{"id":13418,"date":"2014-04-13T02:05:06","date_gmt":"2014-04-12T23:05:06","guid":{"rendered":"http:\/\/www.gncz.net\/kalp-rehberi.html"},"modified":"2014-04-13T02:05:06","modified_gmt":"2014-04-12T23:05:06","slug":"kalp-rehberi","status":"publish","type":"post","link":"https:\/\/gncz.net\/index.php\/kalp-rehberi.html","title":{"rendered":"Kalp Rehberi"},"content":{"rendered":"\n<p>Kime Kalp hastas\u0131 denir ?Kalp damarlar\u0131nda daralma, ya da kapak\u00e7\u0131klar\u0131nda rahats\u0131zl\u0131k olan, ritim bozukluklar\u0131 saptanan ya da do\u011furtan kalp deli\u011fi g\u00f6r\u00fclen hastalar\u0131n hepsi kalp hastas\u0131 olarak adland\u0131r\u0131l\u0131r. Ayr\u0131ca kalbi saran zarda iltihaplanma, di\u011fer baz\u0131 organlarda g\u00f6r\u00fclen hastal\u0131klar\u0131n kalbe hasar vermesi gibi durumlar da kalp hastal\u0131klar\u0131 kapsam\u0131na girer.Kalp hastal\u0131\u011f\u0131n\u0131n t\u00fcrleri var m\u0131 ?Kalp hastal\u0131klar\u0131 kalbi olu\u015fturan t\u00fcm yap\u0131larda yolunda gitmeyen bir\u00e7ok sebepten aynaklanabilir. 6 ayr\u0131 t\u00fcrde incelenebilir.1) \u0130skemik kalp hastal\u0131klar\u0131 (Koroner arter hastal\u0131\u011f\u0131)2) Kalp kapak hastal\u0131klar\u0131 (Romatizmal veya dejeneratif)3) Do\u011fumsal kalp hastal\u0131klar\u0131: Do\u011fumsal kalp hastal\u0131klar\u0131n\u0131n g\u00fcn\u00fcm\u00fczde teknolojinin de ilerlemi\u015f olmas\u0131n\u0131n faydas\u0131yla erken tespiti ve ba\u015far\u0131l\u0131 cerrahi m\u00fcdahalelerle tedavisi m\u00fcmk\u00fcn olabilmektedir.4) Kalp adalesi ve zar\u0131n\u0131 ilgilendiren hastal\u0131klar: Genelde t\u00fcberk\u00fcloz ve enfeksiyon kaynakl\u0131 hastal\u0131klar sonucu g\u00f6r\u00fclse de metabolik hastal\u0131klar (b\u00f6brek rahats\u0131zl\u0131\u011f\u0131), ba\u011f dokusu hastal\u0131klar\u0131 hatta t\u00fcm\u00f6rler neticesinde bile perikard olarak adland\u0131rd\u0131\u011f\u0131m\u0131z kalp zan iltihab\u0131 ve kal\u0131nla\u015fmas\u0131 g\u00f6r\u00fclebilir.5) Kalp ileti sistemini ilgilendiren hastal\u0131klar6) Kalp t\u00fcm\u00f6rleri ise \u00e7ok b\u00fcy\u00fck bir \u015fans olarak genel kalp hastal\u0131klar\u0131 aras\u0131nda son derece nadir g\u00f6r\u00fcl\u00fcrler. En s\u0131k g\u00f6r\u00fclen ve miksoma olarak adland\u0131rd\u0131\u011f\u0131m\u0131z t\u00fcr dahi ekokardiyograf\u0131 ile tespit edilip ba\u015far\u0131l\u0131 bir \u015fekilde cerrahi m\u00fcdahale ile al\u0131narak tedavi edilmektedir.Koroner kalp hastal\u0131\u011f\u0131n\u0131n belirtileri nelerdir ?Kalp hastal\u0131\u011f\u0131na ba\u011fl\u0131 olarak ortaya \u00e7\u0131kan g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131; s\u0131k\u0131\u015ft\u0131r\u0131c\u0131, yan\u0131c\u0131, bask\u0131lay\u0131c\u0131, a\u011f\u0131rl\u0131k \u00e7\u00f6kmesi, ezici \u015fekildedir. Genellikle halk aras\u0131nda iman tahtas\u0131 denilen yerde ve onun arkas\u0131nda ortaya \u00e7\u0131kar. Fakat sol omuza, sol kola, sa\u011f kola, boyuna, \u00e7eneye, alt di\u015flere, s\u0131rta, mide b\u00f6lgesine yay\u0131l\u0131m g\u00f6sterir. G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 5-15 dk s\u00fcrer, dinlenmekle veya dil alt\u0131 nitrogliserin almakla ge\u00e7er.Kalple ilgili sorandan kaynaklanmayan a\u011fr\u0131lar ise 5 saniyeden az veya 20-30 dk&#8217;dan fazla s\u00fcrer. Derin nefes almakla, g\u00f6vde veya kolun tek bir d\u00f6n\u00fc\u015f hareketi ile ortaya \u00e7\u0131kabilir ve d\u00fcz yatmakla, yemekle ge\u00e7er. A\u011fr\u0131 parmak ucu ile g\u00f6sterilecek \u015fekilde \u00e7ok k\u00fc\u00e7\u00fck bir alanda s\u0131n\u0131rl\u0131d\u0131r ve g\u00f6\u011f\u00fcs duvar\u0131nda hassasiyetle birlikte olabilir. A\u011fr\u0131 genellikle keskin, b\u0131\u00e7ak saplan\u0131r tarzda, yak\u0131c\u0131d\u0131r. Dinlenmekle veya dil alt\u0131 nitrogliserin almakla 5-10 dk&#8217;da ge\u00e7meyen a\u011fr\u0131 durumunda ba\u015fka sebepler d\u00fc\u015f\u00fcn\u00fclmelidir.Di\u011fer belirtiler: Bulant\u0131-kusma, so\u011fuk terleme, belirgin halsizlik ve yorgunluk, \u00e7arp\u0131nt\u0131 ve ba\u015f d\u00f6nmesidir.Kalp nas\u0131l yetmiyor ?Halk aras\u0131ndaki s\u0131k\u00e7a s\u00f6ylenen &#8220;kalp yetmezli\u011fi&#8217; kalbin pompa i\u015flemini yeterli yapamamas\u0131na kar\u015f\u0131l\u0131k kullan\u0131lan bir terimdir. Kalp kas\u0131nda g\u00fc\u00e7s\u00fczle\u015fme olu\u015fur ve bunun sonucunda da v\u00fccuda yeterli oranda kan pompalanamaz. Kan\u0131n yeterli oranda pompalanamamas\u0131 v\u00fccutta bir\u00e7ok bozuklu\u011fa, hatta \u00f6l\u00fcmc\u00fcl sonu\u00e7lara yol a\u00e7abilir.Biz pompalama sorununu da iki ayr\u0131 grupta inceliyoruz. Kalbin diastolik ve sistolik fonksiyonlar\u0131n\u0131 tam olarak yapamamas\u0131na ba\u011fl\u0131 olan yetersizlikler olarak ay\u0131r\u0131yoruz. Her ikisinde de nefes darl\u0131\u011f\u0131 g\u00f6r\u00fcl\u00fcyor. Diastolik fonksiyon bozuklu\u011fu kalbin gev\u015feme durumuyla, sistolik fonksiyon bozuklu\u011fu ise kalbin kas\u0131lmas\u0131yla ilgili bozukluk anlam\u0131na geliyor.Damar sertli\u011fi nedir ?Damar sertli\u011fe di\u011fer anlam\u0131yla &#8220;Ateroskleroz&#8217; damar \u00e7eperinde kolesterol &#8220;e damar d\u00fcz kas h\u00fccrelerinin artmas\u0131na ba\u011fl\u0131 olarak damar \u00e7eperinin esnekli\u011fini kaybetmesi ve kal\u0131nla\u015fmas\u0131 olarak tan\u0131mlanabilir.Ritim bozuklu\u011fu nedir, neden olu\u015fur ?Ritim bozuklu\u011fu kalbin normal uyan oda\u011f\u0131n\u0131n d\u0131\u015f\u0131nda. ba\u015fka odaklardan d\u00fczenli veya d\u00fczensiz ritim olu\u015fmas\u0131 veya olu\u015fan uyar\u0131n\u0131n normal olmayan ileti yollar\u0131n\u0131 kullanmas\u0131 veya iletinin gecikmesi, tam bloke olmas\u0131na ba\u011fl\u0131 olarak geli\u015febilecek \u00e7e\u015fitli hastal\u0131klar i\u00e7in kullan\u0131lan genel bir tan\u0131mlamad\u0131r. Kalbin elektriksel sisteminde geli\u015fen bu bozukluklar\u0131n elektrofizyolojik \u00e7al\u0131\u015fmalar sonucu tedavileri m\u00fcmk\u00fcn olmaktad\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kime Kalp hastas\u0131 denir ?Kalp damarlar\u0131nda daralma, ya da kapak\u00e7\u0131klar\u0131nda rahats\u0131zl\u0131k olan, ritim bozukluklar\u0131 saptanan ya da do\u011furtan kalp deli\u011fi g\u00f6r\u00fclen hastalar\u0131n hepsi kalp hastas\u0131 olarak adland\u0131r\u0131l\u0131r. Ayr\u0131ca kalbi saran zarda iltihaplanma, di\u011fer baz\u0131 organlarda g\u00f6r\u00fclen hastal\u0131klar\u0131n kalbe hasar vermesi gibi durumlar da kalp hastal\u0131klar\u0131 kapsam\u0131na girer.Kalp hastal\u0131\u011f\u0131n\u0131n t\u00fcrleri var m\u0131 ?Kalp hastal\u0131klar\u0131 kalbi olu\u015fturan t\u00fcm yap\u0131larda yolunda gitmeyen bir\u00e7ok<a class=\"more-link\" href=\"https:\/\/gncz.net\/index.php\/kalp-rehberi.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":[23693,23688,23692,23690],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13418"}],"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=13418"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13418\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13418"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13418"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13418"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}