How daily diet should be noted after renal transplantation

Kidney transplantation from just counting until the disease was no question what it should be noted

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Diet on renal transplantation Notes
1, early after surgery and recovery (after a month) diet: then need adequate intake of protein and calories to maintain positive nitrogen balance and promote wound healing and reduce the risk of infection. Peristalsis is restored, can enter the liquid diet, such as: rice soup, lotus root starch, egg soup and so on. But do not drink milk too early, to avoid bloating. Then can be changed to semi-liquid diet, such as: soup noodles, eggs, soup, black soup, etc., and gradually transition to the normal diet.
2, the family's diet during recovery: time to leave the close medical monitoring, coupled with significantly increased appetite, weight gain faster, then they need to develop long-term dietary management objectives.
(1), Water: water intake per day should be more than 2000ml.
(2), Salt: Early after surgery should be low-salt diet, a daily salt intake generally 3 to 4 grams. After half a year less than 6 grams per day.
(3), Carbohydrates: including rice and pasta. Daily intake of 300 grams.
(4), protein: 60 kg adult body weight daily intake of 100 to 150 grams, the main consumption of milk, eggs, lean meat, blackfish, carp, crucian carp and so on.
(5), fat: do not eat fried foods, limit high cholesterol foods, such as organ meats, egg yolks, crab roe, roe, pig's trotters, pork skin, chicken skin and other intake. Recommended vegetable oil, chicken fat, fish and so on.
(6), Ca: calcium-rich food can be intermittent milk, pork ribs. Bone soup boil add a little vinegar may be appropriate, so as to increase the dissolution of calcium absorption.
3, improve the immune function of fasting with food and health care products: such as white fungus, black fungus, mushrooms, red dates, royal jelly, ginseng, Astragalus, Codonopsis, heterophylla, bowling participation, American ginseng, PUPS, fungus and so on.
4, attention to food hygiene: the immune function is low, so the choice of food must be fresh, good quality, avoid using food spoilage.



After renal transplantation, renal function recovery and the most important out rejection therapy, nutrition therapy is to protect the health and quality of life and prolong the life of the basic and links. For kidney transplant patients, must pay attention to and understanding of immunosuppressive drugs on nutrient metabolism and side effects brought about, and to take certain drugs and nutritional therapy appropriate measures to prevent and reduce complications caused by immunosuppressive drugs in order to maintain normal physiological function.
Dietary requirements:
Pre-and postoperative nutritional therapy:
1, early postoperative: 1-2 days after surgery, the surgery, anesthesia, bowel movements have not yet returned to normal, easy to cause abdominal distension, should be fasting.
2, after the beginning: After 2-3 days, recovery of bowel function, may give out low-sucrose or 3% sucrose, high quality protein liquid diet, adequate intake of protein restriction, lotus root starch-based energy sources, the daily calories as 500kcal. Protein 24g high quality protein which accounted for 80% or more.
3, after test meal period: 3-5 days after the test meal period may be given easy to digest, no stimulation, soft semi-liquid diet. Daily energy 1500-1700kcal/kg, protein 55-60g, salt, 4-5g.
4, early postoperative recovery: after 5-7 days to 2-3 months, should give high-quality protein, high vitamin, low-salt diet, daily energy 35-53kcal/kg, protein 1.6-2.4g/kg fruit no more than 250g. Drink plenty of water diuresis by fatty fish such as snakehead, carp, crucian carp, and melon, barley and other food. Also, pay attention to calcium, increasing milk 220ml-450ml, increase high-fiber foods. Taking cyclosporin A, the consumption of soda crackers 60g, fruits, 150-250g, in order to prevent or reduce drug stimulation of the gastric mucosa.
Postoperative recovery of nutritional therapy
1, heat: According to the patient's condition, sex, weight, height, physical activity, the labor intensity of calculating the daily energy requirements. Adult light manual labor by 30-35kcal/kg, maintain ideal body weight. Ideal body weight = Height (cm) -105, pay attention to the group of carbohydrate and fat intake, participate in appropriate physical activities.
2, protein, immunosuppressive agents can accelerate the decomposition of protein, inhibition of synthesis, protein consumption increased, so it should be appropriately increased supply of protein, adult daily press 1.3-1.6g/kg. (Except for infection and rejection)
3, beans and pasta supply: If serum creatinine continued in 140umol / L below the normal biochemical indexes, no obvious infection, rejection, patients in good health can be 3-6 months after surgery and after eating beans surface, soy products, with less than 50g.