{"id":153874,"date":"2019-05-07T11:35:27","date_gmt":"2019-05-07T08:35:27","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/uzman-onayi-olmadan-oruc-tutmayin\/"},"modified":"2019-05-07T11:35:27","modified_gmt":"2019-05-07T08:35:27","slug":"uzman-onayi-olmadan-oruc-tutmayin","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/uzman-onayi-olmadan-oruc-tutmayin\/","title":{"rendered":"Uzman onay\u0131 olmadan oru\u00e7 tutmay\u0131n"},"content":{"rendered":"<p>D\u00dcZCE(\u0130HA) \u2013Prof. Dr. Tansu Sav, \u00f6zellikle b\u00f6brek hastalar\u0131n\u0131n uzman onay\u0131 olmadan oru\u00e7 tutmamas\u0131 gerekti\u011fini s\u00f6yledi.<\/p>\n<p>D\u00fczce \u00dcniversitesi T\u0131p Fak\u00fcltesi \u0130\u00e7 Hastal\u0131klar\u0131 Ana Bilim Dal\u0131 ve Nefroloji Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Tansu Sav, Ramazan ay\u0131nda b\u00f6brek sa\u011fl\u0131\u011f\u0131n\u0131 korumak i\u00e7in dikkat edilmesi gereken \u00f6nemli noktalar\u0131 anlatt\u0131.<\/p>\n<p>\u201cV\u00fccudun susuz kalmas\u0131 geri d\u00f6n\u00fc\u015f\u00fc m\u00fcmk\u00fcn olmayan hasarlara yol a\u00e7abilir\u201d<\/p>\n<p>Kronik b\u00f6brek hastal\u0131\u011f\u0131 nedeniyle takip edilen t\u00fcm hastalar\u0131n Nefroloji uzman\u0131na dan\u0131\u015fmadan oru\u00e7 tutmamas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izen Prof. Dr. Sav, \u201cBu hastal\u0131k gittik\u00e7e ilerleyici ve kal\u0131c\u0131 b\u00f6brek hasar\u0131na yol a\u00e7t\u0131\u011f\u0131ndan, kaybedilen b\u00f6brek fonksiyonlar\u0131n\u0131n geri d\u00f6n\u00fc\u015f\u00fcm\u00fc \u00e7o\u011fu zaman m\u00fcmk\u00fcn de\u011fildir. V\u00fccudun \u00f6zellikle susuz kalmas\u0131 geri d\u00f6n\u00fc\u015f\u00fc m\u00fcmk\u00fcn olmayan hasarlara yol a\u00e7abilir. T\u00fcm hastalar i\u00e7in \u00f6nemli riskler olmakla birlikte \u00f6zellikle kan \u015fekeri ve tansiyonu d\u00fczenli olmayan,  ins\u00fclin ba\u015fta olmak \u00fczere \u00e7ok ila\u00e7 kullanan, g\u00fcn i\u00e7erisinde belli aral\u0131klarla ila\u00e7 kullanmak zorunda olan hastalar\u0131n oru\u00e7 tutmas\u0131 uygun de\u011fildir\u201d diye konu\u015ftu.<\/p>\n<p>B\u00f6bre\u011fe hen\u00fcz hasar vermemi\u015f olan b\u00f6brek ta\u015f\u0131 durumunda iftar ve sahur aras\u0131nda 1,5-2 litre su t\u00fcketebilecek olan hastalar\u0131n kontroll\u00fc bir \u015fekilde oru\u00e7 tutabilece\u011fini ifade eden Sav, \u201cE\u011fer b\u00f6brek ta\u015f\u0131na ba\u011fl\u0131 hasar oldu\u011fu hekimi taraf\u0131ndan belirlenmi\u015f hastalar\u0131n oru\u00e7 tutmamas\u0131 gerekir. Tek b\u00f6brekli ve b\u00f6brek vericisi olmas\u0131 nedeniyle tek b\u00f6brekle ya\u015fayan ki\u015filerin de di\u011fer b\u00f6bre\u011fin fonksiyonlar\u0131n\u0131n normal oldu\u011fu belirtilmi\u015fse oru\u00e7 tutmalar\u0131 m\u00fcmk\u00fcnd\u00fcr\u201d dedi.<\/p>\n<p>\u201cYeterli s\u0131v\u0131 al\u0131nmad\u0131\u011f\u0131nda ta\u015f olu\u015fumu ve b\u00f6brek hasar\u0131 riski y\u00fcksek olacakt\u0131r\u201d<\/p>\n<p>Uzun s\u00fcre a\u00e7 ve susuz kalman\u0131n b\u00f6brek fonksiyonlar\u0131n\u0131 bozabilece\u011fini kaydeden Prof. Dr. Sav, yeterli s\u0131v\u0131 al\u0131nmad\u0131\u011f\u0131nda yatk\u0131n ki\u015filerde ta\u015f olu\u015fumu ve b\u00f6brek hasar\u0131 riskinin y\u00fcksek olaca\u011f\u0131n\u0131 belirtti. \u0130ftar sonras\u0131 yatana kadar yeterli s\u0131v\u0131 al\u0131m\u0131 s\u00f6z konusuysa sahura kalkmadan oru\u00e7 tutman\u0131n ciddi bir risk getirmeyece\u011fini dile getiren Sav, \u201cAncak erken yatmaya ba\u011fl\u0131 s\u0131v\u0131 al\u0131m\u0131 s\u00fcresi k\u0131salaca\u011f\u0131ndan, k\u0131sa s\u00fcrede \u00e7ok su i\u00e7ilmesi gerekebilir. Bu durum b\u00f6bre\u011fin a\u015f\u0131r\u0131 \u00e7al\u0131\u015fmas\u0131na ve i\u00e7ilen suyu k\u0131sa s\u00fcrede v\u00fccuttan at\u0131lmas\u0131na neden olacakt\u0131r ki, bu durum g\u00fcn\u00fcn geri kalan k\u0131sm\u0131nda b\u00f6bre\u011fin daha uzun s\u00fcre susuz kalmas\u0131 sonucunu do\u011furacakt\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n<p>\u201cFazla su t\u00fcketmek b\u00f6brek hastal\u0131klar\u0131na zemin haz\u0131rlayabilir\u201d<\/p>\n<p>B\u00f6brek sa\u011fl\u0131\u011f\u0131n\u0131 korumak i\u00e7in yeterli ve dengeli beslenmenin yan\u0131nda g\u00fcnl\u00fck en az 1,5-2 litre su t\u00fcketilmesinin \u015fart oldu\u011funu vurgulayan D\u00fczce \u00dcniversitesi \u00f6\u011fretim \u00fcyesi, \u00f6zellikle yaz aylar\u0131nda bu s\u0131v\u0131 miktar\u0131n\u0131n daha da art\u0131r\u0131labilece\u011finin alt\u0131n\u0131 \u00e7izdi.  G\u00fcnl\u00fck belirlenen miktarlar\u0131n \u00fczerine \u00e7\u0131kman\u0131n ve susamadan a\u015f\u0131r\u0131 su t\u00fcketmenin de b\u00f6brek i\u00e7in bir risk oldu\u011funu ifade eden Prof. Dr. Sav, \u201cB\u00f6bre\u011fin a\u015f\u0131r\u0131 \u00e7al\u0131\u015fmas\u0131 ile erken yorulmas\u0131 aras\u0131nda ciddi bir ili\u015fki oldu\u011fundan, v\u00fccudun ihtiyac\u0131ndan fazla su t\u00fcketmek b\u00f6brek hastal\u0131klar\u0131na zemin haz\u0131rlayabilir\u201d dedi.<\/p>\n<p>\u201cTuza dikkat\u201d<\/p>\n<p>Tuz t\u00fcketimine de dikkat \u00e7eken Prof. Dr. Tansu Sav, tuz t\u00fcketiminin direkt olarak b\u00f6bre\u011fe hasar vermenin yan\u0131nda v\u00fccutta a\u015f\u0131r\u0131 su birikimi olu\u015fturmak ve kan bas\u0131nc\u0131 y\u00fckseltmek gibi sorunlarla b\u00f6brek hastal\u0131klar\u0131na zemin haz\u0131rlad\u0131\u011f\u0131n\u0131 da bildirdi. \u00d6te yanda hangi tip tuzun daha zararl\u0131 oldu\u011fu konusunun net olmad\u0131\u011f\u0131n\u0131 kaydeden  Sav, yap\u0131lm\u0131\u015f \u00e7al\u0131\u015fmalarda ufak tefek farklar olsa da temel olarak t\u00fcm tuz tiplerinin v\u00fccuda zararl\u0131 oldu\u011fu sonucunun \u00e7\u0131kt\u0131\u011f\u0131n\u0131 da s\u00f6zlerine ekledi.<\/p>\n<p>\u201cG\u00fcnde birden fazla maden suyu t\u00fcketilmesi sak\u0131ncal\u0131\u201d<\/p>\n<p>Maden suyunun mineral a\u00e7\u0131s\u0131ndan zengin olmakla birlikte i\u00e7erdi\u011fi tuz oran\u0131n\u0131n y\u00fcksekli\u011fi nedeniyle b\u00f6brek hastalar\u0131 ve y\u00fcksek tansiyon hastalar\u0131 i\u00e7in \u00f6nerilmedi\u011fini belirten Prof. Dr. Sav, g\u00fcnde birden fazla maden suyu t\u00fcketilmesinin sak\u0131ncal\u0131 oldu\u011funu ve suyun yerini hi\u00e7bir zaman tutmayaca\u011f\u0131n\u0131 ifade etti. Ayran, meyve suyu gibi i\u00e7eceklerin do\u011fal olmas\u0131 ko\u015fuluyla t\u00fcketilebilece\u011fini s\u00f6yleyen D\u00fczce \u00dcniversitesi \u00f6\u011fretim \u00fcyesi, \u201cAncak bu i\u00e7ecekler su ihtiyac\u0131 a\u00e7\u0131s\u0131ndan hi\u00e7bir zaman i\u00e7me suyunun yerini tutmaz. \u00c7ay t\u00fcketimi de yeterli s\u0131v\u0131 almak i\u00e7in bir yol olmakla birlikte, \u00e7ay\u0131n idrar s\u00f6kt\u00fcr\u00fcc\u00fc \u00f6zelli\u011fi olmas\u0131 nedeniyle fazla i\u00e7ildi\u011finde fazla s\u0131v\u0131 kayb\u0131na neden olaca\u011f\u0131ndan yine i\u00e7me suyunun yerini tutmayacakt\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n<p>\u201cS\u0131v\u0131 almay\u0131 iftar-sahur aras\u0131na yayal\u0131m\u201d<\/p>\n<p>B\u00f6brek hastal\u0131\u011f\u0131 olanlar\u0131n Ramazan ay\u0131 \u00f6ncesi mutlaka b\u00f6brekle ilgili tahlillerini yapt\u0131rmas\u0131 ve bir nefroloji uzman\u0131na dan\u0131\u015fmas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izen Prof. Dr. Sav \u201cGerek iftar gerekse de sahurda tuzlu g\u0131dalardan ka\u00e7\u0131nmal\u0131d\u0131r. Yeterli ve dengeli beslenme her zaman esas olmakla birlikte bu durum yakla\u015f\u0131k 16-17 saat a\u00e7 ve susuz kal\u0131naca\u011f\u0131ndan Ramazan ay\u0131nda daha da \u00f6nem kazanmaktad\u0131r. \u0130ftar ve sahurdaki \u00f6\u011f\u00fcnlerde a\u015f\u0131r\u0131 yeme i\u00e7meye y\u00fcklenmektense, beslenme ve s\u0131v\u0131 almay\u0131 iftar\u2013sahur aras\u0131nda yayarak ger\u00e7ekle\u015ftirmek \u00e7ok daha sa\u011fl\u0131kl\u0131 bir yakla\u015f\u0131m olacakt\u0131r\u201d diye konu\u015ftu.<\/p>\n<p>\u201cUzman onay\u0131 olmadan oru\u00e7 tutmamal\u0131\u201d<\/p>\n<p>Nefroloji uzman\u0131n\u0131n onay\u0131 olmadan \u00f6zellikle b\u00f6brek hastalar\u0131n\u0131n oru\u00e7 tutmamas\u0131 gerekti\u011fini yineleyen Prof. Dr. Tansu Sav a\u00e7\u0131klamas\u0131n\u0131, \u201cOru\u00e7 tutmas\u0131 uygun g\u00f6r\u00fclen hastalar da ila\u00e7lar\u0131n\u0131 aksatmayacak \u015fekilde hekimle birlikte ila\u00e7 d\u00fczeninin ayarlanmas\u0131 mutlaka gereklidir. Bu hastalar\u0131n herhangi bir rahats\u0131zl\u0131k hissettiklerinde zaman kaybetmeden hastaneye ba\u015fvurmalar\u0131, gerekli tahlilleri yapt\u0131rmalar\u0131 olu\u015fabilecek problemlerin erkenden \u00f6nlenebilmesi i\u00e7in \u015fartt\u0131r\u201d \u015feklinde tamamlad\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PROF. DR. TANSU SAV, \u00d6ZELL\u0130KLE B\u00d6BREK HASTALARININ UZMAN ONAYI OLMADAN ORU\u00c7 TUTMAMASI GEREKT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":153875,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_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}},"categories":[1],"tags":[1234,35164,9653,35165,2568],"class_list":["post-153874","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-olmadan","tag-onayi","tag-oruc","tag-tutmayin","tag-uzman"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/uzman-onayi-olmadan-oruc-tutmayin_fd5c927.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-E1Q","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/153874","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=153874"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/153874\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/153875"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=153874"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=153874"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=153874"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}