{"id":16325,"date":"2019-02-18T09:21:01","date_gmt":"2019-02-18T06:21:01","guid":{"rendered":"http:\/\/185.149.103.207\/~adanaseshaber\/haber-kilo-almanizin-nedeni-cok-yemek-olmayabilir-9477.html"},"modified":"2019-02-18T09:21:01","modified_gmt":"2019-02-18T06:21:01","slug":"kilo-almanizin-nedeni-cok-yemek-olmayabilir-9477","status":"publish","type":"post","link":"https:\/\/adanaseshaber.com.tr\/?p=16325","title":{"rendered":"K\u0130LO ALMANIZIN NEDEN\u0130 \u00c7OK YEMEK OLMAYAB\u0130L\u0130R"},"content":{"rendered":"<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">G&ouml;vde \u015fi\u015fmanlarken kollar ve bacaklar\u0131n incelmesi, kollarda ve bacaklarda olu\u015fan mor renkteki izler &ldquo;Cushing Sendromu&rdquo;nun en temel belirtileri aras\u0131nda yer al\u0131yor. Her sa\u011fl\u0131kl\u0131 v&uuml;cutta bulunan kortizon hormonunun; olmas\u0131 gerekenden fazla, kontrol d\u0131\u015f\u0131 y&uuml;kselmesi sonucu geli\u015fen bu sendromun erken tan\u0131 ve tedavisi &ouml;nem ta\u015f\u0131yor. Memorial \u015ei\u015fli Hastanesi Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 B&ouml;l&uuml;m&uuml;&#39;nden Prof. Dr. Ay\u015fe &Ccedil;\u0131k\u0131m Sertkaya, &ldquo;Cushing sendromu&rdquo; hakk\u0131nda bilgi verdi.<\/span><\/span><\/span><br \/>\n&nbsp;<\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\"><strong>Cushing sendromu belirtileri<\/strong><\/span><\/span><\/span><\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Cushing sendromu, hemen hemen her organ ve dokuyu etkiler. Belirtileri ise \u015fu \u015fekilde s\u0131ralanabilir:<\/span><\/span><\/span><\/p>\n<ul>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Y&uuml;zde belirgin bir \u015fi\u015flik<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Yanaklarda k\u0131rm\u0131z\u0131l\u0131k<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">&Ouml;zellikle v&uuml;cutta, g&ouml;vde k\u0131sm\u0131nda \u015fi\u015fmanl\u0131k<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Kol ve bacaklarda incelik<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Kar\u0131nda, kol ve bacaklarda k\u0131rm\u0131z\u0131-morumsu (erguvan rengi) &ccedil;atlaklar<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Oturma, kalkma, merdiven &ccedil;\u0131kma ve uzun yol y&uuml;r&uuml;mede zorlanma, &uuml;st bacakta a\u011fr\u0131<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Kollarda a\u011fr\u0131<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Kad\u0131nlarda adet d&uuml;zensizli\u011fi<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Y&uuml;ksek tansiyon<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Kemik erimesi<\/span><\/span><\/span><\/li>\n<li><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Kan \u015fekeri d&uuml;zensizli\u011fi<\/span><\/span><\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\"><strong>Kortizon hormonunun g&ouml;revleri<\/strong><\/span><\/span><\/span><\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">B&ouml;brek &uuml;st&uuml; bezi taraf\u0131ndan salg\u0131lanan kortizon hormonu, v&uuml;cudun strese kar\u015f\u0131 kulland\u0131\u011f\u0131 en &ouml;nemli g&uuml;&ccedil; olarak kabul edilir. Ayr\u0131ca v&uuml;cudun ya\u011f ve karbonhidrat metabolizmas\u0131n\u0131n d&uuml;zenlenmesine yard\u0131mc\u0131 olur. Karbonhidratlar\u0131n ve ya\u011flar\u0131n, &ouml;zellikle a&ccedil;l\u0131k durumlar\u0131nda kana kar\u0131\u015fmas\u0131n\u0131 sa\u011flay\u0131p, \u015fekere d&ouml;n&uuml;\u015ferek v&uuml;cudun enerji ihtiyac\u0131n\u0131 sa\u011flar. E\u011fer kortizon &uuml;retimi normal ihtiyac\u0131n &uuml;zerinde olursa bu hormonu ilgilendiren Cushing sendromu geli\u015febilir.<\/span><\/span><\/span><br \/>\n&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\"><strong>Kortizon i&ccedil;eren ila&ccedil;lara dikkat<\/strong><\/span><\/span><\/span><\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Baz\u0131 hastal\u0131klarda kullan\u0131lan kortizon ila&ccedil;lar\u0131 da Cushing sendromuna neden olabilir. &Ouml;rne\u011fin anevrizmalarda beyin &ouml;demine kar\u015f\u0131, bir&ccedil;ok kanser tedavisinde kemoterapi protolllerinde; yaralar\u0131n iyile\u015fmesinde ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n bask\u0131lanmas\u0131 isteniyorsa, ast\u0131m gibi hastal\u0131klar\u0131n tedavilerinde kortizon ila&ccedil;lar\u0131 kullan\u0131labilir. Tedavi ama&ccedil;l\u0131 kullan\u0131lan kortizon ila&ccedil;lar\u0131n\u0131n Cushing sendromuna neden olmas\u0131 i&ccedil;in uzun s&uuml;re ve genellikle y&uuml;ksek dozda al\u0131nmas\u0131 gerekti\u011fi unutulmamal\u0131d\u0131r.<\/span><\/span><\/span><br \/>\n&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\"><strong>Baz\u0131 kanser h&uuml;creleri de hormon salg\u0131layabilir<\/strong><\/span><\/span><\/span><\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Bu hastal\u0131k s\u0131kl\u0131kla beyindeki hipofiz bezinin ACTH hormonunu fazla salg\u0131lanmas\u0131 sonucu geli\u015fir. Akci\u011fer, mide, ba\u011f\u0131rsak sistemi gibi yerleri tutan baz\u0131 kanser h&uuml;creleri asl\u0131nda salg\u0131lamamas\u0131 gereken hormonlar\u0131 salg\u0131layabilir. Bunlar beklenmeyen hormon ve molek&uuml;lleri salg\u0131layan t&uuml;m&ouml;r h&uuml;creleri olabilir. ACTH yani b&ouml;brek &uuml;st&uuml; bezine kortizon salg\u0131latan esas hormon b&ouml;yle bir odaktan kolayca salg\u0131lanabilir.<\/span><\/span><\/span><br \/>\n&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\"><strong>&Ccedil;ocuklarda da g&ouml;r&uuml;lebiliyor<\/strong><\/span><\/span><\/span><\/p>\n<p><span style=\"font-family:tahoma,geneva,sans-serif\"><span style=\"font-size:22px\"><span style=\"color:#000000\">Cushing sendromunun tan\u0131s\u0131 i&ccedil;in &ouml;ncelikle kortizon hormonunun fazla olmas\u0131na neden olan etmenler sorgulan\u0131r. Listenin ba\u015f\u0131nda da hastalar\u0131n kulland\u0131\u011f\u0131 ila&ccedil;lar gelir. Kesin tan\u0131 i&ccedil;in kortizon ve ACHT hormonlar\u0131 kontrol edilir. E\u011fer hormon oranlar\u0131nda anormal bir y&uuml;kseklik belirlenirse bunun ge&ccedil;ici bir durup olup olmad\u0131\u011f\u0131 kontrol edilir. Kortizon hormonunun nereden salg\u0131land\u0131\u011f\u0131n\u0131 bulmak i&ccedil;in ayr\u0131ca test ve &ccedil;e\u015fitli g&ouml;r&uuml;nt&uuml;leme y&ouml;ntemlerinden de faydalan\u0131l\u0131r. S\u0131kl\u0131kla diyabet gibi toplumda s\u0131k g&ouml;r&uuml;len hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131lan Cushing sendromu &ccedil;ocuklar dahil herkeste g&ouml;r&uuml;lebilir. N&uuml;ksedebilen bir hastal\u0131k oldu\u011fu i&ccedil;in fizyolojik ve patofizyolojik nedenler iyice irdelendikten sonra tedavinin ba\u015flamas\u0131 gerekir.&nbsp;<\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>G&ouml;vde \u015fi\u015fmanlarken kollar ve bacaklar\u0131n incelmesi, kollarda ve bacaklarda olu\u015fan mor renkteki izler &ldquo;Cushing Sendromu&rdquo;nun en temel belirtileri aras\u0131nda yer al\u0131yor. Her sa\u011fl\u0131kl\u0131 v&uuml;cutta bulunan kortizon hormonunun; olmas\u0131 gerekenden fazla, kontrol d\u0131\u015f\u0131 y&uuml;kselmesi sonucu geli\u015fen bu sendromun erken tan\u0131 ve tedavisi &ouml;nem ta\u015f\u0131yor. Memorial \u015ei\u015fli Hastanesi Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 B&ouml;l&uuml;m&uuml;&#39;nden Prof. Dr. Ay\u015fe &Ccedil;\u0131k\u0131m &hellip;<\/p>\n","protected":false},"author":1,"featured_media":16327,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[14911,3034,6160,5663,14705,3835],"class_list":["post-16325","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-almanizin","tag-cok","tag-kilo","tag-nedeni","tag-olmayabilir","tag-yemek"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/16325","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16325"}],"version-history":[{"count":0,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/16325\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=\/wp\/v2\/media\/16327"}],"wp:attachment":[{"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16325"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}