{"id":35996,"date":"2018-12-18T16:11:42","date_gmt":"2018-12-18T18:11:42","guid":{"rendered":"https:\/\/nutritotal.com.br\/pro\/?p=35996"},"modified":"2021-04-23T15:53:07","modified_gmt":"2021-04-23T18:53:07","slug":"como-realizar-orientacao-nutricional-para-pacientes-em-dialise-renal-peritoneal","status":"publish","type":"post","link":"https:\/\/nutritotal.com.br\/pro\/como-realizar-orientacao-nutricional-para-pacientes-em-dialise-renal-peritoneal\/","title":{"rendered":"Como realizar orienta\u00e7\u00e3o nutricional para pacientes em di\u00e1lise renal peritoneal?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-35997\" src=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2019\/02\/DIALISE-PERITONIAL_novosite.jpg\" alt=\"Di\u00e1lise Peritonial\" width=\"1137\" height=\"501\" srcset=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2019\/02\/DIALISE-PERITONIAL_novosite.jpg 1137w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2019\/02\/DIALISE-PERITONIAL_novosite-300x132.jpg 300w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2019\/02\/DIALISE-PERITONIAL_novosite-1024x451.jpg 1024w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2019\/02\/DIALISE-PERITONIAL_novosite-768x338.jpg 768w\" sizes=\"(max-width: 1137px) 100vw, 1137px\" \/><\/p>\n<p>A di\u00e1lise peritoneal \u00e9 uma op\u00e7\u00e3o de tratamento para pacientes com doen\u00e7a real cr\u00f4nica, em que se utiliza um filtro natural como substituto da fun\u00e7\u00e3o renal. Esse filtro, denominado perit\u00f4nio, \u00e9 uma membrana porosa e semiperme\u00e1vel, que reveste os principais \u00f3rg\u00e3os abdominais, formando uma cavidade peritoneal. Nesse processo, um l\u00edquido de di\u00e1lise \u00e9 colocado na cavidade e drenado, atrav\u00e9s de um cateter, entrando em\u00a0contato com o sangue e permitindo que as subst\u00e2ncias acumuladas, como ureia, creatinina e pot\u00e1ssio, sejam removidas, bem como o excesso de l\u00edquido que n\u00e3o est\u00e1 sendo eliminado pelo rim.<\/p>\n<p>Esse l\u00edquido dial\u00edtico cont\u00e9m glicose, que \u00e9 parcialmente absorvida. Portanto, a recomenda\u00e7\u00e3o de ingest\u00e3o de carboidrato via oral \u00e9 de 35 a 40% do VET, devendo ser oferecido, principalmente, carboidratos complexos. Os pacientes em di\u00e1lise peritoneal apresentam perda de prote\u00edna, sobretudo de albumina. Em raz\u00e3o disso, a dieta deve ser hiperproteica, com 1,2 a 1,3g de prote\u00edna\/kg\/dia, a fim de promover o balan\u00e7o nitrogenado positivo. A oferta de lip\u00eddeos deve ser de 30 a 35% do VET, priorizando as gorduras mono e poli-insaturados.<\/p>\n<p>Certa aten\u00e7\u00e3o deve ser dada ao consumo de s\u00f3dio, pot\u00e1ssio e l\u00edquidos, uma vez que hipertens\u00e3o arterial e edema s\u00e3o frequentes nessa popula\u00e7\u00e3o. O consumo de s\u00f3dio deve ficar entre 1000 a 4000mg por dia. C\u00e2imbras e arritmias card\u00edacas s\u00e3o sintomas comuns de hipocalemia nessa popula\u00e7\u00e3o.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A di\u00e1lise peritoneal \u00e9 uma op\u00e7\u00e3o de tratamento para pacientes com doen\u00e7a real cr\u00f4nica e cuidados nutricionais devem ser tomados durante o procedimento<\/p>\n","protected":false},"author":15,"featured_media":35998,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[151,153],"divisao":[2185],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Como realizar orienta\u00e7\u00e3o nutricional para pacientes em di\u00e1lise renal peritoneal? - Nutritotal PRO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nutritotal.com.br\/pro\/como-realizar-orientacao-nutricional-para-pacientes-em-dialise-renal-peritoneal\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Como realizar orienta\u00e7\u00e3o nutricional para pacientes em di\u00e1lise renal peritoneal? 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