Maršáková Anna, Krátká Karolína, Bachroňová Petra, Rychlík Ivan
Vnitr Lek. 2020 Summer;66(6):10-13.
For patients with advanced chronic kidney disease (CKD) appropriately chosen and timely initiated dietary measures, as a complement to drug therapy, may slow the progression of the disease and delay the need for dialysis treatment. According to the results, dietary protein restriction may play a very important in management of such a patient. The effect of low protein diet is given by the early initiation and well cooperation of patients. The low protein diet with supplementation of ketoanalogues of amino acids is an attractive intervention to help maintain good nutritional status of patients and also have a positive role in calcium phosphate metabolism. Depending on the level of CKD´s progression it should not be forgotten either the fluid balance and the limitation of the intake of salt and phosphorus in the diet which may also have an unfortunate effect on the course of the disease.
对于晚期慢性肾病（CKD）患者，适当选择并及时采取饮食措施，作为药物治疗的补充，可能会减缓疾病进展并推迟透析治疗的需求。根据结果，饮食蛋白质限制在这类患者的管理中可能起着非常重要的作用。低蛋白饮食的效果取决于早期开始以及患者的良好配合。补充氨基酸酮类似物的低蛋白饮食是一种有吸引力的干预措施，有助于维持患者良好的营养状况，并且在钙磷代谢方面也有积极作用。根据CKD的进展程度，还不应忘记饮食中的液体平衡以及盐和磷摄入量的限制，因为这也可能对疾病进程产生不良影响。
