{"id":101458,"date":"2023-06-20T03:05:04","date_gmt":"2023-06-20T03:05:04","guid":{"rendered":"https:\/\/haberulus.net\/?p=101458"},"modified":"2023-06-20T03:05:04","modified_gmt":"2023-06-20T03:05:04","slug":"reflu-mu-yoksa-kalp-krizi-mi","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=101458","title":{"rendered":"Refl\u00fc m\u00fc yoksa kalp krizi mi?"},"content":{"rendered":"

Refl\u00fc <\/strong>(Gastro\u00f6zofageal refl\u00fc) mide i\u00e7eri\u011finin yemek borusuna geri ka\u00e7mas\u0131 \u015feklinde tan\u0131mlan\u0131r. Normalde yemek sonras\u0131 ya da \u00f6ne do\u011fru e\u011filmekle a\u011fza do\u011fru yedi\u011fimiz yemekler veya mide asidi, a\u011f\u0131za gelebilir. \u2018’Ancak a\u011f\u0131za do\u011fru ac\u0131 su gelmesi veya bo\u011fazda alev alev yanma hissi olu\u015fmas\u0131 refl\u00fc i\u015faretidir” diyen Gastroenteroloji Uzman\u0131 Prof. Dr. Meltem Erg\u00fcn, kimi zaman kalp kriziyle kar\u0131\u015ft\u0131r\u0131lan hastal\u0131kla ilgili bilinmesi gerekenleri \u015f\u00f6yle anlatt\u0131:<\/p>\n

Bir\u00e7ok nedeni var<\/b><\/p>\n

Normalde yemek borusunun alt ucu kapal\u0131 durmakta mide i\u00e7eri\u011finin yemek borusuna ka\u00e7\u0131\u015f\u0131na izin vermemektedir. Ancak mide kapak\u00e7\u0131\u011f\u0131 gev\u015fek olursa refl\u00fcye zemin haz\u0131rlar. \u00c7ok yemek yiyip yatar pozisyona ge\u00e7ersek refl\u00fc olu\u015fabilir. Mide asidinin fazla olmas\u0131na ve yemek borusu alt ucu gev\u015fekli\u011fine ba\u011fl\u0131 olarak da geli\u015fir. Kilo al\u0131m\u0131, stres, s\u0131k\u0131 k\u0131yafetler giymek, bir oturu\u015fta \u00e7ok fazla yemek yemek bu sorunu tetikler. Refl\u00fcy\u00fc olu\u015fturan\/kolayla\u015ft\u0131ran besinler ise kahve, \u00e7ay, alkol, sigara, \u00e7ikolata ve ya\u011fl\u0131 yiyeceklerdir. Obezite s\u0131kl\u0131\u011f\u0131n\u0131n artmas\u0131 fast food tarz\u0131 yiyeceklerin daha fazla t\u00fcketilmesi refl\u00fc s\u0131kl\u0131\u011f\u0131nda art\u0131\u015fa zemin haz\u0131rlar. Midede \u00fclser ve gastrit bulunmas\u0131 mide asidini art\u0131rarak refl\u00fc geli\u015fimini kolayla\u015ft\u0131r\u0131r.<\/p>\n

\u0130\u015fte belirtileri<\/b><\/p>\n

Refl\u00fcn\u00fcn tipik belirtileri g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, mideden a\u011fza do\u011fru ula\u015fan yanma hissi ve a\u011fza gelen ac\u0131\/ek\u015fi s\u0131v\u0131d\u0131r. Refl\u00fc g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131na da sebep olabilece\u011fi i\u00e7in kalp kriziyle kar\u0131\u015ft\u0131r\u0131labilir. Kalp krizi daha \u00e7ok g\u00f6\u011f\u00fcs\u00fcn sol taraf\u0131nda ba\u015flay\u0131p, \u00e7eneye veya sol kola vuran \u015fiddetli a\u011fr\u0131, terleme fenal\u0131k hissi ile karakterizedir. Refl\u00fcde ise g\u00f6\u011f\u00fcs orta k\u0131s\u0131mda iman tahtas\u0131 tabir edilen kemi\u011fin arkas\u0131ndan ba\u015flay\u0131p a\u011f\u0131z i\u00e7ine do\u011fru yay\u0131lan yanma hissi \u00f6n plandad\u0131r. Kalp krizi \u00f6l\u00fcmc\u00fcl sonu\u00e7lar do\u011furabilece\u011finden \u00f6ncelikle EKG ve kan testi ile kalp hastal\u0131\u011f\u0131n\u0131n d\u0131\u015flanmas\u0131 gerekir. Yani her hastada tipik belirtiler olmayabilece\u011fi g\u00f6z \u00f6n\u00fcne al\u0131narak mutlaka \u00f6nce kalp hastal\u0131klar\u0131 y\u00f6n\u00fcnden de\u011ferlendirme yap\u0131lmal\u0131 sonra refl\u00fc hastal\u0131\u011f\u0131na y\u00f6nelik tedavi verilmelidir.<\/p>\n

Mide f\u0131t\u0131\u011f\u0131na dikkat!<\/b><\/p>\n

Mide f\u0131t\u0131\u011f\u0131 midenin bir k\u0131sm\u0131n\u0131n g\u00f6\u011f\u00fcs bo\u015flu\u011funa do\u011fru kaymas\u0131d\u0131r. Bu durumda mide kapak\u00e7\u0131\u011f\u0131n\u0131n refl\u00fcden koruyucu etkisi zay\u0131flar ve asit daha fazla yukar\u0131 ka\u00e7maya ba\u015flar. Refl\u00fc hastal\u0131\u011f\u0131na zemin haz\u0131rlar.<\/p>\n

Te\u015fhis yollar\u0131<\/b><\/p>\n

Refl\u00fc tan\u0131s\u0131 hastal\u0131\u011f\u0131n belirtileri ve klinik bulgularla konur. Endoskopik inceleme genellikle tan\u0131da kullan\u0131lan en \u00f6nemli y\u00f6ntemdir.<\/p>\n

Kanseri tetikleyebilir<\/b><\/p>\n

Uzun s\u00fcren refl\u00fc hastal\u0131\u011f\u0131nda \u00f6zellikle endoskopik olarak Barrett \u00f6zofagusu olarak adland\u0131r\u0131lan durumda kanser riskinde az da olsa bir art\u0131\u015f s\u00f6z konusudur. Ancak endoskopik takip ve patolojik de\u011ferlendirme sonu\u00e7lar\u0131na g\u00f6re her hasta bireysel olarak de\u011ferlendirilmelidir. \u00dclkemizde Barrett Avrupa \u00fclkelerine g\u00f6re daha nadirdir ve Barrett zemininde kanser geli\u015fimini de olduk\u00e7a az g\u00f6rmekteyiz. Takip ve kontrole evet ama panik ve endi\u015feye hay\u0131r diyoruz.<\/p>\n

Bayram uyar\u0131s\u0131<\/b><\/p>\n

Kurban Bayram\u0131’na yemeklerde a\u015f\u0131r\u0131ya ka\u00e7maktan sak\u0131nmal\u0131y\u0131z. Aile b\u00fcy\u00fcklerimiz bize ikramda s\u0131n\u0131r tan\u0131masalar da, yapt\u0131klar\u0131 \u00f6zenli yemeklerden \u00f6l\u00e7\u00fcl\u00fc tatmal\u0131y\u0131z. K\u0131rm\u0131z\u0131 et kadar hamur i\u015fi ve tatl\u0131da da a\u015f\u0131r\u0131ya ka\u00e7mamal\u0131y\u0131z.<\/p>\n

Tedavi y\u00f6ntemleri<\/b><\/p>\n

Refl\u00fc tedavisinde akla ilk \u00f6nce ya\u015fam bi\u00e7imi de\u011fi\u015fiklikleri gelir. Dolu mideyle yatmamak, sigara ve alkol kullanmamak, azar azar ve s\u0131k yemek yemek, refl\u00fcy\u00fc tetikleyen ac\u0131l\u0131, baharatl\u0131, sal\u00e7al\u0131, ya\u011fl\u0131 yemeklerden ka\u00e7\u0131nmak ilk yap\u0131lmas\u0131 gerekenlerdir. Refl\u00fc tedavisinde genel olarak ila\u00e7 kullan\u0131l\u0131r. Nadir durumlarda (b\u00fcy\u00fck bir mide f\u0131t\u0131\u011f\u0131 varsa vb) cerrahi tedavi g\u00fcndeme gelebilir, ancak \u00f6zellikle deneyimli merkezlerde deneyimli cerrahlar\u0131n bu operasyonu yapmalar\u0131 uygun g\u00f6r\u00fclmektedir.<\/p>\n

Akdeniz tipi beslenin<\/b><\/p>\n

Refl\u00fcden korunmak i\u00e7in azar azar ve s\u0131k yemek yemek, kilo almamak, fazla kilomuz varsa kilolardan kurtulmak, k\u00f6t\u00fc al\u0131\u015fkanl\u0131klar\u0131 terk etmek fayda sa\u011flar. Ayr\u0131ca korse gibi s\u0131k\u0131 k\u0131yafetler giymemek ve ya\u011fl\u0131, ac\u0131l\u0131 ve baharatl\u0131 yemeklerden ve fast food’dan m\u00fcmk\u00fcn oldu\u011funca uzak durmak da fayda sa\u011flar. Akdeniz tipi beslenme olarak an\u0131lan sebze, meyve, bal\u0131k ve zeytinya\u011fl\u0131 yiyeceklerin bolca t\u00fcketildi\u011fi beslenme tipi, hem ya\u015fam s\u00fcresini uzat\u0131r hem kronik hastal\u0131klar\u0131n geli\u015fmesini engeller veya geciktirir, hem de refl\u00fc olu\u015fumunu azalt\u0131r.<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

G\u00f6\u011f\u00fcste a\u011fr\u0131, yanma ve bas\u0131n\u00e7 hissine yol a\u00e7an reflfl\u00fc pek \u00e7ok ki\u015fiye kalp krizi korkusu ya\u015fat\u0131r.Peki aradaki fark nas\u0131l anla\u015f\u0131l\u0131r? \u0130\u015fte Erg\u00fcn\u2019\u00fcn yan\u0131t\u0131\u2026<\/p>\n","protected":false},"author":1,"featured_media":101459,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[3932,375,12618,1639,3779],"class_list":["post-101458","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-kalp","tag-mide","tag-reflu","tag-sik","tag-yemek"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/101458","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=101458"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/101458\/revisions"}],"predecessor-version":[{"id":101460,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/101458\/revisions\/101460"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/101459"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=101458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=101458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=101458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}