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belirtiler hastaların hayatlarında ciddi aksamalar yaratır.","KOAH, sürekli öksüren, balgam çıkaran ve nefes darlığı yaşayan bir hastalıktır, alerjik durumlar gibi belirli dönemlerde ortaya çıkmaz."]},"beginTime":0,"endTime":131,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=0&ask_summarization=1"},{"index":1,"title":"KOAH'ın Seyri ve Etkileri","list":{"type":"unordered","items":["KOAH'ın seyrinde dalgalanma görülmez, hastalar yaşadıkları problemleri gittikçe artan bir şekilde yaşarlar.","Hastalık ilerledikçe hastalar dışarı çıkamaz, apartmanda bir kat yukarıya çıkamaz, çarşıya pazara gidemez hale gelirler.","Hastalar evin içinde bile nefes darlığı yaşar, pencereyi açmak zorunda kalırlar ve en basit aktiviteleri bile yapamayacak hale gelirler."]},"beginTime":131,"endTime":240,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=131&ask_summarization=1"},{"index":2,"title":"KOAH'ın İlerleyişi ve Sonuçları","list":{"type":"unordered","items":["Hastalık ilerledikçe hastalar pencereyi açarak veya merdiven çıkmayarak kendilerini eve mahkum ederek çözemeyecekler bir noktaya gelirler.","Hastalar oksijen makinesine bağımlı kalır, tüplerini yanlarında taşıyarak sokakta gezebilirler.","KOAH, akciğerde harabiyet oluşturan, ilerleyen ve hayat için tehdit haline gelen bir hastalık olup, akciğer nakli gibi organ nakilleri içerisinde çok zor bir durumdur."]},"beginTime":240,"endTime":318,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=240&ask_summarization=1"},{"index":3,"title":"KOAH'ın İstatistiksel Önemi","list":{"type":"unordered","items":["KOAH, ölümcül hastalıklar listesinde kanserden sonra ikinci, kalp damar hastalıklarından sonra üçüncü sırada yer alır.","Türkiye'de genellikle ileri yaşlarda, erkeklerde daha fazla görülür ve erkeklerde %21, kadınlarda %8,19 oranında yaygındır.","Hastalığın en önemli sebebi sigaradır ve sigara içenlerde KOAH görülme oranı %30 kat daha fazladır."]},"beginTime":318,"endTime":594,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=318&ask_summarization=1"},{"index":4,"title":"KOAH'ın Sebepleri","list":{"type":"unordered","items":["KOAH, kronik bronşit (öksürük balgamla giden hastalık) ve amfizem (akciğerin tahrip olması ile giden hastalık) iki hastalığın birleşimidir.","Hava kirliliği, kömür, maden işlerinde çalışmak, sanayide boya veya kimyasal gazların bulunduğu yerlerde çalışmak hastalığı tetikleyen faktörlerdir.","Genetik yatkınlıklar, geçmiş dönemlerde enfeksiyon hikayesi ve akciğerde ciddi harabiyet oluşturan hastalıklar (sarkoidoz, kömokonyozlar, tüberküloz) hastalığın oluşumunu kolaylaştırır."]},"beginTime":594,"endTime":696,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=594&ask_summarization=1"},{"index":5,"title":"Zülfiye Hanım'ın Koah Hikayesi","list":{"type":"unordered","items":["Zülfiye Hanım, üç yıl önce koah teşhisi konulduktan sonra sürekli hastaneye giden ve evde alet kullanmak zorunda kalan bir insandı.","Bitkisel tedavi tavsiyelerini dinledikten ve hayatına geçirdikten sonra hayatı çok farklı hale geldi.","Zülfiye Hanım, 62 yaşında 25 senelik astım hastası ve son üç sene koah hastasıydı, haftada 3-4 gün acile gidiyor, 26 gün hastanede yatıyor ve 15 gün durup tekrar yatıyordu."]},"beginTime":699,"endTime":801,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=699&ask_summarization=1"},{"index":6,"title":"İyileşme Süreci","list":{"type":"unordered","items":["Zülfiye Hanım, doktor Hakan Özkul'da umut buldu ve şimdi çok rahat ve iyiyi, koah hastalığı diye bir şey olmadığını ifade ediyor.","İki senedir ne oksijen aldı, ne hastaneye yattı, ne de doktora gitti.","Eşi Muzaffer Şafak, Aralık-Ocak aylarının hastaneye abone olup yatma ayları olduğunu ancak bu sene gitmediklerini belirtiyor."]},"beginTime":801,"endTime":843,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=801&ask_summarization=1"},{"index":7,"title":"Koah Hastalığının Tedavisi","list":{"type":"unordered","items":["Doktor Hakan Özkul, koah hastalığının çok zor bir hastalık olduğunu ancak şifalı bitkilerle doğru kullanmak suretiyle tedavi olabilen bir durum olduğunu vurguluyor.","Koah enflamatuar bir hastalıktır ve akciğer dokusunda kronik bir enflamasyon oluşur.","Tıbbi bitkilerin olumlu etkilerinden biri bu enflamasyonu ortadan kaldırmasıdır."]},"beginTime":843,"endTime":958,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=843&ask_summarization=1"},{"index":8,"title":"Tıbbi Bitkilerin Etkileri","list":{"type":"unordered","items":["Tıbbi bitkiler, toksik maddelerin akciğerde enflamasyon oluşmasını antioksidan etkileriyle önler.","Antioksidan, zararlı toksik maddeleri süpürüp atma demektir.","Tıbbi bitkiler, akciğer hücrelerini düzeltir ve hasar görmüş hücreleri iyileştirir."]},"beginTime":958,"endTime":1138,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=958&ask_summarization=1"},{"index":9,"title":"Astım ve Koah Arasındaki Farklar","list":{"type":"unordered","items":["Öksürük ve balgam olmaması koah olmadığını gösterir, koah'da temel olarak öksürük, balgam ve nefes darlığı olur.","Astım, akciğer hava yollarının alerjik ve geri dönüşlü bir daralmasıdır.","Astım hastaları nefes yoluyla aldıkları ilaçlardan hızlı fayda görürler, ancak koah'ta bu düzelme çok sınırlıdır."]},"beginTime":1138,"endTime":1201,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=1138&ask_summarization=1"},{"index":10,"title":"Bağışıklık Sistemi ve Probiyotikler","list":{"type":"unordered","items":["Alerji, vücudun kendi bağışıklık sisteminin aşırı hassas olması ve bu aşırı hassasiyet neticesinde oluşan dengesizliktir.","Bağışıklık sistemini dengeye kavuşturan tıbbi bitkiler uygulandığında, alerjik zemini ve enflamasyonu ortadan kaldırdığımızda astım hastalarında olumlu değişmeler görülür.","Bağırsaklar en önemli bağışıklık sistemi organıdır ve probiyotik bakteriler (faydalı bakteriler) bağışıklık sisteminin problemlerinde önemlidir."]},"beginTime":1201,"endTime":1314,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=1201&ask_summarization=1"},{"index":11,"title":"Akciğer Hastalıklarının İyileştirme Mekanizmaları","list":{"type":"unordered","items":["Akciğer hastalıklarında iyileştirmede iltihabın kurutulması, antioksidanla toksik maddelerin süpürülmesi ve zarar gören hücrelerin düzeltilmesi önemli faktörlerdir.","Otofaji, zarar görmüş hücrelerin iyileştirilmesi için kullanılan bir mekanizmadır ve bu mekanizmayı keşfeden kişi 2016 yılında Nobel Ödülü'nü almıştır.","Tıbbi bitkiler otofaji mekanizmasıyla hastalığın seyrini değiştirir ve kök hücreleri aktive ederek akciğerin kendisini yenilenmesinde önemli rol oynar."]},"beginTime":1319,"endTime":1476,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=1319&ask_summarization=1"},{"index":12,"title":"Tıbbi Bitkilerin Etkileri","list":{"type":"unordered","items":["Önümüzdeki on yıl içerisinde, iyileşmez denen akciğer hastalıklarının tedavisinde bu mekanizmaların devreye girdiği konuşulacaktır.","Tıbbi bitkiler sadece belirtileri azaltmakla kalmayıp, hücrenin ölmeden kendisini yenilemesi, öldü yenisinin oluşturulması, iltihabın kurutulması ve toksik maddelerin temizlenmesi gibi iyileştirmeyi sağlayan mekanizmaları da içerir.","Bitkisel tedaviler, bol su tüketimi, egzersiz yapma ve stresten uzaklaşma gibi yaşam tarzı değişiklikleriyle birlikte kullanıldığında daha etkili olur."]},"beginTime":1476,"endTime":1611,"href":"/video/preview/7831218461259257818?parent-reqid=1769229076708597-7407118359782303859-balancer-l7leveler-kubr-yp-sas-158-BAL&text=Dr.+KOA...&t=1476&ask_summarization=1"},{"index":13,"title":"Bitkisel Özlerin Faydaları","list":{"type":"unordered","items":["Quarsetin, soğanın kabuğunda bulunan bir bitkisel öz, koah hastalığında çok önemli bir rol oynar.","Ginseng bitkisi, reishi mantarı ve diğer bitkilerin bitkisel özleri koah hastalığında olumlu etkileri vardır.","Bitkisel özler hiçbir hastalıkta kendi başımıza 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