Ge\u00e7meyen \u015fiddetli y\u00fcz a\u011fr\u0131lar\u0131 hakk\u0131nda a\u00e7\u0131klamada bulunan N\u00f6roloji Uzm. Dr. Y\u0131lmaz Niyazi Yazman, hastal\u0131\u011f\u0131n en \u00e7ok yanak-elmac\u0131k ve \u00e7ene b\u00f6lgesinde g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ve tek tarafl\u0131 ger\u00e7ekle\u015fti\u011fini s\u00f6yledi. Uzm. Dr. Yazman, “A\u011fr\u0131 ataklar\u0131 hastal\u0131\u011f\u0131n ba\u015flang\u0131c\u0131nda seyrek iken zamanla s\u0131kla\u015f\u0131r, hasta ila\u00e7 tedavisinden daha az fayda g\u00f6rmeye ba\u015flar. Ge\u00e7meyen \u015fiddetli a\u011fr\u0131larda depresyon ve intihar giri\u015fimleri dahi g\u00f6r\u00fclebilir\u201d dedi.<\/p>\n
Memorial Antalya Hastanesi N\u00f6roloji Uzm. Dr. Y\u0131lmaz Niyazi Yazman, trigeminal nevralji (ani y\u00fcz a\u011fr\u0131s\u0131) ve tedavi y\u00f6ntemleri hakk\u0131nda bilgilendirmelerde bulundu. trigeminal sinirin, y\u00fczdeki hissiyat\u0131 ve \u0131s\u0131rma, \u00e7i\u011fneme gibi hareketleri sa\u011flad\u0131\u011f\u0131n\u0131 belirten Uzm. Dr. Yazman, trigeminal nevraljinin ise, trigeminal sinirin da\u011f\u0131l\u0131m alan\u0131nda ani, \u015fiddetli, k\u0131sa s\u00fcreli ve \u00e7ok \u015fiddetli saniyeler s\u00fcren a\u011fr\u0131lar oldu\u011funu kaydetti.<\/p>\n
Halk aras\u0131nda trigeminal nevraljinin, ani \u015fiddetli y\u00fcz a\u011fr\u0131s\u0131-delirten hastal\u0131k olarak da bilindi\u011fini s\u00f6yleyen Yazman, genellikle y\u00fczde ve tek tarafl\u0131 ger\u00e7ekle\u015fti\u011fini s\u00f6yledi. Y\u0131lmaz Niyazi Yazman, bu rahats\u0131zl\u0131\u011f\u0131n 40 ya\u015f \u00fczeri kad\u0131nlarda daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc de s\u00f6zlerine ekledi.<\/p>\n
\u201c\u0130ntihar giri\u015fimleri dahi g\u00f6r\u00fclebilir\u201d<\/p>\n
En \u00e7ok yanak-elmac\u0131k ve \u00e7ene b\u00f6lgesinde g\u00f6r\u00fclen hastal\u0131kta a\u011fr\u0131n\u0131n tek tarafl\u0131 ger\u00e7ekle\u015fti\u011fini ifade eden Uzm. Dr. Yazman \u015fu ifadeleri kulland\u0131:<\/p>\n
“A\u011fr\u0131y\u0131 genellikle y\u00fcze dokunma, konu\u015fma, yemek yeme, t\u0131ra\u015f olma, di\u015f f\u0131r\u00e7alama, so\u011fuk gibi etkenler ba\u015flat\u0131r. A\u011fr\u0131 ataklar\u0131 hastal\u0131\u011f\u0131n ba\u015flang\u0131c\u0131nda seyrek iken zamanla s\u0131kla\u015f\u0131r, hasta ila\u00e7 tedavisinden daha az fayda g\u00f6rmeye ba\u015flar. Ge\u00e7meyen \u015fiddetli a\u011fr\u0131larda depresyon ve intihar giri\u015fimleri dahi g\u00f6r\u00fclebilir.”<\/p>\n
Hastal\u0131\u011f\u0131n tan\u0131s\u0131nda hastan\u0131n \u00f6yk\u00fcs\u00fc, n\u00f6rolojik muayene, EMG ve beyin MR gibi tetkikler kullan\u0131ld\u0131\u011f\u0131n\u0131 dile getiren Uzm. Dr. Yazman, \u201cT\u00fcm tetkiklerin normal olmas\u0131 durumunda nedeni bilinmeyen trigeminal nevraljiden s\u00f6z edilir. Klasik trigeminal nevraljide hastal\u0131\u011f\u0131n ger\u00e7ek sebebinin ne oldu\u011fu bilinmemektedir. Trigeminal sinirin beyin sap\u0131ndan \u00e7\u0131kt\u0131\u011f\u0131 yerde damar bas\u0131s\u0131 ya da trigeminal sinirin beyin sap\u0131ndaki duyu \u00e7ekirde\u011finde anormallik oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir. Nevraljiye neden olan bir lezyon saptan\u0131rsa tedavi ona y\u00f6nelik olmal\u0131d\u0131r. Tedavide ilk tercih epilepside kullan\u0131lan ila\u00e7lard\u0131r. \u0130la\u00e7 tedavisi ile sonu\u00e7 al\u0131namayan vakalarda a\u011fr\u0131yan sinir dallar\u0131na m\u00fcdahaleler ile tedaviye devam edilebilir. Bunlarla da yeterli sonu\u00e7 al\u0131namazsa suboksipital kraniotomi ameliyat se\u00e7enekleri g\u00fcndeme gelir\u201d dedi.<\/p>\n
\u201cLokal steroid i\u011fneleri ile a\u011fr\u0131lardan kurtulabilirsiniz\u201d<\/p>\n
N\u00f6roloji Uzm. Dr. Y\u0131lmaz Niyazi Yazman, s\u00f6zlerini \u015f\u00f6yle noktalad\u0131:<\/p>\n
“Trigeminal nevraljinin tedavisinde lokal steroid enjeksiyonu medikal tedavilere yan\u0131t vermeyen hastalarda koronoid \u00e7entikten bir i\u011fne ile girilerek etkilenen sinir dal\u0131 civar\u0131na enjekte edilerek yap\u0131lmaktad\u0131r. Enjeksiyonlardan sonra a\u011fr\u0131 ya tamamen ortadan kalkmakta ya da rahat\u00e7a tahamm\u00fcl edilebilir bir seviyeye inmektedir. Lokal steroid enjeksiyonu, se\u00e7ilmi\u015f hasta gruplar\u0131 i\u00e7in uygulanmas\u0131 kolay ve g\u00fcvenli bir tedavidir.”<\/p>\n","protected":false},"excerpt":{"rendered":"
N\u00d6ROLOJ\u0130 UZM. DR. YILMAZ N\u0130YAZ\u0130 YAZMAN, GE\u00c7MEYEN \u015e\u0130DDETL\u0130 Y\u00dcZ A\u011eRILARI HAKKINDA B\u0130LG\u0130 VERD\u0130<\/p>\n","protected":false},"author":1,"featured_media":221707,"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":[15872,9423,1440,9097],"class_list":["post-221706","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-gecmeyen","tag-agrilarina","tag-dikkat","tag-yuz"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/gecmeyen-yuz-agrilarina-dikkat_2f9b459.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-VFU","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/221706","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=221706"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/221706\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/221707"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=221706"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=221706"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=221706"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}