{"id":123796,"date":"2021-07-13T17:44:31","date_gmt":"2021-07-13T13:44:31","guid":{"rendered":""},"modified":"-0001-11-30T00:00:00","modified_gmt":"-0001-11-29T20:00:00","slug":"","status":"publish","type":"post","link":"https:\/\/ucnoqta.az\/?p=123796","title":{"rendered":"Xroniki b\u00f6yr\u0259k \u00e7at\u0131\u015fmazl\u0131\u011f\u0131 olan \u015f\u0259xsl\u0259rin N\u018fZ\u018fR\u0130N\u018f: \u0130sti hava, …- H\u0259kim t\u00f6vsiyy\u0259si<\/b><\/font>"},"content":{"rendered":"

M\u0259rk\u0259zi Gömrük Hospital\u0131nda koronavirus x\u0259st\u0259l\u0259rinin müalic\u0259sind\u0259 ilk d\u0259f\u0259 olaraq sepsis kolonundan istifad\u0259 olunub. <\/strong><\/p>\n

Reanimasiya \u015föb\u0259sin\u0259 daxil olan a\u011f\u0131r x\u0259st\u0259l\u0259rd\u0259 rast g\u0259lin\u0259n  ciddi probleml\u0259rd\u0259n biri d\u0259 sepsisdir. Sepsisl\u0259 ba\u011fl\u0131 k\u0259skin böyr\u0259k z\u0259d\u0259l\u0259nm\u0259l\u0259ri v\u0259 böyr\u0259k çat\u0131\u015fmazl\u0131\u011f\u0131 mü\u015fahid\u0259 olunan x\u0259st\u0259l\u0259rin müalic\u0259sind\u0259 sepsis kolonundan istifad\u0259 edilm\u0259y\u0259 ba\u015flan\u0131l\u0131b. Sepsis kolonu eyni zamanda sitokin hemosorbsiyas\u0131 da adland\u0131r\u0131l\u0131r. Bel\u0259 ki, d\u0259rman preparatlar\u0131n\u0131n t\u0259tbiqi effektsiz olduqda, sepsis kolonundan istifad\u0259 edilir. Bu üsul h\u0259kiml\u0259r\u0259 vaxt qazand\u0131r\u0131r v\u0259 x\u0259st\u0259liyin müalic\u0259sind\u0259 daha effektiv n\u0259tic\u0259l\u0259r \u0259ld\u0259 etm\u0259y\u0259 imkan verir.<\/p>\n

M\u0259rk\u0259zi Gömrük Hospital\u0131n\u0131n Efferent Terapiya \u015föb\u0259sinin r\u0259isi, nefroloq Mirm\u0259nsim M\u0259mm\u0259dov “H\u0259kiml\u0259 görü\u015f” rubrikas\u0131nda böyr\u0259k z\u0259d\u0259l\u0259nm\u0259l\u0259rinin müalic\u0259sind\u0259 h\u0259yata keçiril\u0259n  yenilikl\u0259r bar\u0259d\u0259 Ucnoqta.az-a m\u0259lumat verib. <\/p>\n

Dr.Mirm\u0259nsim M\u0259mm\u0259dov rubrika i\u015ftiakç\u0131lar\u0131n\u0131n – ATV-nin “S\u0259h\u0259r” proqram\u0131n\u0131n müxbiri  Ülviyy\u0259 Qarayeva v\u0259 Ucnoqta.az sayt\u0131n\u0131n redaktoru Emin N\u0259bilinin bu mövzu il\u0259 ba\u011fl\u0131 suallar\u0131n\u0131 cavabland\u0131r\u0131b.
\n\"\"
\n– Xroniki böyr\u0259k çat\u0131\u015fmazl\u0131\u011f\u0131 COVID-19 x\u0259st\u0259liyi üçün n\u0259 d\u0259r\u0259c\u0259d\u0259 risk faktorudur?<\/strong>
\n– Xroniki böyr\u0259k çat\u0131\u015fmazl\u0131\u011f\u0131 x\u0259st\u0259l\u0259ri, immun sisteminin cavab mexanizmind\u0259 olan probleml\u0259r s\u0259b\u0259bind\u0259n risk qrupuna aid edilirl\u0259r. Bu s\u0259b\u0259bd\u0259n bu qrupa aid olan x\u0259st\u0259l\u0259rin peyv\u0259nd olunmas\u0131na önc\u0259lik verilir v\u0259 daha diqq\u0259tli olmalar\u0131 tövsiy\u0259 olunur.<\/p>\n

– Sepsis kolonu n\u0259dir?
\n– <\/strong>Sepsis (sepsis b\u0259d\u0259nimizin h\u0259r hans\u0131 bir infeksiyaya qar\u015f\u0131 verdiyi reaksiyan\u0131n s\u0259b\u0259b oldu\u011fu, b\u0259zi hallarda potensial ölüm t\u0259hlük\u0259si da\u015f\u0131yan bir hald\u0131r) antibiotik v\u0259 dig\u0259r d\u0259rman madd\u0259l\u0259ri il\u0259 n\u0259zar\u0259t alt\u0131na al\u0131na bilm\u0259dikd\u0259, sepsis kolonundan istifad\u0259 olunur. Bu prosedur h\u0259kim\u0259 x\u0259st\u0259liyi müalic\u0259 etm\u0259k üçün zaman qazand\u0131r\u0131r v\u0259 dig\u0259r orqan v\u0259 sisteml\u0259rin z\u0259d\u0259l\u0259nm\u0259sini azald\u0131r.<\/p>\n

– Reanimasiyada olan x\u0259st\u0259l\u0259rd\u0259 terminal böyr\u0259k z\u0259d\u0259l\u0259nm\u0259sinin müalic\u0259si nec\u0259 apar\u0131l\u0131r?
\n– <\/strong>Bu tip v\u0259ziyy\u0259tl\u0259rd\u0259 böyr\u0259k \u0259v\u0259zedici cihazlar\u0131n t\u0259tbiqin\u0259 q\u0259d\u0259r, x\u0259st\u0259l\u0259rin günlük v\u0259 saatl\u0131q böyr\u0259k funksiyas\u0131 testl\u0259ri apar\u0131l\u0131r, maye balans\u0131na, istfad\u0259 olunan antibiotikl\u0259rin v\u0259 dig\u0259r d\u0259rmanlar\u0131n dozalar\u0131na ciddi n\u0259zar\u0259t olunur. Ehtiyac olduqda günd\u0259lik laborator müayin\u0259l\u0259rin n\u0259tic\u0259l\u0259rin\u0259 v\u0259 klinik v\u0259ziyy\u0259t\u0259 \u0259sas\u0259n böyr\u0259k \u0259v\u0259zedici müalic\u0259d\u0259n (hemodializ, günlük hemodializ, yava\u015f v\u0259 uzunmüdd\u0259tli hemodializ, hemodiafiltrasiya v\u0259 s.) istifad\u0259 olunur.<\/p>\n

– Böyr\u0259k transplantasiyas\u0131 olan x\u0259st\u0259l\u0259rd\u0259 covid infeksiyas\u0131 zaman\u0131 q\u0259bul olunan ummunosupressiv d\u0259rmanlar\u0131n dozas\u0131n\u0131n d\u0259yi\u015film\u0259sin\u0259 ehtiyac varm\u0131?
\n– <\/strong>Q\u0259bul olunan ummunosupressiv preparatlar v\u0259 dig\u0259r d\u0259rmanlar\u0131n dozas\u0131 nefroloq n\u0259zar\u0259ti alt\u0131nda d\u0259yi\u015film\u0259lidir.<\/p>\n

– Xroniki böyr\u0259k yetm\u0259zliyi v\u0259 böyr\u0259k transplantasiyas\u0131 zaman\u0131 peyv\u0259nd oluna bil\u0259rmi?<\/strong>
\n– H\u0259r iki x\u0259st\u0259 qrupuna daxil olan insanlar\u0131n ölk\u0259mizd\u0259 olan ist\u0259nil\u0259n peyv\u0259nd vasit\u0259sil\u0259 peyv\u0259nd olunmas\u0131 m\u0259sl\u0259h\u0259t görülür.<\/p>\n

– Xroniki böyr\u0259k çat\u0131\u015fmazl\u0131\u011f\u0131 olan v\u0259 böyr\u0259k transplantasiyas\u0131 edilmi\u015f x\u0259st\u0259l\u0259r\u0259 isti havalarla \u0259laq\u0259dar tövsiy\u0259l\u0259riniz.
\n– <\/strong>Uzun müdd\u0259t susuz qalmamaq, maye balans\u0131na ciddi n\u0259zar\u0259t etm\u0259k, günün pik saatlar\u0131nda müvafiq qoruyucu vasit\u0259l\u0259rd\u0259n istifad\u0259 ed\u0259r\u0259k gün\u0259\u015f \u015füalar\u0131ndan qorunmaq, mövsümi m\u0259hsullar\u0131n (qarp\u0131z, yemi\u015f, üzüm v\u0259 s.) q\u0259bulunda diqq\u0259tli olmaq.
\n\"\"
\n– Hemodializ x\u0259st\u0259l\u0259rind\u0259 sepsis t\u0259hlük\u0259si varm\u0131?<\/strong>
\n– B\u0259li, hemodializ x\u0259st\u0259l\u0259ri d\u0259 immunsupressiv  (b\u0259d\u0259n müqavim\u0259ti z\u0259if olan) x\u0259st\u0259l\u0259r qrupuna aid edildiyi üçün COVID-19 tör\u0259dicisi v\u0259 ya dig\u0259r infeksiyalar s\u0259b\u0259bind\u0259n sepsis yaranmas\u0131 t\u0259hlük\u0259si var. Hemodializ prosedurlar\u0131 zaman\u0131 infeksiya damar yollar\u0131ndan daxil ola bil\u0259r v\u0259 bel\u0259 v\u0259ziyy\u0259t ölümcül sepsis\u0259 g\u0259tirib ç\u0131xara bil\u0259r.<\/p>\n

– Xroniki böyr\u0259k x\u0259st\u0259liyi üçün risk qrupunda olanlar kiml\u0259rdir?
\n– <\/strong>Xroniki böyr\u0259k x\u0259st\u0259liyi üçün risk yaradan hallar a\u015fa\u011f\u0131dak\u0131lard\u0131r:<\/p>\n

\u015e\u0259k\u0259r x\u0259st\u0259liyi, yüks\u0259k qan t\u0259zyiqi, ür\u0259k-damar x\u0259st\u0259likl\u0259ri
\nPiyl\u0259nm\u0259 (b\u0259d\u0259n kütl\u0259 indeksi >30kq\/m2)
\nSiqaret ç\u0259km\u0259
\nBöyr\u0259k da\u015f\u0131 x\u0259st\u0259liyi, t\u0259krarlanan sidik yollar\u0131 infeksiyas\u0131
\nTez-tez a\u011fr\u0131k\u0259sici d\u0259rmanlardan istifad\u0259 edilm\u0259si
\nRevmatoloji x\u0259st\u0259likl\u0259r
\nYa\u015f\u0131n 60-dan yuxar\u0131 olmas\u0131
\nYuxar\u0131da sadalanan risk faktorlar\u0131 olan insanlar\u0131n \u015fikay\u0259tl\u0259rin\u0259 \u0259sas\u0259n mü\u0259yy\u0259n zaman aral\u0131qlar\u0131nda nefroloq müayin\u0259sind\u0259 olmalar\u0131 m\u0259sl\u0259h\u0259t görülür.<\/p>\n","protected":false},"excerpt":{"rendered":"

M\u0259rk\u0259zi Gömrük Hospital\u0131nda koronavirus x\u0259st\u0259l\u0259rinin müalic\u0259sind\u0259 ilk d\u0259f\u0259 olaraq sepsis kolonundan istifad\u0259 olunub. Reanimasiya \u015föb\u0259sin\u0259 daxil olan a\u011f\u0131r x\u0259st\u0259l\u0259rd\u0259 rast g\u0259lin\u0259n  ciddi probleml\u0259rd\u0259n biri d\u0259 sepsisdir. Sepsisl\u0259 ba\u011fl\u0131 k\u0259skin böyr\u0259k z\u0259d\u0259l\u0259nm\u0259l\u0259ri v\u0259…<\/p>\n","protected":false},"author":1,"featured_media":251278,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[101],"tags":[],"class_list":["post-123796","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cemiyyet"],"_links":{"self":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/123796","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=123796"}],"version-history":[{"count":0,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/posts\/123796\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=\/wp\/v2\/media\/251278"}],"wp:attachment":[{"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=123796"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=123796"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ucnoqta.az\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=123796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}