Dietary treatment of acute glomerulonephritis

Glomerulonephritis type and more complex clinical presentation , diet therapy should be determined according to the principle of functional status and degree of proteinuria in renal patients should also pay attention to the patient's edema and hypertension cases, later determined to do a comprehensive analysis of how diet therapy .

( 1 ) protein restriction : the incidence of acute glomerulonephritis 3 days to 6 days , glomerular filtration rate , will produce a transient azotemia , and therefore should be restricted protein diet , in the range of limits should seek election eating high quality protein foods , such as milk , eggs, lean meat , fish and so on. When her condition improved , increased urine output , the daily urine output > 1000 ml , can gradually increase the amount of protein , but the day may not be more than 0.8 g / kg body weight , low-protein diet should be 30 grams of protein per day to 40 grams per kg body weight 0.5 grams or less. Stable condition after two months to three months, before gradually returning to normal volume .

( 2 ) low salt low sodium diet : There is edema and hypertension patients should use low-salt , no salt or low-sodium diet . Low-salt diet is generally less than 3 grams of salt daily with or soy sauce 10 ml to 15 ml , where much salt should avoid eating foods such as pickles , pickles , salted egg , egg , bacon , seafood, salty looking , noodles and so should be avoided. Salt-free diet is cooking , add salt and soy sauce . In addition to the above salt should avoid eating more food , the availability of sugar , vinegar , sesame paste, tomato sauce to taste . In addition to low-sodium diet is cooking without salt and soy sauce or less , where the high- sodium foods and vegetables should also be limited, as with baking powder or base made ​​bread , cakes , biscuits, noodles and other vegetables in every 100 mg sodium / 100 g or more shall be filled with full-day diet of no more than 500 milligrams of sodium .

( 3 ) restrictions potassium foods : When oliguria , anuria or elevated serum potassium , should limit the potassium-rich vegetables and fruits, such as bean sprouts , leeks, garlic , celery, cauliflower , toon , spinach , bamboo shoots, bamboo shoots , lily , dried dates, fresh mushrooms , seaweed, mustard , Sichuan preserved vegetables , bamboo shoots , mushrooms , apricots , lotus root , sorghum, corn , lentils , tomato, gourd, bitter gourd , etc.

( 4 ) limits on the amount of fluid : the daily urine output should be based on how much control the amount of fluid . The general approach is to supplement supplements except day before discharge of urine , more fluid intake 500 ml to 1000 ml. If the urine accompanied by edema or less , the amount of liquid daily intake should not exceed 1000 ml.

( 5 ) the amount of heat energy supply and fat : acute glomerulonephritis patients should stay in bed , but the heat is not too high , the fat content is not appropriate, adult day about 105 kJ to 126 kJ ( 25 kcal ~ 30 Thousand card ) / kg body weight. The main source of energy is not less than 90% of the total starch and fat energy . Should eat more polyunsaturated fatty acids containing a wealth of fats and oils , that vegetable oil -based.

( 6 ) an adequate supply of vitamins: more food due to restrictions potassium intake of fruits and vegetables would reduce significantly reduced vitamin intake , likely to cause vitamin deficiency , should complement the various vitamin preparations , especially vitamin C favorable against allergic reactions should not be less than 300 milligrams per day .