{"id":63575,"date":"2026-09-15T03:41:52","date_gmt":"2026-09-15T03:41:52","guid":{"rendered":"https:\/\/stagvape.com\/incelemeleri\/jama-study-vapes-smoking-cessation-clinicians"},"modified":"2026-09-16T15:10:00","modified_gmt":"2026-09-16T15:10:00","slug":"jama-study-vapes-smoking-cessation-clinicians","status":"publish","type":"post","link":"https:\/\/stagvape.com\/tr\/arastirmalari\/jama-study-vapes-smoking-cessation-clinicians","title":{"rendered":"JAMA \u00c7al\u0131\u015fmas\u0131 Klinisyenlerin Sigara B\u0131rakma \u0130\u00e7in E-Sigaralar\u0131 De\u011ferlendirmesini \u00d6neriyor"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Amerikan Tabipler Birli\u011fi T\u0131p Dergisi (JAMA) b\u00fcnyesinde yay\u0131mlanan bir \u00e7al\u0131\u015fma, yeti\u015fkin sigara i\u00e7icilerin yan\u0131c\u0131 sigaralar\u0131 b\u0131rakmas\u0131na yard\u0131mc\u0131 olmak i\u00e7in kan\u0131ta dayal\u0131 ara\u00e7lar olarak, sigara b\u0131rakmaya y\u00f6nelik alternatif t\u00fct\u00fcn \u00fcr\u00fcnlerinin &#8211; e-sigaralar, \u0131s\u0131t\u0131lm\u0131\u015f t\u00fct\u00fcn ve nikotin po\u015fetleri dahil &#8211; aktif \u015fekilde de\u011ferlendirilmesini ve bu \u00fcr\u00fcnlerin payla\u015f\u0131lm\u0131\u015f karar verme s\u00fcreciyle konu\u015fulmas\u0131n\u0131 sa\u011fl\u0131k profesyonellerine tavsiye ediyor.<\/p>\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column has-border-color has-cyan-bluish-gray-border-color is-layout-flow wp-block-column-is-layout-flow\" style=\"border-width:1px;border-top-left-radius:25px;border-top-right-radius:25px;border-bottom-left-radius:25px;border-bottom-right-radius:25px;padding-top:20px;padding-right:20px;padding-bottom:20px;padding-left:20px\">\n<ul class=\"wp-block-list\">\n<li><strong>Kan\u0131ta Dayal\u0131 Destek:<\/strong>\u00a0Ara\u015ft\u0131rmac\u0131lar, sigaray\u0131 b\u0131rakmakta zorlanan hastalar i\u00e7in dumans\u0131z se\u00e7enekler konusunda ABD\u2019deki klinisyenlerin net y\u00f6nlendirme sunmas\u0131n\u0131 istiyor.<\/li>\n\n\n\n<li><strong>Payla\u015f\u0131lan Karar Verme:<\/strong>\u00a0G\u00f6r\u00fc\u015fmeler, her bir \u00fcr\u00fcn\u00fcn g\u00f6reli risk profillerini dikkate al\u0131rken hastan\u0131n bireysel sa\u011fl\u0131k hedeflerini de tartmal\u0131d\u0131r.<\/li>\n\n\n\n<li><strong>A\u011f\u0131z Sa\u011fl\u0131\u011f\u0131 G\u00f6stergeleri:<\/strong>\u00a0Klinik ara\u015ft\u0131rmalar, dumans\u0131z alternatiflere ge\u00e7i\u015fin a\u011f\u0131z bo\u015flu\u011funda antioksidan kapasitenin daha y\u00fcksek olmas\u0131 ve h\u00fccresel iltihab\u0131n daha d\u00fc\u015f\u00fck olmas\u0131 dahil olmak \u00fczere biyolojik belirte\u00e7leri iyile\u015ftirdi\u011fini g\u00f6steriyor.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n<p class=\"wp-block-paragraph\">Amerikan Tabipler Birli\u011fi T\u0131p Dergisi (JAMA) b\u00fcnyesinde yay\u0131mlanan <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/42530900\/\" rel=\"nofollow noopener\" target=\"_blank\">bir \u00e7al\u0131\u015fmaya<\/a> g\u00f6re, sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131lar\u0131 yeti\u015fkin sigara i\u00e7icilerle yap\u0131lan b\u0131rakma g\u00f6r\u00fc\u015fmelerinde dumans\u0131z nikotin alternatiflerini de i\u00e7ermelidir. Kansas \u00dcniversitesi Kanser Merkezi\u2019nden Eleanor L. S. Leavens taraf\u0131ndan y\u00fcr\u00fct\u00fclen ara\u015ft\u0131rma, t\u00fct\u00fcn zarar\u0131n\u0131 azaltmaya y\u00f6nelik ki\u015fiye \u00f6zel, kan\u0131ta dayal\u0131 yakla\u015f\u0131mlar\u0131n benimsenmesini t\u0131bbi uygulay\u0131c\u0131lara tavsiye ediyor.<\/p>\n\n<h2 class=\"wp-block-heading\">Klinik Uygulamada Payla\u015f\u0131lan Karar Verme<\/h2>\n\n<p class=\"wp-block-paragraph\">\u00c7al\u0131\u015fma, alternatif t\u00fct\u00fcn \u00fcr\u00fcnlerinin tamamen risksiz olmad\u0131\u011f\u0131n\u0131 belirtmekle birlikte, yan\u0131c\u0131 sigaralardan uzakla\u015fmak i\u00e7in uygulanabilir bir yol sunduklar\u0131n\u0131 vurguluyor; \u00e7\u00fcnk\u00fc yanma s\u0131ras\u0131nda binlerce toksik bile\u015fik a\u00e7\u0131\u011fa \u00e7\u0131k\u0131yor.<\/p>\n\n<p class=\"wp-block-paragraph\">\u201cHer sigara i\u00e7ici i\u00e7in tek bir yakla\u015f\u0131m i\u015fe yaramaz\u201d diyen Leavens, \u201cAncak yeti\u015fkin sigara i\u00e7icilere \u00e7e\u015fitli se\u00e7enekler sunup riskleri ve faydalar\u0131 hakk\u0131nda onlarla g\u00f6r\u00fc\u015ferek, sigaray\u0131 ba\u015far\u0131yla b\u0131rakma ve genel sa\u011fl\u0131klar\u0131n\u0131 potansiyel olarak iyile\u015ftirme olas\u0131l\u0131klar\u0131 daha y\u00fcksektir\u201d dedi.<\/p>\n\n<p class=\"wp-block-paragraph\">Leavens, klinisyenlerin hastalar\u0131 farkl\u0131 \u00fcr\u00fcn kategorileri aras\u0131nda y\u00f6nlendirmek i\u00e7in pratik ara\u00e7lara ihtiya\u00e7 duydu\u011funu; \u00f6rne\u011fin nikotinli vape \u00fcr\u00fcnleri, \u0131s\u0131t\u0131lm\u0131\u015f t\u00fct\u00fcn sistemleri ve nikotin po\u015fetleri gibi her birinin farkl\u0131 kullan\u0131m \u00f6zellikleri ve risk profilleri ta\u015f\u0131d\u0131\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n\n<h2 class=\"wp-block-heading\">Ge\u00e7i\u015f Yapanlarda A\u011f\u0131z Sa\u011fl\u0131\u011f\u0131nda \u0130yile\u015fmeler<\/h2>\n\n<p class=\"wp-block-paragraph\">Riskin \u00fcr\u00fcnle orant\u0131l\u0131 ele al\u0131nd\u0131\u011f\u0131 yakla\u015f\u0131mlar\u0131n klinik \u00f6nemi do\u011frudan di\u015f hekimli\u011fi ve a\u011f\u0131z biyolojisine de uzan\u0131yor. Universitas Padjadjaran Di\u015f Hekimli\u011fi Fak\u00fcltesi\u2019nde ara\u015ft\u0131rmac\u0131 olan Dr. Indra Mustika, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n \u00fcr\u00fcnleri sadece \u201cg\u00fcvenli\u201d ya da \u201cg\u00fcvenli de\u011fil\u201d diye etiketlemek yerine risk seviyelerini nesnel olarak iletmesi gerekti\u011fini \u00f6zellikle belirtti.<\/p>\n\n<p class=\"wp-block-paragraph\">Mustika, \u201cE\u011fer yeti\u015fkin sigara i\u00e7iciler sigaray\u0131 b\u0131rakmay\u0131 denedi ancak ba\u015far\u0131l\u0131 olamad\u0131ysa, klinisyenlerin tamamen alternatif t\u00fct\u00fcn \u00fcr\u00fcnlerine ge\u00e7menin, sigara i\u00e7meye devam etmeye k\u0131yasla daha d\u00fc\u015f\u00fck risk ta\u015f\u0131d\u0131\u011f\u0131n\u0131 a\u00e7\u0131klamas\u0131 gerekir\u201d dedi.<\/p>\n\n<p class=\"wp-block-paragraph\">Dr. Mustika, dumans\u0131z alternatiflere ge\u00e7en sigara i\u00e7icileri de\u011ferlendiren klinik verileri \u00f6rnek g\u00f6sterdi. Bulgular, a\u011f\u0131z dokular\u0131nda \u00f6l\u00e7\u00fclebilir biyolojik iyile\u015fmeler oldu\u011funu ortaya koydu:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Artan TAOC:<\/strong>\u00a0A\u011f\u0131z bo\u015flu\u011funda daha y\u00fcksek Toplam Antioksidan Oksidatif Kapasite d\u00fczeyleri.<\/li>\n\n\n\n<li><strong>Azalan TNF-\u03b1:<\/strong>\u00a0Doku iltihab\u0131n\u0131n daha d\u00fc\u015f\u00fck oldu\u011funa i\u015faret eden t\u00fcm\u00f6r nekroz fakt\u00f6r\u00fc-alfa d\u00fczeylerinde azalma.<\/li>\n\n\n\n<li><strong>Daha Az Mikron\u00fckleuslu H\u00fccre (MNC):<\/strong>\u00a0Sigara i\u00e7meye devam edenlere k\u0131yasla, ge\u00e7i\u015f yapanlarda kromozomal hasar belirte\u00e7lerinde azalma.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Bu biyolojik belirte\u00e7ler, bilimsel kan\u0131ta dayanan risk ileti\u015fiminin yeti\u015fkin sigara i\u00e7icilerin t\u00fct\u00fcn kaynakl\u0131 zarar\u0131 azaltmaya y\u00f6nelik bilin\u00e7li kararlar vermesine yard\u0131mc\u0131 olabilece\u011fini g\u00f6steriyor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u0131bbi ara\u015ft\u0131rmac\u0131lar, b\u0131rakmak isteyen yeti\u015fkin sigara i\u00e7icilerin dumans\u0131z alternatifleri doktorlar\u0131yla g\u00f6r\u00fc\u015fmesini \u00f6neriyor.<\/p>\n","protected":false},"author":1,"featured_media":63576,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[193],"tags":[703,702],"class_list":["post-63575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-arastirmalari","tag-sigara-birakma","tag-sigarayi-birakmak"],"acf":[],"_links":{"self":[{"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/posts\/63575","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/comments?post=63575"}],"version-history":[{"count":0,"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/posts\/63575\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/media\/63576"}],"wp:attachment":[{"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/media?parent=63575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/categories?post=63575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stagvape.com\/tr\/wp-json\/wp\/v2\/tags?post=63575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}