Sedef, Vitiligo, Egzema, Kronik ka\u015f\u0131nt\u0131 gibi bir\u00e7ok insan\u0131n muzdarip oldu\u011fu deri hastal\u0131\u011f\u0131n\u0131n tedavisinde PUVA ya da di\u011fer ad\u0131yla \u2018Fototerapi tedavi y\u00f6ntemi\u2019 hakk\u0131nda Dr. \u00d6\u011fr. \u00dcyesi Didem Mullaaziz a\u00e7\u0131klamalarda bulundu.<\/p>\n
Cilt y\u00fczeyinde istenmeyen g\u00f6r\u00fcnt\u00fclere neden olmalar\u0131, ka\u015f\u0131nt\u0131, a\u011fr\u0131 ve yanma gibi durumlara yol a\u00e7malar\u0131 nedeniyle g\u00fcnl\u00fck hayat\u0131 olumsuz etkileyen deri hastal\u0131klar\u0131, kimi zaman v\u00fccutta bulunan ba\u015fka bir hastal\u0131\u011fa ba\u011fl\u0131 olarak ortaya \u00e7\u0131kabildikleri gibi alerjik reaksiyonlara, d\u0131\u015f ortamda bulunan etkenlere ve mikroorganizmalar\u0131n neden oldu\u011fu enfeksiyonlara ba\u011fl\u0131 olarak olu\u015fabilir. \u00d6zellikle yaz aylar\u0131nda daha belirgin bir \u015fekilde ortaya \u00e7\u0131kan deri hastal\u0131klar\u0131, bazen k\u0131sa soluklu bazen de uzun soluklu tedavi s\u00fcrecinin kap\u0131s\u0131n\u0131 aralayabilir. Bu nedenle deri hastal\u0131klar\u0131 hakk\u0131nda gerekli \u00f6nlemlerin al\u0131nmas\u0131 ve \u2018PUVA y\u00f6ntemi\u2019 olarak bilinen tedavi s\u00fcreci hakk\u0131nda a\u00e7\u0131klamalarda bulunan Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi Deri ve Z\u00fchrevi Hastal\u0131klar Anabilim Dal\u0131 Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi Didem Mullaaziz, en \u00f6nemli noktan\u0131n hastan\u0131n kendisine uygun PUVA y\u00f6nteminin tercih edilmesi ve hayata ge\u00e7irilmesi oldu\u011funu belirtti.<\/p>\n
\u201cTedavi s\u00fcreci hastal\u0131\u011fa g\u00f6re de\u011fi\u015fiyor\u201d<\/p>\n
PUVA\u2019n\u0131n, hastal\u0131\u011f\u0131 durdurdu\u011funu, yeni lezyonlar\u0131n olu\u015fumunu azaltt\u0131\u011f\u0131n\u0131 veya hafifletip kontrol alt\u0131na al\u0131nmas\u0131n\u0131 sa\u011flad\u0131\u011f\u0131n\u0131 kaydeden Dr. \u00d6\u011fr. \u00dcyesi Didem Mullaaziz, tedavideki amac\u0131n, hastalarda uzun s\u00fcreli iyile\u015fme d\u00f6nemi sa\u011flamak oldu\u011funu s\u00f6yledi. Mullaaziz s\u00f6zlerine \u015f\u00f6yle devam etti, \u201cOrtalama tedavi s\u00fcresi genellikle 2 – 3 ay olarak belirtilse de baz\u0131 deri hastal\u0131klar\u0131nda daha uzun tedavi s\u00fcresine gereksinim olabilmektedir. Tedavi program\u0131 deri hastal\u0131\u011f\u0131n\u0131n t\u00fcr\u00fcne ve tutulum alan\u0131n\u0131n yo\u011funlu\u011funa g\u00f6re aral\u0131kl\u0131 olarak, ba\u015flang\u0131\u00e7ta haftada 2 veya 3 olup, tedaviden yan\u0131t al\u0131nd\u0131k\u00e7a haftada 1, zamanla 2 haftada 1 veya ayda 1 s\u0131kl\u0131kta uygulanabilmektedir. Bazen hastalara devam tedavisi de verilebilmektedir. Tedavi seanslar\u0131 sadece birka\u00e7 saniyelik \u0131\u015f\u0131\u011fa maruz kalma ile ba\u015flay\u0131p, s\u00fcreler her seansta kademeli olarak art\u0131r\u0131lmaktad\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n
\u201c\u00c7e\u015fitli Puva uygulamalar\u0131 var\u201d<\/p>\n
PUVA tedavisinin hastal\u0131\u011f\u0131n t\u00fcr\u00fcne, yerle\u015fimine ve hastan\u0131n durumuna g\u00f6re farkl\u0131la\u015ft\u0131\u011f\u0131n\u0131 s\u00f6yleyen Mullaaziz, genel PUVA, lokal PUVA, tarak PUVA ve banyo PUVA \u015feklinde farkl\u0131 uygulamalar\u0131 oldu\u011funu belirtti. Mullaaziz \u015f\u00f6yle devam etti; \u201cGenel PUVA tedavisi kapal\u0131 bir kabin i\u00e7erisinde yap\u0131lmakta ve tedavi g\u00fcnlerinde hastaya \u0131\u015f\u0131k tedavisinden \u00f6nce foto duyarland\u0131r\u0131c\u0131 yani \u0131\u015f\u0131\u011fa kar\u015f\u0131 duyarland\u0131r\u0131c\u0131 ila\u00e7 verilmektedir. Lezyonlar\u0131n el ve ayaklarla s\u0131n\u0131rl\u0131 oldu\u011fu hastal\u0131klarda lokal PUVA tedavisi tercih edilmektedir. Lokal PUVA tedavisinde, \u0131\u015f\u0131k tedavisi \u00f6ncesi lezyonlu alanlara foto duyarland\u0131r\u0131c\u0131 jeller uygulanmaktad\u0131r. Sa\u00e7l\u0131 deri lezyonu olan hastalarda ise tarak PUVA tedavisi kullan\u0131lmaktad\u0131r. Banyo PUVA tedavisi, v\u00fccutta yayg\u0131n lezyonlar\u0131 olan fakat a\u011f\u0131zdan foto duyarland\u0131r\u0131c\u0131 ila\u00e7 kullan\u0131lamayan hastalarda tercih edilmektedir. Hasta foto duyarland\u0131r\u0131c\u0131 jel kat\u0131larak haz\u0131rlanan su ile dolu bir k\u00fcvet i\u00e7erisinde bekletildikten sonra kabin i\u00e7erisine al\u0131narak \u0131\u015f\u0131k tedavisi uygulanmaktad\u0131r.\u201d<\/p>\n
Tedavide dikkat edilmesi gereken hususlar<\/p>\n
Tedavi \u00f6ncesi ve s\u0131ras\u0131nda dikkat edilmesi gereken hususlar hakk\u0131nda da a\u00e7\u0131klamalarda bulunan Mullaaziz, PUVA tedavisi \u00f6ncesi y\u00fcz ve v\u00fccuttaki benlerin kapat\u0131ld\u0131\u011f\u0131n\u0131, tedavi s\u0131ras\u0131nda UV \u0131\u015f\u0131\u011f\u0131n\u0131n g\u00f6zlere zarar verme ihtimaline kar\u015f\u0131n, kabin i\u00e7erisinde iken hastalara g\u00fcne\u015f koruyucu g\u00f6zl\u00fck kulland\u0131r\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yledi. Mullaaziz, genel PUVA tedavisi \u00f6ncesi hastaya kulland\u0131r\u0131lan sistemik foto duyarland\u0131r\u0131c\u0131 ila\u00e7lar g\u00f6zlerde \u0131\u015f\u0131k hassasiyeti olu\u015fturaca\u011f\u0131ndan, hastalar\u0131n tedavi seans\u0131 sonras\u0131 24 saat s\u00fcre ile UV koruyuculu g\u00fcne\u015f g\u00f6zl\u00fc\u011f\u00fc kullanmas\u0131 gerekti\u011fine de dikkat \u00e7ekti.<\/p>\n
\u201cG\u00fcne\u015f koruyucu kullan\u0131lmal\u0131\u201d<\/p>\n
PUVA tedavisi sonras\u0131 olu\u015facak deri kurulu\u011funa kar\u015f\u0131n hastalara nemlendirici krem kullanmalar\u0131 y\u00f6n\u00fcnde \u00f6neride bulunan Mullaaziz, \u201cTedaviden \u00e7\u0131kt\u0131ktan sonra ve tedaviye girilmeyen g\u00fcnlerde, g\u00fcne\u015f g\u00f6ren b\u00f6lgelere, en az 30 koruma fakt\u00f6rl\u00fc g\u00fcne\u015f koruyucu krem s\u00fcr\u00fclmelidir. \u015eapka ve benzeri giyeceklerle v\u00fccudun a\u00e7\u0131kta kalan k\u0131s\u0131mlar\u0131 g\u00fcne\u015ften korunmal\u0131d\u0131r\u201d dedi.<\/p>\n
PUVA tedavisinin uygun olmad\u0131\u011f\u0131 hastal\u0131klar ve hastalar<\/p>\n
PUVA tedavisinin g\u00fcne\u015fe duyarl\u0131l\u0131\u011f\u0131 olan lupus ve rosacea gibi deri hastal\u0131klar\u0131nda kullan\u0131lmamas\u0131 gerekti\u011fine dikkat \u00e7eken Mullaaziz, gebeler ve emziren hastalar\u0131n da PUVA tedavisinde kullan\u0131lan psoralen madde nedeniyle tedavisinin uygun olmad\u0131\u011f\u0131n\u0131, bu durumlarda m\u00fcmk\u00fcnse tedavinin ertelendi\u011fi ya da gebeli\u011fin ilk \u00fc\u00e7 ay\u0131ndan sonra tedavinin UVB \u015feklinde uyguland\u0131\u011f\u0131n\u0131 s\u00f6yledi. Mullaaziz son olarak, on iki ya\u015f\u0131ndan k\u00fc\u00e7\u00fck deri kanseri \u00f6yk\u00fcs\u00fc olan \u00e7ocuklarda ise tedavinin kullan\u0131lamad\u0131\u011f\u0131n\u0131 ifade etti.<\/p>\n","protected":false},"excerpt":{"rendered":"
DR. \u00d6\u011eR. \u00dcYES\u0130 D\u0130DEM MULLAAZ\u0130Z; SEDEF, V\u0130T\u0130L\u0130GO, EGZEMA, KRON\u0130K KA\u015eINTI G\u0130B\u0130 B\u0130R\u00c7OK \u0130NSANIN MUZDAR\u0130P OLDU\u011eU DER\u0130 HASTALI\u011eININ TEDAV\u0130S\u0130NDE PUVA YA DA D\u0130\u011eER ADIYLA \u2018FOTOTERAP\u0130 TEDAV\u0130 Y\u00d6NTEM\u0130\u2019 HAKKINDA A\u00c7IKLAMALARDA BULUNDU.<\/p>\n","protected":false},"author":1,"featured_media":198744,"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":[1437,49942,192,49943,27897,1240,49941],"class_list":["post-198743","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-buluyor","tag-egzema","tag-ile","tag-puva","tag-sedef","tag-son","tag-vitiligo"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/sedef-vitiligo-egzema-puva-ile-son-buluyor_ab4cbed.jpg?fit=723%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-PHx","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/198743","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=198743"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/198743\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/198744"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=198743"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=198743"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=198743"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}