Kurban Bayramında Yoğun Et Tüketimi Kronik Böbrek Hasarını Hızlandırır mı? Yoğun Et Tüketiminin Kronik Böbrek Hastalığına Etkisi

Abstract

Objective: Chronic kidney disease (CKD) is precisely described as the availability of kidney damage or decreased kidney fonction that lasts for three months or more, regardless of its cause. Dietary factors may affect the progression and complications of the disease. Our aim is to investigate the effects of excessive meat consumption of Muslims on CKF during the Feast of Sacrifice. Methods: The study was performed on 203 patients with stage III-V CKD. The biochemical values of the patients who applied to the nephrology outpatient clinic at least one month before and one month after the Eid al-Adha were recorded. Patients who regularly consumed sacrificial meat for 4 days during the feast of sacrifice were included in the study. Results: The blood urea nitrogen (BUN), creatinine, albumin, potassium (K), calcium (Ca), vitamin D, and base excess (BE) levels of the patients were foundap to be significantly higher after the Feast of Sacrifice (p=0.014, p<0.001, p=0.031, p<0.001, p=0.002, p<0.001and p=0.009). The mean e-GFR of the patients before the Feast of Sacrifice was 32.221±14.756. It was found to be 31.474±15.229 after the feast of sacrifice, indicating a statistically significant decrease (p=0.042). A slight decrease was observed in the blood pH (p=0.002) and bicarbonate (HCO3) (p=0.002) levels of the patients. The change in the amount of creatinine with the feast showed a significant difference by CKD stages (p<0.001). There was no significant difference between stage IIIa (0.066±0.191), stage IIIb (0.067±0.318) and stage IV (0.137±0.547) patients (p>0.05). In stage V patients, creatinine level (0.580±1.124) showed a significant increase (p<0.001) due to the short-term intense meat consumption during the Feast of Sacrifice. Conclusions: In this study, we observed a progressive deterioration in kidney function due to high protein diet caused by excessive meat consumption in a short time during the feast of sacrifice.

Nursing Care of a Patient with Chronic Kidney Failure in Intensive Care Unit, According to Riehl’s Symbolic Interaction Model: A Case Report

“…Its prevalence and incidence are increasing day by day (1). CKF is the inability of the kidney to perform its functions as a result of the inability to adjust the fluidelectrolyte balance, chronic, and progressive deterioration in metabolic and endocrine systems, which develops due to the decrease in glomerular filtration rate due to many various factors (2).…”

“…As in our country, the most common causes of Chronic kidney failure in Europe and United States are diabetes mellitus, hypertension, and Glomerulonephritis (1,2). In the 2019 report of the Turkish Nephrology Association, the first three problems in the etiology of end-stage renal disease were reported as 39.04% diabetes mellitus, 24.91% hypertension, and 4.90% glomerulonephritis, respectively (3).…”

“…Renal replacement therapies (RRT) such as peritoneal dialysis, hemodialysis, and transplantation may be needed in cases where diet and medical treatment methods are advanced in the treatment of CKF (4,5). Hemodialysis is the most widely used renal replacement therapy (2). According to the data of the Turkish Society of Nephrology in Registry Report 2019, the total number of patients undergoing hemodialysis is 61341 people (3).…”