硬化型骨髓炎饮食指南：支持骨骼健康与免疫调节

一、饮食核心原则

1. 高蛋白高营养原则

   • 高蛋白（1.5-2.0g/kg体重）以支持组织修复

   • 高维生素（尤其维生素C、D）增强免疫力

   • 高矿物质（钙、磷、镁）促进骨骼健康

   • 充足热量（根据活动水平调整，避免营养不良）

2. 抗炎与抗氧化

   • 富含omega-3脂肪酸减少炎症

   • 高纤维食物支持肠道健康，间接调节免疫

   • 限制促炎食物如高糖和饱和脂肪

二、推荐食物清单

三、必须限制的食物

1. 促炎食物

   • 高糖食物和饮料（如糖果、 soda）

   • 加工食品和高饱和脂肪（如油炸食物、肥肉）

   • 过量盐（可能影响骨骼健康）

2. 其他限制

   • 酒精（干扰营养吸收和免疫 function）

   • 咖啡因过量（可能影响钙吸收）

四、七日参考食谱示例

早餐：燕麦粥 with milk and berries + boiled egg
午餐：Grilled chicken salad with olive oil dressing + whole grain roll
晚餐：Baked salmon with steamed broccoli and quinoa
加餐：Greek yogurt with nuts or a piece of fruit

烹饪TIP：

• 优先使用 baking, steaming, or grilling 减少油脂

• 添加 herbs and spices 替代盐 for flavor

五、关键营养素补充

1. 钙和维生素D： crucial for bone integrity; consider supplements if deficient

2. 维生素C： supports collagen formation and immunity; from citrus fruits and vegetables

3. Omega-3脂肪酸： anti-inflammatory; from fish or flaxseeds

六、特殊注意事项

1. 个体化调整：根据病情严重程度和 medical advice 定制饮食

2. 监测营养状态：定期检查 blood levels for nutrients like vitamin D and calcium

3. 结合治疗：饮食应 complement medical treatments such as antibiotics or surgery

七、常见误区

❌ 误区1："Eating more protein alone can cure osteomyelitis"
✅ 真相：Protein is important but must be part of a balanced diet with other nutrients.

❌ 误区2："Avoiding all fats is beneficial"
✅ 真相：Healthy fats are essential; focus on reducing saturated and trans fats.

效果监测：
Follow-up with healthcare provider to assess:

• Bone healing progress via imaging

• Nutritional status and weight changes

• Inflammation markers in blood tests

注意事项：

• Consult a dietitian for personalized plans, especially if with other health conditions.

• Maintain hydration; drink plenty of water.

• Avoid rapid weight changes that could stress the body.

A well-managed diet can support recovery from sclerosing osteomyelitis, but it should be integrated with medical care. Regular monitoring and adjustments are key.