Romatoloji Uzman\u0131 Dr. H\u00fclya Vahedi, romatoid artrit hastal\u0131\u011f\u0131n\u0131n en s\u0131k g\u00f6r\u00fclen iltihapl\u0131 eklem romatizmas\u0131 oldu\u011funu, ayr\u0131ca kronik bir hastal\u0131k oldu\u011funu belirtti.<\/p>\n
Romatoid artritin en s\u0131k g\u00f6r\u00fclen iltihapl\u0131 eklem romatizmas\u0131 oldu\u011funu s\u00f6yleyen Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 Anabilim Dal\u0131ndan Romatoloji Uzman\u0131 Dr. H\u00fclya Vahedi, hastal\u0131\u011f\u0131n hayat boyu devam edebildi\u011fini belirtti. Uzm. Dr. H\u00fclya Vahedi, \u201cRomatoid artritli bir hastan\u0131n birinci derece akrabalar\u0131nda romatoid artrit g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 normale g\u00f6re iki veya on kat\u0131 daha fazlad\u0131r. Bu hastal\u0131kta HLA-DRB1 geni en \u00e7ok sorumlu tutulan gendir. Genetik yatk\u0131nl\u0131k olan ki\u015filerde baz\u0131 \u00e7evresel fakt\u00f6rler hastal\u0131\u011f\u0131 ortaya \u00e7\u0131karmada rol oynar. \u00c7evresel fakt\u00f6rlerden ise en \u00e7ok sigaran\u0131n ve a\u011f\u0131z i\u00e7inde kronik di\u015f eti iltihab\u0131ndan sorumlu porphyromonas gingivalis isimli bakterinin romatoid artritin ortaya \u00e7\u0131kmas\u0131nda rol\u00fc oldu\u011fu bilinmektedir\u201d dedi.<\/p>\n
Kad\u0131nlarda daha s\u0131k g\u00f6r\u00fclmekte<\/p>\n
Romatoid artrit hastal\u0131\u011f\u0131n\u0131n yakla\u015f\u0131k y\u00fczde 0,5 veya y\u00fczde 1 s\u0131kl\u0131\u011f\u0131nda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yleyen Dr. Vahedi, bu hastal\u0131\u011f\u0131n en s\u0131k kad\u0131nlarda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirtti. Hastal\u0131\u011f\u0131n en s\u0131k 25 ile 55 ya\u015flar\u0131 aras\u0131nda ba\u015flad\u0131\u011f\u0131n\u0131 ifade eden Dr. Vahedi, hastal\u0131\u011f\u0131n geli\u015f semptomlar\u0131n\u0131n esas olarak eklemlerde ve eklem etraflar\u0131ndaki tendonlarda g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirtti. Ayn\u0131 zamanda romatoid artrit sistemik bir hastal\u0131k oldu\u011fu i\u00e7in eklemlerin d\u0131\u015f\u0131nda cilt alt\u0131 nod\u00fclleri, akci\u011fer, kalp ve di\u011fer baz\u0131 organlarda da belirtiler g\u00f6r\u00fclebildi\u011fini belirtti.<\/p>\n
Romatoid artrit belirtileri<\/p>\n
Hastal\u0131\u011f\u0131n belirtileri hakk\u0131nda da bilgi veren Dr. H\u00fclya Vahedi, hastal\u0131\u011f\u0131n eklem \u015fi\u015fmesi ve bir saatten uzun s\u00fcren sabah tutuklulu\u011fu yapt\u0131\u011f\u0131n\u0131 belirtti. Hastal\u0131\u011f\u0131n tipik olarak el ve ayaklar\u0131n k\u00fc\u00e7\u00fck eklemlerinde, el ve ayak bileklerinde \u015fi\u015fme ve tutukluk olarak ba\u015flad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Dr. H\u00fclya Vahedi, ayn\u0131 zamanda dirseklerde, omuzlarda, dizlerde ve kal\u00e7a eklemlerinde de zamanla tutulmalar g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc belirtti. Vahedi, s\u00f6zlerine \u015f\u00f6yle devam etti:<\/p>\n
\u201cAylar i\u00e7inde yeni eklem tutulumlar\u0131 olmaktad\u0131r. Simetrik tutulum \u00f6nemli bir bulgudur. Tipik romatoid artrit hastalar\u0131nda be\u015ften fazla eklem tutulmaktad\u0131r. Sabah a\u011fr\u0131s\u0131 ve gece a\u011fr\u0131s\u0131 fazlad\u0131r. Hareket ettik\u00e7e sabahlar\u0131 olan eklem a\u011fr\u0131s\u0131 ve tutukluklarda azalma olmaktad\u0131r. Simetrik tutulum \u00f6nemli bir bulgudur.\u201d<\/p>\n
\u201cBa\u015flang\u0131\u00e7ta tek bir eklemde \u015fi\u015fme meydana geliyor\u201d<\/p>\n
Romatoid artrit hastal\u0131\u011f\u0131n\u0131n bir de palindromik denilen bir ba\u015flang\u0131\u00e7 \u015fekli oldu\u011funu s\u00f6yleyen Dr. Vahedi, bu t\u00fcr ba\u015flang\u0131\u00e7larda tek bir eklemde akut bir \u015fi\u015fme oldu\u011funu ve yakla\u015f\u0131k \u00fc\u00e7 g\u00fcn i\u00e7inde tamamen iyile\u015febildi\u011fini belirtti. Ayn\u0131 zamanda bu ataklar\u0131n aylar sonra tekrar ba\u015fka eklemde tekrarlanabilece\u011fini s\u00f6yleyen Dr. H\u00fclya Vahedi, bu hastal\u0131\u011f\u0131n ileri ya\u015flarda ba\u015flayan bir romatoid artrit t\u00fcr\u00fc oldu\u011funu belirtti. Bu t\u00fcrde bir hastal\u0131\u011f\u0131n omuzlarda ve kal\u00e7alarda ileri derecede sabah ve gece tutuklu\u011fu ile ba\u015flad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Dr. Vahedi, polimiyaljiya romatika isimli bir ba\u015fka hastal\u0131kla kar\u0131\u015ft\u0131r\u0131labilece\u011fini belirtti.<\/p>\n
\u201cHastal\u0131k seyrini de\u011fi\u015ftiren temel ila\u00e7lar kullan\u0131lmaktad\u0131r\u201d<\/p>\n
Romatoid artrit hastal\u0131\u011f\u0131na yakalanan ki\u015filerin tan\u0131 ve tedavisinin gecikmesi ile ellerde ku\u011fu boynu deformitesi, d\u00fc\u011fme deli\u011fi deformitesi ve ulnardeviasyon gibi deformitelerin g\u00f6r\u00fclebilece\u011fini s\u00f6yleyen Dr. H\u00fclya Vahedi, hastal\u0131\u011f\u0131n te\u015fhisinin nas\u0131l konuldu\u011fu hakk\u0131nda bilgi verdi. Romatoid artrit hastal\u0131\u011f\u0131n\u0131n te\u015fhisinin esas olarak hastalar\u0131n yak\u0131nmalar\u0131 ve muayene bulgular\u0131 ile konulabilece\u011fini s\u00f6yleyen Dr. H\u00fclya Vahedi, hastalar\u0131n takibi ve baz\u0131 laboratuvar ve radyolojik bulgular\u0131nda te\u015fhis koymada yard\u0131mc\u0131 olabilece\u011fini belirtti. Vahedi, \u201cDi\u011fer muhtemel hastal\u0131klar\u0131nda d\u0131\u015flanmas\u0131 gerekmektedir. Romatoid Artrit hastal\u0131\u011f\u0131n\u0131n tedavisinde kortikosteroid ve hastal\u0131k seyrini de\u011fi\u015ftiren temel ila\u00e7lar kullan\u0131lmaktad\u0131r. Hastalar\u0131n eklem ve kaslar\u0131n\u0131 g\u00fc\u00e7lendirici egzersizlerinde ila\u00e7 tedavilerinin yan\u0131nda yap\u0131lmas\u0131 gerekmektedir\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
ROMATOLOJ\u0130 UZMANI DR. H\u00dcLYA VAHED\u0130, \u201cROMATO\u0130D ARTR\u0130T HASTALI\u011eININ EN SIK G\u00d6R\u00dcLEN \u0130LT\u0130HAPLI EKLEM ROMAT\u0130ZMASI OLDU\u011eUNU AYRICA KRON\u0130K B\u0130R HASTALIK OLDU\u011eUNU BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":183313,"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_feature_clip_id":0,"_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":[45294,35592,32019,45292,45293],"class_list":["post-183312","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-artrit","tag-eklem","tag-iltihapli","tag-romatizmasi","tag-romatoid"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/07\/iltihapli-eklem-romatizmasi-romatoid-artrit_2ab2bfa.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-LGE","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/183312","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=183312"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/183312\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/183313"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=183312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=183312"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=183312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}