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GEBELİKTE ÜRİNER SİSTEM ENFEKSİYONLARI

URINARY SYSTEM INFECTIONS IN PREGNANCY

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Abstract (2. Language): 
In pregnancy the urinary tract is physiologically affected both directly and indirectly. The load of the urinary system is increased. The hormones secreted by the growing trophoblasts relax the tonus of the ureters thus causing urinary stasis. The consistency of urine is enriched by glucose, aminoacids and hormone metabolites causing bacterial over-growth. Asymptomatic urinary colonization is frequently observed in these altered conditions. As the pregnancy prog¬resses the obstructive effect of the growing uterus may yield serious complications such as pyelonephritis. In our overview, we aimed to discuss the role of the primary care physician in reducing the mor¬bidity and mortality rates caused by urinary system infections.
Abstract (Original Language): 
Gebelik üriner sistem üzerinde direkt ve indirekt fizyolojik etkiler gösterir. Üriner sistemin volümü artar, büyüyen trofoblastın salgıladığı hormonlar üreterlerin tonik gevşemesine ve üriner staza neden olabilir. İdrarın bileşimi gebelikten dolayı glükoz, aminoasitler ve hormon atıkları ile zenginleşir; bu da bakteri çoğalmasına yol açar. Bu değişen şartlarda asemptomatik üriner kolonizasyona sıkça rast¬lanır. Gebeliğin ilerleyen aylarında giderek büyüyen uterusun obst-rüktif etkisi de piyelonefrit gibi ciddi komplikasyonlara neden ola¬bilir. Bu derlemede gebelikte üriner enfeksiyona bağlı morbidite ve mortaliteyi azaltmak amacıyla 1. basamak sağlık hizmeti veren heki¬min tanı, tedavi ve korumadaki yeri literatür bilgileri ışığında irdele¬necektir.
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