臨牀透析 Vol.30 No.1(5)


特集名 糖尿病性腎症への進歩した腎代替療法―その標準化と個別化
題名 透析療法下での食事療法―血液透析,腹膜透析,合併症対策も含めて
発刊年月 2014年 01月
著者 福島 芳子 メディカルプラザ市川駅/メディカルプラザ篠崎駅西口
著者 佐中 孜 メディカルプラザ市川駅/メディカルプラザ篠崎駅西口/江戸川病院生活習慣病CKDセンター
【 要旨 】 透析患者の食事療法は,「高齢であること」が最初の関門となってきた.糖尿病・非糖尿病で食事療法に違いはなく,患者の状態に応じて個別化した対応を考える.高齢・糖尿病は生活習慣と関連があり,食事内容に相応の配慮を要する.栄養補助食品・宅配食も適切に積極的に活用する.
Theme Up-to-date renal replacement therapy for diabetic nephropathy -- Standardization and personalization
Title Dietary therapy for maintenance dialysis patients
Author Yoshiko Fukushima Medical Plaza Ichikawaeki / Medical Plaza Shinozakiekinishiguchi
Author Tsutomu Sanaka Medical Plaza Ichikawaeki / Medical Plaza Shinozakiekinishiguchi / Edogawa Hospital
[ Summary ] The goal of hemodialysis therapy is not only to achieve long-term survival, but also to ensure a high quality social life. Moreover, the therapy should cause as few complications as possible, while retarding progression. Therefore, components of dietary therapy for patients on maintenance dialysis should also contribute to realization of these goals. With recent technological advances in dialysis therapy, the ability of dialysis therapy to remove uremic toxins has improved to a level not possible in the past. Pharmacological therapies, such as phosphorus adsorbents, have also improved markedly. On the other hand, the progressive aging of dialysis patients presents new challenges such as concurrent sarcopenia and malnutrition due to chronic inflammation. The demand for a dietary therapy which addresses all these issues is increasing.
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