Therapeutic nutrition in end-stage renal failure, patients on hemodialysis (Diet No. 7G)

The number of patients with end-stage renal failure is constantly increasing. At the same time, such procedures as hemodialysis and peritoneal dialysis are becoming more available. A side effect of these treatments blood purification is the removal from the body of the patient amino acids, vitamins, minerals. All this requires a corresponding shortfall nutrients. So experts recommend sticking to a diet regimen as the No. 7G, which is specially designed for patients with kidney disease.

  • GENERAL ADVICE ON NUTRITION
  • THE LIST OF RECOMMENDED FOODS AND DISHES
  • PRODUCTS FOR PATIENTS WITH CHRONIC KIDNEY DISEASE
  • PRODUCTS FOR PATIENTS ON HEMODIALYSIS FULL
  • MENU FOR the WEEK ON DIET No. 7G
  • DIET No. 7G FOR PREGNANT women

General advice on nutrition

In diseases of the excretory system is very important to maintain stabilisation all the vitamins and mikroelementov in the body. The most physiologic and cheapest method in this case is to build the appropriate diet regime, which helps to maintain the balance of vital compounds at the appropriate level. This applies to a diet Table number 7 and its different variations.

Diet salt-free. In the absence of the patient’s edema, high blood pressure, congestive heart failure allowed to give the patient to dozarivaniya food 2-3G of salt per day. To prevent hyperkalemia, prohibit the consumption of foods rich in potassium: apricots, bananas, dried fruits, legumes, etc.

Also limit the consumption of foods containing increased amounts of phosphorus and calcium: beans, red cabbage, mushrooms, dairy products.

For dietary No. 7G is strictly prohibited the consumption of salt and salty foods.

To improve the taste of food on diet No. 7G, it is recommended to introduce into the diet a variety of foods, fresh vegetables and fruit, gourds (cucumbers, tomatoes, potatoes, apples, plums, watermelon, etc.), spices, sour vegetable and fruit juice (lemon, plum, Apple, cherry, tomato etc.). The total volume of free liquid must not exceed 800g per day. Fractional food 5-6 times a day. Again please note all meals are prepared without salt. Meat and fish give boiled or with subsequent roasting, thereby reducing the amount of extractives, irritating the kidneys. Limit starchy foods and cereals because of the high content of vegetable protein.

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The list of recommended foods and dishes

The bread is salt-free white and black (200g per day).

Soups vegetarian with different vegetables, borscht, Sokolniki, soup of fresh vegetables with herbs and roots (250 ml) no salt, fruit soups.

Dishes from meat and poultry. Lean beef, veal, chicken, Turkey, rabbit, language boiled or with subsequent roasting and baking. Minced meat or a piece.

Fish. Different varieties of fish instead of meat boiled or with subsequent roasting.

Dishes and garnishes from groats and pasta. Limited, used in a pilaf with fruit, casseroles, cooked for garnish.

Dishes and garnishes from vegetables. Potatoes, beets, cabbage or cauliflower, tomatoes, cucumbers, lettuce, parsley. Vegetables boiled or with subsequent roasting, fresh.

Snacks. Salads vegetable and fruit, salad without pickles.

Eggs. Whole eggs in the nads, omelets, and for cooking other dishes (2-3 pieces a day).

Milk and dairy products limited. Allowed cream to 200g per day, the curd in the form of pudding or casseroles

The sauces and spices. Milk sauce, sour cream, cream, water. Sweet and sour fruit and vegetable gravy with the exception of meat, fish and mushroom broths. Cook in water, milk, sour cream, cream. Horseradish, mustard, pepper, vinegar, cinnamon, cloves in a limited number.

Drinks. Tea, coffee weak. Raw fruit and vegetable juices. Broth hips.

Fats. Butter, vegetable oil. Prohibited refractory fat (lamb, beef, pork).

Sweet dishes, sweets, fruits, berries, melons. Any fruits and berries in raw and cooked form. Watermelon, pumpkin. Sugar, honey, jam.

Limited to: black currants, cherries, melon, peaches, pineapples, rhubarb, raisins, figs, prunes, red cabbage, celery, mushrooms, chicory.

Prohibited: spicy, salty dishes. Meat and fish broth, mushroom broth. Eateries canned food, sausages, smoked meats, chocolate. Dried fruits, apricots, beans.

With the stabilization of the process it is advisable to go on a diet №7b.

Products for patients with chronic kidney disease

The list of products recommended for transfer from home in patients with chronic renal failure.

Fruit juices: orange, grape, cherry, pomegranate, tangerine, peach, plum, cherry, Apple and other not more than 400g per day.

Fruits and melons vegetables: quinces, pineapples, oranges, pear, grape, cherry, strawberry, strawberries, raspberry, lemons, tangerines, peaches, plums, red currants and black cherries, apples, and watermelon and cantaloupe at the rate of 100-120g of fruit and 300-350g of melons a day.

Products for patients on hemodialysis full

The list of products recommended for gear from home for patients renal disease under regular hemodialysis.

Fruit juices: Apple, plum, cherry, cherry tomato, carrot 150-200g a day.

Fruits and melons vegetables: apples, plums, lemons, cherries, pear 120g; watermelon, melon the rate of up to 300g per day.

Vegetables: tomatoes, cucumbers, etc. up to 200g a day.

The intake of fruit juices and vegetable or fruit needs to be alternated.

Menu for the week on diet No. 7G

Day of the week

Breakfast

Afternoon tea

Lunch

Lunch

Dinner

Monday

green tea

buckwheat

1 boiled egg

baked pumpkin

milk soup

baked chicken and potatoes

fruit jelly

fruit (orange or Apple)

Boiled shrimp with creamy sauce

yogurt

vinaigrette

Tuesday

pomegranate juice

scrambled eggs with squash stew

toast

Apple pudding

zrazy

diet soup with barley

milk

cheese casserole.

carrot salad

vegetable soup

Environment

pasta with cream sauce

milkshake

curds with raisins

pancakes with lean beef

puree

berry juice

green tea or a decoction of currant

vegetable salad

boiled chicken

Apple juice

Thursday

oatmeal

cabbage salad with chicken

juice

carrot pudding

soup with pasta and boiled egg

pumpkin porridge

fresh carrot

baked Apple

rice casserole with apples

berry broth

Friday

rice pilaf with fruit

pear compote

dietary bread

fruit puree

beef goulash

compote

boiled potatoes

tomato salad

boiled corn

fresh

Saturday

macaroni casserole

porridge oatmeal with milk

strawberry jelly

steam pork cutlet

vegetable salad

fresh

1 Apple

braised carrots with meat

green tea

pumpkin casserole

Sunday

pilaf with prunes

jelly

sandwich with jam

baked potatoes with fish fillet

yogurt

vegetable casserole

tomato soup

fruit compote

Diet number 7гдля pregnant

Diet Table No. 7G is prescribed by a doctor to a pregnant woman with renal dysfunction. Because a woman’s body works during this period for two, she needs urgent treatment. So the power supply No. 7G is considered one of the most effective for the normalization of the kidneys. This kind of diet will allow the parent body to cleanse itself of excess toxins.

Important! During pregnancy can not appoint any diet of own. This also applies to fasting days.

In the diet of pregnant women on diet No. 7G includes:

  • fruit and vegetable salads;
  • diet vegetable soups;
  • potato dishes;
  • scrambled eggs on a couple;
  • dairy dishes;
  • cereal;
  • compotes, jellies, juices;
  • jam and honey;
  • raw vegetables, berries and fruit.

Also a pregnant woman can stick to the diet No. 7R if you have problems with the digestive system. The meals it is recommended to divide into 6 portions. Method of cooking best dishes to cook or bake. Remember that salt in the diet No. 7G is strictly confined to. Fluid is allowed to not drink more than a liter a day. Diet No. 7G is considered to be difficult getting used to, but after a while of unsalted food will seem tastier, and this form of the diet will quickly become a habit.

Scientific sources:

  • Handbook of nutrition, ed. by A. A. Pokrovsky, M. A. Samsonova.-Moscow, Medicine, 1981, 704с.
  • Food in clinical nutrition/Kotov A. I., Korzun V. N. K.: Health, 1985, -144с.- (B-ka pract. doctor).
  • Guide nurses to care/N. And.Belov, B. A., Berenbeim, D. A. Velikoretsky etal;. Ed.R. Paleeva.-M.:Medicine, 1989.-528с.
  • Nutrition/Smolyar, I. V.-Kiev: Sciences.Dumka, 1991.-368с.The physiology of digestion. In the series Manual of physiology.1974. Izd-vo Nauka, Leningrad.DEP.,L.-761с.