{"id":133036,"date":"2019-04-12T10:15:21","date_gmt":"2019-04-12T07:15:21","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/merdiven-cikarken-yoruluyorsaniz-dikkat\/"},"modified":"2019-04-12T10:15:21","modified_gmt":"2019-04-12T07:15:21","slug":"merdiven-cikarken-yoruluyorsaniz-dikkat","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/merdiven-cikarken-yoruluyorsaniz-dikkat\/","title":{"rendered":"Merdiven \u00e7\u0131karken yoruluyorsan\u0131z dikkat"},"content":{"rendered":"<p>Do\u00e7. Dr. Mehmet Emre \u00d6zpelit, &#8220;Daha \u00f6nce y\u00fcr\u00fcd\u00fc\u011f\u00fcn\u00fcz mesafeyi y\u00fcr\u00fcyemiyorsan\u0131z, yoku\u015f ve merdiven \u00e7\u0131kmakta \u00e7ok zorlan\u0131yorsan\u0131z nedeni kalp yetersizli\u011fi olabilir&#8221; dedi.<\/p>\n<p>Medical Park \u0130zmir Hastanesi Kardiyoloji Klini\u011fi\u2019nden Do\u00e7. Dr. Mehmet Emre \u00d6zpelit, daha \u00f6nce y\u00fcr\u00fcd\u00fc\u011f\u00fcn\u00fcz mesafeyi y\u00fcr\u00fcyemiyorsan\u0131z, yoku\u015f ve merdiven \u00e7\u0131kmakta \u00e7ok zorlan\u0131yorsan\u0131z nedeninin kalp yetersizli\u011fi olabilece\u011fini s\u00f6yledi.<\/p>\n<p>Kalp yetersizli\u011fini k\u0131saca kalbimizin v\u00fccudumuza ihtiyac\u0131 olan kan\u0131 g\u00f6nderememesi olarak tan\u0131mlayan Do\u00e7. Dr. Mehmet Emre \u00d6zpelit, \u201cKalbin pompa g\u00fcc\u00fcndeki azalma ile birlikte kalp yetersizli\u011fi ba\u015flar. \u0130lk belirtiler nefes darl\u0131\u011f\u0131, \u00e7abuk yorulma, kar\u0131n ve bacaklarda \u015fi\u015flik olarak kar\u015f\u0131m\u0131za \u00e7\u0131kar. Hastalar\u0131m\u0131z s\u0131kl\u0131kla daha \u00f6nce y\u00fcr\u00fcd\u00fckleri mesafeyi y\u00fcr\u00fcyemediklerini ve yoku\u015f, merdiven \u00e7\u0131kmakta \u00e7ok zorland\u0131klar\u0131n\u0131 belirtirler. Daha sonraki a\u015famalarda hastalar gece uykuda da nefes darl\u0131\u011f\u0131 \u00e7eker, nefes alamayarak uykudan uyan\u0131rlar. Hatta zamanla d\u00fcz yatamamaya, oturarak uyumaya ba\u015flarlar\u201d dedi.<\/p>\n<p>Di\u011fer hastal\u0131klar da tetikliyor<\/p>\n<p>Bir\u00e7ok hastal\u0131\u011f\u0131n kalbin i\u015f y\u00fck\u00fcn\u00fc artt\u0131rarak kalp yetersizli\u011fine yol a\u00e7abilece\u011fini ifade eden \u00d6zpelit, en s\u0131k nedenlerin y\u00fcksek tansiyon, kalp damar hastal\u0131klar\u0131, kapak hastal\u0131klar\u0131, baz\u0131 ritim bozukluklar\u0131 ve enfeksiyonlar\u0131, do\u011fu\u015ftan kalp hastal\u0131klar\u0131 ve genetik ge\u00e7i\u015fli kalp kas\u0131 hastal\u0131klar\u0131 oldu\u011funu dile getirdi. Kalp yetersizli\u011fi tan\u0131s\u0131 konulduktan sonra hastal\u0131\u011f\u0131n alt\u0131nda yatan nedenlerin ara\u015ft\u0131r\u0131lmas\u0131 gerekti\u011fini s\u00f6yleyen \u00d6zpelit \u015funlar\u0131 s\u00f6yledi:<\/p>\n<p>\u201cKalp yetersizli\u011fini yapan neden d\u00fczeltilince bir\u00e7ok hastada kalp yetersizli\u011fi de iyile\u015fmektedir. Ancak baz\u0131 hastalar\u0131m\u0131z kronik kalp yetersizli\u011fi ile ya\u015famak zorunda kalabilirler. Tedavi se\u00e7enekleri aras\u0131nda ila\u00e7lar ilk s\u0131ray\u0131 al\u0131rlar. Son 20-30 y\u0131lda bir\u00e7ok ila\u00e7 bu ama\u00e7la geli\u015ftirilmi\u015f ve ba\u015far\u0131l\u0131 bulunmu\u015ftur. \u0130la\u00e7lar hem ya\u015fam kalitesini hem de ya\u015fam s\u00fcresini artt\u0131r\u0131rlar. Uygun ila\u00e7 tedavisine ra\u011fmen yeterli fayda g\u00f6rmeyen, yak\u0131nmalar\u0131 devam eden hastalarda pompa g\u00fcc\u00fcn\u00fc artt\u0131rabilen \u00f6zel \u00e7ok odac\u0131kl\u0131 kalp pilleri g\u00fcn\u00fcm\u00fczde ba\u015far\u0131 ile uygulanmaktad\u0131r\u201d.<\/p>\n<p>D\u00fczenli egzersiz, do\u011fru beslenme<\/p>\n<p>Kalp yetersizli\u011fi tedavisinde ila\u00e7lar kadar etkili olan bir tedavi t\u00fcr\u00fcn\u00fcn de ya\u015fam tarz\u0131 d\u00fczenlemek oldu\u011funu vurgulayan \u00d6zpelit s\u00f6zlerine \u015fu \u015fekilde devam etti:<\/p>\n<p>\u201cKan bas\u0131nc\u0131n\u0131n, kan \u015fekerinin ve kolesterol\u00fcn normal aral\u0131kta tutulmas\u0131 kalp sa\u011fl\u0131\u011f\u0131 i\u00e7in \u00e7ok \u00f6nemlidir. Hasta sigara ve alkol kullan\u0131yorsa bunlar\u0131n mutlaka b\u0131rak\u0131lmas\u0131 gereklidir. Fazla kilolar\u0131n verilmesi kalbin y\u00fck\u00fcn\u00fc azalt\u0131r ve yak\u0131nmalar\u0131 d\u00fczeltir.  Kalp yetersizli\u011fi hastalar\u0131 d\u00fczenli egzersizden fayda g\u00f6r\u00fcrler. Hastan\u0131n durumuna g\u00f6re de\u011fi\u015fmekle birlikte haftada be\u015f g\u00fcn, g\u00fcnde 20-30 dk d\u00fczenli y\u00fcr\u00fcy\u00fc\u015f yeterlidir.  Beslenme, son y\u0131llarda \u00e7ok tart\u0131\u015fmal\u0131 ve pop\u00fcler bir konu olup kalp yetersizli\u011fi hastalar\u0131nda \u00f6zel \u00f6nem arz eder. \u00d6zellikle tuz al\u0131m\u0131n\u0131n k\u0131s\u0131tlanmas\u0131 bir\u00e7ok hastay\u0131 rahatlat\u0131r, yak\u0131nmalar\u0131n\u0131 ve \u00f6demlerini geriletir. Ancak tuz al\u0131m\u0131 tamamen kesilmemeli, s\u0131f\u0131rlanmamal\u0131d\u0131r. Hastalar ne fazla ne de az su i\u00e7melidir. \u0130\u00e7ilecek su miktar\u0131 ki\u015fiye g\u00f6re de\u011fi\u015fiklik g\u00f6sterir ancak ortalama bir kalp yetersizli\u011fi hastas\u0131 i\u00e7in g\u00fcnl\u00fck bir bu\u00e7uk litre su yeterlidir. Akdeniz tipi beslenmenin yani zeytinya\u011f\u0131, sebze-meyve, tah\u0131l ve bal\u0131k i\u00e7eren \u00f6\u011f\u00fcnlerin kalp sa\u011fl\u0131\u011f\u0131 i\u00e7in faydal\u0131 oldu\u011fu kan\u0131tlanm\u0131\u015ft\u0131r. Kalp yetersizli\u011fi tedavisinde hastalar\u0131n ya\u015fam tarz\u0131 de\u011fi\u015fikliklerine, ila\u00e7 tedavisine uyumlar\u0131 ve d\u00fczenli kardiyoloji kontrolleri ile olduk\u00e7a y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc sonu\u00e7lar al\u0131nmaktad\u0131r\u201d.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DO\u00c7. DR. MEHMET EMRE \u00d6ZPEL\u0130T, &#8220;DAHA \u00d6NCE Y\u00dcR\u00dcD\u00dc\u011e\u00dcN\u00dcZ MESAFEY\u0130 Y\u00dcR\u00dcYEM\u0130YORSANIZ, YOKU\u015e VE MERD\u0130VEN \u00c7IKMAKTA \u00c7OK ZORLANIYORSANIZ NEDEN\u0130 KALP YETERS\u0130ZL\u0130\u011e\u0130 OLAB\u0130L\u0130R&#8221; DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":133037,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[30703,1440,9960,30704],"class_list":["post-133036","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-cikarken","tag-dikkat","tag-merdiven","tag-yoruluyorsaniz"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/merdiven-cikarken-yoruluyorsaniz-dikkat_b308c3b.jpg?fit=1000%2C665","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-yBK","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/133036","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=133036"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/133036\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/133037"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=133036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=133036"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=133036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}