{"id":2913,"date":"2026-09-06T17:03:21","date_gmt":"2026-09-06T17:03:21","guid":{"rendered":"https:\/\/bookinghospital.org\/?p=2913"},"modified":"2026-09-06T17:29:15","modified_gmt":"2026-09-06T17:29:15","slug":"kidney-transplant-with-diabetes","status":"publish","type":"post","link":"https:\/\/bookinghospital.org\/tr\/diyabetli-bobrek-nakli\/","title":{"rendered":"Diyabetli B\u00f6brek Nakli"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"2913\" class=\"elementor elementor-2913\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6f64773 e-con-full e-flex e-con e-parent\" data-id=\"6f64773\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bf3ea1f elementor-widget elementor-widget-html\" data-id=\"bf3ea1f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<!-- ============================================================\n     BOOKINGHOSPITAL \u2014 MAKALE 05-A\n     Kaynak: \"Kidney Transplantation - With Questions and Answers\",\n             Prof. Dr. Murat Tuncer \u2014 Bolum: Diabetics (+ Diabetic kidney disease)\n     slug   : kidney-transplant-with-diabetes\n     baslik : Kidney Transplant with Diabetes\n\n     ONCE: BH-ORTAK-CSS.txt Customizer -> Additional CSS icinde olmali.\n     KATEGORI: Kidney Transplant Guide\n\n     SURERANK:\n     SEO Title : Kidney Transplant with Diabetes: Why You Benefit Most\n     Meta Desc : Diabetes causes most kidney failure - yet diabetics gain the most from a\n                 transplant. A transplant professor on eligibility, timing and the cost\n                 of waiting.\n     ============================================================ -->\n<div id=\"bh\">\n\n<section class=\"hero\">\n  <div class=\"in\">\n    <p class=\"eyebrow\">B\u00f6brek nakli \u00b7 Nakil \u00f6ncesi<\/p>\n    <h1>Diyabet beklemek i\u00e7in bir neden de\u011fildir. Acele etmek i\u00e7in bir nedenidir.<\/h1>\n    <p class=\"lead\">Diyabet hastalar\u0131 genellikle sessizce s\u0131ran\u0131n sonuna itilir. Kan\u0131tlar ise tam tersini g\u00f6stermektedir: Nakilden en \u00e7ok kazan\u00e7 sa\u011flayan ve beklemekle en \u00e7ok \u015fey kaybeden grup onlard\u0131r.<\/p>\n    <p class=\"meta\">Yazan <b style=\"color:#fff\">Prof. Dr. Murat Tuncer<\/b> \u00b7\n       Kitab\u0131ndan uyarlanm\u0131\u015ft\u0131r <i>B\u00f6brek Nakli \u2014 Soru ve Cevaplarla<\/i><\/p>\n  <\/div>\n<\/section>\n\n<section class=\"wrap\">\n\n  <div class=\"ozet\">\n    <h2>K\u0131sa cevap<\/h2>\n    <ul>\n      <li><b>Evet \u2014 diyabet sizi diskalifiye etmez<\/b> tip 1 veya tip 2 olsun, b\u00f6brek naklinden.<\/li>\n      <li>Diyabetik hastalar, <b>en b\u00fcy\u00fck fayday\u0131 g\u00f6rebilir<\/b> naklinden.<\/li>\n      <li>Ya\u015fam beklentisindeki beklenen art\u0131\u015f yakla\u015f\u0131k <b>10 y\u0131l<\/b>, ve baz\u0131 gruplarda hat\u0131r\u0131 say\u0131l\u0131r derecede daha fazla.<\/li>\n      <li>Konu\u015fma eGFR d\u00fc\u015ft\u00fc\u011f\u00fcnde ba\u015flamal\u0131d\u0131r <b>30'un alt\u0131nda<\/b>, ve a\u015fa\u011f\u0131ya h\u0131zl\u0131ca hareket edin <b>20<\/b>.<\/li>\n      <li>Ger\u00e7ek risk nakil de\u011fil. O, <b>bekleme s\u00fcresi<\/b> bir ki\u015filik.<\/li>\n    <\/ul>\n  <\/div>\n\n  <h2>Bu soru neden bu kadar s\u0131k soruluyor<\/h2>\n\n  <p>Diyabet, d\u00fcnya \u00e7ap\u0131nda kronik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n \u00f6nde gelen nedenidir ve prevalans\u0131 hala artmaktad\u0131r. Yakla\u015f\u0131k <b>Son d\u00f6nem b\u00f6brek yetmezli\u011fi hastalar\u0131n\u0131n 40% grubu<\/b> diyabet ba\u011flant\u0131l\u0131 b\u00f6brek fonksiyonu bozulmas\u0131 yoluyla o noktaya ula\u015ft\u0131.<\/p>\n\n  <p>Amerika Birle\u015fik Devletleri'nde diyabet kaynakl\u0131 b\u00f6brek yetmezli\u011fi oran\u0131 \u015fu kadar artt\u0131: <b>30%<\/b>\n     1992 ve 2008 y\u0131llar\u0131 aras\u0131nda. Bu, diyaliz hastalar\u0131n\u0131n k\u00fc\u00e7\u00fck bir alt grubu de\u011fildir. Bir\u00e7ok \u00fcnitede en b\u00fcy\u00fck gruptur.<\/p>\n\n  <p>Bu da neden bu kadar \u00e7ok diyabet hastas\u0131na bir \u015fekilde beklemelerinin s\u00f6ylendi\u011fini sormay\u0131 de\u011ferli k\u0131l\u0131yor.<\/p>\n\n  <h2>Kan\u0131tlar\u0131n ger\u00e7ekten ne g\u00f6sterdi\u011fi<\/h2>\n\n  <p>Tip 1 ve tip 2 diyabetliler, hastalar grubudur <b>b\u00f6brek naklinden en \u00e7ok fayda g\u00f6rebilir<\/b>. Bu, sorunun genellikle nas\u0131l ele al\u0131nd\u0131\u011f\u0131n\u0131n tam z\u0131tt\u0131d\u0131r.<\/p>\n\n  <div class=\"box\">\n    <span class=\"etiket\">Say\u0131lar<\/span>\n    <p>B\u00f6brek nakli ile beklenen ya\u015fam s\u00fcresi art\u0131\u015f\u0131 yakla\u015f\u0131k\n      <b>10 y\u0131l<\/b> \u2014 \u00f6zellikle diyalizde prognozu zay\u0131f olan diyabetli pop\u00fclasyonda.<\/p>\n    <p>2003 y\u0131l\u0131nda yay\u0131nlanan ve \u00f6zellikle tip 1 diyabetli hastalar\u0131 inceleyen bir karar analizi modeli, \u015funu bulmu\u015ftur: <b>canl\u0131 vericili b\u00f6brek nakli, hastalar\u0131n 18 y\u0131l daha uzun ya\u015famas\u0131n\u0131 sa\u011flad\u0131<\/b>.<sup>1<\/sup><\/p>\n  <\/div>\n\n  <p>Bu pop\u00fclasyonda, transplantasyonun hem ya\u015fam kalitesi hem de sa\u011fkal\u0131m a\u00e7\u0131s\u0131ndan diyalizden daha iyi oldu\u011fu ciddi bir tart\u0131\u015fma konusu de\u011fildir.<\/p>\n\n  <h2>Beklemenin maliyeti<\/h2>\n\n  <p>Bu, nadiren a\u00e7\u0131k\u00e7a s\u00f6ylenen k\u0131s\u0131md\u0131r, bu y\u00fczden laf\u0131 doland\u0131rmadan s\u00f6ylemeye de\u011fer.<\/p>\n\n  <div class=\"box efsane\">\n    <span class=\"etiket\">Do\u011frudan koy<\/span>\n    <p>Diyabetik hastalar\u0131 b\u00f6brek naklinden uzak tutmak, \u015funu kabul etmek demektir\n      <b>Bunlar\u0131n 50%\u2019si iki y\u0131l i\u00e7inde \u00f6lecek<\/b>, ve <b>80%, be\u015f i\u00e7inde<\/b>.<\/p>\n    <p>Gecikilen her ay o zaman \u00e7izelgesinden d\u00fc\u015f\u00fclmektedir. \u0130htiyat burada tarafs\u0131z de\u011fildir; bir bedeli vard\u0131r ve bu bedel hayatta kalma ile \u00f6l\u00e7\u00fcl\u00fcr.<\/p>\n  <\/div>\n\n  <p>Buna kar\u015f\u0131n, teredd\u00fcda yol a\u00e7an riskler \u2014 cerrahi risk, ba\u011f\u0131\u015f\u0131kl\u0131k bask\u0131lay\u0131c\u0131 tedavinin y\u00fck\u00fc, kardiyovask\u00fcler komplikasyonlar \u2014 ger\u00e7ektir ancak nispeten m\u00fctevaz\u0131d\u0131r. Bunlar, hi\u00e7bir \u015fey yap\u0131lmad\u0131\u011f\u0131nda ne olaca\u011f\u0131yla tart\u0131lmal\u0131d\u0131r ve bu kar\u015f\u0131la\u015ft\u0131rma genellikle nakilden yana a\u011f\u0131r basar.<\/p>\n\n  <div class=\"soru\">\n    <h3>Diyabet hastas\u0131 bir ki\u015fi nakil konusunu ne zaman g\u00fcndeme getirmelidir?<\/h3>\n\n    <p>\u00c7o\u011fu ki\u015fiye s\u00f6ylenenden daha erken.<\/p>\n\n    <div class=\"tblwrap\">\n      <table>\n        <thead>\n          <tr><th>B\u00f6brek fonksiyonu (eGFR)<\/th><th>Ne olmas\u0131 gerekiyor<\/th><\/tr>\n        <\/thead>\n        <tbody>\n          <tr>\n            <td><b>30 mL\/dak'n\u0131n alt\u0131nda<\/b><\/td>\n            <td>Tip 1 diyabet hastalar\u0131 <b>bilgi ve karar verme s\u00fcrecini ba\u015flat\u0131n<\/b> \u2014 se\u00e7enekleri \u00f6\u011frenmek, potansiyel bir canl\u0131 vericiyi belirlemek, tetkiklere ba\u015flamak<\/td>\n          <\/tr>\n          <tr>\n            <td><b>20 mL\/dakika alt\u0131nda<\/b><\/td>\n            <td>Bu i\u015flem <b>h\u0131zland\u0131rmak<\/b>. Bu, diyaliz \u00f6ncesi bir naklin h\u00e2l\u00e2 m\u00fcmk\u00fcn oldu\u011fu zaman aral\u0131\u011f\u0131d\u0131r.<\/td>\n          <\/tr>\n          <tr>\n            <td>Halihaz\u0131rda diyalizde<\/td>\n            <td>H\u00e2l\u00e2 bir aday \u2014 ancak erken (\u00f6nleyici) nakil avantaj\u0131 ge\u00e7ti<\/td>\n          <\/tr>\n        <\/tbody>\n      <\/table>\n    <\/div>\n\n    <p>eGFR'niz 30'un alt\u0131ndaysa ve kimse sizinle b\u00f6brek nakli konusunu a\u00e7mad\u0131ysa, bu bir sonraki randevunuzda sorulmaya de\u011fer bir sorudur.<\/p>\n  <\/div>\n\n  <div class=\"soru\">\n    <h3>Diyabetimin \u00f6nce iyi kontrol edilmesi gerekiyor mu?<\/h3>\n\n    <p>\u0130yi glisemik kontrol, nakil \u00f6ncesinde ve sonras\u0131nda \u00f6nemlidir \u2014 ancak \"\u00f6nce \u015feker hastal\u0131\u011f\u0131n\u0131z\u0131 kontrol alt\u0131na al\u0131n\" yakla\u015f\u0131m\u0131 ucu a\u00e7\u0131k bir gecikmeye d\u00f6n\u00fc\u015fmemelidir.<\/p>\n\n    <p>Civar\u0131nda bir hedef HbA1c <b>7.0%<\/b> genellikle diyabetik b\u00f6brek hastal\u0131\u011f\u0131n\u0131n ilerlemesini \u00f6nlemek veya yava\u015flatmak i\u00e7in tavsiye edilir. Bu hedef, s\u0131k\u0131 kontrol\u00fcn kendi tehlikesini bar\u0131nd\u0131rd\u0131\u011f\u0131 hipoglisemi risk alt\u0131ndaki hastalarda bilin\u00e7li olarak daha d\u00fc\u015f\u00fck tutulmaz.<\/p>\n\n    <p>Sorulmas\u0131 gereken pratik soru \"kontrol\u00fcm kusursuz mu?\" de\u011fil, <b>\"Devam etmek i\u00e7in kontrol\u00fcm yeterince iyi mi ve \u00f6zellikle nelerin de\u011fi\u015fmesi gerekir?\"<\/b> Net bir cevap ilerleme demektir. Belirsiz bir cevap ise genellikle gecikme anlam\u0131na gelir.<\/p>\n  <\/div>\n\n  <div class=\"soru\">\n    <h3>Nakil sonras\u0131nda kullan\u0131lan ila\u00e7lar \u015feker hastas\u0131 i\u00e7in bir sorun te\u015fkil eder mi?<\/h3>\n\n    <p>D\u0131\u015flanmalar\u0131 de\u011fil, y\u00f6netilmeleri gerekir. Ba\u011f\u0131\u015f\u0131kl\u0131k bask\u0131lay\u0131c\u0131 ila\u00e7lar \u2014 \u00f6zellikle de steroidler \u2014 kan \u015fekerini etkiler ve diyabet, daha \u00f6nce olmayan hastalarda nakil sonras\u0131nda ilk kez de ortaya \u00e7\u0131kabilir.<\/p>\n\n    <p>Bu durum \u00f6ng\u00f6r\u00fcl\u00fcr, takip edilir ve tedavi edilir. Bu, alternatifi diyaliz olan bir ki\u015fiden organ naklini esirgemek i\u00e7in de\u011fil, dikkatli bir takip gerektirmesi i\u00e7in bir sebeptir.<\/p>\n  <\/div>\n\n  <h2>Bunun pratikte anlam\u0131 nedir<\/h2>\n\n  <ul>\n    <li><b>Diyabet bir kontrendikasyon de\u011fildir.<\/b> Reddedildiyseniz, belirtilen nedenin ger\u00e7ekten ne oldu\u011funu tespit edin \u2014 tamamen ba\u015fka bir \u015fey olabilir.<\/li>\n    <li><b>Canl\u0131 verici, bu aritmeti\u011fi de\u011fi\u015ftirir.<\/b> Yukar\u0131daki 18 y\u0131ll\u0131k rakam \u00f6zellikle canl\u0131 vericili transplantasyondan gelmektedir.<\/li>\n    <li><b>Zamanlama, h\u00e2l\u00e2 etki edebilece\u011finiz de\u011fi\u015fkendir.<\/b> Uygunluk beklemekle nadiren iyile\u015fir; hastan\u0131n durumu genellikle k\u00f6t\u00fcle\u015fir.<\/li>\n  <\/ul>\n\n  <div class=\"yazar\">\n    <div class=\"rozet\">MT<\/div>\n    <div>\n      <h3>Prof. Dr. Murat Tuncer<\/h3>\n      <p>Nefrolog ve nakil hekimi. Yazar\u0131: <i>B\u00f6brek Nakli \u2014 Soru ve Cevaplarla<\/i> (\u0130stanbul, 2020), kendi hastalar\u0131n\u0131n en s\u0131k sordu\u011fu sorular\u0131 yan\u0131tlamak i\u00e7in yaz\u0131lm\u0131\u015ft\u0131r.<\/p>\n    <\/div>\n  <\/div>\n\n  <div class=\"cta\">\n    <h2>Ger\u00e7ekte nerede durdu\u011funu \u00f6\u011fren<\/h2>\n    <p>Son b\u00f6brek fonksiyon testlerinizi, HbA1c de\u011ferinizi ve halihaz\u0131rda yapt\u0131rd\u0131\u011f\u0131n\u0131z t\u00fcm nakil de\u011ferlendirmelerini bize g\u00f6nderin. Naklin ger\u00e7ek\u00e7i olup olmad\u0131\u011f\u0131n\u0131 ve ne kadar acil oldu\u011funu size d\u00fcr\u00fcst\u00e7e bildirece\u011fiz.<\/p>\n    <div class=\"btns\">\n      <a class=\"btn btn-1\" href=\"\/medical-tourism\/\">T\u0131bbi raporlar\u0131n\u0131z\u0131 g\u00f6nderin<\/a>\n      <a class=\"btn btn-2\" href=\"\/category\/kidney-transplant-guide\/\">Daha fazla hasta rehberi<\/a>\n    <\/div>\n  <\/div>\n\n  <div class=\"uyari\">\n    <p><b>T\u0131bbi sorumluluk reddi.<\/b> Bu makale, yay\u0131mlanm\u0131\u015f bir kitaptan uyarlanan genel bilgiler i\u00e7ermektedir. Ki\u015fisel t\u0131bbi tavsiye niteli\u011finde de\u011fildir, doktor-hasta ili\u015fkisi kurmaz ve sizi tedavi eden hekimin de\u011ferlendirmesinin yerini alamaz. Tedavi hedefleri ve nakil kriterleri hastadan hastaya ve merkezden merkeze de\u011fi\u015fiklik g\u00f6sterir. Tedavinizle ilgili kararlar almadan \u00f6nce her zaman kendi nefrolo\u011funuza veya nakil merkezinize dan\u0131\u015f\u0131n.<\/p>\n  <\/div>\n\n  <div class=\"kaynak\">\n    <h3>Kaynak\u00e7a<\/h3>\n    <ol>\n      <li>Knoll G, Nichol G. Diyabet ve b\u00f6brek yetmezli\u011fi olan hastalar i\u00e7in diyaliz, b\u00f6brek nakli veya pankreas nakli: tedavi se\u00e7eneklerinin karar analizi. <i>J Am Soc Nephrol<\/i> 2003;14:500\u201315.<\/li>\n      <li>Amerika Birle\u015fik Devletleri B\u00f6brek Veri Sistemi. Y\u0131ll\u0131k Veri Raporu \u2014 insidans, prevalans, hasta \u00f6zellikleri ve tedavi modaliteleri.<\/li>\n      <li>T\u00fcrkiye Endokrinoloji ve Metabolizma Derne\u011fi. Diyabet mellitus ve komplikasyonlar\u0131 tan\u0131, tedavi ve izlem k\u0131lavuzu, 2013.<\/li>\n      <li>Knoll G, Cockfield S, Blydt-Hansen T, et al. B\u00f6brek nakli uygunlu\u011fu \u00fczerine Kanada Transplantasyon Derne\u011fi konsens\u00fcs k\u0131lavuzlar\u0131.\n        <i>CMAJ<\/i> 2005;173(10).<\/li>\n    <\/ol>\n  <\/div>\n\n<\/section>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Kidney transplantation \u00b7 Before the transplant Diabetes is not a reason to wait. It is a reason to hurry. Diabetic patients are often quietly moved to the back of the queue. The evidence points the other way: they are the group who gain the most from a transplant \u2014 and lose the most by waiting. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_joinchat":[],"footnotes":""},"categories":[16],"tags":[],"class_list":["post-2913","post","type-post","status-publish","format-standard","hentry","category-kidney-transplant-guide"],"_links":{"self":[{"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/posts\/2913","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/comments?post=2913"}],"version-history":[{"count":4,"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/posts\/2913\/revisions"}],"predecessor-version":[{"id":2918,"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/posts\/2913\/revisions\/2918"}],"wp:attachment":[{"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/media?parent=2913"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/categories?post=2913"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bookinghospital.org\/tr\/wp-json\/wp\/v2\/tags?post=2913"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}