{"id":13417,"date":"2014-04-13T02:05:05","date_gmt":"2014-04-12T23:05:05","guid":{"rendered":"http:\/\/www.gncz.net\/kalp-hastaligirisk-faktorleri.html"},"modified":"2014-04-13T02:05:05","modified_gmt":"2014-04-12T23:05:05","slug":"kalp-hastaligirisk-faktorleri","status":"publish","type":"post","link":"https:\/\/gncz.net\/index.php\/kalp-hastaligirisk-faktorleri.html","title":{"rendered":"Kalp Hastal\u0131\u011f\u0131risk Fakt\u00f6rleri"},"content":{"rendered":"\n<p>Grip yada ki\u015finin ge\u00e7irdi\u011fi ba\u015fka hastal\u0131klar kalp hastal\u0131\u011f\u0131na neden olabilir mi ?Kalp hastal\u0131klar\u0131 yanl\u0131\u015f beslenme nedeniyle art\u0131k her ya\u015f i\u00e7in risk te\u015fkil ediyor. Genetik olarak da T\u00fcrk toplumu kalp damar hastal\u0131klar\u0131na yatk\u0131nd\u0131r. T\u00fcrk gen yap\u0131s\u0131 gere\u011fi faydal\u0131 kolesterol oran\u0131 d\u00fc\u015f\u00fck ve zararl\u0131 kolesterol oran\u0131 y\u00fcksektir. Bu riskli gen yap\u0131s\u0131n\u0131n \u00fczerine bir de yanl\u0131\u015f beslenme eklenince kalp hastal\u0131klar\u0131n\u0131n g\u00f6r\u00fclme oran\u0131 40T\u0131 ya\u015flarla birlikte b\u00fcy\u00fck \u00f6l\u00e7\u00fcde artmaya ba\u015fl\u0131yor. Ara\u015ft\u0131rmalar ve istatistikler g\u00f6steriyor ki erkeklerde 45, kad\u0131nlarda ise 55 ya\u015f \u00fczerinde olmak kalp hastal\u0131klar\u0131 riskini art\u0131r\u0131yor. Kad\u0131nlar\u0131n daha ileri bir ya\u015fta risk grubuna girmesinin nedeni de menopoza girmeleri. Menopoza girene kadar kad\u0131nlar\u0131 sahip olduklar\u0131 \u00f6strojen Hormonu koruyor. Ancak menopozla birlikte \u00f6strojenin azalmas\u0131, kalp krizi riskini y\u00fckseltiyor.Kalp hastal\u0131klar\u0131 i\u00e7in riskli bir ya\u015f grubu var m\u0131 ?Evet, bu konu san\u0131ld\u0131\u011f\u0131ndan \u00e7ok daha \u00f6nemlidir. Koroner kalp hastal\u0131\u011f\u0131 ba\u015fta olmak \u00fczere kalple, kalbin zar\u0131yla ilgili bir\u00e7ok sorana neden olabilir. Grip, bir\u00e7ok mekanizmay\u0131 tetikleyerek kalp adalesinin zay\u0131flamas\u0131na bile yol a\u00e7abilir. Daha ziyade gen\u00e7 hastalarda rastlanan bu durum erken d\u00f6nemde te\u015fhis edildi\u011finde, uygun tedavi ile \u00e7o\u011funlukla d\u00fczelme ve eski haline d\u00f6n\u00fc\u015f g\u00f6sterir.Genetik etkenler kalp hastal\u0131\u011f\u0131nda \u00f6nemli mi ?Genetik yap\u0131 \u00f6zellikle ailede birinci dereceden akrabalarda varsa etkisini g\u00f6sterir. Aileden gelen kalp k\u00f6kenli hastal\u0131k, erkeklerde 45, kad\u0131nlarda 55 ya\u015f \u00f6ncesi ani \u00f6l\u00fcmle sonu\u00e7lanm\u0131\u015fsa gelecek nesilin s\u00fcrekli kontrol alt\u0131nda tutulmas\u0131 gerekir. Bu durum ileriki nesil i\u00e7in % 25 oran\u0131nda kalp krizi tehlikesi anlam\u0131na gelir. Aileden gelen yatk\u0131nl\u0131k; yanl\u0131\u015f beslenme, sigara kullan\u0131m\u0131 ve d\u00fczensiz ya\u015fam tarz\u0131 ile birle\u015fince risk oran\u0131 daha da b\u00fcy\u00fcr.Kalp ve damar hastal\u0131klar\u0131 i\u00e7in risk fakt\u00f6rleri nelerdir ?Risk fakt\u00f6rlerini bireysel olanlar (de\u011fi\u015femez) ve bireysel olmayan fakt\u00f6rler \u015feklinde iki ana grupta ve bir\u00e7ok alt grupta toplayabiliriz.De\u011fi\u015ftirilemez (bireysel) risk fakt\u00f6rleriYa\u015f: Erkeklerde 45 kad\u0131nlarda 55 ya\u015f\u0131n \u00fcst\u00fcnde olmak veya erken menopoz, riskin artmas\u0131nda etkili olur.Cinsiyet: Erkek olmak (20-34 ya\u015flar\u0131 aras\u0131 Koroner Arter Hastal\u0131klar\u0131ndan \u00f6l\u00fcm erkeklerde kad\u0131nlardan 3 kat daha fazla olmas\u0131na ra\u011fmen ileri ya\u015flarda bu oran gittik\u00e7e azalmaktad\u0131r.)Aile \u00f6yk\u00fcs\u00fc: (Genetik-kal\u0131tsal yatk\u0131nl\u0131k) olarak l&#8217;inci derece erkek akrabalar\u0131nda 55 ya\u015f\u0131n alt\u0131nda kalp krizi (myokard enfarkt\u00fcs\u00fc) veya ani \u00f6l\u00fcm 1. derece kad\u0131n akrabalar\u0131nda ise 65 ya\u015f\u0131n alt\u0131nda kalp krizi veya ani \u00f6l\u00fcm olmas\u0131 riski art\u0131r\u0131r.Kalp hastal\u0131\u011f\u0131 riski kad\u0131nda m\u0131, erkekte mi daha y\u00fcksek ?20-34 ya\u015flar\u0131 aras\u0131 Koroner Arter Hastal\u0131klar\u0131ndan \u00f6l\u00fcm, erkeklerde kad\u0131nlardan 3 kat daha fazla olmas\u0131na ra\u011fmen \u0130leri ya\u015flarda bu oran gittik\u00e7e azalmaktad\u0131r.De\u011fi\u015ftirilebilir (Bireysel olmayan) risk fakt\u00f6rleriStres, sigara, Hipertansiyon, total kolesterol y\u00fcksekli\u011fi, \u015feker hastal\u0131\u011f\u0131, obezite, fiziksel aktivite eksikli\u011fi, dura\u011fan ya\u015fam tarz\u0131.\u015eeker hastal\u0131\u011f\u0131, art\u0131k g\u00fcn\u00fcm\u00fczde iskemik (belirti vermeden sessiz ve geli\u015fen) kalp hastal\u0131\u011f\u0131na e\u015fde\u011fer olarak kabul edilmekte ve \u015feker hastal\u0131\u011f\u0131 olup hen\u00fcz a\u015fikar kalp hastal\u0131\u011f\u0131 olmayanlar, t\u0131pk\u0131 bilinen kalp hastal\u0131\u011f\u0131 olan ki\u015filer gibi ele al\u0131n\u0131p tedavi edilmektedir. Bir \u015feker hastas\u0131n\u0131n kalp krizi ge\u00e7irme riski daha \u00f6nce kalp krizi ge\u00e7irmi\u015f bir hastan\u0131n ikinci defa kalp kriz ge\u00e7irme riski ile ayn\u0131d\u0131r.Sigara kalp sa\u011fl\u0131\u011f\u0131 \u00fczerinde etkili mi ?Sigara t\u00fcm \u00f6nlenebilir \u00f6l\u00fcmlerin % 50&#8217;sinden sorumludur, bunlar\u0131n yar\u0131s\u0131 da kardiyovask\u00fcler nedenlidir, i\u00e7ilen g\u00fcnl\u00fck sigara miktar\u0131na ve kullan\u0131lma s\u00fcresine ba\u011fl\u0131 olarak zararl\u0131 etkileri de\u011fi\u015fmekle beraber, kad\u0131nlar \u00fczerindeki zararl\u0131 etkisi daha fazlad\u0131r. G\u00fcnde 1 paket sigara i\u00e7en hipertansiyonlu hastada, sigaray\u0131 b\u0131rakman\u0131n kardiyovask\u00fcler riskte % 35-40 azalmaya yol a\u00e7t\u0131\u011f\u0131 hesaplanm\u0131\u015ft\u0131r. Sonu\u00e7 olarak sigara sadece kalp i\u00e7in de\u011fil akci\u011ferler, t\u00fcm damar hastal\u0131klar\u0131, inme ve bir\u00e7ok Kanser i\u00e7in alt yap\u0131 olu\u015fturmas\u0131 nedeniyle zararl\u0131d\u0131r.Sigaray\u0131 b\u0131rakt\u0131ktan sonra kalple ilgili risk devam eder mi ?Koroner kalp hastal\u0131\u011f\u0131 olanlar aras\u0131nda yap\u0131lan ara\u015ft\u0131rmaya g\u00f6re sigaray\u0131 b\u0131rakanlarda risk, 3 y\u0131lda, hi\u00e7 sigara i\u00e7memi\u015f bir ki\u015finin d\u00fczeyine d\u00fc\u015f\u00fcyor.Sigaray\u0131 b\u0131rakmak isteyen insanlar\u0131n a\u015f\u0131r\u0131 kilo almas\u0131 ve bunun ard\u0131ndan kilolarla birlikte gelen kalp krizi vakalar\u0131 var m\u0131? Sigaray\u0131 b\u0131rakmak da kalp krizine neden olabilir mi ?Her sigaray\u0131 b\u0131rakan kilo almaz. Dengeli beslenme ve d\u00fczenli spor yapabilenler, sigaray\u0131 b\u0131raksalar da kilo almazlar. Ancak, sigaray\u0131 b\u0131rakt\u0131\u011f\u0131nda, i\u015ftah\u0131 a\u00e7\u0131ld\u0131\u011f\u0131 ve dengesiz beslendi\u011fi i\u00e7in kilo alan insanlar, koroner arter hastal\u0131klar\u0131 risk fakt\u00f6rleri aras\u0131nda say\u0131lan obezite-\u015fi\u015fmanl\u0131k risk fakt\u00f6r\u00fc y\u00f6n\u00fcnden risk arz edebilirler. Kilo al\u0131p \u015fi\u015fmanlayaca\u011f\u0131m ve kriz ge\u00e7irece\u011fim endi\u015fesiyle sigaraya devam edenler, \u00e7ok yanl\u0131\u015f d\u00fc\u015f\u00fcn\u00fcyor. \u00c7\u00fcnk\u00fc sigara i\u00e7mek, risk fakt\u00f6rleri aras\u0131nda \u015fi\u015fmanl\u0131ktan daha \u00f6nde geliyor.Bir insan\u0131n ne kadar s\u00fcre\u00e7 i\u00e7inde kalp hastas\u0131 oluyor ?Ki\u015finin damarlar\u0131n\u0131n Sa\u011fl\u0131kl\u0131 oldu\u011fu evrede \u015f\u00f6yle bir durum vard\u0131r: Damar cidar\u0131 ince bir zarla kapl\u0131d\u0131r. Bu zar damar i\u00e7inde p\u0131ht\u0131 olu\u015fumunu \u00f6nler ve kan damar\u0131n i\u00e7inde rahat\u00e7a akarak kalbe ula\u015f\u0131r. Ki\u015fi, kalp hastas\u0131 olma yolunda ilerledi\u011finde bu zar etkisini yitirmeye ba\u015flar. Damarlar\u0131n i\u00e7inde yer yer ya\u011f (kolesterol) birikimi olur. Bu birikim 10-20 y\u0131l gibi bir s\u00fcre\u00e7 i\u00e7inde olu\u015fur. Bu durumun ilk a\u015famas\u0131nda, ki\u015fi kalple ilgili hi\u00e7bir sorun hissetmez. Erken d\u00f6nemde te\u015fhis i\u00e7in efor testi gerekir. Damar i\u00e7erisindeki ya\u011f birikimi ilk a\u015famada yakalanamazsa devam eder. Darl\u0131k derecesi % 80&#8217;lere vard\u0131\u011f\u0131nda belirtiler de ortaya \u00e7\u0131kar. Ki\u015fi nefes darl\u0131\u011f\u0131 \u00e7ekmeye ba\u015flar, \u00e7arp\u0131nt\u0131lar olur. En son a\u015famada da ya\u011f birikimi ile daralm\u0131\u015f olan damar, bir anda t\u0131kan\u0131-verir. Bu bir an saniyelerle \u00f6l\u00e7\u00fcl\u00fcr ve ki\u015fi kalp krizi ge\u00e7irir.Kilo ver riski d\u00fc\u015f\u00fcrErkeklerde her % 10&#8217;luk kilo azalmas\u0131, koroner kalp hastal\u0131klar\u0131 vakalar\u0131nda % 20 azalma sa\u011fl\u0131yor. Verilen kilonun miktar\u0131 artt\u0131k\u00e7a, risk oran\u0131 da d\u00fc\u015f\u00fcyor.Kalp krizi hi\u00e7bir belirti olmadan birden bire ortaya \u00e7\u0131kabilir mi ?Evet, \u00e7\u0131kabilir. Bu durum daha \u00e7ok \u015feker hastalar\u0131nda g\u00f6r\u00fcl\u00fcr. \u015eeker hastas\u0131 olan ki\u015fi hastal\u0131\u011f\u0131n\u0131n tahribat\u0131yla sinirlerindeki hissizle\u015fmeden dolay\u0131, kalp a\u011fr\u0131lar\u0131n\u0131 hissetmez. B\u00f6ylece aniden kalp sorunu ortaya \u00e7\u0131kabilir.Alkol\u00fcn kalp sa\u011fl\u0131\u011f\u0131 \u00fczerine etkisi nedir ?Alkol\u00fcn fazla al\u0131nmas\u0131 halinde toksik etkileri y\u00f6n\u00fcnden&#8217; kardiovask\u00fcler sisteme zararl\u0131d\u0131r. Alkol ayr\u0131ca vitamin emiliminin bozulmas\u0131na ba\u011fl\u0131 beslenme bozukluklar\u0131na da neden olur. Tansiyonu artt\u0131r\u0131r, kalp ritmini bozar, p\u0131ht\u0131la\u015fmay\u0131 artt\u0131r\u0131r. Alkol t\u00fcketiminin artmas\u0131yla birlikte trigliserid d\u00fczeyleri artar, kan Bas\u0131nc\u0131 y\u00fckselir. Bu durumlarda hipertansiyon ve fel\u00e7 riski artar.K\u0131rm\u0131z\u0131 \u00fcz\u00fcm\u00fcn, kalp hastal\u0131klar\u0131n\u0131 \u00f6nleyici bir etkisi var m\u0131 ?Sebze ve meyvelere k\u0131rm\u0131z\u0131 rengini veren Madde, damarlar\u0131n da t\u0131kanmas\u0131n\u0131 \u00f6nl\u00fcyor. Bu nedenle k\u0131rm\u0131z\u0131 \u00fcz\u00fcm kadar, k\u0131rm\u0131z\u0131 lahana, k\u0131rm\u0131z\u0131 biber, elma, nar, kiraz da faydal\u0131d\u0131r.Peki ya ceviz, badem, f\u0131st\u0131kEvet, kabuklu yemi\u015fler kalp i\u00e7in fayda ihtiva etmektedirler. Yaln\u0131z faydal\u0131 diye a\u015f\u0131r\u0131 miktarda yenmemelidir. Fayda sa\u011flamalar\u0131n\u0131n nedeni, i\u00e7lerinde bulunan ve iyi kolesterol\u00fc y\u00fckselten ya\u011fd\u0131r.Stresli ya\u015fam kalp hastal\u0131\u011f\u0131na neden olur mu ?Elbette stres v\u00fccutta salg\u0131latt\u0131\u011f\u0131 \u00e7e\u015fitli Hormonlar\u0131n yaratt\u0131\u011f\u0131 tahribat sonucu ba\u015fta kalp olmak \u00fczere t\u00fcm v\u00fccuda olumsuz etki yapar.Stres an\u0131nda nefes al\u0131p verme, tansiyon, kalp h\u0131z\u0131, katekolamin d\u00fczeyleri artar. B\u00fct\u00fcn bunlar, koroner arter hastal\u0131\u011f\u0131 i\u00e7in bir risk fakt\u00f6r\u00fc olarak say\u0131labilir.Sinirlendikten sonra kalp krizi ge\u00e7irilebilir mi ?Bilimsel \u00e7al\u0131\u015fmalarda sadece stresin de\u011fil, a\u011f\u0131r i\u015f y\u00fck\u00fcn\u00fcn yani fiziksel stresin de enfarkt\u00fcs ge\u00e7irme riskini % 10 gibi bir oranda ba\u015flatma etkisi oldu\u011fu ortaya \u00e7\u0131km\u0131\u015ft\u0131r. Aniden sinirlenme durumunda kalp krizi ge\u00e7irenler ise, saniyeler i\u00e7inde y\u00fckselen Adrenalin seviyesine ba\u011fl\u0131 olarak a\u00e7\u0131klanabilir.Hangi meslekler kalp hastal\u0131klar\u0131nda risk alt\u0131nda ?G\u00fcn\u00fcm\u00fcz\u00fcn ya\u015fam ko\u015fullar\u0131 kalp hastal\u0131klar\u0131n\u0131n yan\u0131 s\u0131ra bir\u00e7ok hastal\u0131k i\u00e7in de risk olu\u015fturmaktad\u0131r. Ya\u015fad\u0131\u011f\u0131m\u0131z h\u0131zl\u0131 tempolu, zamana kar\u015f\u0131 m\u00fccadele veren ve rekabet ortam\u0131 i\u00e7erisindeki her meslek, kalp hastal\u0131klar\u0131 riski ta\u015f\u0131r. Stresi di\u011ferlerine oranla daha y\u00fcksek olan meslekler aras\u0131nda ise Hava trafi\u011fi y\u00f6neten kuie \u00e7al\u0131\u015fanlar\u0131, pilotlar, doktorlar, borsac\u0131lar vs. say\u0131labilir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Grip yada ki\u015finin ge\u00e7irdi\u011fi ba\u015fka hastal\u0131klar kalp hastal\u0131\u011f\u0131na neden olabilir mi ?Kalp hastal\u0131klar\u0131 yanl\u0131\u015f beslenme nedeniyle art\u0131k her ya\u015f i\u00e7in risk te\u015fkil ediyor. Genetik olarak da T\u00fcrk toplumu kalp damar hastal\u0131klar\u0131na yatk\u0131nd\u0131r. T\u00fcrk gen yap\u0131s\u0131 gere\u011fi faydal\u0131 kolesterol oran\u0131 d\u00fc\u015f\u00fck ve zararl\u0131 kolesterol oran\u0131 y\u00fcksektir. Bu riskli gen yap\u0131s\u0131n\u0131n \u00fczerine bir de yanl\u0131\u015f beslenme eklenince kalp hastal\u0131klar\u0131n\u0131n g\u00f6r\u00fclme oran\u0131 40T\u0131<a class=\"more-link\" href=\"https:\/\/gncz.net\/index.php\/kalp-hastaligirisk-faktorleri.html\">[Devam\u0131n\u0131 Oku&#8230;]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[22524],"tags":[23687],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13417"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=13417"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13417\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13417"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13417"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}