SAMENVATTING
KINDERDIEETLEER
3VDK
Axelle Pieri
,INHOUDSTAFEL
HOOFDSTUK 1: ALLERGIEËN ................................... 1
Begrippen ............................................................................... 1
Diagnostiek............................................................................. 5
Symptomen ............................................................................ 8
Wetgeving .............................................................................. 9
Dieetbehandelplan ................................................................. 10
PRAKTISCH: ZIEKENHUIS/ZELFSTANDIG .................................. 16
HOOFDSTUK 2: COELIAKIE .................................... 18
Wat zijn gluten? .................................................................... 18
Wat is coeliakie? .................................................................... 19
Diagnose .............................................................................. 20
Behandeling .......................................................................... 23
Etiketten .............................................................................. 24
Glutensensitiveit .................................................................... 26
Praktische tips....................................................................... 27
HOOFDSTUK 3: CONSTIPATIE & DIARREE ............. 28
Inleiding ............................................................................... 28
Constipatie ........................................................................... 29
Diagnose: Rome III consensus ................................................ 30
Gevolgen van constipatie ........................................................ 31
Behandeling constipatie .......................................................... 31
Chronisch niet-specifieke diarree (CNSD) .................................. 33
Behandeling diarree ............................................................... 36
Dehydratatie ......................................................................... 37
,HOOFDSTUK 4: OBESITAS ..................................... 39
Definiëring probleem .............................................................. 39
Prader Willi Syndroom (PWS) .................................................. 42
Adiposity rebound .................................................................. 43
Tracking ............................................................................... 43
Gevolgen .............................................................................. 44
Behandeling .......................................................................... 45
Stippenplan/Stippendieet ........................................................ 50
HOOFDSTUK 5: MALNUTRITIE ............................... 51
Definiëring & begrippen .......................................................... 51
Oorzaken .............................................................................. 56
MALNUTRITIE IN BELGIË ................................................... 56
Malnutritiespiraal ............................................................. 57
Gevolgen .............................................................................. 58
Wanneer ondervoeding? ......................................................... 58
Acute ondervoeding / Wasting ................................................. 59
Chronische ondervoeding / Stunting ......................................... 59
Screening & diagnostiek ......................................................... 60
Behandeling .......................................................................... 61
Stappenplan behandeling ........................................................ 61
Behandeling ondervoeding ...................................................... 63
Pediatrische drink- en sondevoeding ........................................ 66
Bijvoedingen ................................................................... 66
Enterale voeding .............................................................. 67
Parenterale voeding .......................................................... 68
Beweging en ondervoeding ..................................................... 69
Opvolging ............................................................................. 69
HOOFDSTUK 6: NEFROLOGIE ................................. 70
, Fysiologie ............................................................................. 70
Pathofysiologie ...................................................................... 70
GFR ..................................................................................... 71
Acute nierinsufficiëntie ........................................................... 71
Chronische nierinsufficiëntie .................................................... 72
Balans ............................................................................ 72
Hypercalorische voeding ................................................... 73
Voedingsproblemen .......................................................... 73
Sondevoeding .................................................................. 73
Vocht ............................................................................. 74
Reguritatie ...................................................................... 74
Nefrotisch syndroom .............................................................. 74
HUS – Hemolytisch uremisch syndroom .................................... 75
Nierfunctie vervangende therapie............................................. 76
Dieetbehandeling ................................................................... 78
Ureum ............................................................................ 81
Hyperkatabolisme ............................................................ 82
Flesvoeding ..................................................................... 82
Renastart ........................................................................ 82
Borstvoeding ................................................................... 82
Combinaties! ................................................................... 82
Ziektespecifieke bijvoedingen .................................................. 83
Modules .......................................................................... 83
Sondevoeding .................................................................. 83
HOOFDSTUK 7: ZUIGELINGENVOEDING ................ 84
Borstvoeding ......................................................................... 84
Contra-indicaties voor het geven van borstvoeding ............... 87
Indeling zuigelingenvoeding .................................................... 87
Indeling flesvoedingen............................................................ 88
Prematuren........................................................................... 90
Regurgitatie .......................................................................... 91
KINDERDIEETLEER
3VDK
Axelle Pieri
,INHOUDSTAFEL
HOOFDSTUK 1: ALLERGIEËN ................................... 1
Begrippen ............................................................................... 1
Diagnostiek............................................................................. 5
Symptomen ............................................................................ 8
Wetgeving .............................................................................. 9
Dieetbehandelplan ................................................................. 10
PRAKTISCH: ZIEKENHUIS/ZELFSTANDIG .................................. 16
HOOFDSTUK 2: COELIAKIE .................................... 18
Wat zijn gluten? .................................................................... 18
Wat is coeliakie? .................................................................... 19
Diagnose .............................................................................. 20
Behandeling .......................................................................... 23
Etiketten .............................................................................. 24
Glutensensitiveit .................................................................... 26
Praktische tips....................................................................... 27
HOOFDSTUK 3: CONSTIPATIE & DIARREE ............. 28
Inleiding ............................................................................... 28
Constipatie ........................................................................... 29
Diagnose: Rome III consensus ................................................ 30
Gevolgen van constipatie ........................................................ 31
Behandeling constipatie .......................................................... 31
Chronisch niet-specifieke diarree (CNSD) .................................. 33
Behandeling diarree ............................................................... 36
Dehydratatie ......................................................................... 37
,HOOFDSTUK 4: OBESITAS ..................................... 39
Definiëring probleem .............................................................. 39
Prader Willi Syndroom (PWS) .................................................. 42
Adiposity rebound .................................................................. 43
Tracking ............................................................................... 43
Gevolgen .............................................................................. 44
Behandeling .......................................................................... 45
Stippenplan/Stippendieet ........................................................ 50
HOOFDSTUK 5: MALNUTRITIE ............................... 51
Definiëring & begrippen .......................................................... 51
Oorzaken .............................................................................. 56
MALNUTRITIE IN BELGIË ................................................... 56
Malnutritiespiraal ............................................................. 57
Gevolgen .............................................................................. 58
Wanneer ondervoeding? ......................................................... 58
Acute ondervoeding / Wasting ................................................. 59
Chronische ondervoeding / Stunting ......................................... 59
Screening & diagnostiek ......................................................... 60
Behandeling .......................................................................... 61
Stappenplan behandeling ........................................................ 61
Behandeling ondervoeding ...................................................... 63
Pediatrische drink- en sondevoeding ........................................ 66
Bijvoedingen ................................................................... 66
Enterale voeding .............................................................. 67
Parenterale voeding .......................................................... 68
Beweging en ondervoeding ..................................................... 69
Opvolging ............................................................................. 69
HOOFDSTUK 6: NEFROLOGIE ................................. 70
, Fysiologie ............................................................................. 70
Pathofysiologie ...................................................................... 70
GFR ..................................................................................... 71
Acute nierinsufficiëntie ........................................................... 71
Chronische nierinsufficiëntie .................................................... 72
Balans ............................................................................ 72
Hypercalorische voeding ................................................... 73
Voedingsproblemen .......................................................... 73
Sondevoeding .................................................................. 73
Vocht ............................................................................. 74
Reguritatie ...................................................................... 74
Nefrotisch syndroom .............................................................. 74
HUS – Hemolytisch uremisch syndroom .................................... 75
Nierfunctie vervangende therapie............................................. 76
Dieetbehandeling ................................................................... 78
Ureum ............................................................................ 81
Hyperkatabolisme ............................................................ 82
Flesvoeding ..................................................................... 82
Renastart ........................................................................ 82
Borstvoeding ................................................................... 82
Combinaties! ................................................................... 82
Ziektespecifieke bijvoedingen .................................................. 83
Modules .......................................................................... 83
Sondevoeding .................................................................. 83
HOOFDSTUK 7: ZUIGELINGENVOEDING ................ 84
Borstvoeding ......................................................................... 84
Contra-indicaties voor het geven van borstvoeding ............... 87
Indeling zuigelingenvoeding .................................................... 87
Indeling flesvoedingen............................................................ 88
Prematuren........................................................................... 90
Regurgitatie .......................................................................... 91
