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Children's nephrotic syndrome patients how to eat three meals

2017-07-01 10:51

Nephrotic syndrome is due to glomerular filtration membrane on plasma protein permeability increased, resulting in a large number of plasma protein loss from the urine to a large number of proteinuria, hypoproteinemia, hyperlipidemia and edema for its main clinical features disease. Intrinsic pediatric common glomerular disease, and the course of the disease often repeated or recurrence. Reasonable nutrition treatment, can alleviate the disease development, reduce the recurrence rate of disease, promote children's growth and development.

Nutrition common sense small inventory

1, nutrients

The human body needs six nutrients: fat, protein, carbohydrates, vitamins, minerals and water, the first three are energy-supplying substances, of which carbohydrates, fats, protein, respectively, the body heat card energy 55% -60% , 20% -30% and 10% -15%.

2, body mass index (BMI) calculation

BMI = weight (kg) / height (m), judgment criteria: weight loss: <18.5; normal: 18.5 to 23.9; overweight: 24 to 27.9; obesity: ≥ 28

3, the standard hot card

Children are required to have a daily calorie of 418.4 to 502.1 kJ / kg (100 to 200 kcal / kg) per day, compared with adults, and about 418.4 kJ (100 kcal) Female.

A custom diet for children with nephrotic syndrome

1, the three major functional material distribution

1, for children with nephropathy, the carbohydrate intake should account for 55% to 65% of energy, of which 50% of polysaccharides and dietary fiber.

2, the general renal function of normal nephrotic syndrome in children with protein supply 1.0 to 1.5 g / kg? D is appropriate. For children with renal insufficiency in children with nephrotic syndrome, may be given appropriate low protein 0.8 to 1.2 g / kg? D, and to high-quality protein-based.

3, due to nephrotic syndrome patients often accompanied by hyperlipidemia, should limit the intake of fat, dietary supply of rich polyunsaturated fatty acids such as fish oil, vegetable oil can reduce blood lipid and urinary protein, glomerular sclerosis To reduce. Rich in soluble fiber diets (oats, rice bran, etc.) is also conducive to lipid-lowering.

2, the reasonable arrangements for meal times

1, the ratio of energy and nutrients 3 meals: breakfast 30%, 40% Chinese food, dinner 30%;

2, timing, fixed point, quantitative

3, to create a pleasant dining environment.

3, the scientific mix of food

1, nephrotic syndrome, renal function damage in children can be part of the wheat starch (or corn starch, potato starch, containing about 0.3% to 0.6% of protein) as the staple food instead of flour and rice, multi-election protein containing low High heat of food such as potatoes, sweet potatoes, yam, taro, lotus root, water chestnuts, pumpkin, fans, lotus root starch, water chestnut powder, water chestnut powder.

2, as far as possible the use of animal protein food as the main source of protein (2/3), such as eggs, milk, lean meat, fish and other foods containing high protein should be limited (1/3), such as dry beans, Soy products, hard fruit and cereals.

3, fruits and vegetables can be used in patients with renal failure with hyperkalemia patients, must quit drinking potassium fruit, such as sweet potatoes, potatoes, bamboo shoots, mushrooms, cabbage, mustard, beans, peanuts and walnuts, to the recovery period Eat fruit is beneficial to patients recover.

4, avoid using a variety of poultry, fish, meat soup.

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