Pregnancy with nephrotic syndrome are required to do what ch2017-01-24 11:38
Pregnancy with nephrotic syndrome are required to do what checks? In the diet and what need to pay attention to the place?
What is nephrotic syndrome, nephrotic syndrome, what are the symptoms? How should we prevent nephrotic syndrome? Pregnancy associated with nephrotic syndrome and diet should pay attention to what?
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.
Nephrotic syndrome (nephrotic syndrome) is a group of syndromes characterized by proteinuria, hypoproteinemia, hypercholesterolemia, and obvious edema.
Pregnancy associated with nephrotic syndrome should be checked?
1 urine 24h urine protein quantitative >3g/d, high up to 5g/d or more, when combined with other kidney diseases, urine, red and white cells and (or) cells and granular tube type.
2 biochemical determination of cholesterol and lipid levels increased albumin levels decreased the proportion of white and globulin inversion blood urea nitrogen and creatinine can be increased in varying degrees.
3 the blood glucose levels of other related diseases increased, the positive rate of syphilis serum, autoantibodies or antinuclear antibodies were positive.
Dietary attention in pregnancy with nephrotic syndrome
(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.
Nutritional treatment of pregnancy associated with nephrotic syndrome
1 energy sufficient energy can improve the utilization rate of the protein, nitrogen ratio, =1: 200 for energy supply by 35kcal/ (kg - D).
2 protein loss due to a large number of proteins, the traditional nutritional treatment advocated a high protein diet [1.5-2.0g/ (kg * d)]. But the clinical practice proved that when the energy supply of 35kcal/d, protein 0.8-1.0g/ (kg - D) supply, albumin synthesis rate close to normal, decreased protein decomposition, hypoproteinemia improved, lowering blood lipids, can achieve positive nitrogen balance. Such as energy supply unchanged, protein supply >1.2g/ (kg * d), the rate of protein synthesis decreased, albumin decomposition increased, hypoproteinemia has not been corrected, but increased urine protein. This is because the high protein diet can cause glomerular filtration, glomerular sclerosis. High protein diet can activate the renin angiotensin system in renal tissue, which is the result of high blood pressure, high blood fat and further deterioration of renal function. Therefore, the appropriate supply of protein in patients with nephrotic syndrome in the condition of sufficient energy supply should be 0.8-10.g/ (kg = D). Such as the use of very low protein diet should also add 10-20g/d essential amino acids. It is also recommended that the use of the normal protein diet [1.0g/ (kg * d)], can be added with angiotensin converting enzyme inhibitors (ACE), can reduce urinary protein, but also improve serum albumin.
Above for the pregnancy of nephrotic syndrome patients need to do the inspection and diet notes made a detailed introduction, for nephrotic syndrome pregnant women should pay attention to the scientific nutrition.