Post Date December, 03 2023
The World Health Organization (WHO) divides the histological manifestations of IgA nephropathy into five grades: Grade I mild damage; Grade II microlesion with a small amount of segmental proliferation; Grade III focal segmental glomerulonephritis; Grade IV diffuse mesangial damage with proliferation and sclerosis; Grade V diffuse sclerosing glomerulonephritis involves more than 80% of the glomeruli.
The treatment and rehabilitation of patients with IgA nephropathy are essential for their dietary health science in addition to reasonable treatment strategies. The dietary principles of patients with IgA nephropathy at different stages are also different. According to the different stages of IgA nephropathy, there should be different dietary plans for each stage.
IgA nephropathy grade I
Mild damage, with unclear symptoms, and generally low back pain, mild edema, and simple hematuria or (and) mild urinary protein. Supplement appropriate amounts of trace elements such as iron, zinc, copper, and manganese, such as milk, carrots, etc., to promote metabolism and expand body immunity. Suitable for eating fresh vegetables and fruits that are light and easy to digest, such as cucumber, tomato, lily, winter melon, watermelon, bayberry, etc., and drinking water appropriately; Low sodium diet: 2-3 grams of salt per day is generally appropriate. Do not eat salty foods, such as pickled vegetables, salted fish, bacon, salted eggs, and other pickled foods.
IgA nephropathy grade II
Minimal lesions with a small amount of segmental proliferation. This stage is asymptomatic microscopic hematuria (often persistent), with the majority of red blood cells in the urine being deformed red blood cells (≥ 80%), accompanied by mild urinary protein (<1g/24h). For microscopic urine and blood, patients should eat more foods that nourish yin and reduce fire, such as apples, black sesame seeds, and agaric. Take formula foods, such as Luffa Drink, Maogen Bamboo Cane Water, Maogen Congee, Shepherd's Purse Congee, Black Bean Congee and other Tonic Diet for curing blood and protein.
IgA nephropathy III
Focal segmental glomerulonephritis. Early hypertension in IgA nephropathy is not common (less than 5% - 10%). The incidence of hypertension increases with the duration of the disease, and this symptom is more common at grade III. May wish to supplement some anti hypertension foods, such as fresh dark green vegetables, kelp, agaric, oats, and so on. "Far three white (white sugar, white salt, animal fat), and nearly three black (black rice, black fungus, laver), and often drink green tea, yogurt, and so on.". Control energy intake and promote the consumption of complex carbohydrates, such as starch and corn, to prevent hyperlipidemia.
IgA nephropathy IV
Diffuse mesangial damage with proliferation and sclerosis, excessive urinary protein, hypoproteinemia, and microscopic hematuria account for about 7% to 16% of IgA nephropathy, often with severe low back pain. Renal biopsy can show acute tubular necrosis, extensive red blood cell tubular pattern, and partial composition of the small crescent body. A low quantity high-quality protein diet. Eat an appropriate amount of animal protein rich in essential amino acids such as eggs, milk, and lean meat, but the specific intake should be determined as appropriate (for those with normal renal function but high proteinuria, the daily intake should be kept at 1 to 1.5 g/kg * d, and for those with severe renal function damage, the protein should be limited to 0.6 to 0.8 g/kg * d).
IgA nephropathy V
Diffuse sclerosing glomerulonephritis affects more than 80% of the glomeruli, and IgA progresses to chronic renal insufficiency, even uremia. Clinically, it is rare and has a poor prognosis.
In order to reduce the burden on the kidneys at this stage, it is appropriate to supply about 20 grams of protein per day. Generally, eggs, milk, fish, etc. are preferred, followed by oral or intravenous injections of essential amino acids. If you have too much urine, you should choose foods containing potassium, such as mushrooms, mung beans, peanut kernels, etc. If the urine volume is below 1000 milliliters, low potassium foods such as lotus root powder, pumpkin, and shrimp can be selected. For patients with non diabetes IgA nephropathy, sugar and fat can be properly supplemented. Because its metabolites are water and carbon dioxide, which are discharged from the lungs and skin without passing through the kidneys, the burden on the kidneys can be reduced.
"I believe everyone has already understood the importance of diet for patients with IgA nephropathy. What to eat and what not to eat at different stages of IgA nephropathy depends on sticking to it.". However, in specific treatment, patients should be guided by a professional physician.
