Ac\u0131badem Fulya Hastanesi N\u00f6roloji Uzman\u0131 Do\u00e7. Dr. Geysu Karl\u0131kaya, g\u00fcn\u00fcm\u00fczde tedavisine y\u00f6nelik \u00e7al\u0131\u015fmalar\u0131n devam etti\u011fi ALS hastal\u0131\u011f\u0131 ile ilgili \u00f6nemli uyar\u0131lar ve \u00f6nerilerde bulundu.<\/b><\/p>\n

T\u00fcm d\u00fcnyan\u0131n g\u00f6z\u00fc ge\u00e7ti\u011fimiz yaz ALS hastal\u0131\u011f\u0131na \u00e7evrilmi\u015fti. Hastal\u0131\u011fa kar\u015f\u0131 fark\u0131ndal\u0131k yaratmak amac\u0131yla, eline bir kova buzlu suyu alan \u00f6nce ba\u015f\u0131ndan a\u015fa\u011f\u0131 d\u00f6km\u00fc\u015f, sonra da bunu videoya \u00e7ekip sosyal medyada payla\u015fm\u0131\u015ft\u0131. \u201cIce Bucket Challenge\u201d ad\u0131 verilen eylemle fark\u0131ndal\u0131k yaratma \u00e7abas\u0131 kamuoyunda olduk\u00e7a b\u00fcy\u00fck ses getirmi\u015fti. ALS hastal\u0131\u011f\u0131 her y\u0131l oldu\u011fu gibi bu y\u0131l da 21 Haziran D\u00fcnya ALS G\u00fcn\u00fc kapsam\u0131nda g\u00fcndemde. Ac\u0131badem Fulya Hastanesi N\u00f6roloji Uzman\u0131 Do\u00e7. Dr. Geysu Karl\u0131kaya, g\u00fcn\u00fcm\u00fczde tedavisine y\u00f6nelik \u00e7al\u0131\u015fmalar\u0131n devam etti\u011fi ALS hastal\u0131\u011f\u0131 ile ilgili \u00f6nemli uyar\u0131lar ve \u00f6nerilerde bulundu.<\/p>\n

Halk aras\u0131nda ALS olarak bilinen ve ge\u00e7en y\u0131l bir kova buzlu su \u2018Ice Bucket Challenge’ eylemiyle t\u00fcm d\u00fcnyada g\u00f6zlerin \u00fczerine \u00e7evrildi\u011fi motor n\u00f6ron hastal\u0131\u011f\u0131, beyin ve omurilikte bulunan kaslar\u0131n hareket etmesini sa\u011flayan h\u00fccrelerin hasar g\u00f6rmesi sonucu ortaya \u00e7\u0131k\u0131yor. \u0130lerleyici bir sinir sistemi hastal\u0131\u011f\u0131 olan Amyotrofik Lateral Skleroz (ALS) \u00f6nce genellikle kol ve bacaklar\u0131 etkiliyor, ard\u0131ndan b\u00fct\u00fcn v\u00fccudu.<\/p>\n

Ac\u0131badem Fulya Hastanesi N\u00f6roloji Uzman\u0131 Do\u00e7. Dr. Geysu Karl\u0131kaya, kalem tutmada problemden y\u00fcr\u00fcrken ayakta tak\u0131lmaya dek bir\u00e7ok belirti ile kendini g\u00f6steren ancak haf\u0131zay\u0131 ve zihni etkilemeyen ALS’de amac\u0131n hastan\u0131n ya\u015fam kalitesini y\u00fckseltmek oldu\u011funu belirtiyor. Sigaran\u0131n \u00f6nemli bir risk fakt\u00f6r\u00fc oldu\u011fu ve \u00f6zellikle zay\u0131f yap\u0131l\u0131 ki\u015filerde daha s\u0131k g\u00f6r\u00fclen hastal\u0131\u011f\u0131n \u00e7o\u011funlukla askerler ve profesyonel futbol oynayan ki\u015fileri tehdit etti\u011fine dair ara\u015ft\u0131rmalar da bulunuyor.<\/p>\n

\u00c7o\u011funlukla kol ve bacaklarda ba\u015fl\u0131yor<\/strong><\/p>\n

Do\u00e7. Dr. Geysu Karl\u0131kaya, bula\u015f\u0131c\u0131 olmayan, beyin ve omurilikte bulunan kaslar\u0131n hareket etmesini sa\u011flayan h\u00fccrelerin hasar g\u00f6rmesi sonucu ortaya \u00e7\u0131kan ALS’nin erken d\u00f6nemde kaslarda sertlik, kramp ve seyirmelerle ba\u015flarken, temel bulgular\u0131n kaslarda g\u00fc\u00e7s\u00fczl\u00fck ve erime oldu\u011funu s\u00f6yl\u00fcyor. Etkilenen kaslara g\u00f6re erken d\u00f6nem bulgular\u0131 da de\u011fi\u015fiklik g\u00f6sterirken, elden ba\u015flad\u0131\u011f\u0131 durumda kalem tutmada, anahtar \u00e7evirmede veya \u00e7ay barda\u011f\u0131n\u0131 kald\u0131rmada g\u00fc\u00e7l\u00fck meydana geliyor. ALS hastal\u0131\u011f\u0131 bacaklardan ba\u015flad\u0131\u011f\u0131nda ise y\u00fcr\u00fcme g\u00fc\u00e7l\u00fc\u011f\u00fc ve y\u00fcr\u00fcrken ayakta tak\u0131lmaya yol a\u00e7\u0131yor. Do\u00e7. Dr. Geysu Karl\u0131kaya, hastal\u0131\u011f\u0131n a\u011f\u0131rl\u0131kl\u0131 olarak kol ve\/veya bacaklarda ba\u015flasa da ilerleyen d\u00f6nemlerde g\u00f6vde kaslar\u0131, konu\u015fma ve solunum kaslar\u0131n\u0131 da etkisine ald\u0131\u011f\u0131n\u0131 belirterek \u201cHastalar\u0131n yakla\u015f\u0131k y\u00fczde 10’unda konu\u015fma, yutma ve solunum kaslar\u0131n\u0131n \u00f6n planda etkilenmesi ile seyreder\u201d diyor.<\/p>\n

Yata\u011fa ba\u011f\u0131ml\u0131 k\u0131l\u0131yor<\/strong><\/p>\n

Hastal\u0131\u011f\u0131n son evrelerine kadar ki\u015finin g\u00fcnl\u00fck hayat\u0131ndaki ihtiya\u00e7lar\u0131n\u0131 kendi ba\u015f\u0131na kar\u015f\u0131layabildi\u011fini, kaslarda \u00e7ok yo\u011fun erimeler ba\u015f g\u00f6sterdi\u011finde ise y\u00fcr\u00fcyemez, konu\u015famaz ve kollar\u0131n\u0131 kullanamaz hale geldi\u011fini, buna kar\u015f\u0131n haf\u0131zan\u0131n ve zihnin etkilenmedi\u011fini belirten Do\u00e7. Dr. Geysu Karl\u0131kaya, hasta yak\u0131nlar\u0131n\u0131n sab\u0131rl\u0131, \u015fefkatli ve \u00f6zenli davranmalar\u0131 gerekti\u011fini vurguluyor. ALS hastal\u0131\u011f\u0131n\u0131n tan\u0131s\u0131n\u0131 koymak i\u00e7in \u00e7e\u015fitli incelemeler yap\u0131ld\u0131\u011f\u0131n\u0131 belirten Do\u00e7. Dr. Geysu Karl\u0131kaya \u201cKaslarda g\u00fc\u00e7s\u00fczl\u00fck, konu\u015fma bozuklu\u011fu, seyirme gibi \u015fikayetlerle ba\u015fvuran hastalarda yap\u0131lacak ayr\u0131nt\u0131l\u0131 bir n\u00f6rolojik muayene \u00e7ok \u00f6nemlidir. Refleks de\u011fi\u015fikli\u011fi, patolojik bulgular a\u00e7\u0131s\u0131ndan de\u011ferlendirme yap\u0131l\u0131r, ard\u0131ndan EMG testi yap\u0131larak tan\u0131 konulur. ALS hastal\u0131\u011f\u0131n\u0131 taklit eden hastal\u0131klar\u0131n ay\u0131r\u0131m\u0131 a\u00e7\u0131s\u0131ndan kan tahlilleri de yap\u0131l\u0131r\u201d diyor.<\/p>\n

Ama\u00e7 ya\u015fam kalitesini art\u0131rmak<\/strong><\/p>\n

ALS’de hastalar\u0131n y\u00fczde 5’inin 20 y\u0131ldan fazla ya\u015fayabildi\u011fini belirten Do\u00e7. Dr. Geysu Karl\u0131kaya, ALS hastal\u0131\u011f\u0131n\u0131n etkin bir tedavisi bulunmamakla birlikte tedavi konusunda yo\u011fun \u00e7al\u0131\u015fmalar\u0131n devam etti\u011fini vurguluyor. G\u00fcn\u00fcm\u00fczde temel amac\u0131n ya\u015fam kalitesini art\u0131rmak oldu\u011funu s\u00f6yleyen Do\u00e7. Dr. Geysu Karl\u0131kaya, hastan\u0131n sa\u011fl\u0131kl\u0131 ve dengeli beslenmesi, s\u0131k ama hafif yiyecekler yemesi, s\u0131v\u0131 t\u00fcketimini art\u0131rmas\u0131 ve ideal kilosunu korumas\u0131n\u0131n \u00f6nemine dikkat \u00e7ekiyor.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ac\u0131badem…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[115,116,117,33],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/50"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=50"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/50\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=50"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=50"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=50"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}