2011年10月1日星期六

Dietary Notice for Purpura Nephritis

For patients with Purpura Nephritis, what dietary notice should they pay attention to?
1. You should immediately avoid contacting or using some foods, medicines, pollen or paint which can cause allergy, and the foods mainly are milk, crabs, shrimps, eggs and mutton, medicines mainly are sulfa, penicillin preparation, antipyretic analgesics and insulin.
2. The daily diet should be delicate, rich in nutrient and easy to be digested. Greasy food should be avoided. In addition, in order to avoid inducing or aggravating gastrointestinal bleeding, the following points should also be paid attention to:
· When we have a meal, we had better not eat too full, for it will increase the burden on our stomach and intestine
· We should eat more refined foods, and less coarse food grain and foods containing much crude fibre such as celery, rape, bamboo shoot and pineapple, for the latter will abrade the gastrointestinal mucosa, thus inducing or aggravating gastrointestinal bleeding
· Smoking, drinking and spicy foods should also be avoided
3. The appropriate daily intake of protein should be 1 g per kilogram of the body weight, for if the protein intake is too less, it will cause continued low level of plasma protein which will reduce our body resistance, thus causing infection easily; if the protein intake is too much, it will cause high filtration of the glomeruli which will promote glomerular sclerosis finally. In addition, we should mainly take high-quality protein foods such as eggs, lean meat and fresh milk.
4. A low-salt diet is appropriate for patients with Purpura Nephritis. Generally, the daily intake should be 1~3 grams, and for those who have serious edema, the daily intake should be no more than 0.5 grams.
5. For patients with Purpura Nephritis who do not have oliguria or edema, there is no limitation for the daily intake of water. And for those who has obvious edema, besides water in the meals, the daily intake of water should be 500~800 ml.
6. During the period of treatment, patients should have a good rest, and the sexual life should be decreased.

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