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DÎYABETÎK HASTALARDA SÜREKLİ AYAKTAN PERİTON DİYALİZ TEDAVİSİ

CONTINUOUS AMBULATORY PERITONEAL DIALYSIS IN DIABETIC PATIENTS

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Abstract (2. Language): 
According to recent reports, the most common cause of chronic renal failure (CRF) is diabetic nephropathy. United States Renal Data System (USRDS) showed that in 1989, 3 % of all new CRF patients accepted for renal replacement therapy (RRT) were diabetic. This ratio has been increasing from 3 % to 35 % since 1989. Renal replacement therapy modalities such as renal - renal & pancreas transplantation, hemodialysis and continuous peritoneal dialysis are recommended for end-stage diabetic nephropathy patients. In recent years, Continuous Ambulatory Peritoneal Dialysis (CAPD) is the first choice of RRT for these patients as the control of hypertension and hyperglicemia and preservation of residual renal functions are excellent. In this lecture, CAPD in diabetics was rewieved.
Abstract (Original Language): 
Son yıllardaki değerlendirmelere göre kronik böbrek yetmezliğinin en sık nedeni diyabetik nefropatidir. Renal replasman tedavisi görenlerin Amerika Birle¬şik Devletleri Böbrek Hastalıkları Bilgi Sistemine (USRDS) göre 1989yılında % 3ü diyabetik nefropa-tili hastalar iken, 1991 'de % 33.8'e ve günümüzde % 35'e ulaşmıştır. Son dönem böbrek yetmezliği ile so¬nuçlanan diyabetik nefropatili hastalara diğer hasta gruplarında olduğu gibi böbrek veya böbrek-pankre-as transplantasyonu, hemodiyaliz ve sürekli periton diyalizinden oluşan başlıca 3 tip renal replasman te¬davisi uygulanabilir. Günümüzde son dönem diyabetik nefropatili hasta¬ların çoğuna ilk tedavi seçeneği olarak hipertansiyon ve hipergliseminin mükemmel kontrolü ve residüel re¬nal fonksiyonların korunması nedeniyle Continuous Ambulatory Peritoneal Dialysis (CAPD) - Sürekli Ayaktan Periton Diyalizi (SAPD) uygulanmaktadır. Bu yazıda diyabetiklere uygulanan SAPD tedavisine genel bir bakış yapılacak, bu tedavinin uygulanma esasları, avantaj ve dezavantajları belirtilecektir. Di-yabetik hastalara uygulanan SAPD tedavisindeki mo¬dern görüşler aktarılmaya çalışılacaktır.
FULL TEXT (PDF): 
131-137

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