{"id":3895,"date":"2026-10-12T06:24:55","date_gmt":"2026-10-12T05:24:55","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/tisbi\/egfr-hesaplayici-ckd-epi-2021\/"},"modified":"2026-10-12T06:24:55","modified_gmt":"2026-10-12T05:24:55","slug":"egfr-hesaplayici-ckd-epi-2021","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/egfr-hesaplayici-ckd-epi-2021\/","title":{"rendered":"eGFR Hesaplay\u0131c\u0131 (CKD-EPI 2021)"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">Kreatinin kan testiyle b\u00f6brek fonksiyonunu tahmin edin<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"3895\" data-favorite-title=\"eGFR (CKD-EPI 2021)\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/egfr-hesaplayici-ckd-epi-2021\/\" data-favorite-excerpt=\"Irk katsay\u0131s\u0131 i\u00e7ermeyen CKD-EPI 2021 denklemiyle rutin kreatin kan tahlilinden b\u00f6brek fonksiyonunuzu (eGFR) tahmin edin. Ya\u015f\u0131n\u0131z\u0131, cinsiyetinizi ve serum kreatinin de\u011ferinizi girin; eGFR de\u011ferinizi ve KDIGO GFR kategorinizi \u00f6\u011frenin.\" aria-label=\"Favorilere ekle\" data-favorite-icon=\"icon icon-flask\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/tr\/tisbi\/egfr-hesaplayici-ckd-epi-2021\/\" method=\"POST\" class=\"calculator\" id=\"calculator-3895\" data-post=\"3895\"><fieldset class=\"fieldset-input is-2\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"field has-term\" id=\"input-1\"><label for=\"field-1\">Ya\u015f<\/label><div class=\"term\">y\u0131l<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"ya\" id=\"field-1\" aria-describedby=\"calc-info-1\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"18\" max=\"120\" value=\"45\"\/><small id=\"calc-info-1\">CKD-EPI 2021, yeti\u015fkinler (18+) i\u00e7in do\u011frulanm\u0131\u015ft\u0131r<\/small><\/div><div class=\"field is-single\" id=\"input-2\"><label for=\"field-2\">Cinsiyet<\/label><div class=\"grid grid-cols-1\"><select id=\"field-2\" name=\"cinsiyet\"><option value=\"male\" selected>Erkek<\/option><option value=\"female\">Kad\u0131n<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><div class=\"field has-term\" id=\"input-3\"><label for=\"field-3\">Serum kreatinini<\/label><div class=\"term\">Scr<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><div class=\"field-group\"><input type=\"text\" name=\"serum_kreatinini\" id=\"field-3\" aria-describedby=\"calc-info-3\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"0.1\" max=\"25\" value=\"1\"\/><div class=\"grid grid-cols-1\"><select id=\"field-4\" name=\"birim\" aria-label=\"Birim\"><option value=\"mg\/dL\" selected>mg\/dL<\/option><option value=\"umol\/L\">\u00b5mol\/L<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><small id=\"calc-info-3\">Kan testi raporunuzdan<\/small><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"3895\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> eGFR sonucunuz<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>Tahmini GFR (eGFR)<\/span><\/span><span class=\"field-value\" id=\"result-1\" data-unit=\"mL\/min\/1.73 m\u00b2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-2\"><span class=\"field-title\"><span>GFR kategorisi<\/span><span class=\"result-term\">KDIGO<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-3\"><span class=\"field-title\"><span>Bu ne anlama geliyor<\/span><\/span><span class=\"field-value\" id=\"result-3\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Yorum b\u0131rak<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"3895\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Be\u011fendim <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Faydal\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Kafam kar\u0131\u015ft\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Hatal\u0131 <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>eGFR Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\mathrm{eGFR} = 142 \\times \\min\\!\\left(\\frac{S_{cr}}{k},\\, 1\\right)^{\\alpha} \\times \\max\\!\\left(\\frac{S_{cr}}{k},\\, 1\\right)^{-1.200} \\times 0.9938^{\\,\\text{Ya\u015f}} \\times 1.012\\;[\\text{kad\u0131nsa}] \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Buradaki de\u011ferler:<\/strong><\/p>\n<ul>\n<li>\\(S_{cr}\\) \u2014 mg\/dL cinsinden serum kreatinini (laboratuvar\u0131n\u0131z \u00b5mol\/L olarak veriyorsa 88,4'e b\u00f6l\u00fcn)<\/li>\n<li>\\(k\\) \u2014 kad\u0131n i\u00e7in 0,7, erkek i\u00e7in 0,9<\/li>\n<li>\\(\\alpha\\) \u2014 kad\u0131n i\u00e7in \\(-0.241\\), erkek i\u00e7in \\(-0.302\\)<\/li>\n<li>\\(\\text{Ya\u015f}\\) \u2014 y\u0131l cinsinden ya\u015f (18 ya\u015f ve \u00fczeri yeti\u015fkinler i\u00e7in ge\u00e7erlidir)<\/li>\n<li>\\(1.012\\) \u2014 yaln\u0131zca kad\u0131nlara uygulanan \u00e7arpan<\/li>\n<\/ul>\n<p>Bu denklem, Inker ve arkada\u015flar\u0131n\u0131n <em>New England Journal of Medicine<\/em> dergisinde (2021) yay\u0131mlad\u0131\u011f\u0131, \u0131rk katsay\u0131s\u0131 i\u00e7ermeyen CKD-EPI 2021 kreatinini denklemdir. Tek bir kreatinin \u00f6l\u00e7\u00fcm\u00fc, ya\u015f ve cinsiyetten yola \u00e7\u0131karak glomer\u00fcl filtrasyon h\u0131z\u0131n\u0131 \u2014 b\u00f6breklerin dakikada s\u00fczd\u00fc\u011f\u00fc kan miktar\u0131n\u0131n 1,73 m\u00b2 v\u00fccut y\u00fczey alan\u0131na normalize edilmi\u015f h\u00e2lini \u2014 tahmin eder.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>eGFR \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> 45 ya\u015f\u0131ndaki bir erke\u011fin rutin kan tahlilinde serum kreatinini 1,0 mg\/dL.<\/p>\n<p>\\[ k = 0.9, \\quad \\alpha = -0.302, \\quad \\frac{S_{cr}}{k} = \\frac{1.0}{0.9} = 1.111 \\]<br \/>\n\\[ \\mathrm{eGFR} = 142 \\times \\min(1.111, 1)^{-0.302} \\times \\max(1.111, 1)^{-1.200} \\times 0.9938^{45} \\]<br \/>\n\\[ \\mathrm{eGFR} = 142 \\times 1 \\times 0.881 \\times 0.756 \\approx 94.6 \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> eGFR \u2248 <strong>94,6 mL\/dk\/1,73 m\u00b2<\/strong> \u2014 KDIGO kategorisi <strong>G1 (normal veya y\u00fcksek)<\/strong>.<\/p>\n<p>\n\r\n<\/section>\n<h2>eGFR Hesaplay\u0131c\u0131 Nas\u0131l Kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li><strong>Ya\u015f\u0131n\u0131z\u0131<\/strong> y\u0131l olarak girin (denklem yeti\u015fkinler i\u00e7in do\u011fruland\u0131\u011f\u0131ndan hesaplay\u0131c\u0131 18\u2013120 aral\u0131\u011f\u0131n\u0131 kabul eder).<\/li>\n<li><strong>Cinsiyetinizi<\/strong> se\u00e7in \u2014 kad\u0131n veya erkek; bu, denklem katsay\u0131lar\u0131n\u0131 de\u011fi\u015ftirir.<\/li>\n<li>Kan tahlili raporunuzdaki <strong>serum kreatinini<\/strong> de\u011ferini girin.<\/li>\n<li>Laboratuvar raporunuzda yazan birimi do\u011fru se\u00e7in \u2014 <strong>mg\/dL veya \u00b5mol\/L<\/strong>. Hesaplay\u0131c\u0131 \u00b5mol\/L'yi otomatik olarak mg\/dL'ye \u00e7evirir.<\/li>\n<li><strong>Tahmini GFR (eGFR)<\/strong> de\u011ferinizi, <strong>GFR kategorinizi<\/strong> ve sonucun ne anlama geldi\u011fine dair yorumu okuyun.<\/li>\n<\/ol>\n<h2>eGFR Nedir ve Neden \u00d6nemlidir?<\/h2>\n<p>Tahmini glomer\u00fcl filtrasyon h\u0131z\u0131 (eGFR), b\u00f6breklerinizin kan\u0131 ne kadar iyi s\u00fczd\u00fc\u011f\u00fcn\u00fc g\u00f6steren, yayg\u0131n olarak kullan\u0131labilen en iyi \u00f6l\u00e7\u00fctt\u00fcr. Sa\u011fl\u0131kl\u0131 b\u00f6brekler, 1,73 m\u00b2 v\u00fccut y\u00fczey alan\u0131 ba\u015f\u0131na dakikada yakla\u015f\u0131k 90\u2013120 mL kan s\u00fczer. B\u00f6brek fonksiyonu \u2014 ister kronik b\u00f6brek hastal\u0131\u011f\u0131 (KBH), ister diyabet, ister y\u00fcksek tansiyon, isterse ya\u015flanma nedeniyle \u2014 azald\u0131k\u00e7a eGFR d\u00fc\u015fer. B\u00f6brekler belirtiler ortaya \u00e7\u0131kmadan fonksiyonlar\u0131n\u0131n b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fcn\u00fc kaybedebildi\u011fi i\u00e7in, eGFR rutin kan tahlillerindeki en \u00f6nemli erken uyar\u0131 de\u011feridir.<\/p>\n<p>Kreatinin, kas metabolizmas\u0131n\u0131n bir at\u0131k \u00fcr\u00fcn\u00fcd\u00fcr ve neredeyse tamamen b\u00f6brekler taraf\u0131ndan at\u0131ld\u0131\u011f\u0131ndan, filtrasyon d\u00fc\u015ft\u00fck\u00e7e kandaki d\u00fczeyi y\u00fckselir. Ancak kreatinin d\u00fczeyi kas k\u00fctlesine, beslenmeye ve ya\u015fa da ba\u011fl\u0131d\u0131r; CKD-EPI denklemi bu y\u00fczden onu ya\u015f ve cinsiyetle birle\u015ftirerek tek ba\u015f\u0131na kreatininden daha do\u011fru bir tahmin \u00fcretir. 2021 s\u00fcr\u00fcm\u00fc, eski denklemlerde kullan\u0131lan \u0131rk katsay\u0131s\u0131n\u0131 \u00e7\u0131kard\u0131 ve bu nedenle KDIGO ile ABD NKF\u2013ASN \u00e7al\u0131\u015fma grubunun \u00f6nerdi\u011fi g\u00fcncel standart h\u00e2line geldi.<\/p>\n<p>Sonu\u00e7 mL\/dk\/1,73 m\u00b2 cinsinden ifade edilir ve KDIGO GFR kategorilerine g\u00f6re s\u0131n\u0131fland\u0131r\u0131l\u0131r:<\/p>\n<table>\n<thead>\n<tr>\n<th>Kategori<\/th>\n<th>eGFR (mL\/dk\/1,73 m\u00b2)<\/th>\n<th>A\u00e7\u0131klama<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>G1<\/td>\n<td>\u2265 90<\/td>\n<td>Normal veya y\u00fcksek<\/td>\n<\/tr>\n<tr>\n<td>G2<\/td>\n<td>60\u201389<\/td>\n<td>Hafif azalm\u0131\u015f<\/td>\n<\/tr>\n<tr>\n<td>G3a<\/td>\n<td>45\u201359<\/td>\n<td>Hafif ila orta d\u00fczeyde azalm\u0131\u015f<\/td>\n<\/tr>\n<tr>\n<td>G3b<\/td>\n<td>30\u201344<\/td>\n<td>Orta ila ileri d\u00fczeyde azalm\u0131\u015f<\/td>\n<\/tr>\n<tr>\n<td>G4<\/td>\n<td>15\u201329<\/td>\n<td>\u0130leri d\u00fczeyde azalm\u0131\u015f<\/td>\n<\/tr>\n<tr>\n<td>G5<\/td>\n<td>&lt; 15<\/td>\n<td>B\u00f6brek yetmezli\u011fi<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Tek bir eGFR de\u011ferinin tan\u0131 olmad\u0131\u011f\u0131n\u0131 unutmay\u0131n. Kronik b\u00f6brek hastal\u0131\u011f\u0131, en az 3 ay s\u00fcren anormalliklerle tan\u0131mlan\u0131r; ileri ya\u015ftaki bir yeti\u015fkinde hafif d\u00fc\u015f\u00fck bir eGFR normal ya\u015flanmay\u0131 yans\u0131tabilir. Hekimler ayr\u0131ca KBH'yi tam olarak evrelemek i\u00e7in eGFR'yi idrarda alb\u00fcmin-kreatinin oran\u0131na (AKO) bakarak de\u011ferlendirir.<\/p>\n<h2>Varsay\u0131mlar ve S\u0131n\u0131rlamalar<\/h2>\n<ul>\n<li><strong>Yaln\u0131zca yeti\u015fkinler:<\/strong> CKD-EPI 2021 denklemi 18 ya\u015f ve \u00fczeri ki\u015filer i\u00e7in do\u011frulanm\u0131\u015ft\u0131r. \u00c7ocuklar i\u00e7in ayr\u0131 pediatrik denklemler kullan\u0131l\u0131r.<\/li>\n<li><strong>\u0130stikrarl\u0131 b\u00f6brek fonksiyonu:<\/strong> denklem dengeli bir durum varsayar. Akut b\u00f6brek hasar\u0131nda, kreatinin h\u0131zla de\u011fi\u015firken eGFR g\u00fcvenilir de\u011fildir.<\/li>\n<li><strong>U\u00e7 de\u011ferlerde do\u011fruluk d\u00fc\u015fer:<\/strong> \u00e7ok y\u00fcksek kas k\u00fctlesi olanlarda (v\u00fccut geli\u015ftiriciler), uzuv kayb\u0131 olanlarda, a\u011f\u0131r hastal\u0131k, gebelik veya vejetaryen\/\u00e7ok et a\u011f\u0131rl\u0131kl\u0131 beslenme durumlar\u0131nda kreatinini b\u00f6brek fonksiyonundan ba\u011f\u0131ms\u0131z olarak de\u011fi\u015ftirdi\u011finden tahminler daha az g\u00fcvenilirdir.<\/li>\n<li><strong>Kreatinini de\u011fi\u015ftiren di\u011fer etkenler:<\/strong> baz\u0131 ila\u00e7lar (\u00f6r. trimetoprim, simetidin) ve kan al\u0131nmadan hemen \u00f6nce yap\u0131lan yo\u011fun egzersiz, ger\u00e7ek b\u00f6brek fonksiyonunu azaltmadan kreatinini y\u00fckseltebilir.<\/li>\n<li><strong>Bir tahmin, bir \u00f6l\u00e7\u00fcm de\u011fil:<\/strong> ger\u00e7ek \u00f6l\u00e7\u00fclen GFR (iyotalamat veya iyomeksol klirensiyle) bireysel hastalarda eGFR'den %20 veya daha fazla farkl\u0131 olabilir.<\/li>\n<li><strong>T\u0131bbi uyar\u0131:<\/strong> bu hesaplay\u0131c\u0131 yaln\u0131zca bilgi ama\u00e7l\u0131d\u0131r ve profesyonel t\u0131bbi tavsiyenin yerini almaz. Anormal sonu\u00e7lar\u0131 her zaman hekiminizle g\u00f6r\u00fc\u015f\u00fcn.<\/li>\n<\/ul>\n<h2>\u0130lgili Hesaplay\u0131c\u0131lar<\/h2>\n<p>B\u00f6brek veya kalp-damar sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 takip ediyorsan\u0131z \u015funlar da i\u015finize yarayabilir: hemodiyaliz hastalar\u0131 i\u00e7in <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/diyaliz-dozu\/\">Diyaliz Dozu (Kt\/V) hesaplay\u0131c\u0131s\u0131<\/a> tedavinin yeterlili\u011fini de\u011ferlendirir; <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/ortalama-arter-basinci\/\">Ortalama Arteryel Bas\u0131n\u00e7 hesaplay\u0131c\u0131s\u0131<\/a>, b\u00f6brek hastal\u0131\u011f\u0131n\u0131 yava\u015flatman\u0131n kilit unsuru olan tansiyon kontrol\u00fcn\u00fc izlemenize yard\u0131m eder; <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/framingham-kalp-hastaligi-riski\/\">Framingham Kalp Hastal\u0131\u011f\u0131 Riski hesaplay\u0131c\u0131s\u0131<\/a> ise azalm\u0131\u015f b\u00f6brek fonksiyonuyla birlikte artan kalp-damar riskinizi tahmin eder.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Irk katsay\u0131s\u0131 i\u00e7ermeyen CKD-EPI 2021 denklemiyle rutin kreatin kan tahlilinden b\u00f6brek fonksiyonunuzu (eGFR) tahmin edin. Ya\u015f\u0131n\u0131z\u0131, cinsiyetinizi ve serum kreatinin de\u011ferinizi girin; eGFR de\u011ferinizi ve KDIGO GFR kategorinizi \u00f6\u011frenin.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[33],"class_list":["post-3895","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3895","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=3895"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3895\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=3895"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=3895"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=3895"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}