T\u00fcrk B\u00f6brek Vakf\u0131’n\u0131n \u0130stanbul’da yapt\u0131\u011f\u0131 ara\u015ft\u0131rma, doktora sormadan a\u011fr\u0131 kesici kullan\u0131m\u0131 yayg\u0131nl\u0131\u011f\u0131n\u0131n y\u00fczde 66’y\u0131 buldu\u011funu g\u00f6steriyor. 10 il\u00e7ede T\u00fcrkiye n\u00fcfusu \u00f6rneklemine uygun se\u00e7ilen binden fazla kat\u0131l\u0131mc\u0131yla y\u00fcz y\u00fcze g\u00f6r\u00fc\u015fme \u015feklinde yap\u0131lan ankette, y\u0131ll\u0131k rutin b\u00f6brek kontrollerinin de yapt\u0131r\u0131lmad\u0131\u011f\u0131, b\u00f6brek yetmezli\u011fi ancak son a\u015famaya gelince doktora gidildi\u011fi ortaya \u00e7\u0131kt\u0131. TBV Ba\u015fkan\u0131 Timur Erk, kontrols\u00fcz a\u011fr\u0131 kesici kullan\u0131m\u0131n\u0131n b\u00f6brek sa\u011fl\u0131\u011f\u0131n\u0131 tehdit etti\u011fini s\u00f6yleyerek toplumun y\u00fczde 40’a yak\u0131n\u0131n\u0131n \u00e7e\u015fitli b\u00f6brek hastal\u0131klar\u0131 ve kronik b\u00f6brek yetmezli\u011fi le kar\u015f\u0131 kar\u015f\u0131ya oldu\u011funa i\u015faret etti ve “Ayr\u0131ca bu anket \u00e7al\u0131\u015fmas\u0131 bir \u015feyi daha g\u00f6sterdi. Rutin b\u00f6brek kontrollerinde de iyi de\u011filiz. B\u00f6brek hastal\u0131klar\u0131 ancak son a\u015famada fark ediliyor\u00f6 dedi. TBV Ahmet Ermi\u015f Diyaliz Merkezi Ba\u015fhekimi Nefroloji Uzman\u0131 Dr. Bilal G\u00f6r\u00e7in ise doktor kontrol\u00fc olmadan yap\u0131lan kuvvetli a\u011fr\u0131 kesici kullan\u0131m\u0131n\u0131n “ge\u00e7ici b\u00f6brek yetmezli\u011fi” ve diyalize g\u00f6t\u00fcren en \u00f6nemli sebepler aras\u0131nda oldu\u011funu vurgulad\u0131.<\/p>\n
“PARASETAMOL \u0130LE BA\u015eLAYIN, GE\u00c7MEZSE DOKTORA G\u0130D\u0130N”<\/strong><\/p>\n Dr. G\u00f6r\u00e7in, “Vakf\u0131m\u0131z\u0131n yapt\u0131\u011f\u0131 ara\u015ft\u0131rma, a\u011fr\u0131 kesici kullananlar\u0131n y\u00fczde 66’s\u0131n\u0131n kendi iradeleriyle, doktora sormadan ald\u0131klar\u0131n\u0131 g\u00f6steriyor. Gen\u00e7ler aras\u0131nda g\u00f6r\u00fcyorum, en ufak bir a\u011fr\u0131da direkt en kuvvetli a\u011fr\u0131 kesici ile ba\u015fl\u0131yorlar tedaviye. Oysa kuvvetli a\u011fr\u0131 kesiciler, b\u00f6bre\u011fi ge\u00e7ici bozan veya hasar veren ila\u00e7lar\u0131n ba\u015f\u0131nda geliyor. \u0130buprofen ya da di\u011fer baz\u0131 grup ila\u00e7lara ba\u011fl\u0131 b\u00f6bre\u011fin ge\u00e7ici bozulup diyalize girdi\u011fini, idrarda kanama oldu\u011funu, idrar\u0131n kesildi\u011fini \u00e7ok g\u00f6rd\u00fcm. Nonsteroid dedi\u011fimiz kuvvetli romatizmal a\u011fr\u0131 kesiciler \u00e7ok yayg\u0131n kullan\u0131l\u0131yor halk aras\u0131nda. \u00d6zellikle kad\u0131nlarda adet a\u011fr\u0131lar\u0131nda, di\u011fer insanlarda da her t\u00fcrl\u00fc romatizmal a\u011fr\u0131 veya ge\u00e7meyen \u015fiddetli a\u011fr\u0131larda tercih edilen kuvvetli ila\u00e7lar bunlar. Hele ki b\u00f6brek hastal\u0131\u011f\u0131 olan veya b\u00f6brek hastal\u0131\u011f\u0131 riski ta\u015f\u0131yan, \u015feker hastas\u0131, tansiyon hastas\u0131, obez, tek b\u00f6brekli ki\u015filere bu ila\u00e7lar\u0131 asla \u00f6nermiyoruz. Bunlara daha \u00e7ok parasetamol grubu ve di\u011fer basit a\u011fr\u0131 kesiciler veriyoruz. A\u011fr\u0131 kesiciler mutlaka doktor \u00f6nerisiyle al\u0131nmal\u0131. Sadece parasetamo grubu ila\u00e7lar rahatl\u0131kla kullan\u0131labilir (g\u00fcnde en fazla 3 tane olmak kayd\u0131yla). Ama buna ra\u011fmen a\u011fr\u0131n\u0131z devam ediyorsa, parasetamol bile olsa mutlaka hekime dan\u0131\u015f\u0131lmas\u0131 gerekiyor. \u00c7\u00fcnk\u00fc parasetamol\u00fc de uzun s\u00fcre kulland\u0131\u011f\u0131m\u0131z zaman karaci\u011fere olumsuz etkileri olabiliyor veya baz\u0131 ki\u015filerde parasetomol alerjisi de g\u00f6r\u00fclebiliyor. En do\u011frusu, bir veya iki parasetmole ra\u011fmen a\u011fr\u0131n\u0131z ge\u00e7miyorsa mutlaka doktora gitmek” \u015feklinde konu\u015ftu.<\/p>\n “\u00d6DEM, B\u00d6BREK HASTALI\u011eININ SON A\u015eAMASINDAK\u0130 BEL\u0130RT\u0130”<\/strong><\/p>\n Timur Erk, Mart ay\u0131n\u0131n ikinci per\u015fembesinde ger\u00e7ekle\u015fecek olan “D\u00fcnya B\u00f6brek G\u00fcn\u00fc” etkinliklerine haz\u0131rl\u0131k amac\u0131yla \u0130stanbul’un 10 il\u00e7esinde, n\u00fcfusun y\u00fczde 97’sini temsil edecek bir \u00f6rneklem ile, 1067 ki\u015fi ile yap\u0131lan y\u00fcz y\u00fcze anket sonu\u00e7lar\u0131yla ilgili, “Ankete kat\u0131lanlar\u0131n yakla\u015f\u0131k y\u00fczde 23’\u00fc de e\u011fitim d\u00fczeyi y\u00fcksek ki\u015filerden olu\u015fuyor. B\u00f6brek sa\u011fl\u0131\u011f\u0131 konusunda fark\u0131ndal\u0131k ne d\u00fczeyde, bunu g\u00f6rmek istedik. Ama g\u00f6rd\u00fck ki insanlar hala bilin\u00e7siz bir \u015fekilde tavsiye ile a\u011fr\u0131 kesici kullan\u0131yor. A\u011fr\u0131 kesici ila\u00e7lar, \u00e7ok y\u00fcksek dozlu kimyasal i\u00e7eren ila\u00e7lar. Bir filtre d\u00fc\u015f\u00fcn\u00fcn, s\u00fczmesi gereken kimyasallar ne kadar fazlaysa, g\u00f6zenekleri o kadar h\u0131zl\u0131 dolar ve art\u0131k filtre i\u015f g\u00f6remez hale gelir. B\u00f6bre\u011fi de b\u00f6yle d\u00fc\u015f\u00fcnmekte fayda var. Ne yaz\u0131k ki b\u00f6brek rahats\u0131zl\u0131klar\u0131 olduk\u00e7a sinsice ilerliyor. 5 evrede b\u00f6brek yetmezli\u011fine gidiliyor. 4’nc\u00fc evreye kadar hi\u00e7 belirtisi yok. Burada en fazla belirti 4’nc\u00fc evredeki \u00f6dem. \u00d6dem belirtisini de ankete kat\u0131lanlar\u0131n y\u00fczde 40’\u0131 s\u00f6ylemi\u015f zaten” dedi.<\/p>\n “YILLIK RUT\u0130N B\u00d6BREK KONTROL\u00dcNE G\u0130TM\u0130YORUZ”<\/strong><\/p>\n Anketin \u00f6nemli bulgular\u0131ndan bir tanesinin de rutin b\u00f6brek kontrollerinin ihmal edilmesi oldu\u011funu belirten Erk, “Ne yaz\u0131k ki y\u0131ll\u0131k rutin b\u00f6brek kontrol\u00fc yapt\u0131rmayanlar\u0131n oran\u0131 y\u00fczde 70’lerde. B\u00f6brek rahats\u0131zl\u0131\u011f\u0131n\u0131n neler getirdi\u011fi bilgisinden uzak bir toplumumuz var. \u0130nsanlar ancak hastal\u0131k ortaya \u00e7\u0131kt\u0131\u011f\u0131nda mecbur kal\u0131nca doktora gidiyor. O zaman da ge\u00e7 kal\u0131nm\u0131\u015f olunuyor. Halbuki b\u00f6brek rahats\u0131zl\u0131\u011f\u0131, sinsi ilerlemesi ile birlikte y\u0131ll\u0131k yap\u0131lan rutin kontrollerde, kanda kreatinin, basit idrar tahlilleri ile kolayca tespit edilebilir. 18’inden 78’ine, herkesin mutlaka y\u0131lda bir defa rutin b\u00f6brek kontrol\u00fc yapt\u0131rmas\u0131 laz\u0131m” diyerek s\u00f6zlerini noktalad\u0131.<\/p>\n T\u00fcrk B\u00f6brek Vakf\u0131 taraf\u0131ndan ger\u00e7ekle\u015ftirilen ‘B\u00f6brek Sa\u011fl\u0131\u011f\u0131 Fark\u0131ndal\u0131k Ara\u015ft\u0131rmas\u0131’, beslenme al\u0131\u015fkanl\u0131klar\u0131 ve b\u00f6brek sa\u011fl\u0131\u011f\u0131 bilinci hakk\u0131nda \u00e7ok \u00f6nemli detaylar\u0131 da ortaya \u00e7\u0131kard\u0131. Ankete kat\u0131lanlar\u0131n y\u00fczde 41,1 i obez veya fazla kilolu. Ara\u015ft\u0131rmada yer alan sonu\u00e7lara g\u00f6re: <\/p>\n ‘Bir ki\u015finin g\u00fcnl\u00fck ortalama t\u00fcketmesi gereken tuz miktar\u0131 ne kadar olmal\u0131d\u0131r?’ sorusuna y\u00fczde 57,8 ile do\u011fru yan\u0131t (6 gram) verilmi\u015fken, y\u00fczde 42,2 halen fazla tuz t\u00fcketiyor. <\/p>\n ‘Bir ki\u015finin g\u00fcnl\u00fck ortalama t\u00fcketmesi gereken \u015feker miktar\u0131 ne kadar olmal\u0131d\u0131r?’ sorusuna ise y\u00fczde 66,2 ile 50 gram yan\u0131t\u0131 do\u011fru olarak verilmi\u015fken, kat\u0131l\u0131mc\u0131lar\u0131n y\u00fczde 33,8’inin fazla \u015feker t\u00fcketti\u011fi ortaya \u00e7\u0131kt\u0131. <\/p>\n","protected":false},"excerpt":{"rendered":" T\u00fcrk B\u00f6brek Vakf\u0131’n\u0131n \u0130stanbul’da 10 il\u00e7eyi kapsayacak \u015fekilde yapt\u0131\u011f\u0131 ara\u015ft\u0131rmada doktora sormadan “tavsiye ile” a\u011fr\u0131 kesici ila\u00e7 kullananlar\u0131n oran\u0131n\u0131n y\u00fczde 66’y\u0131 buldu\u011fu anla\u015f\u0131ld\u0131. 1067 kat\u0131l\u0131mc\u0131 ile y\u00fcz y\u00fcze yap\u0131lan anket \u00e7al\u0131\u015fmas\u0131nda, e\u011fitim durumu y\u00fcksek olanlar da dahil, arkada\u015f e\u015f dost tavsiyesi ile a\u011fr\u0131 kesici kullan\u0131yor. T\u00fcrk B\u00f6brek Vakf\u0131 (TBV) Ba\u015fkan\u0131 Timur Erk ve TBV Ahmet Ermi\u015f Diyaliz Merkezi Ba\u015fhekimi Nefroloji Uzman\u0131 Dr. Bilal G\u00f6r\u00e7in; ‘B\u00f6brek Sa\u011fl\u0131\u011f\u0131 Fark\u0131ndal\u0131k Ara\u015ft\u0131rmas\u0131’ ile ilgili \u00e7arp\u0131c\u0131 sonu\u00e7lar hakk\u0131nda \u00f6nemli a\u00e7\u0131klamalarda bulundu. Dr. G\u00f6r\u00e7in, diyalize g\u00f6t\u00fcren ge\u00e7ici b\u00f6brek hasar\u0131n\u0131n en \u00f6nemli sebebinin, bilin\u00e7sizce kullan\u0131lan g\u00fc\u00e7l\u00fc a\u011fr\u0131 kesiciler oldu\u011funu s\u00f6yledi.<\/p>\n","protected":false},"author":6,"featured_media":9596,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[2256,73,2255,2254],"class_list":["post-9594","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-dr-bilal-gorcin","tag-manset","tag-timur-erk","tag-turk-bobrek-vakfi"],"_links":{"self":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/9594","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/comments?post=9594"}],"version-history":[{"count":1,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/9594\/revisions"}],"predecessor-version":[{"id":9597,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/posts\/9594\/revisions\/9597"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media\/9596"}],"wp:attachment":[{"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/media?parent=9594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/categories?post=9594"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ihm.tr\/tr-int\/wp-json\/wp\/v2\/tags?post=9594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}