Mei 2012
3
Inhoudsopgave
1
Introductie............................................................................................................................................4
1.1
Zorgpad...............................................................................................................................4
1.2
Samenwerking ....................................................................................................................4
1.3
Patiëntenvereniging............................................................................................................5
1.4
Leeswijzer ...........................................................................................................................5
2
Methylmalonacidurie ...........................................................................................................................6
2.1
Klachten bij presentatie en ontregeling ..............................................................................7
2.2
Diagnose .............................................................................................................................8
2.3
De behandeling...................................................................................................................9
3
Begeleiding – Kinderen...................................................................................................................... 12
3.1
Patiënt en ouders..............................................................................................................13
3.2
Casemanager ....................................................................................................................13
3.3
Kinderarts metabole ziekten .............................................................................................13
3.4
Vaste medebehandelaren: diëtist .....................................................................................17
3.5
Overige betrokken zorgverleners......................................................................................18
3.6
Overige aandachtspunten.................................................................................................19
4
Begeleiding – Volwassenen............................................................................................................... 21
4.1
Patiënt ..............................................................................................................................22
4.2
Casemanager ....................................................................................................................22
4.3
Internist metabole ziekten................................................................................................22
4.4
Vaste medebehandelaren: diëtist .....................................................................................25
4.5
Overige betrokken zorgverleners......................................................................................25
4.6
Overige aandachtspunten.................................................................................................26
5
Kwaliteitsindicatoren ........................................................................................................................ 28
6
Verklarende woordenlijst.................................................................................................................. 29
7
Consensus zorgpad Methylmalonacidurie....................................................................................... 31
8
Disclaimer.......................................................................................................................................... 31