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ÇOCUKLARDA ÜRİNER SİSTEM TAŞ HASTALIĞI: TANI VE TEDAVİ / URINARY SYSTEM STONE DISEASE IN CHILDREN: DIAGNOSIS AND TREATMENT

Yıl 2015, Cilt: 37 Sayı: 1, 1 - 13, 03.11.2015
https://doi.org/10.20515/otd.217962

Öz

Özet: Üriner sistem taş hastalığı son yıllarda prevelansı artış gösteren önemli bir hastalıktır. Çocuklarda yüksek tekrarlama oranı nedeni ile son dönem böbrek hastalığına sebep olduğundan önemli bir morbidite nedenidir. Üriner sistem taş hastalığı Türk çocuklarında kronik böbrek hastalığının altında yatan sebeplerin %8'ini oluşturmaktadır. Metabolik ve genitoüriner sisteme ait anormallikler çocuklarda üriner sistem taşlarının oluşmasına yatkınlık yaratabilir. Metabolik bir risk faktörü saptama oranı, çocuklarda üriner sistem taşı olan yetişkinlerden daha yüksektir. Diyet, çevresel faktörler ve idrar yolu enfeksiyonları üriner sistem taşlarının oluşmasında rol oynayabilir. Tekrarlama özelliği nedeni ile metabolik faktörlerin taşı olan bütün çocuklarda araştırılması gereklidir. Erken tedavi ve risk faktörlerinin saptanması morbiditeyi azaltmada oldukça önemlidir. Böbrek taşı olan çocuklarda üriner sistem taş hastalığının tedavi amacı, böbrek fonksiyonlarını korumak için  taşın ortadan kaldırılmasını, nükslerin engellenmesini ve metabolik problemlerin düzeltilmesini kapsamaktadır.Uygun tedavi taşın boyutuna, yerleşimine ve tipine, anatomik anormalliklerin varlığına göre seçilir. Medikal tedavi, yeni taşların oluşumunu ve mevcut taşların büyümesini önleyerek morbiditeyi azaltmaktadır.

Anahtar kelimeler: Üriner sistem taşı, çocukluk çağı, tanı, tedavi.

URINARY SYSTEM STONE DISEASE IN CHILDREN: DIAGNOSIS AND TREATMENT

Abstract: Urinary system stone disease is a disease that there is a increase in the prevalence of the disease in recent years. This disease is an important cause of morbidity because it causes end stage renal disease due to high recurrence rate. Urinary system stone disease is the cause of  8% of the underlying etiological factors for development of chronic kidney disease in Turkish children. Metabolic and genitourinary anomalies can predispose to develop urinary system stones in children. The detection rate of metabolic risk factor is higher in children than adults with urinary system stone. Diet, environmental factors and urinary tract infections may play a role in the formation of urinary system stones. Because of its recurrent nature, the metabolic abnormalities should be investigated in all of the children with urinary system stone. Early treatment and determination of the risk factors are very important to reduce morbidity. The aim of treatment of pediatric uri­nary system stone disease includes eliminating the stone and preventing recurrence and the correction of metabolic problems for protection kidney functions. The appropriate treatment depends on the size, location and type of stone; the presence of anatomical abnormalities. Medical therapy reduces morbidity by preventing the growth of stone and the formation of new stones.

Key words: Uri­nary system stone, childhood, diagnosis, treatment.

 

Kaynakça

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Toplam 67 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm DERLEMELER / REVIEWS
Yazarlar

Nuran Çetin

Nadide Sav Bu kişi benim

Bilal Yildiz

Yayımlanma Tarihi 3 Kasım 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 37 Sayı: 1

Kaynak Göster

Vancouver Çetin N, Sav N, Yildiz B. ÇOCUKLARDA ÜRİNER SİSTEM TAŞ HASTALIĞI: TANI VE TEDAVİ / URINARY SYSTEM STONE DISEASE IN CHILDREN: DIAGNOSIS AND TREATMENT. Osmangazi Tıp Dergisi. 2015;37(1):1-13.


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