The family quickly called 120 and sent it to the hospital. The creatinine was found to be 1 100umol/l, far exceeding the normal range! There is still a lot of proteinuria. Later, the doctor asked about the medical history to know that Mr. Wang had nephrotic syndrome. After dialysis treatment, his kidney function gradually returned to normal, and he stopped taking medicine.
Hearing that Mr. Wang had these symptoms after eating carambola, the doctor lamented that patients with kidney disease should pay attention to their diet, especially carambola.
Why should patients with kidney disease avoid carambola?
Carambola is a delicious fruit, which is very popular with people. But it is not recommended for patients with kidney disease. Because there are many patients suffering from kidney disease after eating carambola [1], there are even reports of kidney disease after eating carambola in large quantities [2]. Animal experiments show that carambola can damage the glomerular capillary basement membrane and the foot process of visceral epithelial cells, thus damaging the glomerular capillary basement membrane and epithelial cells, leading to the aggravation of renal diseases. Moreover, carambola is rich in vitamin C, which is finally decomposed into oxalate in the body, and oxalate is discharged from urine in proportion to the intake of vitamin C.
If oxalate is produced too much, it will form crystals in renal tubular lumen, damage renal tubular epithelium and block renal tubular lumen, and induce oxalate nephropathy. Therefore, patients with kidney disease should not eat carambola.
People with poor kidneys still need to avoid these fruits:
The doctor also reminded that the fruits rich in potassium include bananas, oranges, oranges, kiwis and persimmons. People in kidney is not good should not eat more, especially when the creatinine level is high. Don't touch these fruits!
Because kidney is not good's renal dialysis function is poor, after eating these fruits, the potassium in the body cannot be excreted through the kidney, which easily leads to hyperkalemia in the body. Hyperkalemia is a common complication of chronic kidney disease in the middle and late stage, which has no obvious clinical symptoms, but it is easy to lead to serious arrhythmia and even death.
In addition to avoiding the above fruits, what should kidney patients pay attention to in their diet?
Patients with kidney disease should pay attention to the following items in diet:
1) Reasonable high-quality protein diet.
Because the intake of protein will affect the regulation and metabolism of renal function, high-protein diet will lead to the accumulation of metabolites of toxic substances in protein, which will lead to the damage of glomerular structure, thus aggravating chronic kidney disease. Therefore, doctors with chronic kidney disease will recommend a low-protein diet, but protein's restriction will lead to malnutrition. Therefore, it is best to choose high-quality protein food rich in essential protein, but the total intake should be limited to ensure the nutritional needs and protect the kidneys.
2) Low sodium intake
Nephropathy patients are prone to sodium and water retention, and the main component of salt is sodium chloride. If you take too much, it may aggravate the retention of sodium and water, leading to increased edema in patients with kidney disease. Therefore, the dietary guidelines for China residents in 20 16 suggest that the daily salt intake of healthy adults should be less than 6 grams, which is less than a beer bottle cap. For people with chronic kidney disease, hypertension and heart disease, it is recommended that patients consume about 3g of salt every day. Moreover, sodium salt is hidden in many seasonings and foods, such as pickled food, monosodium glutamate, chicken essence, tomato sauce and so on. So be vigilant.
abstract
In short, the diet of patients with kidney disease is very important. Pay attention to a high-quality protein and low-salt diet, and don't eat carambola. When the creatinine level is high, you should also avoid eating fruits with high potassium content. If you are not sure, you can consult a doctor, nurse or clinical pharmacist in the department of nephrology, trust the judgment of professionals and protect your health.
refer to
Sun Jianjun. Two cases of primary nephrotic syndrome caused by carambola [J]. Chinese Journal of Nephrology, June 9, 2003.
, Lu, Zheng, Wang Yong. Oxalic nephropathy caused by carambola 1 case and literature review [J]. Laboratory Medicine and Clinic, 2020, 19:2909-29 10.
, Lu, Wang Tao. Dietary nutrition management of chronic kidney disease [J]. chinese journal of practical internal medicine, 20 10, 06: 5 16-5 17.