Ramazan ay\u0131nda normal beslenme d\u00fczeni bozuluyor, iftar ve sahur ile \u00f6\u011f\u00fcn say\u0131s\u0131 s\u0131n\u0131rlan\u0131yor. S\u0131cak ve uzun g\u00fcnlere denk gelen Ramazan ay\u0131nda oru\u00e7 tutanlar\u0131n sa\u011fl\u0131klar\u0131na da dikkat etmesi gerekiyor. Bunaltan s\u0131caklarla beraber a\u00e7l\u0131k ve susuzluk insan dengesini sars\u0131yor. \u00d6zellikle k\u0131rm\u0131z\u0131 et, ekmek, makarna, pilav, tatl\u0131, hamur i\u015fleri t\u00fcketimlerinde art\u0131\u015f oldu\u011funu ve ba\u015fta su olmak \u00fczere, sebze ve meyve t\u00fcketiminin de azald\u0131\u011f\u0131n\u0131 belirten Anadolu Sa\u011fl\u0131k Merkezi \u0130\u00e7 Hastal\u0131klar\u0131 ve Nefroloji Uzman\u0131 Do\u00e7. Dr. Enes Murat Atasoyu \u201cH\u00e2lbuki bu d\u00f6nemde g\u00fcnl\u00fck al\u0131nmas\u0131 gereken enerji ve besin \u00f6\u011felerinin oranlar\u0131 de\u011fi\u015fiyor. O nedenle Ramazan ay\u0131nda oru\u00e7 tutacak bireyler, di\u011fer zamanlarda oldu\u011fu gibi sa\u011fl\u0131kl\u0131, yeterli ve dengeli beslenmeye \u00f6zen g\u00f6stermeliler\u201d dedi.<\/p>\n
Ramazan\u2019\u0131n yaz aylar\u0131na denk gelmesi, oru\u00e7 tutanlar i\u00e7in uzun s\u00fcreli a\u00e7l\u0131k d\u00f6nemlerini de beraberinde getiriyor. Bu durumda v\u00fccutta metabolizma h\u0131z\u0131 yava\u015fl\u0131yor ve enerji tasarruflu bir \u015feklide kullan\u0131l\u0131yor. Kronik hastal\u0131klar\u0131 olan ki\u015filerin oru\u00e7 tutma konusunda mutlaka doktorlar\u0131na dan\u0131\u015fmalar\u0131 gerekti\u011fini s\u00f6yleyen Anadolu Sa\u011fl\u0131k Merkezi \u0130\u00e7 Hastal\u0131klar\u0131 ve Nefroloji Uzman\u0131 Do\u00e7. Dr. Enes Murat Atasoyu, Ramazan\u2019da Acil Servis\u2019e m\u00fcracaat eden hastalarda en s\u0131k \u00fclser ve mide kanamalar\u0131na rastland\u0131\u011f\u0131n\u0131 belirterek \u00f6nemli uyar\u0131 ve a\u00e7\u0131klamalarda bulundu.<\/p>\n
Sahur atlanmamal\u0131<\/b><\/p>\n
Oru\u00e7 tutan ki\u015finin sahur yeme\u011fini yemeden oru\u00e7 tutarsa, v\u00fccudu i\u00e7in gereken glukozun sa\u011flanmas\u0131nda rol alan depolar\u0131n h\u0131zla t\u00fckendi\u011fini ve organlar\u0131n fonksiyonlar\u0131n\u0131 sa\u011fl\u0131kl\u0131 bir \u015fekilde yerine getiremedi\u011fini anlatan Anadolu Sa\u011fl\u0131k Merkezi \u0130\u00e7 Hastal\u0131klar\u0131 ve Nefroloji Uzman\u0131 Do\u00e7. Dr. Enes Murat Atasoyu, \u201cOrucun ilk saatlerinde kan \u015fekeri (glukoz) \u00f6nce d\u00fc\u015f\u00fc\u015f e\u011filimi g\u00f6sterir. Ard\u0131ndan v\u00fccutta koruyucu mekanizmalar devreye girer ve ilk \u00f6nce \u201cglikojen\u201d ad\u0131 verilen karaci\u011ferde depolanm\u0131\u015f olan \u015feker par\u00e7alanarak dola\u015f\u0131ma ge\u00e7er. 5-6 saat s\u00fcre ile kan glukoz d\u00fczeyini normal s\u0131n\u0131rlarda tutar. Orucun ilerleyen saatlerinde glikojen t\u00fckenir ve glukoz d\u00fczeyini normal s\u0131n\u0131rda tutmak i\u00e7in bu kez \u201cglukoneojenezis\u201d olarak tan\u0131mlanan glukoz d\u0131\u015f\u0131 molek\u00fcllerden (aminoasid, laktik asid, piruvik asid gibi) glukoz \u00fcretimi ba\u015flar. B\u00f6ylece ba\u015fta beyin olmak \u00fczere t\u00fcm organ ve dokular\u0131n sa\u011fl\u0131kl\u0131 \u00e7al\u0131\u015fmas\u0131 i\u00e7in gereken glukoz temin edilmeye \u00e7al\u0131\u015f\u0131l\u0131r\u201d a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n
Kronik hastal\u0131klar\u0131 olanlar Ramazan\u2019dan \u00f6nce doktor kontrollerini yapt\u0131rmal\u0131<\/b><\/p>\n
Hipertansiyon, koroner arter hastal\u0131\u011f\u0131, kalp yetmezli\u011fi, beyin damar hastal\u0131\u011f\u0131, diyabet, kan ya\u011flar\u0131nda y\u00fckseklik (hiperlipidemi), obezite, kronik b\u00f6brek yetmezli\u011fi gibi kronik hastal\u0131klar\u0131 olan hastalar\u0131n oru\u00e7 tutma konusunda Ramazan ay\u0131ndan \u00f6nce kendilerini takip ve tedavi eden hekimlerin tavsiyelerini mutlaka almalar\u0131 gerekti\u011fini vurgulayan Anadolu Sa\u011fl\u0131k Merkezi \u0130\u00e7 Hastal\u0131klar\u0131 ve Nefroloji Uzman\u0131 Do\u00e7. Dr. Enes Murat Atasoyu, \u201cHastalar kendilerine \u00f6zg\u00fc d\u00fczenlenmi\u015f olan diyet programlar\u0131na uymal\u0131, sigaradan uzak durmal\u0131, tuz k\u0131s\u0131tlamas\u0131 yapmal\u0131, g\u00fcnde 1.5 litre kadar su t\u00fcketmeleri yararl\u0131 olacakt\u0131r. Ayr\u0131ca d\u00fczenli almalar\u0131 gereken ila\u00e7lar\u0131n kullan\u0131m\u0131nda herhangi bir aksakl\u0131\u011fa yer verilmemesi, ila\u00e7lar\u0131n kullan\u0131m periyodlar\u0131n\u0131n m\u00fcmk\u00fcnse sahur ve iftara g\u00f6re ayarlanmas\u0131 konusunda da hekimlerinin g\u00f6r\u00fc\u015f ve onay\u0131n\u0131 almalar\u0131 gerekir\u201d dedi.<\/p>\n
Kalp, diyabet, b\u00f6brek hastalar\u0131 dikkatli olmal\u0131<\/b><\/p>\n
Kalp, diyabet ve b\u00f6brek hastalar\u0131n\u0131n Ramazan ay\u0131 \u00f6ncesinde hekimleri ve diyetisyenlerinin beslenme ve hastal\u0131klar\u0131n\u0131n tedavisi ile ilgili \u00f6nerilerini almalar\u0131 gerekti\u011fini hat\u0131rlatan Do\u00e7. Dr. Atasoyu \u201dOru\u00e7 d\u00f6neminde hastalar\u0131n ya\u011fl\u0131, karbonhidrattan zengin (hamur i\u015fi, tatl\u0131 gibi), tuzlu besinlerden uzak durmalar\u0131 \u00f6nemlidir. Kalp hastal\u0131\u011f\u0131 hafif d\u00fczeyde olan koroner arter hastalar\u0131 ve kalp kapak hastalar\u0131 oru\u00e7tan fazla etkilenmese de, kalp hastal\u0131\u011f\u0131n\u0131n derecesi ile ilgili olarak kan bas\u0131nc\u0131 d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc (hipotansiyon), kalp ritm bozukluklar\u0131 g\u00f6r\u00fclebiliyor. \u00d6zellikle tip I diyabetikler (ins\u00fcline ba\u011f\u0131ml\u0131) ba\u015fta olmak \u00fczere t\u00fcm diyabetik hastalarda oru\u00e7 gibi uzun s\u00fcre a\u00e7 kalmay\u0131 gerektiren durumlarda, kan \u015fekeri d\u00fc\u015febilir. Kronik b\u00f6brek yetmezli\u011fi nedeni ile diyalize giren hastalar sahur ve iftar yemeklerinde a\u015f\u0131r\u0131 miktarda ve tuzlu yemeleri, \u00e7ok su i\u00e7meleri durumunda v\u00fccutlar\u0131nda s\u0131v\u0131 birikimi ve kanda potasyum d\u00fczeyinde y\u00fckselme gibi hayati risk ta\u015f\u0131yan durumlar ortaya \u00e7\u0131kabilir. Kronik b\u00f6brek yetmezli\u011fi olan fakat diyaliz tedavisi g\u00f6rmeyen hastalar da kullanmak durumunda olduklar\u0131 tansiyon ila\u00e7lar\u0131, idrar s\u00f6kt\u00fcr\u00fcc\u00fc ila\u00e7lar nedeni ile tansiyon d\u00fczeninde anormallikler, elektrolit dengesinde bozulmalar g\u00f6r\u00fclebilir\u201d dedi.<\/p>\n
Hamileler ve mide rahats\u0131zl\u0131\u011f\u0131 olanlar oru\u00e7 tutmamal\u0131<\/b><\/p>\n
Diyabetik hastalarda tedaviye uyumu zay\u0131f, kan \u015feker d\u00fczeyi kontrols\u00fcz, hamile, daha \u00f6nce diyabetik koma ge\u00e7irmi\u015f, diyabete ba\u011fl\u0131 kalp, b\u00f6brek hastal\u0131klar\u0131 olanlar\u0131n oru\u00e7 gibi uzun s\u00fcre a\u00e7 kalmay\u0131 gerektiren aktivitelerde bulunmalar\u0131n\u0131n sak\u0131ncalar\u0131n\u0131 vurgulayan Anadolu Sa\u011fl\u0131k Merkezi \u0130\u00e7 Hastal\u0131klar\u0131 ve Nefroloji Uzman\u0131 Do\u00e7. Dr. Enes Murat Atasoyu, \u201cBu hastal\u0131klara sahip olanlar\u0131n ve hamile olanlar\u0131n oru\u00e7 tutmalar\u0131 konusunda ilgili hekimlerin g\u00f6r\u00fc\u015f\u00fcn\u00fc kesinlikle almalar\u0131 gerekir. Ayr\u0131ca Ramazan ay\u0131nda Acil Servis\u2019e m\u00fcracaat eden hastalarda en s\u0131k g\u00f6r\u00fclen hastal\u0131k mide-duodenum \u00fclseri ve buna ba\u011fl\u0131 geli\u015fen kanama veya mide-duodenum duvar y\u0131rt\u0131lmas\u0131 tablolar\u0131d\u0131r. O nedenle aktif \u00fclseri oldu\u011fu bilinen, yak\u0131n zamanda mide kanamas\u0131 ge\u00e7irmi\u015f hastalar\u0131n oru\u00e7 tutmamalar\u0131 gerekir. Daha \u00f6nce \u00fclser tedavisi g\u00f6rm\u00fc\u015f, halen yak\u0131nmas\u0131 olmayan, fakat mide asidi salg\u0131s\u0131 fazla olan hastalar oru\u00e7 konusunda hekimlerine dan\u0131\u015fmal\u0131lar ve uygun g\u00f6r\u00fcl\u00fcrse asit salg\u0131s\u0131n\u0131 d\u00fczenleyici ila\u00e7lar kullanarak oru\u00e7 tutmalar\u0131na izin verilebilir\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
Ramazan ay\u0131nda normal beslenme d\u00fczeni bozuluyor, iftar ve sahur ile \u00f6\u011f\u00fcn say\u0131s\u0131 s\u0131n\u0131rlan\u0131yor. S\u0131cak ve uzun g\u00fcnlere denk gelen Ramazan ay\u0131nda oru\u00e7 tutanlar\u0131n sa\u011fl\u0131klar\u0131na da dikkat etmesi gerekiyor. Bunaltan s\u0131caklarla beraber a\u00e7l\u0131k ve susuzluk insan dengesini sars\u0131yor. \u00d6zellikle k\u0131rm\u0131z\u0131 et, ekmek, makarna, pilav, tatl\u0131, hamur i\u015fleri t\u00fcketimlerinde art\u0131\u015f oldu\u011funu ve ba\u015fta su olmak \u00fczere, sebze […]<\/p>\n","protected":false},"author":4,"featured_media":146,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,11,12],"tags":[],"class_list":{"0":"post-145","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-oneri","8":"category-saglik","9":"category-yasam-tarzi"},"_links":{"self":[{"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=\/wp\/v2\/posts\/145"}],"collection":[{"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=145"}],"version-history":[{"count":0,"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=\/wp\/v2\/posts\/145\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=\/wp\/v2\/media\/146"}],"wp:attachment":[{"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=145"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/demo.weblogpro.com.tr\/sifirondort07\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}