The histological manifestations of IgA nephropathy were classified into 5 grades: Grade I mild lesion, grade II minimal lesion with minor segmental proliferation, stage III focal segmental glomerulonephritis, grade IV diffuse mesangial damage with proliferation and sclerosis; grade II diffuse sclerosing glomerulonephritis involving more than 80% glomeruli.
For the treatment and rehabilitation of patients with IgA nephropathy, IgA nephropathy patients, in addition to reasonable treatment strategy, IgA nephropathy diet health science is essential, at different stages of IgA nephropathy patients, their dietary principles are not the same. According to the different stages of IgA nephropathy, each stage should have different diet programs.
IgA nephropathy grade I : mild damage, symptoms are not clear, generally low back pain, mild edema and simple hematuria or mild proteinuria (and). Appropriate amount of iron, zinc, copper, manganese and other trace elements, such as: milk, carrots, etc., to promote metabolism, expand the body immunity. Suitable for eating light digestible fresh vegetables and appropriate fruit, such as: cucumber, tomato, lily, wax gourd, watermelon, Bayberry and so on, and proper drinking water; low sodium diet: daily intake of salt is generally 2 - 3 grams is appropriate. Do not eat salty foods, such as pickles, salted fish, bacon, salted and pickled foods.
IgA nephropathy class II: minimal lesion with a small number of segmental proliferation. This stage for asymptomatic microscopic hematuria (remain), red blood cells in urine by abnormal red blood cells, associated with mild proteinuria. According to the microscopic hematuria, the patient should eat apples, black sesame seeds, fungus and other food Yin fire. 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 grade III: focal segmental glomerulonephritis. Hypertension is not common in early stage of IgA nephropathy (lower than 5% - 10%). With the prolongation of the course, the incidence of hypertension increases, and this symptom is more common at grade iii.. Some anti hypertensive foods, such as fresh, deep green vegetables, kelp, fungus and oats, should be added. Far from three white (white sugar, white salt, animal fat) nearly three black (black rice, black fungus, laver), and often drink green tea, yogurt and so on. Control the intake of energy, advocate eating complex carbohydrates, such as starch, corn, etc., to prevent blood lipid increase.
IgA nephropathy grade IV: diffuse mesangial proliferation and damage with multiple sclerosis, amount of proteinuria, hypoalbuminemia and microscopic hematuria IgA nephropathy accounted for about 7% ~ 16%, often have severe back pain. Renal biopsy can show acute tubular necrosis, extensive red cell tubular type and part of the new small moon constitution. Low quality protein diet. Adequate intake of eggs, milk, lean meat and other essential amino acids of animal protein, but the specific intake should be appropriate.
IgA nephropathy grade V: diffuse sclerosing glomerulonephritis involves more than 80% glomeruli, IgA progression to chronic renal insufficiency, and even uremia. It is rare in clinic and has a poor prognosis.
This stage is to reduce the burden of the kidney, the daily supply of protein is about 20 grams or more appropriate, in general, the choice of eggs, milk, fish and other good, and then can be oral or intravenous injection 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 IgA nephropathy patients can supplement the sugar and fat properly, because the metabolic products are water and carbon dioxide, excreted from the lung and skin, without the kidney, can reduce the burden of the kidney.
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