\u0130mm\u00fcnoloji ve Alerji Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Ali Kutlu, KOAH tan\u0131s\u0131 alan hastalar\u0131n y\u00fczde 90\u2019\u0131n\u0131n sigara i\u00e7ti\u011fini ancak otobanlara yak\u0131n yerle\u015fimlerde egzoz gazlar\u0131, soba veya ocaklarda kullan\u0131lan odun ve teze\u011finde bu hastal\u0131\u011fa neden oldu\u011funu s\u00f6yledi.<\/p>\n
Medical Park Ordu Hastanesi Alerji ve G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Klini\u011fi\u2019nden \u0130mm\u00fcnoloji ve Alerji Hastal\u0131klar\u0131 Uzman\u0131 Prof. Dr. Ali Kutlu, 40 ya\u015f \u00fcst\u00fc insanlar\u0131n neredeyse y\u00fczde 20\u2019sinin KOAH\u2019l\u0131 olmas\u0131na ra\u011fmen yakla\u015f\u0131k olarak sadece 10 hastadan birine KOAH tan\u0131s\u0131 konuldu\u011funu belirterek, \u201cYani KOAH\u2019l\u0131 oldu\u011funu bilmeyen \u00f6nemli bir grup insan var. \u00dclkemizde tahminen 3 ila 5 milyon aras\u0131nda KOAH hastas\u0131 var ve y\u0131lda 50 bin ki\u015fiyi bu hastal\u0131ktan kaybediyoruz\u201d dedi.<\/p>\n
D\u00fc\u015f\u00fck gelirli \u00fclkelerde tehlike b\u00fcy\u00fcyor<\/p>\n
KOAH\u2019ta genetik yatk\u0131nl\u0131ktan ziyade \u00e7evresel etkenler ve sigara al\u0131\u015fkanl\u0131\u011f\u0131n\u0131n da \u00f6n planda oldu\u011funu s\u00f6yleyen Prof. Dr. Ali Kutlu \u015f\u00f6yle konu\u015ftu: \u201cKOAH tan\u0131s\u0131 alan hastalar\u0131n y\u00fczde 90\u2019\u0131nda aktif olarak veya ge\u00e7mi\u015fte sigara kullan\u0131m \u00f6yk\u00fcs\u00fc mevcuttur. \u0130\u00e7 ve d\u0131\u015f ortamlarda soludu\u011fumuz zararl\u0131 duman, gaz ve k\u00fc\u00e7\u00fck par\u00e7ac\u0131klar (Termik santraller, sanayi ve \u0131s\u0131nma kaynakl\u0131 hava kirlili\u011fi, otobanlara yak\u0131n yerle\u015fimlerde egzoz gazlar\u0131, \u00f6zellikle sigara i\u00e7meyen kad\u0131nlarda i\u00e7 ortamlarda soba veya ocaklarda odun, tezek, a\u011fa\u00e7 k\u00f6kleri gibi biyolojik yak\u0131tlar\u0131n kullan\u0131lmas\u0131, tozlu dumanl\u0131 i\u015fyerlerinde solunan kirli hava) di\u011fer ba\u015fl\u0131ca KOAH sebepleridir. Hastal\u0131k d\u00fc\u015f\u00fck-orta gelirli \u00fclkelerde ya\u015fayan insanlarda daha s\u0131k g\u00f6r\u00fclmektedir.\u201d<\/p>\n
\u201c40 ya\u015f\u0131nda ba\u015flar 60\u2019ta oksijene ba\u011flar\u201d<\/p>\n
Kutlu, \u00f6yle devam etti: \u201cGenel olarak sigara i\u00e7en insanlar\u0131n y\u00fczde 10-20\u2019sinin KOAH\u2019a yakalanmakla birlikte bu oran hayat boyunca sigaradan vazge\u00e7emeyen insanlarda yakla\u015f\u0131k y\u00fczde 50\u2019dir. Hem sigara i\u00e7ip hem de hastal\u0131\u011fa zemin haz\u0131rlayacak ortamda \u00e7al\u0131\u015fan ve ya\u015fayan insanlarda KOAH\u2019\u0131n ortaya \u00e7\u0131kmas\u0131 neredeyse ka\u00e7\u0131n\u0131lmazd\u0131r. Akci\u011ferlerimizin kapasitesi ergenlik \u00e7a\u011f\u0131na kadar artar ve ya\u015fla birlikte azalmaya ba\u015flar. Baz\u0131 \u00f6zel durumlar hari\u00e7 akci\u011ferler bize \u00f6l\u00fcnceye kadar fazlas\u0131yla yetecek kapasiteye sahiptir. Baz\u0131 insanlarda akci\u011ferler yeterince geli\u015femez veya \u00e7ok h\u0131zl\u0131 kapasite kayb\u0131 olur. Yani sigara i\u00e7mese bile KOAH\u2019a yakalanan k\u00fc\u00e7\u00fck bir grup hasta vard\u0131r. Hastalar\u0131n tan\u0131 ve takibinde solunum fonksiyon testi (SFT) \u00e7ok \u00f6nemlidir. KOAH genellikle 30\u2019lu ya\u015flarda sigara \u00f6ks\u00fcr\u00fc\u011f\u00fc kabul edilen tekrarlayan \u00f6ks\u00fcr\u00fck balgam \u00e7\u0131karma \u015fik\u00e2yetleriyle ba\u015flar. 40\u2019l\u0131 ya\u015flar\u0131n sonunda akci\u011fer kapasitesinde d\u00fc\u015fme ve eforla nefes darl\u0131\u011f\u0131 olu\u015fur. Hastalar ilerleyen d\u00f6nemlerde uzun mesafe y\u00fcr\u00fcyemez ve hafif objeleri bile kald\u0131ramaz. Bu durumda sigara i\u00e7meye devam eden hastalar 60\u2019l\u0131 ya\u015flar\u0131n sonunda oksijene ba\u011f\u0131ml\u0131 hale gelirler ve tek ba\u015flar\u0131na g\u00fcnl\u00fck aktivasyonlar\u0131n\u0131 ger\u00e7ekle\u015ftiremezler. Hastal\u0131\u011f\u0131 tam anlam\u0131yla ortadan kald\u0131rabilecek bir tedavi yoktur.\u201d<\/p>\n
\u201cKad\u0131nlar, erkeklerden daha \u00e7ok risk alt\u0131nda\u201d<\/p>\n
Son zamanlarda KOAH g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n kad\u0131nlarda erkeklere g\u00f6re daha h\u0131zl\u0131 artt\u0131\u011f\u0131, baz\u0131 \u00fclkelerde KOAH ili\u015fkili \u00f6l\u00fcmlerin erkeklerden daha fazla g\u00f6r\u00fcld\u00fc\u011f\u00fc bildirilmektedir. Hastal\u0131\u011f\u0131n do\u011fal geli\u015fimini, bir di\u011fer ifade ile ilerlemesini durdurdu\u011fu kan\u0131tlanan tek giri\u015fim, sigaran\u0131n b\u0131rak\u0131lmas\u0131 oldu\u011funu belirten Prof. Dr. Ali Kutlu, \u201cSigaran\u0131n b\u0131rak\u0131lmas\u0131, KOAH\u2019\u0131n en g\u00fc\u00e7l\u00fc ilac\u0131d\u0131r. 40 ya\u015f \u00fczerinde olup sigara i\u00e7iyorsan\u0131z ve tekrarlayan \u00f6ks\u00fcr\u00fck, balgam \u00e7\u0131karma ve efor s\u0131ras\u0131nda nefes darl\u0131\u011f\u0131 yak\u0131nmalar\u0131n\u0131z varsa erken te\u015fhis i\u00e7in mutlaka g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 uzman\u0131na gitmelisiniz. Solunum fonksiyon testi yapt\u0131rmal\u0131, tan\u0131 al\u0131nmas\u0131 durumunda rahatlat\u0131c\u0131 ila\u00e7lar kullanmal\u0131s\u0131n\u0131z\u201d diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
MED\u0130CAL PARK ORDU HASTANES\u0130 ALERJ\u0130 VE G\u00d6\u011e\u00dcS HASTALIKLARI KL\u0130N\u0130\u011e\u0130\u2019NDEN \u0130MM\u00dcNOLOJ\u0130 VE ALERJ\u0130 HASTALIKLARI UZMANI PROF. DR. AL\u0130 KUTLU<\/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":[110990,12772,15831,101936,10074],"class_list":["post-1395123","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-kenarlarinda","tag-koah","tag-oluyor","tag-oturanlar","tag-yol"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1395123","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=1395123"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1395123\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1395123"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1395123"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1395123"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}