{"id":2182,"date":"2024-05-03T03:00:05","date_gmt":"2024-05-03T00:00:05","guid":{"rendered":"https:\/\/odyova.com\/haberler\/?p=2182"},"modified":"2024-05-03T03:00:05","modified_gmt":"2024-05-03T00:00:05","slug":"horlama-ve-hipertansiyon","status":"publish","type":"post","link":"https:\/\/odyova.com\/haberler\/horlama-ve-hipertansiyon\/","title":{"rendered":"Horlama ve hipertansiyon"},"content":{"rendered":"<p>Horlama ve Uyku apnesi sendromlu hastalar\u0131n yar\u0131s\u0131ndan \u00e7o\u011funda hipertansiyon vard\u0131r. Uyku apnesinin a\u011f\u0131rl\u0131\u011f\u0131 artt\u0131k\u00e7a hipertansiyon s\u0131kl\u0131\u011f\u0131 da artar. Uyku apne sendromunun do\u011fru tan\u0131 ve tedavisi sonucunda hastalar\u0131n kulland\u0131\u011f\u0131 tansiyon ila\u00e7lar\u0131 genellikle fazla gelmeye ba\u015flar, hastalar\u0131n tansiyon ila\u00e7lar\u0131n\u0131n dozu bazen azalt\u0131l\u0131r bazen de tamamen kesilir.<\/p>\n<p>Obstr\u00fcktif uyku apneli hastalar\u0131n yakla\u015f\u0131k %50\u2019sinde hipertansiyon g\u00f6r\u00fcl\u00fcr. Kan bas\u0131nc\u0131 ile apne ve hipopne frekanslar\u0131 aras\u0131nda bir ili\u015fki vard\u0131r. Apneli hastan\u0131n obezite \u2013 a\u015f\u0131r\u0131 kilolu olma derecesinden ba\u011f\u0131ms\u0131z olarak, apnenin hipertansiyon i\u00e7in bir risk fakt\u00f6r\u00fc oldu\u011fu saptanm\u0131\u015ft\u0131r. Uyku bozuklu\u011funun \u015fiddetine ba\u011f\u0131ml\u0131 olarak da uyku apneli hastada gece ortaya \u00e7\u0131kan nokturnal hipertansiyon olabilir.<\/p>\n<p>D\u00fcnyada y\u00fcksek tansiyon-hipertansiyon \u00fczerine, on binlerce ki\u015fi \u00fcst\u00fcnde yap\u0131lan ara\u015ft\u0131rmalar g\u00f6stermi\u015ftir ki, t\u00fcm hipertansiyon hastalar\u0131n\u0131n yakla\u015f\u0131k % 15 \u2018 i diren\u00e7li hipertansiyon hastas\u0131d\u0131r.<\/p>\n<p>Ara\u015ft\u0131rmalar, uyku apnesinin \u015fi\u015fmanl\u0131k, alkol ve sigara gibi di\u011fer fakt\u00f6rlerden ayr\u0131 bir fakt\u00f6r olarak tansiyon y\u00fcksekli\u011finde \u00f6nemli bir rol oynad\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir. Ayr\u0131ca hipertansiyonun a\u011f\u0131rl\u0131\u011f\u0131  direnci saatteki apne (solunum durmas\u0131 ) say\u0131s\u0131 ile do\u011fru orant\u0131l\u0131 olarak bulunmu\u015ftur.<\/p>\n<p>Asl\u0131nda normal olarak uyku s\u0131ras\u0131nda tansiyon d\u00fc\u015fmektedir. Apneli hastalarda ise uykuda tansiyon d\u00fc\u015fmez. Aksine y\u00fckselebilir. \u0130laca cevap vermeyen hipertansiyon hastalar\u0131n\u0131n bir k\u0131sm\u0131 b\u00fcy\u00fck olas\u0131l\u0131kla Uyku apnesi hastas\u0131d\u0131r.<\/p>\n<p>Mayo klini\u011finde yap\u0131lm\u0131\u015f bir ara\u015ft\u0131rmada bu konu ile ilgili 154 ara\u015ft\u0131rman\u0131n ortak sonucunu veriyor. Uyku apnesi olan hastalar\u0131n sempatik aktiviteleri artt\u0131\u011f\u0131ndan, damar \u00e7eperlerinde bozulma oldu\u011fundan, oksidatif bozukluklar meydana geldi\u011finden, yang\u0131 olgusu artt\u0131\u011f\u0131ndan, trombositlerin yay\u0131lma \u00f6zellikleri bozuldu\u011fundan ve metabolizma dengesi de\u011fi\u015fti\u011finden tansiyonlar\u0131 y\u00fckselmektedir.<\/p>\n<p>Bir ba\u015fka \u00e7al\u0131\u015fmada, hayvan deneyleri ile nefes kesilmeleri ve oksijen azl\u0131\u011f\u0131na maruz b\u0131rak\u0131lan hayvanlarda bir s\u00fcre sonra tansiyon y\u00fcksekli\u011fi ortaya \u00e7\u0131kt\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir.<\/p>\n<p>Ayr\u0131ca \u00e7ok say\u0131da yap\u0131lan di\u011fer bir ara\u015ft\u0131rmada uygun hastalarda CPAP ( Maske tedavisi ) ile uyku apnesi hatalar\u0131nda hipertansiyonun kontrol alt\u0131na al\u0131nd\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir.<\/p>\n<p>Uyku apnesinin tek ba\u015f\u0131na hipertansiyona neden olabildi\u011fi g\u00fcn\u00fcm\u00fczde art\u0131k kan\u0131tlanm\u0131\u015ft\u0131r.<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Horlama ve hipertansiyon 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":[22,218,21,23],"class_list":["post-2182","post","type-post","status-publish","format-standard","hentry","category-kulak-burun-bogaz","tag-hipertansiyon","tag-tansiyon","tag-uyku","tag-uyku-apnesi"],"_links":{"self":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2182","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=2182"}],"version-history":[{"count":1,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2182\/revisions"}],"predecessor-version":[{"id":2183,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/posts\/2182\/revisions\/2183"}],"wp:attachment":[{"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/media?parent=2182"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/categories?post=2182"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/odyova.com\/haberler\/wp-json\/wp\/v2\/tags?post=2182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}