{"id":178700,"date":"2019-07-06T15:16:56","date_gmt":"2019-07-06T12:16:56","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/sasilik-tedavisinde-erken-tani-onemli\/"},"modified":"2019-07-06T15:16:56","modified_gmt":"2019-07-06T12:16:56","slug":"sasilik-tedavisinde-erken-tani-onemli","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/sasilik-tedavisinde-erken-tani-onemli\/","title":{"rendered":"\u015ea\u015f\u0131l\u0131k tedavisinde erken tan\u0131 \u00f6nemli"},"content":{"rendered":"<p>G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Yusuf Ziya Kaya, \u015fa\u015f\u0131l\u0131kta erken tan\u0131n\u0131n tedavide ba\u015far\u0131y\u0131 getirdi\u011fini s\u00f6yledi.<\/p>\n<p>G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Yusuf Ziya Kaya, \u00e7ocuklarda \u015fa\u015f\u0131l\u0131\u011f\u0131n tam nedeninin bilinmedi\u011fini belirtti. &#8220;\u015ea\u015f\u0131l\u0131k asl\u0131nda beyinle g\u00f6z aras\u0131nda geli\u015fen bir koordinasyon bozuklu\u011fudur&#8221; diyen Kaya, &#8220;G\u00f6z\u00fcn \u00e7evresinde \u00e7e\u015fitli kaslar var. Bu kaslar tek bir kas gibi \u00e7al\u0131\u015farak iki g\u00f6z\u00fc paralel tutarlar. Nedenini bilmedi\u011fimiz koordinasyon bozuklu\u011fu sebebiyle bir g\u00f6z bir yere bakarken, di\u011fer g\u00f6z ba\u015fka yere bakar. \u015ea\u015f\u0131l\u0131\u011f\u0131n temelinde de bu yatar&#8221; dedi.<\/p>\n<p>\u015eikayet olmasa da kontrol \u015fart<\/p>\n<p>\u015ea\u015f\u0131l\u0131k tedavisinde erken te\u015fhisin \u00f6nemli oldu\u011funu vurgulayan Medical Park \u0130zmir Hastanesi G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Yusuf Ziya Kaya, &#8220;Yeni do\u011fan bebeklerin y\u00fczde 50\u2019sinde \u015fa\u015f\u0131l\u0131k vard\u0131r; ancak bu ge\u00e7ici bir durumdur. \u00dc\u00e7 aydan sonra bu \u015fa\u015f\u0131l\u0131k devam ediyorsa mutlaka bir g\u00f6z hekimine ba\u015fvurmal\u0131d\u0131r. \u0130lk g\u00f6z muayenesi i\u00e7in ge\u00e7 kal\u0131nd\u0131\u011f\u0131nda \u00e7ocuklar\u0131n g\u00f6zlerinde estetik problemlerinin yan\u0131 s\u0131ra \u00f6m\u00fcr boyu s\u00fcrecek g\u00f6rme azl\u0131\u011f\u0131 sorunlar\u0131 da olu\u015fabilmektedir. Do\u011fumdan hemen sonra ve \u00e7ocukluk d\u00f6neminde \u00e7ocuklar\u0131n g\u00f6z \u015fik\u00e2yeti olmasa bile d\u00fczenli olarak mutlaka uzman bir g\u00f6z hekimine muayene olmas\u0131 gereklidir&#8221; \u015feklinde konu\u015ftu.<\/p>\n<p>\u015ea\u015f\u0131l\u0131\u011f\u0131n sebepleri nelerdir?<\/p>\n<p>\u015ea\u015f\u0131l\u0131\u011f\u0131n olu\u015fmas\u0131nda tek bir nedenin olmad\u0131\u011f\u0131n\u0131 belirten Op. Dr. Kaya, &#8220;Hamilelik d\u00f6neminde ya\u015fanan sorunlar, do\u011fumun problemli olmas\u0131, \u00e7ocu\u011fun ge\u00e7irdi\u011fi hastal\u0131klar \u015fa\u015f\u0131l\u0131\u011fa yol a\u00e7abilir. \u015ea\u015f\u0131l\u0131k i\u00e7in genetik yatk\u0131nl\u0131k da s\u00f6z konusudur. Ailede g\u00f6z\u00fcnde kayma olan varsa \u00e7ocuklarda \u015fa\u015f\u0131l\u0131\u011f\u0131n g\u00f6r\u00fclme ihtimali artmaktad\u0131r. \u00c7ocukluk d\u00f6neminde yani 2 ya\u015f\u0131ndan sonra g\u00f6r\u00fclen \u015fa\u015f\u0131l\u0131klarda genellikle neden g\u00f6z bozukluklar\u0131d\u0131r. \u015ea\u015f\u0131l\u0131\u011fa yatk\u0131nl\u0131\u011f\u0131 olan bir \u00e7ocukta g\u00f6zdeki kayma, ate\u015fli bir hastal\u0131k veya bir travma sonras\u0131 ba\u015flayabilir. Ge\u00e7irilen kazalar, kafa travmas\u0131 ve ileri ya\u015fta hipertansiyon ve \u015feker hastal\u0131\u011f\u0131 gibi baz\u0131 durumlarda g\u00f6ze gelen sinirlerde fel\u00e7ler olu\u015fabilir. Bu \u015fekilde olu\u015fan \u015fa\u015f\u0131l\u0131klarda tedavi felcin kal\u0131c\u0131 olup olmamas\u0131na ba\u011fl\u0131 olarak de\u011fi\u015febilir. Kas fel\u00e7lerine ba\u011fl\u0131 geli\u015fen kaymalar \u00e7ocuklarda g\u00f6z tembelli\u011fi, b\u00fcy\u00fck ya\u015f grubunda \u00e7ift g\u00f6rmeye neden olabilece\u011fi i\u00e7in mutlaka tedavisi gereklidir. \u015ea\u015f\u0131l\u0131\u011f\u0131n ileri ki ya\u015flarda aniden ortaya \u00e7\u0131kmas\u0131 \u00f6nemli bir soruna i\u015farettir ve mutlaka tan\u0131 koymak gerekmektedir&#8221; diye konu\u015ftu.<\/p>\n<p>G\u00f6zde paralelli\u011fin kaybolmas\u0131, g\u00f6z sulanmas\u0131, a\u011fr\u0131, ba\u015f a\u011fr\u0131s\u0131, \u00e7ift g\u00f6rme, \u00fc\u00e7 boyutlu g\u00f6r\u00fcnt\u00fcn\u00fcn kaybolmas\u0131, bulan\u0131k g\u00f6rme, ba\u015f veya y\u00fcz\u00fcn bir yana d\u00f6n\u00fck olmas\u0131n\u0131n \u015fa\u015f\u0131l\u0131\u011f\u0131n belirtileri oldu\u011funu s\u00f6yleyen Op. Dr. Kaya, tedavisi hakk\u0131nda \u015fu bilgileri verdi:<\/p>\n<p>&#8220;\u015ea\u015f\u0131l\u0131kta nedene y\u00f6nelik bir tedavi uygulanmaktad\u0131r. E\u011fer hastan\u0131n g\u00f6zl\u00fck ihtiyac\u0131 varsa g\u00f6zl\u00fck tedavisi uygulanmaktad\u0131r. Bununla birlikte ise di\u011fer g\u00f6z\u00fcn tembelle\u015fmemesi i\u00e7in kapama tedavisi uygulanmaktad\u0131r. Baz\u0131 hastalara ise her iki g\u00f6zde g\u00f6rme yetene\u011finin ve derinlik hissini art\u0131rmak ve kazand\u0131rmak amac\u0131yla egzersiz tedavileri uygulanmaktad\u0131r. Botox tedavisi, kaymaya neden olan kas i\u00e7erisine botilinum toksin enjeksiyonu yap\u0131ld\u0131\u011f\u0131nda g\u00f6zde paralellik sa\u011flan\u0131r. Etkisi yakla\u015f\u0131k 6 ay kadard\u0131r ve daha \u00e7ok sinir felcine ba\u011fl\u0131 \u015fa\u015f\u0131l\u0131klar gibi \u00f6zel durumlarda tercih edilen bir tedavi y\u00f6ntemidir. Cerrahi tedavide ise erken ya\u015flarda uyguland\u0131\u011f\u0131nda y\u00fcz g\u00fcld\u00fcren sonu\u00e7lar al\u0131nmaktad\u0131r. Ortalama 1-2 saat s\u00fcren bu cerrahi operasyon genel anestezi alt\u0131nda yap\u0131lmakta olup ehil ellerde ve tecr\u00fcbeli hekimler taraf\u0131ndan yap\u0131lmal\u0131d\u0131r.&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00d6Z SA\u011eLI\u011eI VE HASTALIKLARI UZMANI OP. DR. YUSUF Z\u0130YA KAYA, \u015eA\u015eILIKTA ERKEN TANININ TEDAV\u0130DE BA\u015eARIYI GET\u0130RD\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":178701,"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":[4955,332,43828,5459,8953],"class_list":["post-178700","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-erken","tag-onemli","tag-sasilik","tag-tani","tag-tedavisinde"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/07\/sasilik-tedavisinde-erken-tani-onemli_41195b2.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Kug","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/178700","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=178700"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/178700\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/178701"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=178700"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=178700"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=178700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}