2014年9月30日星期二

How self-care in patients with IgA nephropathy edema?

The main clinical symptom iga nephropathy in patients with hematuria, including gross hematuria or microscopic hematuria, but there are a small part of Iga nephropathy patients showed symptoms of nephrotic syndrome, known as "three high and one low" high degree of edema, hyperlipidemia, a large number of proteinuria, hypoalbuminemia.
For those iga nephropathy in patients with edema phenomenon, how to perform self-care is a very important issue. So iga nephropathy edema how self-care? Here's an introduction:
1, bed rest, supine increase renal blood flow, glomerular filtration rate increase, reducing sodium retention, edema patient bed rest and activity alternately, to limit the amount of activity, severe edema bed rest, and lift limb edema facilitate high blood return and reduce edema.
2, diet. Limit intake of sodium and water and protein
(1) water and salt intake, mild edema urine "1000ml / d, not too much water restriction, sodium restriction in 3g / d or less, including sodium foods and beverages, such as sausage, bacon, canned food and other serious edema with oliguria daily water intake limited to 1000ml, into salt-free diet, sugar, vinegar, onions and other seasonings mouth to increase appetite.
(2) protein intake, low protein diet can slow the progression of renal impairment, severe edema with hypoproteinemia protein intake of patients, the daily per kg 1g, more than 60% of high-quality protein, in patients with mild edema per day protein 0.5-0.6 / kg, more than 60% for high-quality protein such as eggs, lean meat, fresh milk, protein intake, we must have adequate caloric intake, daily 126-147KJ / kg.
3, the protection of parts of the skin to prevent skin damage and edema
(1) The patient should wear wide anti-soft cotton clothes, keep the bed dry flat, turning frequently to avoid pressure on bony prominences parts of the skin.
(2) regularly with warm sponge bath or shower, frequently changes the underwear, mouthwash after meals, wash daily, keeping the skin clean to prevent infection.
(3) In the case does not violate the principles of diet, try to eat nutritious foods to increase body resistance, help repair damaged skin.
4, avoid incentives. Chronic kidney disease, often due to upper respiratory tract infection or other site infection overworked, mood changes, such as eating too much salt and water made ​​it worse, so that the edema should avoid these incentives, to maintain a good mood and habits, positive control diet , with treatment and care, and promote the recovery of the disease.
(1) With the change in the weather change clothes, to prevent the flu, avoid going to crowded public places.
(2) pay attention to work and rest.
(3) establish the confidence to overcome the disease, maintain an optimistic attitude, keep Mind at ease, to establish a good attitude towards life.
(4) regular communication with colleagues, friends, and exchange ideas, to prevent excessive repression.

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