1 in every 10 people in the world and in Turkey, 1 out of every 7 people in kidney failure disease noted Koşuyolu seen Yeditepe University Hospital Specialist Professor of Internal Medicine and Nephrology Dr. Gülçin Kantarcı stated that the increasing obesity and the diseases such as diabetes and hypertension caused by the kidney failure. Providing nutritional advice to patients before and after dialysis, Prof. Dr. Kantarcı underlined the need to be sensitive about kidney failure.
IT WILL BE THE 5th REASON OF LOSS OF LIVES IN THE WORLD
Regarding the complaints caused by the disease, Prof. Dr. Gülçin Kantarcı gave the following information: “Generally, shortness of breath, decrease in urination, change in urine color, foaming in urine, weakness, fatigue, bad breath, cramps in legs and hands are findings before diagnosis. However, when the disease reveals these complaints, the disease reaches an advanced stage. Even these findings do not make patients think of infecting themselves. “
DIABETES AND HYPERTENSION MAKE AN INVITATION TO KIDNEY FAILURE
Turkey’s growth rate in the diabetes world is reminiscent of the first Prof. Dr. Kantarcı drew attention to the close relationship between chronic kidney disease, obesity and diabetes. Prof. Dr. Kantarcı said, “We are gaining weight as a society. A large number of people on the street are obese and overweight. This increase in obesity not only invites diabetes and especially Type 2 diabetes, but also causes hypertension. After all, diabetes and hypertension are also inviting kidney disease. More than one third of our patients on dialysis are diabetic patients. Most of them are patients with high blood pressure. Therefore, with the early diagnosis and treatment of these two diseases, kidney failure that reaches up to dialysis can be prevented ”.
Explaining the measures that can be taken to prevent obesity, Prof. Dr. Kantarcı continued his words as follows: “We must be able to burn as much as we eat in order not to be obese. It is necessary to eat right with exercise, avoid consumption of ready-made food, and to adopt a diet based on fresh fruits, vegetables and fresh meat. However, controlling carbohydrate and bakery food consumption, limiting salt consumption and drinking enough water are very important for both weight control and protecting the kidneys.
NUTRITION CHANGES BEFORE AND AFTER THE DIALYSIS PHASE
Pointing out that nutrition is of particular importance for patients with kidney failure, Prof. Dr. Gülçin Kantarcı said that pre-dialysis nutrition and the diet of the patient requiring dialysis are different from each other and that the most important point in this difference is salt. Prof. Dr. Kantarcı said, “While we restrict protein before dialysis, we give as much protein as possible after dialysis. “Patients should have a balanced diet consisting of proteins, fats and carbohydrates in order to prevent muscle, energy, fat loss and loss of appetite.”
Stop consuming unnecessary vitamins
“There is a vitamin craze that we have seen before and in patients requiring dialysis, and even in the society recently,” said Prof. Dr. Gülçin Kantarcı said, “People should avoid the vitamins they consume in order not to get viral diseases. For example vitamin C. High doses of vitamin C increase oxalate in pre-dialysis people. This causes kidney stone formation in healthy people. After dialysis, it can cause calcification in soft tissues and damage vascular walls. That’s why high doses of vitamin C should be avoided. “It came to my mind, I’ll take vitamins, it doesn’t hurt ‘madness should be abandoned. It should not be taken unless the physician recommends it ”.
Giving information about other vitamins used by kidney patients, Yeditepe University Hospital Internal Diseases and Nephrology Specialist Gülçin Kantarcı pointed out the misconceptions on the subject: “Vitamins A, D, K and E, which are fat-soluble vitamins, can be used in dialysis diseases sometimes in very uncontrolled and high doses. The same mistake can be made in the pre-dialysis period. Especially in the current period we are in, every mind that comes to mind is drinking vitamin D. However, one should not consume vitamin D without knowing the vitamin D level. Because vitamin D, which accumulates in the human body, becomes harmful when it is excessive. Therefore, vitamin D should be taken by monitoring its level in the body. There are different forms of vitamin K as well. While certain forms are beneficial, certain forms can be harmful. Therefore, it should not be used uncontrolled. B vitamins lost in dialysis machines should also be used in case of need. When used beyond the need, there is an unnecessary consumption and can have harmful effects on soft tissues. “