-N\u00f6roloji Uzman\u0131 Do\u00e7. Dr. Hatice Balaban, unutkanl\u0131k ba\u015flang\u0131c\u0131 ve kelime bulma g\u00fc\u00e7l\u00fc\u011f\u00fc \u00e7eken s\u0131k\u00e7a \u201c\u015fey\u201d kelimesini kullananlarda Alzheimer ba\u015flang\u0131c\u0131 olabilece\u011fini s\u00f6yledi.<\/p>\n
Medicana Sivas Hastanesi N\u00f6roloji Uzman\u0131 Do\u00e7. Dr. Hatice Balaban, Alzheimer hastal\u0131\u011f\u0131na y\u00f6nelik belirtiler ve tedaviler hakk\u0131nda bilgi verdi.<\/p>\n
Alzheimer hastal\u0131\u011f\u0131n\u0131n belirtilerinden bahseden Do\u00e7. Dr. Balaban, \u201cRandevular\u0131n\u0131, yeme\u011fi ocakta ya da anahtar\u0131 unutabilirler. Kelime bulma g\u00fc\u00e7l\u00fc\u011f\u00fc \u00e7ekerler, s\u0131k\u00e7a \u2018\u015fey\u2019 derler. Ellerini eskisi gibi kullanamazlar. Giyinip soyunmada zorluk ya\u015farlar. Bu belirtilerin sadece bir ka\u00e7\u0131. \u201cdedi.<\/p>\n
\u201cErken te\u015fhis \u00e7ok \u00f6nemli\u201d<\/p>\n
T\u00fcm hastal\u0131larda oldu\u011fu gibi Alzheimer hastal\u0131\u011f\u0131nda da erken te\u015fhisin \u00e7ok \u00f6nemli oldu\u011funu belirten Do\u00e7. Dr. Balaban, \u201c T\u00fcm hastal\u0131klarda oldu\u011fu gibi, Alzheimer hastal\u0131\u011f\u0131nda da erken te\u015fhis \u00e7ok \u00f6nemli. Unutkanl\u0131k, g\u00fcn\u00fcm\u00fczde her ya\u015ftan bireyin g\u00fcnl\u00fck ya\u015fam\u0131nda ortaya \u00e7\u0131kabilecek yayg\u0131n bir problemdir. Bu durumun \u00e7o\u011funlukla sebebi dikkat bozuklu\u011fudur ya da g\u00fcnl\u00fck ko\u015fu\u015fturmalara ba\u011fl\u0131d\u0131r ve bir hastal\u0131\u011fa i\u015faret etmez. Buna kar\u015f\u0131n unutkanl\u0131\u011f\u0131n hastal\u0131\u011f\u0131n bir par\u00e7as\u0131 olan demans, kazan\u0131lm\u0131\u015f zihinsel yetilerin sonradan bireyin g\u00fcnl\u00fck ya\u015fam aktivitelerini etkileyecek derecede bozuldu\u011fu bir grup hastal\u0131\u011f\u0131 kapsar. Demanslar birincil olarak beyin h\u00fccrelerinin ya\u015flanma ve \u00f6l\u00fcm\u00fc ile giden \u2018n\u00f6rodejeneratif hastal\u0131klar\u2019 dedi\u011fimiz hastal\u0131klar b\u00fcnyesinde geli\u015fir. Bunun d\u0131\u015f\u0131nda, \u00e7oklu beyin damar t\u0131kan\u0131kl\u0131klar\u0131ndan kronik infeksiyonlara kadar pek \u00e7ok hastal\u0131kta zihinsel yetilerde bozukluk olaya e\u015flik edebilir. N\u00f6rodejeneratif demanslar i\u00e7erisinde en s\u0131k g\u00f6r\u00fclen Alzheimer hastal\u0131\u011f\u0131d\u0131r. Ba\u015flang\u0131\u00e7 ya\u015f\u0131 40-90 aras\u0131ndad\u0131r. S\u0131kl\u0131kla 65 ya\u015f \u00fczerinde g\u00f6r\u00fcl\u00fcr. Hastal\u0131\u011f\u0131n ilk ba\u015flang\u0131\u00e7 yak\u0131nmalar\u0131, beyinde sinir-h\u00fccre hasar ve \u00f6l\u00fcm\u00fcn\u00fcn ba\u015flad\u0131\u011f\u0131 b\u00f6lge ile ili\u015fkilidir. \u201cdedi.<\/p>\n
\u201cG\u00fcnl\u00fck ya\u015fam\u0131 olumsuz etkiler\u201d<\/p>\n
Alzheimer hastalar\u0131nda en s\u0131k g\u00f6r\u00fclen ve dikkat \u00e7ekenin ise kelime bulma g\u00fc\u00e7l\u00fc\u011f\u00fc oldu\u011funu belirten Do\u00e7. Dr. Balaban, s\u00f6yleyecekleri kelime yerine \u2018\u015fey\u2019 s\u00f6zc\u00fc\u011f\u00fcn\u00fc s\u0131k kullanma g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yledi. Do\u00e7. Dr. Balaban, \u201c Alzheimer hastal\u0131\u011f\u0131n\u0131n farkl\u0131 tipleri bellekten \u00e7ok mekan\u0131 alg\u0131lama fonksiyonunda bozuklukla ba\u015flamakla birlikte; tipik klinik \u00f6zelli\u011fi yak\u0131n haf\u0131zaya ait bozukluklarla ba\u015flamas\u0131d\u0131r. Uzun s\u00fcreli haf\u0131za korunmu\u015fken k\u0131sa s\u00fcreli bellekte bozulmalar dikkati \u00e7eker. Zamanla, hastal\u0131\u011f\u0131n ileri evrelerinde uzak bellek de bozulur. Bu ba\u011flamda hasta, ayn\u0131 sorular\u0131 defalarca sorabilir. Anlatt\u0131\u011f\u0131 bir konuyu defalarca kez daha \u00f6nce hi\u00e7 anlatmam\u0131\u015f gibi anlatabilir. \u00d6zel e\u015fyalar\u0131n\u0131 koydu\u011fu yerleri kaybeder, randevular\u0131n\u0131 unutur, yeme\u011fi ocakta ya da anahtar\u0131 kap\u0131da unutabilirler. K\u0131sa s\u00fcreli bellek problemleri yan\u0131nda lisan bozukluklar\u0131 g\u00f6r\u00fclebilir. Hastalarda en s\u0131k g\u00f6r\u00fclen ve dikkat \u00e7eken ise kelime bulma g\u00fc\u00e7l\u00fc\u011f\u00fcd\u00fcr. S\u00f6yleyecekleri kelime yerine \u2018\u015fey\u2019 s\u00f6zc\u00fc\u011f\u00fcn\u00fc s\u0131k kullanma g\u00f6r\u00fcl\u00fcr. Tutuk konu\u015fma ve c\u00fcmle uzunlu\u011funun k\u0131salmas\u0131, evet-hay\u0131r \u015feklinde k\u0131sa kelimelerle yan\u0131t verme di\u011fer dikkat \u00e7eken durumlard\u0131r. Hastal\u0131\u011f\u0131n ilerleyen d\u00f6nemlerinde isimlendirme bozuklu\u011fu ve ak\u0131c\u0131 fakat anlams\u0131z konu\u015fma da olabilir. Beceri isteyen motor i\u015flevlerin kayb\u0131 bir di\u011fer durumdur ve ilerleyici beceriksizlik, sakarl\u0131k \u015feklinde anlat\u0131l\u0131r. Hastalar ellerini eskisi gibi kullanamad\u0131klar\u0131, objeleri d\u00fc\u015f\u00fcrd\u00fcklerinden yak\u0131n\u0131rlar. \u00dczerini giyip \u00e7\u0131karmada zorlan\u0131rlar ya da ters \u00e7\u0131kar\u0131lm\u0131\u015f bir elbiseyi d\u00fczeltemezler. Giyme i\u015flemini ba\u015flatamaz ya da ba\u015far\u0131 ile tamamlayamazlar. \u00c7atal, ka\u015f\u0131k kullanmada zorlan\u0131rlar. Yaz\u0131 yazma bozulabilir. Diki\u015f dikememe, marangozluk i\u015flerinde beceriksizlik, mutfak ve di\u011fer ev aletlerini kullanamama olabilir. \u201cdedi.<\/p>\n
\u201c\u0130yi bildi\u011fi yolda bile kaybolabilir\u201d<\/p>\n
Do\u00e7. Dr. Balaban, hastalarda az bildikleri yerlerde, hatta iyi bildikleri yerler dahi d\u0131\u015f mekanda yolunu kaybetme olay\u0131n\u0131n g\u00f6r\u00fclebileci\u011fini s\u00f6yledi. Balaban, \u201c Hastalarda az bildikleri yerlerde, hatta iyi bildikleri yerler dahi d\u0131\u015f mek\u00e2nda yolunu kaybetme g\u00f6r\u00fclebilir. Baz\u0131 hastalarda ise daha ilgin\u00e7 olarak arad\u0131\u011f\u0131 e\u015fya g\u00f6z\u00fcn\u00fcn \u00f6n\u00fcnde oldu\u011fu halde di\u011fer nesnelerden ay\u0131r\u0131p bulamama, okurken sat\u0131rlar\u0131n birbirine kar\u0131\u015fmas\u0131, yaz\u0131 karakterlerinin bozulmas\u0131 g\u00f6r\u00fclebilir. G\u00f6rme, i\u015fitme ve dokunma alg\u0131lamas\u0131n\u0131n bozulmas\u0131 da olabilir. Buna ba\u011fl\u0131 olarak y\u00fczleri, sesleri ve objeleri tan\u0131yamama, v\u00fccut taraf\u0131n\u0131 belirleyememe ya da ay\u0131rt edememe ortaya \u00e7\u0131kabilir. H\u00fccre ya\u015flanmas\u0131 beynin \u00f6n b\u00f6lgelerine ula\u015fan hastalarda yarg\u0131lama, soyutlama sosyal ortam ve konumlara uygun davranma ve d\u00fcrt\u00fc kontrol\u00fc bozuklu\u011funa ba\u011fl\u0131 yak\u0131nmalar ya da tam tersine i\u00e7e kapanma, inisiyatif kayb\u0131 g\u00f6r\u00fclebilir. Bu olgularda dikkatin kolay da\u011f\u0131lmas\u0131, yeme bozukluklar\u0131 da tabloya e\u015flik edebilir. T\u00fcm bu zihinsel fonksiyonlardaki kazan\u0131lm\u0131\u015f yeti kay\u0131plar\u0131 nihai olarak g\u00fcnl\u00fck ya\u015fam aktivitelerinin pek \u00e7ok alan\u0131nda zorlanmalara sebep olur. \u201cdedi.<\/p>\n
\u201c\u0130la\u00e7lar hastal\u0131\u011f\u0131n ilerleyi\u015fini yava\u015flat\u0131r\u201d<\/p>\n
Alzheimer hastal\u0131\u011f\u0131n\u0131 durdurucu ila\u00e7lar\u0131n veya hastal\u0131\u011f\u0131 durdurucu tedavinin g\u00fcn\u00fcm\u00fczde geli\u015fmedi\u011fini belirten Balaban, \u201cG\u00fcn\u00fcm\u00fczde Alzheimer hastal\u0131\u011f\u0131 tedavisinde kullan\u0131lan ila\u00e7lar hastal\u0131\u011f\u0131n ilerleme h\u0131z\u0131n\u0131 yava\u015flatmaya y\u00f6neliktir. Hen\u00fcz hastal\u0131\u011f\u0131 durdurucu ya da tamamen tedavi edici bir ila\u00e7 geli\u015ftirilememi\u015ftir. Bununla birlikte unutkanl\u0131k \u015fik\u00e2yeti olan bireylerde tan\u0131n\u0131n erken konmas\u0131 ve tedavinin m\u00fcmk\u00fcn oldu\u011funca erken ba\u015flanmas\u0131 olduk\u00e7a \u00f6nemlidir. \u201cdedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
N\u00d6ROLOJ\u0130 UZMANI DO\u00c7. DR. HAT\u0130CE BALABAN, UNUTKANLIK BA\u015eLANGICI VE KEL\u0130ME BULMA G\u00dc\u00c7L\u00dc\u011e\u00dc \u00c7EKEN SIK\u00c7A \u201c\u015eEY\u201d KEL\u0130MES\u0130N\u0130 KULLANANLARDA ALZHE\u0130MER BA\u015eLANGICI OLAB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":205338,"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":[1440,51849,25144,2550,51848],"class_list":["post-205337","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dikkat","tag-kelimesini","tag-kullananlar","tag-sey","tag-sikca"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/sikca-sey-kelimesini-kullananlar-dikkat_fcd754a.jpg?fit=1000%2C669","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-RpT","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/205337","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=205337"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/205337\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/205338"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=205337"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=205337"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=205337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}