医生:这样做,尿毒症患者控制间期体重增长不再烦恼

当患者在机器上时,自我报告重量。

我:兄弟,这次你的成长仍然太快,每天增加4.5公斤。再呆一会儿

病人:我不知道为什么会有这么多的增长,我甚至都没有喝酒。每次我长得太快,我都会感到非常不舒服。

我:哦,不要喝那么多,真是太神奇了。来吧,谈谈你这些天吃的东西。

病人:没有吃蟑螂,三餐是白米饭,早上两杯牛奶,早上口渴两块黄瓜,中午一碗果冻。这两天天气很热,我不敢喝水。当我吃药时,我喝了一点水。我昨晚太渴了,我不喝水但喝了一杯豆浆。

我:兄弟,“水”不仅指纯净的“水”,还指所有液体饮料和半流质饮食。像普通的汤一样,牛奶,奶茶,咖啡和葡萄酒都是液体饮料。粥,粥,冰粉,大多数水果和蔬菜可以被认为是含水量超过90%的半流质饮食。你喝的牛奶,豆浆,黄瓜和果冻都属于这一类。所以你的体重增加也非常快。

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病人:哦,事实证明。但我只是吃了这些东西,并没有重4.5公斤。我真的与此分开,它是白米饭和肉类烹饪,没有别的。您的秤有问题吗?

我:嗯,我们的体重秤很尴尬。每当你体重过重或者你记得体重时,体重秤就会出现问题。无论如何,它不会说话。事实上,人体内的水源不仅来自水,还来自食物中的水及其自身的代谢合成。

其中:

饮用水,成人每日饮用水1000~1500毫升,这是人体内水的主要来源。食物,在正常情况下,人体每天从食物中摄取的水量约为800~1000毫升。身体自身的新陈代谢产生了。人体不断地代谢和产生水。新陈代谢产生的每日水量约为300~500毫升。

在尿毒症患者中,由于水排出能力降低,需要控制水。因此,体内水的主要来源是食物摄入量。当食物中的水不足时,可以获得适当的饮用水。如果您有排尿,前一天的用水量应为+ 500毫升;如果没有排尿,每天不应超过0.8公斤。每次透析间隔期间的重量增加不超过干重的5%,优选不超过3%。

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&安培;图片评论:盒子里的患者年龄相近,几乎同时开始透析。透析的心脏结构没有异常。在下部框架中,患者在长期透析间隔期间体重增加过多,并且心脏结构在一年后显着改变。

病人:哦,事实证明。我下次会尝试控制它。但是,每天不超过0.8公斤,我的饮食不仅限于三餐,这是非常困难的。

我:是的,我们三餐的总饮食量绝对超过0.8公斤。但我只是说它是摄入人体水,你还需要考虑排水。

病人:身体会以什么方式排水?

我:有四种方法可以通过人体内的水:

With the discharge of the breath, the amount of water discharged through the breath every day is about 400 ml. The skin evaporates, and the amount of water lost by the human body under normal conditions for 24 hours through skin evaporation is about 500 ml. However, if the amount of exercise is too large, the amount of sweat is more, and the amount of water lost through the skin may be more. The feces are discharged, and every day when people excrete stools, about 200 ml of water will leave the body with the stool. The urine is discharged, and the excess water in the human body is excreted through the urine, which is also the most important way for human body to excrete water. The daily excretion is about 1000~2000 ml.124013d0-c1a2-4d6b-bd47-c5c73053f853

Water is the source of life, but it is also one of the ways to deprive people of uremia.

Through these four methods, the water intake and the discharged water in the human body reach a dynamic balance, and abnormality does not occur under normal conditions. However, uremia patients are blocked by the way the urine excretes water, so by reducing water intake, it can reduce the retention of water in the body, thus achieving a new dynamic balance.

In addition, daily habits of regular bowel movements can also reduce water retention. Appropriate increase in activities, with mild sweating, can also reduce the retention of water in the body.

Patient: Oh, ok. Thank you, doctor. I am going back to move.

Me: Ok. In fact, it is not only suitable for people with weight loss, but also for most patients with chronic diseases. Especially the uremia group. However, as you open your legs, you also need to increase your calorie diet. In case of excessive consumption of self-fat and protein due to insufficient calories, resistance decreases.

After the patient was instructed, the weight gain during the dialysis interval was basically controlled within 2 kg, and the complications were also significantly reduced. The quality of life has improved significantly.

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