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Hemodiyaliz Hastalarinda COVİD-19
2021
Journal:  
Dicle Tıp Dergisi
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Abstract:

COVİD-19 salgını diyaliz hastalarının daha yaşlı olmaları ve kardiyovasküler hastalık, diyabet ve serebrovasküler hastalık gibi önemli komorbiditelere sık sahip olmaları nedeniyle bu hasta popülasyonunda önemli risk oluşturmaktadır. Kronik böbrek hastalarında üremik ortam nedeniyle bozulmuş lenfosit ve granülosit fonksiyonu immün sistem bozukluğuna yol açmakta ve enfeksiyonlar diyaliz hastalarında daha olumsuz klinik sonuçları beraberinde getirebilmektedir. Birçok geniş kapsamlı gözlemsel çalışmada hemodiyaliz (HD) hastaları arasında COVİD-19’un görülme sıklığı daha fazla olup enfeksiyon bu hasta kohortunda daha fatal seyretmektedir. Hemodiyaliz merkezlerinde ortaya çıkan SARS-CoV-2 (COVİD-19) pandemisinin önlenmesi, hafifletilmesi ve kontrol altına alınması için birçok nefroloji derneğinin önerileri mevcuttur. COVİD-19 enfeksiyonunu böbrek hastalarında minimize etmek amacıyla periton diyalizi ve ev HD gibi yöntemler çekici, alternatif bir yöntem olarak karşımızda durmaktadır. COVİD-19’u olan HD hastalarının önemli bir kısmında semptom gelişmeyebilir. Bu durum tanıda gecikme ve merkez içinde salgına neden olabilen ciddi bir sorun olarak karşımızda durmaktadır.

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COVID-19 in hemodialysis patients
2021
Journal:  
Dicle Tıp Dergisi
Author:  
Abstract:

COVID-19 epidemic is a significant risk in this population because dialytic patients are older and often have significant complications such as cardiovascular disease, diabetes and cerebrovascular disease. In chronic kidney patients, the dysfunction of lymphocytes and granulocytes due to the uric environment leads to an immune system disorder and infections can bring more negative clinical results in dialytic patients. In many comprehensive observation studies, COVID-19 is more common among patients with hemodialysis (HD) and the infection is more fatal in this patient's cohorte. There are recommendations from many nefrological associations for the prevention, relief and control of SARS-CoV-2 pandemic (COVID-19) that occurs in hemodialysis centers. To minimize COVID-19 infection in kidney patients, methods such as peritonal dialysis and home HD stands before us as a attractive, alternative method. A significant proportion of HD patients with COVID-19 may not develop symptoms. This situation stands in front of us as a serious problem that can lead to delay in diagnosis and epidemic within the center.

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2021
Journal:  
Dicle Tıp Dergisi
Author:  
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Dicle Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

Metrics
Article : 1.608
Cite : 3.103
2023 Impact : 0.081
Dicle Tıp Dergisi