{"id":10175,"date":"2023-12-22T10:08:04","date_gmt":"2023-12-22T10:08:04","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=10175"},"modified":"2023-12-25T11:05:34","modified_gmt":"2023-12-25T11:05:34","slug":"bobrek-yetmezligi-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/bobrek-yetmezligi-nedir\/","title":{"rendered":"B\u00f6brek Yetmezli\u011fi Nedir?"},"content":{"rendered":"

B\u00f6brek Yetmezli\u011fi<\/a> Nedir?<\/strong><\/h2>\n

B\u00f6brek yetmezli\u011fi kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n son a\u015famas\u0131d\u0131r. Son d\u00f6nem b\u00f6brek yetmezli\u011fi (SDBY) olarak da adland\u0131r\u0131l\u0131r. B\u00f6breklerin i\u015flevlerini diyaliz veya b\u00f6brek nakli olmadan hayatta kalmay\u0131 m\u00fcmk\u00fcn k\u0131lacak kadar s\u00fcrd\u00fcrememesi durumudur.<\/p>\n

B\u00f6brekler bel hizas\u0131nda ve s\u0131rta daha yak\u0131n bir konumda, simetrik bir \u015fekilde omurgan\u0131n iki yan\u0131nda bulunan bir \u00e7ift organd\u0131r.<\/p>\n

V\u00fccut i\u00e7indeki asli i\u015flevi i\u00e7inden ge\u00e7en kan\u0131 filtreleyerek toksinleri ve zararl\u0131 maddeleri v\u00fccuttan atmakt\u0131r. B\u00f6breklerin ar\u0131tma i\u015flemi s\u0131ras\u0131nda ortaya \u00e7\u0131kan at\u0131klar mesaneye giderler ve idrara \u00e7\u0131kma esnas\u0131nda v\u00fccuttan at\u0131l\u0131rlar.<\/p>\n

Bunun haricinde b\u00f6brekler ayn\u0131 zamanda v\u00fccudun su seviyesini dengeler. D vitamininin aktif halini \u00fcretir. Alyuvarlar\u0131n \u00fcretiminde rol oynar. Ve kan bas\u0131nc\u0131n\u0131 kontrol eden mekanizmalar aras\u0131nda bulunur.<\/p>\n

B\u00f6brek yetmezli\u011fi ise b\u00f6breklerin kandaki toksinleri yeterli oranda filtreleme yetene\u011fini kaybetti\u011finde ortaya \u00e7\u0131kar.<\/p>\n

B\u00f6brekler i\u015flerini d\u00fczenli olarak yapmazsa v\u00fccut toksinler taraf\u0131ndan a\u015f\u0131r\u0131 y\u00fcklenir. Tedavi edilmedi\u011fi takdirde bu durum hayat\u0131 tehdit edebilecek seviyede b\u00f6brek yetmezli\u011fine yol a\u00e7abilir.<\/p>\n

Akut B\u00f6brek Yetmezli\u011fi Nedir?<\/strong><\/h3>\n

E\u011fer b\u00f6brek fonksiyonlar\u0131 k\u0131sa bir s\u00fcrede zay\u0131flarsa ve bundan kaynakl\u0131 olarak v\u00fccutta kreatinin, kan \u00fcre azotu ve di\u011fer \u00fcremik toksinler birikmeye ba\u015flarsa, akut b\u00f6brek yetmezli\u011fi durumunun varl\u0131\u011f\u0131ndan s\u00f6z edilebilir.<\/p>\n

Akut b\u00f6brek yetmezli\u011finde idrar miktar\u0131 da azal\u0131rsa, bu duruma olig\u00fcri ad\u0131 verilir.<\/p>\n

Olig\u00fcri olmas\u0131 i\u00e7in idrar miktar\u0131n\u0131n g\u00fcnde 400 ml\u2019den daha az olmas\u0131 gerekmektedir.<\/p>\n

Kronik B\u00f6brek Yetmezli\u011fi Nedir?<\/strong><\/h3>\n

Kronik b\u00f6brek yetmezli\u011fi ilk evrelerde sinsi \u015fekilde ilerler ve ki\u015finin v\u00fccudunda ciddi bir semptoma sebep olmaz.<\/p>\n

Belirtileri aras\u0131nda bitkinlik, ak\u0131l kar\u0131\u015f\u0131kl\u0131\u011f\u0131, mide bulant\u0131s\u0131, \u00f6zellikle geceleri s\u0131k idrara \u00e7\u0131kma, el ve ayakta \u015fi\u015flik, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, nefes darl\u0131\u011f\u0131 ve ileri a\u015famalarda kusma say\u0131labilir.<\/p>\n

Bu kronik b\u00f6brek yetmezli\u011finde hastal\u0131k a\u015fama a\u015fama ilerledi\u011fi i\u00e7in erken tan\u0131 koymak zordur. B\u00f6brekler yava\u015f yava\u015f fonksiyonlar\u0131n\u0131 kaybeder ve boyut olarak k\u00fc\u00e7\u00fclmeye ba\u015flar.<\/p>\n

B\u00f6brek Yetmezli\u011fi Hastal\u0131k \u00c7e\u015fitleri Nelerdir?<\/strong><\/h3>\n

Tespit edilmi\u015f olan 5 \u00e7e\u015fit b\u00f6brek yetmezli\u011fi \u00e7e\u015fidi\u00a0vard\u0131r.<\/p>\n

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  1. \n

    Akut Prerenal B\u00f6brek Yetmezli\u011fi:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

    B\u00f6breklere yetersiz kan ak\u0131\u015f\u0131 oldu\u011funda\u00a0bu t\u00fcr b\u00f6brek yetmezli\u011fine neden olur. B\u00f6brekler, yeterli miktarda kan ak\u0131\u015f\u0131 olmad\u0131\u011f\u0131ndan toksinleri filtreleyemez. B\u00f6ylece akut prerenal b\u00f6brek yetmezli\u011fi olu\u015fur.<\/p>\n

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    1. \n

      Akut \u0130ntrinsik B\u00f6brek Yetmezli\u011fi:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

      B\u00f6breklerde meydana gelen do\u011frudan a\u011f\u0131r yaralanmalar veya travmalardan dolay\u0131 ortaya \u00e7\u0131kar.<\/p>\n

      B\u00f6breklere a\u015f\u0131r\u0131 y\u00fck binmesi ve bundan dolay\u0131 olu\u015fan\u00a0oksijen yetmezli\u011finden meydana gelebilir.<\/p>\n

      \u015eiddetli kanama, \u015fok, b\u00f6brekteki kan damarlar\u0131n\u0131n t\u0131kan\u0131kl\u0131\u011f\u0131 ve glomer\u00fclonefrit (b\u00f6brekteki kan damarlar\u0131n\u0131n iltihaplanmas\u0131) akut intrinsik b\u00f6brek yetmezli\u011fine neden olabilir.<\/p>\n

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      1. \n

        Kronik Prerenal B\u00f6brek Yetmezli\u011fi:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

        Uzun s\u00fcre b\u00f6breklere gelen kan ak\u0131\u015f\u0131n\u0131n yava\u015flamas\u0131ndan dolay\u0131 b\u00f6brekler k\u00fc\u00e7\u00fcl\u00fcr. Ve i\u015flevini yitirir.<\/p>\n

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        1. \n

          Kronik \u0130ntrinsik\u00a0B\u00f6brek Yetmezli\u011fi:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

          \u0130ntrinsik b\u00f6brek hastal\u0131\u011f\u0131 nedeniyle b\u00f6breklerde uzun s\u00fcreli hasar meydana geldi\u011finde ortaya \u00e7\u0131kar. \u0130ntrinsik\u00a0b\u00f6brek hastal\u0131\u011f\u0131, \u015fiddetli kanama veya oksijen eksikli\u011fi gibi b\u00f6breklerde meydana gelen do\u011frudan travmalardan dolay\u0131 ortaya \u00e7\u0131kar.<\/p>\n

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          1. \n

            Kronik Post-Renal\u00a0B\u00f6brek Yetmezli\u011fi:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ol>\n

            \u0130drar yollar\u0131n\u0131n uzun s\u00fcre t\u0131kanmas\u0131yla\u00a0olu\u015fan bask\u0131 b\u00f6brek hasar\u0131na neden olur. B\u00f6ylece bu b\u00f6brek yetmezli\u011fi t\u00fcr\u00fc ortaya \u00e7\u0131kar.<\/p>\n

            B\u00f6brek Yetmezli\u011fi Evreleri Nelerdir?<\/strong><\/h3>\n

            B\u00f6brek hastal\u0131klar\u0131n\u0131n belirli evreleri vard\u0131r. Bu evreler hafif olarak ba\u015flar.<\/p>\n

            En son a\u015famaya kadar ilerleyebilir.<\/p>\n

            Bahsedilen evreler aras\u0131nda;<\/p>\n

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            1. \n

              \u0130lk Evre:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

              B\u00f6breklerde i\u015flev bozukluklar\u0131 evreleri ilk a\u015famada olduk\u00e7a hafiftir. Semptomlar yok denecek kadar az veya hi\u00e7 g\u00f6r\u00fclmeyen bu evrede hafif b\u00f6brek hasar\u0131 mevcuttur. Sa\u011fl\u0131kl\u0131 ya\u015fam tarz\u0131na devam edilebilir. Ve fark edilirse hastal\u0131k bu evrede kolayl\u0131kla \u00f6nlenebilir.<\/p>\n

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              1. \n

                \u0130kinci Evre:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                Ya\u015fan\u0131lan b\u00f6brek hastal\u0131klar\u0131nda ikinci evrede hasar biraz daha belirgindir. A\u011fr\u0131lar, idrarda protein g\u00f6r\u00fclmesi ve b\u00f6breklerde doku hasar\u0131 g\u00f6r\u00fclebilir. Bu a\u015famada ya\u015fam tarz\u0131na d\u00fczenlemeler getirilmeli ve \u00f6nlemek i\u00e7in t\u0131bbi yard\u0131m al\u0131nmal\u0131d\u0131r.<\/p>\n

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                1. \n

                  \u00dc\u00e7\u00fcnc\u00fc Evre:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                  B\u00f6breklerde i\u015flev bozukluklar\u0131 3. evre, at\u0131k \u00fcr\u00fcnlerin miktar\u0131na ba\u011fl\u0131 olarak tespit edilebilir. Bu a\u015famada belirtiler hissedilir derecede olur.<\/p>\n

                  Ve a\u011fr\u0131lar artar. Ayaklarda \u015fi\u015flikler \u00e7ok olurken s\u0131kl\u0131kla idrara \u00e7\u0131kmalar g\u00f6r\u00fclebilir. Ya\u015fam tarz\u0131 d\u00fczenlenmeli ve doktor e\u015fli\u011finde tedavilere ba\u015flanmal\u0131d\u0131r.<\/p>\n

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                  1. \n

                    D\u00f6rd\u00fcnc\u00fc Evre:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                    B\u00f6brek yetmezli\u011finde d\u00f6rd\u00fcnc\u00fc evre, olduk\u00e7a \u015fiddetlidir. Semptomlar\u0131n en a\u011f\u0131r \u015fekilde hissedildi\u011fi bu noktada, y\u00fcksek tansiyon veya anemi gibi sorunlarla kar\u015f\u0131la\u015f\u0131labilir. Bu a\u015famaya gelindi\u011finde doktora dan\u0131\u015fmak ve tedavi olmak hayati \u00f6nem ta\u015f\u0131maktad\u0131r. Tedaviye uymak, diyet uygulamak ve sa\u011fl\u0131kl\u0131 bir ya\u015fam tarz\u0131 benimsemek, d\u00f6rd\u00fcnc\u00fc a\u015famaya ula\u015fan b\u00f6breklerde i\u015flev bozukluklar\u0131 hastalar\u0131 i\u00e7in uyulmas\u0131 gereken durumlard\u0131r.<\/p>\n

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                    1. \n

                      Be\u015finci Evre:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                      B\u00f6brek yetmezli\u011fi son evre belirtileri olduk\u00e7a a\u011f\u0131r olmaktad\u0131r. Be\u015finci evrede, b\u00f6brekler i\u015flevini kaybetmeye yak\u0131nd\u0131r. Tamamen kaybetmi\u015f veya az \u00e7al\u0131\u015fan b\u00f6brekler, bir\u00e7ok semptomun s\u0131kl\u0131kla meydana gelmesine neden olur. Kronik b\u00f6brek yetmezli\u011fi son evre belirtileri; kusma, mide bulant\u0131lar\u0131, nefes darl\u0131\u011f\u0131 olurken, bu d\u00f6nemde ya\u015fam kalitesi olduk\u00e7a d\u00fc\u015fmektedir. B\u00f6brek hasar\u0131 son evrede tedavi b\u00f6brek nakli veya d\u00fczenli diyabetle sa\u011flanabilir.<\/p>\n

                      B\u00f6brek Yetmezli\u011finin Nedenleri Nelerdir?<\/strong><\/h3>\n

                      B\u00f6brek yetmezli\u011finin akut ve kronik olmak \u00fczere iki tipi bulunmaktad\u0131r. Her iki b\u00f6brek yetmezli\u011fine neden olan durumlar da farkl\u0131d\u0131r.<\/p>\n

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                      1. \n

                        Akut B\u00f6brek Yetmezli\u011fi Nedenleri<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                        Akut b\u00f6brek yetmezli\u011fi bir\u00e7ok nedene ba\u011fl\u0131 olarak meydana gelir. B\u00f6brek damarlar\u0131n\u0131n t\u0131kanmas\u0131 (tromboz, emboli), b\u00f6brek damarlar\u0131nda iltihap (vask\u00fclit), hemolitik \u00fcremik sendrom, trombositopenik trombotik purpura, yayg\u0131n damar i\u00e7i p\u0131ht\u0131la\u015fmas\u0131 akut b\u00f6brek yetmezli\u011fine neden olabilirler.<\/p>\n

                        Ayr\u0131ca, yaralanmalar sonucu a\u015f\u0131r\u0131 kan kayb\u0131, uzun s\u00fcre susuzluk, ishal, kusma nedeniyle s\u0131v\u0131 kayb\u0131, uzun s\u00fcre g\u00f6\u00e7\u00fck alt\u0131nda kalmak ve a\u011f\u0131r yan\u0131k gibi nedenler de akut b\u00f6brek yetmezli\u011fine yol a\u00e7abilir.<\/p>\n

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                        1. \n

                          Kronik B\u00f6brek Yetmezli\u011fi Nedenleri<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                          Kronik b\u00f6brek yetmezli\u011finin en s\u0131k g\u00f6r\u00fclen nedenleri;<\/strong><\/h4>\n
                            \n
                          • Diyabet (\u015feker hastal\u0131\u011f\u0131)<\/li>\n
                          • Y\u00fcksek kan bas\u0131nc\u0131<\/li>\n
                          • Kronik glomerulonefrit<\/li>\n
                          • Polikistik b\u00f6brek hastal\u0131\u011f\u0131<\/li>\n
                          • Kronik piyolelonefrit<\/li>\n
                          • Uzun s\u00fcreli a\u011fr\u0131 kesici ila\u00e7 kullan\u0131m\u0131<\/li>\n
                          • Sigara kullan\u0131m\u0131<\/li>\n
                          • A\u015f\u0131r\u0131 kilo<\/li>\n<\/ul>\n

                            B\u00f6brek Yetmezli\u011fi Belirtileri Nelerdir?<\/strong><\/h3>\n

                            B\u00f6brek hasar\u0131, her zaman belirgin belirtiler g\u00f6stermeye bilir ancak meydana gelebilecek semptomlar\u0131 mevcuttur. \u0130lerledik\u00e7e belirtilerin artmaya ba\u015flad\u0131\u011f\u0131 b\u00f6breklerde i\u015flev bozuklu\u011fu semptomlar\u0131 aras\u0131nda;<\/p>\n

                            B\u00f6brek Yetmezli\u011fi Erken Belirtileri<\/strong><\/h4>\n
                              \n
                            • \u0130drarda Azalma<\/li>\n
                            • Nefes Darl\u0131\u011f\u0131<\/li>\n
                            • Bacak ve Ayak Bileklerinde \u015ei\u015flikler<\/li>\n<\/ul>\n

                              \u0130leri Seviye B\u00f6brek Yetmezli\u011fi Belirtileri<\/strong><\/h4>\n
                                \n
                              • \u0130drar Miktar\u0131nda Azalma<\/li>\n
                              • Uyu\u015fukluk<\/li>\n
                              • Yorgunluk<\/li>\n
                              • Mide Bulant\u0131s\u0131<\/li>\n
                              • Bilin\u00e7 Bulan\u0131kl\u0131\u011f\u0131<\/li>\n
                              • G\u00f6\u011f\u00fcs A\u011fr\u0131s\u0131<\/li>\n
                              • N\u00f6betler<\/li>\n
                              • Koma<\/li>\n<\/ul>\n

                                g\u00f6r\u00fclebilecek b\u00f6breklerde i\u015flev bozuklu\u011fu semptomlar\u0131 aras\u0131ndad\u0131r. Ancak yukar\u0131da bahsetti\u011fimiz gibi bu belirtiler herkeste g\u00f6z\u00fckmeyebilir. Genellikle\u00a0erken belirtiler<\/strong>\u00a0takip edilerek b\u00f6breklerde i\u015flev bozukluklar\u0131 varl\u0131\u011f\u0131 tespit edilebilir.<\/p>\n

                                Akut B\u00f6brek Yetmezli\u011fi Tan\u0131s\u0131<\/strong><\/h3>\n

                                Akut b\u00f6brek hasar\u0131n\u0131z\u0131n nedenine ba\u011fl\u0131 olarak, doktorunuz akut b\u00f6brek yetmezli\u011fi\u00a0olabilece\u011finden \u015f\u00fcphelenirse farkl\u0131 testler uygulayacakt\u0131r.<\/p>\n

                                Akut b\u00f6brek yetmezli\u011finin\u00a0m\u00fcmk\u00fcn olan en k\u0131sa s\u00fcrede ke\u015ffedilmesi \u00f6nemlidir \u00e7\u00fcnk\u00fc kronik b\u00f6brek hastal\u0131\u011f\u0131na ve hatta b\u00f6brek yetmezli\u011fine yol a\u00e7abilir. Ayr\u0131ca kalp hastal\u0131\u011f\u0131na veya \u00f6l\u00fcme yol a\u00e7abilir.<\/p>\n

                                A\u015fa\u011f\u0131daki testler yap\u0131labilir:<\/strong><\/h4>\n
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                                  \u0130drar \u00c7\u0131k\u0131\u015f\u0131n\u0131 \u00d6l\u00e7me<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                  Doktorunuz akut b\u00f6brek yetmezli\u011fin\u00a0nedenini bulman\u0131za yard\u0131mc\u0131 olmak i\u00e7in her g\u00fcn ne kadar idrar yapt\u0131\u011f\u0131n\u0131z\u0131 hakk\u0131nda bilgi isteyecektir.<\/p>\n

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                                    \u0130drar Testleri<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                    Doktorunuz b\u00f6brek yetmezli\u011fi belirtileri bulmak i\u00e7in idrar\u0131n\u0131z\u0131 test edecektir\u00a0(idrar tahlili).<\/p>\n

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                                      Kan Testleri<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                      B\u00f6brek fonksiyonunu de\u011ferlendirmek i\u00e7in protein testlerine ek olarak kreatinin, \u00fcre azot fosfor ve potasyum d\u00fczeylerinin belirlenmesine yard\u0131mc\u0131 olacak kan testleri yap\u0131lmal\u0131d\u0131r.<\/p>\n

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                                        GFR<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                        Kan testiniz, ayr\u0131ca b\u00f6brek fonksiyonundaki d\u00fc\u015f\u00fc\u015f\u00fcn bir belirteci olan GFR’nizi (glomer\u00fcler filtrasyon h\u0131z\u0131) bulman\u0131za da yard\u0131mc\u0131 olacakt\u0131r.<\/p>\n

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                                          G\u00f6r\u00fcnt\u00fcleme Testleri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                          Ultrason gibi g\u00f6r\u00fcnt\u00fcleme testleri, doktorunuzun b\u00f6breklerinizi g\u00f6rmesine ve anormal durumlar\u0131 aramas\u0131na yard\u0131mc\u0131 olabilir.<\/p>\n

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                                            B\u00f6brek Biyopsisi<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                            Baz\u0131 durumlarda, doktorunuz \u00f6zel bir i\u011fne ile b\u00f6bre\u011finizden k\u00fc\u00e7\u00fck bir par\u00e7an\u0131n al\u0131nd\u0131\u011f\u0131 ve mikroskop alt\u0131nda incelendi\u011fi biyopsi\u00a0i\u015flemini ger\u00e7ekle\u015ftirecektir.<\/p>\n

                                            Kronik\u00a0 B\u00f6brek Yetmezli\u011fi Tan\u0131s\u0131<\/strong><\/h3>\n
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                                              Kan Testleri: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                              Tam kan say\u0131m\u0131 b\u00f6brek yetmezli\u011finin tan\u0131s\u0131nda \u00f6nemli ipu\u00e7lar\u0131 vermektedir. Kanda bulunan kreatinin ve \u00fcre oran\u0131 b\u00f6brek yetmezli\u011finin varl\u0131\u011f\u0131 hakk\u0131nda doktora bilgi vermektedir.<\/p>\n

                                                \n
                                              • \n

                                                \u0130drar Testi: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                \u0130drarda bulunan kan veya protein varl\u0131\u011f\u0131 b\u00f6breklerde sorun oldu\u011funu bildirebilir.<\/p>\n

                                                  \n
                                                • \n

                                                  \u0130drar Hacminin \u00d6l\u00e7\u00fcm\u00fc: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                  \u0130drar\u0131n \u00e7\u0131k\u0131\u015f\u0131n\u0131n belirlenmesi bu hastal\u0131\u011f\u0131 te\u015fhis etmede yard\u0131mc\u0131 olabilir.<\/p>\n

                                                    \n
                                                  • \n

                                                    G\u00f6r\u00fcnt\u00fcleme:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                    B\u00f6brekleri ve idrar yollar\u0131n\u0131 g\u00f6r\u00fcnt\u00fcleyerek hastal\u0131\u011f\u0131n te\u015fhis edilmesine yard\u0131mc\u0131d\u0131r.<\/p>\n

                                                      \n
                                                    • \n

                                                      Biyopsi: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                      B\u00f6brek biyopsisi genelde cilt alt\u0131ndan uzun ve ince bir i\u011fne ile girilerek lokal anestezi yap\u0131lmas\u0131d\u0131r.<\/p>\n

                                                      B\u00f6brek Yetmezli\u011fi Tedavileri Nelerdir?<\/strong><\/h3>\n

                                                      Akut B\u00f6brek Yetmezli\u011finin Tedavisi <\/strong><\/h4>\n

                                                      Akut b\u00f6brek yetmezli\u011fi tedavisi genellikle hastaneye yat\u0131\u015f\u00a0gerektirir. Akut b\u00f6brek hasar\u0131 olan \u00e7o\u011fu insan ba\u015fka bir nedenle zaten hastanede yatmaktad\u0131r. Hastanede ne kadar kalaca\u011f\u0131n\u0131z akut b\u00f6brek yetmezli\u011finin\u00a0nedenine ve b\u00f6breklerinizin ne kadar \u00e7abuk iyile\u015fti\u011fine ba\u011fl\u0131d\u0131r. Daha ciddi vakalarda, b\u00f6brekleriniz iyile\u015fene kadar b\u00f6brek fonksiyonuna yard\u0131mc\u0131 olmak i\u00e7in diyaliz gerekebilir. Doktorunuzun temel amac\u0131, akut b\u00f6brek hasar\u0131n\u0131z\u0131n alt\u0131nda yatan nedeni tedavi etmektir. Doktorunuz, b\u00f6brekleriniz iyile\u015fene kadar t\u00fcm semptomlar\u0131n\u0131z\u0131 ve komplikasyonlar\u0131n\u0131z\u0131 tedavi etmek i\u00e7in \u00e7al\u0131\u015facakt\u0131r.<\/p>\n

                                                      Akut b\u00f6brek yetmezli\u011fi ge\u00e7irdikten sonra, di\u011fer sa\u011fl\u0131k sorunlar\u0131 (b\u00f6brek hastal\u0131\u011f\u0131, fel\u00e7, kalp hastal\u0131\u011f\u0131 gibi) veya gelecekte tekrar akut b\u00f6brek yetmezli\u011fi\u00a0ge\u00e7irme riskiniz daha y\u00fcksektir. Kendinizi korumak i\u00e7in, b\u00f6brek fonksiyonunuzu ve iyile\u015fmenizi takip etmek i\u00e7in doktorunuzla g\u00f6r\u00fc\u015fmelisiniz. B\u00f6brek hasar\u0131 ya\u015fama riskini azaltman\u0131n ve b\u00f6brek fonksiyonunu koruman\u0131n en iyi yolu, akut b\u00f6brek hasar\u0131n\u0131 \u00f6nlemek veya m\u00fcmk\u00fcn oldu\u011funca erken tan\u0131 koyup tedavi etmektir.<\/p>\n

                                                      Kronik B\u00f6brek Yetmezli\u011finin Tedavisi <\/strong><\/h4>\n

                                                      B\u00f6brek yetmezli\u011fi s\u0131ras\u0131nda ya\u015fanan komplikasyonlara y\u00f6nelik tedaviler planlanabilir.<\/p>\n

                                                        \n
                                                      • \n

                                                        Tansiyon Kontrol\u00fc: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                        B\u00f6brek yetmezli\u011fi ya\u015fayan hastalar\u0131n genellikle kontrol alt\u0131na al\u0131nmada zorlanan y\u00fcksek tansiyon sorunlar\u0131 bulunur. Nefroloji doktoru b\u00f6brek fonksiyonlar\u0131n\u0131 korumak i\u00e7in y\u00fcksek tansiyona y\u00f6nelik ila\u00e7 tedavisi uygulayabilir. Y\u00fcksek tansiyon ila\u00e7lar\u0131 ba\u015flarda b\u00f6brek fonksiyonlar\u0131n\u0131 azaltabilece\u011fi i\u00e7in kontrollerin s\u0131kla\u015ft\u0131r\u0131lmas\u0131 faydal\u0131d\u0131r.<\/p>\n

                                                          \n
                                                        • \n

                                                          Kolesterol Seviyesinin Kontrol\u00fc:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                          B\u00f6brek yetmezli\u011fi ya\u015fayan hastalarda genellikle kalp hastal\u0131\u011f\u0131 riskini art\u0131racak oranda k\u00f6t\u00fc kolesterol g\u00f6r\u00fclmektedir.\u00a0 Bunun i\u00e7in kolesterol ila\u00e7lar\u0131 kullan\u0131labilir.<\/p>\n

                                                            \n
                                                          • \n

                                                            Anemi \u0130la\u00e7lar\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                            Kans\u0131zl\u0131\u011f\u0131n ya\u015fand\u0131\u011f\u0131 durumlarda anemi ila\u00e7lar\u0131 kullan\u0131labilir.<\/p>\n

                                                              \n
                                                            • \n

                                                              S\u0131v\u0131 Birikmesine Y\u00f6nelik Tedaviler: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                              Kronik b\u00f6brek yetmezli\u011fi olan ki\u015filerin v\u00fccudunda s\u0131v\u0131 birikmeleri ya\u015fanabilir. Tedavi s\u00fcrecinde bu durumu engelleyici ila\u00e7lar kullan\u0131labilir.<\/p>\n

                                                                \n
                                                              • \n

                                                                D\u00fc\u015f\u00fck Proteinli Diyet: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                B\u00f6breklere binen y\u00fck\u00fc azaltmak i\u00e7in d\u00fc\u015f\u00fck proteinli beslenme ya\u015fanabilecek s\u0131k\u0131nt\u0131lar\u0131n azalmas\u0131 bak\u0131m\u0131ndan \u00f6nemlidir.<\/p>\n

                                                                Son d\u00f6nem b\u00f6brek hastal\u0131\u011f\u0131n\u0131n tedavisi iki \u015fekildedir:<\/strong><\/h4>\n
                                                                  \n
                                                                • \n

                                                                  Diyaliz: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                  Sa\u011fl\u0131kl\u0131 \u00e7al\u0131\u015fmayan b\u00f6breklerin yapamad\u0131\u011f\u0131 kan\u0131 temizleme i\u015flemi bir cihaz yard\u0131m\u0131yla ger\u00e7ekle\u015ftirilir. Diyaliz b\u00f6brek yetmezli\u011fini tedavi etmemektedir. Ancak hayatta kalabilmek i\u00e7in belirli aral\u0131kla diyalize girilmesi gerekmektedir. Diyaliz hastan\u0131n durumuna g\u00f6re Hemodiyaliz veya periton diyaliz olarak iki \u015fekilde yap\u0131labilir.<\/p>\n

                                                                    \n
                                                                  • \n

                                                                    B\u00f6brek Nakli: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                    \u00c7al\u0131\u015fmayan veya az \u00e7al\u0131\u015fan b\u00f6bre\u011fin yerine \u00e7al\u0131\u015fan bir b\u00f6bre\u011fin nakledilmesidir. Kadavradan b\u00f6brek nakillerinde uzun s\u00fcre bekleme listesi olmas\u0131na ra\u011fmen canl\u0131dan canl\u0131ya b\u00f6brek nakillerinde k\u0131sa s\u00fcrede b\u00f6brek nakli ger\u00e7ekle\u015ftirilebilmektedir. B\u00f6brek naklinden sonra hastalar\u0131n diyalize girmesine gerek kalmamaktad\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

                                                                    B\u00f6brek Yetmezli\u011fi Nedir? B\u00f6brek yetmezli\u011fi kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n son a\u015famas\u0131d\u0131r. Son d\u00f6nem b\u00f6brek yetmezli\u011fi (SDBY) olarak da adland\u0131r\u0131l\u0131r. B\u00f6breklerin i\u015flevlerini diyaliz veya b\u00f6brek nakli olmadan hayatta kalmay\u0131 m\u00fcmk\u00fcn k\u0131lacak kadar s\u00fcrd\u00fcrememesi durumudur. B\u00f6brekler bel hizas\u0131nda ve s\u0131rta daha yak\u0131n bir konumda, simetrik bir \u015fekilde omurgan\u0131n iki yan\u0131nda bulunan bir \u00e7ift organd\u0131r. V\u00fccut i\u00e7indeki asli i\u015flevi […]<\/p>\n","protected":false},"author":3,"featured_media":10170,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,1661],"tags":[2681,2682],"yoast_head":"\nB\u00f6brek Yetmezli\u011fi Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"B\u00f6brek yetmezli\u011fi kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n son a\u015famas\u0131d\u0131r. Son d\u00f6nem b\u00f6brek yetmezli\u011fi (SDBY) olarak da adland\u0131r\u0131l\u0131r.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/turkeyistanbulmedical.com\/tr\/bobrek-yetmezligi-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u00f6brek Yetmezli\u011fi Nedir?\" \/>\n<meta property=\"og:description\" content=\"B\u00f6brek yetmezli\u011fi kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n son a\u015famas\u0131d\u0131r. 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