Nutrition in man dialysis

Suckhoedoisong.vn – After the lunar New Year, after the full moon in January is the meat dish more protein, many kinds of candy rich.

After the lunar New Year, after the full moon in January are the dishes of fish protein, many kinds of candy rich. But for people with kidney disease who need dialysis (kidney dialysis ) or have kidney transplant still have to make a diet that suits the disease so that no sudden complications that lose the joy of whole house.

When the kidneys are damaged, chronic kidney failure. Conservative treatment with a very low protein diet, enough energy and the necessary drugs is to prevent complications and slow the progression of chronic renal failure. When conservative treatment is not effective, kidney replacement therapy should be used by dialysis or renal transplant.

Durian is a delicious fruit, but hemodialysis users need to limit use because it contains too much potassium.

During hemodialysis, the urea, creatinine, uric acid will be reduced to safe levels after filtration, sodium and K are also adjusted well … The patient will feel more comfortable, eat more delicious and healthy out. But dialysis also only resolves some basic disorders after the filter 1 to 2 days later increased, should be filtered 3 times a week; Therefore, the patient must not be allowed to eat freely and freely but must be controlled according to the following requirements:

On days without dialysis, the patient is urinated, so potassium is easy to increase so it can not eat too much vegetables and fruits. Sodium and water accumulation causes increased volume of circulation leading to edema and hypertension should also reduce the amount of drinking water, reduce salt intake and noodles.

Chronic renal failure also causes anemia, which increases cardiac output leading to heart failure.

Through the artificial kidney dialysis patients also lose some protein and some trace elements. It takes about 3-4g of protein per fermentation period, so if you use a protein-reducing regime (20g) as a preservative treatment, negative nitrogen balance causes malnutrition, but if too much protein is present, higher. The diet must be sufficiently high in protein to contain 50% or more of animal protein, vitamins and mineral salts, water, Na, K, and Ca.

Nutritional needs in one day of hemodialysis patients (for people weighing 50kg).

Energy Demand (E): 35kcalo / kg / day x 50 = 1,750 kcalo.

+ From protein 15-20%.

+ From fat 20%.

+ Energy from flour – sugar 60-65%.

Protein requirement: 1.2g / kg / day x 50 = 60g. Animal fats 50% or more.

Fat requirement: 20% of total energy (about 36-38g / day).

Demand for sugar powder: 60-65% of total energy (about 290-300g / day.

Demand for Na and Na salt: 3.5-4g NaCl / day depending on whether or not there is edema. Do not use ready-made food, only add salt to the food after salt has been removed from the food. It is recommended not to consume more than 2.4g of sodium per day with normal people (equivalent to 6g Nacl). Water needs 500ml + daily urine output. Summer increased by half.

Vegetables, fruits: 200g / day. If uremia is used, take less precautions to increase potassium. Vitamin B Complex Supplement.

Some foods rich in sodium, potassium should be limited to use:

Fruit: banana pepper, Siamese cucumber, long fruit, avocado fruit are over 300mg potassium / 100g; Durians have 600mg potassium per 100g.

Vegetables: celery, soybean, sour bamboo shoots, red spinach, sweet potatoes, spinach, spinach … all have 300mg to 600mg potassium / 100g

Other food: crabs, shrimp, crabs are equally high sodium from 300mg to 450mg / 100g. Carp, salmon, tuna, scad, herring are all potassium levels from 350mg to 520mg potassium / 100g.

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