{"id":3786,"date":"2019-04-05T15:06:06","date_gmt":"2019-04-05T12:06:06","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=3786"},"modified":"2019-04-05T15:06:06","modified_gmt":"2019-04-05T12:06:06","slug":"yutmada-zorluk-mu-yasiyorsunuz","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/yutmada-zorluk-mu-yasiyorsunuz\/","title":{"rendered":"Yutmada zorluk mu ya\u015f\u0131yorsunuz?"},"content":{"rendered":"<p><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\"> \u201cYediklerim bo\u011faz\u0131ma diziliyor, yutam\u0131yorum\u201d \u201cSanki bo\u011faz\u0131mda bir \u015fey var, s\u00fcrekli tak\u0131l\u0131yor\u201d \u015feklinde dile getirilen \u015fikayetler basit gibi g\u00f6r\u00fcnse de, bir\u00e7ok ciddi hastal\u0131\u011f\u0131n habercisi olabiliyor. Yemek borusu kanserinin en s\u0131k rastlanan belirtisi olan yutma g\u00fc\u00e7l\u00fc\u011f\u00fc; sindirim sistemi, kas ve sinir hastal\u0131klar\u0131 hatta az su ile ila\u00e7 i\u00e7mekten bile kaynaklanabiliyor. <strong>Uz. Dr. \u015eule Naml\u0131 Ko\u00e7,<\/strong> yutma zorlu\u011fu ve tedavisi hakk\u0131nda bilgi verdi. <\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.3800000000000001; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\"><strong>Farkl\u0131 rahats\u0131zl\u0131klar yutman\u0131z\u0131 engelleyebilir<\/strong><\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">Sinirlerin uyarmas\u0131 ve kaslar\u0131n kas\u0131lmas\u0131yla ger\u00e7ekle\u015fen yutma fonksiyonunda ya\u015fanan g\u00fc\u00e7l\u00fckler \u00e7ok farkl\u0131 rahats\u0131zl\u0131klardan kaynaklanabilmektedir. A\u011f\u0131z i\u00e7erisinde enfeksiyon veya bademciklerin iltihaplanmas\u0131 gibi durumlarda yutma i\u015flemi a\u011fr\u0131l\u0131 ger\u00e7ekle\u015firken, baz\u0131 n\u00f6rolojik, kas, yemek borusu ve sindirim sistemi hastal\u0131klar\u0131nda ise yutma i\u015flemi zor ya da hi\u00e7 yap\u0131lamamaktad\u0131r. Tedavi planlamas\u0131 yap\u0131lmadan \u00f6nce yutma g\u00fc\u00e7l\u00fc\u011f\u00fcne neden olan rahats\u0131zl\u0131\u011f\u0131n kayna\u011f\u0131 belirlenmelidir. <\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\"><strong>Temizlik malzemelerini \u00e7ocuklar\u0131n ula\u015famayaca\u011f\u0131 yerlerde saklay\u0131n<\/strong><\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">\u00c7ocuklarda yutma g\u00fc\u00e7l\u00fc\u011f\u00fc yaratan nedenlerin ba\u015f\u0131nda korozif madde yani kimyasal madde yaralanmalar\u0131 gelmektedir. A\u00e7\u0131kta sat\u0131lan ve su, kola gibi i\u00e7ecek \u015fi\u015felerinde saklanan temizlik maddelerini yanl\u0131\u015fl\u0131kla i\u00e7en \u00e7ocuklarda ortaya \u00e7\u0131kan kimyasal tahribat yemek borusunda ciddi daralmalara yol a\u00e7maktad\u0131r. Temizlik maddeleri gibi kimyasal maddelerden bir yudum al\u0131nmas\u0131 bile y\u0131llarca tedavi gerektiren ciddi yutma g\u00fc\u00e7l\u00fcklerine neden olabilmektedir. Ebeveynlerin temizlik maddelerini farkl\u0131 kaplarda saklamamalar\u0131 ve \u00e7ocuklar\u0131n ula\u015famayaca\u011f\u0131 yerlerde ve m\u00fcmk\u00fcnse kilitli ortamlarda, muhafaza etmesi hayati \u00f6nem ta\u015f\u0131maktad\u0131r.  <\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\"><strong>Yutam\u0131yorum ama ge\u00e7er demeyin<\/strong><\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">Bademcik, a\u011f\u0131z enfeksiyonu gibi hastal\u0131klardan da kaynaklanabilen yutma g\u00fc\u00e7l\u00fc\u011f\u00fc yemek borusu kanserlerinin de s\u0131k rastlanan belirtisidir. \u00d6zellikle kat\u0131 g\u0131dalar\u0131 yutmakta zorlanma ve yutarken su i\u00e7me ihtiyac\u0131 hissetmek yemek borusu kanserlerini \u00f6n plana \u00e7\u0131karmaktad\u0131r.  Bunun yan\u0131nda; <\/span><\/p>\n<ul style=\"margin-top:0pt; margin-bottom:0pt;\">\n<li dir=\"ltr\" style=\"list-style-type:disc; font-size:11pt; font-family:'NotoSansSymbols'; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre;\">\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:0pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">Sindirilememi\u015f g\u0131dalar\u0131n kusarak \u00e7\u0131kart\u0131lmas\u0131<\/span><\/p>\n<\/li>\n<li dir=\"ltr\" style=\"list-style-type:disc; font-size:11pt; font-family:'NotoSansSymbols'; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre;\">\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:0pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">A\u011f\u0131zdan kanamalar<\/span><\/p>\n<\/li>\n<li dir=\"ltr\" style=\"list-style-type:disc; font-size:11pt; font-family:'NotoSansSymbols'; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre;\">\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:0pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">A\u011fr\u0131<\/span><\/p>\n<\/li>\n<li dir=\"ltr\" style=\"list-style-type:disc; font-size:11pt; font-family:'NotoSansSymbols'; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre;\">\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">Yemek yerken tak\u0131lma hissi gibi belirtiler ge\u00e7i\u015ftirilmemelidir. <\/span><\/p>\n<\/li>\n<\/ul>\n<p dir=\"ltr\" style=\"line-height:1.3800000000000001; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\"><strong>T\u00fcts\u00fclenmi\u015f ve tuzlanm\u0131\u015f g\u0131dalardan uzak durun<\/strong><\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.3800000000000001; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">Yemek borusu kanserinde beslenme \u015fekli ve genetik fakt\u00f6rler \u00f6nemli yer tutmaktad\u0131r. Do\u011fu Anadolu\u2019da \u00f6zellikle Erzurum, Kars, I\u011fd\u0131r gibi illerden \u0130ran, Afganistan\u2019a do\u011fru ilerleyen ku\u015fakta yemek borusu kanseri olduk\u00e7a s\u0131k g\u00f6r\u00fclmektedir. Bu b\u00f6lgelerde t\u00fcts\u00fclenmi\u015f ve tuzda bekletilmi\u015f g\u0131dalar\u0131n s\u0131kl\u0131kla t\u00fcketilmesi \u00f6nemli bir etkendir. Ayn\u0131 zamanda i\u015flenmi\u015f g\u0131dalar\u0131n fazla t\u00fcketilmesi, uygun olmayan \u015fartlarda ve \u015fekilde, mangalda pi\u015firilen et ve toprakta bulunan a\u011f\u0131r metaller de yemek borusu kanseri i\u00e7in risk fakt\u00f6rleri aras\u0131ndad\u0131r.<\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\"><strong>\u00c7ay\u0131 h\u0131zl\u0131 ve s\u0131cak i\u00e7meyin<\/strong><\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">\u00c7ay, kahve gibi i\u00e7eceklerin h\u0131zl\u0131 ve \u00e7ok s\u0131cak t\u00fcketilmesi yemek borusunda tahri\u015fe yol a\u00e7arak rahats\u0131zl\u0131klara zemin haz\u0131rlayabilmektedir. Sigara ve alkol t\u00fcketimi de ilerleyen d\u00f6nemde yemek borusu kanserlerine zemin haz\u0131rlad\u0131\u011f\u0131 i\u00e7in uzak durulmas\u0131 gerekmektedir. Refl\u00fc hastal\u0131\u011f\u0131n\u0131n kanser olu\u015fumuna yol a\u00e7t\u0131\u011f\u0131 bilinmekle birlikte bu oran, \u00f6zellikle \u00fclkemizde d\u00fc\u015f\u00fckt\u00fcr. Toplumda her refl\u00fc hastal\u0131\u011f\u0131n\u0131n kanserle sonu\u00e7lanaca\u011f\u0131 gibi yanl\u0131\u015f bir alg\u0131 olu\u015fmaktad\u0131r. <\/span><\/p>\n<p dir=\"ltr\" style=\"line-height:1.2; margin-top:0pt; margin-bottom:10pt;\"><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\"><strong>Endoskopi ile sorunun kayna\u011f\u0131 belirlenebilir<\/strong><\/span><\/p>\n<p><span style=\"font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap;\">Yutma g\u00fc\u00e7l\u00fcklerinde sorunun belirlenebilmesi i\u00e7in endoskopik inceleme ilk tercihtir. Endoskopi sonu\u00e7lar\u0131na g\u00f6re yemek borusunda kitle ya da t\u00fcm\u00f6r g\u00f6r\u00fcl\u00fcrse endoskopik ultrasonografi, tomografi, MR gibi g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri kullan\u0131larak tedavi planlanmaktad\u0131r. Uygun hastalarda cerrahi y\u00f6ntem kullan\u0131lmaktad\u0131r. Ancak cerrahi i\u00e7in uygun olmayan hastalarda yutman\u0131n rahatlat\u0131lmas\u0131 i\u00e7in endoskopik y\u00f6ntem ile sorunlu b\u00f6lgeye stent yerle\u015ftirilmektedir. Hem cerrahiye hem de endoskopik y\u00f6ntemlere uygun olmayan hastalarda ise mideye d\u0131\u015far\u0131dan ba\u011flanan aparatla beslenme sa\u011flanmaktad\u0131r. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cYediklerim bo\u011faz\u0131ma diziliyor, yutam\u0131yorum\u201d \u201cSanki bo\u011faz\u0131mda bir \u015fey var, s\u00fcrekli tak\u0131l\u0131yor\u201d \u015feklinde dile getirilen \u015fikayetler basit gibi g\u00f6r\u00fcnse de, bir\u00e7ok ciddi hastal\u0131\u011f\u0131n habercisi olabiliyor. Yemek borusu kanserinin en s\u0131k rastlanan belirtisi olan yutma g\u00fc\u00e7l\u00fc\u011f\u00fc; sindirim sistemi, kas ve sinir hastal\u0131klar\u0131 hatta az su ile ila\u00e7 i\u00e7mekten bile kaynaklanabiliyor. Uz. Dr. \u015eule Naml\u0131 Ko\u00e7, yutma zorlu\u011fu [&hellip;]<\/p>\n","protected":false},"author":80,"featured_media":3005,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[7],"tags":[],"class_list":{"0":"post-3786","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saglik"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/08\/hasimato-hastaligi-belirtileri.jpg?fit=810%2C541&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/3786","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=3786"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/3786\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/3005"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=3786"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=3786"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=3786"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}