{"id":3289,"date":"2024-08-19T13:48:05","date_gmt":"2024-08-19T10:48:05","guid":{"rendered":"https:\/\/kirsehirsondakika.com.tr\/?p=3289"},"modified":"2024-08-19T13:48:05","modified_gmt":"2024-08-19T10:48:05","slug":"karaciger-yaglanmasina-karsi-3-etkili-yontem","status":"publish","type":"post","link":"https:\/\/kirsehirsondakika.com.tr\/index.php\/2024\/08\/19\/karaciger-yaglanmasina-karsi-3-etkili-yontem\/","title":{"rendered":"Karaci\u011fer Ya\u011flanmas\u0131na Kar\u015f\u0131 3 Etkili Y\u00f6ntem!"},"content":{"rendered":"<p><strong>Ac\u0131badem Dr. \u015einasi Can (Kad\u0131k\u00f6y) Hastanesi Gastroenteroloji Uzman\u0131 Do\u00e7. Dr. Suna Yapal\u0131<\/strong>, \u00fclkemizde karaci\u011fer ya\u011flanmas\u0131 s\u0131kl\u0131\u011f\u0131n\u0131n y\u00fczde 48 oldu\u011funu, beden kitle indeksi 25\u2019in \u00fczerinde olan bireylerde bu oran\u0131n y\u00fczde 63\u2019\u00fc buldu\u011funu belirterek \u201cKaraci\u011fer ya\u011flanmas\u0131 sinsice ilerleyerek, \u00e7oklukla bir \u015fikayete yol a\u00e7mad\u0131\u011f\u0131ndan, \u00e7o\u011funlukla rastgele bir nedenle yap\u0131lan ultrasonografi \u00fczere radyolojik g\u00f6r\u00fcnt\u00fclemelerle ve karaci\u011fer i\u015flev testlerinde bozukluk ile te\u015fhis konmaktad\u0131r. Lakin tedbir al\u0131nmad\u0131\u011f\u0131nda ileri evrede karaci\u011fer sirozu yahut karaci\u011fer kanserine neden olabilmektedir. D\u00fcnyada 2030 y\u0131l\u0131nda siroz ve karaci\u011fer naklinin en s\u0131k sebebi olmas\u0131 beklenmektedir\u201d diyor. Do\u00e7. Dr. Suna Yapal\u0131 bu sinsi hastal\u0131ktan korunmada ve tedavide kritik de\u011fer ta\u015f\u0131yan 3 usul\u00fc anlatt\u0131, k\u0131ymetli ikazlar ve tekliflerde bulundu.Karaci\u011fer ya\u011flanmas\u0131 alkole ba\u011fl\u0131 ve alkol d\u0131\u015f\u0131 nedenlerden kaynaklanabiliyor. Karaci\u011ferde y\u00fczde 5-10\u2019dan fazla ya\u011f birikimi olmas\u0131 sonucunda geli\u015fiyor. Karaci\u011fer ya\u011flanmas\u0131n\u0131n birden fazla hastal\u0131\u011f\u0131n bir ortada bulundu\u011fu metabolik sendrom tablosunun bir mod\u00fcl\u00fc olarak da ortaya \u00e7\u0131kabildi\u011fini belirten\u00a0<strong>Ac\u0131badem Dr. \u015einasi Can (Kad\u0131k\u00f6y) Hastanesi Gastroenteroloji Uzman\u0131 Do\u00e7. Dr. Suna Yapal\u0131<\/strong>\u00a0\u201cBu tablonun i\u00e7inde obezite, Tip 2 diyabet, hipertansiyon, ins\u00fclin direnci, kalp damar hastal\u0131klar\u0131 ve \u00fcrik asit y\u00fcksekli\u011fi yer almaktad\u0131r. Alkol kullanmayan bir \u015fah\u0131sta de, karaci\u011ferde alkol hasar\u0131na misal bir ya\u011f birikimi tablosu ya\u011fl\u0131 karaci\u011fer hastal\u0131\u011f\u0131na yol a\u00e7maktad\u0131r. Lakin halihaz\u0131rda metabolik sendrom bulgular\u0131 olan kilolu bir bireyde alkol t\u00fcketim \u00f6l\u00e7\u00fcs\u00fc da hastal\u0131\u011f\u0131n ilerlemesine k\u0131ymetli derecede neden olmaktad\u0131r\u201d diyor.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Bu etkenler riski art\u0131r\u0131yor!<\/strong><\/p>\n<p>A\u015f\u0131r\u0131 kilolu \u015fah\u0131slar ve obezite hastalar\u0131 ile diyabet, ins\u00fclin direnci y\u00fcksek bireyler, kan ya\u011flar\u0131 y\u00fcksek olanlar, beden kitle indeksi 25\u2019in \u00fczerinde olanlar, bel etraf\u0131 (erkeklerde 94 cm\u2019in \u00fczeri, bayanlarda 80 cm\u2019in \u00fczeri) kal\u0131n olanlar ve alkol kullananlar\u0131n karaci\u011fer ya\u011flanmas\u0131 riski alt\u0131nda oldu\u011funu vurgulayan Do\u00e7. Dr. Suna Yapal\u0131 s\u00f6zlerine \u015f\u00f6yle devam ediyor: \u201cSa\u011fl\u0131ks\u0131z beslenme, hareketsiz \u00f6m\u00fcr, sistemsiz aral\u0131klarla yemek yeme, menopoz ve birtak\u0131m ila\u00e7lar\u0131n kullan\u0131m\u0131 sonucu karaci\u011fer ya\u011flanmas\u0131 s\u0131kl\u0131\u011f\u0131 artmaktad\u0131r.\u201d Karaci\u011fer ya\u011flanmas\u0131n\u0131n obezite ile ba\u011flant\u0131l\u0131 olmakla birlikte ola\u011fan kilolu \u015fah\u0131slarda de g\u00f6r\u00fclebildi\u011fine dikkat \u00e7eken Do\u00e7. Dr. Yapal\u0131 \u201cNormal kilolu \u015fah\u0131slarda de e\u015flik eden ins\u00fclin direnci, visseral obezite olarak tan\u0131mlanan i\u00e7 organ ya\u011flanmas\u0131 ve genetik fakt\u00f6rler karaci\u011fer ya\u011flanmas\u0131 i\u00e7in risk olu\u015fturmaktad\u0131r. \u00a0Karaci\u011fer ya\u011flanmas\u0131 olan hastalar, diyabet ve kalp hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan da kesinlikle taranmal\u0131d\u0131r. Karaci\u011fer ya\u011flanmas\u0131 olan \u015fah\u0131slarda diyabet riski 2-5 kat, kalp ve damar hastal\u0131klar\u0131 riski 2-3 kat artmaktad\u0131r. Diyabet hastalar\u0131, metabolik sendromu olan hastalar, ailede karaci\u011fer ya\u011flanmas\u0131na ba\u011fl\u0131 karaci\u011fer sirozu hikayesi olanlar ve alkol t\u00fcketen bireyler karaci\u011ferde sertle\u015fme yahut hasar geli\u015fimi a\u00e7\u0131s\u0131ndan de\u011ferlendirilmelidir. G\u00fcn\u00fcm\u00fczde karaci\u011ferdeki hasar\u0131 belirleyen Fibroscan\/CAP yolu ile ya\u011flanmaya ba\u011fl\u0131 karaci\u011ferin sertlik derecesi ve karaci\u011ferdeki ya\u011f \u00f6l\u00e7\u00fcs\u00fcn\u00fcn kantitatif \u00f6l\u00e7\u00fcm\u00fc yap\u0131lmaktad\u0131r, b\u00f6ylece bir\u00e7ok hastada karaci\u011fer biyopsisi yap\u0131lmas\u0131na gerek kalmadan karaci\u011ferin durumu bedellendirilmektedir.\u201d<\/p>\n<p><strong>Karaci\u011fer ya\u011flanmas\u0131na kar\u015f\u0131 3 tesirli \u00f6nlem!<\/strong><\/p>\n<p>Peki karaci\u011fer ya\u011flanmas\u0131ndan korunmak ya da ya\u011fl\u0131 karaci\u011fer hastal\u0131\u011f\u0131ndan kurtulmak i\u00e7in nelere dikkat edilmeli? Do\u00e7. Dr. Suna Yapal\u0131, bu noktada 3 silah\u015foru \u015f\u00f6yle a\u00e7\u0131kl\u0131yor:<\/p>\n<p><strong>Sa\u011fl\u0131kl\u0131 beslenme<\/strong><\/p>\n<p>Protein, ya\u011f ve karbonhidratlar\u0131n istikrarl\u0131 bir oranda oldu\u011fu, tek besine y\u00f6nelik k\u0131s\u0131tlaman\u0131n olmad\u0131\u011f\u0131 ve s\u00fcrd\u00fcr\u00fclebilir kilo kayb\u0131n\u0131n sa\u011fland\u0131\u011f\u0131 diyetler tercih edilmelidir. Glisemik indeksi d\u00fc\u015f\u00fck besinler, lif i\u00e7eri\u011fi y\u00fcksek ye\u015fil sebzeler ve tah\u0131llar, baklagiller ve g\u00fcnde 1-2 porsiyonu ge\u00e7meyecek bi\u00e7imde taze meyveler t\u00fcketilmelidir. Alkolden uzak durulmal\u0131, bol su i\u00e7ilmelidir. Sakatat, krema, margarin, meyve sular\u0131, \u00e7ikolata \u00fczere ya\u011f ve \u015feker i\u00e7eri\u011fi y\u00fcksek besinlerden ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. Sa\u011fl\u0131kl\u0131 oldu\u011fu niyetiyle fazla \u00f6l\u00e7\u00fcde \u00e7erez t\u00fcketimi yahut \u00e7ok meyve t\u00fcketimi en s\u0131k yap\u0131lan yanl\u0131\u015flard\u0131r.<\/p>\n<p><strong>D\u00fczenli egzersiz<\/strong><\/p>\n<p>D\u00fczenli idman karaci\u011fer ya\u011flanmas\u0131nda son derece k\u0131ymetli rol oynamaktad\u0131r. Haftada en az 3-4 g\u00fcn 30-45 dakikal\u0131k tempolu ve nizaml\u0131 y\u00fcr\u00fcy\u00fc\u015fler ile haftada 2-3 g\u00fcn kas kitlesini ve kas kuvvetini artt\u0131r\u0131c\u0131 idmanlar yap\u0131lmal\u0131d\u0131r. Karaci\u011fer kendini yenileme talihi olan bir organ\u0131m\u0131z oldu\u011fu i\u00e7in, sa\u011fl\u0131kl\u0131 beslenme, nizaml\u0131 antrenman ve \u00fclk\u00fc kiloya ula\u015farak sa\u011fl\u0131kl\u0131 bir karaci\u011fere kavu\u015fmak m\u00fcmk\u00fcn olabilir.<\/p>\n<p><strong>\u0130deal kilo ve ince bel \u00e7evresi<\/strong><\/p>\n<p>Karaci\u011fer ya\u011flanmas\u0131 yaln\u0131zca \u00e7ok kilolu ve obezite hastalar\u0131nda de\u011fil, ola\u011fan kilolu bireylerde de olabilen bir hastal\u0131k. Bilhassa i\u00e7 organ ya\u011flanmas\u0131 (visseral obezite), genetik yatk\u0131nl\u0131\u011f\u0131 olan bireylerde ola\u011fan kiloya kar\u015f\u0131n karaci\u011fer ya\u011flanmas\u0131na yol a\u00e7abilmekte. Bu nedenle \u2018ben ne kadar yesem de kilo alm\u0131yorum, genetik \u00f6zelli\u011fimiz bu t\u00fcrl\u00fc, hi\u00e7 fazla kilom olmad\u0131\u2019 \u00fczere fikirler, bu sinsi hastal\u0131\u011f\u0131n ilerlemesine yol a\u00e7abilir. Bununla birlikte karaci\u011fer ya\u011flanmas\u0131nda en tesirli tedavi usullerinden biri, aktif kilo kayb\u0131 sa\u011flamak ve bel etraf\u0131n\u0131 ola\u011fan hudutlara indirmektir. Kilo kayb\u0131 sa\u011fl\u0131kl\u0131 usullerle haftada 0,5-1 kg olmal\u0131d\u0131r. Bilhassa karaci\u011ferde hasar geli\u015fen hastalarda en az y\u00fczde 10 kilo kayb\u0131 ile karaci\u011fer hasar\u0131n\u0131n gerileyebildi\u011fini belirten Do\u00e7. Dr. Suna Yapal\u0131 \u201cBuna ra\u011fmen \u2018zay\u0131flatt\u0131\u011f\u0131\u2019 ya da \u2018karaci\u011feri yeniledi\u011fi\u2019 vaad edilen bitkisel ila\u00e7lar ve bitkisel k\u00fcrlerden katiyen uzak durmak gerekir. Bitkisel k\u00fcrler yahut bitkisel ila\u00e7lar\u0131n kullan\u0131m\u0131na dair k\u00e2fi bilimsel data bulunmamakla birlikte, karaci\u011ferde tam bilakis toksik tesire yol a\u00e7arak karaci\u011fer hasar\u0131, hatta karaci\u011fer yetmezli\u011fi riski ta\u015f\u0131yabilece\u011fini bilhassa vurgulamak isterim\u201d ikaz\u0131nda bulunuyor.<\/p>\n<p>Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Karaci\u011fer ya\u011flanmas\u0131 d\u00fcnya genelinde en s\u0131k g\u00f6r\u00fclen ve s\u00fcratle yayg\u0131nla\u015fan kronik karaci\u011fer hastal\u0131klar\u0131 ortas\u0131nda yer al\u0131yor. \u00dclkemizde de son y\u0131llarda s\u00fcratle artan obezite ve diyabet nedeniyle k\u0131ymetli bir halk s\u0131hhati sorunu olarak \u00f6ne \u00e7\u0131k\u0131yor.<\/p>\n","protected":false},"author":1,"featured_media":3290,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1632,1321,1631,314,315],"class_list":["post-3289","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-alkol","tag-karaciger","tag-karaciger-yaglanmasi","tag-kilo","tag-yag"],"_links":{"self":[{"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/3289"}],"collection":[{"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=3289"}],"version-history":[{"count":1,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/3289\/revisions"}],"predecessor-version":[{"id":3291,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/3289\/revisions\/3291"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media\/3290"}],"wp:attachment":[{"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=3289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=3289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=3289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}