{"id":4973,"date":"2021-07-23T08:49:00","date_gmt":"2021-07-23T08:49:00","guid":{"rendered":"https:\/\/haberglobal.com.tr\/saglik\/aile-hekimliklerinde-kronik-hastaliklarla-etkin-mucadele-donemi-zorunlu-hale-getirildi-122154"},"modified":"2021-07-23T08:49:00","modified_gmt":"2021-07-23T08:49:00","slug":"aile-hekimliklerinde-kronik-hastaliklarla-etkin-mucadele-donemi-zorunlu-hale-getirildi","status":"publish","type":"post","link":"https:\/\/istanbulchannel.net\/index.php\/2021\/07\/23\/aile-hekimliklerinde-kronik-hastaliklarla-etkin-mucadele-donemi-zorunlu-hale-getirildi\/","title":{"rendered":"Aile hekimliklerinde kronik hastal\u0131klarla etkin m\u00fccadele d\u00f6nemi! Zorunlu hale getirildi"},"content":{"rendered":"
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T\u00fcrkiye genelindeki t\u00fcm aile hekimli\u011fi birimlerinin, hedef n\u00fcfusundaki vatanda\u015flar\u0131, hipertansiyon, diyabet, obezite, kalp-damar hastal\u0131klar\u0131 ile kanser ve ya\u015fl\u0131 izlem taramalar\u0131na alarak, sonu\u00e7lar\u0131n\u0131 Hastal\u0131k Y\u00f6netim Platformu’na (HYP) i\u015flemesi zorunlu hale getirildi.<\/p>\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131nca 30 Haziran’da yay\u0131mlanan Aile Hekimli\u011fi S\u00f6zle\u015fme ve \u00d6deme Y\u00f6netmeli\u011fi ile aile hekimi ve aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131n\u0131n \u00fccretlerinin hesaplanmas\u0131na, kronik hastal\u0131k y\u00f6netimine ait parametreler eklenerek, aile hekimli\u011fi \u00e7al\u0131\u015fanlar\u0131na \u00fccret art\u0131\u015f\u0131 sa\u011fland\u0131.<\/p>\n

Bu \u00e7er\u00e7evede, Bakanl\u0131k Halk Sa\u011fl\u0131\u011f\u0131 Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc ile Sa\u011fl\u0131k Bilgi Sistemleri Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fcn\u00fcn ortak \u00e7al\u0131\u015fmas\u0131yla ocak ay\u0131nda kullan\u0131ma a\u00e7\u0131lan Hastal\u0131k Y\u00f6netim Platformu (HYP) 1 Temmuz itibar\u0131yla t\u00fcm aile sa\u011fl\u0131\u011f\u0131 merkezlerinde yayg\u0131nla\u015ft\u0131r\u0131ld\u0131. B\u00f6ylelikle, kronik hastalar\u0131n daha yak\u0131ndan takip edilece\u011fi, baz\u0131 hastal\u0131klar\u0131n erken safhalarda tespit edilip gereken \u00f6nlemlerin al\u0131nabilece\u011fi d\u00f6nem ba\u015flam\u0131\u015f oldu.<\/p>\n

Yeni uygulamayla aile hekimlerinin, daha \u00f6nce de yap\u0131lan ama yeterince yayg\u0131n olmayan hipertansiyon, diyabet, obezite, kalp-damar hastal\u0131klar\u0131na ili\u015fkin de\u011ferlendirmeleri ile kanser ve ya\u015fl\u0131lara y\u00f6nelik taramalar\u0131, hedef n\u00fcfuslar\u0131ndaki her ki\u015fi i\u00e7in ger\u00e7ekle\u015ftirmesi ve HYP’ye i\u015flemesi zorunlu hale getirildi.<\/p>\n

KANSER TARAMASI \u0130\u00c7\u0130N K\u0130\u015e\u0130LER TEK TEK ARANIP DAVET ED\u0130LECEK<\/strong><\/p>\n

AA muhabirinin 1 Temmuz itibar\u0131yla devreye al\u0131nan yeni uygulamalardan derledi\u011fi bilgilere g\u00f6re, her aile hekimi, hedef n\u00fcfusundaki ki\u015fileri, telefon arayarak veya SMS ile davet ederek dan\u0131\u015fmanl\u0131k verecek, 30-65 ya\u015f aras\u0131 kad\u0131nlar\u0131n rahim a\u011fz\u0131 kanseri, 50-70 ya\u015f aras\u0131 kad\u0131n ve erkeklerin de kal\u0131n ba\u011f\u0131rsak kanseri taramas\u0131n\u0131 yapacak.<\/p>\n

Ayr\u0131ca 40-69 ya\u015f aras\u0131 kad\u0131nlar da meme kanseri taramas\u0131 i\u00e7in en yak\u0131n tarama birimine y\u00f6nlendirilerek takip edilecek. Pozitif veya \u015f\u00fcpheli olan sonu\u00e7lar, te\u015fhis merkezlerine sevk edilecek.<\/p>\n

Aile hekimleri, ayl\u0131k hedef n\u00fcfuslar\u0131n\u0131n taramalar\u0131n\u0131, rahim a\u011fz\u0131 kanseri taramas\u0131 i\u00e7in en az y\u00fczde 50, meme kanseri taramas\u0131 i\u00e7in en az y\u00fczde 40, kal\u0131n ba\u011f\u0131rsak kanseri taramas\u0131 i\u00e7in en az y\u00fczde 50 olacak \u015fekilde yapacak.<\/p>\n

18 YA\u015eINDAN B\u00dcY\u00dcK HERKES\u0130N YILDA EN AZ B\u0130R KEZ KAN BASINCI \u00d6L\u00c7\u00dcM\u00dc YAPILACAK<\/strong><\/p>\n

Ki\u015filerin hipertansiyon de\u011ferlendirmeleri \u00e7er\u00e7evesinde her aile hekimi, kendi n\u00fcfusuna kay\u0131tl\u0131 18 ya\u015f\u0131ndan b\u00fcy\u00fck bireyleri y\u0131lda en az bir kez kan bas\u0131nc\u0131 \u00f6l\u00e7\u00fcm\u00fc yapmak i\u00e7in davet edecek.<\/p>\n

Kan bas\u0131nc\u0131 y\u00fcksek hastalar ile 50 ya\u015f \u00fcst\u00fc, kilolu, obez, sigara i\u00e7en, \u015feker hastal\u0131\u011f\u0131 bulunan, ailesinde kronik b\u00f6brek yetmezli\u011fi hikayesi olan ki\u015filerin kan bas\u0131nc\u0131, boy, kilo ve bel \u00e7evresi \u00f6l\u00e7\u00fcm\u00fc d\u00fczenli yap\u0131lacak.<\/p>\n

Bu durumdaki hastalar gerekti\u011finde diyetisyen, fizyoterapist, psikolog gibi uzmanlardan destek almalar\u0131 i\u00e7in Sa\u011fl\u0131kl\u0131 Hayat Merkezlerine y\u00f6nlendirilecek.<\/p>\n

Hipertansiyonu bulunan ki\u015filer ayr\u0131ca e-Nab\u0131z sistemi \u00fczerinden kendi tedavi planlar\u0131n\u0131 g\u00f6rebilecek ve evde \u00f6l\u00e7t\u00fckleri kan bas\u0131nc\u0131 de\u011ferlerini sisteme y\u00fckleyebilecek.<\/p>\n

40 YA\u015e \u00dcST\u00dc K\u0130\u015e\u0130LER\u0130N KALP-DAMAR HASTALI\u011eI, D\u0130YABET VE OBEZ\u0130TE R\u0130SK\u0130 HESAPLANACAK<\/strong><\/p>\n

Aile hekimleri ayr\u0131ca 40 ya\u015f ve \u00fcst\u00fc bireylerde ba\u015fvuru sebebinden ba\u011f\u0131ms\u0131z olarak bir kez kardiyovask\u00fcler risk de\u011ferlendirmesi yapacak. B\u00f6ylelikle ki\u015filerin 10 y\u0131ll\u0131k zaman dilimi i\u00e7inde \u00f6l\u00fcmc\u00fcl koroner kalp hastal\u0131\u011f\u0131, inme ve ge\u00e7ici iskemik atak ge\u00e7irme riski hesaplanabilecek.<\/p>\n

\u00d6ncelikle bireylerin, ya\u015f, cinsiyet, sigara kullan\u0131m\u0131 bilgilerinin al\u0131naca\u011f\u0131 de\u011ferlendirmede, kan bas\u0131nc\u0131 \u00f6l\u00e7\u00fclecek, sistolik kan bas\u0131nc\u0131 de\u011feri al\u0131nacak ve total kolesterol de\u011ferine bak\u0131lacak.<\/p>\n

D\u00fc\u015f\u00fck riskli bireylere, sa\u011fl\u0131kl\u0131 beslenme, fiziksel aktivite, t\u00fct\u00fcn ve t\u00fct\u00fcn mamullerinden uzak durma, alkol\u00fc b\u0131rakma gibi ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri konusunda dan\u0131\u015fmanl\u0131k verilecek, orta, y\u00fcksek ve \u00e7ok y\u00fcksek risk grubundaki bireylerin ise Sa\u011fl\u0131kl\u0131 Hayat Merkezlerinden destek almas\u0131, daha ileri tetkik ve tedavi plan\u0131 i\u00e7in uzman hekime y\u00f6nlendirilmesi sa\u011flanacak. Bu ki\u015filer ayr\u0131ca diyabet ve obezite riski a\u00e7\u0131s\u0131ndan da taranacak.<\/p>\n

65 YA\u015eINDAN B\u00dcY\u00dcK HERKES “YA\u015eLI \u0130ZLEM TARAMALARINA” ALINACAK<\/strong><\/p>\n

Aile hekimleri veya aile sa\u011fl\u0131\u011f\u0131 \u00e7al\u0131\u015fanlar\u0131, 65 ya\u015f\u0131n\u0131 a\u015fm\u0131\u015f her bireyi y\u0131lda en az bir genel durum de\u011ferlendirmesi yapmak i\u00e7in telefon veya SMS’le aile sa\u011fl\u0131\u011f\u0131 merkezlerine davet edecek. Ki\u015filerin hastal\u0131k \u00f6yk\u00fcleri al\u0131nacak, fiziksel muayene ve laboratuvar incelemeleri ger\u00e7ekle\u015ftirilecek.<\/p>\n

Ya\u015fl\u0131 bireyin de\u011ferlendirmesinde, ge\u00e7irdi\u011fi hastal\u0131klar, Alzheimer\/demans varl\u0131\u011f\u0131, sigara kullan\u0131m\u0131, fiziksel aktivite durumu, beslenme al\u0131\u015fkanl\u0131klar\u0131, i\u015fitme, g\u00f6rme, idrar ka\u00e7\u0131rma gibi sorunlar\u0131, a\u011f\u0131z ve di\u015f sa\u011fl\u0131\u011f\u0131 problemleri ile ila\u00e7 kullan\u0131m\u0131 bilgileri b\u00fct\u00fcnc\u00fcl bak\u0131\u015fla ele al\u0131nacak.<\/p>\n

Ya\u015fl\u0131 hastalar\u0131n, yemek yeme, giyinme, telefon kullanma, yemek yapma gibi g\u00fcnl\u00fck ya\u015fam aktivitelerini ger\u00e7ekle\u015ftirmede yard\u0131ma ihtiya\u00e7 duyup duymad\u0131klar\u0131 saptanacak ve buna g\u00f6re tedavilerine ba\u015flanacak. Ya\u015fl\u0131lar, gerekti\u011finde daha ileri tetkik ve tedavi plan\u0131 i\u00e7in uzman hekime y\u00f6nlendirilecek.<\/p>\n

Aile hekimleri, ki\u015filerin hipertansiyon, diyabet, obezite, kalp-damar hastal\u0131klar\u0131 ile kanser ve ya\u015fl\u0131 izlem taramalar\u0131na ili\u015fkin de\u011ferlendirmelerini HYP’de bulunan ilgili mod\u00fcllere kaydederek, d\u00fczenli izlenmesini sa\u011flayacak.<\/p>\n

Kaynak: AA<\/p>\n","protected":false},"excerpt":{"rendered":"

<p>T\u00fcrkiye genelindeki t\u00fcm aile hekimli\u011fi birimlerinin, hedef n\u00fcfusundaki vatanda\u015flar\u0131, hipertansiyon, diyabet, obezite, kalp-damar hastal\u0131klar\u0131 ile kanser ve ya\u015fl\u0131 izlem taramalar\u0131na alarak,…<\/p>\n","protected":false},"author":2,"featured_media":4974,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-4973","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/posts\/4973","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/comments?post=4973"}],"version-history":[{"count":0,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/posts\/4973\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/media\/4974"}],"wp:attachment":[{"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/media?parent=4973"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/categories?post=4973"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/istanbulchannel.net\/index.php\/wp-json\/wp\/v2\/tags?post=4973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}