T\u00fcrk Nefroloji Derne\u011fi, 14 Mart D\u00fcnya B\u00f6brek G\u00fcn\u00fc kapsam\u0131nda, kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n \u00f6nemini anlatmak amac\u0131yla “B\u00f6brek Cand\u0131r” temal\u0131 bir toplant\u0131 d\u00fczenledi.<\/p>\n
Derne\u011fin y\u00f6netim kurulu \u00fcyelerinin kat\u0131ld\u0131\u011f\u0131 Taksim’deki toplant\u0131da, kronik b\u00f6brek hastal\u0131\u011f\u0131na dair toplumda fark\u0131ndal\u0131k sa\u011flama, hastal\u0131\u011fa yol a\u00e7an risk fakt\u00f6rlerini bulma ve erken tan\u0131n\u0131n \u00f6nemi de\u011ferlendirildi.<\/p>\n
Burada bir konu\u015fma yapan T\u00fcrk Nefroloji Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Alaattin Y\u0131ld\u0131z, T\u00fcrkiye’de b\u00f6brek nakli hakk\u0131nda bilgiler verdi.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/008_2024%2F09_Mart%2F23_Mart%2F06%2F20240313_2_62976361_98738720.jpg\"\/)
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“Nakil sonras\u0131 ilk bir ay \u00e7ok \u00f6nemli”<\/h3>\n
B\u00f6brek nakli ba\u015far\u0131s\u0131n\u0131n, ameliyat \u00f6ncesi d\u00f6nemde al\u0131c\u0131n\u0131n ve vericinin ayr\u0131nt\u0131l\u0131 olarak de\u011ferlendirilmesiyle ba\u015flad\u0131\u011f\u0131na dikkati \u00e7eken Y\u0131ld\u0131z, “Nakil sonras\u0131 erken d\u00f6nem, \u00f6zellikle ilk bir ay \u00e7ok \u00f6nemlidir. Bu d\u00f6nemin hastan\u0131n yak\u0131n takibiyle sorunsuz ge\u00e7irilmesi, b\u00f6bre\u011fin uzun d\u00f6nem \u00f6mr\u00fcn\u00fc belirler. Daha sonraki d\u00f6nemde de nakil hastas\u0131n\u0131n daha uzun aral\u0131klarla nefrolojik takibi, geli\u015febilecek komplikasyonlar\u0131n \u00f6nlenebilmesi ve erkenden tedavi edilmesi a\u00e7\u0131s\u0131ndan \u00f6nemlidir.” dedi.<\/p>\n
B\u00f6brek naklinin ileri evre b\u00f6brek yetersizli\u011finin en se\u00e7kin tedavisi oldu\u011funu belirten Y\u0131ld\u0131z, “\u00dclkemizde y\u0131lda yakla\u015f\u0131k 3 bin 500’\u00fcn \u00fczerinde b\u00f6brek nakli ger\u00e7ekle\u015ftiriliyor. B\u00f6brek nakli \u00fclkemizde y\u00fcksek uluslararas\u0131 standartta \u00e7ok ba\u015far\u0131l\u0131 oldu\u011fundan, nakillerin yakla\u015f\u0131k y\u00fczde 10’u yurt d\u0131\u015f\u0131ndan gelen hastalara sa\u011fl\u0131k turizmi kapsam\u0131nda yap\u0131l\u0131yor.” diye konu\u015ftu.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/008_2024%2F09_Mart%2F23_Mart%2F06%2F20240313_2_62976361_98738721.jpg\"\/)
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Hastal\u0131\u011fa erken tan\u0131 konulamamas\u0131 nedeni<\/h3>\n
Derne\u011fin ba\u015fkan yard\u0131mc\u0131s\u0131 Prof. Dr. Nurhan Seyahi, T\u00fcrkiye’de kronik b\u00f6brek hastal\u0131\u011f\u0131na de\u011findi\u011fi konu\u015fmas\u0131nda, dernek\u00e7e y\u00fcr\u00fct\u00fclen “credit” \u00e7al\u0131\u015fmas\u0131na g\u00f6re hastal\u0131\u011f\u0131n eri\u015fkin n\u00fcfustaki s\u0131kl\u0131\u011f\u0131n\u0131n y\u00fczde 10’un \u00fczerinde oldu\u011fu ve bu kadar s\u0131k rastlanmas\u0131na ra\u011fmen erken evrelerde sessizce seyretmesi nedeniyle hastal\u0131\u011fa tan\u0131 konulamad\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
Seyahi, bu durumun erken tan\u0131 i\u00e7in en az\u0131dan risk alt\u0131ndaki bireylerde tarama testlerinin yap\u0131lmas\u0131n\u0131 gerekli k\u0131ld\u0131\u011f\u0131n\u0131 da s\u00f6zlerine ekledi.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/008_2024%2F09_Mart%2F23_Mart%2F06%2F20240313_2_62976361_98738722.jpg\"\/)
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T\u00fcrk Nefroloji Derne\u011fi Genel Sekreteri Prof. Dr. Elif Ar\u0131 Bak\u0131r, \u00f6zellikle kad\u0131nlarda b\u00f6brek sa\u011fl\u0131\u011f\u0131n\u0131n \u00f6neminden bahsetti.<\/p>\n
Kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n do\u011furma \u00e7a\u011f\u0131ndaki kad\u0131nlar\u0131n y\u00fczde 6’s\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcne i\u015faret eden Bak\u0131r, “Hafif-orta kronik b\u00f6brek hastal\u0131\u011f\u0131 olan kad\u0131nda gebelik, b\u00f6brek fonksiyonlar\u0131n\u0131 olumsuz etkileyebilece\u011fi gibi, gebelik sonras\u0131 b\u00f6brek fonksiyonlar\u0131 eski haline gelebilir. Ama yap\u0131lan \u00e7al\u0131\u015fmalar g\u00f6stermektedir ki ileri b\u00f6brek yetmezli\u011fi olan kad\u0131nda gebelik s\u00fcresince b\u00f6brek hastal\u0131\u011f\u0131 da ilerlemekte ve diyaliz a\u015famas\u0131na getirebilmektedir.” de\u011ferlendirmesini yapt\u0131.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/008_2024%2F09_Mart%2F23_Mart%2F06%2F20240313_2_62976361_98738723.jpg\"\/)
<\/p>\n
“68 binin \u00fczerinde hasta diyaliz tedavisi g\u00f6r\u00fcyor”<\/h3>\n
Dernek sayman\u0131 Prof. Dr. Ali R\u0131za Odaba\u015f da \u00fclkede diyaliz tedavileri hakk\u0131nda istatistiki bilgileri a\u00e7\u0131klad\u0131.<\/p>\n
T\u00fcrkiye’de bu y\u0131l itibar\u0131yla yakla\u015f\u0131k olarak 68 binin \u00fczerinde hastan\u0131n son d\u00f6nem b\u00f6brek yetersizli\u011fi nedeniyle diyaliz tedavisi g\u00f6rd\u00fc\u011f\u00fcn\u00fc vurgulayan Odaba\u015f, “Bu hastalardan 64 bin 300 tanesi hemodiyaliz, 3 bin 250 tanesi periton diyalizi, 1300 tanesi ise ev hemodiyalizi ile tedavi ediliyor. \u015eu anda \u00fclkemiz ev hemodiyalizi hasta say\u0131s\u0131 a\u00e7\u0131s\u0131ndan Avrupa’da 2’inci, d\u00fcnyada ise 3’\u00fcnc\u00fc s\u0131rada bulunmaktad\u0131r. \u00dclkemizde say\u0131lar\u0131 68 bini ge\u00e7en hemodiyaliz hastalar\u0131n\u0131n bir\u00e7o\u011funda \u015feker hastal\u0131\u011f\u0131, hipertansiyon, kalp ve damar hastal\u0131klar\u0131 gibi e\u015flik eden hastal\u0131klar mevcut.” ifadelerini kulland\u0131.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/008_2024%2F09_Mart%2F23_Mart%2F06%2F20240313_2_62976361_98738724.jpg\"\/)
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Y\u00f6netim kurulu \u00fcyesi Prof. Dr. Mustafa Ar\u0131c\u0131, d\u00fcnyadaki kronik b\u00f6brek hastal\u0131\u011f\u0131 konusunda bilgiler payla\u015ft\u0131\u011f\u0131 konu\u015fmas\u0131nda, d\u00fcnya genelinde yakla\u015f\u0131k 850 milyon kronik b\u00f6brek hastas\u0131 oldu\u011funu, bu say\u0131n\u0131n, d\u00fcnya genelindeki diyabet hasta say\u0131s\u0131n\u0131n 2 kat\u0131, kanser hasta say\u0131s\u0131n\u0131n ise 8 kat\u0131 oldu\u011funu dile getirdi. Ar\u0131c\u0131, \u015f\u00f6yle devam etti:<\/p>\n
“Bir ba\u015fka deyi\u015fle d\u00fcnyada her 10 ki\u015fiden 1’inde b\u00f6brek hastal\u0131\u011f\u0131 mevcut. Bu \u00f6zelli\u011fiyle kronik b\u00f6brek hastal\u0131\u011f\u0131, kronik hastal\u0131klar aras\u0131nda ne yaz\u0131k ki en \u00f6n s\u0131rada yer almaktad\u0131r. Kronik b\u00f6brek hastal\u0131\u011f\u0131, kalp damar hastal\u0131\u011f\u0131 ve \u00f6l\u00fcm riskinin olduk\u00e7a y\u00fcksek oldu\u011fu bir durum. Di\u011fer bir\u00e7ok hastal\u0131kla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda 2000 y\u0131l\u0131ndan 2019 y\u0131l\u0131na, k\u00fcresel olarak en h\u0131zl\u0131 b\u00fcy\u00fcyen 3’\u00fcnc\u00fc \u00f6l\u00fcm nedeni, b\u00f6brek hastal\u0131\u011f\u0131d\u0131r. 2040 y\u0131l\u0131na gelindi\u011finde kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n d\u00fcnya \u00e7ap\u0131nda ya\u015fam kayb\u0131 nedenleri aras\u0131nda 5’inci s\u0131raya y\u00fckselece\u011fi tahmin ediliyor. Ancak nefrologlar\u0131n liderli\u011fi ile ger\u00e7ekle\u015ftirilecek toplumsal bir m\u00fccadele sonucunda kronik b\u00f6brek hastal\u0131\u011f\u0131 riskinin azalt\u0131lmas\u0131 m\u00fcmk\u00fcn olabilecektir.”<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/008_2024%2F09_Mart%2F23_Mart%2F06%2F20240313_2_62976361_98738725.jpg\"\/)
<\/p>\n
“Depremde ezilme sendromlu hastalar\u0131n y\u00fczde 68’inde akut b\u00f6brek yetmezli\u011fi geli\u015fti”<\/h3>\n
Dernek y\u00f6netim kurulu \u00fcyelerinden Prof. Dr. \u00d6zkan G\u00fcng\u00f6r, do\u011fal afetlerde nefrolojiyi anlatt\u0131.<\/p>\n
Kahramanmara\u015f merkezli depremin etkisini g\u00f6sterdi\u011fi 11 ilde baz\u0131 diyaliz merkezlerinin y\u0131k\u0131ld\u0131\u011f\u0131n\u0131 veya elektrik ve su kesintisi nedeniyle \u00e7al\u0131\u015fmaz halde oldu\u011funu hat\u0131rlatan G\u00fcng\u00f6r, “Deprem b\u00f6breklere de zarar verebiliyor. Depremde kas ezilmesi nedeniyle hayat\u0131 tehdit eden ‘ezilme sendromu’ ortaya \u00e7\u0131kabilmektedir. Ezilme sendromlu hastalarda, ani \u00f6l\u00fcmlere de neden olan ciddi h\u0131zl\u0131 geli\u015fen b\u00f6brek yetersizli\u011fi ve potasyum y\u00fcksekli\u011fi gibi durumlar geli\u015febiliyor. Bu hastalara h\u0131zla diyaliz uygulamalar\u0131 hayat kurtar\u0131c\u0131d\u0131r. T\u00fcrk Nefroloji Derne\u011fi verilerine g\u00f6re bu depremde kay\u0131tl\u0131 1024 ezilme sendromlu hastan\u0131n oldu\u011fu, hastalar\u0131n y\u00fczde 68\u2019inde akut b\u00f6brek yetmezli\u011fi geli\u015fti\u011fi, 635 hastaya 3 bin 16 seans hemodiyaliz i\u015flemi yap\u0131ld\u0131\u011f\u0131 anla\u015f\u0131l\u0131yor.” dedi.<\/p>\n
B\u00f6brek sa\u011fl\u0131\u011f\u0131 ve sosyal medyan\u0131n \u00f6nemini dile getiren dernek \u00fcyesi Prof. Dr. Sena Ulu da Sosyal medyan\u0131n, bilgilendirme kampanyalar\u0131n\u0131 h\u0131zl\u0131 ve etkili bir \u015fekilde yayma g\u00fcc\u00fcne sahip oldu\u011funu kaydederek, derne\u011fin ge\u00e7ti\u011fimiz y\u0131l ba\u015far\u0131l\u0131 projeler ger\u00e7ekle\u015ftirdi\u011fi ve bu projelerinin \u00f6d\u00fcllerle ta\u00e7land\u0131r\u0131ld\u0131\u011f\u0131n\u0131 belirtti.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/008_2024%2F09_Mart%2F23_Mart%2F06%2F20240313_2_62976361_98738726.jpg\"\/)
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3000 kat\u0131l\u0131mc\u0131l\u0131 projede \u00e7arp\u0131c\u0131 b\u00f6brek hastal\u0131\u011f\u0131 sonu\u00e7lar\u0131<\/h3>\n
T\u00fcrkiye’de bir ilk olan AstraZeneca T\u00fcrkiye’nin destekleriyle hayata ge\u00e7irdikleri “Sa\u011fl\u0131kl\u0131 B\u00f6brek Sa\u011fl\u0131kl\u0131 Hayat” projesinden \u00f6rnek veren Ulu, proje kapsam\u0131nda 4 farkl\u0131 lokasyonda 3000 kat\u0131l\u0131mc\u0131ya h\u0131zl\u0131 idrar testi, kilo ve tansiyon \u00f6l\u00e7\u00fcm\u00fc uyguland\u0131\u011f\u0131n\u0131, \u00e7arp\u0131c\u0131 sonu\u00e7lar elde edildi\u011fini, kat\u0131l\u0131mc\u0131lar\u0131n y\u00fczde 51’inde kronik b\u00f6brek hastal\u0131\u011f\u0131 riski, y\u00fczde 18’inde ise orta-y\u00fcksek risk tespit edildi\u011fini aktard\u0131.<\/p>\n
Projenin ikinci aya\u011f\u0131nda AstraZeneca T\u00fcrkiye ve Danone’un katk\u0131lar\u0131yla yenilik\u00e7i bir fark\u0131ndal\u0131k projesine imza att\u0131klar\u0131n\u0131 da vurgulayan Ulu, \u015fu ifadeleri kulland\u0131:<\/p>\n
“Projemiz kapsam\u0131nda, Hayat Su ile i\u015f birli\u011fi yaparak su \u015fi\u015felerine ve evlere sipari\u015f damacanalara giydirme ile bir QR kod ekledik. Bu QR kod tarat\u0131ld\u0131\u011f\u0131nda eri\u015filebilen ‘B\u00f6brekleriniz Sa\u011fl\u0131kl\u0131 m\u0131?’ testi ile kronik b\u00f6brek hastal\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan riskli hastalar\u0131m\u0131z\u0131 hekimlerimize y\u00f6nlendirmeyi ama\u00e7lad\u0131k ve 100 bin ki\u015fiye ula\u015ft\u0131k. Ayn\u0131 zamanda bu projemizin \u0130stanbul Marketing Summit taraf\u0131ndan Marka \u0130\u015f Birlikleri kategorisinde 1’incilik \u00f6d\u00fcl\u00fcne lay\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc sizlerle payla\u015fmaktan mutluluk duyuyoruz.”<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/96f91bbd-282f-4a24-a12c-1b1092cfeb3b\/008_2024%2F09_Mart%2F23_Mart%2F06%2F20240313_2_62976361_98738728.jpg\"\/)
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“Yurt d\u0131\u015f\u0131nda 100 bin dolarl\u0131k hizmet T\u00fcrkiye’de \u00fccretsiz yap\u0131labiliyor”<\/h3>\n
T\u00fcrk Nefroloji Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Alaattin Y\u0131ld\u0131z, panelin ard\u0131ndan AA muhabirine de b\u00f6brek hastal\u0131klar\u0131n\u0131 ve yayg\u0131nl\u0131\u011f\u0131n\u0131 anlatt\u0131.<\/p>\n
Her 6-7 ki\u015fiden birinde bir tak\u0131m b\u00f6brek problemini d\u00fc\u015f\u00fcnd\u00fcren bulgular\u0131n oldu\u011funun alt\u0131n\u0131 \u00e7izen Y\u0131ld\u0131z, yurt d\u0131\u015f\u0131nda 50 bin veya 100 bin dolara verilen bir hizmetin T\u00fcrkiye’de \u00fccretsiz olarak canl\u0131dan veya kadavradan yap\u0131labildi\u011fini s\u00f6yledi.<\/p>\n
B\u00f6brek sa\u011fl\u0131\u011f\u0131na dikkat etmek gerekti\u011fi ve b\u00f6brek hastal\u0131\u011f\u0131n\u0131n erken fark edilmesinin \u00e7ok \u00f6nemli oldu\u011funu aktaran Y\u0131ld\u0131z, “Ne kadar erken fark edilirse hastal\u0131\u011f\u0131 geciktirmek, yava\u015flatmak m\u00fcmk\u00fcn. \u00d6zellikle g\u00fcn\u00fcm\u00fczde bununla ilgili yeni ila\u00e7lar var. \u0130yi kan bas\u0131nc\u0131 kontrol\u00fc yap\u0131ld\u0131\u011f\u0131 zaman b\u00f6brek hastal\u0131\u011f\u0131n\u0131n diyalize gidi\u015fi yava\u015flat\u0131l\u0131r. Tamamen durdurmak m\u00fcmk\u00fcn olmayabiliyor ama ciddi olarak geciktirmek m\u00fcmk\u00fcn olabiliyor.” \u015feklinde konu\u015ftu.<\/p>\n