Erciyes \u00dcniversitesi (ER\u00dc) T\u0131p Fak\u00fcltesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Ana Bilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. \u0130nci G\u00fclmez, sigaray\u0131 b\u0131rakmak isteyen baz\u0131 ki\u015filerin kulland\u0131\u011f\u0131 nikotin band\u0131n\u0131n do\u011fru yere yap\u0131\u015ft\u0131r\u0131lmas\u0131 gerekti\u011fini belirterek “Kalp damar hastal\u0131\u011f\u0131 olan biri nikotin band\u0131n\u0131 kalp \u00fczerine sol g\u00f6\u011fs\u00fcne yap\u0131\u015ft\u0131r\u0131rsa kalp krizi ge\u00e7irme riski olabilir hatta kalp damar hastal\u0131\u011f\u0131 olmasa bile bant, sol g\u00f6\u011f\u00fcs \u00fczerine yap\u0131\u015ft\u0131r\u0131lmamal\u0131. Genellikle t\u00fcys\u00fcz bir yere, sa\u011f omuza yap\u0131\u015ft\u0131r\u0131lmas\u0131n\u0131 \u00f6neririz.” dedi.<\/p>\n
G\u00fclmez, AA muhabirine, nikotinin beyinde ba\u011f\u0131ml\u0131l\u0131k yapan bir madde oldu\u011funu s\u00f6yledi.<\/p>\n
![\"\"](\"https:\/\/www.aa.com.tr\/uploads\/userFiles\/9c85db40-ef31-40fe-a989-05c7e506d5d0\/11_2023%2F09112023%2Fgulmez_.jpg\"\/)
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Sigaray\u0131 b\u0131rakabilmek i\u00e7in nikotin ba\u011f\u0131ml\u0131l\u0131\u011f\u0131ndan kurtulmak gerekti\u011fini dile getiren G\u00fclmez, “Nikotin replasman (yerine koyma) tedavisi ba\u015fta olmak \u00fczere farkl\u0131 \u015fekilde sigaray\u0131 b\u0131rakma y\u00f6ntemleri var. Bunlar, nikotin bantlar\u0131, nazal spreyleri, a\u011f\u0131z spreyleri, pastil ve nikotin sak\u0131z\u0131 gibi.” diye konu\u015ftu.<\/p>\n
Sigara b\u0131rakma poliklini\u011fine gelenlerin \u00f6nce ba\u011f\u0131ml\u0131l\u0131k de\u011ferine bakt\u0131klar\u0131n\u0131 anlatan G\u00fclmez, “Sigara ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 \u00e7ok y\u00fcksekse, mesela uyand\u0131ktan sonra ilk 30 dakika i\u00e7inde sigara i\u00e7meyi can\u0131 istiyorsa ve bulunduklar\u0131 kapal\u0131 ortamda da sigara i\u00e7me ihtiya\u00e7lar\u0131 varsa bu ki\u015filerde y\u00fcksek sigara ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 var demektir.” ifadesini kulland\u0131.<\/p>\n
G\u00fclmez, nikotin sak\u0131z\u0131 \u00e7i\u011fneyen bir ki\u015finin a\u011f\u0131z mukozas\u0131nda tahri\u015f ortaya \u00e7\u0131kabilece\u011fini, dilde yara olu\u015fabilece\u011fini belirterek bunlara maruz kalmamak i\u00e7in nikotin ba\u011f\u0131ml\u0131l\u0131\u011f\u0131ndan kurtulmak gerekti\u011fini s\u00f6yledi.<\/p>\n
“\u00c7ok nadir olarak alerjik reaksiyonlar g\u00f6r\u00fclebiliyor”<\/h3>\n
Bant tedavisinde de yanl\u0131\u015f kullan\u0131m\u0131n baz\u0131 hastal\u0131klar\u0131 tetikleyebilece\u011fini anlatan G\u00fclmez \u015funlar\u0131 kaydetti:<\/p>\n
“Bant tedavisinde baz\u0131 yan etkiler vard\u0131r. Cildimize bant yap\u0131\u015f\u0131yor, yap\u0131\u015ft\u0131\u011f\u0131 yerde kontakt dermatitiniz (alerji) varsa bunu art\u0131rabiliyor. \u00c7ok nadir olarak alerjik reaksiyonlar g\u00f6r\u00fclebiliyor ayr\u0131ca hipertansiyon olan ki\u015filerde nikotin, vazokonstriksiyon (kan damarlar\u0131nda daralma) yapt\u0131\u011f\u0131 i\u00e7in tansiyon kontrolden \u00e7\u0131k\u0131labiliyor. Tansiyon kontrol\u00fc olmayabiliyor. Tansiyonu daha da y\u00fckseltebiliyor.”<\/p>\n
Nikotin band\u0131n\u0131n do\u011fru yere yap\u0131\u015ft\u0131r\u0131lmas\u0131 gerekti\u011fini bildiren G\u00fclmez \u015funlar\u0131 s\u00f6yledi:<\/p>\n
“Kalp damar hastal\u0131\u011f\u0131 olan biri nikotin band\u0131n\u0131 kalp \u00fczerine sol g\u00f6\u011fs\u00fcne yap\u0131\u015ft\u0131r\u0131rsa kalp krizi ge\u00e7irme riski olabilir hatta kalp damar hastal\u0131\u011f\u0131 olmasa bile bant, sol g\u00f6\u011f\u00fcs \u00fczerine yap\u0131\u015ft\u0131r\u0131lmamal\u0131. Genellikle t\u00fcys\u00fcz bir yere, sa\u011f omuza yap\u0131\u015ft\u0131r\u0131lmas\u0131n\u0131 \u00f6neririz \u00e7\u00fcnk\u00fc lokal emildi\u011fi i\u00e7in burada kalp damarlar\u0131nda daralmaya neden oluyor. Buna ba\u011fl\u0131 olarak da kalp krizine yol a\u00e7abilmektedir. Bunun i\u00e7in de yine kontakt dermatiti azaltabilmek i\u00e7in genellikle t\u00fcys\u00fcz sa\u011f omuzdan flasterleri yap\u0131\u015ft\u0131rabiliyoruz. Genellikle yer de\u011fi\u015ftirmek kayd\u0131yla bir g\u00fcn sa\u011f omuza, di\u011fer g\u00fcn sol omuza, ertesi g\u00fcn kal\u00e7aya olmak \u00fczere flasterleri yap\u0131\u015ft\u0131rabiliyoruz. Bir sak\u0131zla 2 miligram kadar nikotin verilir. Bir sigarada da yakla\u015f\u0131k 1,5 miligram nikotin var. Dolay\u0131s\u0131yla nikotin sak\u0131zlar\u0131 \u00f6zellikle sigara ihtiyac\u0131 \u00e7ok oldu\u011fu zaman bunu gidermek i\u00e7in kullan\u0131l\u0131r.”<\/p>\n