This blog aims at providing more suggestions about kidney disease treatment and diet. Any question? You can send email to kidneyservice@hotmail.com or turn to www.kidneyservicechina.com
2012年12月29日星期六
How to Deal With Some Emergencies for Chronic Kidney Disease
As Chronic Kidney Disease (CKD) occurs, some emergencies are more likely to happen without any preparation. If not dealing with emergencies timely, some severe complications will occur. Therefore, learning how to deal with some emergencies for Chronic Kidney Disease is also important to avoid further kidney damage. The following content will introduce the methods in detail.
1. Kidney patients on dialysis should add several items to their emergency kit that will help meet their needs if an emergency happens. The kit should include the following:
◆ Emergency phone numbers for your doctors and dialysis centers, as well as another nearby dialysis center
◆ At least three day’s worth of any medicines you are taking as well as a list of medicines and the dosage amount
◆ If you are on If you have diabetes, a week’s worth of supplies (syringes, insulin, alcohol wipes, glucose monitoring strips)
◆ Food for the 3-day emergency diet and a copy of the diet (see below)
2. The 3-day emergency diet
This 3-day emergency diet may include the following tips:
◆ 3 packages of dry milk or four 8-ounce cans of evaporated milk
◆ 1 to 2 cans or bottles of soft drink (no dark cola due to high phosphorus)
◆ A six pack of 4-ounce cans or boxes of low potassium fruit juice (apple, grape, etc.)
◆ 6 boxes of single serving cereal (no raisin bran)
◆ 1 box of sugar, sugar packets or artificial sweetener
◆ 12 four-ounce cans of low potassium fruit or fruit bowls (peaches, pineapple, oranges, mixed fruit, applesauce or pears. No raisins.)
◆ 3 small jars of mayonnaise (you will open a new jar each day) or 8-12 single serving foil wrapped packets
◆ 1 loaf of white bread (this can be stored in the freezer and replaced every 3 months until needed for emergency)
◆ 1 box of vanilla wafers or graham crackers
◆ 4 to 6 bags of hard candy (jelly beans, mints, sourballs, lollipops)
◆ 1 package of marshmallows
A prepared emergency kit is able to help you get far away from the danger caused by Chronic Kidney Disease suddenly.If you have any problem about this question, you can write it below and then I will try my best to solve it.
2012年12月28日星期五
What Indoor Exercises are Suitable for Patients on Dialysis
Most often, dialysis is used as the artificial kidney to help prolong the life expectancy of the person with Renal Failure. During the dialysis, he has to develop a strict diet and do appropriate exercise. What indoor exercises are suitable for patients on the dialysis?
◆ Indoor stretching for people on dialysis
Most of the patients on dialysis can stretch. Stretching helps warm up the muscles that you plan to work out by getting the blood circulating throughout your body. And one of the best parts about stretching is that you can do it anywhere and don’t need special workout equipment. You can stretch before exercising, as well as afterward to help you wind down.
◆ Indoor cardio exercises for people on dialysis
Cardio workouts are important for people on dialysis. If you have a home gym or are looking to put one together, a treadmill or stationary bike can be used for indoor cardio exercise. Not everyone's home can fit a large piece of exercise equipment, so an alternative is to jog in place to get your heart rate up. You can log your progress each day by timing how long you work out. If you have a staircase in your home, walk up and down the stairs for your cardio needs. And if you don’t have stairs, consider going to a local indoor mall for a brisk walk.
◆ Lifting weights for people on dialysis
For people on dialysis who either have an arteriovenous (AV) fistula in their arm forhemodialysis or an abdominal catheter for peritoneal dialysis, lifting weights should be discussed with your doctor first. Your doctor may recommend that you lift light weights to avoid harm to your vascular access.
◆ Calisthenics for people on dialysis
Calisthenics are exercises designed to help strengthen and improve the body’s flexibility by using your own weight for resistance. Similar to stretching, there is no need to use workout equipment for these exercises; you can add this type of workout alongside your stretching routine.
Exercise is important for people on dialysis because it promotes a healthier lifestyle. Exercise can help you in numerous ways. If you are overweight and your doctor suggests that you lose extra pounds, exercise – along with a lower-calorie, kidney-friendly diet – can help.
2012年12月23日星期日
Some Dietary Changes for Patients with Kidney Failure
A healthy diet is important to us all, but it is even more important if you have kidney failure. Good nutrition can supply you enough energy to do your daily tasks, prevent infection, build and maintain muscle and help maintain a healthy weight. However, some dietary changes for patients with renal failure may be essential if you have kidney failure.
◆ Intake high-quality protein
Protein is an important nutrient. Your body needs protein to help build muscle, repair tissue and fight infection. Before you started dialysis, a limited-protein diet may have been recommended. Getting the right amount of high-quality protein is important to your overall health, and the high-quality protein foods includes fish, eggs, vegetables and fruits, milk, etc.
◆ Get correct amount of calories
Everyone is different. Calories are like fuel—they provide your body with the energy you need to live. If you are not getting enough calories from your diet, you may need to eat extra sweets like sugar, jam, jelly, hard candy, honey and syrup, unless you also have diabetes. Other good sources of calories come from fats such as soft (tub) margarine and oils like canola or olive oil. It is important to plan meals that give you enough calories each day.
◆ Limit the intake of sodium
If your kidneys do not work well, sodium and fluid build up in your body. This can cause high blood pressure and other problems like swelling of your ankles, fingers or eyes. Sodium usually is contained in the following food:
* seasonings like soy sauce, sea salt, teriyaki sauce, garlic salt or onion salt
* most canned foods and frozen dinners (unless they say“low sodium”)
* processed meats like ham, bacon, hot dogs, sausage and deli meatswww.KidNey.org 15
* salted snack foods like chips and crackers
* canned or dehydrated soups (like packaged noodle soup)
* most restaurant foods, takeout foods and fast foods
If your blood potassium and phosphorus level is higher than the normal, you should also lower the intake of potassium and phosphorus, other dietary changes for patients with renal failure are very important. If you want to have deep understanding, you can leave your question in the comment list.
Can Patients with Diabetic Nephropathy Eat Apples at Christmas
Christmas Day is coming in 2012. At this moment, many people always think of apple, which is called “peace effect”. Can patients with Diabetic Nephropathy eat apples at Christmas? This must attract many patients’ attention, since apple contains a lot of sugar. Do they have to give up their right to enjoy the peace effect?
The fortunate answer is no. Blood sugar control is the center to treat Diabetic Nephropathy, so these patients must consistently follow a healthy eating plan to keep blood glucose levels stable. Due to these unstable glucose levels, foods high in sugar are typically avoided. Fortunately, the sugars contained in fruit are perfectly acceptable in a balanced diabetic diet. Patients with Diabetic Nephropathy should feel free to eat apples, along with most other fruits, it has a variety of nutrients and benefits that these patients need.
◆ Rich Nutrition
The average apple contains approximately 80 to 90 calories, only a few of which come from fat. One single apple packs about 4 g of dietary fiber and about 8 g of vitamin C. Unfortunately, apples are not an excellent source of any other vitamins or minerals. However, they do contain significant amounts of antioxidants and flavanoids.
◆ Insoluble Fibre
Apples also comprise insoluble fibre that is linked to a reduced risk of type 2 diabetes. Apples are known to be an excellent part of a pre-diabetic’s diet. The soluble fibre helps in controlling blood sugar by releasing the sugar slowly into the bloodstream. Apart from regulating the blood sugar levels along with the bowel function, insoluble fibre has anti-inflammatory affect that can help patients with Diabetic Nephropathy recover faster from infections and wounds.
Can patients with Diabetic Nephropathy eat apples at Christmas? Above all, we have known the answer. However, they should eat moderate amount of apple everyday. The recommended intake of apples for a Diabetic Nephropathy patient is about 28 to 35 grams per day. With the right intake of apple, you can have a healthier Christmas.
2012年12月21日星期五
A Detailed Introduction of Stage 5 Chronic Kidney Disease
Stage 5 Chronic Kidney Disease is also called end stage kidney disease (ESKD). At this stage, the person usually has a glomerular filtration rate (GFR) of 15 ml/min or less, and his kidneys have lost nearly all their ability to do their job effectively. Eventually, dialysis or a kidney transplant is needed to live.
With too many wastes and fluids built up in the body, some symptoms that can occur in stage 5 CKD include:
◆ Nausea and vomiting
◆ Headache
◆ Fatigue
◆ Being unable to concentrate
◆ Itching
◆ Making little or no urine
◆ Swelling, especially around the eyes and ankles
◆ Muscle cramps
◆ Tingling in hands or feet
◆ Changes in skin color
◆ Increased skin pigmentation
Although Stage 5 Chronic Kidney Disease can’t be reversed, a healthy nursing care and a correct treatment are very important. The following are some tips to help you take care of yourself.
◆ See a nephrologist. MD physicians specialize in kidney disease (Nephrologists) can use their expertise to help preserve your kidney function for as long as possible as well as keeping you healthy. For more information on treatment options, including dialysis, see My Plan.
◆ Consult a dietitian. Once you begin dialysis, you will need to make changes in what you eat and drink. Your diet is a big part of your treatment, so you will be working with a dietitian who can recommend a meal plan individualized for your needs. See our nutritional tips for more ideas on how to plan your daily diet.
◆ Keeping your glucose level under control and maintain a healthy blood pressure. Many people who develop chronic kidney disease have diabetes or high blood pressure. You will feel better if you keep your glucose levels under control and maintain a healthy blood pressure. If you are prescribed medication, take it exactly as directed by your doctor.
◆ Make healthy choices. It's important to eat well, exercise regularly, and quit smoking to keep yourself as healthy as possible. Just as important, managing stress and taking the time to relax will help you live life to the fullest.
2012年12月19日星期三
A Detailed Introduction for Stage 4 Chronic Kidney Disease
Once the person’s kidney disease develops Stage 4 Chronic Kidney Disease, he may need dialysis or a kidney transplant to maintain his life in the near future. The reason is that he has advanced kidney damage with a severe decrease in the glomerular filtration rate (GFR) to 15-30 ml/min. At this stage, many wastes and fluids will build up in the blood that will cause many symptoms.
◆ Fatigue: Feeling tired is common for people with Stage 4 Chronic Kidney Disease.
◆ Swelling: The kidneys may lose their ability to control how much fluid stays in the body. A person may notice swelling (edema) in their lower legs, hands or face around the eyes.
◆ Urination changes: Urine may be foamy if there is protein in it, or dark orange, brown, tea colored or red if it contains blood. A person may urinate more or less than normal, or get up at night to go to the bathroom.
◆ Sleep problems: Some people have trouble falling asleep or staying asleep. Itching, muscle cramps or restless legs can keep them awake.
◆ Nausea and vomiting: Vomiting or feeling nauseated may occur with Stage 4 Chronic Kidney Disease.
◆ Loss of appetite: People in this stage may not feel like eating, and some people report having a metallic taste in their mouth or bad breath.
◆ Taste changes: Food may not taste like it usually does, or may have a metallic taste.
Uremic breath: As urea builds up in the blood, it may be detected in the breathing causing bad breath.
◆ Nerve problems: Numbness or tingling in your toes or fingers is a symptom of CKD.
With Stage 4 Chronic Kidney Disease, a healthy diet and a correct treatment are very important. You should consult to your doctor immediately to find a treatment in the care of kidneys.
A Detailed Introduction for Stage 3 Chronic Kidney Disease
In stage 3 a person is more likely to develop complications of kidney disease such as high blood pressure, anemia, or early bone disease. In addition, there are many other symptoms occurring:
◆ Fatigue: Feeling tired is common for people with CKD.
◆ Swelling: A person may notice swelling (edema) in their lower legs, hands or face around the eyes. With too much fluid someone could even feel short of breath.
◆ Urination changes: Urine may be foamy if there is protein in it, or dark orange, brown, tea colored or red if it contains blood. A person may urinate more or less, or get up at night to go to the bathroom.
◆ Sleep problems: Some people have trouble falling asleep or staying asleep. Itching, muscle cramps or restless legs can keep them awake.
As stage 3 progresses, the patient need to see a nephrologist. Nephrologists examine kidney patients and perform lab tests so they can gather information about their condition to offer the best advice for treatment. The nephrologist’s goal is to help their patient keep their kidneys working as long as possible.
There is no cure for Chronic Kidney Disease, but it may be possible to stop its progress or at least slow down the damage. In Stage 3 Chronic Kidney Disease, you can choose Micro-Chinese Medicine Osmotherapy to treat your kidney disease, accompanying with a healthy diet. It is possible for early and moderate Chronic Kidney Disease to be reversed.
How Is the High Blood Pressure in Chronic Kindey Disease Treated?
In recent years, high blood pressure has been the mainly cause of Chronic Kidney Disease, only secondary to Diabetes. How is the high blood pressure in Chronic Kidney Disease treated? This question has caused many people’s attention.
Hypertension or high blood pressure is a chronic medical condition in which the blood pressure in the arteriesis elevated. This requires the heart to work harder than normal to circulate blood through the blood vessels. If left untreated, it may develop Chronic Kidney Disease into Renal Failure. This requires you and your doctor work together to find the best way to lower your blood pressure. Treatment usually begins with lifestyle changes.
Lifestyle changes:
◆ stop smoking
◆ lose weight
◆ exercise regularly – as a minimum, 20 minute sessions, three times a week, sufficiently
◆intense to induce some breathlessness
◆ cut down on alcohol – aiming for less than 21 units a week for men, 14 units a week for women
◆ eat a varied diet
◆ avoid all salt in food
◆ reduce stress by trying different relaxation techniques or by avoiding stressful situations.
If these changes don't work, you may also need to take medicine. Many different types of medicine can be used to treat high blood pressure. These are called antihypertensive medicines.
Antihypertensive medicines
◆ ACE inhibitors stop the production of a hormone called angiotensin II that makes the blood vessels narrow. If your blood pressure is not easily controlled on simple medication, your doctor will probably use a medicine of this type.
◆ Angiotensin-II receptor antagonists work in a similar way to ACE inhibitors. But instead of stopping the production of angiotensin II, they block its action.
◆ Beta-blockers block the effect of the hormone adrenaline and the sympathetic nervous system on the body. This relaxes the heart so that it beats more slowly, lowering the blood pressure.
◆ Alpha-blockers cause the blood vessels to relax and widen. Combining them with beta-blockers has a greater effect on the resistance in the circulation.
◆ Calcium-channel blockers reduce muscle tension in the arteries, expanding them and creating more room for the blood flow. In addition, they slightly relax the heart muscle so it beats more slowly, reducing blood pressure.
◆ Diuretics help the body get rid of excess salt and fluids via the kidneys. In certain cases, they relax blood vessels, reducing the strain on your circulation.
How is the high blood pressure in Chronic Kidney Disease treated? Now, we have known the answer, you should choose the correct treatment according to your specific condition.
2012年12月17日星期一
A Detailed Introduction for Stage 1 of Chronic Kidney Disease
In Stage 1 Chronic Kidney Disease (CKD), the person’s kidney function is normal, and there is usually no symptom to warn the person of Chronic Kidney Disease, because kidneys do a good job even when they’re not functioning at 100%. The person finds his stage 1 Chronic Kidney Disease usually in the exam for another condition. A person with stage 1 chronic kidney disease (CKD) has kidney damage with a glomerular filtration rate (GFR) at a normal or high level greater than 90 ml/min. There are some ways to help a person discover they are in stage 1 CKD include:
◆ High blood pressure
◆ Diabetes
◆ Higher than normal levels of creatinine or urea in the blood
◆ Proteinuria or haematuria
◆ A genetic diagnosis of kidney disease such as polycystic kidney disease.
Regular testing for protein in the urine and serum creatinine can show whether the kidney damage is progressing. Stage 1 Chronic Kidney Disease usually doesn’t need a medical treatment. A healthy lifestyle can help slow the progression of Chronic Kidney Disease. It is recommended that people in Stage 1 CKD:
Develop a healthy diet.
◆ Include a variety of grains, especially whole grains, fresh fruits and vegetables
◆ Choose a diet that is low in saturated fat and cholesterol and moderate in total fats
◆ Limit intake of refined and processed foods high in sugar and sodium
◆ Choose and prepare foods with less salt or high sodium ingredients
◆ Aim for a healthy weight and include physical activity each day
◆ Keep protein intake at the Daily Reference Intake (DRI) level .8 grams protein per kilogram body weight per day.
◆ Consume adequate calories
◆ Consume the DRI for vitamins and minerals
◆ Potassium and phosphorus are usually not restricted unless blood levels are above normal
Keep their blood pressure at a healthy level
◆ 125/75 for those with diabetes
◆ 130/85 for non-diabetes and non-proteinuria
◆ 125/75 for non-diabetes with proteinuria
Keep their blood sugar or diabetes under control
Have regular checkups with their doctor and include a serum creatinine test to measure GFR
Take medicines as prescribed by their doctor
A healthy lifestyle can help slow the progression of Chronic Kidney Disease. At present, Chronic Kidney Disease is an incurable disease, and it will develop renal failure, if left untreated. Therefore, you should pay attention to your diet and lifestyle, if you are one of these patients.
2012年12月15日星期六
A Healthy Christmas Dinner for Chronic Kidney Disease
A Healthy Christmas Dinner for Chronic Kidney Disease
Christmas is a time of excitement and celebrations in many countries. And what better way to enjoy your time with family and friends than with delicious food! You can still enjoy these festival foods with a healthy Christmas Dinner for Chronic Kidney Disease (CKD), even if you have this disease.
No doubt you will find yourself before a spread of roast turkey, honey baked ham, chocolate cake, red wine, and all kinds of other Christmas favorites. Of these, what can you indulge in, and what should you refrain from? In general, you should track what and how much you are eating of certain nutrients such as protein, potassium, sodium, phosphate and calories. The following recipes give you some good choice to prepare your Christmas dinner.
Garlic Cauliflower
Ingredients
1 small head of cauliflower
1 tablespoons virgin olive oil
2 large cloves garlic-minced
1 tablespoon toasted sesame seeds
Dash paprika (optional)
Pepper to taste (optional)
Directions
In a large kettle, bring 2 quarts of water to a boil.
Trim cauliflower and break into flowerets.
Drop into boiling water and cook about 2 minutes.
Drain in a colander.
In a large, non-stick skillet, heat oil and toast garlic.
Add cauliflower and sesame seeds and saute for 1 minute.
Dust with paprika and pepper before serving (optional).
Herb Roasted Turkey with Mushroom Gravy
Ingredients
10 -12 pound turkey
4 sprigs fresh thyme
4 sprigs fresh rosemary
1 medium onion ,quartered
The peel of one lemon, cut into strips
1 cup dried mushrooms, reconstituted (reserve 1 cup liquid)
1 cup low-sodium chicken broth
2 tablespoons dry white wine
2 teaspoons potato starch
1/2 teaspoon dried chives
1/4 teaspoon salt
1/8 teaspoon freshly ground black pepper
Directions
Preheat oven to 325 F.
Remove turkey giblets and neck from body cavities. Rinse turkey inside and out; pat dry with paper towels.
Starting at neck, using your fingers, gently loosen skin over entire breast. Place thyme and rosemary sprigs at even intervals under skin; pat skin back in place. Place onion and lemon peel in body cavity. Place turkey breast-side up on rack in roasting pan.
Roast turkey 3 1/2-4 hours, until meat thermometer inserted in fleshy part of inner thigh (not touching bone) reaches 180 F. Let stand 15 minutes before carving. Remove skin before eating.
Meanwhile, to prepare gravy, pour pan drippings into a 2-cup measure; let stand 5 minutes. Skim off and discard fat; pour remaining liquid into small saucepan. Add mushrooms and 1 cup mushroom liquid, broth, wine, potato starch, chives, salt and pepper; bring to a boil. Simmer 2 minutes. Serve with turkey.
Orange Cranberry Cookies
Ingredients
1/4 cup stick butter, softened
1 egg
3 tablespoons frozen orange juice concentrate, thawed
3/4 cup all-purpose flour, sifted
1/4 cup quick or old-fashioned oats, uncooked
1/3 cup Equal Spoonful or Granulated*
1/4 teaspoon baking soda
1/8 teaspoon cream of tartar
Dash salt
1 teaspoon grated orange peel
1/2 cup dried cranberries
1/2 cup chopped walnuts
*May substitute 8 packets Equal sweetener
Directions
Beat butter in a medium bowl. Beat in egg and orange juice concentrate.
Mix combined flour, oats, Equal, baking soda, cream of tartar, salt and orange peel into creamed mixture until blended. Stir in dried cranberries and chopped walnuts.
Drop by teaspoons onto ungreased baking sheet. Bake in preheated 375掳 F oven 8 to 10 minutes or until bottoms are lightly browned. Remove from baking sheet and cool completely on wire rack.
Store in airtight container at room temperature.
All of the traditional Christmas foods such as mince pies, Christmas pudding and Christmas cake can still be enjoyed but just don’t eat too many or too much in one go. The trick is to spread them out over the Christmas period and keep your portions as small as you can. With a healthy Christmas Dinner for Chronic Kidney Disease and pay attention to your dietary cautions, you can have a perfect festival holiday.
A Healthy Diet for Stage 3 Chronic Kidney Disease
Chronic kidney disease (CKD) is a condition where your kidney function is tampered. This disease is usually measured in terms of stages, which indicate to what level your kidney function has been affected. If you have been diagnosed with stage 3 CKD, your physician will recommend a healthier diet to you.
Consume low protein
Protein is very important for daily growth, tissue repair and muscle building. Once your body processes the proteins that are taken in, the remaining waste is turned into urea, which is excreted by the kidneys. When renal disease is present, the kidneys are no longer able to rid the body of the amount of urea produced. It becomes necessary to make dietary changes to reduce the amount of protein taken in each day. Foods that are high in protein include: meat, poultry, seafood, milk, eggs, cheese. Many other foods also contain proteins but are little including other dairy products, starches, grains, and some fruits and vegetables.
Lower the intake of sodium
Limiting salt and high-sodium foods reduces high blood pressure, which is a common symptom at stage 3 CKD. The sodium recommendation for stage 3 CKD is 1,000-4,000 mg/day based on blood pressure, fluid balance and the presence of other diseases that may affect sodium requirements.
Limit the intake of phosphorus and potassium
This mineral may be limited because reduced kidney function causes phosphorus to build up in your blood. This can impact bone and heart health. A diet with no more than 800 mg phosphorus can help. Usually, potassium is not restricted in stage 3 CKD unless lab tests show potassium is too high. Then your doctor may make medication changes or prescribe a low-potassium diet.
Drink the correct amount of fluid
Fluid is not restricted in stage 3 CKD unless you experience fluid retention. Signs of fluid retention include sudden weight gain, shortness of breath, swelling in the feet, hands and face, and high blood pressure. These symptoms may indicate a decline in kidney function and decreased urine output. Then you should dink a right amount of fluid.
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