Ara\u015ft\u0131rmalara g\u00f6re d\u00fcnya n\u00fcfusunun y\u00fczde 10’undan fazlas\u0131n\u0131 etkileyen kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n 2040 y\u0131l\u0131na kadar d\u00fcnya genelinde en s\u0131k \u00f6l\u00fcm nedenleri aras\u0131nda be\u015finci s\u0131rada olmas\u0131 bekleniyor.<\/p>\n\n\n\n
D\u00fcnya genelinde ve \u00fclkemizde h\u0131zla yay\u0131lan kronik b\u00f6brek hastal\u0131\u011f\u0131na dikkat \u00e7ekmek amac\u0131yla T\u00fcrk Nefroloji Derne\u011fi ve Aile Hekimleri Dernekleri Federasyonu i\u015f birli\u011fiyle \u201cSa\u011fl\u0131kl\u0131 B\u00f6brek, Sa\u011fl\u0131kl\u0131 Hayat\u201d fark\u0131ndal\u0131k kampanyas\u0131 hayata ge\u00e7irildi. D\u00fcnya B\u00f6brek G\u00fcn\u00fc kapsam\u0131nda tan\u0131t\u0131lan proje; sinsi ilerleyen bu hastal\u0131\u011fa kar\u015f\u0131 erken tan\u0131n\u0131n ve d\u00fczenli sa\u011fl\u0131k kontrollerinin hayati \u00f6nemini vurguluyor. Toplant\u0131da annesinin b\u00f6brek t\u00fcm\u00f6r\u00fc sonras\u0131 ba\u015flayan diyaliz ve nakil s\u00fcrecini anlatan T\u00fclin \u015eahin ile \u00e7ok gen\u00e7 ya\u015f\u0131nda kronik b\u00f6brek hastal\u0131\u011f\u0131 tan\u0131s\u0131 alarak annesinin ba\u011f\u0131\u015f\u0131yla nakil olan Duygu Bay\u0131nd\u0131r samimi hik\u00e2yelerini payla\u015ft\u0131.<\/p>\n\n\n\n
K\u00fcresel \u00f6l\u00e7ekte her 10 ki\u015fiden 1’ini etkileyen kronik b\u00f6brek hastal\u0131\u011f\u0131 (KBH), erken evrelerde belirti vermeden ilerlemesi nedeniyle \u00e7o\u011fu zaman ge\u00e7 fark ediliyor. Oysa hastal\u0131k, yaln\u0131zca bireylerin ya\u015fam kalitesini de\u011fil; ailelerini ve sa\u011fl\u0131k sistemlerini de derinden etkileyen \u00f6nemli bir halk sa\u011fl\u0131\u011f\u0131 sorunu. Ara\u015ft\u0131rmalara g\u00f6re d\u00fcnya n\u00fcfusunun y\u00fczde 10’undan fazlas\u0131n\u0131 etkileyen bu hastal\u0131\u011f\u0131n 2040 y\u0131l\u0131na kadar d\u00fcnya genelinde en s\u0131k \u00f6l\u00fcm nedenleri aras\u0131nda be\u015finci s\u0131rada olmas\u0131 bekleniyor. T\u00fcrkiye’de de her 7 yeti\u015fkinden biri kronik b\u00f6brek hastal\u0131\u011f\u0131 ile m\u00fccadele ediyor.<\/p>\n\n\n\n
Bu \u00e7arp\u0131c\u0131 tabloya dikkat \u00e7ekmek amac\u0131yla 12 Mart D\u00fcnya B\u00f6brek G\u00fcn\u00fc kapsam\u0131nda \u00f6nemli bir fark\u0131ndal\u0131k projesi hayata ge\u00e7irildi ve \u201cSa\u011fl\u0131kl\u0131 B\u00f6brek, Sa\u011fl\u0131kl\u0131 Hayat\u201d isimli video serisinin tan\u0131t\u0131m\u0131 yap\u0131ld\u0131. Model T\u00fclin \u015eahin’in moderat\u00f6rl\u00fc\u011f\u00fcnde ger\u00e7ekle\u015fen toplant\u0131da; kronik b\u00f6brek hastal\u0131\u011f\u0131 hekim, hasta ve hasta yak\u0131n\u0131 perspektifinden ele al\u0131nd\u0131.<\/p>\n\n\n\n
Toplant\u0131da tan\u0131t\u0131m\u0131 yap\u0131lan, toplam d\u00f6rt b\u00f6l\u00fcmden olu\u015fan, \u201cSa\u011fl\u0131kl\u0131 B\u00f6brek, Sa\u011fl\u0131kl\u0131 Hayat\u201d video serisinin ilk videosu da yay\u0131mland\u0131. Serinin tamam\u0131 ilerleyen g\u00fcnlerde YouTube’daki AstraZeneca T\u00fcrkiye kanal\u0131 \u00fczerinden yay\u0131mlanacak. Videolarda hekim g\u00f6r\u00fc\u015flerinin yan\u0131 s\u0131ra hasta ve hasta yak\u0131nlar\u0131n\u0131n ger\u00e7ek ya\u015fam deneyimlerine yer veriliyor. B\u00f6ylelikle hastal\u0131\u011f\u0131n erken tan\u0131 ile kontrol alt\u0131na al\u0131nabilece\u011fine dair fark\u0131ndal\u0131\u011f\u0131 art\u0131rmak ve toplumda d\u00fczenli sa\u011fl\u0131k kontrol\u00fc al\u0131\u015fkanl\u0131\u011f\u0131n\u0131 g\u00fc\u00e7lendirmek hedefleniyor.<\/p>\n\n\n\n
\u201cBEL\u0130RT\u0130LER BA\u015eLADI\u011eINDA HASTALIK \u00c7OKTAN \u0130LERLEM\u0130\u015e OLAB\u0130L\u0130YOR”<\/p>\n\n\n\n
T\u00fcrk Nefroloji Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Ayd\u0131n T\u00fcrkmen ise kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n \u00fc\u00e7 aydan uzun s\u00fcren kal\u0131c\u0131 b\u00f6brek fonksiyon bozuklu\u011fu olarak tan\u0131mland\u0131\u011f\u0131n\u0131 ve T\u00fcrkiye’de yakla\u015f\u0131k 9-10 milyon ki\u015fiyi[1] etkiledi\u011fini belirtti\u011fi konu\u015fmas\u0131nda \u015fu bilgileri payla\u015ft\u0131: \u201cB\u00f6brekler, v\u00fccudumuzdaki zararl\u0131 maddelerin at\u0131lmas\u0131n\u0131 sa\u011flayan hayati organlar\u0131m\u0131zd\u0131r ve fonksiyonlar\u0131n\u0131 kaybetmeleri ya\u015fam\u0131 derinden etkiler. Hastal\u0131k sinsi ilerledi\u011fi i\u00e7in pek \u00e7ok ki\u015fi durumun fark\u0131nda olmuyor; ancak halsizlik ve i\u015ftahs\u0131zl\u0131k gibi belirtiler ba\u015flad\u0131\u011f\u0131nda hastal\u0131k \u00e7oktan ilerlemi\u015f olabiliyor. \u00d6zellikle diyabet ve hipertansiyon hastalar\u0131 ile 60 ya\u015f \u00fczerindeki bireylerin d\u00fczenli kontrol yapt\u0131rmas\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. Erken tan\u0131 konuldu\u011funda hastal\u0131\u011f\u0131n ilerlemesini yava\u015flatmak m\u00fcmk\u00fcn. Bu nedenle fark\u0131ndal\u0131k \u00e7al\u0131\u015fmalar\u0131 yapmak ve erken tan\u0131n\u0131n \u00f6nemine dair mesajlar\u0131 geni\u015f kitlelere ula\u015ft\u0131rmak olduk\u00e7a \u00f6nemli.\u201d<\/p>\n\n\n\n
“BAS\u0130T KAN VE \u0130DRAR TESTLER\u0130 B\u00d6BREK SA\u011eLI\u011eI A\u00c7ISINDAN \u00d6NEML\u0130 VER\u0130LER SA\u011eLAR”<\/p>\n\n\n\n
Konu\u015fmas\u0131nda aile hekimlerinin kronik hastal\u0131klar\u0131n erken tespiti ve takibindeki kilit rol\u00fcne dikkat \u00e7eken Aile Hekimleri Dernekleri Federasyonu Ba\u015fkan\u0131 Dr. Taner Balbay da \u201cT\u00fcrkiye genelindeki 30 bin aile hekimimiz, hastalar\u0131n sa\u011fl\u0131k sistemiyle ilk temas noktas\u0131. Her aile hekimi ortalama 3 bin hastaya hizmet vererek koruyucu sa\u011fl\u0131k hizmetlerinin temelini olu\u015fturuyor. KBH gibi ilerleyici hastal\u0131klar\u0131n erken te\u015fhisi i\u00e7in vatanda\u015flar\u0131m\u0131z\u0131n y\u0131lda en az bir kez aile sa\u011fl\u0131\u011f\u0131 merkezlerine giderek basit kan ve idrar testlerini yapt\u0131rmalar\u0131 b\u00f6brek sa\u011fl\u0131\u011f\u0131n\u0131n yan\u0131 s\u0131ra t\u00fcm v\u00fccut sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan da \u00f6nemli veriler sa\u011flar. Ayr\u0131ca b\u00f6brek sa\u011fl\u0131\u011f\u0131n\u0131 korumak i\u00e7in g\u00fcnde 2-2,5 litre su t\u00fcketimi, tuzun azalt\u0131lmas\u0131 ve g\u00fcnde ortalama 30 dakikal\u0131k y\u00fcr\u00fcy\u00fc\u015f gibi al\u0131\u015fkanl\u0131klar\u0131n kazan\u0131lmas\u0131 da kritik \u00f6neme sahip. ‘Sa\u011fl\u0131kl\u0131 B\u00f6brek Sa\u011fl\u0131kl\u0131 Hayat’ projesi ile bu basit ama hayat kurtaran ad\u0131mlar\u0131n t\u00fcm toplumda benimsenmesini ama\u00e7l\u0131yoruz.\u201d<\/p>\n\n\n\n
“HAYATIMIZ TAMAMEN DE\u011e\u0130\u015eT\u0130”<\/p>\n\n\n\n
Toplant\u0131n\u0131n moderat\u00f6rl\u00fc\u011f\u00fcn\u00fc \u00fcstlenen T\u00fclin \u015eahin ise bir hasta yak\u0131n\u0131 olarak ya\u015fad\u0131klar\u0131n\u0131 payla\u015farak kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n yaln\u0131zca hastay\u0131 de\u011fil t\u00fcm aileyi etkileyen bir s\u00fcre\u00e7 oldu\u011funu anlatt\u0131. Annesinin b\u00f6brek t\u00fcm\u00f6r\u00fc nedeniyle b\u00f6bre\u011finin al\u0131nd\u0131\u011f\u0131n\u0131 ve ard\u0131ndan diyaliz s\u00fcrecine girildi\u011fini s\u00f6yleyen \u015eahin, s\u00fcrecin duygusal ve fiziksel zorluklar\u0131n\u0131 \u015fu s\u00f6zlerle payla\u015ft\u0131: \u201cBir b\u00f6brek hastas\u0131 yak\u0131n\u0131 olmak, asl\u0131nda o s\u00fcre\u00e7te hastayla birlikte her \u015feyi ya\u015famak demek. Annemin b\u00f6bre\u011finde t\u00fcm\u00f6r tespit edilip diyaliz s\u00fcreci ba\u015flad\u0131\u011f\u0131nda hayat\u0131m\u0131z tamamen de\u011fi\u015fti. Haftada iki g\u00fcn, saatlerce s\u00fcren diyaliz seanslar\u0131nda kap\u0131da beklemek, hayat\u0131n\u0131z\u0131 bu takvime g\u00f6re organize etmek hem fiziksel hem de ruhsal olarak \u00e7ok y\u0131prat\u0131c\u0131yd\u0131. Anneme b\u00f6brek nakli yap\u0131lmas\u0131 bizim i\u00e7in yeni bir umut ve d\u00f6n\u00fcm noktas\u0131 oldu. Bu s\u00fcre\u00e7 bana sa\u011fl\u0131\u011f\u0131n, organ ba\u011f\u0131\u015f\u0131n\u0131n ve en \u00f6nemlisi d\u00fczenli kontrollerin ne kadar de\u011ferli oldu\u011funu \u00f6\u011fretti. Erken tan\u0131 imk\u00e2n\u0131 varken bunu ihmal etmemek gerekiyor.\u201d<\/p>\n\n\n\n
18 YILLIK SA\u011eLIK YOLCULU\u011eUNU ANLATTI<\/p>\n\n\n\n
Kronik b\u00f6brek hastas\u0131 Duygu Bay\u0131nd\u0131r da \u00e7ok gen\u00e7 ya\u015fta ald\u0131\u011f\u0131 tan\u0131dan bug\u00fcne uzanan 18 y\u0131ll\u0131k sa\u011fl\u0131k yolculu\u011funu payla\u015ft\u0131. Hen\u00fcz 19 ya\u015f\u0131ndayken b\u00f6brek fonksiyonlar\u0131n\u0131n yakla\u015f\u0131k y\u00fczde 70’ini kaybetti\u011fini \u00f6\u011frendi\u011fini belirten Bay\u0131nd\u0131r, annesinin b\u00f6bre\u011fini ba\u011f\u0131\u015flamas\u0131yla nakil oldu\u011funu ve sonras\u0131nda ba\u011f\u0131\u015f\u0131kl\u0131k bask\u0131lay\u0131c\u0131 tedavilerle ya\u015fam\u0131n\u0131 disiplinli bir \u015fekilde s\u00fcrd\u00fcrd\u00fc\u011f\u00fcn\u00fc anlatt\u0131. Bay\u0131nd\u0131r konu\u015fmas\u0131n\u0131n devam\u0131nda duygular\u0131n\u0131 \u015fu s\u00f6zlerle aktard\u0131: \u201c19 ya\u015f\u0131mda tan\u0131\u015ft\u0131\u011f\u0131m bu hastal\u0131k bana sabr\u0131 ve dayan\u0131kl\u0131l\u0131\u011f\u0131 \u00f6\u011fretti. Annemin b\u00f6bre\u011fiyle yap\u0131lan nakil sonras\u0131 hayat\u0131m\u0131 art\u0131k bamba\u015fka bir \u015fekilde s\u00fcrd\u00fcrmeye ba\u015flad\u0131m. Hijyenden beslenmeye kadar her ad\u0131mda dikkatli olmam gerekiyor. Kronik b\u00f6brek hastal\u0131\u011f\u0131 uzun soluklu bir s\u00fcre\u00e7 ve zamanla ilerleyebiliyor. \u015eu anda hastal\u0131\u011f\u0131m 4. evrede ve ikinci bir nakil ihtimali g\u00fcndeme gelmi\u015f durumda. Nakil olduktan sonra b\u00f6bre\u011fin \u00f6m\u00fcr boyu sorunsuz \u00e7al\u0131\u015fmayabilece\u011fini bu s\u00fcre\u00e7te \u00f6\u011frendim. Bu nedenle d\u00fczenli kontroller ve tedaviler hayat\u0131m\u0131n \u00f6nemli bir par\u00e7as\u0131 oldu.\u201d<\/p>\n\n\n\n