Uribarri Jaime
Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Semin Dial. 2018 May;31(3):236-243. doi: 10.1111/sdi.12697. Epub 2018 Apr 13.
Dialytic renal replacement therapy is now entering into its sixth decade in the United States. Despite major advances in dialysis technology, regimens and protocols, and pharmacological treatments, patients' restricted dietary intake remains the lynchpin to their well-being and success. Herein, we review current guidelines that limit dietary intake of nutrients and minerals in dialysis patients and explore potential ways to use them in designing a daily food intake that is not only healthy, but also easy to implement and therefore patient friendly. The main theme behind this review is attempting to emphasize that dietary restriction guidelines can be used in such a way that dialysis patients can eat things they really enjoy as long as they follow some relatively simple general rules.
在美国,透析肾替代疗法如今已进入第六个十年。尽管透析技术、治疗方案和药理治疗取得了重大进展,但患者受限的饮食摄入仍是其健康和治疗成功的关键。在此,我们回顾当前限制透析患者营养和矿物质饮食摄入的指南,并探索在设计日常食物摄入时运用这些指南的潜在方法,这种饮食不仅健康,而且易于实施,因而对患者友好。本综述背后的主要主题是试图强调,饮食限制指南可以以这样一种方式使用,即透析患者只要遵循一些相对简单的一般规则,就可以吃他们真正喜欢的东西。