Memorial Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm Koordinat\u00f6r\u00fc Prof. Dr. Yavuz Baykal, masum san\u0131lan kar\u0131n a\u011fr\u0131s\u0131 ve \u015fi\u015fkinlik gibi \u015fikayetlerin “ya\u015fam boyu devam eden tek g\u0131da alerjisi” olan “\u00e7\u00f6lyak” hastal\u0131\u011f\u0131n\u0131n belirtisi olabilece\u011fini s\u00f6yledi.<\/p>\n
Memorial Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm Koordinat\u00f6r\u00fc Prof. Dr. Yavuz Baykal, “ya\u015fam boyu devam eden tek g\u0131da alerjisi” olan, genellikle kal\u0131tsal olarak ortaya \u00e7\u0131kan ve tedavi edilmedi\u011fi, \u00f6zenli davran\u0131lmad\u0131\u011f\u0131 takdirde de hayat\u0131 \u00e7ekilmez hale getirebilen \u00e7\u00f6lyak hastal\u0131\u011f\u0131 hakk\u0131nda bilgi verdi. <\/p>\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n ba\u011f\u0131rsaklarda besin Maddelerinin sindiriminin ve emiliminin bozulmas\u0131na yol a\u00e7an bir hastal\u0131k oldu\u011funu belirten Prof. Dr. Yavuz Baykal, “\u00c7\u00f6lyak hastal\u0131\u011f\u0131 olan insanlar, Bu\u011fday, Arpa, \u00e7avdar ve bir dereceye kadar da Yulafta da bulunan bir Protein olan ‘gluten’e kar\u015f\u0131 hassasiyet g\u00f6sterir. <\/p>\n
Bu ki\u015filer gluten i\u00e7eren g\u0131dalarla beslendiklerinde ince ba\u011f\u0131rsaklar\u0131nda olu\u015fan immunolojik reaksiyonlar sonucu h\u00fccrelerde iltihap ve hasar olu\u015fturur. Olu\u015fan bu hasar sonras\u0131nda besin maddelerinin sindirimi ve emilimi bozulaca\u011f\u0131ndan, ishal ve zamanla v\u00fccutta baz\u0131 maddelerin eksikli\u011fi ortaya \u00e7\u0131kar” dedi.<\/p>\n
Prof. Dr. Baykal, \u00e7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n genetik bir hastal\u0131k oldu\u011funu ve hastalar\u0131n y\u00fczde 10 kadar\u0131nda ailede \u00e7\u00f6lyak hastal\u0131\u011f\u0131 olan ba\u015fka bireylerin de bulundu\u011funu s\u00f6yledi. <\/p>\n
\u00c7ift yumurta ikizlerinde y\u00fczde 30 oran\u0131nda g\u00f6r\u00fclen bu hastal\u0131\u011f\u0131n tek yumurta ikizlerinde g\u00f6r\u00fclme oran\u0131n\u0131n y\u00fczde 70 oldu\u011funu ifade eden Baykal, stresin de \u00e7\u00f6lyaka zemin haz\u0131rlad\u0131\u011f\u0131na dikkat \u00e7ekti. Hastal\u0131\u011f\u0131n her ya\u015fta ortaya \u00e7\u0131ksa da 8-12 ayl\u0131k \u00e7ocuklarda ve 30-40 ya\u015f aral\u0131\u011f\u0131nda daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc kaydeden Baykal, “Hastal\u0131k ileri ya\u015flarda da ortaya \u00e7\u0131kabilmektedir. ‘Latent’ veya ‘sessiz \u00e7\u00f6lyak’ hastal\u0131\u011f\u0131 ise, bu hastal\u0131\u011fa ait tipik bulgular\u0131n olmad\u0131\u011f\u0131 fakat kal\u0131tsal yatk\u0131nl\u0131\u011f\u0131 olan hastalar i\u00e7in kullan\u0131lan bir terimdir. Bu hastalarda zamanla \u00e7\u00f6lyak hastal\u0131\u011f\u0131 yerle\u015fir. \u00c7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n ger\u00e7ek s\u0131kl\u0131\u011f\u0131 bilinmemektedir. Kan bankas\u0131ndaki kanlar \u00fczerinde yap\u0131lan serolojik \u00e7al\u0131\u015fmalar her 300 ki\u015fiden birinde bu hastal\u0131\u011f\u0131n bulunabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir” diye konu\u015ftu.<\/p>\n
“\u00c7\u00d6LYAK; \u0130SHAL, \u015e\u0130\u015eK\u0130NL\u0130K VE KARIN A\u011eRISI \u0130LE KEND\u0130N\u0130 BELL\u0130 ED\u0130YOR”\u00c7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n ishal, \u015fi\u015fkinlik ve kar\u0131n a\u011fr\u0131s\u0131yla kendini g\u00f6sterdi\u011fini s\u00f6yleyen Baykal, hastal\u0131\u011f\u0131n belirtilerini ise \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n
“Emilim ve sindirim bozuklu\u011funun derecesine ba\u011fl\u0131 olarak \u00c7\u00f6lyak hastal\u0131\u011f\u0131 \u00e7ocuklarda ve eri\u015fkinlerde farkl\u0131 belirtilerle kendini g\u00f6sterir. \u00c7ocuklarda geli\u015fme ve b\u00fcy\u00fcme gerili\u011fi \u00e7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n erken bulgusu olabilir. <\/p>\n
Kar\u0131n a\u011fr\u0131s\u0131, bulant\u0131, kusma, ishal, huysuzluk, uyuklama, davran\u0131\u015f bozukluklar\u0131 ve okulda ba\u015far\u0131s\u0131zl\u0131k g\u00f6r\u00fclebilecek di\u011fer belirtilerdir. Bulgular\u0131n ortaya \u00e7\u0131kmas\u0131 ve \u015fiddetlenmesi y\u0131llar s\u00fcrebilir. <\/p>\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131 eri\u015fkinlerde genellikle 30-40 ya\u015f civar\u0131nda ortaya \u00e7\u0131karsa da daha ileri ya\u015flarda da g\u00f6r\u00fclebilir. <\/p>\n
Hastal\u0131kl\u0131 ki\u015filerde belirtiler iki \u015fekilde kendini g\u00f6sterir; emilim bozuklu\u011funa ba\u011fl\u0131 olanlar ve besin, Mineral ve vitamin eksikli\u011fine ba\u011fl\u0131 olanlar. Hastalarda temel besin kaynaklar\u0131 olan; Protein, karbonhidrat ve ya\u011f emilimi bozulmu\u015ftur ve en ciddi emilimi bozulan ise ya\u011flard\u0131r. <\/p>\n
Ya\u011f emiliminin bozulmas\u0131 sonucu hastalarda ishal ve \u015fi\u015fkinlik \u015fikayetleri ortaya \u00e7\u0131kabilir. Karbonhidrat emilim bozuklu\u011fu sonucu ise hastalarda laktoz intolerans\u0131 ortaya \u00e7\u0131kar, bu durum s\u00fctl\u00fc yiyecekler sonras\u0131 hastalarda kar\u0131n a\u011fr\u0131s\u0131 ve \u015fi\u015fkinlik gibi \u015fikayetlere neden olabilir.”<\/p>\n
Hastalarda beslenme bozuklu\u011fu, vitamin ve mineral yetersizli\u011fine ba\u011fl\u0131 olarak, zay\u0131flama ve \u00f6dem, Kans\u0131zl\u0131k (demir ve B12 vitamin eksikli\u011fi), kemik erimesi (osteoporoz), kolay \u00e7\u00fcr\u00fcme (K vitamin eksikli\u011fi), sinir hasar\u0131, periferik n\u00f6ropati (B12 ve B1 vitamin eksikli\u011fi), k\u0131s\u0131rl\u0131k (adet bozuklu\u011fu, d\u00fc\u015f\u00fckler), kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc (potasyum, Magnezyum yetersizli\u011fi), sa\u00e7 d\u00f6k\u00fclmesi ve i\u015ftahs\u0131zl\u0131k meydana geldi\u011fini belirten Prof. Dr. Yavuz Baykal, hastal\u0131\u011f\u0131n nas\u0131l te\u015fhis edildi\u011fini ise \u015f\u00f6yle anlatt\u0131:<\/p>\n
“\u00c7\u00f6lyak hastal\u0131\u011f\u0131ndan \u015f\u00fcphelenildi\u011finde, ayr\u0131nt\u0131l\u0131 bir muayeneden sonra baz\u0131 kan ve d\u0131\u015fk\u0131 testleri istenir. Kalsiyum, Magnezyum, potasyum, protein, kolesterol, B12 vitamini, A Vitamini, folik Asit ve demir gibi bu hastal\u0131kta v\u00fccutta eksilebilecek baz\u0131 maddelerin kandaki seviyelerinin \u00f6l\u00e7\u00fclmesi, tam kan say\u0131m\u0131n\u0131n yap\u0131lmas\u0131 ve iltihap belirte\u00e7lerinin kontrol edilmesi yan\u0131nda; \u00e7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n te\u015fhisinde kullan\u0131lan baz\u0131 testlerin de yap\u0131lmas\u0131 gerekir. \u00c7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n tan\u0131s\u0131nda mutlaka yap\u0131lmas\u0131 gereken bir di\u011fer inceleme, ince ba\u011f\u0131rsak mukoza biyopsisidir. \u00d6zellikle belirgin kilo kayb\u0131, kar\u0131n a\u011fr\u0131s\u0131, Kans\u0131zl\u0131k, gece terlemeleri ve kanama gibi bulgular\u0131 olan hastalarda bu incelemelerin yap\u0131lmas\u0131 ve gerekti\u011finde bilgisayarl\u0131 bat\u0131n tomografisi gibi ba\u015fka g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerine ba\u015fvurulmas\u0131 gerekebilir.”<\/p>\n
“\u00c7\u00d6LYAK HASTALI\u011eININ \u0130LA\u00c7 TEDAV\u0130S\u0130 YOK”Hastal\u0131\u011f\u0131n tedavisi konusunda da bilgi veren Prof. Dr. Yavuz Baykal, hastal\u0131\u011f\u0131n erken te\u015fhis edilmemesi halinde ciddi problemlerin ortaya \u00e7\u0131kabilece\u011fini s\u00f6yledi. <\/p>\n
Hastal\u0131\u011f\u0131 i\u015faret eden bulgulara benzer \u015fikayetleri veya ailesinde \u00e7\u00f6lyak hastal\u0131\u011f\u0131 \u00f6yk\u00fcs\u00fc olanlar\u0131n bir i\u00e7 hastal\u0131klar\u0131 uzman\u0131 veya gastroenteroloji uzman\u0131na ba\u015fvurmalar\u0131 gerekti\u011fine dikkat \u00e7ekerek, “\u00c7\u00f6lyak hastal\u0131\u011f\u0131 olanlar\u0131n y\u00fczde 10 kadar\u0131nda; anne, baba, karde\u015f veya \u00e7ocuklar\u0131nda da ayn\u0131 hastal\u0131k g\u00f6r\u00fclebilir. Gebelik d\u00f6neminde kans\u0131zl\u0131\u011f\u0131 belirgin \u00f6l\u00e7\u00fcde \u015fiddetlenen kad\u0131nlar\u0131n \u00e7\u00f6lyak hastal\u0131\u011f\u0131 y\u00f6n\u00fcnden ara\u015ft\u0131r\u0131lmas\u0131 gerekir. \u00c7\u00f6lyak hastal\u0131\u011f\u0131nda tedavinin temelini s\u0131k\u0131 bir glutensiz diyet uygulanmas\u0131 olu\u015fturur. Bu ama\u00e7la gluten i\u00e7eren Tah\u0131l \u00fcr\u00fcnleri (bu\u011fday, Arpa ve \u00e7avdar) kullan\u0131larak yap\u0131lan g\u0131da maddelerinin kesinlikle yenmemesi gerekir. Pirin\u00e7, m\u0131s\u0131r, patates ve soya Unundan yap\u0131lm\u0131\u015f \u00fcr\u00fcnler yenilebilir. Meyve, sebze, yumurta ve et \u00fcr\u00fcnlerinin yenmesinde sak\u0131nca yoktur.<\/p>\n
Gluten i\u00e7ermeyen bir diyetin uygulanmas\u0131 normal beslenmeye g\u00f6re daha pahal\u0131, g\u00fc\u00e7 ve s\u0131k\u0131c\u0131 olabilir. Bu nedenle kesin tan\u0131 konulmadan bu t\u00fcr bir diyetin uygulanmas\u0131 tavsiye edilmez. Bu hastalarda laktoz eksikli\u011fi (laktoz intolerans\u0131) de olabildi\u011finden ba\u015flang\u0131\u00e7ta s\u00fct ve s\u00fctl\u00fc g\u0131dalar\u0131n al\u0131nmamas\u0131 \u00f6nerilir” diye konu\u015ftu.<\/p>\n
Memorial Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm Koordinat\u00f6r\u00fc Prof. Dr. Yavuz Baykal, \u00e7\u00f6lyak hastal\u0131\u011f\u0131nda ila\u00e7 tedavisi olmad\u0131\u011f\u0131n\u0131 hat\u0131rlatarak, s\u0131k\u0131 bir glutensiz diyet uygulayan hastalarda hastal\u0131\u011f\u0131n genelde iyi bir gidi\u015f g\u00f6sterdi\u011fini, hastal\u0131\u011f\u0131n s\u0131k\u0131 diyet ile kansere d\u00f6n\u00fc\u015f\u00fcm engellenebilece\u011fini dile getirdi.(iha) <\/p>\n","protected":false},"excerpt":{"rendered":"
Memorial Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm Koordinat\u00f6r\u00fc Prof. Dr. Yavuz Baykal, masum san\u0131lan kar\u0131n a\u011fr\u0131s\u0131 ve \u015fi\u015fkinlik gibi \u015fikayetlerin “ya\u015fam boyu devam eden tek g\u0131da alerjisi” olan “\u00e7\u00f6lyak” hastal\u0131\u011f\u0131n\u0131n belirtisi olabilece\u011fini s\u00f6yledi. Memorial Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm Koordinat\u00f6r\u00fc Prof. Dr. Yavuz Baykal, “ya\u015fam boyu devam eden tek g\u0131da alerjisi” olan, genellikle kal\u0131tsal olarak ortaya \u00e7\u0131kan ve tedavi edilmedi\u011fi, \u00f6zenli davran\u0131lmad\u0131\u011f\u0131 takdirde[Devam\u0131n\u0131 Oku…]<\/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":[29711,29696],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/15548"}],"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=15548"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/15548\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=15548"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=15548"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=15548"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}