{"id":1192,"date":"2022-09-29T00:48:07","date_gmt":"2022-09-28T21:48:07","guid":{"rendered":"https:\/\/www.sporgenc.com\/?p=1192"},"modified":"2022-09-29T00:48:07","modified_gmt":"2022-09-28T21:48:07","slug":"bir-lokma-yemege-hasret-birakan-hastalik","status":"publish","type":"post","link":"https:\/\/www.sporgenc.com\/bir-lokma-yemege-hasret-birakan-hastalik\/","title":{"rendered":"Bir Lokma Yeme\u011fe Hasret B\u0131rakan Hastal\u0131k"},"content":{"rendered":"<p><em>Besinleri yutmakta zahmet m\u00fc ya\u015f\u0131yorsunuz? Kimi vakit yedi\u011finiz bir besinin yemek borusunda tak\u0131l\u0131 kald\u0131\u011f\u0131ndan m\u0131 yak\u0131n\u0131yorsunuz? Yemek sonras\u0131nda \u00f6ks\u00fcr\u00fck ataklar\u0131 ba\u015fl\u0131yor mu? Bir lokma yemek yahut bir yudum su i\u00e7mek \u0131zd\u0131raba m\u0131 d\u00f6n\u00fc\u015ft\u00fc?<\/em> <em>Siz de bu problemlerden yak\u0131n\u0131yorsan\u0131z, nedeni, ismini tahminen de birinci sefer duyaca\u011f\u0131n\u0131z \u2018Akalazya\u2019 hastal\u0131\u011f\u0131 olabilir! <\/em><\/p>\n<p>\u00dclkemizde her y\u0131l yakla\u015f\u0131k 100 bin bireyden biri, \u2018Akalazya\u2019 tan\u0131s\u0131 al\u0131yor. Ekseriyetle 20-30 ya\u015flar\u0131nda ba\u015flasa da bu hastal\u0131k \u00e7abucak her ya\u015fta geli\u015febiliyor. Ender g\u00f6r\u00fclen bir hastal\u0131k olmas\u0131 ve ba\u015flang\u0131\u00e7 periyodundaki belirtilerinin refl\u00fc hastal\u0131\u011f\u0131 ile ortak belirtiler vermesi nedeniyle te\u015fhis konulmas\u0131 uzun y\u0131llar\u0131 bulabilen Akalazya, hastalar\u0131n hayatlar\u0131n\u0131 alt \u00fcst edebiliyor. Y\u00fcz g\u00fcld\u00fcren haber ise ileri endoskopik bir tedavi tekni\u011fi olan POEM ile Akalazya\u2019n\u0131n yol a\u00e7t\u0131\u011f\u0131 problemlerden k\u0131sa m\u00fcddette kurtulman\u0131n m\u00fcmk\u00fcn olmas\u0131! <strong>Ac\u0131badem Maslak Hastanesi Gastroenteroloji Uzman\u0131 Prof. Dr. Erkin \u00d6zta\u015f, <\/strong>\u201cAkalazya hayattaki en temel gereksinimi, hatta pek \u00e7ok insan\u0131n en \u00e7ok keyif ald\u0131\u011f\u0131 bir durumu; yemek yemeyi \u0131zd\u0131raba d\u00f6n\u00fc\u015ft\u00fcr\u00fcyor. POEM tedavisiyle \u00e7ok k\u0131sa m\u00fcddet i\u00e7erisinde, ameliyats\u0131z bir halde ola\u011fan beslenmeye ba\u015flanabiliyor ve \u00f6m\u00fcr kalitesi bariz halde art\u0131yor\u201d diyor. <\/p>\n<p><strong>Besinler yemek borusunda tak\u0131l\u0131 kal\u0131rsa\u2026 <\/strong><\/p>\n<p>Yemek borusunun alt u\u00e7 k\u0131sm\u0131nda bulunan kapak\u00e7\u0131k sisteminin gev\u015feyememesi sonucu besinlerin mideye yanl\u0131\u015fs\u0131z olan hareketinde zahmet ya\u015fanmas\u0131 \u2018Akalazya\u2019 olarak tan\u0131mlan\u0131yor. Besinler yutkunma yoluyla bo\u011fazdan yemek borusuna, buradan da mideye aktar\u0131l\u0131yor. Yemek borusu ile mide ortas\u0131nda yer alan \u00f6zofagus sfinkteri, midedeki asit ile besin i\u00e7eri\u011finin yemek borusuna geri ka\u00e7mas\u0131n\u0131 \u00f6nl\u00fcyor. Gastroenteroloji Uzman\u0131 Prof. Dr. Erkin \u00d6zta\u015f, bu sfinkterin yutkundu\u011fumuzda a\u00e7\u0131l\u0131p besin ve s\u0131v\u0131lar\u0131n midemize ula\u015fmas\u0131na imkan sa\u011flad\u0131\u011f\u0131n\u0131 belirterek, \u201cHerhangi bir etkenden \u00f6t\u00fcr\u00fc \u00f6zafagus sifinkteri fonksiyonunu yitirirse, besinler yemek borusunda tak\u0131l\u0131 kal\u0131p mideye inemiyorlar. Bunun sonucunda hastan\u0131n pek \u00e7ok sorun ya\u015fad\u0131\u011f\u0131 bu hastal\u0131\u011fa Akalazya deniyor\u201d diyor. <\/p>\n<p><strong>Kesin nedeni bilinmiyor<\/strong><\/p>\n<p>Akalazya\u2019n\u0131n kesin geli\u015fim nedeni \u015fimdi tam olarak bilinmese de pek \u00e7ok fakt\u00f6r\u00fcn hastal\u0131\u011f\u0131n ortaya \u00e7\u0131kmas\u0131nda tesirli olduklar\u0131 belirtiliyor. \u00c7e\u015fitli viral enfeksiyonlar ve otoimmun bozukluklar\u0131n\u0131n hastal\u0131\u011fa neden olabildi\u011fi \u00f6ne s\u00fcr\u00fclmekle birlikte, \u00e7e\u015fitli bakteriyel enfeksiyonlar\u0131n ve genetik yatk\u0131nl\u0131\u011f\u0131n da sorumlu olabilece\u011fi de s\u00f6z ediliyor. <\/p>\n<p><strong>En tipik belirtisi yutma g\u00fc\u00e7l\u00fc\u011f\u00fc! <\/strong><\/p>\n<p>Akalazya hastal\u0131\u011f\u0131n\u0131n birinci etab\u0131nda belirtiler \u00e7oklukla fazla \u015fiddetli olmuyor. Fakat vakitle s\u0131k\u0131nt\u0131lar\u0131n s\u0131kl\u0131\u011f\u0131 ile \u015fiddetinde \u00f6nemli art\u0131\u015f ba\u015fl\u0131yor. Akalazya\u2019n\u0131n en yayg\u0131n g\u00f6r\u00fclen belirtisi ise yutma g\u00fc\u00e7l\u00fc\u011f\u00fc! Hastalar kat\u0131 besinleri ve hatta s\u0131v\u0131 besinleri yutmakta zahmet \u00e7ekerken; t\u00fckettikleri bir besinin yemek borusunda yahut g\u00f6\u011f\u00fcs ortas\u0131nda kimi vakit g\u00fcnlerce kald\u0131\u011f\u0131ndan yak\u0131n\u0131yorlar. Akalazya yutma zahmetinin yan\u0131 s\u0131ra; bo\u011fazda tahri\u015f, yemek sonras\u0131nda s\u0131k s\u0131k \u00f6ks\u00fcrmek, g\u00f6\u011f\u00fcs ortas\u0131nda yanma ve bask\u0131 hissi \u00fczere pek \u00e7ok probleme da neden olabiliyor. Ayr\u0131yeten sindirilmemi\u015f besinlerin tekrar a\u011f\u0131za gelmesi ve bulant\u0131 \u00fczere \u015fikayetler de s\u0131k g\u00f6r\u00fclen yak\u0131nmalar\u0131 olu\u015fturuyor. <\/p>\n<p><strong>Bir lokma dahi \u0131zd\u0131raba d\u00f6n\u00fc\u015f\u00fcyor! <\/strong><\/p>\n<p>Akalazya \u00e7ok daha \u00f6nemli tablolara da yol a\u00e7abiliyor. Yemek borusunda biriken besin yahut s\u0131v\u0131lar\u0131n teneff\u00fcs yollar\u0131na ka\u00e7mas\u0131 sonucunda zat\u00fcrre, hatta hastan\u0131n bo\u011fulmas\u0131 \u00fczere hayat\u0131 tehdit eden s\u0131k\u0131nt\u0131lar geli\u015febiliyor. Hastal\u0131k daha da ilerledi\u011finde besinlerin yeme borusundan mideye ge\u00e7i\u015fleri neredeyse imkans\u0131z hale geliyor, besinlerin yan\u0131 s\u0131ra s\u0131v\u0131larda da yutma zahmeti ya\u015fan\u0131yor. Hastalar y\u0131llarca yetersiz beslenmeye ba\u011fl\u0131 olarak kilo kaybediyor ve pek \u00e7ok s\u0131hhat sorunu ya\u015fayabiliyorlar. <\/p>\n<p><strong>Tan\u0131 konulmas\u0131 y\u0131llar\u0131 bulabiliyor!<\/strong><\/p>\n<p>Akalazya hastal\u0131\u011f\u0131n\u0131n yava\u015f seyirli olmas\u0131 ve ya\u015fanan problemlerin refl\u00fc hastal\u0131\u011f\u0131na benzemesi nedeniyle te\u015fhis konulmas\u0131 uzun y\u0131llar\u0131 bulabiliyor. Te\u015fhis hastadan ayr\u0131nt\u0131l\u0131 al\u0131nan hikaye, baryumlu \u00f6zafagus (yemek borusu) grafisi, manometre (yemek borusu bas\u0131nc\u0131n\u0131n \u00f6l\u00e7\u00fcm\u00fc) ve endoskopi usulleriyle konuyor. <\/p>\n<p><strong>Endoskopi ile kesin tahlil <\/strong><\/p>\n<p>Akalazya hastal\u0131\u011f\u0131nda ila\u00e7 tedavisi ve botoks prosed\u00fcr\u00fc \u015fikayetlerin hafiflemesinde tesirli oluyorlar. Lakin ila\u00e7lar\u0131n her g\u00fcn al\u0131nmalar\u0131, botoksun da s\u0131k aral\u0131klarla tekrarlanmas\u0131 gerekiyor. Balon dilatasyonu da yemek borusu ile mide ortas\u0131ndaki ge\u00e7i\u015fin d\u00fczg\u00fcn bir halde ger\u00e7ekle\u015fmesini sa\u011flayan ve muvaffakiyet oran\u0131 y\u00fczde 70-80\u2019lerde seyreden bir \u00f6b\u00fcr prosed\u00fcr. Akalazya hastal\u0131\u011f\u0131n\u0131n kesin tedavisi ise endoskopi tekni\u011fiyle sa\u011flanabiliyor. Gastroenteroloji Uzman\u0131 Prof. Dr. Erkin \u00d6zta\u015f,endoskopik metotlara \u2018Akalazya\u2019 hastal\u0131\u011f\u0131n\u0131n ileri evrelerinde ba\u015fvuruldu\u011funu belirterek, \u201cBu s\u00fcre\u00e7le yemek borusundaki problemli kaslara m\u00fcdahale ediliyor ve hastalar\u0131n k\u0131sa m\u00fcddette yemek yemeleri ve s\u0131v\u0131 t\u00fcketmeleri sa\u011flanabiliyor\u201d diyor.<\/p>\n<p><strong>POEM y\u0131llar\u0131n \u0131zd\u0131rab\u0131ndan kurtar\u0131yor<\/strong><\/p>\n<p>D\u00fcnyada ve \u00fclkemizde say\u0131l\u0131 merkezlerde uygulanan ileri endoskopik bir tedavi form\u00fcl\u00fc olan POEM (Peroral Endoskopik Myotomi) sa\u011flad\u0131\u011f\u0131 avantajlar nedeniyle, Akalazya hastal\u0131\u011f\u0131nda en s\u0131k tercih edilen metotlardan. POEM ile klasik endoskopi s\u00fcrecinde oldu\u011fu \u00fczere, a\u011f\u0131z i\u00e7erisinden girilerek, hastal\u0131ktan etkilenen yemek borusundaki s\u0131k\u0131nt\u0131l\u0131 kaslara m\u00fcdahale ediliyor. B\u00f6ylece yemek borusunun geni\u015flemesi sa\u011flan\u0131yor. Gastroenteroloji Uzman\u0131 Prof. Dr. Erkin \u00d6zta\u015f, \u201cDi\u011fer endoskopik prosed\u00fcrlerle kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131ndaPOEM form\u00fcl\u00fcn\u00fcn hastalara sa\u011flad\u0131\u011f\u0131 en k\u0131ymetli avantaj, muvaffakiyet oran\u0131n\u0131n epey y\u00fcksek olmas\u0131d\u0131r\u201d diyerek, \u015f\u00f6yle devam ediyor: \u201cYap\u0131lan \u00e7al\u0131\u015fmalar 5 y\u0131ll\u0131k muvaffakiyet oranlar\u0131n\u0131n y\u00fczde 90\u2019lar\u0131n \u00fczerinde oldu\u011funu g\u00f6steriyor. Bu prosed\u00fcr\u00fcn bir \u00f6b\u00fcr de\u011ferli yarar\u0131 da kanama ile delinme \u00fczere komplikasyon risklerinin d\u00fc\u015f\u00fck ve s\u00fcre\u00e7 esnas\u0131nda denetim edilebilir ve d\u00fczeltilebilir olmas\u0131d\u0131r. Endoskopik bir s\u00fcre\u00e7 oldu\u011fu i\u00e7in bedende rastgele bir kesi izi kalm\u0131yor, hastalar sonraki g\u00fcn taburcu oluyor, s\u0131v\u0131 ile yumu\u015fak besinlerle yemek yemeye ba\u015fl\u0131yor ve 2 haftadan sonra rutin beslenme tertibine d\u00f6nebiliyorlar.\u201d <\/p>\n<p>Kaynak: (BHA) &#8211; Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Besinleri yutmakta zahmet m\u00fc ya\u015f\u0131yorsunuz? Kimi vakit yedi\u011finiz bir besinin yemek borusunda tak\u0131l\u0131 kald\u0131\u011f\u0131ndan m\u0131 yak\u0131n\u0131yorsunuz? Yemek &#8230;<\/p>\n","protected":false},"author":1,"featured_media":1193,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bir Lokma Yeme\u011fe Hasret B\u0131rakan Hastal\u0131k - Sporgen\u00e7 - T\u00fcrkiye ve D\u00fcnyadan \u00d6zel Spor Haberleri<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sporgenc.com\/bir-lokma-yemege-hasret-birakan-hastalik\/\" \/>\n<meta name=\"twitter:label1\" content=\"Yazan:\" \/>\n\t<meta name=\"twitter:data1\" content=\"haber\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tahmini okuma s\u00fcresi\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 dakika\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.sporgenc.com\/bir-lokma-yemege-hasret-birakan-hastalik\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.sporgenc.com\/bir-lokma-yemege-hasret-birakan-hastalik\/\"},\"author\":{\"name\":\"haber\",\"@id\":\"https:\/\/www.sporgenc.com\/#\/schema\/person\/0005b25b37b7106be33dd26499808c89\"},\"headline\":\"Bir Lokma Yeme\u011fe Hasret B\u0131rakan Hastal\u0131k\",\"datePublished\":\"2022-09-28T21:48:07+00:00\",\"dateModified\":\"2022-09-28T21:48:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.sporgenc.com\/bir-lokma-yemege-hasret-birakan-hastalik\/\"},\"wordCount\":1070,\"publisher\":{\"@id\":\"https:\/\/www.sporgenc.com\/#organization\"},\"articleSection\":[\"Sa\u011fl\u0131k\"],\"inLanguage\":\"tr\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.sporgenc.com\/bir-lokma-yemege-hasret-birakan-hastalik\/\",\"url\":\"https:\/\/www.sporgenc.com\/bir-lokma-yemege-hasret-birakan-hastalik\/\",\"name\":\"Bir Lokma Yeme\u011fe Hasret B\u0131rakan Hastal\u0131k - 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