G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Zeynep B\u00fcy\u00fckba\u015f, g\u00fcne\u015fte bir g\u00f6z\u00fcn\u00fc kapama, kafas\u0131n\u0131 e\u011ferek veya d\u00f6nd\u00fcrerek bakma gibi bulgular\u0131nda \u015fa\u015f\u0131l\u0131k kaynakl\u0131 olabilece\u011fini s\u00f6yledi.<\/p>\n
Medicana Sivas Hastanesi doktorlar\u0131ndan G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Zeynep B\u00fcy\u00fckba\u015f, \u015fa\u015f\u0131l\u0131k hakk\u0131nda merak edilenleri a\u00e7\u0131klad\u0131. B\u00fcy\u00fckba\u015f, \u015fa\u015f\u0131l\u0131k; g\u00f6zlerin bak\u0131\u015f pozisyonunun bir do\u011frultuda olmay\u0131p, her iki g\u00f6rsel ekseninin farkl\u0131 y\u00f6nlere do\u011fru kaym\u0131\u015f olmas\u0131 ve tek bir noktada \u00e7ak\u0131\u015fam\u0131yor olmas\u0131 hali oldu\u011funu s\u00f6yleyerek, \u201cS\u0131k olarak g\u00f6r\u00fclen bir g\u00f6z sa\u011fl\u0131\u011f\u0131 sorunudur. \u00c7ocuklar\u0131n yakla\u015f\u0131k olarak y\u00fczde 4\u2018\u00fcn\u00fc etkiler ancak eri\u015fkinlerde de geli\u015febilir. Hayat\u0131n ilk 6 ay\u0131 i\u00e7inde ortaya \u00e7\u0131kan \u015fa\u015f\u0131l\u0131klara infantil \u015fa\u015f\u0131l\u0131klar denilir. Yeni do\u011fanda \u00e7o\u011fu zaman g\u00f6zlerin paralel olmay\u0131p g\u00f6zlerde i\u00e7e ve d\u0131\u015fa kaymalar g\u00f6zlenir. Bu nedenle bu d\u00f6nemde kayman\u0131n tespit edilmesi zordur. Genellikle g\u00f6zlerin pozisyonu 3\u2018\u00fcnc\u00fc ayda sabit hale gelir. Bu d\u00f6nemde anne \u00e7ocu\u011fun g\u00f6z\u00fcn\u00fcn kayd\u0131\u011f\u0131n\u0131 ifade ediyorsa bu durum mutlaka de\u011ferlendirilmelidir. Ayr\u0131ca katarakt, g\u00f6z t\u00fcm\u00f6rleri veya n\u00f6rolojik hastal\u0131klarda \u015fa\u015f\u0131l\u0131k ile kendini g\u00f6sterebilece\u011finden mutlaka uzman bir g\u00f6z hekimine dan\u0131\u015f\u0131lmal\u0131d\u0131r. Aile \u00f6yk\u00fcs\u00fcnde; ailede g\u00f6z problemi olan var m\u0131, y\u00fcksek derecede g\u00f6zl\u00fck, kayma, g\u00f6rme azl\u0131\u011f\u0131 gibi problemlerin varl\u0131\u011f\u0131 sorgulan\u0131r. Hamileli\u011fin normal ge\u00e7ip ge\u00e7medi\u011fi, ge\u00e7irilen ate\u015fli, d\u00f6k\u00fcnt\u00fcl\u00fc hastal\u0131klar (viral hastal\u0131klar), al\u0131nan ila\u00e7lar, bebe\u011fin term olup olmad\u0131\u011f\u0131 sorgulanmal\u0131d\u0131r. Kayman\u0131n nas\u0131l fark edildi\u011fi, s\u00fcrekli olup olmad\u0131\u011f\u0131, ka\u00e7 ya\u015f\u0131ndan beri oldu\u011fu, bir tek g\u00f6z\u00fcnde mi yoksa zaman zaman her iki g\u00f6zde de g\u00f6zlenip g\u00f6zlenmedi\u011fi, herhangi spesifik bir olay sonras\u0131nda geli\u015fip geli\u015fmedi\u011fi, \u00f6rne\u011fin travma, havale gibi bir olaydan sonra m\u0131 fark edildi\u011fi \u00f6nemlidir. Ve daha \u00f6nce kayma i\u00e7in herhangi bir tedavi yap\u0131l\u0131p yap\u0131lmad\u0131\u011f\u0131, varsa g\u00f6zl\u00fcklerinin numaralar\u0131, kapama ya da cerrahi tedavi olup olmad\u0131\u011f\u0131 bilinmelidir\u201c dedi.<\/p>\n
\u201c\u015ea\u015f\u0131l\u0131k hi\u00e7 bir zaman kendili\u011finden d\u00fczelmez\u201c<\/p>\n
B\u00fcy\u00fckba\u015f, \u015fa\u015f\u0131l\u0131k hi\u00e7bir zaman b\u00fcy\u00fcmekle kendili\u011finden d\u00fczelmedi\u011fini belirterek, \u201cKayman\u0131n ilk belirtisi g\u00f6zlerin ayn\u0131 noktaya odaklanmamas\u0131d\u0131r ancak g\u00fcne\u015fte bir g\u00f6z\u00fcn\u00fc kapama, kafas\u0131n\u0131 e\u011ferek veya d\u00f6nd\u00fcrerek bakma gibi bulgularda kayman\u0131n sonucu olabilir. Bebeklik d\u00f6nemi veya okul \u00f6ncesi d\u00f6nemde her \u00e7ocuk muhtemel g\u00f6z problemleri (\u015fa\u015f\u0131l\u0131k, g\u00f6z tembelli\u011fi, k\u0131rma kusurlar\u0131 veya katarakt, glokom, g\u00f6z i\u00e7i t\u00fcm\u00f6rler gibi) i\u00e7in muayene olmal\u0131d\u0131r. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 g\u00f6z tarama program\u0131na g\u00f6re her \u00e7ocu\u011fa 0-3 ay ,1. ya\u015f, 3. ya\u015f ve okul \u00f6ncesi g\u00f6z muayenesi yap\u0131lmas\u0131 zorunludur.Halk aras\u0131nda yanl\u0131\u015f inan\u0131\u015f olarak bebeklikte olan kayman\u0131n b\u00fcy\u00fcmekle zamanla d\u00fczelece\u011fi d\u00fc\u015f\u00fcn\u00fclmektedir, ancak bu hatal\u0131d\u0131r \u015fa\u015f\u0131l\u0131k hi\u00e7bir zaman b\u00fcy\u00fcmekle kendili\u011finden d\u00fczelmez. Ancak \u00e7ocuklarda burun k\u00f6k\u00fcn\u00fcn geni\u015f oldu\u011fu ve kayma olmad\u0131\u011f\u0131 halde kayma varm\u0131\u015f gibi g\u00f6r\u00fcn\u00fcme yol a\u00e7an yalanc\u0131 \u015fa\u015f\u0131l\u0131k dedi\u011fimiz durumlarda zamanla burun kemi\u011finin geli\u015fmesi ile kayma g\u00f6r\u00fcn\u00fcm\u00fc d\u00fczelmektedir bu da yanl\u0131\u015f olarak kayman\u0131n d\u00fczeldi\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir. B\u00f6yle durumlarda ay\u0131r\u0131c\u0131 tan\u0131 ve do\u011fru te\u015fhis i\u00e7in mutlaka g\u00f6z doktoru g\u00f6rmelidir\u201c ifadelerini kulland\u0131.<\/p>\n
“\u015ea\u015f\u0131l\u0131k tedavisi ne kadar erken d\u00f6nemde yap\u0131l\u0131rsa ba\u015far\u0131s\u0131 o denli y\u00fcksek olur”<\/p>\n
B\u00fcy\u00fckba\u015f, \u015fa\u015f\u0131l\u0131k tedavi ne kadar erken d\u00f6nemde yap\u0131l\u0131rsa ba\u015far\u0131n\u0131n y\u00fcksek olaca\u011f\u0131na de\u011finerek, “Ambliyopi; g\u00f6z\u00fcn ya da g\u00f6rme yollar\u0131n\u0131n organik bir bozuklu\u011fu olmadan g\u00f6rme keskinli\u011finde meydana gelen d\u00fc\u015f\u00fckl\u00fckt\u00fcr. \u015ea\u015f\u0131l\u0131k tan\u0131s\u0131 koyulduktan sonra \u00f6ncelikle sebep olan etken tesbit edilmeli ve sebebe y\u00f6nelik tedavi ba\u015flanmal\u0131d\u0131r. \u0130lk yap\u0131lacak tedavi varsa refraksiyon kusurunun tam olarak d\u00fczeltilmesidir. Bu \u00e7o\u011fu hastada sorunu \u00e7\u00f6zmektedir. G\u00f6z tembelli\u011fi varsa buna y\u00f6nelik tedavi planlanmal\u0131d\u0131r. G\u00f6zl\u00fc\u011fe ra\u011fmen hala kayma devam ediyorsa cerrahi planlanabilmektedir. Tedavide amac\u0131m\u0131z g\u00f6rme geli\u015fimini olumsuz etkilenmeden her iki g\u00f6z\u00fcn bir arada kullan\u0131larak geli\u015fiminin sa\u011flanmas\u0131d\u0131r. Detayl\u0131 bir g\u00f6z muayenesinin ard\u0131ndan kayman\u0131n sebebine g\u00f6re tedavi planlan\u0131r. \u015ea\u015f\u0131l\u0131k tedavisi ne kadar erken d\u00f6nemde yap\u0131l\u0131rsa ba\u015far\u0131s\u0131 o denli y\u00fcksek olur. Ancak eri\u015fkin d\u00f6nemde olan \u015fa\u015f\u0131l\u0131klarda ya da daha \u00f6nce tedavi yap\u0131lmam\u0131\u015f eri\u015fkinlerde de cerrahi tedavi ile \u00f6zellikle \u00e7evre g\u00f6r\u00fc\u015fte art\u0131\u015f sa\u011flanabilir. Cerrahi tedavi g\u00f6zl\u00fck veya kapaman\u0131n alternatifi de\u011fildir cerrahi sonras\u0131 da g\u00f6zl\u00fck ve kapama tedavisi devam edebilir” diye konu\u015ftu.<\/p>\n
\u015ea\u015f\u0131l\u0131kta risk fakt\u00f6rleri nelerdir?<\/p>\n
B\u00fcy\u00fckba\u015f, \u015fa\u015f\u0131l\u0131ktaki risk fakt\u00f6rlerini \u015f\u00f6yle s\u0131ralad\u0131: “Aile bireylerinde \u015fa\u015f\u0131l\u0131k \u00f6yk\u00fcs\u00fcn\u00fcn bulunmas\u0131, ne kadar \u00e7ok ki\u015fide ve ku\u015fakta \u015fa\u015f\u0131l\u0131k varsa olas\u0131l\u0131k artar. Erken do\u011fum, zor do\u011fum veya d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131\u011f\u0131 olmas\u0131, k\u00fcvezde kalma, oksijen tedavisi \u00f6yk\u00fcs\u00fc, iki g\u00f6z aras\u0131nda numaralarda asimetri (anizometropi) olmas\u0131 veya y\u00fcksek hipermetropi, hidrosefali (beyinde su toplanmas\u0131) ve Serebral palsili ve do\u011fum travmas\u0131 ge\u00e7irmi\u015f \u00e7ocuklar \u015fa\u015f\u0131l\u0131kta risk fakt\u00f6r\u00fcndedir”.<\/p>\n","protected":false},"excerpt":{"rendered":"
G\u00d6Z HASTALIKLARI UZMANI OP. DR. ZEYNEP B\u00dcY\u00dcKBA\u015e, G\u00dcNE\u015eTE B\u0130R G\u00d6Z\u00dcN\u00dc KAPAMA, KAFASINI E\u011eEREK VEYA D\u00d6ND\u00dcREREK BAKMA G\u0130B\u0130 BULGULARINDA \u015eA\u015eILIK KAYNAKLI OLAB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":214097,"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":[125,1440,54131,47711,54132,15308,26666],"class_list":["post-214096","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-bir","tag-dikkat","tag-gozunuzu","tag-guneste","tag-kapatiyorsaniz","tag-olabilirsiniz","tag-sasi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/guneste-bir-gozunuzu-kapatiyorsaniz-dikkat-sasi-olabilirsiniz_294be91.jpg?fit=1000%2C987","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-THa","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/214096","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=214096"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/214096\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/214097"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=214096"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=214096"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=214096"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}