Features of the diet in patients with kidney disease. What not to eat with kidney disease What menu with a sick kidney


Renal failure in the understanding of clinicians is a whole complex of nephrotic syndromes that lead to a deterioration in the filtration function of the organ and to the accumulation of toxins in the blood. Diagnosis of a pathological condition is usually not difficult, it requires mandatory laboratory and instrumental studies.

Anna Levina

Nephrologist

Articles written

Based on the analysis data and the patient's medical history, a treatment is drawn up. An important aspect of therapy is the observance of a special diet. Proper nutrition in functional organ failure is the basis for the prognosis for life expectancy and health of patients.

General characteristics of the disease

Renal failure is a set of negative factors that reduce the functionality of the kidney tissues. In addition to the main function, there are others:

  • removal of toxic components from the body;
  • regulation of blood pressure (abbr. AD);
  • the production of a hormonal component, in particular renin, which plays a huge role in the regulation of blood pressure;
  • control over the electrolyte composition of the blood;
  • production of erythropoietin, a substance that forms red blood cells in the blood.

In nephrotic syndrome, the ability of the kidneys to form urine deteriorates dramatically. Against the background of violations, the water-salt, acid-base balance, and blood pressure are gradually disturbed. In the chronic course of the pathology, all functions deteriorate irreversibly.

Experts distinguish two main forms of pathology: acute and chronic. With a mild acute stage, changes in nephrons can be reversible, while severe stages can lead to the development of multiple organ failure and death of patients due to an increase in acute intoxication.

The chronic form is characterized by slow inhibition of renal functions. It is with chronic renal failure that a lifelong diet and food discipline are required.

Causes

The causes of nephropathies in various stages of the course are multiple, they differ in the forms of the course. Pathology can occur in women and men, as well as in children of any age, regardless of gender.

Form of pathology Predisposing factors

Acute renal failure

  • diseases of the heart and blood vessels (a common complication of chronic renal failure);
  • dehydration (vomiting and persistent diarrhea, severe burns of the skin, overdose of loop diuretics);
  • severe intoxication and poisoning;
  • cirrhosis of the liver, hepatitis with a characteristic violation of the outflow of venous blood;
  • severe poisoning with poisons, medicines, heavy metals, mushrooms;
  • gout;
  • incompatible blood during a transfusion;
  • damage to blood vessels in the kidneys;
  • trauma to a functioning single kidney (with one kidney left as a result of removal);
  • accidental trauma to the ureter during surgical manipulation;
  • stones in the kidneys and ureters;
  • malformations of the kidneys;
  • blockage of a thrombus or pus of the renal artery;
  • changes in prostate tissue.

Chronic renal failure

  • chronic diseases of renal structures: pyelonephritis, nephritis, glomerulonephritis;
  • systemic rheumatic diseases: lupus erythematosus, hemorrhagic vasculitis, scleroderma;
  • arterial hypertension (as an independent state);
  • severe metabolic disorders (gouty arthritis, amyloidosis, diabetes mellitus);
  • urolithiasis disease;
  • polycystic, multicystic, tumors, hydronephrosis of the kidneys.

AKI is characterized by a spontaneous course with a sharp deterioration in the filtration, excretory and secretory functions of the kidneys.

Congenital anomalies in the development of the organ can contribute to the development of PN. Increasingly, such conditions are recorded at a screening examination during a woman's pregnancy.

Symptoms

The form of the course of nephropathy also determines the symptomatic complex. The staging of acute renal failure and chronic renal failure is classified according to the severity and clinical severity of the pathological process.

Signs of acute renal failure

Symptoms of acute functional disorders of the organ depend on the stage of the course of the pathology. Doctors distinguish 4 main degrees of development of acute renal failure:

AKI is characterized by reversibility and the possibility of complete recovery of kidney tissue. However, this is possible only in the case of a slight deterioration in the function of the organ. With severe damage to nephrons, acute renal failure develops into a chronic process with a tendency to periodic exacerbations.

Clinical manifestations of chronic renal failure

CRF is also classified into several stages of development, which are based on a gradual increase in creatinine, urea, impaired water and electrolyte balance, changes in urine density and proteinuria - the appearance of protein in the urine. According to diagnostic criteria, there are:

stages Stage characteristics

Zero or first stage

High fatigue, constant thirst and dry throat. A biochemical blood test reveals a slight disturbance of electrolytes in the blood, and a small amount of protein is found in the urine (latent proteinuria).

Stage of decompensation

Polyuria and an increase in daily diuresis up to 2-2.5 liters, a change in the composition of the blood and a decrease in the density of urine, pulling sensations in the bladder area. Organs are capable of decompensating pathology for a long time.

Intermittent

The stage of development of chronic renal failure is characterized by a periodic increase and subsidence of symptomatic manifestations. In the composition of the blood increases creatinine, urea, nitrogen metabolism. Patients are more often concerned about nausea, vomiting, yellowness of the skin. Against the background of the intermittent stage, there is a tremor of the distal extremities, pain in the musculoskeletal tissue.

terminal stage

Psychoemotional instability, disruption of night sleep, bouts of inappropriate behavior, azotemia - intoxication with nitrogenous compounds. The skin acquires a grayish tint, the face is swollen, mainly in the morning. Often worried about itching on the skin of the body (stomach, arms, back), hair falls out. The mucous membranes of the mouth are dryish, the tongue is coated with a coating.

The patient may feel satisfactory for up to several years. The danger of the last stage of chronic renal failure is the addition of complications from the heart, blood vessels, and liver. The condition is aggravated by constant intoxication of the body.

The main distinguishing feature of CRF in children and adults is the duration of the compensatory stage. In children, this period can reach 8-12 years with a protective regimen and proper nutrition, which is due to a higher resource for health and youthfulness of tissues.

We offer you to watch the program "Live healthy", in which you will learn about the causes and symptoms of kidney failure.

What are kidney diets?

The type of therapeutic nutrition is selected for patients in accordance with the clinical picture. Unfortunately, there is no universal dietary regimen for all patients with renal insufficiency. There are several main known diets prescribed in accordance with the patient's medical history.

Treatment table №6

Table No. 6 according to Pevzner is prescribed to normalize metabolic processes, exchange of purines - nitrogenous organic compounds, as well as to reduce the level of uric acid and its decay products - salts. All these tasks lead to alkalization of urine and an increase in the ability of urine to dissolve calculus structures: stones, oxalates, urates.

Table №6E

Diet 6E is intended for the treatment of nephropathies associated with obesity or gouty arthritis. Nutrition is characterized by reduced calorie content, and the daily norm barely reaches 2000 Kcal. When compiling the menu, the allowed daily allowance of proteins is taken into account - 60-70 g, fats - 75-80 g and carbohydrates - 230-250 g.

Table number 7

Treatment table number 7 is aimed at reducing swelling and lowering blood pressure. The ingredients contribute to the removal of residual nitrogen from the body, reduce the symptoms of chronic intoxication.

The diet is based on a decrease in daily protein while maintaining the physiological norm of fats and carbohydrates. Daily calorie content does not exceed 2800 kcal. All cooked food should not be salted. There are types of diets:

  • Table 7a. The treatment table is prescribed for acute inflammatory diseases of the kidneys. The basic principle is healthy nutrition in the absence of salt and protein restriction to 20 g. The liquid you drink should correspond to daily diuresis.
  • Table 7b. The daily protein intake of this diet increases to 40 g per day, and the volume of fluid drunk remains within 1-1.3 liters.
  • Table 7c. Nutrition is prescribed for nephrotic syndrome with edema, proteinuria. The daily norm of protein reaches 130 g to replenish the lost component with urine. Along with an increase in protein, salt and liquid are significantly limited to 0.7 liters.
  • Table 7g. It is prescribed for patients on hemodialysis or in end-stage renal failure. The menu is based on protein restriction to 60 g, 2-2.5 g of salt and 0.8 l of liquid per day.

The fine line between the amount of daily protein, fats and carbohydrates requires mandatory medical intervention. It is better to entrust the preparation of the menu to a nephrologist or nutritionist in order to avoid painful complications.

Table number 14 for urolithiasis

Urolithiasis is a common cause of nephropathy, so proper nutrition is aimed at reducing stones and is necessary for the removal of stones.

Food ingredients should acidify the urine to quickly dissolve the phosphorus-calcium precipitate and prevent the build-up of residual nitrogen.

salt-free diet

The usual companions of nephropathies of various origins are internal and external edema, high and unstable pressure. That is why salt restriction and adherence to the basics of a healthy diet are recommended.

Excluding additional sodium, patients should remember that salt is contained in a minimum amount in all foods, especially in marine fish and seafood, plant foods.

It is necessary to cancel salt gradually and completely exclude its use in food in 2 weeks. Following the rules of a salt-free diet, it is enough to remember the following nuances:

  • eat only self-cooked food;
  • the salt shaker must be placed on the table so that households can independently add salt to food after cooking;
  • to improve the taste, you can add pepper, tomatoes and other salt-free spices.

Modern dietetics and cooking can significantly improve the taste of dietary dishes, so patients experience virtually no discomfort during the professional transition to medical nutrition. The usual “hospital” meatballs of an unpleasant appearance have long sunk into the past.

salt diet

Another clinical situation is sodium deficiency or hyponatremia. Here, clinicians prescribe salt or mineral water to normalize the water and electrolyte balance in the body.

However, when prescribing a salt diet, a number of the following rules should be followed:

  • determination of the daily dose of table salt according to the analysis of electrolytes;
  • salting only cooked food before eating;
  • uniform distribution of the daily volume of salt.
Additionally, mineral water without gas can be introduced, but not more than 0.5 liters per day, provided that the dishes are salted. A salt diet is observed until the level of sodium in the blood is normalized.

apple diet

Apple diet is prescribed for kidney disease, which is accompanied by obesity, circulatory disorders in the kidney structures, pathologies of the liver and biliary tract. You need to eat up to 1.5 kg of ripe or baked apples per day.

Protein free diet

A low-protein diet is necessary for intoxication from uremia - an acute retention of nitrogenous components in the body, especially when emergency hemodialysis is not possible. The basis of the diet is the restriction of protein to 25 g per day along with an increase in fats and carbohydrates.

The protein component can be replaced with soy protein. The total calorie content of the menu should not exceed 2700 kcal per day. All food is prepared without salt.

Cabbage-potato diet

Especially effective is the cabbage-potato diet for oxaluria - excretion of oxalic acid in the urine. During the course of therapeutic nutrition, only cabbage and potatoes are eaten, so the course of treatment with food is no more than 7-10 days. Such nutrition is recommended for ultrasound of the kidneys as a preparation.

oatmeal diet

A decoction of oats not only has a beneficial effect on the kidney tissue, but also contributes to the healing of the whole organism. It is recommended to eat boiled oatmeal per day and drink oat milk in combination with other food ingredients. Oats allow you to eliminate acidosis almost like with the use of absorbent drugs.

Oatmeal broth is drunk on an empty stomach for a long time to reduce the risk of stones and sand in the organs of the genitourinary system.

Watermelons allow you to remove toxins from the kidneys, stop the death of nephrons. The diet is effective at an early stage of PN with the preservation of kidney function, without swelling. The diet is useful for no more than 5-7 days, after which it is important to take a break. Watermelons should be ripe, of high quality, without suspicion of chemical "lure". Such a diet is unacceptable for severe heart failure and severe functional impairment of the kidneys.

Table after Giordano - Giovanetti

The total calorie content of the diet is 2300-2600 Kcal per day by increasing carbohydrates to 380 g, and fats to 130 g. Protein is reduced to a minimum daily dose of 50 g. Daily salt intake is 5 g. Fluid is limited in accordance with the clinical history. In the absence of edema, the daily fluid approximately corresponds to diuresis. It is prescribed for urea clearance less than 0.05 ml / min.

Only long-term and adequate use of a therapeutic diet can achieve stable results in relation to the underlying disease that led to the development of chronic renal failure or acute renal failure. In chronic deterioration of kidney function, the diet is usually lifelong.

Is a high protein diet bad for the kidneys?

A healthy human diet should contain complete protein found in chicken eggs, fish, meat, seafood and red caviar. However, excessive consumption of protein or the use of its physiological norm in renal failure leads to negative consequences.

If healthy kidneys are able to excrete the breakdown products of protein foods, then if the kidney functions are impaired, this process occurs much more slowly or does not occur at all. In this case, there is an accumulation of toxins in the blood, leading to serious violations of the functions of other organs and systems.

If there is an increase in the protein component in food, then it is important to proportionally reduce the amount of carbohydrates and fats consumed. Any diet for weight loss due to protein is important to coordinate with specialists in order to exclude the development of complications.

The potassium-free diet follows the same principles, where it is important to limit all potassium-containing foods, but moderately so as to exclude the development of hypokalemia. Any mono-diet is harmful to the kidneys in the presence of diseases of the digestive system.

Nutrition rules

The main task of dietary nutrition is to prevent the death of kidney tissue cells - nephrons. The only way to create the right balance between saturating the body with useful substances and preserving kidney function is to follow a low-protein diet and limit salt, including its derivatives. The following aspects are considered important:

  • gradual decrease in daily protein to 20-80 g (the volume is determined by the stage of the pathological process);
  • increase in calorie content should be carried out by increasing daily fat and carbohydrates;
  • mandatory inclusion in the diet of fresh fruits, root crops and other vegetables, however, taking into account the protein component;
  • cooking by boiling, stewing, steaming.
The daily volume of fluid intake should be selected based on the general condition and clinical history. With concomitant heart failure, swelling and other complications, the drinking regimen should be limited to 0.9-1 l of liquid. Also, you should eat small portions 4-6 times a day.

Doctors recommend that you follow the accuracy of medical instructions, keep nutrition notebooks and carefully record the foods you eat. Of course, not all patients are able to observe such scrupulousness and discipline, however, clinical studies have proven an increase in the duration and quality of life of patients with chronic renal failure and a clear discipline.

In addition to the main restrictions, potassium is excluded from the diet (some exotic fruits: avocados, mangoes, bananas). Excess potassium impairs the functionality of the kidney structures, worsens the results of the diet and disturbs the electrolyte balance.

Diet indications and contraindications

The main indication for nutritional discipline in renal failure is the confirmed diagnosis itself. Proper nutrition is shown to cleanse the kidneys. Clinical dietetics obliges patients to change their usual diet to maintain the quality and length of life.

  • children's age up to 3 years;
  • pregnancy and lactation in women;
  • severe dystrophy;
  • severe heart failure;
  • general severe condition.
Before prescribing a diet, it is important to take into account multiple clinical criteria, so it is unacceptable to independently determine the diet. For stages 1 and 2 of chronic renal failure, the changes are minor, they can be administered without harm to the health of the genitourinary system, but in the terminal stages, the diet includes more stringent restrictions.

Diet in young children against the background of renal failure is not only ineffective, but also harmful. Children need to grow, develop body weight, so food should be complete, saturated with proteins. The only restriction that applies to children is drinking in the presence of edema.

With 1, 2, 3, 4 degrees of renal failure

Experts divide the nutritional features into stages 1-3 and in the terminal stages of PN.

Stage of pathology Principal Aspects

I degree

Menu No. 7 is recommended with protein restriction to 60-70 g per day, sodium is completely excluded. The total energy value of nutrition is increased due to the fat-carbohydrate component. The calorie content is 2500 kcal. Such nutrition reduces puffiness, normalizes cholesterol levels.

II degree

Recommended table number 7b. Daily protein is not more than 50 g. The calorie content of meals per day should not exceed 2000 Kcal. Blood tests monitor sodium levels and, with normal levels, salt is still excluded. The use of food ingredients that cause fermentation and bloating is unacceptable.

III degree

The menu is based on the reduction of protein to 20 g, the exclusion of sodium. Restrictive measures in nutrition at the 3rd stage of the pathological condition are introduced in episodes of 7-10 days with smooth transitions to table No. 7 or 7b.

Terminal stages (IV-V)

Against the background of inhibition of renal functions, it is recommended to increase the daily protein to 120 g while simultaneously limiting salt, sugar (including sugar-containing foods), liquids to 0.7-0.9 liters per day, which corresponds to table No. 7c. With chronic renal failure with the need for hemodialysis. Rational nutrition according to the dietary menu 7g.

There are no special differences in stages 1, 2, 3, except for variations in the daily protein in the body. At the late stage of PN, diets are combined with each other according to the analysis data. Patients regularly take blood tests for electrolyte balance. Control sodium, magnesium, potassium, calcium, chlorine.

With long-term adherence to dietary nutrition and adequate symptomatic therapy, it is possible to significantly slow down the course of chronic renal failure, to maintain a stable stage I-III of organ dysfunction for a long time.

With chronic renal failure

In chronic nephropathy, the basis of the therapeutic diet is the menu of table No. 7 or 7c with their alternate use. The average amount of daily protein in chronic renal failure varies from 50 to 70 g, salt is limited to 4 g. General recommendations for the patient correspond to the clearance of creatinine, urea, electrolytes in the blood.

For acute renal failure

The goal of nutrition in acute renal failure is to reduce the load on the renal nephrons, accelerate metabolic processes, eliminate edema (including internal edema), and stabilize pressure. At any stage of ST, the consumption of fat and carbohydrates is moderately reduced, the sodium and protein component are almost completely limited. At the oliguric stage, the daily protein intake is only 20 g. The total calorie content does not exceed 2300 Kcal.

In a serious condition of the patient, it is necessary to recommend limiting protein to 20 g, carbohydrates to 450-500 g, and liquids to 1-2 glasses per day. The total duration of severe restrictions lasts about 1-2 weeks until the patient's condition stabilizes. Over time, nutritional requirements are weakened.

The main principle in nutrition with acute renal failure is protein restriction along with maintaining a high calorie content of meals. This is necessary to prevent the destruction of the body's own tissues and to prevent a strong load on the renal structures.

Products

The appointment of a diet, as well as its periodic correction, is the prerogative of the attending physician. The scheme of therapeutic nutrition is built on the basis of data from blood tests, urine, clinical history and concomitant diseases. The entire diet is based on the following foods:

  • poultry meat, young veal;
  • fermented milk products and eggs (no more than 50-100 g per day);
  • vegetable and weak meat broths and soups based on them;
  • fresh fruits, vegetables, berries;
  • sweets: honey, marshmallow, marshmallows;
  • drinking: a decoction of wild rose berries, lingonberry or cranberry juice, weak green tea, black tea with milk, water, dried fruit compote.
Cooking is carried out by the method of boiling, stewing, baking. Among the general list of prohibited foods for any kidney disease, the following products are distinguished:
  • rich meat and fish broths;
  • complex dishes from meat and fish of secondary processing;
  • preservation, pickles, marinades, preserves, smoked meats;
  • bitter vegetables: radish, turnip, garlic, radish;
  • hard, refractory, young salted cheeses (the product is generally significantly limited in use);
  • baking, confectionery;
  • mushrooms;
  • legumes;
  • nuts, dried apricots, prunes, bananas, grapes;
  • watermelon and melons with severe swelling, severe heart failure;
  • sweets: chocolate, butter creams, ice cream;
  • strong coffee, tea.
From drinks it is important to exclude sweet syrups, sodium mineral water, carbonated drinks with the addition of dyes or sweeteners. With kidney failure, do not drink cocoa, instant hot drinks and alcohol. Alcohol should not be drunk in any doses, even very high-quality red wine.

Approved Products

Products BJU Kcal per 100 g

Vegetables

zucchini and zucchini 0,5 / 0,3 / 4,5 24
carrot 1,2 / 0,1 / 6,5 32
tomatoes 0,6 / 0,3 / 4,1 31
pumpkin 1,4 / 0,3 / 7,6 29
potato 2 / 0,4 / 18,1 26

Fruits and berries

watermelon 0,6 / 0,1 / 5,8 27
apples 0,5 / 0,5 / 9,8 45
strawberry 0,8 / 0,4 / 8,5 41
dried apricots 5,1 / 0,3 / 52 217
melon 0,6 / 0,45 / 6,9 31
dates 2,5 / 0,6 / 67 270

Groats

rice 6,6 / 0,5 / 78,9 344
buckwheat 12,5 / 3,2 / 62 315
chickpeas 0,8 / 2,4 / 55 124
peas 3,5 / 6,7 / 78 212

Milk and dairy products

kefir 3,4 / 2 / 4,5 53
milk 3,2 / 3,6 / 4,8 65
milk sauce 2,3 / 6,9 / 5,2 77
cheeses 54,7 / 54,6 / 9,9 415
sour cream 2,9 / 20 / 3,2 206
yoghurts 4,5 / 2 / 3,4 55

Meat and poultry

beef 25,8 / 16,2 / 0,1 256
chicken 25,1 / 7,4 / 0 170
steam room veal 41 / 0,9 / 0 140
rabbit meat 22 / 10 / 0 166
turkey 20 / 9 / 0 88

Egg

chicken 12,7 / 10,9 / 0,7 157
quail 14 / 11 / 0,4 200
goose 11 / 0,8 / 0,6 160

Oils

creamy peasant 2,1 / 72 / 1,6 450
sunflower 0 / 100 / 0 900
corn 0 / 89,9 / 0 890
olive 0 / 98 / 0 899

Beverages

black tea with sugar 0,5 / 1 / 8,2 43
apricot juice 0,7 / 0,2 / 9,5 40
pumpkin juice 0 / 0,5 / 10 40
carrot juice 1,3 / 0,2 / 6,5 30

Sweets

jam 0,3 / 0,2 / 62 261
jelly 2,7 / 0,1 / 18 79

Prohibited Products

Products BJU Kcal per 100 g

Vegetables

cabbage 1,9; 0,1; 0 21
onion 1,4; 0; 4,6 40
radish 1,4; 0; 4,1 21
horseradish 3,2; 0,4; 10,5 56
garlic 6,5; 0,5; 9,6 144
turnip 1,5; 0,1; 6,2 30
canned cucumber 2,8; 0; 1,3 16

Fruits

bananas 1,5; 0,2; 29 95
apricots 0,9; 0,1; 10,8 45
peaches 0,7; 0,25; 10,9 48

Mushrooms

conservation 3,1; 2; 2,7 33
fresh mushrooms 2,8; 3; 1,5 40

Sauces

ketchup 1,8; 1; 22,3 93
mayonnaise 2,4; 67; 3,8 627
mustard 5,4; 6,6; 24 162
horseradish sauce 2,2; 0,9; 33 140

Meat and poultry

pork 17 / 21,2 / 0 261
salo 16,3 / 66,7 / 0 579
smoked poultry meat 27,5 / 8,2 / 0 188
animal fat 0 / 99,6 / 0 897
duck 16,6 / 60 / 0 340

Fish

smoked fish 26,8 / 9,9 / 0 196
canned fish 17,5 / 2 / 0 88
fat salmon 36 / 23 / 0,2 456

Dairy products

fatty cottage cheese 17,2 / 9,9 / 1,8 121

We bring to your attention the program “Live healthy” with Elena Malysheva, which tells about the three most harmful products for the kidneys.

Diet Features

If renal failure in adults usually has a secondary factor and is a complication of a concomitant disease of the genitourinary system, then in young children the main cause is congenital malformations.

From a certain time, the mechanisms of nephron damage are the same and are characterized by an identical course, with the exception of the rate of growth of the pathological process. There are no differences in the diet of children and adults with renal failure, but there are some features of the menu:

For children

The child's body is especially sensitive to various restrictions due to CRF. The child's body is developing intensively, they need an abundant protein content and high calorie content in the diet. No special dietary restrictions are imposed, except for the control of salt according to blood tests for sodium content, fluids to prevent swelling.

For pregnant women

When a woman is pregnant, there are some nuances. If a woman has previously observed a therapeutic diet before pregnancy, then during gestation, you can maintain your usual diet with slight adjustments according to the doctor's indications.

If the pathology is first diagnosed during gestation, then doctors limit the woman in all harmful products, recommend limiting salt and liquid. Protein decreases slightly during pregnancy.

Against the background of PN, chronic anemia of I-II degree often develops, therefore it is important to include vitamin complexes, iron-containing products in the diet. During the diet, it is important to monitor blood tests at least once every 3 months.

For men and women

There are no fundamental differences in the preparation of the treatment menu for men and women. Pathology does not have excellent mechanisms for dysfunction of the renal tissue by gender.

Menu for the week

Modern dietetics offers a rather extensive menu for patients with nephrotic syndrome of any nature. Sample menu for each day:

First day

  • Morning hours: rice porridge with water or low-fat milk, curd mass with raisins, green tea with honey.
  • Dinner: vegetable soup with sour cream, 100 g of lean boiled beef.
  • Afternoon snack: biscuit cookies, warm broth of their rose hips without sugar.
  • Dinner: fish steam cutlets, zucchini casserole, 200 ml of kefir.

Second day

  • Morning hours: cottage cheese pudding, oatmeal with raisins, green tea.
  • Dinner: pumpkin cream soup with celery, vinaigrette, croutons.
  • Afternoon snack: 100 g of lean beef or boiled chicken breast, thick berry jelly.
  • Dinner: meatballs with rice and vegetables, apple compote.

The third day

  • Morning hours: boiled buckwheat porridge, a glass of milk, a spoonful of honey.
  • Dinner: borsch with sour cream, boiled meat, salad of fresh vegetables and vegetable oil, dried bread.
  • Afternoon snack: thick jelly, vegetable stew.
  • Dinner: chicken breast steak, pasta, kefir.

Fourth day

  • Morning hours: semolina porridge, bread, green tea.
  • Dinner: soup with homemade noodles, cucumber salad with sour cream and greens, bread.
  • Afternoon snack: oatmeal with dried fruits, a decoction of rose hips.
  • Dinner: chicken fillet casserole with boiled potatoes, sweet cottage cheese with green tea.

Fifth day

  • Morning hours: boiled millet in low-fat milk, sandwich with lettuce and eggplant, rosehip broth.
  • Dinner: vinaigrette, cabbage soup, toast.
  • Afternoon snack: oatmeal with fruit, warm milk with honey.
  • Dinner: vegetable stew of eggplant, zucchini or zucchini in a pot.

Sixth day

  • Morning hours: milk rice porridge, curd cheese, green tea.
  • Dinner: vegetable soup with boiled beef, boiled buckwheat, apple compote.
  • Afternoon snack: cottage cheese and rice casserole with jam or jam, jelly.
  • Already in : meat meatballs with rice and vegetables, kefir, raisins.

Seventh day

  • Morning hours: buckwheat porridge in milk, rosehip broth.
  • Dinner: vegetable soup, beetroot salad with walnuts and prunes, boiled fish and boiled potatoes.
  • Afternoon snack: vegetable stew, boiled meat.
  • Dinner: meat casserole with boiled pasta, cucumber salad with sour cream.

Drinking throughout the weekly menu can be varied. For afternoon snacks, it is important to add fresh berries and fruits. In the evening, you can eat desserts: gelatinous jelly, marshmallow, marmalade. At night it is recommended to drink kefir, but not more than 150-200 ml.

Recipes

To prepare the simplest soups, you can take as a basis some delicious and healthy recipes.

First meal

  • Eggplant soup. Eggplants are washed, cut into slices and stewed a little in a frying pan without oil. Carrots, bell peppers and potatoes are stewed in a small amount of water, combined with eggplants and brought over low heat to about full readiness. The soup is definitely insisted. Chopped greens, fresh garlic are added for taste.
  • Vegetable pickle. Cut carrots, potatoes, cabbage, onions and tomatoes into cubes, add a little water and simmer over low heat. After that, boiled beef, greens are cut and added to the soup. Before serving, the soup is insisted for about half an hour.

Main courses

  • Stuffed zucchini. Medium zucchini is peeled, viscera, divided into two equal halves. For the filling, sauté onions, carrots, boil a little rice, an egg. All ingredients are mixed and combined with sour cream sauce. The recesses in the zucchini are filled with stuffing, sprinkled with grated cheese and herbs on top, put in the oven until cooked. Other .
  • Braised pumpkin. Vegetables are peeled, cut into small pieces and stewed with onions, pouring 300 ml of water for about half an hour. After cooking, greens, lemon juice and a little sour cream are added. The recipe is great for baby food. Even more .

Beverages

  • Rosehip decoction. A handful of rosehip berries are washed under running water, placed in a saucepan, pour 2 liters of water and put on the stove. The broth is boiled for about 15 minutes, after which the fire is turned off, and the broth is infused until completely cooled.
  • Apple compote. 3-4 apples are cut into small slices, after removing the core. Pieces pour 2 liters of water and bring to a boil. Then leave to cool completely. It is not necessary to filter. In details .

Modern dietology knows many different recipes. If you connect your imagination, some insipid dishes can be turned into real masterpieces.

Diet for comorbidities

Often, nutritionists combine several therapeutic nutrition schemes at once when it comes to comorbidities. Features of nutrition in chronic renal failure are slightly different in the case of concomitant diseases and conditions.

With diabetes

The treatment of both pathologies is a serious daily work aimed at eliminating ketoacidosis or glycosuria (impaired carbohydrate metabolism and glucose excretion in the urine, respectively).

The basic principle of compatibility and chronic renal failure is low-carbohydrate nutrition and a small amount of protein food. Be sure to take into account the features of the course of diabetes.

The longer the patient is able to maintain normal blood sugar levels, the lower the risk of developing secondary nephropathy. Otherwise, when CRF caused diabetes, it is enough to stick to table number seven.

With pyelonephritis

With inflammation, it is important to ensure a plentiful drinking regimen. Drinking allows you to quickly remove pathogenic environments from the body. At the same time, you should adhere to table number 7 to prevent swelling, increase blood pressure. The basis of nutrition is the reduction of proteins and the normalization of the ratio of proteins and carbohydrates.

With elevated creatinine

High creatinine is one of the indicators of impaired organ functionality. The basis of nutrition is the reduction of daily protein to 60 g per day, followed by its decrease. At the same time, you should increase the calorie content to 3000 Kcal. With high creatinine, a course of amino acids is required. Ketosteril is especially effective in this respect.

with low hemoglobin

Anemic syndrome in various nephropathies cannot be corrected only by nutrition. In the early stages of chronic renal failure, iron preparations can be corrected (orally). In the later stages, it is important to use iron-containing drugs along with erythropoietin (subcutaneously).

For kidney stones

With urolithiasis and with sand in the kidneys against the background of chronic renal failure, it is important to achieve the normalization of metabolic processes, especially purines. At the same time, work is underway to correct the weight, oxidation or alkalinization of urine (the degree of reaction for stones is determined by the nature of the sediment and neoplasms). For kidney stones, diet No. 6 is recommended, where the protein content is 80 g per day, fat is 90 g, and carbohydrates are 300-400 g.

With hemodialysis

When the blood is purified by the “artificial kidney” apparatus, the nutrition changes and becomes stable. The main principles of the hemodialysis diet are the following aspects:

  • an increase in protein to 1.3 g per kg of human weight;
  • restriction of products and medicines, which include aluminum;
  • drinking regime - about 5% of body weight;
  • restriction of foods containing potassium.
Otherwise, the nutrition of patients on dialysis is no different from the diet of healthy people, with an indispensable restriction of prohibited foods.

Unfortunately, there is no universal diet for kidney disease due to the individuality of the human body. Nutrition is only an aid in the treatment of deficiency, it cannot be considered as an independent therapy. The prognosis is largely determined by the nature and rate of damage to the kidney tissues, as well as concomitant complications and the age of patients.

Anna Levina

Nephrologist

The kidneys are one of the busiest organs in the body. They filter up to 2000 liters of blood per day, separating nutrients from urea, creatine and uric acid. The kidneys maintain the water-salt balance of the blood, remove toxins and foreign substances, excess organic and inorganic substances, and also generate the hormones aldosterone and erythropoietin. But when internal or external adverse factors appear, they sooner or later cease to cope with their tasks. In this case, they will be helped by a kidney diet, designed to relieve the load and create conditions for recovery. In medicine, the kidney diet is called treatment table number 7.

diet for kidney failure

Diet in renal failure can be used in particular in acute and chronic nephritis. Its main task is to unload the kidneys, reduce pressure and edematous phenomena, and also to establish the excretion of decay products from the body.

A diet for kidney failure limits proteins, fats and carbohydrates within physiological norms, but meat, fish, mushroom broths, products containing oxalic acid and essential oils are banned. Salt intake is reduced to 3-6 g per day, depending on the doctor's recommendation. Another limitation that the kidney diet puts is free fluid, it can be consumed up to 1 liter per day.

  • bread, pancakes and pancakes without salt;
  • vegetarian soups with vegetables and cereals, which can be seasoned with butter, sour cream, herbs, citric acid, vinegar, and even sautéed and boiled onions;
  • lean meat and fish boiled, steamed or baked;
  • milk, cream, dairy products, cottage cheese;
  • whole eggs, soft-boiled and yolks;
  • pasta and all cereals, except legumes;
  • potatoes and most fresh vegetables;
  • all fruits and sweets except chocolate;
  • sauces based on tomato, milk, sour cream, fruit and vegetable;
  • tea, weak coffee, juices, rosehip broth;
  • vegetable, ghee and butter.

On the renal diet are prohibited:

  • flour products with the addition of salt;
  • soups on meat, fish, mushroom broth and with the addition of legumes;
  • fatty meats, sausages, sausages, smoked meats and canned food, fatty, salted, canned, smoked fish and caviar;
  • cheeses;
  • legumes;
  • onions, garlic, radishes, radishes, sorrel, spinach, mushrooms, as well as vegetable preparations;
  • chocolate;
  • strong coffee, cocoa, mineral water;
  • lard (limited).

To make it easier for you to navigate, we offer a kidney diet menu for the day.

For the first breakfast, you can cook a soft-boiled egg, buckwheat porridge and tea. For the second breakfast - baked apples. For lunch - vegetarian borsch with sour cream, boiled meat with fried potatoes and dried fruit compote. For an afternoon snack, you can drink a rosehip broth. For dinner, steamed carrot-apple meatballs, noodles with cottage cheese and tea are prepared.

Diet for acute and chronic glomeralonephritis with severe renal failure

This type of diet for kidney disease is even more sparing of the function of these organs of the excretory system.

The rules of the kidney diet are the same as in the previous diet. But this time, food is predominantly plant-based, and foods containing proteins and table salt are sharply limited.

On this diet option for kidney disease, the recommended foods include:

  • bread baked with yeast without salt;
  • vegetable, potato and fruit soups with onion, sour cream dressing and herbs;
  • lean meat is limited to 50-60 g per day;
  • milk, cream, sour cream and cottage cheese are limited to 60 g per day, and are consumed only with the exclusion of meat and fish;
  • you can add up to 1/2 eggs per day to meals, or eat eggs in the form of omelettes 2-3 times a week;
  • sago and limited amounts of rice, as well as protein-free pasta;
  • up to 250 g of potatoes and up to 450 g of fresh vegetables per day;
  • fruits, berries raw, baked or cooked in the form of jam, jelly, jelly;
  • weak tea with lemon, juices, rosehip broth;
  • butter, ghee and vegetable oils.

On the renal diet are excluded:

  • regular bread with salt;
  • all broths except vegetable and sago;
  • all meat and fish products other than the recommended lean minimum;
  • cereals, pasta, legumes;
  • vegetable preparations, as well as all vegetables from the previous prohibited list;
  • chocolate, milk jelly and ice cream;
  • meat, fish, mushroom sauce, horseradish, mustard, pepper;
  • coffee, cocoa, mineral waters with sodium;
  • cooking oil.

The rules of the diet for renal colic will depend on the nature of the stones that form in the kidneys. For example, phosphate stones are formed in a predominantly alkaline environment, and urate stones are formed in an acidic environment. This affects the approach to diet.

4.3 out of 5 (7 Votes)

Inflammation of the kidneys affects all segments of the population. The risk group consists of children under the age of seven, women in the childbearing period and men of advanced years. The most common cause of pathology is hypothermia and the consequences of colds. To get rid of pain, it is not enough to undergo a medical course of treatment. The diet for diseased kidneys is designed to promote the healing process.

Inflammation of the kidneys provokes a failure in the human body of water-electrolyte and acid-base balance. As a result, swelling of tissues is formed, signs of hypertension appear, toxic poisoning is observed with the remains of metabolic products that the body cannot remove in a timely manner. Most often, the inflammatory process is diagnosed if the diagnosis is made: nephritis, pyelonephritis.

Nutrition for inflammation of the kidneys developed by the attending urologist, taking into account:

  • anti-inflammatory effect, which can significantly accelerate the full recovery;
  • cleansing the urinary tract improves the outflow of fluid from body tissues;
  • health foods should not put a heavy burden on the kidneys;
  • you should eat food that helps normalize blood pressure, improve the body's water balance;
  • adherence to a therapeutic diet can prevent the development of a chronic process;
  • filling the daily menu with vitamins helps to increase immune protection.

With diseased kidneys, it is necessary to minimize the intake of proteins and fats of animal origin, and increase the amount of carbohydrates. The amount of salt consumed in the diet should be limited to no more than 5 grams per day.

It is not necessary to completely refuse salt in the diet, as the onset of kidney failure is possible. It is advisable to flavor food with spices and herbs to give it a more appetizing look.

In kidney disease, the diet aims to balance the intake of protein, sodium and phosphorus salts. Recommended amount of protein 25 g per day otherwise aggravation is possible.

For pain in the kidneys, food should be cooked boiled or baked, but at the same time the body should not suffer from a lack of nutrients.
It is recommended to reduce single doses of products by increasing the frequency of meals up to 5-6 times daily. Dinner must be no later than two hours before a night's rest. This diet helps to defeat pyelonephritis.

During the day, be sure to drink at least 1 liter of pure non-carbonated water, it is recommended to eat foods that have a diuretic effect: fresh cucumbers, pumpkin, watermelon, melon, zucchini. If there are no edema and liver diseases, the amount of water should be increased to 2.5 liters.

The calorie content of the diet throughout the day in adults should not be less than 3500 kcal. In case of refusal, the body will begin to use its protein supply, increasing the load on the kidneys. 1-2 times a week is recommended arrange fasting days eating any one vegetable or fruit product. If pyelonephritis is accompanied by low hemoglobin, it is recommended to enrich the diet with apples, strawberries, pomegranates and other iron-containing foods.

List of prohibited products

When treating, it is strictly forbidden to eat fried, pickled dishes. Avoid eating spicy, fatty, salty foods. It is forbidden to use strong rich broths from meat, fish, mushrooms for food. It is recommended to drain the first portion when cooking a dish. Filling the product with fresh water, bring the process to readiness.

If the patient has acute stage pyelonephritis, then the basis will be a protein-free diet for kidney disease, but the following should be avoided:

  • canned meat and fish, semi-finished products, seafood;
  • sharp hard cheeses;
  • seasonings (mayonnaise, mustard, horseradish, ketchup, etc.);
  • coffee, cocoa, strong tea leaves;
  • fatty lactic acid products;
  • black bread;
  • onions in any form, garlic, radish;
  • alcohol of any strength;
  • chocolate, fatty confectionery;
  • legume products;
  • margarine, lard, fat.

When pyelonephritis passes into an inactive phase, the diet can be slightly expanded, it is allowed to practice a protein diet.

What products are allowed and useful

Despite the limitations, the composition of the diet for people with diseased kidneys must be varied, the nutritional value of which is sufficient for normal human life support.

It is allowed to use the following products during treatment:

  • low-fat boiled meats up to 200 g per day 3-4 weeks after switching to a diet;
  • limited quantity durum wheat pasta;
  • unsalted bread, preferably with bran - for weight loss;
  • cereal porridge cooked in water or with the addition of low-fat milk;
  • chicken eggs, limiting the use of 2 pieces daily;
  • vegetable soups with the addition of cereals or pasta, seasoned with butter;

When exacerbated, you can not eat:

  • boiled, baked, fresh vegetables, plant foods (carrots, potatoes, cabbage, cucumbers, zucchini, pumpkin, lettuce, beets);
  • you can use non-acidic greens;
  • fruits in fresh or boiled, baked form. Compotes, kissels, freshly squeezed juices.
  • citrus fruits are prohibited as sources of allergies;
  • weakly brewed tea or coffee;
  • milk and lactic acid products of low-fat composition are allowed to be consumed in limited quantity.
  • diuretic watermelon should also be limited in nutrition, including with one kidney, so as not to provoke a deterioration in the condition.

Menu for the week

With a diet, the human body still needs good nutrition, even if inflammation of the kidneys or bladder is diagnosed.

The menu is usually compiled for a week, including all the nutrients necessary for the body in the composition of the dishes; for kidney problems, the allowed foods are as follows:

  1. Egg white omelet, slice of bran bread with butter.
  2. Buckwheat porridge boiled in water, hard-boiled egg.
  3. Milk soup with durum vermicelli, boiled egg.
  4. Millet porridge, bread with jam and butter.
  5. Milk porridge made from Artek wheat groats, sweet pancakes cooked without salt.
  6. Thin pancakes stuffed with jam, hard boiled egg.
  7. Cornmeal porridge with pumpkin, bread spread with a thin layer of butter.

Drinks are served: not strong tea, milk, yogurt.

An approximate menu for a second breakfast with a diet for the kidneys should be varied with dishes (in addition to the menu of tables 7, 7a and 7b):

  1. Low-fat cottage cheese pudding.
  2. Mashed potatoes with boiled fish.
  3. Fresh fat-free cottage cheese, you can add sugar.
  4. Vinaigrette or other salad of boiled vegetables with vegetable oil.
  5. Milk porridge with fresh or dried fruits and similar recipes.
  6. Sweet cottage cheese casserole.
  7. Steam fish with garnish.

Drinks for lunch can be varied with milk sweetened with kefir, decoctions of medicinal plants with sugar or honey.

Lunch meals are a must should include various vegetable soups, 200 g of boiled meat of lean beef, veal, chicken. Drinks: compote or jelly from apples, cherries, sweet fruit juices.

The low-protein diet menu is expanding with cottage cheese, meat, pasta potato casseroles, steamed fish cakes, cottage cheese with sugar, oatmeal with fruit fillings. The list of drinks varies with a portion of low-fat milk, tea with milk, compote, rosehip broth. 2 hours before bedtime, it is recommended to take 200 ml of low-fat sour-milk drink with added sugar or honey.

If the disease has become chronic, then it is necessary to adhere to a diet for life. Only the attending physician can correct the composition of the diet!

Remember: therapeutic nutrition in kidney disease plays an exceptional role. Table number 7 according to Pevzner is designed to help the nephrological patient figure out how to eat right. Brilliant therapist M.I. Pevzner dotted the “I” back in the last century.

The activity of the kidneys for the normal functioning of the human body is undeniable. Surprisingly, it is a fact: our kidneys are able to filter and purify more than a THOUSAND LITERS of blood per day!

Note!
Kidney Week 2015 released the results of two scientific studies that prove that conventional heartburn medications that reduce the release of hydrochloric acid in the stomach increase the risk of chronic kidney disease by 20 to 50%. Do not abuse antacids!

Kidney disease is one of the most pressing problems of modern medicine.

Did you know?
Angina can cause severe kidney disease. It's all about the causative agents of this insidious disease: streptococcus, phylococcus, etc. Being in the blood, these microbes can easily penetrate the kidneys and infect them. Conclusion: if you often have a sore throat, take an annual analysis for bacterial culture from the nasopharynx to exclude bacterial carriage.

How to understand that something is “wrong” with the kidneys?
If you notice the following complaints in yourself, run to a nephrologist (urologist or therapist):

  • unpleasant sensation in the lumbar region;
  • frequent urination, even at night;
  • swelling on the face;
  • discomfort during urination.

Let's move on to the topic of the post: how to eat right with kidney disease? What do you need to know?

Remember!
Fasting is strictly contraindicated for people with kidney disease! When you refuse food, the body begins to consume not only fats, but also its own proteins. Toxins begin to be thrown out, which increases the load on already diseased kidneys.

Principles of Diet No. 7 according to Pevzner

The main purpose of diet table number 7 is to reduce the load on the kidneys by significantly reducing protein intake per day. This kind of "protein unloading" contributes not only to the restoration of kidney function, but also has a positive effect on the entire body as a whole. It is prescribed for patients with chronic kidney disease in the absence of signs of chronic renal failure.

Tasks of table number 7 according to Pevzner:

  • facilitate the work of the kidneys;
  • reduce the load on the body;
  • increase daily diuresis;
  • improve the process of cleansing the body of nitrogenous toxins;
  • stimulate the process of urination;

The diet of "renal" patients should include products with a diuretic effect:

  1. cucumbers,
  2. beet,
  3. pumpkin,
  4. zucchini,
  5. raw vegetable salads;
  6. prunes;
  7. apricots;
  8. watermelon;
  9. melon,
  10. dried apricots;
  11. raisin.
  • eliminate swelling;
  • create favorable conditions for blood circulation and reduce hypertension.

Table number 7 according to Pevzner obliges:

  1. minimize salt in your diet (no more than 4 grams per day);
  2. limit extractives;
  3. reasonably reduce the intake of carbohydrates and fluids;
  4. the diet should be dominated by foods rich in potassium salts (raisins, dried apricots, apricots) and calcium;
  5. increase the proportion of foods containing vitamins C, B and P;
  6. thermal processing of food.

Want to spice up unsalted foods?
Add some wine vinegar or lemon juice.

Indications for the appointment of diet food according to Pevzner (table No. 7):

  • The period of recovery in acute nephritis.
  • Nephropathy of pregnancy.

The daily calorie content of food is 2200 kcal.
The Pevzner dietary system, like any other type of diet, has a number of permitted foods and those that should be avoided.

General rules for the therapeutic diet No. 7 according to Pevzner

  1. The therapeutic diet of table No. 7 according to Pevzner allows the use of salt in an amount of not more than 4 grams, taking into account its content in food. Allowed flour products are recommended to be baked without salt.
  2. Meat and fish products must be natural and dietary varieties. A prerequisite for the preparation of these products is boiling, and if necessary, it is allowed to finish the cooking process in the oven. No more than 100 grams are consumed per day.
  3. Eggs are allowed. They should be soft-boiled or cooked in the form of a classic omelette. The daily norm is no more than 2 pieces.
  4. Any cooked dishes can be seasoned with sour cream, butter or olive oil. It is forbidden to use sunflower oil, mayonnaise, ketchups and sauces. Sugar is recommended to be replaced with honey.
  5. The use of fruits and vegetables in the diet is not limited, they can be consumed fresh and boiled. Diet No. 7 according to Pevzner is based solely on vegetable broths. From fruits it is allowed to prepare salads seasoned with sour cream, cook compotes and jelly, and prepare desserts. The use of pickled, canned and salted vegetables and fruits is strictly prohibited.
  6. From drinks, in addition to compotes and jelly, it is allowed to drink fermented milk products, green and black teas, cream, weak coffee without caffeine. It is worth noting that it is recommended to include herbal teas with diuretic properties in the daily diet.
  • Porridge, pasta from durum wheat.
  • Meat products - rabbit, veal, chicken, turkey.
  • Bakery products - any products without salt.
  • Skimmed dairy products.
  • Fresh fruits and berries.
  • Vegetables.
  • Seafood - mussels, squid, shrimp in a minimal amount.
  • Fish - perch, cod, pike perch.
  • Eggs - 1 - 2 pieces.

All products must be steamed, boiled or cooked in a slow cooker. The amount of food consumed is not limited.

Be sure to drink purified water in the amount of 1.5 - 2 liters.
Don't forget to take daily walks in the fresh air!

What to avoid when compiling a menu for table number 7 according to Pevzner

The essence of the diet is the limited use of foods containing protein.

Remember!
If you have ever had kidney problems, any protein diets for weight loss (“Kremlin”, Dukan) are contraindicated for you. It could cost you your life!

It is forbidden to exceed the allowable consumption of food products prepared from fish and meat, as well as broths from them. Nuts, hard cheeses, mushroom dishes and legumes (for example, asparagus beans) should be excluded from the diet. Chinese oilseed peas and soy products are contraindicated.
Under the taboo is food containing a lot of salt. Such dishes will retain water, which will lead to edema. Therefore, it is worth excluding canned food, caviar, pickles and smoked meats from the diet. The use of saturated seasonings and sauces, mustard, spices and horseradish is also contraindicated.

It is necessary to exclude all factory flour and confectionery products.

List of foods prohibited for consumption:

  • Mineral waters with high sodium content.
  • Fried fatty meat.
  • Salted and smoked fish.
  • Canned seafood and fish.
  • Pickles.
  • Sausages and smoked delicacies.
  • Meat and fish broths.

Table number 7 is one of the main ones in the system of dietary nutrition developed by Pevzner.A variety of subspecies of table number 7 allows you to choose the right diet depending on the individual characteristics of the body and the process of the disease. One of the important factors is the possibility of assigning diet number 7 to children.
There are the following varieties of diet No. 7 according to Pevzner:
Table number 7a.
Table number 7b.
Table No. 7v.
Table No. 7g.
Table number 7r.

Diet number 7 and according to Pevzner

The main goal is to increase the volume of urine formation in the kidneys and excrete it from the body, unload the metabolism of proteins in the body, and relieve inflammation in the kidneys.

Indications for appointment:

  • Acute glomerulonephritis.
  • Exacerbation of nephrological pathology of a chronic nature.

At the beginning of the disease, it is recommended to abandon proteins and table salt completely and spend several fasting days (potato, sugar or rice-apple). Table number 7a is intermediate between these days and the basic table number 7.

Daily intake of nutrients:

  • Proteins - only 20 grams.
  • Fats - 80 grams (most of animal origin).
  • Carbohydrates - 350 grams.

The energy value of food products of the daily diet should not exceed 2230 kcal.

The amount of fluid consumed is limited and must exceed the amount of urine that was collected the day before by 250 ml.

Diet according to Pevzner table number 7a is enriched with fortified foods. The basis of the diet is any cereals, pasta and bread without salt. You can cook cereals, soufflés, eggless casseroles, cereal cutlets. Dairy products are allowed in limited quantities: ghee, sour cream, sour milk. Vegetables and fruits can be any.

All foods that irritate the kidneys, excite the cardiovascular system and the central nervous system are excluded from the diet. Soups are often completely excluded. Baking should be abandoned. The fact is that soda, which is part of the baking powder for dough, adversely affects the kidneys.

The amount of salt is 2 grams per day - this is only the one contained in the products.

The duration of the therapeutic diet is no more than 10 days and is prescribed during the recovery period after a strict monotonous diet. It is recommended to adhere to bed rest during the diet period, and break food intake into 6 meals. The total mass of food - no more than 2.5 kg per day.

Diet food according to Pevzner table number 7 b

The purpose of the dietary table number 7b is to reduce the load on the kidneys to facilitate their work, stimulate the excretion of urine, unload protein metabolism, reduce inflammation, increase the rate of excretion of nitrogen metabolites from the body, and reduce blood pressure numbers.

Indications:

  • The subsidence of the acute inflammatory process.

Per day it is allowed to use:

  • Carbohydrates - 450-500 grams.
  • Proteins - already 40 grams.
  • Fats - 80-90 grams (80% - animal origin).

The energy value of table No. 7b per day should not exceed 2700 - 3000 kcal.
The volume of fluid consumed is similar to the diet on table No. 7a. The duration of the diet does not exceed 7 days.
The diet is based on six meals a day.
A large amount of vegetables and fruits are added to the diet, as well as 50 g (strictly!) Of meat or fish. Porridge, vermicelli and pasta still form the basis of the menu. As an independent snack, you can afford 200 g of milk or kefir with a cracker of their salt-free white bread.

Remember!
Yoghurts from the store "kidney" patients can not eat. They contain thickeners (homogenizers) and thermophilic bacteria that adversely affect the kidneys. Ferment yogurt at home from proven milk in a yogurt maker or slow cooker.

Diet number 7 according to Pevzner

The essence of dietary table No. 7c is the strict restriction of extractive substances contained in meat and mushrooms, and the reduction of protein in the menu.

Indications:

  • Nephrotic syndrome in chronic kidney disease.

Permissible Nutrients:

  • Fats - only 80 grams.
  • Proteins - 120 grams.
  • Carbohydrates - 400 grams.

The calorie content of food consumed per day is 2900 kcal. The allowable volume of liquid is up to 0.7 liters.
Such a table lasts 6 - 10 days.
The diet involves frequent meals with a fixed time interval of no more than 2 hours.
Dishes should be boiled or cooked in a double boiler and in small portions. Lean pork and lamb are allowed, as well as shrimp, squid and mussels. Avoid oily fish! You can cod, pike, lemon, for example. Soups are allowed vegetarian and in small quantities. Vegetables and fruits can be any, with the exception of those containing oxalic acid. It is allowed to treat yourself to honey and dried fruits, but chocolate is prohibited. Eggs are allowed in the form of a protein steam omelet.

Diet according to Pevzner table number 7g

The indications for this diet are to support the body of a patient on hemodialysis due to end stage renal failure.

Daily rate:

  • Carbohydrates - 400-450 grams.
  • Proteins - 60 grams with the predominance of animals up to 75%.
  • Fats - 100-110 grams.

Salt is excluded.
The calorie content of consumed foods per day is normal and is about 3000 kcal.
The daily norm of the liquid you drink is not more than 0.75 liters (you can decoction of wild rose, oat bran).
Eating fractional 6 times a day, portions with a minimum amount of food, strictly boiled. Pork and lamb are not allowed in this version of diet No. 7. Of the cereals, only rice is allowed. The number of vegetables is limited: potatoes can be eaten up to 300 g per day, other vegetables (carrots, cabbage, cucumbers, herbs, beets) - up to 400 g. From fruits, you do not need to eat grapes, bananas, figs, peaches, cherries and black currants. Two soft-boiled eggs are allowed per day. Any cheese is prohibited.
There is no specific time frame for the duration of diet No. 7g. The duration and diet are prescribed strictly by the doctor, depending on the individual indicators of the general state of health.

Diet number 7 r according to Pevzner

The main task of this diet is to facilitate the functioning of the organs of the urinary system through a properly selected balanced diet.

Indications for appointment:

  • Elevated levels of uric acid in the blood (hyperuricemia).

Purine metabolism, unlike gout, is disturbed in 20% of the adult population of the planet. Clinical manifestations of the disease are gout and kidney stones. Hyperuricemia is treated by an endocrinologist or rheumatologist.

Attention!
Get a biochemical blood test. If the level of uric acid is 240 - 400 microns / l, then this is the norm. Although experts recommend caution when the value of uric acid is already more than 354 microns / l.

Distribution per day:

  • Proteins - only 70 grams.
  • Fats - 90 grams.
  • Carbohydrates - 400 - 450 grams.

The energy value of the daily menu is 2800 kcal.

This medical nutrition is low-protein with a strict restriction of products containing oxalic acid, and an increase in potassium-rich vegetables and fruits in the diet.
The amount of fluid per day - up to 2 liters (discussed individually).
All meals should be boiled or steamed, and eating in small portions every 2 hours.
Cereals, bread, pasta and potatoes are allowed. Legumes, spinach, sorrel, cauliflower and broccoli are banned. Preference - pumpkin and zucchini. Be sure to include in your diet bright red, blue and dark fruits: cranberries, cherries, lingonberries, cherries and strawberries. Eggs are allowed in casseroles, pancakes, bread (half one egg per day). Avoid foods that contain gelatin.
Diet No. 7 p is prescribed for a long time.

Do not forget that the Pevzner diet is a health food. It is not recommended, if there are clear indications for a "kidney" diet, to self-medicate. Only your doctor can help you make the right diet and benefit your body from dietary nutrition. Therapeutic nutrition for kidney disease is the path to recovery.

Take care of your health! He has no price!

The kidneys perform many functions in the human body: they remove toxic substances, maintain blood volume and acid-base balance, synthesize hormones and other valuable components, and regulate blood pressure.

Any disturbances in the functioning of the kidneys (functional or anatomical) can affect the entire body and can lead to a deterioration in the quality of life, social maladjustment, disability and even death.

Persons suffering from kidney disease or having a predisposition to them are advised to adjust their diet and exclude a number of harmful components.

The link between diet and kidney health

A diet with an excess of potassium, phosphorus, sodium and other stone-forming substances causes malfunctions in the kidneys, contributes to the appearance of stones in the lumen of the urinary tract and a decrease in local ones. As a result, kidney cells are unable to withstand any other damaging factors.

Food restrictions depend on the current state of the kidneys. If the organs are healthy or their function is slightly reduced, then there are no special restrictions on the diet. However, with severe disorders, an excess of sodium, potassium or phosphorus not only aggravates the condition of the kidneys, but also affects the whole body, provoking serious disorders (from osteoporosis to cardiac arrest).

Below is a list of 10 foods that are harmful to people with kidney pathologies or with a predisposition to them.

1. Fats and offal

It has been proven that excessive consumption of foods with a high specific gravity of fats (lard, boiled pork, duck meat) leads to increased urinary excretion of oxalates, and also contributes to the development of nephrocalcinosis, which reduces kidney function and leads to irreversible dystrophic changes.

According to domestic scientists, dairy products are also rich in melanin (especially infant formula). This substance enhances the growth of uric acid stones, which lead to the development of kidney failure.

Alternatively, rice or almond milk can be used. The content of phosphorus and potassium in them is much lower.

Dairy products should be limited in individuals with or predisposed to kidney disease, as they are high in potassium and phosphorus.

7. Processed meat

Meat products are considered processed, which include special food additives, spices and spices, salt to improve taste and increase shelf life. As a rule, they are also smoked, salted or dried.

Such products are closely associated with the development of chronic kidney disease due to the presence of preservatives with nephrotoxic properties.

One study showed a high incidence of hypertension in people eating processed meats. As a result, the epithelium of the kidney vessels is replaced by fibrous tissue, which negatively affects their functional activity.

In addition, meat, after salting or smoking, contains a record amount of salt, which is an independent risk factor for the development of hypertension and edematous syndrome. Scientists from the USA have found a direct relationship between a diet with chemically processed meat products and the incidence of coronary heart disease and diabetes mellitus, in which signs of diabetic nephropathy appear in the future.

Meat with a large number of preservatives and salt should be limited in individuals suffering from acute or chronic kidney pathologies.

8. Apricots, dried apricots

Apricots are rich in vitamin C and A, as well as fiber, which improves the microflora and. The only negative is the high content of potassium (the negative effect of the trace element on the kidneys is described above).

100 g of fresh apricots contains 280 mg of potassium, 100 g of dried apricots - almost 800 mg. This means that a few dried fruits give the body almost half of the daily requirement of the trace element. The concentration of potassium in apricots is much higher than that of all other fruits and dried fruits.

With kidney disease, it is necessary to limit the consumption of apricots, especially in dried form, due to the extremely high content of potassium.

9. Fast food

Noodles or potatoes, which must be poured with boiling water and wait 3-5 minutes, are an extremely dangerous category of food for the body.

They contain a record amount of salt, which provokes an increase in blood pressure and the development of dystrophic changes in the renal tubules.

A special role, according to the accumulated scientific data, is assigned to monosodium glutamate - a flavor enhancer. It helps increase appetite. As a result, people gain weight, which affects all organ systems, and the risk of fatty degeneration of the kidneys increases.

In addition, there are practically no substances useful for the body in fast food products. A person receives only calories and a "bundle" of diseases, and not valuable vitamins, macro- and microelements.

The use of instant and ready-made meals is a risk factor for damage to the kidneys and other body systems.

10. Potato

100 g of potatoes (this is about 75% of the average potato) can contain from 280 to 500 mg of potassium, which is dangerous for the body in case of impaired kidney function.

It has been proven that soaking potatoes in water (at least 4 hours) leads to a decrease in potassium concentration by 1.5-2 times after cooking.

In addition, this processing method reduces the level, which favorably affects the calorie content of the product and leads to weight loss.

Persons with kidney pathology with a decrease in their functional activity should limit the consumption of potatoes due to the large amount of potassium in it. As a last resort, it is recommended to soak the potatoes in water before cooking.

7 General Diet Rules

Nutritionists and doctors around the world recommend following a number of rules to maintain the functional and anatomical usefulness of the kidneys:

  1. Drink enough clean water. It has been proven that fluid deficiency leads to the accumulation in the body of its own metabolites, toxic substances and stone-forming components that come from food. The norm of fluid intake per day for an adult is at least 1.5-2 liters.
  2. Diversify your diet. You should not eat the same foods for a long time. It is also important to observe the qualitative and quantitative composition of the diet. Failure to comply with such recommendations disrupts the work of local immunity factors of the urinary system, provokes the development of urolithiasis.
  3. Limit animal fats. It has been proven that increased consumption of meat with a high fat content provokes the appearance of degenerative kidney diseases (for example, nephrocalcinosis).
  4. To refuse from bad habits. Alcohol contributes to the destruction of the epithelial cells of the renal tubules. Smoking is closely associated with autoimmune diseases and the rate of progression of chronic kidney disease.
  5. Lead a healthy lifestyle. Systematic feasible physical activity combined with outdoor walks (parks and coniferous forests are perfect) improve metabolism, increase immunity and resistance to pathogens of infectious diseases.
  6. Observe fractional nutrition. Food should be taken 5-6 times a day in equal portions, which contributes to an adequate load on the kidneys.
  7. Get in touch with experts in a timely manner with the appearance of any signs of damage to the kidneys and other parts of the urinary system (back pain; decrease or increase in the volume of urine; change in urine color; cramps and soreness during sexual and urination acts).

Conclusion

Thus, following simple dietary recommendations and avoiding foods high in stone-forming substances (potassium, phosphorus, and sodium) can improve kidney health, slow current diseases, and prevent new ones.

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