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\u00c7ukurova \u00dcniversitesi T\u0131p Fak\u00fcltesi Balcal\u0131 Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Ana Bilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Ali Kocaba\u015f, Kronik Obstr\u00fcktif Akci\u011fer Hastal\u0131\u011f\u0131\u2019ndan (KOAH) her y\u0131l \u00fclkemizde 40 bin ki\u015finin hayat\u0131n\u0131 kaybetti\u011fini, KOAH\u2019l\u0131 hastalar\u0131n y\u00fczde 50-70\u2019inin ise hen\u00fcz te\u015fhis edilmedi\u011fini s\u00f6yledi.<\/p>\n
Prof. Dr. Ali Kocaba\u015f KOAH\u2019\u0131, zararl\u0131 gaz ve tozlar\u0131n uzun s\u00fcre solunum yolu ile al\u0131nmas\u0131 sonucu havayollar\u0131 ve akci\u011ferlerde mikrobik olmayan abart\u0131l\u0131 bir iltihab\u0131n geli\u015fmesi ve bu iltihab\u0131n hava yollar\u0131nda genellikle ilerleyici \u00f6zellikteki kal\u0131c\u0131 daralma ve t\u0131kan\u0131kl\u0131k geli\u015ftirmesi olarak tan\u0131mlad\u0131. Kocaba\u015f, KOAH\u2019\u0131n \u00f6nlenebilir ve tedavi edilebilir bir hastal\u0131k oldu\u011funa da vurgu yapt\u0131.<\/p>\n
KOAH\u2019l\u0131 hastalarda genellikle bir veya daha fazla bir di\u011fer kronik hastal\u0131\u011f\u0131n da bulundu\u011funa i\u015faret eden Kocaba\u015f, bunlar\u0131n ba\u015fl\u0131calar\u0131n\u0131 kalp-damar hastal\u0131klar\u0131, hipertansiyon, diyabet, depresyon, akci\u011fer kanseri olarak s\u0131ralad\u0131. Hastal\u0131\u011f\u0131n genellikle orta-ileri ya\u015f grubunda ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ve yava\u015f bir ilerleme g\u00f6sterdi\u011fini dile getiren Kocaba\u015f, “Bu nedenle KOAH\u2019l\u0131 hastalar erken d\u00f6nemdeki semptomlar\u0131n\u0131 genellikle sigara i\u00e7iminin veya ya\u015flanman\u0131n do\u011fal sonucu olarak g\u00f6r\u00fcrler, ancak semptomlar\u0131, \u00f6zellikle nefes darl\u0131\u011f\u0131, \u00e7ok belirgin hale gelince, hastal\u0131\u011f\u0131n ileri evrelerinde doktora ba\u015fvururlar” ifadesini kulland\u0131.<\/p>\n
G\u00fcn\u00fcm\u00fczde t\u00fcm d\u00fcnyada 350 milyon, \u00fclkemizde ise 5 milyon KOAH\u2019l\u0131 hasta bulundu\u011funu, bu hastalar\u0131n her y\u0131l t\u00fcm d\u00fcnyada 3 milyonunun, \u00fclkemizde ise 40 bininin \u00f6ld\u00fc\u011f\u00fc tahmin edildi\u011fini belirten Kocaba\u015f, \u201cFakat, KOAH\u2019l\u0131 hastalar\u0131n y\u00fczde 50-70\u2019i hen\u00fcz te\u015fhis edilmi\u015f de\u011fildir\u201d dedi.<\/p>\n
KOAH YOKSUL \u00dcLKELERDE DAHA FAZLA G\u00d6R\u00dcL\u00dcYOR<\/p>\n
Son 200 y\u0131ld\u0131r geleneksel risk fakt\u00f6rlerinin giderek azalmas\u0131, fakat yeni risk fakt\u00f6rlerinin (t\u00fct\u00fcn, sa\u011fl\u0131ks\u0131z diyet, obezite, fiziksel inaktivite, mesleki riskler, hava kirlili\u011fi vb.) ortaya \u00e7\u0131kmas\u0131n\u0131n hastal\u0131k kal\u0131plar\u0131n\u0131n da de\u011fi\u015fmesine neden oldu\u011funu dile getiren Kocaba\u015f, \u201cBug\u00fcn t\u00fcm d\u00fcnyada \u00f6l\u00fcmlerin y\u00fczde 66\u2019s\u0131 kronik hastal\u0131klar nedeniyle ger\u00e7ekle\u015fmektedir ve bu \u00f6l\u00fcmlerin y\u00fczde 80\u2019den fazlas\u0131 d\u00fc\u015f\u00fck-orta gelirli \u00fclkelerde g\u00f6zlenmektedir. Sermayenin serbest dola\u015f\u0131m\u0131 veya k\u00fcreselle\u015fme olarak adland\u0131r\u0131lan bu d\u00f6nemde, yoksulla\u015fan insanlar risk fakt\u00f6rleriyle (sigara, ev i\u00e7i hava kirlili\u011fi ve i\u015fyerlerinde toza ve dumana maruz kalma gibi) daha yo\u011fun kar\u015f\u0131la\u015fmakta, sa\u011fl\u0131k hizmetlerine ula\u015famamakta ve tedavilerini uygun bir \u015fekilde y\u00fcr\u00fctememektedirler. Bu durum, hastal\u0131\u011f\u0131n ve bu hastal\u0131ktan \u00f6l\u00fcmlerin giderek artmas\u0131na yol a\u00e7maktad\u0131r. Bu nedenle KOAH\u2019l\u0131 hastalar\u0131n y\u00fczde 90\u2019\u0131n\u0131n yoksul \u00fclkelerde olmas\u0131 tesad\u00fcf de\u011fildir\u201d ifadelerini kulland\u0131.<\/p>\n
S\u0130GARA \u00d6NEML\u0130 R\u0130SK FAKT\u00d6R\u00dc<\/p>\n
KOAH geli\u015fiminde en \u00f6nemli risk fakt\u00f6rlerinin uzun s\u00fcre sigara i\u00e7imi, \u0131s\u0131nmak veya yemek pi\u015firmek amac\u0131yla evlerde kullan\u0131lan odun, tezek ve k\u00f6m\u00fcr gibi yak\u0131tlar\u0131n duman\u0131yla kar\u015f\u0131la\u015fmak veya i\u015f yerlerinde toza ve dumana maruz kal\u0131nmas\u0131 oldu\u011funu vurgulayan Prof. Dr. Ali Kocaba\u015f, Adana\u2019da yap\u0131lan bir \u00e7al\u0131\u015fmada 40 ya\u015f \u00fcst\u00fc her 5 yeti\u015fkinden birinde KOAH bulundu\u011funun saptand\u0131\u011f\u0131n\u0131, uzun s\u00fcredir nefes darl\u0131\u011f\u0131, \u00f6ks\u00fcr\u00fck ve balgam \u015fikayeti olan ve risk fakt\u00f6rlerine maruz kalan ki\u015filerde KOAH varl\u0131\u011f\u0131ndan ku\u015fkulanmak gere\u011fini, kesin tan\u0131 i\u00e7in basit bir soluk testi yapt\u0131rman\u0131n yeterli olaca\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izdi.<\/p>\n
Hastalar\u0131n sosyal ve ekonomik ko\u015fullar\u0131n\u0131 sorgulay\u0131p bunlar\u0131n iyile\u015ftirilmesi i\u00e7in \u00e7aba g\u00f6sterilmesi gerekti\u011fini belirten Prof. Dr. Ali Kocaba\u015f, hastalar\u0131n sigara i\u00e7memesini sa\u011flamak, hastalar\u0131n haftan\u0131n en az 5 g\u00fcn\u00fc ve her g\u00fcn ortalama 30 dakika y\u00fcr\u00fcmelerini te\u015fvik etmek ve her y\u0131l grip a\u015f\u0131s\u0131 yapt\u0131rmalar\u0131n\u0131 \u00f6nerdiklerini kaydetti.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7UKUROVA \u00dcN\u0130VERS\u0130TES\u0130 TIP FAK\u00dcLTES\u0130 BALCALI HASTANES\u0130 G\u00d6\u011e\u00dcS HASTALIKLARI ANA B\u0130L\u0130M DALI BA\u015eKANI PROF. DR. AL\u0130 KOCABA\u015e, ” KOAH\u2019LI HASTALARIN Y\u00dcZDE 50-70\u2019\u0130 HEN\u00dcZ TE\u015eH\u0130S ED\u0130LM\u0130\u015e DE\u011e\u0130LD\u0130R\u201d DED\u0130.<\/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":[27376,2154,26935,10636,1723],"class_list":["post-148187","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-bulunuyor","tag-hasta","tag-koahli","tag-milyon","tag-turkiyede"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/148187","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=148187"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/148187\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=148187"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=148187"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=148187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}