What kind of diet with a wrinkled kidney is suitable

Such a disease as a wrinkled kidney can result from inadequate or untimely therapy of various chronic kidney diseases of inflammatory nature( glomerulonephritis, pyelonephritis).The main manifestation of the disease is the shrinking of the body

Sclerotic changes in the tissues of the kidney during its wrinkling lead to impaired functionality of the organ and the development of chronic renal failure. Therefore, a diet with a wrinkled kidney is aimed at slowing the development of the disease and reducing the manifestation of renal hypertension.

Features of metabolism in patients with chronic renal insufficiency

Inadequate functioning of the kidneys and development of chronic renal failure leads to metabolic disorders:

1. Disorders of protein metabolism - with the development of renal insufficiency in the patient's body, the number of decay products of proteins and amino acids increases. Urea, derivatives of guanine, tryptophan, phenylalanine and tyrosine, some peptides, accumulating in the blood, have a toxic effect and can inhibit or stop the synthesis of protein, which leads to the development of protein-energy deficiency.
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2. Dysfunctions of the hormonal background - in the case of kidney failure, the activity of hormones that participate in anabolism( insulin and somatostatin) and increase in catabolic activity( glucagon, parathyroid hormone and cortisol) decrease, hormonal imbalance leads to a decrease in the synthesis and increase in the level of protein breakdown.
3. Disorders of carbohydrate metabolism - the development of renal failure leads to a disruption in the utilization of glucose entering the body with food. This disorder requires a specific diet correction only when introducing large amounts of glucose parenterally.
4. Disturbances in the metabolism of fats - if the kidneys fail to function, changes occur in the lipoprotein spectrum of the blood, which increases the risk of developing atherosclerotic changes and complications of atherosclerosis.
5. Disturbances of mineral metabolism and water-electrolyte balance - renal failure, to which the wrinkling of the kidney leads, proceeds against a background of hypercalcemia, hyperphosphataemia, hyperkalemia, hypermagnesia. With the appointment of large doses of phosphorous binders, hypophosphatemia may develop.
6. With a wrinkled kidney, there are often disruptions in the functioning of the blood supply system. It is also possible to develop anorexia.

Basic principles of diet with shriveling of the kidney

This is important! In order to slow the progression of the disease and stabilize the patient's condition, the doctor develops an individual diet, relying on the prevailing changes in the patient's body. Consider the principles on which diet therapy is based on a wrinkled kidney.

1. The first principle is the restriction of protein intake. Reducing the content of white foods in the diet helps reduce the number of protein compounds in the plasma, reduces the level of catabolism, calcium and phosphorus, reducing the burden on the kidneys, does not allow the development of acidosis. The amount of protein in the diet is determined by the degree of development of the disease, the condition and weight of the patient. Routes of protein restriction in the daily diet:
   • Consumption of soy protein that is practically free of phosphorus and promotes glomerular filtration.
   • . Use of vegetable protein in combination with essential amino acids.
   • . Use of vegetable protein in combination with keto acids.