Dietary therapy is the basis for the treatment of hemodialysis patients. Hemodialysis can increase the loss of nutrients. Therefore, the diet management of dialysis patients is different from non dialysis patients and should be supplemented according to the following requirements:
1. Protein requirement: because hemodialysis often has the loss of amino acids and a small amount of protein, the dietary principle should be relaxed and daily protein intake can be raised to 1.0--1.2 g / kg body weight. This nutrition standard is reasonable for maintaining a stable state of hemodialysis patients, but it is not enough for the relief of pre dialytic malnutrition and the presence of infection, heart disease, and gastrointestinal disease after dialysis, and additional nutrients such as essential amino acids are needed.
2. Calorie and requirement: sufficient calorie intake, the body can effectively use the protein intake and maintain adequate nutrient storage. Stable hemodialysis patients usually need about 138.07 to 146 thousand and 440 Joule / kg body weight per day for sitting.
3. Limiting cholesterol intake: hemodialysis patients are often associated with hyperlipidemia. But choices should be made to limit cholesterol, because many cholesterol-containing foods are also staple foods that contain high-quality proteins, such as meat, eggs, etc. Patients can choose to eat egg white to ensure the intake of high-quality protein and reduce the intake of cholesterol. The white meat of fish meat or poultry is better than red meat.
Dialysis patients due to inadequate food intake, metabolic changes and vitamin loss through dialysis fluid, if not timely supplementation, will lead to vitamin deficiency. Such as vitamin C, folic acid, vitamin B1, vitamin B6, vitamin A and so on.
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