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2012 | OriginalPaper | Hoofdstuk

Voeding bij smaak- en reukstoornissen

(september 2011)

Auteurs : Dr. H. Jager-Wittenaar, Prof. dr. A. Vissink, Dr. R. van Weissenbruch, Prof. dr. A. van Nieuw Amerongen

Uitgeverij: Bohn Stafleu van Loghum

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Abstract

Er bestaat een nauwe samenhang tussen de reukgewaarwording en smaakgewaarwording.Wanneer het reukorgaan niet goed functioneert, gaat dit meestal gepaard met smaakverlies. Naast de vier basiskwaliteiten zout, zuur, zoet en bitter kan een vijfde smaakkwaliteit worden onderscheiden: umami. Behalve de reuk beïnvloedt ook speeksel de smaak-gewaarwording. Vele chemosensorische stoornissen die leiden tot een gestoorde smaak zijn in feite reukstoornissen. Tijdelijke stoornissen dienen te worden onderscheiden van meer permanente veranderingen. Behandeling kan bestaan uit medicatie en eventueel chirurgie.
Smaak- en reukstoornissen kunnen leiden tot gewichtsverlies en soms tot gewichtstoename. Voedingsvoorlichting vormt een essentieel onderdeel van de begeleiding van de patiënt met een chemosensorische stoornis. Bij reuk- en smaakstoornissen gerelateerd aan een oncologisch proces of de behandeling hiervan, dient onderscheid te worden gemaakt tussen alge-mene voedingsadviezen en voedingsadviezen tijdens radio- en/of chemotherapie. Voedingsadviezen dienen ter verbetering van de voedings-toestand en het welbevinden van de patiënt. Bij ernstige problemen met de verwerking van een reuk- en/of smaakstoornis kan psychosociale ondersteuning worden overwogen.
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Metagegevens
Titel
Voeding bij smaak- en reukstoornissen
Auteurs
Dr. H. Jager-Wittenaar
Prof. dr. A. Vissink
Dr. R. van Weissenbruch
Prof. dr. A. van Nieuw Amerongen
Copyright
2012
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-0508-7_79