{"id":172556,"date":"2026-10-07T09:20:31","date_gmt":"2026-10-07T06:20:31","guid":{"rendered":"https:\/\/epochtimestr.com\/?p=172556"},"modified":"2026-10-07T09:20:33","modified_gmt":"2026-10-07T06:20:33","slug":"tek-bir-yanlis-pozisyon-saglikli-insani-hasta-ediyor","status":"publish","type":"post","link":"https:\/\/epochtimestr.com\/index.php\/tek-bir-yanlis-pozisyon-saglikli-insani-hasta-ediyor","title":{"rendered":"Tek Bir Yanl\u0131\u015f Pozisyon Sa\u011fl\u0131kl\u0131 \u0130nsan\u0131 Hasta Ediyor"},"content":{"rendered":"
\n
\"Tansiyonda
Tansiyonda 54 milyon ki\u015filik b\u00fcy\u00fck hata! Tek bir yanl\u0131\u015f pozisyon, sa\u011fl\u0131kl\u0131 insan\u0131 hasta ediyor. (G\u00f6rsel: Geralt, Pixabay)<\/figcaption><\/figure><\/div>\n\n\n

D\u00fcnyada \u00f6nlenebilir \u00f6l\u00fcmlerin ve kalp krizlerinin arkas\u0131ndaki en b\u00fcy\u00fck sinsi g\u00fc\u00e7 olan y\u00fcksek tansiyon (hipertansiyon) y\u00f6netiminde, ezber bozan bir bilimsel ara\u015ft\u0131rmaya imza at\u0131ld\u0131.<\/h2>\n\n\n\n

Sayg\u0131n t\u0131p dergisi JAMA Internal Medicine\u2019da yay\u0131mlanan Johns Hopkins imzal\u0131 yeni bir ara\u015ft\u0131rma<\/a>, klinikte ve evde tansiyon \u00f6l\u00e7erken kolu masaya koymamak gibi basit bir ihmalin, milyonlarca insana yanl\u0131\u015fl\u0131kla “hipertansiyon<\/a>” te\u015fhisi konulmas\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131 g\u00f6zler \u00f6n\u00fcne serdi.<\/p>\n\n\n\n

D\u00fcnyada \u00f6nlenebilir \u00f6l\u00fcmlerin ve kalp krizlerinin arkas\u0131ndaki en b\u00fcy\u00fck sinsi g\u00fc\u00e7 olan y\u00fcksek tansiyon (hipertansiyon) y\u00f6netiminde, ezber bozan bir bilimsel ara\u015ft\u0131rmaya imza at\u0131ld\u0131. Johns Hopkins \u00dcniversitesi bilim insanlar\u0131n\u0131n y\u00fcr\u00fctt\u00fc\u011f\u00fc ve en kat\u0131 t\u0131bbi protokollerle ger\u00e7ekle\u015ftirilen klinik \u00e7al\u0131\u015fma<\/a>, g\u00fcnl\u00fck hayatta ve muayene odalar\u0131nda fark\u0131nda olmadan yapt\u0131\u011f\u0131m\u0131z \u00e7ok basit bir hatan\u0131n devasa sonu\u00e7lar\u0131n\u0131 ortaya \u00e7\u0131kard\u0131: Kolumuzu do\u011fru konumland\u0131rmamak, bizi saniyeler i\u00e7inde “sahte” bir tansiyon hastas\u0131na d\u00f6n\u00fc\u015ft\u00fcrebiliyor.<\/p>\n\n\n

\n
\"Kolu
Kolu masaya koymamak tansiyonun y\u00fcksek \u00f6l\u00e7\u00fclmesine neden oluyor. (Foto\u011fraf: olenchic, Pixabay)<\/figcaption><\/figure><\/div>\n\n\n

Kolu masaya koymamak tansiyonun y\u00fcksek \u00f6l\u00e7\u00fclmesine neden oluyor<\/strong><\/p>\n\n\n\n

Klinik k\u0131lavuzlar, do\u011fru bir tansiyon \u00f6l\u00e7\u00fcm\u00fc i\u00e7in s\u0131rt\u0131n desteklenmesini, ayaklar\u0131n yere d\u00fcz basmas\u0131n\u0131 ve en \u00f6nemlisi kolun bir masa \u00fczerinde desteklenerek kalp hizas\u0131nda tutulmas\u0131n\u0131 \u015fart ko\u015fuyor. Ancak g\u00fcnl\u00fck ko\u015fturmacada, muayene masalar\u0131nda veya evdeki acele \u00f6l\u00e7\u00fcmlerde bu kural neredeyse her zaman g\u00f6z ard\u0131 ediliyor. Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 zaman darl\u0131\u011f\u0131ndan hastan\u0131n kolunu havada tutuyor, hastalar ise kolunu kuca\u011f\u0131na koyup \u00f6l\u00e7\u00fcm bitsin diye bekliyor.<\/p>\n\n\n\n

\u0130\u015fte ara\u015ft\u0131rma, tam olarak bu iki hatal\u0131 pozisyonun (kolu kuca\u011fa koymak ve yan tarafta desteksiz sallamak) sonu\u00e7lar\u0131n\u0131 masaya yat\u0131rd\u0131. 133 yeti\u015fkin \u00fczerinde yap\u0131lan dijital \u00f6l\u00e7\u00fcmlere g\u00f6re:<\/p>\n\n\n\n

Kolu kuca\u011fa koyarak \u00f6l\u00e7mek: <\/em><\/strong>B\u00fcy\u00fck tansiyonu (sistolik) yakla\u015f\u0131k 4 mmHg y\u00fcksek g\u00f6steriyor.<\/p>\n\n\n\n

Kolu yan tarafta desteksiz sallamak:<\/em><\/strong> \u00c7ok daha b\u00fcy\u00fck bir yan\u0131lg\u0131ya yol a\u00e7arak b\u00fcy\u00fck tansiyonu tam 6,5 ila 7 mmHg daha y\u00fcksek \u00e7\u0131kar\u0131yor.<\/p>\n\n\n\n

E\u011fer zaten tansiyon hastas\u0131ysan\u0131z:<\/strong><\/em> Yanl\u0131\u015f pozisyon, b\u00fcy\u00fck tansiyonunuzu 9 mmHg birden fazla tahmin ettiriyor!<\/p>\n\n\n\n

Te\u015fhisi ve tedaviyi de\u011fi\u015ftiren “k\u00fc\u00e7\u00fck” farklar<\/h3>\n\n\n\n

\u0130lk bak\u0131\u015fta 6-7 milimetrelik (mmHg) farklar kula\u011fa k\u00fc\u00e7\u00fck gelebilir. Ancak t\u0131p d\u00fcnyas\u0131nda s\u0131n\u0131r de\u011ferler \u00e7ok dar. Ara\u015ft\u0131rmac\u0131lardan Sherry Liu, bu tehlikeyi \u00e7ok net bir \u00f6rnekle a\u00e7\u0131kl\u0131yor: “E\u011fer kolunuzu desteklemeden \u00f6l\u00e7\u00fcm yap\u0131yorsan\u0131z ve cihaz size 6,5 birimlik sahte bir y\u00fckseklik veriyorsa; ger\u00e7ekte 123 olan tansiyonunuz 130, ger\u00e7ekte 133 olan tansiyonunuz ise 140 \u00e7\u0131kacakt\u0131r. Bu k\u00fc\u00e7\u00fck sapma, tamamen sa\u011fl\u0131kl\u0131 bir insan\u0131 ka\u011f\u0131t \u00fczerinde do\u011frudan 2. evre hipertansiyon hastas\u0131 yapar.”<\/p>\n\n\n\n

Bu durum, milyonlarca insan\u0131n \u00f6m\u00fcr boyu hi\u00e7 gerekmedi\u011fi halde a\u011f\u0131r ve agresif tansiyon ila\u00e7lar\u0131 kullanmas\u0131, gereksiz hastane takipleriyle bo\u011fu\u015fmas\u0131 ve psikolojik olarak y\u0131pranmas\u0131 anlam\u0131na geliyor. Bilim insanlar\u0131 sadece ABD’de, bu basit kol pozisyonu hatas\u0131 y\u00fcz\u00fcnden 40 ila 54 milyon insan\u0131n yanl\u0131\u015fl\u0131kla hipertansiyon hastas\u0131 olarak s\u0131n\u0131fland\u0131r\u0131lma riski ta\u015f\u0131d\u0131\u011f\u0131n\u0131 hesapl\u0131yor. K\u00fcresel \u00f6l\u00e7ekte ise bu say\u0131 y\u00fcz milyonlar\u0131 buluyor.<\/p>\n\n\n

\n
\"Peki
Peki kol havada kal\u0131nca tansiyon neden y\u00fckseliyor? (Foto\u011fraf: kumarsu6745, Pixabay)<\/figcaption><\/figure><\/div>\n\n\n

Yer\u00e7ekimi ve kaslar oyuna giriyor<\/strong><\/p>\n\n\n\n

Peki kol havada kal\u0131nca tansiyon neden y\u00fckseliyor? Uzmanlar bunun arkas\u0131nda \u00fc\u00e7 temel biyolojik neden oldu\u011funu s\u00f6yl\u00fcyor. \u0130lk olarak, kol kalp seviyesinin alt\u0131na indi\u011finde kalp ile cihaz aras\u0131ndaki dikey mesafe art\u0131yor ve yer\u00e7ekiminin etkisiyle damarlardaki kan bas\u0131nc\u0131 (hidrostatik bas\u0131n\u00e7) yapay olarak y\u00fckseliyor. \u0130kinci olarak, kan\u0131n kalbe d\u00f6n\u00fc\u015f\u00fc azald\u0131\u011f\u0131 i\u00e7in damarlar kendini kas\u0131yor. Son olarak, desteksiz kalan kolu havada tutmak i\u00e7in fark\u0131nda olmadan kaslar\u0131m\u0131z\u0131 s\u0131k\u0131yoruz ve bu izometrik y\u00fck tansiyonu do\u011frudan y\u00fckseltiyor.<\/p>\n\n\n\n

“Klinikte ve evde haklar\u0131n\u0131z\u0131 savunun”<\/strong><\/h3>\n\n\n\n

\u00c7al\u0131\u015fman\u0131n k\u0131demli yazar\u0131 Dr. Tammy Brady, hem t\u0131p d\u00fcnyas\u0131na hem de vatanda\u015flara \u00e7ok g\u00fc\u00e7l\u00fc bir \u00e7a\u011fr\u0131da bulunuyor. Sa\u011fl\u0131k sistemlerinin ve hastanelerin bu \u00f6l\u00e7\u00fcm kalitesini denetlemesi gerekti\u011fini belirten Brady, hastalar\u0131 da uyard\u0131: “Vatanda\u015flar hem muayene odalar\u0131nda hem de evde kendi tansiyonlar\u0131n\u0131 \u00f6l\u00e7erken kendilerini savunmal\u0131, aceleye getirilmi\u015f \u00f6l\u00e7\u00fcmleri kabul etmemeli ve k\u0131lavuzlara uygun olarak kollar\u0131n\u0131 s\u0131k\u0131ca destekleyecek bir masa pozisyonunu talep etmelidir. Do\u011fru kol pozisyonu, do\u011fru te\u015fhis demektir.”<\/p>\n\n\n

\n
\"(G\u00f6rsel:
(G\u00f6rsel: Mohamed-hassan, Pixabay)<\/figcaption><\/figure><\/div>\n\n\n

Evde Ad\u0131m Ad\u0131m Do\u011fru Tansiyon \u00d6l\u00e7me Rehberi<\/strong><\/h3>\n\n\n\n

Tansiyon aletinizin markas\u0131 ne kadar iyi olursa olsun, pozisyonunuz yanl\u0131\u015fsa sonu\u00e7 da yanl\u0131\u015ft\u0131r. Evde \u00f6l\u00e7\u00fcm yaparken bu 6 alt\u0131n kurala mutlaka uyun:<\/p>\n\n\n\n

\u00d6l\u00e7\u00fcmden \u00d6nce Y\u00fcr\u00fcmeyin: <\/em><\/strong>Cihaz\u0131n ba\u015f\u0131na ge\u00e7meden \u00f6nce en az 5 dakika s\u0131rt\u0131n\u0131z\u0131 yaslayarak sakin bir \u015fekilde dinlenin.<\/p>\n\n\n\n

Mesanenizi Bo\u015falt\u0131n: <\/em><\/strong>Dolu bir mesane (idrara s\u0131k\u0131\u015f\u0131k olmak) tansiyonu yapay olarak y\u00fckseltir. \u00d6l\u00e7\u00fcmden \u00f6nce mutlaka tuvalete gidin.<\/p>\n\n\n\n

Kolu Masaya Sabitleyin: <\/em><\/strong>Kolunuz kuca\u011f\u0131n\u0131zda durmas\u0131n veya havada as\u0131l\u0131 kalmas\u0131n. Kolunuzu bir masa veya sehpa \u00fczerine koyun. Cihaz\u0131n man\u015fet (pazu) k\u0131sm\u0131 tam kalp hizan\u0131zda olsun.<\/p>\n\n\n\n

Duru\u015funuza Dikkat Edin: <\/em><\/strong>Dik oturun, s\u0131rt\u0131n\u0131z\u0131 arkaya yaslay\u0131n. Ayaklar\u0131n\u0131z\u0131 yere d\u00fcz bas\u0131n ve kesinlikle bacak bacak \u00fcst\u00fcne atmay\u0131n.<\/p>\n\n\n\n

Sessizli\u011fi Koruyun: <\/em><\/strong>\u00d6l\u00e7\u00fcm ba\u015flama d\u00fc\u011fmesine bast\u0131ktan sonra bitene kadar yan\u0131n\u0131zdakilerle konu\u015fmay\u0131n, telefonunuza bakmay\u0131n ve hareket etmeyin. Kaslar\u0131n kas\u0131lmas\u0131 ve konu\u015fmak, de\u011ferleri saniyeler i\u00e7inde de\u011fi\u015ftirir.<\/p>\n\n\n\n

Do\u011fru Man\u015fet Se\u00e7in:<\/em><\/strong> Kolunuza \u00e7ok dar gelen veya bol duran tansiyon man\u015fetleri<\/a> yanl\u0131\u015f sonu\u00e7 verir. Kol \u00f6l\u00e7\u00fcn\u00fcze uygun bantlar\u0131 tercih edin.<\/p>\n\n\n\n

Kaynak:<\/em>
Johns Hopkins Medicine Study Finds Commonly Used Arm Positions Can Substantially Overestimate Blood Pressure Readings, hopkinsmedicine.org<\/a>
Effects of Cuff Size on the Accuracy of Blood Pressure Readings, jamanetwork.com<\/a>
Arm Position and Blood Pressure Readings, jamanetwork.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

D\u00fcnyada \u00f6nlenebilir \u00f6l\u00fcmlerin ve kalp krizlerinin arkas\u0131ndaki en b\u00fcy\u00fck sinsi g\u00fc\u00e7 olan y\u00fcksek tansiyon (hipertansiyon) y\u00f6netiminde, ezber bozan bir bilimsel ara\u015ft\u0131rmaya imza at\u0131ld\u0131. Sayg\u0131n t\u0131p dergisi JAMA Internal Medicine\u2019da yay\u0131mlanan Johns Hopkins imzal\u0131 yeni bir ara\u015ft\u0131rma, klinikte ve evde tansiyon \u00f6l\u00e7erken kolu masaya koymamak gibi basit bir ihmalin, milyonlarca insana yanl\u0131\u015fl\u0131kla “hipertansiyon” te\u015fhisi konulmas\u0131na yol […]<\/p>\n","protected":false},"author":13981,"featured_media":172557,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_focuskw":"tansiyon","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"D\u00fcnyada pek \u00e7ok \u00f6nlenebilir \u00f6l\u00fcm\u00fcn ve kalp krizinin arkas\u0131ndaki y\u00fcksek tansiyon y\u00f6netiminde, ezber bozan bir bilimsel ara\u015ft\u0131rmaya imza at\u0131ld\u0131.","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":"","_yoast_wpseo_focuskw_text_input":""},"categories":[70,1,19],"tags":[407,13041,13038,13037,13036,13040,13039],"yoast_head":"\nTek Bir Yanl\u0131\u015f Pozisyon Sa\u011fl\u0131kl\u0131 \u0130nsan\u0131 Hasta Ediyor - 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