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Chronic renal insufficiency, shrunken kidneys, creatinine between 350-450, is there any way to control it, less than dialysis. I'm not sure if I'm going to be able to do that.
Dietary precautions for kidney disease and nephrotoxic drugs

Blood phosphorus high people avoid eating high-phosphorus foods such as:

1. Dairy products: milk, cheese, cream;

2. Chicken, egg yolk;

3. Meat: especially the brain, kidneys, pig liver, lean beef, lean pork broth;

4. Fish: sardines, yellow croaker, scalloped fish, shrimp

5. Dried fruits, hard fruits, such as: walnuts, peanuts, etc.

You can eat low phosphorus food:

Soybean oil, cold noodles, winter melon, wheat starch, pork ribs, egg white, apples, tomatoes

Blood potassium high people avoid eating:

1. Fruits: bananas, grapes, watermelon, apricots, oranges, cantaloupe, melons, dried jujube;

2. vegetables: spinach, parsley, amaranth, greens, kale, cucumber, leeks, scallions, green garlic, lettuce, potatoes, yams, fresh peas, beans, taro, potatoes, mushrooms, parsnips, lilies, squash, cauliflower, dried peanuts;

3. seafood: seaweed, seaweed, shrimp skin, pomfret, loach;

4. grains: buckwheat, corn, soybeans, black beans, black beans. Mung beans;

5. Tea; Vinegar; Cream of Wheat;

Blood uric acid high people avoid eating

Animal offal, fish, shrimp, crab, mussels, beer, mushrooms, beans, spinach

Low-fat diet

1. Meat: roasted and boiled beef, beef liver, lamb, chicken.

2. Fish and other seafood: carp, sturgeon, flounder, clam, crab meat, shrimp, oysters.

3. Vegetables: asparagus, eggplant, fresh lentils, lettuce, peas; potatoes, spinach, squash, tomatoes,

cabbage, cauliflower, cucumbers, green peppers, carrots, white bok choy.

3. Fruits: all fruits and juices (fresh, canned or frozen are fine).

4. Dairy products: skim milk (fresh or powdered), artificial cream, home cheese.

5. Breads and grains, etc.: rice, bread, macaroni, salted soda crackers, cornmeal.

6. Condiments: honey, jam; ketchup, ginger, mustard, coffee and tea

7. Limit the intake of animal fats, dietary supply of rich polyunsaturated fatty acids (such as fish oil) and vegetable oils (soybean oil, rapeseed oil, sesame oil)

High-quality, low-protein diet

Should be selected from a selection of high-biomass proteins, mainly animal proteins, eggs (remove the yolk), milk, lean meat, fish, etc.

Herbal medicines with toxic side effects on kidneys

Mouton, Cao Wu, Motherwort, Cang Er Zi, Fish Gall Bladder, Smallpox Powder, Centipede etc.

In addition to the above herbs, there are more than 200 other herbs such as neem bark, petunia seeds, golden cherry root, earth shellfish, aristolochia, earth thistle, make gentleman, wilsonia, daffodil, aloe vera and so on which can cause renal damage and lead to renal failure.

Western drugs with toxic side effects on the kidneys

⒈ antibiotics: tetracycline (including tetracycline, oxytetracycline, gentamycin, etc.), furans (including furadantin, furacilin, etc.), sulfonamides, cefotetracycline (Pioneer II), naphthylacetic acid, pipecolic acid, norfloxacin, streptomycin, tobramycin, cefotetracycline (Pioneer I), cefazolin (Pioneer V), carboxybenzyl penicillin , polymyxins, penicillin G, ampicillin, cefadroxil (Pioneer IV), ceftazidime (Pioneer VI), lincomycin, clindamycin, lincomycin, amphotericin B and so on.

⒉Non steroidal anti-inflammatory analgesics: anti-inflammatory pain, ibuprofen, pau tazone, inflammatory pain Xikang, aspirin, compound aspirin (APC), finasteride, antipyrine, aminopyrine, paracetamol, and methocarbamol, etc..

Tumor chemotherapeutic drugs: cisplatin, methotrexate, phorbol mycotoxin, mitomycin-C, nitrosoureas, 5-fluorouracil and so on.

Singed antiepileptic drugs: trimethoprim, sodium phenyltuin, etc..

Be careful with anesthetics: ether, methoxyflurane, etc.

Selected metals and complexing agents: penicillamine, etanercept, etc.

Borrow angiographic agents.

Other: cyclosporine A, cimetidine, allopurinol, mannitol, heroin, low molecular dextran etc.

Dietary precautions for kidney patients

1, dietary general principles: diet should be eaten lighter, avoid eating alcohol and spicy food, eat less greasy and meat and fish containing animal protein (such as fat meat, shrimp, crab, etc.). Different kidney disease, diet is different.

2. Can kidney patients eat salt and alkali? Our normal adult daily intake of salt is about 5-6 grams, salt is sodium chloride, alkali is sodium carbonate, soda is sodium bicarbonate, eating too much sodium-containing salts and alkalis, easy to make water retention in the body, induced edema, so the patients with renal edema should control the amount of salts and alkalis into the salt and alkali intake, each person into the salt 2-3 grams of salt that is a low-salt diet. Salt-free diet is also not scientific, long time easy to fatigue, dizziness and so on.

3. How much water should kidney patients drink? Normal people's urine volume is usually 1500-2000ml a day, acute nephritis, acute renal failure oliguria stage and nephrotic syndrome, chronic renal failure with oliguria and edema patients, to control the amount of water intake (including the amount of water intake, the amount of water in food, and the amount of fluids for intravenous medication). Because drinking in the discharge, water retention in the body to aggravate edema, but also easy to aggravate hypertension, this time the amount of water intake to the amount of urine plus 500ml is appropriate. The amount of water intake can be relaxed after the urine volume increases. And patients with normal urine volume drink water normally. In addition, patients with urinary tract infections such as acute pyelonephritis, urethritis, cystitis, etc., in addition to timely consultation and medication, drink more water, more urination on the recovery of the disease is very favorable.

4. High-quality protein diet for kidney patients, 0.7 to 1.0 grams per kilogram of body weight per day, according to the amount of urine protein and renal function to guide the individual.

5. Some renal patients have a long course of disease, slow recovery, often discuss with each other, exchange of information, experience. It should be noted that each person has their own characteristics, do not follow each other.

6. During the treatment period, if you have a cold, fever, infection, and other conditions arise, contact your specialist in case of emergency, so that you can be treated in time to avoid aggravation of complications.

7. Do not overeat and do not eat unclean food.

8. Keeping the bowels clear is conducive to the elimination of wastes and reduces the absorption of toxins. Make a habit of regular bowel movement, eat more vegetables and fruits, and use softeners if necessary.

Diet for patients with different kidney diseases

I. Nephrotic syndrome:

Patients with nephrotic syndrome are often accompanied by gastrointestinal mucosal edema and ascites, which affects digestion and absorption. It is advisable to enter an easily digestible, light, semi-liquid diet. The first thing you need to do is to get a good deal of protein in your urine, and then you'll be able to get a good deal of protein in your urine. At present, we advocate a high-quality protein diet, 0.7-1.0 grams per kilogram of body weight per day. Almost all patients with this disease have hyperlipidemia, limit the intake of animal fats, and supply rich polyunsaturated fatty acids (such as fish oil) and vegetable oils (soybean oil, rapeseed oil, sesame oil) in the diet. Highly edematous people limit sodium intake, daily salt intake is less than 3 grams, appropriate supplementation of trace elements. The following dietary principles should be noted:

1. Sodium salt intake: edema should be low-salt diet to avoid aggravation of edema, generally no more than 2g of salt per day, prohibit the use of pickled products, and use less monosodium glutamate (MSG) and alkalinity, the edema subsided, plasma proteins are close to normal, can be restored to the ordinary diet.

2. Protein intake: nephrotic syndrome, a large amount of plasma protein from the urine, the body protein is reduced in protein malnutrition, hypoproteinemia makes plasma colloid osmolality decline, resulting in stubborn edema, the body's resistance is also reduced, therefore, in the absence of renal failure, its early, extreme should be given to the high quality of the high quality of the protein diet (1 ~ 1.5g/kg * d), such as fish, fish, fish, fish, fish, fish, fish, fish, fish, fish, fish, fish, fish, fish, fish, fish, fish, fish and other products. *d), such as fish and meat. This helps to alleviate hypoproteinemia and some of the comorbidities associated with it. However, a high-protein diet can increase renal blood flow and glomerular filtration rate, which puts the glomerular capillaries in a state of high pressure, and at the same time, the intake of large amounts of protein also increases urinary protein, which can accelerate glomerulosclerosis. Therefore, for chronic, non-extreme nephrotic syndrome patients should consume a small amount of high-quality protein (0.7-1g/kg*d), as for the emergence of chronic renal impairment, it should be a low-protein diet (0.65g/kg*d).

3. Fat intake: patients with nephrotic syndrome often have hyperlipidemia, which can cause atherosclerosis and glomerular damage, sclerosis, etc. Therefore, the intake of cholesterol-rich and fat-rich foods, such as animal offal, fatty meats, certain seafood, should be limited.

4. Supplementation of trace elements: Due to the increased permeability of the glomerular basement membrane in patients with nephrotic syndrome, in addition to the loss of a large number of proteins in the urine, but also at the same time, the loss of certain trace elements and hormones bound to protein, resulting in the lack of calcium, magnesium, zinc, iron and other elements of the human body, and should be given appropriate supplementation. Generally, you can eat vitamins and trace elements rich in vegetables, fruits, grains, seafood and other cholesterol-rich and high-fat foods to be supplemented.

II. Uric acid nephropathy:

You should drink more water to ensure enough urine (more than 2,000 milliliters per day); control the intake of purine, take low purine eclipse, daily meat should be less than 100 grams; and should be prohibited from eating lentils, spinach, wine, tea, coffee, animal offal, nuts and other animal and plant foods.

Three. Renal insufficiency:

1. Non-dialysis patients: low-protein diet, try to control the intake of protein. Eat more starch to increase calories.

2. Dialysis patients: to ensure adequate nutrition and make up for the loss of dialysis, to ensure positive nitrogen balance; daily protein to high-quality protein-based; family members should prepare a food composition table, as a reference for the selection of food.

IV. Chronic nephritis:

It is a group of glomerular diseases caused by a variety of reasons. The disease has a long course, many types, and diverse clinical symptoms, ranging from asymptomatic (abnormalities detected only during routine urinalysis)

to marked hematuria, proteinuria, swelling, and hypertension. It is because of the complexity of this disease and the complexity of the clinical manifestations, so in the dietary therapy must be based on the patient's renal function to give differentiated treatment, dexterous arrangement.

1, no renal impairment of light cases, diet for a balanced diet, only a slight restriction of salt can be. However, if the urine protein loss is more or there is low plasma protein, and blood creatinine and urea nitrogen are not high, the amount of protein in the diet can be increased appropriately, but should not be too much, to 1-1.2g/kg*d is appropriate. According to the latest opinion, long-term high protein diet is unfavorable for chronic nephritis, it will increase the burden on the kidneys and accelerate the deterioration of renal function.

2, chronic nephritis hypertensive type patients, in order to control blood pressure, salt intake should be limited, to the condition of the given little or no salt diet.

As long as the diet is controlled, it is an effective means of controlling creatinine.

The spleen and kidney qi (yang) deficiency, dampness stagnation type of chronic renal failure of traditional Chinese medicine

The treatment should strengthen the spleen and tonify the kidneys, the formula selected ginseng and atractylodes macrocephala combined with right angelica pills plus subtractions, medicinal drugs: ginseng, Poria cocos, atractylodes macrocephala, yam, 12g each, lentils 9g, Job's tear grains, nutmeg, cinnamon 6g each, Duchenne 9g, goji berries, cornelian cherry, 10g each. easy to catch a cold, add 15g astragalus, atractylodes macrocephala 10g, atractylodes macrocephala 9g beneficial to the qi and solidifying the surface. Fenghuang 9g benefit qi solid surface; urine protein amount of large people add Jinchuazi 20g, Cicada 15g; abdominal pain that is diarrhea, the hands and feet are not warm people add cannon ginger 9g warming dispersal of cold; poor abdominal distension people add wide wood 9g, malt 12g; back pain people add hyssop 9g, add Cortex Eucommiae 20g to strengthen the tendons and bones and stop the pain. The person who has loose stools and diarrhea adds 12g of bone marrow and nutmeg; the person who has frequent nocturnal urination and long urination adds 12g of fried yam and gorgonian; the person who has heavy edema adds 12g of poria, 9g of zedoary, and 30g of Poria bark; and the person who is very weak in qi adds 9g of Astragalus and 12g of Radix et Rhizoma Ginseng.

The Chinese medicine treatment for liver and kidney yin deficiency in chronic renal failure

The treatment should be nourishing the liver and kidneys and the prescription is six flavors of Di Huang Wan (六味地黄丸) and Er Zhi Pill (二至丸) plus reduction. The formula is 12g of ripened earth, 9g of cornelian cherry, 9g of yam, 9g of diarrhea, 9g of poria, 9g of dandelion, 9g of chasteberry, and 12g of dieselgold. 12g of dizziness and tinnitus is added with 12g of hyssop, 9g of peony, and 12g of heshouwu. 12g of jujube seed is added with 20g of jujube seed and 12g of yam, and 12g of nightshade is added with 15g of tianmu and 12g of hookah. 15g of tianmu and 12g of hookah are added for dizziness, and 12g of geoderma and tortoise are added for heat of the hands and feet.

Chinese medicine treatment for chronic renal failure with deficiency of qi and yin

The treatment should benefit the qi and nourish the yin, and the formula is to choose the ginseng astragalus dihuang soup plus subtraction, with: ginseng, astragalus, 15g of ripened earth, 20g of cornelian cherry, dandelion, poria, zedoary, 9g each. 12g of oedema, plus the abdominal cortex, 30g of bai mao root, 30g of poria, and 20g of lumbar and knee soreness, plus dulcis chinensis, 20g of dog spine 12g, dry mouth and tongue, The person who has dry mouth and tongue, add smallpox powder 20g, dendrobium 15g, qinpi 15g; cough, cough phlegm, add scutellaria baicalensis 12g, fritillaria 20g. sleep is not good, sleep and dream at night, add schizandra 6g.

Yin and yang deficiency type of chronic renal failure of traditional Chinese medicine

Treatment of Yin and Yang deficiency type of chronic renal failure

Treatment of yin and Yang double tonic, formula selection of Ji Sheng Kidney qi pill plus subtractions, the medicinal use of: ripe ground 9g, 15g of Ba Ji Tian, Cornu Cervi Pill, 15g of Cornu Cervi Pills. Ba Ji Tian 15g, Cornus officinalis, dendrobium each 12g, Cistanchis 10g, Schisandra chinensis 9g, cinnamon 6g, Poria 12g, Ophiopogon 10g, licorice 3g. accompanied by adverse urination, add Che Qian Zi (single packet) 20g, ze diarrhea 10g, Poria Pi 60g; yin deficiency heavy go to the epiphyllum, add yam 12g, dandelion, ze diarrhea 9g.

Reasonable selection of the use of traditional Chinese medicine is the key to control non-development. of the key.