<\/p>\n

Formda bir bedene sahip olabilmek i\u00e7in uygulad\u0131\u011f\u0131n\u0131z diyet listelerine ve spor salonlar\u0131nda ge\u00e7en onca zamana ra\u011fmen hala kilonuz sizi b\u0131rakm\u0131yor mu? Kilo problemlerinin tedavisine yakla\u015f\u0131mda metabolizmam\u0131z ile en yak\u0131n ili\u015fki i\u00e7inde bulunan tiroid bezi hastal\u0131klar\u0131 maalesef g\u00f6z ard\u0131 edilmekte.<\/p>\n

Kilo problemleri, beslenme al\u0131\u015fkanl\u0131klar\u0131ndaki bozukluklara ba\u011fl\u0131 basit \u015fi\u015fmanl\u0131k veya hastal\u0131klara ba\u011fl\u0131 obezite \u015feklinde g\u00f6r\u00fclebilmekte. Basit \u015fi\u015fmanl\u0131k, v\u00fccudumuza t\u00fcketti\u011fimizden fazla kalori ald\u0131\u011f\u0131m\u0131z durumlarda ortaya\u00a0 \u00e7\u0131kmakta. Burada temelde iki neden g\u00f6r\u00fclmekte; ya y\u00fcksek kalori al\u0131m\u0131na ba\u011fl\u0131 beslenme bozuklu\u011fu (yanl\u0131\u015f g\u0131dalarla beslenmek, yemek yeme al\u0131\u015fkanl\u0131klar\u0131ndaki yanl\u0131\u015fl\u0131k, gere\u011finden fazla miktarda t\u00fcketim, \u00f6\u011f\u00fcn say\u0131s\u0131n\u0131n az olmas\u0131), ya da harcanan kalorinin azl\u0131\u011f\u0131 (g\u00fcnl\u00fck fiziksel aktivite, spor). Ayr\u0131ca stres s\u0131ras\u0131nda v\u00fccudumuzda sal\u0131nan hormonlara ba\u011fl\u0131 olarak \u00e7abuk ac\u0131kma ve ihtiya\u00e7tan fazla kalori al\u0131nmas\u0131ndan \u00f6t\u00fcr\u00fc fark\u0131na bile var\u0131lmadan al\u0131nan kilolar da s\u0131k kar\u015f\u0131la\u015f\u0131lan kilo fazlal\u0131\u011f\u0131 nedenlerinden birini te\u015fkil etmekte.<\/p>\n

Patolojik obezite, baz\u0131 t\u0131bbi durumlarda ki\u015fi ger\u00e7ekten do\u011fru beslense de kilo alabilmekte. Bu ki\u015filerde \u015fi\u015fmanl\u0131\u011fa neden olan t\u0131bbi durum tedavi edilmedik\u00e7e, diyet \u0130le kal\u0131c\u0131 zay\u0131flama sa\u011flamak m\u00fcmk\u00fcn olmamakta. Bu t\u0131bbi durumlar\u0131n ba\u015f\u0131nda ise guvatr hastal\u0131\u011f\u0131n\u0131n ya\u015fand\u0131\u011f\u0131 salg\u0131 bezi olan tiroid bezi hastal\u0131klar\u0131 gelmekte.<\/p>\n

T\u0130RO\u0130D BEZ\u0130 V\u00dcCUDUMUZDA HANG\u0130 \u0130\u015eLEVLERE SAH\u0130P?
\n<\/strong><\/p>\n

Tiroid bezi, boynun \u00f6n k\u0131sm\u0131nda bulunan hormon \u00fcreten bir organ\u0131m\u0131zd\u0131r. Tiroid bezi hormonlar\u0131, ba\u011fl\u0131 T3-T4 ve serbest FT3-T4’t\u00fcr. Tiroid hormonlar\u0131 sal\u0131n\u0131m\u0131n\u0131 beynimizde bulunan hipofiz bezinden salg\u0131lanan ba\u015fka bir hormon (TSH) kontrol etmekte. Tiroid hormonlar\u0131, metabolizmam\u0131z\u0131n ger\u00e7ekle\u015fmesini sa\u011flayan ana hormonumuzdur.<\/p>\n

T\u0130RO\u0130D HORMONLARI \u0130LE METABOL\u0130ZMA GER\u00c7EKLE\u015e\u0130YOR…<\/strong><\/p>\n

Metabolizma ise en basit anlamda v\u00fccutta birim zamanda kullan\u0131lan oksijen t\u00fcketimini ifade etmekte. Tiroid bezi, salg\u0131lad\u0131\u011f\u0131 hormonlar sayesinde metabolizman\u0131n ger\u00e7ekle\u015ftirilmesinin yan\u0131 s\u0131ra beden \u0131s\u0131s\u0131, enerji ve aktivite d\u00fczenlenmesinde de son derece \u00f6nemli role sahip. Tiroid bezinin yetersiz hormon salg\u0131lad\u0131\u011f\u0131 durumlarda (tiroid hormon yetmezli\u011fi = hipotiroidizm) metabolizma yava\u015flamakta ve inat\u00e7\u0131 \u015fi\u015fmanl\u0131k ortaya \u00e7\u0131kmakta. Tiroid hormonu yetmezli\u011fi, a\u015fikar veya gizli \u015fekilde g\u00f6r\u00fclebilmekte. Fazla kilolu ki\u015filerde saptanan tiroid yetmezli\u011finin \u00e7o\u011fu, gizli tiroid yetmezli\u011fi \u015feklinde tesad\u00fcfen ortaya \u00e7\u0131kar\u0131lmakta. Tiroid hormon yetersizli\u011fi sonucunda \u015fi\u015fmanl\u0131\u011f\u0131n yan\u0131nda v\u00fccutta ba\u015fka problemler de s\u0131kl\u0131kla g\u00f6r\u00fclmekte. \u00d6rne\u011fin, bu ki\u015filerde kolesterol d\u00fczeyinde y\u00fckselme ve bununla beraber kalp damar hastal\u0131klar\u0131 birlikte g\u00f6r\u00fclebilmekte.<\/p>\n

<\/p>\n

EN SIK G\u00d6R\u00dcLEN T\u0130RO\u0130D BEZ\u0130 HASTALI\u011eI HA\u015e\u0130MATO…<\/strong><\/p>\n

Ha\u015fimato,en s\u0131k g\u00f6r\u00fclen tiroid bezi yetmezli\u011fi \u015fekli… V\u00fccudumuzda bulunan h\u00fccreler, baz\u0131 i\u00e7 ve d\u0131\u015f etkilerle kimlik de\u011fi\u015ftirir. De\u011fi\u015fen bu h\u00fccreler, savunma h\u00fccrelerimizin hedefi haline gelerek baz\u0131 hastal\u0131klar\u0131n olu\u015fmas\u0131na neden olurlar. Savunma h\u00fccrelerinin hedefi tiroid bezi h\u00fccreleri olursa, buna ha\u015fimato hastal\u0131\u011f\u0131 veya otoimmun tiroidit denilmekte. Kad\u0131nlar\u0131 y\u00fczde 13, erkekleri ise y\u00fczde 3 oran\u0131nda etkileyen bu hastal\u0131kta yap\u0131lan tahlillerde kan T3, T4, FT3, FT4, TSH hormon de\u011ferleri \u00e7o\u011funlukla normal g\u00f6z\u00fckmekte; ancak tiroid bezine kar\u015f\u0131 kanda dola\u015fan antikorlar\u0131n TPOAb ve TgAb miktarlar\u0131nda art\u0131\u015f g\u00f6r\u00fclmekte. Dolay\u0131s\u0131yla kilo problemi olan ki\u015filerde sadece tiroid hormon seviyelerine de\u011fil, tiroid antikor seviyeleri de mutlaka incelenmeli.<\/p>\n

T\u0130RO\u0130D BEZ\u0130 YETMEZL\u0130\u011e\u0130NDE D\u0130\u011eER NEDENLER…<\/strong><\/p>\n

– Gebelik sonras\u0131 geli\u015fen sessiz tiroidit
\n– Viral enfeksiyon sonras\u0131 geli\u015fen tiroidit
\n– Tiroid bezinin bir k\u0131sm\u0131n\u0131n veya tamam\u0131n\u0131n cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131
\n– Do\u011fu\u015ftan hipotiroidizm
\n– Hipertiroidizm (tiroid bezinin \u00e7ok \u00e7al\u0131\u015fmas\u0131) tedavisinde y\u00fcksek doz ila\u00e7 kullan\u0131m\u0131 veya radyoaktif iyot tedavisi sonucu
\n– Baz\u0131 psikiyatrik ila\u00e7lar\u0131n kullan\u0131m\u0131
\n– Ya\u015flanan tiroid bezinin az hormon \u00fcretmesi
\n– Yetersiz miktarda TSH (tiroid bezini uyar\u0131c\u0131 hormon) salg\u0131lanmas\u0131<\/p>\n

T\u0130RO\u0130D BEZ\u0130 YETMEZL\u0130\u011e\u0130N\u0130N BEL\u0130RT\u0130LER\u0130…<\/strong><\/p>\n

– Hareketlerde yava\u015flama, halsizlik
\n– Kab\u0131zl\u0131k
\n– Kilo al\u0131m\u0131
\n– Diyete ra\u011fmen kilo verememe
\n– Deride kuruma, pullanma ve incelme
\n– Sa\u00e7larda kuruma, sertle\u015fme, matla\u015fma
\n– Kad\u0131nlarda adet d\u00fczenli\u011fi
\n– Genel isteksizlik, depresyona e\u011filim
\n– Bel, omuz, s\u0131rt a\u011fr\u0131s\u0131<\/p>\n

\u00d6NCEL\u0130KLE T\u0130RO\u0130D BEZ\u0130 YETMEZL\u0130\u011e\u0130 TEDAV\u0130 ED\u0130LMEL\u0130…<\/strong><\/p>\n

– Zay\u0131flamak isteyen ki\u015filerin tiroid muayenesi ve hormonlar\u0131 mutlaka de\u011ferlendirilmeli.<\/p>\n

– Muayene ve yap\u0131lan tetkiklerde hafif d\u00fczeyde de olsa tiroid i\u015flev bozuklu\u011fu saptanan ki\u015filer, \u00f6ncelikle tiroid hastal\u0131\u011f\u0131 y\u00f6n\u00fcnden tedavi edilmeli.<\/p>\n

– Tiroid yetersizli\u011fi te\u015fhisinin do\u011frulanmas\u0131n\u0131 takiben eksik olan tiroid hormonunu vererek, \u00e7ok h\u0131zl\u0131 bir iyile\u015fme sa\u011flamak m\u00fcmk\u00fcn olabilmekte. Tedavide en \u00f6nemli nokta, yeterli hormonun verilmesi ve ila\u00e7 doz ayar\u0131n\u0131n yap\u0131lmas\u0131… Her ki\u015fide fas\u0131lal\u0131 olarak yap\u0131lacak hormonsal \u00f6l\u00e7\u00fcm ve takiplerle uygulanacak doz tespit edilmekte.<\/p>\n

– Unutulmamas\u0131 gereken bir nokta ise, bu hastalar\u0131n \u00f6m\u00fcr boyu ila\u00e7 kullanmak durumunda olduklar\u0131d\u0131r. Tiroid hormon yetmezli\u011fi tedavisinde kan hormon d\u00fczeyi normale geldikten sonra ki\u015fi zay\u0131flama program\u0131na al\u0131nmal\u0131. Aksi taktirde bu ki\u015filere kilo verdirilse bile tekrar ve h\u0131zla eski kilolar\u0131na geri d\u00f6nmeleri ka\u00e7\u0131n\u0131lmaz.<\/p>\n

T\u0130RO\u0130D HORMONLARI ZAYIFLAMAK AMACIYLA KULLANILMALI…<\/strong><\/p>\n

Son zamanlarda s\u0131k\u00e7a kar\u015f\u0131la\u015ft\u0131\u011f\u0131m\u0131z \u00fcz\u00fcc\u00fc bir durum; hi\u00e7bir tiroid hastal\u0131\u011f\u0131 olmayan, kapsaml\u0131 bir tiroid de\u011ferlendirmesi ve muayenesi yap\u0131lmadan tiroid hormon ila\u00e7lar\u0131 ile kilo verdirilmeye \u00e7al\u0131\u015f\u0131lmas\u0131, pek \u00e7ok yan etkiyi de beraberinde getirmekte. \u00c7arp\u0131nt\u0131, kalp krizi, beyin kanamas\u0131, kemik erimesi, kalp ritm bozuklu\u011fu, ka\u015f\u0131nt\u0131, sa\u00e7 d\u00f6k\u00fclmesi, kemik erimesi, hipertansiyon ve kalp b\u00fcy\u00fcmesi, bu yan etkilerden bir k\u0131sm\u0131… Ve bu ki\u015filerde hormon kullan\u0131m\u0131 sona erdikten sonra eski kilolar\u0131na h\u0131zl\u0131 bir d\u00f6n\u00fc\u015fte s\u0131kl\u0131kla g\u00f6r\u00fclmekte.<\/p>\n

Dr. Hande \u00c7etinda\u011f<\/strong><\/em><\/span>
\n[email protected]<\/strong><\/em><\/span><\/span><\/p>\n

\n

\n

\n

\n

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

Formda bir bedene sahip olabilmek i\u00e7in uygulad\u0131\u011f\u0131n\u0131z diyet listelerine ve spor salonlar\u0131nda ge\u00e7en onca zamana ra\u011fmen hala…<\/p>\n","protected":false},"author":2,"featured_media":53947,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[22052,2520,22049,22051,22048,22050],"yoast_head":"\n