Dietary therapy is the basis of hemodialysis patients, hemodialysis can increase the loss of nutrients, so the diet management of dialysis patients is different from non-dialysis patients. 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.
Therefore, dialysis patients should supplement their nutrition according to the following requirements:
1. Protein Requirements: Since amino acids and small amounts of protein are lost during hemodialysis, daily protein intake should be increased to 1.0-1.2 g/kg body weight. This nutritional standard is reasonable for stable hemodialysis patients, but it is insufficient for alleviating pre-dialysis malnutrition and post-dialysis infections, heart disease, gastrointestinal diseases, and other conditions, requiring additional supplements of essential amino acids and other nutrients.
2. Calorie and Requirements: Adequate calorie intake allows the body to effectively utilize the protein intake and maintain adequate nutrient storage. Stable hemodialysis patients usually need about 138.07-146.44 kilojoules/kg of 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 or poultry is better than red meat.
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