Dr. Hanefi Demirta\u015f, \u00e7ocu\u011fun 3-4 ya\u015f\u0131na kadar gece alt\u0131n\u0131 \u0131slatmas\u0131\/yatak \u0131slatmas\u0131n\u0131n do\u011fal, ancak sorun 4 ya\u015f\u0131ndan sonra da devam ediyorsa tedavinin \u015fart oldu\u011funu belirterek, “Alarm cihazlar\u0131yla 3 ay i\u00e7inde y\u00fczde 90\u2019a kadar alt \u0131slatma sorununu \u00e7\u00f6zebiliyoruz. Amac\u0131m\u0131z yata\u011f\u0131 kuru b\u0131rakmak de\u011fil, \u00e7ocu\u011fu kuru b\u0131rakmakt\u0131r” dedi.<\/p>\n
Medipol \u00dcniversitesi Vatan Klini\u011fi \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Hanefi Demirta\u015f, \u00e7ocuklarda alt \u0131slatma problemi yani en\u00fcrezise kar\u015f\u0131 geli\u015ftirilen alarm y\u00f6ntemini a\u00e7\u0131klad\u0131. Dr. Demirta\u015f, alt \u0131slatma probleminin \u00e7ocuklarda 4 ya\u015f\u0131na kadar fizyolojik kabul edilen bir problem oldu\u011funa dikkati \u00e7ekerek, “Alt \u0131slatma \u00e7ocukluk ve ergenlik \u00e7a\u011f\u0131n\u0131n en yayg\u0131n ve en ciddi sa\u011fl\u0131k sorunlar\u0131ndan biridir. Yakla\u015f\u0131k olarak; 5 ya\u015f\u0131nda y\u00fczde 15, 10 ya\u015f\u0131nda y\u00fczde 5, 15 ya\u015f\u0131nda y\u00fczde 2, 20 ya\u015f ve \u00fczeri yeti\u015fkinlerde ise y\u00fczde 1\u2019e yak\u0131n ortamlarda g\u00f6r\u00fclebilen alt \u0131slatma ciddi psikososyal sonu\u00e7lar\u0131 olan bir sa\u011fl\u0131k sorunudur. Herhangi bir fiziksel veya psikolojik sebebe ba\u011flanamayan, daha \u00e7ok genetik olarak ortaya \u00e7\u0131kan alt \u0131slatmaya \u2018birincil alt \u0131slatma\u2019 yani \u2018primer en\u00fcrezis\u2019 deniyor. Alt \u0131slatmalar\u0131n y\u00fczde 90\u2019\u0131na yak\u0131n\u0131 bir sebebe ba\u011flanmayan bu genetik ge\u00e7i\u015fli alt \u0131slatmalardan olu\u015fuyor” ifadelerini kulland\u0131.<\/p>\n
“Enfeksiyon ve diyabet ara\u015ft\u0131r\u0131lmal\u0131”<\/p>\n
Dr. Demirta\u015f, b\u00fct\u00fcn toplumlarda yayg\u0131n g\u00f6r\u00fclen bir sa\u011fl\u0131k sorunu olan alt \u0131slatman\u0131n sebeplerine y\u00f6nelik a\u00e7\u0131klamalar\u0131na \u015f\u00f6yle devam etti: “\u0130drar yolu iltihaplar\u0131, \u015feker hastal\u0131\u011f\u0131, ba\u011f\u0131rsak parazitleri gibi fiziksel veya ailevi sorunlar, karde\u015f k\u0131skan\u00e7l\u0131klar\u0131 gibi psikolojik bir sebebe ba\u011fl\u0131 olarak sonradan ortaya \u00e7\u0131kan alt \u0131slatmaya; \u2018ikincil alt \u0131slatma\u2019 yani \u2018sekonder en\u00fcrezis\u2019 denir. Fiziksel veya psikolojik bir nedenle ortaya \u00e7\u0131kan alt \u0131slatmalarda sorun \u00e7\u00f6z\u00fcl\u00fcnce alt \u0131slatma da kendili\u011finden d\u00fczelir. Alt \u0131slatma tedavisine ba\u015flanmadan \u00f6nce, idrar tahlili, idrar yollar\u0131 ve b\u00f6brek USG\u2019si (ultrasonografi) ile tarama yap\u0131lmal\u0131d\u0131r.”<\/p>\n
“3 ayda problem ortadan kalk\u0131yor”<\/p>\n
Herhangi bir sebebe ba\u011flanamayan ve genelde genetik ge\u00e7i\u015fli olan birincil alt \u0131slatmalarda en etkili tedavi y\u00f6ntemlerinden birinin \u2019alarm y\u00f6ntemi\u2019 oldu\u011funa i\u015faret eden Dr. Demirta\u015f, \u015fu bilgileri verdi: “Alarm y\u00f6nteminde; alarm cihazlar\u0131 ile beyin \u015fartl\u0131\/ko\u015fullu refleksi olu\u015fturarak ortalama 3 ay i\u00e7inde y\u00fczde 90\u2019a yak\u0131n oranda ki\u015fi uyanmay\u0131 veya kuru kalmay\u0131 \u00f6\u011frenebilmektedir. Alarm y\u00f6ntemi tedavisinin ba\u015far\u0131l\u0131 olabilmesi i\u00e7in konunun uzman\u0131 bir hekim taraf\u0131ndan hastan\u0131n ve ailenin programlanarak ortalama 3 ay s\u00fcreyle yak\u0131n takip edilmesi gerekir. Alt \u0131slatma hekimlerin, hastaya alarm cihaz\u0131 re\u00e7ete ederek hastan\u0131n ve ailenin bu cihaz\u0131 kendi ba\u015f\u0131na kullanmas\u0131 ile \u00e7\u00f6z\u00fcmlenebilecek bir sorun de\u011fildir. Alt \u0131slatan \u00e7ocuk ve ki\u015finin ya\u015f\u0131, uyku a\u011f\u0131rl\u0131\u011f\u0131 ve sosyal durumuna g\u00f6re cihazlar farkl\u0131l\u0131klar arz edebilmektedir. Alarm cihazlar\u0131 ile \u015fartl\u0131 refleks olu\u015fturman\u0131n yan\u0131nda mesane kontrol\u00fcn\u00fc art\u0131r\u0131c\u0131 ila\u00e7lar ve uyku a\u011f\u0131rl\u0131\u011f\u0131na \u00e7\u00f6z\u00fcm olabilecek y\u00f6ntemlerle alt \u0131slatma tedavisinde ki ba\u015far\u0131 oranlar\u0131 artt\u0131r\u0131labilmektedir.”<\/p>\n
“G\u00fcnd\u00fcz idrar ka\u00e7\u0131rma ve alt kirletme de tedavi edilebiliyor”<\/p>\n
Dr. Demirta\u015f, \u00e7ocuklarda \u00e7ok yayg\u0131n bir sorun olan g\u00fcnd\u00fcz idrar ka\u00e7\u0131rma sorununun ise ila\u00e7 tedavisi ile \u00e7ok h\u0131zl\u0131 iyile\u015ftirilebilece\u011fine dikkati \u00e7ekerek, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131: “Alt \u0131slatma sorununa ba\u011fl\u0131 olarak da ortaya \u00e7\u0131kabilen alt kirletme yani \u2018enkoprezis\u2019 sorununu da bu tedavi program\u0131 i\u00e7erisinde \u00e7\u00f6zebilmekteyiz.”<\/p>\n","protected":false},"excerpt":{"rendered":"
DR. HANEF\u0130 DEM\u0130RTA\u015e, \u00c7OCU\u011eUN 3-4 YA\u015eINA KADAR GECE ALTINI ISLATMASI\/YATAK ISLATMASININ DO\u011eAL, ANCAK SORUN 4 YA\u015eINDAN SONRA DA DEVAM ED\u0130YORSA TEDAV\u0130N\u0130N \u015eART OLDU\u011eUNU BEL\u0130RTEREK, “ALARM C\u0130HAZLARIYLA 3 AY \u0130\u00c7\u0130NDE Y\u00dcZDE 90\u2019A KADAR ALT ISLATMA SORUNUNU \u00c7\u00d6ZEB\u0130L\u0130YORUZ. AMACIMIZ YATA\u011eI KURU BIRAKMAK DE\u011e\u0130L, \u00c7OCU\u011eU KURU BIRAKMAKTIR” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":234964,"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":[59067,263,420,33970,1609],"class_list":["post-234963","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-alarmli","tag-alt","tag-cozum","tag-islatma","tag-problemine"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/alt-islatma-problemine-alarmli-cozum_c87e4b5.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Z7J","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/234963","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=234963"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/234963\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/234964"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=234963"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=234963"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=234963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}