According to the Kidney Awareness Monitoring and Prevention Society (Campus), more than two crore people in Bangladesh suffer from kidney disease. The only treatment for kidney failure is dialysis or kidney transplantation; Which is so expensive that 10 percent of the people in this country can not afford it. So experts emphasize prevention to ensure kidney health. Again, there is no alternative to diet to stay healthy even if you have kidney disease.
In addition to adulterated food, uncontrolled blood pressure and diabetes, excess protein intake, frequent urinary tract infections and many other reasons, the number of kidney patients in our homes is now increasing. Diet plays an important role in the treatment of kidney disease.
Although medical science has not yet discovered any drug to control creatine levels, it is possible to slow down the tendency to increase creatine levels if the kidneys can be rested by controlling the proper diet. If the level of creatine in the blood increases, it must be understood that the patient must adjust his diet.
In the case of other diseases, the disease can be controlled to a large extent by following the dietary guidelines, but in the case of kidney disease, the diet of the patient is made by accurately determining the amount of each nutrient; Which is a lot like numbers. In this case, it is very important to follow the advice of a dietitian.
The same type of diet can never be prescribed for kidney patients. This is unique to each patient. This is because the diet of the kidneys is determined by considering the weight, age and physical condition of the patient based on the levels of different components of the blood.
Kidney patients were prescribed slightly more calories than other patients. This amount is 30 to 35 calories per kg of body weight. Most of the calories are allocated from carbohydrates so that the body’s protein does not break down due to lack of energy. The calories of a diabetic kidney patient are, of course, considered according to his or her diabetes status. In this case rice / bread (flour or rice) chirasaguchal semolina, noodles, khai etc. are applicable to kidney patients.
Protein control is especially important for kidney patients. Protein levels are determined based on creatine levels, urine micro albumin levels, urea and uric acid levels, and patient weight. Usually 30 to 50 grams of protein is given to the patient in the diet. Animal protein is used to meet the patient’s protein needs. Egg whites, chicken breast meat, fish, milk or yogurt to take the specified amount of protein. Many patients have a misconception that 30 grams of protein means 30 grams of fish or meat; Which is completely wrong. 30 grams of protein is the amount of protein in the patient in 24 hours. In this case, a dietitian determines the weight of the fish or chicken pieces.
The amount of fruits and vegetables is determined based on the electrolyte in the blood, uric acid and edema in the body. It is usually recommended that the patient take 40 to 60 ml of equivalent potassium daily. In this case, the dietitian determines how much fruit and vegetables to eat. Apples, pears, guavas and papayas are the four fruits usually allotted based on the demand for potassium. However, it can be changed depending on the level of potassium. Vegetables with purine and high potassium such as cauliflower, beans, tomatoes, lentils, watermelon and several other vegetables are on the ban list.
The patient’s 24-hour fluid requirement is usually determined by the patient’s weight, edema, estimated GFR, blood sodium levels, creatine levels, and medications taken. Time is of the essence when measuring fluids. Usually 1 to 1.5 liters of water is allotted to the patient in 24 hours. Which must be calculated by combining water, tea, milk.
Kidney patients also need to control sodium. You can usually take 2 to 5 grams of salt per day depending on the level of sodium in the blood, edema and the medication taken. 1 tablespoon equal to 5 grams. In this case it is advisable to avoid separate salt.
Although there is a separate diet for each kidney patient, there are some foods that all kidney patients are advised to avoid. Such as- pulses, cold drinks, pickles, beef and mutton, fried food, coffee, chanachur, papar, food bought outside and stale food etc. So I would advise patients to have their blood and urine tested every three months. In addition to seeing a doctor regularly, you must get your dietary advice and food list from a dietitian. It will control the level of creatinine as much as possible.