Eski\u015fehir \u00d6zel \u00dcmit Hastanesi N\u00f6roloji Uzman\u0131 Dr. Rabia Sedef \u00dcre, titreme hastal\u0131\u011f\u0131 olarak bilinen \u2018tremor\u2019lar hakk\u0131nda bilgi verdi. Titremenin pek \u00e7ok nedeni olabilece\u011fini s\u00f6yleyen Dr. \u00dcre, hastalar\u0131n bu titreme d\u00f6nemlerini videoya \u00e7ekmelerinin tipini belirlemede doktora yard\u0131mc\u0131 olaca\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
V\u00fccudun herhangi bir b\u00f6lgesinde ortaya \u00e7\u0131kan ard\u0131 s\u0131ra hareketlere tremor ad\u0131n\u0131 verdiklerini ifade eden Dr. \u00dcre, \u201cTremor aniden ba\u015flayabilir, bu t\u00fcr vakalar\u0131 kandaki de\u011ferlerin ani de\u011fi\u015fimlerinde daha \u00e7ok g\u00f6rebiliyoruz. \u00d6rne\u011fin \u015feker d\u00fc\u015fmesi, kalsiyum dengesindeki bozukluk, troid hastal\u0131klar\u0131, karaci\u011fer b\u00f6brek yetmezli\u011fi gibi n\u00f6rolojik k\u00f6kenli tremorlar ise hafif ba\u015flay\u0131p, ilerleyen tarzdad\u0131r. Baz\u0131 hastalarda ince i\u015f yaparken, baz\u0131 hastalardan hareket ederken vb. g\u00f6r\u00fclebiliyor, ellerde, bacaklarda, ba\u015fta, seste, dilde tremor g\u00f6rebiliyoruz\u201d dedi.<\/p>\n
En s\u0131k nedeni gen<\/p>\n
N\u00f6rolojide en s\u0131k tremor sebebinin esansiyel tremor denen ailesel k\u00f6kenli titremeler oldu\u011funa de\u011finen Dr. Rabia Sedef \u00dcre, \u201cBunun genetik bir temeli vard\u0131r, ikinci s\u0131rada ise Parkinson tremoru gelir, stres, uykusuzluk yorgunluk gibi durumlar da ge\u00e7ici bir tremora sebep olabilir. S\u00fcrekli bir titreme de\u011fildir, genelde tetiklenir, stresli d\u00f6nemlerde, toplum i\u00e7inde \u00e7ay i\u00e7erken ka\u015f\u0131k tutarken vs, \u015fiddetlenebilir. Parkinson tremorunu ise daha \u00e7ok istirahat halindeyken g\u00f6r\u00fcr\u00fcz. Esansiyel tremor \u00e7ok gen\u00e7 ya\u015fta ba\u015flayabilir, Parkinson tremorunu ise daha \u00e7ok 65 ya\u015f \u00fcst\u00fcnde g\u00f6rebiliyoruz\u201d ifadelerini kulland\u0131.<\/p>\n
Tipi ve e\u015flik eden bulgular \u00f6nemli<\/p>\n
Tremorun tipinin ve e\u015flik eden bulgular\u0131n \u00f6nemli oldu\u011funu belirten Dr. \u00dcre, tedavi s\u00fcrecinin bu bulgulara g\u00f6re ilerledi\u011fini belirtti. \u00dcre, \u201cTremorlar, metabolik k\u00f6kenli ise, kandaki de\u011ferlerle ilgili bir sorun varsa, onlar\u0131 d\u00fczeltti\u011fimizde titreme de otomatikman d\u00fczelebiliyor, psikolojik k\u00f6kenli titremelerde de altta yatan durumu kontrol etti\u011fimizde titreme ge\u00e7iyor, esansiyel tremorda ise d\u00f6nem d\u00f6nem alevlendi\u011fi d\u00f6nemlerde ila\u00e7 tedavisi ve \u00e7ok ileri vakalarda beyin pili gibi tedaviler mevcut, Parkinson titremelerinde de \u00f6nce Parkinson hastal\u0131\u011f\u0131na y\u00f6nelik tedavilere ba\u015flan\u0131r. Hastalar\u0131n daha az titremesini sa\u011flayacak ila\u00e7 tedavisinin yan\u0131 s\u0131ra bunu tetikleyen durumlar\u0131 belirleyerek, bu durumlardan ka\u00e7\u0131nmas\u0131n\u0131 sa\u011fl\u0131yoruz. Ancak \u00e7o\u011funlukla ila\u00e7 tedavisine yan\u0131t veren bir hastal\u0131kt\u0131r\u201d dedi.<\/p>\n
Ki\u015fide zaman zaman g\u00f6r\u00fclen bir titreme durumu varsa mutlaka bir n\u00f6rolo\u011fun g\u00f6rmesi gerekti\u011fine dikkat \u00e7eken N\u00f6roloji Uzman\u0131 Dr. Rabia Sedef \u00dcre \u015fu ifadeleri kulland\u0131:<\/p>\n
\u201cTitremenin oldu\u011fu d\u00f6nemlerde bu titremeleri kamera ile kay\u0131t alt\u0131na almalar\u0131 bizim de\u011ferlendirmemiz i\u00e7in faydal\u0131 olur. \u00c7ok s\u0131k alkol al\u0131m\u0131 yanl\u0131\u015f beslenme al\u0131\u015fkanl\u0131klar\u0131, alkol t\u00fcketiminin de etkiledi\u011fi tremor tipleri vard\u0131r, diyabet hastalar\u0131nda da titreme olmamas\u0131 i\u00e7in \u00f6zelikle kan \u015fekerinin \u00e7ok d\u00fc\u015fmesinin engellenmesi gerekir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
ESK\u0130\u015eEH\u0130R \u00d6ZEL \u00dcM\u0130T HASTANES\u0130 N\u00d6ROLOJ\u0130 UZMANI DR. RAB\u0130A SEDEF \u00dcRE T\u0130TREME HASTALI\u011eI OLARAK B\u0130L\u0130NEN \u201cTREMOR\u201dLAR HAKKINDA B\u0130LG\u0130 VERD\u0130.<\/p>\n","protected":false},"author":1,"featured_media":203265,"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":[105,34391,3573,5897,38189,44373],"class_list":["post-203264","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-cok","tag-hastaliginin","tag-nedeni","tag-olabilir","tag-pek","tag-titreme"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/titreme-hastaliginin-pek-cok-nedeni-olabilir_ab37566.jpg?fit=1000%2C667","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-QSs","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/203264","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=203264"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/203264\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/203265"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=203264"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=203264"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=203264"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}