2011/05/02

How after renal transplantation?

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How nourishing care after renal transplantation

1. Kisaragi after several female patients, hemoglobin decreased, available gelatin, iron agents.
2. Frail, Chinese dialectical middle-aged patients for the deficiency, it can take Liu Wei Di Huang Wan, Qijudihuang fluid.
3. Diabetes and cardiovascular disease, the proposed long-term use VitE 0.1g once a day.
4. Cordyceps sinensis, Bailing capsule can increase resistance to infection, collaborative anti-rejection.
5. Immunostimulants should not be taken, kidney health medicine should not be used.
6. Has a renal toxicity of traditional Chinese medicine, such as Mu Tong, Magnolia, and other non-application of triptolide.
7. Smoking causes high blood pressure, affect the renal blood supply, it should not smoke.
8. Liquor liver damage, lung injury hot rice wine, renal transplant patients with the best wine keeps.


Note that after transplantation, food, shelter,

Transplantation due to the long use of immunosuppressive agents, to varying degrees, affect the body, easy to cause infection, hypertension, hyperglycemia, hyperlipidemia, obesity. Transplantation hypertension, diabetes, obesity and high cholesterol as a common factor with increased risk of cardiovascular disease. Cardiovascular disease is the long-term survival of transplanted kidney an important factor, so after transplantation, food, shelter, treatment with immunosuppressive agents, like the health of transplant patients plays an equally important role.

Eat: Friends of the transplanted kidney is usually concerned about the amount of creatinine, eating problems are often overlooked dialysis. Reported in the literature: Hyperlipidemia is one of common complications after transplantation. Rate was 50% -61%. Because hormones can increase the synthesis of cholesterol in the liver, the transplant cyclosporine A conversion of cholesterol to bile acids, which affect the lipid metabolism, hormones, the dose of cyclosporine A and was proportional to serum lipid levels after surgery. Hyperlipidemia is a factor of early atherosclerosis, because cholesterol levels are too high, easy to wax formation in the vascular wall plaques, resulting in wall thickening, hardening, obstruction, resulting in arteriosclerosis, hypertension, coronary heart disease, stroke and other cardiovascular diseases. We should, through proper diet to reduce cardiovascular risk factors.

Diet principles: high quality protein, high vitamin, low fat, low sugar. Note that non-staple food with meat and vegetables, species to be more with the thickness of the staple food, the number should be less. Eat small meals often.

Note that limit the intake of animal fat, the fat, animal offal, squid, shellfish and grilled try not to eat fried foods; vegetable oil to sesame oil, soybean oil, corn oil is appropriate; normal amount to eat poultry, fish often class, fish contains a wealth of high quality protein, which contains many essential amino acids, and the ratio is also very close, therefore, more suitable for human needs; fish, unsaturated fatty acids can reduce blood cholesterol and triglyceride levels at the same time can reduce the sensitivity of platelet aggregation, thus helping to prevent atherosclerosis and thrombosis. Function and chronic rejection of kidney micro-thrombosis and should therefore be to eat fish as an important part of diet; general, eat 1-2 times a week for good, qualified and once every 1-2 days to eat better . Fresh vegetables, onion, kelp, seaweed, etc., will help to improve lipid metabolism. Folic acid supplements to reduce the incidence of coronary heart disease and stroke have an important role; experts suggest should be noted that many foods rich in folic acid intake. Folate-rich foods: red cabbage, spinach, asparagus, and asparagus. Sugar and its products better not. Fruit and 150-300g / d, generally no more than 250g appropriate. More sugar, herbs are likely to cause diabetes. If middle of the night hungry, eat fruit at bedtime. Avoid using food to improve immune function, such as white fungus, black fungus, mushrooms, red dates, royal jelly and ginseng, etc., so as not to reduce the role of the immune graft. Immunosuppressive agents can inhibit calcium absorption, increased discharge, long-term use can lead to osteoporosis, bone and joint pain occurs, lower back pain, backache, leg cramps, tetany and so on. Should be noted that calcium, in addition to milk, but also more consumption of other calcium-rich foods, such as dairy products, small shrimp, thick soup bones, calcium is the best food sources of dairy products, not only high calcium, and absorption rate was also high. Eat less prone to cause allergic to shrimp, crab, shellfish aquaculture shallow water deprivation. Eat less spicy food, avoid alcohol, smoking. Avoid some of the so-called toxic to the kidneys detoxification food cool. Deprivation in patients with high uric acid broth.

Live: Friends of immune function of renal transplantation, the risk of infection. Usually pay attention to keep premises clean, pay attention to ventilation ventilation, fresh air, try to use less air conditioning, air-conditioning are, pay attention to air filter mask to be cleaned once a week. Woman with a cold or flu season who used white vinegar fumigation room. Note early hours, to ensure adequate sleep in order to increase the important organs of nutrition, reserve protein, prevent complications, bed hepatic, renal blood flow increased when compared with 50% standing. Note that underwear should be loose sleep, it makes the muscles relax, help to improve sleep quality.

Line: includes two aspects, one is the appropriate physical exercise, maintaining ideal body weight. The standards of ideal body weight: male: height -105 = ideal body weight, female: height -110 = ideal body weight, more than 20% of the standard is the obese, 10% were overweight. Many people after renal transplantation with varying degrees of overweight or obese. Hormone causes the one hand, the other aspect is the reason after surgery to reduce the amount of exercise, weight gain, blood pressure can increase, when more than 15% body weight, systolic blood pressure to increase 18%. This increases the risk of coronary heart disease and peripheral vascular disease of the opportunity. The use of immunosuppressive agents to determine the dosage based on body weight. Short-term gain weight too fast, actually reduce the amount of drugs has increased the risk of rejection. Therefore, to control weight gain, to avoid the lack of immunosuppressive doses of want. Appropriate exercise can help lose weight. Exercise can promote muscle glucose uptake and utilization, reduce fat deposition, maintaining arterial wall elasticity, and its main mode of walking, tai chi, qigong, of which the safest and most convenient walk, walk in the morning, evening or temporary before sleeping. The speed and time according to the number of individual physical condition. The outdoor fresh air, walk, walk for a long time, the diastolic blood pressure significantly decreased, prevention and treatment of high blood pressure is a simple exercise method. Tai Chi gentle movements, to relax blood vessels to relax muscles and promote blood pressure. Shadow boxing with the idea of ​​the boot when the action, thoughts focused, quiet state of mind, help to eliminate stress factors that stimulate the human body, Tai Chi involves balancing and coordination. A wide range of Tai Chi Chuan, there is prosperity there are simple, according to each situation of their choice. Tai Chi exercise 30 minutes a day, for many years persistent, can significantly improve the body's high-density lipoprotein levels. High-density lipoprotein deposition in the vascular wall can be removed, causing atherosclerosis of LDL, the role of the prevention of hardening of the arteries, blood vessels formed by the kidney, thereby indirectly protecting the kidneys.

Another line is caving trip, when they go out take plenty of oral medication, in order to ensure regular quantitative medicine. Renal transplantation immunity is low, try to avoid going to crowded places, going to pay attention to protection, not a long exposure to the sun, to prevent solar dermatitis and skin cancer.

3, to improve their literacy and psychological quality, good emotion regulation

Mental, psychological factors affecting the treatment of dialysis patients and health effects, positive and optimistic attitude can increase capacity in patients with stress. Stress, anxiety, sympathetic activity will lead to high blood pressure. . In the tension, anxiety, anger and other negative emotions do not cause stimulation of steroid hormone increased, reducing the role of foreign bodies swallowed, the use of immunity to decline further, leading to accelerated spread of germs and viruses. A mental health reason people can control the emotion, not to capture emotions, learn self-regulation and emotional self-control to do this:

(1) Ning Jing God: heart open-minded, to the right to face reality, do not have too many requirements. Correctly deal with the problems encountered in life to prevent angry, good fun, could get the play, the next release, can try to calm yourself down. God of peace of mind and quiet.

(2) transfer of exciting kitchen: When the event of illness, mental hardships of Disaster, the mind will have a strong exciting kitchen, this time to establish if one or more other exciting new kitchen can be offset or dilute the center of the original and consciously do something else to divert attention, with the transfer method in order to escape.

(3) a reasonable outlet: give vent to their feelings should be put to vent out of depression, restore mental balance. Through the diary, singing, etc. to tell friends to carry out.

(4) proper restraint: emotions should be the normal vent, on the negative emotions will have control of the vent is simply a reasonable and appropriate control is rational, control their feelings, to avoid the bad feelings over-stimulation.

(5) his sense of humor: Humor is the spirit of the disinfectant, the appropriate spirit of Ah Q is needed, experience difficulty, complicated the heart of things, it is unwise blindly angry, is to take someone else's mistakes punish yourself. When treatment can not achieve their goals, can not give up, to fully mobilize their potential and actively cooperate with doctors and nurses.

⒋ regular follow timely treatment, will take part in dialysis, more exchanges with the dialysis

Friends of kidney transplant recipients is a major event in life, long-term, regular follow-up is to ensure the health of transplant patients. Is a very important and need to adhere to a lifetime thing. Dialysis patients is limited understanding of medical knowledge, not from that long illness into health, determine their own illness, good at is doing, through timely follow-up to early detection and early treatment of problems. Will take part in dialysis, more exchanges with the dialysis, the graft through the same friends, it is easy to close, the exchange made to alleviate stress and improve quality of life experience, have a good influence each other, mutual penetration role in help encourage others, but also improve their self-confidence. In "transplant family" to do one big family happy to share, we are happy, we share a pain, reduced suffering