Hastalar\u0131n evde yapt\u0131klar\u0131 tansiyon \u00f6l\u00e7\u00fcm\u00fcnde dikkat edilmesi gerekenler hakk\u0131nda bilgiler veren Do\u00e7. Dr. Hasan Ali G\u00fcmr\u00fck\u00e7\u00fco\u011flu, heyecan, stres, tuzlu yemek ve kahvenin tansiyonun y\u00fckselmesine neden oldu\u011funu belirtti.<\/p>\n
VM Medical Park Kocaeli Hastanesi Kardiyoloji B\u00f6l\u00fcm\u00fc\u2019nden Do\u00e7. Dr. Hasan Ali G\u00fcmr\u00fck\u00e7\u00fco\u011flu, son d\u00f6nemde artan tansiyon problemlerinin nedenleri ve tansiyon \u00f6l\u00e7\u00fcm\u00fcnde dikkat edilmesi gerekenler hakk\u0131nda \u00f6nemli bilgiler verdi. Atar damarlarda bulunan kan\u0131n damar yuvalar\u0131na vurmas\u0131 ve kan bas\u0131nc\u0131n\u0131n de\u011fi\u015fmesi ile ortaya \u00e7\u0131kan tansiyonun insanlar\u0131n g\u00fcnl\u00fck hayatlar\u0131nda ald\u0131klar\u0131 besin ve duygusal durumlarla ortaya \u00e7\u0131kabilece\u011fini belirten Dr. G\u00fcmr\u00fck\u00e7\u00fco\u011flu, heyecan, stres, tuzlu yemek ve kahveden uzak durarak y\u00fckselen tansiyonun d\u00fc\u015febilece\u011fini dile getirdi. Hastanede yap\u0131lan tansiyon \u00f6l\u00e7\u00fcmlerinde hastan\u0131n stres yapmas\u0131ndan kaynaklanarak sonu\u00e7larda farkl\u0131l\u0131k ya\u015fanabilece\u011fini kaydeden G\u00fcmr\u00fck\u00e7\u00fco\u011flu, hastalar\u0131n kendi evlerinde yapacaklar\u0131 tansiyon \u00f6l\u00e7\u00fcm\u00fc ile daha do\u011fru sonu\u00e7 alabileceklerini s\u00f6yledi. Hastalar\u0131n kendi tansiyonlar\u0131n\u0131 \u00f6l\u00e7erken rahat bir koltukta oturmalar\u0131n\u0131 \u00f6neren Dr. G\u00fcmr\u00fck\u00e7\u00fco\u011flu, \u00f6l\u00e7\u00fcm noktas\u0131 olarak sa\u011f kolun tercih edilmesini ve b\u00fcy\u00fck tansiyon \u00f6l\u00e7\u00fcm\u00fc i\u00e7in en uygun zaman\u0131n\u0131n sabah, k\u00fc\u00e7\u00fck tansiyon i\u00e7in ise gece saatlerinin uygun oldu\u011funu belirtti.<\/p>\n
\u201cTansiyonumuzun en y\u00fcksek oldu\u011fu saatler sabah saatleridir\u201d<\/p>\n
Tansiyonun g\u00fcn i\u00e7erisinde en \u00e7ok sabah saatlerinde y\u00fckseldi\u011fini s\u00f6yleyen Do\u00e7. Dr. Hasan Ali G\u00fcmr\u00fck\u00e7\u00fco\u011flu, \u201cTansiyon, b\u00fcy\u00fck ve k\u00fc\u00e7\u00fck olmak \u00fczere ikiye ayr\u0131l\u0131r. Kan kalpten pompalan\u0131r ve ana atar damarlar\u0131m\u0131za yani v\u00fccutta bulunan b\u00fcy\u00fck atar damar olan aorta kan g\u00f6nderir. Kalbin kas\u0131larak aorta ve dolay\u0131s\u0131yla v\u00fccuda kan g\u00f6nderdi\u011fi s\u0131rada atar damalar\u0131m\u0131zda olu\u015fan bas\u0131nca b\u00fcy\u00fck veya sistolik kan bas\u0131nc\u0131 denir. Kalp kendi i\u00e7indeki kan\u0131 kas\u0131larak aorta g\u00f6nderdikten sonra v\u00fccuttaki en b\u00fcy\u00fck atar damar\u0131m\u0131z\u0131n kapa\u011f\u0131 kapan\u0131r. Organlar\u0131m\u0131za s\u00fcrekli olarak kan g\u00f6nderilebilmesi i\u00e7in kalbin kas\u0131lmas\u0131 sonucu atar damarlar\u0131m\u0131zda olu\u015fan bas\u0131n\u00e7 de\u011fi\u015fikli\u011finin ba\u015flatt\u0131\u011f\u0131, atar damar\u0131m\u0131z\u0131n gerilmesi ve elastik \u00f6zellikleri sonucu devam eden bas\u0131nca k\u00fc\u00e7\u00fck veya diastolik kan bas\u0131nc\u0131 denir. 18 ya\u015f\u0131n \u00fcst\u00fcndeki eri\u015fkin bireyin istirahat halindeki normal b\u00fcy\u00fck kan bas\u0131nc\u0131 en y\u00fcksek 120 mmHg, normal k\u00fc\u00e7\u00fck kan bas\u0131nc\u0131 ise en y\u00fcksek 80 mmHg olmal\u0131d\u0131r. Kan bas\u0131nc\u0131 g\u00fcn i\u00e7inde dalgal\u0131 bir seyir g\u00f6sterir. Heyecan, stres, tuzlu yemek ve kahve i\u00e7ilmesi gibi durumlarda y\u00fckselir. Sakinle\u015fti\u011fimizde ve istirahat halinde d\u00fc\u015fer. Tansiyonumuzun g\u00fcn i\u00e7inde en y\u00fcksek oldu\u011fu saatler sabah saatleridir. Saat 9.00\u2019da en y\u00fcksek de\u011fer, gece uykuda da en d\u00fc\u015f\u00fck de\u011fer saptan\u0131r\u201d dedi.<\/p>\n
\u201c\u0130lk zamanlar her iki koldan \u00f6l\u00e7\u00fcm yap\u0131lmal\u0131d\u0131r\u201d<\/p>\n
Tansiyon \u00f6l\u00e7\u00fcm\u00fcnde dikkat edilmesi gerekenler hakk\u0131nda da bilgiler aktaran Do\u00e7. Dr. Hasan Ali G\u00fcmr\u00fck\u00e7\u00fco\u011flu, tansiyon \u00f6l\u00e7\u00fcm\u00fcn\u00fcn ideal olmas\u0131 i\u00e7in yap\u0131lmas\u0131 gerekenleri \u015f\u00f6yle s\u0131ralad\u0131: \u201cTansiyon \u00f6l\u00e7\u00fcm\u00fc yap\u0131lacak ki\u015fi \u00f6l\u00e7\u00fcm \u00f6ncesi bir saat i\u00e7inde yemek yememi\u015f olmal\u0131, otuz dakika \u00f6ncesinde kahve, kola, enerji i\u00e7ece\u011fi ve sigara i\u00e7memi\u015f olmal\u0131 ve en az 5 dakika sakin ortamda oturduktan sonra \u00f6l\u00e7\u00fcm yap\u0131lmal\u0131d\u0131r. Tansiyonunu \u00f6l\u00e7ece\u011fimiz ki\u015fi bu kriterlere uymuyor ise do\u011fru bir \u00f6l\u00e7\u00fcm yapabilmek i\u00e7in \u00f6l\u00e7\u00fcm ertelenebilir. Sabah ve ak\u015fam g\u00fcnde 2 kez tansiyon \u00f6l\u00e7\u00fclmesini \u00f6nerilir. Sabah idrar yap\u0131ld\u0131ktan sonra a\u00e7 karna, rahat bir koltukta en az 5 dakika oturup \u00f6l\u00e7\u00fcm yap\u0131lmal\u0131. \u00d6l\u00e7\u00fcm esnas\u0131nda bacaklar sark\u0131k olmal\u0131, bacak bacak \u00fcst\u00fcne at\u0131lmamal\u0131. Yine ayn\u0131 \u015fartlarda ak\u015fam yeme\u011fi \u00f6ncesi \u00f6l\u00e7\u00fcm yap\u0131lmas\u0131 \u00f6nerilir. Ula\u015fabildi\u011fimiz imkanlar tansiyon \u00f6l\u00e7\u00fclecek bireyin \u00f6zelliklerine g\u00f6re atar damarlar\u0131m\u0131z\u0131n rahat hissedilebildi\u011fi, el bile\u011fi, kolumuz veya baca\u011f\u0131m\u0131zdan \u00f6l\u00e7\u00fcm yap\u0131labilir. G\u00fcnl\u00fck pratikte en s\u0131k koldan \u00f6l\u00e7\u00fcm yap\u0131l\u0131yor. Tavsiye edilen tansiyon \u00f6l\u00e7\u00fcm yeri sa\u011f kolumuzdur. Sa\u011f koldaki kan bas\u0131nc\u0131 sol koldaki kan bas\u0131nc\u0131m\u0131za g\u00f6re 10 mmHg kadar y\u00fcksektir. Sa\u011f koldaki bas\u0131nc\u0131n sol kola g\u00f6re 10 mmHg dan fazla y\u00fcksek olmas\u0131 normal kabul edilmez. Sa\u011f kolunda yaralanma veya bilinen atar damar t\u0131kan\u0131kl\u0131\u011f\u0131 olanlarda, sa\u011f kolunda b\u00f6brek yetersizli\u011fi nedeniyle fist\u00fcl bulunanlarda ve gebelerde sol koldan tansiyon \u00f6l\u00e7\u00fcm\u00fc yap\u0131labilir. Yine her iki koldan tansiyon \u00f6l\u00e7\u00fcm\u00fc yap\u0131lam\u0131yorsa diz kapa\u011f\u0131m\u0131z\u0131n arkas\u0131ndan tansiyon \u00f6l\u00e7\u00fcm\u00fc yapabiliriz. \u0130lk zamanlar her iki koldan \u00f6l\u00e7\u00fcm yap\u0131lmal\u0131d\u0131r. Sonraki takiplerde y\u00fcksek olan koldan tansiyon \u00f6l\u00e7\u00fclmelidir.\u201d<\/p>\n
\u2018V\u00fccut yap\u0131s\u0131na g\u00f6re tansiyon aleti se\u00e7ilmeli\u2019<\/p>\n
Tansiyon \u00f6l\u00e7\u00fcm\u00fcnde kullan\u0131lan man\u015fonlar\u0131n kol yap\u0131s\u0131na g\u00f6re se\u00e7ilmesi gerekti\u011fini de belirten Do\u00e7. Dr. Hasan Ali G\u00fcmr\u00fck\u00e7\u00fco\u011flu, \u201cKan bas\u0131nc\u0131n\u0131 belirlemede alt\u0131n standart atar damar i\u00e7erisine anjiyografi s\u0131ras\u0131nda bas\u0131n\u00e7 alg\u0131lay\u0131c\u0131 kateter konularak direkt y\u00f6ntemle \u00f6l\u00e7\u00fclmesidir. Fakat g\u00fcnl\u00fck pratikte kullan\u0131lmaz. G\u00fcnl\u00fck uygulamada, standart kriterlere uygun oldu\u011fu bilinen tansiyon aletleri kullan\u0131larak \u00f6l\u00e7\u00fcm yap\u0131l\u0131r. Kalibre edilmi\u015f bir aneroid manometre veya osillometrik \u00f6l\u00e7\u00fcm yapan elektronik bir tansiyon aleti kullan\u0131labilir. Kan bas\u0131nc\u0131n\u0131n do\u011fru \u00f6l\u00e7\u00fclmesi i\u00e7in tansiyon aleti man\u015fonunun boyutlar\u0131 hastaya uygun olmal\u0131 ve man\u015fon i\u00e7erisindeki \u015fi\u015fen kese b\u00f6l\u00fcm\u00fc kol \u00e7evresinin en az y\u00fczde 80\u2019ini sarmal\u0131d\u0131r. Man\u015fon k\u00fc\u00e7\u00fck ise tansiyon daha y\u00fcksek \u00f6l\u00e7\u00fcl\u00fcr. Man\u015fonun geni\u015fli\u011fi ise kol uzunlu\u011funun \u00fc\u00e7te ikisi kadar olmal\u0131d\u0131r. Normal eri\u015fkinlerde kullan\u0131lan tansiyon aletlerinde man\u015fonun kesesi 12 santim eninde ve 35 santim boyunda olmal\u0131d\u0131r. Obezlerde ve kol yap\u0131s\u0131 kasl\u0131 ki\u015filerde kese geni\u015fli\u011fi 20 santim, uzunlu\u011fu 40 santim civar\u0131nda olmal\u0131d\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u201cKliniklerde kan bas\u0131n\u00e7lar\u0131 daha y\u00fcksek g\u00f6zlemlenebiliyor\u201d<\/p>\n
Hastanede yap\u0131lan tansiyon \u00f6l\u00e7\u00fcmlerinde hastane ortam\u0131n\u0131n vermi\u015f oldu\u011fu stres nedeni ile do\u011fru sonu\u00e7 al\u0131namayabilece\u011fine dikkat \u00e7eken Do\u00e7. Dr. Hasan Ali G\u00fcmr\u00fck\u00e7\u00fco\u011flu, \u201cKan bas\u0131nc\u0131, muayenehanede veya klinikte \u00f6l\u00e7\u00fcld\u00fc\u011f\u00fcnde evdeki \u00f6l\u00e7\u00fcm sonu\u00e7lar\u0131na g\u00f6re daha y\u00fcksek bulunma e\u011filimindedir. Kan bas\u0131nc\u0131n\u0131n muayenehane d\u0131\u015f\u0131nda \u00f6l\u00e7\u00fclmesi tansiyonu y\u00fcksek hastalar\u0131n ilk de\u011ferlendirmesi ve tedaviye verdikleri cevab\u0131n izlenmesi a\u00e7\u0131s\u0131ndan de\u011ferli bilgiler verebilir. Son y\u0131llarda hastan\u0131n kan bas\u0131nc\u0131n\u0131n evde izlenmesi y\u00f6ntemi yayg\u0131n olarak uygulanmaya ba\u015flanm\u0131\u015ft\u0131r. Kan bas\u0131nc\u0131n\u0131n hastan\u0131n kendisi taraf\u0131ndan \u00f6l\u00e7\u00fclmesinin avantajlar\u0131 ise ger\u00e7ek tansiyon y\u00fcksekli\u011fi ile hastanede strese ba\u011fl\u0131 yalanc\u0131 kan bas\u0131nc\u0131 y\u00fcksekli\u011finin ay\u0131rt edilmesi, yeni ba\u015flayan kan bas\u0131nc\u0131 y\u00fckselmelerinde ve s\u0131n\u0131rda hipertansiyonda g\u00fcnl\u00fck kan bas\u0131nc\u0131 de\u011ferlerinin belirlenmesi, antihipertansif ila\u00e7lara al\u0131nan cevab\u0131n de\u011ferlendirilmesi, hastan\u0131n tedavi plan\u0131na daha iyi uymas\u0131, hasta izleme maliyetinin azalmas\u0131 \u015feklinde s\u0131ralanabilir. Evde kan bas\u0131nc\u0131 \u00f6l\u00e7\u00fcm\u00fc yapmas\u0131 \u00f6nerilen hastalar\u0131n kan bas\u0131nc\u0131ndaki dalgalanmalardan korkmamalar\u0131, ancak hekimlerine haber vermeleri, tan\u0131 amac\u0131yla \u00f6l\u00e7\u00fcm yap\u0131l\u0131yorsa g\u00fcn\u00fcn farkl\u0131 zamanlar\u0131nda, tedaviyi izlemek i\u00e7in \u00f6l\u00e7\u00fcm yap\u0131l\u0131yorsa g\u00fcn\u00fcn ayn\u0131 saatlerinde \u00f6l\u00e7\u00fcm yapmalar\u0131 \u00f6nerilir\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
VM MED\u0130CAL PARK KOCAEL\u0130 HASTANES\u0130 KARD\u0130YOLOJ\u0130 B\u00d6L\u00dcM\u00dc\u2019NDEN DO\u00c7. DR. HASAN AL\u0130 G\u00dcMR\u00dcK\u00c7\u00dcO\u011eLU, SON D\u00d6NEMDE ARTAN TANS\u0130YON PROBLEMLER\u0130N\u0130N NEDENLER\u0130 VE TANS\u0130YON \u00d6L\u00c7\u00dcM\u00dcNDE D\u0130KKAT ED\u0130LMES\u0130 GEREKENLER HAKKINDA \u00d6NEML\u0130 B\u0130LG\u0130LER VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":221994,"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":[7369,4020,332,3217,1847,15895,49057],"class_list":["post-221993","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-aleti","tag-gore","tag-onemli","tag-secimi","tag-tansiyon","tag-vucut","tag-yapisina"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/vucut-yapisina-gore-tansiyon-aleti-secimi-onemli_238922b.jpg?fit=1000%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-VKx","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/221993","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=221993"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/221993\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/221994"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=221993"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=221993"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=221993"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}