Wednesday, September 4, 2013

Renal insufficiency will fully protect the kidney

Renal insufficiency will fully protect the kidney! As long as detect kidney abnormalities,, don't be surprised even without kidney disease symptoms, should be symptomatic treatment as soon as possible.
When serum creatinine is 170-440 micro mol/l, it is advisable to protein 0.6 grams per kilogram of body weight per day, with a large amount of proteinuria, each lost 1 gram of urine protein, 1.5 grams of protein supplements. When more than 440 micro mol/l serum creatinine and protein intake should be further reduced, total does not exceed 30 grams per day as well. Must be emphasized, however, if the devotion to limit protein intake, will lead to malnutrition patients appeared, physical deterioration, the effect is not good.
After renal excretion of drug may damage the kidneys, such as gentamicin, sulfa antibiotics, such as penicillin, indomethacin, acetaminophen, and hormones, such as contrast agents. Intake of protein in order to get maximum use of, don't let it into the energy consume, taking a low protein diet at the same time, also must supplement energy. Per kilogram of body weight per day at least 35 kilocalorie quantity of heat, mainly by the sugar supply, can eat fruit, sugar products, chocolate, jam and honey, etc.
Keto acid does not contain nitrogen, can be combined with free amino in the body, which is converted into useful amino acid involved in the synthesis of body protein. In other words, while patients in the keto acid, but it can combine with waste nitrogen into useful in the body essential amino acids, with strict control of protein diet, can well control the increasing of nitrogen levels. Although it is worth noting that there is some food in front of the conditions, such as egg yolks, shredded meat, animal offal, dairy products, such as bone marrow, but due to their high phosphorus content is unfavorable edible, can make kidney function for phosphorus retention deteriorating even further.
Renal insufficiency, lack of active vitamin D hydroxylase, so although dietary intake of vitamin D may not less, but the body will lack of vitamin D, causing intestinal calcium absorption, bone mineralization less poor, low blood calcium levels, so it needs to have the active vitamin D supplement. Laboratory tests blood loss is more often; In the case of anorexia less food intake of iron; And more important is the normal kidney function of synthetic erythropoietin is lost, the body's ability to absorb and store iron fell, the synthetic ability of red blood cells also fell.
"Vitamin B complex" mainly contain vitamin B1, B2, B3 (niacin) and four types of B vitamins B6, etc. Chronic renal insufficiency is often the use of diuretics, such as the furosemide, aka cefuroxime Sammy), which can cause great lack vitamin B1, so need to supplement. And vitamin B6 can lower homocysteine levels, give play to the role of the prevention and treatment of occlusive vascular disease, this effect will be more significant share of folic acid.
There should be a reasonable intake of protein. Mainly comes from the protein in the diet of metabolites in the human body composition, therefore, in order to lighten the burden of work remaining kidney, protein intake must be suitable to the discharge capacity and kidney. Salt should be depending on the condition, if you have high blood pressure, edema, appropriate USES a low salt diet, 2 grams of salt a day.
Calcium salt is a kind of phosphate binder, can reduce the absorption of phosphorus in the intestinal tract, thereby reducing the blood phosphorus, prevent blood phosphorus increased as the beginning of renal bone disease. Oral calcium supplements can supplement the diet with low protein diet calcium deficiency, in the case of poor intestinal calcium absorption to maintain normal blood calcium. Calcium supplements can to a certain extent, to correct common metabolic acidosis in patients with nephropathy, improve symptoms.
Metabolism of amino acid nitrogen element, yields of various nitrogen mass product, under normal circumstances by nephritic eduction body outside, and in the kidney function not full-time nitrogen retention become incentives to make the symptoms. In order to reduce the phosphorus content in food, and eating fish, meat, potatoes, etc., should be first boiled soup after further cooking.
Renal insufficiency will fully protect the kidney? Xi 'an tongji hospital is one of the best kidney disease specialized subject hospital, if you still have what not understand, please promptly with our kidney disease experts for advice, they can help you get rid of the hotspots of the disease.

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