Dr. Mohammed Mahtab Hossain Mazed

Ramadan has begun. Siam is the month of pursuit. This month, Allah Ta'ala has obliged the fast on a healthy and active people. However, many people will not fast because of various diseases. He is hesitant about it. One of them is kidney disease.

Kidney disease is one of the infectious diseases in the present world. The number of kidney patients is increasing worldwide. Compared to men, women are more affected by this disease. In Bangladesh, the incidence of kidney disease is increasing day by day. A kidney patient can be sure of the disease only when two kidneys in his body are 60 to 70 percent disadvantaged.

There are different types of kidney disease. Those who have a good kidney function despite kidney disease are good for fasting. You can fast by normal rulesSome of the most important kidney tasks include emitting body waste or toxins, balance in water/liquid and salt/electlates in the body, controlling blood pressure, etc. There has been a lot of research on the fasting of kidney patients. The main concern of these is dehydration and renal hypoperfusion, which can lead to the deterioration of kidney function.

Diabetes is the main cause of those whose long -term kidney disease. In addition, high blood pressure and kidney inflammation is also responsible. Fasting all patients with kidney disease are at risk of dehydration and hypertension and electrolyte imbalance. In addition, diabetes patients are at risk of lowering blood sugar levels through hypoglycemia.

They reduce the functionality of kidney, many times AKI on CKD or suddenly kidney failure. In addition, these issues can be fatal to general health.

Kidney replacement patients have to adhere to lifetime medicines and rules. Various studies have shown that the kidney function may decline for dehydration and hypperfection. If fasting for more than 12 hours, these patients are usually changed to the dose and formula of the tacrolimus and the MMF drugs are changed. Most studies have not received significant differences in fasting during Ramadan. However, it is not advisable to fast if moderate to severe kidney function is bad.

> What will be the diet of kidney patients during Ramadan?

For those who are chronic kidney patients, who are in the fifth step in kidney failure, those who have to do dialysis regularly, those who are undergoing urinary tract treatment, are risky for sudden kidney -dominated patients who have to perform an emergency operation. Moreover, if chronic kidney patients have any complications in blood ingredients, those who diabetes or high blood pressure are uncontrollable, they need to be used to fast.

> What is a kidney patient to eat

Generally, if creatinin is high, kidney patients are prohibited to eat pulses and pulses. These include onion, purple, halim, ghogni, etc. made of basin. So kidney patients should be excluded from the diet. Instead, you can eat food made of rice powder. You can eat with vegetables of vegetables with flour. The potato chop can be wet with the white part of the egg.

It is also best not to eat outside artificial color foods, testing salts. Depending on the levels of potassium in the body of kidney patients, they will eat or not eat at all.

However, without apples, guava, pear, ripe papaya, pineapple, can be eaten as the amount. You can eat juice or dessert with it.

Rice, bread, fish, chicken, milk, etc. can be eaten depending on the condition of the kidney. However, it is better not to eat multiple proteins at once. For example, do not eat meat or eggs by playing fish.

Those who have high potassium in the blood will freeze the vegetable potassium and soak it in water for 30 minutes and eat a limited amount of fruits.
At your doctor's advice, you will occasionally check the blood component. During Sehri, eat rice, bread, fish, meat, eggs, milk. Eat dates, chims, yogurt, egg pudding, semolina, semai, pies, sagudana will be good during Iftar.

Also, loose salt and salt foods should be avoided and protein foods, especially the meat of the cow, should be eaten less. It is better to eat 15 days after 1 days, but you can eat chicken, fish every day.

★ Let's make the menu with any kind of vegetables and vegetables.

Vegetables: Red, stalk, kalmisak, sweet pumpkin, lasak, mustard vegetables, and kachushak.

Vegetables: Stock, Potol, Korla, Shrimp, Cucumber, Lau, Cucumber, Eggplant, Rice Pumpkin, Bean, bean, dhunul, eggplant, carrot, shrimp, shrimp, rice potatoes and potatoes can be reduced.

Fruits: apple, ripe papaya, ripe guava, pineapple, pearl, jamrul, ripe jackfruit, raw mango and ripe bell.

Other: rice, flour, flour, radish, chiri, mug dal (small quantity), semai, semolina, barley, cornflex, cornflower, cornflower etc.

Remember, now is a hot summer time. Open food, various colorful syrup on the side of the road can easily be infected with germs. Diarrhea and vomiting by eating these can cause many patients suddenly disrupted. That is why you have to be aware of this. Even if you have a break with everyone in the house, the kidney patient diet plan will be different according to the proper diet amount.

★ Rules for serving drugs
Morning drugs can be consumed at the Sahari and night medicine iftar. It is better to keep the drugs low in the morning or in Sahari; If possible.

Finally, I would like to say that the Great God has given the provision of fasting for the welfare of His servants. Fasting is not the name of not eating all day. Allah says in the Qur'an, "Surely the fast is obligated to you with the rules." Therefore, fasting is the basis of fasting with the rules. Nevertheless, many people are getting sick of the kidney even after the rules are currently following the rules, many are worried about how to fast with the disease. In addition to these awareness, taking homeopathic treatment for various problems can solve many problems well. The reason is to remember that life is healthy. Living in a chain is the mood of well -being. And fasting is one of the means of the sake of Allah for the sake of disciplineMay Allah grant all of us the taufiq to fast in a healthy state, Amin.

The writer is a, Founding Chairman, National Patient Welfare Society Physician, columnist