What diet should you follow for chronic kidney pyelonephritis?


Nutrition rules

The diet for pyelonephritis in adults has many beneficial properties and is aimed at:

  • normalization of kidney activity and metabolism;
  • decrease in pressure;
  • elimination of swelling;
  • disappearance of pain after pyelonephritis.

Limiting salt

Inflammation in the kidneys affects filtering and excretory activity, therefore the removal of harmful components is minimized. Sodium is retained in the blood and causes swelling, increases blood pressure and leads to urolithiasis. That is why it is important for the patient to eat food with a minimum amount of salt. A person is allowed to eat no more than 6 grams per day.

Drinking regime

To reduce intoxication of the body and speed up the elimination of all harmful components, doctors recommend drinking plenty of fluids. In addition to water, a person who is ill can drink the following liquids: natural juice, fruit drink, mineral water and tea. You will need to ensure that you consume at least 2 liters of various liquids per day.

The main tasks of a proper diet for kidney inflammation


Pyelonephritis is an infectious-inflammatory process in the kidneys, which often develops as a secondary pathology due to viral infections.
It is worth knowing that correctly selected products for pyelonephritis perform the following therapeutic functions:

  • Improves the flow of urine from the renal pelvis, which helps flush out bacteria;
  • Increase the daily volume of urine, which reduces the concentration of salts and pathogens in it;
  • Alkalinizes urine, which helps dissolve stones, if the patient has any;
  • Reduces swelling by limiting salt in the diet of a patient with pyelonephritis.

Important: pyelonephritis and diet for pyelonephritis means that you should eat at least 4-6 times a day. In this case, the daily calorie content of the entire diet should be 3200 kcal. It is also important to follow the drinking regime for pyelonephritis (1.5-2 liters of clean water, unsweetened tea, compote or fruit drink).

The need to follow a diet

Proper nutrition for pyelonephritis is aimed at normalizing the functioning of damaged kidneys and unloading the urinary organs. The most significant advantage of the diet is its anti-inflammatory effect, which reduces the symptoms of the disease and speeds up the healing process. In addition, there is a decrease in blood pressure and normalization of water balance, which prevents additional complications during exacerbation. Dietary food contains a large number of vitamins that have beneficial effects, strengthen the immune system and fight inflammatory processes.

Treatment of the disease

Treatment of chronic pyelonephritis should be comprehensive, it includes dietary nutrition, drinking regimen, drug therapy and elimination of causes that may impede the outflow of urine. In case of exacerbation of the chronic form of the disease, it is better to place the patient in a hospital.

The main therapeutic point in the treatment of pyelonephritis is a course of antibacterial therapy. The drug is selected for each patient individually, taking into account the resistance of the pathological microflora to certain groups of antibiotics. Therefore, self-medication in this case is completely excluded!

The most commonly used medications are:

  • penicillins;
  • cephalosporins;
  • nalidixic acid;
  • aminoglycosides;
  • fluoroquinols;
  • nitrofurans;
  • sulfonamides;
  • antioxidants.

In case of allergic reactions, antihistamines are prescribed, for anemia, iron supplements are prescribed, and for arterial hypertension, antihypertensive drugs are prescribed. In advanced stages, organ-sparing surgery or nephrectomy is recommended.

Diet for acute pyelonephritis

The diet for acute pyelonephritis includes restrictions that should help relieve pain. For acute pyelonephritis, a daily fluid intake of 2 liters and a decrease in salt levels to 6 grams per day are recommended. It is allowed to consume dairy products, and during recovery, supplement the diet with lean meat. Soups should be vegetable; the presence of a small amount of cereal is allowed. Acute pyelonephritis involves eating small portions at least 5 times a day and cooking food exclusively by steaming, in the oven or boiling on the stove.

It is important to refuse:

  • salty;
  • mushrooms;
  • legumes;
  • sweet;
  • canned food;
  • acute;
  • alcoholic and carbonated drinks;
  • smoked

Features of the diet for pregnant women suffering from pyelonephritis

During pregnancy, for a woman with acute or chronic pyelonephritis, the attending physician prescribes a special nutrition program. It is very important to follow its principles. Almost all necessary medications cannot be taken during pregnancy and during feeding, therefore, in order to prevent exacerbation of the disease, every woman must follow a diet.

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Treatment of pyelonephritis

Here is an approximate list of permitted foods that a pregnant woman with pyelonephritis can eat:

  • lean chicken or fish, steamed or baked in the oven. It is recommended to remove the skin first;
  • milk and dairy products with a small percentage of fat content;
  • unhealthy baked goods;
  • boiled eggs or steamed omelet, but not more than 2 times a week;
  • fresh and boiled vegetables, herbs (except sorrel and spinach) and some fruits;
  • unsalted porridge.

You can add flavor to dishes using cloves, bay leaves, and cinnamon. It is forbidden to eat too spicy, spicy, sour foods, as well as canned food in marinade, baked goods, and chocolate.

Nutrition for chronic pyelonephritis in adults

The diet for chronic pyelonephritis in adults is very similar to the diet for acute illness. You need to avoid those products listed above. What can you eat? Chronic pyelonephritis allows you to eat lean fish and poultry, vegetable soups, eggs, cereals, honey, sweets and fruits. In this case, the amount of salt should also be reduced, and dry herbs or lemon juice can be used as a substitute. You will not have to follow a diet for a chronic illness for 1 or 2 years; this process will last a lifetime in order to exclude the possibility of recurrence of symptoms.

General goals of dietary nutrition

Pyelonephritis is a kidney pathology that affects the pyelocaliceal system. The acute form of the pathology can be treated if the patient consults a doctor in time for help.

Unfortunately, chronic pyelonephritis cannot be cured. This form of pathology is accompanied by alternating periods of remission and exacerbation.

Urologists recommend taking preventive measures to prevent exacerbation stages. Among such preventive measures, diet occupies a leading place.

Nutrition for chronic pyelonephritis has certain therapeutic objectives. First of all, it is recommended to take foods that help speed up the flow of urine.

Activation of the process of urine formation favors cleansing of the kidneys, washing out sediment, bacteria and infections from the renal space.

Increasing the drinking regime helps improve kidney flushing. The amount of water that should be drunk daily is determined by the attending physician, taking into account the patient’s health status.

The diet also predetermines the consumption of a large number of foods that lead to alkalization of the internal environment of the kidneys, which helps eliminate infection, since an alkaline environment causes the death of pathogenic microflora.

To remove excess stress from weakened kidney organs, urologists recommend limiting the intake of fats and proteins.

It is useful to give up salty foods, as well as directly minimize the amount of salt consumed.

It is very important that a patient diagnosed with chronic pyelonephritis follow a diet that includes at least four meals.

What foods can you eat?

It is important to make the menu from those products that are allowed for kidney pyelonephritis. You should change your diet when the symptoms of the disease worsen, and over time you should add to it the food that your doctor allows. The following healthy foods are allowed to be eaten:

  • lean meat and fish (baked or boiled);
  • various fruits (especially those that have a diuretic effect);
  • cereals (buckwheat and oatmeal);
  • vegetable soups with added cereals;
  • low-fat dairy products;
  • liquids (teas, fruit drinks, mineral waters, compotes, herbal decoctions).

What can you eat

The list of products allowed for kidney inflammation is quite extensive: it includes many familiar ingredients:

  • bread and pastries made from unsalted dough without the addition of yeast;
  • some types of cereals and pasta;
  • low-fat soups and broths made from meat, fish, vegetables or milk;
  • not too fatty fish and meat;
  • main vegetables: fresh or boiled potatoes, beets, carrots, pumpkin and zucchini, as well as dishes and salads prepared from them;
  • some types of fruits (pears, apples);
  • oil, sauces, some seasonings and spices (spicy additives should be used with great caution);
  • milk and fermented milk products;
  • hard-boiled eggs or steamed omelet;
  • weakly brewed black and green tea, jelly, fruit juice.

Any of the above dishes should be prepared with limited salt.

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Causes of pyelonephritis

Possible table menu No. 7 for pyelonephritis

There is a special table of dietary tables according to Pevzner, in which the diet for kidney inflammation is table 7. The nutrition is based on the fact that it contains a reduced number of proteins and a normal amount of carbohydrates and fats. On the day, dietary table 7 for pyelonephritis involves drinking at least 2 liters of water. In case of exacerbation of the disease, preference should be given to foods rich in vitamins. In this case, the calorie diet should contain at least 2500 calories per day. Example of a daily menu:

  • for breakfast you can prepare a vegetable salad, boil cereals in water and drink weak coffee or tea;
  • for second breakfast you are allowed to drink a glass of freshly squeezed juice;
  • lunch should include soup made from vegetables, boiled or baked lean meat, cereals and compote;
  • For dinner you should eat cottage cheese casserole, fruit puree, and a few hours before bedtime drink a glass of low-fat kefir.

Diagnosis of the disease

The diagnosis is established on the basis of the clinical picture, as well as according to data obtained from laboratory and hardware tests. The period of calm or latent course of the disease is characterized by the fact that a slight increase in leukocytes and traces of protein are detected in the urine. A blood test reveals a slight acceleration of ESR and slight signs of anemia.

If the process worsens, then pronounced leukocytosis and acceleration of ESR are observed in the blood, and bacteriuria, decreased specific gravity, protein and leukocyturia are observed in the urine.

Hardware diagnostics are also of great importance in diagnosing the disease. On an ultrasound with chronic pyelonephritis, you can see some pathology of the kidneys - the sizes may be different, prolapse is possible, the contours of the organs are disturbed, and doubleness is observed.

Excretory urography is a study of the kidneys with the introduction of a contrast agent into the patient’s body. In this way, the specialist can more accurately examine the calyces, pelvis, ureter and other parts of the kidneys and bladder. In addition, in this case, you can see the shadows of stones, deformation, kinks of the ureter, segments of spastic contraction, and also determine disturbances in urination.

If the patient is suspected of developing renal failure, then retrograde urography is prescribed. In this case, the contrast agent is administered through a catheter. If the results give a blurry picture, a CT scan may be required, and organ angiography may be prescribed to determine renal hypertension.

Nutrition during illness in pregnant women

It is important to note that pregnant girls should definitely follow a therapeutic diet for pyelonephritis, because during pregnancy it is forbidden to take most medications. In this case, a special diet paired with approved medications prescribed by a specialist will come to the rescue. Prohibited products:

  • fried:
  • spicy;
  • salty;
  • fatty.

It is useful to include in your diet for pyelonephritis a lot of fruits and vegetables rich in vitamins necessary for pregnant women. You need to drink more fluid, however, the required volume should be determined by your doctor in order to avoid the development of swelling, which often occurs during pregnancy. Diarrhea is often observed in pregnant women; if it occurs, the patient will need to eat prunes and beets.

Diet for pyelonephritis: healthy foods and menu plan for the day – Website about hernias and their treatment

11.05.2020

Pyelonephritis is a urological disease, inflammation of the pyelocaliceal structures of the kidneys. Treatment is aimed at eliminating the infection and reducing the load on the urinary organs.

The diet for pyelonephritis in adults is based on the recommendations of table 7 according to Pevzner. It stimulates the rapid elimination of toxic substances, eliminates swelling, and normalizes blood pressure.

By following a gentle diet, it is possible to prevent complications of pyelonephritis - urolithiasis, abscess and kidney failure.

General nutrition rules

Table number 7 is a therapeutic diet with a slight restriction of proteins, which is followed for pyelonephritis. fats and carbohydrates in the diet meet the standards for healthy people. Therefore, long-term adherence to the diet does not lead to depletion of energy reserves or hypovitaminosis.

Chronic pyelonephritis is fraught with irreversible changes - kidney failure, which leads to death. To avoid negative consequences, be sure to follow a diet. It solves several problems at once:

  • creates favorable conditions for the correct functioning of the kidneys;
  • restores metabolism;
  • removes toxins, salts, unnecessary substances from the blood;
  • reduces blood pressure in hypertension.

The diet for pyelonephritis should include the entire range of essential vitamins. The daily calorie intake ranges from 2500-2700 kcal. The basic rules of therapeutic nutrition for pyelonephritis include:

  • Heat treatment. All types of culinary processing of meat and vegetables are permitted. But frying should be abandoned in case of relapses of pyelonephritis.
  • Eating. They eat small portions, but often - 4-5 times a day.
  • Salt consumption. It is not advisable to add salt to food. At the discretion of the nephrologist, it is allowed to consume 2-5 g of salt per day.

In slightly acidic and acidic environments, bacteria multiply faster. Therefore, as part of the diet, they eat more fruits, which shift the pH towards alkalis.

What you can and cannot eat with pyelonephritis: food tables

Gentle nutrition during pyelonephritis reduces the load on the kidneys. The diet helps relieve inflammation and stimulates the immune system to destroy infection in pyelonephritis. When following diet therapy, the recovery period is shortened.

Alkalinizing foods are what you can eat with pyelonephritis without restrictions. These include non-acidic fruits, vegetables, and fermented milk products. During the diet, you should not abuse foods with animal proteins - poultry, meat. Completely exclude greens, vegetables and fruits with essential oils and oxalic acid. They irritate the mucous membranes of internal organs and stimulate stone formation.

List of permitted and prohibited foods for pyelonephritis

Product examplesAllowedProhibited
greens and vegetablespumpkin, beets, squash, carrots, potatoesgarlic, radish, horseradish, spinach, asparagus, celery, legumes, onions, tomato, turnip, radish, sorrel
fruits and berriespear, cranberry, fig, lingonberry, melon, apple, watermelonlemon, grapefruit, apricots, grapes, banana, strawberry, avocado, orange
porridge and cerealswhite rice, corn, wheat, buckwheat, oat flakes, pearl barley
dried fruits and nutsdried apricots, dates, raisins, nuts - in small quantities
seasonings and saucessour cream sauce, granulated sugarmustard, cinnamon, mayonnaise, hot dressing
dairylow-fat cottage cheese, milk, yogurt, fermented baked milk, kefirheavy cream, salted hard cheese, high-fat sour cream
meatrabbit, turkey, beef, chicken (without skin)pork, duck, smoked turkey, chicken
seafood and fishpollock, shrimp, hake, pike perchsmoked fish, salmon, black caviar
confectionerymarmalade, jellypastry cream, dark and milk chocolate
beveragesbirch and carrot juice, medicinal table water, weak tea, chamomile and elderberry decoctionalcohol, tomato juice, strong black tea, cocoa, lemonade, citrus juice, soda
other productsvinegar (limited), olive and sunflower oil, chicken eggs, bread (without salt),mushrooms, lard, rich broths, flour products with salt

As part of the diet, foods with irritating effects and those that retain fluid in tissues are excluded.

Patients with pyelonephritis often ask whether it is possible to drink coffee if they have kidney inflammation. Natural beans contain a lot of caffeine, which has a diuretic effect and increases blood pressure.

Calcium and other useful substances are removed along with the liquid. This leads to disruption of electrolyte balance and metabolism. Therefore, it is undesirable to drink coffee during pyelonephritis, as well as strong black tea.

Drinking regime

Based on the results of the examination, the doctor determines how much water to drink for pyelonephritis. If there are no concomitant urological diseases (urinary tract obstruction, urethritis, cystitis), drink up to 2.5 liters of free fluid per day. The therapeutic diet is aimed at restoring the acid-base balance. Therefore, the following are recommended as drinks:

  • kidney tea;
  • bearberry decoction;
  • fruit drink with cranberries;
  • birch infusion;
  • green tea.

By drinking plenty of fluids, you can speed up the elimination of nitrogenous substances. Therefore, the diet requires drinking at least 2 liters of fluid per day. This prevents the body from being poisoned by protein breakdown products and bacterial toxins.

Diet features

Diet rules for pyelonephritis depend on:

  • age;
  • general health;
  • intensity of kidney inflammation;
  • the presence of concomitant pathologies.

A fortified diet not only stimulates the immune system, but also prevents allergic effects. This reduces the likelihood of adverse reactions during drug therapy for pyelonephritis.

Diet is an effective way to prevent complications and relapses of pyelonephritis. A balanced diet protects inflamed kidneys and urinary tracts.

In pregnant women

in the first 2 trimesters of pregnancy, the list of medications for the treatment of pyelonephritis is very limited. To strengthen the body's resistance to infection, women must follow a diet. it is aimed at restoring kidney function and stimulating intestinal motility.

Features of diet during pregnancy:

  • diet To increase the tone of the smooth muscles of the urinary tract and intestines, consume foods with fiber - dried fruits, beets, squash. Dairy products are introduced into the diet - unsalted cheese, kefir, cottage cheese. they stimulate the formation of fetal bone structures.
  • drinking regime. for toxicosis, increase water consumption to 2.5 l/day. Liquids with a high salt content are excluded from the diet.
  • culinary processing of products. To avoid constipation, vegetables and meat are steamed or boiled.

A diet for pregnant women with pyelonephritis involves avoiding fatty, salty and fried foods. Such foods increase the risk of constipation and increased pelvic pressure.

in children

The diet for pyelonephritis in children is aimed at reducing the load on the urinary system:

  • the amount of salt is limited only in cases of severe renal dysfunction;
  • I alternate plant and protein foods;
  • eat up to 100 g of low-fat cottage cheese or hard cheese daily;
  • eat up to 5 times a day in small portions;
  • exclude fried foods, smoked meats and greens.

Children with pyelonephritis are recommended to follow a dairy-vegetable diet. To quickly remove nitrogenous substances, use more herbal infusions and cranberry juice.

with exacerbation of pyelonephritis

acute pyelonephritis is dangerous because it leads to infectious-toxic shock. To reduce the load on inflamed kidneys, during an exacerbation you should:

  • give up animal fats;
  • drink up to 3 liters of water per day;
  • exclude alcohol and salt;
  • limit your intake of easily digestible carbohydrates.

The diet includes avoiding rich mushroom and meat broths, legumes, and fatty fish. in the first days after an exacerbation of pyelonephritis, they switch to a vegetarian diet. prepare fruit and vegetable purees, cottage cheese casseroles, vegetable stews, and cutlets.

as inflammation subsides, lean meat is introduced into the diet menu - chicken breast, veal. daily protein intake should meet the norm of 80-100 g/day.

sample menu for the week

You can create a varied menu for every day using foods that are useful for pyelonephritis. As part of the diet, vegetables, meat, and pasta are allowed, so there are no problems with cooking. Serious restrictions apply only to fatty fish, spices, salt and certain vegetables.

Nutritionists advise preparing dishes from different products. The more varied the menu, the lower the risk of vitamin and mineral deficiency and relapse of pyelonephitis.

Sample menu for a week for pyelonephritis

Days of the week1 breakfast2 breakfastDinnerAfternoon snackDinner
Mondaysemolina porridge, apple, herbal tea3-4 slices of watermelonbeetroot soup, boiled chicken breast with boiled potatoes, carrot juice100 g dried fruits, mineral waternoodle soup with meatballs, fruit salad, birch infusion
Tuesdaycottage cheese with sour cream, biscuits, herbal infusionapricot juice, datescabbage soup with prunes, boiled beef, vegetable stew, elderberry decoctionbaked applemillet with butter, baked pollock with carrots, fruit juice
Wednesdayoatmeal with raisins, biscuits, rutabaga juicetoast with sour cream, teapumpkin soup, mashed potatoes with fish cutlets, compoterye bread with fruit jamcream soup with vegetables, fish cutlets, fruit salad, tea
Thursdaycottage cheese with jam, fruit compotehomemade cookies, carrot juicenoodle soup, baked chicken, mashed potatoes, fruit drinkfruit mousse, biscuitsvegetable broth, meat soufflé, fruit slices, herbal decoction
Fridayrice with dates, bread and butter, teafresh fruit, cranberry juicerice soup with peas, chicken breast in sour cream sauce, mashed potatoes, teabaked pear, fruit juicebuckwheat soup, casserole with apples and dried apricots, tea
Saturdaybuckwheat porridge, chopped vegetables, tea100 g dried apricots, compotecream soup with broccoli, boiled potatoes with meat cutlets, compotecurd soufflé, compotepasta with meat, fruit puree, milk with honey
Sundaysemolina porridge with dried apricots, apple, lingonberry juicecottage cheese with sour cream and raisins, teavegetarian borscht, vegetable stew, meat soufflé, fruit juicehomemade cookies, kefir

For breakfast, it is recommended to eat porridge with water or protein foods - boiled eggs, steamed omelet. To reduce the load on the gastrointestinal tract, it is recommended to have dinner 1.5-2 hours before bedtime.

The diet is followed until recovery or until acute inflammation subsides.

Cooking recipes

For pyelonephritis, prepare dishes that do not increase the load on the detoxification organs - the kidneys and liver. As part of the diet, it is recommended to use the following recipes:

  • Meat soufflé. 1 tbsp. l. white rice is boiled. 200 g of boiled beef is chopped and rice is added. Mix the minced meat with 1 beaten egg. Place the mixture in a mold and steam for 30 minutes.
  • Carrot cream soup. Medium-sized carrots are cut into thin rings and stewed with 1 tsp. granulated sugar and butter, adding a little water. After 10 minutes, add 2 tbsp. l. white rice and 200 ml water. Simmer over low heat for a quarter of an hour. Grind the finished mass in a blender, adding a little milk.
  • Pumpkin casserole. A thick porridge is prepared from 75 g of semolina. Stew 500 g of peeled pumpkin in a small amount of water. 250 g of cottage cheese are mixed with semolina porridge, pumpkin and 2 chicken eggs. The mixed mass is placed in a mold and baked at 180°C for 20 minutes.

A diet enriched with vitamins restores metabolism and helps obese people normalize weight. This reduces the severity of hypertension and the likelihood of a crisis.

Consequences of not following the diet

Ignoring the diet in most cases provokes malfunctions of the kidneys and gastrointestinal tract. Possible complications of pyelonephritis include:

  • urolithiasis disease;
  • bacteriotoxic shock;
  • bacterial urethritis;
  • carbuncles on the kidneys;
  • paranephritis;
  • cystitis;
  • poisoning with nitrogenous substances;
  • renal failure.

Salt restrictions can make it difficult to stick to your diet. But failure to comply is fraught with life-threatening complications. It is fundamentally important to follow diet therapy at least during exacerbation of pyelonephritis.

People suffering from pyelonephritis should lead a healthy lifestyle and diet. When following the recommendations, the inflammation does not develop into a sluggish form, which increases the chances of a complete recovery.

Diseases: kidney inflammation, kidney infections

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Proper nutrition for pyelonephritis - what can and cannot be eaten?

Pyelonephritis is an inflammatory pathology affecting the kidney tissue, which results in severe pain in the lumbar region, symptoms of chronic intoxication, and increased body temperature.

Complex therapy of the disease includes mandatory adherence to the basic aspects of the diet for pyelonephritis.

Rational nutrition, which involves excluding a number of certain foods from the usual diet, can reduce the load on the affected kidneys, increase the overall resistance of the body, and also saturate it with important vitamins and microelements.

The main goal of nutritional therapy for chronic pyelonephritis is to reduce the amount of time between relapses of the disease. It is necessary to consider in more detail the basic nutritional recommendations, the observance of which is required by the therapeutic diet for kidney pyelonephritis.

Basic principles of the diet

It is necessary to highlight a number of basic principles that form the basis of a gentle diet for chronic pyelonephritis, as well as during exacerbation of this disease. The main rules include:

Source: https://hospice1.ru/bolezni-pochek/dieta-pri-pielonefrite-poleznye-produkty-i-plan-menyu-na-den.html

Recipes for illness

Pumpkin soup. To prepare the soup, you will need about half a kilogram of pumpkin, 2 potatoes, carrots and onions. First, chop the vegetables, pour about 2 liters of water into a saucepan and boil it. Then add potatoes, pumpkin, carrots and onions. The finished soup will need to be ground in a blender.

Vegetable cutlets, for which you should take 500 g of cauliflower, 1 egg, a spoonful of semolina and butter, half a glass of milk, a little breadcrumbs. The first thing to do is chop the cabbage and simmer it with water and milk, then add semolina and cook for about 10 minutes, stirring constantly. Then let the dish cool, and then add the egg and mix well. Form cutlets from the prepared mixture, dip in breadcrumbs and steam.

Rice casserole with apple. You will need 1.5 cups of rice, a little butter, 4 small apples, 150 grams of sour cream and sugar. You need to pour 3 glasses of water into the pan and add rice there, bring to a boil, let cool and add half the butter and an egg. Prepare the apples, cut them, mix with sugar. Coat a baking dish with the remaining oil, place half the rice on the bottom, apples on top, then the rest of the rice. Add sour cream and place in the oven for 30 minutes at 200 degrees.

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