Akut ve Kronik Böbrek Yetmezliğinde Tıbbi Beslenme Tedavisi

Böbrekler tüm vücut homeostazında önemli bir rol oynayan organdır. Böbrekler ekstraselüler ortamı, özellikle hücre dışısu ve elektrolitleri düzenler. Böbrek yetmezliği, böbrek işlevlerinin ve glomerül filtrasyon hızının (GFH) azaldığı, birikenüremik toksinlerin tüm sistemi etkilediği klinik durum olarak tanımlanmaktadır. Kronik Böbrek Hastalığı (KBH) dünyadave Türkiye’de yaygın ve önemli bir halk sağlığı sorunudur. Erken saptandığında sıklıkla önlenebilir veya ilerlemesigeciktirilebilir olmasına karşılık, farkındalığı ve erken tanısı düşüktür. Böbrek yetmezliğinin akut veya kronik olmasınabağlı olarak uygulanan tıbbi beslenme tedavisi hastaların yaşam kalitesini arttırırken, hastalığa bağlı komplikasyonlarıngörülme sıklığını, mortalite ve morbidite oranlarının da düşmesini sağlamaktadır. Bu makalede akut böbrek hasarı vekronik böbrek yetmezliği hastalarında tıbbi beslenme tedavisinin güncel klavuzlar ışığında tartışılmıştır.

Medical Nutrition Treatment in Acute and Chronic Renal Failure

Kidneys are the organs that play an important role in whole body homeostasis. Kidney regulate the extracellular environment, espesially water and electrolytes. Kidney function deficiency is defined as the clinical situation in which kidney functions and glomerular filitration rate decreases, and accumulation of uremic toxins effecting the whole system. Chronic kidney disease is common both in Turkey and worldwide and it is an important public health problem. Although it is preventable or its spreading speed can be reduced when diagnosed in early stage, the chance of early diagnosis and awareness are low. The medical nutritional treatments depending on whether the kidney function deficiency is chronic or acute increases the life quality of the patients, and at the same time it decreases the frequency of complications related to the disease, mortality and morbidty rates. This article discusses the medical nutrition therapy in patients with acute renal injury and chronic renal failure based on current guidelines.

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ISSN: 1300-3089
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1972
Yayıncı: Türkiye Diyestisyenler Derneği

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