Hastanemiz Dahili T\u0131p Bilimleri B\u00f6l\u00fcm\u00fc \u0130\u00e7 Hastal\u0131klar\u0131 Anabilim Dal\u0131 Dr. \u00d6\u011fr. \u00dcyesi \u00d6zg\u00fcr K\u0131l\u0131\u00e7, “Son y\u0131llarda aspirin kullan\u0131m\u0131 konusunda toplumda ciddi bir kafa kar\u0131\u015f\u0131kl\u0131\u011f\u0131 oldu\u011funu g\u00f6r\u00fcyoruz. Uzun y\u0131llar boyunca kalp hastal\u0131\u011f\u0131 riski ta\u015f\u0131yan ki\u015filere koruyucu ama\u00e7la d\u00fc\u015f\u00fck doz aspirin kullan\u0131m\u0131 \u00f6nerilirdi. Ancak son y\u0131llarda yap\u0131lan geni\u015f ve g\u00fc\u00e7l\u00fc bilimsel \u00e7al\u0131\u015fmalar, kalp krizi veya inme ge\u00e7irmemi\u015f ki\u015filerde aspirinin koruyucu ama\u00e7la rutin kullan\u0131m\u0131n\u0131n \u00e7o\u011fu zaman beklenen fayday\u0131 sa\u011flamad\u0131\u011f\u0131n\u0131, buna kar\u015f\u0131l\u0131k baz\u0131 \u00f6nemli riskler olu\u015fturabilece\u011fini ortaya koydu. Bu nedenle modern t\u0131p rehberlerinde bu yakla\u015f\u0131m, b\u00fcy\u00fck \u00f6l\u00e7\u00fcde terk edildi.” diye konu\u015ftu.<\/p>\n\n\n\n
Dr. K\u0131l\u0131\u00e7, “Aspirin asl\u0131nda \u00e7ok \u00f6nemli bir ila\u00e7t\u0131r. \u00c7\u00fcnk\u00fc trombosit dedi\u011fimiz p\u0131ht\u0131la\u015fma h\u00fccrelerinin birbirine yap\u0131\u015fmas\u0131n\u0131 engeller. Bu sayede damar i\u00e7inde p\u0131ht\u0131 olu\u015fumunu azalt\u0131r. Bu nedenle kalp krizi ge\u00e7irmi\u015f, stent tak\u0131lm\u0131\u015f veya inme ge\u00e7irmi\u015f hastalarda damarlar\u0131n yeniden t\u0131kanmas\u0131n\u0131 \u00f6nlemek i\u00e7in yayg\u0131n olarak kullan\u0131l\u0131r. Bu durumlarda aspirin ger\u00e7ekten hayat kurtar\u0131c\u0131 bir ila\u00e7t\u0131r. Ancak her ila\u00e7 gibi aspirinin de faydal\u0131 etkilerinin yan\u0131nda yan etkileri vard\u0131r. En \u00f6nemli yan etkilerinden biri, kanama riskidir. \u00d6zellikle mide ve ba\u011f\u0131rsak sisteminde kanamaya neden olabilir. Bazen b\u00fcy\u00fck bir kanama \u015feklinde ortaya \u00e7\u0131kabilir, bazen de fark edilmeyen k\u00fc\u00e7\u00fck kanamalar yaparak zamanla demir eksikli\u011fi anemisine yol a\u00e7abilir. Bu nedenle uzun s\u00fcre aspirin kullanan baz\u0131 hastalar bize halsizlik ve \u00e7abuk yorulma gibi \u015fikayetlerle ba\u015fvurabiliyor. Bu durumlarda hastalarda mide veya ba\u011f\u0131rsak kaynakl\u0131 kanama olup olmad\u0131\u011f\u0131n\u0131 ara\u015ft\u0131rmak i\u00e7in endoskopi ve kolonoskopi gibi tetkikler yapmak zorunda kal\u0131yoruz. \u00c7o\u011fu zaman bu tetkiklerin nedeni, gereksiz yere kullan\u0131lan aspirindir. Bu durum hem hastalar i\u00e7in fiziksel ve psikolojik stres olu\u015fturmakta hem de sa\u011fl\u0131k sistemi a\u00e7\u0131s\u0131ndan gereksiz i\u015f y\u00fck\u00fc ve maliyet yaratmaktad\u0131r.” dedi.<\/p>\n\n\n\n
Pandemide aspirin kullan\u0131m\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 s\u00f6yleyen Dr. K\u0131l\u0131\u00e7, “O d\u00f6nemde baz\u0131 ki\u015filer, COVID-19’un p\u0131ht\u0131la\u015fma riskini art\u0131rabilece\u011fi d\u00fc\u015f\u00fcncesi ile kendi kendilerine aspirin kullanmaya ba\u015flad\u0131lar. Ancak bug\u00fcn geldi\u011fimiz noktada, o d\u00f6nemde ba\u015flanm\u0131\u015f olan aspirinin mutlaka bir uzman doktor taraf\u0131ndan yeniden de\u011ferlendirilmesi gerekir. Gereksiz yere devam edilmesi do\u011fru de\u011fildir. Bir di\u011fer sorun da halk aras\u0131nda ‘bebek aspirini zarars\u0131zd\u0131r’ \u015feklinde yanl\u0131\u015f bir alg\u0131n\u0131n olu\u015fmu\u015f olmas\u0131d\u0131r. Tad\u0131n\u0131n daha ho\u015f olmas\u0131 veya dozunun d\u00fc\u015f\u00fck olmas\u0131, bu ilac\u0131n tamamen zarars\u0131z oldu\u011fu anlam\u0131na gelmez. D\u00fc\u015f\u00fck doz aspirin de ciddi kanamalara neden olabilir. Bu nedenle en \u00f6nemli mesaj \u015fu; aspirin \u00e7ok de\u011ferli bir ila\u00e7t\u0131r ama do\u011fru hastada ve do\u011fru endikasyonla kullan\u0131ld\u0131\u011f\u0131nda faydal\u0131d\u0131r. Ki\u015filerin kendi kendilerine ‘kalp krizi olmas\u0131n’ d\u00fc\u015f\u00fcncesi ile aspirin kullanmalar\u0131 do\u011fru de\u011fildir. Aspirinin ba\u015flanmas\u0131na da kesilmesine de mutlaka ilgili uzman doktor karar vermelidir. Unutulmamal\u0131d\u0131r ki her ila\u00e7 gibi aspirin de hem dost hem d\u00fc\u015fman y\u00fcz\u00fc olan bir ila\u00e7t\u0131r. Do\u011fru kullan\u0131ld\u0131\u011f\u0131nda hayat kurtar\u0131r, yanl\u0131\u015f kullan\u0131ld\u0131\u011f\u0131nda ise ciddi sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7abilir.” diye konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
Hastanemiz Dahili T\u0131p Bilimleri B\u00f6l\u00fcm\u00fc \u0130\u00e7 Hastal\u0131klar\u0131 Anabilim Dal\u0131 Dr. \u00d6\u011fr. \u00dcyesi \u00d6zg\u00fcr K\u0131l\u0131\u00e7, “Son y\u0131llarda aspirin kullan\u0131m\u0131 konusunda toplumda ciddi bir kafa kar\u0131\u015f\u0131kl\u0131\u011f\u0131 oldu\u011funu g\u00f6r\u00fcyoruz. Uzun y\u0131llar boyunca kalp hastal\u0131\u011f\u0131 riski ta\u015f\u0131yan ki\u015filere koruyucu ama\u00e7la d\u00fc\u015f\u00fck doz aspirin kullan\u0131m\u0131 \u00f6nerilirdi. Ancak son y\u0131llarda yap\u0131lan geni\u015f ve g\u00fc\u00e7l\u00fc bilimsel \u00e7al\u0131\u015fmalar, kalp krizi veya inme ge\u00e7irmemi\u015f […]<\/p>\n","protected":false},"author":1,"featured_media":4150,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[647,648],"class_list":["post-4149","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-haberler","tag-dr-ogr-uyesi-ozgur-kilic-cogu-zaman-endoskopi-ve-kolonoskopi-yapilmasinin-nedeni","tag-gereksiz-yere-kullanilan-aspirin"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/posts\/4149","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4149"}],"version-history":[{"count":2,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/posts\/4149\/revisions"}],"predecessor-version":[{"id":4152,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/posts\/4149\/revisions\/4152"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=\/wp\/v2\/media\/4150"}],"wp:attachment":[{"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4149"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4149"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hastane.omu.edu.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}