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Program, yoğun bakımın hem endişe hem de umut kaynağı olduğu bilgisiyle sonlanmaktadır."]},"endTime":3112,"title":"Sağlık Sohbetleri: Yoğun Bakım ve Beslenme Yetersizliği","beginTime":0}],"fullResult":[{"index":0,"title":"Yoğun Bakım Ünitesi Hakkında Genel Bilgi","list":{"type":"unordered","items":["Programda yoğun bakım hayatları konusu ele alınacak ve pandemi süreciyle birlikte günlük hayatta daha çok konuşulan bir mesele haline gelmiştir.","Yoğun bakım ünitesi hem endişelendiren hem de umutlandıran bir tarafı olan, kritik durumda olan hastaların özenli ilgi odağı olduğu bir yerdir.","Programda Adana'dan anestezi ve yoğun bakım uzmanı Prof. Dr. Hasan Murat Gündüz ve İzmir'den Prof. Dr. Mehmet Uyar konuk olarak yer almaktadır."]},"beginTime":5,"endTime":126,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=5&ask_summarization=1"},{"index":1,"title":"Yoğun Bakım Ünitesinin 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dikkatle izlemek zorundadır.","Küçücük bir ayrıntı bile spontan dikkatle ortaya çıktığında bir insanı ölümün kıyısından yaşama bağlayabilir."]},"beginTime":217,"endTime":291,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=217&ask_summarization=1"},{"index":3,"title":"Yoğun Bakım Servisine Alınan Hastalar","list":{"type":"unordered","items":["Yoğun bakımlar kendi kendine yaşamını idame ettiremeyecek kadar ağır hasta gruplarının yattığı yerlerdir.","Bazı bulguların çok daha erkenden yakından izlenmesi gereken hastalar da yoğun bakımda gözetim altında alınır.","Yoğun bakımda yatan hastalar solunum sıkıntısı, karaciğer destek sistemleri gereken, trafik kazası sonucu kalbi durmuş ve tekrar canlandırılmış hastalar olabilir."]},"beginTime":291,"endTime":454,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=291&ask_summarization=1"},{"index":4,"title":"Yoğun Bakımda Hasta Yaşamı","list":{"type":"unordered","items":["Yoğun bakım ortamı kalabalık, gürültülü, ürkütücü ve stresli bir ortam olarak hissedilir.","Yoğun bakım 24 saat aydınlık olduğundan, hastanın uyku ve uyanıklık döngüsü bozulur ve uyku kalitesi çok düşük olur.","Bilinci açık hastalar kendini güçsüz, huzursuz, savunmasız ve endişeli hisseder, bu nedenle tedavi öncesi bilgilendirme önemlidir."]},"beginTime":454,"endTime":644,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=454&ask_summarization=1"},{"index":5,"title":"Yoğun Bakımda Hasta Psikolojik Durumu","list":{"type":"unordered","items":["Yoğun bakımdaki hastalar sıklıkla kendi ölümlülükleriyle yüze gelir, fiziksel ve duygusal uyum güçlüğü yaşar, depresyona girebilir.","Yoğun bakım ekibi hastanın yaşadığı problemleri başlangıç aşamasında tanıma ve ele almada iyi bir konumdadır.","İlgi, şefkat ve gereğinde farmakolojik ajanların yardımıyla hastanın yaşadığı sıkıntılar en aza indirilebilir."]},"beginTime":644,"endTime":712,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=644&ask_summarization=1"},{"index":6,"title":"Beslenme Yetersizliğinin Önemi","list":{"type":"unordered","items":["Beslenme yetersizliği, vücut yapısı ve bileşimindeki değişikliklerin fiziksel ve zihinsel fonksiyonlarda bozulmaya neden olması olarak tanımlanır.","Yoğun bakım hastalarında fiziksel ve zihinsel fonksiyon bozuklukları, organ fonksiyonlarında ciddi derecede bozulmalar görülür.","Beslenme yetersizliği vücudun iç dengesini sarsan, organlara zarar veren bir durum oluşturur ve yoğun bakım hastalarında daha ağır hasta olma ihtimalini artırır."]},"beginTime":719,"endTime":808,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=719&ask_summarization=1"},{"index":7,"title":"Yoğun Bakım Hastalarında Beslenme Yetersizliği","list":{"type":"unordered","items":["Yoğun bakım hastalarında metabolik süreçler hızlanır, yıkım süreci artar ve protein, enerji gibi makro besinlere karşı ihtiyaç artar.","Yoğun bakıma beslenme yetersizliği ile gelen hastaların durumu ciddi bir sorun oluştururken, yoğun bakımda da beslenme yetersizliği riski ortaya çıkar.","Beslenme yetersizliği tedaviden ayrı düşünülemeyecek bir konudur ve hastaların enfeksiyon tedavilerini ve diğer tedavilerini etkiler."]},"beginTime":808,"endTime":889,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=808&ask_summarization=1"},{"index":8,"title":"Beslenme Yetersizliğinin Risk Altındaki Gruplar","list":{"type":"unordered","items":["Beslenme yetersizliği sosyal nedenlerden (yalnız yaşamak, bakım verilememesi, yaşlı olmak, demans, diş yokluğu, yutma zorluğu) kaynaklanabilir.","Hastalıkla ilişkili nedenler arasında kronik hastalıklar (koah, kalp yetersizliği), akut durumlar (trafik kazası, ciddi enfeksiyon) bulunur.","Stres altındaki insanlarda enerji ve protein harcaması olağan durumlardan daha yüksek olabilir, bu da hastalıkla ilişkili beslenme yetersizliğini artırır."]},"beginTime":889,"endTime":1036,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=889&ask_summarization=1"},{"index":9,"title":"Beslenme Yetersizliğinin Önemi ve Tedavisi","list":{"type":"unordered","items":["Beslenme yetersizliği içinde kalan hastalar yoğun bakımda tedavi görmek zorunda kalırsa, organ sistemlerine karşı savunmasız hale gelebilir veya daha uzun süre yatabilir.","Hem hastanede hem yoğun bakımlarda hem de toplumda beslenme yetersizliğine karşı ciddi önlemlerin alınması ve hastaların bu durumdan süratli bir şekilde çıkarılması önemlidir.","Beslenme yetersizliği hastalık dışı nedenleri de olabilir ancak en önemli nedeni hastalıklardır ve bu durum bir kısır döngü oluşturur."]},"beginTime":1036,"endTime":1162,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=1036&ask_summarization=1"},{"index":10,"title":"Beslenme Yetersizliğinin Tespiti","list":{"type":"unordered","items":["Beslenme yetersizliğini tespit etmek için hastanın detaylı muayenesi, skorlama sistemleri uygulanması ve fiziksel fonksiyonların ölçülmesi gerekir.","Evde oturan kişiler kendilerine gıda alımında değişiklik olup olmadığı, istemsiz kilo kaybı olup olmadığı, yaşla birlikte beslenme yetersizliği ortaya çıkıp çıkmadığı ve hastalığı olup olmadığı sorularını sormalıdır.","Bu faktörlerden biri veya daha fazlası varsa, kişi yetersiz beslenme konusunda risk altında olduğunu düşünmelidir."]},"beginTime":1162,"endTime":1279,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=1162&ask_summarization=1"},{"index":11,"title":"Beslenme Yetersizliğinin Dünyada ve Türkiye'deki Durumu","list":{"type":"unordered","items":["2007 yılında Avrupa Parlamentosu beslenme yetersizliğini acil bir halk sağlığı sorunu olarak tanımlamış ve bir deklerasyon yayınlamıştır.","Avrupa'da yaklaşık 20 milyon insanın beslenme yetersizliği riski altında olduğu, İngiltere'de ise 3 milyon insanın beslenme yetersizliği olduğu gösterilmiştir.","Türkiye'de yapılan çalışmalar yetersiz beslenme riskinin %5 ila %15 arasında değiştiğini, daha büyük bir araştırmada ise %7,5 oranında yetersiz beslenme riski olduğu ortaya koymuştur."]},"beginTime":1279,"endTime":1428,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=1279&ask_summarization=1"},{"index":12,"title":"Beslenme Yetersizliği ve Bağışıklık Sistemi","list":{"type":"unordered","items":["Beslenme yetersizliği tüm organ sistemlerine etki eder ve bağışıklık sisteminde yetersizlik oluşturur.","Yetersiz beslenme bağışıklık sistemini zayıflatır ve bu durum pandemi sürecinde bağışıklık sistemi zayıflamış hastaların daha çabuk ağırlaşmasına ve daha fazla can kaybına yol açmıştır.","Pandemi süresince hareketsizlik, yağlı, karbonhidratlı ve işlenmiş şekerli gıdalara yönelme bağışıklığı düşüren faktörler arasındadır."]},"beginTime":1433,"endTime":1580,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=1433&ask_summarization=1"},{"index":13,"title":"Yetersiz Beslenme Tedavisi","list":{"type":"unordered","items":["Yetersiz beslenme tedavisi öncelikle risk taşıyan kişilerin testlerden geçirilerek teşhis edilmesiyle başlar.","Tedavi planı, hastanın enerji ve protein gereksinimini hesaplayarak hazırlanır ve öncelikle ağızdan beslenme denenir.","Ağızdan beslenme mümkün değilse tüple besleme (burundan veya mideden tüp vasıtasıyla) veya damar yoluyla beslenme yöntemleri uygulanır."]},"beginTime":1580,"endTime":1808,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=1580&ask_summarization=1"},{"index":14,"title":"Beslenme Yetersizliğinin Tespiti","list":{"type":"unordered","items":["Beslenme yetersizliğinin fark edilmesi önemlidir ve trojenik beslenme yetersizliği (hastadan değil, sağlık çalışanlarından kaynaklanan) kavramı önemlidir.","Trojenik yetersizliğin nedenleri arasında sağlık personelinin beslenme konusunda yeterli bilgiye sahip olmaması, kilo ve boy ölçümünde ihmal, uzun süre aç bırakma ve gıda alımını gözlemekte ihmal bulunur.","Beslenme yetersizliği tespit etmek için anket türü sorgulamalar, vücut anatomisindeki değişiklikleri ölçen teknikler ve kas gücünü ölçen cihazlar kullanılır."]},"beginTime":1808,"endTime":1969,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=1808&ask_summarization=1"},{"index":15,"title":"Kas Kaybı ve Tedavisi","list":{"type":"unordered","items":["Kas kaybı önemli bir konudur; sağlıklı kişilerde 40 yaşından sonra her on yılda yaklaşık %8, 70 yaşından sonra ise her on yılda %15 kas kaybı gerçekleşir.","Hastalık varlığında kas kayıpları daha fazla olur ve yoğun bakım hastalarında 5 günde 3 kilogram, 10 günde toplam kas miktarının %17'sinin kaybedildiği gösterilmiştir.","Akut dönemde kas kaybını durdurmak mümkün değil, ancak azaltabilme şansı vardır; bu için proteinden daha zengin bir beslenme planı uygulanır ve medikal beslenme ürünlerinden hasta için en uygun olanı seçilir."]},"beginTime":1969,"endTime":2137,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=1969&ask_summarization=1"},{"index":16,"title":"Akut Hastalarda Kas Kaybı ve Tedavisi","list":{"type":"unordered","items":["Akut dönemde kas kaybının önüne geçmek imkansızdır çünkü vücut inflamasyona ve enfeksiyona karşı koyan hücreleri üretmek için protein sentezlemek zorundadır.","Vücut protein ihtiyacını en çok kaslarından karşılar, bu nedenle akut dönemde kas kaybı oluşur.","Akut dönemde kas kaybı yavaş atılabilir, sonrasında anabolizma safhası başlar ve kaybedilen proteinler yerine konulur."]},"beginTime":2154,"endTime":2224,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=2154&ask_summarization=1"},{"index":17,"title":"Yetersiz Beslenme ve Bilinç Geliştirme","list":{"type":"unordered","items":["Yetersiz beslenme ile ilgili bilinç geliştirmek ve medikal beslenme tedavisi uygulamak önemlidir.","Sağlık profesyonelleri için klinik nutrisyonla ilgili teorik derslerin ve uygulamaların arttırılması gerekir.","Toplumda beslenme yetersizliği riski altında bulunan insanlar için kamu spotları yapılabilir ve farkındalık artırılabilir."]},"beginTime":2224,"endTime":2409,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=2224&ask_summarization=1"},{"index":18,"title":"Yoğun Bakım Sonrası Beslenme Tedavisi","list":{"type":"unordered","items":["Yoğun bakım sonrası protein ve kalori hedeflerinin bir miktar daha yükseldiği bilimsel olarak kanıtlandı.","Servisten evine çıktığında da protein ve enerji alımının arttırılması gerektiği ortaya konmuş durumda.","Yoğun bakımdan çıkan hastaların protein ve kalori hedeflerine ulaşıp ulaşılmadığının takip edilmesi son derece önemlidir."]},"beginTime":2409,"endTime":2540,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=2409&ask_summarization=1"},{"index":19,"title":"Pandemi Hastalarında Beslenme Tedavisi","list":{"type":"unordered","items":["Pandemi hastalarında en şiddetli enflamatuar durum mevcut olduğundan, vücudun kendi ihtiyaçlarını karşılamak için kaslardan kendini tüketmeye başlar.","COVID hastalarına yeterli enerji, protein, vitamin ve eser elementler sağlanması şarttır.","Pandemi hastalarında medikal beslenme ürünlerinin tercih edilmesi gerekir; ağızdan alabiliyorsa oral beslenme desteği, alamıyorsa mideye gönderilen tüp veya damardan beslenme uygulanır."]},"beginTime":2540,"endTime":2752,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=2540&ask_summarization=1"},{"index":20,"title":"Medikal Beslenmenin Ekonomik Katkıları","list":{"type":"unordered","items":["Yetersiz beslenme tedavi edilmediğinde direkt ve indirek maliyetleri olan bir tablo oluşur ve sağlık kaynaklarının verimsiz kullanılmasına neden olur.","Medikal beslenme ürünlerinin daha az miktar içerisinde daha yoğun enerji, protein, vitamin ve mineral içerdiği için hastanın ihtiyaçlarını karşılayabilir.","Medikal beslenme desteğiyle hastanın taburcu olma süresi kısalır ve gereksiz tedavi giderlerini önleyerek ekonomik tasarruf sağlar."]},"beginTime":2752,"endTime":2888,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=2752&ask_summarization=1"},{"index":21,"title":"Medikal Beslenme Desteğinin Faydaları","list":{"type":"unordered","items":["Medikal beslenme desteğinin evde devam ettirilmesiyle sağlık kuruluşlarına yeniden başvurularında azalma ve toplam tedavi giderlerinde azalma sağlanabiliyor.","Medikal beslenme ürünleri tedavi edildiğinde bakım ve ilaç giderleri kısaldığı için anlamlı ölçüde azalıyor.","Bu tasarruf edilen kaynakla sağlığa başka alanlarda daha fazla kaynak ayrılabilecek ve daha çok hastaya ulaşabilmek mümkün oluyor."]},"beginTime":2893,"endTime":2980,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=2893&ask_summarization=1"},{"index":22,"title":"Doktorun Beslenme Görevi","list":{"type":"unordered","items":["Hastasının yeterince besin alıp almadığını takip etmek ve beslenemiyorsa bunu fark edip gereken önlemleri almak bir doktorun asli görevi.","Beslenme desteği konusunda yetersiz kalınması, hastanın esas hastalığına yönelik uygulanan tıbbi veya cerrahi tedavilerden elde edeceği kazanımları belirgin derecede azaltacak."]},"beginTime":2980,"endTime":3065,"href":"/video/preview/15554971120308166984?parent-reqid=1766641087368083-651545570646218617-balancer-l7leveler-kubr-yp-klg-112-BAL&text=Intensive+Care+Learning&t=2980&ask_summarization=1"},{"index":23,"title":"Programın Kapanışı","list":{"type":"unordered","items":["Yoğun bakım, endişenin ve umudun birleştiği, bilinmezlerle dolu 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