{"id":263,"date":"2023-03-02T18:43:56","date_gmt":"2023-03-02T18:43:56","guid":{"rendered":"http:\/\/www.ahubirol.com\/?p=263"},"modified":"2024-07-16T22:27:38","modified_gmt":"2024-07-16T19:27:38","slug":"diyabet-farkindalik-haftasina-ozel-diyabet-hastalarinin-en-onemli-cilt-problemleri-ve-tedavi-rehberi","status":"publish","type":"post","link":"https:\/\/www.ahubirol.com\/web\/en\/diyabet-farkindalik-haftasina-ozel-diyabet-hastalarinin-en-onemli-cilt-problemleri-ve-tedavi-rehberi\/","title":{"rendered":"Diyabet fark\u0131ndal\u0131k g\u00fcn\u00fcne \u00f6zel diyabet hastalar\u0131n\u0131n en \u00f6nemli cilt problemleri ve tedavi rehberi!"},"content":{"rendered":"<p><strong>Diyabet hastalar\u0131n\u0131n en \u00f6nemli cilt problemleri ve tedavi rehberi!<\/strong><\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\">D\u00fcnyada her y\u0131l 14 Kas\u0131m tarihi \u2018D\u00fcnya Diyabet Fark\u0131ndal\u0131k G\u00fcn\u00fc\u2019\u00a0olarak kutlan\u0131yor. Diyabet, bir di\u011fer ad\u0131yla \u015feker hastal\u0131\u011f\u0131, \u00fclkemizde bug\u00fcn tahmini olarak 11 milyon ki\u015fide g\u00f6r\u00fcl\u00fcrken ortalamada ise d\u00fcnyadakinin 2 kat\u0131 seviyesine ula\u015fm\u0131\u015f durumda\u2026 Bu ciddi tablo, diyabete ba\u011fl\u0131 olarak geli\u015fen hastal\u0131klara ve en s\u0131k g\u00f6r\u00fclen \u2018cilt problemlerine\u2019 e\u011filmemizi gerekli k\u0131l\u0131yor.<\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\">Diyabet hastalar\u0131nda kan \u015fekerindeki art\u0131\u015fa ba\u011fl\u0131 olarak ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bozulmas\u0131, hastalar\u0131n b\u00fcnyelerindeki diren\u00e7 eksikli\u011finin ve her t\u00fcrl\u00fc enfeksiyona a\u00e7\u0131k hale gelmelerinin de esas nedeni\u2026 Buna ba\u011fl\u0131 olarak \u2018yaralar, ka\u015f\u0131nt\u0131lar, mantar enfeksiyonlar\u0131 ve vitiligo\u2019 gibi cilt hastal\u0131klar\u0131 olu\u015furken, \u015feker hastal\u0131\u011f\u0131ndan ileri gelen damar ve sinir tutulumu da \u00f6zellikle ayaklarda \u00e7e\u015fitli yara ve duyu kay\u0131plar\u0131na yol a\u00e7\u0131yor. \u0130\u015fte tam bu noktada, diyabet hastalar\u0131n\u0131n en \u00e7ok kar\u015f\u0131la\u015ft\u0131\u011f\u0131 cilt rahats\u0131zl\u0131klar\u0131n\u0131 ve bunlar\u0131n \u00e7\u00f6z\u00fcm yollar\u0131n\u0131 Do\u00e7. Dr. Ahu Birolp Kocaalp \u015f\u00f6yle aktar\u0131yor:<\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\"><strong style=\"font-style: inherit;\">Mantar enfeksiyonlar\u0131nda \u00e7\u00f6z\u00fcm \u2018hijyen ve hekim tedavisi\u2019<\/strong><\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\">Her t\u00fcrl\u00fc cilt hastal\u0131\u011f\u0131n\u0131n normal hastalara k\u0131yasla daha \u015fiddetli g\u00f6r\u00fcld\u00fc\u011f\u00fc diyabetli hastalar\u0131n ayaklar\u0131nda, kulaklar\u0131nda, kas\u0131klar\u0131nda, k\u0131vr\u0131m b\u00f6lgelerinde mantar enfeksiyonlar\u0131 \u00e7ok s\u0131k geli\u015fir. Bakteriyel enfeksiyonlar ve \u00f6zellikle v\u00fccutta apse, \u00e7\u0131ban dedi\u011fimiz iltihaplar g\u00f6r\u00fcl\u00fcr. Tedaviyi ise \u015fu \u015fekilde \u00f6zetleyebiliriz:<\/p>\n<ul style=\"font-style: inherit; font-weight: inherit;\">\n<li style=\"font-style: inherit; font-weight: inherit;\">Mantar enfeksiyonu e\u011fer ayakta ise parmak aralar\u0131nda ka\u015f\u0131nt\u0131, sulanma, yara, k\u0131zar\u0131kl\u0131k, tabanda kepeklenme, pullanma, soyulma; t\u0131rnaklarda kal\u0131nla\u015fma, sararma, t\u0131rna\u011f\u0131n \u015feklinin bozulmas\u0131 ve t\u0131rna\u011f\u0131n ayr\u0131lmas\u0131 gibi yak\u0131nmalara neden olur. Bu durumda tedavi, a\u011f\u0131z yoluyla al\u0131nan ila\u00e7lar ve cilt \u00fczerine uygulanabilen kremlerin birbirini desteklemesiyle ger\u00e7ekle\u015fir.<\/li>\n<\/ul>\n<ul style=\"font-style: inherit; font-weight: inherit;\">\n<li style=\"font-style: inherit; font-weight: inherit;\">Tedavide ki\u015finin di\u011fer hastal\u0131klar\u0131 da dikkate al\u0131n\u0131r. \u00d6rne\u011fin hasta ya\u015fl\u0131ysa ve ayn\u0131 zamanda karaci\u011fer ve\/veya b\u00f6brek yetmezli\u011fi varsa hap kullanamaz, sadece kremle tedavi edilir. E\u011fer mantar kas\u0131k b\u00f6lgesinde, koltuk ya da meme alt\u0131ndaysa, \u00f6zellikle k\u0131zar\u0131kl\u0131k ve \u00fczeri sulu yaralar \u015feklinde kendini g\u00f6sterir. Bu durumda ise tedavi i\u00e7in sadece krem yeterli olabilir. Enfeksiyonu olan hasta, her durumda \u00f6ncelikle hekim tedavisini almal\u0131 ve hijyene \u00e7ok dikkat etmelidir.<\/li>\n<\/ul>\n<ul style=\"font-style: inherit; font-weight: inherit;\">\n<li style=\"font-style: inherit; font-weight: inherit;\">Mantar hastal\u0131\u011f\u0131 olan ki\u015fi, \u00e7orap, terlik, ayakkab\u0131, havlu gibi ki\u015fisel e\u015fyalar\u0131n\u0131 asla bir ba\u015fkas\u0131yla payla\u015fmamal\u0131, bir kez kullan\u0131ld\u0131ktan sonra y\u0131kanmas\u0131na \u00f6zen g\u00f6stermeli. Ayr\u0131ca mantar nemli ortamlarda \u00fcreyece\u011finden hasta du\u015f ald\u0131ktan sonra banyo dezenfekte edilmelidir.<\/li>\n<\/ul>\n<p style=\"font-style: inherit; font-weight: inherit;\"><strong style=\"font-style: inherit;\">Peki ka\u015f\u0131nt\u0131lardan kurtulmak m\u00fcmk\u00fcn m\u00fc?<\/strong><\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\">\u015eeker hastalar\u0131nda di\u011fer ki\u015filere k\u0131yasla daha fazla olan ka\u015f\u0131nt\u0131, a\u011f\u0131rl\u0131kla sa\u00e7l\u0131 deride ger\u00e7ekle\u015fti\u011finde rahats\u0131z edicidir. Alerji tedavisinde kullan\u0131lan haplardan ve nemlendiricilerden faydalan\u0131lan ka\u015f\u0131nt\u0131 tedavisi, ki\u015finin yak\u0131nmalar\u0131na g\u00f6re belirlenir ve genelde y\u00fcksek dozdan ba\u015flan\u0131larak tedavi s\u00fcresinde a\u015famal\u0131 olarak azalt\u0131l\u0131r.<\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\"><strong style=\"font-style: inherit;\">Ayaklarda yaralar\u0131 iyile\u015ftirmek i\u00e7in bu \u00f6nlemleri al\u0131n!<\/strong><\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\">\u015eeker hastalar\u0131nda yaralar en fazla ayaklarda ve bacaklarda g\u00f6r\u00fcl\u00fcr. Bunun en b\u00fcy\u00fck nedeni, duyu kayb\u0131na ba\u011fl\u0131 olarak s\u0131cak ve so\u011fuk hassasiyetinin ortadan kalkm\u0131\u015f olmas\u0131 ve hastan\u0131n nas\u0131rlar\u0131, travmalar\u0131, ayakkab\u0131 s\u0131kmalar\u0131n\u0131 ve ka\u015f\u0131nmalar\u0131 alg\u0131layamaz hale gelmesiyle yaralar\u0131n olu\u015fmas\u0131 ve artmas\u0131d\u0131r. Burada hastalar\u0131m\u0131za kendi kendilerini g\u00f6zlemleyerek ki\u015fisel muayenelerini art\u0131rmalar\u0131n\u0131 ve en k\u00fc\u00e7\u00fck bir yara belirtisinde ihmal etmeden hekimlere dan\u0131\u015fmalar\u0131n\u0131 \u00f6nemle tavsiye ediyoruz. Bununla birlikte hijyen konusunda dikkat etmeleri gerekenleri \u015f\u00f6yle s\u0131ralayabiliriz:<\/p>\n<ul style=\"font-style: inherit; font-weight: inherit;\">\n<li style=\"font-style: inherit; font-weight: inherit;\">Ayaklar her g\u00fcn sabunlu \u0131l\u0131k su ile y\u0131kanmal\u0131 ve \u00f6zellikle nemli b\u0131rakmamak i\u00e7in parmak aralar\u0131 \u00e7ok iyi kurulanmal\u0131 ve buralara krem s\u00fcr\u00fclmemeli. Bu noktada \u015fayet bir yara ba\u015flang\u0131c\u0131 varsa hastan\u0131n hekime zaman\u0131nda ba\u015fvurabilmesi ad\u0131na bireysel kontrol\u00fc \u00e7ok \u00f6nemlidir. Hastalar ayak tabanlar\u0131n\u0131 ve parmak aralar\u0131n\u0131 mutlaka g\u00fcnl\u00fck olarak kontrol etmeliler. E\u011fer bunu kendileri yapam\u0131yorsa bir yak\u0131nlar\u0131ndan yard\u0131m almal\u0131 veya ayna yard\u0131m\u0131 ile yara olup olmad\u0131\u011f\u0131n\u0131 izlemeliler.<\/li>\n<\/ul>\n<ul style=\"font-style: inherit; font-weight: inherit;\">\n<li style=\"font-style: inherit; font-weight: inherit;\">Pamuklu \u00e7orap giyilmeli ve \u00e7oraplar her g\u00fcn de\u011fi\u015ftirilmeli.<\/li>\n<\/ul>\n<ul style=\"font-style: inherit; font-weight: inherit;\">\n<li style=\"font-style: inherit; font-weight: inherit;\">T\u0131rnaklar \u00e7ok yuvarlak ve derin olarak de\u011fil, k\u00fct olarak kesilmeli. T\u0131rnak etleri kopar\u0131lmamal\u0131.<\/li>\n<\/ul>\n<ul style=\"font-style: inherit; font-weight: inherit;\">\n<li style=\"font-style: inherit; font-weight: inherit;\">Ayakkab\u0131 se\u00e7imine dikkat edilmeli, derisi yumu\u015fak, aya\u011f\u0131n \u015feklini alabilen ayakkab\u0131lar tercih edilmeli. \u00d6zel yap\u0131m ayakkab\u0131lar veya \u00f6zel tabanl\u0131klar kullan\u0131labilir.<\/li>\n<\/ul>\n<ul style=\"font-style: inherit; font-weight: inherit;\">\n<li style=\"font-style: inherit; font-weight: inherit;\">Ayaklar y\u0131kand\u0131ktan sonra ise ayak topuklar\u0131na ve taban k\u0131sm\u0131na yumu\u015fat\u0131c\u0131 bir kremle \u00e7atlak ve nas\u0131r olu\u015fumunu \u00f6nlemek i\u00e7in masaj yap\u0131lmal\u0131d\u0131r.<\/li>\n<\/ul>\n<p style=\"font-style: inherit; font-weight: inherit;\"><strong style=\"font-style: inherit;\">Diyabette ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n azalmas\u0131 \u2018vitiligo\u2019ya neden olabilir<\/strong><\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\">Diyabet hastalar\u0131nda ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin yanl\u0131\u015f \u00e7al\u0131\u015fmas\u0131na ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabilen ve \u2018derinin beyazla\u015fmas\u0131\u2019 anlam\u0131na gelen vitiligoda v\u00fccut, deriye rengini veren pigment h\u00fccrelerini yabanc\u0131 gibi alg\u0131layarak yok etmeye \u00e7al\u0131\u015f\u0131r. Tedavide ise deriye kortizonlu krem uygulan\u0131r. En etkili tedavilerden biri ise g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131d\u0131r. G\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131n\u0131n olmad\u0131\u011f\u0131 aylarda ise suni g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131 ile deride koyula\u015fma sa\u011flan\u0131r. Beyaz lekeler v\u00fccutta yayg\u0131nsa hastalar, suni g\u00fcne\u015flenme kabinlerine sokulur, lokalse sadece o b\u00f6lgelere excimer lazer cihaz\u0131 ile tedavi uygulanabilir. Sa\u00e7k\u0131ran, B12 eksikli\u011fi gibi sorunlar vitiligoya e\u015flik edebilece\u011finden, tedavide bunlara uygun \u00e7\u00f6z\u00fcmleri de ekleyebiliriz.<\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\"><strong style=\"font-style: inherit;\">S\u0131k s\u0131k tekrarlayan deri enfeksiyonlar\u0131n\u0131z\u0131 g\u00f6zlemleyin<\/strong><\/p>\n<p style=\"font-style: inherit; font-weight: inherit;\">Diyabetin her zaman belirti veren bir hastal\u0131k olmad\u0131\u011f\u0131n\u0131, gizli \u015fekeriniz olabilece\u011fini unutmay\u0131n. Ancak kendinizi s\u0131kl\u0131kla muayene edip deri bulgular\u0131n\u0131za dikkat ederseniz, bir hekimle g\u00f6r\u00fc\u015ferek erkenden tespit etme imkan\u0131n\u0131z do\u011far. \u00d6zellikle s\u0131k tekrarlayan deri enfeksiyonlar\u0131n\u0131z varsa, apseler olu\u015fuyorsa ve tedaviye diren\u00e7 g\u00f6steren vakalar s\u00f6z konusuysa diyabetten \u015f\u00fcphelenilir. Yine diyabetten kaynaklanabilen \u00f6zel yaralar da vard\u0131r. Bacakta b\u00f6yle bir yara g\u00f6r\u00fcld\u00fc\u011f\u00fcnde mutlaka hastan\u0131n \u015feker d\u00fczeyine bak\u0131lmal\u0131d\u0131r.<\/p>","protected":false},"excerpt":{"rendered":"<p>Diyabet hastalar\u0131n\u0131n en \u00f6nemli cilt problemleri ve tedavi rehberi! D\u00fcnyada her y\u0131l 14 Kas\u0131m tarihi \u2018D\u00fcnya Diyabet Fark\u0131ndal\u0131k G\u00fcn\u00fc\u2019\u00a0olarak kutlan\u0131yor. Diyabet, bir di\u011fer ad\u0131yla \u015feker hastal\u0131\u011f\u0131, \u00fclkemizde bug\u00fcn tahmini olarak 11 milyon ki\u015fide g\u00f6r\u00fcl\u00fcrken ortalamada ise d\u00fcnyadakinin 2 kat\u0131 seviyesine ula\u015fm\u0131\u015f durumda\u2026 Bu ciddi tablo, diyabete ba\u011fl\u0131 olarak geli\u015fen hastal\u0131klara ve en s\u0131k g\u00f6r\u00fclen \u2018cilt [&hellip;]<\/p>","protected":false},"author":1,"featured_media":442,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-263","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/posts\/263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/comments?post=263"}],"version-history":[{"count":0,"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/posts\/263\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/media\/442"}],"wp:attachment":[{"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/media?parent=263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/categories?post=263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ahubirol.com\/web\/en\/wp-json\/wp\/v2\/tags?post=263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}