2014年12月20日星期六

how to self manage stage 3 kidney disease as a kidney disease patient

Stage 3 kidney disease
How to Manage Stage 3 Kidney Disease Diet
Stage 3 kidney disease diet management
Stage 3 kidney disease patients diet care is a very important issue. On maintenance hemodialysis for patients with reasonable accuracy diet care, not only can achieve or maintain good nutritional status, prevent or reduce complications and can also improve dialysis effect (weight, heart rate, blood pressure, blood biochemistry, anemia), thereby enhancing ability to adapt to the daily life of patients and social activities. According to reports, totally did not appear in urine old patient with poor self-control management is relatively large, the new patient urine to no urine from the transition at this stage also need attention.

Therefore, the role of health care is not only to give a patient medicine, more importantly, is to teach the patient the right knowledge and skills to change some lifestyle and allow patients to actively participate in the decision-treatment and self-management in the past. Guangdong Provincial People's Hospital Nephrology blood purification center, on the implementation of "marking tactics", the patient is responsible for health care by the fixed, guidance and education dietary management of everyday life, from time to time to remind patients to pay attention to self-management in terms of diet.

To control the amount of drinking water:

Hemodialysis patients should strictly control the amount of drinking water. Patients with little or no urine, if more water, easily induced acute left heart failure, heart disease induced by uremia. In addition, if a dialysis excessive dehydration, 4-5 kg, and dehydrated too fast, resulting in a serious impact on the heart and so on.

Therefore, patients receiving hemodialysis treatment should be strictly limited in drinking water, experts recommend that it is best to develop a habit of daily weighing. Because of the general body fat content than muscle constant, while the moisture content will have a more significant change with the daily intake, which requires patients daily weight gain should not exceed 1 kg, weight gain during dialysis ≤5%.

TIPS: moisture control techniques

1, the average distribution of potable water a day, with a fixed part of the vessel installed or lemon juice mixed with water to form ice, thirsty in the mouth, so that the ice slowly melting.

2, when a little thirsty, with a cotton swab moistened lips or mouth, small mouth again when very thirsty to drink water.

Prevention of hyperkalemia

Hyperkalemia may adversely affect the human body, severe hyperkalemia may inhibit cardiac contraction, irregular heart beat, feel muscle pain, weakness, paralysis and even breathing difficulties. Hyperkalemia in uremic patients is more common, more prone to uremia late. Therefore, in Stage 3 kidney disease patients should pay particular attention to food potassium. Vegetables, fruits, nuts, potatoes, mushrooms, cocoa, chocolate, instant coffee and other high potassium. To timely monitoring of serum potassium concentration, and adjusted at any time according to the amount of urine potassium intake to avoid excessively high or low blood potassium.

For the love soup of Cantonese, experts remind especially the old fire soup high in potassium, should be avoided.

TIPS: water, eat food aisle

For non-eating is not the high potassium content of food, should eat or not necessary to soak, boil, ultra-low temperature refrigeration and other methods to reduce potassium treatment:

1. Vegetables: Soak in hot water or hot to open flood soup before eating.

2. Fruit: first with warm water, and to slashing the peel.

3, meat: Remove the frozen thawed before cooking hot start flooding.

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