CHAPTER


DOI :10.26650/B/CH12CH47.2023.014.29   IUP :10.26650/B/CH12CH47.2023.014.29    Full Text (PDF)

Geriatrik Kronik Böbrek Hastalarında Beslenme Yönetimi

Lale ErtuğluT. Alp İkizler

Beslenme yönetimi, orta ila ileri evredekiler başta olmak üzere, kronik böbrek hastalığı (KBH) olan hastalarda, tedavinin en önemli ögelerinden biridir. Bu hassas hastalarda, diyet alimi, değişen besin kullanimina yol açan eşzamanli metabolik anormallikler ve böbrek replasman terapilerinin advers beslenme etkileri dahil, ancak bunlarla sinirli olmamak üzere birçok faktöre bağli olarak artan protein enerji kaybi riski olduğu gayet iyi bilinmektedir. KBH ayni zamanda, bağımsız olarak zayıflama ve sarkopeni riski taşıyan yaşlanan popülasyonun bir hastalığıdır. Bu düzensizliklere yol açan bazı faktörler KBH ve yaşlanma arasında örtüşürken, her rahatsızlığa özgü olan ve kombinasyon halinde kardiyovasküler hastalık, enfeksiyon riski ve güçsüzlük gibi kötü klinik sonuç riskini katlanarak artırabilecek başka faktörler de vardır. Aşağıdaki bölümlerde, KBH’li yaşli hastalarda protein enerji kaybının epidemiyolojisini ele alacağız ve bu anormal duruma yol açan mekanizmalar hakkında bilgi vereceğiz. Ayrıca, KBH’li yaşlı hastalarda sivi ve elektrolit dengesinin yönetimine yönelik tavsiyelerle birlikte protein enerji tükenmesi (PET, protein enerji wasting) önleme ve tedavi etme stratejilerini tartışacağız.



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