Hareketsiz ya\u015fam, d\u00fczensiz beslenme ve \u00f6zellikle fast food tarz\u0131 beslenmenin metabolik sendroma yol a\u00e7t\u0131\u011f\u0131n\u0131 belirten uzmanlar, Diabet, \u0130ns\u00fclin direnci, Hipertansiyon, Kolesterol y\u00fcksekli\u011fi ve obezite olan ki\u015filerin bu sendromu ta\u015f\u0131yabilece\u011fini belirterek bir tak\u0131m uyar\u0131larda bulundu.<\/p>\n
Metabolik sendromun farkl\u0131 nedenleri olmakla birlikte ins\u00fclin direnci hastal\u0131\u011f\u0131n temelini olu\u015fturdu\u011funu ifade eden \u00d6zel Egesante T\u0131p Merkezi \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. Hakan Demirel, metabolik sendromun \u201c\u0130ns\u00fclin direnci zemininde\u2019\u2019 geli\u015fen heterojen bir hastal\u0131k oldu\u011funu belirtti. Metabolik sendromu olan ki\u015fide diabetes melitus, glukoz tolerans\u0131 bozuklu\u011fu ya da ins\u00fclin direncinden en az birisine sahip olmakla beraber, yine hipertansiyon, dislipidemi (kolestrol y\u00fcksekli\u011fi), abdominal obeziteden en az ikisine sahip olmal\u0131d\u0131r. T\u00fcrkiye endokroin ve metabolik derne\u011fi kriterlerine g\u00f6re, e\u011fer ki\u015fide diabet, ins\u00fclin direncinin yan\u0131nda hipertansiyon, dislipidemi, abdominal obezite de varsa \u2018Acaba bende metabolik sendrom mu var\u2019 diye bir dahiliye veya endokrin uzman\u0131na g\u00f6r\u00fcnmesi \u015fartt\u0131r\u201d dedi.<\/p>\n
Sendromun nedenleri<\/p>\n
Sendromun belirtileri hakk\u0131nda bilgiler veren Dr. Demirel, hastada sistolik kan bas\u0131nc\u0131n\u0131n 130 mmHg, diyastolik kan bas\u0131nc\u0131n\u0131n 85 mmHg \u00fczerinde olmas\u0131 hipertansiyon olarak adland\u0131r\u0131ld\u0131\u011f\u0131n\u0131, Dislipidemi yani kolestrol ve kan ya\u011flar\u0131n\u0131n y\u00fcksekli\u011fi de Trigliserid seviyesinin 150 miligram \u00fczerinde oldu\u011fu, HDL kolesterol\u00fc olarak bilinen iyi kolestrol\u00fcn de erkeklerde 40\u2019\u0131n, bayanlarda 50\u2019nin alt\u0131nda oldu\u011fu durumlar i\u00e7in kullan\u0131l\u0131r. Metabolik sendromun en \u00f6nemli nedenlerinden olan abdominal obezite de v\u00fccut kitle endeksi olarak bilinen oran\u0131n (VK\u0130) 30\u2019un \u00fczerinde olmas\u0131, bel \u00e7evresi \u00f6l\u00e7\u00fcs\u00fcn\u00fcn erkeklerde 94 cm \u00fczerinde, bayanlarda 80 cm \u00fczerinde oldu\u011fu durumlar abdominal obezite olarak tan\u0131mlanmakta ve sendromun \u00f6nemli bir par\u00e7as\u0131n\u0131 olu\u015fturmaktad\u0131r. Metabolik sendromun ins\u00fclin direnciyle beraber nedenlerinden diyabet i\u00e7in de a\u00e7l\u0131k kan \u015fekeri de\u011ferleri ve 75 graml\u0131k glikoz yani \u015feker y\u00fckleme testinde yap\u0131lan ikinci saat plazma glikoz \u00f6l\u00e7\u00fcmlerine g\u00f6re ayr\u0131 ayr\u0131 kriterlerimiz var. A\u00e7l\u0131k kan \u015fekerimizin normalde 100 miligram\u0131n alt\u0131nda olmas\u0131 gerekiyor. E\u011fer 100 ve 125 mg aras\u0131nda ise buna bozulmu\u015f a\u00e7l\u0131k glikozu diyoruz, 126 mg \u00fczerindeyse hastaya diyabet tan\u0131s\u0131 koyuyoruz. 75 graml\u0131k \u015feker y\u00fckleme testinde ise ikinci saat glikoz de\u011ferini ald\u0131\u011f\u0131m\u0131zda 140 mg\u2019\u0131n alt\u0131nda olmas\u0131n\u0131 arzu ederiz. E\u011fer 140 ve 199 miligram aras\u0131nda ise bozulmu\u015f glikoz tolerans\u0131 tan\u0131s\u0131, 200 miligram \u00fczerindeyse hastaya a\u015fikar diyabet tan\u0131s\u0131 koyabilmekteyiz\u201d diye konu\u015ftu.<\/p>\n
\u201cYa\u015fam \u015feklinin de\u011fi\u015ftirilmesi gerekiyor\u201d<\/p>\n
T\u00fcrk toplumunda d\u00fczensiz beslenme ve hareketsiz ya\u015fam\u0131n getirdi\u011fi sedanter ya\u015famla birlikte metabolik sendrom yayg\u0131nl\u0131\u011f\u0131na dikkat \u00e7eken Dr. Hakan Demirel, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n
\u201cAbdominal obezite, yani obez insanlar\u0131m\u0131zda orta b\u00f6lgede ya\u011f toplanmas\u0131n\u0131n abdominal obezite, kan ya\u011flar\u0131m\u0131z\u0131n y\u00fcksek oldu\u011fu dislipidemi ve Diabetes melitus dedi\u011fimiz \u015feker hastal\u0131\u011f\u0131 ya da halk tabiriyle gizli \u015feker dedi\u011fimiz pre- diyabet olmas\u0131, Hipertansiyon olmas\u0131, kalple ilgili koroner hastal\u0131\u011f\u0131n olmas\u0131 ya da bunlardan herhangi birine sahip olmas\u0131 halinde,hastan\u0131n hekime giderek acaba ben metabolik sendrommuyum \u015feklindeki soruya yan\u0131t aramas\u0131 gerekiyor. Bunun i\u00e7in hastam\u0131za klinik ortamda baz\u0131 testleri; a\u00e7l\u0131k kan \u015fekeri, kan ya\u011flar\u0131, trigliserid ve \u00f6zellikle abdominal obezitenin en iyi g\u00f6stergesi olan ve bayanlar\u0131n \u00e7ok iyi bildi\u011fi BEL \u00e7evresi \u00f6l\u00e7\u00fcm\u00fc mutlaka yapmal\u0131d\u0131rlar. V\u00fccut kitle indeksi dedi\u011fimiz kilonun boyun karesine b\u00f6l\u00fcnmesi ile elde edilen rakam, e\u011fer 30\u2019un \u00fczerindeyse ki\u015fiyi obez bir birey olarak tan\u0131ml\u0131yoruz. Bunlar\u0131n d\u0131\u015f\u0131nda e\u011fer hekim, bu sayd\u0131\u011f\u0131m\u0131z bile\u015fenlerden bir ya da birka\u00e7 tanesinin bulunmas\u0131 halinde hastaya metabolik sendrom tan\u0131s\u0131 koyarak \u00f6ncelikle ya\u015fam \u015feklinin de\u011fi\u015ftirilmesi, daha sonra e\u011fer gerekiyorsa metabolik ajan ile tedaviye ila\u00e7 ekleyebilir. Fakat temel olarak metabolik sendrom tedavisinde ya\u015fam \u015feklinin de\u011fi\u015ftirilmesi, kilo kayb\u0131n\u0131n temini, sa\u011fl\u0131kl\u0131 beslenme, d\u00fczenli beslenme, sigaran\u0131n kesilmesi \u00f6n planda tutulmal\u0131d\u0131r. \u00d6zellikle fast food beslenme yani y\u00fcksek kalorili beslenme, hareketsiz bir ya\u015fam metabolik sendrom i\u00e7in bizim en tehlikeli g\u00f6rd\u00fc\u011f\u00fcm\u00fcz risk fakt\u00f6rleridir. O y\u00fczden gen\u00e7lerde \u00e7ok yayg\u0131n olan fastfood\u2019un daha \u00e7ok ev tipi, Akdeniz beslenme \u015feklinde yap\u0131lmas\u0131n\u0131 \u015fiddetle \u00f6neriyorum. \u0130kinci olarak da d\u00fczenli egzersiz. Maalesef modern kent ya\u015fam\u0131n getirdi\u011fi u\u011fra\u015flardan dolay\u0131 d\u00fczenli egzersiz yapam\u0131yoruz.Oysa ki bu tedavide temel fakt\u00f6rlerden bir tanesi.”<\/p>\n","protected":false},"excerpt":{"rendered":"
METABOL\u0130K SENDROMUN FARKLI NEDENLER\u0130 OLMAKLA B\u0130RL\u0130KTE \u0130NS\u00dcL\u0130N D\u0130RENC\u0130 HASTALI\u011eIN TEMEL\u0130N\u0130 OLU\u015eTURDU\u011eUNU \u0130FADE EDEN \u0130\u00c7 HASTALIKLARI UZMANI DR. HAKAN DEM\u0130REL, METABOL\u0130K SENDROMUN \u201c\u0130NS\u00dcL\u0130N D\u0130RENC\u0130 ZEM\u0130N\u0130NDE\u2019\u2019 GEL\u0130\u015eEN HETEROJEN B\u0130R HASTALIK OLDU\u011eUNU BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":188163,"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_feature_clip_id":0,"_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":[307,11808,18682,46868,46870,8131,46869],"class_list":["post-188162","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-gelen","tag-hareketsiz","tag-metabolik","tag-sagliksiz","tag-sendrom","tag-tehlike","tag-yasamla"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/07\/sagliksiz-ve-hareketsiz-yasamla-gelen-tehlike-metabolik-sendrom_332245e.jpg?fit=1000%2C750","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-MWS","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/188162","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=188162"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/188162\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/188163"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=188162"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=188162"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=188162"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}