{"id":12066,"date":"2026-06-28T21:32:21","date_gmt":"2026-06-28T21:32:21","guid":{"rendered":"https:\/\/www.btaytd.org\/web\/?p=12066"},"modified":"2026-06-28T21:32:27","modified_gmt":"2026-06-28T21:32:27","slug":"pusula-dergisi-mayis-2026-sayisi-saglik","status":"publish","type":"post","link":"https:\/\/www.btaytd.org\/web\/tr\/pusula-dergisi-mayis-2026-sayisi-saglik\/","title":{"rendered":"PUSULA DERG\u0130S\u0130 MAYIS 2026 SAYISI- SA\u011eLIK"},"content":{"rendered":"\n

PULMONER EMBOL<\/strong>\u0130<\/strong><\/p>\n\n\n\n

Pulmoner embol<\/em><\/strong>i<\/em><\/strong> ned<\/em><\/strong>i<\/em><\/strong>r?<\/em><\/strong><\/p>\n\n\n\n

Damar i\u00e7inde olu\u015fan p\u0131ht\u0131n\u0131n ak\u0131\u015f yoluyla akci\u011fer damarlar\u0131nda t\u0131kanmaya yol a\u00e7mas\u0131na pulmoner emboli denir. Bu p\u0131ht\u0131, dokunun kanlanmas\u0131n\u0131 etkiler ve organlar\u0131n zarar g\u00f6rmesini sebep olur.<\/p>\n\n\n\n

Vakalar\u0131n \u00e7o\u011funda en s\u0131k kar\u015f\u0131la\u015f\u0131lan bacaktaki toplar damarlardan kaynaklanan damar i\u00e7i p\u0131ht\u0131la\u015fmalard\u0131r (Derin Ven Trombozu). Baz\u0131 vakalarda p\u0131ht\u0131n\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne ba\u011fl\u0131 olarak ger\u00e7ekle\u015fen ani bas\u0131n\u00e7 art\u0131\u015f\u0131 ile sa\u011f kalp yetmezligi geli\u015fir ve bu durum \u00f6l\u00fcmle sonu\u00e7lan\u0131r.<\/p>\n\n\n\n

Baz\u0131 vakalarda ise kronikle\u015fen pulmoner emboliler, tedavi almayan veya tedaviye ra\u011fmen p\u0131ht\u0131la\u015fma problemi olan hastalarda pulmoner hipertanson kalp yetmezligine kadar gidebilen durumlara sebep olabilir.<\/p>\n\n\n\n

Pulmoner embolinin sebebi nedir?<\/em><\/strong><\/p>\n\n\n\n

\u0130leri ya\u015f<\/p>\n\n\n\n

Hareketsizlik (fiziksel aktivite azl\u0131\u011f\u0131, uzun s\u00fcre seyahat, yatalak olmak\u2026)<\/p>\n\n\n\n

Aile \u00f6yk\u00fcs\u00fc<\/p>\n\n\n\n

Travma (kemik k\u0131r\u0131klar\u0131nda, \u00f6zellikle b\u00fcy\u00fck kemiklerde, bu t\u00fcr hastalarda profilaktik kan suland\u0131r\u0131c\u0131 verilmesine ra\u011fmen risk y\u00fcksek seyreder)<\/p>\n\n\n\n

Kanser hastalar\u0131 ve kanser tedavisi g\u00f6renler<\/p>\n\n\n\n

Obezite<\/p>\n\n\n\n

Gebelik<\/p>\n\n\n\n

Kalp yetmezli\u011fi<\/p>\n\n\n\n

\u0130la\u00e7lar (\u00f6zellikle hormon ila\u00e7lar\u0131, gen\u00e7 bayanlarda do\u011fum kontrol haplar\u0131 ve sigara kullan\u0131m\u0131 riski art\u0131ran fakt\u00f6rler aras\u0131ndad\u0131r)<\/p>\n\n\n\n

Pulmoner embolinin belirtileri nelerdir?<\/em><\/strong><\/p>\n\n\n\n

Ani geli\u015fen veya kademeli geli\u015fen nefes darl\u0131\u011f\u0131<\/p>\n\n\n\n

G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131<\/p>\n\n\n\n

\u00d6ks\u00fcr\u00fck<\/p>\n\n\n\n

S\u0131k nefes alma<\/p>\n\n\n\n

Ta\u015fikardi (kalp at\u0131\u015f h\u0131z\u0131nda art\u0131\u015f)<\/p>\n\n\n\n

Hemoptizi (kanl\u0131 balgam)<\/p>\n\n\n\n

Halsizlik, \u00e7abuk yorulma, bay\u0131lma<\/p>\n\n\n\n

Pulmoner emboli nas\u0131l te\u015fhis edilir?<\/em><\/strong><\/p>\n\n\n\n

T\u0131bb\u0131 \u00f6yk\u00fc ile hastan\u0131n \u015fik\u00e2yetleri de\u011ferlendirilir; fizik muayenede akci\u011fer solunum sesleri, oksijen saturasyonu, kalp at\u0131\u015f\u0131, EKG, alt ekstremite de a\u011fr\u0131 \u015fi\u015flik DVT (Derin Ven Trombozu) a\u00e7\u0131s\u0131ndan bak\u0131l\u0131r.<\/p>\n\n\n\n

Risk fakt\u00f6rleri g\u00f6z \u00f6n\u00fcnde bulundurularak tan\u0131ya y\u00f6nelik tahliller istenir.<\/p>\n\n\n\n

Bunlar\u0131n ba\u015f\u0131nda DDIMER denilen kan testi gelir, tek ba\u015f\u0131na tan\u0131 koymak i\u00e7in yeterli de\u011fildir ancak pozitif olmas\u0131 durumunda \u015f\u00fcpheyi destekler ve hastay\u0131 di\u011fer testlere y\u00f6nlendirmeyi sa\u011flar; bunlar\u0131n ba\u015f\u0131nda bilgisayarl\u0131 tomografi, sintigrafi, pulmoner angiografi gelir.<\/p>\n\n\n\n

E\u011fer DVT\u2019den \u015f\u00fcphelenilirse alt ekstremite triplex ile bak\u0131l\u0131r.<\/p>\n\n\n\n

Tedavi y\u00f6ntemleri nelerdir?<\/em><\/strong><\/p>\n\n\n\n

Antikoagulanlar (Kan suland\u0131r\u0131c\u0131lar) kan\u0131n p\u0131ht\u0131la\u015fmas\u0131n\u0131 azaltarak p\u0131ht\u0131n\u0131n<\/p>\n\n\n\n

da\u011f\u0131lmas\u0131n\u0131 sa\u011flar ve yeni p\u0131ht\u0131 olu\u015fumunu engellerler.<\/p>\n\n\n\n

S\u00fcresi genelde altta yatan risk fakt\u00f6r\u00fcne g\u00f6re de\u011fi\u015fkenlik g\u00f6sterir, \u00f6zellikle gen\u00e7 hastalarda belirgin bir risk fakt\u00f6r\u00fc olmaks\u0131z\u0131n meydana geldiyse hematoloji hekimi ile de\u011ferlendirme yap\u0131lmas\u0131n\u0131n ard\u0131ndan \u00f6m\u00fcr boyu ila\u00e7 kullan\u0131m\u0131 s\u00f6z konusu olabilir.<\/p>\n\n\n\n

Risk fakt\u00f6r\u00fc bulunan hastalarda ise 6 ayl\u0131k bir tedavi sonunda yeni bir tomografi<\/p>\n\n\n\n

sonucuna g\u00f6re tedavi sona erdirilir.<\/p>\n\n\n\n

Trombolitik ila\u00e7lar genelde acil durumlarda verilirler.<\/p>\n\n\n\n

Cerrahi embolektomi ve filtre tak\u0131lmas\u0131 da di\u011fer tedavi y\u00f6ntemleridir.<\/p>\n\n\n\n

Pulmoner emboli durumunda beslenme nas\u0131l olmal\u0131d\u0131r?<\/em><\/strong><\/p>\n\n\n\n

Sa\u011fl\u0131kl\u0131 beslenmeye dikkat edilmeli; tuzdan, donmu\u015f ve trans ya\u011flardan, kolesterol bak\u0131m\u0131ndan zengin g\u0131dalardan uzak durulmal\u0131d\u0131r.<\/p>\n\n\n\n

Yeterli s\u0131v\u0131 al\u0131nmal\u0131d\u0131r.<\/p>\n\n\n\n

Lifli g\u0131dalar t\u00fcketilmelidir.<\/p>\n\n\n\n

\u015eeker t\u00fcketimi k\u0131s\u0131tlanmal\u0131d\u0131r.<\/p>\n\n\n\n

Pulmoner emboliden korunmak i\u00e7in ne yap\u0131lmal\u0131?<\/em><\/strong><\/p>\n\n\n\n

\u0130deal v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131 korunmal\u0131d\u0131r.<\/p>\n\n\n\n

D\u00fczenli egzersiz yapmal\u0131d\u0131r.<\/p>\n\n\n\n

Sigara kullan\u0131lmamal\u0131d\u0131r.<\/p>\n\n\n\n

Hormon i\u00e7eren ila\u00e7lar\u0131 hekime dan\u0131\u015farak kullanmak gerekir.<\/p>\n\n\n\n

Uzun s\u00fcreli seyahatlerde aral\u0131kl\u0131 mola vermek, bacaklar\u0131 s\u0131k s\u0131k hareket ettirmek gerekir.<\/p>\n\n\n\n

Pusula Dergisi olarak G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Dr.Neslihan Ahmeto\u011flu\u2019na bize vakit ay\u0131rd\u0131\u011f\u0131 i\u00e7in te\u015fekk\u00fcr eder, kendisine hay\u0131rl\u0131 \u00e7al\u0131\u015fmalar dileriz.<\/em><\/p>\n\n\n\n

NAG\u0130HAN AGA<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

PULMONER EMBOL\u0130 Pulmoner emboli nedir? Damar i\u00e7inde olu\u015fan p\u0131ht\u0131n\u0131n ak\u0131\u015f yoluyla akci\u011fer damarlar\u0131nda t\u0131kanmaya yol a\u00e7mas\u0131na pulmoner emboli denir. Bu p\u0131ht\u0131, dokunun kanlanmas\u0131n\u0131 etkiler ve organlar\u0131n zarar g\u00f6rmesini sebep olur. Vakalar\u0131n \u00e7o\u011funda en s\u0131k kar\u015f\u0131la\u015f\u0131lan bacaktaki toplar damarlardan kaynaklanan damar i\u00e7i p\u0131ht\u0131la\u015fmalard\u0131r (Derin Ven Trombozu). Baz\u0131 vakalarda p\u0131ht\u0131n\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne ba\u011fl\u0131 olarak ger\u00e7ekle\u015fen ani bas\u0131n\u00e7 art\u0131\u015f\u0131<\/p>\n

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