Akut böbrek hasarında beslenme desteği
Yıl: 2013 Cilt: 22 Sayı: 1 Sayfa Aralığı: 7 - 15 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Akut böbrek hasarında beslenme desteği
Öz: Akut böbrek hasarı (ABH), hastanede yatan hastalarda oldukça sık karşılaşılan bir komplikasyondur ve morbidite ve mortalitede artış ile ilişkilidir. ABH nadiren izole organ yetmezliği olarak görülür, daha sıklıkla kritik hastalık olarak tanımlanan ciddi ve uzamış katabolik faz ile karakterize çoklu organ yetmezliği sendromunun bir parçası olarak ortaya çıkar. ABHlı hastalar sıklıkla protein-enerji tüketimi içindedir ki bu önemli bir olumsuz prognostik faktördür. Akut böbrek hasarlı hastalarda malnütrisyon, komplikasyon gelişme riski, hospitalizasyon süresi ve hastane mortalitesinde artış ile ilişkilidir. Bu nedenle ABHlı hastaların tedavisinde uygun beslenme desteğinin yer alması elzemdir. Beslenme gereksinimi değerlendirilirken hastanın altta yatan hastalığı, komorbid durumları ve böbrek fonksiyon bozukluğunun ciddiyeti ile renal replasman tedavisi (RRT) ihtiyacı dikkate alınmalıdır. ABHda beslenme desteğinin esas amacı, normal böbrek fonksiyonuna sahip kritik hastalar için önerilene benzerdir: yeterli miktarda besin öğesi sağlandığından emin olmak, metabolik komplikasyonlara eşlik eden protein-enerji tüketimini önlemek ve mortaliteyi azaltmak. ABH, aynı hastanın bile klinik takip süresince büyük ölçüde değişen beslenme ihtiyacına sahip olduğu oldukça heterojen bir hasta grubunu kapsadığından beslenme gereksinimi açısından değerlendirme aralıklı olarak tekrar edilmeli, bireyselleştirilmeli ve RRT ile bütünleştirilmelidir..
Anahtar Kelime: Konular:
Nutritional support in acute kidney ınjury
Öz: Acute kidney injury (AKI) is a frequent complication affecting many hospitalized patients and is associated with increased morbidity and mortality. AKI seldom occurs as isolated organ failure; much more often it emerges as a component of the multiple organ failure syndrome, within the framework of the severe-prolonged catabolic phase determined by critical illness. Patients with AKI often have protein-energy wasting, which represents a major negative prognostic factor. Malnutrition in AKI patients is associated with increased risk of complications, longer hospitalization, and higher hospital mortality. Hence, appropriate nutritional support is essential in the management of the AKI patient. Assessment of nutritional requirements should take into account the patient s underlying disease, comorbid medical conditions, severity of the renal dysfunction and need for RRT. The primary goals of nutritional support in AKI are the same as those suggested for critically ill patients with normal renal function: to ensure the delivery of adequate amounts of nutrients, to prevent protein-energy wasting with the attendant metabolic complications, to reduce mortality. Since AKI comprises a highly heterogeneous group of subjects with nutrient needs widely varying even along the clinical course in the same patient, nutritional requirements should be frequently reassessed, individualized and carefully integrated with RRT..
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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| APA | BİLGİÇ A, AKÇAY A, Sezer S (2013). Akut böbrek hasarında beslenme desteği. , 7 - 15. |
| Chicago | BİLGİÇ Ayşe,AKÇAY Ali,Sezer Siren Akut böbrek hasarında beslenme desteği. (2013): 7 - 15. |
| MLA | BİLGİÇ Ayşe,AKÇAY Ali,Sezer Siren Akut böbrek hasarında beslenme desteği. , 2013, ss.7 - 15. |
| AMA | BİLGİÇ A,AKÇAY A,Sezer S Akut böbrek hasarında beslenme desteği. . 2013; 7 - 15. |
| Vancouver | BİLGİÇ A,AKÇAY A,Sezer S Akut böbrek hasarında beslenme desteği. . 2013; 7 - 15. |
| IEEE | BİLGİÇ A,AKÇAY A,Sezer S "Akut böbrek hasarında beslenme desteği." , ss.7 - 15, 2013. |
| ISNAD | BİLGİÇ, Ayşe vd. "Akut böbrek hasarında beslenme desteği". (2013), 7-15. |
| APA | BİLGİÇ A, AKÇAY A, Sezer S (2013). Akut böbrek hasarında beslenme desteği. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 22(1), 7 - 15. |
| Chicago | BİLGİÇ Ayşe,AKÇAY Ali,Sezer Siren Akut böbrek hasarında beslenme desteği. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 22, no.1 (2013): 7 - 15. |
| MLA | BİLGİÇ Ayşe,AKÇAY Ali,Sezer Siren Akut böbrek hasarında beslenme desteği. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, vol.22, no.1, 2013, ss.7 - 15. |
| AMA | BİLGİÇ A,AKÇAY A,Sezer S Akut böbrek hasarında beslenme desteği. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2013; 22(1): 7 - 15. |
| Vancouver | BİLGİÇ A,AKÇAY A,Sezer S Akut böbrek hasarında beslenme desteği. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2013; 22(1): 7 - 15. |
| IEEE | BİLGİÇ A,AKÇAY A,Sezer S "Akut böbrek hasarında beslenme desteği." Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 22, ss.7 - 15, 2013. |
| ISNAD | BİLGİÇ, Ayşe vd. "Akut böbrek hasarında beslenme desteği". Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 22/1 (2013), 7-15. |
