Fruits suitable for dialysis nephrologists have many benefits, don’t eat the wrong ones

Often dialysis nephrologists ask:

“After the dialysis, the indicators need to be watched at all times! Looking at the various fruits on the market, which fruits are suitable for us to eat?”

Fruits suitable for dialysis nephrologists have many benefits, don’t eat the wrong ones
When it comes to fruit, everyone thinks of delicious, juicy and nutritious.

The water content of most fresh fruits is between 85% and 90%, which is an important source of vitamin C, carotene and B vitamins, minerals (calcium, potassium, magnesium) and dietary fiber in the diet.

However, if the dialysis nephrologist does not pay attention to the amount and type of fruits when eating, then the seemingly harmless fruits will also become a burden on the kidneys!

Nephrologists with renal failure must consider many aspects when choosing fruits.

01

Dialysis nephrologists need to control water intake

Hemodialysis patients should control their weight every day. During hemodialysis, the weight gain should not exceed 1 kg per day, or the weight gain should not exceed 3%-5% of the dry weight.

Fruits suitable for dialysis nephrologists have many benefits, don’t eat the wrong ones
Excessive water intake can aggravate heart failure, edema, and blood pressure fluctuations. For nephrologists who are prone to high incidence of cardiovascular disease, limiting water intake is the top priority.

When you eat fruit, you should count the water content of the fruit and reduce the amount of water you drink accordingly. You can’t eat fruit uncontrollably because you like to eat fruit. You can guarantee half a catty of fruit every day!

Many nephrologists do not know how much water intake should be each day, and can determine water intake based on urine output:

  1. Urine volume <500ml/24 hours, water intake is controlled below 300ml/day;
  2. The urine output is 500-1000ml/24 hours, and the water intake is controlled below 500ml/day;
  3. Urine volume>1000ml/24 hours, the drinking volume should be controlled at 2/3 of the total amount of urine per day (urine volume+500ml).

Below is attached a table of water content of common fruits (per 100g):

Fruits suitable for dialysis nephrologists have many benefits, don’t eat the wrong ones
02

Dialysis nephrologists need to pay attention to blood potassium levels

In patients with uremia, the excretion of potassium in the urine is reduced due to the decline or loss of renal function. If foods with high potassium are consumed, potassium ions will accumulate in the patient’s body, and the increase in blood potassium will lead to hyperkalemia.

Hyperkalemia can cause muscle weakness, arrhythmia, and even cardiac arrest.

Therefore, patients must regularly monitor blood potassium and choose fruit intake according to their blood potassium conditions.

In clinical practice, there are often such cases:

The patient ate a banana or orange, which caused mouth numbness, slow heart rate, general weakness, etc., which required emergency hemodialysis.

Fruits suitable for dialysis nephrologists have many benefits, don’t eat the wrong ones
note! Even dialysis nephrologists with normal blood potassium do not recommend eating high-potassium fruits. If you really want to eat them, you must eat them in a limited amount. You can eat them half an hour to 1 hour before boarding.

03

Dialysis nephrologists with abnormal blood sugar and anemia

Fruits suitable for dialysis nephrologists have many benefits, don’t eat the wrong ones
During periods of high blood sugar fluctuations, try to eat less fruit with high sugar content and sweetness, such as pineapples and bananas. When blood sugar is normal, it is not so strict.

When taking iron or dietary iron supplements for patients with anemia, they should try to avoid choosing fruits containing oxalic acid and phytic acid, such as persimmons and oranges, to prevent iron absorption from being combined with iron.

Vitamin C can promote the absorption of iron and the formation of tetrahydrofolate, provide hematopoietic raw materials, thereby preventing and correcting anemia.

Therefore, kidney friends with anemia can choose fruits rich in vitamin C, such as kiwi, citrus, strawberries, and cherries.

hint

Fruits suitable for dialysis nephrologists have many benefits, don’t eat the wrong ones

  1. Try to eat fresh fruit raw

The fruit is crisp and refreshing when eaten raw, and will not be affected by cooking and heating, and there is less nutrient loss. Freshly squeezed fruit juice, fried bananas, Chuanbei Sydney, etc. often lose some nutrients.

  1. Fruit products cannot replace fresh fruits

Common fruit products include juice, preserved fruit, etc.

Fruit juice: It is made by removing the residue after pressing the fruit, which will cause serious loss of vitamin C and dietary fiber in the fruit.

Preserved fruit: It is made from fresh fruit candied, with high sugar content and more vitamin loss.

Dried fruit: It is made by dehydrating fresh fruit, which leads to more loss of water-soluble vitamins.

Every dialysis nephrologist must choose fruits according to his own situation, and he must understand and pay more attention to the knowledge of diet to help the treatment.

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