{"id":1559475,"date":"2021-01-17T00:04:44","date_gmt":"2021-01-16T21:04:44","guid":{"rendered":"http:\/\/www.erzurumflas.com\/kalpte-ritim-bozuklugu-inme-riskini-arttiriyor\/"},"modified":"2021-01-17T00:04:47","modified_gmt":"2021-01-16T21:04:47","slug":"kalpte-ritim-bozuklugu-inme-riskini-arttiriyor","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=1559475","title":{"rendered":"Kalpte ritim bozuklu\u011fu inme riskini artt\u0131r\u0131yor"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2021\/01\/kalpte-ritim-bozuklugu-inme-riskini-arttiriyor_8d6a2e2.jpg\" width=\"600\">Kardiyoloji Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi Kenan Durna, kalp hastal\u0131klar\u0131ndan sonra ikinci \u00f6l\u00fcm nedeni olarak g\u00f6sterilen inmenin(fel\u00e7), ya\u015f ilerledik\u00e7e (\u00f6zellikle 60-65 ya\u015flar\u0131ndan sonra) daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/p>\n<p>\u0130nmeye yol a\u00e7an nedenlerin ba\u015f\u0131nda kalpte en s\u0131k g\u00f6r\u00fclen ritim bozukluklar\u0131 aras\u0131nda yer alan \u201catriyal fibrilasyon\u201dun geldi\u011fini belirten Medicana Samsun Hastanesi Kardiyoloji B\u00f6l\u00fcm\u00fc\u2019nden Dr. \u00d6\u011fretim \u00dcyesi Kenan Durna, kalp sa\u011fl\u0131\u011f\u0131 ve inme ili\u015fkisi hakk\u0131nda bilgi verdi.<\/p>\n<p>Aritmiye ba\u011fl\u0131 inme daha tehlikeli olabildi\u011fini belirten Durna, \u201cAtriyal fibrilasyon (AF) yani anormal kalp ritmi ya da aritmi altta kalp kapak hastal\u0131klar\u0131 gibi ba\u015fka bir kalp hastal\u0131\u011f\u0131 yatmasa bile inme riskini 4-5 kat art\u0131rmaktad\u0131r. T\u00fcm inmelerin yakla\u015f\u0131k \u00fc\u00e7te birinin aritmiye ba\u011fl\u0131 geli\u015fti\u011fi g\u00f6r\u00fclmektedir. Ayr\u0131ca aritmiye ba\u011fl\u0131 inme daha a\u011f\u0131r bir seyir g\u00f6stermekte ve daha \u00f6l\u00fcmc\u00fcl olmaktad\u0131r. Aritmide ya\u015f ile birlikte inme s\u0131kl\u0131\u011f\u0131 art\u0131\u015f g\u00f6stermektedir. Ya\u015f d\u0131\u015f\u0131nda bir\u00e7ok etken aritmi ile birlikte inme ge\u00e7irme riskini y\u00fckseltir. \u00d6rne\u011fin aritmi ile birlikte diyabet, hipertansiyon, kalp yetmezli\u011fi, daha \u00f6nceden inme, ge\u00e7ici iskemik atak veya ba\u015fka bir damar hastal\u0131\u011f\u0131 ge\u00e7irmi\u015f olma \u00f6yk\u00fcs\u00fc, kad\u0131n cinsiyet gibi durumlar bu riski art\u0131ran en \u00f6nemli risk fakt\u00f6rleridir\u201d dedi.<\/p>\n<p>Aritmiye ba\u011fl\u0131 inmeden korunma y\u00f6ntemleri hakk\u0131nda bilgi veren Durna, &#8220;Aritmiye ba\u011fl\u0131 inmelerin \u00f6nlenmesinde g\u00fcn\u00fcm\u00fczdeki en etkin yakla\u015f\u0131m oral antikoag\u00fclan (OAK) yani kan suland\u0131r\u0131c\u0131 ila\u00e7 kullan\u0131m\u0131d\u0131r. G\u00fcn\u00fcm\u00fczde koruyucu tedavi gereksinimi olan hastalar\u0131 bulup se\u00e7me yerine ger\u00e7ekten d\u00fc\u015f\u00fck riskli olup tedavi gerektirmeyen hastalar\u0131 bulmak yakla\u015f\u0131m olarak \u00f6n plana ge\u00e7mi\u015ftir. Buna g\u00f6re 65 ya\u015f\u0131n alt\u0131nda, yaln\u0131zca aritmisi olan yani ba\u015fka risk fakt\u00f6r\u00fc olmayan hastalarda tedaviye gerek kalmamaktad\u0131r. Pratik olarak di\u011fer t\u00fcm hastalarda OAK tedavisine ba\u015fvurmak gerekmektedir\u201d diye konu\u015ftu.<\/p>\n<p>Dr. \u00d6\u011fr. \u00dcyesi Kenan Durna aritmide inmeden korunmada ila\u00e7 kullan\u0131m\u0131 hakk\u0131nda \u015fu bilgileri verdi:<\/p>\n<p>\u201cG\u00fcn\u00fcm\u00fczde aritmide aspirin ile etkili inme korumas\u0131na dair kan\u0131tlar zay\u0131ft\u0131r. Tek ba\u015f\u0131na kullan\u0131ld\u0131\u011f\u0131nda sanki aspirin daha az kanama riski ta\u015f\u0131r gibi yanl\u0131\u015f bir kan\u0131 vard\u0131r. Ancak aspirinin \u00f6zellikle ya\u015fl\u0131 hastalar\u0131m\u0131zda neredeyse oral antikoag\u00fclanlara benzer bir kafa i\u00e7i kanama riski ta\u015f\u0131yabildi\u011fi unutulmamal\u0131d\u0131r. Bu nedenle aspirin aritmiye ba\u011fl\u0131 inme korumas\u0131nda yaln\u0131zca kan suland\u0131r\u0131c\u0131 ila\u00e7lar\u0131n kullan\u0131m\u0131n\u0131 reddeden hastalarla s\u0131n\u0131rl\u0131 tutulmal\u0131d\u0131r. \u0130la\u00e7l\u0131 koruma karar\u0131 verilirken kan suland\u0131r\u0131c\u0131 ila\u00e7 tedavisinin y\u00fcksek \u00f6l\u00fcm ve k\u0131s\u0131tl\u0131l\u0131k riski nedeniyle en korkulan komplikasyonu olan beyin kanamas\u0131n\u0131 da i\u00e7eren a\u011f\u0131r kanama riski, inme tehlikesine kar\u015f\u0131 g\u00f6z \u00f6n\u00fcnde bulundurulmal\u0131d\u0131r. \u0130la\u00e7l\u0131 koruma ba\u015flat\u0131lmadan bir kanama riski de\u011ferlendirmesi yap\u0131lmal\u0131d\u0131r. Kontrol alt\u0131nda olmayan hipertansiyon, anormal b\u00f6brek\/karaci\u011fer fonksiyonu, kanama \u00f6yk\u00fcs\u00fc veya e\u011filimi, e\u015f zamanl\u0131 ila\u00e7\/alkol kullan\u0131m\u0131 bu risklere \u00f6rnek olarak verilebilir. Ama\u00e7 koruyucu ilac\u0131 verebilmek i\u00e7in de\u011fi\u015ftirilebilir kanama risklerini ortadan kald\u0131rmaya \u00e7abalamakt\u0131r. Kan suland\u0131r\u0131c\u0131 ila\u00e7 tedavisinin yararlar\u0131n\u0131n potansiyel zararlar\u0131ndan fazla oldu\u011fu g\u00f6z \u00f6n\u00fcnde bulundurulmal\u0131d\u0131r. Tedaviye karar verirken hekim ve hasta i\u00e7in \u00f6nemli olan davran\u0131\u015f, kanama riskinden korkulmas\u0131ndan \u00e7ok inmeden korunmak olmal\u0131d\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>KARD\u0130YOLOJ\u0130 B\u00d6L\u00dcM\u00dcNDEN DR. \u00d6\u011eR. \u00dcYES\u0130 KENAN DURNA \u0130NME, D\u00dcNYA GENEL\u0130NDE \u0130LK SIRADA, T\u00dcRK\u0130YE\u2019DE \u0130SE \u00dc\u00c7\u00dcNC\u00dc SAKATLIK NEDEN\u0130 OLARAK KAR\u015eIMIZA \u00c7IKIYOR. KALP HASTALIKLARINDAN SONRA \u0130K\u0130NC\u0130 \u00d6L\u00dcM NEDEN\u0130 OLARAK G\u00d6STER\u0130LEN \u0130NME, YA\u015e \u0130LERLED\u0130K\u00c7E \u00d6ZELL\u0130KLE 60-65 YA\u015eLARINDAN SONRA DAHA SIK G\u00d6R\u00dcLD\u00dc\u011e\u00dcN\u00dc S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":1559476,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[17309,23126,10515,40201,16691,35732],"class_list":["post-1559475","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","category-turkiye","tag-arttiriyor","tag-bozuklugu","tag-inme","tag-kalpte","tag-riskini","tag-ritim"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/1559475","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=1559475"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/1559475\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/media\/1559476"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1559475"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1559475"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1559475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}