Dr. Suat G\u00fcnsel Girne \u00dcniversitesi Hastanesi N\u00f6roloji Uzman\u0131 Dr.P\u0131nar Gelener Arsal, 11 Nisan D\u00fcnya Parkinson g\u00fcn\u00fc dolay\u0131s\u0131yla a\u00e7\u0131klamalarda bulunarak, Parkinson hastal\u0131\u011f\u0131n\u0131n hareket bozukluklar\u0131 grubunda ele al\u0131nan bir hastal\u0131k oldu\u011funu belirtti. Dr.Arsal, d\u00fcnya Parkinson hastal\u0131\u011f\u0131 g\u00fcn\u00fc, her y\u0131l 11 Nisan\u2019da, bu hastal\u0131ktan etkilenen insanlar\u0131 desteklemek ve toplumu nedenleri, belirtileri ve mevcut t\u0131bbi ve cerrahi tedavi y\u00f6ntemleri konusunda e\u011fitmek i\u00e7in fark\u0131ndal\u0131k olu\u015fturmak amac\u0131yla kutlanmaktad\u0131r dedi.<\/p>\n
Parkinson hastal\u0131\u011f\u0131n\u0131n belirtileri nelerdir?<\/p>\n
Parkinson hastal\u0131\u011f\u0131, kural olarak sinsi ve v\u00fccudun tek b\u00f6lgesinden ba\u015flay\u0131p yava\u015f yava\u015f ilerler ve zamanla v\u00fccudun di\u011fer yar\u0131s\u0131na da ge\u00e7er diyen N\u00f6roloji Uzman\u0131 Dr.P\u0131nar Gelener Arsal, \u201cEsas hastal\u0131k tablosu oturmadan \u00f6nceki uzun bir d\u00f6nem vard\u0131r ve bu d\u00f6nemi tan\u0131mak \u00f6nemlidir. Koku duyusu kayb\u0131, kab\u0131zl\u0131k, idrar yapma g\u00fc\u00e7l\u00fc\u011f\u00fc veya idrar ka\u00e7\u0131rma, depresyon, davran\u0131\u015f bozuklu\u011fu, uyku bozukluklar\u0131, obezite, sabah uykusu gibi erken bulgular esas tablonun ba\u015flamas\u0131ndan 10-20 sene \u00f6ncesinde g\u00f6r\u00fclebilir. En s\u0131k ba\u015fvuru s\u0131kl\u0131kla kol sal\u0131n\u0131m\u0131nda azalma ve omuz a\u011fr\u0131s\u0131 ile birlikte elde istirahat halinde ortaya \u00e7\u0131kan titremedir. \u0130lk belirtiler \u00e7oklukla bir elin \u00f6zellikle ince hareketlerde beceriksizle\u015fmesi, tutukla\u015fmas\u0131, yava\u015flamas\u0131 ya da t\u00fcm hareketlerin \u00f6zellikle y\u00fcr\u00fcmenin yava\u015flamas\u0131 ve v\u00fccudun \u00f6ne do\u011fru e\u011filmesi \u015feklindedir. Hastalara soruldu\u011funda yaz\u0131lar\u0131n\u0131n de\u011fi\u015fip k\u00fc\u00e7\u00fcld\u00fc\u011f\u00fcn\u00fc, d\u00fc\u011fme iliklemek ya da a\u00e7mak gibi ince i\u015flerde zorluk \u00e7ektiklerini, gece yatakta d\u00f6nmenin, yerlerinden kalkman\u0131n g\u00fc\u00e7le\u015fti\u011fini, hareketlerinin, y\u00fcr\u00fcmelerinin yava\u015flad\u0131\u011f\u0131n\u0131, ayaklar\u0131n\u0131 s\u00fcrterek y\u00fcr\u00fcd\u00fcklerini, harekete ba\u015flamada g\u00fc\u00e7l\u00fck \u00e7ektiklerini ifade ederler. Buna kar\u015f\u0131n kaba kas kuvveti gerektiren i\u015flerde g\u00fc\u00e7s\u00fczl\u00fck fark etmediklerini s\u00f6ylerler\u201d dedi.<\/p>\n
Hastalar\u0131n ilk zamanlar y\u00fcr\u00fcmeye ba\u015flamada, d\u00f6nmede ve dar veya kalabal\u0131k \u00e7evrelerden ge\u00e7mede zorluk \u00e7ektiklerini ifade eden Arsal, \u201cBunu motor bloklar olarak da adland\u0131r\u0131lan harekette ani duraklamalar izler. Zamanla hastan\u0131n yutma g\u00fc\u00e7l\u00fc\u011f\u00fc nedeniyle beslenme sorunlar\u0131 tabloya eklenebilir. Y\u00f6netici i\u015flevlerde bozulma, bellek, planlama ve organizasyon bozuklu\u011funun yan\u0131 s\u0131ra depresyon ve kayg\u0131 bozuklu\u011fu ve di\u011fer miza\u00e7 bozukluklar\u0131 Parkinson hastal\u0131\u011f\u0131nda s\u0131kt\u0131r. Uyku bozukluklar\u0131 neredeyse t\u00fcm hastalarda bulunur. Canl\u0131 r\u00fcyalar ve k\u00e2buslar \u00f6zellikle tedavi edilen hastalarda olduk\u00e7a yayg\u0131nd\u0131r\u201d dedi.<\/p>\n
Tedavisi var m\u0131d\u0131r? Bu tedavi hastal\u0131\u011f\u0131 tamamen ortadan kald\u0131rabilir mi?<\/p>\n
Parkinson hastal\u0131\u011f\u0131 tedavi edilebilir bir hastal\u0131kt\u0131r diyerek c\u00fcmlelerine devam eden Arsal, \u201cHatta Parkinson sendromlar\u0131 i\u00e7erisinde en iyi tedavi yan\u0131t\u0131 olan hastal\u0131k parkinson hastal\u0131\u011f\u0131d\u0131r. Tedavi semptomatiktir yani; hastalar\u0131n \u015fik\u00e2yetlerini iyile\u015ftirmeye, bulgular\u0131n\u0131 ortadan kald\u0131rmaya ve ya\u015fam kalitelerini artt\u0131rmaya y\u00f6neliktir. Hastal\u0131\u011f\u0131 tamamen geri d\u00f6nd\u00fcren veya hastal\u0131\u011f\u0131n seyrini durduran bir tedavi se\u00e7ene\u011fi hen\u00fcz yoktur. Birka\u00e7 ilac\u0131n hastal\u0131\u011f\u0131n seyrini tamamen de\u011fi\u015ftirmese de modifiye edebilece\u011fi ispatlanm\u0131\u015ft\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n
Parkinson hastas\u0131 tedavisiz b\u0131rak\u0131l\u0131rsa ne olur?<\/p>\n
Hastalarda tedavi startejilerinin kullan\u0131lmaya ba\u015flanmas\u0131yla birlikte ya\u015fam kalitelerinde belirgin art\u0131\u015f oldu\u011funun alt\u0131n\u0131 \u00e7izen Arsal, \u201cOrtalama ya\u015fam beklentileri uzam\u0131\u015ft\u0131r. O y\u00fczden parkinson hastal\u0131\u011f\u0131 tan\u0131s\u0131 alan her hastada en uygun tedavinin hemen ba\u015flanmas\u0131 \u00f6nerilmektedir. Tedavisiz b\u0131rak\u0131lan veya tedavisine ge\u00e7 ba\u015flanan bireylerde hastal\u0131k k\u00f6t\u00fc seyreder ve ya\u015fam kalitesi olumsuz y\u00f6nde etkilenir\u201d diyerek c\u00fcmlelerini sonland\u0131rd\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
DR. SUAT G\u00dcNSEL G\u0130RNE \u00dcN\u0130VERS\u0130TES\u0130 HASTANES\u0130 N\u00d6ROLOJ\u0130 UZMANI DR.PINAR GELENER ARSAL, 11 N\u0130SAN D\u00dcNYA PARK\u0130NSON G\u00dcN\u00dc DOLAYISIYLA A\u00c7IKLAMALARDA BULUNARAK, PARK\u0130NSON HASTALI\u011eININ HAREKET BOZUKLUKLARI GRUBUNDA ELE ALINAN B\u0130R HASTALIK OLDU\u011eUNU BEL\u0130RTT\u0130. DR.ARSAL, D\u00dcNYA PARK\u0130NSON HASTALI\u011eI G\u00dcN\u00dc, HER YIL 11 N\u0130SAN’DA, BU HASTALIKTAN ETK\u0130LENEN \u0130NSANLARI DESTEKLEMEK VE TOPLUMU NEDENLER\u0130, BEL\u0130RT\u0130LER\u0130 VE MEVCUT TIBB\u0130 VE CERRAH\u0130 TEDAV\u0130 Y\u00d6NTEMLER\u0130 KONUSUNDA E\u011e\u0130TMEK \u0130\u00c7\u0130N FARKINDALIK OLU\u015eTURMAK AMACIYLA KUTLANMAKTADIR DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":129807,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[30236,3932,30234,30235,30233,18748,1240,6871],"class_list":["post-129806","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-arsal","tag-degildir","tag-dr-pinar","tag-gelener","tag-noroloji","tag-parkinson","tag-son","tag-uzmani"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/noroloji-uzmani-drpinar-gelener-arsal-parkinson-son-degildir_1fac036.jpg?fit=1000%2C824","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-xLE","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/129806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=129806"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/129806\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/129807"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=129806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=129806"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=129806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}