{"id":107959,"date":"2015-10-30T10:48:53","date_gmt":"2015-10-30T08:48:53","guid":{"rendered":"http:\/\/www.erzurumflas.com\/bu-romatizmayi-bildiginiz-romatizmalarla-karistirmayin\/"},"modified":"2015-10-30T10:48:55","modified_gmt":"2015-10-30T08:48:55","slug":"bu-romatizmayi-bildiginiz-romatizmalarla-karistirmayin","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=107959","title":{"rendered":"Bu Romatizmay\u0131 Bildi\u011finiz Romatizmalarla Kar\u0131\u015ft\u0131rmay\u0131n"},"content":{"rendered":"![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/10\/bu-romatizmayi-bildiginiz-romatizmalarla-karistirmayin_ab7243b.jpg\")
\u0130ltihapl\u0131 romatizma ile ya\u015fl\u0131l\u0131k romatizmas\u0131n\u0131n kar\u0131\u015ft\u0131r\u0131lmamas\u0131 gerekti\u011fini belirten uzmanlar, isimleri ortak olan iki hastal\u0131ktan iltihapl\u0131 romatizman\u0131n \u00e7ok daha tehlikeli, ba\u011f\u0131\u015f\u0131kl\u0131k sistemini tehdit eden ve zamanla kal\u0131c\u0131 hasarlara yol a\u00e7abilecek bir hastal\u0131k oldu\u011funa dikkat \u00e7ekiyor. Gen\u00e7lerde hatta \u00e7ocuklarda da g\u00f6r\u00fclebilen Romatoid Artrit tedavisinde ise \u0130mmunoterapi hastalar\u0131n ya\u015fam kalitesini artt\u0131r\u0131yor.<\/p>\n
Romatizma dendi\u011finde akl\u0131m\u0131za ilk olarak ya\u015fl\u0131l\u0131k romatizmas\u0131 geliyor. Ancak basite al\u0131namayacak kadar ciddi sonu\u00e7lar do\u011furabilecek bir ba\u015fka romatizma da Romatoid Artrid dedi\u011fimiz iltihapl\u0131 romatizmad\u0131r. Benzer belirtiler g\u00f6sterebilen bu iki hastal\u0131k asl\u0131nda birbirinden \u00e7ok farkl\u0131 geli\u015fiyor. \u0130ltihapl\u0131 romatizman\u0131n bir ba\u011f\u0131\u015f\u0131kl\u0131k sistem hastal\u0131\u011f\u0131 oldu\u011funu ifade eden \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. \u00dclk\u00fc G\u00f6rmez,\u201d Romatizma deyince insanlar\u0131n akl\u0131na ya\u015fl\u0131l\u0131k romatizmas\u0131 gelir. Bizim ilgilendi\u011fimiz konu ise Romatoid Artrit dedi\u011fimiz iltihapl\u0131 romatizma. Ya\u015fl\u0131l\u0131k romatizmas\u0131 genetik etkilerle ortaya \u00e7\u0131kan kire\u00e7lenme, travma ya da kiloya ba\u011fl\u0131 travmalar sonucu geli\u015fen bir hastal\u0131kt\u0131r. \u0130ltihapl\u0131 romatizma ise bir ba\u011f\u0131\u015f\u0131kl\u0131k sistem hastal\u0131\u011f\u0131d\u0131r ve v\u00fccudun kendi kendine sald\u0131rmas\u0131 sonucu olu\u015fur. Gen\u00e7lerde hatta \u00e7ocuklarda dahi rastlad\u0131\u011f\u0131m\u0131z bu hastal\u0131k de\u011fi\u015fik \u00e7e\u015fitlerde ve de\u011fi\u015fik dokularda kendini g\u00f6steriyor. Eklemlerde, kaslarda, ba\u011f dokusunda ya da damarlarda v\u00fccut nedeni bilinmeyen bir \u015fekilde kendi kendine sald\u0131r\u0131yor. Biz buna otoimm\u00fcn sald\u0131r\u0131 diyoruz. Bundan dolay\u0131 da iltihapl\u0131 romatizmal hastal\u0131klar\u0131n ba\u011f\u0131\u015f\u0131kl\u0131k sistem hastal\u0131klar\u0131 aras\u0131nda incelenmesi gerekir.\u201d Dedi.<\/p>\n
TANI KOYMAK OLDUK\u00c7A ZOR<\/p>\n
200\u2019\u00fcn \u00fczerinde iltihapl\u0131 romatizma \u00e7e\u015fidi oldu\u011funu ve baz\u0131 durumlarda tan\u0131 koyman\u0131n zor oldu\u011funun alt\u0131n\u0131 \u00e7izen Dr. \u00dclk\u00fc G\u00f6rmez,\u201d\u0130ltihabi romatizmal hastal\u0131klara g\u00f6z atmak gerekirse 200\u2019 \u00fcn \u00fczerinde \u00e7e\u015fidi oldu\u011funu g\u00f6r\u00fcyoruz. Bu da tan\u0131 koymay\u0131 zorla\u015ft\u0131r\u0131yor ve tan\u0131lar birbiri ile kar\u0131\u015fabiliyor. Romatoid Artrit olan bir ki\u015fi yumu\u015fak doku romatizmas\u0131, Lupus, Ankilozan Spondilit zannedilebiliyor. Birbirine i\u00e7 i\u00e7e ge\u00e7mi\u015f olan hastal\u0131klar olabiliyor o y\u00fczden y\u0131llarca tan\u0131 konulamam\u0131\u015f hastalar olabiliyor. Bu nedenle de tans\u0131s\u0131 zor, tedavisi zor, kronik bir hastal\u0131k. Bir de bu hastalar\u0131n kriterleri olmayan yani bulgular\u0131 olmayan hasta grubu var, kanda hi\u00e7 belirtisi yok ama bulgular\u0131 var.\u201d\u015feklinde konu\u015ftu.<\/p>\n
BEL\u0130RT\u0130LERE KULAK VER\u0130N<\/p>\n
Romatoid Artrit hastal\u0131\u011f\u0131n\u0131n belirtilerini s\u0131ralayan ve dikkat edilmesi gerekenlere dikkat \u00e7eken Dr. \u00dclk\u00fc G\u00f6rmez,\u201dEklemde \u015fi\u015fme, bazen k\u0131zarma, bazen a\u015f\u0131r\u0131 a\u011fr\u0131 ve \u015fi\u015fme ile beraber, donma ve hareket k\u0131s\u0131tl\u0131\u011f\u0131 meydana gelir. Ki\u015fi sabah birden katl\u0131\u011f\u0131nda hareket edememe, oldu\u011fu yerde kalma, \u00e7orab\u0131n\u0131 bile giyememe, \u00fc\u015f\u00fcme, titreme, grip benzeri buldular ya\u015far. A\u015f\u0131r\u0131 k\u0131rg\u0131nl\u0131k, halsizlik, yorgunluk b\u00fct\u00fcn eklemlerde ve kaslarda a\u011fr\u0131 meydana gelir. Bu bulgular hastal\u0131\u011f\u0131n tipine g\u00f6re geli\u015fir ve baz\u0131 hastalarda nefes darl\u0131\u011f\u0131 g\u00f6r\u00fcl\u00fcyor, hastal\u0131k akci\u011fer zarlar\u0131n\u0131 tutabiliyor, baz\u0131 hastalarda damar t\u0131kan\u0131kl\u0131\u011f\u0131 olabiliyor.\u201difadelerini kulland\u0131.<\/p>\n
\u0130K\u0130 ROMAT\u0130ZMA KARI\u015eTIRILIYOR<\/p>\n
Ya\u015fl\u0131l\u0131k romatizmas\u0131 ile iltihapl\u0131 romarizman\u0131n benzer bulgulardan dolay\u0131 zaman zaman kar\u0131\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131 belirten \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Dr. \u00dclk\u00fc G\u00f6rmez,\u201dBenzer bulgular iki romatizman\u0131n kar\u0131\u015ft\u0131r\u0131lmas\u0131na dolay\u0131s\u0131 ile hastal\u0131\u011f\u0131n ilerlemesine neden oluyor. Bundan dolay\u0131 bu hastalar\u0131n \u00e7o\u011funda gecikme olabiliyor bu da deformitelere neden oluyor. Kolunu kald\u0131ramama, baca\u011f\u0131n\u0131 b\u00fckememe, bir tak\u0131m donuk eklemler geli\u015fiyor ve ortopedik cerrahilere girmek zorunda kal\u0131yor bu hastalar. Daha zorlu d\u00f6nemler bekliyor bu hastalar\u0131. Bundan dolay\u0131 yukar\u0131da s\u0131ralad\u0131\u011f\u0131m belirtiler geli\u015fti\u011finde Romatoid Artrit ihtimali de g\u00f6z \u00f6n\u00fcnde bulundurulmal\u0131 ve hastalar bir i\u00e7 hastal\u0131klar\u0131 uzman\u0131ndan da tan\u0131 konusunda destek almal\u0131lar.\u201d Dedi.<\/p>\n
\u0130MMUNOTERAP\u0130 HASTALARIN YA\u015eAM KAL\u0130TES\u0130N\u0130 ARTTIRIYOR<\/p>\n
Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini alt \u00fcst eden bu hastal\u0131\u011f\u0131n tedavisinde \u0130mmunoterapi\u2019nin ba\u015far\u0131 sa\u011flad\u0131\u011f\u0131n\u0131 ve hastalar\u0131n ya\u015fam kalitesini artt\u0131rd\u0131\u011f\u0131n\u0131 ifade eden Dr. \u00dclk\u00fc G\u00f6rmez, tedavi ile ilgili detaylar\u0131 \u015f\u00f6yle anlatt\u0131.<\/p>\n
\u201dT\u00fcm otoimm\u00fcn hastal\u0131klarda oldu\u011fu gibi \u0130mmunoterapi Romatoid Artrit\u2019te de \u00e7ok olumlu sonu\u00e7lar veriyor. Hastal\u0131\u011f\u0131n seyrini yava\u015flatarak, hastan\u0131n ba\u011f\u0131\u015f\u0131kl\u0131k alt yap\u0131s\u0131na ba\u011fl\u0131 olarak tamamen ortadan kald\u0131rabiliyor. Hastan\u0131n imm\u00fcns\u00fcpresif tedavinin kesilmesine yard\u0131mc\u0131 olarak, normal a\u011fr\u0131s\u0131z ya\u015fant\u0131s\u0131na geri d\u00f6nmesini sa\u011flayabiliyor. Tedavinin ba\u015far\u0131s\u0131nda yap\u0131lan ara\u015ft\u0131rmalar ve testlerden elde edilen cevaplar sonucu do\u011fru bir tedavi k\u0131lavuzu \u00e7\u0131kar\u0131ld\u0131\u011f\u0131nda hastalar olumlu seyir izliyor. Ancak t\u00fcm tedavilerde oldu\u011fu gibi bu hastalar\u0131n da tedavisi ki\u015fiye \u00f6zel olmak zorundad\u0131r. Daha \u00f6nce tedavi etti\u011fimiz Romatoid Artrit hastalar\u0131m\u0131zda 1 ay sonra tedaviye cevap vermeye ba\u015flad\u0131klar\u0131n\u0131 g\u00f6rd\u00fck. Ancak net sonu\u00e7lara ula\u015fmak i\u00e7in 1-2 y\u0131ll\u0131k uzun bir s\u00fcre\u00e7 gerekti\u011finin alt\u0131n\u0131 \u00e7izmek gerekir. Hasta disiplini bu tedavide \u00e7ok \u00f6nemlidir. Di\u011fer taraftan hastal\u0131\u011f\u0131n derecesine ba\u011fl\u0131 olarak baz\u0131 eklemlerdeki eklem k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 \u0130mmunoterapi\u2019 ye ra\u011fmen kal\u0131c\u0131l\u0131\u011f\u0131n\u0131 koruyabilir. Ancak e\u011fer kal\u0131c\u0131 hasar geli\u015fmedi ise di\u011fer eklemler kurtulabiliyor. \u0130mmunoterapi tedavisi hastalara zamanla ila\u00e7lar\u0131n\u0131 b\u0131rakt\u0131rabiliyor, semptomlar\u0131 azal\u0131yor ya da tamamen ortadan kalkabiliyor, organ tutunumlar\u0131 d\u00fczle\u015fiyor, hayatlar\u0131 a\u011fr\u0131s\u0131z olarak devam ettirebiliyorlar, ya\u015fam kaliteleri art\u0131yor.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
DR. \u00dcLK\u00dc G\u00d6RMEZ<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[18459,18461,18460,18458],"class_list":["post-107959","post","type-post","status-publish","format-standard","hentry","category-saglik","tag-bildiginiz","tag-karistirmayin","tag-romatizmalarla","tag-romatizmayi"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/107959","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=107959"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/107959\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=107959"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=107959"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=107959"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}