{"id":2180,"date":"2024-05-03T02:48:07","date_gmt":"2024-05-02T23:48:07","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=2180"},"modified":"2024-05-03T02:48:07","modified_gmt":"2024-05-02T23:48:07","slug":"kalp-rahatsizliklari","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/kalp-rahatsizliklari\/","title":{"rendered":"Kalp rahats\u0131zl\u0131klar\u0131"},"content":{"rendered":"<p><strong>Kalp krizi ve koroner arter hastal\u0131\u011f\u0131 :<\/strong> Kalp krizi ge\u00e7iren hastalar\u0131n %35-65inde uyku apne sendromu saptanm\u0131\u015ft\u0131r. Uyku apnesi olan hastalar\u0131n ,olmayanlara oranla 5 y\u0131ll\u0131k ya\u015fam s\u00fcreleri incelendi\u011finde \u00f6l\u00fcm oranlar\u0131 aras\u0131nda 6,5 kat fark oldu\u011fu saptanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Aritmi (Kalp ritm bozuklu\u011fu) :<\/strong> Uyku apne sendromlu hastalarda s\u0131kl\u0131kla kalp ritm bozuklu\u011fu g\u00f6r\u00fclmektedir.<\/p>\n<p><strong>Kalp yetmezli\u011fi :<\/strong> Uyku apne sendromu tedavi edilmedi\u011fi taktirde kalp yetmezli\u011fine yol a\u00e7abilmektedir. Uyku apneleri kalp yetersizli\u011finin tedavi edilmesini de g\u00fc\u00e7le\u015ftirmektedir. Kalp yetmezli\u011fi nedeniyle Cheyne Stokes solunumu ad\u0131 verilen ayr\u0131 bir uykuda solunum bozuklu\u011fu da g\u00f6r\u00fclmektedir.<\/p>\n<p><strong>Kardiyovask\u00fcler Fonksiyon :<\/strong> Artan negatif g\u00f6\u011f\u00fcs i\u00e7i bas\u0131nc\u0131 , kalpte sol kar\u0131nc\u0131\u011f\u0131n duvar i\u00e7 bas\u0131nc\u0131n\u0131 art\u0131r\u0131r. Bunun sonucunda at\u0131m vol\u00fcm\u00fc ve kalbin belli s\u00fcre i\u00e7inde damarlara sevketti\u011fi kan miktar\u0131 azal\u0131r. Bu olay \u00f6nceden koroner arter hastal\u0131\u011f\u0131 olan ki\u015filerde daha da ciddidir. Bunlar\u0131n sonucunda da apneli hastalarda akut iskemi ( dokulara giden kan miktar\u0131nda belirgin azalma ) veya akci\u011fer \u00f6demi olu\u015fabilir. Kanda oksijen miktar\u0131n\u0131n azalmas\u0131da kalp kas\u0131n\u0131n kas\u0131labilirli\u011fini bozup atardamarlarda spzam sonucu daralma ve kan bas\u0131nc\u0131nda y\u00fckselmeye neden olur. Uyku apneli hastalarda bu durumun sadece uyku esnas\u0131nda de\u011fil, uyan\u0131k durumlarda da artt\u0131\u011f\u0131 g\u00f6zlemlenmi\u015ftir .<\/p>\n<p>\u00d6nceden koroner arter hastal\u0131\u011f\u0131 olan ki\u015filerde, apne esnas\u0131nda kalp \u015fikayetlerinde art\u0131\u015f g\u00f6r\u00fcl\u00fcr. Yap\u0131lan bir \u00e7al\u0131\u015fmada nokturnal ( gece olu\u015fan ) anjina ( g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 , nefes alamama hissi , t\u0131kanma hissi, g\u00f6\u011f\u00fcsde bask\u0131 hissi ) nedeni ile solunum laboratuvar\u0131na g\u00f6nderilen hastalarda obstr\u00fcktif uyku apnesi saptanm\u0131\u015f ve miyokard enfarkt\u00fcs\u00fc ( kalp krizi ) sonras\u0131 polisomnografi yap\u0131lan hastalar\u0131n b\u00fcy\u00fck bir \u00e7o\u011funlu\u011funda uyku bozukluklar\u0131na rastlanm\u0131\u015ft\u0131r .<\/p>\n<p>Uyku Apneli hastalarda de\u011fi\u015fik tipte kalpte ritm bozukluklar\u0131na olduk\u00e7a s\u0131k rastlanmaktad\u0131r. Bir\u00e7ok hastada bu aritmiler \u00e7o\u011funlukla uyku esnas\u0131nda g\u00f6r\u00fcl\u00fcr. Hastalar\u0131n %10\u2019unda g\u00f6r\u00fclen bradiaritmiler de dakikada 30 at\u0131m\u0131n alt\u0131ndad\u0131r ve ciddi anlamda kanda oksijen azalmas\u0131na neden olur. At\u0131m h\u0131z\u0131ndaki bu de\u011fi\u015fimle bu durum sonucunda kalpte ciddi iletim bozukluklar\u0131na ve hatta ani \u00f6l\u00fcmler ortaya \u00e7\u0131kabilir.<\/p>\n<p><img decoding=\"async\" src=\"http:\/\/www.horlamacerrahisi.com\/wp-content\/uploads\/2010\/09\/horlamavekalp-150x150.jpg\"\/>California \u00dcniversitesi Di\u015f\u00e7ilik Fak\u00fcltesi\u2019nde horlaman\u0131n fiziksel mekanizmalar\u0131 \u00fczerinde yap\u0131lan ara\u015ft\u0131rmada , \u00f6zellikle horlama s\u0131ras\u0131nda nefes alman\u0131n d\u00fczensizle\u015fmesini ve bazen saniyelerce durmas\u0131n\u0131n yaratt\u0131\u011f\u0131 tehlikeleri incelediler.<\/p>\n<p>Bilim adamlar\u0131, horlaman\u0131n \u00f6zellikle orta ya\u015fl\u0131, a\u015f\u0131r\u0131 kilolu erkeklerde soluk almay\u0131 g\u00fc\u00e7le\u015ftirdi\u011fini ve kalp kriziyle kalp ve damar hastal\u0131klar\u0131n\u0131n habercisi oldu\u011funu bildirdiler.<\/p>\n<p>Yap\u0131lan ara\u015ft\u0131rmada r\u00f6ntgen sonu\u00e7lar\u0131na g\u00f6re horlama s\u0131ras\u0131nda nefesi kesilen ki\u015filerin dilleri bo\u011fazlar\u0131na sarkarak soluk borusunu t\u0131k\u0131yor. Nefes alabilmek i\u00e7in \u00e7\u0131rp\u0131nd\u0131klar\u0131nda kan bas\u0131nc\u0131 f\u0131rl\u0131yor. Kan bas\u0131nc\u0131n\u0131n y\u00fckselmesi, boyundaki damarlar\u0131n i\u00e7 k\u0131s\u0131mlar\u0131n\u0131 zedeliyor. Buralara kolesterol ve kalsiyum yap\u0131\u015f\u0131yor, bunlar\u0131n birikmesi beyne kan ak\u0131\u015f\u0131n\u0131 engelliyor ve sonu\u00e7ta kalp krizi ortaya \u00e7\u0131k\u0131yor. Hasta, oksijen alam\u0131yor ve karbon dioksit d\u0131\u015far\u0131 \u00e7\u0131kam\u0131yor. Ara\u015ft\u0131rmay\u0131 yapanlar horlama y\u00fcz\u00fcnden insan\u0131n nefessiz kalmas\u0131n\u0131 , y\u00fcz\u00fcne yast\u0131k kapat\u0131lmas\u0131 gibi bir olay olarak de\u011ferlendiriyorlar.<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kalp rahats\u0131zl\u0131klar\u0131 Konu hakk\u0131nda detayl\u0131 ve g\u00fcncel bilgiler i\u00e7in bu makaleyi okuyun<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[72,20,85,181,445],"class_list":["post-2180","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-horlama","tag-kalp","tag-kan","tag-nefes","tag-sol"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2180","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/comments?post=2180"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2180\/revisions"}],"predecessor-version":[{"id":2181,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2180\/revisions\/2181"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=2180"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=2180"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=2180"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}