Nefroloji Uzman\u0131 Dr. Cemal Kurt, toplumda yayg\u0131n g\u00f6r\u00fclen hipertansiyon ve \u015feker hastal\u0131\u011f\u0131n\u0131n b\u00f6brek yetmezli\u011fine davetiye \u00e7\u0131kard\u0131\u011f\u0131n\u0131 belirterek, “\u015eeker ve hipertansiyonu olan ki\u015filer \u00f6ncelikle d\u00fczenli olarak kan ve idrar tahlili yapt\u0131rmal\u0131” dedi.<\/p>\n
B\u00f6brek yetmezli\u011fiyle ilgili a\u00e7\u0131klama yapan VM Medical Park Mersin Hastanesi Nefroloji Uzman\u0131 Cemal Kurt, tansiyon ve \u015feker kontrol\u00fcn\u00fcn ya da g\u00f6r\u00fcnt\u00fclemenin bir nefroloji uzman\u0131n\u0131n g\u00f6zetiminde yap\u0131lmas\u0131 gerekti\u011fini s\u00f6yledi. B\u00f6brek fonksiyonlar\u0131 bozuk olmayan hastalar\u0131n 3 ayda bir nefroloji uzman\u0131na g\u00f6r\u00fcnmesi gerekti\u011fine dikkat \u00e7eken Kurt, “\u00d6zellikle a\u011fr\u0131 kesici kullan\u0131rken de \u00e7ok dikkat etmek gerekir. A\u011fr\u0131 kesicilerin b\u00fcy\u00fck bir k\u0131sm\u0131 b\u00f6brek fonksiyonlar\u0131n\u0131 bozabilir. B\u00f6brek yetmezli\u011fi sinsi bir hastal\u0131kt\u0131r. Hemen bulgular\u0131 ortaya \u00e7\u0131kmaz hastal\u0131k ilerledi\u011fi zaman belirti vermeye ba\u015flar. Toplumda yayg\u0131n g\u00f6r\u00fclen tansiyon ve \u015feker hastal\u0131\u011f\u0131 b\u00f6brek yetmezli\u011fine davetiye \u00e7\u0131kar\u0131yor. \u015eeker ve hipertansiyonu olan ki\u015filer \u00f6ncelikle d\u00fczenli olarak kan ve idrar tahlili yapt\u0131rmal\u0131” diye konu\u015ftu.<\/p>\n
Hipertansiyonun toplumda her 3 ki\u015fiden birinde g\u00f6r\u00fclen kronik bir hastal\u0131k oldu\u011funu da kaydeden Kurt, \u201cHipertansiyon hastalar\u0131n\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131 kontrol\u00fc zor oldu\u011fu i\u00e7in ya da ila\u00e7 kullanmaktan ka\u00e7\u0131nd\u0131klar\u0131 i\u00e7in eninde sonunda b\u00f6brek yetmezli\u011fine girerler. Diyabette ise belli bir s\u00fcre sonra \u00f6zellikle 10 y\u0131l\u0131 ge\u00e7en diyabetik hastalarda b\u00fcy\u00fck oranda b\u00f6brek tutulumu ortaya \u00e7\u0131kar. Diyabet de hipertansiyon gibi iyi kontrol edilmemi\u015f, kan \u015fekerleri b\u00f6brek yetmezli\u011finin ortaya \u00e7\u0131kmas\u0131n\u0131 erkene alabilir veya h\u0131zland\u0131rabilir. Kronik b\u00f6brek yetmezli\u011fi sinsi bir hastal\u0131kt\u0131r bazen hi\u00e7 bulgu vermeyebilir” \u015feklinde konu\u015ftu.<\/p>\n
B\u00f6brek yetmezli\u011finin belirtilerinden bahseden Kurt, \u201cGece idrara \u00e7\u0131kma s\u0131kl\u0131\u011f\u0131nda artma, a\u011f\u0131z kurulu\u011funda s\u0131kl\u0131k, ayaklarda \u015fi\u015fme, ka\u015f\u0131nt\u0131, bulant\u0131 huzursuzluk gibi semptomlar ortaya \u00e7\u0131kar. Bu semptomlar spesifik olmad\u0131\u011f\u0131 i\u00e7in g\u00f6zden ka\u00e7abilir. Laboratuvar de\u011ferleri ve ultrason ile tan\u0131s\u0131 \u00e7ok kolay ortaya konulabilir. \u0130lerleyici bir b\u00f6brek yetmezli\u011fi varsa \u00f6nlenebilir veya en az\u0131ndan diyalize girme s\u00fcresi uzat\u0131labilir” ifadelerini kulland\u0131.<\/p>\n
B\u00f6brek yetmezli\u011finin akut b\u00f6brek yetmezli\u011fi ve kronik b\u00f6brek yetmezli\u011fi olarak iki ba\u015fl\u0131k halinde de\u011ferlendirildi\u011fini, kronik b\u00f6brek yetmezli\u011fini 5 evreye ay\u0131rd\u0131klar\u0131n\u0131 vurgulayan Kurt, “Son evrede b\u00f6brek \u00e7al\u0131\u015fmas\u0131n\u0131 g\u00f6steren test 15-16\u2019n\u0131n alt\u0131na d\u00fc\u015ft\u00fc\u011f\u00fc zaman hastalar\u0131 kanlar\u0131n\u0131n diyalizle temizlenmesini sa\u011fl\u0131yoruz. Bu d\u00f6neme kadar hastalar\u0131n 2 ayda bir veya 3 ayda bir takiplerle b\u00f6brek yetmezli\u011finde olu\u015fan semptomlar\u0131 elektrolit bozukluklar\u0131 veya olu\u015fan ekstra durumlar\u0131 d\u00fczelterek tedavi ediyoruz. Kronik b\u00f6brek yetmezli\u011finde ilk a\u015fama diyaliz s\u00fcrecini uzatmakt\u0131r. Sonras\u0131nda hasta diyalize devam m\u0131 edecek, b\u00f6brek nakli mi olacak bunlara karar verilir” dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
NEFROLOJ\u0130 UZMANI DR. CEMAL KURT, BEL\u0130RTEREK, TOPLUMDA YAYGIN G\u00d6R\u00dcLEN TANS\u0130YON VE \u015eEKER HASTALI\u011eININ B\u00d6BREK YETMEZL\u0130\u011e\u0130NE DAVET\u0130YE \u00c7IKARDI\u011eINI BEL\u0130RTEREK, “\u015eEKER VE H\u0130PERTANS\u0130YONU OLAN K\u0130\u015e\u0130LER \u00d6NCEL\u0130KLE D\u00dcZENL\u0130 OLARAK KAN VE \u0130DRAR TAHL\u0130L\u0130 YAPTIRMALI” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":246161,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[11304,10678,24093,5897,12042,26821],"class_list":["post-246160","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bobrek","tag-diyabet","tag-hipertansiyon","tag-olabilir","tag-sebep","tag-yetmezligine"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/12\/hipertansiyon-ve-diyabet-bobrek-yetmezligine-sebep-olabilir_d53b59e.jpg?fit=1000%2C959","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-122k","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/246160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=246160"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/246160\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/246161"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=246160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=246160"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=246160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}