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IgA nephropathy in different stages of different diet

WHO IgA nephropathy histologically pided into 5 grades: grade I mild damage; grade II lesions with minimal segmental proliferation; grade III focal segmental glomerulonephritis; grade IV diffuse mesangial proliferation with damage and harde...

IgA nephropathy in different stages of different diet

Aug 23, 2017 by Kidney Disease Expert

WHO IgA nephropathy histologically pided into 5 grades: grade I mild damage; grade II lesions with minimal segmental proliferation; grade III focal segmental glomerulonephritis; grade IV diffuse mesangial proliferation with damage and hardening; grade V diffuse sclerosing glomerulonephritis, arthritis involving more than 80% glomerular.

Aiming at the problem of treatment and rehabilitation of patients with IgA nephropathy, in addition to the rational treatment strategies, it is essential to IgA nephropathy diet health science, different stages of patients with IgA nephropathy, the diet principle is not the same. According to the different stages of IgA nephropathy, each stage should have a different diet.

IgA nephropathy class I

Mild damage, symptoms are not clear, generally appear low back pain, mild edema and simple hematuria or mild proteinuria. The amount of iron, zinc, copper, manganese and other trace elements, such as milk, carrots and so on, to promote the expansion of the new supersedes the old. Fit to eat light digestible fresh vegetables and some fruits, such as cucumber, tomato, lily, melon, watermelon, waxberry, and adequate drinking water; a low sodium diet, daily intake of salt is generally 2 to 3 grams is appropriate. Do not eat salty foods, such as pickles, salted fish, bacon, salted and pickled foods.

IgA nephropathy class II

Minute lesion with small segmental proliferation. This stage for asymptomatic microscopic hematuria (remain), red blood cells in urine by abnormal red blood cells (over 80%), mainly associated with mild proteinuria (<1g/24h). According to the microscopic hematuria, the patient should eat apples, black sesame seeds, fungus and other food. Taking the formula food, drinks, such as sugar cane, water gourd Mao Genzhu Mao Genzhou, porridge, bean porridge cure pickpurse cure hematuria, protein diet.

IgA nephropathy class III

Focal segmental glomerulonephritis. IgA nephropathy early hypertension is not common (less than 5% - 10%) with the extension of the incidence of hypertension increased, to the third grade this symptom is more common. May wish to add some anti hypertension foods, such as fresh dark green vegetables, kelp, fungus, oats, etc.. Far three (white sugar, white salt, animal fat) nearly three black (black rice, black fungus, seaweed), and often drink yogurt, Green Tea. Control of energy intake, promote the use of complex carbohydrates, such as starch, corn, etc., to prevent elevated blood lipids.

IgA nephropathy class IV

Diffuse mesangial proliferation and damage with multiple sclerosis, proteinuria, hypoalbuminemia and microscopic hematuria IgA nephropathy accounted for about 7% ~ 16%, often have severe back pain. Renal biopsy showed acute tubular necrosis and extensive canal of red blood cell and part of the new month body. Low weight and high quality protein diet. Eat egg, milk, lean meat and other animal protein rich in essential amino acids, but specific to discretionary intake (normal renal function but proteinuria more daily intake remained at 1 ~ 1.5g/kg*d, severe renal damage should be restricted protein in 0.6 ~ 0.8g/kg*d).

IgA nephropathy class V

Diffuse sclerosing glomerulonephritis involves more than 80% of glomeruli, IgA progresses to chronic renal insufficiency, and even uremia. Clinical rare, poor prognosis.

In this stage, to reduce the burden on the kidneys, the daily supply of about 20 grams of protein is more appropriate, generally choose eggs, milk, fish is good, then can be used for oral or intravenous administration of essential amino acids. The amount of urine too much to use potassium containing foods such as mushrooms, mung bean, peanut etc.. If the urine volume of 1000 ml, can choose the lotus root starch, pumpkin, shrimp and other low potassium foods. Non diabetic patients with IgA nephropathy, may be appropriate to add sugar and fat, because of its metabolites for water and carbon dioxide, from the lungs and skin discharge, not through the kidneys, can reduce the burden on the kidneys.

The importance of diet for patients with IgA nephropathy patients believe that we all have to understand the different stages of IgA nephropathy what to eat, what not to eat. But in the specific treatment, patients should be carried out under the guidance of professional doctors.

 

Author:An Lin

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