2016年12月23日星期五

Diet principle for patients after dialysis After dialysis

Diet principle for patients after dialysis After dialysis, toxic symptom releases in a certain, but patients will lose some nutrition such as amino acid, inorganic salt, menadione sodium bisulfite,etc. So patients must pay attention to diet after dialysis So, what should dialysis patients take in daily life. There will lose 4.79g amino acid in 12 hours hemodialysis. And protein leaks 25-40g for one time of hemodialysis. So your diet should be adjusted according to treatment. Most patients symptoms improved, appetite turns to good, BUN decreased, so diet supplement should be attention: 1, low-fat, low-cholesterol diet: dialysis patients usually has hyperlipemia, so you should control fat and cholesterol intake for avoiding aggravating arteriosclerosis. 2, menadione sodium bisulfite: you can supplement it by oral Chinese medicine such as vitamin B2, folic acid, ascorbic acid,etc. 3, Potassium, Sodium, calcium, phosphorus: adjusting these elements intake according to the report result and urine volume. Low salt diet, controlled Sodium intake in 1500-2000mg, controlling its intake when urine volume is few, potassium intake should be controlled in less than 1300mg, phosphorus should be controlled in 4.5-5.0mg/min. If phosphorus is high, you also should control the intake of cereal and bean, which contained phosphorus. At the same time, pay attention to the supplement of calcium volume. 4, water intake should be adjusted according to urine volume and dialysis times so as to maintain the balance of flowing out and in. Shouldn’t less than 1000ml/d 5, protein: regular hemodialysis patients should intake protein at least 50g ( 0.75 -1.0g/kg ) 30 hours of hemodialysis weekly, protein supplement should be controlled in 1.0 or 1.2g/kg in daily diet. So as to maintain the Nitrogen balance. Hemodialysis patients should intake 1.2-1.5g/kg, high quality protein should occupied by 50%-70%, which can choose animal protein like milk,eggs and fish