{"id":220908,"date":"2019-10-28T11:32:57","date_gmt":"2019-10-28T08:32:57","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/prof-dr-gurer-stres-sigara-ve-obezite-sedef-hastaligini-tetikliyor\/"},"modified":"2019-10-28T11:32:57","modified_gmt":"2019-10-28T08:32:57","slug":"prof-dr-gurer-stres-sigara-ve-obezite-sedef-hastaligini-tetikliyor","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/prof-dr-gurer-stres-sigara-ve-obezite-sedef-hastaligini-tetikliyor\/","title":{"rendered":"Prof. Dr. G\u00fcrer: \u201cStres, sigara ve obezite sedef hastal\u0131\u011f\u0131n\u0131 tetikliyor\u201d"},"content":{"rendered":"<p>Sedef hastal\u0131\u011f\u0131nda fark\u0131ndal\u0131k olu\u015fturmak i\u00e7in Psoriasis Derne\u011fi taraf\u0131ndan bilgilendirme toplant\u0131s\u0131 d\u00fczenlendi.  Toplant\u0131da, uzmanlar taraf\u0131ndan hastal\u0131\u011fa ili\u015fkin genel bilgiler verilirken, tedavi y\u00f6ntemleri anlat\u0131ld\u0131.<\/p>\n<p>Psoriasis Derne\u011fi taraf\u0131ndan \u201929 Ekim Sedef Hastal\u0131\u011f\u0131 Fark\u0131ndal\u0131k Haftas\u0131\u2019 nedeni ile d\u00fczenlenen bas\u0131n toplant\u0131s\u0131nda sedef hastal\u0131\u011f\u0131n\u0131 tetikleyen fakt\u00f6rler, tedavi yakla\u015f\u0131mlar\u0131 ve hastalar\u0131n ya\u015fam kalitelerini y\u00fckseltecek bilgiler payla\u015f\u0131ld\u0131. Toplant\u0131ya Psoriasis Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Mehmet Ali G\u00fcrer, Psoraisis Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Nahide Onar\u0131r Onsun, Psoraisis Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Sibel Alper, Psoriasis Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Emel B\u00fclb\u00fcl Ba\u015fkan ve \u00e7ok say\u0131da bas\u0131n mensubu kat\u0131ld\u0131.<\/p>\n<p>Toplant\u0131n\u0131n a\u00e7\u0131l\u0131\u015f konu\u015fmas\u0131nda s\u00f6z alan Psoriasis Derne\u011fi Ba\u015fkan\u0131 Prof. Dr. Mehmet Ali G\u00fcrer, sedef hastal\u0131\u011f\u0131n\u0131n genetik yatk\u0131nl\u0131kla ili\u015fkisinin y\u00fcksek oldu\u011funu belirterek, tetikleyici fakt\u00f6rlerle olu\u015fma riskinin artt\u0131\u011f\u0131na dikkat \u00e7ekti.<\/p>\n<p>\u201cStres, sigara ve obezite sedef hastal\u0131\u011f\u0131n\u0131 tetikliyor\u201d<\/p>\n<p>Sedef hastal\u0131\u011f\u0131n\u0131 tetikleyici fakt\u00f6rlerden bahseden G\u00fcrer, \u201cStres, sigara ve obezite sedef hastal\u0131\u011f\u0131n\u0131 tetikleyen fakt\u00f6rlerdendir. Stres, psoriasisi tetikledi\u011fi \u00e7ok iyi bilinen bir fakt\u00f6r olup, stresli bir olaydan 1-3 ay kadar sonra hastal\u0131\u011f\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131 veya \u015fiddetlendi\u011fi g\u00f6zlenmektedir. Obezite de hastal\u0131k riskini art\u0131ran bir di\u011fer \u00f6nemli fakt\u00f6rd\u00fcr. Obez bireylerde k\u0131vr\u0131m b\u00f6lgeleri terleme ve s\u00fcrt\u00fcnme nedeniyle travma alanlar\u0131d\u0131r,  ayr\u0131ca bu b\u00f6lgelerde yerle\u015fen kandida t\u00fcr\u00fc mantarlar da tetikleyici rol oynayarak bu alanlarda psoriasis geli\u015fimine yol a\u00e7ar. Bunun d\u0131\u015f\u0131nda sigara ve alkol t\u00fcketimi de hastal\u0131\u011f\u0131n seyrini olumsuz etkilemektedir. Sigara sadece hastal\u0131\u011f\u0131n ba\u015flamas\u0131nda de\u011fil \u015fiddetlenmesinde de \u00f6nemli rol oynamakta olup, bu etki kad\u0131n hastalarda daha dikkat \u00e7ekicidir. Alkol \u00f6zellikle erkek hastalarda daha diren\u00e7li seyre neden olmaktad\u0131r. B\u00f6yle olunca da sigara ve alkol t\u00fcketiminin riski art\u0131rd\u0131\u011f\u0131 rahat\u00e7a s\u00f6ylenebilir\u201d dedi.<\/p>\n<p>\u201cSedef hastal\u0131\u011f\u0131 d\u0131\u015far\u0131dan g\u00f6r\u00fcnmeyen hastal\u0131klara yatk\u0131nl\u0131k olu\u015fturuyor\u201d<\/p>\n<p>Hastal\u0131\u011f\u0131n v\u00fccutta olu\u015fturdu\u011fu olumsuz etkilerden bahseden Psoraisis Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Nahide Onar\u0131r Onsun ise \u201cSedef hastal\u0131\u011f\u0131 b\u00fcy\u00fck oranda deride g\u00f6r\u00fclmesine ra\u011fmen baz\u0131 d\u0131\u015far\u0131dan g\u00f6r\u00fcnmeyen hastal\u0131klara da yatk\u0131nl\u0131k olu\u015fturur. Baz\u0131 sedef hastalar\u0131nda eklem tutulumu g\u00f6zlenebilir ve psoriatik artrit olu\u015fabilir. Bu hastal\u0131\u011f\u0131n sedef hastalar\u0131nda geli\u015fme oran\u0131 y\u00fczde 20-30 civar\u0131ndad\u0131r. Ba\u015flang\u0131\u00e7ta g\u00f6r\u00fclmese bile zaman i\u00e7inde geli\u015febilen ve romatizmal hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131labilen psoriatik artrit hastal\u0131\u011f\u0131na, zaman\u0131nda tan\u0131 ve tedavi yap\u0131lmazsa deformitelere ve i\u015f g\u00f6rmezli\u011fe yol a\u00e7abilir. Sedef hastalar\u0131nda ayr\u0131ca Crohn hastal\u0131\u011f\u0131 gibi ba\u011f\u0131rsak hastal\u0131klar\u0131, ins\u00fclin direnci, diyabet, y\u00fcksek tansiyon, obezite, kalp ve dola\u015f\u0131m sistemi hastal\u0131klar\u0131 ve erken ya\u015fta miyokard infarkt\u00fcs\u00fc daha s\u0131k g\u00f6r\u00fcl\u00fcr. Hastal\u0131\u011fa klinik muayene ile tan\u0131 koymak m\u00fcmk\u00fcnd\u00fcr. Dermatoloji uzmanlar\u0131 hastal\u0131\u011f\u0131 kolayca te\u015fhis edebilir.  Ba\u015fka deri hastal\u0131klar\u0131na benzeyen durumlarda ise do\u011fru tan\u0131 i\u00e7in biyopsi yap\u0131labilir.  Sedef hastalar\u0131nda ins\u00fclin direnci, ge\u00e7 ya\u015fta ba\u015flayan diyabet, hipertansiyon, kalp-damar hastal\u0131klar\u0131, karaci\u011fer ya\u011flanmas\u0131, g\u00f6zde \u00fcveyit gibi durumlar daha fazla g\u00f6r\u00fcld\u00fc\u011f\u00fc i\u00e7in hastalardan \u00e7e\u015fitli tetkikler istenir. Hastadan istenecek tetkiklerle e\u015flik eden hastal\u0131klar ve riskler belirlenebilir ve ilgili uzmanl\u0131k dal\u0131n\u0131n g\u00f6r\u00fc\u015fleri al\u0131n\u0131p tedavi ona g\u00f6re d\u00fczenlenir\u201d s\u00f6zlerini ifade etti.<\/p>\n<p>\u201cSedef hastal\u0131\u011f\u0131 bula\u015f\u0131c\u0131 de\u011fildir\u201d<\/p>\n<p>Hastal\u0131\u011f\u0131n psikolojik yans\u0131malar\u0131na de\u011finen Psoraisis Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Sibel Alper de \u201cSedef hastal\u0131\u011f\u0131 deri belirtileri olarak g\u00f6r\u00fcld\u00fc\u011f\u00fc i\u00e7in hastalarda damgalanma, ayr\u0131mc\u0131l\u0131\u011fa u\u011frama duygusu oluyor. Hastalar\u0131n y\u00fczde 50\u2019sine hastal\u0131\u011f\u0131 bula\u015f\u0131c\u0131m\u0131 diye sorulmu\u015f. Hastalar bundan \u00e7ok rahats\u0131z oluyor. Toplum hastal\u0131\u011f\u0131n bula\u015f\u0131c\u0131 olmad\u0131\u011f\u0131n\u0131 bilmiyor. Hastalar\u0131m\u0131zda depresyon ve anksiyete oran\u0131 genel n\u00fcfusa oranla daha y\u00fcksektir. Hastalar\u0131n y\u00fczde 25\u2019inde depresyon ve anksiyete, y\u00fczde 10\u2019unda \u00f6lme iste\u011fi, y\u00fczde 5,5\u2019inde intihar d\u00fc\u015f\u00fcncesi g\u00f6r\u00fcl\u00fcrken, sosyal problemler de yayg\u0131n olarak rastlanmaktad\u0131r. Toplum olarak fark\u0131ndal\u0131k olu\u015fturmal\u0131. Hastal\u0131\u011f\u0131n tedavi edilebilir bula\u015f\u0131c\u0131 olmad\u0131\u011f\u0131n\u0131 bilmek gerekli\u201d diye konu\u015ftu.<\/p>\n<p>\u201cTedavilerde, derideki lekeler tamam\u0131yla iyile\u015febiliyor\u201d<\/p>\n<p>Toplant\u0131 da Psoriasis Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Emel B\u00fclb\u00fcl Ba\u015fkan ise hastal\u0131\u011f\u0131n tedavisi ile ilgili bilgi verdi.  Ba\u015fkan, \u201cHastal\u0131\u011f\u0131n tedavisi ki\u015fiye \u00f6zg\u00fc hastan\u0131n \u00f6zelliklerine g\u00f6re uygulan\u0131yor. Tedavi hastal\u0131\u011f\u0131n seyri ve \u015fiddeti, e\u015flik eden ba\u015fka hastal\u0131klar\u0131n varl\u0131\u011f\u0131, tedavi beklentileri d\u0131\u015f\u0131nda ya\u015f, cinsiyet, gebelik, emzirme, ila\u00e7 kullan\u0131m\u0131 gibi \u00f6zel durumlar dahil bir\u00e7ok fakt\u00f6r g\u00f6z \u00f6n\u00fcne al\u0131narak belirlenmelidir. Tedavinin ba\u015far\u0131yla uygulanabilmesi i\u00e7in hastaya yeterli zaman ay\u0131rmak, risk fakt\u00f6rlerini iyi analiz etmek ve tedavi se\u00e7enekleri hakk\u0131nda e\u011fitim vererek hastan\u0131n tedaviye kat\u0131l\u0131m\u0131n\u0131 sa\u011flamak gerekir. Tedavi \u00e7o\u011funlukla uzun solukludur ve sonu\u00e7ta d\u00f6k\u00fcnt\u00fclerin tam veya tama yak\u0131n oranda silinmesi sa\u011flanmal\u0131d\u0131r. Tedavi kesildi\u011fi takdirde t\u0131pk\u0131 di\u011fer kronik hastal\u0131klar gibi psoriasisin de n\u00fcksetme riski vard\u0131r. En g\u00fcncel tedavi y\u00f6ntemleri \u00fclkemizde uygulan\u0131yor hastal\u0131\u011f\u0131n tedavisi m\u00fcmk\u00fcn. Tedavilerde derideki lekeler tamam\u0131yla iyile\u015febiliyor\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PSOR\u0130AS\u0130S DERNE\u011e\u0130 TARAFINDAN &#8217;29 EK\u0130M SEDEF HASTALI\u011eI FARKINDALIK HAFTASI&#8217; NEDEN\u0130 \u0130LE D\u00dcZENLENEN BASIN TOPLANTISINDA SEDEF HASTALI\u011eINI TET\u0130KLEYEN FAKT\u00d6RLER, TEDAV\u0130 YAKLA\u015eIMLARI VE HASTALARIN YA\u015eAM KAL\u0130TELER\u0130N\u0130 Y\u00dcKSELTECEK B\u0130LG\u0130LER PAYLA\u015eILDI.<\/p>\n","protected":false},"author":1,"featured_media":220909,"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":[4778,279,14203,23300,2750,27897,1070,14017,15367],"class_list":["post-220908","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-obezite","tag-dr","tag-gurer","tag-hastaligini","tag-prof","tag-sedef","tag-sigara","tag-stres","tag-tetikliyor"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/prof-dr-gurer-stres-sigara-ve-obezite-sedef-hastaligini-tetikliyor_1f47118.jpg?fit=1000%2C604","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Vt2","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/220908","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=220908"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/220908\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/220909"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=220908"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=220908"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=220908"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}