{"id":209320,"date":"2025-07-23T14:11:39","date_gmt":"2025-07-23T11:11:39","guid":{"rendered":"https:\/\/www.tgrthaber.com\/mavikadin\/?p=209320"},"modified":"2025-07-23T14:11:39","modified_gmt":"2025-07-23T11:11:39","slug":"bobrek-hastalarina-altin-degerinde-oneriler-gunde-2-litre-sart","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/bobrek-hastalarina-altin-degerinde-oneriler-gunde-2-litre-sart\/","title":{"rendered":"B\u00f6brek hastalar\u0131na alt\u0131n de\u011ferinde \u00f6neriler! G\u00fcnde 2 litre \u015fart"},"content":{"rendered":"

\u00dcroloji Uzman\u0131 Do\u00e7. Dr. Murat Tolga G\u00fclp\u0131nar, “B\u00f6brek ta\u015flar\u0131n\u0131n tekrar\u0131ndan korunmak i\u00e7in belki de en \u00f6nemli fakt\u00f6r g\u00fcnl\u00fck 2 litre civar\u0131nda idrar \u00e7\u0131k\u0131\u015f\u0131n\u0131 sa\u011flamaya yetecek s\u0131v\u0131 t\u00fcketimidir. Tuz k\u0131s\u0131tlamas\u0131, rafine \u015fekerlerin t\u00fcketiminin azalt\u0131lmas\u0131, a\u015f\u0131r\u0131 hayvansal protein a\u011f\u0131rl\u0131kl\u0131 diyetlerden ka\u00e7\u0131n\u0131lmas\u0131, hareketsizlik ve obeziteden uzak ya\u015fam tarz\u0131n\u0131n benimsenmesi esast\u0131r” dedi.<\/p>\n

B\u00d6BREK HASTALARINA ALTIN DE\u011eER\u0130NDE \u00d6NER\u0130LER<\/h3>\n

VM Medical Park Gebze Hastanesi \u00dcroloji Uzman\u0131 Do\u00e7. Dr. Murat Tolga G\u00fclp\u0131nar b\u00f6brek ta\u015flar\u0131n\u0131n, idrardaki baz\u0131 minerallerin y\u00fcksek konsantrasyonlara ula\u015farak kristalle\u015fmesi ve bu kristallerin k\u00fcmelenmesiyle olu\u015ftu\u011funu s\u00f6yledi. G\u00fclp\u0131nar, “Ki\u015finin ya\u015fad\u0131\u011f\u0131 co\u011frafya, etnik kimli\u011fi, diyetsel se\u00e7imleri ve genetik yatk\u0131nl\u0131klar b\u00f6brek ta\u015f\u0131 olu\u015fum riskini artt\u0131r\u0131r” dedi.<\/p>\n

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“BULANTI VE \u0130DRARDA KANAMA G\u00d6R\u00dcLEB\u0130L\u0130R”<\/h3>\n

B\u00f6brek ta\u015f\u0131nda g\u00f6r\u00fclen belirtilere ve a\u011fr\u0131n\u0131n olu\u015fabilece\u011fi b\u00f6lgelere de\u011finen Do\u00e7. Dr. G\u00fclp\u0131nar, “Ta\u015flar b\u00f6bre\u011fin i\u00e7erisindeyken belirti vermeyebilirler. \u0130drar ak\u0131m\u0131 engellenmedi\u011fi s\u00fcrece a\u011fr\u0131 olmayabilir. Ta\u015f b\u00f6brekten \u00e7\u0131k\u0131p idrar kanal\u0131n\u0131 t\u0131kad\u0131\u011f\u0131nda, idrar ak\u0131m\u0131n\u0131n engellenmesi ile b\u00f6brek \u015fi\u015fer ve gerilmeye ba\u011fl\u0131 a\u011fr\u0131 meydana gelir. Bu a\u011fr\u0131 \u015fiddet olarak k\u0131yasland\u0131\u011f\u0131nda bir insan\u0131n hayat\u0131nda tecr\u00fcbe edebilece\u011fi en \u015fiddetli a\u011fr\u0131lardand\u0131r. A\u011fr\u0131 lomber (yan, b\u00f6\u011f\u00fcr) b\u00f6lgede a\u011f\u0131rl\u0131kl\u0131 olur ve kas\u0131\u011fa vurabilir. Bulant\u0131, kusma, idrarda kanama, idrar yapma zorluklar\u0131 olarak da kendini g\u00f6sterebilir” diye konu\u015ftu.<\/p>\n

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\n

Tan\u0131n\u0131n klinik muayenenin yan\u0131 s\u0131ra ultrasonografi ve bilgisayarl\u0131 tomografi gibi g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleriyle kesinle\u015ftirildi\u011fini aktaran G\u00fclp\u0131nar, tedavi y\u00f6ntemlerinin ta\u015f\u0131n boyutuna ve konumuna g\u00f6re de\u011fi\u015fti\u011fini belirtti.<\/p>\n

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“BESLENME \u00d6NEML\u0130”<\/h3>\n

Beslenmenin \u00f6nemine dikkat \u00e7eken Do\u00e7. Dr. G\u00fclp\u0131nar, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n

“B\u00f6brek ta\u015flar\u0131n\u0131n tekrar\u0131ndan korunmak i\u00e7in belki de en \u00f6nemli fakt\u00f6r g\u00fcnl\u00fck 2 litre civar\u0131nda idrar \u00e7\u0131k\u0131\u015f\u0131n\u0131 sa\u011flamaya yetecek s\u0131v\u0131 t\u00fcketimidir. Tuz k\u0131s\u0131tlamas\u0131, rafine \u015fekerlerin t\u00fcketiminin azalt\u0131lmas\u0131, a\u015f\u0131r\u0131 hayvansal protein a\u011f\u0131rl\u0131kl\u0131 diyetlerden ka\u00e7\u0131n\u0131lmas\u0131, hareketsizlik ve obeziteden uzak ya\u015fam tarz\u0131n\u0131n benimsenmesi esast\u0131r. Diyette f\u0131nd\u0131k, kakao, \u00e7ikolata, pancar, \u0131spanak, soya, bu\u011fday\u0131n nispeten az t\u00fcketimi oksalattan zengin olmalar\u0131 nedeniyle azalt\u0131lmal\u0131d\u0131r. Liften zengin oldu\u011fu bilinen sebzeler faydal\u0131d\u0131r. Bilinenin aksine ta\u015f hastalar\u0131 makul miktarda s\u00fct ve s\u00fct \u00fcr\u00fcnleri t\u00fcketebilirler. \u0130\u00e7eri\u011findeki sitrat ile kristallerin ta\u015fla\u015fmas\u0131na engel olan limon g\u00fcnde 1 adet olarak t\u00fcketilebilir.”<\/p>\n

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“TEDAV\u0130 YOLLARI”<\/h3>\n

5 milimetreye kadar olan ta\u015flar\u0131n ila\u00e7 ve bol s\u0131v\u0131 t\u00fcketimiyle d\u00fc\u015f\u00fcr\u00fclebildi\u011fini ifade eden G\u00fclp\u0131nar, “Bu boyutun \u00fczerindeki ta\u015flarda ve d\u00fc\u015f\u00fcrme s\u00fcrecinin uzun s\u00fcrerek hastan\u0131n tahamm\u00fcl\u00fcn\u00fcn t\u00fckendi\u011fi noktalarda endoskopik tedaviler hastan\u0131n imdad\u0131na yeti\u015fir. \u0130drar kanal\u0131n\u0131n b\u00f6bre\u011fe yak\u0131n olan k\u0131s\u0131mlar\u0131 endoskopi a\u00e7\u0131s\u0131ndan nispeten zor ve riskli oldu\u011fu i\u00e7in bu konumdaki ta\u015flar ESWL denilen \u015fok dalgalar\u0131 ile ameliyats\u0131z k\u0131r\u0131l\u0131p, k\u00fc\u00e7\u00fck par\u00e7alar halinde d\u00f6k\u00fclmesi sa\u011flanabilir. B\u00f6bre\u011fin i\u00e7erisindeki ta\u015flar ise 1 santimetre boyuta kadar, idrar ak\u0131m\u0131n\u0131 engellemiyor ise takip alt\u0131nda tutulabilirler. 1 ve 2 santimetre aras\u0131ndaki boyutlardaki ta\u015flar endoskopik giri\u015fim ve lazer i\u00e7in uygun adaylard\u0131r. Doktorun tercihine ve y\u00f6nlendirmesine g\u00f6re yine uygun olan ta\u015flarda \u015fok dalga tedavisi de bu boyut aral\u0131\u011f\u0131ndaki ta\u015flar i\u00e7in uygulanabilir” dedi.<\/p>\n

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“ENDOSKOP\u0130K TA\u015e CERRAH\u0130S\u0130 UYGULANAB\u0130L\u0130R”<\/h3>\n

Endoskopik ta\u015f cerrahisi hakk\u0131nda da bilgi veren Do\u00e7. Dr. G\u00fclp\u0131nar, “\u00d6nceleri kar\u0131n yan duvar\u0131 kesilerek yap\u0131lan b\u00f6brek ta\u015f\u0131 cerrahisi, son y\u0131llarda ilerleyen teknolojinin yard\u0131m\u0131 ile \u00e7ok b\u00fcy\u00fck oranda endoskopik (kamera kullanarak yap\u0131lan) cerrahiye evrilmi\u015ftir. \u00d6nce optik sistemlerin idrar kanallar\u0131 ile uyumlu inceli\u011fe ula\u015ft\u0131r\u0131lmas\u0131, ard\u0131ndan da flexbl (e\u011filip b\u00fck\u00fclme \u00f6zelli\u011fine sahip) cihazlar\u0131n kullan\u0131ma sunulmas\u0131 ta\u015f cerrahisini hasta a\u00e7\u0131s\u0131ndan son derece tahamm\u00fcl edilebilir ve konforlu hale getirmi\u015ftir. Ta\u015fa uygulanacak k\u0131r\u0131c\u0131 enerjinin de k\u0131smen esneyebilir \u00e7ok ince lazer ileticilerin \u00fcretilmesi ile b\u00f6brek ta\u015flar\u0131n\u0131n endoskopik tedavisine b\u00fcy\u00fck katk\u0131da bulunmu\u015ftur. Anestezi alt\u0131nda ve ameliyathanede yap\u0131lan bu i\u015flemde bu \u00f6zel endoskoplar ile b\u00f6bre\u011fe \u00e7\u0131k\u0131lmakta, b\u00f6bre\u011fin odac\u0131klar\u0131 i\u00e7erisinde dola\u015f\u0131labilmektedir. Genellikle holmium tipi lazer ile neredeyse k\u0131r\u0131lmayacak ta\u015f ile nadiren kar\u015f\u0131la\u015f\u0131lmaktad\u0131r. \u0130\u015flem ortalama 1-2 saat aral\u0131\u011f\u0131nda s\u00fcrmekte, \u00f6zel bir durum ile kar\u015f\u0131la\u015f\u0131lmad\u0131 ise hastanede 1 gecelik yat\u0131\u015f taburcu olmak i\u00e7in yeterli olmaktad\u0131r” ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u00f6brek ta\u015flar\u0131n\u0131n tekrar etmesine engel olmak i\u00e7in g\u00fcnl\u00fck 2 litre civar\u0131nda su t\u00fcketmemiz gerekiyor. \u00dcroloji Uzman\u0131 Do\u00e7. Dr. Murat Tolga G\u00fclp\u0131nar b\u00f6brek sa\u011fl\u0131\u011f\u0131 hakk\u0131nda \u00f6nemli \u015feylerin alt\u0131n\u0131 \u00e7izdi.<\/p>\n","protected":false},"author":5,"featured_media":209321,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[1991],"tags":[2603,18111,29205,173],"class_list":["post-209320","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-bobrek","tag-bobrek-sagligi","tag-bobrek-tasi","tag-saglik"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/209320"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=209320"}],"version-history":[{"count":2,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/209320\/revisions"}],"predecessor-version":[{"id":209329,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/209320\/revisions\/209329"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/209321"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=209320"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=209320"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=209320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}