Prof. Dr. Cengiz K\u00f6ksal, halk aras\u0131nda sigara alerjisine ba\u011fl\u0131 damar t\u0131kan\u0131kl\u0131\u011f\u0131 olarak bilinen Buerger hastal\u0131\u011f\u0131 ile ilgili \u00f6nemli uyar\u0131larda bulunarak, hastal\u0131kla ilgili bilinmeyenleri anlatt\u0131.<\/p>\n
K\u00f6ksal, \u015funlar\u0131 kaydetti:<\/p>\n
“S\u0131kl\u0131kla her iki bacakta diz alt\u0131ndaki atar damarlar\u0131n t\u0131kan\u0131kl\u0131\u011f\u0131 ile seyreden Buerger hastal\u0131\u011f\u0131, ayak parmaklar\u0131nda morarma, so\u011fuma veya iyile\u015fmeyen yaralarla kendini g\u00f6steriyor. Hastalar, bu yaralar\u0131n ayakkab\u0131 vurmas\u0131 veya t\u0131rnak batmas\u0131 sonucu ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnebilirler. Fakat yaran\u0131n iyile\u015fmesini beklerken ge\u00e7en s\u00fcre\u00e7te, hastal\u0131k \u00e7oktan ilerlemi\u015f, parma\u011f\u0131n veya parmaklar\u0131n kaybedilme riski artm\u0131\u015f olabiliyor. Dolay\u0131s\u0131yla ki\u015filer v\u00fccutlar\u0131yla ileti\u015fimi kesmemeli, t\u00fcm belirtileri dikkatle izlemeli ve bu belirtilerle birlikte hekime ba\u015fvurmal\u0131d\u0131r.”<\/p>\n
Prof. Dr. Cengiz K\u00f6ksal, Buerger hastal\u0131\u011f\u0131n\u0131n, en s\u0131k 50 ya\u015f alt\u0131ndaki sigara i\u00e7en erkeklerde g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirterek, “Hastal\u0131\u011f\u0131n olu\u015fumunda en \u00f6nemli fakt\u00f6r sigara kullan\u0131m\u0131d\u0131r. E\u011fer ki\u015fi sigara i\u00e7miyor ise Buerger hastal\u0131\u011f\u0131 g\u00f6r\u00fclmez. Daha \u00e7ok Orta Do\u011fu ve Asya \u00fclkeleri insanlar\u0131nda g\u00f6r\u00fclen bu hastal\u0131k, \u00fclkemizde 50 ya\u015f alt\u0131 sigara i\u00e7en erkek bireylerin neredeyse en s\u0131k uzuv kay\u0131p nedenlerindendir.” bilgisini verdi. <\/p>\n
Buerger hastal\u0131\u011f\u0131yla damar sertli\u011finin birbirine kar\u0131\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131 aktaran K\u00f6ksal, “Buerger hastal\u0131\u011f\u0131, damar sertli\u011fi de\u011fildir. Damar sertli\u011fi daha \u00e7ok 50 ya\u015f \u00fcst\u00fc, diyabet, y\u00fcksek tansiyon, hiperlipideminin varl\u0131\u011f\u0131nda erkek ve kad\u0131nlarda g\u00f6r\u00fclen; koroner, bacak ve \u015fah damar\u0131nda darl\u0131klarla seyreden bir hastal\u0131kt\u0131r. Buerger hastal\u0131\u011f\u0131nda ise hastalar, gen\u00e7 say\u0131labilecek 50 ya\u015f alt\u0131ndaki erkekler ve mutlaka sigara i\u00e7enlerdir.” ifadelerini kulland\u0131. <\/p>\n
Prof. Dr. Cengiz K\u00f6ksal, Buerger hastal\u0131\u011f\u0131na ba\u011fl\u0131 atar damar t\u0131kan\u0131kl\u0131\u011f\u0131 olmas\u0131 i\u00e7in ki\u015finin sigara i\u00e7iyor olmas\u0131n\u0131n tan\u0131 i\u00e7in \u015fart oldu\u011funu aktararak, \u015fu de\u011ferlendirmelerde bulundu:<\/p>\n
“Buerger hastal\u0131\u011f\u0131na sigara alerjisi denmesinin iki nedeni vard\u0131r. Birincisi sigaray\u0131 b\u0131rakan hastalarda hastal\u0131k y\u00fczde 92 gibi \u00e7ok y\u00fcksek bir oranda, ba\u015fka bir tedaviye ihtiya\u00e7 duymadan iyile\u015fir. \u0130kincisi ise hastal\u0131\u011f\u0131n iyile\u015fmesi i\u00e7in sigaray\u0131 tamamen b\u0131rakmak ve asla sigara duman\u0131na dahi maruz kalmamak gerekir. Di\u011fer bir deyi\u015fle g\u00fcnde bir tane ile bir paket i\u00e7ilen sigara aras\u0131nda hastal\u0131\u011f\u0131n iyile\u015fmesi a\u00e7\u0131s\u0131ndan bir fark yoktur. Bunu bir ad\u0131m \u00f6teye g\u00f6t\u00fcr\u00fcrsek hasta sigara i\u00e7miyor ancak yan\u0131nda sigara i\u00e7enler taraf\u0131ndan sigara duman\u0131na maruz b\u0131rak\u0131l\u0131yor ise hastal\u0131k yine iyile\u015fmez. Buerger hastal\u0131\u011f\u0131n\u0131n iyile\u015fmesi i\u00e7in tek ve yeter \u015fart, sigaras\u0131z bir ortamd\u0131r.”<\/p>\n
“Buerger hastal\u0131\u011f\u0131na ba\u011fl\u0131 ayak parmaklar\u0131nda morarma, so\u011fuma ve iyile\u015fmeyen yaralar\u0131n iyile\u015fmesi i\u00e7in ilk \u015fart, sigara i\u00e7memek ve i\u00e7ilen ortamda bulunmamakt\u0131r. Ba\u015fka bir tedaviye ihtiya\u00e7 duymadan, sigaran\u0131n b\u0131rak\u0131lmas\u0131 ile hastal\u0131k y\u00fczde 92 oran\u0131nda iyile\u015fir. Ek olarak hastalara damar geni\u015fletici ve kan suland\u0131r\u0131c\u0131 tedavi veriliyor. Hastal\u0131\u011f\u0131n s\u0131kl\u0131kla diz alt\u0131ndaki k\u00fc\u00e7\u00fck \u00e7apl\u0131 atar damarlar\u0131 tutmas\u0131 nedeniyle baypas veya anjio ile damar\u0131n a\u00e7\u0131lma \u015fans\u0131 \u00e7ok d\u00fc\u015f\u00fckt\u00fcr.<\/p>\n
Hastal\u0131k hi\u00e7bir zaman tam iyile\u015fmez. Remisyon (hastal\u0131k belirtilerinin s\u00f6nmesi) ve alevlenmeler ile seyreder. Sigaray\u0131 b\u0131rakan ve sigara duman\u0131na maruz kalmayan hastalar\u0131n yaralar\u0131 iyile\u015fir ve uzuv kayb\u0131 ya\u015fanmaz. Ancak yaralar\u0131 iyile\u015fen hasta, y\u0131llar sonra tekrar sigara duman\u0131na maruz kal\u0131rsa, hastal\u0131k tekrar alevlenebilir ve hastay\u0131 yeniden uzuv kayb\u0131na g\u00f6t\u00fcrebilir. Buerger hastalar\u0131 i\u00e7in, bir tek sigara ile 2 paket sigara i\u00e7mek ya da dumana maruz kalmak aras\u0131nda, hastal\u0131\u011f\u0131n ilerlemesi a\u00e7\u0131s\u0131ndan hi\u00e7bir fark yoktur.”<\/p>\n\n","protected":false},"excerpt":{"rendered":"
Bezmialem Vak\u0131f \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi Kalp ve Damar Cerrahisi Anabilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Cengiz K\u00f6ksal, Buerger hastal\u0131\u011f\u0131 hakk\u0131nda “Olu\u015fumunda en \u00f6nemli fakt\u00f6r sigara kullan\u0131m\u0131d\u0131r. E\u011fer ki\u015fi sigara i\u00e7miyor ise Buerger hastal\u0131\u011f\u0131 g\u00f6r\u00fclmez.” dedi. Prof. Dr. Cengiz K\u00f6ksal, halk aras\u0131nda sigara alerjisine ba\u011fl\u0131 damar t\u0131kan\u0131kl\u0131\u011f\u0131 olarak bilinen Buerger hastal\u0131\u011f\u0131 ile ilgili \u00f6nemli uyar\u0131larda bulunarak, …<\/p>\n","protected":false},"author":4,"featured_media":277131,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6669],"tags":[],"class_list":["post-277130","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts\/277130","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/comments?post=277130"}],"version-history":[{"count":0,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/posts\/277130\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/media\/277131"}],"wp:attachment":[{"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/media?parent=277130"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/categories?post=277130"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nationalturk.com\/tr\/wp-json\/wp\/v2\/tags?post=277130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}