Nephrotic syndrome in patients with diet

Nephrotic syndrome patients have almost all hyperlipidemia, limiting animal fat intake, the diet provides rich polyunsaturated fatty acids (such as fish oil) and vegetable oil (soybean oil, rapeseed oil, sesame oil). Highly edema limit sodium intake, daily intake of salt less than 3 grams, appropriate to add trace elements.

The following diet principles please note:(1) sodium intake: edema should be into the low-salt diet, so as not to aggravate edema, the general daily amount of salt is not more than 2g is appropriate, disable pickled foods, less use of MSG and alkali, edema subsided, plasma protein close Normal, can restore the ordinary diet.

(2) protein intake: nephrotic syndrome, a large number of plasma protein from the urine, the human protein decreased in the protein malnutrition state, hypoproteinemia to reduce plasma colloid osmotic pressure, resulting in edema stubborn and difficult to eliminate, the body resistance (1 ~ 1.5g / kg * d), such as fish and meat, and so on. In the absence of renal failure, it should be given high quality protein diet (1 ~ 1.5g / kg * d), such as fish and meat. This helps to alleviate hypoalbuminemia and some comorbidities that follow it.

But the high protein diet can make renal blood flow and glomerular filtration rate increased, so that glomerular capillaries in a state of high pressure, while a large number of protein intake also increased urinary protein, can accelerate the glomerular sclerosis. Therefore, for chronic, non-polar nephrotic syndrome patients should be taken into a small amount of high-quality protein (0.7 ~ 1g / kg * d), as a result of chronic renal impairment, should be low-protein diet (0.65g / Kg * d).

(3) fat intake: patients with nephrotic syndrome often hyperlipidemia, which can cause arteriosclerosis and glomerular injury, sclerosis, etc., should limit the animal offal, fat, some seafood and other foods rich in cholesterol and Fat food intake.

(4) the addition of trace elements: nephrotic syndrome in patients with glomerular basement membrane permeability increased, in addition to loss of urine a large number of proteins, but also lost with the protein binding of certain trace elements and hormones, resulting in human calcium, Magnesium, zinc, iron and other elements of the lack of appropriate should be given. General can be eaten with vitamins and trace elements rich in vegetables, fruits, grains, seafood, etc. to be added. Inspection and so on. 

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