{"id":99148,"date":"2019-03-18T10:11:31","date_gmt":"2019-03-18T07:11:31","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/sesiz-olum-pulmoner-emboli\/"},"modified":"2019-03-18T10:11:31","modified_gmt":"2019-03-18T07:11:31","slug":"sesiz-olum-pulmoner-emboli","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/sesiz-olum-pulmoner-emboli\/","title":{"rendered":"Sesiz \u00f6l\u00fcm Pulmoner emboli"},"content":{"rendered":"<p>G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7.Dr. Nuri Tatar, uzun s\u00fcre hareketsiz kal\u0131nan otomobil ve u\u00e7ak yolculu\u011funda 2 saatte bir y\u00fcr\u00fcy\u00fc\u015f yapmayla akci\u011fere p\u0131ht\u0131 atmas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilebilece\u011fini s\u00f6yledi.<\/p>\n<p>Akci\u011fer Sa\u011fl\u0131\u011f\u0131 ve Yo\u011fun Bak\u0131m Derne\u011fi(ASYOD)\u00dcyesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131  Do\u00e7. Dr. Nuri Tatar, \u2018Pulmoner Emboli Risk Fakt\u00f6rleri ve Uyar\u0131lar\u0131\u2019 hakk\u0131nda \u00e7e\u015fitli bilgilendirmelerde bulundu.<\/p>\n<p>Tatar, Pulmoner Embolinin; akci\u011feri besleyen damarlarda p\u0131ht\u0131 olu\u015fmas\u0131 oldu\u011funu s\u00f6yledi. Akci\u011feri besleyen damarlarda p\u0131ht\u0131 olu\u015fmas\u0131n\u0131n \u00f6l\u00fcmc\u00fcl sonu\u00e7lara yol a\u00e7aca\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen Do\u00e7.Dr. Tatar, akci\u011ferinde p\u0131ht\u0131 olu\u015fan bir\u00e7ok hastan\u0131n hastaneye ula\u015famadan hayat\u0131n\u0131 kaybetti\u011fini belirtti.<\/p>\n<p>\u201cBizim en s\u0131k g\u00f6rd\u00fc\u011f\u00fcm\u00fcz \u015fey; cerrahidir\u201d<\/p>\n<p>Pulmoner Embolinin, y\u00fczde 90 bacaklardaki damarlardan akci\u011fere p\u0131ht\u0131 att\u0131\u011f\u0131n\u0131 kaydeden Do\u00e7. Dr. Tatar, &#8221; Bunun olu\u015fmas\u0131n\u0131 \u00f6nleme yollar\u0131 nereden ge\u00e7er peki? Bu \u015fudur; birincisi hareket. Spor, egzersiz gibi hareketler geli\u015fen d\u00fcnya i\u00e7erisinde g\u00fcndelik hayat\u0131m\u0131zda daha az hareketli ve bilgisayar ba\u015f\u0131nda bir hale gelmi\u015f durumday\u0131z. Bu durumu olu\u015fturan risk fakt\u00f6rleri hareketsizliktir. Ama bununla beraber ba\u015fka risk fakt\u00f6r\u00fc var m\u0131d\u0131r? Bizim en s\u0131k g\u00f6rd\u00fc\u011f\u00fcm\u00fcz \u015fey; cerrahidir. Herhangi bir cerrahi ge\u00e7irdikten sonra hastalarda akci\u011fer p\u0131ht\u0131 atma riski artar. Biz hekimler bunu \u00f6nlemek i\u00e7in ameliyat sonras\u0131 kan c\u0131v\u0131t\u0131c\u0131 ila\u00e7lara ba\u015flar\u0131z. Bazen \u00f6zellikle ortopedik cerrahilerden sonra da ilaca ba\u015flad\u0131\u011f\u0131m\u0131z halde bunu \u00f6nleyemezsiniz. Bu durumda hastan\u0131n yap\u0131lmas\u0131 gereken erken mobilize olmakt\u0131r. Erken mobilize olmak dedi\u011fimiz \u015fey; cerrahiden sonra, anestezi etkisi kalkt\u0131ktan sonra o g\u00fcn i\u00e7erisinde mutlaka harekete ba\u015flayarak, bunun devam ettirilmesidir. Erken mobilize olmak, cerrahi i\u015flemden sonra akci\u011fere p\u0131ht\u0131 atmas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ebilir.&#8221;dedi.<\/p>\n<p>&#8220;Do\u011fum kontrol haplar\u0131&#8221;<\/p>\n<p>Bir ba\u015fka risk fakt\u00f6r\u00fcn\u00fcn  \u00e7ok s\u0131k kullan\u0131lan do\u011fum kontrol haplar\u0131 oldu\u011funun alt\u0131n\u0131 \u00e7izen Do\u00e7.Dr. Tarar, &#8221; Bu haplar bilindi\u011fi gibi, damardaki p\u0131ht\u0131 olu\u015fumunu artt\u0131r\u0131r. Do\u011fum kontrol hap\u0131 kullanan kad\u0131nlar,  sigara da i\u00e7iyorlarsa,  akci\u011fer damarlar\u0131nda p\u0131ht\u0131 atmas\u0131 belirgin \u00f6l\u00e7\u00fcde artar\u201ddiye konu\u015ftu.<\/p>\n<p>&#8220;Belirtiler&#8221;<\/p>\n<p>\u2018Hastalar bu durumu nas\u0131l anlayabilir?\u2019 sorusuna cevap veren Do\u00e7.Dr. Tatar, \u201cGenelde ki\u015finin bir bacaklar\u0131 di\u011fer bacaklar\u0131na g\u00f6re daha \u015fi\u015ftir. Yani bir baca\u011f\u0131, di\u011fer baca\u011f\u0131na \u015fi\u015ftir ve biz buna \u00e7ap fark\u0131 deriz. \u00d6rne\u011fin, sa\u011f baca\u011f\u0131 sol baca\u011f\u0131na g\u00f6re daha fazla geni\u015fse, bununla beraber g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131. Nefes al\u0131p vermekte bat\u0131c\u0131 tarzda durumlar al\u0131yorsa. Ya da a\u011fz\u0131ndan kan gelmesi. Bu \u015fikayetleri olan hastalar\u0131n acil \u015fartlarda hekime ba\u015fvurmas\u0131 gerekiyor. Hastalar geldi ve biz bu hastalar\u0131n tan\u0131s\u0131n\u0131 koyduk. Nas\u0131l tedavi ediyoruz? Kan c\u0131v\u0131t\u0131c\u0131 ila\u00e7lar kullan\u0131yoruz. \u00d6zellikle t\u0131bbi alanda ve end\u00fcstrideki geli\u015fmelerle beraber  y\u0131llard\u0131r kulland\u0131\u011f\u0131m\u0131z kan c\u0131v\u0131t\u0131c\u0131 ila\u00e7larla beraber yeni ku\u015fak kan c\u0131v\u0131t\u0131c\u0131 ila\u00e7lar \u00e7\u0131kt\u0131.\u201d<\/p>\n<p>Yeni \u00e7\u0131kan kan c\u0131v\u0131t\u0131c\u0131 ila\u00e7lar\u0131n, eski ku\u015fak kan c\u0131v\u0131t\u0131c\u0131 ila\u00e7larla fark\u0131na de\u011finen G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Nuri Tatar, yeni ilac\u0131n hastalar\u0131n d\u00fczenli aral\u0131klarla kan testi yapmas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ti\u011fini vurgulad\u0131.<\/p>\n<p>\u201c2 saatte bir 15 dakikal\u0131k mola gerekir\u201d<\/p>\n<p>Do\u00e7.Dr. Tatar s\u00f6zlerini \u015f\u00f6yle noktalad\u0131: \u201cHareketsizlik, do\u011fum kontrol hap\u0131 kullanmak, sigara i\u00e7mek ve genetik risk fakt\u00f6rleri de varsa  bu ki\u015filer Pulmoner Emboli a\u00e7\u0131s\u0131ndan risk alt\u0131ndad\u0131rlar. Bunun \u00e7\u00f6z\u00fcm yolu g\u00fcn\u00fcm\u00fczde bir \u015fekilde egzersiz yapmaktan ge\u00e7er. \u00d6rne\u011fin arabayla uzun s\u00fcreli yolculuk yap\u0131yorsan\u0131z 2 saatte bir 15 dakikal\u0131k mola gerekir. Mola da mutlaka y\u00fcr\u00fcnmesi gerekir. Ya da u\u00e7a\u011fa bindiniz 2 saatte bir u\u00e7a\u011f\u0131n i\u00e7erisinde turlaman\u0131z gerekir. Bunun di\u011fer ad\u0131 ekonomik s\u0131n\u0131f yolculu\u011fudur. Pulmoner Emboliye yol a\u00e7an, bacakta p\u0131ht\u0131 olu\u015fturan di\u011fer s\u0131k\u0131nt\u0131lar ekonomik s\u0131n\u0131f yolculu\u011fudur. Daha dar bir alanda uzun s\u00fcre hareketsiz oturmak bacaklardaki p\u0131ht\u0131ya yol a\u00e7ar ve akci\u011fere p\u0131ht\u0131 atar. 2 saatte bir 15 dakikal\u0131k hareket gerekir. Masa ba\u015f\u0131 oturan \u00e7ok hastam\u0131z var. Masa ba\u015f\u0131nda uzun s\u00fcre hareketsiz kalan ki\u015filerinde belirli aral\u0131klarla y\u00fcr\u00fcmesini tavsiye ediyoruz.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00d6\u011e\u00dcS HASTALIKLARI UZMANI DO\u00c7.DR. NUR\u0130 TATAR, UZUN S\u00dcRE HAREKETS\u0130Z KALINAN OTOMOB\u0130L VE U\u00c7AK YOLCULU\u011eUNDA 2 SAATTE B\u0130R Y\u00dcR\u00dcY\u00dc\u015e YAPMAYLA AKC\u0130\u011eERE PIHTI ATMASININ \u00d6N\u00dcNE GE\u00c7\u0130LEB\u0130LECE\u011e\u0130N\u0130 B\u0130LD\u0130RD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":99149,"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":[25703,282,24424,25702],"class_list":["post-99148","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-emboli","tag-olum","tag-pulmoner","tag-sesiz"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/03\/sesiz-olum-pulmoner-emboli_611d6eb.jpg?fit=1000%2C706","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-pNa","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/99148","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=99148"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/99148\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/99149"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=99148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=99148"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=99148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}