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\u00c7ocuklarda \u00e7ok s\u0131k g\u00f6r\u00fclen problemlerden olan b\u00f6brek refl\u00fcs\u00fc, tedavi edilmedi\u011fi takdirde b\u00f6brek yetmezli\u011fine sebep olabiliyor.<\/p>\n\u00c7ocuklarda \u00e7ok s\u0131k g\u00f6r\u00fclen problemlerden olan b\u00f6brek refl\u00fcs\u00fc, tedavi edilmedi\u011fi takdirde b\u00f6brek yetmezli\u011fine sebep olabiliyor.<\/p>\n
Medicana Bah\u00e7elievler Hastanesi \u00dcroloji Uzman\u0131 Prof. Dr. Semih Ayan, b\u00f6brek fonksiyonlar\u0131 sa\u011fl\u0131kl\u0131 olan bir bireyde, idrar\u0131n b\u00f6brekten mesaneye tek y\u00f6nl\u00fc akmas\u0131 gerekti\u011fini belirterek, genetik veya anatomik bozukluklar sebebiyle b\u00f6brek refl\u00fcs\u00fc geli\u015fti\u011finde idrar\u0131n y\u00fcksek bas\u0131n\u00e7la b\u00f6bre\u011fe geri gitti\u011fini ve bu durumun erken ya\u015flarda ve \u00e7ocuklarda b\u00f6brek yetmezli\u011fine yol a\u00e7abilece\u011fini belirtti.<\/p>\n
B\u00f6brek refl\u00fcs\u00fcne yol a\u00e7abilecek geli\u015fim kusurunun nedeninin net olarak bilinmedi\u011fini, daha \u00e7ok do\u011fumsal genetik bozukluklara ba\u011fl\u0131 olarak geli\u015febilece\u011fine dikkat \u00e7eken Prof. Dr. Semih Ayan, \u201cAilede b\u00f6brek refl\u00fcs\u00fc hikayesi veya karde\u015fi b\u00f6brek refl\u00fcs\u00fc olan \u00e7ocuklar, uzman bir hekim taraf\u0131ndan de\u011ferlendirilmelidir\u201c dedi.<\/p>\n
Ayan, \u201cB\u00f6brek refl\u00fcs\u00fc i\u00e7in erken d\u00f6nemde tan\u0131 koymak zordur. Hen\u00fcz gebelikteki anne karn\u0131nda yap\u0131lan ultrason takiplerinde bile \u00e7ocuk b\u00f6bre\u011finin geni\u015flemi\u015f olmas\u0131 ile y\u00fcksek dereceli refl\u00fcden \u015f\u00fcphe edilmesi gerekir ve do\u011fum sonras\u0131 incelenmesi \u00f6nemlidir\u201d dedi. Ayan, yenido\u011fan d\u00f6neminde ve okul \u00f6ncesi ya\u015flarda ate\u015fli idrar yolu enfeksiyonu ge\u00e7iren \u00e7ocuklarda bu hastal\u0131\u011f\u0131n mutlaka akla gelmesi gerekti\u011fini belirterek, kar\u0131n ve b\u00f6\u011f\u00fcr a\u011fr\u0131s\u0131, ya\u015f\u0131tlar\u0131na g\u00f6re b\u00fcy\u00fcme geli\u015fme gerili\u011fi, g\u00fcnd\u00fcz idrar ka\u00e7\u0131rma gibi yak\u0131nmalar\u0131n da hastal\u0131\u011f\u0131n belirtileri olabilece\u011finin alt\u0131n\u0131 \u00e7izdi. Ayr\u0131ca baz\u0131 durumlarda idrar kesesinde fonksiyon bozuklu\u011funun bulunmas\u0131n\u0131n da b\u00f6brek refl\u00fcs\u00fcne yol a\u00e7abilece\u011fine ve bu fonksiyon bozuklu\u011funun giderilmesi ile refl\u00fcn\u00fcn engellenebilece\u011fine dikkat \u00e7ekti.<\/p>\n
Dr. Ayan, \u201cBu hastal\u0131kta, b\u00f6brek hasar\u0131na yol a\u00e7mamak i\u00e7in hastal\u0131\u011f\u0131n derecesine g\u00f6re ila\u00e7l\u0131 tedavi, takip veya cerrahi tedavi plan\u0131 yap\u0131yoruz. D\u00fc\u015f\u00fck dereceli b\u00f6brek refl\u00fcs\u00fc olan \u00e7ocuklarda, idrar\u0131n tam bo\u015falt\u0131lmas\u0131, d\u00fc\u015f\u00fck doz antibiyotik kullan\u0131m\u0131 ile ergenlik \u00e7a\u011f\u0131na kadar kendili\u011finden d\u00fczelme beklentisi ile takip yap\u0131l\u0131r. Bu d\u00f6nemde hastal\u0131\u011f\u0131n b\u00f6bre\u011fe zarar vermesine neden olacak idrar yolu enfeksiyonunu engellemek i\u00e7in d\u00fc\u015f\u00fck dozda antibiyotik kullan\u0131lmas\u0131 ve varsa idrar kesesinin fonksiyon kusurlar\u0131n\u0131n tedavisi gerekir. Ayr\u0131ca hastalar doktor kontrol\u00fcnde olmal\u0131, aral\u0131klarla idrar yolu enfeksiyonu ve b\u00f6brek fonksiyonlar\u0131 a\u00e7\u0131s\u0131ndan izlenmelidir. Bu durumdaki erkek \u00e7ocuklar\u0131n s\u00fcnnet edilmesi de enfeksiyon riskini azaltmak i\u00e7in tavsiye edilir. B\u00f6brek refl\u00fcs\u00fc tan\u0131s\u0131 olan \u00e7ocuklarda antibiyotik kullan\u0131m\u0131na ra\u011fmen ate\u015f, idrar yolu enfeksiyonu g\u00f6r\u00fcl\u00fcyor ve refl\u00fc b\u00f6bre\u011fe zarar veriyorsa ve beklemekle d\u00fczelmeyecek bir tak\u0131m anatomik bozukluklardan kaynaklan\u0131yor ise cerrahi tedaviye ba\u015fvurulmal\u0131d\u0131r. Cerrahi tedavi, a\u00e7\u0131k ya da kapal\u0131 olarak her hastaya g\u00f6re ayr\u0131 planlanarak yap\u0131l\u0131r\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
MED\u0130CANA BAH\u00c7EL\u0130EVLER HASTANES\u0130 \u00dcROLOJ\u0130 UZMANI PROF. DR. SEM\u0130H AYAN, B\u00d6BREK FONKS\u0130YONLARI SA\u011eLIKLI OLAN B\u0130R B\u0130REYDE, \u0130DRARIN B\u00d6BREKTEN MESANEYE TEK Y\u00d6NL\u00dc AKMASI GEREKT\u0130\u011e\u0130N\u0130 BEL\u0130RTEREK, GENET\u0130K VEYA ANATOM\u0130K BOZUKLUKLAR SEBEB\u0130YLE B\u00d6BREK REFL\u00dcS\u00dc GEL\u0130\u015eT\u0130\u011e\u0130NDE \u0130DRARIN Y\u00dcKSEK BASIN\u00c7LA B\u00d6BRE\u011eE GER\u0130 G\u0130TT\u0130\u011e\u0130N\u0130 VE BU DURUMUN ERKEN YA\u015eLARDA VE \u00c7OCUKLARDA B\u00d6BREK YETMEZL\u0130\u011e\u0130NE YOL A\u00c7AB\u0130LECE\u011e\u0130N\u0130 BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[29715,2153,19067,29713,29714,10074],"class_list":["post-161606","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-acabiliyor","tag-bobrek","tag-cocuklarda","tag-reflusu","tag-yetmezligine","tag-yol"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/161606","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=161606"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/161606\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=161606"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=161606"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=161606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}