Kardiyoloji Uzman\u0131 Prof. Dr. Bengi Ba\u015fer, kalp yetersizli\u011fi ile \u00e7ok s\u0131k kar\u015f\u0131la\u015f\u0131ld\u0131\u011f\u0131n\u0131 ve bu seyirde devam ederse 2030 y\u0131l\u0131na kadar d\u00fcnya genelinde y\u00fczde 46\u2019l\u0131k bir art\u0131\u015f g\u00f6r\u00fclebilece\u011fine dikkat \u00e7ekti.<\/p>\n
Medicana Kad\u0131k\u00f6y Hastanesi ve Novartis T\u00fcrkiye ev sahipli\u011finde Caddebostan K\u00fclt\u00fcr Merkezi\u2019nde d\u00fczenlenen Kalbini Erken Tan\u0131 e\u011fitim semineri d\u00fczenlendi. Kalp yetersizli\u011fi ile ilgili toplumsal bilinci artt\u0131rmak, tan\u0131 ve tedavi y\u00f6ntemleri hakk\u0131nda bilgi vermek amac\u0131yla d\u00fczenlenen seminerde konu\u015fma yapan Kardiyoloji Uzman\u0131 Prof. Dr. Bengi Ba\u015fer, “Kalp yetersizli\u011fi d\u00fcnyada ve \u00fclkemizde s\u0131k rastlan\u0131lan bir klinik tablodur. \u00d6n\u00fcm\u00fczdeki 15-20 y\u0131l i\u00e7inde toplum sa\u011fl\u0131\u011f\u0131n\u0131 tehdit edici boyutlara ula\u015f\u0131laca\u011f\u0131 tahmin edilmektedir. \u00dclkemizde kalp yetersizli\u011finin genel n\u00fcfusa oran\u0131 y\u00fczde 0.3 – y\u00fczde 2 aras\u0131nda de\u011fi\u015fmektedir. Ya\u015f baz\u0131nda detay verecek olursak 65 ya\u015f \u00fczerinde g\u00f6r\u00fclme oran\u0131 y\u00fczde 3 – y\u00fczde 5; 75 ya\u015f \u00fczeri g\u00f6r\u00fclme oran\u0131 y\u00fczde 25\u2019tir. Bu tabloya bak\u0131ld\u0131\u011f\u0131nda erken ya\u015fta kalp yetersizli\u011fi konusunda bilin\u00e7lenmek \u00e7ok \u00f6nemlidir” dedi.<\/p>\n
Kalp yetmezli\u011finin, kontrols\u00fcz y\u00fcksek tansiyon, ki\u015fide ve\/veya ailesinde g\u00f6r\u00fclen kalp krizi \u00f6yk\u00fcs\u00fc, do\u011fumsal anomaliler, kronik akci\u011fer hastal\u0131klar\u0131, baz\u0131 ate\u015fli hastal\u0131klar, \u015feker hastal\u0131\u011f\u0131, guatr, a\u015f\u0131r\u0131 kilo ve \u00e7e\u015fitli ila\u00e7lar\u0131n yan etkileri nedeniyle olu\u015faca\u011f\u0131n\u0131 belirten Prof. Dr. Bengi Ba\u015fer, “Kalp, her at\u0131m\u0131nda kas\u0131l\u0131p gev\u015feyerek v\u00fccuda kan pompalayan bir kast\u0131r. Kalp yetersizli\u011finde kalp do\u011fru \u015fekilde \u00e7al\u0131\u015famayacak kadar zay\u0131f d\u00fc\u015fer. Bu kalbin yeterince kuvvetle kas\u0131lmad\u0131\u011f\u0131 veya yeterince kanla dolmad\u0131\u011f\u0131 anlam\u0131na gelir. B\u00f6ylece kan pompalama sitemi bozulur. Bu da kalp yetersizli\u011fi olarak tan\u0131mlan\u0131r” dedi.<\/p>\n
“Do\u011fru ve erken te\u015fhis, uygun tedavi i\u00e7in belirtilerini g\u00f6z ard\u0131 etmemek gerekir”<\/p>\n
Kalp performans\u0131n\u0131n azalmas\u0131 sonucu, kalbin doku ve organlara gereken yeterli kan\u0131 iletememesiyle ortaya \u00e7\u0131kan kalp yetersizli\u011finin olduk\u00e7a yayg\u0131n bir hastal\u0131k oldu\u011funu vurgulayan Prof. Dr. Bengi Ba\u015fer, kalbin v\u00fccuda yeterli miktarda kan pompalayamamas\u0131 sonucu akci\u011ferlerde ve v\u00fccudun de\u011fi\u015fik b\u00f6lgelerinde s\u0131v\u0131 birikimi meydana geldi\u011fini bu durumun da belli ba\u015fl\u0131 belirtileri oldu\u011funu s\u00f6yledi.<\/p>\n
Ba\u015fer, “Nefes darl\u0131\u011f\u0131, halsizlik, \u00f6ks\u00fcr\u00fck ve h\u0131r\u0131lt\u0131, v\u00fccutta \u00f6dem, \u00e7arp\u0131nt\u0131 ve \u00e7abuk yorulma gibi belirtileri olan kalp yetersizli\u011finde erken te\u015fhis \u00e7ok \u00f6nemlidir” dedi.<\/p>\n
Semptomlar\u0131 fark edenlerin hemen bir uzmana ba\u015fvurmas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izen Kardiyoloji Uzman\u0131 Prof. Dr. Bengi Ba\u015fer, kronik hale gelen kalp yetersizli\u011finin hastalar\u0131n hayat kalitelerinde kal\u0131c\u0131 bozulmalara yol a\u00e7aca\u011f\u0131n\u0131, belirtilerin kesinlikle g\u00f6z ard\u0131 edilmemesi gerekti\u011fini vurgulad\u0131.<\/p>\n
Kalp yetersizli\u011fi \u015f\u00fcphesi ile gelen hastalarda temel \u015fikayetlerinin ne oldu\u011funa ba\u011fl\u0131 olarak EKG (elektrokardiyografi), EKO (ekokardiyografi), g\u00f6\u011f\u00fcs r\u00f6ntgeni ve kan tahlilleri tetkiklerinin uyguland\u0131\u011f\u0131n\u0131 s\u00f6yleyen Prof. Dr. Bengi Ba\u015fer, kalp yetersizli\u011fi erken te\u015fhis edilmi\u015f ve kal\u0131c\u0131 bir hasara yol a\u00e7mam\u0131\u015f bir nedene ba\u011fl\u0131 ise tedavi edilebilece\u011fini, ancak \u00e7o\u011fu durumda te\u015fhis konuldu\u011fu anda genellikle kal\u0131c\u0131 kalp hasar\u0131 meydana geldi\u011fi i\u00e7in tablonun stabil halinin korunmas\u0131 ve ilerlememesi i\u00e7in tedavi uyguland\u0131\u011f\u0131 ifade etti.<\/p>\n
Kalp yetersizli\u011fi tedavisinin temelde \u00fc\u00e7 basamaktan olu\u015ftu\u011funu s\u00f6yleyen Prof. Dr. Bengi Ba\u015fer, bunlar\u0131 \u015f\u00f6yle s\u0131ralad\u0131: “Tedavi basamaklar\u0131, sa\u011fl\u0131kl\u0131 beslenme ve tuz t\u00fcketiminin azalt\u0131lmas\u0131, d\u00fczenli ve uygun egzersizlerle ya\u015fam tarz\u0131n\u0131n de\u011fi\u015ftirilmesi, ila\u00e7 tedavileri ve ileri a\u015famalarda pil ve cerrahi m\u00fcdahalelerden olu\u015fur. Bunlar kalp yetersizli\u011fi durumunda hastan\u0131n olmazsa olmaz kurallar\u0131d\u0131r\u201d dedi.<\/p>\n
Kalp yetersizli\u011finde dikkat edilmesi gerekenler<\/p>\n
Kronik kalp yetersizli\u011fi ile ya\u015famay\u0131 \u00f6\u011frenmenin ya\u015fam kalitesini koruyaca\u011f\u0131n\u0131 \u00f6nemle vurgulayan Kardiyoloji Uzman\u0131 Prof. Dr. Bengi Ba\u015fer, g\u00fcnl\u00fck kontrolleri ve rutin olarak dikkat edilecek kurallar\u0131 \u015f\u00f6yle a\u00e7\u0131klad\u0131: “Di\u011fer kronik hastal\u0131klarda da oldu\u011fu gibi g\u00fcnl\u00fck d\u00fczenli kontroller ve kendi v\u00fccudunuzu tan\u0131man\u0131z onu okuyabilmeniz \u00e7ok \u00f6nemlidir. Kalp yetersizli\u011finde en hassas konu v\u00fccutta \u00f6dem ve s\u0131v\u0131 birikmesidir. Bu y\u00fczden her sabah tuvalet ihtiyac\u0131n\u0131z\u0131 giderdikten sonra \u00fczerinizde benzer k\u0131yafetler olacak \u015fekilde tart\u0131l\u0131n. E\u011fer 3 g\u00fcn i\u00e7inde v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131z 1,5 – 2 kilodan fazla art\u0131\u015f g\u00f6sterirse mutlaka uzman hekiminize ba\u015fvurun. V\u00fccudunuzda s\u0131v\u0131 birikmesi (\u00f6dem) olup olmad\u0131\u011f\u0131n\u0131 anlaman\u0131n di\u011fer bir yolu da her g\u00fcn parma\u011f\u0131n\u0131z\u0131 ayak bile\u011finize, bald\u0131r\u0131n\u0131z\u0131n \u00f6n k\u0131sm\u0131na ve dizinize hafif\u00e7e bast\u0131rarak \u00e7ukur ve\/veya g\u00f6m\u00fclme olup olmad\u0131\u011f\u0131na bakmakt\u0131r. De\u011fi\u015fiklik durumunda mutlaka hekiminize bilgi verin. Di\u011fer yandan normalden daha fazla nefes darl\u0131\u011f\u0131 ya\u015famak, geceleri daha fazla yast\u0131k kullanmak, s\u00fcrekli \u00f6ks\u00fcr\u00fck ve h\u0131r\u0131lt\u0131, balgam renginin de\u011fi\u015fmesi ve hafif pembele\u015fmesi, konu\u015fma s\u00fcreklili\u011finde zorlanma hastal\u0131\u011f\u0131n maalesef ki ilerledi\u011fini g\u00f6sterir. Bu sebeple kalbinizin ne durumda oldu\u011funu ne kadar iyi oldu\u011funu ancak hastal\u0131\u011f\u0131 tan\u0131yarak ve fark\u0131nda olarak analiz edebilirsiniz” \u015feklinde konu\u015ftu.<\/p>\n
Kalp yetersizli\u011fi ya\u015fayan hastalar\u0131n verilen ila\u00e7lar\u0131 d\u00fczenli kullanman\u0131n yan\u0131 s\u0131ra, uygun zamanda, uygun dozda ve \u00f6\u011f\u00fcn ili\u015fkisine dikkat ederek kullan\u0131lmas\u0131n\u0131n \u00f6nemini belirten Prof. Dr. Bengi Ba\u015fer, “\u0130la\u00e7lar\u0131n\u0131z\u0131n her birini her g\u00fcn ve do\u011fru zamanda kullan\u0131n. Kullan\u0131m zamanlar\u0131 ile ilgili de\u011fi\u015fiklik yapmak i\u00e7in mutlaka hekiminize dan\u0131\u015f\u0131n. Tedaviye ra\u011fmen rahatlamayan \u015fiddetli g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, ciddi ve inat\u00e7\u0131 nefes darl\u0131\u011f\u0131, bay\u0131lma; nefes darl\u0131\u011f\u0131nda art\u0131\u015f, nefes darl\u0131\u011f\u0131 ile s\u0131k s\u0131k uykudan uyanma, uyku i\u00e7in yast\u0131k say\u0131n\u0131zda art\u0131\u015f ihtiyac\u0131 durumlar\u0131nda acilen hekiminize ba\u015fvurun” dedi.<\/p>\n
Kalp yetersizli\u011fi ve beslenme ili\u015fkisi<\/p>\n
Beslenmenin her kronik hastal\u0131kta oldu\u011fu gibi kalp yetersizli\u011finde de \u00e7ok \u00f6nemli bir etken oldu\u011funu belirten Kardiyoloji Uzman\u0131 Prof. Dr. Bengi Ba\u015fer, “G\u00fcnl\u00fck 1,5-2 litre su mutlaka i\u00e7ilmeli, g\u00fcnl\u00fck tuz t\u00fcketimi 1 silme tatl\u0131 ka\u015f\u0131\u011f\u0131n\u0131 (5 gram) ge\u00e7memelidir. Sebze meyve kepekli \u00fcr\u00fcnler y\u00fcksek posa i\u00e7erirler. Beslenmede bunlara s\u0131k\u00e7a yer verilmelidir. Y\u00fcksek posa i\u00e7eren \u00fcr\u00fcnler kan \u015fekerini ve kan ya\u011flanmas\u0131n\u0131 kontrol alt\u0131nda tutmay\u0131 kolayla\u015ft\u0131racakt\u0131r. G\u00f6r\u00fcn\u00fcr tuz i\u00e7eren kraker, cips, tuzla kavrulmu\u015f kuruyemi\u015flerden uzak durulmal\u0131d\u0131r. Ayr\u0131ca salamura g\u0131dalar y\u00fcksek oranda tuz i\u00e7erir. Bu y\u00fczden zeytin, tur\u015fu, salamura edilmi\u015f bal\u0131k, konserve \u00fcr\u00fcnler, sal\u00e7a, haz\u0131r \u00e7orbalar ve et\/tavuk suyu tabletlerinden de uzak durulmal\u0131d\u0131r. Salam, sosis, sucuk, past\u0131rma ve f\u00fcme edilmi\u015f et \u00fcr\u00fcnleri y\u00fcksek miktarda sodyum i\u00e7erdi\u011fi i\u00e7in uzak durulmas\u0131 gerekmektedir” ifadelerini kulland\u0131.<\/p>\n
Son y\u0131llarda kalp yetersizli\u011fi tedavisinde \u00f6nemli ad\u0131mlar at\u0131ld\u0131\u011f\u0131n\u0131 vurgulayan Kardiyoloji Uzman\u0131 Prof. Dr. Bengi Ba\u015fer, “Kalp yetersizli\u011fi kardiyolojinin en \u00e7aresiz kald\u0131\u011f\u0131 alanlardan biriydi. Ama yeni nesil ila\u00e7lar ve tedavi y\u00f6ntemleriyle kalp yetersizli\u011fi ve hastal\u0131\u011f\u0131n olu\u015fturdu\u011fu \u00e7aresizlik bir kader olmaktan \u00e7\u0131kt\u0131. Yeni tedavi y\u00f6ntemleriyle hedefimiz \u00f6l\u00fcm\u00fc ve hastane yat\u0131\u015flar\u0131n\u0131 engellemek kadar, hastalar\u0131n egzersiz kapasitesini ve hayat kalitesini y\u00fckseltmeye \u00e7al\u0131\u015fmak. Do\u011fru zamanda do\u011fru tedaviye ba\u015flamak hastalar\u0131n hayat kalitesini y\u00fckseltmede \u00e7ok \u00f6nemli rol oynuyor” diye ifade etti.<\/p>\n","protected":false},"excerpt":{"rendered":"
KARD\u0130YOLOJ\u0130 UZMANI PROF. DR. BENG\u0130 BA\u015eER, KALP YETERS\u0130ZL\u0130\u011e\u0130 \u0130LE \u00c7OK SIK KAR\u015eILA\u015eILDI\u011eINI VE BU SEY\u0130RDE DEVAM EDERSE 2030 YILINA KADAR D\u00dcNYA GENEL\u0130NDE Y\u00dcZDE 46\u2019LIK B\u0130R ARTI\u015e G\u00d6R\u00dcLEB\u0130LECE\u011e\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":[41187,608,3702,2120,36471,7195,3480],"class_list":["post-174372","post","type-post","status-publish","format-standard","hentry","category-genel","tag-41187","tag-artacak","tag-kadar","tag-kalp","tag-yetersizligi","tag-yilina","tag-yuzde"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Jms","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/174372","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=174372"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/174372\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=174372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=174372"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=174372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}