What is the daily diet of nephrotic syndrome?2017-01-24 11:37
What is the daily diet of nephrotic syndrome?
Nephrotic syndrome (NS) may be caused by a variety of causes, the glomerular basement membrane permeability increased, manifested as proteinuria, hypoalbuminemia, edema, hyperlipidemia is a clinical syndrome.
Children with nephrotic syndrome is often accompanied by gastrointestinal mucosal edema and ascites, affecting digestion and absorption. Should be in light, easy to digest and semi liquid diet. A large number of urinary protein loss in the kidney, the body is in a state of protein malnutrition.
Animal 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. Restriction of protein intake may slow the development of chronic renal damage. Therefore, the current high-quality protein diet, 0.7 grams per kilogram of body weight per day to 1.
Almost all children with nephrotic syndrome in patients with 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). Highly edema limit sodium intake, daily intake of less than 3 grams of salt, the appropriate supplement of trace elements. Please note that the following dietary principles:
(1) Na Yan: edema should be intake of 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 etc.. This helps to alleviate hypoproteinemia and subsequent complications.
But the high protein diet can make the renal blood flow and glomerular filtration rate increased, so that the glomerular capillaries in a state of high pressure, while a large number of protein intake also increased urine protein, can accelerate the hardening of the glomerulus. Therefore, for patients with chronic, non - polar nephrotic syndrome should be a small amount of high quality protein intake (0.7 ~ 1g/kg*d), as for the occurrence of chronic renal damage, it should be a low protein diet (0.65g/kg*d).
(3): fat intake in nephrotic syndrome patients 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: due to the increase of glomerular basement membrane in patients with nephrotic syndrome on the permeability of 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. General eating food containing vitamin and trace element rich vegetables, fruits, grains, and other seafood to be added.
For the daily diet of nephrotic syndrome, nephrotic syndrome in patients with dietary restrictions is very important.