World Health Organization (WHO) will IgA nephropathy were divided into five histology: Ⅰ mild damage; grade Ⅱ small lesions with a small amount of segmental proliferation; Ⅲ grade focal segmental glomerulonephritis; Ⅳ grade diffuse damage associated with mesangial proliferation and hardened; Ⅴ grade diffuse sclerosing glomerulonephritis involving more than 80% of glomeruli.
For the treatment and rehabilitation of patients with IgA nephropathy IgA nephropathy patients, in addition to appropriate treatment strategies for IgA nephropathy diet health sciences is essential, IgA nephropathy patients at different stages of their diet is not the same principle. Depending on the stage of IgA nephropathy, each stage must be different diet programs.
IgA Nephropathy Grade Ⅰ
Mild damage, the symptoms are not evident, general back pain, blood in the urine or mild edema and simple (and) mild proteinuria. The amount of added iron, zinc, copper, manganese and other trace elements, such as: milk, carrots, etc., promote metabolism, and expand the body immunity. Suitable light digestible eat the right amount of fresh vegetables and fruits, such as: cucumber, tomato, lily, melon, watermelon, red bayberry, etc., and proper drinking water; sodium diet: 2-3 grams daily intake of salt is generally appropriate. Do not eat salty foods such as pickles, salted fish, bacon, salted and other preserved foods.
IgA Nephropathy Grade Ⅱ
Segmental proliferation of small lesions with a small amount. This phase is asymptomatic microscopic hematuria (often persists), red blood cells with abnormal red blood cells in urine-based (≥80%), accompanied by mild proteinuria (<1g / 24h). For microscopic hematuria, the patient should eat apples, black sesame seeds, fungus and other nourishing yin pathogenic fire food. Taking food recipes, such as drinking gourd, Chine cane water, Chine porridge, porridge shepherd's purse, black Douyu hematuria governance, rule proteins Diet.
IgA Nephropathy Grade Ⅲ
Focal segmental glomerulonephritis. IgA nephropathy hypertension is uncommon (less than 5% -10%) with the extended duration increased incidence of hypertension, to the level Ⅲ The symptoms are more common. Might as well add some anti-hypertensive food, such as fresh dark green vegetables, seaweed, mushrooms, oats. Far three white (sugar, white salt, animal fats) nearly black (black rice, black fungus, seaweed), and drunk green tea, yogurt. Control of energy intake, promote eating complex carbohydrates, such as starch, corn, etc., to prevent elevated blood lipids.
IgANephropathy Grade Ⅳ
Damage associated with diffuse mesangial proliferation and hardening of large amounts of urine protein, hypoalbuminemia and microscopic hematuria IgA nephropathy accounts for about 7% to 16%, often severe back pain. Renal biopsy may show acute tubular necrosis, extensive red tube and small crescents constitute part. Low amount of high-quality protein diet. Moderate consumption of eggs, milk, meat and other animal protein rich in essential amino acids, but the specific intake should be discretionary (proteinuria more normal renal function but who kept a daily intake of 1 ~ 1.5g / kg * d, severe renal impairment should restrict protein in 0.6 ~ 0.8g / kg * d).
IgA Nephropathy Grade Ⅴ
Diffuse sclerosing glomerulonephritis involving more than 80% of glomeruli, IgA progression to chronic renal insufficiency, and even uremia. Clinically rare, poor prognosis.
This phase is to reduce the burden on the kidneys, the supply of about 20 grams of protein per day is probably more appropriate choice of eggs, milk, fish and other good under normal circumstances, can be administered orally or intravenously followed by the essential amino acids. When should I use potassium foods such as urine too: mushrooms, green beans, peanuts, etc. In 1000 ml of urine as below, the choice of arrowroot flour, pumpkin, shrimp and other low potassium foods. IgA nephropathy in non-diabetic patients, may be appropriate to add sugar and fat, its metabolites for water and carbon dioxide, is discharged from the lungs and the skin, not through the kidneys, can reduce the burden on the kidney.
The importance of diet in patients with IgA nephropathy nephropathy believe we all already know, different stages of IgA nephropathy what to eat, what not to eat, that you insisted. But in the specific treatment, the patient should be carried out under the guidance of professional doctors. But we should understand that diet can only help us to ease the pain, the disease can not be cured, they still need to diet and treat each other, so that it can soon get rid of the pain. We Shijiazhuang kidney hospital in accordance with the concept of traditional Chinese medicine, Chinese medicine study the penetration of
Micro-Chinese Medicine Osmotherapy therapy for the treatment of kidney disease has a good effect, and the scientific and technological achievements won awards.
