How should patients with nephrotic syndrome supplement proteins?

How should patients with nephrotic syndrome supplement proteins?

Because nephrotic syndrome patients lose large amounts of protein from urine, the body will lack protein, long time hypoproteinemia, resulting in negative nitrogen balance, so that the body is in a state of malnutrition. Therefore, if not given high protein diet, the body is unfavorable, may make lower serum protein, anemia, malnutrition, edema and so on.

How should patients with nephrotic syndrome supplement proteins?

At this time, adults can be in accordance with the weight of 1.5 to 2 grams per kilogram of protein, and if the weight is 70 kg, should eat 105~140 grams of protein. Should choose the egg, meat, chicken, fish, etc., these foods contain high quality protein more. High quality protein accounts for 60 to 70% of the total protein. High protein diet can cause glomerular high perfusion, high filtration, promote glomerular sclerosis, renal interstitial inflammation and fibrosis, so do not advocate long-term eating high protein diet.

If nephrotic syndrome enters chronic and non severe periods, protein intake should be reduced by 0.7 to 1 grams per kilogram of body weight per day and 49~70 grams per day with 70 kg body weight.

If the occurrence of nephrotic syndrome renal damage, nitrogen retention syndrome, blood urea nitrogen and serum creatinine was higher than normal, it is necessary to limit the amount of protein, and low protein diet, adult daily per kilogram of body weight 0.5 ~ 0.7 grams, if the weight is 70 kilograms, so all day long can eat about 35 to 49 grams of protein.

When kidney function is normal, in the acute and severe period, you can eat high protein diet, the amount is 1.5 kilograms to 2 grams per kilogram of body weight. In chronic and non severe periods, a high protein diet should be reduced, and the amount is 0.7 to 1 grams per kilogram of body weight per day.

When renal dysfunction, nitrogen retention, blood urea nitrogen and serum creatinine are higher than normal, a low protein diet should be 0.5 to 0.7 grams per kilogram of body weight per day. Among the proteins in the diet, high quality proteins account for 60 to 70% of the total protein.

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