Polikistik Böbrek Hastalıgı Tanılı Hastalarda Periton Diyalizi Tek Merkez Deneyimi
Özet
Giriş ve Amaç: Periton
diyalizi (PD), Son Dönem Böbrek Yetmezliği hastalarının yaşamlarına en uygun
düzeyde devam ettirmelerini sağlamak amacıyla uygulanan renal replasman tedavi
yöntemlerinden birisidir <w:sdt docpart="F6ACB26F3F544D8CB30A0871364165EE" sdttag="MENDELEY_CITATION_v3_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" id="489598721">(1,2)</w:sdt>. PD uygulanan otozomal dominant polikistik
böbrek hastalığı (ODPBH) hastalarında teknik başarısızlık oluşacağı şeklinde
bir algı vardır <w:sdt docpart="C6F51D2551254C64AF140D71277C2FFC" sdttag="MENDELEY_CITATION_v3_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" id="1529528124">(3)</w:sdt>. Bu
çalışmada biz PD uyguladığımız ODPBH tanılı 20 hastayı sunmak istedik.<o:p></o:p>
Yöntem: Çalışmamızda
2005-2023 arasında PD uygulanmış ODPBH tanılı 20 hastanın demografik
özellikleri, PD modaliteleri ve laboratuvar değerleri incelendi. Verilerin
analizinde SPSS 20.0 (IBMSPSS Inc. Chicago, IL, USA) kullanıldı. Hastaların
genel özellikleri ve demografik özellikleri Frequency (Tanımlayıcı analiz: tek
değişkene ilişkin sıklık analizi) analiziyle belirlendi.<o:p></o:p>
Bulgular: Hastaların
% 85’ine (17) Sürekli Ayaktan Periton Diyalizi (SAPD) ve % 3’üne Aletli Periton
Diyalizi (APD) uygulandı. SAPD uygulananlarda günlük total değişim miktarı 7,61
lt ve APD uygulananlarda 13.3 lt idi. En sık PD sonlanım nedeni %65 (13) ile
ölümdü. Teknik problemler sadece % 15 (3) hastada Pd sonlanım nedeniydi.
Hastaların demografik verileri ve PD modaliteleri Tablo-1, Tablo-2 ve Tablo-3’de gösterilmiştir.<o:p></o:p>
Tartışma: ODPBH
tanılı hastalarda periton diyaliz kapasitesinde (PDK) azalma veya yüksek
intraperitoneal basınç artışı (IPB) olabileceği düşünülmektedir <w:sdt docpart="F6ACB26F3F544D8CB30A0871364165EE" sdttag="MENDELEY_CITATION_v3_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" id="-1487471782">(3)</w:sdt>. Yapılan çalışmalar ile ODPBH tanılı
hastalar ile diğer hastalar arasında IPB farkı olmadığı ve PDK azalmanın
anlamlı olmadığı gösterilmiştir <w:sdt docpart="F6ACB26F3F544D8CB30A0871364165EE" sdttag="MENDELEY_CITATION_v3_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" id="41800189">(3,4)</w:sdt> Yapılan başka bir çalışmada ise ODPBH
tanılı hastalar ile diğer hastalar arasında diyaliz yeterliliği açısından fark olmadığı
gösterilmiştir <w:sdt docpart="F6ACB26F3F544D8CB30A0871364165EE" sdttag="MENDELEY_CITATION_v3_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" id="1999150460">(5)</w:sdt>. Bizim PD uyguladığımız tüm hastalar
diyaliz yeterliliği sağlanacak şekilde gerekli dolum hacmine ulaştı. <o:p></o:p>
Sonuç: ODPBH
hastalarında yeterli dolum kapasitesi sağlanabilir ve PD bu hastalar için
uygulanabilir.<o:p></o:p>
Atıf için künye
Altunok, M., Çankaya, E., Sevinç, C., & Uyanık, A. (2023). Polikistik Böbrek Hastalıgı Tanılı Hastalarda Periton Diyalizi Tek Merkez Deneyimi. 12.ULUSLARARASI KATILIMLI GÜNCEL BÖBREK HASTALIKLARI HİPERTANSİYON VE TRANSPLANTASYON KONGRESİ, Sakarya (ss. 63–65).
BibTeX
@inproceedings{altunok2023-228007,
author = {Altunok, Murat and Çankaya, Erdem and Sevinç, Can and Uyanık, Abdullah},
title = {Polikistik Böbrek Hastalıgı Tanılı Hastalarda Periton Diyalizi Tek Merkez Deneyimi},
booktitle = {12.ULUSLARARASI KATILIMLI GÜNCEL BÖBREK HASTALIKLARI HİPERTANSİYON VE TRANSPLANTASYON KONGRESİ},
address = {Sakarya},
year = {2023},
pages = {63--65},
url = {https://akademik.atauni.edu.tr/yayinlar/228007-polikistik-bobrek-hastaligi-tanili-hastalarda-periton-diyalizi-tek-merkez}
}