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Multipl Skleroz (MS Hastal\u0131\u011f\u0131)\u2019n\u0131n T\u00fcrkiye\u2019de 35 bin ki\u015fiyi etkiledi\u011fini s\u00f6yleyen N\u00f6roloji Uzman\u0131 Dr. Dilek Kas\u0131m Y\u00fccel, MS\u2019nin, ataklar halinde geli\u015fti\u011fini ancak tedavi ile kontrol alt\u0131na al\u0131nabildi\u011fini ifade etti.<\/p>\n
MS hastal\u0131\u011f\u0131 ki\u015finin ba\u011f\u0131\u015f\u0131kl\u0131k sistemindeki bozukluk sonucu beyin ve omurilikte \u00e7ok say\u0131da plaklar olu\u015fmas\u0131yla ortaya \u00e7\u0131kan bir hastal\u0131k oldu\u011funu s\u00f6yleyen Samsun B\u00fcy\u00fck Anadolu Hastanesi N\u00f6roloji B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Dilek Kas\u0131m Y\u00fccel, gen\u00e7 ya\u015flarda g\u00f6r\u00fclebilen MS, d\u00fcnyada yakla\u015f\u0131k 3 milyon, T\u00fcrkiye\u2019de ise 35 bin ki\u015fiyi etkilemektedir. MS\u2019nin, ataklar halinde geli\u015fmekte ve ancak tedavi ile kontrol alt\u0131na al\u0131nabildi\u011fini belirten Y\u00fccel, hastal\u0131\u011f\u0131n genellikle 20 ile 40\u2019l\u0131 ya\u015flar aras\u0131nda ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade etti.<\/p>\n
MS\u2019N\u0130N BEL\u0130RT\u0130LER\u0130<\/p>\n
Merkezi sinir sisteminde sinir liflerini \u00e7evreleyen ve koruyan \u201cmiyelin\u201d isimli bir t\u00fcr k\u0131l\u0131f oldu\u011funu s\u00f6yleyen Samsun B\u00fcy\u00fck Anadolu Hastanesi N\u00f6roloji B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Dilek Kas\u0131m Y\u00fccel, \u201cBu k\u0131l\u0131f sinir liflerinin elektrik uyar\u0131lar\u0131n\u0131 iletmelerine yard\u0131mc\u0131 olur. MS\u2019de miyelin k\u0131l\u0131f\u0131 hasara u\u011frar ve baz\u0131 b\u00f6lgelerde yok olur. Hasar g\u00f6ren bu b\u00f6lgeler \u2018plak\u2019 olarak da bilinir. Miyelin sadece sinir liflerini korumakla kalmay\u0131p, g\u00f6revlerini yerine getirmelerini de sa\u011flar. Miyelin yok oldu\u011funda veya hasar g\u00f6rd\u00fc\u011f\u00fcnde, sinirlerin beyine giden veya beyinden gelen elektrik uyar\u0131lar\u0131n\u0131 iletebilme kapasiteleri kesintiye u\u011frar; bu durum \u00e7e\u015fitli MS belirtilerini ortaya \u00e7\u0131kar\u0131r. MS belirtileri, halsizlik, y\u00fczde veya v\u00fccutta uyu\u015fma ve kar\u0131ncalanma, hissizlik, yorgunluk, denge problemleri, g\u00f6rme bozukluklar\u0131, kas sertle\u015fmesi, bozuk konu\u015fma, ba\u011f\u0131rsak veya mesane problemleri, dengesiz y\u00fcr\u00fcme (\u201cataksi\u201d), cinsel i\u015flev sorunlar\u0131, \u0131s\u0131ya hassasiyet ve k\u0131sa s\u00fcreli bellek sorunlar\u0131 \u015feklinde kendini g\u00f6sterebilir” dedi.<\/p>\n
\u201cMS HASTALI\u011eI \u00c7E\u015e\u0130TL\u0130 NEDENLERLE ORTAYA \u00c7IKAR\u201d<\/p>\n
MS\u2019nin ortaya \u00e7\u0131k\u0131\u015f nedenlerine de\u011finen Y\u00fccel, \u201c\u00c7evresel fakt\u00f6rler: Organik \u00e7\u00f6z\u00fcc\u00fclere ve c\u0131vaya maruz kalma, b\u00f6cek ila\u00e7lar\u0131 ve radyasyon temas\u0131. Etnik k\u00f6ken: Kafkas, Kuzey Afrika k\u00f6kenlilerde hastal\u0131k g\u00f6r\u00fclebilir. Sar\u0131 ve k\u0131smen siyah \u0131rkta koruyuculuk beyaz \u0131rka g\u00f6re daha fazlad\u0131r. Ayr\u0131ca Kuzey Avrupa, Amerika ve Kanada\u2019n\u0131n kuzeyinde hastal\u0131k y\u00fcksek, ekvator b\u00f6lgesinde d\u00fc\u015f\u00fck oranda g\u00f6r\u00fclmektedir. Vir\u00fcslerin etkisi: Ge\u00e7mi\u015fte \u201cherpes\u201d, \u201cvarisella zoster\u201d vir\u00fcslerine maruz kalma. Kal\u0131t\u0131m: \u00c7evresel tetikleyicilerden etkilenen genetik fakt\u00f6rler mevcuttur. Genetik fakt\u00f6rler: MS\u2019li anne veya baban\u0131n \u00e7ocuklar\u0131nda ayn\u0131 hastal\u0131\u011f\u0131n g\u00f6r\u00fclme oran\u0131, toplumdaki ayn\u0131 ya\u015f grubu ki\u015filerle k\u0131yasland\u0131\u011f\u0131nda 7-10 kat fazlad\u0131r. Ancak genler, hastal\u0131\u011f\u0131n olu\u015fmas\u0131nda tek fakt\u00f6r de\u011fildir. \u00d6rne\u011fin; genetik olarak birbirinin ayn\u0131 olan tek yumurta ikizlerinden birinde MS geli\u015fse bile, di\u011ferinde geli\u015fme riski y\u00fczde 25\u2019tir” diye konu\u015ftu.<\/p>\n
\u201cATAK SIKLI\u011eI TEDAV\u0130 \u0130LE AZALTILAB\u0130L\u0130R\u201d<\/p>\n
MS hastalar\u0131 atak d\u00f6nemlerinde genellikle y\u00fcksek doz kortizon ile tedavi edildi\u011fini belirten Y\u00fccel, \u201cBu tedavi 5-7 g\u00fcn s\u00fcreyle uygulan\u0131r ve mutlaka bir sa\u011fl\u0131k kurulu\u015funda kontroll\u00fc olarak yap\u0131lmal\u0131d\u0131r. Atak s\u0131kl\u0131\u011f\u0131n\u0131 azaltmaya y\u00f6nelik tedaviler de bulunmaktad\u0131r. Tedavi se\u00e7enekleri hastaya g\u00f6r de\u011fi\u015fiklik g\u00f6stermektedir. Stres atak s\u0131kl\u0131\u011f\u0131n\u0131 art\u0131rabilece\u011finden, stres kontrol\u00fc i\u00e7in rahatlama \u00e7al\u0131\u015fmalar\u0131 yap\u0131lmal\u0131d\u0131r. Sigara i\u00e7ilmemeli, koordinasyonu geli\u015ftirmek i\u00e7in egzersiz yap\u0131lmal\u0131d\u0131r. MS hastalar\u0131; a\u015f\u0131r\u0131 s\u0131cak, a\u011f\u0131r metaller, amalgam dolgulardan uzak durmal\u0131d\u0131r. Bol sebze, meyve ve ya\u011fs\u0131z k\u0131rm\u0131z\u0131 et t\u00fcketilebilir. Y\u00fcr\u00fcme, y\u00fczme, evde yap\u0131lacak baz\u0131 \u00f6zel egzersizler hastal\u0131\u011f\u0131n olumsuz etkilerinin \u00f6n\u00fcne ge\u00e7ebilece\u011fi gibi; hastan\u0131n kendisini iyi hissetmesine de katk\u0131da bulunur. Ayr\u0131ca ge\u00e7irilen enfeksiyonlar da ataklar\u0131 tetikleyebilece\u011finden, MS hastalar\u0131n\u0131n m\u00fcmk\u00fcn oldu\u011funca bu konuda kendilerini korumalar\u0131 gerekmektedir” \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
MULT\u0130PL SKLEROZ (MS HASTALI\u011eI)\u2019NIN T\u00dcRK\u0130YE\u2019DE 35 B\u0130N K\u0130\u015e\u0130Y\u0130 ETK\u0130LED\u0130\u011e\u0130N\u0130 S\u00d6YLEYEN SAMSUN B\u00dcY\u00dcK ANADOLU HASTANES\u0130 N\u00d6ROLOJ\u0130 B\u00d6L\u00dcM\u00dc\u2019NDEN UZM. DR. D\u0130LEK KASIM Y\u00dcCEL, MS’N\u0130N, ATAKLAR HAL\u0130NDE GEL\u0130\u015eT\u0130\u011e\u0130N\u0130 ANCAK TEDAV\u0130 \u0130LE KONTROL ALTINA ALINAB\u0130LD\u0130\u011e\u0130N\u0130 \u0130FADE ETT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[21585,15732,21586,5792,3772,15680],"class_list":["post-120456","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-ms","tag-hastaligi","tag-kabusunuz","tag-kotu","tag-olmasin","tag-yucel"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/120456","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=120456"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/120456\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=120456"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=120456"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=120456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}