Q: nephrotic syndrome why these days my face more and more swollen? I had nephrotic syndrome. There is no pain, is swollen
Answer: nephrotic syndrome why these days I face more and more highly swollen swollen? The reason is mainly affected by the two aspects of nephrotic syndrome:
1, reduce the plasma colloid osmotic pressure: the exchange of blood vessels is regulated by both sides of the body fluid osmotic pressure. The osmotic pressure including crystal osmotic pressure and colloid osmotic pressure, the former from crystal material (mainly because of its free electrolyte), through the capillary wall, so it has little effect on vascular and body fluid exchange; the latter mainly from protein (mainly albumin), because it cannot free through the capillary wall, which is a major factor in endovascular fluid exchange. Nephrotic syndrome, due to a large number of protein loss in the urine and plasma, caused by hypoproteinemia, resulting in plasma colloid osmotic pressure decreased, when the normal 3.3 ~ 4kPa to 0.8 ~ 1.1kPa when to hyperosmotic interstitial fluid mobile intravascular moisture, and edema.
2, effective blood volume reduction: plasma water moves the effective blood volume reduction, which led to the following changes in the body, one is through the volumereceptor the antidiuretic hormone (ADH) increased, the renal tubular reabsorption of water is increased; two by the activation of renin angiotensin aldosterone system, secondary hyperaldosteronism, the renal tubular sodium reabsorption; inhibition of natriuretic factor, the renal sodium excretion decreased. So the water retention, sodium, and further aggravated edema. More than two factors resulting in nephrotic syndrome edema.
Nephrotic syndrome why these days my face more and more swollen? In patients with nephrotic syndrome edema eat to be careful which points?
A low salt, eat: when the patient appeared edema, nephrotic syndrome patients should eat low salt, when severe edema, should stop eating salt, this is because some examples of sodium salt, the decomposition of the body, will increase the burden on the kidneys, causing edema aggravated, salt restriction eat tasteless will cause a lot of patients due to loss of appetite, affect the intake of protein and calories.
Three, for the serious patients with edema
For more serious patients with nephrotic syndrome, to properly limit the intake of protein, daily intake of protein of about 40 grams is appropriate. The preferred eggs and dairy foods, an egg is about 6 grams of protein, a bowl of milk (200 ml) containing approximately 6 grams of protein.
Four, trace elements
The patient should be cautious of trace elements, with a large amount of proteinuria occurs, the patient will lose a large amount of protein and trace elements, resulting in calcium, magnesium, zinc, iron and other elements lack, should be given the appropriate supplement. So the patient should be cautious of trace elements.