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Uremic symptoms are more obvious, uremic patients should be

2017-01-24 14:29

Uremic symptoms are more obvious, uremic patients should be how to arrange their diet?

Common symptoms of uremia

1, general symptoms: pale pale, weak, thin.

2, gastrointestinal manifestations: the earliest and most prominent manifestation of the disease. Anorexia, abdominal discomfort, followed by nausea and vomiting, diarrhea, glossitis, oral ulcer, breath smell of urine, late can cause gastrointestinal bleeding

And the emergence of melena and hematemesis.

3, the spirit, the nervous system: headache, dizziness, trance, apathy, lethargy, drowsiness, coma and even. Restlessness, muscle tremors, convulsions, seizures are also common in later stages.

4, cardiovascular system: high blood pressure, arrhythmia; late also fibrinous pericarditis and heart failure.

5, hematopoietic system: severe anemia, bleeding symptoms can be advanced.

6, respiratory system performance: acid poisoning when breathing deep and long. Late can cause uremic bronchitis, pneumonia and pleurisy.

7, skin manifestations: skin, dry desquamation without china. Urea from sweat glands after discharge, can be cemented white urea cream, and can stimulate the skin and itching.

8, metabolic acidosis and acid-base imbalance caused by symptoms

Several principles of uremic diet:

One, carry on dialysis

The patient should not be too strict restriction of protein intake, on the one hand, instead of the dialysis renal excretory function, on the other hand, dialysis itself is a process of consumption and loss of protein, so the protein in the diet to maintain hemodialysis patients in 1.0-1.2 grams per kilogram of body weight per day, peritoneal dialysis patients should be 1.2 ~ 1.5 grams.

Two, general uremia diet should pay attention to what, to ensure energy intake. If insufficient protein intake, will lead to reduced muscle myofibrillar decomposition; if the protein and calorie intake are insufficient, in order to ensure the vital organs of energy supply, the reduced protein synthesis and muscle protein degradation increased, serum creatinine

More elevated.

Three, not dialysis treatment stage of uremia patients, should be given high quality low protein diet, on the one hand can reduce the symptoms of uremia, on the other hand, can delay the progressive deterioration of renal function in chronic renal failure. It is generally believed that daily intake of 0.5 grams per kilogram of body weight, can maintain the balance of nitrogen. Such as the addition of essential amino acids, the protein can be limited to lower.

Four, uremia diet should pay attention to the following points:

1, the amount of urine should be limited to limit the amount of water and sodium intake, the average daily amount of less than 3 grams of salt. Obvious edema, high blood pressure, heart failure should be strictly controlled sodium intake, usually less than 1 to 2 grams per day.

2, according to the level of blood potassium and urine to control the intake of potassium, so that it is less than 2.5 grams a day, there are urine every row of 1000 ml of urine, can increase by 1 grams of potassium intake.

3, daily calcium supplement 1.2 ~ 1.5 grams, the daily intake of phosphorus control in the 0.9 ~ 1.2 grams. Diet should pay attention to the supply of foods rich in vitamin B and C, should also be appropriate to add trace elements zinc and iron.

The above is the kidney disease experts in uremic patients during the onset of the diet program, diet for patients with uremia is more important.


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