Kalp ve Damar Cerrahisi Uzman\u0131 Prof. Dr. Ahmet Akg\u00fcl, Lipodem hastal\u0131\u011f\u0131n\u0131n asl\u0131nda bir damar hastal\u0131\u011f\u0131 oldu\u011funu belirterek, \u201cBir ya\u011f hastal\u0131\u011f\u0131 de\u011fildir. Ya\u011flanma art\u0131\u015f\u0131 ve ya\u011fl\u0131 b\u00f6lgelerdeki a\u011fr\u0131\/ac\u0131 tamamen derinin alt\u0131ndaki ya\u011f dokusunun yan\u0131nda bulunan k\u0131lcal damarlar\u0131n bozulmas\u0131 sonucu geli\u015fir. Bu hastal\u0131\u011fa ayr\u0131ca, a\u011fr\u0131 ve ya\u011f art\u0131\u015f\u0131 oldu\u011fu i\u00e7in A\u011fr\u0131l\u0131 Ya\u011flanma Sendromu da denir\u201d dedi.<\/p>\n
\u0130stanbul \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Fak\u00fcltesi Dekan\u0131, Gerontoloji B\u00f6l\u00fcm Ba\u015fkan\u0131, Kalp ve Damar Cerrahisi Uzman\u0131 Prof. Dr. Ahmet Akg\u00fcl, kad\u0131nlar\u0131n gizli kabusu; Lipodem hakk\u0131nda \u00f6nemli bilgiler verdi, Prof. Dr. Ahmet Akg\u00fcl, \u201cBaca\u011f\u0131n\u0131zda \u015fi\u015flik var. Hem de iki baca\u011f\u0131n\u0131zda da. Asl\u0131nda her \u015fey ilk ba\u015fta iyi gidiyordu. V\u00fccut \u015fekliniz iyi, beden imaj\u0131n\u0131z g\u00fczel idi. Ama ne olduysa bacaklar\u0131n\u0131z\u0131n her ikisi birden \u015fi\u015fmeye ba\u015flad\u0131. Bu sorunun nedeni Lipodem hastal\u0131\u011f\u0131d\u0131r\u201d diye konu\u015ftu.<\/p>\n
Asl\u0131nda insanda biriken ya\u011f dokusunun a\u011fr\u0131 ve ac\u0131 yapmad\u0131\u011f\u0131n\u0131 anlatan Prof. Dr. Ahmet Akg\u00fcl, \u201c\u0130\u015fte a\u011fr\u0131y\u0131 yapan olay, cilt alt\u0131nda ya\u011flar\u0131n aras\u0131nda bulunan ince, k\u0131lcal damarc\u0131klar\u0131n bozulmas\u0131, mikropsuz iltihaplanmas\u0131 ve \u00f6demidir. Bu bozukluk damar etraf\u0131nda bulunan sinir u\u00e7lar\u0131n\u0131 rahats\u0131z eder ve hastan\u0131n cildi bir yere dokununca a\u011fr\u0131 ve ac\u0131 hissi verir. \u00d6rne\u011fin g\u00f6be\u011finizdeki ya\u011flara dokunun ac\u0131 veya a\u011fr\u0131 var m\u0131 yok, ama ya\u011flanm\u0131\u015f baca\u011fa dokunun a\u011fr\u0131 ve ac\u0131 var veya kolunuza dokunun ya\u011fl\u0131 yerlere ac\u0131y\u0131 hissedersiniz. \u0130\u015fte, esas olay ya\u011flanma de\u011fil esas olay deri alt\u0131 dola\u015f\u0131m\u0131n bozulmas\u0131 yani k\u0131lcal damar bozuklu\u011fudur\u201d diye konu\u015ftu.<\/p>\n
Bu hastal\u0131\u011f\u0131n damar bozuklu\u011funa ba\u011fl\u0131 oldu\u011funun di\u011fer bir g\u00f6stergesi kendili\u011finden olu\u015fan morluklar oldu\u011funu dile getiren Prof. Dr. Ahmet Akg\u00fcl, \u201cLipodemi olan hasta en ufak bir \u00e7arpma veya travma sonras\u0131 beklentiden \u00e7ok daha fazla deride morarma olur, bazen ise hi\u00e7bir yere \u00e7arpmadan da, kendili\u011finden de morarmalar olmaktad\u0131r. Hasta bu kendili\u011finden olu\u015fan morarmalara zaten hi\u00e7 anlam verememi\u015ftir. Gitti\u011fi doktorlar da \u201ckaraci\u011fer hastal\u0131\u011f\u0131\u201d d\u00fc\u015f\u00fcnm\u00fc\u015f, orada da bir hastal\u0131k bulamay\u0131nca \u201csende bir \u015fey yok, ge\u00e7er\u201d demi\u015ftir. Asl\u0131nda sorun, cilt alt\u0131 k\u0131lcal damarlardaki hastal\u0131k sonucu k\u0131lcal damar kanamalar\u0131 olmakta ve bu da deri \u00fcst\u00fcne \u201cmorarma\u201d olarak yans\u0131maktad\u0131r.<\/p>\n
Hasta \u201canneminde bacaklar\u0131 zaten kal\u0131n, bu benim yap\u0131m\u201d diyerek y\u0131llarca hastal\u0131\u011f\u0131 oldu\u011funu bilmeden s\u0131k\u0131nt\u0131lar \u00e7ekmi\u015ftir. Asl\u0131nda bu bir hastal\u0131kt\u0131r ve s\u0131kl\u0131kla genetik de ge\u00e7er. Yani hastan\u0131n yap\u0131s\u0131 b\u00f6yle de\u011fildir. Annesinin yap\u0131s\u0131 da b\u00f6yle de\u011fildir. \u00c7\u00fcnk\u00fc annesi de lipodem hastas\u0131d\u0131r ama ne kendi ne de onu tedavi etmeye \u00e7al\u0131\u015fanlar bilememektedir. Sonu\u00e7ta lipodem hastal\u0131\u011f\u0131 olan hastan\u0131n k\u0131z \u00e7ocu\u011fu da lipodem aday\u0131 olacakt\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n
Prof. Dr. Ahmet Akg\u00fcl, a\u00e7\u0131klamas\u0131n\u0131 \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc; \u201cErkeklerde de olur ama erkeklerin cilt alt\u0131 yap\u0131s\u0131 ve ya\u011f da\u011f\u0131l\u0131m\u0131 farkl\u0131d\u0131r. K\u0131lcal damarlar\u0131n ya\u011f ile ileti\u015fimi daha farkl\u0131d\u0131r. Bu nedenle lipodem hastal\u0131\u011f\u0131 b\u00fcy\u00fck oranda kad\u0131nlarda g\u00f6r\u00fcl\u00fcr.<\/p>\n
\u2019Sel\u00fclit hastal\u0131\u011f\u0131 ile lipodem hastal\u0131\u011f\u0131 ayn\u0131 m\u0131d\u0131r\u2019<\/p>\n
Sel\u00fclit hastal\u0131\u011f\u0131nda da dikkat ederseniz \u00e7ok zay\u0131f insanlarda bile olur. \u00d6rne\u011fin medyada g\u00f6rd\u00fc\u011f\u00fcn\u00fcz manken mesle\u011finde bulunan ki\u015filerde de zaman zaman bu rahats\u0131zl\u0131klar\u0131 g\u00f6rmektesiniz. Halbuki bu ki\u015filerde rahats\u0131z g\u00f6r\u00fcn\u00fcme neden olacak ya\u011f fazlal\u0131\u011f\u0131 yoktur ama deri alt\u0131 k\u0131lcal dola\u015f\u0131m bozuklu\u011fu oldu\u011fu i\u00e7in o b\u00f6lgede (genellikle basen ve bacak arkalar\u0131) ciltte portakal kabu\u011fu g\u00f6r\u00fcn\u00fcm\u00fc olu\u015fur. Asl\u0131nda mikropsuz ortaya \u00e7\u0131kan bu sel\u00fclit hastal\u0131\u011f\u0131, lipodem hastal\u0131\u011f\u0131n\u0131n ilk belirtilerindendir yani lipodem ile sel\u00fclit hastal\u0131\u011f\u0131 ayn\u0131 sorunlardan ba\u015flayan hastal\u0131klard\u0131r, yaln\u0131zca lipodem, sel\u00fclitin \u00e7ok daha ileri seviyesidir.<\/p>\n
Peki, hastam\u0131zda sonu\u00e7 olarak L\u0130PODEM var, ne yapaca\u011f\u0131z, nas\u0131l tedavi edece\u011fiz? Bu durumda 2 \u00f6nemli soruya cevap vermemiz laz\u0131m?<\/p>\n
Lipodem olan yerlerde yani bacak, kol veya basen i\u00e7in hasta estetik kayg\u0131lar ta\u015f\u0131yor mu yoksa \u015fikayeti yaln\u0131zca a\u011fr\u0131\/ac\u0131, \u00e7abuk morarma gibi cilt alt\u0131 damar hastal\u0131klar\u0131 m\u0131? Yani 2 \u00f6nemli sorun var: Ya\u011f art\u0131\u015f\u0131na ba\u011fl\u0131 s\u0131k\u0131nt\u0131lar ve damar bozuklu\u011funa ba\u011fl\u0131 s\u0131k\u0131nt\u0131lar. Ya\u011f art\u0131\u015f\u0131 hem estetik s\u0131k\u0131nt\u0131lara yol a\u00e7makta hem de hareket k\u0131s\u0131tlamas\u0131 yapmaktad\u0131r. K\u0131lcal damar sorunlar\u0131 ise a\u011fr\u0131\/ac\u0131 ve morluklara neden olmaktad\u0131r.<\/p>\n
E\u011fer hastada ciddi bir hareket sorunu yok ise ve estetik olarak da ya\u011flanmadan dolay\u0131 \u00e7ok kayg\u0131s\u0131 yok ise k\u0131lcal damar tedavileri yap\u0131lmal\u0131 ve hastan\u0131n a\u011fr\u0131s\u0131, ac\u0131s\u0131 ve morarma sorunlar\u0131 ortadan kald\u0131r\u0131lmal\u0131d\u0131r. Yani cilt alt\u0131 dola\u015f\u0131m bozuklu\u011fu tedavi edilmelidir. Bu durum genellikle ya\u015f\u0131 daha ileri hastalarda kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r. Ayn\u0131 zamanda sel\u00fclit tedavisi i\u00e7in de uygulanmaktad\u0131r. Hastan\u0131n k\u0131lcal damarlar\u0131 tamir edilip, dola\u015f\u0131m art\u0131nca hasta damar diyeti ve egzersiz ile zaten yava\u015f da olsa ya\u011flar\u0131 eritmeye de ba\u015flayacakt\u0131r. A\u011fr\u0131s\u0131 ge\u00e7ti\u011fi i\u00e7in spor yapmas\u0131 daha da kolayla\u015facak ve ya\u011f erimesi ba\u015flayacakt\u0131r.<\/p>\n
K\u0131lcal damar tedavisi ve dola\u015f\u0131m\u0131 art\u0131rmak i\u00e7in hem cihazlar hem de i\u011fne tedavileri yapmaktay\u0131z: \u00d6nce mikro d\u00fczeyde elektrik ak\u0131m\u0131 \u00fcreten cihazlarda lipodemi olan b\u00f6lgedeki cilt alt\u0131 k\u0131lcal damarlar uyar\u0131l\u0131r. Daha sonra cilt alt\u0131 dokuyu hareketlendirici cihaza sokulur. Sonra vakum tedavisi yapan cihaza girerek daralm\u0131\u015f olan k\u0131lcal damarlar a\u00e7\u0131l\u0131r ve b\u00f6ylece cilt alt\u0131na gelen kan artmaya ba\u015flar. Hasta biyorezonansa al\u0131n\u0131r ve k\u0131lcal kan ak\u0131m\u0131 art\u0131r\u0131lmak i\u00e7in enerji verilir. Bu arada hastan\u0131n kol damar\u0131ndan kan al\u0131n\u0131r ve onar\u0131c\u0131 enzimler elde edilir ve oksijen birlikte cilt alt\u0131na i\u011fne ile verilir yani Oksiplazma tedavisi yap\u0131l\u0131r. Hastaya gerekirse so\u011fuk lipoliz veya \u015fekillendirme i\u015flemleri de yap\u0131labilir.<\/p>\n
Bu i\u015flemler yakla\u015f\u0131k 2 saat civar\u0131nda s\u00fcrer ve hastan\u0131n sel\u00fclit\/lipodem a\u011f\u0131rl\u0131\u011f\u0131na g\u00f6re 2 g\u00fcnde bir, haftada 2 veya her g\u00fcn bile yap\u0131labilir.<\/p>\n
Bu arada hastam\u0131za damar diyeti ve her g\u00fcn tempolu \u015fekilde en az 40 dakika s\u00fcrecek y\u00fcr\u00fcy\u00fc\u015f \u00f6nermekteyiz. Hasta t\u00fcm spor \u00e7e\u015fitlerini yapabilir ama halter kald\u0131rma hari\u00e7.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
KALP VE DAMAR CERRAH\u0130S\u0130 UZMANI PROF. DR. AHMET AKG\u00dcL, L\u0130PODEM HASTALI\u011eININ ASLINDA B\u0130R DAMAR HASTALI\u011eI OLDU\u011eUNU BEL\u0130RTEREK, \u201cB\u0130R YA\u011e HASTALI\u011eI DE\u011e\u0130LD\u0130R. YA\u011eLANMA ARTI\u015eI VE YA\u011eLI B\u00d6LGELERDEK\u0130 A\u011eRI\/ACI TAMAMEN DER\u0130N\u0130N ALTINDAK\u0130 YA\u011e DOKUSUNUN YANINDA BULUNAN KILCAL DAMARLARIN BOZULMASI SONUCU GEL\u0130\u015e\u0130R. BU HASTALI\u011eA AYRICA, A\u011eRI VE YA\u011e ARTI\u015eI OLDU\u011eU \u0130\u00c7\u0130N A\u011eRILI YA\u011eLANMA SENDROMU DA DEN\u0130R\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":253596,"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":[4640,12286,2098,62729],"class_list":["post-253595","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-gizli","tag-kabusu","tag-kadinlarin","tag-lipodem"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2020\/01\/kadinlarin-gizli-kabusu-lipodem_920e395.jpg?fit=640%2C429","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-13Yf","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/253595","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=253595"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/253595\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/253596"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=253595"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=253595"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=253595"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}