{"id":7707,"date":"2009-04-05T08:49:04","date_gmt":"2009-04-05T05:49:04","guid":{"rendered":"http:\/\/www.korhanyilmaz.com\/?p=7707"},"modified":"2009-04-05T08:49:04","modified_gmt":"2009-04-05T05:49:04","slug":"tiroid-hormonuna-dikkat","status":"publish","type":"post","link":"http:\/\/www.korhanyilmaz.com\/?p=7707","title":{"rendered":"Tiroid hormonuna dikkat!"},"content":{"rendered":"

\"\"<\/strong><\/p>\n

Tiroid hormonlar\u0131ndaki k\u00fc\u00e7\u00fck bir dengesizlik bile di\u011fer organ ve sistemlerin \u00e7al\u0131\u015fmas\u0131n\u0131 olumsuz etkiliyor.<\/strong><\/p>\n

Son y\u0131llarda toplumumuzda tiroid bezi s\u0131k s\u0131k konu\u015fuluyor. Bu hastal\u0131\u011f\u0131n ara\u015ft\u0131r\u0131lmas\u0131 i\u00e7in daha \u00e7ok insan doktora gidiyor. Zaman zaman bu durumun gere\u011finden fazla abart\u0131ld\u0131\u011f\u0131 iddia edilse de, tiroid bezi fonksiyonlar\u0131 v\u00fccudumuz a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. Boynumuzun \u00f6n b\u00f6l\u00fcm\u00fcnde yer alan, yakla\u015f\u0131k 20 gram a\u011f\u0131rl\u0131\u011f\u0131ndaki tiroid bezi, k\u00fc\u00e7\u00fck ama v\u00fccuttaki rol\u00fc b\u00fcy\u00fck bir organd\u0131r.<\/p>\n

Ac\u0131badem Maslak Hastanesi Tiroid Klini\u011fi’nden Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7. Dr. Neslihan Kurtulmu\u015f, tiroid bezinde yap\u0131lan tiroid hormonlar\u0131n\u0131n v\u00fccuttaki di\u011fer b\u00fct\u00fcn sistemler \u00fczerine etkili oldu\u011funu, tiroid hormonlar\u0131ndaki en ufak dengesizli\u011fin di\u011fer organ ve sistemlerin de \u00e7al\u0131\u015fmas\u0131n\u0131 olumsuz etkiledi\u011fini belirtiyor.\u00a0 \u00dcstelik tiroid hormonlar\u0131n\u0131n bu etkileri hayat\u0131m\u0131z\u0131n sadece bir b\u00f6l\u00fcm\u00fcnde de\u011fil, anne karn\u0131ndaki hayatla beraber ba\u015flamakta ve \u00f6lene kadar s\u00fcrmektedir.<\/p>\n

Tiroid fonksiyonlar\u0131 bebeklik, \u00e7ocukluk, ergenlik, gebelik, lohusal\u0131k, ya\u015fl\u0131l\u0131k gibi fizyolojik d\u00f6nemlerde bu d\u00f6nemlerin gere\u011fine uygun de\u011fi\u015fimler g\u00f6stermektedir. Tiroid d\u0131\u015f\u0131 hastal\u0131k durumlar\u0131nda ise kimi zaman v\u00fccudu koruyucu pozisyon almakta, kimi zamansa problem haline d\u00f6n\u00fc\u015fmektedir. G\u00f6r\u00fcl\u00fcyor ki tiroidi \u00f6nemsemek pop\u00fclarite de\u011fil gereklilik olmaktad\u0131r.<\/p>\n

Tiroid bezi anne karn\u0131ndaki d\u00f6nemden ba\u015flayarak hayat boyunca tiroid hormonu (T3, T4) salg\u0131lar. Bu d\u00fczenin sa\u011flanmas\u0131nda hipofizden salg\u0131lanan TSH’\u0131n da varl\u0131\u011f\u0131 gerekir. Bu nedenle bu hormonlar\u0131n yap\u0131m a\u015famas\u0131n\u0131n herhangi bir b\u00f6l\u00fcm\u00fcndeki bozukluk tiroid hastal\u0131\u011f\u0131na yol a\u00e7ar.<\/p>\n

Tiroid Hastal\u0131klar\u0131 Nelerdir?<\/strong><\/p>\n

Tiroidin b\u00fcy\u00fcmesine ‘Guatr’ denir. Guatr basit guatr, nod\u00fcll\u00fc guatr, nod\u00fcls\u00fcz guatr gibi de\u011fi\u015fik gruplara ayr\u0131l\u0131r. Bir de tiroid bezindeki b\u00fcy\u00fcmenin de\u011fi\u015fkenlik g\u00f6sterdi\u011fi, ‘immun sistem’ deki problemlerden kaynaklanan otoimmun (v\u00fccudun tiroide kar\u015f\u0131 g\u00f6sterdi\u011fi reaksiyon sonucu olu\u015fan) tiroid hastal\u0131klar\u0131 (Hashimoto hastal\u0131\u011f\u0131, Basedow-Graves Hastal\u0131\u011f\u0131 vard\u0131r. T\u00fcm bu tablolar tiroidin \u00e7al\u0131\u015fmas\u0131n\u0131 bozarak hipertiroidi (\u00e7ok \u00e7al\u0131\u015fmas\u0131) ya da hipotiroidiye (az \u00e7al\u0131\u015fmas\u0131) yol a\u00e7abilir.<\/p>\n

Hipertiroidi Ve Hipotiroidi Nas\u0131l Anla\u015f\u0131l\u0131r?<\/strong><\/p>\n

Tiroid az \u00e7al\u0131\u015ft\u0131\u011f\u0131nda (hipotiroidi): <\/strong><\/p>\n

Halsizlik
\nG\u00fc\u00e7s\u00fczl\u00fck
\nSa\u00e7 d\u00f6k\u00fclmesi
\nCilt kurulu\u011fu
\nKab\u0131zl\u0131k
\n\u0130steksizlik
\nMutsuzluk
\nKilo art\u0131\u015f\u0131, \u015fi\u015fkinlik
\nAdet d\u00fczensizli\u011fi, adet olamama\n<\/p>\n

Tesad\u00fcfen yap\u0131lan kan testlerinde ciddi kolesterol y\u00fcksekli\u011fi saptand\u0131\u011f\u0131nda hipotiroidi akla getirilmelidir.<\/p>\n

Tiroid \u00e7ok \u00e7al\u0131\u015ft\u0131\u011f\u0131nda (hipertiroidi) ise \u015funlar oluyor: <\/strong><\/p>\n

\u00c7arp\u0131nt\u0131
\nTerleme
\nSinirlilik
\nHuzursuzluk
\nKilo kayb\u0131
\nEllerde titreme
\nSa\u00e7 d\u00f6k\u00fclmesi, sa\u00e7da incelme
\nGe\u00e7meyen ishal
\nG\u00f6zlerde b\u00fcy\u00fcme
\nAdet d\u00fczensizli\u011fi, adet olamama\n<\/p>\n

Tiroid Hastal\u0131\u011f\u0131n\u0131n Tan\u0131s\u0131 \u0130\u00e7in Ne Yap\u0131lmal\u0131?<\/strong><\/p>\n

Hastalar bazen boyunlar\u0131nda \u015fi\u015flik fark ederek bazen de yukar\u0131daki yak\u0131nmalarla hekime giderler. Tan\u0131 amac\u0131yla \u00f6nce tiroid hekim taraf\u0131nda elle muayene edilir. Daha sonra kan tetkiki istenerek T3, T4, TSH, gerekirse tiroid otoantikorlar\u0131 istenir. Ayr\u0131ca sintigrafi ve ultrasonografi de hekimin gerekli g\u00f6rmesi durumunda istenebilir.<\/p>\n

Kimler Tiroid Hastal\u0131\u011f\u0131 A\u00e7\u0131s\u0131ndan Risk Alt\u0131ndad\u0131r?<\/strong><\/p>\n

Tiroid hastal\u0131klar\u0131 \u00fclkemizde s\u0131k g\u00f6r\u00fclmektedir. \u00d6zellikle daha \u00f6nceleri iyot eksikli\u011finin yayg\u0131n olmas\u0131 nedeniyle guatr olduk\u00e7a s\u0131k g\u00f6r\u00fclmektedir. Ailesinde tiroid problemi olanlar, ba\u015fka bir otoimmun hastal\u0131\u011f\u0131 olanlar, baz\u0131 ila\u00e7lar\u0131 kullananlar (lityum, amiodarone, interferon, kortikosteroidler gibi), boyun b\u00f6lgesine radyoterapi uygulanm\u0131\u015f olanlar, n\u00fckleer kazalara maruz kalm\u0131\u015f olanlar, yo\u011fun bak\u0131mda yatan hastalar di\u011fer insanlara g\u00f6re daha fazla risk alt\u0131ndad\u0131r. Gebelik ve lohusal\u0131kda da tiroid hastal\u0131\u011f\u0131 olas\u0131l\u0131\u011f\u0131 artar.<\/p>\n

Tiroid Nod\u00fcl\u00fc Tehlikeli Midir? <\/strong>\n<\/p>\n

Nod\u00fcler guatr s\u0131k g\u00f6r\u00fclmektedir. Nod\u00fcl tiroid i\u00e7inde b\u00fcy\u00fcm\u00fc\u015f alanlard\u0131r. Boyut ve say\u0131lar\u0131 de\u011fi\u015fik olabilir. Nod\u00fcller b\u00fcy\u00fcyebilir, \u00e7ok \u00e7al\u0131\u015f\u0131r hale ge\u00e7ebilir ve y\u00fczde 5 oran\u0131nda da kanserle\u015febilir. Bu nedenle takibi gerekir. Hekim gerekli g\u00f6rd\u00fc\u011f\u00fcnde nod\u00fclden i\u011fne biyopsisi ister ve tedaviyi biyopsi sonucuna g\u00f6re y\u00f6nlendirir.<\/p>\n

Tiroid Tedavisinde Farkl\u0131 Se\u00e7enekler Var? <\/strong><\/p>\n

Tiroid hastal\u0131klar\u0131n\u0131n tedavi \u015fekilleri de\u011fi\u015fiktir. Bir k\u0131sm\u0131 sadece ila\u00e7la tedavi edilirken, bir k\u0131sm\u0131nda cerrahi y\u00f6ntem uygulan\u0131r. Hangi tedaviye karar verilece\u011fi hastaya ve hastal\u0131\u011f\u0131n\u0131n tipine g\u00f6re karar verilir. \u0130la\u00e7 tedavisi karar\u0131 verilen hastalarda da bu tedavinin s\u00fcresi, ilac\u0131n dozu, hastaya ve hastal\u0131\u011f\u0131n seyrine g\u00f6re ayarlan\u0131r.<\/p>\n

Tiroid bezi tamamen al\u0131nd\u0131ysa hastan\u0131n ameliyat sonras\u0131nda ila\u00e7(tiroid hormonu) kullanmas\u0131 gerekir. Tiroidin baz\u0131 hastal\u0131klar\u0131 tiroidin tamamen \u00e7\u0131kar\u0131lmas\u0131n\u0131 gerektirdi\u011fi i\u00e7in sonras\u0131nda \u00f6m\u00fcr boyu tiroid hormonu al\u0131nmas\u0131 hastay\u0131 tedirgin etmemelidir. Tiroid hastal\u0131klar\u0131nda bir di\u011fer tedavi se\u00e7ene\u011fi de radyoaktif iyottur. Bu tedavinin karar\u0131 tiroid hastal\u0131\u011f\u0131n\u0131n tipine, hastan\u0131n baz\u0131 \u00f6zelliklerine g\u00f6re verilir.<\/p>\n

Tiroid hastas\u0131nda ameliyat d\u00fc\u015f\u00fcn\u00fclm\u00fcyorsa, hekim taraf\u0131ndan belirlenen aral\u0131klarla hasta izlenir. Bu izlem s\u0131ras\u0131nda tiroid hormonlar\u0131, tiroid ultrasonografisi ile kontroller yap\u0131l\u0131r, gerekti\u011finde nod\u00fcllere y\u00f6nelik biyopsi yap\u0131l\u0131r. Tiroid nod\u00fcl\u00fc olan ya da\u00a0 b\u00fcy\u00fck guatr\u0131 olan her hasta ameliyat edilecek anlam\u0131na gelmez. Ancak nod\u00fcllerin takibi s\u0131ras\u0131nda ameliyat gereklili\u011fi ortaya \u00e7\u0131km\u0131\u015fsa da ameliyattan \u00e7ekinilmemelidir.<\/p>\n

Kaynak: H\u00fcrriyet<\/span><\/p>\n

\n","protected":false},"excerpt":{"rendered":"<\/p>\n

Tiroid hormonlar\u0131ndaki k\u00fc\u00e7\u00fck bir dengesizlik bile di\u011fer organ ve sistemlerin \u00e7al\u0131\u015fmas\u0131n\u0131 olumsuz etkiliyor.<\/p>\n

Son y\u0131llarda toplumumuzda tiroid bezi s\u0131k s\u0131k konu\u015fuluyor. Bu hastal\u0131\u011f\u0131n ara\u015ft\u0131r\u0131lmas\u0131 i\u00e7in daha \u00e7ok insan doktora gidiyor. Zaman zaman bu durumun gere\u011finden fazla abart\u0131ld\u0131\u011f\u0131 iddia edilse de, tiroid bezi fonksiyonlar\u0131 v\u00fccudumuz a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. Boynumuzun \u00f6n <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-7707","post","type-post","status-publish","format-standard","hentry","category-saglik","odd"],"_links":{"self":[{"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/posts\/7707","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7707"}],"version-history":[{"count":0,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=\/wp\/v2\/posts\/7707\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7707"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7707"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.korhanyilmaz.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7707"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}