Sunday, 31 January 2016


    

FOOD DIALYSIS PATIENTS CAN EAT.


      
For dialysis patients, a good diet management is meaningful to prolong the lifetime, improve the quality of life and decrease the incidence of complications. Patients on dialysis should obey the following principles of diet management:
a. Proper intake of Protein.
Low protein diet for a long time can lead to malnutrition, and will be easy to get inflammation and Atherosclerosis, so patients on dialysis should take enough protein every day. However, if the intake of protein is too high, it may aggravate the disease. Proper intake of protein is important.
For patients who have dialysis three times a week, the protein supply should be 1.5g per kilogram (weight) every day. But for patients who have dialysis twice a week, it should be 1g per kilogram (weight) every day. And high quality protein should account for 50% or more. For example, a patient whose weight is 50kg should take in 50g protein per day, and 25g of it should be from lean meat, egg white or milk. An egg and 200ml of milk contain about 12-15g high quality protein.
b. Keep adequate calorie.
Calorie must be sufficient to prevent muscle weakness. In general, 35-40 kcal per kilogram (weight) every day is suitable. Sweet potatoes and taro contain high calorie. And patients are recommended to take vegetable oil instead of animal oil.
c. Pay attention to the intake of salt (sodium).
For dialysis patients, taking much salt will lead to hypertension or edema. So 2 to 3g (it is about a cap of toothpaste cap) per day is suitable. And patients should avoid eating food containing high sodium, such as: aginomoto, pickles, soda cracker, mayonnaise and instant noodles.
d. Avoid high potassium food.
When the kidneys are damaged, potassium will build up in the body, which may lead to hyperkalemia, and then causes arrhythmia. It can lead to death if serious. So dialysis patients should avoid high potassium foods, such as edible fungus, spinage, potatoes, raisins, banana, tomatoes, peaches, mandarin orange, and strong tea and so on.
e. Avoid eating food which contains high phosphorus.
When the kidneys are damaged, phosphorus cannot be removed out of the body normally, which can lead to hyperphosphatemia, and then may cause Renal Osteodystrophy. So dialysis patients should restrict high phosphorus foods, such as: seafood, kelp, nori, animal pluck, sesame, tea, mel and yoke and so on.

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