Öz

Amaç: Renal transplantlı hastaların takibinde anemi yaygın görülmektedir. Renal transplantlı çocuklarda görülen anemi hakkında yeterli bilgi bulunmamaktadır.Bu çalışmanın amacı; transplantasyon sonrası çocuklarda kısa ve uzun dönemde ortaya çıkan aneminin risk faktörlerini ve prevalansını değerlendirmektir.

Gereç ve Yöntemler: Bu çalışma, Ege Üniversitesi’ndeki böbrek nakilli çocuklarda yapılmıştır. Hematokrit düzeyinin yaşa göre 2 standart deviasyon altında olması anemi olarak tanımlanmıştır.

Bulgular: Erken post transplant dönemde anemi insidansı %18 bulundu. Geç post transplant dönemde ortalama olarak 60 ayda %27.5 oranda anemi saptandı. Anemi insidansı post transplant 24.36,48 ve 60. aylarda sırasıyla %18.4, %23.3, %23 ve %27.5 bulundu. Takip süresince herhangi bir zamanda 71 (%67.6) hastada en az bir kez anemi tespit edildi. Transplantasyon sonrası herhangi bir dönemde kullanılan ACE inhibitörü ile anemi arasında ilişki saptanmadı. Donör tipi ve yaşı ile geç anemi arasında anlamlı bir ilişki bulunmadı. Diğer yandan, geç dönem anemi rejeksiyon öyküsüyle anlamlı ilişkili bulundu.

Sonuç: Renal transplant alıcısı olan çocuklarda tahmini glomerül filtrasyon hızının düşüklüğü, transplantasyon sonrası sürenin uzunluğu ve rejeksiyon atağı anemi için risk faktörleridir.

Anahtar Kelimeler: Anemi, Çocuk, Renal transplantasyon

Referanslar

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Telif hakkı ve lisans

Nasıl atıf yapılır

1.
Bulut İK, Dinçel N, Bulut İK, Sözeri B, Özdemir K, Orhan MF, et al. Böbrek Nakli Olan Çocuklarda Aneminin Sıklığı ve Risk Faktörleri. Turk J Pediatr Dis [Internet]. 2014 Dec. 1 [cited 2025 May 25];8(1):12-6. Available from: https://turkjpediatrdis.org/article/view/255