The world health organization (WHO) histologic findings of IgA nephropathy can be pided into 5 levels: level Ⅰ mild damage; Ⅱ level of tiny lesions associated with a small amount of segmental proliferation; Focal segmental glomerular nephritis Ⅲ level; Ⅳ diffuse mesangial damage associated with proliferation and hardening; Grade Ⅴ diffuse sclerosing glomerulonephritis involving more than 80% of the glomerulus. For the treatment and rehabilitation of IgA nephropathy patients, this is described in detail.
The importance of diet to patients with IgA nephropathy is no less important than the treatment strategy, which is different in different stages of IgA nephropathy. According to the different stages of IgA kidney disease, different diets are needed at each stage.
IgA nephropathy Ⅰ level
Mild lesion, the symptom is not apparent, the general appearance of lumbar pain, mild edema and simple urine blood or (and) mild urine protein. Moderate amount of iron, zinc, copper, manganese and other trace elements such as milk and carrot, promote metabolism and expand the immunity of the body. It is suitable for fresh vegetables and fruits that are light and easy to digest, such as cucumber, tomato, lily, winter melon, watermelon, arbutus, etc. Low sodium diet: 2 to 3 grams of salt per day. Don't eat salty foods, such as salted vegetables, salted fish, salted meat and salted eggs.
IgA nephropathy Ⅱ level
Minor lesions are accompanied by a small number of segmental proliferation. In this stage, the blood (often persistent) in the asymptomatic microscopy (often persistent), the erythrocyte in the urine is mainly (or more than 80%) of deformed red blood cells, accompanied by a mild urine protein (< 1g / 24h). The patient should eat more apples, black sesame and wooden ears to keep the food of decrease internal heat. Take formula food, such as towel gourd, bamboo cane water, mau gruel, shepherd's purse, and black bean porridge, etc.
IgA nephropathy Ⅲ level
Focal renal glomerulonephritis of the foci segment. IgA nephropathy is unusual early hypertension (less than 5% - 5%) with the duration extension incidence of high blood pressure to rise, to a category Ⅲ this symptoms appear relatively common. Try to supplement high blood pressure foods such as fresh dark green vegetables, seaweed, fungus, and oatmeal. Far 3 white (white sugar, white salt, animal fat) nearly three black (black rice, black fungus, purple vegetable), and often drink green tea, sour milk and so on. Control the energy intake, advocate to eat compound carbohydrate, such as starch, corn, prevent blood fat to rise.
IgA nephropathy Ⅳ level
The diffuse membrane damage is associated with proliferation and hardening, and a large amount of urine protein, hypoalbuminemia, and microscopically are about 7% to 16% of lga kidney disease, often with severe back pain. Renal biopsy can show the formation of acute renal tubule necrosis, extensive RBC tube type and partial new month body. Low quality protein diet. Eat eggs, milk, lean meat and other animal protein rich in essential amino acids, but the intake of all discretionary (normal renal function and proteinuria larger daily intake in 1 ~ 1.5 g/kg * d, renal damage in severe protein should be limited to 0.6 ~ 0.8 g/kg * d).
IgA nephropathy Ⅴ level
Inflammatory glomerulonephritis with more than 80 percent of the glomerulus, Iga progression to chronic renal failure, and even uremia. Clinically, the prognosis is poor.
At this stage to reduce the burden of the kidney, and about 20 grams of protein daily supply is relatively appropriate, generally choose eggs, milk, fish, etc, then can use of oral or intravenous essential amino acids. When urine is too much, use potassium food such as mushroom, mung bean, peanut kernel etc. If urine quantity is below 1000 milliliter, can choose the low potassium food such as lotus root powder, pumpkin, river shrimp. Iga nephropathy patients without diabetes, can be appropriately added sugar and fat, because of its metabolites into water and carbon dioxide, from the lungs and skin, not through the kidneys, can reduce the burden of the kidney.
The importance of diet in IgA nephropathy patients with nephropathy believe everyone already know, different stages of IgA nephropathy what to eat, what not to eat, me to stick to do it.