{"id":27869,"date":"2025-01-03T21:00:20","date_gmt":"2025-01-03T21:00:20","guid":{"rendered":"https:\/\/avrupapress.com\/main\/?p=27869"},"modified":"2025-01-03T21:00:27","modified_gmt":"2025-01-03T21:00:27","slug":"tiroit-ve-iyot-iliskisi-sagligimiz-icin-cok-onemlidir","status":"publish","type":"post","link":"https:\/\/avrupapress.com\/main\/2025\/01\/03\/tiroit-ve-iyot-iliskisi-sagligimiz-icin-cok-onemlidir\/","title":{"rendered":"\u2018\u2019T\u0130RO\u0130T ve \u0130YOT \u0130L\u0130\u015eK\u0130S\u0130\u2019\u2019 SA\u011eLI\u011eIMIZ \u0130\u00c7\u0130N \u00c7OK \u00d6NEML\u0130D\u0130R"},"content":{"rendered":"
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HABER \/ FOTO\u011eRAF: ERTU\u011eRUL ALTINEL -B\u0130LG\u0130N \u00d6Z\u00c7\u0130FT\u00c7\u0130 \u2013 AVRUPA PRESS \u2013 BEL\u00c7\u0130KA.<\/div>\n
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Op. Dr. Kay\u0131han \u00c7a\u011flar (\u00dcnl\u00fc Cerrah)<\/div>\n
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ANADOLU HASTANES\u0130- ESK\u0130\u015eEH\u0130R<\/div>\n
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\u0130YOT; insan hayat\u0131 i\u00e7in \u00f6nemli bir eser elementtir. V\u00fccudumuzda boynumuzun \u00f6n taraf\u0131nda bulunan tiroit bezinin yeterli hormon salg\u0131layabilmesi i\u00e7in g\u00fcnl\u00fck en az 150 mikrogram (bir \u00e7ay ka\u015f\u0131\u011f\u0131) iyodun g\u0131dalar ve suyla al\u0131nmas\u0131 gerekir. T\u00fcrkiye’de b\u00f6lgelere g\u00f6re de\u011fi\u015fmek \u00fczere %5-56 oran\u0131nda guatr (tiroit bezinin b\u00fcy\u00fcmesi hastal\u0131\u011f\u0131) vard\u0131r. Endemik guatr yani belli bir b\u00f6lgede salg\u0131n olmaks\u0131z\u0131n s\u0131k g\u00f6r\u00fclen guatr sebepleri aras\u0131nda beslenmeyle al\u0131nan baz\u0131 maddeler, baz\u0131 mikroorganizmalar veya iyot d\u0131\u015f\u0131 birtak\u0131m eser elementler su\u00e7lansa da etkisi gayet iyi bilinen ve koruyucu ve \u00f6nleyici yakla\u015f\u0131mlarla guatr s\u0131kl\u0131\u011f\u0131n\u0131n azald\u0131\u011f\u0131 g\u00f6sterilen en \u00f6nemli unsur, iyot eksikli\u011fidir (\u0130E).<\/div>\n
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Ancak \u0130E\u2019 nin endemik guatr d\u0131\u015f\u0131nda da \u00e7ok \u00f6nemli sonu\u00e7lar\u0131 vard\u0131r ve bunlar iyot eksikli\u011fi hastal\u0131klar\u0131 (\u0130EH) olarak adland\u0131r\u0131l\u0131r. \u0130EH\u2019 lar\u0131 genel kan\u0131n\u0131n aksine sadece guatr ile k\u0131s\u0131tl\u0131 de\u011fildir, \u00e7ok \u00e7e\u015fitli ve geri d\u00f6n\u00fc\u015f\u00fcms\u00fcz n\u00f6rolojik bozukluklar dahil olmak \u00fczere \u00e7ok da \u00f6nemli hastal\u0131klard\u0131r. \u00d6te yandan iyot fazlal\u0131\u011f\u0131 da toplumda artan otoimm\u00fcn tiroit hastal\u0131klar\u0131 ile birlikte g\u00f6r\u00fclmektedir. Bu durumda, toplumlar\u0131n iyot d\u00fczeylerini belirli s\u0131n\u0131rlarda tutmak b\u00fcy\u00fck \u00f6nem kazanmaktad\u0131r.<\/div>\n
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\u0130yot, beyin geli\u015fimi i\u00e7in gerekli olan tiroit hormonlar\u0131n\u0131n \u00fcretiminde \u00f6nemli bir elementtir. Anne karn\u0131nda ve erken \u00e7ocukluk d\u00f6neminde \u0130E\u2019 ye maruz kalmak, beyin geli\u015fimini olumsuz y\u00f6nde etkilemektedir. \u0130E i\u00e7in en kritik d\u00f6nem, beyin geli\u015fiminin b\u00fcy\u00fck oranda tamamland\u0131\u011f\u0131 gebeli\u011fin ikinci \u00fc\u00e7 ay\u0131 ile \u00fc\u00e7 ya\u015f aral\u0131\u011f\u0131d\u0131r. \u0130yot eksikli\u011fi, t\u00fcm d\u00fcnyada d\u00fczeltilebilir zek\u00e2 gerili\u011finin en \u00f6nemli sebebidir.<\/div>\n
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1960 y\u0131l\u0131nda D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (DS\u00d6), d\u00fcnyada guatr oranlar\u0131n\u0131n y\u00fczde 50 civar\u0131nda oldu\u011funu belirten bir rapor yay\u0131mlam\u0131\u015ft\u0131r. Bu rapordan sonra, 1993 y\u0131l\u0131nda, 110 \u00fclkede, 655 milyon ki\u015fide yap\u0131lan taramalarda, guatr\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n y\u00fczde 12 oldu\u011fu belirtilmi\u015f ve d\u00fcnyada, \u0130E bir halk sa\u011fl\u0131\u011f\u0131 problemi olarak kabul edilmi\u015ftir. Ulusal d\u00fczeyde, tuzlar\u0131n \u0130yotlanmas\u0131 vas\u0131tas\u0131yla \u0130E ile m\u00fccadeleye ba\u015flanm\u0131\u015ft\u0131r.<\/div>\n
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T\u00fcrkiye i\u00e7in de endemik guatr ve \u0130E, \u00f6nemli bir halk sa\u011fl\u0131\u011f\u0131 problemidir. \u00dclkemizde t\u00fcm sofra tuzlar\u0131n\u0131n zorunlu olarak iyotlanmas\u0131 i\u00e7in gerekli yasal d\u00fczenlemeler Temmuz 1999 tarihinde tamamlanm\u0131\u015f ve 2000\u2019li y\u0131llarda \u00fclkemizde iyotlu tuz kullan\u0131m\u0131 yayg\u0131nla\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r. Eski\u015fehir ilimizde iyotlu tuz kullan\u0131m\u0131 oran\u0131, 1996\u2019da y\u00fczde 12.6 iken, yap\u0131lan \u00e7al\u0131\u015fmalar sonucunda 2002\u2019de y\u00fczde 65,5 olarak belirlenmi\u015ftir. Sofra tuzlar\u0131n\u0131n iyotlanmas\u0131 1999 y\u0131l\u0131nda zorunlu hale geldikten sonra yap\u0131lan \u00e7al\u0131\u015fmalarda ise \u0130E\u2019 nin \u00fclkemizde okul \u00e7a\u011f\u0131 \u00e7ocuklar aras\u0131nda pek \u00e7ok il merkezinde anlaml\u0131 olarak d\u00fczeldi\u011fi, ancak \u00f6zellikle k\u0131rsal a\u011f\u0131rl\u0131kl\u0131 baz\u0131 b\u00f6lgelerde halen hafif orta derecede devam etti\u011fi g\u00f6sterilmi\u015ftir.<\/div>\n
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GEBEL\u0130KTE \u0130YOT ELZEMD\u0130R<\/div>\n
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Gebelikte, emzirme d\u00f6neminde ve erken \u00e7ocukluk d\u00f6neminde (<2 ya\u015f) iyot ihtiyac\u0131 artmaktad\u0131r. DS\u00d6, bu d\u00f6nemlerde g\u00fcnl\u00fck iyot al\u0131m\u0131n\u0131 s\u0131ras\u0131yla; 250, 250 ve 90 \u00b5g\/g\u00fcn olarak \u00f6nermektedir. Gebelik boyunca ciddi \u0130E olmas\u0131; \u00f6l\u00fc do\u011fum, abortus (d\u00fc\u015f\u00fck), plasenta (kordon) anomalileri, preeklampsi \u00a0(gebelik zehirlenmesi), postpartum hemoraji (do\u011fum sonras\u0131 a\u015f\u0131r\u0131 kanama), anemi (kans\u0131zl\u0131k), bebekte hipotiroidi (tiroit hormon yetmezli\u011fi), artm\u0131\u015f bebek \u00f6l\u00fcm h\u0131z\u0131, preterm (erken) do\u011fum, d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131\u011f\u0131, yenido\u011fan\u0131n solunum stresi sendromu riskini artt\u0131rmaktad\u0131r. Annede ciddi \u0130E olmas\u0131 \u00e7ocukta zeka gerili\u011fi, boy k\u0131sal\u0131\u011f\u0131, sa\u011f\u0131rl\u0131k ve spastisite (kaslar\u0131n devaml\u0131 kas\u0131l\u0131 halde kalmas\u0131) \u00a0ile karakterize \u201ckretenizm\u201d \u00a0denilen bir hastal\u0131\u011fa sebep olabilir. Ciddi \u0130E olan b\u00f6lgelerde kretenizmin n\u00fcfusun y\u00fczde 5-15\u2019ini etkiledi\u011fi bilinmektedir. Annede g\u00f6r\u00fclen hafif-orta derecedeki \u0130E\u2019nin bile \u00e7ocuklar\u0131n zek\u00e2 geli\u015fimini etkileyebilece\u011fi g\u00f6sterilmi\u015ftir. Gebeli\u011finde hafif hipotiroidizm olan annelerin yedi-dokuz ya\u015f aras\u0131 \u00e7ocuklar\u0131n\u0131n IQ seviyelerinin, tiroit fonksiyonu normal olan annelerin \u00e7ocuklar\u0131ndan ortalama yedi puan daha d\u00fc\u015f\u00fck oldu\u011fu b\u00fcy\u00fck bir \u00e7al\u0131\u015fma ile ortaya konmu\u015ftur. D\u00fc\u015f\u00fck anne T4 d\u00fczeylerinin de bebe\u011fin psikomotor geli\u015fimini olumsuz etkiledi\u011fi g\u00f6sterilmi\u015ftir. Bu sebeple d\u00fcnyadaki t\u00fcm \u0130E b\u00f6lgelerindeki gebelerde ve emzirme d\u00f6nemindeki kad\u0131nlarda \u00f6nerildi\u011fi gibi, \u00fclkemizde de iyotlu tuza ilave olarak gebelerin 100-200 \u00b5g\/g\u00fcn civar\u0131nda bir iyot deste\u011fi almas\u0131 gebenin kendisi, fet\u00fcs ve yenido\u011fan\u0131n motor geli\u015fimi i\u00e7in \u00f6nemlidir. Emzirme tamamlan\u0131ncaya kadar bebe\u011fin tek iyot kayna\u011f\u0131n\u0131n anne s\u00fct\u00fc oldu\u011fu unutulmay\u0131p, iyotlu tuza ilave iyot deste\u011fine devam edilmesi \u00f6nerilmektedir. E\u011fer anne sigara i\u00e7erse s\u00fctle bebe\u011fe iyot ge\u00e7i\u015fi azalmaktad\u0131r. Bu nedenle emzirirken sigara i\u00e7mek sizin kadar \u00e7ocu\u011funuz i\u00e7in de zararl\u0131d\u0131r. E\u011fer sigara i\u00e7iliyorsa iyodun fazla al\u0131nmas\u0131 gerekir. S\u00fct veremeyen anneler i\u00e7in bebek iyotlu form\u00fcllerle desteklenmelidir. Anne s\u00fct veriyor, ancak hipertiroidi (tiroit hormon \u00fcretim fazlal\u0131l\u0131\u011f\u0131) sebebi ile iyot al\u0131m\u0131 k\u0131s\u0131tlanm\u0131\u015f ise bebek iyot deste\u011fi almal\u0131d\u0131r.<\/div>\n
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K\u0130MLER \u0130YOTLU TUZ KULLANMAMALIDIR?<\/div>\n
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Tuzlar\u0131n iyotlanmas\u0131 guatr hastal\u0131\u011f\u0131n\u0131n ortaya \u00e7\u0131k\u0131\u015f\u0131n\u0131 engellemekte ancak baz\u0131 ki\u015filerde a\u015f\u0131r\u0131 iyot al\u0131nmas\u0131 nedeniyle zararl\u0131 yan etkilere veya hastal\u0131klara neden olmaktad\u0131r. Piyasadaki tuzlar\u0131n iyotland\u0131\u011f\u0131 1999\u2019dan bu yana hipertiroidi dedi\u011fimiz tiroit bezinin a\u015f\u0131r\u0131 \u00e7al\u0131\u015fmas\u0131yla karakterize olan hastal\u0131k (halk aras\u0131nda buna zehirli guatr da denmektedir), giderek artan s\u0131kl\u0131kla kar\u015f\u0131m\u0131za \u00e7\u0131kmaya ba\u015flam\u0131\u015ft\u0131r. \u00a0Tiroit bezi az \u00e7al\u0131\u015fan hastalarda da (Hipotiroidisi olanlarda) iyotlu tuz bu hastal\u0131\u011f\u0131n daha da \u015fiddetlenmesine neden olmaktad\u0131r. Bu nedenle yemeklerimizde kullan\u0131lan tuzun iyotlu veya iyotsuz olmas\u0131 baz\u0131 hastalar veya ki\u015filer i\u00e7in b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. Hipertiroidisi (tiroit bezi \u00e7ok \u00e7al\u0131\u015fanlar) olanlar ya da hipotiroidisi (tiroit bezi az \u00e7al\u0131\u015fanlar) olup otoimmun hastal\u0131\u011fa ba\u011fl\u0131 olan hastalar kesinlikle iyotsuz tuz t\u00fcketmelidirler. Bu t\u00fcr hastalar iyotlu tuz yedikleri takdirde hastal\u0131klar\u0131 \u015fiddetlenmektedir.<\/div>\n
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Son s\u00f6z: Guatr hastal\u0131\u011f\u0131n\u0131 \u00f6nlemek i\u00e7in \u00f6nceden bilinen bir tiroit hastal\u0131\u011f\u0131 olmayan \u00e7ocuklar, eri\u015fkinler ve gebe kad\u0131nlar iyotlu tuz yemelidir. Hipertiroidisi (tiroit bezi \u00e7ok \u00e7al\u0131\u015fanlar) olanlar ya da hipotiroidisi (tiroit bezi az \u00e7al\u0131\u015fanlar) olup otoimmun hastal\u0131\u011fa ba\u011fl\u0131 olan hastalar kesinlikle iyotsuz tuz t\u00fcketmelidirler. \u0130yotsuz tuz, kendili\u011finden tuzluklu bir \u015fekilde sat\u0131lmaktad\u0131r. Bu tuzlar\u0131n \u00fczerinde veya etiketinde iyotsuz oldu\u011fu yazmaktad\u0131r. Sat\u0131n al\u0131rken buna dikkat etmek gerekir. Bu tuzlar\u0131 bulamayanlar ise kaya tuzu yemelidirler. Ailede bir ki\u015fi iyotsuz tuz yiyecekse yemekler tuzsuz pi\u015firilmeli ve herkes kendi tuzunu kullanmal\u0131d\u0131r. \u015een ve esen kal\u0131n\u0131z.<\/div>\n
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Op. Dr. Kay\u0131han \u00c7A\u011eLAR (\u00dcNL\u00dc CERRAH)- Genel Cerrahi Uzman\u0131 | \u00d6zel Eski\u015fehir Anadolu Hastanesi 0.(222) 221 4848 \/ 320\u2026\u2026ESK\u0130\u015eEH\u0130R<\/strong><\/div>\n
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HABER \/ FOTO\u011eRAF: ERTU\u011eRUL ALTINEL -B\u0130LG\u0130N \u00d6Z\u00c7\u0130FT\u00c7\u0130 \u2013 AVRUPA PRESS \u2013 BEL\u00c7\u0130KA.<\/strong><\/p>\n<\/div>\n

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HABER \/ FOTO\u011eRAF: ERTU\u011eRUL ALTINEL -B\u0130LG\u0130N \u00d6Z\u00c7\u0130FT\u00c7\u0130 \u2013 AVRUPA PRESS \u2013 BEL\u00c7\u0130KA. Op. Dr. Kay\u0131han \u00c7a\u011flar (\u00dcnl\u00fc Cerrah) ANADOLU HASTANES\u0130- ESK\u0130\u015eEH\u0130R \u0130YOT; insan hayat\u0131 i\u00e7in \u00f6nemli bir eser elementtir. V\u00fccudumuzda boynumuzun \u00f6n taraf\u0131nda bulunan tiroit bezinin yeterli hormon salg\u0131layabilmesi i\u00e7in g\u00fcnl\u00fck en az 150 mikrogram (bir \u00e7ay ka\u015f\u0131\u011f\u0131) iyodun g\u0131dalar ve suyla al\u0131nmas\u0131 gerekir. T\u00fcrkiye’de […]<\/p>\n","protected":false},"author":3,"featured_media":27870,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,16,3,17,18,15,19,2,1],"tags":[],"class_list":["post-27869","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-avrupa","category-belcika","category-dunya","category-ekonomi","category-kultur-sanat","category-spor","category-tanitim","category-turkiye","category-uncategorized"],"yoast_head":"\n\u2018\u2019T\u0130RO\u0130T ve \u0130YOT \u0130L\u0130\u015eK\u0130S\u0130\u2019\u2019 SA\u011eLI\u011eIMIZ \u0130\u00c7\u0130N \u00c7OK \u00d6NEML\u0130D\u0130R - AvrupaPress<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/avrupapress.com\/main\/2025\/01\/03\/tiroit-ve-iyot-iliskisi-sagligimiz-icin-cok-onemlidir\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u2018\u2019T\u0130RO\u0130T ve \u0130YOT \u0130L\u0130\u015eK\u0130S\u0130\u2019\u2019 SA\u011eLI\u011eIMIZ \u0130\u00c7\u0130N \u00c7OK \u00d6NEML\u0130D\u0130R - AvrupaPress\" \/>\n<meta property=\"og:description\" content=\"HABER \/ FOTO\u011eRAF: ERTU\u011eRUL ALTINEL -B\u0130LG\u0130N \u00d6Z\u00c7\u0130FT\u00c7\u0130 \u2013 AVRUPA PRESS \u2013 BEL\u00c7\u0130KA. Op. Dr. Kay\u0131han \u00c7a\u011flar (\u00dcnl\u00fc Cerrah) ANADOLU HASTANES\u0130- ESK\u0130\u015eEH\u0130R \u0130YOT; insan hayat\u0131 i\u00e7in \u00f6nemli bir eser elementtir. V\u00fccudumuzda boynumuzun \u00f6n taraf\u0131nda bulunan tiroit bezinin yeterli hormon salg\u0131layabilmesi i\u00e7in g\u00fcnl\u00fck en az 150 mikrogram (bir \u00e7ay ka\u015f\u0131\u011f\u0131) iyodun g\u0131dalar ve suyla al\u0131nmas\u0131 gerekir. 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