{"id":36593,"date":"2022-09-05T02:36:03","date_gmt":"2022-09-05T02:36:03","guid":{"rendered":"https:\/\/haberulus.net\/?p=36593"},"modified":"2022-09-05T02:36:03","modified_gmt":"2022-09-05T02:36:03","slug":"kotu-kolesterol-ile-basa-cikma-yollari","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=36593","title":{"rendered":"K\u00f6t\u00fc kolesterol ile ba\u015fa \u00e7\u0131kma yollar\u0131"},"content":{"rendered":"

Dr. Mehmet Akif \u00d6zt\u00fcrk, kalp krizinden felce kadar \u00f6l\u00fcmc\u00fcl sa\u011fl\u0131k sorunlar\u0131na neden olan k\u00f6t\u00fc kolesterol\u00fc d\u00fc\u015f\u00fcrmenin yollar\u0131n\u0131 a\u00e7\u0131klarken, kolesterol ila\u00e7lar\u0131yla ilgili merak edilen noktalara da de\u011findi…<\/b><\/p>\n

Kolesterol asl\u0131nda h\u00fccrenin yap\u0131s\u0131nda bulunan bir molek\u00fcld\u00fcr. V\u00fccut i\u00e7in \u00f6nemli g\u00f6revleri vard\u0131r. H\u00fccre duvarlar\u0131 ve hormonlar\u0131n in\u015fas\u0131nda rol oynayan kolesterol ihtiyac\u0131m\u0131z\u0131n b\u00fcy\u00fck k\u0131sm\u0131 v\u00fccudumuz taraf\u0131ndan \u00fcretilerek kar\u015f\u0131lan\u0131r, geri kalan\u0131 da yiyeceklerden sa\u011flan\u0131r.\u00a0\u0130nsan sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan korkulan kolesterol, kanda dola\u015fan kolesterol \u00e7e\u015fitlerinden biri olan ve ayn\u0131 zamanda k\u00f6t\u00fc kolesterol olarak da bildi\u011fimiz LDL’dir. \u2018’Yap\u0131lan bir\u00e7ok \u00e7al\u0131\u015fma y\u00fcksek LDL kolesterol seviyeleri ile kalp ve damar hastal\u0131klar\u0131 riskinin artt\u0131\u011f\u0131n\u0131 ortaya koymu\u015ftur. \u00dclkemizde y\u00fcksek kolesterol g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 y\u00fczde 30 civar\u0131nda. Bu da hemen hemen her 3 ki\u015fiden 1’inde bu tehlikenin var oldu\u011fu anlam\u0131na gelir” diyen \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. Mehmet Akif \u00d6zt\u00fcrk, k\u00f6t\u00fc kolesterol ve kolesterol ila\u00e7lar\u0131yla ilgili merak edilen noktalara \u015f\u00f6yle de\u011findi\u2026<\/p>\n

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Dr. Mehmet Akif \u00d6zt\u00fcrk<\/p>\n<\/div>\n

Risk fakt\u00f6rleri nelerdir?<\/strong><\/b><\/p>\n

\u00d6ncelikle ailesel olarak y\u00fcksek kolesterole bir yatk\u0131nl\u0131k varsa yani ki\u015finin babas\u0131nda, annesinde veya dedesinde kolesterol y\u00fcksekli\u011fi oldu ise bu \u00f6nemli bir risk art\u0131\u015f\u0131n\u0131 ifade eder. Di\u011fer bir risk art\u0131\u015f\u0131 bozulmu\u015f kan \u015fekeri d\u00fczeyleri, ins\u00fclin direnci olan ya da diyabet hastal\u0131\u011f\u0131 tan\u0131s\u0131 var olan hastalarda mevcuttur. Fakat burada kolesterol y\u00fcksekli\u011fi i\u00e7in riskten ziyade kalp damar hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan risk daha \u00f6nemlidir. Bu a\u00e7\u0131dan risk fakt\u00f6rleri diyabet, hipertansiyon, sigara kullan\u0131m\u0131, kronik b\u00f6brek yetersizli\u011fi ve ya\u015f say\u0131labilir. Sigara i\u00e7en bireylerde olu\u015fan oksidatif strese ba\u011fl\u0131 olarak kan damarlar\u0131nda baz\u0131 bozulmalar meydana gelir. Y\u00fcksek kolesterol ile birlikte oldu\u011funda maalesef kalp damar hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan ciddi bir risk art\u0131\u015f\u0131 meydana gelir. Alkol ise zamanla karaci\u011ferde ya\u011flanmaya sebep olur. Bu ya\u011flanma da metabolik olarak hastalarda kolesterol y\u00fckseklikleri ile ili\u015fkili olabilir. Stres ve gerginlik s\u0131ras\u0131nda kalbi h\u0131zland\u0131ran ve sorunlarla ba\u015fa \u00e7\u0131kmaya yard\u0131mc\u0131 olacak adrenalin ve kortizol gibi hormonlar salg\u0131lan\u0131r. Uzun s\u00fcreli stres durumunda ise bu hormonlar y\u00fcksek seviyelerde kal\u0131r ve bu durum da kalbe y\u00fck bindirir. Zamanla, a\u015f\u0131r\u0131 LDL (k\u00f6t\u00fc kolesterol) atardamarlarda birikerek t\u0131kanmalara ve sertle\u015fmeye neden olabilir. Stres ayr\u0131ca, ekstra LDL’yi temizlemeye yard\u0131mc\u0131 olan HDL’nizi veya \u201ciyi\u201d kolesterol\u00fc d\u00fc\u015f\u00fcren inflamasyonu (iltihap) tetikler.<\/p>\n

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Gen\u00e7lerde de g\u00f6r\u00fcl\u00fcr m\u00fc?<\/strong><\/b><\/p>\n

Normal bireylerde ya\u015f ile kolesterol y\u00fcksekli\u011fi g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artar. Fakat ailesel kolesterol y\u00fcksekli\u011fi mevcut ise \u00e7ok erken ya\u015flarda bile kolesterol y\u00fcksekli\u011fi saptanabilir. Bu da erken ya\u015fta kalp krizi ya da inme riskini maalesef art\u0131r\u0131r. O y\u00fczden e\u011fer ailede erken ya\u015fta kalp krizi hikayesi mevcut ise mutlaka ailesel kolesterol y\u00fcksekli\u011fi olabilece\u011fi ak\u0131lda bulundurulmal\u0131 ve kolesterol d\u00fczeylerine bak\u0131lmal\u0131d\u0131r.<\/p>\n

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Hastalar nas\u0131l beslenmeli?<\/strong><\/b><\/p>\n

Diyetle al\u0131nan kolesterol\u00fcn ana kayna\u011f\u0131 bilindi\u011fi gibi hayvansal g\u0131dalard\u0131r. Kolesterol\u00fc y\u00fcksek saptanan hastalar\u0131m\u0131za hayvansal g\u0131dalar\u0131 tamamen k\u0131s\u0131tlam\u0131yoruz ancak daha y\u00fcksek oranda kolesterol i\u00e7eri\u011fi olan \u00f6rne\u011fin ci\u011fer, yumurta, k\u0131rm\u0131z\u0131 et, biftek gibi g\u0131dalar yerine az ya\u011fl\u0131 bal\u0131k ya da tavuk, az ya\u011fl\u0131 s\u00fct ve s\u00fct \u00fcr\u00fcnleri \u00f6neriyoruz. Ayr\u0131ca ay\u00e7i\u00e7e\u011fi ya\u011f\u0131 veya hayvansal kat\u0131 ya\u011flar yerine yemeklerde zeytinya\u011f\u0131 kullan\u0131m\u0131n\u0131 \u00f6neriyoruz. Meyve \u015fekeri yani fruktoz i\u00e7eren basit \u015fekerlerin de a\u015f\u0131r\u0131 t\u00fcketilmesini istemiyoruz.<\/p>\n

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Ne zaman ve ne kadar s\u00fcreyle ila\u00e7 kullanmak gerekir?<\/strong><\/b><\/p>\n

Bu kolesterol ila\u00e7lar\u0131 tek sefer kullan\u0131lan ila\u00e7lardan de\u011fildir. Yani bir kutu kullan\u0131p b\u0131rakmak do\u011fru de\u011fil. \u00c7\u00fcnk\u00fc siz kolesterol ilac\u0131n\u0131 b\u0131rakt\u0131\u011f\u0131n\u0131z zaman \u00f6zellikle beslenmenize de \u00e7ok dikkat etmiyorsan\u0131z k\u0131sa s\u00fcrede yeniden y\u00fckselecektir. \u0130la\u00e7 ba\u015flam\u0131\u015f oldu\u011fumuz hastalara da beslenme \u00f6nerilerimize aynen uymalar\u0131n\u0131 \u00f6neriyoruz. Bunun yan\u0131nda tabii ki fiziksel aktivite \u00e7ok \u00f6nemli. Y\u00fcksek miktarda kolesterol d\u00fc\u015f\u00fc\u015fleri sa\u011flayabiliyor.<\/p>\n

\u0130la\u00e7lar\u0131n yan etkileri var m\u0131?<\/strong><\/b><\/p>\n

Kolesterol ila\u00e7lar\u0131 nadir de olsa kas enzimlerinde y\u00fcksekliklere veya karaci\u011fer enzim y\u00fcksekliklerine sebep olabiliyor. Biz de hastalar\u0131m\u0131z\u0131 olas\u0131 yan etkiler hakk\u0131nda ayr\u0131ca bilgilendiriyor gerekirse bu ila\u00e7lar\u0131n dozlar\u0131n\u0131 azaltabiliyor veya ba\u015fka tarzda ila\u00e7lar kullanabiliyoruz.<\/p>\n

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LDL seviyesi nas\u0131l d\u00fc\u015f\u00fcr\u00fcl\u00fcr?<\/b><\/p>\n

Bu her hastada \u00e7ok kolay olmayabiliyor. \u00d6ncelikle riski y\u00fcksek hastalara ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri \u00f6neriyoruz. Bunlar fiziksel aktivite ve beslenme \u00f6nerileri \u015feklinde oluyor. Bunlarla e\u011fer hedeflenen kolesterol seviyelerine gelemezsek o takdirde ila\u00e7 tedavisi gerekebiliyor. Burada hastalar\u0131n tedaviye uyumu \u00e7ok \u00f6nemli.<\/p>\n","protected":false},"excerpt":{"rendered":"

Dr. Mehmet Akif \u00d6zt\u00fcrk, kalp krizinden felce kadar \u00f6l\u00fcmc\u00fcl sa\u011fl\u0131k sorunlar\u0131na neden olan k\u00f6t\u00fc kolesterol\u00fc d\u00fc\u015f\u00fcrmenin yollar\u0131n\u0131 a\u00e7\u0131klarken …<\/p>\n","protected":false},"author":1,"featured_media":36594,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[2132,1564,7245,161,877],"class_list":["post-36593","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-hastalar","tag-ilac","tag-kolesterol","tag-risk","tag-yuksek"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/36593","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=36593"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/36593\/revisions"}],"predecessor-version":[{"id":36595,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/36593\/revisions\/36595"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/36594"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36593"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36593"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}