Solunum yollar\u0131nda hava ak\u0131\u015f\u0131n\u0131n k\u0131s\u0131tlanmas\u0131yla olu\u015fan, ilerleyici ve s\u00fcrekli bir solunum yolu hastal\u0131\u011f\u0131 olan KOAH\u2019\u0131n en \u00f6nemli nedenleri aras\u0131nda, t\u00fct\u00fcn ve t\u00fct\u00fcn \u00fcr\u00fcnleri kullan\u0131m\u0131 ilk s\u0131rada yer al\u0131yor. \u0130stanbul Atlas \u00dcniversitesi T\u0131p Fak\u00fcltesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Ana Bilim Dal\u0131\u2019ndan Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, t\u00fct\u00fcn ve t\u00fct\u00fcn \u00fcr\u00fcnleri kullan\u0131m\u0131n\u0131n KOAH’\u0131n ana nedeni oldu\u011funu vurgulayarak \u201cKOAH’\u0131 \u00f6nlemenin en etkili yolu, sigaray\u0131 b\u0131rakmak, t\u00fct\u00fcn ve t\u00fct\u00fcn \u00fcr\u00fcnlerinden tamamen uzak durmakt\u0131r\u201d dedi. Pasif i\u00e7icilikten korunman\u0131n da \u00f6nemli oldu\u011funu vurgulayan Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, ba\u015fkalar\u0131n\u0131n sigara duman\u0131na maruz kalmaktan ka\u00e7\u0131n\u0131lmas\u0131n\u0131 tavsiye etti.<\/p>\n
20 Kas\u0131m D\u00fcnya KOAH (Kronik Obstr\u00fcktif Akci\u011fer Hastal\u0131\u011f\u0131) G\u00fcn\u00fc, t\u00fcm d\u00fcnyada milyonlarca insan\u0131 etkileyen ancak b\u00fcy\u00fck \u00f6l\u00e7\u00fcde \u00f6nlenebilir olan bu kronik akci\u011fer hastal\u0131\u011f\u0131 hakk\u0131nda fark\u0131ndal\u0131\u011f\u0131 art\u0131rmak i\u00e7in her y\u0131l t\u00fcm d\u00fcnyada kutlan\u0131yor. <\/p>\n
\u0130stanbul Atlas \u00dcniversitesi T\u0131p Fak\u00fcltesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Ana Bilim Dal\u0131\u2019ndan Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, 20 Kas\u0131m D\u00fcnya KOAH G\u00fcn\u00fc dolay\u0131s\u0131yla yapt\u0131\u011f\u0131 a\u00e7\u0131klamada KOAH hastal\u0131\u011f\u0131, \u00f6nlenmesi ve tedavi y\u00f6ntemlerine ili\u015fkin de\u011ferlendirmede bulundu.<\/p>\n
Nefes alma ve verme zorla\u015f\u0131yor<\/p>\n
Kronik Obstr\u00fcktif Akci\u011fer Hastal\u0131\u011f\u0131n\u0131n (KOAH), solunum yollar\u0131nda hava ak\u0131\u015f\u0131n\u0131n k\u0131s\u0131tlanmas\u0131yla olu\u015fan ilerleyici ve s\u00fcrekli bir solunum yolu hastal\u0131\u011f\u0131 oldu\u011funu belirten Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, \u201cBu k\u0131s\u0131tlanma, akci\u011ferlerdeki hava keseciklerinin (alveol) hasar g\u00f6rmesi (amfizem) ve\/veya hava yollar\u0131n\u0131n iltihaplan\u0131p daralmas\u0131 (kronik bron\u015fit) sonucu geli\u015fir. Hastalar ilk a\u015famada nefes vermekte zorlan\u0131rken, zamanla hem nefes alma hem verme giderek zorla\u015f\u0131r\u201d diye konu\u015ftu.<\/p>\n
T\u00fct\u00fcn \u00fcr\u00fcnleri kullan\u0131m\u0131 ilk s\u0131rada yer al\u0131yor<\/p>\n
KOAH’\u0131n nedenleri aras\u0131nda en belirleyici olan fakt\u00f6rlere de\u011finen Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, bunlar\u0131 \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n
T\u00fct\u00fcn ve t\u00fct\u00fcn \u00fcr\u00fcnleri kullan\u0131m\u0131: KOAH’\u0131n ana nedenidir. Sigara, e-sigara i\u00e7icili\u011fi, pasif i\u00e7icilik, puro veya pipo kullan\u0131m\u0131, nargile ya da di\u011fer t\u00fcm t\u00fct\u00fcn \u00fcr\u00fcnleri, vakalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fundan sorumludur.<\/p>\n
Hava kirlili\u011fi: Hem i\u00e7 (biyoyak\u0131t, odun, tezek gibi yak\u0131tlar ya da tand\u0131r duman\u0131), hem de d\u0131\u015f mekan hava kirlili\u011fi \u00f6nemli risk fakt\u00f6rleridir.<\/p>\n
Mesleki maruziyet: \u0130\u015f yerinde toz, kimyasal madde ve dumanlara uzun s\u00fcre maruz kalmak KOAH geli\u015fimine yol a\u00e7abilir.<\/p>\n
Genetik yatk\u0131nl\u0131k: Nadir de olsa, “Alfa-1 Antitripsin” adl\u0131 bir proteinin eksikli\u011fi, \u00f6zellikle gen\u00e7 ya\u015fta KOAH geli\u015fimine neden olabilir.<\/p>\n
\u0130ki aydan uzun s\u00fcren \u00f6ks\u00fcr\u00fck ciddiye al\u0131nmal\u0131<\/p>\n
KOAH’\u0131n belirtilerinin genellikle yava\u015f ba\u015flad\u0131\u011f\u0131n\u0131 ve zamanla k\u00f6t\u00fcle\u015fti\u011fini kaydeden Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, hastalar\u0131n bu belirtileri s\u0131kl\u0131kla “ya\u015flanman\u0131n do\u011fal bir par\u00e7as\u0131” veya “sigara \u00f6ks\u00fcr\u00fc\u011f\u00fc” olarak g\u00f6rmesi nedeniyle doktora ba\u015fvurmakta gecikebildi\u011fini s\u00f6yledi. Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, \u201cEn yayg\u0131n belirtileri \u015f\u00f6yle s\u0131ralayabiliriz: \u00d6zellikle fiziksel aktivite s\u0131ras\u0131nda artan nefes darl\u0131\u011f\u0131; kronik (iki aydan uzun s\u00fcren) \u00f6ks\u00fcr\u00fck; balgam \u00fcretimi, bu genellikle sabahlar\u0131 daha belirgindir. Nefes al\u0131rken veya verirken h\u0131r\u0131lt\u0131 veya \u0131sl\u0131k sesi; g\u00f6\u011f\u00fcste s\u0131k\u0131\u015fma hissi; s\u0131k tekrarlayan solunum yolu enfeksiyonlar\u0131; ileri evrelerde yorgunluk, kilo kayb\u0131 ve ayak bileklerinde \u015fi\u015flik (\u00f6dem)\u201d dedi.<\/p>\n
KOAH y\u00f6netilebilir bir hastal\u0131kt\u0131r<\/p>\n
KOAH\u2019\u0131n nezle ya da grip gibi atlat\u0131lan bir hastal\u0131k olmad\u0131\u011f\u0131n\u0131 belirten Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, \u201cKOAH, ad\u0131 \u00fcst\u00fcnde kronik bir hastal\u0131kt\u0131r. Akci\u011ferlerde olu\u015fan hasar kal\u0131c\u0131d\u0131r ve tam olarak geri d\u00f6nd\u00fcr\u00fcl\u00fcp tamamen iyile\u015ftirilemez (k\u00fcr sa\u011flanamaz). Bu nedenle KOAH, nezle veya grip gibi “atlat\u0131labilen” bir hastal\u0131k de\u011fildir. Hastal\u0131k te\u015fhis edildikten sonra \u00f6m\u00fcr boyu devam eder. Bu nedenle en \u00f6nemli ad\u0131m, KOAH olu\u015fumunun engellenmesidir. Ancak KOAH olduktan sonra hastal\u0131k kesinlikle tedavi edilebilir ve y\u00f6netilebilir bir hastal\u0131kt\u0131r\u201d dedi. <\/p>\n
Tedavide \u00f6ncelikle nefes a\u00e7\u0131c\u0131 ila\u00e7lar kullan\u0131l\u0131yor<\/p>\n
KOAH tedavisinin temel ama\u00e7lar\u0131na i\u015faret eden Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, bu hedefleri belirtileri (nefes darl\u0131\u011f\u0131, \u00f6ks\u00fcr\u00fck) hafifletmek, hastal\u0131\u011f\u0131n ilerleyi\u015fini yava\u015flatmak, \u201calevlenme” ad\u0131 verilen ani k\u00f6t\u00fcle\u015fme d\u00f6nemlerinin s\u0131kl\u0131\u011f\u0131n\u0131 ve \u015fiddetini azaltmak ve hastan\u0131n efor kapasitesini ve genel ya\u015fam kalitesini art\u0131rmak olarak s\u0131ralad\u0131. Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, \u201cTedavide \u00f6ncelikle nefes a\u00e7\u0131c\u0131 (bronkodilatat\u00f6r) ila\u00e7lar (genellikle inhaler-solunum yoluyla al\u0131nan cihazlar), pulmoner rehabilitasyon (fiziksel egzersiz ve e\u011fitim), gerekirse; kortizon tedavileri, oksijen tedavisi ve enfeksiyon tedavileri kullan\u0131l\u0131r\u201d dedi.<\/p>\n
Sigara b\u0131rak\u0131lmal\u0131 ve pasif i\u00e7icilikten korunulmal\u0131<\/p>\n
KOAH\u2019\u0131n b\u00fcy\u00fck \u00f6l\u00e7\u00fcde \u00f6nlenebilir bir hastal\u0131k oldu\u011funu belirten Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, hastal\u0131\u011f\u0131n \u00f6nlenmesi i\u00e7in yap\u0131lmas\u0131 gerekenler ve al\u0131nacak tedbirleri \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n
Sigaray\u0131 b\u0131rakmak: KOAH’\u0131 \u00f6nlemenin en etkili yolu, t\u00fct\u00fcn ve t\u00fct\u00fcn \u00fcr\u00fcnlerinden tamamen uzak durmakt\u0131r.<\/p>\n
Pasif i\u00e7icilikten korunmak: Ba\u015fkalar\u0131n\u0131n sigara duman\u0131na maruz kalmaktan ka\u00e7\u0131n\u0131n.<\/p>\n
Temiz hava solumak: \u0130\u00e7 ve d\u0131\u015f ortam hava kirlili\u011finden m\u00fcmk\u00fcn oldu\u011funca ka\u00e7\u0131n\u0131n. Evinizi d\u00fczenli havaland\u0131r\u0131n.<\/p>\n
\u0130\u015fyeri g\u00fcvenli\u011fi: Riskli i\u015f kollar\u0131nda (madencilik, tekstil, in\u015faat, egzoz tamircili\u011fi vb.) \u00e7al\u0131\u015fanlar mutlaka koruyucu maske kullanmal\u0131 ve i\u015fyeri havaland\u0131rma kurallar\u0131na uymal\u0131d\u0131r.<\/p>\n
KOAH’l\u0131 hastalar nelere dikkat etmelidir?<\/p>\n
Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, KOAH tan\u0131s\u0131 alan hastalar\u0131n ya\u015fam kalitelerini korumak i\u00e7in dikkat etmeleri gereken alt\u0131n kurallar\u0131 da \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n
Sigaray\u0131 derhal b\u0131rakmak: Tedavinin temel ta\u015f\u0131d\u0131r. Sigaray\u0131 b\u0131rakmak, hastal\u0131\u011f\u0131n ilerleyi\u015fini yava\u015flatan kan\u0131tlanm\u0131\u015f tek y\u00f6ntemdir.<\/p>\n
\u0130la\u00e7lar\u0131 do\u011fru kullanmak: Doktorun verdi\u011fi inhaler (nefes a\u00e7\u0131c\u0131) cihazlar\u0131 do\u011fru teknikle ve d\u00fczenli olarak kullanmak hayati \u00f6nem ta\u015f\u0131r.<\/p>\n
A\u015f\u0131lar\u0131n\u0131 yapt\u0131rmak: KOAH hastalar\u0131 enfeksiyonlara kar\u015f\u0131 \u00e7ok hassast\u0131r. Alevlenmeleri \u00f6nlemek i\u00e7in mutlaka doktorun uygun g\u00f6rd\u00fc\u011f\u00fc takvimde zat\u00fcrre (pn\u00f6mokok) a\u015f\u0131s\u0131 ve y\u0131ll\u0131k grip (influenza) a\u015f\u0131s\u0131 yapt\u0131rmal\u0131d\u0131rlar.<\/p>\n
Aktif kalmak: Nefes darl\u0131\u011f\u0131 nedeniyle hareketten ka\u00e7\u0131nmak bir k\u0131s\u0131r d\u00f6ng\u00fc yarat\u0131r. Doktorun \u00f6nerdi\u011fi \u015fekilde pulmoner rehabilitasyon (akci\u011fer rehabilitasyonu) programlar\u0131na kat\u0131lmak veya d\u00fczenli y\u00fcr\u00fcy\u00fc\u015f yapmak kas g\u00fcc\u00fcn\u00fc ve nefes kapasitesini art\u0131r\u0131r.<\/p>\n
Sa\u011fl\u0131kl\u0131 beslenmek: \u0130deal kiloyu korumak, dengeli ve sa\u011fl\u0131kl\u0131 beslenmek solunum kaslar\u0131n\u0131n daha verimli \u00e7al\u0131\u015fmas\u0131na yard\u0131mc\u0131 olur.<\/p>\n
Tetikleyicilerden ka\u00e7\u0131nmak: Duman, keskin kokular (parf\u00fcm, deterjan), so\u011fuk hava ve hava kirlili\u011fi gibi tetikleyicilerden uzak durulmal\u0131d\u0131r.<\/p>\n
D\u00fczenli doktor kontrol\u00fc: Hastal\u0131\u011f\u0131n seyrini izlemek i\u00e7in d\u00fczenli olarak g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 uzman\u0131na kontrole gitmek \u015fartt\u0131r.<\/p>\n
KOAH\u2019ta erken tan\u0131 kritik \u00f6nemde<\/p>\n
Dr. \u00d6\u011fr. \u00dcyesi Tuba \u00c7ift\u00e7i K\u00fcsbeci, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131: \u201cD\u00fcnya KOAH G\u00fcn\u00fc’nde vurgulamak istedi\u011fimiz en \u00f6nemli mesaj erken tan\u0131n\u0131n kritik \u00f6nemidir. E\u011fer 40 ya\u015f\u0131n \u00fczerindeyseniz, sigara i\u00e7iyorsan\u0131z veya i\u00e7tiyseniz ve basit bir merdiven \u00e7\u0131karken bile nefesiniz daral\u0131yorsa, s\u0131k \u00f6ks\u00fcr\u00fcyorsan\u0131z veya balgam \u00e7\u0131kar\u0131yorsan\u0131z; bu durumu \u2018sigara \u00f6ks\u00fcr\u00fc\u011f\u00fc\u2019 veya \u2018ya\u015fl\u0131l\u0131k\u2019 olarak ge\u00e7i\u015ftirmeyin. Bu belirtiler KOAH’\u0131n habercisi olabilir. “Nefes \u00d6l\u00e7\u00fcm Testi” (Solunum Fonksiyon Testi – SFT) ad\u0131 verilen basit ve a\u011fr\u0131s\u0131z bir test ile KOAH tan\u0131s\u0131 kolayca konulabilmektedir. Erken tan\u0131, akci\u011fer fonksiyonlar\u0131 hen\u00fcz ciddi d\u00fczeyde bozulmadan tedaviye ba\u015flama ve ya\u015fam kalitesini koruma \u015fans\u0131 demektir.\u201d<\/p>\n
\u00a0<\/p>\n
\u00a0<\/p>\n
Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"
Solunum yollar\u0131nda hava ak\u0131\u015f\u0131n\u0131n k\u0131s\u0131tlanmas\u0131yla olu\u015fan, ilerleyici ve s\u00fcrekli bir solunum yolu hastal\u0131\u011f\u0131 olan KOAH\u2019\u0131n en \u00f6nemli nedenleri aras\u0131nda, t\u00fct\u00fcn ve t\u00fct\u00fcn \u00fcr\u00fcnleri kullan\u0131m\u0131 ilk s\u0131rada yer al\u0131yor.<\/p>\n","protected":false},"author":1,"featured_media":6644,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1156,2297,3413,2478,3113],"class_list":["post-6643","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-ciftci","tag-kronik","tag-kusbeci","tag-sigara","tag-solunum"],"_links":{"self":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/6643","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=6643"}],"version-history":[{"count":0,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/6643\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media\/6644"}],"wp:attachment":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=6643"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=6643"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=6643"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}