\u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. Bar\u0131\u015f \u00c7abuk, mide asidi ve yiyeceklerin i\u00e7eri\u011finin yemek borusuna geri ka\u00e7mas\u0131 ile olu\u015fan ve mide yanmas\u0131 olarak de bilinen refl\u00fc hastal\u0131\u011f\u0131 bulunanlara s\u0131k s\u0131k ve az yemek yemeleri \u00f6nerisinde bulundu.<\/p>\n
Gaziantep \u00d6zel Hatem Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. Bar\u0131\u015f \u00c7abuk, genelde mide yanmas\u0131 \u015fikayetiyle ortaya \u00e7\u0131kan refl\u00fc ile bilgiler vererek, hastal\u0131\u011f\u0131n g\u00fcnl\u00fck hayat\u0131 olumsuz etkiledi\u011fini hat\u0131rlatt\u0131. Hastal\u0131k hakk\u0131nda bilgi veren Dr. Bar\u0131\u015f \u00c7abuk, \u201cRefl\u00fcn\u00fcn T\u00fcrk\u00e7e kar\u015f\u0131l\u0131\u011f\u0131 ka\u00e7akt\u0131r. Refl\u00fc hastal\u0131\u011f\u0131 da genel anlamda mide i\u00e7eri\u011finin yemek borusuna ka\u00e7mas\u0131 demektir. Normal \u015fartlarda t\u00fcm insanlarda bir miktar refl\u00fc olabilir ama bu oran hi\u00e7bir zaman semptom vermez ya da \u015fikayet olu\u015fturmaz\u201d dedi.<\/p>\n
Refl\u00fcn\u00fcn mide asidinin yemek borusuna ka\u00e7mas\u0131yla ortaya \u00e7\u0131kt\u0131\u011f\u0131na ve baz\u0131 insanlarda s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcne de\u011finen Dr. \u00c7abuk, \u201cRefl\u00fcy\u00fc \u00f6nleyen halk aras\u0131nda mide kapa\u011f\u0131 olarak bilinen bir kas mekanizmas\u0131 vard\u0131r. Bu kas mekanizmas\u0131 mide i\u00e7eri\u011finin yemek borusuna ka\u00e7mas\u0131n\u0131 engellemektedir. Baz\u0131 ki\u015filerde bu asidin yemek borusuna ka\u00e7mas\u0131 refl\u00fc hastal\u0131\u011f\u0131na yol a\u00e7maktad\u0131r. Refl\u00fc daha \u00e7ok kilolu hastalarda, sigara i\u00e7en, alkol alan, beslenme bozuklu\u011fu olan, tok karna yatan ve baz\u0131 ila\u00e7lar\u0131 kullanan hastalarda g\u00f6r\u00fclmektedir” ifadelerini kulland\u0131.<\/p>\n
Refl\u00fc belirtilerinden de bahseden \u00c7abuk, \u201cRefl\u00fc olan hastalar bize genellikle midemden ac\u0131 bir s\u0131v a\u011fz\u0131ma geliyor \u015fikayetiyle ba\u015fvuruyorlar. Refl\u00fcde genel olarak midenin \u00fcst taraf\u0131nda yanma, a\u011fza ac\u0131 bir su gelmesi gibi \u015fikayetler oluyor. Ayr\u0131ca kronik kuru \u00f6ks\u00fcr\u00fck, ast\u0131m, tedaviye yan\u0131t vermeyen ciddi ast\u0131m hastal\u0131klar\u0131n\u0131 da tetikleyebilir. Refl\u00fc ses k\u0131s\u0131kl\u0131\u011f\u0131na, solunum enfeksiyonlar\u0131na yol a\u00e7abilir. Refl\u00fc te\u015fhisi genelde \u015fik\u00e2yet ile konur\u201d ifadelerine yer verdi.<\/p>\n
Baz\u0131 hastalarda \u015fikayetle te\u015fhis edilemedi\u011fini ve farkl\u0131 te\u015fhis y\u00f6ntemlerine ba\u015fvurduklar\u0131n\u0131 da s\u00f6yleyen Dr. \u00c7abuk, \u201cHastalar\u0131n \u015fikayetleri \u00fczerine te\u015fhis konulamad\u0131\u011f\u0131 zamanlarda endoskopi yapmak gerekir. Endoskopi hastan\u0131n sedasyonla uyutularak mideyi kamera y\u00f6ntemiyle g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemidir. Her refl\u00fc hastas\u0131nda endoskopi ile bulgu bulunamayabilir. Baz\u0131 hastalarda asidin yukar\u0131 ka\u00e7mas\u0131na ba\u011fl\u0131 yemek borusunun alt u\u00e7lar\u0131nda yaralanmalar olabilir. Baz\u0131lar\u0131nda ise bu durum olmay\u0131p, sonu\u00e7lar temiz \u00e7\u0131kabilir. Bu nedenle \u0131srarla \u015fikayetleri devam eden ve tedaviye yan\u0131t vermeyen vakalarda Ph \u00f6l\u00e7\u00fcm\u00fc, 24 saat Ph takibi yap\u0131labilir. Yani midenin ve yemek borusunun asit oranlar\u0131n\u0131n kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131n\u0131 esas alan bir testtir” \u015feklinde konu\u015ftu.<\/p>\n
S\u0131k ve az yeme \u00f6nerisi<\/p>\n
Refl\u00fcn\u00fcn tedavi yollar\u0131ndan da bahseden Uzman Dr. \u00c7abuk, s\u0131k ve az yemek yenmesi \u00f6nerisinde bulunarak, “Refl\u00fcn\u00fcn tedavi a\u015famas\u0131na bakt\u0131\u011f\u0131m\u0131zda en \u00f6nemli kriter beslenme bozuklu\u011funun giderilmesidir. Yani bu tarz hastal\u0131klar\u0131 olanlar\u0131n s\u0131k s\u0131k ama az az yemek yemesini \u00f6neriyoruz. Yemeklerde tamamen doymadan kalk\u0131lmas\u0131n\u0131, yava\u015f yava\u015f yenmesini tavsiye ediyoruz. \u00d6zellikle yatarken a\u00e7 yatmalar\u0131n\u0131 \u00f6neriyoruz. \u00c7\u00fcnk\u00fc mide i\u00e7eri\u011fi en az iki saatte bo\u015falabiliyor. Bunun d\u0131\u015f\u0131nda sigara ve alkol\u00fcn b\u0131rak\u0131lmas\u0131 ve obezitenin; yani kilonun verilmesi refl\u00fcy\u00fc \u00f6nl\u00fcyor. Ayr\u0131ca refl\u00fcn\u00fcn tedavisinde aile hekimine, dahiliye doktoruna veya uzmanlara ba\u015fvurarak medikal tedavi al\u0131nabilir. Medikal tedaviye yan\u0131t vermeyen baz\u0131 gruplarda ise cerrahi y\u00f6ntemler uygulanabilir. \u00d6zellikle mide f\u0131t\u0131\u011f\u0131 olan hastalarda, asite ba\u011fl\u0131 yara olu\u015fmu\u015f hastalarda cerrahi m\u00fcdahale uygulanabilmektedir” diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u0130\u00c7 HASTALIKLARI UZMANI DR. BARI\u015e \u00c7ABUK, M\u0130DE AS\u0130D\u0130 VE Y\u0130YECEKLER\u0130N \u0130\u00c7ER\u0130\u011e\u0130N\u0130N YEMEK BORUSUNA GER\u0130 KA\u00c7MASI \u0130LE OLU\u015eAN VE M\u0130DE YANMASI OLARAK DE B\u0130L\u0130NEN REFL\u00dc HASTALI\u011eI BULUNANLARA SIK SIK VE AZ YEMEK YEMELER\u0130 \u00d6NER\u0130S\u0130NDE BULUNDU.<\/p>\n","protected":false},"author":1,"featured_media":179246,"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":[11267,11330,17082,914,44006,29937],"class_list":["post-179245","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-sik","tag-mide","tag-olanlara","tag-uyarisi","tag-yanmasi","tag-yeme"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/07\/mide-yanmasi-olanlara-sik-ve-az-yeme-uyarisi_1915a81.jpg?fit=1000%2C669","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-KD3","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/179245","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=179245"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/179245\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/179246"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=179245"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=179245"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=179245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}