Manavgat \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc 9 May\u0131s D\u00fcnya \u00c7\u00f6lyak G\u00fcn\u00fc Dolay\u0131s\u0131yla Bilgilendirme yapt\u0131. \u00c7\u00f6lyak hastal\u0131\u011f\u0131na dikkat \u00e7ekmek ve bu konuda toplumsal bilin\u00e7 olu\u015fturmak amac\u0131yla her y\u0131l 9 May\u0131s tarihi D\u00fcnya \u00c7\u00f6lyak G\u00fcn\u00fc olarak kutlanmaktad\u0131r.<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131 (ya da Gluten Enteropatisi), ba\u011f\u0131rsaklardaki sindirimi sa\u011flayan villus [t\u00fcys\u00fc olu\u015fumlar] denilen yap\u0131lar\u0131n bozulmas\u0131na sebep olan ve dolay\u0131s\u0131yla da yiyeceklerdeki besinin emilmesini engelleyen ve ince ba\u011f\u0131rsakta hasarlar olu\u015fturan bir sindirim sistemi hastal\u0131\u011f\u0131d\u0131r. Bu hasara bu\u011fday, arpa, \u00e7avdar, yulaf gibi tah\u0131llar\u0131n i\u00e7erisinde bulunan gluten isimli bir protein neden olmaktad\u0131r.<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131 genetik bir hastal\u0131kt\u0131r. Ailevi kal\u0131t\u0131m s\u00f6z konusudur. Hastal\u0131k ya\u015fam\u0131n\u0131n her hangi bir b\u00f6l\u00fcm\u00fcnde ortaya \u00e7\u0131kabilmektedir. \u00c7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n literat\u00fcrde; \u00e7ocukluk, ergenlik, orta ya\u015f ve ya\u015fl\u0131l\u0131kta ortaya \u00e7\u0131kt\u0131\u011f\u0131 g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131, v\u00fccutta immunolojik cevab\u0131 tetikleyen \u00e7evresel (gluten t\u00fcketimi) ve genetik fakt\u00f6rlerin birlikte rol oynamas\u0131 sonucunda ortaya \u00e7\u0131kar. \u00c7\u00f6lyak hastal\u0131\u011f\u0131n olu\u015fmas\u0131 i\u00e7in hem genetik yatk\u0131nl\u0131k hem de \u00e7evresel fakt\u00f6r olan glutenli g\u0131dalar t\u00fcketmekle kendini g\u00f6sterir.<\/p>\n\n\n\n
Hastal\u0131k baz\u0131 bireylerde y\u0131llarca hi\u00e7 belirti vermez veya \u00e7ok hafif seyredebilir ve ki\u015fi \u00e7\u00f6lyakl\u0131 bir hasta oldu\u011funu uzun s\u00fcre fark etmeyebilir. Hastal\u0131k tipik belirtilerle ba\u015flayabilece\u011fi gibi \u00e7ok hafif belirtilerle de seyredebilir.<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131 olan \u00e7ocuklarda \u00f6zellikle kar\u0131n a\u011fr\u0131s\u0131, kar\u0131nda \u015fi\u015flik, ishal, huzursuzluk, i\u015ftahs\u0131zl\u0131k, enfeksiyonlarda art\u0131\u015f ve geli\u015fme gerili\u011fi, kusma, kilo alamama ve boy uzamas\u0131nda yava\u015flama gibi tipik belirtilerle ortaya \u00e7\u0131kabilir. \u0130leri ya\u015flarda hastal\u0131\u011f\u0131n belirtileri daha geni\u015f bir yelpazeye yay\u0131l\u0131r.<\/p>\n\n\n\n
Yeti\u015fkinlerde g\u00f6r\u00fclen belirtiler \u015funlard\u0131r:<\/p>\n\n\n\n
Kar\u0131n B\u00f6lgesinde \u00f6ne do\u011fru \u015fi\u015fkinlik<\/p>\n\n\n\n
Ya\u015fa g\u00f6re kilo azl\u0131\u011f\u0131<\/p>\n\n\n\n
Kas zay\u0131fl\u0131\u011f\u0131<\/p>\n\n\n\n
Kans\u0131zl\u0131k<\/p>\n\n\n\n
D\u0131\u015fk\u0131da anormallik, b\u00fcy\u00fck tuvalet ihtiyac\u0131n\u0131n artmas\u0131<\/p>\n\n\n\n
\u0130shal<\/p>\n\n\n\n
Kusma<\/p>\n\n\n\n
Bezginlik<\/p>\n\n\n\n
Nedeni bilinmeyen karaci\u011fer hastal\u0131klar\u0131<\/p>\n\n\n\n
B\u00fcy\u00fcme gerili\u011fi <\/p>\n\n\n\n
A\u011f\u0131z i\u00e7inde olu\u015fan aftlar<\/p>\n\n\n\n
\u0130\u015ftahs\u0131zl\u0131k, gaz \u015fik\u00e2yetleri<\/p>\n\n\n\n
Eklem ve kemik a\u011fr\u0131lar\u0131<\/p>\n\n\n\n
Sinirlilik<\/p>\n\n\n\n
Ciltte ka\u015f\u0131nt\u0131l\u0131 d\u00f6k\u00fcnt\u00fcler<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131 her ya\u015fta te\u015fhis edilebilmekle birlikte te\u015fhisi zor olan hastal\u0131klardan biridir. \u00c7\u00fcnk\u00fc belirtiler \u00e7o\u011funlukla ili\u015fkili bir ba\u015fka hastal\u0131\u011f\u0131 da d\u00fc\u015f\u00fcnd\u00fcrmektedir. \u00d6rne\u011fin erken osteoporoz, kans\u0131zl\u0131k, te\u015fhis edilmemi\u015f laktoz alerjisi gibi hastal\u0131klarla benzer belirtiler g\u00f6sterdi\u011finden kar\u0131\u015ft\u0131r\u0131labilir.<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n insan sa\u011fl\u0131\u011f\u0131 \u00fczerinde \u00f6nem ta\u015f\u0131yan bir\u00e7ok de\u011fi\u015fimlere neden olmas\u0131ndan dolay\u0131 do\u011fru te\u015fhisi \u00f6nemlidir. Te\u015fhis y\u00f6ntemlerinden kan testleri serolojik \u00f6zel testler (AGA, EMA) ile \u00f6n tan\u0131 konmakta ancak kesin tan\u0131 ince ba\u011f\u0131rsak biyopsisi ile konmaktad\u0131r.<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131 ile ilintili hastal\u0131klar \u015funlard\u0131r:<\/p>\n\n\n\n
Tip1 DM<\/p>\n\n\n\n
Otoimm\u00fcntiroid hastal\u0131\u011f\u0131<\/p>\n\n\n\n
Otoimm\u00fcn karaci\u011fer hastal\u0131\u011f\u0131<\/p>\n\n\n\n
IgA eksikli\u011fi<\/p>\n\n\n\n
Down, Turner, Willians Sendromlar\u0131.<\/p>\n\n\n\n
Tedavi edilemezse \u00e7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n k\u0131sa ve uzun vadedeki riskleri nelerdir?<\/p>\n\n\n\n
Malabsorbsiyon<\/p>\n\n\n\n
B\u00fcy\u00fcme gerili\u011fi<\/p>\n\n\n\n
Hipokrommikrositer anemi<\/p>\n\n\n\n
Megoblastik anemi<\/p>\n\n\n\n
Kalsiyum ve K vitamini eksikli\u011fi<\/p>\n\n\n\n
Otoimm\u00fcn hastal\u0131klar\u0131n prevelans\u0131nda art\u0131\u015f<\/p>\n\n\n\n
Osteoporoz<\/p>\n\n\n\n
K\u0131s\u0131rl\u0131k, d\u00fc\u015f\u00fck<\/p>\n\n\n\n
Depresyon<\/p>\n\n\n\n
Lenfoma<\/p>\n\n\n\n
Kal\u0131n ve ince bag\u0131rsak kanserleri<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131n\u0131n tek tedavisi \u00f6m\u00fcr boyu bu\u011fday, arpa, \u00e7avdar yulaf tah\u0131llar\u0131nda bulunan glutenden uzak s\u0131k\u0131 bir diyettir.<\/p>\n\n\n\n
\u00c7\u00f6lyak hastalar\u0131, bu\u011fday, arpa, \u00e7avdar, yulafl\u0131 g\u0131dalar t\u00fcketmedikleri gibi ayr\u0131ca marketlerde sat\u0131lan haz\u0131r g\u0131dalar\u0131n i\u00e7eriklerine dikkat etmelidirler. Mutlaka gluten i\u00e7ermeyen g\u0131dalar t\u00fcketmeliler.<\/p>\n\n\n\n
Do\u011fal glutensizlerin d\u0131\u015f\u0131nda glutensiz olarak tan\u0131mlanan bir g\u0131da tam anlam\u0131 ile glutensiz de\u011fildir. Di\u011fer bir deyi\u015fle s\u0131f\u0131r glutenli bir ya\u015fam olanaks\u0131zd\u0131r. WHO (World Health Organization-D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc) ve FAO (Food and Agriculture Organization- Amerikan G\u0131da ve Tar\u0131m \u00d6rg\u00fct\u00fc) 1998\u2019de kilogram\u0131nda 200 mg dan daha az gluten i\u00e7eren g\u0131dalar\u0131 glutensiz g\u0131da olarak ilan etmi\u015ftir. Ancak 2007 y\u0131l\u0131nda bu s\u0131n\u0131r 20 miligrama \u00e7ekildi. G\u00fcn\u00fcm\u00fczde de kilogram\u0131nda 20 mg\u2019dan daha fazla gluten i\u00e7ermeyen g\u0131dalar glutensiz g\u0131da olarak kabul edilmektedir. \u00dclkemizdeki glutensiz \u00fcr\u00fcn tebli\u011f uygulamalarda da 2007 y\u0131l\u0131nda kabul edilen de\u011fer kullan\u0131lmaktad\u0131r.<\/p>\n\n\n\n
\u00c7\u00f6lyak hastalar\u0131 i\u00e7in g\u00fcvenli yiyecekler:<\/p>\n\n\n\n
T\u00fcm sebzeler,<\/p>\n\n\n\n
T\u00fcm meyveler,<\/p>\n\n\n\n
T\u00fcm bakliyatlar,<\/p>\n\n\n\n
T\u00fcm katk\u0131s\u0131z kat\u0131 ve s\u0131v\u0131 ya\u011flar,<\/p>\n\n\n\n
Yumurta, bal, re\u00e7el, basit toz \u015feker, zeytin,<\/p>\n\n\n\n
Et, bal\u0131k, tavuk, (Bu \u00fcr\u00fcnler katk\u0131l\u0131 olmad\u0131klar\u0131 gibi daha \u00f6nce unla k\u0131zart\u0131lm\u0131\u015f bir ya\u011fda k\u0131zart\u0131l\u0131p i\u015fleme tabi tutulmamal\u0131d\u0131r.)<\/p>\n\n\n\n
Una bat\u0131r\u0131lmam\u0131\u015f konserve \u00e7e\u015fitleri,<\/p>\n\n\n\n
M\u0131s\u0131r, pirin\u00e7, patatesin hem kendileri hem de unlar\u0131 besin haz\u0131rlamada kullan\u0131labilir. Ayr\u0131ca kestane unu, nohut unu, soya unu, \u00fcz\u00fcm \u00e7ekirde\u011fi unu da kullan\u0131labilir.<\/p>\n\n\n\n
Evde \u00e7ekilmi\u015f g\u00fcvenli baharatlar.<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131nda diyet tedavisinde t\u00fcketilmemesi gereken besinler:<\/p>\n\n\n\n
Bu\u011fday, arpa, \u00e7avdar ve yulaf katk\u0131l\u0131 her t\u00fcrl\u00fc \u00fcr\u00fcn. (un, bulgur, bulgur pilav\u0131, irmik, makarna, \u015fehriye, kuskus, ekmek, kek, pasta, kurabiye, bisk\u00fcvi, b\u00f6rek, \u00e7\u00f6rek, gofret, simit, kraker, dondurma k\u00fclah\u0131, unlu tatl\u0131lar, gluten i\u00e7eren haz\u0131r sal\u00e7a, ket\u00e7ap, un ilave edilen \u00e7orbalar, soslar, tarhana, yarma gibi).<\/p>\n\n\n\n
Galeta ununa, una bat\u0131r\u0131larak k\u0131zart\u0131lm\u0131\u015f tavuk bal\u0131k gibi et \u00fcr\u00fcnleri.<\/p>\n\n\n\n
Malt kullan\u0131lan i\u00e7ecekler, bira votka cin v.b.<\/p>\n\n\n\n
Guten i\u00e7eren haz\u0131r \u00e7orbalar, k\u00f6fte, pane har\u00e7lar\u0131 gibi haz\u0131r \u00e7e\u015fniler.<\/p>\n\n\n\n
Sirke, \u00e7ikolata, puding, sak\u0131z, ket\u00e7ap, mayonez, dondurma gibi g\u0131dalar\u0131n baz\u0131lar\u0131nda gluten bulunabilmektedir. Bunlar yenilmeden \u00f6nce muhakkak \u00fcr\u00fcn hakk\u0131nda bilgi edinilmelidir.<\/p>\n\n\n\n
Tuzlu, soslu kuruyemi\u015fler, glutenle yap\u0131\u015ft\u0131r\u0131ld\u0131\u011f\u0131 i\u00e7in yasakt\u0131r. Ancak bunlar\u0131n glutenle i\u015flem g\u00f6rmemi\u015f hali, gluten i\u00e7ermeyen kuruyemi\u015fler serbesttir.<\/p>\n\n\n\n
Glutensiz diyette ayr\u0131ca nelere dikkat edilir?<\/p>\n\n\n\n
Do\u011fal g\u0131dalara \u00f6nem verilmeli. (s\u00fct-et-bal\u0131k-yumurta-sebze-kurubaklagil-pirin\u00e7-m\u0131s\u0131r-patates)<\/p>\n\n\n\n
Okul ve d\u0131\u015far\u0131da yemek yerken dikkatli se\u00e7imler yap\u0131lmal\u0131.<\/p>\n\n\n\n
Bu\u011fday unu kar\u0131\u015f\u0131k m\u0131s\u0131r unu, pirin\u00e7 ununa dikkat edilmeli.<\/p>\n\n\n\n
Etiketsiz g\u0131da t\u00fcketiminde \u00e7ok dikkatli olunmal\u0131.<\/p>\n\n\n\n
\u0130la\u00e7lar, kozmetik \u00fcr\u00fcnleri, \u015fampuan, kremler vb. gluten i\u00e7erikleri y\u00f6n\u00fcnden dikkatli kullan\u0131lmal\u0131.<\/p>\n\n\n\n
Pi\u015firme ve haz\u0131rl\u0131k a\u015famas\u0131nda g\u00fcvenli g\u0131dalar\u0131n glutenli g\u0131dalarla bula\u015f olmamas\u0131na dikkat edilmeli.<\/p>\n\n\n\n
Tedavi i\u00e7in Ba\u015fvurulacak Merkezler:<\/p>\n\n\n\n
– \u00dcniversite Hastaneleri Endokrinoloji, Gastroentroloji ve Metabolizma anabilim dallar\u0131<\/p>\n\n\n\n
Bakanl\u0131\u011f\u0131m\u0131z Sa\u011fl\u0131k Bilgi Sistemlerinden elde edilen verilere g\u00f6re T\u00fcrkiye’de tan\u0131 konan \u00e7\u00f6lyak hastal\u0131\u011f\u0131 say\u0131lar\u0131 2022 y\u0131l\u0131 sonu itibari ile 154.027 olarak belirtilmi\u015ftir. Antalya \u0130limizde ise bu say\u0131 4.357 olarak kaydedilmi\u015ftir.<\/p>\n\n\n\n
Glutenin besin haz\u0131rlamadaki g\u00f6revleri:<\/p>\n\n\n\n
Hamurun kabarmas\u0131n\u0131 sa\u011flar.<\/p>\n\n\n\n
G\u0131dalar\u0131n raf \u00f6mr\u00fcn\u00fc uzat\u0131r.<\/p>\n\n\n\n
Elde edilen besin mamul\u00fcn\u00fcn kalitesini artt\u0131r\u0131r.<\/p>\n\n\n\n
Bu nedenle glutensiz unlarla yap\u0131lan \u00fcr\u00fcnler \u00e7abuk bayatlamakta \u015fekil verilirken zorlan\u0131lmakta ve kabarmas\u0131 gereken bir\u00e7ok unlu mamulde istenen kabarma sa\u011flanamamaktad\u0131r.<\/p>\n\n\n\n
Bu s\u0131k\u0131nt\u0131lar \u00e7\u00f6lyak hastalar\u0131n\u0131n ya\u015fam standartlar\u0131n\u0131 d\u00fc\u015f\u00fcrmektedir<\/p>\n\n\n\n
Glutenin yerini alabilecek \u00fcr\u00fcnler:<\/p>\n\n\n\n
Pirin\u00e7<\/p>\n\n\n\n
M\u0131s\u0131r<\/p>\n\n\n\n
Nohut<\/p>\n\n\n\n
Sorghum (dar\u0131)<\/p>\n\n\n\n
Gre\u00e7ka (kara bu\u011fday)<\/p>\n\n\n\n
Amaranth<\/p>\n\n\n\n
Quinoa<\/p>\n\n\n\n
Teff<\/p>\n\n\n\n
\u00c7\u00f6lyak hastal\u0131\u011f\u0131nda t\u00fcketilen \u00f6zel glutensiz g\u0131da \u00fcr\u00fcnleri:<\/p>\n\n\n\n
Glutensiz un<\/p>\n\n\n\n
Glutensiz makarna<\/p>\n\n\n\n
Glutensiz \u015fehriye<\/p>\n\n\n\n
Glutensiz \u00e7ikolata<\/p>\n\n\n\n
Glutensiz kek, kraker<\/p>\n\n\n\n
Glutensiz irmik<\/p>\n\n\n\n
Glutensiz g\u00fclla\u00e7<\/p>\n\n\n\n
Glutensiz bisk\u00fcvi<\/p>\n\n\n\n
Glutensiz tarhana.<\/p>\n\n\n\n
Ayr\u0131ca gluten i\u00e7ermeyen karabu\u011fday (gre\u00e7ka) \u00fcretilmekdir.<\/p>\n\n\n\n
Haber Merkezi<\/p>\n","protected":false},"excerpt":{"rendered":"
Manavgat \u0130l\u00e7e Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc 9 May\u0131s D\u00fcnya \u00c7\u00f6lyak G\u00fcn\u00fc Dolay\u0131s\u0131yla Bilgilendirme yapt\u0131. \u00c7\u00f6lyak hastal\u0131\u011f\u0131na dikkat \u00e7ekmek ve bu konuda toplumsal bilin\u00e7 olu\u015fturmak amac\u0131yla her y\u0131l [more…]<\/a><\/p>\n","protected":false},"author":2,"featured_media":23545,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-23592","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem"],"_links":{"self":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/23592","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=23592"}],"version-history":[{"count":1,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/23592\/revisions"}],"predecessor-version":[{"id":23593,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/23592\/revisions\/23593"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/media\/23545"}],"wp:attachment":[{"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=23592"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=23592"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/akdenizhaber.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=23592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}