{"id":7659,"date":"2025-03-14T18:04:03","date_gmt":"2025-03-14T16:04:03","guid":{"rendered":"https:\/\/peptiko.gr\/?p=7659"},"modified":"2025-03-15T01:14:55","modified_gmt":"2025-03-14T23:14:55","slug":"psikolojik-gegirme-nasil-gecer","status":"publish","type":"post","link":"https:\/\/peptiko.gr\/en\/psikolojik-gegirme-nasil-gecer\/","title":{"rendered":"Psikolojik ge\u011firme nas\u0131l ge\u00e7er"},"content":{"rendered":"<h2>Ge\u011firme: Nedir?<\/h2>\n<p>Ge\u011firme, v\u00fccudun midede biriken fazla havay\u0131 atmas\u0131n\u0131 sa\u011flayan do\u011fal bir s\u00fcre\u00e7tir. Ara s\u0131ra ge\u011firmek normal ve gerekli olsa da, a\u015f\u0131r\u0131 veya kontrol edilemeyen ge\u011firme baz\u0131 ki\u015filerde rahats\u0131zl\u0131k veya utan\u00e7 yaratabilir. Bu yaz\u0131da, ge\u011firmenin fizyolojisi, mide kaynakl\u0131 ve \u00fcst mide kaynakl\u0131 ge\u011firme aras\u0131ndaki farklar ile ge\u011firmenin te\u015fhis ve tedavi y\u00f6ntemleri ele al\u0131nmaktad\u0131r.<\/p>\n<h2>Ge\u011firme: Nas\u0131l olu\u015fur?<\/h2>\n<p>Ge\u011firme, midedeki hava dengesini d\u00fczenlemeye yard\u0131mc\u0131 olan refleksif bir mekanizmad\u0131r. Yemek veya s\u0131v\u0131 t\u00fcketimi s\u0131ras\u0131nda az miktarda hava mideye girer. Yutulan hava, mide fundusunda (midenin \u00fcst k\u0131sm\u0131) birikir ve burada vagus sinirinin resept\u00f6rlerini uyar\u0131r. Bu resept\u00f6rler, alt \u00f6zofagus sfinkterinin ge\u00e7ici olarak gev\u015femesine neden olan bir s\u00fcreci tetikler, bu da havan\u0131n yemek borusundan geri \u00e7\u0131kmas\u0131na ve a\u011f\u0131z yoluyla at\u0131lmas\u0131na izin verir.<\/p>\n<p>Alt \u00f6zofagus sfinkterinin ge\u00e7ici gev\u015femesi s\u0131ras\u0131nda, alt \u00f6zofagus sfinkteri gev\u015fer ve diyaframdaki (alt \u00f6zofagus sfinkterini kontrol eden kas) bas\u0131n\u00e7 azal\u0131r. Bu s\u00fcre\u00e7, havan\u0131n yemek borusuna ge\u00e7i\u015fini sa\u011flar. Yemek borusu h\u0131zla geni\u015fler ve \u00fcst \u00f6zofagus sfinkteri gev\u015fer, b\u00f6ylece hava ge\u011firme olarak d\u0131\u015far\u0131 at\u0131l\u0131r. <strong>Ortalama olarak, her insan g\u00fcnde yakla\u015f\u0131k 30 kez ge\u011firir ve bu normal kabul edilir.<\/strong><\/p>\n<p>Buna kar\u015f\u0131l\u0131k, s\u0131v\u0131 refl\u00fcs\u00fc oldu\u011funda, yemek borusu daha yava\u015f geni\u015fler ve \u00fcst \u00f6zofagus sfinkteri, s\u0131v\u0131n\u0131n solunum yollar\u0131na ka\u00e7mas\u0131n\u0131 \u00f6nlemek i\u00e7in kas\u0131l\u0131r (s\u0131k\u0131\u015f\u0131r). Bu fark, v\u00fccudumuzun gaz veya s\u0131v\u0131 refl\u00fcs\u00fcne farkl\u0131 tepkiler verme yetene\u011fini vurgular.<\/p>\n<h2>Ge\u011firme: Mide kaynakl\u0131 m\u0131, \u00dcst mide kaynakl\u0131 m\u0131?<\/h2>\n<p>Ge\u011firme, iki t\u00fcre ayr\u0131labilir: mide kaynakl\u0131 ve \u00fcst mide kaynakl\u0131.<\/p>\n<p><strong>1. Mide Kaynakl\u0131 Ge\u011firme<\/strong><\/p>\n<p>Mide kaynakl\u0131 ge\u011firme, yukar\u0131da a\u00e7\u0131klanan do\u011fal s\u00fcre\u00e7tir. Ki\u015finin yuttu\u011fu ve midede biriken havan\u0131n at\u0131lmas\u0131n\u0131 i\u00e7erir. A\u015f\u0131r\u0131 mide kaynakl\u0131 ge\u011firme \u015fu nedenlerle ortaya \u00e7\u0131kabilir:<\/p>\n<ul>\n<li>A\u015f\u0131r\u0131 hava yutma (\u00f6rne\u011fin, sak\u0131z \u00e7i\u011fneme, pipetle i\u00e7me veya a\u011f\u0131zdan nefes alma)<\/li>\n<li>Gazl\u0131 i\u00e7ecek t\u00fcketimi<\/li>\n<li>Mide geni\u015flemesine kar\u015f\u0131 artan hassasiyet, rahats\u0131zl\u0131\u011f\u0131 gidermek i\u00e7in s\u0131k ge\u011firme<br \/>\nA\u015f\u0131r\u0131 ge\u011firme tedavisi, altta yatan nedeni belirlemeye ve bunu ele almaya odaklan\u0131r. Baz\u0131 durumlarda, mide hassasiyetini azaltan veya mide kapasitesini art\u0131ran ila\u00e7lar kullan\u0131l\u0131r.<\/li>\n<\/ul>\n<p><strong>2. \u00dcst Mide Kaynakl\u0131 Ge\u011firme<\/strong><\/p>\n<p>\u00dcst mide kaynakl\u0131 ge\u011firme, havan\u0131n yemek borusuna girip mideye ula\u015fmadan hemen at\u0131ld\u0131\u011f\u0131 davran\u0131\u015fsal bir bozukluktur. Bu t\u00fcr ge\u011firme genellikle tekrarlay\u0131c\u0131d\u0131r ve dakikalar veya saatler boyunca s\u00fcrebilir. Yutma ile ili\u015fkili de\u011fildir ve uyku s\u0131ras\u0131nda ger\u00e7ekle\u015fmez. \u00dcst mide kaynakl\u0131 ge\u011firme i\u00e7in iki mekanizma tan\u0131mlanm\u0131\u015ft\u0131r:<\/p>\n<ul>\n<li>Kapal\u0131 g\u0131rtlakla nefes alarak negatif g\u00f6\u011f\u00fcs i\u00e7i bas\u0131nc\u0131 olu\u015fturma, bu da havay\u0131 yemek borusuna y\u00f6nlendirir<\/li>\n<li>Farinks, yumu\u015fak damak ve dil kaslar\u0131n\u0131 kullanarak havay\u0131 aktif olarak yemek borusuna \u00e7ekme<\/li>\n<\/ul>\n<p>\u00dcst mide kaynakl\u0131 ge\u011firme, genellikle diren\u00e7li gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 ile kar\u0131\u015ft\u0131r\u0131l\u0131r ancak g\u00f6r\u00fcn\u00fcm ve mekanizma a\u00e7\u0131s\u0131ndan farkl\u0131d\u0131r. \u00dcst mide kaynakl\u0131 ge\u011firme, h\u0131zl\u0131 yutma ve ge\u011firme d\u00f6ng\u00fcs\u00fc nedeniyle yutma s\u0131ras\u0131nda engelleme ve alt \u00f6zofagus sfinkterinin gev\u015femesi ile ili\u015fkilendirilir. \u00dcst mide kaynakl\u0131 ge\u011firme genellikle stres kaynakl\u0131d\u0131r.<\/p>\n<h2>Ge\u011firme ve kanser<\/h2>\n<p>Ge\u011firme, genellikle normal ve zarars\u0131z bir s\u00fcre\u00e7 olsa da, baz\u0131 durumlarda daha ciddi altta yatan hastal\u0131klarla ili\u015fkili olabilir. Nadiren, a\u015f\u0131r\u0131 veya inat\u00e7\u0131 ge\u011firme, mide kanseri veya yemek borusu kanseri gibi gastrointestinal kanserlerin bir belirtisi olabilir. Bu kanserler, normal sindirim s\u00fcrecini bozarak \u015fi\u015fkinlik, erken doyma ve mide hareketlili\u011findeki de\u011fi\u015fiklikler veya yemek borusu t\u0131kan\u0131kl\u0131\u011f\u0131 nedeniyle s\u0131k ge\u011firme gibi semptomlara yol a\u00e7abilir. \u00d6rne\u011fin, mide kanseri midede hava birikmesine neden olabilirken, yemek borusu kanseri alt \u00f6zofagus sfinkterinin i\u015flevini etkileyerek artan ge\u011firmeye yol a\u00e7abilir.<\/p>\n<p>Ancak, ge\u011firme tek ba\u015f\u0131na nadiren kanserin kesin ve tek belirtisidir ve daha \u00e7ok gastro\u00f6zofageal refl\u00fc, aerofaji (a\u015f\u0131r\u0131 hava yutma) veya fonksiyonel gastrointestinal bozukluklar gibi iyi huylu durumlarla ili\u015fkilidir. Bununla birlikte, ge\u011firme a\u00e7\u0131klanamayan kilo kayb\u0131, yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, inat\u00e7\u0131 kar\u0131n a\u011fr\u0131s\u0131 veya kusma gibi di\u011fer endi\u015fe verici belirtilerle birlikte g\u00f6r\u00fcl\u00fcyorsa, kanser de dahil olmak \u00fczere ciddi hastal\u0131klar\u0131n ekarte edilmesi i\u00e7in t\u0131bbi de\u011ferlendirme gereklidir.<\/p>\n<h2>Ge\u011firme: Te\u015fhis<\/h2>\n<p>Anormal ge\u011firmenin te\u015fhisi, dikkatli bir \u00f6yk\u00fc al\u0131m\u0131 ve g\u00f6zlemle ba\u015flar. Mide kaynakl\u0131 ge\u011firme i\u00e7in, hastan\u0131n rahatlat\u0131lmas\u0131 ve tetikleyici fakt\u00f6rlerin (\u00f6rne\u011fin, gazl\u0131 i\u00e7ecekler veya hava yutma al\u0131\u015fkanl\u0131klar\u0131) belirlenmesi genellikle yeterlidir. Baz\u0131 durumlarda, mide hassasiyetini azaltan ila\u00e7lar re\u00e7ete edilebilir.<\/p>\n<p>\u00dcst mide kaynakl\u0131 ge\u011firme i\u00e7in, te\u015fhis genellikle hastan\u0131n davran\u0131\u015f\u0131n\u0131n g\u00f6zlemlenmesiyle klinik olarak yap\u0131labilir. Temel tan\u0131 kriterleri \u015funlar\u0131 i\u00e7erir:<\/p>\n<ul>\n<li>Uzun s\u00fcreler boyunca tekrarlayan ge\u011firme ve yutma<\/li>\n<li>Konu\u015fma, g\u00fclme veya egzersiz gibi yutmay\u0131 engelleyen aktiviteler s\u0131ras\u0131nda ge\u011firmenin durmas\u0131<\/li>\n<li>Uyku s\u0131ras\u0131nda semptomlar\u0131n olmamas\u0131<\/li>\n<\/ul>\n<p>Basit bir tan\u0131 tekni\u011fi, hastadan a\u011fz\u0131 a\u00e7\u0131k ve dili d\u0131\u015far\u0131da nefes almas\u0131n\u0131 istemektir, bu genellikle \u00fcst mide kaynakl\u0131 ge\u011firmeyi durdurur. Objektif do\u011frulama i\u00e7in, tan\u0131sal <strong>pehimetri<\/strong>, yemek borusu ve midedeki hava hareketini izleyerek \u00fcst mide kaynakl\u0131 ge\u011firmeyi mide kaynakl\u0131 ge\u011firmeden ay\u0131rt edebilir. <strong>Video\u00f6zofagografi<\/strong> de, \u00e7ene \u00e7\u0131k\u0131nt\u0131s\u0131 veya dili kullanarak yemek borusuna hava \u00e7ekme gibi \u00fcst mide kaynakl\u0131 ge\u011firme ile ili\u015fkili yemek borusu de\u011fi\u015fikliklerini g\u00f6r\u00fcnt\u00fclemek i\u00e7in kullan\u0131labilir.<\/p>\n<h2>Ge\u011firme nas\u0131l durdurulur?<\/h2>\n<p><strong>1. Mide Kaynakl\u0131 Ge\u011firme<\/strong><\/p>\n<p>Tedavi, a\u015f\u0131r\u0131 hava yutman\u0131n altta yatan nedenini ele almaya odaklan\u0131r. Bu \u015funlar\u0131 i\u00e7erebilir:<\/p>\n<ul>\n<li>Gazl\u0131 i\u00e7eceklerden ka\u00e7\u0131nma<\/li>\n<li>Hava yutmay\u0131 art\u0131ran al\u0131\u015fkanl\u0131klar\u0131n azalt\u0131lmas\u0131 (\u00f6rne\u011fin, sak\u0131z \u00e7i\u011fneme)<\/li>\n<li>Mide hassasiyetini azaltan veya mide kapasitesini art\u0131ran ila\u00e7lar\u0131n kullan\u0131m\u0131<\/li>\n<\/ul>\n<p><strong>2. \u00dcst Mide Kaynakl\u0131 Ge\u011firme<\/strong><\/p>\n<p>Bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi ve konu\u015fma terapisi, \u00fcst mide kaynakl\u0131 ge\u011firme i\u00e7in ana tedavilerdir. Etkili yakla\u015f\u0131mlar \u015funlar\u0131 i\u00e7erir:<\/p>\n<ul>\n<li><strong>A\u011f\u0131z a\u00e7\u0131k diyafram nefesi<\/strong>: Bu teknik, yakla\u015f\u0131k 15 dakika boyunca a\u011f\u0131z a\u00e7\u0131k \u015fekilde rahat nefes almay\u0131 i\u00e7erir. Hastalar\u0131n ge\u011firmelerinin nas\u0131l tetiklendi\u011fini anlamalar\u0131na ve kontrol etmeyi \u00f6\u011frenmelerine yard\u0131mc\u0131 olur.<\/li>\n<li><strong>Psikolojik ge\u011firme i\u00e7in bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi (CBT)<\/strong>: CBT, \u00fcst mide kaynakl\u0131 psikolojik ge\u011firme ataklar\u0131n\u0131 azaltmada ve baz\u0131 durumlarda gastro\u00f6zofageal refl\u00fcs\u00fc olan hastalarda asit maruziyet s\u00fcresini k\u0131saltmada etkili bulunmu\u015ftur.<\/li>\n<li><strong>Konu\u015fma terapisi<\/strong>: Konu\u015fma terapistleri, hastalar\u0131n yemek borusuna hava giri\u015fini anlamalar\u0131na ve \u00fcst mide kaynakl\u0131 ge\u011firme mekanizmas\u0131n\u0131 durdurmak i\u00e7in egzersizler \u00f6\u011frenmelerine yard\u0131mc\u0131 olabilir. \u00c7al\u0131\u015fmalar, 3 ayl\u0131k 10 seans sonras\u0131nda hastalar\u0131n %83&#8217;\u00fcnde \u00f6nemli iyile\u015fme oldu\u011funu g\u00f6stermi\u015ftir.<\/li>\n<\/ul>\n<h2>Ge\u011firme: Sonu\u00e7<\/h2>\n<p>Ge\u011firme, midedeki hava dengesini d\u00fczenlemeye yard\u0131mc\u0131 olan do\u011fal bir s\u00fcre\u00e7tir. Ara s\u0131ra ge\u011firme zarars\u0131z olsa da, a\u015f\u0131r\u0131 veya anormal ge\u011firme rahats\u0131zl\u0131k ve utan\u00e7 yaratabilir. Mide kaynakl\u0131 ve \u00fcst mide kaynakl\u0131 ge\u011firme aras\u0131ndaki farklar\u0131 anlamak, do\u011fru te\u015fhis ve etkili tedavi i\u00e7in kritiktir. Mide kaynakl\u0131 ge\u011firme i\u00e7in altta yatan nedenin ele al\u0131nmas\u0131 \u00f6nemliyken, \u00fcst mide kaynakl\u0131 ge\u011firme genellikle stres kaynakl\u0131d\u0131r ve bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi ile konu\u015fma terapisi gerektirir. E\u011fer inat\u00e7\u0131 veya rahats\u0131z edici ge\u011firme ya\u015f\u0131yorsan\u0131z, bir gastroenterolo\u011fa dan\u0131\u015fman\u0131z \u00f6nerilir.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-6939 size-full\" title=\"Psikolojik ge\u011firme nas\u0131l ge\u00e7er\" src=\"https:\/\/peptiko.gr\/wp-content\/uploads\/2025\/02\/POGO0906.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https:\/\/peptiko.gr\/wp-content\/uploads\/2025\/02\/POGO0906.jpg 2000w, https:\/\/peptiko.gr\/wp-content\/uploads\/2025\/02\/POGO0906-300x200.jpg 300w, https:\/\/peptiko.gr\/wp-content\/uploads\/2025\/02\/POGO0906-1024x682.jpg 1024w, https:\/\/peptiko.gr\/wp-content\/uploads\/2025\/02\/POGO0906-768x512.jpg 768w, https:\/\/peptiko.gr\/wp-content\/uploads\/2025\/02\/POGO0906-1536x1024.jpg 1536w, https:\/\/peptiko.gr\/wp-content\/uploads\/2025\/02\/POGO0906-1568x1045.jpg 1568w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Psikolojik ge\u011firme nas\u0131l ge\u00e7er. Ge\u011firme nas\u0131l durdurulur? Ge\u011firme neden olur?<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[87],"tags":[],"glossary":[],"class_list":["post-7659","post","type-post","status-publish","format-standard","hentry","category-multilingual"],"acf":[],"_links":{"self":[{"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/posts\/7659"}],"collection":[{"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/comments?post=7659"}],"version-history":[{"count":2,"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/posts\/7659\/revisions"}],"predecessor-version":[{"id":7664,"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/posts\/7659\/revisions\/7664"}],"wp:attachment":[{"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/media?parent=7659"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/categories?post=7659"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/tags?post=7659"},{"taxonomy":"glossary","embeddable":true,"href":"https:\/\/peptiko.gr\/en\/wp-json\/\/wp\/v2\/glossary?post=7659"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}