{"id":217368,"date":"2015-12-23T10:49:12","date_gmt":"2015-12-23T08:49:12","guid":{"rendered":"http:\/\/www.erzurumflas.com\/mesane-hastaliklarina-botoks-tedavisi\/"},"modified":"2015-12-23T10:49:15","modified_gmt":"2015-12-23T08:49:15","slug":"mesane-hastaliklarina-botoks-tedavisi","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=217368","title":{"rendered":"Mesane Hastal\u0131klar\u0131na Botoks Tedavisi"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/mesane-hastaliklarina-botoks-tedavisi_4f10e03.jpg\" width=\"600\">\u00dcroloji uzman\u0131 Do\u00e7. Dr. Abdullah Gedik, ya\u015fam kalitesini \u00f6nemli \u00f6l\u00e7\u00fcde etkileyen ve mesane kaslar\u0131nda aniden ortaya \u00e7\u0131karak, hastada acil tuvalete gitme ihtiyac\u0131 olu\u015fturan a\u015f\u0131r\u0131 aktif mesane sorununun kad\u0131nlar\u0131n y\u00fczde 17\u2019si, erkeklerin ise y\u00fczde 15\u2019inde g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirterek, ila\u00e7 kullan\u0131m\u0131 ile ba\u015far\u0131 sa\u011flanamayan hastalar i\u00e7in kullan\u0131lan tedavi se\u00e7enekleri aras\u0131nda, kozmetik alanda uygulanan botoksun da yer ald\u0131\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n<p>Memorial Diyarbak\u0131r Hastanesi \u00dcroloji B\u00f6l\u00fcm\u00fc\u2019nden Do\u00e7. Dr. Abdullah Gedik, a\u015f\u0131r\u0131 aktif mesane hastal\u0131\u011f\u0131nda botoks tedavisi hakk\u0131nda bilgi verdi. A\u015f\u0131r\u0131 aktif mesanenin gece s\u0131k idrara \u00e7\u0131kma nedeniyle g\u00fcnd\u00fcz uyuklama, dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131, i\u015f veriminde azalma, sosyal ili\u015fkilerde bozulma gibi problemlere yol a\u00e7t\u0131\u011f\u0131na dikkat \u00e7eken Gedik, \u201cBu hastalarda depresyon ve cinsel fonksiyon bozuklu\u011fu da daha s\u0131k g\u00f6r\u00fcl\u00fcr. Gece s\u0131k idrara \u00e7\u0131kma nedeniyle acil tuvalete yeti\u015fme \u00e7abas\u0131 i\u00e7inde olan hastalar d\u00fc\u015fme, \u00e7arpma ve travmalara ba\u011fl\u0131 olarak kemik k\u0131r\u0131klar\u0131 riski ile de kar\u015f\u0131 kar\u015f\u0131ya kal\u0131r. T\u00fcm bu sorunlar ki\u015finin ya\u015fam kalitesini de olumsuz etkiledi\u011finden bu hastalar\u0131n tedavileri etkin bir \u015fekilde yap\u0131lmal\u0131d\u0131r\u201d dedi.<\/p>\n<p>\u201cMS, PARK\u0130NSON VE \u0130NME HASTALARI R\u0130SK ALTINDA\u201d<\/p>\n<p>Aktif mesane sorununun bir\u00e7ok nedene ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabilece\u011fine dikkat \u00e7eken Do\u00e7. Dr. Gedik, \u201cParkinson, MS, inme ve omurilik hastal\u0131klar\u0131nda sinir k\u00f6kenli; \u00f6nemli bir hasta grubunda da nedeni belirlenemeyen a\u015f\u0131r\u0131 aktif mesane g\u00f6r\u00fclebilir. Mesane ta\u015f\u0131, mesane t\u00fcm\u00f6r\u00fc, idrar yollar\u0131nda enfeksiyon, mesane ve rahim sarkmas\u0131, prostat b\u00fcy\u00fcmesine ba\u011fl\u0131 mesane t\u0131kan\u0131kl\u0131\u011f\u0131, ge\u00e7irilmi\u015f vajinal veya mesane ile ilgili cerrahi giri\u015fimlere ba\u011fl\u0131 olarak sinir k\u00f6kenli olmayan a\u015f\u0131r\u0131 aktif mesane de ortaya \u00e7\u0131kabilir. A\u015f\u0131r\u0131 aktif mesanenin ilk ad\u0131m tedavisinde \u00f6ncelikle; hastal\u0131\u011f\u0131n nedeni ortaya \u00e7\u0131kar\u0131lmal\u0131 ve tedavi buna y\u00f6nelik planlanmal\u0131d\u0131r. Nedeni bulunamayan durumlarda ise s\u0131v\u0131 al\u0131m\u0131n\u0131n d\u00fczenlenmesi, pelvik taban kas egzersizlerinin yap\u0131lmas\u0131 ve idrara \u00e7\u0131kman\u0131n belirli saatlere yay\u0131lmas\u0131 gibi \u00f6nlemler al\u0131nabilir. Kontrol edilmemi\u015f \u015feker hastal\u0131\u011f\u0131 veya idrar yolu iltihab\u0131 gibi sorunlar\u0131n tedavisi de \u015fikayetleri azaltacakt\u0131r. \u0130la\u00e7 tedavileri ile mesane kaslar\u0131nda aniden ortaya \u00e7\u0131kan kas\u0131lmalar\u0131 \u00f6nlemek ve buna ba\u011fl\u0131 olarak geli\u015fen acil idrara \u00e7\u0131kma iste\u011fini azaltmak ama\u00e7lanmaktad\u0131r. Bunlara ra\u011fmen \u015fikayetlerde azalma yoksa \u201cposterior tibial sinir stim\u00fclasyonu\u201d denilen ve ayak bile\u011fi \u00fczerinden hafif elektriksel uyar\u0131lar verilerek sinir iletimini g\u00fc\u00e7lendirmeye y\u00f6nelik tedavi se\u00e7enekleri de bulunmaktad\u0131r\u201d diye konu\u015ftu.<\/p>\n<p>\u201cBOTOKS TEDAV\u0130S\u0130 HASTA KONFORU SA\u011eLIYOR\u201d<\/p>\n<p>\u201cClostridium botulinum\u201d adl\u0131 bakteriden elde edilen ve t\u0131bbi bir protein olan botoksun, d\u00fcnyada ve T\u00fcrkiye\u2019de yaln\u0131zca kozmetik ama\u00e7l\u0131 de\u011fil, n\u00f6roloji ve \u00fcroloji gibi alanda da etkin bir tedavi y\u00f6ntemi olarak tercih edildi\u011fini vurgulayan Gedik, \u015fu ifadelerde bulundu:<\/p>\n<p>\u201cG\u00fcn\u00fcm\u00fczde a\u015f\u0131r\u0131 aktif mesane sorununda da botoks \u00f6nemli tedavi se\u00e7enekleri aras\u0131na girmi\u015ftir. Botoks, mesane kas\u0131 i\u00e7ine enjekte edildi\u011finde o kas veya kas gruplar\u0131n\u0131n sinirlerini ge\u00e7ici olarak devre d\u0131\u015f\u0131 b\u0131rak\u0131p, istemsiz hareketleri ve a\u015f\u0131r\u0131 kas\u0131lmay\u0131 ortadan kald\u0131r\u0131r. Bu etkiyi, sinir u\u00e7lar\u0131nda bulunan asetil kolin denilen maddenin sal\u0131n\u0131m\u0131n\u0131 durdurarak sa\u011flar. \u0130\u015flemin hastane \u015fartlar\u0131nda ve ameliyathanede yap\u0131lmas\u0131 \u00f6nemlidir. Tedavi sonras\u0131 hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funda idrara \u00e7\u0131kma ve idrar ka\u00e7\u0131rma sorunlar\u0131 azal\u0131r ve \u00e7o\u011fu zaman tamamen iyile\u015fme sa\u011flan\u0131r. Baz\u0131 hastalarda i\u015flem sonras\u0131 idrar yapmada zorluk ya\u015fanabilir. Ancak bu ge\u00e7ici bir durumdur ve 10-14 g\u00fcn i\u00e7erisinde \u015fikayetler tamamen ortadan kalkar. Etkinli\u011fi ise 6 ila 12 aya kadar devam eder. Bu tedaviden fayda g\u00f6ren hastalarda ilac\u0131n etkinli\u011fi ge\u00e7tikten sonra tekrar enjeksiyonlar gerekebilece\u011fi bilinmelidir. \u00c7ok ender olarak botoks tedavisinden yarar g\u00f6remeyen hastalara cerrahi i\u015flemler yap\u0131lmaktad\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00dcROLOJ\u0130 UZMANI DO\u00c7. DR. ABDULLAH GED\u0130K, YA\u015eAM KAL\u0130TES\u0130N\u0130 \u00d6NEML\u0130 \u00d6L\u00c7\u00dcDE ETK\u0130LEYEN VE MESANE KASLARINDA AN\u0130DEN ORTAYA \u00c7IKARAK, HASTADA AC\u0130L TUVALETE G\u0130TME \u0130HT\u0130YACI OLU\u015eTURAN A\u015eIRI AKT\u0130F MESANE SORUNUNUN KADINLARIN Y\u00dcZDE 17\u2019S\u0130, ERKEKLER\u0130N \u0130SE Y\u00dcZDE 15\u2019\u0130NDE G\u00d6R\u00dcLD\u00dc\u011e\u00dcN\u00dc BEL\u0130RTEREK, \u0130LA\u00c7 KULLANIMI \u0130LE BA\u015eARI SA\u011eLANAMAYAN HASTALAR \u0130\u00c7\u0130N KULLANILAN TEDAV\u0130 SE\u00c7ENEKLER\u0130 ARASINDA, KOZMET\u0130K ALANDA UYGULANAN BOTOKSUN DA YER ALDI\u011eINI VURGULADI.<\/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":[31285,31076,28466,17326],"class_list":["post-217368","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-botoks","tag-hastaliklarina","tag-mesane","tag-tedavisi"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/217368","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=217368"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/217368\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=217368"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=217368"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=217368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}