Memorial Diyarbak\u0131r Hastanesi N\u00f6roloji B\u00f6l\u00fcm\u00fc\u2019nden Uz. Dr. Rodi Sar\u0131 Polat, migrenin botoks ile tedavisi hakk\u0131nda bilgi verdi.<\/p>\n
Uz. Dr. Polat, migrenin, hastalar\u0131n g\u00fcnl\u00fck ya\u015fam\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde k\u0131s\u0131tlayan, tek tarafl\u0131, zonklay\u0131c\u0131, hareketle artan, \u015fiddetli ba\u015f a\u011fr\u0131s\u0131 ataklar\u0131 ile karakterize olan bir hastal\u0131k oldu\u011funu s\u00f6yledi. Uz. Dr. Polat, \u201cAtaklar ortalama 3 ila 72 saat s\u00fcrer ve \u00e7o\u011funlukla bulant\u0131, kusma, \u0131\u015f\u0131k ve ses hassasiyeti ile devam eder. Toplumun yakla\u015f\u0131k y\u00fczde 10-15\u2019inde g\u00f6r\u00fclmekle birlikte, kad\u0131nlarda erkeklere oranla 2-3 kat daha fazla ortaya \u00e7\u0131kmaktad\u0131r. Aural\u0131 ve auras\u0131z olmak \u00fczere 2 ana alt grubu vard\u0131r. En s\u0131k g\u00f6r\u00fclen tipi ise auras\u0131z migrendir. Aural\u0131 tipinde ba\u015f a\u011fr\u0131s\u0131ndan \u00f6nce 5-60 dakika s\u00fcren g\u00f6rsel veya duysal bozukluklar olu\u015fur\u201d dedi.<\/p>\n
\u201cMigren ataklar\u0131 ki\u015fiden ki\u015fiye de\u011fi\u015fiyor\u201d<\/p>\n
Ataklar\u0131n seyrinin ki\u015fiden ki\u015fiye de\u011fi\u015fiklik g\u00f6sterebildi\u011fini kaydeden Uz. Dr. Polat, \u201cAral\u0131kl\u0131 ataklarla giden formu epizodik migren olarak adland\u0131r\u0131l\u0131rken son 3 ay boyunca, ayda en az 15 g\u00fcn a\u011fr\u0131 varsa bu durum kronik migren olarak adland\u0131r\u0131l\u0131r. Migren hastalar\u0131n\u0131n yakla\u015f\u0131k y\u00fczde 10 u kronik migrenlidir ve bu hastalarda a\u011fr\u0131 kesici ila\u00e7lar\u0131n a\u015f\u0131r\u0131 kullan\u0131m\u0131 daha s\u0131k g\u00f6r\u00fcl\u00fcr. Bu hastalar\u0131n hastane ba\u015fvurular\u0131 daha fazlad\u0131r, g\u00fcnl\u00fck ya\u015fam ve i\u015f aktivitelerinde verimlilikleri daha d\u00fc\u015f\u00fckt\u00fcr. Kronik migren tedavisinde ana hedef hastan\u0131n atak s\u0131kl\u0131\u011f\u0131n\u0131 azaltmak, a\u011fr\u0131lar\u0131 daha k\u0131sa s\u00fcrede durdurmak ve b\u00f6ylece migrenin, ki\u015finin hayat kalitesi \u00fczerindeki etkisini m\u00fcmk\u00fcn oldu\u011funca azaltmakt\u0131r. Migren ataklar\u0131n\u0131n \u00f6nlenmesinde kafein, alkol, stres gibi tetikleyicilere ek olarak ki\u015finin ya\u015f\u0131, cinsiyeti, kilosu, e\u015flik eden hastal\u0131klar\u0131 ile di\u011fer fiziksel ve psikolojik \u00f6zellikleri de g\u00f6z \u00f6n\u00fcnde bulundurularak tedavi planlanmal\u0131d\u0131r\u201d diye konu\u015ftu.<\/p>\n
\u201cBotoks \u00f6nemli bir tedavi se\u00e7ene\u011fidir\u201d<\/p>\n
\u0130la\u00e7 tedavisi ve ya\u015fam tarz\u0131 de\u011fi\u015fikli\u011finden yeterince yan\u0131t alamayan kronik migren hastalar\u0131na botoks tedavisinin faydal\u0131 oldu\u011funun tespit edildi\u011fini aktaran Uz. Dr. Polat, \u015f\u00f6yle devam etti:<\/p>\n
\u201cYap\u0131lan \u00e7al\u0131\u015fmalarda botoks tedavisinin atak s\u0131kl\u0131\u011f\u0131 ve a\u011fr\u0131n\u0131n \u015fiddetini belirgin d\u00fczeyde azaltt\u0131\u011f\u0131 g\u00f6zlenmi\u015ftir. Ayr\u0131ca botoks tedavisi ile kronik migren hastalar\u0131n\u0131n s\u0131k migren ata\u011f\u0131 nedeniyle bozulmu\u015f olan uyku d\u00fczenlerinin ve ya\u015fam kalitelerinin belirgin d\u00fczeyde iyile\u015fti\u011fi g\u00f6zlenmi\u015ftir. Botoks uygulamas\u0131; kafa ve boyundaki 7 b\u00f6lgeye, 31 enjeksiyon noktas\u0131ndan daha ince olan i\u011fne u\u00e7lar\u0131 ile yap\u0131l\u0131r. Tedavi ki\u015fiye \u00f6zel planlanmakta ve 12 hafta ara ile en az 2 tedavi d\u00f6nemi bulunmaktad\u0131r. Baz\u0131 hastalarda tedavi etkinli\u011fi i\u00e7in enjeksiyon tekrarlanmas\u0131 gerekirken, baz\u0131 hastalarda ise etkinlik bir ka\u00e7 y\u0131l s\u00fcresince devam etmektedir. Uzman bir n\u00f6rolog karar\u0131 ile a\u011fr\u0131 yerine g\u00f6re botoks enjeksiyonlar\u0131nda gerekli b\u00f6lgelere ek dozlar uygulanabilmekte ve ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131narak hasta kronik migrene veda edebilmektedir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
MEMOR\u0130AL D\u0130YARBAKIR HASTANES\u0130 N\u00d6ROLOJ\u0130 B\u00d6L\u00dcM\u00dc\u2019NDEN UZ. DR. ROD\u0130 SARI POLAT, M\u0130GREN\u0130N BOTOKS \u0130LE TEDAV\u0130S\u0130 HAKKINDA B\u0130LG\u0130 VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":190748,"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":[41635,3716,5959,35853,144],"class_list":["post-190747","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-botoksla","tag-hastalarina","tag-kronik","tag-migren","tag-tedavi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/08\/kronik-migren-hastalarina-botoksla-tedavi_0132373.jpg?fit=882%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-NCz","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/190747","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=190747"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/190747\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/190748"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=190747"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=190747"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=190747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}