{"id":1068,"date":"2015-10-08T15:35:27","date_gmt":"2015-10-08T13:35:27","guid":{"rendered":"http:\/\/themedemos.webmandesign.eu\/polyclinic\/?page_id=1068"},"modified":"2018-09-16T18:24:54","modified_gmt":"2018-09-16T18:24:54","slug":"pharmacy","status":"publish","type":"page","link":"https:\/\/www.uzmandiyaliz.com\/?page_id=1068","title":{"rendered":"Diyaliz ve Beslenme"},"content":{"rendered":"<p>B\u00f6brek yetersizli\u011fi ilerledik\u00e7e ba\u015fta proteinler olmak \u00fczere de\u011fi\u015fik besin maddelerinde k\u0131s\u0131tlanmaya gidilece\u011fi \u00f6nceden yaz\u0131lm\u0131\u015ft\u0131. B\u00f6brekler g\u00f6revlerini iyice yitirdikten ve hastalar diyalize girmeye ba\u015flad\u0131ktan sonra al\u0131nan g\u0131dalar\u0131n yeniden d\u00fczenlenmesi gerekecektir.<\/p>\n<p><strong>Kalori:\u00a0<\/strong>Diyaliz hastalar\u0131nda al\u0131nmas\u0131 gerekli kalori miktar\u0131 hastan\u0131n beslenme durumu ile yak\u0131ndan ilgilidir.Hasta \u015fi\u015fman ise d\u00fc\u015f\u00fck kalorili diyetler \u00f6nerilir.Bu hastalar tatland\u0131r\u0131c\u0131 olarak sakkarin vb.ila\u00e7lar kullanarak ekmek,pilav,makarna,\u015feker gibi karbonhidratl\u0131 zengin g\u0131dalar ve ya\u011flar\u0131 az miktarda yemelidir.Yeti\u015fkin \u00a0bir diyaliz hastas\u0131n\u0131n ortalama olarak bir g\u00fcnde kg ba\u015f\u0131na 35 kalori(yakla\u015f\u0131k 1500 ile 2500 kalori) almas\u0131 gereklidir.<br \/>\n<strong><br \/>\nProtein:\u00a0<\/strong>Diyalize giren hastalar\u0131n protein ihtiyac\u0131 artar;bunun en \u00f6nemli nedeni diyaliz s\u0131ras\u0131nda protein yap\u0131m\u0131nda yer alan baz\u0131 maddelerin kaybedilmesidir.O nedenle,kronik b\u00f6brek yetersizli\u011fi d\u00f6neminin aksine,diyalize giren hastalarda al\u0131nan protein miktar\u0131 artt\u0131r\u0131l\u0131r.Bu hastalar bir g\u00fcnde kg ba\u015f\u0131na yakla\u015f\u0131k 1 ile 1.5 gr protein almal\u0131d\u0131rlar.(\u00f6rn;60 kg a\u011f\u0131rl\u0131\u011f\u0131ndaki bir hasta i\u00e7in 12\u00a0 numaral\u0131 liste) bu proteinlerinde hayvansal kaynakl\u0131 olmas\u0131na dikkat edilmelidir.<br \/>\n<strong><br \/>\nKarbonhidrat:\u00a0<\/strong>Hastan\u0131n ihtiyac\u0131 olan kalori miktar\u0131na g\u00f6re,almas\u0131 gereken karbonhidrat miktar\u0131 da de\u011fi\u015fir.Zay\u0131f hastalar\u0131n daha fazla,\u015fi\u015fman hastalar\u0131n ise daha az karbonhidratl\u0131 g\u0131da almalar\u0131 gereklidir.Bir g\u00fcnde al\u0131nan toplam kalorinin yakla\u015f\u0131k yar\u0131s\u0131 karbonhidratlardan sa\u011flanmal\u0131d\u0131r.<br \/>\n<strong><br \/>\nYa\u011f:\u00a0<\/strong>Diyaliz s\u0131ras\u0131nda al\u0131nmas\u0131 gerekli ya\u011f miktar\u0131 da (karbonhidratl\u0131 g\u0131dalarda oldu\u011fu gibi ) hastan\u0131n kilosu ile yak\u0131ndan alakal\u0131d\u0131r.Zay\u0131f hastalar i\u00e7in daha fazla,\u015fi\u015fman hastalar i\u00e7in ise,daha az ya\u011f gereklidir.Yine \u00f6nceden anlat\u0131ld\u0131\u011f\u0131 gibi,yemeklerde bitkisel s\u0131v\u0131 ya\u011flar(zeytinya\u011f\u0131 m\u0131s\u0131r \u00f6z\u00fc ya\u011f\u0131 vb.) tercih edilmeli ve tereya\u011f\u0131 yada ,i\u00e7 ya\u011f\u0131ndan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.Eller yeme\u011fe haz\u0131rlan\u0131rken,etraf\u0131ndaki ya\u011flar\u0131 iyice temizlemelidir.Bir g\u00fcnde al\u0131nan kolesterol miktar\u0131 300 mg\u2019\u0131 ge\u00e7memelidir.G\u00fcnl\u00fck kalori ihtiyac\u0131n\u0131n yakla\u015f\u0131k %30 ile 40\u2019\u0131 ya\u011flardan sa\u011flan\u0131r.<br \/>\n<strong><br \/>\nSu:\u00a0<\/strong>Diyalize giren hastalar\u0131n\u0131n pek \u00e7o\u011funun idrar\u0131 yoktur.Bu nedenle su ve s\u0131v\u0131\u00a0 g\u0131dalar\u0131n miktar\u0131na \u00e7ok dikkat edilmelidir.<br \/>\n\u0130ki diyaliz aras\u0131nda al\u0131nan kilo miktar\u0131n\u0131n \u00a01.5 \u2013 2 kg\u2019\u0131 a\u015fmamas\u0131na \u00f6zen g\u00f6sterilmelidir.<br \/>\nE\u011fer fazla s\u0131v\u0131 al\u0131nacak olursa hem \u00f6nceden anlat\u0131lan ,s\u0131v\u0131 fazlal\u0131\u011f\u0131 ile ilgili sorunlar (kalp yetersizli\u011fi,nefes darl\u0131\u011f\u0131 ,v\u00fccutta su birikmesi ,tansiyon y\u00fcksekli\u011fi) ortaya \u00e7\u0131kar;hemde diyaliz s\u0131ras\u0131nda fazla suyun \u00e7ekilmesine ba\u011fl\u0131 olarak ,adale kramplar\u0131 ve tansiyon d\u00fc\u015f\u00fckl\u00fckleri g\u00f6r\u00fcl\u00fcr.Genel olarak yemekler dahil,bir g\u00fcnde al\u0131nan s\u0131v\u0131 miktar\u0131 1000-1500 m\u2019\u0131\u00a0 civar\u0131nda olmal\u0131d\u0131r .Ancak, idrar miktar\u0131 \u00e7ok az olan ve de\u011fi\u015fik nedenler ile diyalize yeterli s\u0131kl\u0131kta giremeyen hastalar\u0131n daha az s\u0131v\u0131 almalar\u0131 gereklidir.<br \/>\n<strong><br \/>\nTuz:\u00a0<\/strong>diyaliz hastalar\u0131nda tansiyon y\u00fcksekli\u011fi olduk\u00e7a s\u0131k g\u00f6r\u00fcl\u00fcr.Al\u0131nan tuz miktar\u0131 fazla ise, hem tansiyon kontrol\u00fc zorla\u015f\u0131r, hem de daha \u00e7ok su i\u00e7ilir ve kilo al\u0131r.Bu nedenle diyaliz hastalar\u0131n\u0131n bir g\u00fcnde almas\u0131 gereken ortalama tuz miktar\u0131 1-2 gr civar\u0131nda olmal\u0131d\u0131r.Bu ama\u00e7la ,yemekler tuzsuz olarak pi\u015firilmeli,\u00fczerine ilave tuz konulmamal\u0131 ve tur\u015fu,zeytin,peynir gibi fazla tuzlu g\u0131dalar al\u0131nmamal\u0131 ve tuzsuz ekmek yenilmelidir.Ancak ,baz\u0131 hastalarda tuz k\u0131s\u0131tlanmas\u0131 gerekmez.Bu hastalar normal tuzlu g\u0131dalar alabilirler.<br \/>\n<strong><br \/>\nPotasyum:\u00a0<\/strong>Diyalize giren hastalarda en s\u0131k g\u00f6r\u00fclen sorunlardan biri kan potasyumun \u00e7ok y\u00fckselmesidir.\u0130drarla potasyum at\u0131lamad\u0131\u011f\u0131 i\u00e7in,bazen bu durum hayati tehlike de yaratabilir.Yap\u0131lmas\u0131 gereken ,g\u0131dalar\u0131n potasyum i\u00e7erikleri hakk\u0131na bilgi sahibi olmak ve y\u00fcksek potasyumlu g\u0131dalar\u0131 diyetten kald\u0131rmakt\u0131r.S\u00fct, patates,muz,portakal,kurutulmu\u015f meyveler ve baklagillerde fazla miktarda potasyum bulundu\u011fu unutulmamal\u0131 ve bu besinler fazla miktarda yememelidir.Yiyeceklerin potasyum miktar\u0131 hakk\u0131nda ayr\u0131nt\u0131l\u0131 bir liste 1. b\u00f6l\u00fcmde verilmi\u015ftir.<br \/>\nBaz\u0131 hastalar\u0131n dikkatine ra\u011fmen kan potasyumu y\u00fcksek \u00e7\u0131kabilir.Bu durumda yiyeceklerdeki\u00a0 potasyumun emilmesini engelleyen baz\u0131 ila\u00e7lar(\u00d6rne\u011fin Resonium-A)hekiminiz taraf\u0131ndan size verilecektir.<br \/>\n\u00d6te yandan,di\u011fer baz\u0131 hastalar\u0131n potasyum k\u0131s\u0131tlamas\u0131na ihtiyac\u0131 yoktur,hatta bu hastalarda kan potasyumu gere\u011finden d\u00fc\u015f\u00fck bile \u00e7\u0131kabilir.Yap\u0131lan kan tahlilerinin sonucuna g\u00f6re hekiminiz alman\u0131z gereken potasyum miktar\u0131 hakk\u0131nda bilgi verecektir..<br \/>\n<strong><br \/>\nKalsiyum:<\/strong>Kemik hastal\u0131\u011f\u0131n\u0131 \u00f6nleyebilmek i\u00e7in diyaliz hastalar\u0131n\u0131n her g\u00fcn belli miktarda kalsiyum almalar\u0131 gereklidir.Baz\u0131 yiyecekler kalsiyumdan zengindir o nedenle bu g\u0131dalar\u0131n yeterli miktarda al\u0131nmas\u0131 yararl\u0131 olur. kalsiyumun en \u00e7ok i\u00e7eren g\u0131dalardan biri olan s\u00fct ve s\u00fctten yap\u0131lan yiyeceklerde ()fazla miktarda fosfor da vard\u0131r bu g\u0131dalar\u0131n \u00e7ok fazla miktarda al\u0131nmas\u0131 b\u00f6brek hastalar\u0131nda zararl\u0131 olabilecek fosforu artt\u0131r\u0131r.O zaman bu t\u00fcr g\u0131dalar\u0131 \u00e7ok fazla miktarda almamal\u0131d\u0131r.<br \/>\nYiyecekler ile yeterli kalsiyum \u00e7o\u011fu kez al\u0131namad\u0131\u011f\u0131 i\u00e7in hekiminiz size ila\u00e7 \u015feklinde de verecektir.Bu ama\u00e7la s\u0131k olarak kullan\u0131lan kalsiyum karbonat tozunun 2 ile 3 gram\u0131 \u00e7o\u011fu kez ihtiyac\u0131 kar\u015f\u0131lar.Bu toz,i\u00e7ecekler ile al\u0131nan fosforun v\u00fccuda emilmesini de \u00f6nler,o nedenle \u00e7ift y\u00f6nl\u00fc yarar sa\u011flar.<br \/>\n<strong><br \/>\nFosfor:\u00a0<\/strong>Al\u0131nan proteinler ile (en \u00e7ok da s\u00fct ve s\u00fct \u00fcr\u00fcnleri ile) v\u00fccuda girer.Diyaliz hastalar\u0131n\u0131n kan fosfor d\u00fczeyi genellikle y\u00fcksektir.Bu durum kan kalsiyumun da azalmaya ve kemiklerde zay\u0131flamaya yol a\u00e7ar,kan fosforunu d\u00fc\u015f\u00fcrebilmek i\u00e7in ba\u015fta s\u011ft i\u00e7eren g\u0131dalar olmak \u00fczere,1.b\u00f6l\u00fcmde bilgilendirilen ve fazla miktarda fosfor i\u00e7eren besinlerin olabildi\u011fince az al\u0131nmas\u0131 gereklidir diyetle bir g\u00fcnde al\u0131nan fosfor miktar\u0131 kilogram ba\u015f\u0131na 17 mg\u2019yi ge\u00e7memelidir.Ayr\u0131ca kan fosforunu d\u00fc\u015f\u00fcren ila\u00e7lar\u0131n kullan\u0131lmas\u0131 yararl\u0131d\u0131r.<br \/>\n<strong><br \/>\nLif:\u00a0<\/strong>Sadece b\u00f6brek hastalar\u0131n\u0131n de\u011fil herkesin fazla miktarda lifli g\u0131da almas\u0131n\u0131n yararl\u0131 oldu\u011fu saplanm\u0131\u015ft\u0131r.Lifli g\u0131dalar \u00f6rnek olarak kepekli ekmek,kuru baklagiller,sebze ve meyveler say\u0131labilir.Bu t\u00fcr g\u0131dalar\u0131n al\u0131nmas\u0131 ile haz\u0131m kolayla\u015f\u0131r,kab\u0131zl\u0131k \u00f6nlenir ba\u011f\u0131rsak kanseri \u00f6nlenebilir.Diyaliz hastalar\u0131nda kab\u0131zl\u0131k s\u0131k oldu\u011fu i\u00e7in bu t\u00fcr g\u0131dalar\u0131n al\u0131nmas\u0131 yararl\u0131d\u0131r.Ancak bu yiyeceklerdeki potasyum miktar\u0131na her zaman dikkat etmelidir.<br \/>\n<strong><br \/>\nDemir:\u00a0<\/strong>Diyaliz s\u0131ras\u0131nda bir miktar demir v\u00fccuttan kaybedilir. Demir eksikli\u011fine ba\u011fl\u0131 kans\u0131zl\u0131\u011f\u0131 \u00f6nleyebilmek amac\u0131yla hemen t\u00fcm diyaliz hastalar\u0131na a\u011f\u0131zdan demir haplar\u0131 veya diyaliz s\u0131ras\u0131nda demir i\u011fneleri uygulan\u0131r.<br \/>\nDi\u011fer vitamin ve minareller:Demire benzer \u015fekillerde pek \u00e7ok vitamin ve minarel diyaliz s\u0131ras\u0131nda kaybedilir\u2026.t\u00fcm hastalar\u0131n \u00e7ok say\u0131da vitamini\u2026 i\u00e7eren tabletleri kullanmas\u0131 gereklidir.Diyaliz hastalar\u0131nda \u2026D vitamini yapamad\u0131\u011f\u0131 i\u00e7in kemik a\u011fr\u0131lar\u0131,zay\u0131fl\u0131\u011f\u0131 ve bazende kemik k\u0131r\u0131klar\u0131 g\u00f6r\u00fclebilir.O nedenle hekiminiz size s\u0131k olarak \u00f6zel D vitamini i\u00e7eren ila\u00e7lar\u0131(rocaltrol,Eins-Alpha,One-Alpha)gibi verecektir.Bu ila\u00e7lar kan kalsiyumunu normale getirir ve kemiklerinizi kuvvetlendirir.Diyaliz hastalar\u0131nda A vitamini zararl\u0131 olabilir;bu nedenle hekim kontrol\u00fc olmaks\u0131z\u0131n vitamin ila\u00e7lar\u0131 rastgele kullan\u0131lmamal\u0131d\u0131r.<\/p>\n<p>Diyaliz hastalar\u0131n\u0131n bir g\u00fcnde almalar\u0131 gerekli vitamin miktarlar\u0131 tablo de verilmi\u015ftir.<\/p>\n<p><strong>Vitamin\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<strong>Bir g\u00fcnde al\u0131nmas\u0131 gerekli miktar<\/strong><br \/>\nVitamin A \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gereksiz<br \/>\nVitamin C\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a060 mg<br \/>\nVitamin B1 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 1.5 mg<br \/>\nVitamin B2 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 1.8 mg<br \/>\nVitamin B3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 20 mg<br \/>\nVitamin B6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 10 mg<br \/>\nVitamin B12 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 3 mcg<br \/>\nVitamin D\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a00.25-1 mcg<br \/>\nVitamin E\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 15 \u00fcnite<br \/>\nVitamin K\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Gereksiz<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"entry-summary\"><div class=\"entry-summary\">\n<p>B\u00f6brek yetersizli\u011fi ilerledik\u00e7e ba\u015fta proteinler olmak \u00fczere de\u011fi\u015fik besin maddelerinde k\u0131s\u0131tlanmaya gidilece\u011fi \u00f6nceden yaz\u0131lm\u0131\u015ft\u0131.<\/p>\n<\/div>\n<div class=\"link-more\"><a href=\"https:\/\/www.uzmandiyaliz.com\/?page_id=1068\" class=\"more-link\">Devam\u0131n\u0131 oku<span class=\"screen-reader-text\"> &ldquo;Diyaliz ve Beslenme&rdquo;<\/span>&hellip;<\/a><\/div>\n<\/div><div class=\"link-more\"><a href=\"https:\/\/www.uzmandiyaliz.com\/?page_id=1068\" class=\"more-link\">Devam\u0131n\u0131 oku<span class=\"screen-reader-text\"> &ldquo;Diyaliz ve Beslenme&rdquo;<\/span>&hellip;<\/a><\/div>","protected":false},"author":1,"featured_media":2057,"parent":1051,"menu_order":33,"comment_status":"closed","ping_status":"closed","template":"templates\/with-sidebar.php","meta":{"footnotes":""},"class_list":["post-1068","page","type-page","status-publish","has-post-thumbnail","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=\/wp\/v2\/pages\/1068","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1068"}],"version-history":[{"count":7,"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=\/wp\/v2\/pages\/1068\/revisions"}],"predecessor-version":[{"id":2149,"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=\/wp\/v2\/pages\/1068\/revisions\/2149"}],"up":[{"embeddable":true,"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=\/wp\/v2\/pages\/1051"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=\/wp\/v2\/media\/2057"}],"wp:attachment":[{"href":"https:\/\/www.uzmandiyaliz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1068"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}