Samsun \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fc Dr. \u00d6\u011fr. \u00dcyesi Muhammet Ali Oru\u00e7, yap\u0131lan ara\u015ft\u0131rmalarda hastalar\u0131n ila\u00e7lar\u0131n\u0131 doktorunun \u00f6nerdi\u011fi \u015fekilde kullanmas\u0131n\u0131n, sigaray\u0131 b\u0131rakman\u0131n ve obez hastalar\u0131n kilo vermesinin, sa\u011fl\u0131kl\u0131 ve dengeli beslenmenin, d\u00fczenli egzersiz yapman\u0131n, solunan ortam havas\u0131n\u0131 temiz tutman\u0131n ast\u0131m\u0131n kontrol\u00fcn\u00fc kolayla\u015ft\u0131rd\u0131\u011f\u0131n\u0131 g\u00f6sterdi\u011fini s\u00f6yledi.<\/p>\n
Ast\u0131m\u0131n akci\u011fer i\u00e7i hava yollar\u0131nda daralmaya neden olan ve alevlenmeler (ataklar) ile seyreden m\u00fczmin (kronik) bir akci\u011fer hastal\u0131\u011f\u0131 oldu\u011funu belirten Dr. \u00d6\u011fr. \u00dcyesi Muhammet Ali Oru\u00e7, \u201cHava yollar\u0131ndaki bu daralman\u0131n nedeni mikrobik olmayan bir t\u00fcr iltihap nedeniyle hava yolu duvar\u0131n\u0131n \u015fi\u015fmesidir. Hastal\u0131k tekrarlayan nefes darl\u0131\u011f\u0131, nefes al\u0131p verirken ortaya \u00e7\u0131kan h\u0131r\u0131lt\u0131\/h\u0131\u015f\u0131lt\u0131\/\u0131sl\u0131k sesi, g\u00f6\u011f\u00fcste bask\u0131 hissi ve \u00f6ks\u00fcr\u00fck gibi belirtilerle kendini g\u00f6sterir. D\u00fcnyada yakla\u015f\u0131k 300 milyon kadar ast\u0131ml\u0131 hasta oldu\u011fu tahmin edilmektedir. \u00dclkemizde ise yakla\u015f\u0131k her 12-13 eri\u015fkinden biri ve 7-8 \u00e7ocuktan biri ast\u0131m hastas\u0131d\u0131r. Ast\u0131m\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 y\u0131llar i\u00e7inde giderek artmaktad\u0131r\u201d dedi.<\/p>\n
Ast\u0131m tedavi edilebilir mi?<\/p>\n
Ast\u0131m tedavisinin amac\u0131n\u0131n hastal\u0131\u011f\u0131n kontrol alt\u0131na al\u0131nmas\u0131 ve sa\u011flanan bu durumun idame ettirilmesi oldu\u011funu belirten Oru\u00e7, \u201cD\u00fcnyada oldu\u011fu gibi, \u00fclkemizde de bu hastal\u0131\u011f\u0131n tedavisi ile ilgili gerekli her t\u00fcrl\u00fc ila\u00e7 ve malzeme bulunmaktad\u0131r. Uygun ila\u00e7 tedavisiyle ast\u0131ml\u0131lar i\u015f ve okul d\u00e2hil g\u00fcnl\u00fck ya\u015famlar\u0131na, hastal\u0131k nedeni ile herhangi bir k\u0131s\u0131tlanma olmadan devam edebilirler. Ast\u0131m ila\u00e7lar\u0131n\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131 soluk alma yolu (inhalasyon) ile kullan\u0131lan ila\u00e7lard\u0131r ve bu yolla daha az yan etki ile direkt hava yollar\u0131nda istenen tedavi edici etkiyi olu\u015ftururlar. \u00d6zel cihazlarla verilirler. Tedaviye ba\u015flan\u0131rken bu \u00f6zel cihazlar\u0131n kullan\u0131m \u015fekli mutlaka hastalara g\u00f6sterilmelidir\u201d diye konu\u015ftu.<\/p>\n
Ast\u0131ml\u0131 hastalarda spor<\/p>\n
Oru\u00e7, \u015f\u00f6yle devam etti:<\/p>\n
\u201cAst\u0131ml\u0131 hastalar, \u00e7evresel olarak yak\u0131nmalar\u0131n\u0131 art\u0131ran fakt\u00f6rlere dikkat etmek ko\u015fulu ile g\u00fcnl\u00fck ya\u015famda diledikleri bir\u00e7ok \u015feyi yapabilirler. Ast\u0131ml\u0131 hastalar\u0131n g\u00fcnl\u00fck i\u015flerini yapabilmesi seyahate gidebilmesi, hobileri ile u\u011fra\u015fmas\u0131, k\u0131saca ya\u015fam\u0131n i\u00e7inde yer almalar\u0131 hekimlerin en arzu etti\u011fi noktad\u0131r. Ast\u0131m spor yap\u0131lmas\u0131na engel de\u011fildir. Ast\u0131ml\u0131 hastalar doktorlar\u0131yla payla\u015farak ve \u00e7evresel tetikleyicilere dikkat ederek y\u00fcr\u00fcy\u00fc\u015f, hafif ko\u015fu, y\u00fczme hatta performans sporlar\u0131n\u0131 yapabilirler.<\/p>\n
Ast\u0131mda \u00f6zellikle \u00e7ocukluk ya\u015f grubunda fiziksel aktivitenin art\u0131r\u0131lmas\u0131n\u0131n, m\u00fcmk\u00fcnse d\u00fczenli sporun hastal\u0131\u011f\u0131n seyrine olumlu katk\u0131lar\u0131 oldu\u011fu g\u00f6sterilmi\u015ftir. Bu sayede g\u00fcnl\u00fck kullan\u0131lan ila\u00e7 dozlar\u0131, randevusuz hekim ba\u015fvurular\u0131 ve ast\u0131m nedeniyle hastaneye yat\u0131\u015flar, acile ba\u015fvurular\u0131n azalt\u0131labildi\u011fi saptanm\u0131\u015ft\u0131r.\u201d<\/p>\n
Ast\u0131ml\u0131 hastalarda beslenme<\/p>\n
Ast\u0131ml\u0131 hastalar\u0131n beslenmede dikkat edece\u011fi bir durum olup olmad\u0131\u011f\u0131 konusuna de\u011finen Oru\u00e7, \u201cAst\u0131ml\u0131 hastalar\u0131n doktor tan\u0131l\u0131 besin alerjileri olmad\u0131k\u00e7a \u00f6zel bir diyet yapmalar\u0131na gerek yoktur. Sa\u011fl\u0131kl\u0131 beslenmenin temel ilkeleri ast\u0131ml\u0131 hastalar i\u00e7in de ge\u00e7erlidir. Obezitesi olan ast\u0131ml\u0131 hastalarda doktor ve diyetisyen g\u00f6zetiminde kilo vermeleri hastal\u0131klar\u0131n seyrini olumlu etkileyecektir. \u00dclkemizde ast\u0131ml\u0131 hastalar\u0131n y\u00fczde 10\u2019undan fazlas\u0131n\u0131n halen sigara i\u00e7mekte oldu\u011fu ve y\u00fczde 30-40\u2019n\u0131n obez oldu\u011fu bildirilmi\u015ftir. Yap\u0131lan ara\u015ft\u0131rmalarda sigaray\u0131 b\u0131rakman\u0131n ve obez hastalar\u0131n kilo vermesinin, ast\u0131m\u0131n kontrol\u00fcn\u00fc kolayla\u015ft\u0131rd\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir\u201d \u015feklinde konu\u015ftu.<\/p>\n
Ast\u0131m\u0131 kontrol alt\u0131nda tutmak i\u00e7in yap\u0131lmas\u0131 gerekenler<\/p>\n
Sa\u011fl\u0131k M\u00fcd\u00fcr\u00fc Dr. \u00d6\u011fr. \u00dcyesi Muhammet Ali Oru\u00e7, ast\u0131m\u0131 kontrol alt\u0131nda tutmak i\u00e7in \u015fu tavsiyelerde bulundu:<\/p>\n
\u201cAst\u0131m kontrol\u00fcn\u00fc g\u00fc\u00e7le\u015ftiren etkenler aras\u0131nda ila\u00e7lar\u0131n do\u011fru teknikle ve d\u00fczenli kullan\u0131lmamas\u0131n\u0131n yan\u0131 s\u0131ra, sigara duman\u0131, alerjenler ve kimyasallar gibi tetikleyicilere maruz kalmak ve obezite say\u0131labilir. \u2018Ast\u0131m\u0131n\u0131zla sa\u011fl\u0131kl\u0131 ya\u015fayabilirsiniz.\u2019 Yap\u0131lan ara\u015ft\u0131rmalarda hastalar\u0131n ila\u00e7lar\u0131n\u0131 doktorunun \u00f6nerdi\u011fi \u015fekilde kullanmas\u0131n\u0131n, sigaray\u0131 b\u0131rakman\u0131n ve obez hastalar\u0131n kilo vermesinin, sa\u011fl\u0131kl\u0131 ve dengeli beslenmenin, d\u00fczenli egzersiz yapman\u0131n, solunan ortam havas\u0131n\u0131 temiz tutman\u0131n ast\u0131m\u0131n kontrol\u00fcn\u00fc kolayla\u015ft\u0131rd\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
SAMSUN \u0130L SA\u011eLIK M\u00dcD\u00dcR\u00dc DR. \u00d6\u011eR. \u00dcYES\u0130 MUHAMMET AL\u0130 ORU\u00c7, YAPILAN ARA\u015eTIRMALARDA HASTALARIN \u0130LA\u00c7LARINI DOKTORUNUN \u00d6NERD\u0130\u011e\u0130 \u015eEK\u0130LDE KULLANMASININ, S\u0130GARAYI BIRAKMANIN VE OBEZ HASTALARIN K\u0130LO VERMES\u0130N\u0130N, SA\u011eLIKLI VE DENGEL\u0130 BESLENMEN\u0130N, D\u00dcZENL\u0130 EGZERS\u0130Z YAPMANIN, SOLUNAN ORTAM HAVASINI TEM\u0130Z TUTMANIN ASTIMIN KONTROL\u00dcN\u00dc KOLAYLA\u015eTIRDI\u011eINI G\u00d6STERD\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":153947,"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":[3114,35020,5581,44,868,10003,7738],"class_list":["post-153946","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-altinda","tag-astimi","tag-gerekenler","tag-icin","tag-kontrol","tag-tutmak","tag-yapilmasi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/astimi-kontrol-altinda-tutmak-icin-yapilmasi-gerekenler_f8abaad.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-E30","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/153946","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=153946"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/153946\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/153947"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=153946"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=153946"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=153946"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}