{"id":63723,"date":"2023-02-02T00:38:09","date_gmt":"2023-02-01T21:38:09","guid":{"rendered":"https:\/\/kocaelikent.com\/?p=63723"},"modified":"2023-02-02T00:38:09","modified_gmt":"2023-02-01T21:38:09","slug":"gocgil-belirti-dahi-vermeden-sinsice-ilerliyor","status":"publish","type":"post","link":"https:\/\/kocaelikent.com\/gocgil-belirti-dahi-vermeden-sinsice-ilerliyor\/","title":{"rendered":"G\u00f6\u00e7gil: Belirti Dahi Vermeden Sinsice \u0130lerliyor"},"content":{"rendered":"

Belirti Dahi Vermeden Sinsice \u0130lerliyor<\/h2>\n
G\u00f6zlerde sinsice ilerleyen ve genellikle belirti dahi vermeyerek g\u00f6z sinirinde tahribata sebep olan g\u00f6z tansiyonu hastal\u0131\u011f\u0131 (glokom) nedeniyle her y\u0131l d\u00fcnya genelinde 6.4 milyon insan g\u00f6rmesini yitiriyor – kocaelikent<\/a><\/span><\/p>\n
$\"Prof.$
Prof. Dr. Nur Acar G\u00f6\u00e7gil<\/figcaption><\/figure>\n
<\/p><\/blockquote>\n
G\u00f6z tansiyonu ile glokomun birbirine kar\u0131\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen Prof. Dr. Nur Acar G\u00f6\u00e7gil, \u201cG\u00f6z tansiyonu ile g\u00f6z tansiyon hastal\u0131\u011f\u0131 (glokom) birbirinden ay\u0131rt edilmelidir. Her g\u00f6z tansiyonu y\u00fcksek olan hasta glokom mudur? De\u011fildir. Hastalar g\u00f6z doktoruna ba\u015fvurmad\u0131\u011f\u0131 s\u00fcrece glokom olduklar\u0131ndan habersizdir. Glokom \u00f6nlem al\u0131nmad\u0131\u011f\u0131 taktirde geri d\u00f6n\u00fclemez g\u00f6rme kay\u0131plar\u0131na yol a\u00e7abilmektedir\u201d \u015feklinde konu\u015ftu.<\/strong><\/em><\/p>\n
Genellikle belirti vermeden gizlice ilerleyen yayg\u0131n bir g\u00f6z hastal\u0131\u011f\u0131 olan glokom, tedavi edilmedi\u011finde ciddi ve kal\u0131c\u0131 g\u00f6rme kay\u0131plar\u0131na sebep olabiliyor. Ancak \u00e7o\u011fu insan glokom ve g\u00f6z tansiyonunu birbirine kar\u0131\u015ft\u0131r\u0131yor. Yava\u015f bir \u015fekilde ilerleyerek \u00f6nce g\u00f6rme alan\u0131nda ve giderek g\u00f6rme keskinli\u011finde kal\u0131c\u0131 bir azalma \u015feklinde kendini g\u00f6steren glokom veya halk aras\u0131ndaki ad\u0131yla g\u00f6z tansiyonu hastal\u0131\u011f\u0131yla ilgili a\u00e7\u0131klamada bulunan G\u00f6z Hastal\u0131klar\u0131 ve Retina Cerrahisi Uzman\u0131 Prof. Dr. Nur Acar G\u00f6\u00e7gil, erken tan\u0131n\u0131n ve tedavinin \u00f6nemini vurgulayarak hastal\u0131kla ilgili do\u011fru bilinen yanl\u0131\u015flar hakk\u0131nda bilgi verdi.<\/p>\n
$\"Hasta$
Hasta oldu\u011funuzun fark\u0131nda bile olmayabilirsiniz<\/figcaption><\/figure>\n
\u201c\u00d6NLEM ALINMADI\u011eI TAKT\u0130RDE GER\u0130 D\u00d6N\u00dcLEMEZ G\u00d6RME KAYIPLARINA YOL A\u00c7IYOR\u201d<\/h4>\n
Glokomun g\u00f6z sinirini tahrip eden ve g\u00f6rme kayb\u0131na yol a\u00e7abilen ciddi bir hastal\u0131k oldu\u011funun alt\u0131n\u0131 \u00e7izen ve \u00f6m\u00fcr boyu takibinin yap\u0131lmas\u0131 gerekti\u011fini belirten Prof. Dr. Nur Acar G\u00f6\u00e7gil, \u201cG\u00f6z\u00fcm\u00fczde beyin ve g\u00f6z aras\u0131ndaki ileti\u015fimi sa\u011flayan g\u00f6z sinirimiz bulunmaktad\u0131r. Bakt\u0131\u011f\u0131m\u0131z objeden gelen \u0131\u015f\u0131k g\u00f6ze girer ve retinadaki \u0131\u015f\u0131k alg\u0131layan \u00f6zel h\u00fccreler taraf\u0131ndan alg\u0131lan\u0131r. G\u00f6z siniri ve devam\u0131ndaki sinir a\u011f\u0131 bu verileri beynimizin arkas\u0131nda bulunan g\u00f6rme merkezimize ta\u015f\u0131r. G\u00f6r\u00fcnt\u00fc burada olu\u015fur. Glokom, g\u00f6rme sinirinde hasar olu\u015fturan, ilk d\u00f6nemlerde hastan\u0131n \u00e7evredeki g\u00f6rmesini bozan, giderek merkez g\u00f6rmeyi etkileyen; son d\u00f6neminde ise k\u00f6rl\u00fc\u011fe yol a\u00e7abilen bir g\u00f6rme siniri hastal\u0131\u011f\u0131d\u0131r\u201d dedi.<\/p>\n
\u201cG\u00d6Z TANS\u0130YONU \u0130LE GLOKOM B\u0130RB\u0130R\u0130NE KARI\u015eTIRILMAMALI\u201d<\/h3>\n
$\"Hasta$
Hasta oldu\u011funuzun fark\u0131nda bile olmayabilirsiniz<\/figcaption><\/figure>\n
G\u00f6z tansiyonu ile g\u00f6z tansiyon hastal\u0131\u011f\u0131 yani glokomun birbirine kar\u0131\u015ft\u0131r\u0131lmamas\u0131 gerekti\u011fini s\u00f6yleyen Prof. Dr. Nur Acar G\u00f6\u00e7gil, \u201cG\u00f6z i\u00e7i bas\u0131nc\u0131 normal de\u011feri 10 ile 21 mm civa bas\u0131nc\u0131 aras\u0131nda kabul edilmektedir. G\u00f6z i\u00e7i bas\u0131nc\u0131, g\u00f6z\u00fcn i\u00e7inde \u00fcretilen ve ad\u0131na \u2018ak\u00f6z h\u00fcm\u00f6r\u2019 dedi\u011fimiz s\u0131v\u0131 ile olu\u015fur. G\u00f6z i\u00e7indeki bu s\u0131v\u0131n\u0131n yap\u0131m\u0131 ile g\u00f6z\u00fcn d\u0131\u015f\u0131na \u00e7\u0131k\u0131\u015f\u0131 aras\u0131nda bir denge bulunmaktad\u0131r. Bu denge sayesinde g\u00f6z\u00fcn i\u00e7inde stabil bir bas\u0131n\u00e7 olu\u015fur ve bu bas\u0131n\u00e7 g\u00f6z k\u00fcresine formunu verir, dokular\u0131 besler ve d\u0131\u015f etkenlerden korunmas\u0131n\u0131 sa\u011flar. G\u00f6z tansiyonu ile g\u00f6z tansiyon hastal\u0131\u011f\u0131 (glokom) birbirinden ay\u0131rt edilmelidir. Her g\u00f6z tansiyonu y\u00fcksek olan hasta glokom mudur? De\u011fildir. Glokom dedi\u011fimizde, g\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131n yeteri kadar d\u0131\u015fa \u00e7\u0131kamamas\u0131 sonucu g\u00f6z i\u00e7inde birikmesi, bas\u0131nc\u0131n art\u0131\u015f\u0131 ve g\u00f6rme siniri \u00fczerinde hasar\u0131n ba\u015flamas\u0131n\u0131 anl\u0131yoruz. G\u00f6z tansiyonunun y\u00fcksek olmas\u0131 glokom riskini art\u0131r\u0131r ve g\u00f6rme sinirinde hasara neden olup olmad\u0131\u011f\u0131 ileri tetkiklerle incelenmelidir. Dolay\u0131s\u0131yla sadece g\u00f6z tansiyonunu \u00f6l\u00e7t\u00fcrmek glokomu tespit etmek i\u00e7in yeterli de\u011fildir. \u00d6zetle, g\u00f6z tansiyonunun y\u00fcksek olmas\u0131 glokom hastal\u0131\u011f\u0131 i\u00e7in bir risk fakt\u00f6r\u00fcd\u00fcr\u201d ifadelerini kulland\u0131.<\/p>\n
\u201c40 YA\u015e \u00dcST\u00dc K\u0130\u015e\u0130LERDE DAHA SIK KAR\u015eILA\u015eIYORUZ\u201d<\/h3>\n
$\"Hasta$
Hasta oldu\u011funuzun fark\u0131nda bile olmayabilirsiniz<\/figcaption><\/figure>\n
G\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131n yap\u0131m\u0131 ile g\u00f6zden d\u0131\u015fa ak\u0131m\u0131 h\u0131zlar\u0131 aras\u0131nda bir denge bulundu\u011funu belirten Prof. Dr. Nur Acar G\u00f6\u00e7gil, \u201cG\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131n g\u00f6z d\u0131\u015f\u0131na \u00e7\u0131k\u0131\u015f\u0131nda bir engel olu\u015fmas\u0131 halinde s\u0131v\u0131 g\u00f6z i\u00e7inde birikmeye ba\u015flamaktad\u0131r. Ortaya \u00e7\u0131kan bas\u0131n\u00e7, g\u00f6z i\u00e7indeki en \u00f6nemli yap\u0131lardan \u0131\u015f\u0131k alg\u0131layan h\u00fccrelerinin ve g\u00f6rme sinirinin \u00fczerinde bask\u0131 olu\u015fturur. Y\u00fcksek bas\u0131n\u00e7 uzun s\u00fcreyle devam etti\u011finde ise g\u00f6rme sinirinin g\u00f6z i\u00e7erisindeki b\u00f6l\u00fcm\u00fcnde glokoma ba\u011fl\u0131 hasar\u0131 ba\u015flar. Ailesinde g\u00f6z tansiyonu hikayesi olan bireylerin glokom riskinin 7 ile 10 kat artt\u0131\u011f\u0131n\u0131 biliyoruz. 40 ya\u015f \u00fcst\u00fc ki\u015filerde daha s\u0131k kar\u015f\u0131la\u015ft\u0131\u011f\u0131m\u0131z glokomun olu\u015fma riskini art\u0131ran di\u011fer fakt\u00f6rler, y\u00fcksek miyopinin olmas\u0131, \u00f6zellikle kontrols\u00fcz kullan\u0131lan ve g\u00f6z tansiyonunda art\u0131\u015fa sebep olan kortizonlu ila\u00e7 ve damlalar, kontrols\u00fcz giden diyabet ve kardiyovask\u00fcler hastal\u0131klar, sigara kullan\u0131m\u0131, g\u00f6z travmalar\u0131, g\u00f6z i\u00e7i uzun s\u00fcreli iltihaplard\u0131r. Kornea kal\u0131nl\u0131\u011f\u0131n\u0131n ince olmas\u0131 da bir di\u011fer risk fakt\u00f6r\u00fcd\u00fcr. Glokomun belirli bir ya\u015ftan sonra s\u0131kl\u0131\u011f\u0131n\u0131n artt\u0131\u011f\u0131 do\u011frudur ancak bu daha erken ya\u015flarda glokom olmayaca\u011f\u0131 anlam\u0131 ta\u015f\u0131maz. G\u00fcn\u00fcm\u00fczde rutin kontroller ve ileri tan\u0131 y\u00f6ntemleriyle ki\u015fi daha g\u00f6rme bozuklu\u011fu ya\u015famadan ya da g\u00f6rmede ya\u015fanan bozukluk ilerlemeden, glokomun ciddiyetini \u00e7ok \u00f6nceden tespit edebiliyoruz. Dolay\u0131s\u0131yla glokom konusunda \u015fikayetinizin olmasa bile rutin takip ve tetkikleri aksatmamak b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor\u201d \u015feklinde konu\u015ftu.<\/p>\n
GLOKOM OLDU\u011eUNUZU FARK EDEMEYEB\u0130L\u0130RS\u0130N\u0130Z<\/h3>\n
D\u00fcnya genelinde 70 milyon insan\u0131n glokom hastas\u0131 oldu\u011funu ve 6.5 milyon insan\u0131n da glokom y\u00fcz\u00fcnden g\u00f6rmesini yitirdi\u011fini hat\u0131rlatan Prof. Dr. Nur Acar G\u00f6\u00e7gil, \u201cYayg\u0131n bir hastal\u0131k olan glokomun en yayg\u0131n g\u00f6r\u00fclen tipi primer a\u00e7\u0131k a\u00e7\u0131l\u0131 glokomdur. G\u00f6z i\u00e7i bas\u0131nc\u0131, normal aral\u0131k diye kabul etti\u011fimiz 10-21 mmHg\u2019den y\u00fcksektir. Yine de hastaya bir \u015fikayet fark ettirecek kadar y\u00fckselmeyebilir ve hastada bir belirti genellikle olmaz. G\u00f6z i\u00e7i \u00fcretilen s\u0131v\u0131n\u0131n d\u0131\u015fa ak\u0131m\u0131nda bir sorun mevcuttur ve giderek aylar, y\u0131llar i\u00e7inde g\u00f6rme sinirinde kal\u0131c\u0131 hasar olu\u015fur. Hastalar g\u00f6z doktoruna ba\u015fvurmad\u0131\u011f\u0131 s\u00fcrece glokom olduklar\u0131ndan habersizdir. Daha az s\u0131kl\u0131kta normal tansiyonlu glokomu g\u00f6rmekteyiz. Burada da ad\u0131ndan da anla\u015f\u0131laca\u011f\u0131 gibi g\u00f6z tansiyonu normal s\u0131n\u0131rlar i\u00e7inde olmas\u0131na ra\u011fmen g\u00f6rme sinirinin beslenmesi, dola\u015f\u0131m\u0131ndaki bozuklu\u011fa ba\u011fl\u0131 hasar geli\u015fmektedir. Hastalarda yine bir belirti g\u00f6r\u00fclmez. \u00c7ok daha nadir g\u00f6rd\u00fc\u011f\u00fcm\u00fcz ve \u2018akut a\u00e7\u0131 kapanmas\u0131\u2019 ad\u0131n\u0131 verdi\u011fimiz glokom tipinde ise g\u00f6z\u00fcn i\u00e7erisinde salg\u0131lanan g\u00f6z i\u00e7i s\u0131v\u0131 (ak\u00f6z h\u00fcm\u00f6r) d\u0131\u015fa ak\u0131m\u0131nda ani t\u0131kanma ve drenaj sistemine ula\u015famamas\u0131 sonucu g\u00f6z tansiyonu h\u0131zla \u00e7ok y\u00fckselmektedir. Bu glokom tipinde ancak hasta ciddi \u015fikayetlerle s\u0131kl\u0131kla acilen doktora ba\u015fvurur\u201d a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n
GLOKOMUN BEL\u0130RT\u0130LER\u0130 NELERD\u0130R?<\/h3>\n
Glokomun belirtileri ve tedavi s\u00fcrecine de de\u011finen Prof. Dr. Nur Acar G\u00f6\u00e7gil, \u201cPrimer a\u00e7\u0131k a\u00e7\u0131l\u0131 glokom ge\u00e7 fark edildi\u011fi i\u00e7in ne yaz\u0131k ki bulgular ortaya \u00e7\u0131kt\u0131\u011f\u0131nda g\u00f6rme sinirinde geri d\u00f6n\u00fc\u015fs\u00fcz hasar geli\u015fmi\u015f olabilmektedir. Bu nedenle rutin muayene ve erken te\u015fhis b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. Nadir g\u00f6r\u00fclen primer a\u00e7\u0131 kapanmas\u0131 glokom ise aniden ba\u015flar ve krize neden olur. G\u00f6z tansiyonu bu tipte aniden y\u00fckselmekte, \u015fiddetli a\u011fr\u0131, mide bulant\u0131s\u0131, kusma, g\u00f6rme bulan\u0131kl\u0131\u011f\u0131, \u0131\u015f\u0131klar etraf\u0131nda haleler g\u00f6rme ve kanlanma gibi belirtiler ortaya \u00e7\u0131kmaktad\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n
BEBE\u011e\u0130N\u0130ZDE BU BEL\u0130RT\u0130LER VARSA DO\u011eU\u015eTAN GLOKOMLU OLAB\u0130L\u0130R<\/h4>\n
\u201cYakla\u015f\u0131k 10 binde 1 g\u00f6r\u00fclen do\u011fu\u015ftan glokom ise, bebeklerdeki g\u00f6z s\u0131v\u0131s\u0131n\u0131n d\u0131\u015fa ak\u0131m kanallar\u0131n\u0131n yeterince geli\u015fememesi durumuna ba\u011fl\u0131 olarak olu\u015fur. Bu tipteki bebeklerin g\u00f6zlerinin en \u00f6ndeki saydam kornea tabakalar\u0131 bulan\u0131k veya gri \u015feklindedir ve bebeklerde \u0131\u015f\u0131ktan rahats\u0131z olma, g\u00f6zlerde sulanma, g\u00f6zlerini a\u00e7amama gibi belirtiler g\u00f6r\u00fclmektedir\u201d diyen Prof. Dr. Nur Acar G\u00f6\u00e7gil, hastal\u0131\u011f\u0131n tedavi s\u00fcreciyle ilgili olarak ise \u015fu ifadeleri kulland\u0131:<\/p>\n
\u201cKOMPL\u0130KE M\u00dcDAHALELER DE UYGULANAB\u0130LMEKTED\u0130R\u201d<\/h4>\n
\u201cGlokom tedavisinde g\u00f6z damlalar\u0131, destek olarak a\u011f\u0131zdan al\u0131nan ila\u00e7lar, lazer tedavileri ve cerrahi giri\u015fimler tedavi se\u00e7eneklerimizdir. Hastal\u0131\u011f\u0131n evresi, g\u00f6zdeki hasar\u0131n ciddiyeti, ilerleme h\u0131z\u0131, hastan\u0131n tedaviye ve takip kontrollerine uyumu g\u00f6z \u00f6n\u00fcne al\u0131narak bu tedavilere belirliyoruz. G\u00fcn\u00fcm\u00fczde ila\u00e7 tedavisi olarak, g\u00f6z bas\u0131nc\u0131n\u0131 d\u00fc\u015f\u00fcren damla tedavileri olduk\u00e7a etkin. \u00d6te yandan sinir koruyucu \u00f6zelli\u011fi olan n\u00f6roprotektif medikal tedaviler de art\u0131k mevcut. \u0130lk tedavi se\u00e7ene\u011fimiz damlayla oluyor ve e\u011fer ila\u00e7 tedavisi ile hastal\u0131k kontrol alt\u0131na al\u0131n\u0131yorsa bu tedavi \u00f6m\u00fcr boyu aksat\u0131lmadan devam ettiriliyor. \u0130la\u00e7 tedavisinin yeterli olmad\u0131\u011f\u0131 veya hastan\u0131n damla tedavisini aksatt\u0131\u011f\u0131 durumlarda, Selektif Lazer Trabek\u00fcloplasti (SLT) uygulamas\u0131 olduk\u00e7a h\u0131zl\u0131 ve pratik bir y\u00f6ntemdir. Bu y\u00f6ntemde lazer kullan\u0131larak g\u00f6z i\u00e7inde t\u0131kan\u0131kl\u0131\u011fa neden olan kanallar\u0131n geni\u015fletilmesi ama\u00e7lan\u0131r. \u0130\u015flem sonras\u0131nda g\u00f6z i\u00e7erisindeki bas\u0131nc\u0131n d\u00fc\u015f\u00fcr\u00fclmesi sa\u011flan\u0131r, ancak tekrar\u0131 s\u0131kl\u0131kla gerekir. T\u00fcm bu y\u00f6ntemlerin yetersiz kald\u0131\u011f\u0131 noktada ise cerrahi m\u00fcdahale ka\u00e7\u0131n\u0131lmazd\u0131r. Hastal\u0131\u011f\u0131n \u015fiddetine ve tipine g\u00f6re farkl\u0131 cerrahi ameliyat se\u00e7enekleri \u00f6ncelikli olabilmektedir. Glokom cerrahisi uzmanl\u0131k gerektiren, incelikli bir cerrahidir, ve ameliyat sonras\u0131 yak\u0131n takip yine \u00e7ok \u00f6nemlidir.<\/p>\n
\u201cG\u00d6Z TANS\u0130YONU D\u00dc\u015eT\u00dc D\u0130YE RUT\u0130N KONTROLLER\u0130N YAPILMASI BIRAKILMAMALIDIR\u201d<\/h4>\n
Son olarak, en etkili tedavinin erken te\u015fhis oldu\u011funu unutmamak gerekmektedir. Glokom \u00f6m\u00fcr boyu takibi gereken bir hastal\u0131kt\u0131r. G\u00f6z tansiyonu d\u00fc\u015ft\u00fc diye rutin kontrollerin ve analizlerin yap\u0131lmas\u0131 b\u0131rak\u0131lmamal\u0131d\u0131r.”<\/p>\n","protected":false},"excerpt":{"rendered":"
G\u00f6\u00e7gil, “G\u00f6z siniri ve devam\u0131ndaki sinir a\u011f\u0131 bu verileri beynimizin arkas\u0131nda bulunan g\u00f6rme merkezimize ta\u015f\u0131r. G\u00f6r\u00fcnt\u00fc burada olu\u015fur”<\/p>\n","protected":false},"author":1,"featured_media":63724,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9500],"tags":[13516,13526,13514,13515,13521,13090,13001,13512,13002,13088,38,13523,13522,13003,12964,13518,13005,13531,12785,13513,13529,13520,13089,13530,13524,13525,13527,13528,13006,13519,13517],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/posts\/63723"}],"collection":[{"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/comments?post=63723"}],"version-history":[{"count":1,"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/posts\/63723\/revisions"}],"predecessor-version":[{"id":63730,"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/posts\/63723\/revisions\/63730"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/media\/63724"}],"wp:attachment":[{"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/media?parent=63723"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/categories?post=63723"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kocaelikent.com\/wp-json\/wp\/v2\/tags?post=63723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}