Dahiliye Uzman\u0131 Dr. Gonca Aylin Tuhta, d\u0131\u015fk\u0131 \u00fcr\u00fcnlerinin a\u011fza al\u0131nmas\u0131yla veya t\u00fck\u00fcr\u00fck ve salya ile bula\u015fan, mide kanserleri ile \u00e7ok yak\u0131ndan bir ba\u011flant\u0131s\u0131 oldu\u011fu bilinen \u2018helikobakter\u2019 enfeksiyonuna dikkat edilmesi gerekti\u011fini s\u00f6yledi.<\/p>\n
Helikobacter pilorinin midenin i\u00e7 cidar\u0131nda yap\u0131\u015farak orada \u00e7o\u011falan bir bakteri oldu\u011funun belirten B\u00fcy\u00fck Anadolu Hastaneleri Dahiliye Uzman\u0131 Dr. Gonca Aylin Tuhta, \u201cBu bakterinin mide \u00fclserine neden oldu\u011funu ke\u015ffeden Prof Dr. Barry Marshall ve Robin Warren 2005\u2019te Nobel T\u0131p \u00d6d\u00fcl\u00fc\u2019n\u00fc kazanm\u0131\u015ft\u0131r. \u0130nsandan insana ge\u00e7i\u015fi m\u00fcmk\u00fcnd\u00fcr. \u0130nsanlar aras\u0131nda fekaloral dedi\u011fimiz; d\u0131\u015fk\u0131 \u00fcr\u00fcnlerinin a\u011fza al\u0131nmas\u0131yla veya oral-oral dedi\u011fimiz; t\u00fckr\u00fck, salya ile bula\u015f\u0131r. S\u0131kl\u0131kla kirli su, temizlenmemi\u015f yiyecekler, ekmek gibi elle dokunulan g\u0131dalar\u0131n a\u011f\u0131zdan al\u0131nmas\u0131 ve t\u00fck\u00fcr\u00fck, kusmuk ve d\u0131\u015fk\u0131 ile do\u011frudan temas kurulmas\u0131 halinde bula\u015f\u0131r. Kalabal\u0131k ailelerde, sosyoekonomik durumu d\u00fc\u015f\u00fck ki\u015filerde, k\u0131\u015flalarda, yurt ve hastane gibi insanlar\u0131n yak\u0131n temas i\u00e7inde olduklar\u0131 yerlerde s\u0131k g\u00f6r\u00fcl\u00fcyor\u201d dedi.<\/p>\n
Sinsi ilerliyor<\/p>\n
T\u00fcrkiye\u2019nin en \u00f6nemli sorununun helikobakter enfeksiyonun yayg\u0131nl\u0131\u011f\u0131 oldu\u011funa dikkat \u00e7eken Tuhta,<\/p>\n
\u201cT\u00fcrkiye\u2019de yap\u0131lan \u00e7al\u0131\u015fmalarda \u015fikayeti olmayan 18-24 ya\u015f aral\u0131\u011f\u0131nda y\u00fczde 76,8, 22-55 ya\u015f aral\u0131\u011f\u0131nda y\u00fczde 84,2, geli\u015fmi\u015f \u00fclkelerdeki ortalama iste yakla\u015f\u0131k y\u00fczde 50\u2019dir. Bat\u0131l\u0131 \u00fclkelerde hel\u0131kobakter mikrobunun etkili tedavisi ile oranlarda ciddi d\u00fc\u015f\u00fc\u015fler g\u00f6zlenmektedir. T\u00fcrkiye\u2019de yap\u0131lan son \u00e7al\u0131\u015fmalarda y\u00fczde 85 civar\u0131 de\u011ferler g\u00f6ze \u00e7arpmaktad\u0131r. Helikobacter pilori bula\u015ft\u0131ktan sonra hastalar\u0131n y\u00fczde 90\u2019\u0131nda her hangi bir \u015fikayet g\u00f6r\u00fclmez. Y\u00fczde 10\u2019da midede yanma, a\u011fr\u0131, mide bulant\u0131s\u0131, ge\u011firme, gaz ve \u015fi\u015fkinlik, i\u015ftahs\u0131zl\u0131k, yorgunluk hissi, d\u00fc\u015f\u00fck kan say\u0131m\u0131 ile kendini g\u00f6sterir\u201d \u015feklinde konu\u015ftu.<\/p>\n
Mide kanseri riski<\/p>\n
Dr. Gonca Aylin Tuhta, \u201cAncak hastan\u0131n \u015fikayeti olsa da olmasa da helikobacter pilori ile enfekte ki\u015filerin hemen hepsinde histolojik olarak bak\u0131ld\u0131\u011f\u0131nda gastritin geli\u015fti\u011fi g\u00f6r\u00fcl\u00fcr. Tabii bu ancak mideden endoskopi ile al\u0131nan biyopsi \u00f6rneklerinde saptanabilir. Helikobacter pilorinin mide kanserleri ile \u00e7ok yak\u0131ndan bir ba\u011flant\u0131s\u0131 oldu\u011fu uzun s\u00fcredir bilinmektedir. Mide kanseri, en s\u0131k g\u00f6r\u00fclen 4. kanser t\u00fcr\u00fcd\u00fcr ve d\u00fcnya genelinde kanserden \u00f6l\u00fcm nedenleri i\u00e7inde ikinci s\u0131radad\u0131r. \u00dclkemizde mide kanserli hastalar\u0131n y\u00fczde 81\u2019inde helikobakter antikoru pozitif saptanm\u0131\u015ft\u0131r. Bu bakterinin tespit edilmesi halinde uygulanacak olan tedavi ile birlikte mide kanserine yakalanma riskinin de azalabilmektedir\u201d diyerek s\u00f6zlerine son verdi.<\/p>\n","protected":false},"excerpt":{"rendered":"
DAH\u0130L\u0130YE UZMANI DR. GONCA AYL\u0130N TUHTA, DI\u015eKI \u00dcR\u00dcNLER\u0130N\u0130N A\u011eZA ALINMASIYLA VEYA T\u00dcK\u00dcR\u00dcK VE SALYA \u0130LE BULA\u015eAN, M\u0130DE KANSERLER\u0130 \u0130LE \u00c7OK YAKINDAN B\u0130R BA\u011eLANTISI OLDU\u011eU B\u0130L\u0130NEN \u2018HEL\u0130KOBAKTER\u2019 ENFEKS\u0130YONUNA D\u0130KKAT ED\u0130LMES\u0130 GEREKT\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":196962,"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":[45093,4640,2393,9248,49478],"class_list":["post-196961","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-ajan","tag-gizli","tag-eden","tag-istila","tag-mideyi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/mideyi-istila-eden-gizli-ajan_d5353c5.jpg?fit=594%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-PeN","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/196961","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=196961"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/196961\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/196962"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=196961"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=196961"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=196961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}