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How to protect the remaining part of renal function in patients

Uremia is terrible. How to protect the remaining part of renal function in patients with renal insufficiency, but not to the more serious situation? First of all, to have a reasonable intake of protein. The metabolites in the human body mai...

How to protect the remaining part of renal function in patients

Feb 25, 2017 by Kidney Disease Expert

Uremia is terrible. How to protect the remaining part of renal function in patients with renal insufficiency, but not to the more serious situation?

First of all, to have a reasonable intake of protein. The metabolites in the human body mainly come from the protein components in the diet. Therefore, in order to reduce the burden of the kidney, the protein intake must be adapted to the excretion of the kidney. For example, when the blood creatinine of 170 - 440 micromolar / L, protein per kilogram of body weight per day of 0.6 grams is appropriate, there are a lot of proteinuria, every loss of 1 grams of urine protein, can be an additional supplement of 1. 5 g protein. When the blood creatinine more than 440 mol / L, protein intake should be further reduced to a total of not more than 30 grams per day as good. However, it must be emphasized that if blindly pursue protein intake, will lead to malnutrition, physical decline, the effect is not good.

Second, in order to make the most use of the protein intake, do not let it into energy consumption, while taking a low protein diet, but also must add energy. At least 35 thousand calories per kilogram of body weight per day, mainly from sugar, can eat fruits, sugar products, chocolate, jam, honey, etc..

Third, it is worth noting that some food accords with the previous conditions, such as egg yolk, dried meat floss, animal offal, milk products, such as the bone marrow, but because of their high P content and should not eat, because phosphorus retention can lead to further deterioration of kidney function. In order to reduce phosphorus content in food, edible fish, meat and potatoes, boiled soup should be abandoned after further cooking.

Fourth, salt should be depending on the condition, such as high blood pressure, edema, it is advised to use a low salt diet, daily 2 grams of salt.

Fifth, the kidney excretion of drugs may also damage the kidneys, such as gentamicin, sulfa antibiotics, penicillin, indomethacin, paracetamol, as well as hormones, contrast agents, etc..

In addition, if there is high blood pressure, diabetes, infection, but also to prevent these diseases of renal injury.

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