članak: 1 od 1  
Medicinski pregled
2005, vol. 58, br. 11-12, str. 576-581
jezik rada: srpski
stručni članak
doi:10.2298/MPNS0512576J

Rezidualna bubrežna funkcija i stanje uhranjenosti bolesnika na kontinuiranoj ambulantnoj peritoneumskoj dijalizi
Univerzitet u Beogradu, Medicinski fakultet, Klinički centar Srbije

Sažetak

Tokom poslednjih godina sve veći broj bolesnika sa terminalnom slabošću bubrega koju su izazvala različita osnovna oboljenja, leči se hroničnim programom dijalize širom sveta. Pothranjenost se često dijagnostikuje kod bolesnika sa hroničnom bubrežnom slabošću i uzrokovana je nedovoljnim unosom hranljivih materija zbog gubitka apetita, restrikcija u ishrani, hormonskih i metaboličkih poremećaja, komorbidnih stanja i gubicima hranljivih materija tokom samog postupka dijalize. Stanje uhranjenst, značajno utiče na preživljavanje bolesnika na dijalizi. Novije epidemiološke studije su dokazale da preživljivanje na hroničnom programu kontinuirane ambulantne peritoneumske dijalize zavisi više od rezidualne bubrežne funkcije nego od pentoneumskih klirensa. Cilj rada bio je ispitivanje uticaja rezidualne bubrežne funkcije na uobičajene biohemijske i antropometrijske parametre uhranjenost, kod 32 bolesnika tokom prvih 6 meseci lečenja kontinuiranom ambulantnom peritoneumskom dijalizom. Naši bolesnici su započinjali hronično lečenje pentoneumskim dijalizama sa relativno dobrom rezidualne bubrežne funkcije. Tokom perioda praćenja, rezidualna bubrežna funkcija se blago smanjuje a stanje uhranjenosti bolesnika značajno se popravlja. Pol , starost bolesnika, kao ni šećerna bolest ni peritonitisi nisu značajno uticali na propadanje rezidualne bubrežne funkcije. Postoje mnogobrojne pozitivne korelacije između rezidualne bubrežne funkcije i pojedinačnih laboratorijskih i antropometrijskih parametara uhranjenosti, što potvrđuje pozitivan uticaj rezidualne bubrežne funkcije na stanje uhranjenosti bolesnika.

Ključne reči

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