Abstract:

Chronic renal insufficiency (KBY) can be defined as a condition in which the glomerul filtration rate (GFH) decreases permanently enough to cause changes to a detectable level in the renal function. The recent period of renal insufficiency (SDBY) is characterized by irreversible loss of the endogenous renal function and creates a clinical picture in which the patient is constantly applied renal replacement therapies such as dialyse or transplantation to protect from life-threatening reproduction. The incidence and prevalence of SDBY is increasing throughout the world. Chronic renal insufficiency accompanied urethral syndrome is associated with appetite loss, gastrointestinal side effects resulting in reduced oral nutrition intake, metabolic acidosis, urethral toxicity, the beginning of protein catabolism. Malnutrition is a major problem in patients with SDBY. The presence of protein energy malnutrition is associated with increased mortality and morbidity in SDBY. Because malnutrition is frequent, the periodic assessment of the nutritional status is part of the routine care of dialytic patients with early diagnosis and appropriate treatment. First of all, the medical nutritional treatment should be organized individually, patients with no sufficient oral energy and nutrient supply and body mass index <20 kg/m2, weight loss of more than 10% in 6 months, serum albumin <3.5 g/dL and prealbumin <30 mg/dL low nutrient parameters determined nutritional deficiency should be given absolute nutritional support. Patients who are not able to meet their daily nutrition requirements with a diet and/or oral nutritional support for the disease are recommended to take the tube first. If enteral nutrition is not applied, total parenteral nutrition or hemodialysis should be applied immediately intradial parenteral nutrition. In this collection article, we will focus on the methods of nutrition support treatment in kidney diseases.

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