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Son Dönem Böbrek Yetersizliği Nedeniyle Hemodiyaliz Tedavisi Gören Hastada Gebelik: Olgu Sunumu

Pregnancy in End Stage Renal Disease Patients, Treatment with Hemodialysis: A Case Report

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DOI: 
DOI 10.5262/tndt.2012.1001.15

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Abstract (2. Language): 
Occasionally, pregnancy can occur in patients receiving hemodialysis due to chronic kidney disease. Despite successful pregnancies reported in the literature, high complication rates and progression of renal disease can be observed. Major risk factors are maternal age, type of renal disease, dialysis prior to pregnancy, age at the time of dialysis, dialysis modality, hemoglobin, blood urea nitrogen, creatinine levels during pregnancy and dialysis dose. Improvements in dialysis technology and patient follow-up and multidisciplinary approach in the last years have lead to higher rates of fertilisation and succesful pregnancies with live births.
Abstract (Original Language): 
Kronik böbrek yetmezliği nedeniyle diyaliz programında olan hastalarda nadir de olsa gebelik görülebilmektedir. Başarılı gebelikler tarif edilmiş olsa da yüksek komplikasyon oranları ve böbrek yetmezliğinin progresyonu ortaya çıkabilmektedir. Ana risk faktörleri anne yaşı, renal hastalığın tipi, gebelik öncesi diyaliz, diyalize başlangıç esnasındaki gebelik yaşı, diyaliz tipi, gebelik sırasındaki hemoglobin, kan üre azotu, kreatinin düzeyleri ve diyaliz sıklığıdır. Son yıllarda diyaliz yöntemlerindeki gelişmeler, hasta takibindeki iyileşmeler ve multidisipliner hasta yaklaşımları nedeniyle bu hasta grubunda da fertilizasyon olasılığı ve gebelik sonrası canlı doğum oranlarında artışlar olmuştur.
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