Medline Adana Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Dr. Mustafa Faysal Baysal, KOAH\u2019\u0131n k\u00fcresel bir sa\u011fl\u0131k sorunu haline geldi\u011fini, d\u00fcnyada 600 milyon, T\u00fcrkiye\u2019de ise 3 ila 5 milyon aras\u0131nda ki\u015finin bu hastal\u0131ktan muzdarip oldu\u011funun d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/p>\n
G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Dr. Mustafa Faysal Baysal, D\u00fcnya KOAH G\u00fcn\u00fc nedeniyle a\u00e7\u0131klamalarda bulundu.<\/p>\n
\u00d6nlenebilir ve tedavi edilebilir bir hastal\u0131k olan KOAH\u2019\u0131n hastalar i\u00e7in ayn\u0131 zamanda kalp hastal\u0131klar\u0131 ve akci\u011fer kanseri geli\u015fimi a\u00e7\u0131s\u0131ndan da y\u00fcksek oranda risk olu\u015fturdu\u011funu, buna ra\u011fmen KOAH\u2019\u0131n kamuoyu taraf\u0131ndan yeterince bilinmedi\u011fini s\u00f6yleyen Dr. Baysal, \u201c\u00dclkemizde 40 ya\u015f \u00fcst\u00fc her 5 ki\u015fiden birinde KOAH var. Oysa ki bakt\u0131\u011f\u0131m\u0131zda her 10 KOAH hastas\u0131ndan sadece birinin doktora ba\u015fvurdu\u011fu ve do\u011fru tan\u0131 alabildi\u011fi g\u00f6r\u00fclmekte. Ba\u015fka bir deyi\u015fle \u00fclkemizde bulunan ve say\u0131lar\u0131 3 ila 5 milyon oldu\u011fu tahmin edilen hastalar\u0131n sadece onda biri KOAH olduklar\u0131n\u0131n fark\u0131ndalar\u201d dedi.<\/p>\n
En y\u00fcksek risk nedeni sigara<\/p>\n
Sigara t\u00fcketiminin KOAH geli\u015fimi i\u00e7in en yayg\u0131n ve \u00f6nemli risk fakt\u00f6r\u00fc oldu\u011funu kaydeden Dr. Baysal, \u201cDi\u011fer t\u00fct\u00fcn kullan\u0131mlar\u0131 (nargile, puro, pipo vb.) ve pasif i\u00e7icilik de KOAH geli\u015fimine yol a\u00e7ar. Bunun yan\u0131 s\u0131ra \u00f6zellikle odun ve tezek benzeri yak\u0131t kullan\u0131m\u0131, \u00e7evresel hava kirlili\u011fi, tozlu dumanl\u0131 i\u015f yerlerinde \u00e7al\u0131\u015fmak ve hareketsiz bir ya\u015fam tarz\u0131 da \u00f6nemli risk fakt\u00f6rleridir\u201d diye konu\u015ftu.<\/p>\n
\u00d6nemli 3 belirtisi var<\/p>\n
KOAH\u2019da esas olarak 3 \u00f6nemli belirti g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yleyen Baysal, \u015funlar\u0131 kaydetti:<\/p>\n
\u201cHastalar\u0131n\u0131n \u00e7o\u011funda ilk belirti \u00f6ks\u00fcr\u00fckt\u00fcr ve nefes darl\u0131\u011f\u0131 ile birlikte g\u00f6r\u00fclebilir. Di\u011fer bir belirti balgam \u00e7\u0131karmad\u0131r. Balgam \u00e7\u0131karma sabahlar\u0131 daha fazlad\u0131r ve genelde s\u00fcm\u00fcks\u00fc-beyaz renklidir. \u00dc\u00e7\u00fcnc\u00fc belirti ise nefes darl\u0131\u011f\u0131d\u0131r. \u00d6zellikle efor sarf edildi\u011fi esnada ortaya \u00e7\u0131kar ve y\u0131llar i\u00e7inde \u015fiddeti yava\u015f yava\u015f artar. Hastal\u0131\u011f\u0131n ilerlemesiyle beraber yorgunluk, halsizlik ve depresyon gibi \u015fikayetler de g\u00f6r\u00fclebilir.\u201d<\/p>\n
Tan\u0131 SFT testi ile konuluyor<\/p>\n
KOAH tan\u0131s\u0131n\u0131n, \u201csolunum fonksiyon testi\u201d ile a\u011fr\u0131s\u0131z ve kolayca konulabildi\u011fini anlatan Dr. Baysal, \u201c\u00c7o\u011fu hastal\u0131kta oldu\u011fu gibi KOAH\u2019da da erken tan\u0131, hastal\u0131\u011fa ba\u011fl\u0131 sakatl\u0131k ve \u00f6l\u00fcm oranlar\u0131n\u0131 azaltmaktad\u0131r. Bu nedenle, 40 ya\u015f \u00fczeri, sigara i\u00e7mi\u015f ya da hala i\u00e7mekte olan ve \u00e7evresel nedenlerle tozlu-dumanl\u0131 ortamlarda bulunan ki\u015filerin kronik \u00f6ks\u00fcr\u00fck, balgam ve nefes darl\u0131\u011f\u0131 yak\u0131nmalar\u0131ndan en az birinin bulunmas\u0131 durumunda vakit ge\u00e7irmeden bir g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 doktoruna ba\u015fvurarak nefes \u00f6l\u00e7\u00fcm testi yapt\u0131rmas\u0131 gerekir\u201d dedi.<\/p>\n
Tedavi hayat boyu devam ediyor<\/p>\n
KOAH hastal\u0131\u011f\u0131n\u0131n tedavisinde ba\u015far\u0131 i\u00e7in ilk \u015fart\u0131n sigaray\u0131 b\u0131rakmak oldu\u011funu ifade eden Dr. Baysal, \u015f\u00f6yle devam etti:<\/p>\n
\u201cSigaray\u0131 b\u0131rakmayan hastalarda ila\u00e7 tedavileri i\u015fe yaramaz. Bunun yan\u0131 s\u0131ra tozlu-dumanl\u0131 ortamlardan ka\u00e7\u0131nmak, bu t\u00fcr yerlerde \u00e7al\u0131\u015fmamak gerekir. \u0130la\u00e7 tedavisi \u00f6m\u00fcr boyu s\u00fcrer. Ge\u00e7 kal\u0131narak hastal\u0131\u011f\u0131n ilerleyen evrelerinde tedaviye ba\u015flanmas\u0131 durumunda ise hastan\u0131n oksijen tedavisi g\u00f6rmesi gerekir. Bu hastalar \u00f6zel bir makine yard\u0131m\u0131yla g\u00fcnde 15 saate kadar oksijen kullanmak zorunda kalabilirler.\u201d<\/p>\n
G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Dr. Baysal, KOAH hastal\u0131\u011f\u0131n\u0131n evrelerini de \u015fu \u015fekilde anlatt\u0131:<\/p>\n
“Hafif KOAH: Yo\u011fun tempolu i\u015flerde ya da merdiven \u00e7\u0131kma, y\u00fck ta\u015f\u0131ma gibi efor gerektiren aktiviteler s\u0131ras\u0131nda ortaya \u00e7\u0131kabilen nefes darl\u0131\u011f\u0131 belirtisi g\u00f6r\u00fcl\u00fcr. Bu evre hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7 evresi olarak da bilinir.<\/p>\n
Orta KOAH: Gece uykusunu b\u00f6lmeyen ancak basit g\u00fcnl\u00fck i\u015fler s\u0131ras\u0131nda nefes darl\u0131\u011f\u0131 geli\u015fmesine neden olan KOAH evresidir.<\/p>\n
A\u011f\u0131r KOAH: Nefes darl\u0131\u011f\u0131 \u015fikayetinin gece uykusunu b\u00f6ld\u00fc\u011f\u00fc, solunum s\u0131k\u0131nt\u0131s\u0131na ba\u011fl\u0131 geli\u015fen halsizlik probleminin g\u00fcnl\u00fck i\u015fleri yapmay\u0131 engelledi\u011fi evredir.<\/p>\n
\u00c7ok a\u011f\u0131r KOAH: Bu evrede nefes almak son derece g\u00fc\u00e7le\u015fir. Ki\u015fi ev i\u00e7erisinde dahi y\u00fcr\u00fcmekte zorlan\u0131r ve dokulara yeterli oksijenin iletilememesi nedeniyle \u00e7e\u015fitli organlarda rahats\u0131zl\u0131klar meydana \u00e7\u0131kar. \u0130lerleyen akci\u011fer hastal\u0131\u011f\u0131na ba\u011fl\u0131 olarak kalp yetmezli\u011fi geli\u015febilir ve bu durumda hasta hayat\u0131n\u0131 oksijen deste\u011fi olmadan s\u00fcrd\u00fcremeyecek hale gelir.”<\/p>\n","protected":false},"excerpt":{"rendered":"
T\u00dcRK\u0130YE\u2019DE 3 \u0130LA 5 M\u0130LYON ARASINDA K\u0130\u015e\u0130N\u0130N KOAH OLDU\u011eU BEL\u0130RT\u0130LD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":230226,"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":[523,5688,24776,8054,8131],"class_list":["post-230225","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-ediyor","tag-koah","tag-sinsi","tag-tehdit","tag-tehlike"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/sinsi-tehlike-koah-tehdit-ediyor_94baaf3.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-XTj","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/230225","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=230225"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/230225\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/230226"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=230225"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=230225"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=230225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}