﻿{"id":102854,"date":"2015-10-28T10:24:52","date_gmt":"2015-10-28T08:24:52","guid":{"rendered":"http:\/\/www.erzurumflas.com\/kanser-hastalari-agizlarina-dikkat-etmeli\/"},"modified":"2015-10-28T10:24:54","modified_gmt":"2015-10-28T08:24:54","slug":"kanser-hastalari-agizlarina-dikkat-etmeli","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=102854","title":{"rendered":"Kanser Hastalar\u0131 A\u011f\u0131zlar\u0131na Dikkat Etmeli"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/10\/kanser-hastalari-agizlarina-dikkat-etmeli_5320fa4.jpg\" width=\"600\">Dt. A. Do\u011fan Bircan, kanser hastalar\u0131n\u0131n a\u011f\u0131z ve di\u015f bak\u0131m\u0131na \u00f6nem g\u00f6stermeleri gerekti\u011fini belirtti.<\/p>\n<p>G\u00fcn\u00fcm\u00fczde en s\u0131k g\u00f6r\u00fclen hastal\u0131klar\u0131n ba\u015f\u0131nda kanserin geldi\u011fini ifade eden Dt. Bircan, \u201cKanser hastas\u0131 olan bireylerde a\u011f\u0131z ve di\u015f bak\u0131m\u0131n\u0131n nas\u0131l yap\u0131lmas\u0131 gerekti\u011fi ise g\u00fcn\u00fcm\u00fczde ayr\u0131 bir ba\u015fl\u0131k alt\u0131nda de\u011ferlendirilmelidir. Bilindi\u011fi gibi kanser hastal\u0131\u011f\u0131 olan ki\u015filerde cerrahi m\u00fcdahalenin yan\u0131 s\u0131ra kemoterapi, radyoterapi gibi ilave tedavi y\u00f6ntemleri de uygulanmaktad\u0131r. \u0130lk olarak bilinmesi gereken; m\u00fcmk\u00fcn oldu\u011fu durumlarla s\u0131n\u0131rl\u0131 kalmakla beraber her t\u00fcrl\u00fc di\u015f tedavisinin kanser tedavisi ba\u015flamadan \u00f6nce ba\u015flamas\u0131 gereklili\u011fidir\u201d dedi.<\/p>\n<p>Hastalar\u0131n a\u011f\u0131z i\u00e7i olumsuzluklar\u0131n \u015fiddetini azaltmak i\u00e7in a\u011f\u0131z hijyenlerini korumaya te\u015fvik edilmesi gerekti\u011fini kaydeden Dt. A. Do\u011fan Bircan, \u015f\u00f6yle konu\u015ftu:<\/p>\n<p>\u201cD\u00fczenli olarak, g\u00fcnde 3-4 kez, \u00f6zellikle yemeklerden sonra 30 dakika i\u00e7inde ve yatmadan \u00f6nce a\u011f\u0131z temizli\u011fini yapacak \u015fekilde motive edilmelidirler. Di\u015f f\u0131r\u00e7alama \u00e7ok yumu\u015fak bir f\u0131r\u00e7a yard\u0131m\u0131yla bask\u0131 uygulamaks\u0131z\u0131n antitartar, peroksit ihtiva etmeyen flor\u00fcr ve karbonat i\u00e7eren bir di\u015f macunu ile yap\u0131lmal\u0131d\u0131r. \u0130ki ayr\u0131 di\u015f f\u0131r\u00e7as\u0131 de\u011fi\u015ftirilerek kullan\u0131lmal\u0131 ve klorheksidinli veya hipokloritli sol\u00fcsyonlarda y\u0131kanarak, kurutulmal\u0131d\u0131r. A\u011f\u0131z du\u015fu ve elektrikli di\u015f f\u0131r\u00e7as\u0131 kullan\u0131m\u0131 tavsiye edilmez. Hasta e\u011fer di\u015f ipi kullan\u0131yorsa mumlu ve \u015ferit di\u015f ipi kullanmas\u0131 \u00f6nerilir e\u011fer kullanm\u0131yorsa kullan\u0131ma al\u0131\u015ft\u0131rmak i\u00e7in uygun bir zaman de\u011fildir. Di\u015fler f\u0131r\u00e7alad\u0131ktan sonra g\u00fcnde en az d\u00f6rt kez, sabah, \u00f6\u011fle, ak\u015fam yeme\u011finden sonra ve gece yatmadan \u00f6nce bir su barda\u011f\u0131 kaynat\u0131l\u0131p so\u011futulmu\u015f suya yar\u0131m \u00e7ay ka\u015f\u0131\u011f\u0131 karbonat (yemek sodas\u0131) ilave edilerek haz\u0131rlanan a\u011f\u0131z gargaras\u0131 yap\u0131lmas\u0131 tavsiye edilir. \u00d6zellikle kemoterapiden 7-10 g\u00fcn sonraki d\u00f6nemde di\u015fler f\u0131r\u00e7alanmamal\u0131d\u0131r, \u00e7\u00fcnk\u00fc bu d\u00f6nemde di\u015f eti kanamas\u0131 ve enfeksiyon riski vard\u0131r. F\u0131r\u00e7alamak yerine a\u011f\u0131z gargaralar\u0131 ve karbonatl\u0131 gargara ile a\u011f\u0131z temizlenmelidir. Kemoterapi s\u0131ras\u0131nda g\u00f6r\u00fclebilen kusmalardan sonra karbonatl\u0131 su ile hastan\u0131n s\u0131k s\u0131k gargara yapmas\u0131 uygun olur. E\u011fer di\u015f macunu a\u011fz\u0131n\u0131z\u0131 veya di\u015flerinizi s\u0131zlat\u0131yor, f\u0131r\u00e7alarken mideniz bulan\u0131yorsa, f\u0131r\u00e7alamak yerine karbonatl\u0131 gargara ile a\u011fz\u0131n\u0131z\u0131 temizleyin. Kanser tedavisi s\u0131ras\u0131nda m\u00fcmk\u00fcnse hareketli protezler tak\u0131lmamal\u0131d\u0131r. Tedavi sonras\u0131 di\u015fler d\u00fczenli f\u0131r\u00e7alanmal\u0131, protezler her yemekten sonra ve gece yatarken kesinlikle a\u011fz\u0131n\u0131zdan \u00e7\u0131kar\u0131larak temizlenmelidir. Dama\u011fa iyi oturmayan takma di\u015fler kullan\u0131lmamal\u0131. Protezler temizleyici s\u0131v\u0131lar i\u00e7inde saklanmal\u0131d\u0131r. Mantar enfeksiyonu varsa tedavi sadece a\u011f\u0131z i\u00e7i dokulara de\u011fil protezlere de uygulanmal\u0131d\u0131r. Kurumaya kar\u015f\u0131 dudaklar vazelin veya dudak ya\u011flar\u0131 ile nemlendirilmelidir. A\u011f\u0131z kurumas\u0131nda al\u0131nacak genel \u00f6nlemler \u015f\u00f6yle s\u0131ralanabilir; sodal\u0131 garagaralar, \u015feker, buz par\u00e7alar\u0131, s\u0131v\u0131 i\u00e7eceklerin s\u0131k s\u0131k al\u0131nmas\u0131, asitli veya baharatl\u0131 g\u0131dalardan ka\u00e7\u0131nma, havay\u0131 nemlendirme, t\u00fck\u00fcr\u00fck ak\u0131\u015f\u0131n\u0131 h\u0131zland\u0131ran di\u015f hekiminin tavsiye edece\u011fi preparatlar\u0131n kullan\u0131lmas\u0131. Kolay yutmay\u0131 sa\u011flamak i\u00e7in sulu yiyecekler tercih edilmeli ve g\u00fcnde en az iki litre s\u0131v\u0131 i\u00e7ilmelidir. Tahri\u015fe neden olabilecek asitli, \u00e7ok s\u0131cak ve \u00e7ok so\u011fuk i\u00e7eceklerden, alkol ve t\u00fct\u00fcn kullan\u0131m\u0131ndan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. Ba\u015f-boyun b\u00f6lgesine uygulanan radyoterapide, ya\u015fam boyu s\u00fcren fluor uygulamas\u0131, mevcut di\u015flerin muhafaza edilmesi ve kemik y\u0131k\u0131m\u0131n\u0131n \u00f6nlenmesi a\u00e7\u0131s\u0131ndan hayati \u00f6nem ta\u015f\u0131r. Fluor uygulamas\u0131 i\u00e7in \u00f6zel \u00f6l\u00e7\u00fc ka\u015f\u0131klar\u0131 haz\u0131rlan\u0131r. Fluorid ka\u015f\u0131klara konur, hasta a\u011fz\u0131na yerle\u015ftirilir ve \u0131s\u0131rt\u0131l\u0131r. Ka\u015f\u0131klar a\u011f\u0131zda en az 5 dakika b\u0131rak\u0131l\u0131r sonra ka\u015f\u0131klar \u00e7\u0131kar\u0131l\u0131r ve a\u011f\u0131z durulan\u0131r. En az 30 dk s\u00fcreyle yenmez i\u00e7ilmez ve di\u015f f\u0131r\u00e7alanmaz. Fluorid uygulamas\u0131 g\u00fcnde 1-2 kez yap\u0131lmal\u0131d\u0131r. T\u00fcm bu \u00f6nlemlere ra\u011fmen a\u011fz\u0131n\u0131zda, g\u00f6r\u00fcn\u00fcm, his veya tat y\u00f6n\u00fcnden bir de\u011fi\u015fiklik oldu\u011funda doktorunuza veya hem\u015firenize haber vermelisiniz. Tedavi s\u0131ras\u0131nda acil bir di\u015f problemi oldu\u011funda onkologlar hastay\u0131, en uygun oldu\u011fu zamanda di\u015f hekimine haz\u0131rlamal\u0131 ve kan tablosu ile uygulanan tedavi hakk\u0131nda bilgi vermelidir Di\u015fler i\u00e7in mutlaka tedavi ve \u00f6zellikle \u00e7ekim gerekiyorsa, bunu kemoterapi ba\u015flamadan \u00f6nce kan de\u011ferleri normal s\u0131n\u0131rlarda iken yap\u0131l\u0131r. Di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc ya da a\u011fr\u0131 gibi problemleriniz varsa kemoterapi uygulamas\u0131na ba\u015flamadan en az iki hafta \u00f6nce di\u015f hekimine gitmeniz gerekir. Tedavilerin sa\u011fl\u0131kl\u0131 bir bi\u00e7imde s\u00fcrd\u00fcr\u00fclmesi ve hasta ile i\u015fbirli\u011finin korunmas\u0131 i\u00e7in tedaviye ba\u015flanmadan \u00f6nce bir di\u015f hekimine giderek koruyucu programlar\u0131 uygulamakta fayda vard\u0131r. Son olarak kanser tedavisi \u00f6ncesi al\u0131nan a\u011f\u0131z i\u00e7i \u00f6nlemleri a\u015fa\u011f\u0131daki gibi s\u0131ralamak m\u00fcmk\u00fcnd\u00fcr:<\/p>\n<p>A\u011f\u0131z i\u00e7inde rahats\u0131zl\u0131klara neden olan di\u015f ta\u015flar\u0131n\u0131n temizlenmesi, hatal\u0131 dolgu ve protezlerin d\u00fczeltilmesi, di\u015f eti problemleri ve di\u015f \u00e7\u00fcr\u00fckleri tedavi edilmeli, hastalardan \u00f6l\u00e7\u00fc al\u0131narak \u00f6zel ka\u015f\u0131klar haz\u0131rlanmal\u0131. Bu ka\u015f\u0131klar tedavi \u00f6ncesinde ve sonras\u0131nda di\u015flerin korunmas\u0131 i\u00e7in fluor jeli uygulamas\u0131nda kullan\u0131lmal\u0131. Yukar\u0131daki ama\u00e7lara y\u00f6nelik her t\u00fcrl\u00fc tedavi m\u00fcmk\u00fcnse kanser tedavisine ba\u015flamadan \u00f6nce ger\u00e7ekle\u015ftirilmelidir. \u00c7\u00fcnk\u00fc kanser tedavi s\u0131ras\u0131nda sadece acil tedaviler yap\u0131labilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DT. A. DO\u011eAN B\u0130RCAN, KANSER HASTALARININ A\u011eIZ VE D\u0130\u015e BAKIMINA \u00d6NEM G\u00d6STERMELER\u0130 GEREKT\u0130\u011e\u0130N\u0130 BEL\u0130RTT\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],"tags":[17270,4992,14262,15966,5210],"class_list":["post-102854","post","type-post","status-publish","format-standard","hentry","category-saglik","tag-agizlarina","tag-dikkat","tag-etmeli","tag-hastalari","tag-kanser"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/102854","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=102854"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/102854\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=102854"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=102854"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=102854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}