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Kardiyoloji Uzman\u0131 Do\u00e7. Dr. G\u00f6khan Al\u0131c\u0131, ailesinde kal\u0131tsal kalp hastal\u0131\u011f\u0131 olanlar ile \u00e7e\u015fitli belirtileri ba\u015fka nedenlere ba\u011flayarak \u00f6nlem almayanlar\u0131n gen\u00e7 ya\u015flarda hayat\u0131n\u0131 kaybedebilece\u011fini belirterek, \u201cSon derece sa\u011fl\u0131kl\u0131 g\u00f6r\u00fcnen, hatta d\u00fczenli olarak spor yapan, ya\u015f\u0131 20 ya da 30\u2019un alt\u0131nda olanlar\u0131n bile aniden kalp krizi ge\u00e7irmesine rastlayabiliyoruz\u201d dedi.<\/p>\n
T\u0131p dilinde bunu \u2018sessiz iskemi\u2019 olarak adland\u0131rd\u0131klar\u0131n\u0131 belirten Al\u0131c\u0131, \u015funlar\u0131 kaydetti:<\/p>\n
\u201c\u0130skemi; ba\u015fta kalp ve beyin gibi organlarda kan ak\u0131\u015f\u0131n\u0131n zay\u0131flamas\u0131, kesilmesi ve bu organlar\u0131n oksijen alamamas\u0131 sonucu meydana gelen doku tahribat\u0131d\u0131r. V\u00fccudun bir b\u00f6l\u00fcm\u00fc ve baz\u0131 organlar iskemik oldu\u011funda organlar ihtiya\u00e7 duydu\u011fu t\u00fcm oksijeni ve besin maddelerini alamaz hale gelir.\u201d<\/p>\n
Do\u00e7. Dr. Al\u0131c\u0131, kalp damar t\u0131kan\u0131kl\u0131klar\u0131n\u0131n y\u00fczde 20\u2019sinin \u2018sessiz iskemi\u201d oldu\u011funu, \u00f6nlem al\u0131nmad\u0131\u011f\u0131 i\u00e7in bu durumun zaman zaman ki\u015finin \u00f6l\u00fcm\u00fcnden sonra anla\u015f\u0131ld\u0131\u011f\u0131na dikkati \u00e7ekerek, \u015fu uyar\u0131larda bulundu: \u201cErken te\u015fhis her hastal\u0131k i\u00e7in \u00f6nemli ancak, kalp damar hastal\u0131klar\u0131nda erken te\u015fhis hayati derecede \u00f6nemli. Kalp hastal\u0131\u011f\u0131n\u0131n tipik belirtileri olan g\u00f6\u011f\u00fcste s\u0131k\u0131\u015fma, yanma, sol kola vuran a\u011fr\u0131 gibi \u015fikayetler genelde ki\u015filer taraf\u0131ndan ba\u015fta \u00fc\u015f\u00fctme olmak \u00fczere ba\u015fka nedenlere ba\u011flan\u0131yor. Bu durum hastalar\u0131n y\u00fczde 20\u2019sinde g\u00f6r\u00fcl\u00fcyor.\u201d<\/p>\n
Sessiz iskeminin ya\u015fl\u0131 hastalar ve erkeklerde daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ancak, kad\u0131n hastalarda kardiyovask\u00fcler \u00f6l\u00fcm oran\u0131 erkeklere g\u00f6re daha fazla oldu\u011funu belirterek, “Sessiz iskemi, sa\u011fl\u0131kl\u0131 ki\u015filerde g\u00f6r\u00fclmekle birlikte diyabetik hastalarda, ya\u015fl\u0131larda, daha \u00f6nce kalp krizi veya bypass hikayesi bulunanlarda, cerrahi yap\u0131lan ya\u015fl\u0131 hastalarda, yo\u011fun bak\u0131mda kalp hastal\u0131\u011f\u0131 d\u0131\u015f\u0131nda takip edilen kritik hastalarda daha s\u0131k g\u00f6r\u00fcl\u00fcyor” dedi.<\/p>\n
Do\u00e7. Dr. Al\u0131c\u0131, kalp hastal\u0131\u011f\u0131n\u0131n tipik belirtilerinin efor s\u0131ras\u0131nda g\u00f6\u011f\u00fcste s\u0131k\u0131\u015fma, boyun, kol, sol bilek ya da parmakta a\u011fr\u0131, bask\u0131 hissi, uyu\u015fukluk ve kar\u0131ncalanma oldu\u011funu ancak, baz\u0131 hastalarda bunlar\u0131n g\u00f6r\u00fclmeyebildi\u011fini belirterek, \u015f\u00f6yle devam etti: \u201cEfor s\u0131ras\u0131nda a\u011fr\u0131y\u0131 hisseden ki\u015filer do\u011fal olarak dinlenmeye ge\u00e7er. Bu uyar\u0131 s\u0131ras\u0131nda kendilerini daha fazla zorlayamazlar. Ancak bu belirtilerin olmamas\u0131 da m\u00fcmk\u00fcn. Erken uyar\u0131 almayan bu hastalar efor sarf etmeye devam edip, kalbi zorlayabiliyor. Bu da kalp krizinin olu\u015fmas\u0131na zemin haz\u0131rl\u0131yor Bu hastalar\u0131m\u0131zda kalp krizinden kaynakl\u0131 \u00f6l\u00fcm riski normal kalp krizi ge\u00e7irenlere oranla en az 2 kat daha y\u00fcksek oluyor.\u201d<\/p>\n
Do\u00e7. Dr. Al\u0131c\u0131, kalbin 24 saat durmadan \u00e7al\u0131\u015fan organ oldu\u011fu i\u00e7in daha fazla oksijene ihtiya\u00e7 duydu\u011funu belirterek, \u201cAncak, damarlarda t\u0131kanma olursa kalbe oksijen ak\u0131\u015f\u0131 yava\u015flar. Bunun sonucunda da g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, haf\u0131za sorunlar\u0131, ba\u015f d\u00f6nmesi, bayg\u0131nl\u0131k hissi, fiziksel aktivite s\u0131ras\u0131nda \u00e7abuk yorulma, bay\u0131lma ve nefes darl\u0131\u011f\u0131 gibi \u015fik\u00e2yetlere yol a\u00e7abilir\u201d dedi.<\/p>\n
Nefes zorlu\u011fu, halsizlik, bulant\u0131, kusma ve terleme gibi \u015fikayetlerin de kalp hastal\u0131\u011f\u0131 belirtileri olabilece\u011finin dikkate al\u0131nmas\u0131 \u00f6nerisinde bulunan Do\u00e7. Dr. Al\u0131c\u0131, diyabet hastalar\u0131n\u0131 da uyararak, \u015f\u00f6yle devam etti: \u201c\u015eeker hastalar\u0131 da sessiz iskemi a\u00e7\u0131s\u0131ndan riskli grubu olu\u015fturuyor. Bu hastalarda risk y\u00fczde 60\u2019\u0131 buluyor. Bunun yan\u0131 s\u0131ra obezite, kronik akci\u011fer hastal\u0131\u011f\u0131, uyku apnesi, total kolesterol 240 mg\/dl \u00fczeri veya LDL kolesterol 160 mg\/dk \u00fczeri veya HDL kolesterol 35 mg\/dl alt\u0131 olanlar ile sigara t\u00fcketimi di\u011fer risk fakt\u00f6rlerini olu\u015fturuyor.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
Kardiyoloji Uzman\u0131 Do\u00e7. Dr. G\u00f6khan Al\u0131c\u0131, ailesinde kal\u0131tsal kalp hastal\u0131\u011f\u0131 olanlar ile \u00e7e\u015fitli belirtileri ba\u015fka nedenlere ba\u011flayarak \u00f6nlem almayanlar\u0131n gen\u00e7 ya\u015flarda hayat\u0131n\u0131 kaybedebilece\u011fini belirterek, \u201cSon derece sa\u011fl\u0131kl\u0131 g\u00f6r\u00fcnen, hatta d\u00fczenli olarak spor yapan, ya\u015f\u0131 20 ya da 30\u2019un alt\u0131nda olanlar\u0131n bile aniden kalp krizi ge\u00e7irmesine rastlayabiliyoruz\u201d dedi. T\u0131p dilinde bunu \u2018sessiz iskemi\u2019 olarak adland\u0131rd\u0131klar\u0131n\u0131 belirten<\/p>\n","protected":false},"author":1,"featured_media":46737,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[79],"tags":[],"class_list":["post-46736","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ekonomi"],"yoast_head":"\n