{"id":36451,"date":"2026-09-29T12:18:28","date_gmt":"2026-09-29T09:18:28","guid":{"rendered":"https:\/\/akdenizolay.com.tr\/index.php\/2026\/09\/29\/nefes-darligi-yasliliktan-saniliyor-oysa\/"},"modified":"2026-09-29T12:18:29","modified_gmt":"2026-09-29T09:18:29","slug":"nefes-darligi-yasliliktan-saniliyor-oysa","status":"publish","type":"post","link":"https:\/\/akdenizolay.com.tr\/index.php\/2026\/09\/29\/nefes-darligi-yasliliktan-saniliyor-oysa\/","title":{"rendered":"Nefes darl\u0131\u011f\u0131 \u2018ya\u015fl\u0131l\u0131ktan\u2019 san\u0131l\u0131yor, oysa!"},"content":{"rendered":"<p> Son y\u0131llarda kalp kapa\u011f\u0131 hastal\u0131klar\u0131n\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 art\u0131yor. Ge\u00e7mi\u015fte \u00e7o\u011funlukla 65 ya\u015f \u00fczerinde ihtiya\u00e7 duyulan kalp kapa\u011f\u0131 de\u011fi\u015fimi, art\u0131k gen\u00e7 ya\u015fta da gerekli olabiliyor. Ac\u0131badem Bak\u0131rk\u00f6y Hastanesi Kardiyoloji Uzman\u0131 Do\u00e7. Dr. Onur Ta\u015far \u201cD\u00fcnya genelinde ve \u00fclkemizde kalp kapa\u011f\u0131 hastal\u0131klar\u0131n\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n artmas\u0131nda en temel fakt\u00f6rler, modern t\u0131p teknolojileri sayesinde ya\u015fam s\u00fcresinin uzamas\u0131 ve ya\u015fl\u0131 n\u00fcfusun artmas\u0131n\u0131n yan\u0131 s\u0131ra modern ya\u015fam\u0131n getirdi\u011fi baz\u0131 zararl\u0131 al\u0131\u015fkanl\u0131klard\u0131r. Bu zararl\u0131 al\u0131\u015fkanl\u0131klar kalp kapaklar\u0131n\u0131n yap\u0131s\u0131n\u0131 do\u011frudan olumsuz etkilemektedir\u201d diyor. \u00a0<\/p>\n<p>Kalp kapa\u011f\u0131 hastal\u0131\u011f\u0131nda en s\u0131k g\u00f6r\u00fclen belirtileri; \u00f6zellikle y\u00fcr\u00fcrken, merdiven \u00e7\u0131karken veya bir fiziksel aktivite esnas\u0131nda ba\u015flay\u0131p dinlenince ge\u00e7en nefes darl\u0131\u011f\u0131, \u00e7abuk yorulma, halsizlik, kalp \u00e7arp\u0131nt\u0131s\u0131, fiziksel aktivite s\u0131ras\u0131nda eforla gelen ve dinlenmekle ge\u00e7en g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, ba\u015f d\u00f6nmesi, bay\u0131lma ve bacaklarda \u00f6dem (\u015fi\u015flik) olarak s\u0131ralayan Do\u00e7. Dr. Ta\u015far, bu durumda mutlaka kardiyoloji uzman\u0131na ba\u015fvurulmas\u0131 gerekti\u011fini vurguluyor.\u00a0<\/p>\n<p>Do\u00e7. Dr. Onur Ta\u015far, kalp kapaklar\u0131na zarar veren 6 hatal\u0131 al\u0131\u015fkanl\u0131\u011f\u0131 ve tedavide ameliyats\u0131z d\u00f6nemi anlatt\u0131, \u00f6nemli uyar\u0131lar ve \u00f6nerilerde bulundu. \u00a0<\/p>\n<ul>\n<li>Sigara<\/li>\n<\/ul>\n<p>Damar duvarlar\u0131na zarar vererek kire\u00e7lenmeyi h\u0131zland\u0131r\u0131r. \u00d6zellikle aort kapa\u011f\u0131n\u0131n daralmas\u0131nda ve sertle\u015fmesinde en b\u00fcy\u00fck tetikleyicilerden biridir.<\/p>\n<ul>\n<li>Yetersiz a\u011f\u0131z ve di\u015f hijyeni<\/li>\n<\/ul>\n<p>D\u00fczenli f\u0131r\u00e7alanmayan di\u015fler ve di\u015f eti enfeksiyonlar\u0131, bakterilerin kana kar\u0131\u015fmas\u0131na yol a\u00e7ar. Bu bakteriler do\u011frudan kalp kapak\u00e7\u0131klar\u0131na yap\u0131\u015farak \u00f6l\u00fcmc\u00fcl olabilen enfektif endokardit (kalp kapa\u011f\u0131 iltihab\u0131) hastal\u0131\u011f\u0131na neden olabilir.<\/p>\n<ul>\n<li>K\u00f6t\u00fc beslenme ve y\u00fcksek kolesterol<\/li>\n<\/ul>\n<p>Doymu\u015f ya\u011f ve i\u015flenmi\u015f g\u0131dalardan zengin beslenmek, damarlarda oldu\u011fu gibi kalp kapaklar\u0131nda da lipid (ya\u011f) birikimine ve erken kire\u00e7lenmeye yol a\u00e7ar.<\/p>\n<ul>\n<li>Hareketsiz (sedanter) ya\u015fam<\/li>\n<\/ul>\n<p>D\u00fczenli egzersiz yapmamak; obezite, diyabet ve y\u00fcksek tansiyona zemin haz\u0131rlar. Bu kronik hastal\u0131klar kalp kapaklar\u0131na binen mekanik y\u00fck\u00fc ve stresi art\u0131rarak yap\u0131lar\u0131n\u0131 bozar.<\/p>\n<ul>\n<li>Bo\u011faz enfeksiyonlar\u0131n\u0131 ihmal etmek<\/li>\n<\/ul>\n<p>\u00d6zellikle \u00e7ocukluk ve gen\u00e7lik d\u00f6neminde geli\u015fen beta mikrobu (A grubu streptokok) enfeksiyonlar\u0131n\u0131n hekim kontrol\u00fcnde antibiyotikle tedavi edilmemesi, ilerleyen y\u0131llarda romatizmal kalp kapa\u011f\u0131 hastal\u0131\u011f\u0131na d\u00f6n\u00fc\u015f\u00fcr.<\/p>\n<ul>\n<li>A\u015f\u0131r\u0131 tuz t\u00fcketimi<\/li>\n<\/ul>\n<p>Y\u00fcksek tansiyona (hipertansiyona) neden olur. Kontrols\u00fcz y\u00fcksek tansiyon, sol kar\u0131nc\u0131k i\u00e7indeki bas\u0131nc\u0131 art\u0131rarak aort kapa\u011f\u0131n\u0131 ve mitral kapa\u011f\u0131 s\u00fcrekli zorlar, erken y\u0131pranmalar\u0131na ve ka\u00e7\u0131rmalar\u0131na yol a\u00e7ar.<\/p>\n<p>xxxxxxx Kutu Bilgisi xxxxxxxxx<\/p>\n<p>Ameliyats\u0131z y\u00f6ntemler b\u00fcy\u00fck avantaj sa\u011fl\u0131yor<\/p>\n<p>Kardiyoloji Uzman\u0131 Do\u00e7. Dr. Onur Ta\u015far, g\u00fcn\u00fcm\u00fczde a\u00e7\u0131k kalp ameliyat\u0131na alternatif olarak, g\u00f6\u011f\u00fcs kafesi a\u00e7\u0131lmadan ve genellikle kas\u0131k damarlar\u0131ndan girilerek ger\u00e7ekle\u015ftirilen modern tedavi y\u00f6ntemlerinin, hastalar\u0131n komplikasyon riski d\u00fc\u015f\u00fck, konforlu ve h\u0131zl\u0131 iyile\u015fme s\u00fcreci ge\u00e7irmelerini sa\u011flad\u0131\u011f\u0131n\u0131 vurguluyor. \u0130\u015flemden sonra genellikle tedbir ama\u00e7l\u0131 bir-iki gece g\u00f6zlem alt\u0131nda tutulan hasta, iki veya \u00fc\u00e7\u00fcnc\u00fc g\u00fcn y\u00fcr\u00fcyerek taburcu olabiliyor. A\u00e7\u0131k ameliyatlardaki gibi aylarca s\u0131rt\u00fcst\u00fc yatma veya korse takma zorunlulu\u011fu olmad\u0131\u011f\u0131n\u0131, evde bir-iki hafta s\u00fcren iyile\u015fme d\u00f6neminde ki\u015fisel ihtiya\u00e7lar\u0131n\u0131 rahat\u00e7a kar\u015f\u0131layabildiklerini belirten Do\u00e7. Dr. Ta\u015far, bu s\u00fcre\u00e7te doktorun \u00f6nerilerinin uygulanmas\u0131na dikkat edilmesi gerekti\u011fini vurguluyor. \u00a0<\/p>\n<p>xxxxxxx Kutu Bilgisi xxxxxxxxx<\/p>\n<p>Modern giri\u015fimsel tedavi y\u00f6ntemleri<\/p>\n<p>Do\u00e7. Dr. Onur Ta\u015far, kalp kapa\u011f\u0131 tedavisinde uygulanan giri\u015fimsel y\u00f6ntemleri \u015f\u00f6yle a\u00e7\u0131kl\u0131yor;\u00a0<\/p>\n<ul>\n<li>TAVI: Kas\u0131k atardamar\u0131ndan girilerek daralm\u0131\u015f aort kapa\u011f\u0131na biyoprotez kapak yerle\u015ftirilmesidir.\u00a0<\/li>\n<li>MitraClip: Ciddi mitral kapak yetmezli\u011finde, kas\u0131k toplardamar\u0131ndan girilerek kapak\u00e7\u0131klar\u0131n klipsle birbirine tutturulmas\u0131d\u0131r. \u00a0<\/li>\n<li>TMVR (Transkateter Mitral Kapak Replasman\u0131): Mitral kapa\u011f\u0131n kateterle de\u011fi\u015ftirilmesidir. Daha \u00f6nce biyolojik kapak tak\u0131lm\u0131\u015f hastalarda, yeni kapa\u011f\u0131n eski kapa\u011f\u0131n i\u00e7ine yerle\u015ftirilmesi \u015feklinde uygulanabilir.\u00a0<\/li>\n<li>Balon Valv\u00fcloplasti: Daralm\u0131\u015f kapa\u011f\u0131n (\u00f6zellikle mitral kapa\u011f\u0131n) kas\u0131ktan g\u00f6nderilen balonun \u015fi\u015firilmesiyle geni\u015fletilmesidir.<\/li>\n<\/ul>\n<ul>\n<li>Transkateter Bicaval Kapak Replasman\u0131 (Tricvalve): \u0130leri derecede trik\u00fcspit kapak yetmezli\u011finde, \u00fcst ve alt ana toplardamarlar\u0131n kalbe giri\u015fine biyoprotez kapak yerle\u015ftirilmesidir.\u00a0<\/li>\n<li>\u00a0TriClip: Ciddi trikuspit kapak yetmezli\u011finde, kas\u0131k toplardamar\u0131ndan girilerek kapak\u00e7\u0131klar\u0131n birbirine bir mandal yard\u0131m\u0131yla tutturulmas\u0131d\u0131r.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p>Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Son y\u0131llarda kalp kapa\u011f\u0131 hastal\u0131klar\u0131n\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 art\u0131yor.<\/p>\n","protected":false},"author":1,"featured_media":36452,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23],"tags":[],"class_list":["post-36451","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/36451","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=36451"}],"version-history":[{"count":1,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/36451\/revisions"}],"predecessor-version":[{"id":36453,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/36451\/revisions\/36453"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/media\/36452"}],"wp:attachment":[{"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=36451"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=36451"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizolay.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=36451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}