Endokrinolog Prof. Dr. Mitat Bah\u00e7eci, v\u00fccudun a\u015f\u0131r\u0131 miktarda kortizola maruz kalmas\u0131n\u0131n neden oldu\u011fu Cushing Sendromunun belirtilerine dikkat \u00e7ekti. Kilo alma, a\u015f\u0131r\u0131 i\u015ftah, hipertansiyon, kan \u015fekerinin ve kan kolesterol\u00fcn\u00fcn y\u00fckselmesi gibi belirtilerde mutlaka bu hastal\u0131ktan \u015f\u00fcphelenilmesi gerekti\u011fini belirten Prof. Dr. Bah\u00e7eci, \u201cBu sendromun g\u00f6zle g\u00f6r\u00fcl\u00fcr, ay\u0131rt edici belirtisi ise kol ve bacaklarda incelme olurken ya\u011flar\u0131n y\u00fczde ve g\u00f6bek \u00e7evresinde birikmesiyle y\u00fcz\u00fcn ay dede g\u00f6r\u00fcn\u00fcm\u00fcne kavu\u015fmas\u0131d\u0131r. Normal \u015fi\u015fmanl\u0131kla kar\u0131\u015ft\u0131r\u0131lmamal\u0131d\u0131r\u201d dedi.<\/p>\n
Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Mitat Bah\u00e7eci, b\u00f6brek \u00fcst\u00fc bezleri taraf\u0131ndan \u00fcretilen kortizol hormonunun ya\u015fam i\u00e7in gerekli oldu\u011funu, ki\u015finin hastal\u0131k gibi stresli durumlara yan\u0131t vermesini sa\u011flad\u0131\u011f\u0131n\u0131 s\u00f6yledi. Bu hormonun hemen hemen b\u00fct\u00fcn v\u00fccut dokular\u0131na etkisinin bulundu\u011funu belirten Prof. Dr. Bah\u00e7eci, v\u00fccut fazla kortizola maruz kald\u0131\u011f\u0131nda nedenine bak\u0131lmaks\u0131z\u0131n Cushing Sendromu olarak adland\u0131r\u0131ld\u0131\u011f\u0131n\u0131 kaydetti. Bu hormonun iki sebeple art\u0131\u015f g\u00f6sterebilece\u011fini ifade eden Kent Hastanesi Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Mitat Bah\u00e7eci, \u015f\u00f6yle konu\u015ftu:<\/p>\n
“Hastal\u0131\u011f\u0131n nedeni b\u00f6brek \u00fcst\u00fc bezinden fazla miktarda kortizol salg\u0131lanmas\u0131 oldu\u011fu gibi \u00e7e\u015fitli nedenlerle doktor taraf\u0131ndan tedavi amac\u0131 ile d\u0131\u015far\u0131dan verilen kortizol hormonu da bu hastal\u0131\u011fa yol a\u00e7abilir. Bu hastal\u0131k tedavi amac\u0131yla d\u0131\u015far\u0131dan verilen kortizol hormonu ile olu\u015fursa Yatrojenik Cushing olarak adland\u0131r\u0131l\u0131r. Yatrojenik Cushing ila\u00e7lar kesildi\u011finde belirtiler kaybolur. Ama v\u00fccudun b\u00f6brek \u00fcst\u00fc bezinin a\u015f\u0131r\u0131 kortizol salg\u0131lamas\u0131 sonucu olu\u015fan Cushing\u2019te ise zaman\u0131nda do\u011fru tan\u0131 konulmal\u0131d\u0131r; \u00e7\u00fcnk\u00fc bu tedavi \u015feklini belirleyecektir. Bu sendromun ba\u015fl\u0131ca belirtileri kilo alma, a\u015f\u0131r\u0131 i\u015ftah, hipertansiyon, kan \u015fekerinin ve kan kolesterol\u00fcn\u00fcn y\u00fckselmesidir; ancak bunun yan\u0131nda bir de ki\u015fiye bak\u0131nca g\u00f6r\u00fcnt\u00fcs\u00fcnden anla\u015f\u0131labilecek belirtiler var. Ya\u011flar\u0131n y\u00fczde birikmesi sonucu ay dede surat ve omuzlar aras\u0131nda birikmesi sonucu ise bufalo kamburu denilen durum ortaya \u00e7\u0131kar. Kollar ve bacaklar incelirken. g\u00f6bek \u00e7evresi kal\u0131nla\u015f\u0131r, y\u00fcz yuvarlakla\u015f\u0131r, yani b\u00f6lgesel bir \u015fi\u015fmanl\u0131k olu\u015fur. Ayr\u0131ca bu belirtilerin yan\u0131 s\u0131ra genelde g\u00f6bek ve kollarda 4 milimetreden daha geni\u015f k\u0131rm\u0131z\u0131 renkli deri \u00e7atlaklar\u0131 g\u00f6r\u00fcld\u00fc\u011f\u00fcnde de hasta mutlaka Cushing y\u00f6n\u00fcnden de\u011ferlendirilmelidir.”<\/p>\n
“B\u00f6brek \u00fcst\u00fc bezinde yer alan iyi huylu t\u00fcm\u00f6r\u00fcn \u00e7\u0131kar\u0131lmas\u0131 gerekir”<\/p>\n
Bu belirtilerin ba\u015fka hastal\u0131klarla, \u00f6zellikle de a\u015f\u0131r\u0131 yemeye ba\u011fl\u0131 \u015fi\u015fmanl\u0131kla kar\u0131\u015ft\u0131r\u0131lmamas\u0131 gerekti\u011fini belirten Prof. Dr. Bah\u00e7eci, b\u00f6brek \u00fcst\u00fc bezinin salg\u0131lad\u0131\u011f\u0131 kortizol hormonuna kar\u015f\u0131 bir \u00f6nlem alman\u0131n da m\u00fcmk\u00fcn olmad\u0131\u011f\u0131n\u0131 s\u00f6yledi. Tan\u0131 koyarken kortizol art\u0131\u015f\u0131n\u0131n b\u00f6brek \u00fcst\u00fc bezinden mi yoksa beyinde ki hipofiz bezinden mi? kaynakland\u0131\u011f\u0131n\u0131n do\u011fru belirlenmesi gerekti\u011fini s\u00f6zlerine ekleyen Prof. Dr. Bah\u00e7eci, \u201cYa b\u00f6brek \u00fcst\u00fc bezi kendili\u011finden \u00e7ok fazla \u00e7al\u0131\u015f\u0131yordur ya da beynimizdeki hipofiz bezinden ACHT hormonu fazla salg\u0131lan\u0131r ve b\u00f6brek \u00fcst\u00fc bezinin a\u015f\u0131r\u0131 \u00e7al\u0131\u015fmas\u0131na yol a\u00e7ar. E\u011fer ki hipofize ba\u011fl\u0131 ise hipofiz bezinin ameliyatla o b\u00f6lgeden al\u0131nmas\u0131 gerekir. Bundan ba\u011f\u0131ms\u0131z b\u00f6brek \u00fcst\u00fc bezinin kendi kendine \u00e7ok \u00e7al\u0131\u015fmas\u0131 sonucu hormon y\u00fckseliyorsa o zaman da ila\u00e7 tedavisi ya da ameliyat ile b\u00f6brek \u00fcst\u00fc bezinde yer alan iyi huylu t\u00fcm\u00f6r\u00fcn \u00e7\u0131kar\u0131lmas\u0131 gerekir\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
ENDOKR\u0130NOLOG PROF. DR. M\u0130TAT BAH\u00c7EC\u0130, V\u00dcCUDUN A\u015eIRI M\u0130KTARDA KORT\u0130ZOLA MARUZ KALMASININ NEDEN OLDU\u011eU, HALK ARASINDA “AY DEDE” HASTALI\u011eI OLARAK B\u0130L\u0130NEN CUSH\u0130NG SENDROMUNUN BEL\u0130RT\u0130LER\u0130NE D\u0130KKAT \u00c7EKT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"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":[32566,30578,1402,11633,24093,41089,1423,15308,10094,11517],"class_list":["post-170483","post","type-post","status-publish","format-standard","hentry","category-genel","tag-cushing","tag-alma","tag-asiri","tag-hastasi","tag-hipertansiyon","tag-istah","tag-kilo","tag-olabilirsiniz","tag-sendromu","tag-varsa"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-IlJ","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/170483","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=170483"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/170483\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=170483"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=170483"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=170483"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}