{"id":80359,"date":"2023-04-25T03:05:03","date_gmt":"2023-04-25T03:05:03","guid":{"rendered":"https:\/\/haberulus.net\/?p=80359"},"modified":"2023-04-25T03:05:03","modified_gmt":"2023-04-25T03:05:03","slug":"terlemenin-8-nedeni","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=80359","title":{"rendered":"Terlemenin 8 nedeni"},"content":{"rendered":"<p>Terleme, v\u00fccut \u0131s\u0131s\u0131n\u0131 dengeleyen do\u011fal bir mekanizmad\u0131r. Genellikle hava s\u0131cakl\u0131klar\u0131na, harekete ya da korku, heyecan gibi duygusal de\u011fi\u015fimlerde olu\u015fur. Ancak durduk yere terlemenin t\u0131bbi bir sorunun g\u00f6stergesi olabilece\u011fine dikkat \u00e7eken \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Ya\u015far K\u00fc\u00e7\u00fckardal\u0131, i\u015fte onlar\u0131 \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n<div><img decoding=\"async\" src=\"https:\/\/i01.sozcucdn.com\/wp-content\/uploads\/2023\/04\/24\/02prof-dr-yasar-kucukardali.jpg\" alt=\"\" title=\"\"><\/p>\n<p>Ya\u015far K\u00fc\u00e7\u00fckardal\u0131<\/p>\n<\/div>\n<p><b>1 \u2013 Hipoglisemi<\/b><\/p>\n<p>Kan \u015fekeri d\u00fc\u015fmesi olarak tan\u0131mlanan hipoglisemi terlemeye yol a\u00e7ar.\u00a0\u015eekerin d\u00fc\u015fmesi ile v\u00fccutta ins\u00fclinin z\u0131dd\u0131 etki g\u00f6steren b\u00fcy\u00fcme hormonu adrenalin, kortizol gibi baz\u0131 hormonlar\u0131n sal\u0131n\u0131m\u0131 art\u0131yor. Bu durum, adrenerjik aktiviteye yani terleme ve \u00e7arp\u0131nt\u0131ya yol a\u00e7\u0131yor. Hipoglisemi diyabetin erken d\u00f6neminde yani ins\u00fclinin fazla salg\u0131land\u0131\u011f\u0131 d\u00f6nemde veya tedavi s\u0131ras\u0131nda ila\u00e7 ve beslenme ili\u015fkisini ayarlayamayan hastalarda daha \u00e7ok ortaya \u00e7\u0131k\u0131yor. Sorunun kayna\u011f\u0131n\u0131n hipoglisemi olup olmad\u0131\u011f\u0131n\u0131 anlaman\u0131n yolu, terleme s\u0131ras\u0131nda kan \u015fekeri \u00f6l\u00e7\u00fcm\u00fc yapmakt\u0131r. \u0130la\u00e7 tedavi plan\u0131n\u0131 yeniden ayarlamak ve beslenme e\u011fitimi vererek kan \u015fekeri d\u00fc\u015fmelerinin ve terlemenin \u00f6n\u00fcne ge\u00e7ilebiliyor.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/i01.sozcucdn.com\/wp-content\/uploads\/2023\/04\/24\/02-terleme-10.jpg\" alt=\"\" title=\"\"><\/p>\n<p><b>2 \u2013 Menopoz<\/b><\/p>\n<p>Premenopoz ve erken menopoz d\u00f6neminde hormonal d\u00fczensizli\u011fe ba\u011fl\u0131 s\u0131cak basmalar\u0131 ile birlikte terleme olabiliyor. Hatta bu d\u00f6nemdeki kad\u0131nlarda terlemenin en s\u0131k sebebini olu\u015fturuyor. Hekim kontrol\u00fcnde olmak kayd\u0131yla hormon replasman tedavisi bu sorunu \u00e7\u00f6zebiliyor.<\/p>\n<p><b>3 \u2013 Hormonal hastal\u0131klar<\/b><\/p>\n<p>Tiroit bezinin h\u0131zl\u0131 \u00e7al\u0131\u015fmas\u0131 yani hipertiroidizm v\u00fccuttaki bir\u00e7ok sistemin de h\u0131zl\u0131 \u00e7al\u0131\u015fmas\u0131na neden oluyor. Bu durumda terlemeye ek olarak \u00e7arp\u0131nt\u0131, sinirlilik, kilo kayb\u0131 g\u00f6r\u00fclebiliyor. Feokromositoma da b\u00f6brek\u00fcst\u00fc bezinin merkez k\u0131sm\u0131 h\u0131zl\u0131 \u00e7al\u0131\u015farak adrenalin hormonunu kontrols\u00fcz \u00fcretiyor. Dolay\u0131s\u0131yla hastada terleme, \u00e7arp\u0131nt\u0131, tansiyon y\u00fcksekli\u011fi g\u00f6zleniyor. Karsinoid sendromu da sindirim sistemi mukozas\u0131n\u0131n k\u00fc\u00e7\u00fck t\u00fcm\u00f6rlerinden serotonin ve benzeri maddelerin salg\u0131lanmas\u0131yla ortaya \u00e7\u0131k\u0131yor. Hastada s\u0131cak basmas\u0131, \u00e7arp\u0131nt\u0131, terleme, bulant\u0131 gibi \u015fikayetlere neden olabiliyor. Bu sorunlarda ila\u00e7 tedavisi ya da cerrahi uygulan\u0131yor.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/i01.sozcucdn.com\/wp-content\/uploads\/2023\/04\/24\/02terleme-4.jpg\" alt=\"\" title=\"\"><\/p>\n<p><b>4 \u2013 Kanserler<\/b><\/p>\n<p>Lenfoma gibi baz\u0131 kanser t\u00fcrlerinde terleme ilk belirti olarak ortaya \u00e7\u0131k\u0131yor. Hastada ayn\u0131 zamanda kilo kayb\u0131, i\u015ftahs\u0131zl\u0131k gibi belirtiler de g\u00f6zleniyor. Lenf bezlerinin koltukalt\u0131, kas\u0131klar, boyun, kar\u0131n, g\u00f6\u011f\u00fcs b\u00f6lgesi gibi lokalizasyonlar\u0131nda patolojik b\u00fcy\u00fcmenin mikroskop alt\u0131nda incelenmesiyle tan\u0131 konuyor. G\u00fcn\u00fcm\u00fczde lenfoma tedavisinde olduk\u00e7a ba\u015far\u0131l\u0131 sonu\u00e7lara ula\u015f\u0131labiliyor.<\/p>\n<p><b>5 \u2013 \u0130la\u00e7lar<\/b><\/p>\n<p>Baz\u0131 ila\u00e7lar da terlemeye yol a\u00e7abiliyor. Bunlar\u0131n ba\u015f\u0131nda antidepresanlar geliyor. Ayr\u0131ca baz\u0131 ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fcler de terlemeye yo a\u00e7abiliyor.<\/p>\n<p><b>6 \u2013 N\u00f6rolojik sorunlar<\/b><\/p>\n<p>Baz\u0131 hastal\u0131klar ter bezlerinin \u00e7al\u0131\u015fmas\u0131n\u0131 sa\u011flayan sinirleri bozarak terleme bozukluklar\u0131na yol a\u00e7abiliyor. Altta yatan hastal\u0131k d\u00fczeltilebilirse terleme bozuklu\u011funda da iyile\u015fme g\u00f6r\u00fcl\u00fcyor.<\/p>\n<p><b>7 \u2013 A\u015f\u0131r\u0131 terleme<\/b><\/p>\n<p>Belli bir nedene ba\u011fl\u0131 olmadan ter bezlerinin h\u0131zl\u0131 \u00e7al\u0131\u015fmas\u0131 (idiyopatik hiperhidroz) terleme nedenlerinden biridir. Laboratuvar testleri normal g\u00f6r\u00fcnen bu sorun ya\u015fam kalitesini ciddi oranda d\u00fc\u015f\u00fcr\u00fcyor. Ter bezlerinin faaliyeti baz\u0131 ila\u00e7larla veya botoks enjeksiyonlar\u0131 ile azalt\u0131labiliyor.<\/p>\n<p><b>8 \u2013 Enfeksiyonlar<\/b><\/p>\n<p>Terlemenin s\u0131k sebeplerindendir. Ate\u015f, i\u015ftahs\u0131zl\u0131k, kilo kayb\u0131 gibi genel belirtilere bulant\u0131, kusma e\u015flik eder. En s\u0131k t\u00fcberk\u00fcloz ve Brusella bakterisi terlemeye yol a\u00e7ar. Bakteriyel enfeksiyonlardan \u00f6zellikle kalp kapa\u011f\u0131 enfeksiyonu, kemik enfeksiyonu, apseler ve HIV enfeksiyonu terlemeye neden olabilir. Uygun antimikrobiyel ila\u00e7larla tedavi edilebilir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Ya\u015far K\u00fc\u00e7\u00fckardal\u0131, \u2018Y\u00fcksek hava s\u0131cakl\u0131\u011f\u0131, fazla efor, a\u015f\u0131r\u0131 heyecan gibi durumlar d\u0131\u015f\u0131nda olu\u015fan terlemeler menopozdan kullan\u0131lan ila\u00e7lara enfeksiyonlardan kansere kadar bir\u00e7ok etken ve hastal\u0131ktan kaynaklanabilir\u2019\u2019 dedi.<\/p>\n","protected":false},"author":1,"featured_media":80360,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[9984,1564,3202,376,11200],"class_list":["post-80359","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-hormon","tag-ilac","tag-sorun","tag-tedavi","tag-terleme"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/80359","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=80359"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/80359\/revisions"}],"predecessor-version":[{"id":80361,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/80359\/revisions\/80361"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/80360"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=80359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=80359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=80359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}