Diätetische Maßnahmen zur Progressionsverhütung der chronischen Niereninsuffizienz

  • A. Heidland
  • M. Teschner
  • R. M. Schaefer
Conference paper
Part of the Verhandlungen der Deutschen Gesellschaft für Innere Medizin book series (VDGINNERE, volume 95)

Zusammenfassung

Eine einmal etablierte chronische Niereninsuffizienz schreitet ab einem gewissen Grade progredient fort, auch wenn die initial auslösende Erkrankung nicht mehr aktiv ist. Diesem klinisch uniformen Verlauf entspricht morphologisch — auch bei unterschiedlichen Nierenerkrankungen — eine fortschreitende Glomerulosklerose. Für den sich verselbständigenden Verlauf der Niereninsuffizienz ist in letzter Zeit eine Vielzahl von Faktoren verantwortlich gemacht worden. Dazu zählen die Hypertonie, Proteinurie, Hormone (Parathormon, Glukokortikoide), metabolische Azidose sowie die Ernährung (Eiweiß-, Phosphat- und Kochsalzzufuhr) [25, 37, 40] (Abb. 1).

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Copyright information

© Springer-Verlag, Berlin Heidelberg 1989

Authors and Affiliations

  • A. Heidland
    • 1
  • M. Teschner
    • 1
  • R. M. Schaefer
    • 1
  1. 1.Nephrologische AbteilungMedizinischen Universitätsklinik WürzburgDeutschland

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