Dr. Mustafa Salih Ak\u0131n, mide kanamalar\u0131na kar\u015f\u0131 uyar\u0131da bulundu. Dr. Ak\u0131n, kanama gibi \u00fclser komplikasyonlar\u0131n\u0131n, do\u011fal afet veya toplumsal felaket d\u00f6nemlerinde daha yayg\u0131n hale geldi\u011fini s\u00f6yledi.<\/p>\n
Medipol Mega \u00dcniversite Hastanesi Gastroenteroloji B\u00f6l\u00fcm\u00fcnden Dr. \u00d6\u011fr. \u00dcyesi Mustafa Salih Ak\u0131n, mide kanamas\u0131n\u0131n en s\u0131k \u00fclsere veya strese ba\u011fl\u0131 meydana geldi\u011fini bildirdi. Ak\u0131n, yapt\u0131\u011f\u0131 a\u00e7\u0131klamada, mide kanamas\u0131 yerine sindirim sistemi kanamalar\u0131 demenin daha do\u011fru oldu\u011funa dikkati \u00e7ekti. \u00dcst ve alt sindirim sistemi kanamalar\u0131 olarak 2 \u00e7e\u015fit bulundu\u011funu belirten Dr. Ak\u0131n, “\u00dcst sindirim sistemi kanamalar\u0131; yemek borusu, mide ve oniki parmak ba\u011f\u0131rsa\u011f\u0131 k\u00f6kenlidir. Alt sindirim sistemi kanamas\u0131 ise ince ba\u011f\u0131rsa\u011f\u0131n geri kalan k\u0131sm\u0131 ve kal\u0131n ba\u011f\u0131rsak k\u00f6kenlidir” dedi.<\/p>\n
T\u00fcm\u00f6rler de kanama yapabilir<\/p>\n
Dr. Ak\u0131n, kanamalar\u0131n en s\u0131k sebebinin \u00fclserlere ba\u011fl\u0131 oldu\u011funu ifade ederek \u015f\u00f6yle devam etti: “Bu \u00fclserler, mide veya oniki parmak ba\u011f\u0131rsa\u011f\u0131nda geli\u015fen yaralard\u0131r. \u00dclserler d\u0131\u015f\u0131nda; midede ve refl\u00fcye ba\u011fl\u0131 yemek borusunda olu\u015fan erozyonlar, yemek borusundaki varisler, yemek borusu ve mide t\u00fcm\u00f6rleri de \u00fcst sindirim sistemi kanamalar\u0131na neden olabilir. Alt sindirim sistemi kanamalar\u0131na ise hemoroidler, kal\u0131n ba\u011f\u0131rsa\u011f\u0131n iltihapl\u0131 hastal\u0131klar\u0131, divertik\u00fclleri, kal\u0131n ba\u011f\u0131rsak polipleri ve kanserleri neden olabilir”.<\/p>\n
H\u0131zl\u0131 nab\u0131z ve bilin\u00e7 kayb\u0131na dikkat<\/p>\n
Kanamalar\u0131n belirtilerine de\u011finen Dr. Ak\u0131n “Mide veya \u00fcst sindirim sistemi kanamalar\u0131nda; kahve telvesi \u015feklinde kusma, katran gibi koyu, pis kokulu ve yap\u0131\u015fkan d\u0131\u015fk\u0131lama olabilir. Alt sindirim sistemi kanamalar\u0131nda ise kan genellikle \u00e7ilek j\u00f6lesi veya parlak k\u0131rm\u0131z\u0131 renktedir. Di\u011fer belirtiler aras\u0131nda; solukluk, halsizlik, terleme, ba\u015f d\u00f6nmesi, nefes darl\u0131\u011f\u0131 ve bay\u0131lma say\u0131labilir. Kan bas\u0131nc\u0131nda d\u00fc\u015fme, nab\u0131zda h\u0131zlanma, idrar miktar\u0131nda azalma ve bilin\u00e7 kayb\u0131 ciddi kanamalar\u0131n belirtileridir” bilgisini verdi.<\/p>\n
“Aspirin ve kafeinden uzak durun”<\/p>\n
Dr. Ak\u0131n, \u00fclser riskini art\u0131ran nedenleri ise \u015f\u00f6yle s\u0131ralad\u0131: “Helikobakter Pilori ad\u0131 verilen bakteriye ba\u011fl\u0131 enfeksiyonlar \u00fclserlerin en s\u0131k sebebidir. Bunun yan\u0131nda aspirin ve non-steroidal antienflamatuar ila\u00e7lar\u0131n uzun s\u00fcre kullan\u0131m\u0131 da \u00fclserlere ve kanamaya yol a\u00e7abilir. Sigara ve alkol gibi fakt\u00f6rler de \u00fclser riskini art\u0131rabilir. Hem kafeinli hem de kafeinsiz kahve asit \u00fcretimini \u00e7o\u011faltabilir. Asitli, baharatl\u0131, ac\u0131l\u0131 yiyecekler refl\u00fc gibi rahats\u0131zl\u0131klar\u0131n belirtilerini alevlendirse de, \u00fclserlere neden oldu\u011funa veya kanamaya yol a\u00e7t\u0131\u011f\u0131na dair inand\u0131r\u0131c\u0131 veri yok. Ancak baz\u0131 hastalarda bu t\u00fcr yiyecekleri yedikten sonra \u00fclser belirtileri k\u00f6t\u00fcle\u015febiliyor. Stres, uykusuzluk mide rahats\u0131zl\u0131klar\u0131na neden olabilir. Ayr\u0131ca, her iki problem grubunda anksiyete, depresyon veya di\u011fer duygusal bozukluklar daha s\u0131k g\u00f6r\u00fclebiliyor”.<\/p>\n
Dr. Mustafa Salih Ak\u0131n, kanama gibi \u00fclser komplikasyonlar\u0131n\u0131n, do\u011fal afet veya toplumsal felaket d\u00f6nemlerinde daha yayg\u0131n hale geldi\u011fi \u00e7al\u0131\u015fmalarla g\u00f6sterildi\u011fini kaydetti.<\/p>\n
“Hastay\u0131 aya\u011fa kald\u0131rmay\u0131n”<\/p>\n
Mide kanamas\u0131 meydana geldi\u011finde hastan\u0131n s\u0131rt \u00fcst\u00fc yere yat\u0131r\u0131lmas\u0131 gerekti\u011fini belirten Dr. Ak\u0131n, “Hasta aya\u011fa kald\u0131r\u0131lmamal\u0131, bilincinin yerinde olup olmad\u0131\u011f\u0131 kontrol edilmeli. M\u00fcmk\u00fcnse, hastan\u0131n bacaklar\u0131 kalp seviyesinin \u00fczerine kald\u0131r\u0131lmal\u0131. Hasta bir battaniye ya da s\u0131cak tutacak bir \u015feyle \u00f6rt\u00fclmeli. Hastaya a\u011f\u0131zdan yiyecek veya i\u00e7ecek hi\u00e7bir \u015fey verilmemeli. Kan bas\u0131nc\u0131nda d\u00fc\u015fme, nab\u0131zda h\u0131zlanma ve bilin\u00e7 kayb\u0131 ciddi kanamalar\u0131n belirtileridir. E\u011fer m\u00fcmk\u00fcnse tansiyonu ve nabz\u0131 \u00f6l\u00e7\u00fclmeli, nefes almas\u0131 s\u0131k s\u0131k kontrol edilmeli. Hasta bilin\u00e7sizse veya kusuyorsa aspirasyonu \u00f6nlemek i\u00e7in yan taraf\u0131na \u00e7evrilmeli. Hasta en k\u0131sa zamanda hastane acil servisine ula\u015ft\u0131r\u0131lmal\u0131. \u0130lk yard\u0131m, herhangi bir i\u00e7 kanamay\u0131 tedavi edemez. Acil t\u0131bbi yard\u0131m hayati \u00f6neme sahip” de\u011ferlendirmesinde bulundu.<\/p>\n
“Yulaf, k\u0131rm\u0131z\u0131 et ve fasulye t\u00fcketin”<\/p>\n
Dr. Mustafa Salih Ak\u0131n, mide kanamas\u0131 sonras\u0131 beslenmenin \u00f6nemine de\u011finerek s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131: “Tedavi sonras\u0131 hasta, doktorun takibi do\u011frultusunda s\u0131v\u0131, yumu\u015fak (p\u00fcre) ve kat\u0131 g\u0131dalara basamakl\u0131 olarak ge\u00e7irilir. Her ne kadar diyet k\u0131s\u0131tlamalar\u0131 \u00fclserler i\u00e7in yayg\u0131n olarak kullan\u0131lsa da, diyetin peptik \u00fclser hastal\u0131\u011f\u0131na neden oldu\u011funa veya \u00fclser iyile\u015fmesini h\u0131zland\u0131rd\u0131\u011f\u0131na dair yeterli kan\u0131t yok. Hastalara mide asidi salg\u0131lamas\u0131n\u0131 uyard\u0131klar\u0131 i\u00e7in kahve, sigara, alkol, a\u011f\u0131r\/ya\u011fl\u0131 g\u0131dalar ve \u00e7ikolatadan uzak durmalar\u0131 s\u00f6ylenebilir. Y\u00fcksek lifli diyet; bezelye, fasulye, mercimek, yulaf, patates, havu\u00e7, elma gibi baz\u0131 meyve ve sebzeler \u00fclser riskini azaltabilir. Kanama demir kayb\u0131na neden olabilir. Bu nedenle demirden zengin yiyecekler yemek olduk\u00e7a \u00f6nemli. \u00d6rne\u011fin k\u0131rm\u0131z\u0131 et, yumurta, fasulye, kuru \u00fcz\u00fcm, tam tah\u0131ll\u0131 ekmekler ve ye\u015fil yaprakl\u0131 sebzeler t\u00fcketilebilir. Aspirin ya da nonsteroid anti-inflamatuar ila\u00e7lar\u0131n kullan\u0131m\u0131n\u0131n azalt\u0131lmas\u0131 ya da al\u0131nmas\u0131 zorunlu ise \u00fclser iyile\u015ftikten sonra bile mide koruyucu ila\u00e7lar ile birlikte al\u0131nmas\u0131 \u00f6nerilir”.<\/p>\n","protected":false},"excerpt":{"rendered":"
DR. MUSTAFA SAL\u0130H AKIN, M\u0130DE KANAMALARINA KAR\u015eI UYARIDA BULUNDU<\/p>\n","protected":false},"author":1,"featured_media":213075,"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":[26182,1084,49478,27812],"class_list":["post-213074","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-afetler","tag-dogal","tag-mideyi","tag-vuruyor"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/dogal-afetler-mideyi-de-vuruyor_ba68236.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-TqG","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/213074","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=213074"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/213074\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/213075"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=213074"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=213074"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=213074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}