Monday, July 11, 2011

Precaution For Kidney Failure

Precaution For Kidney Failure
According to clinical observation, together with proper treatment, diet precaution can play an important function for CKD patients recovery, which is called assistant therapy. CKD patients should take diet according to their illness condition so that better recovery can be attained. Then what should they focus on is our today’s topic.


CARBOHYDRATES


If you are overweight or have diabetes, you may need to limit the amount of carbohydrates you eat. Talk with your doctor, nurse, or dietitian.

Otherwise, carbohydrates are a good source of energy for your body. If your health care provider has recommended a low-protein diet, you may replace the calories from protein with:

FATS INTAKE


Fats can be a good source of calories. Make sure to use monounsaturated and polyunsaturated fats (olive oil, canola oil, safflower oil) to help protect your arteries. Talk to your doctor, nurse, or dietitian about fats and cholesterol that may increase your risk for heart problems.

PROTEIN INTAKE


Low-protein diets may be helpful before dialysis. Your doctor or dietitian may recommend a moderate-protein diet (1 gram of protein per kilogram of body weight per day).

Once you start dialysis, you will need more protein. In fact, a high-protein diet with fish, poultry, pork, or eggs at every meal may be recommended. This will help you replace muscles and other tissues that you lose.

People on dialysis should eat 8 - 10 ounces of high-protein foods each day. Your doctor, dietitian, or nurse may suggest adding egg whites, egg white powder, or protein powder.

CALCIUM AND PHOSPHOROUS


Calcium and phosphorous, two other important minerals in the body, are also monitored closely. Even in the early stages of chronic kidney disease, phosphorous levels in the blood can become too high. This can cause:

1. Low calcium (this causes the body to pull calcium from your bones, which can make your bones weaker and more likely to break)

2. Itching

You will need to limit the amount of dairy foods that you eat. This includes milk, yogurt, and cheese. Some dairy foods are lower in phosphorous, including tub margarine, butter, cream cheese, heavy cream, ricotta cheese, brie cheese, sherbet, and nondairy whipped toppings.

Fruits and vegetables contain only small amounts of phosphorous.

You may need to take calcium supplements to prevent bone disease, and vitamin D to control the balance of calcium and phosphorous in your body. Ask your doctor, nurse, or dietititan.

If dietary measures to lower phosphorous are not enough, your doctor may recommend "phosphorous binders."

WATER INTAKE

In the early stages of chronic kidney disease, you do not need to limit how much fluid you drink. As your kidney disease becomes worse or when you are on dialysis, you will need to watch how much you drink. In between dialysis sessions, fluid can build up in the body.

Your doctor and dialysis nurse will let you know how much you should drink every day. Do not eat too much of foods that contain a lot of water, such as soups, Jell-O, popsicles, ice cream, grapes, melons, lettuce, tomatoes, and celery.

Use smaller cups or glasses and turn over your cup after you have finished it.

Tips to keep from becoming thirsty include:

1. Avoid salty foods

2. Freeze some juice in an ice cube tray and eat it like a popsicle (you must count these ice cubes in your daily amount of fluids)

3. Stay cool on hot days

POTASSIUM

Normal blood levels of potassium help keep your heart beating steadily. However, too much potassium can build up when the kidneys no longer function well. Dangerous heart rhythms may result.

Potassium is found in many food groups, including fruits and vegetables. Choosing the right item from each food group can help control your potassium levels.

When eating fruits:


1. Choose peaches, grapes, pears, cherries, apples, berries, pineapple, plums, tangerines, and watermelon

2. Limit or avoid oranges and orange juice, nectarines, Kiwis, raisins or other dried fruit, bananas, cantaloupe, honeydew, prunes, and nectarines

SALT OR SODIUM

Reducing sodium in your diet helps you control high blood pressure, keeps you from being thirsty, and prevents your body from holding onto extra fluid. A low-salt diet is usually needed.

Look for these words on food labels:

1. Low-sodium

2. No salt added

.3. Sodium-free

4. Sodium reduced

5. Unsalted

Check all labels to see how much salt or sodium foods contain per serving. Also, avoid foods that list salt near the beginning of the ingredients. Look for products with less than 100 mg of salt per serving.

Do not use salt when cooking and take the salt shaker away from the table. Most other herbs are safe, and you can use them to flavor your food instead of salt.

DO NOT use salt substitutes because they contain potassium. People with chronic kidney disease also need to limit their potassium.

When eating vegetables:

1. Choose broccoli, cabbage, carrots, cauliflower, celery, cucumber, eggplant, green and wax beans, lettuce, onion, peppers, watercress, zucchini, and yellow squash

2. Limit or avoid asparagus, avocado, potatoes, tomatoes or tomato sauce, winter squash, pumpkin, avocado, and cooked spinach

IRON

Patients with advanced kidney failure usually need extra iron.

Many foods contain extra iron (liver, beef, pork, chicken, lima and kidney beans, iron-fortified cereals). Because of your kidney disease, talk this over with your doctor, nurse, or dietitian.

As we know chronic kidney disease is a progressive-slowly disease, which presents symptoms after a long time to develop. Similarly, the repairing of damaged inherent and recovery of renal function also need a time to attain. During this course, patient need to pay more attention to those standard medical therapy as well as assistant therapy, and then their recovery would be more pleasant and rapid. For more information about our standard treatment and diet recommendation, you can consult our experts. They will provide you professional and understandable explanation.

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