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Chronic nephritis, also known as chronic glomerulonephritis, has a slow onset and prolonged progression, and the main clinical manifestations are hematuria and proteinuria. What can patients with chronic nephritis eat, according to the presence of edema and abnormal kidney function, choose appropriate foods and drugs.
1. Food: 1. Patients with mild edema and no abnormal kidney function: such patients have mild disease, short medical history, slight edema, and no abnormal kidney function, so the diet can be appropriately relaxed.
It is usually recommended to eat a low-salt, low-fat diet with a moderate consumption of high-quality protein foods, such as chicken, fish, lean meat, etc., to supplement essential amino acids. Because patients with nephritis often have high blood pressure, a low-salt diet of 6 g per day is recommended. Patients without diabetes can choose more fresh vegetables and fruits to eat, such as greens, cucumbers, apples, oranges, etc., but because this kind of food contains more water, it is recommended to eat appropriately to avoid aggravating edema;
2. Patients with severe edema and abnormal kidney function: due to the severe edema of such patients, it is necessary to limit the amount of water intake while strictly limiting the salt, and keep the daily liquid intake as the urine volume of the previous day + 500ml. At the same time, under the premise of ensuring a high-quality protein diet, the daily protein intake should be appropriately reduced.
In addition, considering the risk of hyperkalemia after abnormal kidney function, foods with high potassium in daily life, such as green leafy vegetables, bananas, oranges, kiwifruit, peas, etc., should be strictly restricted.
2. Drugs: Patients with chronic nephritis need to control hypertension, so angiotensin-converting enzyme inhibitors can be used under the guidance of doctors, such as captopril sustained-release tablets, enalapril maleate dispersible tablets, etc. While reducing systemic hypertension, the drug can also reduce intraglomerular pressure, reduce glomerular hyperhemodynamics, and delay the progression of renal failure.
In addition, calcium antagonists can also be selected for **, which have a more positive effect on delaying the deterioration of renal function, common drugs include levamlodipine maleate tablets, nifedipine sustained-release tablets, nicardipine hydrochloride sustained-release tablets, etc.
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It is recommended to take low-salt, low-oil, light, and easy-to-digest foods for chronic nephritis, and the best foods are healthy and nutritious, and the specific foods to eat depend on the specific severity of the patient's nephritis. If the patient only presents with hematuria or asymptomatic proteinuria and has no related complications, the food that the patient eats can be similar to that of a normal person, in line with the principles just mentioned.
However, if a patient with nephritis has a large amount of proteinuria, renal insufficiency, and is in chronic kidney disease stage 3 or above, it is recommended that you do not consume a large amount of protein. In addition, if the patient with nephritis has hyperkalemia, it is best to choose foods with low potassium content. If patients with nephritis have hyperuricemia, it is recommended to eat foods that are low in purines, such as eggs and milk.
Therefore, what to eat for nephritis depends on the specific situation of nephritis.
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Chronic nephritis is mainly due to edema caused by the loss of protein.
If it is exposed to cold water, it can lead to infections such as colds and this can also aggravate the condition.
Patients with chronic nephritis should focus on the following preventive measures to protect kidney function as much as possible, improve the quality of life, and prevent or delay the occurrence of renal failure.
a) Control blood pressure: the higher the blood pressure, the more serious the damage to the kidneys, so the blood pressure should be controlled within a reasonable range, and the medication should be taken according to the doctor's instructions, and the dose should not be reduced.
b) Moderate intake of protein: Experimental studies have shown that excessive protein intake can cause glomerular hyperperfusion, high filtration and high pressure, thereby accelerating the process of glomerulosclerosis, so for patients who have chronic renal insufficiency, protein intake should be limited on the basis of adequate caloric supply, and the general daily protein intake should be controlled in grams and kilograms, and high-quality animal protein rich in amino acids, such as milk, eggs, fish, etc. Due to the reduction of phosphorus excretion in chronic nephritis, the intake of phosphorus should be strictly limited, which is also very beneficial to delay the process of chronic renal failure, and the daily phosphorus intake should be limited to between 500-600 mg.
c) Prevention of various infections: Due to the low immunity of patients with chronic nephritis, it is easy to suffer from colds, resulting in tonsillitis, etc. And all the inflammation that occurs can damage the kidneys.
Therefore, patients with chronic nephritis should carry out appropriate physical exercise to enhance their physical fitness and improve immunity, and at the same time pay attention to personal hygiene to avoid inducing infection.
d) Contraindication of nephrotoxic drugs: such drugs include direct toxic and immunotoxic drugs, which are important triggers for accelerating the deterioration of renal function, and the common drugs are as follows
i.Antibiotics: gentamicin, amikamycin, streptomycin, etc.;
ii.Anti-inflammatory analgesics: aspirin, indomethacin, etc.;
iii.Antiepileptic drugs: Bentoin, etc.;
iv.Chemotherapy drugs for tumors: nitrosos;
v.various contrast agents;
vi.Traditional Chinese medicines containing aristolochic acid, such as Mutong, etc.
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People with chronic nephritis should eat a low-salt or no-salt diet that is light and easy to digest when they have less edema and less urine or a poor diet. As the condition improves, urine output increases, and the edema subsides, in order to replenish the large amount of protein lost in the urine in time, you can gradually transition to a high-quality high-protein diet. If it is accompanied by anemia, you can choose iron-rich foods, such as animal blood, animal liver, lean meat, black beans, black fungus, sesame paste, etc.
Recommendation: The first one is to eat more bland and diuretic foods. Foods that have a diuretic effect on swelling include carp, crucian carp, milk, goat's milk, watermelon, winter melon, mung beans, red adzuki beans and so on.
The effect of boiling watermelon rind is relatively good. The second dietary recommendation is to eat more vitamin-rich foods. Fresh vegetables and fruits are alkaline foods that provide a variety of vitamins and promote the recovery of kidney function.
The third piece of advice is not to eat foods high in salt. The relationship between edema and serum sodium salt in chronic nephritis is extremely close, so it is necessary to limit salt and give a low-salt diet. The daily salt intake should be controlled to less than 4 g, which can prevent the aggravation of edema and the increase in blood volume.
Another thing to do is to limit plant protein, which should be based on kidney function. Vegetable protein contains a large amount of purine base, which can aggravate the intermediate metabolism of the kidneys, so it is not suitable to use beans and soy products as nutritional supplements.
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For chronic nephritis disease, in terms of drugs, you can take some drugs that protect the kidneys and reduce protein in the urine to **, such as ACE inhibitors or ARBs. As well as some Chinese patent medicines, such as Bailing capsules, Huangkui capsules, and so on.
In terms of diet, the staple food can be rice, noodles, steamed buns, and green leafy vegetables. In terms of protein intake, you can meet the body's protein needs with two taels of lean meat, an egg, and a bag of pure milk every day. In terms of fruits, you can eat apples, pears, peaches, etc. to supplement the essential vitamins of the human body.
Through these comprehensive aspects of conditioning, we can jointly control the disease of nephritis, prevent the progression of the disease, and pay attention to regular follow-up examinations in the hospital to monitor changes in the condition.
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Patients with chronic nephritis should eat a low-salt, low-fat diet and control protein intake, preferably within grams per day. Be sure to avoid pickled foods, and the daily sodium intake is 2 to 4 grams. It is recommended to eat more fungus, white fungus, potatoes, mustard, bitter gourd, spinach, bean sprouts, lettuce, rape, and yams.
Reduce your consumption of legume products, i.e. nuts, such as walnuts and almonds. You can eat high-protein lean meat, milk and eggs. In addition, winter melon and watermelon gourd are good for diuresis.
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1 Ingredients: 100 grams of black beans, 500 grams of lean pork.
Directions: Stew black beans and pork together in a soup and season with low salt. Take 1 time a day, divided into 2 doses.
Efficacy: It is suitable for people with chronic nephritis, dizziness, tinnitus, fatigue and weakness.
2 Ingredients: 1 baer, 1 grass fruit, 250 grams of red adzuki beans.
Method: Wash the baer's duck, put red beans and grass fruits into the duck's belly; Then put the duck in the pot and add an appropriate amount of water. Stew over a fire and serve when the duck is cooked.
Efficacy: It can strengthen the spleen and appetize, dilute water and reduce swelling, and is suitable for people with chronic nephritis.
3 Ingredients: about 400 grams of large crucian carp, 15 grams of pineapple tea, 10 one-headed garlic, and grams of bile alum.
Method: First, wash the crucian carp, and then put the last three flavors into the fish belly and tie it tightly; Finally, add an appropriate amount of water to a casserole and cook. Drink soup and eat fish.
Efficacy: It can reduce swelling with water and is suitable for people with chronic nephritis.
4 Ingredients: 30-60 grams of corn silk, 5 grams of pineapple tea.
Method: Put corn silk and pineapple tea into a cup, brew with boiling water for about 15 minutes, or decoction with boiling water for 10 minutes.
Efficacy: It can strengthen the spleen and reduce swelling, and is suitable for people with chronic nephritis.
It depends on where the root of the disease is and what causes the nephritis. >>>More
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Patients with nephritis should have a healthy lifestyle and a balanced diet, avoid smoking and drinking, eat less spicy food, and exercise appropriately to enhance their own resistance. In terms of diet, it is best to eat more low-salt foods, eat more protein-rich foods, mainly high-quality animal protein, and drink more water to promote blood circulation and excretion and metabolism. Those with active nephritis or obvious symptoms should rest, avoid colds, overwork, and dampness, prevent respiratory tract and urinary tract infections, and prohibit nephrotoxic drugs. >>>More
Yours is not serious, don't be so pessimistic, proteinuria has turned negative, if the occult blood is not accurately detected by women because of menstruation, don't worry, take care of yourself, don't catch a cold, pay attention to personal hygiene, it's not so easy to turn into uremia, why are you so pessimistic? It's going to be fine! Be strong, so that the disease will get better.
Chronic nephritis will not kill people, but chronic nephritis is delayed and the condition worsens will lead to kidney failure and the development of uremia, so chronic nephritis needs to be paid attention to.