{"id":7750,"date":"2024-09-16T14:24:05","date_gmt":"2024-09-16T11:24:05","guid":{"rendered":"https:\/\/yalovasondakika.com.tr\/?p=7750"},"modified":"2024-09-16T14:24:05","modified_gmt":"2024-09-16T11:24:05","slug":"refluye-karsi-10-etkili-onlem","status":"publish","type":"post","link":"https:\/\/yalovasondakika.com.tr\/index.php\/2024\/09\/16\/refluye-karsi-10-etkili-onlem\/","title":{"rendered":"Refl\u00fcye kar\u015f\u0131 10 etkili \u00f6nlem!"},"content":{"rendered":"<p>G\u00f6\u011f\u00fcste yanma hissi, mideden a\u011f\u0131za ger\u00e7ek y\u00fckselen ac\u0131-ek\u015fi mide i\u00e7eri\u011fi, ses k\u0131s\u0131kl\u0131\u011f\u0131, bo\u011fazda g\u0131c\u0131klanma\u2026 Bu ve gibisi \u015fikayetlerle kendini g\u00f6steren ve halk ortas\u0131nda refl\u00fc olarak tan\u0131mlanan\u00a0\u2018gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131\u2019\u00a0(G\u00d6RH) son y\u0131llarda giderek daha s\u0131k g\u00f6r\u00fcl\u00fcyor.\u00a0<strong>Ac\u0131badem Taksim Hastanesi Gastroenteroloji Uzman\u0131 Prof. Dr. \u00c7etin Karaca<\/strong>, \u00fclkemizde her 5 bireyden birinin refl\u00fc hastas\u0131 oldu\u011funu belirterek, bilhassa yemeklerden yakla\u015f\u0131k yar\u0131m saat sonra ba\u015flayan \u015fikayetlerin gece ast\u0131m gibisi \u00f6ks\u00fcr\u00fck ve bo\u011fulma krizlerine yol a\u00e7abildi\u011fini, tedavinin ihmal edilmesi durumunda ise kanserle\u015fme ihtimali olabilece\u011fini vurguluyor. Son y\u0131llarda teknoloji ve t\u0131ptaki geli\u015fmeler sayesinde refl\u00fcn\u00fcn te\u015fhis ve tedavisinde s\u00fcratli ilerlemeler ya\u015fand\u0131\u011f\u0131na dikkat \u00e7eken Prof. Dr. \u00c7etin Karaca, G\u00d6RH\u2019n\u0131n tedavisinde yeni geli\u015fmeleri anlatt\u0131, refl\u00fcye kar\u015f\u0131 tedbirleri s\u0131ralad\u0131, k\u0131ymetli ihtarlar ve tekliflerde bulundu.\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>T\u0131p lisan\u0131ndaki ismiyle \u2018gastro\u00f6zofagial refl\u00fc\u2019 hastal\u0131\u011f\u0131na; s\u0131hhatsiz beslenmeden \u00e7ok gerilime, sigara ve alkolden fazla kiloya dek pek \u00e7ok etken neden olabiliyor. Ac\u0131badem Taksim Hastanesi Gastroenteroloji Uzman\u0131 Prof. Dr. \u00c7etin Karaca, \u201cRefl\u00fc mide i\u00e7eri\u011finin yemek borusuna geri ka\u00e7mas\u0131d\u0131r. Ola\u011fanda yemek borusu ile mide ortas\u0131nda kapak misyonu yapan ve mide i\u00e7eri\u011finin yemek borusuna ka\u00e7mas\u0131n\u0131 engelleyen kapak mevcuttur. Bu kapa\u011f\u0131n s\u00fcreksiz olarak gev\u015femesine neden olan bir\u00e7ok fakt\u00f6r (sigara, alkol, ac\u0131l\u0131- baharatl\u0131 yiyecekler, k\u0131zartmalar, \u015fi\u015fmanl\u0131k, turun\u00e7giller vb) refl\u00fcye neden olur\u201d diyor. Yap\u0131lan \u00e7al\u0131\u015fmalarda, ge\u00e7mi\u015fte yaln\u0131zca yeti\u015fkinlerin hastal\u0131\u011f\u0131 olarak bilinen refl\u00fcn\u00fcn son y\u0131llarda yayg\u0131nla\u015ft\u0131\u011f\u0131n\u0131n ve art\u0131k \u00e7ocuklarda da s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fcn ortaya konuldu\u011funu belirten Prof. Dr. Karaca, g\u00fcn\u00fcm\u00fczde her 5 \u015fah\u0131stan birinde refl\u00fc tespit edildi\u011fini s\u00f6yl\u00fcyor. Refl\u00fcn\u00fcn tipik bulgusunu; g\u00f6\u011f\u00fcs kafesi gerisinde yanma hissi ve ac\u0131-ek\u015fi mide i\u00e7eri\u011finin mideden a\u011f\u0131za ger\u00e7ek gelmesi olu\u015fturuyor. Yeme\u011fin akabinde \u00e7oklukla yakla\u015f\u0131k yar\u0131m saat i\u00e7erisinde \u015fikayetler ba\u015fl\u0131yor; \u00e7ok dolu mide ile yatan \u015fah\u0131slarda mide i\u00e7eri\u011fi gece soluk borusu, yutak ve a\u011f\u0131za kadar geri gelebiliyor. Bu hastalarda gece ast\u0131m gibisi \u00f6ks\u00fcr\u00fck ve bo\u011fulma krizleri, bo\u011fazda yanma ve ses k\u0131s\u0131kl\u0131\u011f\u0131 sorunu ba\u015f g\u00f6sterdi\u011fini belirten Prof. Dr. \u00c7etin Karaca\u00a0\u201cKalp hastal\u0131klar\u0131na ba\u011fl\u0131 olmayan g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131n\u0131n en s\u0131k nedeni gastro\u00f6zofagial refl\u00fcd\u00fcr. Geni\u015f i\u015ftirakli toplum \u00e7al\u0131\u015fmalar\u0131na nazaran; insanlar\u0131n y\u00fczde 50\u2019si y\u0131lda en az bir defa, y\u00fczde 25\u2019i ayda bir sefer, y\u00fczde 15\u2019i haftada bir kere ve y\u00fczde 5-10\u2019u da her g\u00fcn en az bir sefer refl\u00fc semptomlar\u0131n\u0131 ya\u015famaktad\u0131rlar. Refl\u00fc tedavisi hem g\u00fcnl\u00fck hayat kalitesinin art\u0131r\u0131lmas\u0131 hem de ihmal edildi\u011finde kanserle\u015fme ihtimali olabildi\u011finden geciktirilmemelidir\u201d diyor.\u00a0<\/p>\n<p>\u00a0<\/p>\n<p><strong>Refl\u00fc hastal\u0131\u011f\u0131nda endoskopik tedavi<\/strong><\/p>\n<p>Son y\u0131llarda teknoloji ve t\u0131ptaki s\u00fcratli ilerlemeler sayesinde refl\u00fc hastal\u0131\u011f\u0131n\u0131n te\u015fhis ve tedavisinde k\u0131ymetli geli\u015fmeler ya\u015fan\u0131yor. K\u00e2fi dozda ila\u00e7 kullanmas\u0131na kar\u015f\u0131n refl\u00fc \u015fikayetleri denetim alt\u0131na al\u0131namayan, ila\u00e7 kullanmak istemeyen, gece refl\u00fc semptomlar\u0131 a\u011f\u0131r olan hastalara endoskopik refl\u00fc tedavilerinin \u00f6nerilebildi\u011fini belirten Prof. Dr. \u00c7etin Karaca \u015f\u00f6yle konu\u015fuyor:\u00a0\u201cEndoskopik refl\u00fc tedavi metotlar\u0131nda hastanede yat\u0131\u015f ve cilt kesisi gerekmez. Endoskopi \u00fcnitesinde uygulanmakta ve hasta birebir g\u00fcn ola\u011fan hayat\u0131na d\u00f6nebilmektedir. Endoskopik refl\u00fc tedavisi denildi\u011finde iki yol akla gelir; anti refl\u00fc mukozal ablasyon\/rezeksiyon ve endoskopik fundoplikasyon. Anti refl\u00fc mukozal ablasyon ve rezeksiyonda, yemek borusu ile mide bile\u015fimindeki mukoza\u00a0soyularak yahut argon gaz\u0131 ile yak\u0131larak bu alan\u0131n daralmas\u0131 sa\u011flan\u0131r. 5 y\u0131ll\u0131k izlemde y\u00fczde 85 hastada \u00e7ok tesirli oldu\u011fu ve refl\u00fc semptomlar\u0131n\u0131n kayboldu\u011fu g\u00f6sterilmi\u015ftir.\u201d Endoskopik fundoplikasyonda ise midenin \u00fcst k\u0131sm\u0131\u00a0yemek borusunun alt ucunun etraf\u0131na sar\u0131larak dikilmektedir.\u00a0Bu endoskopik tedavi metotlar\u0131n\u0131n; cerrahi m\u00fcdahaleye alternatif olarak daha az kesiyle yap\u0131lmalar\u0131, a\u011fr\u0131s\u0131z olmalar\u0131, g\u00fczelle\u015fme s\u00fcre\u00e7lerinin daha k\u0131sa olmas\u0131 ve komplikasyon risklerinin daha d\u00fc\u015f\u00fck olmalar\u0131 hasebiyle tercih edildi\u011fini belirten Prof. Dr. Karaca\u00a0\u201cAncak hangi tedavi tekni\u011finin uygun oldu\u011funa karar vermek i\u00e7in hastan\u0131n durumu ve refl\u00fc hastal\u0131\u011f\u0131n\u0131n \u015fiddeti dikkate al\u0131narak bir gastroenterolog ile g\u00f6r\u00fc\u015f\u00fclmelidir\u201d diyor.\u00a0<\/p>\n<p><strong>Refl\u00fcye kar\u015f\u0131 10 tesirli \u00f6nlem!<\/strong><\/p>\n<p>Gastroenteroloji Uzman\u0131 Prof. Dr. \u00c7etin Karaca refl\u00fc hastal\u0131\u011f\u0131na kar\u015f\u0131 al\u0131nmas\u0131 gereken tedbirleri \u015f\u00f6yle s\u0131ral\u0131yor;<\/p>\n<ul>\n<li>Yata\u011f\u0131n\u0131z\u0131n ba\u015f\u0131n\u0131 y\u00fckseltin ya da ba\u015f\u0131n\u0131z\u0131n alt\u0131na \u00e7ift yast\u0131k kullan\u0131n<\/li>\n<li>Yatmadan \u00fc\u00e7 saat evvel yemekten ka\u00e7\u0131n\u0131n<\/li>\n<li>Yemeklerin \u00f6l\u00e7\u00fcs\u00fc ve ya\u011f i\u00e7eri\u011fi ile kafein ve \u00e7ikolata t\u00fcketimini azalt\u0131n<\/li>\n<li>Sigara, alkol ve asitli i\u00e7ecekler ile sal\u00e7al\u0131 ve baharatl\u0131 besinlerden ka\u00e7\u0131n\u0131n<\/li>\n<li>Fazla kilolar\u0131n\u0131zdan sa\u011fl\u0131kl\u0131 bir formda kurtulun<\/li>\n<li>Kar\u0131n i\u00e7i bas\u0131nc\u0131n\u0131 art\u0131ran korse ve s\u0131k\u0131 kemer takmay\u0131n\u00a0<\/li>\n<li>Stresden uzak durun, gerilimi y\u00f6netmeyi \u00f6\u011frenin<\/li>\n<li>A\u011fr\u0131 kesici ila\u00e7lar\u0131 m\u00fcmk\u00fcn oldu\u011funca kullanmay\u0131n<\/li>\n<li>D\u00fczenli antrenman yap\u0131n lakin idman\u0131 yeme\u011fin \u00e7abucak akabinde de\u011fil iki saat sonra yapmaya ihtimam g\u00f6sterin<\/li>\n<li>Yemek esnas\u0131nda su t\u00fcketmek refl\u00fcy\u00fc kolayla\u015ft\u0131raca\u011f\u0131ndan, suyu \u00f6\u011f\u00fcn ortas\u0131nda i\u00e7in<\/li>\n<\/ul>\n<p>Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00f6\u011f\u00fcste yanma hissi, mideden a\u011f\u0131za ger\u00e7ek y\u00fckselen ac\u0131-ek\u015fi mide i\u00e7eri\u011fi, ses k\u0131s\u0131kl\u0131\u011f\u0131, bo\u011fazda g\u0131c\u0131klanma\u2026<\/p>\n","protected":false},"author":1,"featured_media":7751,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[2947,678,1475,2166,196],"class_list":["post-7750","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-endoskopik","tag-hasta","tag-hastaligi","tag-reflu","tag-tedavi"],"_links":{"self":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/7750"}],"collection":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=7750"}],"version-history":[{"count":1,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/7750\/revisions"}],"predecessor-version":[{"id":7752,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/7750\/revisions\/7752"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media\/7751"}],"wp:attachment":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=7750"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=7750"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=7750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}