{"id":3898,"date":"2026-10-12T07:11:47","date_gmt":"2026-10-12T06:11:47","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/tisbi\/fib-4-skoru-hesaplama\/"},"modified":"2026-10-12T07:11:47","modified_gmt":"2026-10-12T06:11:47","slug":"fib-4-skoru-hesaplama","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/fib-4-skoru-hesaplama\/","title":{"rendered":"FIB-4 Skoru Hesaplama"},"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\">Ya\u015f, AST, ALT ve trombosit de\u011ferlerinden karaci\u011fer fibrozis riskini de\u011ferlendirin<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"3898\" data-favorite-title=\"FIB-4 Skoru\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/fib-4-skoru-hesaplama\/\" data-favorite-excerpt=\"Ya\u015f, AST, ALT ve trombosit say\u0131n\u0131zdan FIB-4 skorunuzu hesaplayarak ileri karaci\u011fer fibrozu riskinizi tahmin edin. Rutin kan tahlilinizdeki de\u011ferleri girin ve an\u0131nda risk kategorinizi g\u00f6r\u00fcn.\" 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\/fib-4-skoru-hesaplama\/\" method=\"POST\" class=\"calculator\" id=\"calculator-3898\" data-post=\"3898\"><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\">Ya\u015f<\/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-unit-1 calc-info-1\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"18\" max=\"100\" value=\"55\"\/><div class=\"unit\" id=\"calc-unit-1\">y\u0131l<\/div><small id=\"calc-info-1\">FIB-4 skoru yeti\u015fkinlerde do\u011frulanm\u0131\u015ft\u0131r<\/small><\/div><div class=\"field has-term\" id=\"input-2\"><label for=\"field-2\">AST<\/label><div class=\"term\">AST<\/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=\"ast\" id=\"field-2\" aria-describedby=\"calc-info-2\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"1\" max=\"10000\" value=\"45\"\/><div class=\"grid grid-cols-1\"><select id=\"field-3\" name=\"birim\" aria-label=\"Birim\"><option value=\"ul\" selected>U\/L<\/option><option value=\"ukat\">\u00b5kat\/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-2\">Kan testinizdeki aspartat aminotransferaz (AST) de\u011feri<\/small><\/div><div class=\"field has-term\" id=\"input-3\"><label for=\"field-4\">ALT<\/label><div class=\"term\">ALT<\/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=\"alt\" id=\"field-4\" aria-describedby=\"calc-info-4\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"1\" max=\"10000\" value=\"50\"\/><div class=\"grid grid-cols-1\"><select id=\"field-5\" name=\"birim\" aria-label=\"Birim\"><option value=\"ul\" selected>U\/L<\/option><option value=\"ukat\">\u00b5kat\/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-4\">Kan testinizdeki alanin aminotransferaz (ALT) de\u011feri<\/small><\/div><div class=\"field has-term\" id=\"input-4\"><label for=\"field-6\">Trombosit say\u0131s\u0131<\/label><div class=\"term\">PLT<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"trombosit_says\" id=\"field-6\" aria-describedby=\"calc-unit-6 calc-info-6\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" min=\"1\" max=\"1000\" value=\"180\"\/><div class=\"unit\" id=\"calc-unit-6\">\u00d710\u2079\/L<\/div><small id=\"calc-info-6\">10\u00b3\/\u00b5L cinsinden ayn\u0131 say\u0131sal de\u011fer (\u00f6rn. 180)<\/small><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"3898\">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> FIB-4 Sonucunuz<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>FIB-4 skoru<\/span><span class=\"result-term\">FIB-4<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/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-2\"><span class=\"field-title\"><span>Fibrozis risk kategorisi<\/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>Bunun anlam\u0131<\/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=\"3898\" 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>FIB-4 Skoru 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\\[ \\text{FIB-4} = \\frac{\\text{Ya\u015f} \\times \\text{AST}}{\\text{PLT} \\times \\sqrt{\\text{ALT}}} \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Burada:<\/strong><\/p>\n<ul>\n<li>\\(\\text{Ya\u015f}\\) \u2014 y\u0131l cinsinden ya\u015f<\/li>\n<li>\\(\\text{AST}\\) \u2014 aspartat aminotransferaz (U\/L)<\/li>\n<li>\\(\\text{ALT}\\) \u2014 alanin aminotransferaz (U\/L)<\/li>\n<li>\\(\\text{PLT}\\) \u2014 trombosit say\u0131s\u0131 (\u00d710\u2079\/L)<\/li>\n<\/ul>\n<p>Form\u00fclde payda yer ve karaci\u011fer enzimleri, paydaya ise fibroz ilerledik\u00e7e d\u00fc\u015fen trombosit say\u0131s\u0131 konur; b\u00f6ylece ileri fibroz olas\u0131l\u0131\u011f\u0131 artt\u0131k\u00e7a y\u00fckselen tek bir say\u0131 elde edilir.<\/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>FIB-4 Skoru \u2013 \u00d6rnek Hesaplama<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> 55 ya\u015f\u0131ndaki bir ki\u015fide AST 45 U\/L, ALT 50 U\/L ve trombosit say\u0131s\u0131 180 \u00d710\u2079\/L.<\/p>\n<p>\\[ \\text{FIB-4} = \\frac{55 \\times 45}{180 \\times \\sqrt{50}} = \\frac{2475}{180 \\times 7.07} \\approx \\frac{2475}{1272.8} \\approx 1.94 \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> FIB-4 = 1,94 \u2014 orta risk. Skor belirsizlik aral\u0131\u011f\u0131ndad\u0131r (1,45\u20133,25); bu nedenle riski netle\u015ftirmek i\u00e7in genellikle karaci\u011fer elastografisi gibi ek tetkikler \u00f6nerilir.<\/p>\n<p>\n\r\n<\/section>\n<h2>FIB-4 Hesaplama Arac\u0131 Nas\u0131l Kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li><strong>Ya\u015f\u0131n\u0131z\u0131<\/strong> y\u0131l olarak girin (skor 18\u2013100 ya\u015f aras\u0131 yeti\u015fkinler i\u00e7in do\u011frulanm\u0131\u015ft\u0131r).<\/li>\n<li>Kan tahlilinizdeki <strong>AST<\/strong> de\u011ferini girin ve birimi se\u00e7in \u2014 U\/L veya \u00b5kat\/L. Laboratuvar\u0131n\u0131z \u00b5kat\/L olarak raporluyorsa hesaplay\u0131c\u0131 otomatik olarak d\u00f6n\u00fc\u015ft\u00fcr\u00fcr (1 \u00b5kat\/L = 60 U\/L).<\/li>\n<li><strong>ALT<\/strong> de\u011ferini de ayn\u0131 \u015fekilde, uygun birimi se\u00e7erek girin.<\/li>\n<li><strong>Trombosit say\u0131n\u0131z\u0131<\/strong> \u00d710\u2079\/L cinsinden girin. Bu, laboratuvar\u0131n\u0131z\u0131n 10\u00b3\/\u00b5L olarak bildirdi\u011fi say\u0131n\u0131n ayn\u0131s\u0131d\u0131r \u2014 \u00f6rne\u011fin laboratuvar raporundaki \"180 \u00d710\u2079\/L\" veya \"180 K\/\u00b5L\" ifadesi sadece 180 olarak girilir.<\/li>\n<li><strong>FIB-4 skorunuzu<\/strong>, risk kategorinizi ve sonucun ne anlama geldi\u011fine ili\u015fkin a\u00e7\u0131klamay\u0131 okuyun.<\/li>\n<\/ol>\n<h2>FIB-4 Skoru Nedir?<\/h2>\n<p>FIB-4 indeksi, d\u00f6rt rutin \u00f6l\u00e7\u00fcmden olu\u015fan invaziv olmayan bir fibroz skorudur: ya\u015f, AST, ALT ve trombosit say\u0131s\u0131. \u0130lk kez Sterling ve \u00e7al\u0131\u015fma arkada\u015flar\u0131 taraf\u0131ndan (Hepatology, 2006) HIV\/HCV koenfeksiyonlu hastalarda geli\u015ftirilmi\u015f; o tarihten bu yana kronik hepatit C, ya\u011fl\u0131 karaci\u011fer hastal\u0131\u011f\u0131 (NAFLD\/MASLD) ve di\u011fer kronik karaci\u011fer hastal\u0131klar\u0131nda geni\u015f bi\u00e7imde do\u011frulanm\u0131\u015ft\u0131r. Yaln\u0131zca standart kan tahlillerini kulland\u0131\u011f\u0131 i\u00e7in, karaci\u011fer enzimleri bozuk bir hastan\u0131n ileri de\u011ferlendirmeye ihtiya\u00e7 duyup duymad\u0131\u011f\u0131na karar verirken \u00e7o\u011funlukla ilk ad\u0131m olarak kullan\u0131l\u0131r.<\/p>\n<p>Form\u00fcl\u00fcn arkas\u0131ndaki mant\u0131k basittir: karaci\u011fer hasarland\u0131k\u00e7a karaci\u011fer enzimleri (AST ve ALT) y\u00fckselme e\u011filimindedir; fibroz ilerledik\u00e7e ise trombosit say\u0131s\u0131 d\u00fc\u015fer \u2014 ileri derecedeki nedbele\u015fme portal hipertansiyona ve trombositlerin dalakta tutulmas\u0131na yol a\u00e7ar. Ya\u015f, fibrozun zamanla birikmesi nedeniyle a\u011f\u0131rl\u0131k katar. Sonu\u00e7, ileri fibroz (METAVIR s\u0131n\u0131flamas\u0131nda evre F3\u2013F4) olas\u0131l\u0131\u011f\u0131 artt\u0131k\u00e7a y\u00fckselen birimsiz bir say\u0131d\u0131r.<\/p>\n<p>Standart yorumlamada iki e\u015fik kullan\u0131l\u0131r: <strong>1,45<\/strong> alt\u0131ndaki skor d\u00fc\u015f\u00fck riski, <strong>3,25<\/strong> \u00fczerindeki skor ileri fibroz a\u00e7\u0131s\u0131ndan y\u00fcksek riski g\u00f6sterir; aradaki de\u011ferler ise belirsiz kabul edilir. Orijinal do\u011frulama \u00e7al\u0131\u015fmalar\u0131nda 1,45 alt\u0131ndaki hastalar\u0131n y\u00fczde 90'\u0131ndan fazlas\u0131nda ileri fibroz yoktu; 3,25 \u00fczerindeki skor ise belirgin nedbele\u015fme olas\u0131l\u0131\u011f\u0131n\u0131n y\u00fcksek oldu\u011fu anlam\u0131na geliyordu. Belirsiz bir sonu\u00e7 \"bilinmiyor\" demek de\u011fildir \u2014 ikinci basamak bir test (elastografi, ticari bir fibroz paneli veya do\u011frudan fibroz belirte\u00e7leri) yap\u0131lmas\u0131 gerekti\u011fi anlam\u0131na gelir.<\/p>\n<h2>Sonucunuzun Yorumlanmas\u0131<\/h2>\n<p><strong>D\u00fc\u015f\u00fck risk<\/strong> sonucu (FIB-4 &lt; 1,45) genellikle ileri fibrozu d\u0131\u015flar; acilen uzmana y\u00f6nlendirme gerekmez. <strong>Orta risk<\/strong> sonucu (1,45\u20133,25), invaziv i\u015flemler yerine ek invaziv olmayan tetkikleri gerektirir. <strong>Y\u00fcksek risk<\/strong> sonucu (&gt; 3,25) genellikle hepatoloji uzman\u0131na y\u00f6nlendirmeyle sonu\u00e7lan\u0131r; uzman karaci\u011fer elastografisi (FibroScan) isteyebilir ya da se\u00e7ilmi\u015f olgularda karaci\u011fer biyopsisi yap\u0131labilir.<\/p>\n<p>Ya\u011fl\u0131 karaci\u011fer hastal\u0131\u011f\u0131nda e\u015fiklerin biraz farkl\u0131 oldu\u011funu unutmay\u0131n: bir\u00e7ok NAFLD\/MASLD k\u0131lavuzu, bu de\u011ferlerin bu hasta grubunda daha iyi performans g\u00f6stermesi nedeniyle d\u00fc\u015f\u00fck risk e\u015fi\u011fi olarak <strong>1,3<\/strong>, y\u00fcksek risk e\u015fi\u011fi olarak <strong>2,67<\/strong> kullan\u0131r. Sonucunuz hepatit C ve NAFLD e\u015fikleri aras\u0131na d\u00fc\u015ferse (\u00f6rne\u011fin 1,35 veya 2,9), hesaplay\u0131c\u0131 bunu yorumda ayr\u0131ca belirtir.<\/p>\n<h2>S\u0131n\u0131rlamalar ve Pratik \u00d6neriler<\/h2>\n<ul>\n<li><strong>Ya\u015f u\u00e7lar\u0131:<\/strong> skor 35 ya\u015f alt\u0131 ve 65 ya\u015f \u00fcst\u00fc yeti\u015fkinlerde daha az g\u00fcvenilirdir. Gen\u00e7 hastalarda riski d\u00fc\u015f\u00fck g\u00f6sterme, ya\u015fl\u0131 hastalarda ise y\u00fcksek g\u00f6sterme e\u011filimindedir.<\/li>\n<li><strong>Tan\u0131 de\u011fildir:<\/strong> FIB-4 bir tarama arac\u0131d\u0131r; elastografi, g\u00f6r\u00fcnt\u00fcleme veya biyopsinin yerini tutmaz. Olas\u0131l\u0131k tahmin eder, kesinlik de\u011fil.<\/li>\n<li><strong>Anormal de\u011ferlerin ba\u015fka nedenleri:<\/strong> karaci\u011fer d\u0131\u015f\u0131 nedenlere ba\u011fl\u0131 trombositopeni, akut hepatit alevlenmeleri ya da kas hasar\u0131na veya yo\u011fun egzersize ba\u011fl\u0131 AST\/ALT y\u00fckselmeleri skoru bozabilir.<\/li>\n<li><strong>Ge\u00e7ici sonu\u00e7lar:<\/strong> karaci\u011fer enzimleriniz akut bir hastal\u0131k s\u0131ras\u0131nda y\u00fckseldiyse, de\u011ferler d\u00fczeldikten sonra skoru yeniden hesaplaman\u0131zda yarar vard\u0131r.<\/li>\n<li><strong>Do\u011frulanmad\u0131\u011f\u0131 durumlar:<\/strong> transplant hastalar\u0131, trombosit say\u0131s\u0131n\u0131 etkileyen antikoag\u00fclan kullanan hastalar ve \u00e7ocuklar.<\/li>\n<\/ul>\n<p>Karaci\u011fere ili\u015fkin riski daha geni\u015f a\u00e7\u0131dan g\u00f6rmek i\u00e7in <a href=\"https:\/\/wpcalc.com\/en\/medical\/meld-na-score-calculator\/\">MELD-Na Skoru<\/a> ileri karaci\u011fer hastal\u0131\u011f\u0131nda k\u0131sa d\u00f6nem \u00f6l\u00fcm riskini tahmin eder; <a href=\"https:\/\/wpcalc.com\/en\/medical\/egfr-calculator-ckd-epi-2021\/\">eGFR hesaplama arac\u0131 (CKD-EPI 2021)<\/a> ve <a href=\"https:\/\/wpcalc.com\/en\/medical\/ldl-cholesterol-calculator-friedewald\/\">LDL kolesterol hesaplay\u0131c\u0131s\u0131<\/a> ise ya\u011fl\u0131 karaci\u011fer hastal\u0131\u011f\u0131na s\u0131k e\u015flik eden metabolik ve kardiyovask\u00fcler fakt\u00f6rleri de\u011ferlendirmeye yard\u0131mc\u0131 olur. FIB-4 sonucunuzu mutlaka t\u0131bbi ge\u00e7mi\u015finizi bilen bir sa\u011fl\u0131k uzman\u0131yla g\u00f6r\u00fc\u015f\u00fcn.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ya\u015f, AST, ALT ve trombosit say\u0131n\u0131zdan FIB-4 skorunuzu hesaplayarak ileri karaci\u011fer fibrozu riskinizi tahmin edin. Rutin kan tahlilinizdeki de\u011ferleri girin ve an\u0131nda risk kategorinizi g\u00f6r\u00fcn.<\/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-3898","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\/3898","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=3898"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/3898\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=3898"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=3898"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=3898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}