Fizik Tedavi ve Rehabilitasyon Uzman\u0131 Dr. Gamze Y\u0131lmaz Yanarta\u015f, romatizmal hastal\u0131klar\u0131n diyabet, tansiyon gibi s\u00fcre\u011fen bir hastal\u0131k oldu\u011funu ve \u00e7ok so\u011fu\u011fun romatizmay\u0131 etkileyebilece\u011fi gibi \u00e7ok s\u0131ca\u011f\u0131n da etkileyebilece\u011fini s\u00f6yledi.<\/p>\n
Medicana Konya Hastanesi Fizik Tedavi ve Rehabilitasyon Uzman\u0131 Dr. Gamze Y\u0131lmaz Yanarta\u015f, \u201c\u00c7ok s\u0131cak ortamlar, kapl\u0131calar romatizmal hastal\u0131klar\u0131 art\u0131rabilirken, yine \u00e7ok so\u011fuk zamanlar, iklim de\u011fi\u015fiklikleri ve k\u0131\u015f aylar\u0131 da romatizmal hastal\u0131klar\u0131 tetikleyebilir. O y\u00fczden hastalar\u0131m\u0131z\u0131n kapl\u0131ca gibi planlar\u0131 oldu\u011funda mutlaka doktorlar\u0131yla g\u00f6r\u00fc\u015fmeleri de gerekir\u201d dedi.<\/p>\n
\u201cA\u015f\u0131r\u0131 s\u0131cak ve so\u011fuk hastal\u0131\u011f\u0131n a\u011fr\u0131lar\u0131n\u0131 art\u0131rabilir\u201d<\/p>\n
Romatizman\u0131n bir ba\u011f\u0131\u015f\u0131kl\u0131k sistemi hastal\u0131\u011f\u0131 oldu\u011funu ifade eden Uzman Dr. Gamze Y\u0131lmaz Yanarta\u015f, romatizman\u0131n eklemleri ilgilendirse de asl\u0131nda b\u00fct\u00fcnc\u00fcl olarak bak\u0131ld\u0131\u011f\u0131nda b\u00fct\u00fcn v\u00fccudu ilgilendiren bir rahats\u0131zl\u0131k oldu\u011funu kaydetti. Romatizman\u0131n bir\u00e7ok hastal\u0131\u011f\u0131n ortak ismi oldu\u011funu aktaran Uzman Dr. Yanarta\u015f, \u201cRomatizma temel olarak bir ba\u011f\u0131\u015f\u0131kl\u0131k sistemi problemidir. Romatizmal hastal\u0131klar\u0131n sebebi belli olmamakla beraber en \u00e7ok genetik fakt\u00f6rlerden s\u00f6z edilmektedir. Genetik fakt\u00f6rlerin yan\u0131 s\u0131ra, \u00e7evresel etkenler de s\u00f6z konusudur. Bakteriler, \u00e7evresel uyaranlar, beslenme ko\u015fullar\u0131, sigara gibi maruz kald\u0131\u011f\u0131m\u0131z \u00e7evresel uyaranlar da romatizmaya yol a\u00e7abilmektedir. Romatizmal hastal\u0131klar\u0131n baz\u0131 belirtileri olmaktad\u0131r. Mevsimler romatizmay\u0131 ilgilendiren durumlard\u0131r ve mevsimsel de\u011fi\u015fiklikler g\u00f6sterir. A\u015f\u0131r\u0131 s\u0131cak ve so\u011fuk hastal\u0131\u011f\u0131n a\u011fr\u0131lar\u0131n\u0131 art\u0131rabilir\u201d \u015feklinde konu\u015ftu.<\/p>\n
“Belirtiler g\u00f6r\u00fcl\u00fcnce doktora ba\u015fvurulmal\u0131”<\/p>\n
Romatizman\u0131n ba\u015fl\u0131ca belirtilerinin eklemlerdeki a\u011fr\u0131lar oldu\u011funu anlatan Uzman Dr. Yanarta\u015f, \u201cEklemlerde \u015fi\u015flik, sabah tutuklu\u011fu gece uyand\u0131ran a\u011fr\u0131lar ve bunlar\u0131n uzun s\u00fcr\u00fcyor olmas\u0131, yine mafsallar\u0131m\u0131zda g\u00f6rd\u00fc\u011f\u00fcm\u00fcz a\u011fr\u0131lar, \u015fi\u015flikler romatizma belirtileridir. Bunlar\u0131n yan\u0131 s\u0131ra g\u00f6zlerde k\u0131zar\u0131kl\u0131k, ciltte anlam verilemeyen d\u00f6k\u00fcnt\u00fcler, yutkunmada zorluklar, y\u00fczde g\u00fcne\u015fe kar\u015f\u0131 hassasiyet, parmaklarda uyu\u015fukluk, renk de\u011fi\u015fiklikleri, so\u011fu\u011fa kar\u015f\u0131 beyazla\u015fmalar, sabah ilk kalk\u0131ld\u0131\u011f\u0131nda artan bel a\u011fr\u0131s\u0131 bunlar romatizma belirtileridir. E\u011fer buna benzer \u015fikayetler varsa ve uzun s\u00fcr\u00fcyorsa mutlaka hekime ba\u015fvurmam\u0131z gerekiyor\u201d diye konu\u015ftu.<\/p>\n
Romatizman\u0131n t\u0131pk\u0131 diyabet ve tansiyon gibi s\u00fcre\u011fen bir hastal\u0131k oldu\u011funu belirten Yanarta\u015f, romatizma te\u015fhisi konuldu\u011funda doktor kontrol\u00fcnde ila\u00e7 al\u0131n\u0131p b\u0131rak\u0131lmas\u0131 gerekti\u011fini ve tansiyon, \u015feker hastal\u0131klar\u0131nda oldu\u011fu gibi romatizmal hastal\u0131klarda da \u00f6m\u00fcr boyu kullan\u0131labilecek haplar olabilece\u011fini aktard\u0131.<\/p>\n
\u201cRahatlamak hastal\u0131\u011f\u0131n bitmesi anlam\u0131na gelmiyor\u201d<\/p>\n
Romatizmal hastal\u0131klarda tedavi \u015feklini genelde hekimin belirledi\u011fini kaydeden Yanarta\u015f \u015f\u00f6yle konu\u015ftu:<\/p>\n
\u201cBireyin durumuna ve hastal\u0131\u011f\u0131n \u015fiddetine g\u00f6re ilk basamak tedavisi yap\u0131l\u0131yor. Bu basamak tedavisinde en basit a\u011fr\u0131 kesicilerle ba\u015flan\u0131yor. A\u011fr\u0131 kesiciler v\u00fccuttaki iltihab\u0131 da\u011f\u0131tmak i\u00e7in kullan\u0131l\u0131yor ve s\u0131rayla y\u00fckseltilerek devam ediliyor. Ondan sonra kortizon t\u00fcr\u00fc ila\u00e7lar kullan\u0131l\u0131yor. Kortizondan sonra hastal\u0131\u011f\u0131 modifiye eden dedi\u011fimiz ila\u00e7lar var. Son d\u00f6nemde de biyolojik ajanlar dedi\u011fimiz ila\u00e7lar var. Tedavi \u015femas\u0131nda etki artarken yan etki de \u00e7ok y\u00fckseliyor. Burada verece\u011fimiz en b\u00fcy\u00fck mesaj \u00e7ok rahatlad\u0131klar\u0131 anda ila\u00e7lar\u0131n yan etki profillerinin g\u00f6z \u00f6n\u00fcne al\u0131nmas\u0131 laz\u0131m. Rahatlamak hastal\u0131\u011f\u0131n bitmesi anlam\u0131na gelmiyor, bu sefer de ila\u00e7 yan etkileriyle u\u011fra\u015f\u0131l\u0131yor. \u00d6zellikle TNF alfa dedi\u011fimiz biyolojik ajanlarda g\u00f6r\u00fclen yan etkiler \u00e7ok daha fazla. Zaten bunlar \u00f6nce enfeksiyon ve kanser taramas\u0131 yap\u0131lmadan ba\u015flanmayan ila\u00e7lar ve ger\u00e7ekten ba\u015fland\u0131ktan sonra s\u0131k\u0131 takip edilmesi gereken ila\u00e7lar.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
F\u0130Z\u0130K TEDAV\u0130 VE REHAB\u0130L\u0130TASYON UZMANI DR. GAMZE YILMAZ YANARTA\u015e, ROMAT\u0130ZMAL HASTALIKLARIN D\u0130YABET, TANS\u0130YON G\u0130B\u0130 S\u00dcRE\u011eEN B\u0130R HASTALIK OLDU\u011eUNU VE \u00c7OK SO\u011eU\u011eUN ROMAT\u0130ZMAYI ETK\u0130LEYEB\u0130LECE\u011e\u0130 G\u0130B\u0130 \u00c7OK SO\u011eU\u011eUN DA ETK\u0130LEYEB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":254694,"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":[13320,55936,62990,256],"class_list":["post-254693","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-etkileyebilir","tag-ortamlar","tag-romatizmayi","tag-sicak"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2020\/01\/sicak-ortamlar-da-romatizmayi-etkileyebilir_20e7b5e.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-14fX","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/254693","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=254693"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/254693\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/254694"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=254693"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=254693"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=254693"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}