{"id":9241,"date":"2023-04-04T10:10:53","date_gmt":"2023-04-04T10:10:53","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=9241"},"modified":"2023-04-04T10:14:02","modified_gmt":"2023-04-04T10:14:02","slug":"siroz-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/siroz-nedir\/","title":{"rendered":"Siroz Nedir?"},"content":{"rendered":"

Siroz<\/a> Nedir?<\/strong><\/h2>\n

Kronik karaci\u011fer hastal\u0131\u011f\u0131<\/strong>\u00a0olarak da adland\u0131r\u0131lan\u00a0siroz<\/strong>, karaci\u011ferde ileri derecede hasar olu\u015fumuna verilen isimdir. \u00c7e\u015fitli hastal\u0131klar nedeniyle, bazense bilinmeyen sebeplerden dolay\u0131 karaci\u011ferde farkl\u0131 d\u00fczeylerde hasar meydana gelebilir.<\/p>\n

Bunun sonucunda karaci\u011ferin yap\u0131sal fonksiyonlar\u0131nda \u00e7e\u015fitli bozulmalar olu\u015fur ve normal i\u015flevlerini yerine getirememeye ba\u015flar. Bu durum, siroz s\u00fcrecinin ba\u015flang\u0131c\u0131d\u0131r. S\u00fcre\u00e7 ilerledik\u00e7e i\u015flevine devam eden karaci\u011fer h\u00fccrelerinin azalmas\u0131 sonucunda karaci\u011fer giderek sertle\u015fmeye ve k\u00fc\u00e7\u00fclmeye ba\u015flar.<\/p>\n

Sertle\u015fen dokulara kan\u0131n ak\u0131\u015f\u0131 zorla\u015f\u0131r ve kan\u0131n dokuya ula\u015famamas\u0131 sebebiyle yeni damar yollar\u0131 olu\u015fur. T\u00fcm bu olaylar karaci\u011feri daha da olumsuz etkileyerek siroz tablosunu a\u011f\u0131rla\u015ft\u0131r\u0131r. Sonu\u00e7 olarak karaci\u011fer fonksiyonunu yerine getirememeye ba\u015flar ve karaci\u011fer yetmezli\u011fi ortaya \u00e7\u0131kar.<\/p>\n

Sirozun Yayg\u0131n Nedenleri Nelerdir?<\/strong><\/h3>\n

Siroz tek bir nedene ve patofizyolojiye sahip bir hastal\u0131k de\u011fildir. Karaci\u011fer h\u00fccrelerine hasar veren her hastal\u0131\u011f\u0131n son a\u015famas\u0131 olarak kabul edilir.<\/p>\n

Sirozun en yayg\u0131n nedenleri s\u0131ras\u0131yla \u015funlard\u0131r:<\/strong><\/h4>\n
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  • \n

    Alkol Kullan\u0131m\u0131:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

    Alkol\u00fcn uzun d\u00f6nem a\u015f\u0131r\u0131 kullan\u0131m\u0131n\u0131n sirozla ili\u015fkilendirildi\u011fi raporlanm\u0131\u015ft\u0131r.<\/p>\n

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      Karaci\u011ferin Kronik Viral Enfeksiyonlar\u0131 (Hepatitler):<\/strong><\/h4>\n<\/li>\n<\/ul>\n

      Hepatit B ve hepatit C enfeksiyonlar\u0131 kronik viral hepatite yol a\u00e7an hepatitlerdir.<\/p>\n

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        Ya\u011fl\u0131 Karaci\u011fer Hastal\u0131\u011f\u0131:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

        Obezite ve diyabet hastal\u0131\u011f\u0131nda g\u00f6r\u00fclen bu durum sirozun en \u00f6nemli sebeplerindendir. Non-alkolik steatohepatit olarak da isimlendirilir.<\/p>\n

        Daha az yayg\u0131n olan siroz sebepleri ise:<\/strong><\/h4>\n

        Kal\u0131tsal Hastal\u0131klar:<\/strong><\/h3>\n
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        1. \n

          Alfa-1-Antitripsin Eksikli\u011fi:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

          Karaci\u011ferde anormal proteinlerin birikmesine sebep olur.<\/p>\n

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          1. \n

            Hemokromatozis:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

            Karaci\u011ferde a\u015f\u0131r\u0131 demir birikimi anlam\u0131na gelen bir hastal\u0131kt\u0131r.<\/p>\n

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            1. \n

              Wilson Hastal\u0131\u011f\u0131:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

              Karaci\u011ferde a\u015f\u0131r\u0131 bak\u0131r birikimi ile kendini g\u00f6steren bir hastal\u0131kt\u0131r.<\/p>\n

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              1. \n

                Kistik Fibroz:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                Yap\u0131\u015fkan ve k\u0131vaml\u0131 mukusun karaci\u011ferde birikmesidir.<\/p>\n

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                1. \n

                  Glikojen Depo Hastal\u0131klar\u0131:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                  Karaci\u011ferin karbonhidratlar\u0131n depo formu olan glikojeni y\u0131kamad\u0131\u011f\u0131 veya depolayamad\u0131\u011f\u0131 hastal\u0131klard\u0131r.<\/p>\n

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                  1. \n

                    Alagille Sendromu:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                    Normalden daha az miktarda safra kanal\u0131 bulunmas\u0131d\u0131r. Safran\u0131n ak\u0131m\u0131nda problem vard\u0131r. Sar\u0131l\u0131\u011fa sebep olur.<\/p>\n

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                      Otoimm\u00fcn Hepatit:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                      Ki\u015finin kendi ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin sa\u011fl\u0131kl\u0131 karaci\u011fer dokusuna sald\u0131rmas\u0131 ve hasar vermesi sonucu olu\u015fur.<\/p>\n

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                        Karaci\u011ferde Safra Ak\u0131m\u0131n\u0131 Etkileyen Hastal\u0131klar:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                        Primer biliyer kolanjit, primer sklerozan kolanjit ve biliyer atrezi gibi hastal\u0131klar safra ak\u0131m\u0131n\u0131 engeller ve karaci\u011fer hasar al\u0131r.<\/p>\n

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                          Kronik Kalp Yetmezli\u011fi:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                          Karaci\u011ferin s\u0131v\u0131 ile y\u00fcklenmesine ve yeterli kan dola\u015f\u0131m\u0131n\u0131n sa\u011flanmamas\u0131na neden olur.<\/p>\n

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                            Amiloidoz:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                            Nadir g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Normal karaci\u011fer fonksiyonunu azaltan anormal bir protein olan amiloidin birikmesi ile giden bir hastal\u0131kt\u0131r.<\/p>\n

                            Karaci\u011fer hastal\u0131klar\u0131ndan siroza hastal\u0131\u011f\u0131na ilerleme a\u015fama a\u015fama ger\u00e7ekle\u015fir. Karaci\u011fer hasar\u0131 devam ederse h\u00fccreler \u00f6lmeye ba\u015flar. \u00c7ok nadir olarak baz\u0131 \u015fiddetli vakalarda siroza \u00e7ok h\u0131zl\u0131 bir ilerleyi\u015f s\u00f6z konusu olabilir.<\/p>\n

                            Sirozun Belirtileri Nelerdir?<\/strong><\/h3>\n

                            Siroz uzun zamanl\u0131 ve ilerleyici \u00f6zelli\u011fe sahip bir hastal\u0131kt\u0131r. Erken a\u015famalarda belirtiler \u00e7ok hafif olabilmektedir. Karaci\u011ferdeki tahribat artt\u0131k\u00e7a semptomlarda da a\u011f\u0131rla\u015f\u0131r.<\/p>\n

                            Erken Seviye Siroz Belirtileri:<\/strong><\/h4>\n
                              \n
                            • Yorgunluk<\/li>\n
                            • Mide bulant\u0131s\u0131<\/li>\n
                            • \u0130\u015ftah kayb\u0131<\/li>\n
                            • Avu\u00e7 i\u00e7i ve cildinizde olu\u015fan k\u0131rm\u0131z\u0131 lekeler (\u00d6r\u00fcmcek Anjiyomlar\u0131)\u00a0<\/strong><\/li>\n
                            • Kilo ve kas k\u00fctlesi kaybetmek<\/li>\n<\/ul>\n

                              \u0130leri Evre Siroz Belirtileri:<\/strong><\/h4>\n
                                \n
                              • A\u015f\u0131r\u0131 yorgunluk<\/li>\n
                              • Ciltte, tende ve g\u00f6z beyazlar\u0131nda sararma (Sar\u0131l\u0131k)<\/strong><\/li>\n
                              • Kan kusma<\/li>\n
                              • Cilt ka\u015f\u0131nmalar\u0131<\/li>\n
                              • Koyu renkte idrar ve gaitan\u0131n kat\u0131la\u015fmas\u0131<\/li>\n
                              • Kolayca zedelenme ve morarma<\/li>\n
                              • Bacak b\u00f6lgesinde \u015fi\u015flik\u00a0(\u00d6dem)<\/strong>veya kar\u0131n b\u00f6lgesinde s\u0131v\u0131 birikimi\u00a0(Assit)<\/strong><\/li>\n
                              • Cinsel d\u00fcrt\u00fc kayb\u0131\u00a0(Libido)<\/strong><\/li>\n
                              • Kad\u0131nlarda menopoza ba\u011fl\u0131 olmayan adet g\u00f6rmeme veya adet kayb\u0131<\/li>\n
                              • Uyu\u015fukluk ve geveleyerek konu\u015fma(Hepatik Ensefalopati)<\/strong><\/li>\n<\/ul>\n

                                Sirozun Evreleri Nelerdir?<\/strong><\/h4>\n

                                Siroz semptomlar\u0131n\u0131n varl\u0131\u011f\u0131na g\u00f6re kompanse ve dekompanse siroz olmak \u00fczere iki evrede incelenir.<\/p>\n

                                E\u011fer yeteri kadar erken te\u015fhis edilirse dekompanse sirozun kompanse siroza d\u00f6n\u00fc\u015f\u00fc m\u00fcmk\u00fcnd\u00fcr.<\/p>\n

                                Bu iki evre \u015fu \u015fekildedir:<\/strong><\/h4>\n
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                                1. \n

                                  Kompanse Siroz Evresi:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                                  Siroza dair semptomlar\u0131n g\u00f6r\u00fclmedi\u011fi ve hastan\u0131n \u015fikayetinin omad\u0131\u011f\u0131 evredir. Karaci\u011ferde skar dokusu vard\u0131r ancak semptoma yol a\u00e7acak kadar ilerlememi\u015ftir.<\/p>\n

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                                  1. \n

                                    Dekompanse Siroz Evresi:<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                                    Sar\u0131l\u0131k ve kar\u0131nda s\u0131v\u0131 birikmesi (assit)<\/strong> gibi semptomlar bu evrede kendini g\u00f6sterir.<\/p>\n

                                    \u00c7ok ciddi bir evredir. Erken tan\u0131 ve te\u015fhiste geri d\u00f6n\u00fc\u015f\u00fc m\u00fcmk\u00fcnd\u00fcr. Ancak ge\u00e7 kal\u0131nm\u0131\u015fsa tek se\u00e7enek karaci\u011fer naklidir. Hayat\u0131 ciddi oranda tehdit eder.<\/p>\n

                                    Siroz Tan\u0131s\u0131 Nas\u0131l Konur?<\/strong><\/h3>\n
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                                    • \n

                                      Fizik Muayane<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                      Doktorunuz sirozun belirtilerini net bir \u015fekilde ke\u015ffedebilmek i\u00e7in belirli belirtileri arayacakt\u0131r. Cildinizde k\u0131rm\u0131z\u0131l\u0131k, \u00f6r\u00fcmcek benzeri kan damarlar\u0131, cildinizin sararmas\u0131 gibi belirtilere g\u00f6re s\u00fcreciniz, hangi evrede oldu\u011funuz ve hangi testleri olaca\u011f\u0131n\u0131z sonras\u0131nda kararla\u015ft\u0131r\u0131l\u0131r.<\/p>\n

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                                        Kan Testleri<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                        Fiziki muayene sonras\u0131 gerekliyse doktorunuz siroz \u015f\u00fcphesinden dolay\u0131, karaci\u011fer hasar\u0131n\u0131z\u0131 inceleyecektir<\/p>\n

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                                          G\u00f6r\u00fcnt\u00fcleme Testleri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                          G\u00f6r\u00fcnt\u00fcleme testleri karaci\u011ferinizin boyutunu, \u015feklini ve dokusunu g\u00f6sterir. Ayr\u0131ca yara izi miktar\u0131n\u0131, karaci\u011ferinizdeki ya\u011f ve s\u0131v\u0131 indeksini de g\u00f6sterir. Bu g\u00f6r\u00fcnt\u00fcleme i\u015flemi\u00a0bilgisayarl\u0131 tomografi (BT) taramas\u0131<\/strong>, kar\u0131n ultrasonu ve manyetik rezonans g\u00f6r\u00fcnt\u00fcleme(MRI) kullan\u0131labilir.<\/p>\n

                                          Bunun d\u0131\u015f\u0131nda iki tip endoskopi istenebilir.<\/p>\n

                                          Endoskopik Retrograd Kolanjiyopankreatografi:<\/strong> Safra kanal\u0131 problemlerini saptamak i\u00e7in kullan\u0131l\u0131r.<\/p>\n

                                          \u00dcst endoskopi: Geni\u015flemi\u015f damarlar\u0131 (varisler) <\/strong>veya yemek borusu, mide veya ba\u011f\u0131rsaklar\u0131n\u0131zdaki kanamay\u0131 saptamak i\u00e7in kullan\u0131l\u0131r.<\/p>\n

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                                            Karaci\u011fer Biyopsisi<\/strong>:<\/h4>\n<\/li>\n<\/ul>\n

                                            Karaci\u011ferinizden h\u00fccre \u00f6rne\u011fi al\u0131nmas\u0131 i\u015flemidir. \u0130nce bir i\u011fne al\u0131nan \u00f6rnek mikroskop alt\u0131nda incelenebilir elveri\u015flili\u011fe getirilmesidir. Biyopsi siroz tan\u0131s\u0131n\u0131 do\u011frulayabilir. Karaci\u011fer hasar\u0131n\u0131n veya b\u00fcy\u00fcmesinin nedenlerini ve kapsam\u0131n\u0131 belirleyebilir. Testlerin sonu\u00e7lar\u0131 sirozunuzu do\u011fruluyorsa uzman bir doktor (hepatolog)<\/strong> ile ileti\u015fime ge\u00e7ilir.<\/p>\n

                                            Siroz (Karaci\u011fer Sirozu) Nas\u0131l Tedavi Edilir?<\/strong><\/h3>\n
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                                              Alkol Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 Tedavisi:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                              Uzun s\u00fcreli a\u011f\u0131r alkol t\u00fcketimi kaynakl\u0131 siroz olunmu\u015fsa, hastan\u0131n i\u00e7meyi b\u0131rakmas\u0131 gereklidir. Doktorunuz alkol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 var ise buna uygun bir\u00a0 tedavi program\u0131 \u00f6nerecektir.<\/p>\n

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                                                \u0130la\u00e7lar<\/strong>:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                Hepatit B ve C<\/strong>\u2019 nin neden oldu\u011fu karaci\u011fer h\u00fccre hasarlar\u0131nda, genellikle re\u00e7eteli ila\u00e7lar kullan\u0131l\u0131r.<\/p>\n

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                                                  Portal Vende Bas\u0131nc\u0131n Kontrol Edilmesi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                  Portal ven (toplardamar),kan\u0131n karaci\u011fere gidi\u015fini sa\u011flayan damarlard\u0131r. Bu damarlar ve\u00a0y\u00fcksek tansiyona<\/strong> neden olabilir. \u0130la\u00e7 kullan\u0131m\u0131 da, genelde di\u011fer kan damarlar\u0131nda artan bas\u0131nc\u0131 kontrol etmek i\u00e7in kullan\u0131l\u0131r. \u015eiddetli bir kanama olmas\u0131na kar\u015f\u0131n \u00f6nlem al\u0131n\u0131r. Kanaman\u0131n belirtileri Endeskopi y\u00f6ntemiyle ara\u015ft\u0131r\u0131labilir.<\/p>\n

                                                  Kanl\u0131 d\u0131\u015fk\u0131 veya kusma oldu\u011fu durumlarda yemek borusunda varislerin oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcr. Acil t\u0131bbi m\u00fcdahale gereklidir.<\/p>\n

                                                  A\u015fa\u011f\u0131daki prosed\u00fcrler yard\u0131mc\u0131 olabilir:<\/strong><\/h4>\n
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                                                    Bantlama<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                    Kanamay\u0131 kontrol alt\u0131na almak i\u00e7in varis taban\u0131n\u0131n etraf\u0131na k\u00fc\u00e7\u00fck bir bant yerle\u015ftirilir.<\/p>\n

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                                                      Enjeksiyon Skleroterapisi<\/strong>: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                      Endeskopi \u00e7ekildikten sonra, varis olan b\u00f6lgelere, kan p\u0131ht\u0131s\u0131 ve yara dokusunun olu\u015fmas\u0131n\u0131 tetikleyen bir madde enjekte edilir. Bu kanamay\u0131 durdurmaya yard\u0131mc\u0131 olur.<\/p>\n

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                                                        Balonlu Bir Sengstaken-Blakemore T\u00fcp\u00fc:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                        Endoskopinin yeterli olmad\u0131\u011f\u0131 durumlarda bu y\u00f6ntem kullan\u0131l\u0131r. Kanaman\u0131n durdurulmas\u0131 i\u00e7in, t\u00fcp hastan\u0131n bo\u011faz\u0131ndan midesine iner ve balon \u015fi\u015firilir. T\u00fcp\u00fcn ucuna yerle\u015ftirilen balonlar varislere bask\u0131 yaparak kanamay\u0131 durdurur.<\/p>\n

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                                                          Transjuguler \u0130ntrahepatik Portosistemik Stent \u015eant\u0131 (TIPSS)<\/strong>:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                          Yukar\u0131da bahsedilen tedaviler kanamay\u0131 durdurmazsa, portal ve hepatik venleri birle\u015ftirmek i\u00e7in karaci\u011ferden metal bir t\u00fcp ge\u00e7irilir.Ve kan\u0131n akmas\u0131n\u0131 sa\u011flayacak yol yarat\u0131l\u0131r. Olu\u015fturulan yol varislere<\/strong>\u00a0neden olan bas\u0131nc\u0131 \u00f6nler.<\/p>\n

                                                          Di\u011fer komplikasyonlar farkl\u0131 \u015fekillerde ele al\u0131n\u0131r:<\/strong><\/h4>\n
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                                                            Enfeksiyonlar:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                            Antibiyotik tedavisiyle enfeksiyonun \u00f6nlenmesi s\u00fcrecidir.<\/p>\n

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                                                              Karaci\u011fer Kanseri Taramas\u0131<\/strong>:<\/h4>\n<\/li>\n<\/ul>\n

                                                              Siroz, karaci\u011fer kanseri geli\u015fme riskini artt\u0131rabilmektedir. Bundan dolay\u0131 sirozlu hastalarda, d\u00fczenli kan testleri ve g\u00f6r\u00fcnt\u00fcleme taramalar\u0131 yap\u0131lmas\u0131 \u00f6nemlidir.<\/p>\n

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                                                                Hepatik Ensefalopati veya Y\u00fcksek Kan Toksin Seviyeleri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                Kanda toksin seviyelerinin tedavisine yard\u0131mc\u0131 olmak amac\u0131yla ila\u00e7lar kullan\u0131labilir.<\/p>\n

                                                                \u0130leri evre durumlarda, sirozun neden oldu\u011fu hasarlar karaci\u011ferin b\u00fct\u00fcn\u00fcn\u00fc kaplar ve geri d\u00f6n\u00fc\u015ft\u00fcr\u00fclemez. Bu t\u00fcr vakalarda ki\u015finin yeni bir karaci\u011fere ihtiyac\u0131 olacakt\u0131r. Uygun bir don\u00f6r bulunmal\u0131d\u0131r. Bu s\u00fcre\u00e7 son \u00e7are olarak tavsiye edilmektedir.<\/p>\n

                                                                Siroz Hastalar\u0131 Nas\u0131l Beslenmelidir?<\/strong><\/h3>\n

                                                                Siroz hastalar\u0131n\u0131n enerji gereksinimi sa\u011fl\u0131kl\u0131 insanlardan\u00a0 %50 oran\u0131nda daha fazlad\u0131r. Sa\u011fl\u0131kl\u0131 bir eri\u015fkin g\u00fcnde 1500-2000 kalori al\u0131rken, sirozlu eri\u015fkinlerin 2300-3000 kalori almas\u0131 gerekmektedir. Karaci\u011fer hastas\u0131n\u0131n g\u00fcnl\u00fck enerjinin yar\u0131s\u0131 karbonhidrat olarak adland\u0131r\u0131lan basit ve bile\u015fik \u015fekerlerden, \u00fc\u00e7te biri ya\u011flardan ve geri kalan\u0131 proteinlerden gelecek \u015feklide hesaplanmal\u0131d\u0131r. Kar\u0131nda su toplanmas\u0131, yayg\u0131n \u015fi\u015flikler ve kanda tuz miktar\u0131n\u0131n azalmas\u0131 durumlar\u0131nda su ve tuz k\u0131s\u0131tlamas\u0131 uygulanmal\u0131d\u0131r. Bu hastalar\u0131n d\u00fczenli idrar s\u00f6kt\u00fcr\u00fcc\u00fc kullanmalar\u0131 ve poliklinik kontrollerini yapt\u0131rmalar\u0131 gerekmektedir. Tuz t\u00fcketiminde 1-2 gram a\u015f\u0131lmamal\u0131d\u0131r. A\u015fa\u011f\u0131daki besin listesi t\u00fcm karaci\u011fer hastal\u0131klar\u0131nda oldu\u011fu gibi karaci\u011fer sirozunda da \u00f6nemlidir.<\/p>\n

                                                                  \n
                                                                • \n

                                                                  Enginar:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                  A ve B vitaminlerinden zengindir. \u0130drar s\u00f6k\u00fcc\u00fc ve antioksidan \u00f6zelli\u011fi bulunan enginar karaci\u011fer hastal\u0131\u011f\u0131n\u0131n ilerlemesini yava\u015flatabilir.<\/p>\n

                                                                    \n
                                                                  • \n

                                                                    Multivitamin Deste\u011fi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                    Kronik karaci\u011fer hastalar\u0131na antioksidan ve multivitamin preperatlar\u0131n\u0131n verilebilmektedir.<\/p>\n

                                                                      \n
                                                                    • \n

                                                                      Bulgur ve Baklagiller:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                      \u00c7ay \u015fekeri, \u00e7ikolata, bal, re\u00e7el, asitli i\u00e7ecek gibi basit \u015fekerli g\u0131dalar az t\u00fcketilmelidir. Basit \u015fekerler kan \u015fekerinin h\u0131zl\u0131 y\u00fckselip d\u00fc\u015fmesine neden olur. Bunun yerine kan \u015fekerinde \u0131l\u0131ml\u0131 y\u00fckselmeye neden olan ve kan \u015fekerinin uzun s\u00fcrede istenen d\u00fczeyde kalmas\u0131n\u0131 sa\u011flayan bile\u015fik \u015fekerli g\u0131dalar \u00f6nerilir. Karaci\u011fer hastalar\u0131nda makarna, bulgur, sebzeler, baklagiller, s\u00fctl\u00fc tatl\u0131lar, bulgur pilav\u0131 gibi bile\u015fik \u015feker i\u00e7eren g\u0131dalar \u00f6nerilir.<\/p>\n

                                                                        \n
                                                                      • \n

                                                                        Haz\u0131r G\u0131dalar:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                        Fastfood, haz\u0131r market \u00fcr\u00fcnleri, sosis, sucuk, salam t\u00fcketimi kronik karaci\u011fer hastalar\u0131n\u0131n uzak durmas\u0131 gereken g\u0131dalar aras\u0131ndad\u0131r.<\/p>\n

                                                                          \n
                                                                        • \n

                                                                          Et ve Yumurta:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                          Bir yumurta b\u00fcy\u00fckl\u00fc\u011f\u00fcndeki et, bir yumurta ve 4 yemek ka\u015f\u0131\u011f\u0131 bakliyata e\u015fde\u011ferdir. Beslenme de de\u011fi\u015fim bu oranlar g\u00f6z \u00f6n\u00fcne al\u0131narak yap\u0131lmal\u0131d\u0131r.<\/p>\n

                                                                            \n
                                                                          • \n

                                                                            S\u00fct \u00dcr\u00fcnleri:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                            Bir su barda\u011f\u0131 s\u00fct, bir kase yo\u011furt, bir kibrit kutusu peynir ve 2\/3 kibrit kutusu ka\u015far peyniri e\u015fde\u011ferdir. Yo\u011furt t\u00fcketilen g\u00fcn kar\u015f\u0131l\u0131k gelen s\u00fct veya peynir azalt\u0131lmal\u0131d\u0131r.<\/p>\n

                                                                              \n
                                                                            • \n

                                                                              Tah\u0131llar:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                              \u0130ki dilim ekmek, 4 yemek ka\u015f\u0131\u011f\u0131 makarna, pirin\u00e7 pilav\u0131 ve bulgur pilav\u0131na e\u015fde\u011ferdir. G\u00fcnl\u00fck denge bu oranlara g\u00f6re ayarlanmal\u0131d\u0131r.<\/p>\n

                                                                              Siroz Hastalar\u0131 Nelere Dikkat Etmelidir?<\/strong><\/h3>\n
                                                                                \n
                                                                              • \n

                                                                                D\u00fczenli Doktor Kontrol\u00fc:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                                Hastal\u0131\u011f\u0131n derecelendirilmesi ve uygun tedavinin belirlenmesi i\u00e7in, bir karaci\u011fer uzman\u0131yla birlikte ayr\u0131nt\u0131l\u0131 de\u011ferlendirme yap\u0131lmas\u0131 gerekir. Erken sirozda her 1-3 ayda bir iken ilerlemi\u015f sirozda ise her 1-4 haftada bir d\u00fczenli karaci\u011fer fonksiyon testleri ve izlem yap\u0131lmal\u0131d\u0131r. Kontrollerin hangi s\u0131kl\u0131kla yap\u0131laca\u011f\u0131, hastal\u0131k belirtilerine ve hastal\u0131\u011f\u0131n \u015fiddetine ba\u011fl\u0131 olarak takip eden doktor taraf\u0131ndan belirlenir.<\/p>\n

                                                                                  \n
                                                                                • \n

                                                                                  Sa\u011fl\u0131kl\u0131 Beslenme:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                                  Kronik karaci\u011fer hastal\u0131\u011f\u0131nda, optimum karaci\u011fer fonksiyonlar\u0131 i\u00e7in sa\u011fl\u0131kl\u0131 beslenme \u00e7ok \u00f6nemlidir. Yayg\u0131n inanc\u0131n aksine, \u015fiddetli sar\u0131l\u0131k varl\u0131\u011f\u0131 d\u0131\u015f\u0131nda, karaci\u011fer hastal\u0131\u011f\u0131n\u0131n \u00e7ok ileri evrelerine kadar hastalar\u0131n sindirim sistemi normal \u00e7al\u0131\u015fabilmektedir.<\/p>\n

                                                                                  Dolay\u0131s\u0131yla, karaci\u011fer hastal\u0131\u011f\u0131n\u0131n t\u00fcm tiplerinde, ya\u011fl\u0131 g\u0131da ve proteinlerden tamamen ka\u00e7\u0131nma gereklili\u011fi pek do\u011fru de\u011fildir. Halk aras\u0131ndaki bu yanl\u0131\u015f bilgilenme, bir\u00e7ok karaci\u011fer hastas\u0131n\u0131n g\u0131das\u0131z kalmas\u0131na, kilo kaybetmesine ve sa\u011fl\u0131\u011f\u0131n daha h\u0131zl\u0131 bozulmas\u0131na neden olabilmektedir.<\/p>\n

                                                                                  Alkole ba\u011fl\u0131 sirozda, alkol kullan\u0131m\u0131ndan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. Hepatit C ba\u015fta olmak \u00fczere t\u00fcm di\u011fer siroz tiplerinde ise alkol k\u0131s\u0131tlanmal\u0131d\u0131r.<\/p>\n

                                                                                    \n
                                                                                  • \n

                                                                                    Egzersiz:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                                    \u00d6zellikle vir\u00fcse ba\u011fl\u0131 sirozda, a\u015f\u0131r\u0131 fiziksel aktiviteden ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. Ancak bu s\u00fcrekli ve zorunlu yatak istirahat\u0131 anlam\u0131na gelmemektedir. Makul d\u00fczeyde hareket ve aktivitenin s\u00fcrd\u00fcr\u00fclmesi \u00f6nerilir. Sirozun ileri evrelerinde, yetersiz kan p\u0131ht\u0131la\u015fmas\u0131 ve kanama e\u011filimine ba\u011fl\u0131 olarak, temas sporlar\u0131ndan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n

                                                                                      \n
                                                                                    • \n

                                                                                      \u0130la\u00e7 Kullan\u0131m\u0131:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                                                      Karaci\u011fer yetersiz oldu\u011fundan rastgele kullan\u0131lan ila\u00e7lar karaci\u011fere ve t\u00fcm v\u00fccuda zarar verebilir. Bu nedenle doktora dan\u0131\u015fmadan herhangi bir ila\u00e7, vitamin, takviye \u00fcr\u00fcn kullan\u0131m\u0131ndan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

                                                                                      Siroz Nedir? Kronik karaci\u011fer hastal\u0131\u011f\u0131\u00a0olarak da adland\u0131r\u0131lan\u00a0siroz, karaci\u011ferde ileri derecede hasar olu\u015fumuna verilen isimdir. \u00c7e\u015fitli hastal\u0131klar nedeniyle, bazense bilinmeyen sebeplerden dolay\u0131 karaci\u011ferde farkl\u0131 d\u00fczeylerde hasar meydana gelebilir. Bunun sonucunda karaci\u011ferin yap\u0131sal fonksiyonlar\u0131nda \u00e7e\u015fitli bozulmalar olu\u015fur ve normal i\u015flevlerini yerine getirememeye ba\u015flar. Bu durum, siroz s\u00fcrecinin ba\u015flang\u0131c\u0131d\u0131r. S\u00fcre\u00e7 ilerledik\u00e7e i\u015flevine devam eden karaci\u011fer h\u00fccrelerinin azalmas\u0131 sonucunda […]<\/p>\n","protected":false},"author":3,"featured_media":9235,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[732],"tags":[2306,2305],"yoast_head":"\nSiroz Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Kronik karaci\u011fer hastal\u0131\u011f\u0131\u00a0olarak da adland\u0131r\u0131lan\u00a0siroz, karaci\u011ferde ileri derecede hasar olu\u015fumuna verilen isimdir.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/turkeyistanbulmedical.com\/tr\/siroz-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Siroz Nedir?\" \/>\n<meta property=\"og:description\" content=\"Kronik karaci\u011fer hastal\u0131\u011f\u0131\u00a0olarak da adland\u0131r\u0131lan\u00a0siroz, karaci\u011ferde ileri derecede hasar olu\u015fumuna verilen isimdir.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/siroz-nedir\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-04T10:10:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-04T10:14:02+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/04\/Cirrhosis.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"730\" \/>\n\t<meta property=\"og:image:height\" content=\"332\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Turkey Istanbul Medical\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 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\/siroz-nedir\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/04\/Cirrhosis.jpg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/04\/Cirrhosis.jpg\",\"width\":730,\"height\":332,\"caption\":\"Cirrhosis\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/siroz-nedir\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/siroz-nedir\/\",\"name\":\"Siroz Nedir? 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