Karaci\u011fer h\u00fccrelerinin i\u00e7inde ya\u011f damlac\u0131klar\u0131n\u0131n birikmesiyle ortaya \u00e7\u0131kan karaci\u011fer ya\u011flanmas\u0131, g\u00fcn\u00fcm\u00fczde hareketsiz ya\u015fam, sa\u011fl\u0131ks\u0131z beslenme, obezite, diyabet ve ins\u00fclin direncinin yayg\u0131nla\u015fmas\u0131yla birlikte giderek daha s\u0131k g\u00f6r\u00fcl\u00fcyor.<\/p>\n
Anadolu Sa\u011fl\u0131k Merkezi Hastanesi Gastroenteroloji Uzman\u0131 Prof. Dr. Z\u00fclfikar Polat, karaci\u011fer ya\u011flanmas\u0131n\u0131n uzun y\u0131llar boyunca belirgin \u015fik\u00e2yet olu\u015fturmadan ilerleyebildi\u011fine dikkat \u00e7ekerek, erken d\u00f6nemde al\u0131nacak \u00f6nlemlerin \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n
Polat, ileri siroz geli\u015fmemi\u015f hastalarda do\u011fru beslenme, d\u00fczenli egzersiz ve gerekli durumlarda destek tedavileriyle karaci\u011fer ya\u011flanmas\u0131n\u0131n b\u00fcy\u00fck \u00f6l\u00e7\u00fcde geriletilebildi\u011fini s\u00f6yledi.<\/p>\n
Karaci\u011fer ya\u011flanmas\u0131n\u0131n basit ya\u011f birikiminden daha ileri d\u00fczey karaci\u011fer hasar\u0131na kadar farkl\u0131 tablolarda g\u00f6r\u00fclebildi\u011fini belirten Prof. Dr. Polat, metabolik ya\u011fl\u0131 karaci\u011fer hastal\u0131\u011f\u0131nda ya\u011f birikimine inflamasyon ve h\u00fccre hasar\u0131n\u0131n da e\u015flik edebildi\u011fini ifade etti.<\/p>\n
Hareketsiz ya\u015fam, masa ba\u015f\u0131 \u00e7al\u0131\u015fma ve sa\u011fl\u0131ks\u0131z beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n obezite, diyabet ve ins\u00fclin direncinin g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131 art\u0131rd\u0131\u011f\u0131n\u0131 kaydeden Polat, \u015fu bilgileri verdi:<\/p>\n
\u201cKilo fazlas\u0131 olan veya obezite s\u0131n\u0131r\u0131na giren ki\u015filerin y\u00fczde 70\u2019inde, diyabetlilerin ise y\u00fczde 90\u2019\u0131nda karaci\u011fer ya\u011flanmas\u0131 g\u00f6r\u00fcl\u00fcyor. \u00d6zellikle MASH olarak adland\u0131r\u0131lan metabolik ya\u011fl\u0131 karaci\u011fer hastal\u0131\u011f\u0131; obezite, ins\u00fclin direnci, hipertansiyon ve \u00fcrik asit y\u00fcksekli\u011fiyle seyreden metabolik sendromun bir bile\u015feni. Bu tablo ayn\u0131 zamanda kalp ve damar hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan da risk olu\u015fturuyor.\u201d<\/p>\n
Karaci\u011fer ya\u011flanmas\u0131n\u0131n uzun s\u00fcre sessiz ilerleyebilece\u011fine dikkat \u00e7eken Polat, y\u0131llar i\u00e7inde karaci\u011fer h\u00fccrelerinde olu\u015fan hasar\u0131n fibrozis olarak adland\u0131r\u0131lan tamir dokusunun geli\u015fmesine yol a\u00e7abilece\u011fini belirtti.<\/p>\n
Bu s\u00fcrecin karaci\u011ferin k\u00fc\u00e7\u00fclmesine ve sertle\u015fmesine neden olabilece\u011fini ifade eden Polat, hastal\u0131\u011f\u0131n ilerleyen a\u015famalarda portal hipertansiyon ve siroza kadar ula\u015fabilece\u011fini s\u00f6yledi.<\/p>\n
Polat, siroz geli\u015ftikten sonra ise hastal\u0131\u011f\u0131n sebebinden ba\u011f\u0131ms\u0131z olarak karaci\u011fer kanseri geli\u015fme riskinin artt\u0131\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n
\u0130leri siroz geli\u015fmemi\u015f hastalarda karaci\u011fer ya\u011flanmas\u0131n\u0131n ya\u015fam tarz\u0131 de\u011fi\u015fiklikleriyle b\u00fcy\u00fck \u00f6l\u00e7\u00fcde geriletilebildi\u011fini kaydeden Polat, tedavinin temelinde d\u00fczenli egzersiz ve sa\u011fl\u0131kl\u0131 beslenmenin bulundu\u011funu s\u00f6yledi.<\/p>\n
Karaci\u011fer ya\u011flanmas\u0131n\u0131n k\u00f6keninde \u00e7o\u011fu zaman ins\u00fclin direncinin yer ald\u0131\u011f\u0131n\u0131 ifade eden Polat, ins\u00fclin direncinin azalt\u0131lmas\u0131nda kaslar\u0131n aktif bi\u00e7imde \u00e7al\u0131\u015ft\u0131r\u0131lmas\u0131n\u0131n \u00f6nemli oldu\u011funa dikkat \u00e7ekti.<\/p>\n
V\u00fccuttaki \u00e7izgili kaslar\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fcn\u00fcn bacaklarda bulundu\u011funu belirten Polat, d\u00fczenli y\u00fcr\u00fcy\u00fc\u015f ve bisiklete binmenin \u00f6nemli faydalar sa\u011flayabilece\u011fini s\u00f6yledi.<\/p>\n
Karaci\u011fer enzimleri y\u00fcksek olan baz\u0131 hastalarda ise hekim de\u011ferlendirmesiyle ins\u00fclin direncinin azalt\u0131lmas\u0131na y\u00f6nelik ila\u00e7lardan ve baz\u0131 destek tedavilerinden yararlan\u0131labilece\u011fini belirtti.<\/p>\n
Karaci\u011fer ya\u011flanmas\u0131nda yaln\u0131zca ya\u011fl\u0131 yiyeceklerin sorumlu tutulmamas\u0131 gerekti\u011fini belirten Polat, fazla t\u00fcketilen \u015fekerli g\u0131dalar\u0131n da karaci\u011ferde ya\u011fa d\u00f6n\u00fc\u015febilece\u011fini s\u00f6yledi.<\/p>\n
Meyvelerin i\u00e7eri\u011finde bulunan fruktozun a\u015f\u0131r\u0131 t\u00fcketilmesi halinde karaci\u011fer ya\u011flanmas\u0131na katk\u0131da bulunabilece\u011fine i\u015faret eden Polat, \u00f6zellikle hamur i\u015fi ve \u00e7ok ya\u011fl\u0131 yemeklerin s\u0131n\u0131rland\u0131r\u0131lmas\u0131n\u0131, Akdeniz tipi beslenmenin tercih edilmesini \u00f6nerdi.<\/p>\n
Karaci\u011fer ya\u011flanmas\u0131n\u0131n yaln\u0131zca fazla kilolu ki\u015filerde g\u00f6r\u00fclmedi\u011fini de belirten Polat, hastalar\u0131n yakla\u015f\u0131k y\u00fczde 10\u2019unda obezite ve metabolik sendrom bulunmadan da ya\u011flanma ortaya \u00e7\u0131kabildi\u011fini, bu ki\u015filerde baz\u0131 genetik mutasyonlar\u0131n etkili olabilece\u011fini aktard\u0131.<\/p>\n
Karaci\u011fer ya\u011flanmas\u0131n\u0131n tan\u0131 ve takibinde \u00e7e\u015fitli temel tetkiklerden yararlan\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yleyen Polat, karaci\u011fer fonksiyon testleri, ultrasonografi ve ins\u00fclin direnci \u00f6l\u00e7\u00fcmlerinin \u00f6nemli bilgiler verdi\u011fini kaydetti.<\/p>\n
Karaci\u011fer enzimleri s\u00fcrekli y\u00fcksek seyreden veya risk grubunda bulunan ki\u015filerde ise FibroScan y\u00f6ntemiyle karaci\u011ferde olu\u015fan hasar\u0131n ve ya\u011flanman\u0131n derecesinin de\u011ferlendirilebildi\u011fini ifade etti.<\/p>\n
Karaci\u011fer sa\u011fl\u0131\u011f\u0131n\u0131n genel sa\u011fl\u0131k a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 belirten Prof. Dr. Z\u00fclfikar Polat, karaci\u011ferin v\u00fccutta s\u00fcrekli \u00e7al\u0131\u015fan temel organlardan biri oldu\u011funa dikkat \u00e7ekti.<\/p>\n
Polat, \u201cKaraci\u011fer yedi g\u00fcn 24 saat durmaks\u0131z\u0131n \u00e7al\u0131\u015fan bir organ. V\u00fccudumuzun adeta temizlik merkezi ve fabrikas\u0131. Gastrointestinal sistemden gelen besinleri ve metabolitleri al\u0131yor, i\u015fliyor, detoksifiye ediyor ve v\u00fccuda yararl\u0131 hale getirerek kan dola\u015f\u0131m\u0131na veriyor. Bu nedenle beslenme d\u00fczeni, kilo kontrol\u00fc ve d\u00fczenli egzersiz ya\u015fam\u0131m\u0131z\u0131n bir rutini haline gelmeli\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
Kilo fazlas\u0131 veya obezitesi bulunan ki\u015filerin y\u00fczde 70\u2019inde, diyabetlilerin ise y\u00fczde 90\u2019\u0131nda g\u00f6r\u00fclen karaci\u011fer ya\u011flanmas\u0131, uzun s\u00fcre belirti vermeden ilerleyerek kronik hepatit, siroz ve karaci\u011fer kanseri riskine kadar uzanabilen ciddi sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7abiliyor. Gastroenteroloji Uzman\u0131 Prof. Dr. Z\u00fclfikar Polat, hastal\u0131\u011f\u0131n \u00f6zellikle ileri siroz geli\u015fmeden \u00f6nce ya\u015fam tarz\u0131 de\u011fi\u015fiklikleriyle b\u00fcy\u00fck \u00f6l\u00e7\u00fcde geriletilebildi\u011fini belirtti.<\/p>\n","protected":false},"author":14,"featured_media":49662,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[15649,2847,2022],"class_list":["post-49660","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-karacigeryaglanmasi","tag-obezite","tag-sagliklibeslenme"],"yoast_head":"\n