{"id":203,"date":"2020-09-18T07:10:27","date_gmt":"2020-09-18T07:10:27","guid":{"rendered":"https:\/\/eminbalkan.com\/?p=203"},"modified":"2020-09-22T09:04:27","modified_gmt":"2020-09-22T09:04:27","slug":"hidronefroz-bobrek-buyumesi","status":"publish","type":"post","link":"https:\/\/eminbalkan.com\/?p=203","title":{"rendered":"Hidronefroz (B\u00f6brek B\u00fcy\u00fcmesi)"},"content":{"rendered":"<p><strong>Hidronefroz Nedir?<\/strong><\/p>\n<p>B\u00f6brekde \u00fcretilen idrar\u0131n ilk topland\u0131\u011f\u0131 mevcut havuzcu\u011fun normalden geni\u015f olmas\u0131na Hidronefroz denilmektedir. <strong>Hidronefroz<\/strong> tek veya iki b\u00f6brekte g\u00f6r\u00fclebilir. <strong>Hidronefroz<\/strong> her 100 bebekten yakla\u015f\u0131k 1&#8217;inde g\u00f6r\u00fcl\u00fcr. G\u00fcn\u00fcm\u00fczde y\u0131ll\u0131k ortalama 30.000 <strong>hidronefrozlu<\/strong> bebek do\u011fmaktad\u0131r.<\/p>\n<p>Anne karn\u0131nda ultrason ile tespit edilen <strong>hidronefrozun<\/strong> \u00e7o\u011fu ge\u00e7icidir. Hidronefroz\u2019un 3 \u00f6nemli sebebi vard\u0131r.<\/p>\n<ul>\n<li>B\u00f6brek havuzunun \u00e7\u0131k\u0131\u015f\u0131ndaki darl\u0131k (UP Darl\u0131k) nedeniyle olabilir.<\/li>\n<li>\u0130drar yolunun sidik kesesine giri\u015finde bir darl\u0131ktan (UV Darl\u0131k) dolay\u0131<\/li>\n<li>Sidik kesesinden geriye do\u011fru idrar\u0131n geri ak\u0131\u015f\u0131ndan kaynaklanabilir.<\/li>\n<\/ul>\n<p><strong>Tan\u0131 ve Do\u011fum Sonras\u0131 Takip<\/strong><\/p>\n<p><strong>Hidronefrozun<\/strong> \u00e7o\u011funlu\u011fu g\u00fcn\u00fcm\u00fczde gebelik takibinde yap\u0131lan ultrasonda, bebek daha do\u011fmadan tan\u0131 alabilmekte, do\u011fumdan sonra ise kar\u0131nda bir kitle, idrar yolu enfeksiyonu, taraf kar\u0131n a\u011fr\u0131s\u0131, kanl\u0131 idrar, b\u00f6brek ta\u015f\u0131 ve baz\u0131 b\u00f6brek yetmezli\u011fi bulgular\u0131 ile kar\u015f\u0131m\u0131za \u00e7\u0131kabilmektedir. Anne karn\u0131nda saptanm\u0131\u015f Hidronefroz\u2019larda genelde do\u011fum zaman\u0131 ve do\u011fum \u015feklini de\u011fi\u015ftirmeye ihtiya\u00e7 duymay\u0131z. Do\u011fumdan sonra tek b\u00f6brekli olan bebeklerde, iki b\u00f6bre\u011fi olup ayn\u0131 anda iki b\u00f6bre\u011finde Hidronefroz olan bebeklerde do\u011fdu\u011fu g\u00fcnden itibaren, e\u011fer iki b\u00f6bre\u011fin tekinde varsa \u00e7o\u011funlukla do\u011fumdan 3 g\u00fcn sonra ultrasonla Hidronefroz\u2019un ilk de\u011ferlendirmesi yap\u0131l\u0131r.<\/p>\n<p>Hidronefrozun \u015fiddetine g\u00f6re hasta taraf\u0131m\u0131zca takip edilir, Bebek b\u00fcy\u00fcme s\u00fcrecinde \u00e7o\u011funlukla ameliyat gerekmez ama takipte klinik bulgular varsa veya ultrason ve sintigrafi ile tespit edilen k\u00f6t\u00fcye giden bulgular varsa hasta ameliyat edilir.<\/p>\n<p>Ameliyat gerektiren bulgular\u0131 olan hasta zaman\u0131nda m\u00fcdahele edilmezse b\u00f6bre\u011fin ya da her iki b\u00f6bre\u011fin kaybedilmesi gibi ciddi bir zarar verebilmektedir. \u00c7\u00fcnk\u00fc b\u00f6brek fonksiyonlar\u0131 bozulur ve b\u00f6brek i\u015flevini yerine getiremez.<\/p>\n<p>Bu nedenle <strong>hidronefroz<\/strong> vakit kaybedilmeden ara\u015ft\u0131r\u0131lmal\u0131 ve tedavi edilmelidir.<\/p>\n<p>Hastaya zaman\u0131nda cerrahi m\u00fcdahale yap\u0131lmas\u0131 i\u00e7in bu t\u00fcr hastalar\u0131n \u00e7ocuk \u00fcrologlar\u0131 taraf\u0131ndan mutlaka de\u011ferlendirilmesi gerekmektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hidronefroz Nedir? B\u00f6brekde \u00fcretilen idrar\u0131n ilk topland\u0131\u011f\u0131 mevcut havuzcu\u011fun normalden geni\u015f olmas\u0131na Hidronefroz denilmektedir. Hidronefroz tek veya iki b\u00f6brekte g\u00f6r\u00fclebilir. Hidronefroz her 100 bebekten yakla\u015f\u0131k 1&#8217;inde<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":222,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,5],"tags":[],"class_list":["post-203","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cocuk-cerrahisi","category-cocuk-urolojisi"],"_links":{"self":[{"href":"https:\/\/eminbalkan.com\/index.php?rest_route=\/wp\/v2\/posts\/203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eminbalkan.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eminbalkan.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eminbalkan.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eminbalkan.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=203"}],"version-history":[{"count":1,"href":"https:\/\/eminbalkan.com\/index.php?rest_route=\/wp\/v2\/posts\/203\/revisions"}],"predecessor-version":[{"id":204,"href":"https:\/\/eminbalkan.com\/index.php?rest_route=\/wp\/v2\/posts\/203\/revisions\/204"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/eminbalkan.com\/index.php?rest_route=\/wp\/v2\/media\/222"}],"wp:attachment":[{"href":"https:\/\/eminbalkan.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eminbalkan.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eminbalkan.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}