Hiperlipidemi ve Kanıta Dayalı Tedavi Bakım Uygulamaları
Özet
Hiperlipidemi hemodiyaliz tedavisi uygulanan bireylerde sık görülen ve kardiyovasküler hastalık riskini artırarak morbidite ve mortalite riskini artıran bir sorundur. Hemodiyalizde en sık görülen lipid anormallikleri serum trigliserid düzeylerinde artış ve yüksek dansiteli lipoprotein kolesterol düzeylerinde azalmadır. Total kolesterol ve düşük dansiteli lipoprotein kolesterol düzeyleri ise normaldir. Hiperlipideminin yönetiminde farmakolojik olarak, kolesterol ve trigliserid düşürücü ilaçlar önerilmektedir. Nonfarmakolojik olarak ise diyet düzenlemeleri ve fiziksel aktivite önerilmektedir. Ayrıca, hiperlipideminin yönetiminde hemodiyaliz tedavisi alan bireylerin hekim, hemşire, fizyoterapist ve diyetisyenden oluşan multidisipliner bir ekip tarafından bütüncül bir yaklaşım ile desteklenmesi önerilmektedir.
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