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Our hospital’s Nutrition and Diet Specialist Sinem KAYA SAVCI answered those who were curious about the foods that strengthen our immunity in these days when the winter makes us feel better.

Why does our body’s immunity drop in winter?
With the cooling of the weather, both our immune system and our metabolism slow down. As long as this happens, our physical activities begin to decrease and our water consumption decreases, this time with malnutrition. All three factors slow down our metabolism and immune system. We can strengthen our immune system by making changes in our diet. At the same time, as our body starts to get cold during this period, we tend to prefer carbohydrate foods or high-calorie foods that provide high energy. Because we act in this way, this time we increase weight and our immune system slows down.
What foods do we need to consume to strengthen our immunity?
In order to strengthen our immune system, we must first eat protein-based foods. Proteins are very important in this process. There are two types of protein; one of animal origin, the other of vegetable origin. Proteins of animal origin are foods such as meat, milk, chicken and fish. On the other hand, we need to add legumes such as walnuts, hazelnuts, almonds, dried beans, chickpeas and kidney beans to our meals during winter. Another factor is vitamin C, which is very important in this process. There is vitamin C in green leafy vegetables, especially citrus fruits such as orange, tangerine and grapefruit. In addition, capia pepper is also very high in vitamin C. Vitamin D is mostly taken from the sun, but we cannot benefit from vitamin D much in the winter months. Vitamin D, which is one of the most important factors for strengthening our immunity, is also found in salmon and milk. In addition, omega 3 also helps to increase our immunity. Fish should be consumed 2-3 times a week, especially in the winter months when the fish season opens. Likewise, walnuts can also be consumed as they contain omega 3.
Metabolism slows down during the winter months. What should be consumed to speed up metabolism?
We need to improve our diet. We have a sample plate model for a healthy diet. The sample plate means that half of the plate consists of vegetables and the other half of protein and carbohydrates. We need to change our eating habits and eat less often and less. Think of our metabolism like a machine. The more you run, the more efficiency you will get. For this reason, nutrition is a must at this point. The second is water consumption. In the winter months, unfortunately, with the cooling of the weather, our water consumption decreases and we start to consume more hot drinks. But these do not replace water. For this reason, we should consume at least 2-2.5 liters of water a day, even up to 3 liters if we can go up. Unfortunately, our physical activity decreases as we cannot go out with the cooling of the weather during the winter months. But at this point, it is very important to act by making small movements at home. If a person has problems such as weakness, insomnia, indigestion and constipation, we can say that he has a poor metabolism. On the other hand, green tea should be consumed to speed up metabolism. However, herbal teas require a limited consumption, the amount we recommend is two cups a day. Second, because coffee contains caffeine, it significantly speeds up our metabolism and gives us a feeling of satiety for a long time, especially by helping us in weight control. Turkish coffee and filter coffee can be consumed in a way that does not exceed two cups a day. We do not prefer creams and coffees as they turn into fat in the body. Apart from that, proteins are very important. We need to include meat, fish, milk and eggs in our diet. Pulp is very important for us, we also need to consume foods with high fiber content such as vegetables, fruits, grains and oats. Hot peppers are also at the top of the foods that speed up the metabolism.
What are the benefits of consuming vegetables and fruits in different colors?
Turkey is an amazing country we can find everything in terms of nutrition. Each color in nutrition has different effects on our body.
White foods protect us against viral bacteria and infections. It has a protective feature against cancer. Vegetables such as onions, garlic and cauliflower are included in the white foods group. We can easily consume them during the winter months. In fact, these foods are also referred to as natural antibiotics.
If we look at purple vegetables and fruits, it is possible to call them as youth vaccines. Vegetables and fruits such as plum, eggplant and blackberry fall into the purple category. It has a serious cardioprotective effect, on the other hand, it has a positive effect on our circulatory system. If people with heirs consume these foods, the heir is also therapeutic because it has an accelerating effect on blood flow.


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Ear, Nose and Throat Specialist, who started to work in Private Optimed Hospital in recent months. Dr. Koray KIRBIYIK gave detailed information about the preoperative and postoperative processes regarding rhinoplasty.
How is the process of deciding on the ideal nose of the patient?
Our patients come to us with a request for surgery when they first come to us, but we first examine the patient and determine the problems. We describe the nose we will make according to the nose problem to the patient. We give information about how much we can shrink that nose if it has a very large nose and how much we can intervene if it has a very curved nose. Not only the nose, but also the asymmetries on the face, nose, lip, eyebrow and facial bone. We share information not only about a region on his face, but also about his face in total. Patients come with a certain expectation and the noses we make can completely change the face of the patient. However, since there are some regions on the face that we do not intervene, there are also points that remain the same and we talk about them as well. Because we have patients with very high expectations, for this reason, we inform patients with large nose deformities in advance. We meet on a common ground with the patient and agree to make the nose that best suits the patient’s face, and then decide on the surgery.
Which techniques are used during the surgery?
Rhinoplasty operations are performed in two ways; open and closed. We usually do it openly because we have patients with a lot of nose problems. There are bones and cartilages not only inside the nose but also outside, and we are trying to fix everything related to the nose. Since we want to make big changes in the nose, we prefer to use open technique. If there is not too much problem in the nose and there is a small bone protrusion, we use closed technique in patients where we will make slightly more minimal changes.
Is there any pain after the operation?
The pain threshold differs in every person. If we generalize in rhinoplasty surgeries, there is pain on the first day. The pain subsides in the next days. We can say that the rate of pain for our patients is 50% -50%, as it is related to the pain threshold. There are patients who say I have pain, and there are also patients who say I am very comfortable. This situation also changes depending on the operation we perform on the nose. Pain is more in patients with bad nose condition.
What are the physical effects of the surgery? Are there consequences such as falling nose tip, facial bruising and swelling?
Swelling and bruises occur at the first time we do the surgery. Although it is more prominent in some patients, it usually disappears within a period of 1 week – 10 days. Swelling and bruises change according to the operation performed on the nose. If it is a very large nose and we reduce it, bruises and swelling are more. In rhinoplasty surgeries, the complete fit of the nose covers a period of 6 months to 1 year. Sometimes, although very rare, we encounter processes that take up to two years. During this time, the patient can continue his daily activities. On the first day, the patient needs a companion in his daily work in order to recover and recover on the first night of his hospitalization due to anesthesia. On other days, he can perform his own physical activities. After the operation, we place plaster and tapes on the outside of the nose and there are tampons in the nose. We keep it for an average week and then take it. They just look physically, but continue their daily activities.
When does he return to his daily life after the stitches and tampons are removed?
After the stitches and tampons are removed in a week after the operation, we put a tape on especially big and big noses and it stays for a week. In other words, something happens outside of the nose during the two weeks after the surgery. At the end of these two weeks, he continues his daily life and becomes normal in terms of appearance.


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Due to December 1, World AIDS Day, our Medical Center Nutrition and Diet Specialist Özlem Gökmen answered those who were curious about the measures to be taken to prevent the disease.

AIDS, acquired immune deficiency syndrome, is an infectious disease that is observed to accompany the disease by the emergence of opportunistic infections when the immune system becomes ineffective. It first appeared in the 1980s and continues to spread increasingly all over the world. AIDS disease is a disease that occurs as a result of HIV, ie human immunodeficiency virus. HIV infection can be transmitted by all kinds of unprotected sexual contact, the use of intravenous substances with common injectors and the administration of infected blood and blood products, or by breastfeeding from mother to baby during pregnancy, during birth or after birth. Due to the variety of transmission routes, HIV infection can be seen in all age groups.

The virus affects the immune system negatively with the reduced lymphocytes by destroying the lymphocytes, called the virus C4, which protect the body against microbes. With the weakening of the body’s immune system, the body becomes unable to cope with other disease factors that it can easily fight before being affected by the virus.

More than half of HIV-infected patients die due to simple infections as a result of their immune systems becoming ineffective. Nutrition in virus-infected individuals; It plays an important role in alleviating the symptoms that occur with decreased immunity, preventing nutrient-drug interactions and increasing the quality of life. In particular, nutrition plays a very important role in the positive effects of antiretroviral drug therapy, and it helps to take precautions against possible negativities that may develop due to the serum micronutrient before treatment.

Nutritional recommendations vary according to the nutritional status of the patient, body mass index, the extent of the disease progression and the accompanying diseases. Generally speaking; In order to maintain its current weight in HIV-infected adults and children, an increase of 10% is required in the energy requirement. In children, if loss of body weight is observed, energy intake is increased by 50-100%. In the process of combating HIV, catabolic, ie destructive activities in the body increase, and protein intake must be increased by 10% in order to prevent increases. In the presence of conditions such as cirrhosis, renal failure, pancreatitis, special arrangements should be made by considering the age, sex and disease course of the patient. Fat change in infected individuals varies from person to person. In patients with high serum triglyceride levels, omega-3 intake (spinach, purslane, walnut, flaxseed, salmon, etc.) should be increased.

Vitamin and mineral intake becomes important in infected individuals and it is observed that if taken low, it accelerates the progression of the disease, the risk of contamination and death. Especially the consumption of foods with high antioxidant content causes a tendency to decrease in the progression of the disease. Often, vitamin A, D, E and B12 deficiencies, B-carotene, selenium, zinc and iron deficiencies are observed. It is known that when the intake of vitamins B12 and C is increased, the number of protective lymphocytes increases and slows the course of the disease. Also; Nutrient-drug interactions gain importance in this process, attention should be paid to the hunger or full consumption of the drugs, and should not be taken with grapefruit juice and St. John’s Wort, which may cause side effects. In the table below, you can see which foods contain vitamins and minerals.

MINERAL NAME NAME OF NUTRITIONS VITAMIN NAME NUTRITIONS
IRON Meat and meat products, legumes, green leafy vegetables …
Vitamin A

Green and yellow leafy vegetables, carrots, pumpkin, apricots, spinach, meats…
ZINC Whole grain flours, nuts, milk and dairy products… Vitamin C Citrus fruits, rosehips, green leafy vegetables.
CALCIUM Milk and milk products, tahini, sesame… Vitamin B12 Red meats, mushrooms, sardines…
MAGNESIUM Cereals, vegetables, apricots, dried fruits … Folate Spinach, cabbage, liver, dried fruits …
SELENIUM Egg, cheese, meat and meat products, cereals… Vitamin D Fish oil, cod liver, sun…
IODINE Seafood, table salt… Vitamin E Vegetable oils, dried nuts…
DO NOT FORGET

Eat a sufficient and balanced diet to maintain our constant body weight.
Consume plenty of vegetables, fruits and grains in our meals.
Do not consume foods containing saturated fat (offal, lard, tallow, cream, etc.).
Do not consume salt and foods containing salt.
Do not consume refined sugar and foods containing sugar.
Make sure to increase your fluid intake, do not neglect to drink at least 2-2.5 liters of water a day.
Foods high in calcium (milk, cheese, yoghurt, soy milk, etc.) and Fe (dark green leafy vegetables, fish, eggs, legumes, etc.)


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