﻿{"id":148511,"date":"2015-11-19T14:38:53","date_gmt":"2015-11-19T12:38:53","guid":{"rendered":"http:\/\/www.erzurumflas.com\/prof-dr-uyanik-kontrolsuz-antibiyotik-kullanarak-karacigerinizi-yormayin\/"},"modified":"2015-11-19T14:38:55","modified_gmt":"2015-11-19T12:38:55","slug":"prof-dr-uyanik-kontrolsuz-antibiyotik-kullanarak-karacigerinizi-yormayin","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=148511","title":{"rendered":"Prof. Dr. Uyan\u0131k: &#8220;Kontrols\u00fcz Antibiyotik Kullanarak Karaci\u011ferinizi Yormay\u0131n&#8221;"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/11\/prof-dr-uyanik-kontrolsuz-antibiyotik-kullanarak-karacigerinizi-yormayin_d7c6e09.jpg\" width=\"600\">Klinik Laboratuvarlar B\u00f6l\u00fcm Ba\u015fkan\u0131 Prof. Dr. Bekir Sami Uyan\u0131k, antibiyotiklerin do\u011fru kullan\u0131lmad\u0131\u011f\u0131nda ne kadar tehlikeli olabilece\u011fini a\u00e7\u0131klad\u0131.<\/p>\n<p>Hisar Intercontinental Hospital Klinik Laboratuvarlar B\u00f6l\u00fcm Ba\u015fkan\u0131 Prof. Dr. Bekir Sami Uyan\u0131k, 18 Kas\u0131m Avrupa Antibiyotik Fark\u0131ndal\u0131k G\u00fcn\u00fc dolay\u0131s\u0131yla a\u00e7\u0131klamalarda bulundu. Uyan\u0131k, ecza dolaplar\u0131n\u0131n vazge\u00e7ilmezi haline gelen antibiyotiklerin do\u011fru kullan\u0131lmad\u0131\u011f\u0131nda ne kadar tehlikeli olabilece\u011fini a\u00e7\u0131klad\u0131.<\/p>\n<p>D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn (DS\u00d6), her f\u0131rsatta yanl\u0131\u015f ve bilin\u00e7siz antibiyotik kullan\u0131m\u0131n\u0131n kontrol alt\u0131na al\u0131nmas\u0131 gerekti\u011fini vurgulad\u0131\u011f\u0131n\u0131 dile getiren Prof. Dr. Uyan\u0131k; \u201cAntibiyotikler bakterilere ba\u011fl\u0131 olmayan, nezle, grip gibi durumlarda gereksiz kullan\u0131lmamal\u0131d\u0131r. Gereksiz yere kullan\u0131lan antibiyotikler, bir s\u00fcre sonra v\u00fccutta antibiyotik direnci ad\u0131 verdi\u011fimiz, bir mikroorganizman\u0131n antibiyotiklerin etkilerine kar\u015f\u0131 durabilme yetene\u011fi olu\u015fturmas\u0131na neden olur. Antibiyotik direnci geli\u015fmi\u015f bakterilerin yol a\u00e7t\u0131\u011f\u0131 enfeksiyon, ancak daha toksik ila\u00e7lar\u0131n kullan\u0131lmas\u0131yla tedavi edilebilir. Ayr\u0131ca ayn\u0131 zamanda iki ya da daha fazla antibiyotik ve di\u011fer ila\u00e7lar\u0131n al\u0131nmas\u0131 zorunlulu\u011fu, karaci\u011fer hasar\u0131 riskini art\u0131r\u0131r\u201d dedi.<\/p>\n<p>Prof. Dr. Bekir Sami Uyan\u0131k, fazla antibiyotik kullan\u0131m\u0131n\u0131n en \u00e7ok etkiledi\u011fi organ\u0131n karaci\u011fer oldu\u011funu belirterek, \u201cMetabolizma i\u00e7in gerekli enzimler, bir\u00e7ok doku h\u00fccresinde yer almakla birlikte, karaci\u011fer h\u00fccrelerinde daha konsantre bulunur. Besinlerle al\u0131nan maddeler ve kullan\u0131lan ila\u00e7lar, karaci\u011ferde \u00e7e\u015fitli biyokimyasal reaksiyonlar ge\u00e7irerek, aktiviteleri ve toksik \u00f6zellikleri de\u011fi\u015fir. Sonu\u00e7ta v\u00fccudun ihtiyac\u0131 olan, enfeksiyonlara kar\u015f\u0131 etkili olan; aktif, yararl\u0131 \u00fcr\u00fcnler olu\u015ftu\u011fu gibi, v\u00fccuttan uzakla\u015ft\u0131r\u0131lmas\u0131 gereken, toksik denilen zararl\u0131 at\u0131klar da ortaya \u00e7\u0131kar. Yani, karaci\u011fer ila\u00e7 metabolizmas\u0131ndaki rol\u00fc nedeniyle toksik etkilere daha fazla maruz kal\u0131r. Antibiyotikler, yap\u0131s\u0131, dozu, s\u00fcresine ba\u011fl\u0131 olarak akut ya da kronik karaci\u011fer hasar\u0131na neden olabilir\u201d ifadelerini kulland\u0131.<\/p>\n<p>Uzun s\u00fcreli olarak romatizmal ila\u00e7lar\u0131, mantar ila\u00e7lar\u0131, kolesterol d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar\u0131 ve baz\u0131 a\u011fr\u0131 kesicileri kullanan ki\u015filerin, antibiyotikleri bilin\u00e7sizce kullanmamas\u0131 gerekti\u011finin alt\u0131n\u0131 \u00e7izen Uyan\u0131k, \u201c\u00d6zellikle, karaci\u011fer, safra yollar\u0131, kardiyovask\u00fcler, b\u00f6brek hastal\u0131klar\u0131 ve diyabet gibi metabolik hastal\u0131\u011f\u0131 olanlar, gerek tedavi s\u0131ras\u0131nda, gerekse iyile\u015fme sonras\u0131nda antibiyotikleri kontrols\u00fcz kullan\u0131rsa, karaci\u011fer h\u00fccre hasar\u0131 ilerleyerek, geriye d\u00f6n\u00fc\u015f\u00fcms\u00fcz karaci\u011fer yetmezli\u011fi ile kar\u015f\u0131 kar\u015f\u0131ya kalabilirler. Bu nedenle hastal\u0131\u011f\u0131n kesin tan\u0131s\u0131 konulmadan hareket edilmemesi gerekir. Kesin tan\u0131, bakteriyel enfeksiyon belirti ve bulgular\u0131n\u0131n laboratuvar testleriyle birlikte de\u011ferlendirilmesiyle konulur. Karaci\u011ferin etkilenip etkilenmedi\u011fi, karaci\u011fer fonksiyon testleri olarak bilinen, kan da yap\u0131lan testlerle de\u011ferlendirilir. AST, ALT, GGT, ALP ve ALT ile ifade edilen bu testler, karaci\u011fer h\u00fccrelerinde \u00f6nemli fonksiyonlar\u0131 bulunan enzimlerle ilgilidir. Birlikte \u00f6l\u00e7\u00fcld\u00fc\u011f\u00fcnde ortaya \u00e7\u0131kan \u00e7ok de\u011ferli bilgiler, hekime tedavide yol g\u00f6sterici olur. Do\u011fru tan\u0131 konulduktan sonra, do\u011fru antibiyotik, etkili dozda, en uygun yoldan, uygun aral\u0131klarla, uygun s\u00fcreyle verilmelidir\u201d dedi.<\/p>\n<p>T\u00fcrkiye\u2019de de, ak\u0131lc\u0131 ila\u00e7 kullan\u0131m\u0131n\u0131n (A\u0130K) 2014-2017 eylem plan\u0131 kapsam\u0131nda, eczanelerden antibiyotiklerin re\u00e7etesiz al\u0131nmas\u0131na izin verilmedi\u011fini vurgulayan Uyan\u0131k, sa\u011fl\u0131\u011f\u0131na dikkat eden ve de\u011fer veren bir bireylerin, hekime dan\u0131\u015fmadan antibiyotik ve benzeri ila\u00e7 kullanmamas\u0131n\u0131 ve hekim taraf\u0131ndan verilen ila\u00e7lar\u0131n da gereken dozlarda ve s\u00fcrelerde kullan\u0131lmas\u0131 gerekti\u011fini vurgulad\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ANT\u0130B\u0130YOT\u0130KLER\u0130N DO\u011eRU KULLANILMADI\u011eINDA TEHL\u0130KEL\u0130 OLAB\u0130LECE\u011e\u0130 BEL\u0130RT\u0130LD\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":[27426,25406,13426,27428,27427,13425,19877,27429],"class_list":["post-148511","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-kontrolsuz","tag-antibiyotik","tag-dr","tag-karacigerinizi","tag-kullanarak","tag-prof","tag-uyanik","tag-yormayin"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/148511","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=148511"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/148511\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=148511"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=148511"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=148511"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}