Spor, cinsellik, u\u00e7ak yolculu\u011fu ve ila\u00e7 uyumu hakk\u0131nda merak edilenler
Kalp damar\u0131na stent tak\u0131ld\u0131ktan sonra en s\u0131k sorulan soru \u015fudur:
\u201cArt\u0131k hayat\u0131m nas\u0131l olacak?\u201d
\u0130yi haber \u015fu:
Do\u011fru tedavi ve do\u011fru ya\u015fam tarz\u0131 ile \u00e7o\u011fu hasta normal hayat\u0131na d\u00f6nebilir.
Ama baz\u0131 kritik noktalar var\u2026
1.\u2060 \u2060\u0130LA\u00c7LAR: EN KR\u0130T\u0130K KONUDUR
Stent sonras\u0131 en \u00f6nemli konu: ila\u00e7 uyumu
\u0130\u015flemden sonra ikili kan suland\u0131r\u0131c\u0131 tedavi ba\u015flan\u0131r. \u0130kili tedavi a\u015fa\u011f\u0131dakilerden olu\u015fur:
\u2022\u2060 \u2060Aspirin
\u2022\u2060 \u2060Plavix\/Brilinta\/Effient gibi di\u011fer kan suland\u0131r\u0131c\u0131 ila\u00e7lardan birisi
\ud83d\udc49 Bu ila\u00e7lar, stent i\u00e7inde p\u0131ht\u0131 olu\u015fmas\u0131n\u0131 engeller.
Neden bu kadar \u00f6nemli?
Stent trombozu (p\u0131ht\u0131):
\u2022\u2060 \u2060Nadir ama hayati risk ta\u015f\u0131r
\u2022\u2060 \u2060\u00c7o\u011funlukla ila\u00e7 erken kesilince ortaya \u00e7\u0131kar.
Ne kadar s\u00fcre kullan\u0131lmal\u0131?
\u2022\u2060 \u2060Genelde 6\u201312 ay
\u2022\u2060 \u2060Ama bu s\u00fcre hastaya g\u00f6re de\u011fi\u015fir. Hastan\u0131n durumuna g\u00f6re (kanama riski veya kanama durumu) k\u0131salt\u0131labilir veya y\u00fcksek p\u0131ht\u0131la\u015fma riski ta\u015f\u0131yan durumlarda uzat\u0131labilir.
Karar mutlaka doktor taraf\u0131ndan verilmelidir
\u201cStent i\u015flemi sonras\u0131 do\u011fru olan ila\u00e7 kullan\u0131m\u0131 tedavinin olmazsa olmaz\u0131d\u0131r.\u2019\u2019
2.\u2060 \u2060SPOR: NE ZAMAN VE NASIL?
Spor yapabilir miyim?
\ud83d\udc49 Evet.<\/p>\n\n\n\n
Ama ne zaman?
\u2022\u2060 \u2060Basit i\u015flemlerden sonra: 1 hafta i\u00e7inde hafif egzersiz
\u2022\u2060 \u2060Daha ciddi durumlarda: 2\u20134 hafta sonra<\/p>\n\n\n\n
\u00d6nerilen aktiviteler:
\u2022\u2060 \u2060Y\u00fcr\u00fcy\u00fc\u015f \ud83d\udeb6
\u2022\u2060 \u2060Hafif tempo ko\u015fu
\u2022\u2060 \u2060Bisiklet \ud83d\udeb4<\/p>\n\n\n\n
Ka\u00e7\u0131n\u0131lmas\u0131 gerekenler:
\u2022\u2060 \u2060\u0130lk d\u00f6nemde a\u011f\u0131r kald\u0131rma
\u2022\u2060 \u2060Ani, yo\u011fun efor<\/p>\n\n\n\n
Bilimsel ger\u00e7ek:
D\u00fczenli egzersiz:
\u2022\u2060 \u2060Yeni damar geli\u015fimini destekler
\u2022\u2060 \u2060Kalp krizi riskini azalt\u0131r<\/p>\n\n\n\n
3.\u2060 \u2060C\u0130NSELL\u0130K: G\u00dcVENL\u0130 M\u0130?
Hastalar\u0131n cinsel aktivitelerine d\u00f6n\u00fc\u015f zamanlar\u0131 stent i\u015fleminin hangi tabloda yap\u0131ld\u0131\u011f\u0131 ile direkt ili\u015fkilidir:
\ud83d\udfe2 Elektif PCI (stabil hasta, ba\u015far\u0131l\u0131 stentleme)
\u2022\u2060 \u2060K\u0131s\u0131tlama yoktur.
\u2022\u2060 \u2060Hasta semptomsuz ve stabil ise:
Genellikle birka\u00e7 g\u00fcn\u20131 hafta i\u00e7inde cinsel aktiviteye d\u00f6nebilir.
\u2022\u2060 \u2060Pratik e\u015fik: 2 kat merdiveni rahat \u00e7\u0131kabiliyorsa (\u22483\u20135 MET) cinsel aktivite genelde g\u00fcvenlidir.
\u201cElektif, komplikasyonsuz PCI sonras\u0131 cinsellik i\u00e7in \u00f6zel bir k\u0131s\u0131tlama gerekmez.\u201d<\/p>\n\n\n\n
\ud83d\udfe1 Akut miyokard infarkt\u00fcs\u00fc (kalp krizi) sonras\u0131
\u2022\u2060 \u2060Daha temkinli yakla\u015f\u0131m gerekir:
o Komplikasyonsuz MI: \u00e7o\u011funlukla 1\u20132 hafta sonra
o Komplike durumlar (d\u00fc\u015f\u00fck EF, aritmi, rezid\u00fcel iskemi): s\u00fcre uzar, yeniden de\u011ferlendirme gerekir
\u2022\u2060 \u2060Gerekirse egzersiz kapasitesi ile (\u22653\u20135 MET) g\u00fcvenli s\u0131n\u0131r do\u011frulan\u0131r.<\/p>\n\n\n\n
\ud83d\udd34 Kritik uyar\u0131lar
\u2022\u2060 \u2060Aktivite s\u0131ras\u0131nda g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 \/ nefes darl\u0131\u011f\u0131 olursa durun ve de\u011ferlendirin.
\u2022\u2060 \u2060Nitratlar + PDE5 inhibit\u00f6rleri (sildenafil vb.) birlikte kullan\u0131lmaz. Cinsel aktivite ile ilgili ila\u00e7lar mutlaka kardiyolog onay\u0131ndan ge\u00e7tikten sonra al\u0131nmal\u0131d\u0131r.
\u201cElektif ve ba\u015far\u0131l\u0131 PCI sonras\u0131 semptomsuz hastada cinsel aktivite i\u00e7in k\u0131s\u0131tlama yoktur; kalp krizi sonras\u0131 ise hastan\u0131n klinik durumuna g\u00f6re daha temkinli yakla\u015f\u0131l\u0131r.\u201d<\/p>\n\n\n\n
\u2708\ufe0f 4. U\u00c7AK YOLCULU\u011eU: R\u0130SKL\u0130 M\u0130?
U\u00e7abilir miyim?
\ud83d\udc49 Evet.
Ne zaman?
\u2022\u2060 \u2060Stabil hastalarda: birka\u00e7 g\u00fcn \u2013 1 hafta sonra
\u2022\u2060 \u2060Kalp krizi ge\u00e7irenlerde: doktor kontrol\u00fc gerekir
Yolculukta \u00f6neriler
\u2022\u2060 \u2060Bol su i\u00e7mek
\u2022\u2060 \u2060Ara ara y\u00fcr\u00fcmek
\u2022\u2060 \u2060Uzun s\u00fcre hareketsiz kalmamak<\/p>\n\n\n\n
5.\u2060 \u2060PS\u0130KOLOJ\u0130K DURUM: G\u00d6Z ARDI ED\u0130LEN KONU
Bir\u00e7ok hasta:
\u2022\u2060 \u2060\u201cTekrar olur mu?\u201d korkusu ya\u015far
\u2022\u2060 \u2060Efordan ka\u00e7\u0131n\u0131r.
\u2022\u2060 \u2060Maluliyet hissi ta\u015f\u0131maya ba\u015flar.
Ancak bu durum gereksizdir.<\/p>\n\n\n\n
\ud83d\udca1 Ger\u00e7ek \u015fu: Stent, do\u011fru hastada hayat kalitesini art\u0131rmak i\u00e7in yap\u0131l\u0131r.
Hayat\u0131 k\u0131s\u0131tlamak i\u00e7in de\u011fil.<\/p>\n\n\n\n
SONU\u00c7 OLARAK STENT SONRASI HAYAT NASIL OLACAK?
\u201cStent sonras\u0131 hayat bitmez.
Do\u011fru y\u00f6netilirse, daha sa\u011fl\u0131kl\u0131 bir hayat ba\u015flar.\u201d<\/p>\n\n\n\n
\u2714\ufe0f \u0130la\u00e7lar\u0131n\u0131 d\u00fczenli kullan
\u2714\ufe0f Kontroll\u00fc \u015fekilde hareket et
\u2714\ufe0f Korkma, bilin\u00e7li ol<\/p>\n\n\n\n
<\/p>","protected":false},"excerpt":{"rendered":"
Spor, cinsellik, u\u00e7ak yolculu\u011fu ve ila\u00e7 uyumu hakk\u0131nda merak edilenlerKalp damar\u0131na stent tak\u0131ld\u0131ktan sonra en s\u0131k sorulan soru \u015fudur:\u201cArt\u0131k hayat\u0131m nas\u0131l olacak?\u201d\u0130yi haber \u015fu:Do\u011fru tedavi ve do\u011fru ya\u015fam tarz\u0131 ile \u00e7o\u011fu hasta normal hayat\u0131na d\u00f6nebilir.Ama baz\u0131 kritik noktalar var\u20261.\u2060 \u2060\u0130LA\u00c7LAR: EN KR\u0130T\u0130K KONUDURStent sonras\u0131 en \u00f6nemli konu: ila\u00e7 uyumu\u0130\u015flemden sonra ikili kan suland\u0131r\u0131c\u0131 tedavi ba\u015flan\u0131r. […]<\/p>\n","protected":false},"author":2,"featured_media":8061,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[92,95],"class_list":["post-8060","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dental-services","tag-stent","tag-stent-takildi"],"_links":{"self":[{"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/posts\/8060","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/comments?post=8060"}],"version-history":[{"count":2,"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/posts\/8060\/revisions"}],"predecessor-version":[{"id":8063,"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/posts\/8060\/revisions\/8063"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/media\/8061"}],"wp:attachment":[{"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/media?parent=8060"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/categories?post=8060"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/alibuturak.com\/en\/wp-json\/wp\/v2\/tags?post=8060"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}