{"id":307,"date":"2019-08-22T12:17:37","date_gmt":"2019-08-22T12:17:37","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?post_type=portfolio&#038;p=307"},"modified":"2021-05-19T19:54:42","modified_gmt":"2021-05-19T19:54:42","slug":"karaciger-hastaliklari","status":"publish","type":"portfolio","link":"https:\/\/turkeyistanbulmedical.com\/tr\/portfolio\/karaciger-hastaliklari\/","title":{"rendered":"Karaci\u011fer Hastal\u0131klar\u0131"},"content":{"rendered":"<h2 id=\"Karaci\u011fer_Ya\u011flanmas\u0131\" class=\"anchor-title\"><strong>Karaci\u011fer Ya\u011flanmas\u0131 <\/strong><\/h2>\n<p>Karaci\u011fer ya\u011flanmas\u0131, karaci\u011fer h\u00fccrelerinde \u00e7e\u015fitli nedenlerden dolay\u0131 fazla ya\u011f birikmesiyle olu\u015fur ve tedavi edilmezse ciddi sonu\u00e7lar do\u011furur. Karaci\u011fer ya\u011flanmas\u0131 tedavisinde erken te\u015fhis \u00e7ok \u00f6nemlidir. Karaci\u011fer ya\u011flanmas\u0131 belirtileri g\u00f6r\u00fcld\u00fc\u011f\u00fc takdirde doktora ba\u015fvurulmal\u0131 ve karaci\u011fer ya\u011flanmas\u0131 tedavilerine derhal ba\u015flanmal\u0131d\u0131r.<\/p>\n<p><img class=\"alignnone size-full wp-image-2848\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Karaci\u011fer-ya\u011flanmas\u0131.jpg\" alt=\"Karaci\u011fer Ya\u011flanmas\u0131\" width=\"640\" height=\"336\" \/><\/p>\n<h3><strong><a href=\"https:\/\/turkeyistanbulmedical.com\/tr\/\">Karaci\u011fer Ya\u011flanmas\u0131<\/a> Nedir?<\/strong><\/h3>\n<p>Karaci\u011feriniz di\u011fer t\u00fcm h\u00fccreleriniz gibi ya\u011f \u00fcretir ve depolar. Bu \u00fcretim olduk\u00e7a s\u0131n\u0131rl\u0131d\u0131r ve toplamda karaci\u011fer dokunuzun %3-5\u2019i ya\u011flardan olu\u015fur.<\/p>\n<p>Karaci\u011feriniz bu ya\u011f \u00fcretimini ve depolamay\u0131 \u00e7e\u015fitli sebeplerle artt\u0131r\u0131rsa karaci\u011fer h\u00fccrelerinizde k\u00fc\u00e7\u00fck ya\u011f kesecikleri olu\u015fmaya ba\u015flar. Bu durum ba\u015flang\u0131\u00e7 olarak sadece basit bulgular verse de ileri d\u00f6nemlerde h\u00fccre i\u00e7inde a\u015f\u0131r\u0131 miktarda biriken bu keseler yap\u0131ya zarar verir ve geri d\u00f6n\u00fc\u015f\u00fc olmayan karaci\u011fer hasar\u0131na neden olur.<\/p>\n<h3><strong>Karaci\u011fer Ya\u011flanmas\u0131n\u0131n Nedenleri<\/strong><\/h3>\n<ul>\n<li>Obezite karaci\u011fer ya\u011flanmas\u0131n\u0131n as\u0131l sorumlular\u0131ndan biri.<\/li>\n<li>Ayr\u0131ca obezite ile beraber artan inflamasyon (iltihap) h\u00fccreleri karaci\u011fer d\u00fczeyinde a\u00e7\u0131k olmayan bir mekanizma ile ya\u011f depolanmas\u0131n\u0131 artt\u0131rmakta.<\/li>\n<li>Obezitenin en \u00f6nemli sebeplerinden birka\u00e7\u0131 ayn\u0131 zamanda karaci\u011fer ya\u011flanmas\u0131na da sebep olur. A\u015f\u0131r\u0131 kalori al\u0131m\u0131 esas olarak t\u00fcm v\u00fccut h\u00fccrelerinde ya\u011f \u00fcretimini artt\u0131r\u0131r.<\/li>\n<li>Ayr\u0131ca karbonhidrat al\u0131m\u0131 \u00f6zellikle karbonhidrat metabolizmas\u0131n\u0131n ba\u015fkenti olan karaci\u011feri yak\u0131ndan etkiler.<\/li>\n<li>Ayr\u0131ca basit karbonhidratlar v\u00fccutta inflamasyonun art\u0131\u015f\u0131na sebep olur.<\/li>\n<li>\u0130ns\u00fclin direnci karaci\u011fer ya\u011flanmas\u0131 i\u00e7in bir di\u011fer risk fakt\u00f6r\u00fc. \u0130ns\u00fclin direnci, kan ins\u00fclin d\u00fczeylerinin y\u00fckselmesine sebep olur.<\/li>\n<\/ul>\n<h3><strong>Karaci\u011fer Ya\u011flanmas\u0131n\u0131n Belirtileri<\/strong><\/h3>\n<p><a href=\"https:\/\/www.medicalpark.com.tr\/karaciger-yaglanmasi\/hg-2121\" target=\"_blank\" rel=\"noopener noreferrer\">Karaci\u011fer ya\u011flanmas\u0131<\/a> basit hasardan, siroza kadar gidebilen bir durum. Bu sebeple bulunulan konuma g\u00f6re belirtilerin ciddiyeti de\u011fi\u015fmekte.<\/p>\n<ul>\n<li>Halsizlik ve yorgunluk<\/li>\n<li>Sa\u011f \u00fcst kadran a\u011fr\u0131s\u0131<\/li>\n<li>Karaci\u011fer enzimlerinde art\u0131\u015f<\/li>\n<\/ul>\n<h3><strong>Karaci\u011fer Ya\u011flanmas\u0131 Te\u015fhisi<\/strong><\/h3>\n<p>Ya\u011fl\u0131 karaci\u011fer ayn\u0131 zamanda hepatik steatoz olarak bilinir ve obezite, hipertansiyon, y\u00fcksek kolesterol ve diyabet ile ili\u015fkilendirilen bir problemdir. Bu hastal\u0131klara sahip olanlar\u0131n neredeyse %80\u2019i ya\u011fl\u0131 karaci\u011fere sahiptir.<\/p>\n<p>Hepatik steatoz ayn\u0131 zamanda a\u015f\u0131r\u0131 alkol t\u00fcketiminden de kaynaklan\u0131yor olabilir.<\/p>\n<h4><strong>Ya\u011fl\u0131 Karaci\u011fer \u015eu Yollarla Fark Edilebilir:<\/strong><\/h4>\n<h3><strong>Ultrasonografi<\/strong><\/h3>\n<p>Hastal\u0131\u011f\u0131n ciddiyet seviyesine ve karaci\u011ferdeki ya\u011f\u0131n miktar\u0131na karar verir.<\/p>\n<h3><strong>Karaci\u011fer biyopsisi<\/strong><\/h3>\n<p>Bu y\u00f6ntem kesin bir tan\u0131 edinmenizi sa\u011flar ve ya\u011fl\u0131 karaci\u011fer bulundurma konusunda y\u00fcksek risk ta\u015f\u0131yan grupta kullan\u0131l\u0131r.<\/p>\n<h3><strong>Laboratuvar testleri<\/strong><\/h3>\n<p>Genelde, bu karaci\u011fer problemini ya\u015fayan hastalar\u0131n testlerinde al\u0131nan sonu\u00e7lar normal insanlar\u0131n sonu\u00e7lar\u0131ndan 2-3 kat daha y\u00fcksektir. Bu problemden muzdarip ki\u015filerin glukoz, kolesterol ve trigliserit seviyeleri y\u00fcksek \u00e7\u0131kar.<\/p>\n<h3><strong>Karaci\u011fer Ya\u011flanmas\u0131 Nas\u0131l Tedavi Edilir?<\/strong><\/h3>\n<p>\u0130nceledi\u011fimiz karaci\u011fer ya\u011flanmas\u0131 tipi ya\u015fam tarz\u0131 ve beslenme ile alakal\u0131 ortaya \u00e7\u0131kmakta. Ayn\u0131 \u015fekilde do\u011fru yakla\u015f\u0131m sa\u011flan\u0131rsa bir\u00e7ok karaci\u011fer ya\u011flanmas\u0131 geri d\u00f6nd\u00fcr\u00fclebilir.<\/p>\n<p>\u00d6zellikle sorun basit ya\u011flanma (iltihab ve ba\u011f dokusu art\u0131\u015f\u0131 yok) a\u015famas\u0131nda iken diyet, egzersiz ve gerekirse ila\u00e7larla \u015fi\u015fmanl\u0131k, hiperlipidemi ve varsa \u015feker hastal\u0131\u011f\u0131 ile gerekti\u011fi gibi m\u00fccadele edilir ve ba\u015far\u0131 sa\u011flan\u0131rsa ya\u011flanma azal\u0131r, hatta kaybolur. Asl\u0131nda sorunun kapsam\u0131 geni\u015ftir ve i\u00e7 hastal\u0131klar\u0131, kardiyoloji, endokrinoloji ve gastroenteroloji uzmanlar\u0131 ile birlikte diyet ve sa\u011fl\u0131kl\u0131 beslenme uzmanlar\u0131n\u0131 da i\u00e7ine alan multidisipliner bir yakla\u015f\u0131m\u0131 gerekli k\u0131lmaktad\u0131r.<\/p>\n<h2 id=\"Siroz\" class=\"anchor-title\"><strong>Siroz<\/strong><\/h2>\n<h3><strong>Siroz Nedir?<\/strong><\/h3>\n<p>Siroz, karaci\u011ferde uzun vadeli hasar\u0131n neden oldu\u011fu kal\u0131c\u0131 bir bozukluktur. Olu\u015fan hasar, karaci\u011ferde skar ad\u0131 verilen ve fonksiyonu olmayan bir doku olu\u015fumuyla sonu\u00e7lan\u0131r. Skar dokusu, kan\u0131n karaci\u011fer i\u00e7erisindeki ak\u0131\u015f\u0131n\u0131 engeller; karaci\u011ferin besinleri, ila\u00e7lar\u0131 ve toksinleri i\u015fleme yetene\u011fini yava\u015flat\u0131r. Siroz, sonunda \u00f6l\u00fcmc\u00fcl olabilen karaci\u011fer yetmezli\u011fine yol a\u00e7abilir.<\/p>\n<p><img class=\"alignnone size-full wp-image-2852\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Siroz.png\" alt=\"Siroz\" width=\"682\" height=\"400\" \/><\/p>\n<h3><strong>Siroz Neden Olur?<\/strong><\/h3>\n<p>\u00c7ok \u00e7e\u015fitli hastal\u0131klar ve ko\u015fullar karaci\u011fere zarar verebilir ve siroza neden olabilir. Sirozun en yayg\u0131n nedenleri:<\/p>\n<ul>\n<li>Uzun y\u0131llar boyunca a\u015f\u0131r\u0131 alkol t\u00fcketmek<\/li>\n<li>Karaci\u011ferin kronik viral iltihab\u0131<\/li>\n<li>Diyabetle ili\u015fkili ya\u011fl\u0131 karaci\u011fer<\/li>\n<li><strong>NASH (Non-alkolik steatohepatit):<\/strong> A\u015f\u0131r\u0131 ya\u011f birikmesi sonucu karaci\u011ferin iltihapland\u0131\u011f\u0131 alkolik olmayan hepatit t\u00fcr\u00fcd\u00fcr.<\/li>\n<li><strong>Hemokromatoz: <\/strong>V\u00fccutta demir birikmesine yol a\u00e7an kal\u0131tsal bir hastal\u0131k<\/li>\n<li><strong>Wilson hastal\u0131\u011f\u0131:<\/strong> Karaci\u011ferde bak\u0131r birikimiyle karakterize ailesel bir hastal\u0131k<\/li>\n<li><strong>Alfa-1 antitripsin eksikli\u011fi:<\/strong> Karaci\u011ferde spesifik bir enzimin yoklu\u011fu<\/li>\n<li>Kal\u0131tsal \u015feker metabolizmas\u0131 bozukluklar\u0131<\/li>\n<li>Genetik sindirim bozuklu\u011fu (Alagille sendromu)<\/li>\n<li>Kistik fibroz<\/li>\n<li>Frengi veya brusella gibi enfeksiyonlar<\/li>\n<li>Karaci\u011fer otoimm\u00fcn hastal\u0131klar\u0131 (v\u00fccudun kendi ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin karaci\u011fer veya safra kanal\u0131 h\u00fccrelerine sald\u0131rd\u0131\u011f\u0131 kronik durumlar)<\/li>\n<li>Metotreksat veya izoniazid gibi baz\u0131 ila\u00e7lar<\/li>\n<li>Safra kanal\u0131n\u0131n t\u0131kanmas\u0131: Safra kanal\u0131, karaci\u011ferde olu\u015fan safray\u0131, ya\u011flar\u0131n sindirimine yard\u0131mc\u0131 olmak \u00fczere ba\u011f\u0131rsaklara ta\u015f\u0131r.<\/li>\n<li>Tekrarlanan kalp krizleri ve kalp yetmezli\u011fi sonucu s\u0131v\u0131n\u0131n karaci\u011fere toplanmas\u0131 ve t\u0131kanmaya neden olmas\u0131<\/li>\n<li>Parasetamol, A vitamini gibi y\u00fcksek dozda al\u0131nd\u0131\u011f\u0131nda karaci\u011fere zarar veren ila\u00e7lar\u0131n a\u015f\u0131r\u0131 miktarda al\u0131m\u0131<\/li>\n<\/ul>\n<h3><strong>Siroz Belirtileri<\/strong><\/h3>\n<ul>\n<li>Yorgunluk<\/li>\n<li>G\u00fc\u00e7s\u00fczl\u00fck<\/li>\n<li>Halsizlik<\/li>\n<li>Bulant\u0131<\/li>\n<li>A\u00e7\u0131klanamayan kilo kayb\u0131 ve i\u015ftahs\u0131zl\u0131k<\/li>\n<\/ul>\n<p><strong>Siroz ilerledik\u00e7e a\u015fa\u011f\u0131daki belirtiler g\u00f6zlemlenebilir;<\/strong><\/p>\n<ul>\n<li>Sar\u0131l\u0131k (Cilt ve g\u00f6zlerde sararma)<\/li>\n<li>Kan kusma<\/li>\n<li>Ciltte ka\u015f\u0131nma<\/li>\n<li>Koyu, \u00e7ay rengi idrar<\/li>\n<li>A\u00e7\u0131k renkli d\u0131\u015fk\u0131<\/li>\n<li>D\u0131\u015fk\u0131da kan<\/li>\n<li>V\u00fccutta kolay kanama<\/li>\n<li>Burun kanamas\u0131<\/li>\n<li>Di\u015f etlerinde kanama ve morarma<\/li>\n<li>Ciltte kolay morarma<\/li>\n<li>Avu\u00e7 i\u00e7lerinde k\u0131zar\u0131kl\u0131k<\/li>\n<li>Bacaklarda a\u011fr\u0131l\u0131 \u00f6dem<\/li>\n<li>Ciltte \u00f6r\u00fcmcek benzeri kan damarlar\u0131 olu\u015fumu<\/li>\n<li>Kar\u0131nda s\u0131v\u0131 toplanmas\u0131 (Asit)<\/li>\n<li>Kad\u0131nlarda adet kanamalar\u0131n\u0131n kesilmesi (menopozla ili\u015fkili olmayan)<\/li>\n<li>Erkeklerde cinsel d\u00fcrt\u00fc kayb\u0131, meme b\u00fcy\u00fcmesi (jinekomasti) ve testislerde k\u00fc\u00e7\u00fclme<\/li>\n<li>Son d\u00f6nemde bilin\u00e7 bulan\u0131kl\u0131\u011f\u0131, uyku ve konu\u015fma bozuklu\u011fu (hepatik ensefalopati)<\/li>\n<\/ul>\n<h3><strong>Sirozun Te\u015fhisi<\/strong><\/h3>\n<p>Doktorunuz sirozdan \u015f\u00fcphelenirse, t\u0131bbi ge\u00e7mi\u015finizi sorgulayacak ve uzun vadeli karaci\u011fer hastal\u0131\u011f\u0131 bulgular\u0131n\u0131n aramak i\u00e7in fizik muayene yapacaklard\u0131r. Te\u015fhisi do\u011frulamak i\u00e7in baz\u0131 testler ve g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri kullan\u0131labilir:<\/p>\n<ul>\n<li>Kan testleri: Karaci\u011fer enzimlerini \u00f6l\u00e7en karaci\u011fer fonksiyon testleri, kan p\u0131ht\u0131la\u015fmas\u0131na y\u00f6nelik testler, albumin d\u00fczeyi (karaci\u011ferde \u00fcretilen bir protein), karaci\u011fer kanser taramas\u0131 i\u00e7in alfa feto protein \u00f6l\u00e7\u00fcm\u00fc<\/li>\n<li>Karaci\u011fer ultrasonografisi<\/li>\n<li>Karn\u0131n manyetik rezonans g\u00f6r\u00fcnt\u00fclemesi<\/li>\n<li>Kar\u0131n tomografisi<\/li>\n<li>Karaci\u011fer biyopsisi (Karaci\u011fer dokusundan ince bir i\u011fne yard\u0131m\u0131yla par\u00e7a al\u0131n\u0131r ve bu doku mikroskop alt\u0131nda incelenir.)<\/li>\n<li>Endoskopi<strong>:<\/strong> Ucunda \u0131\u015f\u0131k ve kamera bulunan ince, esnek t\u00fcp \u015feklindeki cihaz (endoskop) bo\u011faz\u0131n\u0131zdan a\u015fa\u011f\u0131 itilir.<\/li>\n<li>Ultrasonografi, bilgisayarl\u0131 tomografi (BT) ve manyetik rezonans g\u00f6r\u00fcnt\u00fcleme (MRG) sirozu saptama konusunda duyarl\u0131 de\u011fildir ve kesin tan\u0131 halen biyopsiye dayanmaktad\u0131r.<\/li>\n<\/ul>\n<h3><strong>Siroz Tedavisi<\/strong><\/h3>\n<p>Karaci\u011fer nakli d\u0131\u015f\u0131nda sirozun tedavisi yoktur. Siroz yeterince erken te\u015fhis edilirse, altta yatan nedeni veya ortaya \u00e7\u0131kan \u00e7e\u015fitli komplikasyonlar\u0131 tedavi ederek hasar en aza indirgenebilir. Siroz tedavisinde yap\u0131lmas\u0131 gerekenler \u015funlard\u0131r:<\/p>\n<ul>\n<li>Ki\u015fi alkol kullan\u0131yorsa hemen alkol\u00fc b\u0131rakmal\u0131d\u0131r<\/li>\n<li>Hastan\u0131n acilen vitaminlerinin d\u00fc\u015f\u00fck olup olmad\u0131\u011f\u0131na bak\u0131lmal\u0131d\u0131r. Ek vitamin takviyesi yap\u0131lmal\u0131d\u0131r.<\/li>\n<li>Siroz hastal\u0131\u011f\u0131nda y\u00fcksek tansiyon g\u00f6r\u00fclece\u011fi i\u00e7in mutlaka y\u00fcksek tansiyon s\u00fcrekli d\u00fc\u015f\u00fck tutulmal\u0131 ve tansiyon d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar kullan\u0131lmal\u0131d\u0131r.<\/li>\n<li>Kar\u0131n ve bacak \u015fi\u015fmesini giderebilmek amac\u0131yla idrar s\u00f6kt\u00fcr\u00fcc\u00fc \u00f6dem att\u0131r\u0131c\u0131 ila\u00e7lar verilmelidir.<\/li>\n<li>A\u015f\u0131r\u0131 ya\u011fl\u0131 yemeklerden kesinlikle hasta uzak durmal\u0131d\u0131r.<\/li>\n<li>Doktorun \u00f6nermedi\u011fi ila\u00e7lar\u0131n hi\u00e7 birisi kesinlikle kullan\u0131lmamal\u0131d\u0131r.<\/li>\n<\/ul>\n<h2 id=\"Hepatit_B_Sar\u0131l\u0131k\" class=\"anchor-title\"><strong>Hepatit B (Sar\u0131l\u0131k) <\/strong><\/h2>\n<p>Halk aras\u0131nda Hepatit B vir\u00fcs\u00fc sar\u0131l\u0131k olarak da bilinmektedir. Hepatit B vir\u00fcs\u00fc kan yoluyla ya da cinsel temasla bula\u015f\u0131r. Tedavisinin gecikmesi durumunda \u00f6l\u00fcme neden olabilir. Peki, sar\u0131l\u0131k olarak da bilinen Hepatit B nedir? Hepatit B&#8217;nin belirtileri nelerdir, Hepatit B nas\u0131l tedavi edilir sorular\u0131yla ilgili merak edilen detaylar\u0131 sizin i\u00e7in derledik.<\/p>\n<p><img class=\"alignnone size-full wp-image-2856\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Hepatit-B-Sar\u0131l\u0131k.jpg\" alt=\"Hepatit B (Sar\u0131l\u0131k)\" width=\"1823\" height=\"1042\" \/><\/p>\n<h3><strong>Hepatit B&#8217;nin Belirtileri <\/strong><\/h3>\n<p>Hepatit B&#8217;nin belirtileri genelde bula\u015ft\u0131ktan sonra 90 g\u00fcn i\u00e7inde ortaya \u00e7\u0131kmaktad\u0131r. Ancak bu s\u00fcre baz\u0131 zamanlar 6 hafta ile 6 ay s\u00fcre zarf\u0131 aras\u0131nda de\u011fi\u015fmektedir. S\u0131k g\u00f6r\u00fclen Hepatit B belirtileri \u015funlard\u0131r;<\/p>\n<ul>\n<li>\u0130\u015ftahs\u0131zl\u0131k,<\/li>\n<li>Bulant\u0131,<\/li>\n<li>\u0130drar renginde koyula\u015fma,<\/li>\n<li>Ate\u015f,<\/li>\n<li>Kusma,<\/li>\n<li>Halsizlik,<\/li>\n<li>Kilo kayb\u0131,<\/li>\n<li>Kar\u0131n a\u011fr\u0131s\u0131,<\/li>\n<li>Eklem a\u011fr\u0131lar\u0131,<\/li>\n<li>G\u00f6zde sararma,<\/li>\n<li>Ciltte sararma.<\/li>\n<\/ul>\n<h3><strong>Hepatit B&#8217;nin Hangi Yolla Bula\u015f\u0131r?<\/strong><\/h3>\n<ul>\n<li>Cinsel temasla,<\/li>\n<li>Di\u015f f\u0131r\u00e7as\u0131, jilet gibi ortak kullan\u0131lan malzemeler yoluyla,<\/li>\n<li>Kesici alet yaralanmalar\u0131nda kanla temas yoluyla.<\/li>\n<\/ul>\n<h3><strong>Hepatit B \u0130le \u0130lgili \u00d6nemli Bilgiler \u00a0<\/strong><\/h3>\n<ul>\n<li>Hepatit B, karaci\u011fere sald\u0131ran ve hem akut hem de kronik hastal\u0131\u011fa neden olabilen viral bir enfeksiyondur.<\/li>\n<li>Vir\u00fcs, enfekte olmu\u015f bir ki\u015finin kan\u0131 veya di\u011fer v\u00fccut s\u0131v\u0131lar\u0131 ile temas yoluyla bula\u015f\u0131r.<\/li>\n<li>Yakla\u015f\u0131k 257 milyon insan, hepatit B vir\u00fcs\u00fc enfeksiyonu ile ya\u015famaktad\u0131r.<\/li>\n<li>\u0130nsanlar, enfeksiyonun daha yayg\u0131n oldu\u011fu d\u00fcnyan\u0131n ba\u015fka b\u00f6lgelerini ziyaret etti\u011finde HBV\u2019ye yakalanma riski alt\u0131ndad\u0131r.<\/li>\n<li>Hepatit B, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 i\u00e7in \u00f6nemli bir mesleki tehlikedir.<\/li>\n<li>Bununla birlikte, \u015fu anda mevcut g\u00fcvenli ve etkili a\u015f\u0131 ile \u00f6nlenebilir.<\/li>\n<\/ul>\n<h3><strong>Hepatit B Nas\u0131l Tedavi Edilir?<\/strong><\/h3>\n<p>Hepatit B hastal\u0131\u011f\u0131 olan ki\u015filer d\u00fczenli olarak uzman doktorlar taraf\u0131ndan takip edilmelidir. Doktor taraf\u0131ndan \u00f6nerilen ila\u00e7lar\u0131n d\u00fczenli bir \u015fekilde kullan\u0131lmas\u0131 gerekmektedir. Tedavi s\u00fcrecinde yeterli beslenme, dinlenme ve s\u0131v\u0131 t\u00fcketimi son derece \u00f6nemlidir. Doktorun verece\u011fi karara g\u00f6re Hepatit B hastas\u0131 hastanede kontrol alt\u0131nda da tutulabilir.<\/p>\n<h2 id=\"Karaci\u011fer_Kanseri\" class=\"anchor-title\"><strong>Karaci\u011fer Kanseri <\/strong><\/h2>\n<p>Karaci\u011fer kanseri, erken evrede te\u015fhis edildi\u011finde tedavi edilme ba\u015far\u0131s\u0131 \u00e7ok y\u00fcksektir; ileri a\u015famalarda di\u011fer organlara da s\u0131\u00e7rayarak \u00f6l\u00fcmc\u00fcl sonu\u00e7lara yol a\u00e7abilir. Metastatik karaci\u011fer kanseri ise ba\u015fka bir yerde ba\u015flar ve sonras\u0131nda karaci\u011fere yay\u0131l\u0131r.<\/p>\n<p><img class=\"alignnone size-full wp-image-2860\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/karaciger-kanseri.jpeg\" alt=\"Hepatit B (Sar\u0131l\u0131k)\" width=\"540\" height=\"279\" \/><\/p>\n<h3><strong>Karaci\u011fer Kanseri Nedir?<\/strong><\/h3>\n<p>Karaci\u011fer kanserleri, k\u00f6t\u00fc huylu t\u00fcm\u00f6rler grubunda yer al\u0131r ama di\u011fer kanser t\u00fcrlerine g\u00f6re yayg\u0131nl\u0131\u011f\u0131 daha azd\u0131r. Erkeklerde kad\u0131nlara k\u0131yasla daha yayg\u0131nd\u0131r, en s\u0131k rastlanan t\u00fcr\u00fc, hepatosel\u00fcler karsinomdur. Karaci\u011fer kanseri genellikle birincil veya ikincil olarak s\u0131n\u0131fland\u0131r\u0131l\u0131r. Birincil karaci\u011fer kanseri karaci\u011fer h\u00fccrelerinden ba\u015flar. \u0130kincil karaci\u011fer kanseri, ba\u015fka bir organ\u0131n kanser h\u00fccreleri karaci\u011fere yay\u0131l\u0131rsa geli\u015fir.<\/p>\n<h3><strong>Karaci\u011fer Kanseri Belirtileri<\/strong><\/h3>\n<ul>\n<li>Kar\u0131n rahats\u0131zl\u0131\u011f\u0131, a\u011fr\u0131 ve hassasiyet<\/li>\n<li>Sar\u0131l\u0131k denilen cilt ve tenin sararmas\u0131<\/li>\n<li>Beyaz, tebe\u015firli d\u0131\u015fk\u0131<\/li>\n<li>Mide bulant\u0131s\u0131 ve kusma<\/li>\n<li>Kolayca morarma veya kanama<\/li>\n<li>Zay\u0131fl\u0131k ve nedensiz kilo kayb\u0131<\/li>\n<li>Yorgunluk ve halsizlik<\/li>\n<\/ul>\n<h3><strong>Karaci\u011fer Kanseri Belirtilerini Anlamak<\/strong><\/h3>\n<p>Bu say\u0131lan belirtilerden \u00e7o\u011fu a\u011f\u0131r belirtiler olsa da karaci\u011fer kanseri demek i\u00e7in ay\u0131r\u0131c\u0131 belirtiler de\u011fildir \u00e7\u00fcnk\u00fc tamam\u0131 enfeksiyon gibi ba\u015fka bir durumdan da kaynaklanabilir.<\/p>\n<p><strong>Kar\u0131n \u015ei\u015fli\u011fi:<\/strong> Karaci\u011fer kanserine ba\u011fl\u0131 kar\u0131n \u015fi\u015fli\u011finin 2 sebebi vard\u0131r. \u0130lki b\u00fcy\u00fcyen t\u00fcm\u00f6r nedeniyle karaci\u011ferin karn\u0131n sa\u011f taraf\u0131na do\u011fru yaratt\u0131\u011f\u0131 \u015fi\u015fliktir. \u0130kincisi ise karaci\u011ferin fonksiyonlar\u0131n\u0131 yerine getirememesi nedeniyle siroz hastal\u0131\u011f\u0131nda da oldu\u011fu gibi kar\u0131n b\u00f6lgesinde biriken s\u0131v\u0131n\u0131n kar\u0131nda \u015fi\u015flik yapmas\u0131d\u0131r.<\/p>\n<p><strong>Kilo Kayb\u0131:<\/strong> Yemek yeme al\u0131\u015fkanl\u0131\u011f\u0131n\u0131zda hi\u00e7bir de\u011fi\u015fiklik yapmad\u0131\u011f\u0131n\u0131z halde nedensiz bir \u015fekilde kilo veriyorsan\u0131z bu bir\u00e7ok kanserle birlikte karaci\u011fer kanserin de belirtisi olabilir. V\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131n %10\u2019unu kaybetmek ani kilo kayb\u0131 olarak kabul edilir ve bir\u00e7ok tehlikeli hastal\u0131\u011f\u0131n habercisidir.<\/p>\n<p><strong>Sar\u0131l\u0131k:<\/strong> Sar\u0131l\u0131k sadece kansere \u00f6zg\u00fc bir belirti olmamakla birlikte kanserin fonksiyon kayb\u0131na u\u011fratt\u0131\u011f\u0131 karaci\u011ferin bir belirtisidir. Sar\u0131l\u0131k, karaci\u011fer iltihaplanmas\u0131, safra yolunun t\u0131kanmas\u0131, hemolitik anemi gibi di\u011fer bir \u00e7ok hastal\u0131k nedeniyle de olu\u015fmu\u015f olabilir.<\/p>\n<h3><strong>Karaci\u011fer Kanseri Te\u015fhisi<\/strong><\/h3>\n<p>Karaci\u011fer kanseri tan\u0131s\u0131 i\u00e7in doktor \u00f6nce hastan\u0131n t\u0131bbi hikayesini dinler ve fizik muayene yapar. Uzun s\u00fcreli alkol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 veya kronik bir hepatit B veya C enfeksiyonu \u00f6yk\u00fcs\u00fc varsa mutlaka doktorunuza bildirin. Karaci\u011fer kanseri te\u015fhisi i\u00e7in \u015fu y\u00f6ntemler uygulan\u0131r:<\/p>\n<p>Karaci\u011fer fonksiyon testleri, kandaki protein, karaci\u011fer enzimleri ve bilirubin seviyelerini \u00f6l\u00e7erek doktorun karaci\u011ferinizin sa\u011fl\u0131\u011f\u0131n\u0131 belirlemesine yard\u0131mc\u0131 olur.<\/p>\n<p>Kanda alfa-fetoprotein (AFP) varl\u0131\u011f\u0131 karaci\u011fer kanseri belirtisi olabilir.<\/p>\n<p>Kar\u0131n BT veya MRI taramalar\u0131 kar\u0131ndaki karaci\u011fer ve di\u011fer organlar\u0131n ayr\u0131nt\u0131l\u0131 g\u00f6r\u00fcnt\u00fcs\u00fcn\u00fc \u00fcretir.<\/p>\n<p><img class=\"alignnone size-full wp-image-2864\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/karaciger-kanseri.jpg\" alt=\"Hepatit B (Sar\u0131l\u0131k)\" width=\"1920\" height=\"1209\" \/><\/p>\n<h3><strong>Tedavi Se\u00e7enekleri Nelerdir?<\/strong><\/h3>\n<p>T\u00fcm\u00f6r\u00fcn evresine ve tipine ba\u011fl\u0131 olmak \u00fczere bir\u00e7ok tedavi se\u00e7ene\u011fi mevcuttur.<\/p>\n<h3><strong>Cerrahi<\/strong><\/h3>\n<p>Rezeksiyon denen, t\u00fcm\u00f6r\u00fcn cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131 i\u015flemi organ i\u00e7inde geni\u015f alana yay\u0131lmam\u0131\u015f t\u00fcm\u00f6rlerin tedavisi i\u00e7in en s\u0131k kullan\u0131lan y\u00f6ntemdir. Cerrah kar\u0131n duvar\u0131nda geni\u015f bir kesi yapar ve karaci\u011ferin t\u00fcm\u00f6r\u00fc i\u00e7eren b\u00f6l\u00fcm\u00fc ile \u00e7evresindeki sa\u011fl\u0131kl\u0131 dokunun bir b\u00f6l\u00fcm\u00fc \u00e7\u0131kar\u0131l\u0131r. Rezeksiyon primer karaci\u011fer t\u00fcm\u00f6rleri i\u00e7in %60-75, metastatik karaci\u011fer t\u00fcm\u00f6rleri i\u00e7in ise %25-39 oran\u0131nda 5 y\u0131ll\u0131k sa\u011fkal\u0131m sa\u011flar. Karaci\u011fer kanseri hastalar\u0131n\u0131n %70-80\u2019i ise hastal\u0131klar\u0131 \u00e7ok ilerlemi\u015f oldu\u011fundan ve\/veya karaci\u011fer fonksiyonlar\u0131 \u00e7ok zay\u0131flam\u0131\u015f oldu\u011fundan cerrahi i\u00e7in uygun de\u011fildir.<\/p>\n<h3><strong>Radyoterapi<\/strong><\/h3>\n<p>Eksternal radyoterapi olarak da bilinen konvansiyonel radyoterapi, hasta nefes ald\u0131\u011f\u0131nda olu\u015fan t\u00fcm\u00f6r hareketini de hesaplayabilmek i\u00e7in geni\u015f radyasyon alanlar\u0131 kullan\u0131r. Geni\u015f radyasyon alan\u0131 hem t\u00fcm\u00f6r\u00fc hem de belirgin miktarda \u00e7evre sa\u011fl\u0131kl\u0131 dokuyu etkiledi\u011fi i\u00e7in tedavi bir\u00e7ok haftalar boyunca k\u00fc\u00e7\u00fck dozlar\u0131n verildi\u011fi 30-40 seansa b\u00f6l\u00fcn\u00fcr.<\/p>\n<p>Bu tedavi, radyasyona ba\u011fl\u0131 olan ve tedavinin ilk birka\u00e7 haftas\u0131nda g\u00f6r\u00fclebilecek karaci\u011fer hastal\u0131klar\u0131 yapabilir. \u00c7o\u011fu ciddi vakada bu durum karaci\u011fer yetmezli\u011fine yol a\u00e7abilir.<\/p>\n<h3><strong>Kemoterapi<\/strong><\/h3>\n<p>Kemoterapi kanser h\u00fccrelerinin t\u00fcm v\u00fccutta yerle\u015fti\u011fi veya hastan\u0131n kan\u0131 ve v\u00fccut s\u0131v\u0131lar\u0131nda bulundu\u011fu d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde kullan\u0131l\u0131r ve bu durumlar metastatik t\u00fcm\u00f6rler ve ileri evre karaci\u011fer kanseri ile ortaya \u00e7\u0131kar.<\/p>\n<h3><strong>Stereotaksik Radyocerrahi<\/strong><\/h3>\n<p>Stereotaksik radyocerrahinin t\u00fcm\u00f6rleri tam olarak hedeflenmi\u015f radyasyon ile tedavi etme yetene\u011fi karaci\u011fer kanseri hastalar i\u00e7in \u00f6nemli bir avantajd\u0131r. 1 mm\u2019den daha az isabet hata pay\u0131 ile radyocerrahinin \u00e7evre sa\u011fl\u0131kl\u0131 dokudaki etkisi minimaldir.<\/p>\n<h3><strong>Kateter ile Kemoembolizasyon<\/strong><\/h3>\n<p>Cerrahi veya radyoterapi uygulanamayan karaci\u011fer kanserli hastalar kateter ile kemoembolizasyon uygulanarak tedavi edilebilir. Minimal invaziv bu y\u00f6ntem ile direk t\u00fcm\u00f6r tedavisi yap\u0131l\u0131r.T\u00fcm\u00f6r\u00fcn incelenmesi i\u00e7in ger\u00e7ek zamanl\u0131 x-ray g\u00f6r\u00fcnt\u00fcleri kullan\u0131l\u0131rken k\u00fc\u00e7\u00fck bir kesiden kateter yerle\u015ftirilerek t\u00fcm\u00f6r\u00fc besleyen arter i\u00e7inde ilerletilir. Kemoterapi ila\u00e7lar\u0131n\u0131n ve damar\u0131 t\u0131kamak i\u00e7in k\u00fc\u00e7\u00fck kat\u0131 partik\u00fcllerin kombinasyonu t\u00fcm\u00f6r i\u00e7ine enjekte edilir. Partik\u00fcller damar\u0131 t\u0131kay\u0131nca t\u00fcm\u00f6re kan gitmesi engellenir ve t\u00fcm\u00f6r h\u00fccreleri oksijen alamad\u0131\u011f\u0131 i\u00e7in \u00f6l\u00fcr.<\/p>\n<h2 id=\"Karaci\u011fer_Yetmezli\u011fi\" class=\"anchor-title\"><strong>Karaci\u011fer Yetmezli\u011fi<\/strong><\/h2>\n<h3><strong>Karaci\u011fer Yetmezli\u011fi Nedir\u00a0 <\/strong><\/h3>\n<p>Karaci\u011fer yetmezli\u011fi, karaci\u011ferin b\u00fcy\u00fck bir k\u0131sm\u0131n\u0131n onar\u0131m\u0131 imk\u00e2ns\u0131z derecede hasar g\u00f6rd\u00fc\u011f\u00fc ve karaci\u011ferin art\u0131k i\u015flev g\u00f6rmedi\u011fi zaman ortaya \u00e7\u0131kar.<\/p>\n<p>Karaci\u011fer yetmezli\u011fi akut veya kronik olabilir.<\/p>\n<p><img class=\"alignnone size-full wp-image-2868\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/liver.jpg\" alt=\"Karaci\u011fer Yetmezli\u011fi\" width=\"1600\" height=\"705\" \/><\/p>\n<h3><strong>Akut karaci\u011fer yetmezli\u011fi<\/strong><\/h3>\n<p>Akut karaci\u011fer yetmezli\u011fi h\u0131zl\u0131 geli\u015fir. Haftalar hatta g\u00fcnler i\u00e7inde herhangi bir semptom g\u00f6stermeden aniden ortaya \u00e7\u0131kabilir. Akut karaci\u011fer yetmezli\u011finin yayg\u0131n nedenleri aras\u0131nda, mantarlardan zehirlenme veya a\u015f\u0131r\u0131 doz ila\u00e7 kullan\u0131m\u0131 say\u0131labilir.<\/p>\n<h3><strong>Kronik karaci\u011fer yetmezli\u011fi<\/strong><\/h3>\n<p>Kronik karaci\u011fer yetmezli\u011finde, akut karaci\u011fer yetmezli\u011fi formuna g\u00f6re, sorunlar \u00e7ok daha yava\u015f ortaya \u00e7\u0131kar. Herhangi bir semptom g\u00f6stermeden aylar hatta y\u0131llar alabilir. Kronik karaci\u011fer yetmezli\u011fi genellikle uzun s\u00fcreli alkol kullan\u0131m\u0131n\u0131n neden oldu\u011fu sirozun bir sonucudur. Siroz, sa\u011fl\u0131kl\u0131 karaci\u011fer dokusuna hasar verdi\u011fi zaman ortaya \u00e7\u0131kar. Kronik karaci\u011fer yetmezli\u011fi s\u0131ras\u0131nda, karaci\u011feriniz iltihaplan\u0131r. Bu iltihaplanma zamanla skar dokusunun olu\u015fumuna neden olur.<\/p>\n<h3><strong>Karaci\u011fer Yetmezli\u011fi Nedenleri<\/strong><\/h3>\n<ol>\n<li><strong> Hepatit<\/strong><\/li>\n<\/ol>\n<p>A, B, E gibi farkl\u0131 t\u00fcrlerde kar\u015f\u0131m\u0131za \u00e7\u0131kan hepatit hastal\u0131\u011f\u0131 t\u00fcr\u00fc fark etmeksizin karaci\u011feri hedef al\u0131r. Bu organda hepatit vir\u00fcslerinin \u00e7o\u011falmas\u0131 halinde kontrol vir\u00fcslerin eline ge\u00e7er ve karaci\u011fer i\u015flevlerini yerine getirememeye ba\u015flar.<\/p>\n<ol start=\"2\">\n<li><strong> Ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin zay\u0131f olmas\u0131<\/strong><\/li>\n<\/ol>\n<p>Ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin zay\u0131flamas\u0131 v\u00fccudun her b\u00f6lgesinde farkl\u0131 hasarlara yol a\u00e7abilir. E\u011fer ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n\u0131z\u0131 g\u00fc\u00e7s\u00fczle\u015ftiren baz\u0131 hastal\u0131klar ya\u015fad\u0131ysan\u0131z karaci\u011fer sa\u011fl\u0131\u011f\u0131n\u0131 koruma konusunda daha dikkatli davranman\u0131z gerekir.<\/p>\n<ol start=\"3\">\n<li><strong> Metabolik hastal\u0131klar<\/strong><\/li>\n<\/ol>\n<p>Wilson hastal\u0131\u011f\u0131 gibi kimi hastal\u0131klar\u0131n ve metabolizmadaki problemlerin karaci\u011fere negatif etkisi vard\u0131r. Bu etki b\u00fcy\u00fcd\u00fck\u00e7e karaci\u011ferde i\u015flev kayb\u0131 ortaya \u00e7\u0131kar.<\/p>\n<ol start=\"4\">\n<li><strong> Fazla alkol t\u00fcketmek<\/strong><\/li>\n<\/ol>\n<p>A\u015f\u0131r\u0131 alkol kullanmak siroza sebep olur, sirozun ilerlemesi halinde karaci\u011ferde ciddi fonksiyon kay\u0131plar\u0131 meydana gelir ve bu durum karaci\u011ferin iflas etmesine kadar ilerleyebilir.<\/p>\n<ol start=\"5\">\n<li><strong> Karaci\u011ferdeki di\u011fer hastal\u0131klar<\/strong><\/li>\n<\/ol>\n<p>Karaci\u011ferdeki di\u011fer hastal\u0131klar da karaci\u011fer yetmezli\u011fini tetikleyebilir. En ufak soruna bile en h\u0131zl\u0131 \u015fekilde m\u00fcdahale edilmesi ve daha b\u00fcy\u00fck rahats\u0131zl\u0131klar\u0131n olu\u015fmas\u0131n\u0131n engellenmesi gerekir.<\/p>\n<ol start=\"6\">\n<li><strong> Baz\u0131 ila\u00e7lar<\/strong><\/li>\n<\/ol>\n<p>\u0130la\u00e7 i\u00e7erek v\u00fccudunuza \u00e7ok miktarda kimyasal al\u0131rs\u0131n\u0131z. S\u0131k ve bilin\u00e7siz ila\u00e7 kullanman\u0131z halinde ise bu kimyasallar\u0131n etkisiyle karaci\u011feriniz g\u00f6revlerini yerine getirememeye ba\u015flar.<\/p>\n<ol start=\"7\">\n<li><strong> Bitkisel \u00fcr\u00fcnlerin a\u015f\u0131r\u0131 kullan\u0131lmas\u0131<\/strong><\/li>\n<\/ol>\n<p>Ayar\u0131nda kullan\u0131ld\u0131\u011f\u0131 zaman v\u00fccudunuza \u00f6nemli faydalar sa\u011flayan bitkisel \u00fcr\u00fcnler, a\u015f\u0131r\u0131ya ka\u00e7\u0131lmas\u0131 halinde ciddi zararlar verebilir. Yarpuz, takke gibi baz\u0131 bitkiler fazla kullan\u0131ld\u0131\u011f\u0131 takdirde karaci\u011fere zarar verebilir.<\/p>\n<ol start=\"8\">\n<li><strong> Kanser<\/strong><\/li>\n<\/ol>\n<p>Varl\u0131\u011f\u0131yla v\u00fccut direncini d\u00fc\u015f\u00fcren kanser, karaci\u011fer yetmezli\u011finin meydana gelmesine de sebep olabilir. \u00d6zellikle karaci\u011fer b\u00f6lgesinde olu\u015fan kanser h\u00fccrelerinin metastaz etkisiyle di\u011fer organlara yay\u0131l\u0131p \u00e7oklu organ yetmezli\u011fine kadar ilerleyen bir tabloyu ortaya \u00e7\u0131kard\u0131\u011f\u0131 biliniyor.<\/p>\n<p><img class=\"alignnone size-full wp-image-2872\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/karaci\u011fer-yetmezli\u011fi-e1564751897415.jpg\" alt=\"Karaci\u011fer Yetmezli\u011fi\" width=\"1600\" height=\"872\" \/><\/p>\n<h3><strong>Karaci\u011fer Yetmezli\u011fi Belirtileri<\/strong><\/h3>\n<p>Karaci\u011fer yetmezli\u011finin ilk belirtileri \u00e7o\u011fu zaman herhangi bir ko\u015fuldan dolay\u0131 olabilir. Bu nedenle, karaci\u011fer yetmezli\u011fini ba\u015flang\u0131\u00e7ta te\u015fhis etmek zor olabilir. Erken belirtiler \u015funlard\u0131r:<\/p>\n<ul>\n<li>Mide bulant\u0131s\u0131<\/li>\n<li>\u0130\u015ftahs\u0131zl\u0131k<\/li>\n<li>Yorgunluk<\/li>\n<li>\u0130shal<\/li>\n<li>Cilt renginin de\u011fi\u015fmesi<\/li>\n<li>Ka\u015f\u0131nt\u0131<\/li>\n<\/ul>\n<p>Bununla birlikte, karaci\u011fer yetmezli\u011fi ilerledik\u00e7e, semptomlar daha ciddi hale gelir ve acil bak\u0131m gerektirir. Bu belirtiler ise \u015funlard\u0131r:<\/p>\n<ul>\n<li>Sar\u0131l\u0131k<\/li>\n<li>Normalden daha kolay kanama ve morarma<\/li>\n<li>Y\u00fcksek nab\u0131z (ta\u015fikardi), d\u00fc\u015f\u00fck tansiyon<\/li>\n<li>Kar\u0131nda \u015fi\u015flik<\/li>\n<li>Zihinsel dezoryantasyon veya konf\u00fczyon (hepatik ensefalopati olarak bilinir)<\/li>\n<li>D\u0131\u015fk\u0131da kan<\/li>\n<li>Uykusuzluk<\/li>\n<li>Koma<\/li>\n<\/ul>\n<h3><strong>Karaci\u011fer Yetmezli\u011fi Tedavisi<\/strong><\/h3>\n<p>Karaci\u011fer yetmezli\u011fine neden olan hastal\u0131k veya durum te\u015fhis edilip, onun tedavisi de yap\u0131lmal\u0131d\u0131r. Karaci\u011fer yetmezli\u011fi tedavisi \u015funlar\u0131 i\u00e7erir:<\/p>\n<h3><strong>1) \u0130la\u00e7 Tedavisi<\/strong><\/h3>\n<p>Karaci\u011fer yetmezli\u011finde kullan\u0131lan ila\u00e7lar a\u015fa\u011f\u0131daki ama\u00e7lara hizmet eder:<\/p>\n<ul>\n<li>Beyinde biriken fazla s\u0131v\u0131y\u0131 yok ederek kafa i\u00e7i bas\u0131nc\u0131n\u0131 azaltmak<\/li>\n<li>V\u00fccut iltihaplar\u0131n\u0131 atmak<\/li>\n<li>Kan\u0131n p\u0131ht\u0131 atmas\u0131n\u0131n ve ciddi kanamalar\u0131n \u00f6n\u00fcne ge\u00e7mek<\/li>\n<li>Zehirlenmelere kar\u015f\u0131 panzehir etkisi beklemek<\/li>\n<\/ul>\n<p>Kullan\u0131lan baz\u0131 ila\u00e7lar\u0131 ve \u00f6zellikleri \u015f\u00f6yledir:<\/p>\n<h3><strong>Ursodiol (Ursodeoksikolik Asit):<\/strong><\/h3>\n<ul>\n<li>Safra ak\u0131\u015f\u0131n\u0131 h\u0131zland\u0131r\u0131r<\/li>\n<li>Hepatik h\u00fccre \u00f6l\u00fcm\u00fcn\u00fc engeller<\/li>\n<li>Ba\u011f\u0131\u015f\u0131kl\u0131k sitemi ile ilgili iltihab\u0131 azalt\u0131r<\/li>\n<li>Oksidasyon hasar\u0131n\u0131 azalt\u0131r<\/li>\n<\/ul>\n<h3><strong>E Vitamini:<\/strong><\/h3>\n<ul>\n<li>Zehir etkisi g\u00f6steren toksinleri temizler<\/li>\n<\/ul>\n<h3><strong>Sukralfat:<\/strong><\/h3>\n<ul>\n<li>Mide \u00fclserini tedavi etmek i\u00e7in kullan\u0131lan sindirim sistemi koruyucusudur.<\/li>\n<li>A\u00e7 karn\u0131na kullan\u0131l\u0131r.<\/li>\n<li>Kab\u0131zl\u0131\u011fa neden olabilir.<\/li>\n<\/ul>\n<h3><strong>K Vitamini:<\/strong><\/h3>\n<ul>\n<li>Kan\u0131n sa\u011fl\u0131kl\u0131 p\u0131ht\u0131la\u015fmas\u0131 i\u00e7in gereklidir.<\/li>\n<li>Ciddi yan etkileri yoktur.<\/li>\n<\/ul>\n<h3><strong>Metronidazol:<\/strong><\/h3>\n<ul>\n<li>Karaci\u011ferdeki bakteri iltihab\u0131n\u0131 gidermek i\u00e7in kullan\u0131lan bir t\u00fcr antibiyotiktir.<\/li>\n<li>Sinir sisteminde zehirlenme, uyu\u015fukluk, kusma, kriz, depresyon, ba\u015f d\u00f6nmesi gibi yan etkileri g\u00f6r\u00fclebilir.<\/li>\n<\/ul>\n<h3><strong>Prednizone:<\/strong><\/h3>\n<ul>\n<li>Hepatit tedavisinde kullan\u0131l\u0131r.<\/li>\n<li>Tedavi aniden kesilirse hayati tehlike ba\u015f g\u00f6sterebilir.<\/li>\n<li>A\u015f\u0131r\u0131 kilo almak, susuzluk, ishal, mide \u00fclseri, kan\u0131n p\u0131ht\u0131 atma ihtimalinde art\u0131\u015f gibi yan etkileri g\u00f6r\u00fclebilir.<\/li>\n<\/ul>\n<h3><strong>2) Destekleyici Tedaviler<\/strong><\/h3>\n<p>Karaci\u011fer yetmezli\u011finde genel sa\u011fl\u0131k seviyesi y\u00fckseltilmeli, v\u00fccudun ba\u011f\u0131\u015f\u0131kl\u0131k sistemi g\u00fc\u00e7lendirilmelidir. Bu ama\u00e7la g\u0131da ve s\u0131v\u0131 deste\u011fi verilir. Hastan\u0131n yemek yiyemedi\u011fi durumlarda g\u0131da t\u00fcpleri kullan\u0131labilir. \u015eiddetli vakalarda direk damar i\u00e7i g\u0131da deste\u011fi sa\u011flayan serumlar kullan\u0131labilir.<\/p>\n<h3><strong>3) Karaci\u011fer Nakli<\/strong><\/h3>\n<p>Karaci\u011fer yetmezli\u011fi vakalar\u0131n\u0131n yar\u0131s\u0131nda karaci\u011fer nakli zorunlu hale gelmektedir.<\/p>\n<p>A\u015fa\u011f\u0131daki ko\u015fullara g\u00f6re \u00f6ncelikli tedavi olup olmad\u0131\u011f\u0131na karar verilir:<\/p>\n<ul>\n<li>Karaci\u011fer yetmezli\u011fine neden olan hususun tespit edilememesi<\/li>\n<li>Beyin hasar\u0131n\u0131n miktar\u0131<\/li>\n<li>Nakil sonras\u0131 olas\u0131 beyin hasar\u0131 miktar\u0131<\/li>\n<li>G\u00f6n\u00fcll\u00fcl\u00fck, doku uyumu<\/li>\n<li>Hasta nakil s\u0131ras\u0131n\u0131 etkileyen hususlar (hasta say\u0131s\u0131, ya\u015f, genel sa\u011fl\u0131k \u015fartlar\u0131, alkol ve sigara kullan\u0131m\u0131 vb.)<\/li>\n<\/ul>\n<h2 id=\"Karaci\u011fer_B\u00fcy\u00fcmesi_Hepatomegali\" class=\"anchor-title\"><strong>Karaci\u011fer B\u00fcy\u00fcmesi (Hepatomegali) <\/strong><\/h2>\n<h3><strong>Karaci\u011fer B\u00fcy\u00fcmesi (Hepatomegali) Nedir?<\/strong><\/h3>\n<p>Karaci\u011fer v\u00fccudun en b\u00fcy\u00fck organlar\u0131ndan biridir ve v\u00fccudun en \u00f6nemli ve kritik g\u00f6revlerini \u00fcstlenen organ\u0131d\u0131r. Hepatomegali olarak da bilinen karaci\u011fer b\u00fcy\u00fcmesi bir tak\u0131m sa\u011fl\u0131k sorunlar\u0131n\u0131n sonucu olarak ortaya \u00e7\u0131kar.<\/p>\n<p>Karaci\u011fer v\u00fccut i\u00e7in kolesterol ve ya\u011fl\u0131 bile\u015fiklerin sentezi ve karbonhidrat metabolizmas\u0131 gibi hayati g\u00f6revleri \u00fcstlenir. Ba\u011f\u0131rsaklardaki d\u00fczenli sindirimi sa\u011flay\u0131c\u0131 ve ya\u011flar\u0131n y\u0131k\u0131m\u0131n\u0131 sa\u011flayan \u00f6d salg\u0131s\u0131n\u0131 salg\u0131lar. Ayr\u0131ca ila\u00e7 ve alkol t\u00fcketimiyle v\u00fccuda giren toksik maddeleri v\u00fccuttan atmaya yard\u0131mc\u0131 olur.<\/p>\n<p>Karaci\u011fer b\u00fcy\u00fcmesi tek ba\u015f\u0131na bir hastal\u0131k de\u011fildir fakat bu b\u00fcy\u00fcmeye neden olan bir\u00e7ok hastal\u0131\u011f\u0131n belirtisidir. \u00c7o\u011fu insan karaci\u011fer b\u00fcy\u00fcmesinin fark\u0131nda olmadan ya\u015fam\u0131n\u0131 s\u00fcrd\u00fcr\u00fcr.<\/p>\n<p><img class=\"size-full wp-image-2876 alignright\" src=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2019\/08\/Karaci\u011fer-B\u00fcy\u00fcmesi-Hepatomegali-.jpg\" alt=\"Karaci\u011fer B\u00fcy\u00fcmesi (Hepatomegali)\" width=\"265\" height=\"190\" \/><\/p>\n<h3><strong>Karaci\u011fer B\u00fcy\u00fcmesi Belirtileri<\/strong><\/h3>\n<p>Karaci\u011ferdeki b\u00fcy\u00fcme az oldu\u011funda, genellikle hi\u00e7bir belirti ortaya \u00e7\u0131kmaz.<\/p>\n<p>Ama karaci\u011fer \u00e7ok b\u00fcy\u00fcrse:<\/p>\n<ul>\n<li>S\u00fcrekli bir \u015fi\u015flik hissi<\/li>\n<li>Kar\u0131n b\u00f6lgesinde rahats\u0131zl\u0131k ortaya \u00e7\u0131kar.<\/li>\n<li>Bunlardan ba\u015fka sar\u0131l\u0131k, kronik yorgunluk, g\u00fc\u00e7s\u00fczl\u00fck, mide bulant\u0131s\u0131 ve kilo kayb\u0131 da g\u00f6r\u00fclebilir.<\/li>\n<\/ul>\n<h3><strong>Karaci\u011fer B\u00fcy\u00fcmesi Neden Oluyor?<\/strong><\/h3>\n<p><a href=\"https:\/\/tr.wikipedia.org\/wiki\/Karaci%C4%9Fer\" target=\"_blank\" rel=\"noopener noreferrer\">Karaci\u011fer<\/a> b\u00fcy\u00fcmesi nedenleri incelendi\u011finde pek \u00e7ok sebep say\u0131labilir. Sonradan olu\u015fan pek \u00e7ok hastal\u0131k gibi karaci\u011fer b\u00fcy\u00fcmesini de tetikleyen birtak\u0131m hastal\u0131klar vard\u0131r:<\/p>\n<ul>\n<li>\u00d6zellikle anoksi ve hipoksiye neden olan dola\u015f\u0131m bozukluklar\u0131<\/li>\n<li>Budd \u2010Chiari sendromu, l\u00f6semi<\/li>\n<li>1\u2010antitripsin eksikli\u011fi, travmatik olaylar<\/li>\n<li>Kalp ile ilgili sorunlar, \u00e7e\u015fitli enfeksiyonlar<\/li>\n<li>Besin yetersizli\u011fi<\/li>\n<li>Multipl skleroz<\/li>\n<li>Crohn hastal\u0131\u011f\u0131 ve romatoid artrit olu\u015fturan hastal\u0131klar<\/li>\n<li>Alkol ve sigara kullan\u0131m\u0131<\/li>\n<\/ul>\n<h3><strong>Te\u015fhis<\/strong><\/h3>\n<p>Doktorunuz karaci\u011ferinizi fiziksel bir muayene yaparak, gere\u011finden b\u00fcy\u00fck olup olmad\u0131\u011f\u0131n\u0131 kontrol edecekltir. Ayr\u0131ca baz\u0131 kan testleri yaparak karaci\u011fer b\u00fcy\u00fcmesi ve sebeplerini tespit edebilir:<\/p>\n<ul>\n<li>Tomografi, bu y\u00f6ntem r\u00f6ntgenden daha kuvvetlidir.<\/li>\n<li>MRI, bu y\u00f6ntemde g\u00fc\u00e7l\u00fc m\u0131knat\u0131slar ve radyo dalgalar\u0131 kullan\u0131l\u0131r.<\/li>\n<li>Ultrason, bu y\u00f6ntemde ses dalgalar\u0131 kullan\u0131l\u0131r.<\/li>\n<\/ul>\n<h3><strong>Karaci\u011fer B\u00fcy\u00fcmesinin Tedavisi<\/strong><\/h3>\n<p>Tedavi ancak kesin te\u015fhisin konmas\u0131yla ba\u015flayabilir.<\/p>\n<ul>\n<li>Alkol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 sonucu karaci\u011fer b\u00fcy\u00fcmesi olanlar acilen alkol\u00fc b\u0131rakmal\u0131d\u0131r aksi takdirde \u00f6l\u00fcmc\u00fcl olabilir.<\/li>\n<li>Hepatitlerde ise karaci\u011ferdeki enflamasyonu durdurmak i\u00e7in ila\u00e7 tedavisi uygulan\u0131r.<\/li>\n<li>Alkol ba\u011flant\u0131l\u0131 olmayan obezitelerde hastalar d\u00fczenli egzersizlerle beraber d\u00fczenli kilo verme program\u0131na al\u0131n\u0131r.<\/li>\n<li>Diyabet hastalar\u0131nda kan \u015fekeri ve kolesterol seviyesi s\u00fcrekli kontrol alt\u0131nda tutulur.<\/li>\n<li>Karaci\u011fer kanseri ve l\u00f6semide ise kemoterapi uygulan\u0131r.<\/li>\n<li>Baz\u0131 t\u0131bbi ve bitkisel ila\u00e7lar kullan\u0131l\u0131rken riskleri hakk\u0131nda haberdar olmak gerekir. Sigaradan yukar\u0131da verilen hastal\u0131klar\u0131n \u00e7o\u011funu tetikleyici etki yapt\u0131\u011f\u0131 i\u00e7in uzak durulmal\u0131d\u0131r.<\/li>\n<li>Kimyasallarla temastan uzak durulmal\u0131d\u0131r. Aerosol temzileyiciler kullan\u0131lmal\u0131d\u0131r. B\u00f6cek ila\u00e7lar\u0131 ve di\u011fer toksik kimyasallar sadece iyi havaland\u0131r\u0131lm\u0131\u015f ortamlarda kullan\u0131lmal\u0131d\u0131r. Bu t\u00fcr ila\u00e7lar\u0131 kullan\u0131rken eldiven ve maske kullan\u0131lmal\u0131d\u0131r.<\/li>\n<li>Erken te\u015fhis hastal\u0131k b\u00fcy\u00fcmeden erken tedavi \u015fans\u0131n\u0131 sa\u011flar. Fakat te\u015fhis ve tedavi gecikirse \u00f6l\u00fcmc\u00fcl olabilir.<\/li>\n<\/ul>\n<blockquote class=\"wp-embedded-content\" data-secret=\"q7Jz8QHpU5\"><p><a href=\"https:\/\/turkeyistanbulmedical.com\/tr\/mide-kucultme-ameliyatlari\/\">Mide K\u00fc\u00e7\u00fcltme Ameliyatlar\u0131<\/a><\/p><\/blockquote>\n<p><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;Mide K\u00fc\u00e7\u00fcltme Ameliyatlar\u0131&#8221; &#8212; Turkey Istanbul Medical\" src=\"https:\/\/turkeyistanbulmedical.com\/tr\/mide-kucultme-ameliyatlari\/embed\/#?secret=q7Jz8QHpU5\" data-secret=\"q7Jz8QHpU5\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Karaci\u011fer Ya\u011flanmas\u0131 Karaci\u011fer ya\u011flanmas\u0131, karaci\u011fer h\u00fccrelerinde \u00e7e\u015fitli nedenlerden dolay\u0131 fazla ya\u011f birikmesiyle olu\u015fur ve tedavi edilmezse ciddi sonu\u00e7lar do\u011furur. Karaci\u011fer ya\u011flanmas\u0131 tedavisinde erken te\u015fhis \u00e7ok \u00f6nemlidir. Karaci\u011fer ya\u011flanmas\u0131 belirtileri g\u00f6r\u00fcld\u00fc\u011f\u00fc takdirde doktora ba\u015fvurulmal\u0131 ve karaci\u011fer ya\u011flanmas\u0131 tedavilerine derhal ba\u015flanmal\u0131d\u0131r. Karaci\u011fer Ya\u011flanmas\u0131 Nedir? Karaci\u011feriniz di\u011fer t\u00fcm h\u00fccreleriniz gibi ya\u011f \u00fcretir ve depolar. Bu \u00fcretim olduk\u00e7a s\u0131n\u0131rl\u0131d\u0131r [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":180,"comment_status":"open","ping_status":"closed","template":"","meta":[],"portfolio_category":[392],"portfolio_tag":[462,459,461,464,460,463,375],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.5 (Yoast SEO v18.4.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Karaci\u011fer Hastal\u0131klar\u0131 - Turkey Istanbul Medical - Karaci\u011fer Ya\u011flanmas\u0131<\/title>\n<meta name=\"description\" content=\"Karaci\u011feriniz bu ya\u011f \u00fcretimini ve depolamay\u0131 \u00e7e\u015fitli sebeplerle artt\u0131r\u0131rsa karaci\u011fer h\u00fccrelerinizde k\u00fc\u00e7\u00fck ya\u011f kesecikleri olu\u015fmaya ba\u015flar. 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Bu durum\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/portfolio\/karaciger-hastaliklari\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:modified_time\" content=\"2021-05-19T19:54:42+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/lvr.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1800\" \/>\n\t<meta property=\"og:image:height\" content=\"1198\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"21 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Organization\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\",\"name\":\"Turkey Istanbul Medical\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"sameAs\":[],\"logo\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"width\":394,\"height\":324,\"caption\":\"Turkey Istanbul Medical\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\"}},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"name\":\"Turkey Istanbul Medical\",\"description\":\"Healthcare consulting - Best Doctors and Hospital Istanbul\",\"publisher\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/turkeyistanbulmedical.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"tr-TR\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/portfolio\/karaciger-hastaliklari\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/lvr.png\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/lvr.png\",\"width\":1800,\"height\":1198,\"caption\":\"Karaciger Hastal\u0131klar\u0131\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/portfolio\/karaciger-hastaliklari\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/portfolio\/karaciger-hastaliklari\/\",\"name\":\"Karaci\u011fer Hastal\u0131klar\u0131 - Turkey Istanbul Medical - Karaci\u011fer Ya\u011flanmas\u0131\",\"isPartOf\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/portfolio\/karaciger-hastaliklari\/#primaryimage\"},\"datePublished\":\"2019-08-22T12:17:37+00:00\",\"dateModified\":\"2021-05-19T19:54:42+00:00\",\"description\":\"Karaci\u011feriniz bu ya\u011f \u00fcretimini ve depolamay\u0131 \u00e7e\u015fitli sebeplerle artt\u0131r\u0131rsa karaci\u011fer h\u00fccrelerinizde k\u00fc\u00e7\u00fck ya\u011f kesecikleri olu\u015fmaya ba\u015flar. 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