| 特集名 | 合併症を伴う透析患者の栄養指導 | |
|---|---|---|
| 題名 | 消化管疾患 -- 術後も含めて | |
| 発刊年月 | 1998年 12月 | |
| 著者 | 豊里 英子 | 長崎大学医学部附属病院栄養管理室 |
| 著者 | 原田 孝司 | 長崎大学医学部附属病院腎疾患治療部 |
| 【 要旨 】 | 塩分・水分・カリウムなどの制限のある透析患者が消化管疾患を合併した場合，痛みや下血など諸症状のため食事が乱れ，病状に合った適切な食事摂取が困難となっている．このような状態が長く続くと病状回復が遅れ，また透析にも支障をきたすことになる．潰瘍治療剤により以前ほど厳格な食事管理は行われなくなったが，出血を伴う潰瘍や胃切除後症候群などの場合は，食品の選択・調理方法・食事の温度や分量等に十分留意することが必要である．また，規則正しい食事時間，ゆっくりよく噛むなど食べ方にも留意することが肝要である．このような内容の指導を適切な時期に実施し患者の不安感を解消させ病状回復に努めるべきである． | |
| Theme | Nutritional Guidance for Hemodialysis Patients with Complications | |
|---|---|---|
| Title | Complications associated with the gastrointestinal tract -- Including post operative state | |
| Author | Eiko Toyosato | Nutrition Management Room, Nagasaki University Hospital |
| Author | Takashi Harada | Renal Care Unit, Nagasaki University Hospital |
| [ Summary ] | Patients receiving hemodialysis treatments usualy are placed on a restricted diet. When they have symptoms related to the gastrointestinal tract, such as abdominal pain or gastrointcstinal bleeding, they may be susceptible to malnutrltion due to their low dietary intake. If such a condition persists over a long period of time, it may delay recovery from the gastrointestinal tract disease, thus indirectly influencing hemodialysis therapy. Recently, however, it has been noted that such patients do not follow the restricted dietary regimen due to the concomitant use of medications for peptic ulceration. In such patients, dietitians should be careful in regard to the type of selected diet, method of cooking, temperature, consistency and volume of meals. It is recommended that these patients should be served meals at regular times, and instructed to eat slowly and chew their food very well before swallowing. We believe there is a need for a consensus on the dietary requirements of hemodialysis patients with gastrointestinal tract disease, which may enhance both therapy and recovery. |
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