Patients with kidney disease should share grape and apple intake rather than melon and tomato
Jul 28, 2024
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The basis of treatment is to manage hyperglycemia, hypertension, and hypercholesterolemia well, and medication should be prescribed along with regular treatment.
In addition to receiving good treatment, caution is also needed in everyday life. In particular, in summer, dehydration or electrolyte abnormalities can cause kidney function to deteriorate acutely or systemic complications to worsen.
With the help of Sohn Min-jeong, head of the department of kidney medicine at Seonam Hospital in Seoul, we summarized the dietary habits that patients with chronic kidney disease should pay attention to in the summer.
▶ Be careful of fruits and vegetables that contain a lot of potassium
In summer, I enjoy a lot of cool and sweet fruits and vegetables. However, many fruits and vegetables in the summer have high potassium content, so patients with chronic kidney disease should be particularly careful.
Patients with chronic kidney disease stage 3 or higher, whose kidney function is more than half impaired, can have reduced potassium discharged through urine, causing potassium ingested to build up in the blood and cause fatal arrhythmia.
Therefore, for fruits, choose grapes and apples over bananas, melons, tomatoes, and kiwis, and for vegetables, soak them in warm water for about 2 hours before rinsing or blanching them. If possible, it is better to choose colored vegetables such as eggplants, carrots, cabbages, and bean sprouts over green vegetables.
▶ You have to share the water little by little
In summer, high temperatures increase the risk of dehydration by sweating a lot even in small activities.
Patients with chronic kidney disease are less capable of controlling electrolytes such as moisture and sodium and often take diuretics, so suddenly drinking a lot of water can cause hyponatremia.
In addition, dehydration can lead to rapid deterioration of kidney function. If you feel thirsty, it is better to drink little by little, such as drinking before exercising, rather than drinking a lot at once to replenish moisture.
Director Son Min-jeong emphasized that `In the case of the elderly, the sense of dehydration is often dull, so more caution is needed.'
After sweating a lot, drink water with water rather than an ion drink that contains a lot of potassium and sodium. Patients receiving dialysis treatment rarely excrete water through urine, so excessive water intake in the summer may lead to weight gain and, in severe cases, pulmonary edema, which requires more attention.
▶ Need the habit of checking the food ingredient list
Patients with chronic kidney disease often have swelling or high blood pressure, so low-salt salt or low-salt liver may be used. In this case, the content of potassium instead of sodium may be high, so the ingredient table should be checked.
In addition, there are many cases where kidney function is rapidly deteriorated after eating foods and herbal medicines that do not have an ingredient label to reduce swelling, and in the worst case, kidney function is not restored.
Director Son Min-jeong said, `The types of health foods that can be consumed differ depending on your kidney function, so you should consult with a nephrologist to decide whether to take them or not," he said.
▶ If you need low-salt food, change the cooking method and intake method
Adding salt, soy sauce, etc. after cooking can reduce sodium content. Eating natural foods rather than processed foods with high food additives can reduce sodium intake.
It is recommended to use spices or natural dyes rather than salt or soy sauce, and it is recommended to cook by roasting or steaming rather than pickling or braising. Also, you should eat less salty foods such as pickled vegetables and salted fish. When you eat soup, it is recommended to eat only the ingredients and leave the soup.
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bellho@sportschosun.com
