Karadeniz Teknik \u00dcniversitesi (KT\u00dc) Farabi Hastanesi Kardiyoloji Ana Bilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Merih Kutlu, AA muhabirine, kalp hastal\u0131klar\u0131n\u0131n d\u00fcnyada ve T\u00fcrkiye’de hayat\u0131 tehdit eden en \u00f6nemli sa\u011fl\u0131k sorunu oldu\u011funu s\u00f6yledi.<\/p>\n
D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc verilerine g\u00f6re, d\u00fcnyada y\u0131lda yakla\u015f\u0131k 18 milyon ki\u015finin kalp hastal\u0131klar\u0131na ba\u011fl\u0131 nedenlerle hayat\u0131n\u0131 kaybetti\u011fini ifade eden Kutlu, bu oran\u0131n her ge\u00e7en y\u0131l artt\u0131\u011f\u0131na dikkati \u00e7ekti.<\/p>\n
Kutlu, s\u0131cakl\u0131\u011f\u0131n ve nemin artt\u0131\u011f\u0131 bug\u00fcnlerin kalp hastalar\u0131 i\u00e7in daha b\u00fcy\u00fck risk olu\u015fturdu\u011funu vurgulayarak, “Nem, havan\u0131n hissedilen s\u0131cakl\u0131\u011f\u0131n\u0131 artt\u0131ran bir fakt\u00f6r. Bu nedenle sadece s\u0131cakl\u0131k de\u011fil, nem de \u00e7ok b\u00fcy\u00fck bir \u00f6nem arz ediyor ki b\u00f6lgemizde de nem \u00e7ok y\u00fcksek. Bu nedenle de kalp hastalar\u0131n\u0131n yaz aylar\u0131nda s\u0131cak ve nemli havalarda \u00e7ok daha dikkatli olmas\u0131 gerekiyor.” diye konu\u015ftu.<\/p>\n
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“Yaz aylar\u0131 kalp krizi riskini art\u0131r\u0131yor”<\/h3>\n
Prof. Dr. Kutlu, v\u00fccuttaki do\u011fal klima sisteminin, d\u0131\u015f ortam s\u0131cakl\u0131klar\u0131na kar\u015f\u0131 v\u00fccudun \u0131s\u0131s\u0131n\u0131 sabit tutmaya \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 anlatt\u0131.<\/p>\n
Burada da en \u00f6nemli fakt\u00f6r\u00fcn cildin kan dola\u015f\u0131m\u0131 oldu\u011funa i\u015faret eden Kutlu, \u015fu de\u011ferlendirmede bulundu:<\/p>\n
“Bu do\u011fal klima sistemi nas\u0131l g\u00f6rev yap\u0131yor? So\u011fukta cilt damarlar\u0131 b\u00fcz\u00fc\u015ferek v\u00fccut \u0131s\u0131s\u0131n\u0131n d\u00fc\u015fmesini \u00f6nlemeye \u00e7al\u0131\u015f\u0131rken, tam tersi s\u0131cakta bu kan damarlar\u0131 geni\u015fleyerek, v\u00fccuttan terlemeyle \u0131s\u0131 kayb\u0131n\u0131 art\u0131r\u0131yor. Bunu yaparken de kalp cilde daha \u00e7ok kan g\u00f6nderiyor, bu durumda beyin ve b\u00f6brek gibi organlar\u0131n kanlanmas\u0131 azalabiliyor. Bu durum sa\u011fl\u0131kl\u0131 insanlarda herhangi bir sorun yaratmazken, kalp hastalar\u0131nda risk art\u0131\u015f\u0131na neden oluyor.”<\/p>\n
Kutlu, bu mevsimde kalp krizi riskinin art\u0131rd\u0131\u011f\u0131na dikkati \u00e7ekerek, \u015f\u00f6yle devam etti:<\/p>\n
“Yaz aylar\u0131nda s\u0131cakla birlikte v\u00fccuttan s\u0131v\u0131, mineral ve tuz kayb\u0131 oluyor. Bu da kan\u0131n ak\u0131\u015fkanl\u0131\u011f\u0131n\u0131 azaltarak, p\u0131ht\u0131la\u015fmaya meyli art\u0131r\u0131yor. Ayr\u0131ca b\u00f6brek kan ak\u0131m\u0131n\u0131n azalmas\u0131 ile b\u00f6brek \u00fcst\u00fc bezlerinden salg\u0131lanan baz\u0131 hormonlar hem kan bas\u0131nc\u0131n\u0131 artt\u0131rarak hem de kalp damarlar\u0131nda vazospazm dedi\u011fimiz b\u00fcz\u00fc\u015fmelere neden olarak kalp krizi riskini de beraberinde getirebiliyor.”<\/p>\n
S\u0131ca\u011f\u0131n kalp yetmezli\u011fi riskini de art\u0131rd\u0131\u011f\u0131n\u0131 belirten Kutlu, “Kalp cilde daha \u00e7ok kan g\u00f6ndermek i\u00e7in daha fazla \u00e7al\u0131\u015ft\u0131\u011f\u0131nda, zaten temelde fonksiyonlar\u0131 bozuk olan kalp, bu durumdan daha \u00e7ok etkileniyor ve bunun sonucunda da kalp yetmezli\u011fi hastalar\u0131nda risk art\u0131yor.” dedi.<\/p>\n
“Kalp hastalar\u0131 su i\u00e7mek i\u00e7in susamay\u0131 beklememeli”<\/h3>\n
Kutlu, kalp hastalar\u0131n\u0131n yaz\u0131n bol su i\u00e7meye \u00f6zen g\u00f6stermeleri gerekti\u011fini vurgulayarak, “Kalp hastalar\u0131 ortalama 2-2,5 litre su t\u00fcketmeli, su i\u00e7mek i\u00e7in susamay\u0131 beklememelidir. Alkol t\u00fcketimine \u00e7ok dikkat etmeleri laz\u0131m. G\u00fcne\u015f yani s\u0131cak alkolle iyi ge\u00e7inemez ve kalp hastalar\u0131 i\u00e7in risk olu\u015fturur.” diye konu\u015ftu.<\/p>\n
Kalp hastalar\u0131n\u0131n g\u00fcne\u015fin tepeden vurdu\u011fu 11.00-16.00 saatleri aras\u0131nda d\u0131\u015far\u0131 \u00e7\u0131kmamas\u0131n\u0131n \u00f6nemli oldu\u011funu dile getiren Kutlu, \u015funlar\u0131 kaydetti:<\/p>\n
“Kalp hastalar\u0131na s\u0131cak, nemli ve g\u00fcne\u015fli havalarda \u015fapka, g\u00f6zl\u00fck ya da \u015femsiye kullanmalar\u0131n\u0131, bol, a\u00e7\u0131k renkli, pamuklu ya da merserize k\u0131yafetler giymelerini \u00f6neriyorum. Ayr\u0131ca soda ve maden suyu t\u00fcketiminde dikkatli olmalar\u0131 gerekiyor. \u00c7\u00fcnk\u00fc soda ya da maden suyu, i\u00e7inde tuzu bar\u0131nd\u0131r\u0131yor ve bu tuz e\u011fer kontrols\u00fcz t\u00fcketim olursa tansiyon y\u00fcksekliklerine neden olabiliyor. A\u011f\u0131r yemeklerden, k\u0131zartmalardan, ya\u011fl\u0131 g\u0131dalardan, sucuk, salam ya da fast food tarz\u0131 g\u0131dalardan uzak durulmas\u0131 \u00e7ok \u00f6nemli. Meyve, sebze a\u011f\u0131rl\u0131kl\u0131 beslenmeye a\u011f\u0131rl\u0131k verilmesini tavsiye ediyorum.”<\/p>\n
“Kalp hastalar\u0131n\u0131n direkt kliman\u0131n kar\u015f\u0131s\u0131nda bulunmamalar\u0131 \u00f6nemli”<\/h3>\n
Prof. Dr. Kutlu, kalp hastalar\u0131na kumsalda g\u00fcne\u015flenmemeleri \u00f6nerisinde de bulunarak, “Denize girdiklerinde a\u00e7\u0131\u011fa do\u011fru de\u011fil, denize paralel olarak y\u00fczmelerinin \u00e7ok \u00f6nemli oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorum. \u00c7\u00fcnk\u00fc bu durum kalp krizi ge\u00e7irdi\u011finde di\u011fer insanlar\u0131n m\u00fcdahale edebilmesini ve hasta hayat\u0131n\u0131n kurtar\u0131lma \u015fans\u0131n\u0131 art\u0131r\u0131yor.” ifadesini kulland\u0131.<\/p>\n
Klimal\u0131 ortamlar\u0131n riskine i\u015faret eden Kutlu, “Kalp hastalar\u0131n\u0131n s\u0131caktan birden \u0131s\u0131n\u0131n \u00e7ok d\u00fc\u015f\u00fck oldu\u011fu klimal\u0131 ortamlara girmemeleri ya da kliman\u0131n kar\u015f\u0131s\u0131nda direkt olarak bulunmamalar\u0131 \u00f6nemli. S\u0131caktan so\u011fu\u011fa ge\u00e7me, kalp damarlar\u0131nda b\u00fcz\u00fc\u015fmeye neden olarak, kalp krizi riskini art\u0131rabiliyor.” dedi.<\/p>\n
Kutlu, kalp yetmezli\u011fi hastalar\u0131na idrar s\u00f6kt\u00fcr\u00fcc\u00fc ila\u00e7lar verildi\u011fini belirterek, \u015fu de\u011ferlendirmede bulundu:<\/p>\n
“S\u0131cakta v\u00fccut terlemeyle s\u0131v\u0131 kaybetti\u011fi i\u00e7in idrar s\u00f6kt\u00fcr\u00fcc\u00fc ila\u00e7lar hastan\u0131n durumunu bozabilir. Bu durumda hekimlerinden mutlaka destek alarak ila\u00e7lar\u0131n\u0131n dozlar\u0131n\u0131n yeniden ayarlanmas\u0131 gerekebilir. Tansiyon ilac\u0131 kullanan hastalar\u0131n mutlaka hekimleriyle irtibat halinde olmalar\u0131n\u0131 \u00f6neriyorum. \u00d6zellikle koroner arter hastalar\u0131 d\u0131\u015f ortam \u00e7ok s\u0131cakken birden so\u011fuk havuz ya da denize girmemeli, egzersiz yapacaklar\u0131 zaman sabah ya da ak\u015fam saatlerini tercih etmeliler. Tok karn\u0131na olmas\u0131nlar. G\u00fcne\u015fin tepeden vurdu\u011fu saatlerde d\u0131\u015far\u0131ya \u00e7\u0131kmas\u0131nlar ve tatile \u00e7\u0131kmadan mutlaka hekim kontrol\u00fcn\u00fc yapt\u0131rs\u0131nlar.”<\/p>\n