Traditional Chinese Medicine Nursing Chronic Renal Failure Therapy

We know that chronic kidney failure is the progressive kidney damage and gradual deterioration of kidney function caused by various primary kidney diseases or secondary to other diseases, which is a further step of kidney disease. So, how to care for chronic renal failure in traditional Chinese medicine?

Chronic kidney failure is a chronic disease of unknown etiology, but because many patients do not understand chronic kidney failure, they have misunderstood the disease. For example, they think that chronic kidney failure is an untreatable disease. The patient's psychology causes a great burden. Therefore, in order to follow the high nursing care of patients with chronic kidney failure, the psychological misunderstandings of patients must be excluded.

Click to cistanche deserticola extract for kidney disease

1. Dietary care: Patients with chronic kidney failure should avoid using soy products. It is best to use wheat starch and corn starch as the staple food, and the recipes are mainly vegetarian. The protein intake is adjusted according to the degree of kidney impairment of the patient, and the daily intake is generally not more than 50g. For patients with combined edema, the diet should be light rather than salty according to the principles of "salty damages the kidneys" and "light infiltration of dampness". For co-infected patients, spicy fish and shrimp, old hens, etc. should be avoided.

2. Mental care: Patients with chronic kidney failure are seriously ill and have a long course of the disease, which often causes patients to be pessimistic and disappointed. At this time, they should contact patients more, encourage patients to establish confidence in overcoming the disease, eliminate concerns, and maintain a good mental state. Only in this way can the qi and blood function of the zang-fu organs be restored. In addition, a considerable number of patients with chronic renal failure are young patients, so they should be advised to purify their minds and avoid sexual intercourse to avoid further damage to the kidney qi and aggravation of the disease.

3. Daily nursing care: The syndrome differentiation of patients with chronic kidney failure is mostly due to deficiency and turbidity. If the deficiency is right, the function of external defense is weakened. The ward should be ventilated, the temperature should be appropriate, there should be sufficient sunlight, and the ward should be fumigated and disinfected with vinegar every day.

4. Skincare: Patients with chronic kidney failure are filled with turbid pathogens, which are also easy to attack the skin, or skin itching due to insufficient qi and blood, blood deficiency, and wind. Patients often scratch their skin due to itching, so they should pay attention to skincare. Prevent damage from infection. It can be scrubbed with Kochia kohlrabi water decoction, and asked to take a bath often, or bathe with warm water, the water temperature should be about 40 ℃, so that the body sweats slightly, which is good for expelling turbid evil.

Chronic kidney failure diet for water control

Chronic kidney failure refers to a clinical syndrome composed of a series of symptoms and metabolic disorders caused by various kidney diseases that lead to the gradual and irreversible decline of the above three functions of the kidney, until the loss of function, which is referred to as chronic kidney failure. What should be paid attention to in the diet of chronic kidney failure, the following will introduce:

1. Water restriction: If the amount of urine excreted decreases, the liquid entering the mouth will remain in the body, resulting in body edema, increased blood pressure, and even pulmonary edema. At this time, the daily fluid intake must be limited, usually by mouth. The amount of fluid intake is approximately equal to the daily urine output plus 500cc is appropriate.

2. Limit protein: The protein intake is usually recommended to be 0.6 grams per kilogram of body weight. For example, if the body weight is 50 kg, the daily protein intake should be controlled to 30 grams. The food we eat every day contains more or less protein. Among them, meat, eggs, and milk have better protein quality and are highly utilized by the human body, which can be used to repair or maintain muscle strength. Under the strict restriction of protein intake, the source of protein must be carefully selected so that it can be fully utilized by the human body. It is recommended that at least 2/3 of the daily allowable amount be supplied by high-quality protein.

3. Limit sodium ions: Sodium regulates water balance and muscle activity in the body. When kidney function is insufficiency, it may not be able to excrete excess sodium ions from the body, resulting in high blood pressure, edema, ascites, and pulmonary edema. The burden on the heart can easily lead to heart failure over time. Salt, soy sauce, monosodium glutamate, ketchup, sand tea sauce, black vinegar, miso, etc. contain a lot of sodium, and processed and canned foods also contain a lot of sodium. Therefore, try to use natural foods in daily life, and use more sugar in cooking, white vinegar, onion, ginger, garlic, five-spice, cinnamon, pepper, coriander, lemon, etc. make the food have other flavors and increase the palatability of the food.

4. Limit phosphorus ions: The main function of phosphorus is to strengthen bones. Almost all foods contain phosphorus. In patients with kidney failure, because the kidneys cannot work properly, excess phosphorus accumulates in the blood, resulting in high blood phosphorus, which can lead to skin itching and bone lesions. . Usually doctors will prescribe aluminum hydrogen hydride or calcium carbonate tablets, both of which are phosphorus binders, and can combine with phosphorus stones in food to make them excreted in the feces. In addition to taking phosphorus binders, foods with high phosphorus content such as dairy products, soft drinks, cola, yeast, offal, dried beans, whole grains (brown rice, whole-wheat bread), eggs, dried fish, etc. Overeating should be cautiously avoided.

5. Limit potassium ions: Potassium is widely found in meat, dark green vegetables and fruits, and dried beans. When kidney function is not good, excess potassium may not be removed effectively, and too high blood potassium can cause severe cardiac conduction and contraction abnormalities, and even death. When it is necessary to limit potassium ions in the diet, fewer vegetables and fruits with high potassium ion content should be used. Such as mushrooms, amaranth, cauliflower, spinach, water spinach, bamboo shoots, tomatoes, carrots, melons, mustard greens, pomegranates, loquats, peaches, diced oranges, hard persimmons, oranges, chard, etc., and avoid raw vegetables; others such as coffee, Strong tea, chicken essence, beef essence, ginseng essence, thick broth, thin salt soy sauce, unsalted soy sauce, half salt, salt substitute, etc. are also high in potassium.

6. Calorie supplementation: Under the principle of protein restriction, the intake of rice is limited, which can easily cause calorie deficiency, increase protein consumption and urea in the body, and cause the body to lose weight. Foods (such as sugars: white sugar, rock sugar, honey, fruit sugar, etc.; vegetable oils and protein powders such as Chengfen, corn flour, Taibai flour, lotus root flour, winter flour, sago rice, flour balls, etc.). Recommended daily calorie intake: 35 to 45 calories per kilogram of body weight

for more information:ali.ma@wecistanche.com