Toplum taraf\u0131ndan bilinmedi\u011fi i\u00e7in tan\u0131s\u0131n\u0131n do\u011fru konmas\u0131 m\u00fcmk\u00fcn olamayan KOAH\u2019ta (Kronik t\u0131kay\u0131c\u0131 akci\u011fer hastal\u0131\u011f\u0131) her 10 hastadan sadece biri hastal\u0131\u011f\u0131n\u0131 biliyor.<\/p>\n
\u0130stanbul Aile Hekimli\u011fi Derne\u011fi (\u0130STAHED) Bilim Komisyonu \u00dcyesi Uzm. Dr. S. Handan Karahan Saper, “Toplum taraf\u0131ndan bilinmedi\u011fi i\u00e7in tan\u0131s\u0131n\u0131n do\u011fru konmas\u0131 m\u00fcmk\u00fcn olamayan KOAH (Kronik t\u0131kay\u0131c\u0131 akci\u011fer hastal\u0131\u011f\u0131) nefes yollar\u0131nda mikroplar sebebiyle olmayan bir iltihaplanmaya ba\u011fl\u0131 olu\u015fan ilerleyici bir akci\u011fer hastal\u0131\u011f\u0131d\u0131r ve t\u00fcm d\u00fcnyadaki \u00f6l\u00fcmlerin 3. nedenidir. 40 ya\u015f \u00fcst\u00fc her 5 ki\u015fiden birinde KOAH g\u00f6r\u00fclmesine ra\u011fmen her 10 hastan\u0131n sadece birine KOAH tan\u0131s\u0131 konabilmektedir. Bu istatistiklere g\u00f6re T\u00fcrkiye\u2019deki 3-5 milyon KOAH hastas\u0131n\u0131n sadece 500.000\u2019i KOAH tan\u0131s\u0131yla izlenmektedir\u201d dedi.<\/p>\n
\u201cHava kirlili\u011fi, odun ve tezek kullan\u0131m\u0131, sigara i\u00e7imi, a\u015f\u0131r\u0131 kilolu olmak, fiziksel aktivitede azalma KOAH hastal\u0131\u011f\u0131 i\u00e7in b\u00fcy\u00fck risk fakt\u00f6rleridir\u201d diyen Saper, \u015f\u00f6yle devam etti:<\/p>\n
\u201cKOAH nefes darl\u0131\u011f\u0131, balgaml\u0131 \u00f6ks\u00fcr\u00fck, gibi bulgular vermektedir ve kesin tan\u0131s\u0131 \u2018nefes \u00f6l\u00e7\u00fcm testi\u2019yle konmaktad\u0131r. KOAH tan\u0131s\u0131 konduktan sonra hasta \u00f6ncelikle sigara i\u00e7iyorsa sigaray\u0131 b\u0131rakmal\u0131, sa\u011fl\u0131kl\u0131 beslenmeli, bol hareket etmeli ve a\u015f\u0131lar\u0131n\u0131 yapt\u0131rmal\u0131d\u0131r. KOAH hastalar\u0131 grip ve zat\u00fcrre a\u015f\u0131lar\u0131n\u0131 mutlaka yapt\u0131rmal\u0131d\u0131r \u00e7\u00fcnk\u00fc grip hastal\u0131\u011f\u0131 \u00f6zellikle KOAH hastalar\u0131nda solunum yetersizli\u011fine ve zat\u00fcrreye neden olmaktad\u0131r. Gribe ba\u011fl\u0131 geli\u015fen zat\u00fcrrenin de 2 t\u00fcr\u00fc bulunmaktad\u0131r. Primer gribe ba\u011fl\u0131 geli\u015fen zat\u00fcrre akci\u011ferlere kadar vir\u00fcs\u00fcn ula\u015f\u0131p akci\u011ferlerde iltihaba yol a\u00e7mas\u0131yla olu\u015fur. Bu zat\u00fcrre t\u00fcr\u00fc grip hastal\u0131\u011f\u0131n\u0131n bir t\u00fcrl\u00fc d\u00fczelmemesi ve k\u00f6t\u00fcle\u015fmesiyle ve ate\u015fin y\u00fcksek kalmaya devam etmesiyle g\u00f6r\u00fcl\u00fcr. KOAH hastalar\u0131nda gribe ba\u011fl\u0131 geli\u015fen zat\u00fcrreden \u00f6lme riski akci\u011ferlerin hastal\u0131k nedeniyle d\u00fczg\u00fcn \u00e7al\u0131\u015famamas\u0131 nedeniyle di\u011fer insanlardan \u00e7ok daha y\u00fcksektir bu sebeple KOAH hastalar\u0131 her y\u0131l mutlaka grip a\u015f\u0131s\u0131 olmal\u0131d\u0131r. KOAH tan\u0131s\u0131 olan hastalar hekim taraf\u0131ndan re\u00e7ete edildi\u011fi takdirde grip a\u015f\u0131s\u0131n\u0131 \u00fccretsiz olarak eczaneden temin edebilmektedir. Sekonder grip zat\u00fcrresi ise grip hastal\u0131\u011f\u0131 d\u00fczeldikten 1-2 hafta sonra ortaya \u00e7\u0131kabilir. Ate\u015f y\u00fcksekli\u011fi, \u00f6ks\u00fcr\u00fck, nefes darl\u0131\u011f\u0131 ve g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 gibi \u015fikayetler g\u00f6r\u00fclebilir. Grip d\u00fczeldikten sonra olu\u015fan bu zat\u00fcrrenin sebebi ba\u015fta stafilokok ad\u0131 verilen mikroplar olmak \u00fczere bakterilerdir, antibiyotikle tedavi edilebilir ama KOAH hastal\u0131\u011f\u0131 olanlarda antibiyotikle tedavi edilebilse de \u00f6l\u00fcm riski sa\u011fl\u0131kl\u0131 bireylere g\u00f6re \u00e7ok daha y\u00fcksektir.\u201d<\/p>\n
\u201cSa\u011fl\u0131k Bakanl\u0131\u011f\u0131 \u00f6zellikle riskli gruplara a\u015f\u0131y\u0131 \u00f6neriyor”<\/p>\n
Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n 2016 y\u0131l\u0131nda yay\u0131nlam\u0131\u015f oldu\u011fu genelgeyle \u00f6zellikle KOAH gibi risk grubunda olan hastalara zat\u00fcrre a\u015f\u0131s\u0131n\u0131n \u00fccretsiz olarak aile sa\u011fl\u0131\u011f\u0131 merkezlerinde yap\u0131lmas\u0131n\u0131 \u00f6nerdi\u011fini belirten Saper, \u201cB\u00f6ylece normal bireylere g\u00f6re zat\u00fcrre nedeniyle 4 kat artm\u0131\u015f \u00f6l\u00fcm riski olan KOAH hastalar\u0131n\u0131 korumak hedeflenmi\u015ftir\u201d dedi.<\/p>\n
D\u00fcnyada her y\u0131l 2-3 milyon insan a\u015f\u0131yla korunabilen hastal\u0131klar nedeniyle hayata veda etti\u011fine dikkat \u00e7eken Saper, \u201cA\u015f\u0131lar \u00f6zellikle risk gruplar\u0131nda hem kal\u0131c\u0131 sakatl\u0131klar\u0131 hem de \u00f6l\u00fcmleri \u00f6nleyebilmektedir. Toplumlarda a\u015f\u0131l\u0131 birey say\u0131s\u0131 artt\u0131k\u00e7a a\u015f\u0131lanmam\u0131\u015f bireylerin hastal\u0131k etkeniyle temas olas\u0131l\u0131\u011f\u0131 azal\u0131r ve o hastal\u0131\u011f\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 da b\u00fcy\u00fck oranda azal\u0131r\u201d diye konu\u015ftu.<\/p>\n
Saper, her ge\u00e7en y\u0131l a\u015f\u0131lanan \u00e7ocuk ve yeti\u015fkinlerin say\u0131s\u0131n\u0131n g\u00f6rsel medyada, sosyal medyada \u00e7\u0131kan a\u015f\u0131 kar\u015f\u0131t\u0131 haberler, k\u00f6\u015fe yaz\u0131lar\u0131 ve kitaplar nedeniyle gittik\u00e7e azalmakta oldu\u011funu, bu durumun toplum sa\u011fl\u0131\u011f\u0131n\u0131 ciddi bi\u00e7imde tehlikeye att\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izdi.<\/p>\n","protected":false},"excerpt":{"rendered":"
TOPLUM TARAFINDAN B\u0130L\u0130NMED\u0130\u011e\u0130 \u0130\u00c7\u0130N TANISININ DO\u011eRU KONMASI M\u00dcMK\u00dcN OLAMAYAN KOAH’TA (KRON\u0130K TIKAYICI AKC\u0130\u011eER HASTALI\u011eI) HER 10 HASTADAN SADECE B\u0130R\u0130 HASTALI\u011eINI B\u0130L\u0130YOR.<\/p>\n","protected":false},"author":1,"featured_media":231428,"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":[11351,15246,58300],"class_list":["post-231427","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bilmiyor","tag-hastaliklarini","tag-koahlilar"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/koahlilar-hastaliklarini-bilmiyor_593a8a3.jpg?fit=427%2C868","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-YcH","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/231427","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=231427"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/231427\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/231428"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=231427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=231427"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=231427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}