Loading...
Publication
Xerostomia em doentes com doença renal crónica hemodialisados
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.16 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A Insuficiência Renal Crónica é uma doença progressiva caraterizada pela destruição gradual dos nefrónios e consequente perda da função renal.
Esta patologia apresenta uma panóplia de manifestações orais, sendo a xerostomia uma delas.
A xerostomia define-se como a sensação subjetiva de boca seca e tem um impacto negativo na qualidade de vida dos pacientes, assim como no controlo da doença renal, afetando a saúde geral dos mesmos.
A xerostomia em pacientes hemodialisados pode provocar disgeusia, dificuldades na função mastigatória e deglutiva, dificuldades na fala, aumento da incidência de lesões e infeções orais e aumento do peso interdialítico.
Esta condição está relacionada com um risco aumentado de desenvolvimento de comorbilidades e aumento da mortalidade e morbilidade.
Existem vários tratamentos para esta condição, que passam pela prescrição de sialagogos sistémicos e/ou tópicos, restauração/regeneração tecidular e intervenção psicológica.
O Médico Dentista e o Nefrologista devem trabalhar em sintonia, de modo a atenuar as manifestações orais da Insuficiência Renal Crónica e controlar as suas complicações sistémicas.
Deste modo, os objetivos desta monografia passam pela compreensão da Insuficiência Renal Crónica e da xerostomia, assim como das implicações sinérgicas de ambas as patologias e as medidas terapêuticas a adotar aquando da sua presença.
Chronic Kidney Disease is a progressive disease characterized by a gradual destruction of nephrons and the consequently loss of function. This disease has a variability of oral manifestations such as xerostomy. Xerostomy is characterized as a subjective feeling of dry mouth and had a negative impact in patient´s quality of life, will compromise the control of chronic kidney disease and general health. Xerostomy in haemodialysis patients is related with difficulties in chewing, swallowing and speaking, taste alterations, increased risk of oral lesions, infections and interdialytic weight gain. This condition is also associated with an increased risk of comorbidities, mortality and morbidity. There are several therapeutic options for this condition, including systemic and local sialagogues, tissue regeneration and psychological intervention. The Dentist and Nephrologist must work together in order to mitigate the oral manifestations of Chronic Kidney Disease and avoid its systemic complications. Thus, the purpose of this work is to comprehend Chronic Kidney Disease and xerostomy as well as their synergistic complications and the therapeutic options for these patients.
Chronic Kidney Disease is a progressive disease characterized by a gradual destruction of nephrons and the consequently loss of function. This disease has a variability of oral manifestations such as xerostomy. Xerostomy is characterized as a subjective feeling of dry mouth and had a negative impact in patient´s quality of life, will compromise the control of chronic kidney disease and general health. Xerostomy in haemodialysis patients is related with difficulties in chewing, swallowing and speaking, taste alterations, increased risk of oral lesions, infections and interdialytic weight gain. This condition is also associated with an increased risk of comorbidities, mortality and morbidity. There are several therapeutic options for this condition, including systemic and local sialagogues, tissue regeneration and psychological intervention. The Dentist and Nephrologist must work together in order to mitigate the oral manifestations of Chronic Kidney Disease and avoid its systemic complications. Thus, the purpose of this work is to comprehend Chronic Kidney Disease and xerostomy as well as their synergistic complications and the therapeutic options for these patients.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Insuficiência renal crónica Hemodiálise Xerostomia Manifestações orais