Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi N\u00f6roloji Anabilim Dal\u0131 Ba\u015fkan\u0131 Do\u00e7. Dr. Amber Eker Bakkalo\u011flu, her unutkanl\u0131\u011f\u0131n demans olmad\u0131\u011f\u0131n\u0131 s\u00f6yledi. Bakkalo\u011flu, demans hastal\u0131\u011f\u0131 hakk\u0131nda bilgi verdi.<\/p>\n
Demans hastal\u0131\u011f\u0131n\u0131n genellikle ileri ya\u015flarda ve sonradan ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131, \u00e7o\u011fu kez bu hastal\u0131\u011f\u0131n yava\u015f ilerledi\u011fini, demans hastal\u0131\u011f\u0131n\u0131n \u00f6zetle beynin bilgi, davran\u0131\u015f ve g\u00fcndelik ya\u015fam\u0131 s\u00fcrd\u00fcrme konular\u0131nda g\u00f6sterdi\u011fi yetersizli\u011fe neden olan unutkanl\u0131k olarak tan\u0131mlanabildi\u011fini belirtti.<\/p>\n
\u201cHer unutkanl\u0131k demans de\u011fildir\u201d<\/p>\n
Her unutkanl\u0131\u011f\u0131n demans belirtisi olmad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Bakallo\u011flu, haf\u0131za yan\u0131nda konu\u015fma, alet kullanma gibi becerilerin ve bunun yan\u0131nda ki\u015filerin g\u00fcnl\u00fck hayat\u0131n\u0131n da etkilenmesi durumunun demans olabilece\u011fini belirtti. Dolay\u0131s\u0131yla demans tan\u0131s\u0131 konulabilmesi i\u00e7in mutlaka ki\u015finin normal ya\u015fam\u0131n\u0131n da etkilenmesi gerekti\u011fini s\u00f6yleyen Bakkalo\u011flu, her unutkanl\u0131\u011f\u0131n demans belirtisi olmad\u0131\u011f\u0131n\u0131 vurgulad\u0131.<\/p>\n
Hastal\u0131\u011f\u0131n belirtileri<\/p>\n
Halk aras\u0131nda bunama diye bilinen demans hastal\u0131\u011f\u0131n\u0131n sadece haf\u0131za problemi olmad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Bakkalo\u011flu, bellek kayb\u0131 yan\u0131nda ki\u015finin normal hayatta yapt\u0131\u011f\u0131 kazan\u0131lm\u0131\u015f becerilerinin de kaybedilmesinin demans\u0131n belirtileri olabilece\u011fini belirtti. Bakkalo\u011flu s\u00f6zlerine \u015f\u00f6yle devam etti: \u201cKi\u015finin normal hayatta yapt\u0131\u011f\u0131 kazan\u0131lm\u0131\u015f beceriler olan giyinme, d\u00fczg\u00fcn bir bi\u00e7imde yemek yeme, alet kullanma becerilerini yapmakta g\u00fc\u00e7l\u00fck \u00e7ekmesi, ki\u015filik ile davran\u0131\u015f de\u011fi\u015fiklikleri, dili kullanmada, konu\u015fmalar\u0131 anlamada bozukluk, yol bulamama, hesap yapamama, i\u00e7e kapanma ve canl\u0131 hayaller g\u00f6rme gibi durumlar demans\u0131n belirtileri olabilir\u201d.<\/p>\n
Kimler risk alt\u0131ndad\u0131r?<\/p>\n
Demans hastal\u0131\u011f\u0131n\u0131n en fazla risk fakt\u00f6r\u00fcn\u00fcn seksen ya\u015f ve \u00fczeri oldu\u011funu s\u00f6yleyen Bakkalo\u011flu, hastal\u0131\u011f\u0131n di\u011fer risk fakt\u00f6rleri hakk\u0131nda da bilgi verdi. Ailesinde daha \u00f6nce demans hastal\u0131\u011f\u0131 olan ki\u015filerin risk alt\u0131nda oldu\u011funu s\u00f6yleyen Bakkalo\u011flu, s\u0131k kafa travmas\u0131 ge\u00e7iren ki\u015filerde de demas\u0131n g\u00f6r\u00fclebilece\u011fini belirtti. Bakkalo\u011flu s\u00f6zlerine \u015f\u00f6yle devam etti: \u201cD\u00fc\u015f\u00fck e\u011fitim seviyesine sahip olan ki\u015filerde, stres, depresyon ya\u015fayan ki\u015filerde ve kronik alkol kullan\u0131m\u0131 olan ki\u015filerde demans hastal\u0131\u011f\u0131 g\u00f6r\u00fclebilmektedir. Bunun yan\u0131nda diyabet, hipertansiyon, kolesterol y\u00fcksekli\u011fi, sigara kullan\u0131m\u0131, \u015fi\u015fmanl\u0131k, beyin ve damar hastal\u0131\u011f\u0131 gibi damarsal risk fakt\u00f6rleri de demans hastal\u0131\u011f\u0131n\u0131n risk fakt\u00f6rleri aras\u0131ndad\u0131r.\u201d Ya\u015f en \u00f6nemli risk fakt\u00f6r\u00fcd\u00fcr ancak dikkat edilirse burada s\u0131ralanan bir\u00e7ok kontrol edilebilir risk fakt\u00f6r\u00fc de mevcuttur. Kontrol edilebilir damar sa\u011fl\u0131\u011f\u0131 ile ilgili bu risk fakt\u00f6rlerinin \u00f6n\u00fcne ge\u00e7mek \u00e7ok \u00f6nemlidir”.<\/p>\n
Hastal\u0131\u011f\u0131n te\u015fhisi<\/p>\n
Hastal\u0131\u011f\u0131n te\u015fhisi i\u00e7in ilk \u00f6nce hasta ve mutlaka onu iyi g\u00f6zlemleyen yak\u0131n\u0131 ile g\u00f6r\u00fc\u015fme yap\u0131ld\u0131\u011f\u0131n\u0131 belirten Bakkalo\u011flu, hastan\u0131n hayat\u0131nda nelerin de\u011fi\u015fti\u011fini ve neleri unuttu\u011funun sorguland\u0131\u011f\u0131n\u0131 belirtti. Daha sonra ki\u015finin haf\u0131zas\u0131n\u0131n i\u015flem yetene\u011finin, \u015fekilleri kopyalama becerisinin ve daha bir\u00e7ok beyin i\u015flevinin kontrol edildi\u011fi ayr\u0131nt\u0131l\u0131 n\u00f6rokognitif testlerinin uyguland\u0131\u011f\u0131n\u0131 s\u00f6yleyen Bakkalo\u011flu s\u00f6zlerine \u015f\u00f6yle devam etti: \u201cHer hastada tedavi edilebilir unutkanl\u0131k sebebi olabilecek tiroid hormonlar\u0131na ve vitamin B12 d\u00fczeyine mutlaka bak\u0131lmal\u0131d\u0131r. Muayene ve n\u00f6rokognitif testler ile hastam\u0131z\u0131n demans\u0131 oldu\u011fu kanaatine var\u0131l\u0131r ise beyin MR\u2019\u0131 planlan\u0131r. Beyinde bir k\u00fc\u00e7\u00fclme var m\u0131 ya da neresinde k\u00fc\u00e7\u00fclme oldu\u011fu incelenir. Ayr\u0131ca PET dedi\u011fimiz beynin \u00e7al\u0131\u015fmas\u0131n\u0131 g\u00f6steren tetkikler de kullan\u0131labilir. PET tetkiki beynin i\u015flevlerinin azald\u0131\u011f\u0131 b\u00f6lgeleri g\u00f6stermekte yard\u0131mc\u0131d\u0131r. Bu tetkikler ile tan\u0131 desteklenmi\u015f olur\u201d.<\/p>\n
Hastal\u0131\u011f\u0131n tedavisi<\/p>\n
Baz\u0131 nedenlere ba\u011fl\u0131 olarak geli\u015fen demans hastal\u0131\u011f\u0131n\u0131n tedavisinin olabilece\u011fini bunlar\u0131n aras\u0131nda tiroid hormonlar\u0131n\u0131n az salg\u0131lanmas\u0131na ba\u011fl\u0131 olarak unutkanl\u0131k, beyinde s\u0131v\u0131 birikmesine ba\u011fl\u0131 ortaya \u00e7\u0131kan unutkanl\u0131k ve \u00f6zellikle B12 olmak \u00fczere vitamin eksikli\u011fine ba\u011fl\u0131 olarak ya\u015fan\u0131lan unutkanl\u0131\u011f\u0131n tedavi edilebilece\u011fini belirtti. Bakkalo\u011flu s\u00f6zlerine \u015f\u00f6yle devam etti: \u201cDemans hastal\u0131\u011f\u0131 i\u00e7in g\u00fcn\u00fcm\u00fczde kullan\u0131lan ila\u00e7lar sinir h\u00fccreleri aras\u0131ndaki ileti\u015fimde ve haf\u0131zada rol oynayan hormonlar\u0131 artt\u0131rmaya ve h\u00fccre kayb\u0131 h\u0131z\u0131n\u0131 yava\u015flatmaya y\u00f6neliktir. Yeni geli\u015ftirilen ve \u00e7al\u0131\u015f\u0131lan ila\u00e7lar ile de beyin h\u00fccreleri i\u00e7inde birikip h\u00fccrelerin erken \u00f6l\u00fcm\u00fcne neden olan k\u00f6t\u00fc proteinlerin birikmesini engellemek hedeflenmektedir\u201d.<\/p>\n","protected":false},"excerpt":{"rendered":"
YAKIN DO\u011eU \u00dcN\u0130VERS\u0130TES\u0130 HASTANES\u0130 N\u00d6ROLOJ\u0130 ANAB\u0130L\u0130M DALI BA\u015eKANI DO\u00c7. DR. AMBER EKER BAKKALO\u011eLU DEMANS HASTALI\u011eI HAKKINDA B\u0130LG\u0130 VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":167353,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_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}},"categories":[1],"tags":[2039,40030,73,40029],"class_list":["post-167352","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-degil","tag-demans","tag-her","tag-unutkanlik"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/06\/her-unutkanlik-demans-degil_ecca5ed.jpg?fit=723%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Hxe","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/167352","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=167352"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/167352\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/167353"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=167352"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=167352"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=167352"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}