{"id":15749,"date":"2014-04-13T14:22:21","date_gmt":"2014-04-13T11:22:21","guid":{"rendered":"http:\/\/www.gncz.net\/gizli-kalbe-dikkat.html"},"modified":"2014-04-13T14:22:21","modified_gmt":"2014-04-13T11:22:21","slug":"gizli-kalbe-dikkat","status":"publish","type":"post","link":"https:\/\/gncz.net\/index.php\/gizli-kalbe-dikkat.html","title":{"rendered":"Gizli Kalbe Dikkat"},"content":{"rendered":"<p>Gizli kalbe dikkat<\/p>\n<p>Dahiliye Uzman\u0131 Dr. G&uuml;lcan Dalg\u0131&ccedil;, genelde hi&ccedil;bir belirti vermeyen gizli kalp hastal\u0131\u011f\u0131na kar\u015f\u0131 &ccedil;ok dikkat edilmesi gerekti\u011fini s&ouml;yledi. Kalp kas\u0131n\u0131 besleyen koroner damarlarda kan ak\u0131m\u0131n\u0131n belirgin azalmas\u0131na neden olacak derecede darl\u0131k oldu\u011funda, ki\u015fide &ccedil;o\u011funlukla efor esnas\u0131nda g&ouml;\u011f&uuml;ste a\u011fr\u0131, s\u0131k\u0131\u015fma, yanma, nefes darl\u0131\u011f\u0131 gibi \u015fikayetler oldu\u011funu ifade eden Dalg\u0131&ccedil;, gizli kalp hastal\u0131\u011f\u0131nda ise, koroner damarlarda &ouml;nemli derecede darl\u0131k oldu\u011fu halde, ki\u015finin efor veya istirahatte herhangi bir rahats\u0131zl\u0131k hissetmedi\u011fini s&ouml;yledi. Dr. Dalg\u0131&ccedil;, &quot;Bu hastal\u0131kta &ccedil;o\u011funlukla belirti yoktur. Ancak bazen &ccedil;abuk yorulma, haz\u0131ms\u0131zl\u0131k gibi kalp hastal\u0131\u011f\u0131ndan \u015f&uuml;phelendirmeyecek hafif yak\u0131nmalar olabilir. Koroner yetmezli\u011fi ad\u0131n\u0131 verdi\u011fimiz, damar sertli\u011fine (ateroscleroz) ba\u011fl\u0131, kalp kas\u0131n\u0131 besleyen damarlarda daralmayla seyreden hastal\u0131\u011f\u0131n &ouml;zel bir formu oldu\u011fundan, bu hastal\u0131\u011fa ait risk fakt&ouml;rleri ge&ccedil;erlidir. Ailede birinci derecede erkek yak\u0131nlarda 55 ya\u015f\u0131ndan &ouml;nce, kad\u0131n yak\u0131nlarda da 65 ya\u015f\u0131ndan &ouml;nce koroner kalp hastal\u0131\u011f\u0131 ortaya &ccedil;\u0131km\u0131\u015f ise, bu durum o ki\u015fide bu hastal\u0131\u011f\u0131n olu\u015fma riskini art\u0131ran bir fakt&ouml;rd&uuml;r. \u015eeker hastal\u0131\u011f\u0131, tansiyon y&uuml;ksekli\u011fi, sigara kullan\u0131m\u0131, kolesterol y&uuml;ksekli\u011fi gibi fakt&ouml;rler, sessiz iskemi hastal\u0131\u011f\u0131n\u0131n olu\u015fmas\u0131nda rol oynayan &ouml;nemli fakt&ouml;rler olmakla birlikte, erkeklerde 45 ya\u015f, kad\u0131nlarda ise menopozdan sonra g&ouml;r&uuml;lme oran\u0131 artmaktad\u0131r. Koroner yetmezli\u011finin bir klinik formu olan sessiz iskemi, kad\u0131nlarda do\u011furganl\u0131k &ccedil;a\u011f\u0131nda ise &ccedil;ok nadir g&ouml;r&uuml;l&uuml;r. E\u011fer \u015feker hastal\u0131\u011f\u0131, yo\u011fun ailevi yatk\u0131nl\u0131k, kontrols&uuml;z tansiyon ve kolesterol y&uuml;ksekli\u011fi gibi, damar sertli\u011finin erken ba\u015flamas\u0131na neden olan fakt&ouml;rler yoksa, hamilelikte &ouml;zel bir &ouml;nlem alma gere\u011fi yoktur&quot; diye konu\u015ftu. Bir&ccedil;ok hastal\u0131kta oldu\u011fu gibi, gizli kalp hastal\u0131\u011f\u0131nda da erken te\u015fhisin &ccedil;ok &ouml;nemli oldu\u011funun alt\u0131n\u0131 &ccedil;izen Korkuteli Devlet Hastanesi Dahiliye Uzman\u0131 Dr. G&uuml;lcan Dalg\u0131&ccedil;, &quot;Koroner damarlarda &ouml;nemli derecede darl\u0131k oldu\u011fu halde hasta yak\u0131nmas\u0131zd\u0131r. Hastay\u0131 uyaran bir \u015fikayet olmad\u0131\u011f\u0131ndan, hasta fark\u0131nda olmadan kalp krizi ge&ccedil;irme riski alt\u0131ndad\u0131r. Sessiz iskeminin te\u015fhisi i&ccedil;in ise efor testi, ritim hol teri (24 Saatlik EKG kayd\u0131), stres eko kardiyografi ve &ccedil;ok kesitli bilgisayarl\u0131 tomografi gibi, riski az olan tetkiklerden yararlan\u0131l\u0131r. Bu tetkikler, hastal\u0131k varl\u0131\u011f\u0131 \u015f&uuml;phesi do\u011furursa, koroner Anjiyografi gibi ileri tetkiklerle tan\u0131 kesinle\u015ftirilir. Yap\u0131lan tetkikler sonucu, &#039;sessiz iskemi&#039; tan\u0131s\u0131 konan hastalarda e\u011fer \u015feker hastal\u0131\u011f\u0131 varsa, kan \u015fekerinin iyi kontrol edilmesi, tansiyon ve kolesterol y&uuml;ksekli\u011finin etkin tedavisi, sigara kullan\u0131l\u0131yorsa b\u0131rak\u0131lmas\u0131, fazla kilo varsa azaltmaya y&ouml;nelik tedbirler al\u0131nmas\u0131 ve doktor taraf\u0131ndan &ouml;nerilen ila&ccedil;lar\u0131n d&uuml;zenli kullan\u0131lmas\u0131 &ccedil;ok &ouml;nemlidir&quot; \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gizli kalbe dikkat Dahiliye Uzman\u0131 Dr. G&uuml;lcan Dalg\u0131&ccedil;, genelde hi&ccedil;bir belirti vermeyen gizli kalp hastal\u0131\u011f\u0131na kar\u015f\u0131 &ccedil;ok dikkat edilmesi gerekti\u011fini s&ouml;yledi. Kalp kas\u0131n\u0131 besleyen koroner damarlarda kan ak\u0131m\u0131n\u0131n belirgin azalmas\u0131na neden olacak derecede darl\u0131k oldu\u011funda, ki\u015fide &ccedil;o\u011funlukla efor esnas\u0131nda g&ouml;\u011f&uuml;ste a\u011fr\u0131, s\u0131k\u0131\u015fma, yanma, nefes darl\u0131\u011f\u0131 gibi \u015fikayetler oldu\u011funu ifade eden Dalg\u0131&ccedil;, gizli kalp hastal\u0131\u011f\u0131nda ise, koroner damarlarda &ouml;nemli derecede darl\u0131k<a class=\"more-link\" href=\"https:\/\/gncz.net\/index.php\/gizli-kalbe-dikkat.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":[30389,30387,30385],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/15749"}],"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=15749"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/15749\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=15749"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=15749"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=15749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}