{"id":5679,"date":"2022-12-27T14:38:55","date_gmt":"2022-12-27T11:38:55","guid":{"rendered":"https:\/\/zulfikarpolat.com\/?page_id=5679"},"modified":"2023-02-02T03:08:19","modified_gmt":"2023-02-02T00:08:19","slug":"helikobakter-pilori","status":"publish","type":"page","link":"https:\/\/zulfikarpolat.com\/en\/helikobakter-pilori\/","title":{"rendered":"Helikobakter Pilori"},"content":{"rendered":"\t\t
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Helikobakter Pilori Tan\u0131s\u0131, Tedavisi Ve Risk Fakt\u00f6rleri\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Helikobakteri pilori<\/strong> \u00e7omak \u015feklinde, boyutu 0.6\u00d73.5 mikron olan, \u00e7ok hareketli ve \u00fcremesi yava\u015f bir organizmad\u0131r.<\/span><\/p>\n

Helikobakter Pilori Tedavisi Nas\u0131l Olur?<\/span><\/h2>

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Biyopsiyle al\u0131nan materyallerde bekletmeden yap\u0131lan incelemelerde spiral \u015feklinde, bekletildikten sonra yap\u0131lan incelemelerde ise k\u00fcre \u015feklinde oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/span><\/p>\n

Genel olarak bak\u0131ld\u0131\u011f\u0131nda her 100 ki\u015fiden 70\u2019inin helikobakteri pilori<\/strong> ile enfekte oldu\u011fu s\u00f6ylenebilir. Enfeksiyonun s\u0131kl\u0131\u011f\u0131 geli\u015fmi\u015f \u00fclkelerde %10-50, geli\u015fmekte olan \u00fclkelerde ise %80 civar\u0131ndad\u0131r.<\/span><\/p>\n

Bu durumun en \u00f6nemli belirleyicisi sosyoekonomik farkl\u0131l\u0131klard\u0131r. Y\u00fcksek ya\u015fam standard\u0131, y\u00fcksek e\u011fitim d\u00fczeyi ve daha iyi sa\u011fl\u0131k ko\u015fullar\u0131na sahip olma enfeksiyon s\u0131kl\u0131\u011f\u0131n\u0131n d\u00fc\u015f\u00fck olmas\u0131n\u0131 sa\u011flamaktad\u0131r.<\/span><\/p>\n

Geli\u015fmekte olan \u00fclkelerde enfeksiyon tipik olarak \u00e7ocukluk \u00e7a\u011f\u0131nda edinilir ve ya\u015fam boyu s\u00fcrd\u00fc\u011f\u00fcnden ya\u015fl\u0131 ki\u015filerin b\u00fcy\u00fck bir k\u0131sm\u0131nda helikobakteri pilori enfeksiyonun<\/strong> uzun d\u00f6nemdeki sonu\u00e7lar\u0131 ortaya \u00e7\u0131kar.<\/span><\/p>\n

Mikroorganizman\u0131n ge\u00e7i\u015f yolu tam olarak bilinmemekle beraber, insanlar aras\u0131nda d\u0131\u015fk\u0131-a\u011f\u0131z veya a\u011f\u0131z-a\u011f\u0131z yollar\u0131yla (t\u00fckr\u00fck, salya vb.) bula\u015ft\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir.<\/span><\/p>\n

Helikobakteri pilori<\/strong> enfeksiyonu<\/strong> a\u00e7\u0131s\u0131ndan herhangi bir yak\u0131nmas\u0131 olmayan aileler \u00fczerinde yap\u0131lan \u00e7al\u0131\u015fmalar, aile bireylerinden birinde H.pilori enfeksiyonu varl\u0131\u011f\u0131nda \u00e7ocuklar\u0131n\u0131n ve e\u015finin enfekte olma olas\u0131l\u0131\u011f\u0131 s\u0131ras\u0131yla %40 ve %70 civar\u0131ndayken bireyde H.pilori enfeksiyonu yoklu\u011funda bu oranlar\u0131n olduk\u00e7a d\u00fc\u015f\u00fck (s\u0131ras\u0131yla %5 ve %10) oldu\u011funu g\u00f6stermi\u015ftir.<\/span><\/p>\n

Helikobakter pilorinin kendi g\u00fcnl\u00fck prati\u011fimde g\u00f6rd\u00fc\u011f\u00fcm kadar\u0131yla abart\u0131lan bir mikrop oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorum. Helikobakter pilori midede gastrite neden olan bir mikroptur ancak bizim toplumumuzda 60 ya\u015f \u00fczerindeki pop\u00fclasyonun yakla\u015f\u0131k %80 inde helikobakter pilori enfeksiyonu vard\u0131r.<\/span><\/p>\n

Gen\u00e7 yeti\u015fkinlerde ise g\u00fcn\u00fcm\u00fczde %40 \u2013 60 oran\u0131nda helikobakter pozitifli\u011fini kolayl\u0131kla saklayabiliriz ancak her helikobakter pilori enfeksiyonu<\/strong> hastada \u015fikayete neden olmaz. Helikobakter pilorinin tedavi edilebilmesi i\u00e7in baz\u0131 \u015fartlar vard\u0131r.<\/span><\/p>\n

E\u011fer hastada midesinde yada 12 parmak ba\u011f\u0131rsa\u011f\u0131nda \u00fclseri varsa hasta daha \u00f6nceden mide kanseri nedeniyle ameliyat olmu\u015f ve helikobakter pilorisi pozitif<\/strong> ise mide lenformas\u0131 var ise daha \u00f6nceden hasta \u00fclseri nedeniyle kanama ge\u00e7irdiyse yada uzun s\u00fcre aspirin romatizma ilac\u0131 gibi bir ila\u00e7 kullanacak ise bu hastalarda mutlak bir \u015fekilde helikobakter pilorinin eradike edilmesi antibiyotik tedavisi ile yok edilmektedir.<\/span><\/p>\n

Her kar\u0131n a\u011fr\u0131s\u0131 her \u015fi\u015fkinlik her haz\u0131ms\u0131zl\u0131k<\/strong> helikobakter piloriye ba\u011fl\u0131 de\u011fildir.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Enfekte Olma Riskini Art\u0131ran Fakt\u00f6rler Nelerdir?<\/span><\/h2>\n<\/div>\n<\/div>\n
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  • Geli\u015fmekte olan \u00fclkelerde do\u011fmak<\/span><\/li>\n
  • D\u00fc\u015f\u00fck sosyoekonomik durum<\/span><\/li>\n
  • Geni\u015f aileler ve kalabal\u0131k ya\u015fam ko\u015fullar\u0131<\/span><\/li>\n
  • Sa\u011fl\u0131ks\u0131z ya\u015fam ko\u015fullar\u0131<\/span><\/li>\n
  • Kirli besin ve su t\u00fcketimi<\/span><\/li>\n
  • Organizmay\u0131 ta\u015f\u0131yan ki\u015filerin mide i\u00e7eri\u011fine maruz kalmak (Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 ve e\u015fler aras\u0131nda ge\u00e7i\u015f)<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n
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    \u0130li\u015fkili Oldu\u011fu G\u00f6sterilmi\u015f Hastal\u0131klar<\/span><\/h3>\n<\/div>\n<\/div>\n
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    Helikobakteri pilori;<\/strong><\/span><\/p>\n

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    • Gastrit ve \u00fclser ba\u015fta olmak \u00fczere de\u011fi\u015fik mide hastal\u0131klar\u0131na neden olabilmektedir;<\/span><\/li>\n
    • Mide ve oniki parmak barsa\u011f\u0131 \u00fclseri geli\u015fimi (%17-20)<\/span><\/li>\n
    • Mide kanseri geli\u015fimi (%1-3)<\/span><\/li>\n
    • Mide lenf kanseri geli\u015fimi (%1-3)<\/span><\/li>\n
    • Kronik gastrit<\/strong>, atrofik gastrit ve intestinal meteplazi ( \u0130ntestinal metaplazi, mide mukozas\u0131nda barsak tipi mukoza adac\u0131klar\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131d\u0131r ve baz\u0131 \u00e7e\u015fitleri kansere d\u00f6n\u00fc\u015f\u00fcm g\u00f6stermesi nedeniyle yak\u0131ndan takip gerektirir)<\/span><\/li>\n
    • A\u011fr\u0131, gaz, \u015fi\u015fikinlik, bulant\u0131, yemek sonras\u0131 dolgunluk hissi, ge\u011firme,a\u011f\u0131z kokusu gibi dispeptik yak\u0131nmalar.<\/span><\/li>\n<\/ul>\n
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      Helikobakter Pilori Tan\u0131s\u0131nda Kullan\u0131lan Testler<\/span><\/h3>

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      Endoskopi (Gastroskopi) yap\u0131lmas\u0131 gerekli olan hastalarda edoskopi s\u0131ras\u0131nda al\u0131nacak doku \u00f6rne\u011finin (biyopsi) h\u0131zl\u0131 \u00fcreaz testi (CLO test) kullan\u0131larak veya histopatolojik inceleme yap\u0131larak incelenmesi ile mide de helikobakter pilori<\/strong> olup olmad\u0131\u011f\u0131 anla\u015f\u0131l\u0131r.<\/span><\/p>\n

      Endoskopi yap\u0131lmas\u0131 gerekmiyorsa di\u011fer bir y\u00f6ntem olan \u00dcre-Nefes Testi<\/strong> veya kanda bu bakteriye kar\u015f\u0131 olu\u015fmu\u015f antikorlar\u0131n saptanmas\u0131na y\u00f6nelik serolojik testler uygulanabilir.<\/span><\/p>\n

      \u00dcre-nefes testinin yap\u0131labilmesi i\u00e7in son 1 ayd\u0131r antibiyotik veya mide asidini azaltmaya y\u00f6nelik bir ila\u00e7 kullanmam\u0131\u015f olmak gerekir.<\/span><\/p>\n

      Kanda helikobakter pilori<\/strong> kar\u015f\u0131 olu\u015fmu\u015f antikorlar\u0131n saptanmas\u0131 sadece ki\u015finin bu bakteri ile herhangi bir zamanda kar\u015f\u0131la\u015fm\u0131\u015f oldu\u011funu g\u00f6sterir, bakterinin tedavi edilip edilmedi\u011fi hakk\u0131nda bilgi vermez.<\/span><\/p>\n

      Bunlar\u0131n d\u0131\u015f\u0131nda d\u0131\u015fk\u0131da helikobakter pilori antijeni<\/strong> ve t\u00fckr\u00fck ve idrarda H.pilori ye kar\u015f\u0131 olu\u015fan antikorlar\u0131n tesbiti ile de H.pilori varl\u0131\u011f\u0131 ara\u015ft\u0131r\u0131labilir. Bu ama\u00e7la kullan\u0131lan de\u011fi\u015fik testler a\u015fa\u011f\u0131daki tabloda g\u00f6r\u00fclmektedir.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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      Helikobakter Pilori Tedavisi<\/span><\/h3>\n<\/div>\n<\/div>\n
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      Herhangi bir y\u00f6ntemle midede helikobakter pilori<\/strong> enfeksiyonu varl\u0131\u011f\u0131 g\u00f6sterildi\u011finde yol a\u00e7abilece\u011fi olas\u0131 hastal\u0131klar nedeniyle enfeksiyonun tedavi edilmesi uygun bir yakla\u015f\u0131m olur. Tedavinin temelini mide asit salg\u0131s\u0131n\u0131 bask\u0131layan bir ila\u00e7 ve en az iki \u00e7e\u015fit antibiyoti\u011fin birlikte 7 veya 14 g\u00fcn s\u00fcreyle kullan\u0131lmas\u0131 olu\u015fturur. Bakterinin antibiyotiklere duyarl\u0131 oldu\u011fu pH aral\u0131\u011f\u0131 6-8 aras\u0131nda oldu\u011fundan tedavi s\u0131ras\u0131nda mide asit salg\u0131s\u0131n\u0131n etkin bir \u015fekilde bask\u0131lanmas\u0131 gerekir. Tedavi i\u00e7in herhangi bir diyet uygulanmas\u0131na gerek yoktur. Uygun tedavi verildi\u011fi halde eradikasyon sa\u011flanamayan hastalarda de\u011fi\u015fik tedavi k\u00fcrleri uygulanmal\u0131d\u0131r. Bu konuda gastroenterolo\u011funuz size yard\u0131mc\u0131 olacakt\u0131r. Helikobakter Pilori tedavisi<\/strong>nin kesin olarak \u00f6nerildi\u011fi durumlar:<\/span><\/div>

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      • Peptik \u00fclser hastal\u0131\u011f\u0131<\/strong><\/span><\/li>\n
      • MALToma<\/span><\/li>\n
      • Atrofik gastrit<\/span><\/li>\n
      • Mide kanseri ameliyatlar\u0131 sonras\u0131nda kalan midede enfeksiyon varl\u0131\u011f\u0131<\/span><\/li>\n
      • Birinci derece akrabas\u0131nda mide kanseri bulunan hastalar<\/span><\/li>\n
      • Hastan\u0131n kendi iste\u011fi nedeniyle<\/span><\/li>\n
      • ITP (\u0130dyopatik trombositopenik purpura)<\/span><\/li>\n
      • Helikobakter Pilori<\/strong> tedavisinin tavsiye edildi\u011fi durumlar:<\/span><\/li>\n
      • Helikobakter pilori<\/strong> pozitif bulunan fonksiyonel dispepsi (A\u011fr\u0131, gaz, \u015fi\u015fikinlik, bulant\u0131, yemek sonras\u0131 dolgunluk hissi, ge\u011firme vb. belirtilerle kendisini g\u00f6steren ve altta yatan bir organik hastal\u0131\u011f\u0131n g\u00f6sterilemedi\u011fi durum)<\/span><\/li>\n
      • Uzun s\u00fcreli ila\u00e7 tedavisi gereken gastro\u00f6zofagial refl\u00fc hastal\u0131\u011f\u0131<\/strong><\/span><\/li>\n
      • Aspirin ve\/veya steroid olmayan antiromatizmal ila\u00e7lar\u0131n uzun s\u00fcreli kullan\u0131m\u0131n\u0131n gerekti\u011fi durumlar<\/span><\/li>\n
      • Nedeni saptanamayan demir eksikli\u011fi anemisi<\/span><\/li>\n
      • Fonksiyonel dispepsi (NUD)<\/span><\/li>\n
      • Uzun s\u00fcreli PPI tedavisi<\/span><\/li>\n
      • Uzun s\u00fcreli NSA\u0130\u0130 tedavisi<\/span><\/li>\n
      • Halitosis (A\u011f\u0131z kokusu)<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

        Helikobakter Pilori Tan\u0131s\u0131, Tedavisi Ve Risk Fakt\u00f6rleri Helikobakteri pilori\u00a0\u00e7omak \u015feklinde, boyutu 0.6\u00d73.5 mikron olan, \u00e7ok hareketli ve \u00fcremesi yava\u015f bir organizmad\u0131r. Helikobakter Pilori Tedavisi Nas\u0131l Olur?   Biyopsiyle al\u0131nan materyallerde bekletmeden yap\u0131lan incelemelerde spiral \u015feklinde, bekletildikten sonra yap\u0131lan incelemelerde ise k\u00fcre \u015feklinde oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Genel olarak bak\u0131ld\u0131\u011f\u0131nda her 100 ki\u015fiden 70\u2019inin\u00a0helikobakteri pilori\u00a0ile enfekte oldu\u011fu s\u00f6ylenebilir. […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"\nHelikobakter Pilori - Gastroenteroloji - Prof Dr Z\u00fclfikar Polat<\/title>\n<meta name=\"description\" content=\"Helikobakter Pilori Nedir , Tedavisi Nas\u0131l Olur ? Risk Fakt\u00f6rleri Nelerdir ? T\u00fcm merak etti\u011finiz sorular\u0131n\u0131z i\u00e7in t\u0131klay\u0131n.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/zulfikarpolat.com\/en\/helikobakter-pilori\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Helikobakter Pilori - Gastroenteroloji - Prof Dr Z\u00fclfikar Polat\" \/>\n<meta property=\"og:description\" content=\"Helikobakter Pilori Nedir , Tedavisi Nas\u0131l Olur ? 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