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治疗方式

肾脏移植病人要如何吃得健康?

均衡饮食至关重要

均衡的饮食对于维持身体和移植后的肾脏的健康起着非常重要的作用。病人在接受肾脏移植后的初期需要特别遵守一些饮食原则。

营养师会指导并帮助肾脏移植病人根据个人需求来计划饮食。

肾脏移植病人可能会觉得这饮食计划比起透析饮食更容易遵守,因为新的肾脏将能够更有效地维持体内钾和磷的平衡。

维持肾脏健康的小贴士:

1. 保持健康体重

  • 在肾脏移植后, 体重增加是很常见的。
  • 在肾脏移植后, 由于病人的整体身心健康的改善和类固醇药物的影响, 这将会增加病人的食欲。
  • 把体重保持在身体质量指数 (BMI) 的健康范围内 (18.5-22.9kg/m2) 可以帮助降低高血压、心脏疾病、糖尿病和中风的风险。
  • 您应定期测量体重, 并保持活跃!如果您需要改变你的饮食习惯, 请咨询您的营养师。

2. 维持血脂在正常水平

  • 在肾脏移植病人中, 血脂异常非常普遍。
  • 当总胆固醇、低密度脂蛋白胆固醇和三酸甘油酯的指数过高时, 会增加患上心脏疾病的风险。
• 养成健康的饮食习惯 (如以下所示) 可以帮助控制血脂, 保持心脏健康:

3. 控制您的血压

  • 大多数肾脏移植病人仍然需要限制钠的摄入量。
  • 免疫抑制药物, 尤其是类固醇, 可能会导致水分滞留体内, 而摄取过多的钠会加剧这个情况。
  • 在肾脏移植前后, 控制血压是非常重要的。
  • 将每天的钠摄入量限制在2000毫克以下。
  • 欲知更多信息, 点击下载“摆脱盐的“咸”阱

4. 维持健康的骨骼

  • 在肾脏移植手术后初期, 骨质密度会迅速下降。

  • 药物 (Prednisone) 、甲状旁腺功能亢进症和维生素D代谢异常将导致钙质吸收的减少, 使得骨骼变得更脆弱。

  • 女性, 尤其是更年期后女性, 有较高的骨质流失风险。

  •  医生将为肾脏移植受益者检查是否患有骨质疏松症, 并建议适合他们的保护骨骼健康的方法, 包括服用钙补充剂、在日常饮食中加入两份乳制品, 如低脂牛奶、芝士和酸奶。

注意!肾脏移植病人不应该自行服用任何保健品, 以免损害新的肾脏。

5. 预防贫血

  • 肾脏移植病人也可能会有贫血的问题。

  • 饮食中缺乏铁, 叶酸和/或维生素B12可能导致贫血。

  • 有效的预防和治疗贫血, 将有助于维持良好的身体状况和降低死亡风险。

6. 食品安全

  • 由于器官移植病人的免疫系统较弱,因此更易患上食源性疾病, 例如:李斯特菌症 (Listeriosis)。
  • 肾脏移植病人应遵循食品安全预防措施, 例如:尽量减少吃生的食物 (如沙拉、生鱼片等)。
  • 请咨询您的营养师以获取更多有关于食品安全的信息。

常见问题

肾脏移植病人在手术后需要遵守高蛋白质饮食, 以帮助组建被大剂量的类固醇分解的肌肉组织。

然而在接受移植的几个月后, 您的蛋白质需求与一般健康成人是一样的。您可咨询营养师关于您在修复期时所需的蛋白质摄入量。

只要健康的肾脏顺利移植,移植病人将不再需要限制钾的摄取。

然而,一些移植药物可能会提高或降低体内血钾水平。若您有服用这些药物,您可能需要根据您的血钾水平来调整饮食,所以定期检测是很重要的。

糖尿病患者需要遵守健康的饮食、糖尿病药物治疗(如有需要)和定期的运动。您可与您的医生和营养师一同讨论如何改善您的饮食习惯和控制血糖。

葡萄柚,由于含有呋喃香豆素 (Furanocoumarin), 它将影响肾脏移植病人的某些药物代谢,包括环孢素 (Cyclosporine) 、他克莫司 (Tacrolimus) 、钙通道阻滞剂 (Calcium Channel Blockers) 和他汀类 (Statins) 药物。因此,建议肾脏移植病人避免摄取任何形式的葡萄柚。

*上述信息和建议仅供参考,不应作为或被视为对任何个人的具体建议。如有任何疑问或担忧,请咨询您的医生或其他医疗保健顾问。

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FAQ

General Enquiries

As there are limited car park lots available at NKF Centre visitors may need to park at the nearby HDB car parks in the vicinity.

NKF HQ Mondays –Thursdays
Fridays
PH / Weekends
8.30am –6.00pm
8.30am –5.00pm
Closed
Dialysis Centres Mondays –Saturdays
Sundays
PH
7.00am –11.00pm
Closed
7.00am –11.00pm

We are open on most public holidays except for the 1st day of Chinese New Year.

NKF does not provide ad hoc dialysis treatment. Our patients are on long-term dialysis treatment. You may wish to check with private dialysis centres for ad hoc dialysis treatments.

NKF does not have an outpatient clinic and hence, we are unable to arrange an appointment for members of the public. You may wish to contact a hospital of your choice for outpatient service.

Currently, NKF does not provide health report interpretation service. You may consult your General Practitioner who will be able to assist you.

Someone with kidney failure may not experience any signs and symptoms until it is too late. It is best to do a routine health screening to understand your health status better and detect any abnormalities as early as possible so that you can delay and manage the disease progression.

To know about the signs and symptoms please click here to learn more.

Decreased urination Swollen hands and ankles Sleep disturbances
Blood in the urine (tea-coloured or fresh blood) Puffiness around the eyes High blood pressure
Nausea and vomiting Itching Loss of appetite

All dialysis centres operate on 3 dialysis shifts –morning, noon and evening.

Morning Noon Evening
7.00am –12.00pm 12.00pm – 6.00pm 6.00pm –11.00pm
Timing of your dialysis schedule may vary for each dialysis centres.
Schedules
Monday, Wednesday and Friday (1,3,5) OR Tuesday, Thursday and Saturday (2,4,6)

Admissions

Our Admissions Counsellor will contact you once your application is finalised. They will be in contact with you soon.

From the day we receive the application form, it will take approximately 3 working days to a week for us to get back to you if you have submitted all completed supporting documents together with your application form to us. Generally, the whole process will take 6 months for the approval.

The overall application review process will take approximately 6 months before the applicant can start the first dialysis treatment. However, if the applicant is able to provide all completed supporting documents and if there is a slot available at the dialysis centre with a right match to the time slot, the waiting time could be shorter.

Currently, we do not have status checking service online. NKF Admissions Counsellor will be in contact with the applicants regarding the status.

You may pick it up from the NKF main office at 81 Kim Keat Road, Singapore 328836 or call us at 6506 2187 to have the forms sent to you.

Means Test is used to determine the amount of subsidies each person needing care is eligible for. Persons from lower income households will be granted higher subsidies under the means test framework.

Means Test subsidies calculation is based in accordance to MOH guidelines.

Our NKF Admissions Counsellor in-charge will contact you in regards to your means test status.

The Medical Social Workers at your hospital will be able to advise you on the different type of subsidies based on your financial situation.

Kidney Live Donor Support Fund

For information on kidney donation in Singapore, you may wish to contact the National Organ Transplant Unit at Tel: 6321 4390 or email organ.transplant@notu.com.sg.

NKF’s Kidney Live Donor Support Fund covers annual health screenings and medical follow-ups; one-time reimbursement for loss of 2 months actual income of $8,500, whichever is lower: reimbursement of hospitalisation and surgical insurance premiums (capped at MediShield Life premiums); pre-transplant screening and evaluation costs for up to 2 potential donors per kidney recipient; and insurance coverage for Group Living. Policy based on sum insured of $200,000.

For more information and eligibility, please click here. 

Donation & Volunteering

You can make the donation through different platforms:

  1. For online donation: please visit https://nkfs.org/support-us/donation-programmes/
  2. Or you may like to issue a cheque made payable to “The National Kidney Foundation” or “NKF” and mail it to us at 81 Kim Keat Road, Singapore 328836.
  3. Alternatively, you may contact us at 1800-KIDNEYS (5436397) or email us at lifedrops@nkfs.org to send you the donation form.
  4. Road Singapore 328836.

Thank you for your generosity. The cheque should be issued to “The National Kidney Foundation” or “NKF”.

Thank you for bequeathing your CPF contributions to NKF. You can fill up the CPF nomination form which can be downloaded from the CPF website. NKF’s UEN is 200104750M.

Thank you for your generosity. You may like to visit the Ministry of Law’s website where you can find a list of lawyers based in Singapore. Please visit https://eservices.mlaw.gov.sg/lsra/search-lawyer-or-law-firm/

Our UEN/ Company Registration No. / GST Registration No. is 200104750M.

Please send us an email at lifedrops@nkfs.org or call us at 1800-KIDNEYS (5436397) and we will assist you accordingly.

You may email your new mailing address to lifedrops@nkfs.org , Please include your full name, contact number, old mailing address and UEN or NRIC/FIN (last 3 digits)

You may email us at lifedrops@nkfs.org to get the donation form. Please fill up your new GIRO/credit card number, donation amount and sign the form. Thereafter, post the GIRO form back to NKF for processing.

For credit card, you may wish to scan the form and send it to NKF via either of these options:

Email – lifedrops@nkfs.org

Fax – 6253 0417

Mail – 81 Kim Keat Road, Singapore 328836

Please email us at lifedrops@nkfs.org with your full name, UEN/NRIC/FIN and mailing address.

Please email us at lifedrops@nkfs.org to have the termination form sent to you. Please fill it up and send it back to us for processing and auditing purposes.

All outright cash donations to NKF are entitled to tax deduction because NKF is a registered charity with an IPC (Institutions of Public Character) status. We are able to issue tax deductible receipts for qualifying donations to our donors.

You are entitled to a tax deduction of 2.5 times the value of your donation in the preceding year.

You may sign up via our website at https://onlinereg.nkfs.org/vms/volunteerapplicationform.aspx.

If you do not have access to the internet, please call us at 1800-KIDNEYS (5436397) to have the application form sent to you. Please fill it up and send it back to us at 81 Kim Keat Road Singapore 328836.

Once we receive your application, our colleague from the Donor and Volunteer Management Department will contact you for a phone interview. After which, you will be invited to attend our volunteer orientation. This is to allow you to have a better understanding of the volunteering activities.

The minimum age is 13 years old. For volunteers who are below the age of 21, you will need to get parental consent. You may download the consent form here.

We strongly encourage our volunteers to commit at least a year so that we can better support our patients. Our programmes and activities are flexible, you can choose your volunteering schedule according to your interest and availability.

You may volunteer with us basing on your availability. We will send a weekly email to our volunteers indicating the up-coming volunteering opportunities. You can then match your availability to the activity schedule.

We have an array of volunteering activities to suit your interest and availability. To learn more about the volunteering activities we offer, please visit https://nkfs.org/support-us/volunteer-programmes/.

Anyone and everyone can join us as a volunteer. All applicants will be required to undergo a mandatory orientation session where you will gain insights into the Foundation’s cause, kidney disease as well as learn more about the volunteering activities we offer. Regular trainings are also conducted for all volunteers so that they can better perform their role.

Most definitely! We welcome schools, companies and community groups to volunteer with us as part of their Values In Action and Corporate Social Responsibility activities. Please get in touch with us on your interest by sending an email to volunteer@nkfs.org.

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Notice

Thank you for visiting our website.

  1. All authorised procurement tenders or requests for proposal by NKF are exclusively posted on our official website. You may verify the information by visiting our official website or contacting us directly at contact_us@nkfs.org.

  2. Please be informed that our online donation services will be temporarily unavailable on Monday, 6th May 2024, from 11:00 PM to 1:00 AM for maintenance.

    If you have any donation inquiries during this time, please feel free to email us at Lifedrops@nkfs.org. We apologise for any inconvenience this may cause.