Aile Hekimliğinde Toplum Odaklılık Temel Yetkinliği Perspektifinden: Aynı Ailede İki Gilbert Sendromu Vakası

Öz

Kandaki bilirubin seviyesinin artışını yansıtan sarılık, karaciğer hastalıkları ve hemolitik bozuklukların en önemli belirtilerinden biridir. Bilirubin seviyeleri, bilirubin metabolizmasının kalıtsal bozukluklarında da yükselebilir. Gilbert sendromu bu kalıtsal bozuklukların en yaygın olanlarından biridir. Otozomal dominant bir kalıtım gösterir. İndirekt bilirubinin ılımlı bir seyir gösterdiği iyi huylu hiperbilirubinemi olarak da bilinir. Bu hastalarda eşlik eden karaciğer hastalığı yoktur. Bu olgu sunumunda, bir aile hekimliği biriminde takip edilen, bir ailede iki kardeşte Gilbert sendromu saptanan iki olgu sunulmuş ve aile hekimliğinin temel yetkinliklerinden biri olan toplum odaklılık perspektifinden tartışılmıştır.

Anahtar Kelimeler

• Toplum odaklılık
• Gilbert sendromu
• aile hekimliği
• temel yetkinlik

From The Perspective of The Core Competency of Community Orientation in Family Medicine: Two Cases of Gilbert Syndrome in The Same Family

Öz

Jaundice, which reflects increased levels of bilirubin in the blood, is one of the most important symptoms of liver disease and hemolytic disorders. Bilirubin levels can also be elevated in inherited disorders of bilirubin metabolism. Gilbert's syndrome is one of the most common of these inherited disorders. It is inherited as an autosomal dominant trait. It is also known as benign hyperbilirubinemia, in which indirect bilirubin shows a moderate course. These patients do not have associated liver disease. In this case report, two cases of Gilbert's syndrome in two siblings in one family, followed up in a family medicine unit, are presented and discussed from the perspective of community orientation, which is one of the core competencies of family medicine.

Anahtar Kelimeler

• Community orientation
• Gilbert’s syndrome
• family practice
• core competence

Kaynakça

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