{"id":2505,"date":"2013-08-22T15:18:53","date_gmt":"2013-08-22T12:18:53","guid":{"rendered":"https:\/\/dentplus.com.tr\/V2\/?p=2505"},"modified":"2016-05-19T12:10:31","modified_gmt":"2016-05-19T09:10:31","slug":"diyabet-agiz-sagligi-ve-beslenme","status":"publish","type":"post","link":"https:\/\/dentplus.com.tr\/V2\/diyabet-agiz-sagligi-ve-beslenme\/","title":{"rendered":"Diyabet A\u011f\u0131z Sa\u011fl\u0131\u011f\u0131 ve Beslenme"},"content":{"rendered":"

\"deniz_noyun\"Sevgili okurlar\u0131m;<\/b><\/p>\n

12 Ekim 2012 tarihinde kat\u0131ld\u0131\u011f\u0131m Cenevre\u2019de ki diyabet ve di\u015fetisa\u011fl\u0131\u011f\u0131 konulu seminer bilgilerimi sizlerle payla\u015fmak istedim. Bu ay ki konumuzu toplumumuzu yak\u0131ndan ilgilendiren diyabet ve a\u011f\u0131z sa\u011fl\u0131\u011f\u0131 olsun istedim. Boston\u2019da ki Joslin Diabetes Center Professional Education\u2019\u0131n Cenevre\u2019de d\u00fczenledi\u011fi en son litaret\u00fcr\u00fc aktar\u0131yorum\u2026 Daha fazla bilgi almak i\u00e7in, t\u0131klay\u0131n…<\/a><\/em>
\n<\/a><\/b><\/p>\n

Diabetis Mellitus nedir?<\/strong><\/p>\n

Diyabetes Mellitus kan \u015fekerinin kronik olarak y\u00fckselmesi ile birlikte ins\u00fcl\u00fcn salg\u0131lanmas\u0131nda ki bozukluk karakterize bir rahats\u0131zl\u0131kt\u0131r.<\/p>\n

T\u00fcrk N\u00fcfusunun \u00a0yakla\u015f\u0131k \u00fc\u00e7te biri ilerleyen ya\u015flar\u0131nda bu hastal\u0131ktan etkilenmektedir.<\/p>\n

Glisemik kontrol\u00fc olmayan ki\u015filerin, di\u015f eti hastal\u0131\u011f\u0131na yakalanma insidans\u0131 iki \u00fc\u00e7 kat daha fazlad\u0131r \u2026<\/b><\/em><\/p>\n

Di\u015f eti hastal\u0131\u011f\u0131 nedir?<\/strong><\/p>\n

Di\u015f eti hastal\u0131\u011f\u0131, biofilm denen ve i\u00e7inde \u00e7ok farkl\u0131 ve \u00e7e\u015fitli\u00a0 bakterilerin bulundu\u011fu kronik enfeksiyonel bir hastal\u0131kt\u0131r. Basit bir di\u015feti iltah\u0131b\u0131yla ba\u015flay\u0131p kontrol edilmedi\u011fi taktirde \u00e7ene kemi\u011finin de y\u0131k\u0131m\u0131yla karekterize di\u015f kayb\u0131yla sonu\u00e7lanan ciddi sonu\u00e7lar\u0131 olan bir rahats\u0131zl\u0131kt\u0131r. Di\u015f eti hastal\u0131\u011f\u0131 i\u00e7in\u00a0 en \u00f6nemli risk fakt\u00f6rleri, k\u00f6t\u00fc a\u011f\u0131z hijjeni, genetik yatk\u0131nl\u0131k, sigara kullan\u0131m\u0131, obezite, stresli ya\u015fam ve diyabettir.<\/p>\n

Di\u015feti hastal\u0131\u011f\u0131 ve diyabet aras\u0131nda ki ili\u015fki nedir?<\/strong><\/p>\n

Diyabet pek \u00e7ok organ\u0131 etkiledi\u011fi gibi, a\u011f\u0131z dokusunda da kontrol edilmedi\u011fi taktirde ciddi bir harabiyet yaratmaktad\u0131r. Y\u00fcksek kan \u015fekeri ve<\/p>\n

ins\u00fclin direnci diyabet hastal\u0131\u011f\u0131n\u0131n olu\u015fmas\u0131nda en \u00f6nemli iki fakt\u00f6rd\u00fcr. Periodontal hastal\u0131k glisemik kontrol\u00fc olmayan ki\u015filerde diyabetin bir sonucu olarak iki \u00fc\u00e7 kat daha fazla g\u00f6r\u00fcnmektedir. Ayn\u0131 zamanda da periodontal hastal\u0131\u011fa sahip ki\u015filerinde glisemik kontrol\u00fc daha zor olmaktad\u0131r.<\/p>\n

A\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131na dikkat eden kimse, diyabette kontrol sa\u011flayabilir mi?<\/strong><\/p>\n

Son g\u00fcnlerde diyabetin a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 \u00fczerine etkisi ayn\u0131 zamanda a\u011f\u0131z di\u015f sa\u011fl\u0131\u011f\u0131n\u0131n diyabetin kontrol\u00fcne etkisi ara\u015ft\u0131rmac\u0131lar\u0131n dikkatini \u00e7ekmektedir. Bu konuda pek \u00e7ok \u00e7al\u0131\u015fmalar yap\u0131lmaktad\u0131r. Bu \u00e7ift y\u00f6nl\u00fc yakla\u015f\u0131m; her iki hastal\u0131\u011f\u0131n tedavisinde \u00f6nemli ve ba\u015far\u0131l\u0131 sonu\u00e7lar do\u011furmaktad\u0131r. Hatta son \u00e7al\u0131\u015fmalar g\u00f6stermektedir ki, oral hijjen e\u011fitimine dikkat edilerek iyap\u0131lan di\u015f eti tedavisi, glisemik kontrol\u00fc de kolayla\u015ft\u0131rmaktad\u0131r. \u00a0Tabi hastan\u0131n\u0131n beslenmesininde kontroll\u00fc olmas\u0131 gerekmektedir.<\/p>\n

\n

Di\u015f eti hastal\u0131\u011f\u0131n\u0131n g\u00f6stergeleri nelerdir?<\/strong><\/p>\n

K\u0131rm\u0131z\u0131, \u015fi\u015f, kanayan di\u015f etleri di\u015f kayb\u0131, di\u015flerde sallanma, uzama, ayr\u0131lma, di\u015flerde sebepsiz hassasiyet, apse olu\u015fumu, a\u011f\u0131z kokusu, di\u015flerin etraf\u0131nda \u00e7ok miktarda plak ve di\u015f ta\u015f\u0131 birikimi bu hastal\u0131\u011f\u0131n g\u00f6stergeleridir.<\/p>\n

A\u015fa\u011f\u0131da sunulan anket sorular\u0131n\u0131n pek \u00e7o\u011funa evet diyorsan\u0131z bir di\u015f hekimine g\u00f6r\u00fcnmelisiniz.<\/strong><\/em><\/p>\n

\n
    \n
  1. Di\u015f etlerinizde problem oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyor musunuz?<\/li>\n
  2. Daha \u00f6nce Di\u015f eti hastal\u0131\u011f\u0131 ile ilgili tedavi g\u00f6rd\u00fcn\u00fcz m\u00fc?<\/li>\n
  3. Di\u015flerinizde sebepsiz yere sallanma ve ya aralanma yada uzama oldu mu?<\/li>\n
  4. Sebepsiz yere di\u015f kayb\u0131n\u0131z odlumu?<\/li>\n
  5. Son \u00fc\u00e7 ayd\u0131r, di\u015flerinizde yer de\u011fi\u015ftirme ve farkl\u0131l\u0131k hissediyor musunuz?<\/li>\n
  6. Diyabet hastas\u0131 m\u0131s\u0131n\u0131z?<\/li>\n
  7. 50 ya\u015f\u0131n \u00fczerinde misiniz?<\/li>\n
  8. Daha \u00f6nce hi\u00e7 \u015feker tahlili yapt\u0131rd\u0131n\u0131z m\u0131? \u0130ns\u00fcl\u00fcn direnciniz mevcut mu?<\/li>\n
  9. K\u00fcrdan kullanma ihtiyac\u0131 duyuyor musunuz?<\/li>\n
  10. Sebepsiz yere di\u015f eti kanamas\u0131 oluyor mu?<\/li>\n<\/ol>\n

     <\/p>\n<\/div>\n

    A\u015fa\u011f\u0131da ki sorulara pek \u00e7o\u011funa evet diyorsan\u0131z mutlaka bir endokronolo\u011fa g\u00f6r\u00fclmelisiniz\u2026<\/strong><\/em><\/p>\n

    \n
      \n
    1. Beden kitle endeksiniz 27 den fazla m\u0131?<\/li>\n
    2. 65 ya\u015f\u0131ndan gencim, pasive ve hareketsiz bir ya\u015fama sahibim.<\/li>\n
    3. Ailemde diyabetli ki\u015filer var.<\/li>\n
    4. \u00a0S\u0131k s\u0131k di\u015f eti apsesi oluyor.<\/li>\n
    5. A\u011fz\u0131mda beyaz beyaz lezyonlar mevcut.<\/li>\n
    6. K\u0131rm\u0131z\u0131, \u015fi\u015f, kanamal\u0131 di\u015f etlerine sahibim.<\/li>\n
    7. \u00c7ok fazla a\u011f\u0131z kurulu\u011fum ve kokum oluyor.<\/li>\n
    8. A\u011fz\u0131mda bir aseton tad\u0131 oluyor.<\/li>\n<\/ol>\n

       <\/p>\n<\/div>\n

      Beslenme ile di\u015feti hastal\u0131\u011f\u0131 aras\u0131nda ki ili\u015fki nas\u0131ld\u0131r?<\/strong><\/p>\n

      \u0130yi dengeli ve kontroll\u00fc beslenme nas\u0131l ki v\u00fccut salg\u0131m\u0131z i\u00e7in \u00f6nemli ise a\u011f\u0131z sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan da \u00f6nemlidir. \u00d6rne\u011fin \u00e7ok fazla karbonhidrat t\u00fcketen ki\u015filerin plak olusumlar\u0131 daha fazla olacakt\u0131r. Bu plak di\u015fler \u00fczerinden iyi bir \u015fekilde uzakla\u015ft\u0131r\u0131lmad\u0131\u011f\u0131 takdirde di\u015feti hastal\u0131\u011f\u0131na zemin haz\u0131rlanacakt\u0131r veya di\u015feti hastal\u0131\u011f\u0131 olan ki\u015filerde hastal\u0131\u011f\u0131n ilerleme h\u0131z\u0131n\u0131 ve \u015fiddetini artt\u0131racakt\u0131r.. Ayn\u0131 zamanda beslenme ile ald\u0131\u011f\u0131m\u0131z vitaminler hem di\u015feti dokusunun daha s\u0131k\u0131 sa\u011fl\u0131kl\u0131 bir yap\u0131 almas\u0131n\u0131 sa\u011flayacak hem de v\u00fccut direncini artt\u0131rarak hastal\u0131\u011fa yakalanma riskini azaltacakt\u0131r.<\/p>\n

      Diabetli bir hastan\u0131n di\u015feti tedavisi nas\u0131l olmal\u0131d\u0131r?<\/strong><\/p>\n

      Di\u015feti hastal\u0131\u011f\u0131 erken d\u00f6neminde ba\u015far\u0131l\u0131 bir \u015fekilde tedavi edilebilmektedir. Diabetik ki\u015filerin tedavisinde en \u00f6nemli fakt\u00f6r 6 ayl\u0131k periyotlarla yap\u0131lan detayl\u0131 di\u015feti muaynesi ve temizliktir. Bu hastalara di\u015flerini g\u00fcnde en az iki kez d\u00fczenli f\u0131r\u00e7alamalar\u0131 gerekti\u011fi, f\u0131r\u00e7alamay\u0131 takiben di\u015fipi kullan\u0131m\u0131 ve e\u011fer gereksinim hissediyorsa di\u015feti temizli\u011finin y\u0131lda 2 den de fazla yap\u0131labilece\u011fi anlat\u0131lmal\u0131d\u0131r.<\/p>\n

      Yirbirinci y\u00fczy\u0131lda di\u015feti hatal\u0131\u011f\u0131na sahip\u00a0 tip 2 diyabetli ki\u015filerin\u00a0 tedavisinde, pek \u00e7ok de\u011fi\u015fiklik olmu\u015ftur. Hastal\u0131\u011f\u0131n tedavisi \u00e7ok zor de\u011fildir ancak kronik olarak bu hastal\u0131\u011fa maruz kalan ki\u015filerin, bu hastal\u0131\u011f\u0131n multi faktoriyel ve interdisipliner olarak, tedavi edilmesi ve anla\u015f\u0131lmas\u0131, zaman almaktad\u0131r. Art\u0131k tedavide a\u011f\u0131z sa\u011fl\u0131n\u0131n sa\u011flanmas\u0131 ve idamesi zorunlu basamaklardan biri haline gelmi\u015ftir.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

      Sevgili okurlar\u0131m; 12 Ekim 2012 tarihinde kat\u0131ld\u0131\u011f\u0131m Cenevre\u2019de ki diyabet ve di\u015fetisa\u011fl\u0131\u011f\u0131 konulu seminer bilgilerimi sizlerle payla\u015fmak istedim. Bu ay ki konumuzu toplumumuzu yak\u0131ndan ilgilendiren diyabet ve a\u011f\u0131z sa\u011fl\u0131\u011f\u0131 olsun istedim. Boston\u2019da ki Joslin Diabetes Center Professional Education\u2019\u0131n Cenevre\u2019de d\u00fczenledi\u011fi en son litaret\u00fcr\u00fc aktar\u0131yorum\u2026 Daha fazla bilgi almak i\u00e7in, t\u0131klay\u0131n… Diabetis Mellitus nedir? Diyabetes MellitusLeer M\u00e1s<\/p>\n","protected":false},"author":1,"featured_media":3568,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[233,230,1,231],"tags":[432,239],"class_list":["post-2505","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dis-curugu","category-dis-eti-hastaliklari","category-genel","category-implant","tag-dis-eti-hastaliklari","tag-seker-hastaligi"],"_links":{"self":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/2505","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/comments?post=2505"}],"version-history":[{"count":9,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/2505\/revisions"}],"predecessor-version":[{"id":3569,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/2505\/revisions\/3569"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/media\/3568"}],"wp:attachment":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/media?parent=2505"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/categories?post=2505"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/tags?post=2505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}