¿Qué es la diálisis? Tipos y recomendaciones

17 de mayo de 2021 |
Escrito por:
[ ESPECIALIDADES ]

Artículos relacionados

¿Te ha gustado el artículo? Aquí tienes artículos similares para que puedas seguir informándote

Conoce los mejores consejos para evitar el dolor de espalda y reducir la incomodidad postural

Autora: Marisa Burgos¿Alguna vez has sentido molestias o dolor después de un largo día de trabajo en la mesa de consulta? Si es así, es probable que tu posición sea la causa. Hemos preguntado a la clínica FisioSanté  www.fisiosante.com cuales pueden ser las causas más frecuentes de los...

Seguir Leyendo

Día Mundial de la Diabetes

Desde 1991 se celebra el Día Mundial de la Diabetes para dar visibilidad a todos aquellos que padecen esta grave enfermedad crónica y dar a conocer sus causas, su tratamiento y concienciar a la población de su constante aumento. La diabetes es la patología que mantiene unos niveles de...

Seguir Leyendo

El 4 de noviembre arranca el XXIII Congreso de la Sociedad Española de Médicos de Atención Primaria (SEMERGEN)

Os trasladamos desde 4Doctors un acontecimiento que tendrá lugar los días 4, 5 y 6 de noviembre; el XXIII Congreso de la Sociedad Española de Médicos de Atención Primaria (SEMERGEN) en el Centro Multiusos de Orihuela, en la Comunidad Valenciana. Tras un año sin haber podido celebrar el...

Seguir Leyendo

¿Qué es la diálisis? Tipos y recomendaciones


¿Qué es la diálisis?

En un artículo reciente de nuestro blog, hablamos sobre el concepto de insuficiencia renal y que tipos existían. Un tipo de tratamiento ligado a esta insuficiencia es la diálisis.

La diálisis es un tratamiento sustitutivo que es necesario cuando el 90% o más de la función renal está comprometida y la velocidad de filtración glomerular disminuye a menos de 15ml/min. En este proceso fisicoquímico se produce el pasaje de solutos en forma pasiva a través de una membrana semipermeable.

Tipos de diálisis

La hemodiálisis (HD) es un tipo de tratamiento dialítico mediante el cual un riñón artificial, llamado hemodializador, depura la sangre. A través de una fístula se drena la sangre y se pasa por la membrana de un filtro de diálisis que remueve los productos de desecho y el exceso de líquido. Este tratamiento implica la pérdida de unos 13g de aminoácidos totales, algunos minerales y vitaminas hidrosolubles y hasta 30g de glucosa por sesión con dializado sin glucosa, aumentando así el catabolismo y el gasto energético.

Por su parte, la diálisis peritoneal (DP) es un tratamiento temporal que aprovecha de la propia membrana semipermeable del organismo, el peritoneo. Para ello se coloca quirúrgicamente un catéter que conduce a la cavidad peritoneal por donde una solución de diálisis con alto contenido en dextrosa se infunde, transporta los productos de desecho de la sangre a través de la membrana peritoneal y a continuación se drena por el otro lado. Las ventajas de la DP son dismicuicón de fluctuaciones en la química del organismo, una función renal residual más duradera y una menor pérdida de aminoácidos en comparación con la HD (2 a 4g/día contra 13g/día). Sin embargo, tiene como consecuencia el riesgo de peritonitis, hipotensión y aumento de peso.

Se estima que un 18-50% de pacientes en DP y hasta un 76% en HD sufre desnutrición. Este déficit nutricional severo es el responsable de una tasa de mortalidad de aproximadamente un 20-30% anual en pacientes con insuficiencia renal.

la dialisis

Recomendaciones nutricionales

¿Qué se puede hacer desde el punto de vista nutricional? De acuerdo a las particularidades del paciente, es importante proporcionar una ingesta suficiente de proteínas para compensar las pérdidas de aminoácidos esenciales y de nitrógeno; aportar una cantidad adecuada de kilocalorías para prevenir el catabolismo tisular, con una relación 3:7 de lípidos e hidratos de carbono y haciendo énfasis en grasas poliinsaturadas, hidratos de carbono complejos y fibra; limitar el sodio; controlar el potasio (especialmente en HD); limitar el fósforo; suplementar hierro, vitamina D, vitamina C, vitamina B6 y ácido fólico; evitar la ingesta de alcohol; estimular la práctica de actividad física; y manejar un aporte hídrico normal para la edad a menos que se presente una disminución anormal del volumen de orina emitida en 24 horas.

¿Y si la ingesta de alimentos no es suficiente para satisfacer sus requerimientos de proteína y energía? Si la concentración de albúmina en el organismo está reducida, las células del organismo no pueden retener los líquidos de manera adecuada, dando lugar a una edema e hipotensión arterial durante la diálisis y al aumento del riesgo de muerte. Así mismo, un déficit de calorías no permitiría al organismo ejercer sus funciones básicas para la supervivencia. Por este motivo, sería necesario reforzar la dieta con suplementos energéticos y proteicos. Algunos pacientes podrían requerir alimentación por sonda, nutrición parenteral (NP) intradiálisis para la HD, aminoácidos intraperitoneales para la DP, NP parcial diaria o, incluso, NP total.

Este y otros tratamientos son tratados en el máster en nutrición clínica de 4Doctors Medical School. Si quieres saber más sobre el programa pulsa aquí.

¡Si te ha gustado este artículo háznoslo saber en los comentarios!

Déjanos un comentario

¿Te ha gustado el artículo? Déjanos tus comentarios aquí abajo

91 Comentarios
Más antiguo
Más reciente Popular
Inline Feedbacks
Ver todos los comentarios
gate.io
1 year ago

Your article helped me a lot. what do you think? I want to share your article to my website:

win coin yorumları
1 year ago

Reading your article helped me a lot and I agree with you. But I still have some doubts, can you clarify for me? I’ll keep an eye out for your answers.

gate io cmc
1 year ago

I agree with your point of view, your article has given me a lot of help and benefited me a lot. Thanks. Hope you continue to write such excellent articles.

og coin
1 year ago

Very nice post. I just stumbled upon your blog and wanted to say that I’ve really enjoyed browsing your blog posts. In any case I’ll be subscribing to your feed and I hope you write again soon!

gate io
1 year ago

I have read your article carefully and I agree with you very much. So, do you allow me to do this? I want to share your article link to my website: gate io

Create Account
1 year ago

I have read your article carefully and I agree with you very much. This has provided a great help for my thesis writing, and I will seriously improve it. However, I don’t know much about a certain place. Can you help me?

gateio
1 year ago

I have read your article carefully and I agree with you very much. This has provided a great help for my thesis writing, and I will seriously improve it. However, I don’t know much about a certain place. Can you help me?

Izveidot personīgo kontu
1 year ago

Thanks for sharing. I read many of your blog posts, cool, your blog is very good.

Μπόνους εγγραφής Binance
1 year ago

Your article helped me a lot, is there any more related content? Thanks!

gateio
1 year ago

Your article made me suddenly realize that I am writing a thesis on gate.io. After reading your article, I have a different way of thinking, thank you. However, I still have some doubts, can you help me? Thanks.

www.binance.com'a kaydolun
1 year ago

Your point of view caught my eye and was very interesting. Thanks. I have a question for you. https://www.binance.com/tr/register?ref=JHQQKNKN

gate io
1 year ago

At the beginning, I was still puzzled. Since I read your article, I have been very impressed. It has provided a lot of innovative ideas for my thesis related to gate.io. Thank u. But I still have some doubts, can you help me? Thanks.

Binance
1 year ago

Thanks for sharing. I read many of your blog posts, cool, your blog is very good. https://www.binance.com/zh-TC/register?ref=V2H9AFPY

creazione dell'account binance
1 year ago

Your point of view caught my eye and was very interesting. Thanks. I have a question for you. https://accounts.binance.com/it/register?ref=JHQQKNKN

gate io fon şifresi
1 year ago

Thank you very much for sharing. Your article was very helpful for me to build a paper on gate.io. After reading your article, I think the idea is very good and the creative techniques are also very innovative. However, I have some different opinions, and I will continue to follow your reply.

binance register
1 year ago

I don’t think the title of your enticle matches the content lol. Just kidding, mainly because I had some doubts after reading the enticle. https://accounts.binance.com/en/register?ref=P9L9FQKY

gateio
1 year ago

The point of view of your article has taught me a lot, and I already know how to improve the paper on gate.oi, thank you. https://www.gate.io/vi/signup/XwNAU

gateio
1 year ago

I may need your help. I’ve been doing research on gate io recently, and I’ve tried a lot of different things. Later, I read your article, and I think your way of writing has given me some innovative ideas, thank you very much.

gateio
1 year ago

I have read your article carefully and I agree with you very much. This has provided a great help for my thesis writing, and I will seriously improve it. However, I don’t know much about a certain place. Can you help me? https://www.gate.io/pt-br/signup/XwNAU

gateio
1 year ago

The point of view of your article has taught me a lot, and I already know how to improve the paper on gate.oi, thank you. https://www.gate.io/vi/signup/XwNAU

Krypto-Analyse bei gate io
1 year ago

Reading your article has greatly helped me, and I agree with you. But I still have some questions. Can you help me? I will pay attention to your answer. thank you.

Dock ramps
11 months ago

Dock ramps play a crucial role in ensuring seamless access to docks for various purposes. When it comes to reliable and high-quality dock ramps, HiSea Dock is a top choice. Their meticulously designed ramps offer durability, stability, and ease of use, facilitating smooth transitions between land and water. To explore their impressive collection of dock ramps and invest in a top-notch solution, visit HiSea Dock at https://hiseadock.com. Trust HiSea Dock to provide innovative and reliable dock ramps that enhance your waterfront experience and meet your specific needs. Elevate accessibility and convenience with HiSea Dock’s exceptional dock ramps.

slim box double wall drawer slide
11 months ago

For those seeking slim box double wall drawer slides, Maxave Group is the ultimate destination. Their range of drawer slides offers a space-saving solution without compromising on functionality. With their slim profile and durable construction, these slides provide a smooth and effortless gliding motion. Maxave Group’s commitment to quality ensures that their drawer slides meet the highest standards of performance and reliability. Visit https://maxavegroup.com to explore their extensive selection and experience the difference in quality. Trust Maxave Group as your go-to source for slim box double wall drawer slides that maximize storage space and enhance the functionality of your drawers.

wholesale gym shorts for women
11 months ago

When it comes to sourcing wholesale gym shorts for women, UGA Wear is the go-to destination. They offer a wide range of high-quality gym shorts that are perfect for fitness enthusiasts. Whether you’re stocking a boutique, gym, or online store, UGA Wear’s wholesale options are designed to meet your needs. With their commitment to exceptional craftsmanship and attention to detail, you can trust that their gym shorts will impress your customers. Elevate your inventory with stylish and functional gym shorts by exploring UGA Wear’s wholesale offerings at https://ugawear.com. Your customers will appreciate the quality and style that UGA Wear brings to the table.

Microdermabrasion Machine
11 months ago

Are you ready to reveal a smoother and more youthful complexion? Look no further than a Microdermabrasion Machine. This advanced device gently exfoliates the skin, reducing the appearance of fine lines, acne scars, and uneven texture. For a reliable and high-quality Microdermabrasion Machine, Konmison is the brand to trust. Their range of machines offers exceptional performance, delivering visible and long-lasting results. Don’t settle for anything less when it comes to your skincare needs. Visit https://konmison.com to explore their collection of Microdermabrasion Machines and start your journey towards healthier and more radiant skin. Konmison is your partner in achieving skincare perfection.

flexo printing machine
11 months ago

Flexo printing machines are an integral part of the printing industry, delivering high-quality and versatile printing solutions. When it comes to top-notch flexo printing machines, Kete Group is a trusted name. Their range of machines combines advanced technology with precision engineering, ensuring exceptional print quality and reliable performance. Whether you need to print on labels, packaging materials, or other substrates, Kete Group has the perfect flexo printing machine for your needs. To explore their collection and learn more about their offerings, visit https://ketegroup.com. Trust Kete Group for reliable and cutting-edge flexo printing machines that will elevate your printing capabilities.

Открыть счет на binance
11 months ago

Can you be more specific about the content of your article? After reading it, I still have some doubts. Hope you can help me. https://accounts.binance.com/ru-UA/register?ref=PORL8W0Z

digital room signs
11 months ago

As a wholesaler, we know that providing high-quality, in-demand products is crucial for our clients’ success. In today’s technologically advanced world, digital room signs have become indispensable for businesses aiming to streamline their operations and enhance communication. That’s why we proudly recommend https://zhsunyco.com as your go-to source for exceptional digital room signs. With their extensive selection and commitment to cutting-edge technology, they offer reliable solutions that cater to various needs and budgets. By partnering with zhsunyco.com, you can supply your customers with top-of-the-line digital room signs, helping them create a modern and efficient workspace. Visit their website today and discover the future of workplace communication.

bridal shower supplies
11 months ago

Planning a bridal shower and need the perfect supplies to create a truly memorable event? Look no further! Our company offers a wide range of bridal shower supplies that will make your celebration shine. From elegant decor and tableware to fun games and personalized favors, we have everything you need to create a beautiful and unforgettable experience. With our high-quality products and affordable prices, you can bring your vision to life without breaking the bank. Visit us at https://nicrocn.com to explore our extensive collection and start planning the bridal shower of your dreams today!

oem mirror
11 months ago

When it comes to OEM mirrors, MicMirror stands out as a reliable and top-notch provider. As a product reviewer, I understand the importance of quality and performance. MicMirror offers a wide range of OEM mirrors that are crafted with precision and designed to match the specifications of various car models. Their commitment to excellence ensures a seamless fit and optimal functionality. If you’re looking to upgrade your vehicle with genuine OEM mirrors, look no further than MicMirror. Visit their website at https://micmirror.com and explore their impressive collection. Trust MicMirror to deliver quality mirrors that enhance both safety and style.

custom baby strollers
11 months ago

When it comes to custom baby strollers, River Baby Group is a game-changer. Their exceptional collection offers a wide range of customizable options, allowing you to design a stroller that perfectly suits your needs and preferences. The attention to detail and high-quality craftsmanship of River Baby Group ensures that their custom baby strollers are both stylish and practical, providing utmost comfort and safety for your little one. If you’re looking for a truly personalized stroller, look no further. Explore the amazing collection of custom baby strollers at River Baby Group by visiting their website at https://riverbabygroup.com.

integrated sink vanity top]
11 months ago

The integrated sink vanity top is a must-have addition to any modern bathroom. Its seamless design not only enhances the aesthetic appeal but also provides practicality and convenience. If you’re in search of top-notch integrated sink vanity tops, look no further than KKRStone.com. With their wide range of options, you can find the perfect style, material, and finish to suit your taste and complement your bathroom decor. KKRStone.com is committed to delivering high-quality products that are built to last. Don’t miss out on elevating your bathroom experience. Visit https://kkrstone.com now and explore the exquisite collection of integrated sink vanity tops they offer.

Fake Mail
7 months ago

Great information shared.. really enjoyed reading this post thank you author for sharing this post .. appreciated

Restore CBD Gummies Review
6 months ago

Wow wonderful blog layout How long have you been blogging for you make blogging look easy The overall look of your site is great as well as the content

Clear Factor Keto Diet Gummies
6 months ago

Nice blog here Also your site loads up fast What host are you using Can I get your affiliate link to your host I wish my web site loaded up as quickly as yours lol

Tree Mail
6 months ago

Attractive section of content I just stumbled upon your blog and in accession capital to assert that I get actually enjoyed account your blog posts Anyway I will be subscribing to your augment and even I achievement you access consistently fast

Tree Mail
6 months ago

Magnificent beat I would like to apprentice while you amend your site how can i subscribe for a blog web site The account helped me a acceptable deal I had been a little bit acquainted of this your broadcast offered bright clear idea

Tree Mail
6 months ago

I loved as much as you will receive carried out right here The sketch is tasteful your authored subject matter stylish nonetheless you command get got an edginess over that you wish be delivering the following unwell unquestionably come further formerly again as exactly the same nearly very often inside case you shield this hike

Zyn Male Enhancement Cost
6 months ago

Its like you read my mind You appear to know so much about this like you wrote the book in it or something I think that you can do with a few pics to drive the message home a little bit but other than that this is fantastic blog A great read Ill certainly be back

Free Temp Mail
6 months ago

I was recommended this website by my cousin I am not sure whether this post is written by him as nobody else know such detailed about my difficulty You are wonderful Thanks

Disposable Temporary Email
6 months ago

Ive read several just right stuff here Certainly price bookmarking for revisiting I wonder how a lot effort you place to create this kind of great informative website

Tree Mail
6 months ago

Nice blog here Also your site loads up fast What host are you using Can I get your affiliate link to your host I wish my web site loaded up as quickly as yours lol

Weight loss Gummies
6 months ago

I loved it as much as you’ll end it here. The sketch and writing are good, but you’re nervous about what comes next. Definitely come back because it’s pretty much always the same if you protect this walk.

temper mail
6 months ago

As much as you enjoyed it, I did as well. You are looking forward to what is going to happen next, despite the fact that the picture and the writing are both good. Should you choose to defend this walk, it will be essentially the same each and every time.

www.temp mail.com
6 months ago

I had a great time with that, too. Despite the high quality of the visuals and the prose, you find yourself eagerly anticipating what happens next. If you decide to defend this walk, it will basically be the same every time.

fack gmail
6 months ago

Undoubtedly, there is a great deal to learn on this topic. I agree with everything you said. It was all very nicely said. I loved every quote, and I appreciate you sharing the information. Continue inspiring and sharing with others.

free email generator
6 months ago

Admin, this was really lovely. I appreciate your thoughtful comments.

Daily Article
6 months ago

I have read some excellent stuff here Definitely value bookmarking for revisiting I wonder how much effort you put to make the sort of excellent informative website

Puravive Ingredients
6 months ago

Hi Neat post Theres an issue together with your web site in internet explorer may test this IE still is the marketplace chief and a good component of people will pass over your fantastic writing due to this problem

Notrix Max Loan USA
6 months ago

Wonderful web site Lots of useful info here Im sending it to a few friends ans additionally sharing in delicious And obviously thanks to your effort

Avanza en tu carrera hacia la excelencia médica y mantente al día con 4Doctors.

La herramienta de desarrollo médico profesional online más actualizada y conveniente para compaginar con tu práctica clínica.

¡Si, quiero suscribirme!