Do\u00e7.Dr. Bar\u0131\u015f Yeniad, \u00e7ocuklarda do\u011fu\u015ftan ya da ya\u015fa ba\u011fl\u0131 olarak g\u00f6z kapaklar\u0131nda geli\u015fen i\u00e7e ya da d\u0131\u015fa d\u00f6nme, \u00fcst g\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc, kirpik bozukluklar\u0131 gibi sorunlar nedeniyle g\u00f6z\u00fcn fonksiyonunun tehlikeye girebildi\u011fini s\u00f6yledi.<\/p>\n
G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Do\u00e7.Dr. Bar\u0131\u015f Yeniad, G\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn\u00fcn do\u011fu\u015ftan veya ilerleyen ya\u015flarda g\u00f6r\u00fclebildi\u011fini belirterek \u201cEn s\u0131k g\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc nedenleri ya\u015fa ba\u011fl\u0131 g\u00f6z kapa\u011f\u0131n\u0131 kald\u0131ran kaslarda g\u00fc\u00e7s\u00fczl\u00fck, g\u00f6z b\u00f6lgesine gelen travmalar, ge\u00e7irilmi\u015f g\u00f6z ameliyatlar\u0131, miyokondrial miyopati gibi kas hastal\u0131klar\u0131 ve do\u011fu\u015ftan g\u00f6z kapa\u011f\u0131 kaslar\u0131n\u0131n yeterli geli\u015fmemesidir\u201d dedi.<\/p>\n
Do\u011fu\u015ftan g\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn\u00fcn, g\u00f6z kapaklar\u0131n\u0131 yukar\u0131 kald\u0131ran\u201d levator palpebralis\u201d olarak adland\u0131r\u0131lan kas\u0131n yeteri kadar geli\u015fmedi\u011fi durumlarda ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade eden Do\u00e7.Dr. Yeniad, \u201cHer 10 bin do\u011fumda bir bebekte bu durum ortaya \u00e7\u0131kabilmektedir. Do\u011fu\u015ftan g\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fckleri sadece estetik bir durum de\u011fildir. E\u011fer \u00fcst g\u00f6z kapa\u011f\u0131 g\u00f6z bebe\u011fini kapatacak kadar d\u00fc\u015f\u00fckse o g\u00f6zde tembellik riski oldu\u011fundan ileride g\u00f6rme kay\u0131plar\u0131na yol a\u00e7abilir. Bu nedenle d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn acilen d\u00fczeltilmesi gerekmektedir. G\u00f6z bebe\u011fini kapatmayan g\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fcklerinde ise, e\u011fer d\u00fc\u015f\u00fckl\u00fck tek tarafl\u0131 ise sa\u011flam g\u00f6zde kapama yap\u0131larak kapak d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc bir s\u00fcre izlenebilir. \u0130ki tarafl\u0131 do\u011fu\u015ftan g\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fcklerinde altta yatan nedenler ara\u015ft\u0131r\u0131lmal\u0131d\u0131r. Bu t\u00fcr durumlarda genel kas hastal\u0131klar\u0131 kapak d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcne yol a\u00e7abildi\u011finden g\u00f6z doktoru ve \u00e7ocuk doktorunun birlikte \u00e7al\u0131\u015fmas\u0131 gerekmektedir\u201d diye konu\u015ftu.<\/p>\n
G\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn\u00fcn tedavisinin cerrahi oldu\u011funu anlatan \u0131 Do\u00e7.Dr. Yeniad, \u201cYap\u0131lacak cerrahi tedavi se\u00e7iminde muayenede uygulanacak tan\u0131 y\u00f6ntemleri son derece \u00f6nemlidir. Kapak d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcnde yanl\u0131\u015f tedavi uyguland\u0131\u011f\u0131nda y\u00fcz g\u00fcld\u00fcr\u00fcc\u00fc sonu\u00e7lar al\u0131namaz bu nedenle cerrahi tedavide tecr\u00fcbe son derece \u00f6nemlidir. Tan\u0131 y\u00f6ntemleri aras\u0131nda en \u00f6nemlisi g\u00f6z kapa\u011f\u0131n\u0131 kald\u0131ran kas\u0131n ne kadar \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131n tespitidir. E\u011fer bu kas iyi \u00e7al\u0131\u015f\u0131yorsa ameliyat sonras\u0131 sonu\u00e7lar \u00e7ok daha iyi olmaktad\u0131r. Temel olarak g\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcn\u00fcn tedavisinde iki y\u00f6ntem mevcuttur. Birinci y\u00f6ntem; g\u00f6z kapa\u011f\u0131n\u0131 kald\u0131ran kas yeteri kadar \u00e7al\u0131\u015f\u0131yorsa bu kas\u0131n kuvvetlendirilerek daha iyi \u00e7al\u0131\u015f\u0131r hale getirildi\u011fi levator cerrahisidir. E\u011fer g\u00f6z kapa\u011f\u0131n\u0131 kald\u0131ran kas \u00e7al\u0131\u015fm\u0131yorsa g\u00f6z kapa\u011f\u0131 frontal ask\u0131 dedi\u011fimiz y\u00f6ntem ile aln\u0131m\u0131zdaki frontal kasa i\u00e7eriden as\u0131l\u0131r. Ask\u0131 y\u00f6nteminde bacaktan al\u0131nan otojen fascia lata veya silikon gibi materyaller kullan\u0131labilir. \u00c7ocuklarda her iki y\u00f6ntem de genel anestezi alt\u0131nda yap\u0131lmal\u0131d\u0131r. Hastalar\u0131n bilmesi gereken en \u00f6nemli husus kapak d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcnde uygulanan cerrahi sonras\u0131nda tekrar ayarlama yapmak gerekebilir. Her iki kapak aras\u0131nda 1 mm\u2019 den az fark olmas\u0131 ba\u015far\u0131 kriteri olarak kabul edilir. Ameliyat sonras\u0131nda diki\u015fler ise 1.haftada al\u0131nmaktad\u0131r. K\u00fc\u00e7\u00fck \u00e7ocuklarda eriyebilen diki\u015fler kullan\u0131l\u0131rsa diki\u015f al\u0131nmas\u0131na gerek yoktur\u201d ifadelerini kulland\u0131.<\/p>\n
G\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc tedavisinde en \u00f6nemli \u015feylerden birinin g\u00f6z kapa\u011f\u0131 y\u00fcksekli\u011finin ayarlanmas\u0131 oldu\u011funu dile getiren Do\u00e7.Dr. Yeniad, \u201cKapak y\u00fcksekli\u011fi az veya \u00e7ok ayarlan\u0131rsa istenen sonu\u00e7 al\u0131namaz. Yetersiz veya fazla d\u00fczeltmelerde tekrar ayarlama yap\u0131labilir. \u00d6zellikle frontal ask\u0131 cerrahisinde fazla d\u00fczeltmelerde g\u00f6z kapa\u011f\u0131 yeterli esneklikte olmaz ve kapanmada problemler ya\u015fanabilir. \u0130yi kapanmayan g\u00f6z kapaklar\u0131 nedeni ile saydam tabakam\u0131z korneada \u00e7ok ciddi sonu\u00e7lar ortaya \u00e7\u0131kabilir. Ancak bebeklerde ve k\u00fc\u00e7\u00fck \u00e7ocuklarda yap\u0131lan g\u00f6z kapa\u011f\u0131 d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc tedavisinde kapak y\u00fcksekli\u011fi genel anestezi alt\u0131nda ayarland\u0131\u011f\u0131ndan ameliyat sonras\u0131nda ufak farkl\u0131l\u0131klar olabilir. Bu ya\u015flarda yap\u0131lan cerrahinin temel amac\u0131n\u0131n estetik de\u011fil, g\u00f6z tembelli\u011finin engellenmesi oldu\u011fu unutulmamal\u0131d\u0131r. Do\u011fu\u015ftan olabilen g\u00f6z kapa\u011f\u0131 problemleri aras\u0131nda g\u00f6z kapa\u011f\u0131n\u0131n i\u00e7eri (entropium) veya d\u0131\u015far\u0131 d\u00f6nmesi (ektropium), sinir fel\u00e7lerine ba\u011fl\u0131 olarak g\u00f6z kapa\u011f\u0131n\u0131n tam olarak kapanamamas\u0131 (lagoftalmi), g\u00f6z ya\u015f\u0131 yollar\u0131n\u0131n tam olarak geli\u015fememesi nedeni ile devaml\u0131 g\u00f6zlerde sulanma, \u00e7e\u015fitli sendrom ve anomalilere ba\u011fl\u0131 olarak \u00fcst veya alt g\u00f6z kapa\u011f\u0131n\u0131n tamam\u0131 veya bir k\u0131sm\u0131n\u0131n geli\u015fmemesi (kolobom) say\u0131labilir. \u00d6rne\u011fin blefarofimozis; g\u00f6z kapa\u011f\u0131nda d\u00fc\u015f\u00fckl\u00fck, burun k\u00f6k\u00fcnde geni\u015flik ve farkl\u0131 kapak anomalileri g\u00f6r\u00fclen nadir bir hastal\u0131k olmas\u0131na kar\u015f\u0131n kapak d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc genelde g\u00f6z bebe\u011fini kapatt\u0131\u011f\u0131ndan erken ya\u015fta tedavi edilmelidir\u201d a\u00e7\u0131klamalar\u0131nda bulundu.<\/p>\n
Bebeklerde g\u00f6z kapaklar\u0131n\u0131n i\u00e7eri do\u011fru d\u00f6nmesinin nadir g\u00f6r\u00fclen bir hastal\u0131k oldu\u011funu kaydeden Dr. Yeniad, \u201cAncak kapa\u011f\u0131n i\u00e7eri d\u00f6nmesi ile beraber kirpikler kornea dedi\u011fimiz saydam tabakaya de\u011ferek ciddi g\u00f6rme problemlerine yol a\u00e7abilir. Tan\u0131da \u00f6ncelikle kapa\u011f\u0131n i\u00e7eri d\u00f6nmesinin kal\u0131c\u0131 m\u0131 yoksa ya\u015f ilerledik\u00e7e ge\u00e7ebilecek bir durum mu oldu\u011fu ortaya konmal\u0131d\u0131r. Epiblefaron denilen ve alt g\u00f6z kapa\u011f\u0131n\u0131n sadece bir k\u0131sm\u0131n\u0131n i\u00e7eri d\u00f6nd\u00fc\u011f\u00fc durumlarda acil tedaviye gerek yoktur ve kornea zedelenmesi yoksa beklenebilir \u00e7\u00fcnk\u00fc hastal\u0131k g\u00f6z kapa\u011f\u0131n\u0131n geli\u015fmesi ile kendili\u011finden ge\u00e7er. Entropium dedi\u011fimiz alt g\u00f6z kapa\u011f\u0131n\u0131n kal\u0131c\u0131 olarak i\u00e7eri d\u00f6nmesinde ise mutlaka acilen tedavi yap\u0131lmal\u0131d\u0131r \u00e7\u00fcnk\u00fc kirpiklerin devaml\u0131 korneaya s\u00fcrtmesi ile g\u00f6zde delinme meydana gelebilir. Sinir fel\u00e7lerine ba\u011fl\u0131 olarak g\u00f6z kapaklar\u0131n\u0131n tam olarak kapanamamas\u0131 lagoftalmi olarak ifade edilir. 7.sinir felcine ba\u011fl\u0131 olarak g\u00f6z kapaklar\u0131 \u00f6zellikle uykuda a\u00e7\u0131k kal\u0131r, g\u00f6zde k\u0131zar\u0131kl\u0131k, yanma batma ve alt g\u00f6z kapa\u011f\u0131nda gev\u015feklik geli\u015fir. Sinir felcinin nedenleri ara\u015ft\u0131r\u0131ld\u0131ktan sonra tedaviye ge\u00e7ilmelidir. Medikal tedavide suni g\u00f6zya\u015f\u0131 damlalar\u0131 ve antibiyotikli damlalar verilmelidir. E\u011fer fel\u00e7 durumunda bir iyile\u015fme g\u00f6r\u00fclm\u00fcyorsa g\u00f6z kapaklar\u0131n\u0131n kapat\u0131lamamas\u0131 korneaya zarar verebilece\u011finden g\u00f6z kapaklar\u0131n\u0131n kapanabilmesi amac\u0131 ile \u00fcst g\u00f6z kapa\u011f\u0131na \u00e7e\u015fitli a\u011f\u0131rl\u0131klarda alt\u0131n plaklar yerle\u015ftirilerek kapak kapanmas\u0131 sa\u011flan\u0131r. Gev\u015fek alt g\u00f6z kapa\u011f\u0131 da s\u0131k\u0131la\u015ft\u0131r\u0131larak \u00fcst ve alt g\u00f6z kapaklar\u0131n\u0131n birbirine yakla\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lan\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
G\u00d6Z HASTALIKLARI UZMANI DO\u00c7.DR. BARI\u015e YEN\u0130AD<\/p>\n","protected":false},"author":1,"featured_media":48068,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[7305,16208,1126,1127,16193],"class_list":["post-48067","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-cocuklarda","tag-dusuklugu","tag-goz","tag-kapagi","tag-onemsenmeli"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/02\/cocuklarda-goz-kapagi-dusuklugu-onemsenmeli_c87f273.jpg?fit=666%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-cvh","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/48067","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=48067"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/48067\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/48068"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=48067"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=48067"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=48067"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}