﻿{"id":136675,"date":"2015-11-13T15:24:49","date_gmt":"2015-11-13T13:24:49","guid":{"rendered":"http:\/\/www.erzurumflas.com\/her-diyabet-hastasinin-tedavisi-bireysel\/"},"modified":"2015-11-13T15:24:52","modified_gmt":"2015-11-13T13:24:52","slug":"her-diyabet-hastasinin-tedavisi-bireysel","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=136675","title":{"rendered":"Her Diyabet Hastas\u0131n\u0131n Tedavisi Bireysel"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/11\/her-diyabet-hastasinin-tedavisi-bireysel_3ea317a.jpg\" width=\"600\">Medical Park Samsun Hastanesi, Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Klini\u011fi\u2019nden Uzm. Dr. G\u00fcl\u00e7in Cengiz Ecemi\u015f \u201c14 Kas\u0131m D\u00fcnya Diyabet G\u00fcn\u00fc\u201d nedeni ile a\u00e7\u0131klama yapt\u0131.<\/p>\n<p>Diyabet hastal\u0131\u011f\u0131 hakk\u0131nda bilgi veren Dr. Ecemi\u015f \u201cDiyabet ins\u00fclinin eksikli\u011fi veya etkisizli\u011fi sonucu ortaya \u00e7\u0131kan bir rahats\u0131zl\u0131kt\u0131r. Toplumda daha s\u0131k g\u00f6r\u00fclen diyabet formu tip 2 diyabettir ve ins\u00fclinin yeterince etki g\u00f6sterememesi sonucu ortaya \u00e7\u0131kar. Tip 1 diyabet ise daha seyrek olarak g\u00f6r\u00fclmesine ra\u011fmen k\u00fc\u00e7\u00fck ya\u015flardan itibaren ba\u015flar ve \u00f6m\u00fcr boyu ins\u00fclin kullan\u0131lmas\u0131n\u0131 gerektirir\u201d diye konu\u015ftu.<\/p>\n<p>Diyabetli ki\u015filerin, hep ayn\u0131 sorunla kar\u015f\u0131la\u015ft\u0131\u011f\u0131n\u0131 s\u00f6yleyen Dr. Ecemi\u015f \u201cKan dola\u015f\u0131m\u0131nda \u015feker d\u00fczeyi \u00e7ok y\u00fcksektir, h\u00fccrelerin enerji kaynaklar\u0131ndan birisi olan glukoz h\u00fccre i\u00e7erisine giremedi\u011fi i\u00e7in h\u00fccrelerin i\u00e7inde enerji a\u00e7l\u0131\u011f\u0131 vard\u0131r. Normalde, \u015fekeri kan damarlar\u0131m\u0131zdan al\u0131p h\u00fccrelerimize ta\u015f\u0131mak i\u00e7in pankreas salg\u0131 bezinde \u00fcretilen ve \u2018ins\u00fclin\u2019 ad\u0131 verilen bir hormona ihtiya\u00e7 vard\u0131r. Diyabetiniz varsa pankreas bezi taraf\u0131ndan ya yeterli ins\u00fclin \u00fcretilmiyordur ya da \u00fcretilen ins\u00fclin yeterli etkiyi g\u00f6steremiyordur. Her iki ko\u015fulda da kanda \u015feker d\u00fczeyi y\u00fckselir. Bu duruma \u2018hiperglisemi\u2019 ad\u0131 verilir. Hiperglisemi iyi tedavi edilmezse b\u00fcy\u00fck ve k\u00fc\u00e7\u00fck kan damarlar\u0131n\u0131 bozarak g\u00f6z, b\u00f6brek ve sinir dokusunda hasarlara yol a\u00e7abilir; kalp krizi ve inme\u2019ye sebebiyet verebilir. Kan \u015fekerinin olabildi\u011fince normale yak\u0131n seviyelerde tutulmas\u0131 g\u00f6z, sinir ve b\u00f6brek hasarlar\u0131, kalp krizi ve inme gibi sorunlarla kar\u015f\u0131la\u015fma riskini azalt\u0131r\u201d dedi.<\/p>\n<p>Her diyabet hastas\u0131n\u0131n tedavisinin bireysel oldu\u011funu s\u00f6yleyen Uzm. Dr. G\u00fcl\u00e7in Cengiz Ecemi\u015f \u201cHastalar sa\u011fl\u0131k sorunlar\u0131n\u0131n \u00f6nemine g\u00f6re tek bir ila\u00e7 kullanabildikleri gibi; iki, \u00fc\u00e7 veya daha fazla \u00e7e\u015fit ila\u00e7 kullanabilirler. Tip 2 diyabetik hastalarda e\u011fer hastan\u0131n durumu \u00e7ok k\u00f6t\u00fc de\u011filse ve \u015fekerleri \u0131l\u0131ml\u0131 derecede y\u00fcksekse \u00f6ncelikle \u015feker d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7larla tedaviye ba\u015flanabilir. Bu ila\u00e7lara ra\u011fmen kan \u015fekerleri y\u00fcksek seyrederse tedaviye ins\u00fclin eklenebilir. \u00c7ok \u00e7e\u015fitli ins\u00fclin tipleri vard\u0131r. Hastan\u0131n klinik durumuna g\u00f6re uygun ins\u00fclin tedavisi \u015feker reg\u00fclasyonu sa\u011flamaya \u00e7al\u0131\u015f\u0131l\u0131r. \u0130ns\u00fclin tedavisi ba\u011f\u0131ml\u0131l\u0131k yapmaz. V\u00fccuttaki eksikli\u011fin tamamlanmas\u0131 gibi d\u00fc\u015f\u00fcn\u00fclebilir. Hastan\u0131n klinik durumuna g\u00f6re ihtiya\u00e7 duyulan yo\u011fun ins\u00fclin tedavisi takiplerde hafifletilebilir, hatta tekrar a\u011f\u0131zdan al\u0131nan \u015feker d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lara d\u00f6n\u00fclebilir.  Tip 1 diyabetiniz varsa, a\u011f\u0131zdan al\u0131nan \u015feker d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar\u0131n tedavinizde yeri yoktur\u201d \u015feklinde konu\u015ftu.<\/p>\n<p>Uzm. Dr. G\u00fcl\u00e7in Cengiz Ecemi\u015f \u015fu bilgileri verdi: \u201cDiyabetli hastalar\u0131m\u0131z\u0131n yapt\u0131\u011f\u0131 en b\u00fcy\u00fck yanl\u0131\u015flardan bir tanesi; a\u011f\u0131zdan \u015feker d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar kullanmakta iken, bunun diyabet tedavisinde her \u015fey oldu\u011funu d\u00fc\u015f\u00fcnerek beslenme ve egzersiz programlar\u0131n\u0131z\u0131 ihmal etmenizdir. Unutulmamal\u0131d\u0131r ki modern tedavi y\u00f6ntemlerine ra\u011fmen tip 2 diyabetin tedavisinde halen beslenme ve egzersiz en \u00f6nemli tedavi metotlar\u0131d\u0131r. Tedavinin nas\u0131l belirlenece\u011fi hastan\u0131n durumuna, ek sorunlar\u0131na g\u00f6re bireysel olarak planlanmal\u0131d\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00dcLC\u0130N CENG\u0130Z ECEM\u0130\u015e.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[21501,2359,25192,12869,17326],"class_list":["post-136675","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-bireysel","tag-diyabet","tag-hastasinin","tag-her","tag-tedavisi"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/136675","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=136675"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/136675\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=136675"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=136675"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=136675"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}