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Sürekli Ayaktan Periton Diyalizi Yapan Bir Hastada Başarılı bir Gebelik

Successful Pregnancy in a Patient on Continuous Ambulatory Peritoneal Dialysis

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Abstract (2. Language): 
A 28-year-old female patient, who had been undergoing continuous ambulatory peritoneal dialysis (CAPD) because of end-stage renal disease of unknown origin, presented with secondary amenorrhea, nausea, vomiting, and anorexia and was suspected to be pregnant. The diagnosis of pregnancy was confirmed by ultrasonography (USG), which revealed that she was 11 weeks pregnant. Her physical examination was normal. Her residual Kt/Vurea was 4.38 and weekly residual creatinine clearance was 161.97 mL/min. She came to her routine follow-ups every month until intrauterine growth retardation was detected by USG and her blood pressure was found to be 170/110 mmHg while she was 35 weeks pregnant. A Caesarean section was performed and a 1900 g healthy baby was born. She continued CAPD after termination of pregnancy.
Abstract (Original Language): 
Nedeni bilinmeyen son dönem böbrek yetmezliği nedeniyle sürekli ayaktan periton diyalizi (SAPD) uygulayan 28 yaşında kadın hasta sekonder amenore, bulantı, kusma ve iştahsızlık yakınmalarıyla başvurdu. Hastanın gebe olduğundan şüphelenildi. Gebelik tanısı, hastanın 11 haftalık gebe olduğunu ortaya koyan ultrasonografi (USG) ile doğrulandı. Fizik muayenesi normaldi. Rezidü Kt/Vüre değeri 4.38’di ve haftalık rezidü kreatinin klirensi 161.97 mL/dk idi. Hasta 35 haftalık gebe iken USG ile intrauterin büyüme geriliği saptanana ve kan basıncının 170/110 mmHg bulunmasına kadar geçen sürede aylık rutin kontrollerine geldi. Hastaya sezaryen yapıldı ve 1900 g ağırlığında sağlıklı bir bebek doğurtuldu. Gebeliğin bitiminden sonra hasta SAPD’ye devam etti.

REFERENCES

References: 

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