{"id":9982,"date":"2021-12-27T11:25:03","date_gmt":"2021-12-27T11:25:03","guid":{"rendered":"http:\/\/ahelth.com\/%d9%85%d8%b1%d8%b6-%d8%a7%d9%84%d8%ac%d8%b2%d8%b1-%d8%a7%d9%84%d9%85%d8%b9%d8%af%d9%8a-%d8%a7%d9%84%d9%85%d8%b1%d9%8a%d8%a6%d9%8a-%d8%a7%d9%84%d9%85%d8%b2%d9%85%d9%86-%d8%ac%d9%8a%d8%b1%d8%af-2\/"},"modified":"2021-12-27T12:25:33","modified_gmt":"2021-12-27T12:25:33","slug":"%d9%85%d8%b1%d8%b6-%d8%a7%d9%84%d8%ac%d8%b2%d8%b1-%d8%a7%d9%84%d9%85%d8%b9%d8%af%d9%8a-%d8%a7%d9%84%d9%85%d8%b1%d9%8a%d8%a6%d9%8a-%d8%a7%d9%84%d9%85%d8%b2%d9%85%d9%86-%d8%ac%d9%8a%d8%b1%d8%af-2","status":"publish","type":"post","link":"https:\/\/ahelth.com\/tr\/%d9%85%d8%b1%d8%b6-%d8%a7%d9%84%d8%ac%d8%b2%d8%b1-%d8%a7%d9%84%d9%85%d8%b9%d8%af%d9%8a-%d8%a7%d9%84%d9%85%d8%b1%d9%8a%d8%a6%d9%8a-%d8%a7%d9%84%d9%85%d8%b2%d9%85%d9%86-%d8%ac%d9%8a%d8%b1%d8%af-2\/","title":{"rendered":"Kronik gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 (GERD) – g\u00fcnl\u00fck t\u0131bbi bilgiler"},"content":{"rendered":"

Kronik gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 (GERD) – g\u00fcnl\u00fck t\u0131bbi bilgiler<\/span><\/span><\/span><\/span><\/p>\n

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D\u00fcnya \u00e7ap\u0131nda, \u00f6zellikle egzotik \u00fclkelerdeki bir\u00e7ok insan, kronik gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131ndan (GERD) muzdariptir. <\/span><\/span><\/span>Bilim adamlar\u0131, onunla enfekte olan insan say\u0131s\u0131ndaki art\u0131\u015f\u0131n nedeninin, G\u00d6RH hastalar\u0131n\u0131n semptomlar\u0131 hafifletmesi i\u00e7in sa\u011fl\u0131kl\u0131 bir diyet gerektiren sa\u011fl\u0131ks\u0131z yiyecekler yemekten kaynakland\u0131\u011f\u0131na inanmaktad\u0131r.<\/span><\/span><\/span><\/span><\/p>\n

Bir\u00e7ok ki\u015fi zaman zaman mide asidi refl\u00fcs\u00fc ya\u015fayabilir, ancak haftada en az iki kez hafif ve haftada bir orta veya \u015fiddetli olmad\u0131k\u00e7a duruma G\u00d6RH te\u015fhisi konmaz.<\/span><\/span><\/span><\/span><\/p>\n

Kronik gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 (GERD)<\/span><\/span><\/span><\/span><\/h2>\n

Gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 (G\u00d6RH), bo\u011fazdan mideye giden t\u00fcp olan \u00f6zofagusa s\u00fcrekli asit s\u0131zmas\u0131n\u0131n neden oldu\u011fu kronik asit refl\u00fc durumudur. <\/span><\/span><\/span>Bu durum, alt \u00f6zofagus sfinkterinin zay\u0131f olmas\u0131 ve yemek mideye ula\u015ft\u0131\u011f\u0131nda tamamen kapanmas\u0131n\u0131 engellemesi nedeniyle meydana geldi\u011finde, asit yemek borusundan ge\u00e7erek bo\u011faza ve a\u011fza geri d\u00f6ner ve a\u011fz\u0131n\u0131zda ek\u015fi bir tat hissetmenize neden olur.<\/span><\/span><\/span><\/span><\/p>\n

Gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 olan ki\u015filerin kalp hastal\u0131\u011f\u0131 geli\u015ftirme olas\u0131l\u0131\u011f\u0131 di\u011ferlerinden daha y\u00fcksektir. <\/span><\/span><\/span>Mide ek\u015fimesi ve kalp krizi semptomlar\u0131n\u0131n \u00e7ok benzer olabilece\u011fini ve ay\u0131rt edilmesini zorla\u015ft\u0131rd\u0131\u011f\u0131n\u0131 unutmay\u0131n. <\/span><\/span><\/span>Bu nedenle, g\u00f6\u011f\u00fcs a\u011fr\u0131n\u0131z varsa, kalp krizini ekarte etmek i\u00e7in hemen test yapt\u0131rman\u0131z gerekir.<\/span><\/span><\/span><\/span><\/p>\n

GERD’li baz\u0131 ki\u015filerin basit ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri yaparak veya doktor re\u00e7etesi gerektirmeyen baz\u0131 ila\u00e7lar\u0131 kullanarak sorunun \u00fcstesinden gelebilece\u011fi, ancak baz\u0131 hastalar\u0131n G\u00d6RH i\u00e7in etkili ila\u00e7 tedavisine ve bazen de ameliyata ihtiyac\u0131 olabilece\u011fi unutulmamal\u0131d\u0131r.<\/span><\/span><\/span><\/span><\/p>\n

Kronik gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131n\u0131n belirtileri<\/span><\/span><\/span><\/span><\/h2>\n

Gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131n\u0131n (GERD) semptomlar\u0131 ki\u015fiden ki\u015fiye de\u011fi\u015febilir ve semptomlar a\u015fa\u011f\u0131dakilerin bir k\u0131sm\u0131n\u0131 veya tamam\u0131n\u0131 i\u00e7erebilir:<\/span><\/span><\/span><\/span><\/p>\n

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  • g\u00f6\u011f\u00fcste a\u011fr\u0131l\u0131 yanma hissi<\/span><\/span><\/span><\/span><\/li>\n
  • Kaynak<\/span><\/span><\/span><\/span><\/li>\n
  • Yutma g\u00fc\u00e7l\u00fc\u011f\u00fc<\/span><\/span><\/span><\/span><\/li>\n
  • Yiyecek veya i\u00e7ecekten ge\u011firme<\/span><\/span><\/span><\/span><\/li>\n
  • Bo\u011fazda bir yumru veya yumru<\/span><\/span><\/span><\/span><\/li>\n
  • Kuru \u00f6ks\u00fcr\u00fck<\/span><\/span><\/span><\/span><\/li>\n
  • a\u011f\u0131z kokusu<\/span><\/span><\/span><\/span><\/li>\n
  • mide bulant\u0131s\u0131<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n

    GERD’li ki\u015filerde ayr\u0131ca kronik \u00f6ks\u00fcr\u00fck, bo\u011faz a\u011fr\u0131s\u0131 ve yeni veya daha k\u00f6t\u00fc bir alerjik kriz ve uykusuzluk olabilir.<\/span><\/span><\/span><\/span><\/p>\n

    \u00d6te yandan, baz\u0131 ki\u015filerde ola\u011fan refl\u00fc semptomlar\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131na neden olmayan sessiz refl\u00fc semptomlar\u0131 olabilir. <\/span><\/span><\/span>Ara\u015ft\u0131rmac\u0131lar, \u00f6nemli say\u0131da G\u00d6RH hastas\u0131n\u0131n bu sessiz tipe sahip oldu\u011funu bulmu\u015flard\u0131r.<\/span><\/span><\/span><\/span><\/p>\n

    G\u00d6RH komplikasyonlar\u0131<\/span><\/span><\/span><\/span><\/h2>\n

    Tedavi edilmemi\u015f G\u00d6RH’ye uzun s\u00fcre maruz kalmak \u015funlara yol a\u00e7abilir:<\/span><\/span><\/span><\/span><\/p>\n

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    • Yemek borusunun daralmas\u0131: Yemek borusu<\/span><\/span><\/span><\/span><\/strong> duvar\u0131 a\u015f\u0131r\u0131 mide asidi nedeniyle s\u00fcrekli tahri\u015fe maruz kald\u0131\u011f\u0131nda, dokular\u0131n\u0131n dokusu de\u011fi\u015ferek daha az esnek dokulara d\u00f6n\u00fc\u015ferek yemek borusunun daralmas\u0131na ve yutma g\u00fc\u00e7l\u00fc\u011f\u00fc olu\u015fmas\u0131na neden olur.<\/span><\/span><\/span><\/span><\/li>\n
    • Yemek<\/span><\/span><\/span><\/span><\/strong> borusu <\/span><\/span><\/span>\u00fclserleri:<\/span><\/span><\/span><\/strong><\/span> Yemek borusu duvar\u0131nda <\/span><\/span><\/span>\u00fclserlere<\/span><\/span><\/span><\/strong> neden olan mide asidinin yemek borusu duvar\u0131n\u0131n iltihaplanmas\u0131 <\/span><\/span><\/span>ve \u015fiddetli a\u011fr\u0131 veya kanama ve yutma g\u00fc\u00e7l\u00fc\u011f\u00fc gibi komplikasyonlar sonucu olu\u015furlar.<\/span><\/span><\/span><\/span><\/li>\n
    • Yemek<\/span><\/span><\/span><\/span><\/strong> borusu <\/span><\/span><\/span>kanseri: Yemek<\/span><\/span><\/span><\/strong><\/span> borusu duvar\u0131n\u0131n mide asidine kronik olarak maruz kalmas\u0131n\u0131n bir sonucu olarak, h\u00fccre tipleri de\u011fi\u015febilir ve bu da genellikle yemek borusunun \u00fcst ve orta k\u0131s\u0131mlar\u0131n\u0131 etkileyen yemek borusu kanseri riskinin artmas\u0131na neden olur.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n

      Gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 kilo kayb\u0131na neden olur mu?<\/span><\/span><\/span><\/span><\/h2>\n

      Kronik gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 bulant\u0131, a\u011fr\u0131 ve yutma g\u00fc\u00e7l\u00fc\u011f\u00fcne neden olabilir. <\/span><\/span><\/span>Zamanla, bu i\u015ftah kayb\u0131na ve kal\u0131c\u0131 kusmaya yol a\u00e7abilir, bu da kilo kayb\u0131na yol a\u00e7arak G\u00d6RH komplikasyonlar\u0131n\u0131 g\u00f6sterir.<\/span><\/span><\/span><\/span><\/p>\n

      G\u00d6RH Nedenleri<\/span><\/span><\/span><\/span><\/h2>\n

      G\u00d6RH’nin nas\u0131l olu\u015ftu\u011funu \u00f6\u011frenmek i\u00e7in mideye ba\u011fl\u0131 a\u011f\u0131z, bo\u011faz ve yemek borusundan olu\u015fan sindirim sisteminin \u00fcst k\u0131sm\u0131n\u0131n anatomik yap\u0131s\u0131na ve onun birle\u015fme yerinde kapak g\u00f6revi g\u00f6ren dairesel bir kas halkas\u0131na bakal\u0131m. yemek borusundan mideye ge\u00e7mesine izin verin ve mide asidi ile kar\u0131\u015ft\u0131r\u0131ld\u0131ktan sonra yemek borusuna geri d\u00f6nmesini \u00f6nleyin.<\/span><\/span><\/span><\/span><\/p>\n

      Ve bu halka gev\u015fedi\u011finde, zay\u0131flad\u0131\u011f\u0131nda veya zay\u0131flad\u0131\u011f\u0131nda, kalbin a\u00e7\u0131lmas\u0131 olarak bilinir, birincil i\u015flevini yerine getirmez ve mide asidi ile kar\u0131\u015ft\u0131r\u0131lan yiyecekler yemek borusuna d\u00f6nerek yemek borusunu tahri\u015f ve iltihaplanmaya maruz b\u0131rak\u0131r, ard\u0131ndan mide ek\u015fimesi semptomlar\u0131 ortaya \u00e7\u0131kar. \u00fcst vuru\u015ftan bahsedildi.<\/span><\/span><\/span><\/span><\/p>\n

      risk fakt\u00f6rleri<\/span><\/span><\/span><\/span><\/h3>\n

      Hastal\u0131\u011f\u0131 geli\u015ftirme olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131rabilecek bir\u00e7ok fakt\u00f6r vard\u0131r, \u00f6rne\u011fin:<\/span><\/span><\/span><\/span><\/p>\n

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      • fazla kilo (obezite)<\/span><\/span><\/span><\/span><\/li>\n
      • Midenin \u00fcst k\u0131sm\u0131n\u0131 etkileyen hiatal herni.<\/span><\/span><\/span><\/span><\/li>\n
      • Gebelik.<\/span><\/span><\/span><\/span><\/li>\n
      • Skleroderma gibi ba\u011f dokusu sorunlar\u0131.<\/span><\/span><\/span><\/span><\/li>\n
      • Gastrointestinal motilite sorunlar\u0131 nedeniyle gecikmi\u015f mide bo\u015falmas\u0131.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n

        Halihaz\u0131rda mevcutsa, durumun ciddiyetini art\u0131rabilecek fakt\u00f6rler de vard\u0131r, \u00f6rne\u011fin:<\/span><\/span><\/span><\/span><\/p>\n

          \n
        • sigara i\u00e7mek.<\/span><\/span><\/span><\/span><\/li>\n
        • B\u00fcy\u00fck \u00f6\u011f\u00fcnler yiyin veya gece ge\u00e7 saatlerde yiyin.<\/span><\/span><\/span><\/span><\/li>\n
        • Ya\u011fl\u0131 ve k\u0131zarm\u0131\u015f yiyeceklerin a\u015f\u0131r\u0131 al\u0131m\u0131.<\/span><\/span><\/span><\/span><\/li>\n
        • A\u015f\u0131r\u0131 kahve veya alkol i\u00e7mek.<\/span><\/span><\/span><\/span><\/li>\n
        • Y\u00fcksek tansiyon ila\u00e7lar\u0131, ast\u0131m ila\u00e7lar\u0131, a\u011fr\u0131 kesiciler ve antidepresanlar gibi baz\u0131 ila\u00e7lar\u0131 al\u0131n.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n

          Ayr\u0131ca Okuyun: Gastro\u00f6zofageal Refl\u00fc ve Ast\u0131m Aras\u0131ndaki \u0130li\u015fki<\/span><\/span><\/span><\/span><\/p>\n

          G\u00d6RH Tan\u0131s\u0131<\/span><\/span><\/span><\/span><\/h2>\n

          Doktorunuz, t\u0131bbi ge\u00e7mi\u015finizden ve baz\u0131 klinik testlerden elde etti\u011finiz bilgileri kullanarak G\u00d6RH’yi te\u015fhis edebilir. <\/span><\/span><\/span>Te\u015fhisi do\u011frulamak veya komplikasyonlar\u0131 takip <\/span><\/span><\/span><\/span>etmek i\u00e7in doktor a\u015fa\u011f\u0131daki testleri isteyebilir:<\/span><\/span><\/span><\/span><\/strong><\/p>\n

          1. Oral endoskop<\/span><\/span><\/span><\/span><\/h3>\n

          Bunun i\u00e7in yemek borusu duvar\u0131n\u0131 detayl\u0131 incelemek i\u00e7in a\u011f\u0131z yoluyla yemek borusuna fotodedekt\u00f6rl\u00fc ve kameral\u0131 bir endoskop sokulur ve ayr\u0131ca muayene ve do\u011frulama veya norm i\u00e7in yemek borusu duvar\u0131ndan bir \u00f6rnek al\u0131nabilir. <\/span>olas\u0131 kanser de\u011fi\u015fiklikleri.<\/span><\/span><\/span><\/span><\/p>\n

          2. Ta\u015f\u0131nabilir Asit Reaktif Testi<\/span><\/span><\/span><\/span><\/h3>\n

          Burundan veya yemek borusundan sokulan k\u00fc\u00e7\u00fck bir kateterdir. <\/span><\/span><\/span>Kateter, bele veya omuza tak\u0131labilen k\u00fc\u00e7\u00fck bir bilgisayara ba\u011flan\u0131r. <\/span><\/span><\/span>G\u00f6revi, asidin yemek borusuna ne zaman ve ne zaman akt\u0131\u011f\u0131n\u0131 bilmektir ve iki g\u00fcn sonra kateter d\u0131\u015fk\u0131 ile \u00e7\u0131kacakt\u0131r.<\/span><\/span><\/span><\/span><\/p>\n

          3. \u00d6zofagus manometrisi<\/span><\/span><\/span><\/span><\/h3>\n

          Bunu, yutma s\u0131ras\u0131nda yemek borusundaki kas kas\u0131lmalar\u0131n\u0131n hareketini \u00f6l\u00e7erek ve bu kaslar aras\u0131ndaki koordinasyonu ve kas\u0131lmalar\u0131n\u0131n g\u00fcc\u00fcn\u00fc \u00f6l\u00e7erek yapar.<\/span><\/span><\/span><\/span><\/p>\n

          4. R\u00f6ntgen<\/span><\/span><\/span><\/span><\/h3>\n

          \u00dcst sindirim kanal\u0131n\u0131n r\u00f6ntgeni G\u00f6r\u00fcnt\u00fclemeden \u00f6nce hasta, g\u00f6r\u00fcnt\u00fcleme s\u0131ras\u0131nda s\u0131v\u0131 da\u011f\u0131l\u0131m\u0131n\u0131n g\u00f6r\u00fclebilmesi i\u00e7in sindirim sisteminin \u00fcst k\u0131sm\u0131n\u0131 lekeleyen bir i\u00e7ecek al\u0131r, b\u00f6ylece yemek borusu darl\u0131\u011f\u0131 veya ba\u015fka bir \u015fey te\u015fhisi konulur. <\/span>Yiyeceklerin ge\u00e7i\u015fini etkileyen sorunlar yutmay\u0131 engeller.<\/span><\/span><\/span><\/span><\/p>\n

          Kronik gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 (GERD) tedavisi<\/span><\/span><\/span><\/span><\/h2>\n

          \u0130lk olarak, doktor ya\u015fam tarz\u0131n\u0131z\u0131 ve kronik G\u00d6RH’ye yol a\u00e7abilecek baz\u0131 al\u0131\u015fkanl\u0131klar\u0131n\u0131z\u0131 de\u011fi\u015ftirmenizi \u00f6nerecektir ve ayr\u0131ca ilk tedavi olarak baz\u0131 basit ila\u00e7lar \u00f6nerebilir, ancak durum birka\u00e7 hafta i\u00e7inde d\u00fczelmezse, doktor daha fazla yard\u0131mc\u0131 olacakt\u0131r. etkili. <\/span>\u0130la\u00e7lar veya bazen ameliyat.<\/span><\/span><\/span><\/span><\/p>\n

          1. Gastro\u00f6zofageal refl\u00fc hastal\u0131\u011f\u0131 (GERD) i\u00e7in ila\u00e7lar<\/span><\/span><\/span><\/span><\/h3>\n
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          • Antasitler semptomlar\u0131 ve mide ek\u015fimesini hafifletmeye yard\u0131mc\u0131 olabilir, ancak gastriti tedavi etmezler, sadece semptomlar\u0131 hafifletirler.<\/span><\/span><\/span><\/span><\/li>\n
          • Mide asidi \u00fcretimini azaltan ila\u00e7lar, antasitlerden daha yava\u015f \u00e7al\u0131\u015f\u0131r, ancak mide asidi \u00fcretimini azaltt\u0131klar\u0131 i\u00e7in etkileri daha g\u00fc\u00e7l\u00fc ve daha uzun s\u00fcrer.<\/span><\/span><\/span><\/span><\/li>\n
          • Omeprazol ve t\u00fcrevleri gibi asit \u00fcretimini azaltan ve yemek borusunun iyile\u015fmesine yard\u0131mc\u0131 olan ila\u00e7lar.Bu ila\u00e7lar\u0131n, yemek borusunun h\u00fccrelerine ve dokular\u0131na bir \u015fans veren asit \u00fcretimini uzun s\u00fcre durdurduklar\u0131 i\u00e7in \u00f6ncekilerden daha g\u00fc\u00e7l\u00fc ve etkili olduklar\u0131 bilinmektedir. iltihaptan kurtulmak i\u00e7in.<\/span><\/span><\/span><\/span><\/li>\n
          • Kalbi rahatlatan ve b\u00f6ylece yemek borusuna asit ak\u0131\u015f\u0131n\u0131 azaltan piklofen gibi kalbin a\u00e7\u0131lmas\u0131n\u0131 g\u00fc\u00e7lendiren ila\u00e7lar.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n

            2. Cerrahi ve baz\u0131 farmakolojik olmayan y\u00f6ntemler<\/span><\/span><\/span><\/span><\/h3>\n
              \n
            • Mide a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n<\/span><\/span><\/span><\/span><\/strong> daralt\u0131lmas\u0131 <\/span><\/span><\/span>:<\/span><\/span><\/span><\/strong><\/span> Ameliyat, G\u00d6RH’yi \u00f6nlemek i\u00e7in midenin \u00fcst k\u0131sm\u0131n\u0131n yemek borusunun ucu etraf\u0131nda daralt\u0131lmas\u0131n\u0131 i\u00e7eren endoskopi ile yap\u0131l\u0131r.<\/span><\/span><\/span><\/span><\/li>\n
            • Linux cihaz\u0131:<\/span><\/span><\/span><\/span><\/strong> Kalbin a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n etraf\u0131na yerle\u015ftirilmi\u015f, asit geri ak\u0131\u015f\u0131n\u0131 \u00f6nleyecek kadar dar ve yiyeceklerin ge\u00e7mesine izin verecek kadar geni\u015f bir manyetik halka.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n

              3. Ya\u015fam tarz\u0131 ve ev ila\u00e7lar\u0131<\/span><\/span><\/span><\/span><\/h3>\n

              G\u00d6RH i\u00e7in ev ila\u00e7lar\u0131 \u015funlar\u0131 i\u00e7erir:<\/span><\/span><\/span><\/span><\/p>\n

                \n
              • Sa\u011fl\u0131kl\u0131 bir kiloyu koruyun.<\/span><\/span><\/span><\/span><\/li>\n
              • Sigaray\u0131 s\u0131n\u0131rlay\u0131n.<\/span><\/span><\/span><\/span><\/li>\n
              • Masajla semptomlar\u0131 hafifletin.<\/span><\/span><\/span><\/span><\/li>\n
              • Y\u00fckseltilmi\u015f bir yast\u0131kta uyuyun.<\/span><\/span><\/span><\/span><\/li>\n
              • Ya\u011fl\u0131 yiyecekler, alkol ve kahve gibi G\u00d6RH’yi art\u0131ran yiyecek veya i\u00e7eceklerden ka\u00e7\u0131n\u0131n.<\/span><\/span><\/span><\/span><\/li>\n
              • Bel k\u0131sm\u0131 dar olan giysilerden ka\u00e7\u0131n\u0131n.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n