{"id":199613,"date":"2019-09-04T12:47:22","date_gmt":"2019-09-04T09:47:22","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/d-vitamini-eksikligi-de-fazlaligi-da-kas-kemik-agrina-neden-olabilir\/"},"modified":"2019-09-04T12:47:22","modified_gmt":"2019-09-04T09:47:22","slug":"d-vitamini-eksikligi-de-fazlaligi-da-kas-kemik-agrina-neden-olabilir","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/d-vitamini-eksikligi-de-fazlaligi-da-kas-kemik-agrina-neden-olabilir\/","title":{"rendered":"\u2019\u2019D vitamini eksikli\u011fi de fazlal\u0131\u011f\u0131 da kas-kemik a\u011fr\u0131na neden olabilir\u2019\u2019"},"content":{"rendered":"<p>\u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. Bet\u00fcl Mercan, \u2019\u2019V\u00fccuttaki D vitamininin fazlal\u0131\u011f\u0131 da azl\u0131\u011f\u0131 da kas-kemik a\u011fr\u0131lar\u0131na neden olabilir. Do\u011fru g\u00fcne\u015flenmeyle yeterli D vitamini almak m\u00fcmk\u00fcn\u2019\u2019 dedi.<\/p>\n<p>Medipol Mega \u00dcniversite Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. Bet\u00fcl Mercan, D vitamini eksikli\u011finin ve fazlal\u0131\u011f\u0131n\u0131n psikolojik ile fiziksel rahats\u0131zl\u0131klar\u0131n yan\u0131 s\u0131ra kas-kemik a\u011fr\u0131lar\u0131na da neden olabilece\u011fine dikkati \u00e7ekti. Mercan, yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, v\u00fccutta \u00f6nemli rol oynayan D vitaminine ili\u015fkin uyar\u0131da bulundu.<\/p>\n<p>D vitamininin b\u00fcy\u00fck \u00f6l\u00e7\u00fcde g\u00fcne\u015f \u0131\u015f\u0131nlar\u0131 etkisi ile deriden sentezlendi\u011fine dikkat \u00e7eken Dr. Mercan, \u2019\u2019D vitamini ayn\u0131 zamanda v\u00fccudumuzda \u00f6nemli rol\u00fc olan bir \u00f6nc\u00fcl hormondur. V\u00fccutta kemik mineralizasyonu, kalsiyum-fosfor dengesinin d\u00fczenlenmesi ba\u015fta olmak \u00fczere pek \u00e7ok metabolik-biyolojik olayda rol oynar. D vitamininin bir\u00e7ok rahats\u0131zl\u0131kla ili\u015fkisi vard\u0131r. Son y\u0131llarda yap\u0131lan ara\u015ft\u0131rmalar, D vitamini d\u00fczeyinin kemik sa\u011fl\u0131\u011f\u0131 d\u0131\u015f\u0131nda kolon, prostat, meme gibi baz\u0131 kanserler, t\u00fcberk\u00fcloz, hepatit gibi enfeksiyon hastal\u0131klar\u0131, koroner kalp, hipertansiyon gibi kardiyovask\u00fcler hastal\u0131klar ile diyabet, alerji ve alerjik ast\u0131m,baz\u0131 psikiyatrik ve uyku bozukluklar\u0131 ile ili\u015fkili oldu\u011funu g\u00f6sterdi\u2019\u2019 dedi.<\/p>\n<p>\u2019\u2019D vitamini eksikli\u011finde ve fazlal\u0131\u011f\u0131nda t\u00fcm v\u00fccudu etkiliyor\u2019\u2019<\/p>\n<p>D vitamini eksikli\u011finde ve fazlal\u0131\u011f\u0131nda v\u00fccudun t\u00fcm sistemlerinin etkilenece\u011fini belirten Dr. Mercan, &#8220;Vitamin eksikli\u011finde \u00f6zellikle genel v\u00fccut a\u011fr\u0131s\u0131,s\u00fcrekli enerjisiz ve yorgun hissetme, y\u00fcr\u00fcmekte zorlanma, ba\u015f a\u011fr\u0131s\u0131, de\u011fi\u015fken ruh hali, uykusuzluk, a\u015f\u0131r\u0131 terleme, s\u00fcrekli \u00fc\u015f\u00fcme, kilo vermekte zorluk gibi \u015fikayetlere s\u0131k rastlan\u0131r. Fazlal\u0131\u011f\u0131nda ise kalsiyum dengesi bozulaca\u011f\u0131ndan hiperkalsemi dedi\u011fimiz kalsiyum fazlal\u0131\u011f\u0131na ba\u011fl\u0131 yan etkiler ortaya \u00e7\u0131kar. Kusma, kab\u0131zl\u0131k, i\u015ftahs\u0131zl\u0131k, \u00e7ok su i\u00e7me, s\u0131k idrar \u00e7\u0131kma, halsizlik, a\u011f\u0131z kurulu\u011fu, ate\u015f olabilir. Ciltte ka\u015f\u0131nt\u0131, ba\u015f a\u011fr\u0131s\u0131, \u00e7e\u015fitli psikolojik bozukluklar, aritmi, hipertansiyon, kas-kemik a\u011fr\u0131s\u0131, uzun kemiklerde yumu\u015fak doku ve organlarda kalsiyum birikimlerine yol a\u00e7abilir\u2019\u2019 \u015feklinde konu\u015ftu.<\/p>\n<p>\u2019\u2019\u00c7ocuklarda da a\u011fr\u0131ya neden oluyor\u2019\u2019<\/p>\n<p>Dr. Mercan, D vitamini eksikli\u011finin hem \u00e7ocuklarda hem de yeti\u015fkinlerde kas-kemik a\u011fr\u0131lar\u0131na neden olaca\u011f\u0131n\u0131 belirterek \u015fu de\u011ferlendirmede bulundu: \u2019\u2019D vitamini eksikli\u011fi \u00e7ocuklarda rikets dedi\u011fimiz ra\u015fitizm, eri\u015fkinlerde ise osteomalazi dedi\u011fimiz klinik tabloya neden oluyor. Osteomalazide en belirgin yak\u0131nma; pelvisomurga ve kostalar\u0131 (kaburgalar) i\u00e7eren yayg\u0131n a\u011fr\u0131d\u0131r. Bu a\u011fr\u0131 genellikle belden ba\u015flay\u0131p, pelvis, kal\u00e7a, uyluk, s\u0131rt ve kostalara yay\u0131l\u0131r. Kemik yap\u0131s\u0131n\u0131n incelmesi sonucu fizik muayenede bacaklarda, g\u00f6\u011f\u00fcs \u00f6n k\u0131sm\u0131nda, s\u0131rtta spin\u00f6z \u00e7\u0131k\u0131nt\u0131lar \u00fczerinde, pelvis ve kostalarda derin palpasyon ile yani dokunmayla hassasiyet ve a\u011fr\u0131 ortaya \u00e7\u0131kabilir. Yeti\u015fkinlerde g\u00f6r\u00fclen osteomalazinin di\u011fer bir klinik bulgusu y\u00fcr\u00fcme g\u00fc\u00e7l\u00fc\u011f\u00fcne neden olan \u00fcst bacak kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fcd\u00fcr ki y\u00fcr\u00fcme bozuklu\u011funa sebep olur.Hastalar kollar\u0131n\u0131 kullanmadan sandalyeden kalkmakta, merdiven inip \u00e7\u0131kmakta ve y\u00fcr\u00fcmekte g\u00fc\u00e7l\u00fck \u00e7ekerler.Daha a\u011f\u0131r osteomalazide ilk belirti k\u0131r\u0131k olabilir\u2019\u2019.<\/p>\n<p>\u2019\u2019Koruyucu kremsiz g\u00fcne\u015flenin\u2019\u2019<\/p>\n<p>D vitamini eksikli\u011finin en \u00f6nemli nedeninin yeterli g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131 alamamak oldu\u011funa i\u015faret eden Dr. Mercan, \u2019\u2019\u00c7\u00fcnk\u00fc g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131na do\u011frudan ve yeterince maruz kalan bir deride v\u00fccutta ihtiya\u00e7 duyulan D vitamininin tamam\u0131 kar\u015f\u0131lanabilir. K\u0131\u015f\u0131n g\u00fcne\u015ften al\u0131nacak D vitamin oran\u0131 d\u00fc\u015fece\u011finden yaz\u0131n etkili \u015fekilde yararlanmal\u0131y\u0131z. Yaz\u0131n 11.00-15.00 saatleri aras\u0131 30 dakikay\u0131 ge\u00e7meyecek \u015fekilde v\u00fccudun geni\u015f bir y\u00fczeyinin g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131 ile direkt temas\u0131 yeterli. K\u0131yafet, cam, perde gibi g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131 etkisini azaltaca\u011f\u0131ndan ve g\u00fcne\u015f kremi kullan\u0131m\u0131 D vitamini emilimini engelleyece\u011finden \u00f6nerilmez. G\u00fcn\u00fcm\u00fcz \u015fartlar\u0131nda kapal\u0131 alanda \u00e7al\u0131\u015fan ve bu alanlarda uzun vakit ge\u00e7iren insanlar yeterli g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131 alam\u0131yor. Gebe olanlar ve obezite hastalar\u0131n\u0131n da durumlar\u0131ndan dolay\u0131 D vitamini ihtiyac\u0131 art\u0131yor. Bunun yan\u0131 s\u0131ra koyu renk cilde sahip bireyler ve ya\u015fl\u0131larda ise cilt yap\u0131s\u0131ndan dolay\u0131 D vitamini eksikli\u011fi olduk\u00e7a s\u0131k g\u00f6r\u00fcl\u00fcyor. G\u00fcnl\u00fck D vitamini gereksinimi g\u00fcne\u015f \u0131\u015f\u0131nlar\u0131ndan al\u0131nmas\u0131 esast\u0131r. Ancak besinsel olarak da bir miktar kar\u015f\u0131lanabilir. D vitamini en fazla somon, uskumru, sardalya gibi ya\u011fl\u0131 bal\u0131klarda, karaci\u011fer ve yumurta sar\u0131s\u0131nda, maydanoz, brokoli, s\u00fct ve s\u00fct \u00fcr\u00fcnlerinde bulunur. Ancak bu yeterli de\u011filse ila\u00e7 olarak desteklenmesi \u00f6nerilir\u2019\u2019 diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0130\u00c7 HASTALIKLARI UZMANI DR. BET\u00dcL MERCAN, &#8221;V\u00dcCUTTAK\u0130 D V\u0130TAM\u0130N\u0130N\u0130N FAZLALI\u011eI DA AZLI\u011eI DA KAS-KEM\u0130K A\u011eRILARINA NEDEN OLAB\u0130L\u0130R. DO\u011eRU G\u00dcNE\u015eLENMEYLE YETERL\u0130 D V\u0130TAM\u0130N\u0130 ALMAK M\u00dcMK\u00dcN&#8221; DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":199614,"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":[50195,50198,3875,50196,50197,1130,5897,30189],"class_list":["post-199613","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-d","tag-agrina","tag-eksikligi","tag-fazlaligi","tag-kas-kemik","tag-neden","tag-olabilir","tag-vitamini"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/d-vitamini-eksikligi-de-fazlaligi-da-kas-kemik-agrina-neden-olabilir_1fac036.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-PVz","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/199613","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=199613"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/199613\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/199614"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=199613"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=199613"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=199613"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}