have to have patience to read oh ~
Diabetic nephropathy to low-protein diet?
If the development of diabetes to a certain extent, had diabetic nephropathy, it means that the function of the kidney has caused some damage.
And the final metabolites of proteins need to be excreted from the kidneys, in order to reduce the burden on the kidneys, delay renal dysfunction, we need to limit food intake of protein.
If the kidney function is not good, and not limit the protein, so that the kidneys "injury" for high-intensity work, this time, the damaged kidney is like pulling cattle in the old cattle, it is easy to get tired to get on the ground.
Therefore, low-protein diets need to run through the entire course of treatment of diabetic nephropathy.
Low-protein diet is to eat less meat?
Doctors often tell patients with diabetic nephropathy:
Meal to eat; meat can eat, but not too much ... ...
This paragraph of the words to listen to down, just think that under what should eat less, life has become sad reminder.
In fact, "low-protein diet" argument is not complete, because the front also missed the word "quality."
Do not underestimate the word, which determines the choice of food strategy: the total protein control under the premise of which half of the protein needs from animal foods, that is, lean meat, poultry, fish, shrimp and dairy products .
Food protein amino acids closer to the human body, essential amino acids, the higher the overall absorption rate. Which is the top egg, milk, fish, poultry, meat.
Therefore, the total protein control in the premise, the quality of the protein in the food should be high, in order to more efficient use of limited protein.
How much protein do I need each day?
Usually the doctor will tell patients with chronic kidney disease is a period of different stages of patients, protein intake is also different.
In patients with stage 1 and 2 chronic kidney disease, protein intake was 0.8 g / kg bw / day, whereas Phase 3, 4 and 5 needed to be reduced to 0.6 g / kg body weight. Acid preparations.
Let's give an example:
A 60 kg of diabetic nephropathy, if a period or 2, then the daily intake of 48 grams of protein;
While the same 3, 4 or 5 of the patients, you can only eat 36 grams.
This gap of 12 grams of protein, equivalent to 5 shrimp or 400 mL of milk. Which difference is not small, we must pay attention.
How to achieve a low-protein diet?
In general, low-protein diet is: to ensure that meat, reduce the amount of cereals, fruits and vegetables. The specific approach can follow the following three steps.
1. Calculate the total
Just now and we have said, we need to determine how much protein every day according to renal function, we can according to the disease, according to the limit to calculate.
Of course, a more convenient option is to nutrition, nutritionist to calculate.
2. Determine the amount of meat dishes
Determine how much protein to eat every day, then how to choose food is the problem. Because the low-protein diet requires half of the protein from high-quality protein, so you know how much meat to eat every day.
We have to ensure that each meal has high-quality protein, that is, meat, eggs, poultry, fish, milk.
For example:
Breakfast: milk 200 mL (protein 6 grams)
Chinese food: shrimp 10 (protein 10 grams)
Dinner: small yellow croaker 1 (protein 10 grams) + 25 grams of meat (protein 5 grams)
This already has 31 grams of protein.
3. staple food, vegetables and fruits
A weight of 60 kg of diabetic kidney disease in patients with a day 48 grams of protein, lose the above 31 grams, there are 17 grams can be assigned to the staple food, vegetables and fruits.
Staple food: a small bowl of rice protein is about 4 grams, so the lunch and dinner can eat a small bowl of rice. While the other staple food (noodles, wonton, buckwheat, corn) protein than rice, food consumption minus 1/2 to 1/3.
Vegetables: beans (beans, peas, beans, concanavalin, pea sprouts, bean sprouts, etc.), yam, broccoli, bamboo shoots, lily, potatoes, sweet potato protein content of more than 3 grams / 100 grams, so try to avoid or Reduce consumption. If consumed, the staple food needs to be reduced. Recommended for consumption of green leafy vegetables.
Fruit: The protein content of the fruit can be neglected.
How to make a delicious low-protein diet?
Chinese people grow up eating rice, reduce the rice will make people feel very uncomfortable. Do not worry, there are two ways to allow patients with diabetic nephropathy to continue to enjoy rice at the same time, but also a low-protein diet.
1. Selection of low-protein rice
The rice protein in the ordinary rice only 1/10 ~ 1/25, so eat this rice without reducing the consumption, but also can be appropriate to increase the amount of some meat dishes.
The downside is that the price is more expensive. Fortunately, the domestic production of low-protein rice manufacturers gradually increased, so the price is likely to decline in the future.
2. Selection of low protein content, high starch content of cereals as the staple food
This kind of staple food, you can arrange for 1 to 2 meals in the meal. These low protein content of cereals are: wheat starch (Cheng powder), corn starch, lotus root starch, Fenpi.
Which can be made of wheat starch, wheat starch potato cake, wheat starch crystal dumplings, wheat starch leek steamed dumplings, wheat starch noodles. There are now on the market of wheat starch biscuits, low-protein diet can choose to snacks.
Outside to eat, how to do?
Be sure to take your current diet, tell friends or family to eat together, so they will be able to better meet, do not be embarrassed to say.
Meal, the amount of meat dishes than usual more than 1/3, but not more than 1 times. Fans pot, crystal shrimp dumplings, potatoes can replace the staple food. In addition to beans, other vegetables and fruits can be enjoyed with friends and family together.
These details should also be noted
Low-protein diet requires long-term adherence, and some details require special attention. include:
Ensuring enough energy: Enough energy intake is a prerequisite for effective protein use. Therefore, before the implementation of low-protein diet, both doctors and patients should go to nutrition clinics to allow nutritionists to determine your energy intake.
Weighing regularly: regular measurement of body weight can keep abreast of their nutritional status.
Regular monitoring of renal function, electrolytes: Understanding of low-protein diet on renal function and electrolyte effects.
Regular monitoring of albumin and prealbumin: understanding their body protein synthesis and nutritional status.
2017年2月10日星期五
Kidney disease is called "silent killer"! These circumstances, we must pay attention to
Kidney disease is called "silent killer"! These circumstances, we must pay attention to
Kidney disease is called "silent killer". Sometimes even if the kidney is injured, you may also feel no.
In fact, one out of every 10 people in our country suffer from kidney disease! According to the latest published in the international top medical journal "Lancet" on a study reported that the prevalence of adult chronic kidney disease in China up to 10.8%.
Kidney very delicate, very easy to injury, daily habits What is the most hurt kidney? May wish to look at the list of injuries kidney behavior it, you must have committed!
Ten kinds of behavior of kidney injury
1, stay up all night
Yes, the first is staying up all night! In addition to well-known stay up late liver injury, stay up late will hurt the kidney. Sunset and sunrise and make the best way of living, sleep at night not later than 11 points, but modern people is difficult to do.
2, drug abuse
Some drugs on the kidney damage is very serious, and some painkillers on the kidney damage is very large.
3, remedies, health products
In Taiwan, the incidence of chronic kidney disease is high, and local people may love to eat folk remedies, health care related. Some so-called "supplementary protein powder, improve the resistance" of the health care products are likely to lead to excessive protein intake, to bring the burden of the kidneys.
4, overworked
Intensive work lead to physical fatigue, which lead to kidney deficiency symptoms. Second, excessive use of the brain, a huge work pressure and life stress can not lead to mental relaxation, mental tired, but also easy to kidney injury.
5, excessive drinking
People say that alcohol body injury, often drinking is a kidney killer.
6, suddenly strenuous exercise
Busy long-term work does not exercise, sudden and violent exercise may cause excessive renal damage, severe acute renal failure will lead to.
7, eat salty, eat high-purine shabu-shabu
In winter, people like to eat hot pot, but eat more rinse the meat will hurt the kidney. High-purine, high-fat, high calorie intake of food too much, a long time, no matter how good the kidney will be tired. In fact, usually eat too salty, too sweet, too much oil, eat too much protein will increase the burden on the kidneys.
8, seafood on the beer
Many people like to drink beer on seafood, seafood products are high-protein food, containing purine and glycoside components, and beer mixed together, will produce excessive uric acid and urea nitrogen and other metabolites, increasing the burden on the kidney, easily lead to hyperuricemia Disease, and even kidney stones, uremia.
9, often drink tea
Tea contains caffeine, a small amount can play the role of refreshing, if excessive intake will make blood flow, blood pressure. The body often contains a high concentration of caffeine, will bring a huge burden on the kidneys. In addition, the tea contains more tannic acid, easily combined with the body of iron into a insoluble substance can cause kidney stones.
10, pressure, irritability
Modern work, life pressure is great, "I am tired" will become a lot of people's mantra. These emotions will also hurt the kidneys.
Kidney injury "distress signal"
Kidney disease known as silent killer, but it is not without performance, but if you have these atypical symptoms, it may be your kidney in for help:
There is a foam in the urine
Healthy people urinate 4 to 6 times a day, urine output of about 1000 ml to 2500 ml, if excessive or too little urine output, or too many nights, the urine bubble, it should attract attention.
Body did not strength
Renal function is not good, a lot of waste is difficult to excrete from the urine out, there will be lack of energy, fatigue, fatigue and other feelings.
Edema
Patients with chronic kidney disease due to decreased renal excretion, renal hormone secretion and urinary protein loss, there Shuinazhuliu, causing eyelid and lower extremity edema.
Appetite is not good, nausea and vomiting
Chronic kidney disease patients will appear a variety of gastrointestinal symptoms, especially after gastrointestinal edema, often without eating, abdominal distension and other symptoms of digestive disorders. Renal failure, blood urea nitrogen increased in the intestine for the decomposition of ammonia, to stimulate the gastrointestinal mucosa, causing nausea and vomiting.
Healthy people every six months to check the urine routine can be early detection of kidney disease. If there is early kidney disease, urine will be abnormal, then add a little more cost, check the renal function can be diagnosed.
Prevention of kidney deficiency develop three habits
Stay up late at night, the table can be prepared on the cup (about 20 grams a day wolfberry), but because it is very strong warm effect, is a fever, the body has inflammation, diarrhea, the best people do not eat.
Three points massage Waist: air sea cave in the navel under the two horizontal refers to Guanyuan points in the navel three horizontal refers to the daily press with the palm of your hand Anrou about 30 times. Shenshu points in the back belt and lumbar spine at the cross on the four cross-finger around every day with the palm of your hand about 100 times.
Morning and evening rubbing soles of the feet: Yongquan pressure by hand, so that soles of the feet fever, it is recommended sooner or later rub the soles of the feet 1, left and right foot by 100 times.
Kidney disease is called "silent killer". Sometimes even if the kidney is injured, you may also feel no.
In fact, one out of every 10 people in our country suffer from kidney disease! According to the latest published in the international top medical journal "Lancet" on a study reported that the prevalence of adult chronic kidney disease in China up to 10.8%.
Kidney very delicate, very easy to injury, daily habits What is the most hurt kidney? May wish to look at the list of injuries kidney behavior it, you must have committed!
Ten kinds of behavior of kidney injury
1, stay up all night
Yes, the first is staying up all night! In addition to well-known stay up late liver injury, stay up late will hurt the kidney. Sunset and sunrise and make the best way of living, sleep at night not later than 11 points, but modern people is difficult to do.
2, drug abuse
Some drugs on the kidney damage is very serious, and some painkillers on the kidney damage is very large.
3, remedies, health products
In Taiwan, the incidence of chronic kidney disease is high, and local people may love to eat folk remedies, health care related. Some so-called "supplementary protein powder, improve the resistance" of the health care products are likely to lead to excessive protein intake, to bring the burden of the kidneys.
4, overworked
Intensive work lead to physical fatigue, which lead to kidney deficiency symptoms. Second, excessive use of the brain, a huge work pressure and life stress can not lead to mental relaxation, mental tired, but also easy to kidney injury.
5, excessive drinking
People say that alcohol body injury, often drinking is a kidney killer.
6, suddenly strenuous exercise
Busy long-term work does not exercise, sudden and violent exercise may cause excessive renal damage, severe acute renal failure will lead to.
7, eat salty, eat high-purine shabu-shabu
In winter, people like to eat hot pot, but eat more rinse the meat will hurt the kidney. High-purine, high-fat, high calorie intake of food too much, a long time, no matter how good the kidney will be tired. In fact, usually eat too salty, too sweet, too much oil, eat too much protein will increase the burden on the kidneys.
8, seafood on the beer
Many people like to drink beer on seafood, seafood products are high-protein food, containing purine and glycoside components, and beer mixed together, will produce excessive uric acid and urea nitrogen and other metabolites, increasing the burden on the kidney, easily lead to hyperuricemia Disease, and even kidney stones, uremia.
9, often drink tea
Tea contains caffeine, a small amount can play the role of refreshing, if excessive intake will make blood flow, blood pressure. The body often contains a high concentration of caffeine, will bring a huge burden on the kidneys. In addition, the tea contains more tannic acid, easily combined with the body of iron into a insoluble substance can cause kidney stones.
10, pressure, irritability
Modern work, life pressure is great, "I am tired" will become a lot of people's mantra. These emotions will also hurt the kidneys.
Kidney injury "distress signal"
Kidney disease known as silent killer, but it is not without performance, but if you have these atypical symptoms, it may be your kidney in for help:
There is a foam in the urine
Healthy people urinate 4 to 6 times a day, urine output of about 1000 ml to 2500 ml, if excessive or too little urine output, or too many nights, the urine bubble, it should attract attention.
Body did not strength
Renal function is not good, a lot of waste is difficult to excrete from the urine out, there will be lack of energy, fatigue, fatigue and other feelings.
Edema
Patients with chronic kidney disease due to decreased renal excretion, renal hormone secretion and urinary protein loss, there Shuinazhuliu, causing eyelid and lower extremity edema.
Appetite is not good, nausea and vomiting
Chronic kidney disease patients will appear a variety of gastrointestinal symptoms, especially after gastrointestinal edema, often without eating, abdominal distension and other symptoms of digestive disorders. Renal failure, blood urea nitrogen increased in the intestine for the decomposition of ammonia, to stimulate the gastrointestinal mucosa, causing nausea and vomiting.
Healthy people every six months to check the urine routine can be early detection of kidney disease. If there is early kidney disease, urine will be abnormal, then add a little more cost, check the renal function can be diagnosed.
Prevention of kidney deficiency develop three habits
Stay up late at night, the table can be prepared on the cup (about 20 grams a day wolfberry), but because it is very strong warm effect, is a fever, the body has inflammation, diarrhea, the best people do not eat.
Three points massage Waist: air sea cave in the navel under the two horizontal refers to Guanyuan points in the navel three horizontal refers to the daily press with the palm of your hand Anrou about 30 times. Shenshu points in the back belt and lumbar spine at the cross on the four cross-finger around every day with the palm of your hand about 100 times.
Morning and evening rubbing soles of the feet: Yongquan pressure by hand, so that soles of the feet fever, it is recommended sooner or later rub the soles of the feet 1, left and right foot by 100 times.
2017年2月9日星期四
Anemia is not only people become ugly, more terrible consequences! How to prevent anemia in patients with
For a long time suffering from kidney disease is easy with a lot of complications, of which, anemia is one of them. Anemia patients not only pale complexion, poor image, and often fatigue fatigue. Most importantly, anemia often shows that the accumulation of toxins in the blood has been very much. Attention is likely to lead to exacerbations.
So, what are the ways to improve anemia? Let's take a look
Increase the iron supplement
Cell hematopoietic need sufficient hematopoietic material, iron element is a very important one. Patients with kidney disease can be recommended by the doctor appropriate iron supplementation, you can also eat some iron-rich foods such as pork, black fungus, chicken, fish and so on.
However, patients need to pay attention to is that although the animal liver and blood, egg yolk, black sesame, etc. are rich in iron, but also the traditional sense of kidney food, but for patients with kidney disease, their potassium content, cholesterol and phosphorus And so are high, will increase the burden on the kidneys. Therefore, when iron is not appropriate to choose these foods.
So what other methods can promote iron absorption?
Add vitamin supplements
Vitamin A, vitamin C, vitamin B9, B12 and other elements of iron absorption has an important role in assisting. Therefore, the patients in the normal circumstances of potassium can eat more fresh fruits and vegetables to supplement vitamins. Potassium and high patients are required to limit the high potassium fruits and vegetables (such as spinach, bananas).
In addition to strengthening the iron supplement and absorption, the patients also need to do to prevent anemia:
Adhere to the amount, avoid nourishing
We can not eat and drink in order to prevent anemia, or to adhere to the principle of adequate to ensure the normal absorption of the stomach.
Auxiliary drugs, prescribed
The cause of renal anemia is very complex, the patients have to follow the doctor's advice, according to the amount of time to take the doctor out of the regular drugs, can not simply rely on diet to adjust.
Refused to purine, uric acid
High uric acid may cause gout, and then will increase the anemia. Therefore, we usually need to pay special attention to low-purine diet, Shen food seafood, hot pot, animal offal, goose and so on.
Anemia may not give you too much pain, but it reflects the condition of the development can not be ignored. Therefore, we should pay attention to anemia of nursed back to health. Anemia, although not in a short time to return to normal, but as long as the patients who strive to develop these good habits, can control the disease in a stable level.
Spring comes, kidney disease patients how to correct the movement, here to tell you
Related Article:
Is Exercise suitable for PKD Patients
Thus, patients with kidney disease of course, rest, not activities.
It is some people, this bedridden, had played clothes to hand, rice to mouth the comfortable life. Over time, this life will make people become "lazy", the recovery of patients with chronic kidney disease is also very negative.
Now the spring, and kidney disease in the movement of the ... ...
Suitable for patients with kidney disease have so few sports, we join me! . .
walk
Walking is one of the most popular fitness and weight loss activities. In addition to a pair of good shoes, walking does not require specialized equipment. Adults who are over 50 years of age who do not have exercise habits should choose to walk as a form of exercise / weight loss exercise.
Walk the intensity of the lowest, you can get and see the results. Walking can make people relax, there is no sense of out of breath, it will not appear in the movement of pain.
jogging
If you do not have a few months of jogging, or obesity, it is best to start from the brisk walking. Jogging is particularly suitable for increased endurance and achieve weight loss purposes. This is the sport that most people like, because there is no lactic acid accumulation, at this level can maintain long-term movement. But the heart rate can not be more than 130 times per minute.
Tai chi
It's boxing and speed are very suitable for patients with kidney disease to practice, at the same time, can be very good to improve the patient's mind, so that peace of mind.
Tips: practice boxing pre-capacity, and gradually increase the exercise time.
In addition, there are many sports, such as cycling, swimming, dancing and so on. Patients according to their own constitution, their own situation to choose their own movement, in sports, we must do what, step by step, persevere. In the case of appropriate amount of exercise, the selected items are not necessarily limited to a particular, can be integrated application or alternate interludes. Experts suggest that all sports, must be carried out under the guidance of a doctor. But also pay attention to the relationship between exercise and rest, so as not to overwork and aggravate the condition.
Often do exercise on the kidney has a positive effect!
1. To promote the excretion of the kidneys to strengthen. In the course of the movement of the excretion of renal excretion of waste increases, such as urea, urine creatinine, etc., in order to maintain the stability of the body's environment, the kidneys must accelerate the excretion of lactic acid and fat metabolites, thus ensuring athletic ability.
2. Is to enhance the ability of renal reabsorption. Sweating when the movement increases, the body's water will be reduced, in order to maintain moisture and salt, the kidneys will increase the reabsorption of these substances.
Do not exercise will make people become "lazy", lazy will lead to high blood lipids, high blood sugar, obesity, heart disease. So we welcome the warm spring breeze together to do sports! The way the movement and benefits of secretly tell your friends, and he came to a sports trip it!
2017年2月8日星期三
What is Cupping Therapy
Cupping therapy, different from common medicine, is a kind of alternative medicine in which a local suction is created on the skin. Suction is created by fire or extrusion method which can cause negative pressure inside the cup. When cup suck in skin, great stimulation to the location skin is created and because of this strong stimulation, temporary bruised painful marks on the skin will be made, but the mark usually fade within several days.
Cupping therapy is multifunctional and it shows obvious treatment effects in the following several aspects:
1. Help people lose weight
Cupping Therapy for Kidney Failure Patients
Cupping therapy improves digestive function, increases the metabolism and consumption to fat. Once we begin to consume more fat, our weight lose.
2. Improve blood circulation
Negative pressure inside the cup pull nerve, muscle, blood vessels and gland under the skin, which can cause a series of nervous system response, endocrine system response, regulate vasomotor function and increase the permeability of vascular wall, All these response can improve blood circulation.
3. Help to discharge toxins in the blood
Powerful suction enable sweat pore expand, strengthen sweat gland and sebaceous gland, which is very helpful for the quick excretion of wastes and toxins.
4. Warming effects
Cupping therapy causes no side effects, so it can be used to deal with different diseases like:
1. Some respiratory system diseases: asthma, pulmonary edema, pneumonia, pleurisy.
2. Some digestive system diseases: indigestion, hyperacidity
Can Cupping Help Kidneys
3. Some circulatory system diseases: arhythmia and cardiac insufficiency
4. Some nervous system diseases: nervous headache, occipital neuralgia, sciatica and so on.
5. Some locomotor system : backache, Lumbar pain, gonalgia and coxalgia and so on.
6. Some symptoms in gynaecology
7. Some symptoms in surgical sores.
Cupping therapy can be classified into different types on the basis of character of cup type and the cupping type. With different disease and illness condition, patients can choose different kinds of cupping therapy. Besides, although cupping therapy is helpful, it does not mean the longer time the people doing cupping therapy, the better. Mostly, the time depends on patient's illness condition, but usually less than 15 minutes.
Cupping Therapy For Kidney Disease
Benefits of cupping therapy for kidney disease patients As one of the best physical therapies, cupping therapy has many benefits to patients suffering from chronic kidney diseases.
It can promote circulation of blood and lymph, regulate endocrine disorders so as to increase blood flow to the kidneys and much improve renal ischemia and hypoxia.
Kidney disease patients often have excessive building up of metabolic wastes and toxins in the body. Cupping therapy can intensify the functions of sweat gland and sebaceous glands and promote the excretion of some wastes from the skin.
Cupping therapy can also improve metabolism and promote gastrointestinal motility so as to much relive digestive symptoms for renal disease patients.
What is more, cupping therapy can alleviate many complications of kidney failure such as high blood pressure, arrhythmia, inadequate blood flow to the heart so as to much reduce the risk factors for kidney disease patients.
2017年2月7日星期二
Patients with kidney disease can not eat soy products? What are the considerations
For many
diseases, not only for end-stage renal disease, can cure is good early disease,
because the general symptoms of early disease is not very obvious, the human
body is very small violations, so it will be more clinically easy The treatment
of some, but also in the early treatment of the disease, the probability of
cure is much higher than in the late, in the early and mid-kidney disease, life
considerations, especially diet considerations to control the development of
the disease is very important .
01
Limit protein
intake, usually about 30 grams per day. Can eat more potato, potatoes, milk,
eggs, etc., eat less fish, rice.
Patients with
kidney disease can not eat soy products? Beans are nutritious and close to
animal proteins
Although beans
are a kind of plant food, but its essential amino acids in protein, in the
number and proportion are close to the animal protein. Beans food protein
content of up to 35% to 40%, of which soybean protein is the best plant quality
protein. Not only that, soy is also rich in calcium, phosphorus, iron and B
vitamins.
Therefore:
kidney disease patients can moderate consumption of legumes
Kidney disease
diet should control the total intake of protein, and animal protein and
vegetable protein food should be eaten together. Soybeans, large green beans
and black beans and other high-quality protein, the decomposition of essential
amino acids are necessary for the body to synthesize anabolic, you can eat but
pay attention to the amount.
Beans should be
taken as part of the total protein intake, dialysis patients should not exceed
the total 1/3, so good for renal function.
Nephrotic
syndrome, protein intake per day is best in about 40 to 50 grams; renal
dysfunction, uremic patients and renal failure, the daily intake of plant
protein and animal protein does not exceed 40 grams. If it is end-stage renal
disease patients, should be more stringent restrictions.
02
Clinical
diagnosis shows that uremia can be treated, even to the uremia period, but
after kidney transplantation or dialysis, can return to normal family life and
work, the prognosis will be better, so patients should establish confidence ,
To maintain an optimistic and positive confidence.
03
Kidney experts
recommend that older people over the age of 65 should be checked 1-2 times per
year of renal function, if the patient has been diagnosed with chronic
nephritis, but also need to do regular renal function tests. Because it can
develop into uremia, which is timely found that chronic uremia has a great
advantage.
04
To avoid taking
drugs on renal damage, so as not to promote increased renal failure.
05
Try to reduce
the intensity of work, if there uremia symptoms, in addition to timely
treatment, but also need bed rest.
Daily life to
actively do uremia care work, neglect of nutrition therapy. Uremia is not
terrible, have the right attitude to treat the disease, adhere to treatment,
pay attention to diet, will restore a normal body work and life ~
Chronic kidney
disease patients with end-stage dialysis should be fully under the premise of
increasing the quality of protein and energy intake, due to high protein
content of natural foods, but low phosphorus content of food at the same time,
so dialysis friends in the selection of ingredients when the need for attention
Reasonable with, try to meet the high protein and low phosphorus dietary
principles, but also can select some artificial processing of low phosphorus
protein supplements to meet the nutritional needs while avoiding
hyperphosphatemia and calcium and phosphorus metabolism disorders and other
complications, improve life quality.
Kidney how to be cured?
"Cure"
standard, is not the same
There are many
types and stages of nephropathy, a large number of people with nephritis, renal
comprehensive, renal failure, uremia, etc., but also lipoprotein nephropathy,
hereditary nephropathy and other "niche groups." Many people in the
background messages to ask:
"Can I
completely cure this kind of disease?"
The degree of
difficulty of treatment of each disease is not the same, "cure" the
standard is also different, the disease from mild to severe can be divided into
three treatment results: completely cured, palliative normal, without dialysis.
If the disease is not detected in time, the development of advanced to the
patient's injury to the patient's injury to the disease, the disease can not be
diagnosed as early as possible, if the early detection of symptoms of kidney
disease, timely and effective treatment, can effectively reduce the injury, the
disease will soon recover; Will be great, severe will be life threat
association.
Patients should
be aware of their disease, do not blindly judge.
Completely cured
Child nutcracker
syndrome
Simple occult
blood allergic purpura nephritis
Membranous
first-stage nephropathy
Occult nephritis
and so on
These types of
nephropathy, or pathological type is simple, or has not yet developed a
serious, high cure rate.
And most of the
cure, as long as they do not find a disease, the disease will not come to the
door.
Indicators
normal
Most types of
nephritis
Nephrotic
syndrome
Mild renal insufficiency
and so on
This type of
kidney disease after treatment, you can achieve "clinical cure", that
is, edema, pleural effusion, creatinine, blood pressure and other symptoms
returned to normal, 24-hour urine protein 0.5 below the glomerular filtration
rate of 90 or more.
There is a
probability of recurrence, but there are ways to reduce relapse. Of course,
these diseases may also be completely cured, indicators of normal withdrawal, 5
years without recurrence, is completely cured. Even after 10 years of illness,
it is also another disease, and has been cured of the disease has nothing to
do.
Without dialysis
Kidney failure
Acute
progression of chronic renal failure
Diabetic
nephropathy
Uremia and so on
For these types
of kidney disease can not be completely cured, as long as after treatment, to
restore part of the kidney cells, part of the creatinine down, no serious
complications occur, do not rely on dialysis to maintain life, this is the
treatment success.
Chronic
nephropathy recommended attention to the "three-point rule seven
support"
Three fear: fear
of anger, afraid of fatigue, afraid of colds.
Four bogey:
avoid salt, avoid sexual intercourse, avoid diet section, avoid living
impermanence.
Five fear: fear
of tobacco and alcohol, fear spicy greasy, fear of fear, fear of seafood, high
blood pressure.
Note good is the
premise, active Chinese medicine symptomatic treatment, the so-called "hot
and humid is not removed, the protein is difficult to eliminate; blood stasis
is not cured, kidney qi complex" active removal of heat and blood stasis
so the symptoms will reach "evil cured positive". Traditional Chinese
medicine treatment must not easily benefit, to avoid a "closed-door stay
Kou," the treatment of taboo, so that disease treatment deviate from the
treatment track.
Various types of
kidney disease, kidney, lupus kidney is the most difficult to treat, but also
the highest proportion of the development of uremia two, to pay special
attention.
【Common sense of kidney disease】 caused by renal damage commonly used drugs you must know Dose is t
Dose is too
large, long course of treatment is the main reason for kidney damage after
treatment
Medical research
results show that China's kidney disease patients showed an increasing trend
year by year, a large part of which is related to improper use of drugs. In the
event of drug-induced renal damage, will seriously affect the patient's health,
ranging from damage to kidney function, induced nephritis; weight is caused by
renal necrosis, acute or chronic renal failure, serious may even cause death,
must be vigilant.
Commonly used
drugs to cause kidney damage are:
Such as
gentamicin, kanamycin and so on. These drugs use more than 10 days, the
incidence of renal damage will be significantly increased.
1
Quinolones
Such as
norfloxacin, ciprofloxacin, ofloxacin and so on. Once the dose of these drugs
is too large, it will cause hematuria, interstitial nephritis, severe cases can
lead to acute renal failure.
2
Sulfa drugs
Such as the
compound cotrimoxazole, after administration is easy to produce crystallization
caused by obstructive nephropathy, hematuria, renal colic, or acute renal
failure, especially in elderly patients with dehydration and more prone to.
Therefore, when taking these drugs should be more water, and taking sodium
bicarbonate (baking soda) tablets of urine, to reduce the damage to the
kidneys.
3
Contrast media
In recent years,
the application of a wide range of drugs, caused by acute renal damage is also
more common. The hyperosmolarity of the contrast agent may aggravate renal
ischemia and may also be directly toxic to the kidney. Because the contrast
agent is allergens, can cause systemic allergic reactions involving the
kidneys.
4
Chinese herbal medicine
Most people
think that taking Chinese herbal medicine safe, non-toxic side effects, but in
fact some of the Chinese herbal medicine due to taking excessive or
contraindications in the application of the liver, kidney and other organs
damage. Tripterygium wilfordii as an immunosuppressive agent, as a diuretic
drug, Motherwort as a hemostatic agent, commonly used in the treatment of many
diseases, but if excessive use can lead to acute renal failure.
Rhubarb as a
laxative, widely used in patients with renal failure, but long-term use can
cause hyperkalemia, endangering patients. In addition Kusnezoffii, Xanthium,
Melia chinensis, TCS and other Chinese herbal medicine have long been due to
excessive use of lead to kidney damage reported. Here solemnly reminded the
elderly, especially those suffering from kidney disease in the application of
Chinese herbal medicine to be extra careful.
Generally
speaking, the dose is too large, long course of treatment is the main reason
for kidney damage after treatment. Therefore, taking the above drugs, the first
principle is to uphold the rational use of drugs, avoid drug abuse. At the same
time, try to avoid two or more nephrotoxic drugs in combination, high-risk
groups according to renal function to adjust the dosage and medication.
In addition, the
patient must be regularly used to do renal function tests, in order to detect
the early manifestations of drug-induced nephropathy. If found to have lumbar
acid weakness, abnormal urine, limb swelling, fatigue, increased blood pressure
and other signs of kidney disease, to be discontinued or adjust the dosage, in
order to minimize the development of drug-induced nephropathy deterioration.
How to maximize kidney function in patients with renal disease?
Note that this
is a stage of renal function, with the pathological grading is not a thing.
For example,
some kidney friends asked, why I was IgA nephropathy Lee's 4, but the count is
a chronic kidney disease, people Lee2 level, but the calculation is chronic
kidney disease 2 it?
Pathological
grading with renal function staging is not the same thing! Renal function
staging, different types of kidney disease are in accordance with these five
criteria. But the pathological classification is more complex, different types
of kidney disease, assessment criteria are not the same. Pathological emphasis,
renal function can be good, the pathological light side, renal function can be
abnormal.
Well, understand
this, we went on to say.
1 is a normal
renal function, 2 of renal function mild abnormalities, 3, later, it is
estimated that the glomerular filtration rate below 60ml / min / 1.73m2, can be
said to renal insufficiency, 5 is us Said end-stage renal failure, which is
uremic period.
So, we get to
the question, how to maximize kidney Shenyou friends to delay the progress of
renal function?
Control
proteinuria, high blood pressure
No matter what
type of kidney disease, normal renal function, or renal insufficiency, in the
absence of uremia, control of urinary protein and blood pressure levels of
these two aspects, are always the core of the treatment is to slow down the
decline in renal function The most important measures.
Urine protein is
not the lower the better, try to maintain at 0.5g / day, or 0.3g / day or less,
it is very good, that treatment is very good. Some patients urine protein has
zero a few grams, but also worried that they did not fully with the normal to
reach 0.15g on the following uncomfortable, so that psychological, so that
others urine protein a few grams of kidney friends how to do, the typical pull
hatred ~
Blood pressure
level is not the lower the better, blood pressure need to be controlled in the
140 / 90mmHg the following, the best state is 130 / 80mmHg the following. Less
than 90 / 60mmHg is low blood pressure levels, and easily lead to insufficient
renal blood perfusion, it is best not to be lower than this level. A lot of
kidney friends never concerned about their blood pressure, which is not good,
in the community or pharmacies with blood pressure in these places where free
of charge, or home to buy a little better electronic sphygmomanometer, usually
nothing to measure a volume. As now the weather is cold, high blood pressure is
easy, but also to pay attention to their overall blood pressure.
For different
causes and specific conditions, medication is not the same. In some cases, the
use of drugs, or other drugs, or other antihypertensive drugs, some use of hormones
and other immunosuppressive agents, some people are able to get some
proprietary Chinese medicines can not be generalized.
Prevention and
Treatment of Cardiovascular Diseases
Some people ask
me, why do you say there are 120 million chronic kidney disease, but I did not
see someone around? This is because the awareness of chronic kidney disease is
very low, nearly 90% of people do not know that they have kidney problems.
And known to
have kidney disease, know to prevent cardiovascular disease even fewer people.
Some kidney friends, may not have to dialysis that step, because the
cardiovascular disease game over.
Normal renal
function, mild abnormal renal Friends, the incidence of cardiovascular disease
than the average person much higher, with the decline in renal function, renal
insufficiency, renal failure, renal disease, the incidence of cardiovascular
disease is even higher . Therefore, in order to prevent "the emperor did
not start a business halfway and collapse," this situation, we have a conscious
prevention and treatment of cardiovascular disease.
Quit smoking,
increase exercise, obese people lose weight, nutrition needs to limit the diet,
malnutrition need to correct the nutritional status, which are important to
improve the living habits, can help us a good prevention of cardiovascular
disease. In addition, the "blood pressure, blood fat and blood
sugar," the three high control is good, for existing cardiovascular
disease in patients with chronic kidney disease, the doctor may recommend sustained
small doses of patients with aspirin or anti-platelet drugs such as Plavix.
Complications of
treatment
In stage 1-2,
the complications of nephropathy are rare. And to the renal function after 3,
kidney-related complications and other issues will gradually appear.
Anemia, calcium
and phosphorus disorders, malnutrition, metabolic acidosis and other
complications are possible, therefore, 3-4 renal function, and 5 have not been
dialysis patients, control these complications, is to further deteriorate renal
function .
Anemia in
patients may need to use intravenous or oral iron supplementation, subcutaneous
injection of synthetic erythropoietin and other treatment. Calcium and
phosphorus disorders in patients with oral vitamin D, limiting high phosphorus
diet, lanthanum carbonate and other phosphorus binding agents such as
treatment.
Diet therapy
Inappropriate
diet, such as high protein diet will accelerate the progress of kidney disease,
and eat too little easily lead to malnutrition, is not conducive to
rehabilitation.
Therefore,
patients with kidney disease according to their own circumstances how to diet
conditioning, kidney diet article wrote a lot, you can point to open these
articles to see:
Got a kidney
disease, diet and lifestyle conditioning summary
Low-salt diet on
the original kidney patients so important? . How to control salt?
Kidney function
of the kitchen | renal function 3-4, low-protein three meals a day recipes
How to
understand the quality of low-protein diet?
Excessive blood
phosphorus, which food can not eat? Practical method Qiao phosphorus
What to do when
the doctor says you want a low-potassium diet?
Not random
medication
Analgesic
tablets, antibiotics, prescriptions of unknown ingredients, etc., not to
mention kidney friends, is the normal kidney, eat more of these drugs, but also
easy to go wrong.
In addition to
some of the necessary medication, nephropathy medication must be streamlined,
most of the drugs need to pass the kidney metabolism, the burden of the kidney is
very heavy, especially renal toxicity of drugs.
Fatigue and
infection
The two are
induced and aggravated kidney disease incentives.
Not to say that
every day lying on the house is not tired, the general work of the Friends of
the kidney are competent, but also encourage you not always stuffy at home, in
some work within its capacity. Mainly to work and rest, work and rest, do not
stay up all night.
Infection, which
is not to say, a proteinuria and other indicators of infection increased, it is
we feel the heart plug. Usually enhance physical exercise, eat well, relax, in
order to have good health, to less infection.
If with their
own doctors, these areas do their best to do a good job on their own kidney
baby really a clear conscience! Kidney baby you are good, kidney baby will not
ill-treat you!
Patients with kidney disease can not eat soy products? What are the considerations
For many
diseases, not only for end-stage renal disease, can cure is good early disease,
because the general symptoms of early disease is not very obvious, the human
body is very small violations, so it will be more clinically easy The treatment
of some, but also in the early treatment of the disease, the probability of
cure is much higher than in the late, in the early and mid-kidney disease, life
considerations, especially diet considerations to control the development of
the disease is very important .
01
Limit protein
intake, usually about 30 grams per day. Can eat more potato, potatoes, milk,
eggs, etc., eat less fish, rice.
Patients with
kidney disease can not eat soy products? Beans are nutritious and close to
animal proteins
Although beans
are a kind of plant food, but its essential amino acids in protein, in the
number and proportion are close to the animal protein. Beans food protein
content of up to 35% to 40%, of which soybean protein is the best plant quality
protein. Not only that, soy is also rich in calcium, phosphorus, iron and B
vitamins.
Therefore:
kidney disease patients can moderate consumption of legumes
Kidney disease
diet should control the total intake of protein, and animal protein and
vegetable protein food should be eaten together. Soybeans, large green beans
and black beans and other high-quality protein, the decomposition of essential
amino acids are necessary for the body to synthesize anabolic, you can eat but
pay attention to the amount.
Beans should be
taken as part of the total protein intake, dialysis patients should not exceed
the total 1/3, so good for renal function.
Nephrotic
syndrome, protein intake per day is best in about 40 to 50 grams; renal
dysfunction, uremic patients and renal failure, the daily intake of plant
protein and animal protein does not exceed 40 grams. If it is end-stage renal
disease patients, should be more stringent restrictions.
02
Clinical
diagnosis shows that uremia can be treated, even to the uremia period, but
after kidney transplantation or dialysis, can return to normal family life and
work, the prognosis will be better, so patients should establish confidence ,
To maintain an optimistic and positive confidence.
03
Kidney experts
recommend that older people over the age of 65 should be checked 1-2 times per
year of renal function, if the patient has been diagnosed with chronic
nephritis, but also need to do regular renal function tests. Because it can
develop into uremia, which is timely found that chronic uremia has a great
advantage.
04
To avoid taking
drugs on renal damage, so as not to promote increased renal failure.
05
Try to reduce
the intensity of work, if there uremia symptoms, in addition to timely
treatment, but also need bed rest.
Daily life to
actively do uremia care work, neglect of nutrition therapy. Uremia is not
terrible, have the right attitude to treat the disease, adhere to treatment,
pay attention to diet, will restore a normal body work and life ~
Chronic kidney
disease patients with end-stage dialysis should be fully under the premise of
increasing the quality of protein and energy intake, due to high protein
content of natural foods, but low phosphorus content of food at the same time,
so dialysis friends in the selection of ingredients when the need for attention
Reasonable with, try to meet the high protein and low phosphorus dietary
principles, but also can select some artificial processing of low phosphorus
protein supplements to meet the nutritional needs while avoiding
hyperphosphatemia and calcium and phosphorus metabolism disorders and other
complications, improve life quality.
Kidney disease expert analysis: more and more high creatinine, renal failure, there save it?
For most
patients with kidney disease, urine protein, occult blood has almost become a
"routine", but the real "meal" is caused by elevated serum
creatinine after renal failure, and even uremia.
Wang Kangtong, a
TCM expert in kidney medicine, said: "The most fearful of kidney disease
patients is that their serum creatinine is elevated. Since the serum creatinine
is elevated, most patients with kidney disease have the following feelings:
Physique is
getting worse ...
More and more
symptoms ...
The mood is
getting worse ...
The recurrence
is getting faster and faster ...
Family is
getting tired ...
The family is
getting poorer ...
The survival of
the confidence is less and less ...
Renal
failure is caused by continuous necrosis of the nephron, renal unit necrosis,
chronic renal failure is the most fundamental reason, the disease could not
control, serum creatinine rose higher and higher, the development of advanced,
is well-known uremia!
General
treatment of renal failure is how it?
The
traditional method of treatment is injection, medication. Treatment of renal
failure are the main drugs: Niaoduqing, Ai Xite, Haikun kidney-capsule, kidney
failure, etc., there are many drugs, but the effect is mostly unsatisfactory.
Many patients
with kidney disease have such experience: the use of these drugs, the
creatinine did not decline, or even increased, and this is how is it?
Simple Western
medicine treatment, there is no real down-creatinine drug, so a large part of
the doctor, as long as the development of renal disease to see the three
patients, directly to the patient home waiting for dialysis.
But
the dialysis will be "addictive", often a kidney disease is a
lifetime, the last is useless, you have to consider for kidney, long-term
dialysis, kidney transplant is very high cost, not many families can afford.
Even if the first do not consider the cost of a few years for the kidney or
failure again, it is only delayed renal failure time ... ... so the treatment
of renal failure, really is no good way yet?
Is not no good
way, but most of the kidney patients did not find the right way.
Blood creatinine
in the end how should drop?
Elevated serum
creatinine, because the necrotic kidney units too much, can work properly the
kidney unit has been too little. But to know that there are still some of the
kidney units do not work, they are not completely necrosis, but damaged. And as
long as we recover this part of the kidney unit, let the normal work, renal
function will increase, serum creatinine can naturally fall, which is the key
to the treatment of renal failure.
The repair of
kidney damage in this process, Western medicine can not be done, while the
Chinese medicine is effective.
A creatinine
more than 100 people, it is entirely possible by the resumption of part of the
nephron, the creatinine back to normal again; and creatinine five or six
hundred, or even close to uremia, but also through the recovery part of the
kidney unit, part of the creatinine down, So long to maintain a stable state of
creatinine, to live a normal life, is entirely possible to do, and long-term
dialysis, or even kidney transplant, which is quite good.
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