{"id":80180,"date":"2014-12-04T12:58:25","date_gmt":"2014-12-04T10:58:25","guid":{"rendered":"http:\/\/www.erzurumflas.com\/?p=80180"},"modified":"2014-12-04T12:58:25","modified_gmt":"2014-12-04T10:58:25","slug":"uzmanlardan-check-up-uyarisi","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=80180","title":{"rendered":"Uzmanlardan check-up uyar\u0131s\u0131"},"content":{"rendered":"

\u0130\u00e7 Hastal\u0131klar\u0131 ve Endokrinoloji Uzman\u0131 Do\u00e7. Dr. Duygu Yazgan Aksoy, \u201ccheck-up ve \u00f6nemi\u201d konusunda merak edilenleri cevaplad\u0131. Do\u00e7. Dr. Aksoy, d\u00fczenli sa\u011fl\u0131k kontrollerinin baz\u0131 sorunlar\u0131n ba\u015flamadan tespit edilmesini sa\u011flad\u0131\u011f\u0131 gibi, ba\u015flam\u0131\u015f sorunlar\u0131n erken te\u015fhis edilmesine de imkan sa\u011flad\u0131\u011f\u0131n\u0131 belirterek, \u201cAyr\u0131ca gelecekte ortaya \u00e7\u0131kabilecek t\u0131bbi risklerin belirlenmesi, daha sa\u011fl\u0131kl\u0131 bir ya\u015fam tarz\u0131n\u0131n geli\u015ftirilmesi, eksik a\u015f\u0131lar\u0131n tamamlanmas\u0131 gibi konularda da d\u00fczenli sa\u011fl\u0131k kontrolleri \u00f6nemli bir rol oynamaktad\u0131r\u201d dedi.<\/p>\n

T\u00fcm sa\u011fl\u0131kl\u0131 bireylerin y\u0131lda bir kez sa\u011fl\u0131k kontrol\u00fcnden ge\u00e7mesi gerekti\u011fini kaydeden Do\u00e7. Dr. Aksoy, ancak bu kontrollerin i\u00e7eri\u011finin bireyin ya\u015f\u0131, cinsiyeti, aile \u00f6yk\u00fcs\u00fcne g\u00f6re farkl\u0131l\u0131k g\u00f6sterdi\u011fini belirtti. Do\u00e7Aksoy, check-up esnas\u0131nda neler yap\u0131ld\u0131\u011f\u0131n\u0131 ise \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n

\u201cT\u00fcm hastalar\u0131n check-up yapt\u0131rmadan \u00f6nce baz\u0131 bilgileri g\u00f6zden ge\u00e7irmeleri faydal\u0131 olur. Aile \u00f6yk\u00fcs\u00fc bunlar\u0131n ba\u015f\u0131nda gelmektedir. Ailede bir hastal\u0131k \u00f6yk\u00fcs\u00fcn\u00fcn varl\u0131\u011f\u0131 bireyin bu hastal\u0131\u011f\u0131 ileride kesinlikle ortaya \u00e7\u0131karaca\u011f\u0131 anlam\u0131na gelmemekle birlikte, bu hastal\u0131k a\u00e7\u0131s\u0131ndan daha dikkatle de\u011ferlendirilmesini gerektirir. Bu nedenle ailede kalp hastal\u0131\u011f\u0131, \u015feker gibi bir hastal\u0131k olup olmad\u0131\u011f\u0131 kontrol \u00f6ncesi \u00f6\u011frenilmelidir. Check-up s\u0131ras\u0131nda bireyler herhangi bir yak\u0131nmalar\u0131 varsa bunu hekimleriyle payla\u015fmal\u0131d\u0131rlar.\u201d<\/p>\n

CHECK-UP\u2019TA YAPILMASI GEREKEN TESTLER<\/span><\/p>\n

Check-up esnas\u0131nda g\u00f6zden ge\u00e7irilmesi gereken konularla ilgili de bilgi veren Do\u00e7. Dr. Aksoy, t\u00fcm hastalar\u0131n beslenme bi\u00e7imleri, \u00e7al\u0131\u015fma ko\u015fullar\u0131, egzersiz yap\u0131p yapmad\u0131klar\u0131, sigara-alkol-ila\u00e7 kullan\u0131mlar\u0131, cinsel ve ruhsal sorunlar\u0131n\u0131n tek tek g\u00f6zden ge\u00e7irilmesi gerekti\u011fini kaydederek, kad\u0131n hastalar\u0131n gebelik ve do\u011fum hikayelerin de not edilmesi gerekti\u011fini bildirdi. Bunun d\u0131\u015f\u0131nda standart olarak baz\u0131 testler yap\u0131lmas\u0131 gerekti\u011fini a\u00e7\u0131klayan Aksoy, bu testleri \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n

\u201cT\u00fcm bireylerin kad\u0131n-erkek ayr\u0131m\u0131 olmaks\u0131z\u0131n kan bas\u0131n\u00e7lar\u0131 \u00f6l\u00e7\u00fclmelidir. E\u011fer \u00f6l\u00e7\u00fclen kan bas\u0131nc\u0131n\u0131z 120\/80 mmHg\u2019n\u0131n \u00fczerindeyse takip s\u0131kl\u0131\u011f\u0131 artt\u0131r\u0131lmal\u0131 ve bunun \u00fczerindeki de\u011ferler hipertansiyon a\u00e7\u0131s\u0131ndan dikkatle takip edilmelidir. T\u00fcm bireylerin boyu ve kilosu \u00f6l\u00e7\u00fclmeli, v\u00fccut kitle indeksi hesaplanmal\u0131d\u0131r. Kilogram cinsinden v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131n metre cinsinden boyun karesine b\u00f6l\u00fcnmesi ile elde edilen bu de\u011ferin normal aral\u0131\u011f\u0131 18-24.9 kg\/m2\u2019dir. 40 ya\u015f \u00fczerindeki t\u00fcm bireylerin a\u00e7l\u0131k kan \u015fekeri ve\/veya son \u00fc\u00e7 aydaki kan \u015fekeri d\u00fczeyini g\u00f6steren HbA1c de\u011feri \u00f6l\u00e7\u00fclmeli, normalse bu \u00f6l\u00e7\u00fcmler \u00fc\u00e7 y\u0131lda bir tekrarlanmal\u0131d\u0131r. Aile \u00f6yk\u00fcs\u00fc, e\u015flik eden hastal\u0131klar ve \u00fcreme \u00f6yk\u00fcleri bireylerin tarama s\u0131kl\u0131\u011f\u0131n\u0131 de\u011fi\u015ftirebilir. Ayr\u0131ca t\u00fcm gebelere e\u011fer daha \u00f6nce taranmalar\u0131n\u0131 gerektiren bir durum yoksa gebeli\u011fin 24-28. haftalar\u0131 aras\u0131nda gebelik diyabeti olup olmad\u0131\u011f\u0131n\u0131 tespit etmek i\u00e7in \u015feker y\u00fckleme testi yap\u0131lmal\u0131d\u0131r. 35 ya\u015f\u0131ndan b\u00fcy\u00fck bireylerde kan ya\u011flar\u0131 \u00f6l\u00e7\u00fclmeli, normalse be\u015f y\u0131lda bir \u00f6l\u00e7\u00fcmler tekrarlanmal\u0131d\u0131r. Risk alt\u0131ndaki bireylerin taramalar\u0131 daha erken ya\u015fta ba\u015flayabilir. Bunun d\u0131\u015f\u0131ndan gereken hastalarda kan say\u0131m\u0131, karaci\u011fer, b\u00f6brek fonksiyon testleri, vitamin d\u00fczeyleri \u00f6l\u00e7\u00fclebilir.\u201d<\/p>\n

KANSER A\u00c7ISINDAN YAPILMASI GEREKEN TARAMALAR<\/span><\/p>\n

Check-up esnas\u0131nda kanser a\u00e7\u0131s\u0131ndan yap\u0131lmas\u0131 gereken taramalarla ilgili de bilgi veren Do\u00e7. Dr. Aksoy \u015funlar\u0131 dedi:<\/p>\n

\u201c50-75 ya\u015f aras\u0131ndaki t\u00fcm bireylerin y\u0131ll\u0131k gizli kan testi, be\u015f y\u0131lda bir sigmoidoskopi ya da on y\u0131lda bir kolonoskopi ile kal\u0131n ba\u011f\u0131rsak kanseri a\u00e7\u0131s\u0131ndan taramalar\u0131 gerekir. 55-80 ya\u015f aras\u0131ndaki 30 paket\/y\u0131ldan fazla sigara \u00f6yk\u00fcs\u00fc olan, halen sigara i\u00e7en veya son 15 y\u0131l i\u00e7inde b\u0131rakm\u0131\u015f olanlar\u0131n d\u00fc\u015f\u00fck doz bilgisayarl\u0131 akci\u011fer tomografisi ile de\u011ferlendirilmesi \u00f6nerilmektedir. Ayr\u0131ca t\u00fcm kad\u0131nlar 40 ya\u015f\u0131ndan sonra meme muayenesi ve mammografi ile meme kanseri a\u00e7\u0131s\u0131ndan taranmal\u0131d\u0131r. Meme ve yumurtal\u0131k kanseri a\u00e7\u0131s\u0131ndan genetik risk art\u0131\u015f\u0131na sebep olan BRCA gen mutasyonu a\u00e7\u0131s\u0131ndan aile \u00f6yk\u00fcs\u00fc mutlaka sorgulanmal\u0131, bu bireylerde tarama erken ba\u015flat\u0131lmal\u0131d\u0131r. Prostat kanseri a\u00e7\u0131s\u0131ndan tarama yap\u0131l\u0131p yap\u0131lmamas\u0131na muayene eden hekim karar vermelidir. T\u00fcm kad\u0131nlarda rahim a\u011fz\u0131 kanserini erken tespit etmek i\u00e7in 21 ya\u015f\u0131ndan itibaren 30 ya\u015f\u0131nda kadar iki y\u0131lda bir, sonras\u0131nda 65 ya\u015f\u0131na kadar \u00fc\u00e7 y\u0131lda bir HPV testi ile beraber smear testi yap\u0131lmal\u0131d\u0131r. Belli \u00f6zel durumlar hari\u00e7 t\u00fcm\u00f6r belirte\u00e7leri tan\u0131 ama\u00e7l\u0131 kullan\u0131lmamaktad\u0131r.\u201d<\/p>\n

Son d\u00f6nemde sigara i\u00e7en 65-75 ya\u015f aras\u0131 erkek hastalarda bir kez olmak \u00fczere kar\u0131ndaki ana atar damar\u0131n geni\u015flemesi (Abdominal aort anevrizmas\u0131) a\u00e7\u0131s\u0131ndan tarama \u00f6nerildi\u011fine de dikkat \u00e7eken Do\u00e7. Dr. Aksoy \u015funlar\u0131 kaydetti:<\/p>\n

\u201cMenopoz sonras\u0131 kad\u0131nlarda kemik mineral dansitesi \u00f6l\u00e7\u00fcm\u00fc yap\u0131lmal\u0131d\u0131r. Ayr\u0131ca eri\u015fkin a\u015f\u0131lama \u00f6nerilerine g\u00f6re hastalar mutlaka grip, zat\u00fcrre, difteri-tetanos, HPV, hepatit a\u00e7\u0131s\u0131ndan gerekirse a\u015f\u0131lanmal\u0131d\u0131rlar. Son olarak check-up daha sa\u011fl\u0131kl\u0131 bir ya\u015fam tarz\u0131 geli\u015ftirmek i\u00e7in f\u0131rsat kabul edilmeli, sa\u011fl\u0131kl\u0131 beslenmenin, sigaray\u0131 b\u0131rakman\u0131n, d\u00fczenli egzersizin \u00f6nemi vurgulanmal\u0131, kaza ve yaralanmalara kar\u015f\u0131 al\u0131nmas\u0131 gereken \u00f6nlemler (emniyet kemeri, kask kullan\u0131m\u0131) hat\u0131rlat\u0131lmal\u0131, tespit edilen her t\u00fcrl\u00fc sorun i\u00e7in uygun tedavi ve takip planlanmal\u0131d\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Ac\u0131badem Ankara Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 ve Endokrinoloji Uzman\u0131 Do\u00e7. Dr. Duygu Yazgan Aksoy, t\u00fcm sa\u011fl\u0131kl\u0131 bireylerin y\u0131lda bir kez sa\u011fl\u0131k kontrol\u00fcnden ge\u00e7mesi gerekti\u011fini vurgulad\u0131. \u0130\u00e7 Hastal\u0131klar\u0131 ve Endokrinoloji Uzman\u0131 Do\u00e7. Dr. Duygu Yazgan Aksoy, \u201ccheck-up ve \u00f6nemi\u201d konusunda merak edilenleri cevaplad\u0131. Do\u00e7. Dr. Aksoy, d\u00fczenli sa\u011fl\u0131k kontrollerinin baz\u0131 sorunlar\u0131n ba\u015flamadan tespit edilmesini sa\u011flad\u0131\u011f\u0131 gibi, ba\u015flam\u0131\u015f […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,14],"tags":[11647],"class_list":["post-80180","post","type-post","status-publish","format-standard","hentry","category-gundem","category-saglik","tag-uzmanlardan-check-up-uyarisi"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/80180","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=80180"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/80180\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=80180"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=80180"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=80180"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}