{"id":15360,"date":"2022-01-03T16:00:15","date_gmt":"2022-01-03T13:00:15","guid":{"rendered":"https:\/\/zdmaa.com\/psychiatrist-doctor-cancer-patients-dont-expect-to-need\/"},"modified":"2022-01-03T23:19:24","modified_gmt":"2022-01-03T20:19:24","slug":"psychiatrist-doctor-cancer-patients-dont-expect-to-need","status":"publish","type":"post","link":"https:\/\/zdmaa.com\/tr\/psychiatrist-doctor-cancer-patients-dont-expect-to-need\/","title":{"rendered":"Psikiyatrist: Kanser hastalar\u0131 ihtiyac\u0131 beklemiyor"},"content":{"rendered":"

Psikiyatrist: Kanser hastalar\u0131 ihtiyac\u0131 beklemiyor<\/span><\/span><\/span><\/span><\/p>\n

\n

Bir kanser hastas\u0131 olarak, tedavi s\u00fcrecinde \u00e7e\u015fitli t\u0131bbi uzmanl\u0131k alanlar\u0131ndan bir\u00e7ok doktor ve klinisyen g\u00f6rebilirsiniz. <\/span>Onkolog genellikle bak\u0131m ekibine liderlik eder ve tedavinin seyrini belirlemeye yard\u0131mc\u0131 olur. <\/span>Cerrahlar\u0131 g\u00f6rebilir veya bir radyasyon onkolo\u011fundan tedavi alabilirsiniz. <\/span>Hem\u015fireler, doktor asistanlar\u0131, pratisyen hem\u015fireler ve di\u011ferleri, bak\u0131m ekibinizin kilit \u00fcyeleri olabilir. <\/span>Sonra psikiyatrist var. <\/span>Kanseri te\u015fhis ederken akl\u0131n\u0131za gelen ilk doktor olmasa da, bir psikiyatrist stres, depresyon ve bazen tedaviye m\u00fcdahale eden ve ya\u015fam kalitesini etkileyen kansere ba\u011fl\u0131 di\u011fer yan etkilerin tedavisinde \u00f6nemli bir rol oynayabilir.<\/span><\/span><\/p>\n

Phoenix yak\u0131nlar\u0131ndaki hastanemizde bir psikiyatrist olan Dr. Noah Horowitz, “Kanser te\u015fhisi konan veya kanser tedavisiyle u\u011fra\u015fan bir\u00e7ok ki\u015fi duygusal s\u0131k\u0131nt\u0131 ve kayg\u0131 geli\u015ftirir” diyor. <\/span>“Depresyonda hissediyorlar. Korkuyorlar. Uyumakta zorlan\u0131yorlar. Bir psikiyatr\u0131n \u00f6nemli durumlar\u0131 tedavi etmek i\u00e7in pratikte yapt\u0131klar\u0131na m\u00fcdahale eden bir\u00e7ok potansiyel semptom var. Bu insanlar\u0131n hepsinin benim gibi bir uzmana ihtiyac\u0131 oldu\u011fu i\u00e7in de\u011fil, ancak baz\u0131lar\u0131 bunu yapabilir. -O \u201cDaha ciddi bir reaksiyon veya \u015fiddetli semptomlar.\u201d<\/span><\/span><\/p>\n

Hayat\u0131 de\u011fi\u015ftiren olaylara do\u011fal tepkiler.<\/span><\/span><\/h2>\n

Yeni bir i\u015fe ba\u015flamak, i\u015ften ayr\u0131lmak, \u00e7ocuk sahibi olmak, sevilen birini kaybetmek – hayattaki bu ini\u015f \u00e7\u0131k\u0131\u015flar genellikle g\u00fc\u00e7l\u00fc duygulara yol a\u00e7ar. <\/span>Anksiyete, depresyon ve stres, ister \u015fenlikli ister zorlu olsun, ya\u015fam\u0131 de\u011fi\u015ftiren bir\u00e7ok olaya verilen normal tepkilerdir. <\/span>Kanser te\u015fhisi kondu\u011funda, bu duygular ezici olabilir. <\/span>“Benim iddiam, kanser te\u015fhisi konan bir\u00e7ok hastan\u0131n travma sonras\u0131 stres bozuklu\u011fu (TSSB) hastas\u0131 olarak kabul edilebilece\u011fidir” diyor Dr. <\/span>“TSSB i\u00e7in ilk tan\u0131 kriterleri, sizi \u00f6ld\u00fcrebilece\u011fini veya ciddi \u015fekilde yaralayabilece\u011fini d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcn\u00fcz bir durumda olmakt\u0131r. Kanser oldu\u011funu duyan insanlar ‘\u00f6lebilirim’ diye d\u00fc\u015f\u00fcnebilirler.”<\/span><\/span><\/p>\n

E\u011fer ele al\u0131nmazsa, stres ve kayg\u0131 insan v\u00fccudu \u00fczerinde h\u00fccresel d\u00fczeyde derin bir etkiye sahip olabilir ve v\u00fccudun hastal\u0131klarla sava\u015fma yetene\u011fi \u00fczerinde ciddi etkilere sahip olabilir. <\/span>Fiziksel veya psikolojik stres durumlar\u0131nda, kalk\u0131\u015fa haz\u0131rlanan pilotlar gibi v\u00fccudun bezleri, v\u00fccudun ba\u015fa \u00e7\u0131kmas\u0131na yard\u0131mc\u0131 olan hormonlar\u0131 \u00fcreten sistemleri a\u00e7maya ba\u015flar. <\/span>Adrenalin, kan dola\u015f\u0131m\u0131n\u0131 art\u0131rmaya yard\u0131mc\u0131 olmak, daha h\u0131zl\u0131 nefes almay\u0131 te\u015fvik etmek ve kaslar\u0131 efor i\u00e7in haz\u0131rlamak i\u00e7in sal\u0131n\u0131r. <\/span>Dopamin v\u00fccuttaki sinir h\u00fccrelerine mesajlar g\u00f6nderir. <\/span>Glukokortikoidler, iltihab\u0131 tedavi etmek veya ba\u011f\u0131\u015f\u0131kl\u0131k tepkisini uyarmaya yard\u0131mc\u0131 olmak i\u00e7in beklemededir. <\/span>Kortizol v\u00fccuttaki kandaki \u015feker seviyesini art\u0131rmaya ba\u015flar.<\/span><\/span><\/p>\n

Dr. Bornfriend, “Bir kaplandan ka\u00e7maya \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131zda bunlar ger\u00e7ekten iyi refleksler” diyor. <\/span>“Kalp at\u0131\u015f\u0131n\u0131z artar, kaslar\u0131n\u0131z gerilir, nefesiniz h\u0131zlan\u0131r ve g\u00f6r\u00fc\u015f\u00fcn\u00fcz odaklan\u0131r ve keskinle\u015fir. Ancak v\u00fccudunuz ayn\u0131 zamanda baz\u0131 \u015feylerden de enerji \u00e7eker. Stres alt\u0131nda, depresyonda veya endi\u015feli oldu\u011funuzda, v\u00fccudunuz kurtularak tepki verir. kortizol ve katekolaminler gibi stres hormonlar\u0131 Adrenalin ve dopamin gibi.Kronik stres ba\u011f\u0131\u015f\u0131kl\u0131k tepkinizi bozabilir ve sizi vir\u00fcse ve besinleri emme yetene\u011finize kar\u015f\u0131 daha duyarl\u0131 hale getirebilir.<\/span><\/span><\/p>\n

Ohio Eyalet \u00dcniversitesi ara\u015ft\u0131rmac\u0131lar\u0131 taraf\u0131ndan 2003 y\u0131l\u0131nda yap\u0131lan bir ara\u015ft\u0131rma, hem k\u0131sa vadeli hem de kronik stresin \u201c\u00e7e\u015fitli ba\u011f\u0131\u015f\u0131kl\u0131k mekanizmalar\u0131 \u00fczerinde do\u011frudan olumsuz etkileri olabilece\u011fi; hem hayvan hem de insan \u00e7al\u0131\u015fmalar\u0131 ikna edici kan\u0131tlar sa\u011flam\u0131\u015ft\u0131r. Ve bu ba\u011f\u0131\u015f\u0131kl\u0131k bozukluklar\u0131n\u0131n \u00f6nemli oldu\u011fu sonucuna varm\u0131\u015ft\u0131r. \u201dUlusal Sa\u011fl\u0131k Enstit\u00fcleri taraf\u0131ndan yay\u0131nlanan 2010 tarihli bir ara\u015ft\u0131rma, stresi kanser b\u00fcy\u00fcmesiyle ili\u015fkilendiriyor. <\/span>\u00c7al\u0131\u015fma, “Kronik stres, kanser h\u00fccrelerinde ve t\u00fcm\u00f6r mikro\u00e7evresinde spesifik sinyal yollar\u0131n\u0131n aktivasyonu ile sonu\u00e7lan\u0131r, bu da t\u00fcm\u00f6r\u00fcn b\u00fcy\u00fcmesine ve ilerlemesine yol a\u00e7ar” diyor.<\/span><\/span><\/p>\n

k\u00f6t\u00fcle\u015fen yan etkiler<\/span><\/span><\/h2>\n

Dr. Bornfriend, stres ve depresyonun bir hastay\u0131 kanser tedavilerinin baz\u0131 stresli yan etkileriyle m\u00fccadele etmek i\u00e7in s\u0131kl\u0131kla ihtiya\u00e7 duydu\u011fu enerjiyi ve g\u00fcc\u00fc de t\u00fcketebilece\u011fini s\u00f6yl\u00fcyor. <\/span>Kemoterapi bulant\u0131ya ve i\u015ftah azalmas\u0131na neden olabilir, bu da daha sonra sa\u00e7 d\u00f6k\u00fclmesine ve kilo kayb\u0131na neden olabilir. <\/span>Yorgunluk g\u00f6r\u00fcnebilir. <\/span>A\u011fr\u0131 hem fiziksel hem de duygusal olarak bo\u015falabilir. <\/span>“Bunlar sadece kendinizi iyi hissetmenizi sa\u011flamakla kalmaz, ayn\u0131 zamanda onlarla olan deneyiminiz o kadar g\u00fc\u00e7l\u00fc olabilir ki, kanseri tedavi etmek i\u00e7in yap\u0131lmas\u0131 gerekenlere m\u00fcdahale edebilir” diyor. <\/span>\u201cE\u011fer \u00e7ok depresifseniz ve ‘Bunun anlam\u0131 ne? <\/span>“Yemekte yorgun olmayabilirsin. Ya da \u00e7ok endi\u015feli oldu\u011fun i\u00e7in geceleri dinlenemiyorsun. Nas\u0131l dinleneceksin? Sana iyi gelecek kadar g\u00fc\u00e7l\u00fc olman m\u0131 gerekiyor?”<\/span><\/span><\/p>\n

Stresi azaltmak ve ruh halini iyile\u015ftirmek i\u00e7in tasarlanm\u0131\u015f antidepresanlar ve anksiyolitikler gibi ila\u00e7lar \u00f6nermek i\u00e7in bak\u0131m ekibinizle birlikte \u00e7al\u0131\u015fabilecek bir psikiyatriste girin. <\/span>Bir psikiyatrist, stresi veya strese katk\u0131da bulunan belirli yan etkileri hafifletmeye yard\u0131mc\u0131 olmak i\u00e7in masaj terapisi ve akupunktur gibi destekleyici bak\u0131m terapileri de \u00f6nerebilir.<\/span><\/span><\/p>\n

Dahil edilen bir\u00e7ok potansiyel faydaya ra\u011fmen, baz\u0131 hastalar psikiyatrik bak\u0131mla ili\u015fkili eski ve k\u00f6kle\u015fmi\u015f damgalar nedeniyle bir psikiyatriste g\u00f6r\u00fcnmek konusunda isteksizdir. <\/span>Dr. Horowitz, “Damgalama asla kaybolmaz” diyor. <\/span>“\u0130nsanlar, hangi nedenle olursa olsun, gururlar\u0131na veya de\u011ferlerine dayanarak bunu bir zay\u0131fl\u0131k i\u015fareti olarak g\u00f6r\u00fcrler.” <\/span>Ancak psikolojik bak\u0131m sadece insanlar\u0131n daha iyi hissetmelerine yard\u0131mc\u0131 olmakla ilgili de\u011fildir. <\/span>Psikiyatristler depresyon veya anksiyete d\u0131\u015f\u0131ndaki nedenlerle de g\u00f6r\u00fclebilir. <\/span>Sigaray\u0131 b\u0131rakman\u0131za yard\u0131mc\u0131 olmas\u0131 i\u00e7in bupropion (Wellbutrin\u00ae veya Zyband\u00ae) veya vareniklin (Chantix\u00ae) gibi ila\u00e7lar \u00f6nerebilirler. <\/span>Yeme veya uyku bozuklu\u011fu olan hastalara yard\u0131m edebilir veya a\u011fr\u0131y\u0131 y\u00f6netebilirler. <\/span>Ayr\u0131ca, bazen uzun bir hastanede kal\u0131\u015f s\u0131ras\u0131nda ortaya \u00e7\u0131kan deliryum, ciddi bir kafa kar\u0131\u015f\u0131kl\u0131\u011f\u0131 veya oryantasyon bozuklu\u011fu durumu olan hastalara da yard\u0131mc\u0131 olabilirler. <\/span>Dr. <\/span>Psikiyatriste gitmek istemeyen baz\u0131 hastalar ‘Ne diyorsun deliyim’ diyecekler. \u0130nsanlar ‘Elbette depresyonday\u0131m’ diyecekler. <\/span>kanserim var <\/span>ben anl\u0131yorum. <\/span>Hakk\u0131n yok demiyorum. <\/span>Bu hastal\u0131kla sava\u015fma \u015fekliniz \u00fczerinde b\u00fcy\u00fck etkisi olabilecek yapabilece\u011fimiz \u015feyler oldu\u011funu s\u00f6yl\u00fcyorum.”<\/span><\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Psikiyatrist: Kanser hastalar\u0131 ihtiyac\u0131 beklemiyor Bir kanser hastas\u0131 olarak, tedavi s\u00fcrecinde \u00e7e\u015fitli t\u0131bbi uzmanl\u0131k alanlar\u0131ndan bir\u00e7ok doktor ve klinisyen g\u00f6rebilirsiniz. Onkolog genellikle bak\u0131m ekibine liderlik eder ve tedavinin seyrini belirlemeye yard\u0131mc\u0131 olur. Cerrahlar\u0131 g\u00f6rebilir veya bir radyasyon onkolo\u011fundan tedavi alabilirsiniz. Hem\u015fireler, doktor asistanlar\u0131, pratisyen hem\u015fireler ve di\u011ferleri, bak\u0131m ekibinizin kilit \u00fcyeleri olabilir. Sonra psikiyatrist var. …<\/p>\n","protected":false},"author":1,"featured_media":15000,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-15360","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nPsikiyatrist: Kanser hastalar\u0131 ihtiyac\u0131 beklemiyor - zdmaa<\/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:\/\/zdmaa.com\/tr\/psychiatrist-doctor-cancer-patients-dont-expect-to-need\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Psikiyatrist: Kanser hastalar\u0131 ihtiyac\u0131 beklemiyor - zdmaa\" \/>\n<meta property=\"og:description\" content=\"Psikiyatrist: Kanser hastalar\u0131 ihtiyac\u0131 beklemiyor Bir kanser hastas\u0131 olarak, tedavi s\u00fcrecinde \u00e7e\u015fitli t\u0131bbi uzmanl\u0131k alanlar\u0131ndan bir\u00e7ok doktor ve klinisyen g\u00f6rebilirsiniz. Onkolog genellikle bak\u0131m ekibine liderlik eder ve tedavinin seyrini belirlemeye yard\u0131mc\u0131 olur. Cerrahlar\u0131 g\u00f6rebilir veya bir radyasyon onkolo\u011fundan tedavi alabilirsiniz. Hem\u015fireler, doktor asistanlar\u0131, pratisyen hem\u015fireler ve di\u011ferleri, bak\u0131m ekibinizin kilit \u00fcyeleri olabilir. 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Onkolog genellikle bak\u0131m ekibine liderlik eder ve tedavinin seyrini belirlemeye yard\u0131mc\u0131 olur. Cerrahlar\u0131 g\u00f6rebilir veya bir radyasyon onkolo\u011fundan tedavi alabilirsiniz. Hem\u015fireler, doktor asistanlar\u0131, pratisyen hem\u015fireler ve di\u011ferleri, bak\u0131m ekibinizin kilit \u00fcyeleri olabilir. 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