\u0130\u00e7 Hastal\u0131klar\u0131, Gastroentereloji ve Hepatoloji Uzman\u0131 Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, mide asidinin patolojik \u015fekilde mideden yemek borusuna do\u011fru geri ka\u00e7mas\u0131yla olu\u015fan refl\u00fcn\u00fcn tedavi edilmedi\u011fi s\u00fcrece bir\u00e7ok hastal\u0131\u011f\u0131 beraberinde getirdi\u011fini bildirdi.<\/p>\n
Toplumda her 5 ki\u015fiden birinde g\u00f6r\u00fclen bir sa\u011fl\u0131k problemi olan refl\u00fcn\u00fcn, mide asidi ve g\u0131dalar\u0131n a\u011f\u0131za geri gelmesi, g\u00f6\u011f\u00fcste a\u011fr\u0131, g\u0131dalar\u0131 yutmakta zorluk gibi belirtiler g\u00f6sterdi\u011fini s\u00f6yleyen Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, hastal\u0131\u011f\u0131n uzun s\u00fcre tedavi edilmedi\u011fi s\u00fcrece, ses k\u0131s\u0131lmas\u0131, seste kabala\u015fma, bo\u011faz a\u011fr\u0131s\u0131, bo\u011fazda dolgunluk ve s\u0131k\u0131\u015f\u0131kl\u0131k hissi, kronik \u00f6ks\u00fcr\u00fck, ast\u0131m, bron\u015fit, yemek borusu, g\u0131rtlak ve akci\u011fer kanserine neden oldu\u011funu belirtti.<\/p>\n
G\u00fcm\u00fcrd\u00fcl\u00fc, refl\u00fc hastal\u0131\u011f\u0131nda g\u00f6\u011f\u00fcste yanma hissinin bo\u011faza do\u011fru yay\u0131ld\u0131\u011f\u0131n\u0131 ve a\u011f\u0131zda ek\u015fi, ac\u0131 bir tat olu\u015fturdu\u011funu s\u00f6yledi. S\u00fcrekli tekrarlayan refl\u00fcn\u00fcn, yol a\u00e7t\u0131\u011f\u0131 tahribat nedeniyle olu\u015fan nedbe dokusunun yemek borusunu daralt\u0131p g\u0131dalar\u0131 yutmada zorlu\u011fa yol a\u00e7t\u0131\u011f\u0131n\u0131 s\u00f6yleyen G\u00fcm\u00fcrd\u00fcl\u00fc, mide asidinin yak\u0131c\u0131 etkisiyle olu\u015fan \u015fiddetli erozyonun, a\u011fr\u0131ya ve kanamaya neden oldu\u011funu dile getirdi. G\u00fcm\u00fcrd\u00fcl\u00fc, “E\u011fer refl\u00fc tedavi edilmezse ciddi komplikasyonlarla seyredebilir. \u00d6rne\u011fin yemek borusunda darl\u0131k, kanama ve mukozada prekanser\u00f6z (kanser \u00f6ncesi) birtak\u0131m de\u011fi\u015fikliklere (barrett \u00f6zefagusu) neden olabilir. Zamanla yemek borusunun alt k\u0131sm\u0131n\u0131 d\u00f6\u015feyen dokuda h\u00fccresel de\u011fi\u015fim ba\u015flayabilir ve bu durum kansere zemin haz\u0131rlar. Tedavisiz kalan hastalarda kanser riski s\u00fcrekli devam eder” dedi.<\/p>\n
Refl\u00fc hastalar\u0131nda kanser riski<\/p>\n
Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, her refl\u00fc hastas\u0131n\u0131n \u2018refl\u00fc kanser yapar m\u0131\u2019 endi\u015fesi ya\u015fad\u0131\u011f\u0131n\u0131 belirterek, \u015funlar\u0131 s\u00f6yledi:<\/p>\n
“Refl\u00fcn\u00fcn halk aras\u0131ndaki en korkulan komplikasyonu kanser geli\u015fimidir. Bu endi\u015fesinin cevab\u0131 uzman kontrol\u00fcnden ge\u00e7iyor. \u2019Barret \u00f6zofagus\u2019 denilen h\u00fccresel bir d\u00f6n\u00fc\u015f\u00fcm buna zemin haz\u0131rlamaktad\u0131r. Barrett \u00f6zofagus\u2019un s\u0131kl\u0131\u011f\u0131 refl\u00fcl\u00fc hastalarda y\u00fczde 3-20 aras\u0131nda de\u011fi\u015fmektedir. Barrett\u00f6zofagus\u2019lu hastalardan y\u0131ll\u0131k kanser geli\u015fme s\u0131kl\u0131\u011f\u0131 ise y\u00fczde 0,5 dolay\u0131ndad\u0131r. Dolay\u0131s\u0131yla refl\u00fc kanser yapar diyemeyiz. Ancak kontrollerin aksat\u0131lmamas\u0131 gerekir.”<\/p>\n
“Ya\u015fam tarz\u0131n\u0131z\u0131 de\u011fi\u015ftirin”<\/p>\n
Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, “Bir\u00e7ok insan, ya\u015fam tarz\u0131nda de\u011fi\u015fiklik yaparak veya ila\u00e7larla refl\u00fcy\u00fc kontrol alt\u0131nda tutabilirken, baz\u0131 hastalarda ise cerrahi giri\u015fim gerekmektedir” dedi.<\/p>\n
G\u00fcm\u00fcrd\u00fcl\u00fc, tedavinin \u00f6ncelikle mide asidini bask\u0131layan ila\u00e7larla ve ya\u015fam tarz\u0131nda de\u011fi\u015fiklikler yaparak ba\u015flad\u0131\u011f\u0131n\u0131 belirtirken, sigaran\u0131n refl\u00fc i\u00e7in olduk\u00e7a \u00f6nemli oldu\u011funu belirtti. G\u00fcm\u00fcrd\u00fcl\u00fc, refl\u00fc hastalar\u0131na alt\u0131n de\u011ferinde \u00f6neriler sunarak \u015funlar\u0131 ifade etti:<\/p>\n
“Fazla kilo, kar\u0131n i\u00e7i bas\u0131nc\u0131 artt\u0131r\u0131r. Bu y\u00fczden hasta; fazla kilolar\u0131ndan kurtulmal\u0131, sigaray\u0131 b\u0131rakmal\u0131, dar elbiseler giymemeli, ya\u011fl\u0131 yemeklerden veya k\u0131zartmalardan, domates sal\u00e7as\u0131ndan, alkolden, \u00e7ikolatadan, naneden, so\u011fan ve sar\u0131msaktan, kahveden uzak durmal\u0131d\u0131r.”<\/p>\n
“Yemekten en az 3 saat sonra uyuyun”<\/p>\n
Her insan\u0131n farkl\u0131 duyarl\u0131l\u0131klara sahip oldu\u011funu s\u00f6yleyen G\u00fcm\u00fcrd\u00fcl\u00fc, hastalar\u0131n k\u00fc\u00e7\u00fck lokmalarla beslenmesi ve yemekten hemen sonra uyumamas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izdi.<\/p>\n
G\u00fcm\u00fcrd\u00fcl\u00fc, a\u00e7\u0131klamalar\u0131na \u015fu ifadeleri ekledi:<\/p>\n
“Uzanmak veya uyumak i\u00e7in yeme\u011fin \u00fczerinden en az 3 saat ge\u00e7melidir. Uyurken belden \u00fcst k\u0131sm\u0131n daha yukarda olmas\u0131 yer\u00e7ekimi ile refl\u00fcn\u00fcn olu\u015fmas\u0131n\u0131 engelleyebilir. \u00d6zellikle gece refl\u00fcs\u00fc olanlar buna dikkat etmelidir.”<\/p>\n
Refl\u00fcn\u00fcn tedavisi<\/p>\n
G\u00fcm\u00fcrd\u00fcl\u00fc, sigara i\u00e7en refl\u00fc hastas\u0131 sigaray\u0131 b\u0131rakmazsa tam tedavinin olduk\u00e7a zor oldu\u011funu sigaray\u0131 b\u0131rakman\u0131n en az ila\u00e7 kadar etkili oldu\u011funu s\u00f6yledi.<\/p>\n
\u0130\u00e7 hastal\u0131klar\u0131, Gastroentereloji ve Hepatoloji Uzman\u0131 Prof. Dr. Y\u00fcksel G\u00fcm\u00fcrd\u00fcl\u00fc, ila\u00e7 kullan\u0131m\u0131n\u0131n i\u015fe yaramad\u0131\u011f\u0131 durumlarda, y\u0131llarca s\u00fcrebilen olduk\u00e7a etkili ila\u00e7 tedavisinin oldu\u011funu ancak ila\u00e7 kullanmay\u0131 tercih etmeyen hastalarda ve refl\u00fcyle birlikte ilerlemi\u015f mide f\u0131t\u0131\u011f\u0131 bulunanlarda cerrahi tedaviye ba\u015fvurulmas\u0131 gerekti\u011fini belirtti.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u0130\u00c7 HASTALIKLARI, GASTROENTERELOJ\u0130 VE HEPATOLOJ\u0130 UZMANI PROF. DR. Y\u00dcKSEL G\u00dcM\u00dcRD\u00dcL\u00dc, M\u0130DE AS\u0130D\u0130N\u0130N PATOLOJ\u0130K \u015eEK\u0130LDE M\u0130DEDEN YEMEK BORUSUNA DO\u011eRU GER\u0130 KA\u00c7MASIYLA OLU\u015eAN REFL\u00dcN\u00dcN TEDAV\u0130 ED\u0130LMED\u0130\u011e\u0130 S\u00dcRECE B\u0130R \u00c7OK HASTALI\u011eI BERABER\u0130NDE GET\u0130RD\u0130\u011e\u0130N\u0130 B\u0130LD\u0130RD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":223557,"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":[1368,9366,28107,4909,13970,32300,144],"class_list":["post-223556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-beraberinde","tag-bircok","tag-edilmezse","tag-getiriyor","tag-hastaligi","tag-reflu","tag-tedavi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/reflu-tedavi-edilmezse-bircok-hastaligi-beraberinde-getiriyor_76ce894.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-W9K","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/223556","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=223556"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/223556\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/223557"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=223556"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=223556"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=223556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}