Kök Hücre Nakli Yapılan Bir Olguda Karşılaşılan Nutrisyonel Sorunlar ve Uygulamalar
Pediatrik hastalarda, Hematopoietik Kök Hücre Nakli (HKHN) sürecinde hastanın beslenme durumunu olumsuz etkileyen mukozit, diyare, kusma, karın ağrısı gibi gastrointestinal semptomlar, veno-oklüzif hastalık, graft versus host hastalığı ve metabolik dengesizlikler gibi ağır ve ciddi komplikasyonlar görülebilmektedir. Gerek kullanılan yüksek doz kemoterapi gerekse gelişebilen ağır komplikasyonlar nedeniyle hastaların oral besin alımları ciddi derecede azalmaktadır. Bu süreçte uygun beslenme desteği son derece önemlidir. Bu yazıda HKHN sürecinde yaşanan kompikasyonlar ve beslenme stratejileri, bir olgu üzerinden aktarılmaktadır.
Nutritional Problems and Applications in A Case with Stem Cell Transplantation
Severe and serious complications affecting nutritional status negatively like gastrointestinal symptoms including mucositis, diarrhea, vomiting, abdominal pain; veno-occlusive disease, graft versus host disease and metabolic disturbance could be seen in pediatric patients. Patients oral food consumption decrease dramatically because of both used high dose chemotherapy and can be occure severe complications. Proper nutritional support is very important in this period. In this case report discussed via a case experienced complications and nutritional strategies in transplantation period.
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