Halk aras\u0131nda \u2019kelebek\u2019 hastal\u0131\u011f\u0131 olarak da bilinen \u2019lupus\u2019 hakk\u0131nda \u00f6nemli a\u00e7\u0131klamalarda bulunan Medicana Sa\u011fl\u0131k Grubu \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Murtaza \u00c7it, lupus hastal\u0131\u011f\u0131n\u0131n \u00e7o\u011fu zaman di\u011fer hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131, tan\u0131n\u0131n gecikmesinin ise hayati risklere yol a\u00e7abilece\u011fini ifade etti. Lupus hastal\u0131\u011f\u0131n\u0131n erkeklere oranla kad\u0131nlarda 9 kat fazla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc aktaran Uzm. Dr. Murtaza \u00c7it, bu hastal\u0131\u011f\u0131n kalp, b\u00f6brek, akci\u011fer gibi hayati organlar\u0131 etkileyebildi\u011fini s\u00f6yledi.
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Y\u00fczde burun ve yanaklarda k\u0131zar\u0131kl\u0131klarla kendini g\u00f6steren ve bu nedenle de halk aras\u0131nda kelebek hastal\u0131\u011f\u0131 olarak da bilinen lupus hastal\u0131\u011f\u0131 hakk\u0131nda bilgi veren Medicana International \u0130zmir Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 Uzman\u0131 Uzm. Dr. Murtaza \u00c7it, “kelebek hastal\u0131\u011f\u0131” tan\u0131m\u0131n\u0131n hastal\u0131\u011f\u0131 tam anlam\u0131yla tan\u0131mlamad\u0131\u011f\u0131n\u0131 aktard\u0131. Uzm. Dr. Murtaza \u00c7it, hastal\u0131\u011f\u0131n bir \u00e7ok semptomu oldu\u011funu ve de kronik bir hastal\u0131k oldu\u011funu vurgulad\u0131.
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Lupus hastal\u0131\u011f\u0131n\u0131n neden meydana geldi\u011finin kesin olarak bilinmedi\u011fini ifade eden Uzm. Dr. Murtaza \u00c7it, “Ba\u011f\u0131\u015f\u0131kl\u0131k sistemiyle ilgili, v\u00fccutta bir\u00e7ok sistemi tutan, bir\u00e7ok organ\u0131 etkileyen bir hastal\u0131k. Ba\u011f\u0131\u015f\u0131kl\u0131k h\u00fccrelerinin dokulara g\u00f6sterdi\u011fi reaksiyonla ortaya \u00e7\u0131kan bir hastal\u0131k. Bir\u00e7ok dokuyu etkiliyor; bunlar eklemler, akci\u011fer, cilt, karaci\u011fer, b\u00f6brek, kalp, organ zarlar\u0131, bat\u0131n zar\u0131… T\u00fcm bu organlara ve dokulara kar\u015f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sistemi reaksiyonu geli\u015fmesine neden oluyor” diye konu\u015ftu.<\/p>\n
G\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131 ve d\u0131\u015far\u0131daki alerjenler hastal\u0131\u011f\u0131 tetikleyebilir
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Hastal\u0131\u011f\u0131n sebepleri aras\u0131nda bir\u00e7ok neden olabilece\u011fini aktaran Uzm. Dr. Murtaza \u00c7it, bunlar aras\u0131nda genetik fakt\u00f6rlerin yan\u0131nda \u00e7evresel fakt\u00f6rlerin de olabilece\u011fini s\u00f6yledi. Uzm. Dr. Murtaza \u00c7it, “Baz\u0131 nedenlerden dolay\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sistemi reaksiyon g\u00f6steriyor ve bunun sonucunda lupus hastal\u0131\u011f\u0131 g\u00f6r\u00fclebiliyor. Bu nedenler aras\u0131nda genetik fakt\u00f6rler etkili olabilir. Ancak tek ba\u015f\u0131na de\u011fil! \u00c7evresel fakt\u00f6rler; \u00f6rne\u011fin g\u00fcne\u015f ya da d\u0131\u015far\u0131daki di\u011fer alerjenler, radyasyon gibi etkenler hastal\u0131\u011fa neden olabilir” dedi. Hastal\u0131\u011f\u0131n belirtileri hakk\u0131nda bilgi veren Uzm. Dr. Murtaza \u00c7it, “Kelebek g\u00f6r\u00fcnt\u00fcs\u00fcn\u00fcn d\u0131\u015f\u0131nda; halsizlik, yorgunluk, kas-eklem a\u011fr\u0131s\u0131, y\u00fcksek ate\u015f, eklem a\u011fr\u0131s\u0131, ciltte d\u00f6k\u00fcnt\u00fc olabiliyor. Eklemlerde \u015fi\u015flikler olabiliyor. Y\u00fczde k\u0131zar\u0131kl\u0131klar olabiliyor. Bunlar\u0131 g\u00f6rd\u00fc\u011f\u00fcm\u00fczde bu hastal\u0131\u011f\u0131 da d\u00fc\u015f\u00fcnebiliriz” ifadelerini kulland\u0131.<\/p>\n
Romatizmal hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131labiliyor
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Lupus hastal\u0131\u011f\u0131n\u0131n belirtileri aras\u0131nda yer alan eklem a\u011fr\u0131s\u0131, eklemlerde \u015fi\u015flik durumlar\u0131n\u0131n romatizmal hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131lmas\u0131na neden oldu\u011funu belirten Uzm. Dr. Murtaza \u00c7it, “\u00d6zellikle romatoid artritle bu \u00e7ok kar\u0131\u015ft\u0131r\u0131l\u0131yor. Romatoid artritte de eklemlerde a\u011fr\u0131lar ve \u015fi\u015flikler olabiliyor. Bu lupusta da olabiliyor. Dolay\u0131s\u0131yla sadece eklem a\u011fr\u0131s\u0131yla doktora gelen hastada tan\u0131 kar\u0131\u015fabiliyor. Bunu detayl\u0131ca incelemek ve gerekli testleri yapmak gerekiyor” mesaj\u0131n\u0131 verdi. Do\u011fru tan\u0131n\u0131n konulmas\u0131 i\u00e7in \u00f6ncelikle hastan\u0131n a\u011fr\u0131 durumunu iyi takip etmesi gerekti\u011fini ve baz\u0131 testler yapt\u0131rmas\u0131 gerekti\u011fini dile getiren Uzm. Dr. Murtaza \u00c7it, “Lupus hastal\u0131\u011f\u0131nda belirtilerin aktifle\u015fme ve sakin d\u00f6nemleri oluyor. E\u011fer hasta hastal\u0131\u011f\u0131n sakin d\u00f6neminde hekime ba\u015fvurursa bir semptom tan\u0131mlanamayabilir. Ama aktifle\u015fme d\u00f6neminde giderse tan\u0131 konulmas\u0131 daha kolay olur. \u0130\u015fte eklemlerde \u015fi\u015flik, a\u011fr\u0131, y\u00fczde k\u0131zar\u0131kl\u0131k gibi belirtiler hastal\u0131\u011f\u0131n alevlendi\u011fi d\u00f6nemlerde ortaya \u00e7\u0131kar. Bu d\u00f6nemde hasta, hekime ba\u015fvurursa daha kolay tan\u0131 konulabilir. Aksi takdirde do\u011fru te\u015fhis almas\u0131 kolay olmayacakt\u0131r” a\u00e7\u0131klamas\u0131n\u0131 yapt\u0131.
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100 bin ki\u015fiden 15-20\u2019sinde g\u00f6r\u00fclen bir hastal\u0131k oldu\u011funu aktaran Uzm. Dr. Murtaza \u00c7it, hastal\u0131\u011fa tan\u0131 konulmas\u0131n\u0131n zor olmas\u0131ndan kaynakl\u0131 verilerin d\u00fc\u015f\u00fck olabilece\u011fini aktard\u0131. Uzm. Dr. Murtaza \u00c7it, s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc: “\u00d6zellikle alevlenme d\u00f6nemi d\u0131\u015f\u0131nda hastaya tan\u0131 konulmas\u0131n\u0131n g\u00fc\u00e7 olmas\u0131ndan dolay\u0131 hastalar rahats\u0131zl\u0131klar\u0131n\u0131 anlamland\u0131rmak ve do\u011fru tedaviye ula\u015fmak i\u00e7in doktor doktor gezebiliyor. Lupus hastal\u0131\u011f\u0131 tan\u0131s\u0131 konulmas\u0131nda en etkili y\u00f6ntem, otoimm\u00fcn testlerdir. Y\u00fczde k\u0131zar\u0131kl\u0131klar, eklemlerde s\u0131v\u0131 birikmesi, akci\u011fer, kalp gibi organlarda s\u0131v\u0131 toplanmas\u0131 gibi ciddi semptomlar ortaya \u00e7\u0131kt\u0131\u011f\u0131nda hastaya yap\u0131lan testlerle tan\u0131 konulabiliyor. D\u00fczenli olarak normal kan testlerini yapmak \u015fart. Testlerde otoimm\u00fcn panel dedi\u011fimiz antin\u00fckleer antikor (ANA) pozitifli\u011fi de\u011feri g\u00f6r\u00fcnce b\u00fcy\u00fck oranda \u2018lupus hastas\u0131d\u0131r\u2019 denilebiliyor. Bunlar\u0131n yan\u0131nda da anti-dsDNA, antifosfolipid antikorlar da pozitif olabiliyor.”<\/p>\n
\u00d6m\u00fcr boyu takip ve tedavi gerektiriyor
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Lupus hastal\u0131\u011f\u0131n\u0131n erkeklere oranla kad\u0131nlarda 9 kat fazla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc a\u00e7\u0131klayan Uzm. Dr. Murtaza \u00c7it, lupus hastal\u0131\u011f\u0131n\u0131n v\u00fccutta yaratt\u0131\u011f\u0131 doku hasar\u0131na ba\u011fl\u0131 olarak \u00f6l\u00fcmc\u00fcl sonu\u00e7lar do\u011furabilece\u011fini s\u00f6yledi. \u00d6te yandan lupus hastalar\u0131na ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131layan ila\u00e7lar verildi\u011fi i\u00e7in hastalar\u0131n enfeksiyonlara a\u00e7\u0131k oldu\u011funu dile getiren Uzm. Dr. Murtaza \u00c7it, enfeksiyon sebebiyle de hastan\u0131n hayat\u0131n\u0131 kaybetme ihtimalinin olabilece\u011fini vurgulad\u0131.
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Lupus hastal\u0131\u011f\u0131n\u0131n tedavisi hakk\u0131nda a\u00e7\u0131klama yapan Uzm. Dr. Murtaza \u00c7it, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131: “Lupus semptomlar\u0131na g\u00f6re tedavi edilebilen bir hastal\u0131k. Hastal\u0131\u011f\u0131n alevlenme d\u00f6neminde, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin ortaya \u00e7\u0131kard\u0131\u011f\u0131 etkileri bask\u0131lamak i\u00e7in y\u00fcksek doz kortizol tedavisi kullan\u0131l\u0131yor. Kortizol yetersiz kald\u0131\u011f\u0131nda imm\u00fcn sistemi bask\u0131lay\u0131c\u0131 tedavilere ge\u00e7ilebiliyor. \u0130mm\u00fcn sistemi d\u00fczenleyerek hastal\u0131\u011f\u0131n seyrini d\u00fczeltmek ama\u00e7lan\u0131yor. Bu tedavilerin dozu, hastal\u0131\u011f\u0131n alevlendi\u011fi d\u00f6nemlerde art\u0131r\u0131labilirken, hastal\u0131\u011f\u0131n sakinledi\u011fi d\u00f6nemlerde dozu d\u00fc\u015f\u00fcr\u00fclerek uzun s\u00fcre bu \u015fekilde devam edilmesi bekleniyor. Hastan\u0131n \u00f6m\u00fcr boyu takibinin ve tedavisinin devam ettirilmesi gerekiyor.”
<\/p>\n","protected":false},"excerpt":{"rendered":"
Halk aras\u0131nda \u2019kelebek\u2019 hastal\u0131\u011f\u0131 olarak da bilinen \u2019lupus\u2019 hakk\u0131nda \u00f6nemli a\u00e7\u0131klamalarda bulunan Medicana Sa\u011fl\u0131k Grubu \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Murtaza \u00c7it, lupus hastal\u0131\u011f\u0131n\u0131n \u00e7o\u011fu zaman di\u011fer hastal\u0131klarla kar\u0131\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131, tan\u0131n\u0131n gecikmesinin ise hayati risklere yol a\u00e7abilece\u011fini ifade etti. Lupus hastal\u0131\u011f\u0131n\u0131n erkeklere oranla kad\u0131nlarda 9 kat fazla g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc aktaran Uzm. Dr. Murtaza \u00c7it, bu hastal\u0131\u011f\u0131n kalp,…<\/p>\n","protected":false},"author":1,"featured_media":67743,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-67742","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/67742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=67742"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/67742\/revisions"}],"predecessor-version":[{"id":67744,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/67742\/revisions\/67744"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/67743"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=67742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=67742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=67742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}