Diet and nutrition after kidney transplantation

A. High blood glucose The application of a large number of hormones after early kidney transplantation has high blood glucose. We recommend pure lotus root powder, unsweetened homogenate, vegetable juice, no porridge, less oil, limited refined sugar, limited fruit consumption, extra meals during recovery, 2 soda crackers or 1 hard-boiled egg white or 1 small cup of unsweetened yogurt, corn husk is a good diuretic, which can also help blood sugar drop. Low cholesterol and low-fat foods are forbidden to eat animal offal, brain, roe, crab, animal skin, fatty meat The amount of oil should be controlled, less than 25 grams of cooking oil per day Fry and stir-fry dishes with less oil, more stewing, mixing, boiling, steaming, boiling dishes 3. No more than 6-8g per day. Salt can be increased appropriately to prevent hyponatremia in case of diarrhea, polyuria or excessive sweating in summer. Hidden salt Season with vinegar, low-fat salad dressing, ketchup Pay attention to the adjustment of cooking methods IV. uric acid Avoid high soup (meat soup, chicken soup, fish soup, etc.) Avoid animal offal Avoid beer, seafood Avoid strong tea, strong coffee (chrysanthemum does not contain caffeine, has diuretic, lowering blood pressure, clearing liver fire of the therapeutic effect, can be drunk as tea) Moderate exercise to sweat can not be sedentary V. drinking too much fluid intake, can increase the burden on the heart, too little fluid intake, can affect the transplantation. Too little fluid intake can affect the blood perfusion of the transplanted kidney, please pay attention to the basic balance of daily intake and output. The daily water intake depends on the daily urine volume, generally the daily urine volume is about 2000 ml, then the water intake should be slightly more than 2000 ml. Special reminder: 24-hour urine volume should be prepared to be recorded daily. Urine volume can directly reflect the transplant kidney function and is very important to regulate the water balance. If your 24-hour urine volume is significantly lower than usual (up to 1/3 of the original volume), then there is a possibility of rejection or cyclosporine toxicity, so please contact your transplant surgeon promptly. Protein On the one hand, you should supplement high quality protein, on the other hand, even if the kidney function is normal, you still need to pay attention to the protein intake should not be too high, so as not to increase the burden of the kidney. In the early stage of kidney transplantation, protein should be supplied at 0.8 grams per kilogram of body weight per day, and the urea nitrogen and creatinine levels in the patient’s blood should be closely observed. Immunosuppressants can accelerate protein decomposition and inhibit protein synthesis, thus increasing protein consumption, so it is appropriate to increase the supply of high quality protein. The main quality protein is animal protein. Seven, sugar If you eat too much sugar products, easy to make blood sugar rise, easy to induce diabetes. Therefore, attention should be paid to eating less sweets 150 grams to 250 grams of staple food per day is appropriate, wheat starch It is advisable to eat fresh fruit (containing fructose), 150-200 grams per day, generally to not more than 250 grams / day. Eating fruit precautions Eight, pay attention to calcium supplementation The decline in kidney function itself will cause a decrease in calcium absorption, the use of immunosuppressants will also inhibit calcium absorption, increase excretion, over time will lead to osteoporosis. Calcium-rich foods include: milk, beans, aquatic products, nuts and dark vegetables, etc. Calcium supplementation should be accompanied by vitamin D supplementation, more outdoor activities, and oral calcium supplements if necessary. In addition, calcium supplementation should not be excessive, otherwise it will increase the burden on the kidneys. Nine, potassium Food containing high potassium: fresh vegetables, fruits, dried beans, yellow-colored food are high in potassium. Ten, it is not recommended to eat food that can easily cause allergies, especially aquatic products, as well as easily dispersed mutton, spring bamboo shoots, toon, aromatic leaves, Chinese herbs, fennel, etc. Eleven, avoid eating pickled, smoked, sauced products food in the process of curing its vitamin C will be destroyed in large quantities, can lead to vitamin C deficiency; in addition, pickled foods contain carcinogenic substances “amyl nitrite”; finally, its salt is too high, both to increase the burden on the kidneys, but also can lead to hypertension. Kidney transplant patients have a high incidence of hypertension, and the kidneys are very precious, so pickled foods should not be eaten. The first of the three major carcinogens, the barbecue food to eat less, can also make protein carbonation denaturation, not only to reduce the utilization of protein, but also increase the burden on the liver and kidneys. The health care products that can be taken in moderation under the guidance of the transplant doctor Female patients such as excessive menstruation, decreased hematocrit, available Agaricus, motherwort, etc.; thin body, Chinese medicine identified as Yin deficiency of middle-aged and elderly patients, can take six stomach Dihuangwan or Qiju Dihuangwan; Cordyceps, commonly used in the transplant community to prevent infection after transplantation, and has a synergistic anti-rejection effect. Some people had rejection reaction by drinking chicken soup, pigeon soup and quail soup after 3 months of transplantation. It must be different from person to person. Use one kind first after 3 months of transplantation, in small amount and gradually. Among the fruits, we should pay attention to the prohibition of grapefruit, which is clinically found to affect the efficacy of anti-rejection drugs and increase the concentration effect of drugs. Thirteen, lifestyle adjustments Prohibit smoking and alcohol, moderate exercise, ensure sleep, foot soak.