Medicana Sa\u011fl\u0131k Grubu Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Aysel Mammadyarzada, \u00e7o\u011fu zaman ba\u015fka hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131lan tiroit belirtilerinin v\u00fccudun dengesini sessizce bozabildi\u011fini belirterek, “Uzun s\u00fcren halsizlik, ani kilo de\u011fi\u015fimleri ve \u00e7arp\u0131nt\u0131 gibi \u015fikayetler basit g\u00f6r\u00fclmemeli” dedi. Uzm. Dr. Aysel Mammadyarzada, erken tan\u0131 ve d\u00fczenli kontrollerle ciddi sa\u011fl\u0131k sorunlar\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilebilece\u011fini vurgulad\u0131.
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Tiroit hastal\u0131klar\u0131n\u0131n \u00e7o\u011fu zaman fark edilmeden ilerledi\u011fini belirten Medicana International \u0130zmir Hastanesi Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Uzman\u0131 Dr. Aysel Mammadyarzada, uzun s\u00fcren halsizlik, ani kilo de\u011fi\u015fimleri ve \u00e7arp\u0131nt\u0131 gibi belirtilerin basit semptomlar olarak g\u00f6r\u00fclmemesi gerekti\u011fini vurgulad\u0131. Tiroit bezinin v\u00fccudun enerji \u00fcretimi, \u0131s\u0131 dengesi ve organlar\u0131n \u00e7al\u0131\u015fma h\u0131z\u0131n\u0131 y\u00f6netti\u011fini ifade eden Uzm. Dr. Aysel Mammadyarzada, “Bu k\u00fc\u00e7\u00fck bez, asl\u0131nda metabolizman\u0131n ritmini belirler. Bu ritimdeki en k\u00fc\u00e7\u00fck sapma bile t\u00fcm sistemi etkileyebilir” dedi.<\/p>\n
Belirtiler \u00e7o\u011fu zaman ba\u015fka hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131l\u0131yor
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Tiroit hormonlar\u0131n\u0131n fazla ya da yetersiz salg\u0131lanmas\u0131n\u0131n v\u00fccutta farkl\u0131 etkiler olu\u015fturdu\u011funu belirten Uzm. Dr. Aysel Mammadyarzada, “Tiroit hormonlar\u0131n\u0131n fazla salg\u0131land\u0131\u011f\u0131 durumlarda v\u00fccut adeta h\u0131zlan\u0131r; \u00e7arp\u0131nt\u0131, kilo kayb\u0131, a\u015f\u0131r\u0131 terleme ve sinirlilik gibi belirtiler ortaya \u00e7\u0131kar. Bu tablo ilerledi\u011finde nefes darl\u0131\u011f\u0131, kalp sorunlar\u0131 ve kemik erimesi gibi ciddi komplikasyonlara zemin haz\u0131rlayabilir. Buna kar\u015f\u0131l\u0131k hormonlar\u0131n yetersiz oldu\u011fu durumlarda v\u00fccut yava\u015flar; yorgunluk, \u00fc\u015f\u00fcme, cilt kurulu\u011fu ve kab\u0131zl\u0131k gibi \u015fik\u00e2yetler g\u00f6r\u00fcl\u00fcr. Bu belirtiler \u00e7o\u011fu zaman farkl\u0131 hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131ld\u0131\u011f\u0131 i\u00e7in tan\u0131 gecikebilir” ifadelerini kulland\u0131.<\/p>\n
Halsizlik ve kilo de\u011fi\u015fimine dikkat
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Halsizlik ve kilo de\u011fi\u015fiminin tek ba\u015f\u0131na bir\u00e7ok farkl\u0131 nedene ba\u011fl\u0131 olabilece\u011fini ancak tiroit hastal\u0131klar\u0131nda da s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirten Uzm. Dr. Aysel Mammadyarzada, “Bu t\u00fcr \u015fik\u00e2yetler uzun s\u00fcr\u00fcyorsa mutlaka de\u011ferlendirilmelidir. \u00d6zellikle a\u00e7\u0131klanamayan kilo kayb\u0131 ya da art\u0131\u015f\u0131, altta yatan hormonal bir sorunun i\u015fareti olabilir” diye konu\u015ftu. Tiroit hastal\u0131klar\u0131n\u0131n kad\u0131nlarda erkeklere oranla 5 ila 8 kat daha fazla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ifade eden Uzm. Dr. Aysel Mammadyarzada, bu nedenle kad\u0131nlar\u0131n belirtiler konusunda daha dikkatli olmas\u0131 gerekti\u011fini belirtti.<\/p>\n
Basit bir kan testi hayat kurtarabilir
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Tiroit hastal\u0131klar\u0131n\u0131n tan\u0131s\u0131nda do\u011fru testlerin \u00f6nemine dikkat \u00e7eken Endokrinoloji Uzman\u0131 Dr. Aysel Mammadyarzada, “Herhangi bir \u015fik\u00e2yeti olmayan bireylerde tarama amac\u0131yla TSH testi genellikle yeterlidir. TSH normal ise ek incelemeye gerek olmayabilir. Ancak hipotiroidi veya hipertiroidi belirtileri varsa TSH ile birlikte serbest T4, gerekli durumlarda T3 d\u00fczeylerinin de de\u011ferlendirilmesi gerekir” dedi. Tiroit bezinin kalp ve metabolizma \u00fczerindeki etkilerine de\u011finen Uzm. Dr. Aysel Mammadyarzada, s\u00f6zlerine \u015f\u00f6yle devam etti: “Tiroit bezinin az \u00e7al\u0131\u015ft\u0131\u011f\u0131 durumlarda metabolizma yava\u015flar, kalp at\u0131m h\u0131z\u0131 d\u00fc\u015fer ve ileri vakalarda v\u00fccutta s\u0131v\u0131 birikimi g\u00f6r\u00fclebilir. Fazla \u00e7al\u0131\u015ft\u0131\u011f\u0131nda ise kalp h\u0131zlan\u0131r, kilo kayb\u0131 ve sinirlilik hali ortaya \u00e7\u0131kar. Bu nedenle tiroit hastal\u0131klar\u0131 sadece hormonlarla s\u0131n\u0131rl\u0131 de\u011fil, t\u00fcm v\u00fccudu etkileyen sistemik bir sorundur. Hipotiroidi tedavi edilmezse yorgunluk, kilo art\u0131\u015f\u0131 ve depresyon gibi \u015fik\u00e2yetler artar; kalp ritim bozukluklar\u0131 ve v\u00fccutta s\u0131v\u0131 birikimi gibi ciddi sorunlara yol a\u00e7abilir. Hipertiroidi ise kontrol alt\u0131na al\u0131nmad\u0131\u011f\u0131nda \u00e7arp\u0131nt\u0131, kas zay\u0131fl\u0131\u011f\u0131 ve kemik erimesi riskini art\u0131r\u0131r, uzun vadede kalp yetmezli\u011fine kadar ilerleyebilir. K\u0131sacas\u0131 tedavi edilmeyen tiroit hastal\u0131klar\u0131, ya\u015fam kalitesini ciddi \u015fekilde d\u00fc\u015f\u00fcrebilir. Belirti olmad\u0131\u011f\u0131 durumlarda 3-5 y\u0131lda bir TSH testi yap\u0131labilir. Risk grubundaki ki\u015filerde bu s\u00fcre k\u0131salmal\u0131d\u0131r. Tiroit hastal\u0131\u011f\u0131 tan\u0131s\u0131 alan bireylerde ise tedavi s\u00fcrecine g\u00f6re daha s\u0131k takip gerekebilir.”<\/p>\n
Tiroit sa\u011fl\u0131\u011f\u0131 i\u00e7in 7 hayati \u00f6neri
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Tiroit sa\u011fl\u0131\u011f\u0131n\u0131 korumak i\u00e7in ya\u015fam tarz\u0131n\u0131n b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 belirten Uzm. Dr. Aysel Mammadyarzada, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131: “\u0130yot a\u00e7\u0131s\u0131ndan yeterli beslenmek, dengeli ve \u00e7e\u015fitli g\u0131dalar t\u00fcketmek, a\u015f\u0131r\u0131 i\u015flenmi\u015f g\u0131dalardan ka\u00e7\u0131nmak, d\u00fczenli egzersiz yapmak ve sa\u011fl\u0131kl\u0131 kiloyu korumak tiroit fonksiyonlar\u0131n\u0131 destekler. Ayr\u0131ca stresin kontrol alt\u0131na al\u0131nmas\u0131, sigara ve alkol t\u00fcketiminin s\u0131n\u0131rland\u0131r\u0131lmas\u0131 da b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.”<\/p>\n
Anti-TPO ve Anti-Tg nedir?
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Anti-TPO adl\u0131 enzime kar\u015f\u0131 geli\u015fen antikorlar kronik otoimm\u00fcn tiroidli hastalar\u0131n bir\u00e7o\u011funda g\u00f6r\u00fclmektedir. A\u015fikar primer hipotiroidisi olan hastalar\u0131n b\u00fcy\u00fck k\u0131sm\u0131nda O\u0130TH bulundu\u011fu bilinse de tan\u0131 i\u00e7in anti-TPO \u00f6l\u00e7\u00fcm\u00fcn\u00fcn katk\u0131s\u0131 yine de \u00f6nemli olabilir. Subklinik hipotiroidisi tespit edilen hastalarda kal\u0131c\u0131 hipotiroidiye ilerlemeyi \u00f6ng\u00f6rd\u00fcrmesi a\u00e7\u0131s\u0131ndan anti-TPO \u00f6l\u00e7\u00fcm\u00fc \u00f6nem kazan\u0131r. AntiTPO, Hashimoto tiroiditi tan\u0131s\u0131n\u0131n konulmas\u0131nda de\u011ferli olmakla beraber, postpartum tiroitit ve Graves hastal\u0131\u011f\u0131nda da belirlenmektedir, fakat nadiren bu hastal\u0131klarda tan\u0131ya katk\u0131da bulunur. O\u0130TH a\u00e7\u0131s\u0131ndan riskli gruplarda (Tip1 diyabet, ailevi otoimm\u00fcn hastal\u0131klar vb) gebelik \u00f6ncesi ve\/veya gebelikte anti-TPO varl\u0131\u011f\u0131n\u0131n tespit edilmesi, gebelikte tiroidi hedeflerinin belirlenmesi a\u00e7\u0131s\u0131ndan \u00f6nemlidir ve gerekli hallerde tedavinin \u00f6n\u00fcn\u00fc a\u00e7acakt\u0131r.
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O\u0130TH olan ve anti-TPO pozitifli\u011fi bulunan \u00e7o\u011fu hastada anti-Tg de y\u00fcksek bulunaca\u011f\u0131ndan bu antikor tan\u0131ya fazla bir katk\u0131 sa\u011flamamaktad\u0131r. Ancak anti-Tg \u00f6l\u00e7\u00fcm y\u00f6ntemleri ne yaz\u0131k ki \u00e7ok g\u00fcvenilir de\u011fildir ve bazen var olan anti-Tg\u2019yi g\u00f6sterememektedirler. D\u00fc\u015f\u00fck derecede anti-Tg titrelerine ya\u015fl\u0131larda ve ba\u015fka otoimm\u00fcn hastal\u0131klar\u0131 olanlarda da rastlanabilir. Bu nedenle O\u0130TH\u2019de rutin anti-Tg bak\u0131lmas\u0131 \u00f6nerilmez.
<\/p>\n","protected":false},"excerpt":{"rendered":"
Medicana Sa\u011fl\u0131k Grubu Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Aysel Mammadyarzada, \u00e7o\u011fu zaman ba\u015fka hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131lan tiroit belirtilerinin v\u00fccudun dengesini sessizce bozabildi\u011fini belirterek, “Uzun s\u00fcren halsizlik, ani kilo de\u011fi\u015fimleri ve \u00e7arp\u0131nt\u0131 gibi \u015fikayetler basit g\u00f6r\u00fclmemeli” dedi. Uzm. Dr. Aysel Mammadyarzada, erken tan\u0131 ve d\u00fczenli kontrollerle ciddi sa\u011fl\u0131k sorunlar\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilebilece\u011fini vurgulad\u0131. Tiroit hastal\u0131klar\u0131n\u0131n \u00e7o\u011fu…<\/p>\n","protected":false},"author":1,"featured_media":95935,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-95934","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/95934","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=95934"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/95934\/revisions"}],"predecessor-version":[{"id":95936,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/95934\/revisions\/95936"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/95935"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=95934"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=95934"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=95934"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}