Kab\u0131z olan hastalar\u0131n, bu hastal\u0131ktan utanarak doktora ba\u015fvurmad\u0131\u011f\u0131n\u0131 ifade eden Prof. Dr. Serhat Bor, \u201cY\u0131llarca, \u2018ayakyolu\u2019, \u2018wc\u2019, \u2018hela\u2019, \u2018tuvalet\u2019 gibi kelimeler kullan\u0131ld\u0131. G\u00fczel T\u00fcrk\u00e7e\u2019mizde bir d\u00fczine kelime varken, \u2018lavabo\u2019 diye bir kelime icat ettik. Lavaboya de\u011fil, tuvalete gidiyoruz. Bu kelimeden bile utan\u00e7 duyar bir noktaya geldik\u201d dedi.<\/p>\n
T\u00fcrk Gastroenteroloji Derne\u011fi\u2019nin ev sahipli\u011finde d\u00fczenlenen, \u201c36. UGH 2019 Mezuniyet Sonras\u0131 E\u011fitim” toplant\u0131s\u0131, Belek\u2019te bulunan bir otelde ger\u00e7ekle\u015ftirildi. 7. Ulusal Gastroenteroloji Cerrahisi Kongresi ise ilk kez bu y\u0131l 36. UGH 2019 b\u00fcnyesinde yap\u0131ld\u0131.<\/p>\n
Kongre hakk\u0131nda bilgi veren Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi Gastroenteroloji Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi ve T\u00fcrk Gastroenteroloji Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Serhat Bor, d\u00fczenledikleri kongrenin, 36\u2019nc\u0131 Ulusal Gastroenteroloji Haftas\u0131 oldu\u011funa de\u011finen Bor, bu haftada T\u00fcrkiye\u2019deki gastroenterologlar\u0131n, i\u00e7 hastal\u0131klar\u0131 ve aile hekimi uzmanlar\u0131n\u0131n bir araya geldi\u011fini s\u00f6yledi. Bor, sindirim sistemini ilgilendiren t\u00fcm yenilikleri tart\u0131\u015ft\u0131klar\u0131n\u0131, bilimsel geli\u015fmeleri ise payla\u015ft\u0131klar\u0131n\u0131 kaydetti.<\/p>\n
Kab\u0131zl\u0131k konusuna de\u011finen Bor, kab\u0131zl\u0131\u011f\u0131n bilimsel tan\u0131m\u0131n\u0131n, haftada 3\u2019den daha az say\u0131da d\u0131\u015fk\u0131lamak oldu\u011funu belirtti. Bor, baz\u0131 hastalar\u0131n, \u2018Her g\u00fcn 3 defa tuvalete gidiyorum\u2019 \u015fikayetiyle hastaneye ba\u015fvurduklar\u0131n\u0131 da ifade etti.<\/p>\n
\u201cTuvalet kelimesinden bile utan\u00e7 duyar hale geldik\u201d<\/p>\n
Bor, \u201cY\u0131llarca, \u2018ayakyolu\u2019, \u2018wc\u2019, \u2018hela\u2019, \u2018tuvalet\u2019 gibi kelimeler kullan\u0131ld\u0131. G\u00fczel T\u00fcrk\u00e7e\u2019mizde bir d\u00fczine kelime varken, \u2018lavabo\u2019 diye bir kelime icat ettik. Lavaboya de\u011fil, tuvalete gidiyoruz. Bu kelimeden bile utan\u00e7 duyar bir noktaya geldik. Hal b\u00f6yle olunca insanlar\u0131n kab\u0131zl\u0131k veya alt\u0131na b\u00fcy\u00fck abdesti ka\u00e7\u0131rmayla ilgili konularda b\u00fcy\u00fck bir tabu nedeniyle hekime ba\u015fvurmad\u0131\u011f\u0131n\u0131 g\u00f6r\u00fcyoruz. \u00d6rne\u011fin kab\u0131z hastalar\u0131n yakla\u015f\u0131k 3\u2019te 1\u2019i kab\u0131zl\u0131klar\u0131n\u0131 engelleyebilmek i\u00e7in parmakla bo\u015falt\u0131yorlar. Bu kadar ciddi vakalar var. Bunlar hi\u00e7bir zaman doktora gitmiyorlar. Kab\u0131zl\u0131k bir kader de\u011fildir. Kab\u0131z hastaya illa \u00e7ok fazla say\u0131da tetkik yapmam\u0131za da gerek yok\u201d dedi.<\/p>\n
A\u011f\u0131r kab\u0131zl\u0131k vakalar\u0131n\u0131n mutlaka gastroenteroloji uzman\u0131na ba\u015fvurmas\u0131 gerekti\u011fine i\u015faret eden Bor, hafif kab\u0131zl\u0131k s\u0131k\u0131nt\u0131s\u0131 ya\u015fayan hastalar\u0131n aile hekimleri ve i\u00e7 hastal\u0131klar\u0131 uzman\u0131na gitmesi gerekti\u011fini belirtti.<\/p>\n
\u201cHastalar kab\u0131zl\u0131ktan utan\u0131yor\u201d<\/p>\n
Vatanda\u015flar\u0131n kab\u0131z olduklar\u0131nda doktora gitmeye utand\u0131\u011f\u0131n\u0131, gittiklerinde ise \u00e7o\u011fu \u015fikayetlerini gizlediklerini dile getiren Prof. Dr. Serhat Bor, \u201cBana kab\u0131zl\u0131k \u015fikayetiyle gelen bir hastan\u0131n e\u015fi odadan \u00e7\u0131kt\u0131\u011f\u0131nda, \u2018size s\u00f6yleyemedim ama ben alt\u0131ma da ka\u00e7\u0131r\u0131yorum. \u0130yi ki e\u015fim \u00e7\u0131kt\u0131\u2019 dedi\u011fini biliyorum. \u0130\u015fin ilgin\u00e7 taraf\u0131 e\u015fi de bana alt\u0131na ka\u00e7\u0131rma \u015fikayetiyle gelmi\u015fti. \u0130kisi de utanmaktan birbirlerine s\u00f6yleyememi\u015fler. Bunu doktorunla payla\u015fmas\u0131 laz\u0131m. Bize bilgiyi tam vermeliler ki, bizde tam bir \u015fekilde aktarmal\u0131y\u0131z\u201d diye konu\u015ftu.<\/p>\n
\u201cTaciz, kab\u0131zl\u0131k nedenidir\u201d<\/p>\n
Kab\u0131zl\u0131\u011f\u0131n alt\u0131nda yatan nedenlerden birinin, \u2018sosyo-psikolojik\u2019 sorun oldu\u011funun alt\u0131n\u0131 \u00e7izen Bor, \u201c\u00d6rne\u011fin taciz, bir kab\u0131zl\u0131k nedenidir. Psikiyatrik a\u00e7\u0131dan \u00e7ok \u00f6nemli bir konudur. Uzun yolculuklara giden hastalar\u0131n bir\u00e7o\u011fu tuvalete gitmek istemiyorlar. Tuvalet se\u00e7mek, kab\u0131zl\u0131\u011f\u0131n en \u00f6nemli nedenlerinden bir tanesidir\u201d ifadelerini kulland\u0131.<\/p>\n
Kab\u0131zl\u0131\u011f\u0131n tedavi y\u00f6ntemleri hakk\u0131nda a\u00e7\u0131klamalarda bulunan Bor, s\u00f6zlerine \u015f\u00f6yle devam etti:<\/p>\n
\u201c\u0130shal olana kahve verilir ya, i\u015fte g\u00fczel olan kahve ishal yapar. Bunu s\u00f6ylemek gerekiyor. \u0130nsanlar sabah kahvalt\u0131s\u0131n\u0131n ard\u0131ndan i\u00e7tikleri kahveden sonra bir b\u00fcy\u00fck bardak su i\u00e7ecek. 10 dakika kadar tuvalette oturacak. Nefes egzersizi yapacak. Bunu d\u0131\u015fk\u0131las\u0131n, d\u0131\u015fk\u0131lamas\u0131n her g\u00fcn yapmak ve beyine yazmak gerekiyor. Beyine bu kodlanmal\u0131. Bunun \u00f6tesine ila\u00e7lar ba\u015fl\u0131yor. Piyasada bir s\u00fcr\u00fc \u00f6denen ila\u00e7 var. Bunlar\u0131n i\u00e7inde Laktiloz bir miktar etkili. Di\u011fer ila\u00e7lar \u00f6denmiyor. Hastaya maliyeti ayl\u0131k 200-300 lira. Hasta bu ilac\u0131 alam\u0131yor. Polietilen Glikol, \u00f6denmeye ila\u00e7 kategorisinde. Bu bizi \u00e7ok \u00fcz\u00fcyor. Yurt d\u0131\u015f\u0131nda \u00e7\u0131km\u0131\u015f \u00e7ok g\u00fczel, yeni ila\u00e7lar var. Bu ila\u00e7lar\u0131n hi\u00e7biri T\u00fcrkiye\u2019ye gelemiyor, \u00e7\u00fcnk\u00fc pahal\u0131lar. Biz hastaya, \u2018yurt d\u0131\u015f\u0131ndan temin edin\u2019 diyoruz. Kab\u0131zl\u0131k ciddi bir sorundur. Bu konu halk\u0131m\u0131z ve sa\u011fl\u0131k otoritesi taraf\u0131ndan hak etti\u011fi de\u011feri alam\u0131yor. Her 11 yeti\u015fkinden 1\u2019si kab\u0131zd\u0131r. Bu, \u00e7ok y\u00fcksek bir oran. \u0130la\u00e7lar\u0131n h\u0131zl\u0131ca geri \u00f6deme sistemine al\u0131nmas\u0131 ve T\u00fcrkiye\u2019ye hen\u00fcz gelmemi\u015f ba\u015far\u0131l\u0131 ila\u00e7lar\u0131n h\u0131zl\u0131ca \u00fclkeye getirilmesi gerekmektedir\u201d<\/p>\n
Bu hastalar risk alt\u0131nda<\/p>\n
Baz\u0131 hastalar\u0131n risk alt\u0131nda oldu\u011funu s\u00f6yleyen Bor, \u201c45-50 ya\u015f\u0131ndan sonra kab\u0131zl\u0131k ani ba\u015flam\u0131\u015fsa, makattan kanamas\u0131 varsa, a\u00e7\u0131klanamayan kilo kayb\u0131, ate\u015fi, 1\u2019nci derece akrabas\u0131nda ba\u011f\u0131rsak kanseri ya da polip al\u0131nm\u0131\u015fsa, iltihabi ba\u011f\u0131rsak hastal\u0131\u011f\u0131 dedi\u011fimiz durumlar varsa, bu ki\u015filer mutlaka en yak\u0131n gastroenteroloji grubuna ba\u015fvurmas\u0131 gerekir. Altta kal\u0131n ba\u011f\u0131rsak kanseri olabilir. Kal\u0131n ba\u011f\u0131rsak kanseri t\u0131pta korunulabilir tek kanserdir. Kal\u0131n ba\u011f\u0131rsak kanserini bir polipken al\u0131r\u0131z, ald\u0131\u011f\u0131m\u0131z zamanda o ki\u015finin bir \u00f6m\u00fcr boyu kanser olma riskini s\u0131f\u0131rlar\u0131z\u201d s\u00f6zlerine ekledi.<\/p>\n","protected":false},"excerpt":{"rendered":"
KABIZ OLAN HASTALARIN, BU HASTALIKTAN UTANARAK DOKTORA BA\u015eVURMADI\u011eINI \u0130FADE EDEN PROF. DR. SERHAT BOR, \u201cYILLARCA, \u2018AYAKYOLU\u2019, \u2018WC\u2019, \u2018HELA\u2019, \u2018TUVALET\u2019 G\u0130B\u0130 KEL\u0130MELER KULLANILDI. G\u00dcZEL T\u00dcRK\u00c7E\u2019M\u0130ZDE B\u0130R D\u00dcZ\u0130NE KEL\u0130ME VARKEN, \u2018LAVABO\u2019 D\u0130YE B\u0130R KEL\u0130ME \u0130CAT ETT\u0130K. LAVABOYA DE\u011e\u0130L, TUVALETE G\u0130D\u0130YORUZ. BU KEL\u0130MEDEN B\u0130LE UTAN\u00c7 DUYAR B\u0130R NOKTAYA GELD\u0130K\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":234868,"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":[16126,36156,51413],"class_list":["post-234867","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-hastalik","tag-kabizlik","tag-utandiran"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/utandiran-hastalik-kabizlik_1a67330.jpg?fit=1000%2C894","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Z6b","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/234867","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=234867"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/234867\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/234868"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=234867"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=234867"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=234867"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}