{"id":14111,"date":"2021-01-05T01:22:00","date_gmt":"2021-01-04T22:22:00","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/kemik-mineral-dansitometri-taramasi-icin-risk-grubu-kabul-edilmeyen-hivle-infekte-bireylerde-kemik-mineral-yogunlugu-olcumu\/"},"modified":"2021-01-05T01:22:00","modified_gmt":"2021-01-04T22:22:00","slug":"kemik-mineral-dansitometri-taramasi-icin-risk-grubu-kabul-edilmeyen-hivle-infekte-bireylerde-kemik-mineral-yogunlugu-olcumu","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/kemik-mineral-dansitometri-taramasi-icin-risk-grubu-kabul-edilmeyen-hivle-infekte-bireylerde-kemik-mineral-yogunlugu-olcumu\/","title":{"rendered":"Kemik Mineral Dansitometri Taramas\u0131 \u0130\u00e7in Risk Grubu Kabul Edilmeyen HIV&#8217;le \u0130nfekte Bireylerde Kemik Mineral Yo\u011funlu\u011fu \u00d6l\u00e7\u00fcm\u00fc"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: HIV ile infekte bireyler antiretroviral tedavi (ART)\u2019yle daha uzun ya\u015famaya devam ettik\u00e7e, sistemik metabolik komplikasyonlar da daha s\u0131k g\u00f6r\u00fclmeye ba\u015flanm\u0131\u015ft\u0131r. ART alan HIV ile infekte hastalarda, kemik mineral yo\u011funlu\u011fu (KMY) ilk iki y\u0131l i\u00e7inde %2-6 oran\u0131nda azalmaktad\u0131r. KMY\u2019deki bu azalman\u0131n, virusun kendisi, ART ve osteoporoz i\u00e7in ola\u011fan risk fakt\u00f6rleri aras\u0131ndaki kompleks ili\u015fkiye ba\u011fl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir. \u00c7al\u0131\u015fmam\u0131zda HIV ile infekte bireylerde KMY\u2019deki azalman\u0131n, daha gen\u00e7 ya\u015fta ortaya \u00e7\u0131kma olas\u0131l\u0131\u011f\u0131n\u0131 incelemeyi ve bunu etkileyen fakt\u00f6rleri ortaya koymay\u0131 ama\u00e7lad\u0131k.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: Daha \u00f6nce osteopeni veya osteoporoz tan\u0131s\u0131 ya da tedavisi almam\u0131\u015f, frajil k\u0131r\u0131k \u00f6yk\u00fcs\u00fc, semptomatik hipogonadizm ve steroid kullanma \u00f6yk\u00fcs\u00fc olmayan ve \u015eubat 2017-Temmuz 2017 tarihleri aras\u0131nda \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Poliklini\u011fi\u2019ne ba\u015fvuran HIV ile infekte toplam 72 hasta kesitsel olarak de\u011ferlendirildi. \u00c7al\u0131\u015fmaya premenopozal kad\u0131nlar ve &lt;50 ya\u015f erkekler dahil edildi. \u00c7al\u0131\u015fmaya premenopozal kad\u0131nlar ve &lt;50 ya\u015ftaki erkekler dahil edildi. KMY \u00f6l\u00e7\u00fcm\u00fc, femur boynu, lomber vertebra ve t\u00fcm v\u00fccutta \u00e7ift enerjili x \u0131\u015f\u0131n\u0131 absorpsiyometrisi (DEXA)\u2019yle yap\u0131ld\u0131.<\/p>\n<p><strong>Bulgular<\/strong>: \u00c7al\u0131\u015fmam\u0131za kat\u0131lan hastalar\u0131n %90.3\u2019\u00fcn\u00fcn erkek, %9.7\u2019sinin kad\u0131n ve ya\u015f ortalamalar\u0131n\u0131n 38 oldu\u011fu; %100\u2019\u00fcn\u00fcn tedavi ald\u0131\u011f\u0131 ve HIV-RNA\u2019s\u0131n\u0131n saptanabilir d\u00fczeyin alt\u0131nda oldu\u011fu; en d\u00fc\u015f\u00fck CD4+ T lenfositi say\u0131s\u0131 ortalamas\u0131n\u0131n 346.5 h\u00fccre\/mm3, g\u00fcncel CD4+ T lenfositi say\u0131s\u0131 ortalamas\u0131n\u0131n 616 h\u00fccre\/mm3 oldu\u011fu saptand\u0131. Hastalar\u0131n ortalama v\u00fccut kitle indeksi (VK\u0130) 23.4 kg\/mm2 idi ve %61.1\u2019i sigara, %41.7\u2019si alkol kullanmaktayd\u0131. Lomber vertebra Z skoruna g\u00f6re hastalar\u0131n %19.4\u2019\u00fcnde \u201ckronolojik ya\u015fa g\u00f6re beklenenden d\u00fc\u015f\u00fck kemik kitlesi\u201d oldu\u011fu saptand\u0131. KMY d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcyle d\u00fc\u015f\u00fck VK\u0130 aras\u0131nda anlaml\u0131 ili\u015fki oldu\u011fu ortaya kondu; cinsiyet, sigara ve alkol kullan\u0131m\u0131, en d\u00fc\u015f\u00fck ve g\u00fcncel CD4+ T lenfositi say\u0131s\u0131, tenofovir disoproksil fumarat (TDF) kullan\u0131m\u0131 ve s\u00fcresi aras\u0131nda ise istatistiksel olarak anlaml\u0131 bir ili\u015fki bulunmad\u0131 (p&gt;0.05).<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: HIV ile infekte bireylerde KMY d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc erken ya\u015fta ortaya \u00e7\u0131kabilir.<\/p>\n<p>Klimik Dergisi 2019; 32(3): 318-23.<\/p>\n<p><strong>Cite this article as<\/strong>: \u00c7imen C, Aksu-Sayman \u00d6, Fincanc\u0131 M. [Measurement of bone mineral density in HIV-infected individuals who are not considered as a specific risk group for bone mineral densitometry screening]. Klimik Derg. 2019; 32(3): 318-23. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: HIV ile infekte bireyler antiretroviral tedavi (ART)\u2019yle daha uzun ya\u015famaya devam ettik\u00e7e, sistemik metabolik komplikasyonlar da daha s\u0131k g\u00f6r\u00fclmeye ba\u015flanm\u0131\u015ft\u0131r. ART alan HIV ile infekte hastalarda, kemik mineral yo\u011funlu\u011fu (KMY) ilk iki y\u0131l i\u00e7inde %2-6 oran\u0131nda azalmaktad\u0131r. KMY\u2019deki bu azalman\u0131n, virusun kendisi, ART ve osteoporoz i\u00e7in ola\u011fan risk fakt\u00f6rleri aras\u0131ndaki kompleks ili\u015fkiye ba\u011fl\u0131 oldu\u011fu [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[3228,4945,4212,4943],"class_list":["post-14111","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-hiv","tag-kemik-yogunlugu","tag-metabolik-kemik-hastaliklari","tag-osteoporoz"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14111","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=14111"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14111\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14111"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14111"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}