{"id":1202,"date":"2023-05-01T12:10:40","date_gmt":"2023-05-01T09:10:40","guid":{"rendered":"https:\/\/omerkaradag.com\/?p=1202"},"modified":"2023-05-01T17:29:01","modified_gmt":"2023-05-01T14:29:01","slug":"gut-hastaligi","status":"publish","type":"post","link":"https:\/\/omerkaradag.com\/en\/gut-hastaligi\/","title":{"rendered":"Kristal Artritleri – Gut Hastal\u0131\u011f\u0131, Yalanc\u0131 Gut (Ps\u00f6dogut) Nedir? Kimlerde G\u00f6r\u00fcl\u00fcr? Nas\u0131l\u00a0Tedavi\u00a0Edilir?"},"content":{"rendered":"
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Kristal Artritleri - Gut Hastal\u0131\u011f\u0131, Yalanc\u0131 Gut (Ps\u00f6dogut) Nedir? Kimlerde G\u00f6r\u00fcl\u00fcr? Nas\u0131l\u00a0Tedavi\u00a0Edilir?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Prof. Dr. \u00d6mer Karada\u011f taraf\u0131ndan yaz\u0131lm\u0131\u015ft\u0131r.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Bu yaz\u0131y\u0131 a\u015fa\u011f\u0131daki butonlar\u0131 kullanarak ba\u015fkalar\u0131yla payla\u015fabilirsiniz.<\/em><\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Genel olarak kristal artritleri, eklem i\u00e7erisindeki baz\u0131 k\u00fc\u00e7\u00fck maddelere (kristallerin) ba\u011fl\u0131 geli\u015fen eklem iltihaplar\u0131na verilen isimdir.<\/p>

Bu hastal\u0131klar i\u00e7inde en \u00fcnl\u00fcs\u00fc, krallar\u0131n hastal\u0131\u011f\u0131 olan Gut hastal\u0131\u011f\u0131d\u0131r. Halk aras\u0131nda damla hastal\u0131\u011f\u0131 olarak da bilinir.<\/p>

Bir di\u011fer kristal artriti ise yalanc\u0131 gut (ps\u00f6dogut) olarak da bilinen Kalsiyum pirofosfat artritidir.<\/p>

\u00a0<\/p>

Gut hastal\u0131\u011f\u0131, genellikle eklemlerde ani olarak ba\u015flayan \u00e7ok \u015fiddetli a\u011fr\u0131, k\u0131zar\u0131kl\u0131k ve \u015fi\u015flikle karakterizedir. Hastalar bazen yorgan veya battaniye de\u011fince bile artan \u015fiddette a\u011fr\u0131dan \u015fik\u00e2yet ederler. Ayakkab\u0131 bile giyemeyip terlikle muayeneye gelebilirler. Eklem bu g\u00f6r\u00fcn\u00fcm\u00fc nedeni ile k\u0131rm\u0131z\u0131 eklem olarak da adland\u0131r\u0131labilir, cilt ve cilt alt\u0131 enfeksiyonu ile kar\u0131\u015fabilir.<\/p>

\u00a0<\/p>

Gut hastal\u0131\u011f\u0131 en s\u0131k ayak ba\u015fparmaklar\u0131n\u0131 etkilese de hastal\u0131kta el-ayak bile\u011fi, dizler, dirsekler ve parmaklar da tutulabilmektedir.<\/p>

Etkilenen eklemde a\u011fr\u0131n\u0131n \u015fiddeti genelde bir g\u00fcn i\u00e7inde en y\u00fcksek d\u00fczeye \u00e7\u0131kar. \u0130ki hafta i\u00e7inde \u015fikayetler s\u00f6ner ve atak d\u0131\u015f\u0131 d\u00f6nemde tamamen normale d\u00f6ner.<\/p>

\u00a0<\/p>

Gut hastal\u0131\u011f\u0131 kimlerde daha s\u0131k g\u00f6r\u00fcl\u00fcr? Kolayla\u015ft\u0131r\u0131c\u0131 nedenler var m\u0131?<\/strong><\/p>

Daha \u00e7ok erkeklerde ve 30-45 ya\u015f aras\u0131 ba\u015flayabilmekteyken kad\u0131nlarda da g\u00f6r\u00fclebilir. Bu tabloyla \u00f6zellikle menopozdan sonra kar\u015f\u0131la\u015f\u0131lmaktad\u0131r.<\/p>

Kanda artm\u0131\u015f \u00fcrik asit de\u011feri s\u0131kl\u0131kla sebep olarak g\u00f6r\u00fclse de serum \u00fcrik asit de\u011feri normal olan ki\u015filerde de g\u00f6r\u00fclebilmektedir<\/p>

\u00a0<\/p>

Di\u011fer kolayla\u015ft\u0131r\u0131c\u0131 nedenler;<\/strong><\/p>

  • A\u015f\u0131r\u0131 kilolu veya obez olmak<\/li>
  • Kan bas\u0131nc\u0131 y\u00fcksekli\u011fi, kronik b\u00f6brek hastal\u0131\u011f\u0131, \u015feker hastal\u0131\u011f\u0131 (diyabet mellitus), kalp hastal\u0131\u011f\u0131 olmas\u0131<\/li>
  • A\u015f\u0131r\u0131 alkol al\u0131m\u0131 (\u00f6zellikle bira)<\/li>
  • P\u00fcrinden zengin beslenme (et, bal\u0131k, fr\u00fcktoz ve tatland\u0131r\u0131c\u0131lar)<\/li>
  • \u0130drar s\u00f6kt\u00fcr\u00fcc\u00fc (di\u00fcretik) kullan\u0131m\u0131<\/li>
  • V\u00fccudun a\u015f\u0131r\u0131 susuz kalmas\u0131, uzun s\u00fcreli a\u00e7l\u0131k, a\u015f\u0131r\u0131 yemek yeme<\/li><\/ul>

    \u00a0<\/p>

    Yalanc\u0131 (Ps\u00f6do) Gut olarak bilinen k<\/strong>alsiyum pirofosfat artriti, genelde 50 ya\u015f ve \u00fczeri g\u00f6r\u00fcl\u00fcr. Hem erkek hem kad\u0131nlar\u0131 etkiler. Ya\u015flanmaya ba\u011fl\u0131 olarak eklem i\u00e7inde artan <\/strong>kalsiyum pirofosfat kristallerine ba\u011fl\u0131 geli\u015fir. Bu kristaller e<\/strong>klem s\u0131v\u0131s\u0131nda da saptanabilir. Bu kristallerin ya\u015flanmaya ba\u011fl\u0131 nas\u0131l geli\u015fti\u011fi net de\u011fildir.<\/p>

    \u00a0<\/p>

    Yalanc\u0131 gut neden geli\u015fir?<\/strong><\/p>

    • Ya\u015flanma<\/li>
    • Ge\u00e7mi\u015fte o eklemde hasar, travma veya cerrahi ge\u00e7irilmesi<\/li>
    • Kire\u00e7lenme (osteoartrit)<\/li>
    • Ailede benzer ki\u015fi olmas\u0131<\/li><\/ul>

      \u00a0<\/p>

      Kristal artritlerinde tan\u0131 nas\u0131l konulur?<\/strong><\/p>

      Eklemden s\u0131v\u0131 al\u0131narak incelenmesi<\/p>

      Eklemlerin kas iskelet ultrasonografisi ile incelenmesi<\/p>

      \u00c7ok tipik ba\u015flang\u0131\u00e7 \u00f6yk\u00fcs\u00fc<\/p>

      \u00a0<\/p>

      Gut ve yalanc\u0131 gutun tedavisinde nelere dikkat edelim?<\/strong><\/p>

      \u0130lk ad\u0131m a\u011fr\u0131n\u0131n ve iltihab\u0131n kontrol edilmesi<\/p>

      \u0130la\u00e7lar, so\u011fuk uygulama, eklemin istirahat ettirilmesi<\/p>

      \u0130la\u00e7 tedavisi hekiminizce d\u00fczenlenmelidir.<\/p>

      Atak kontrol\u00fc i\u00e7in kol\u015fisin ve steroid olmayan iltihap kurutucu ila\u00e7lar ile belli hasta grubunda kortizon d\u00fc\u015f\u00fck dozlarda kullan\u0131lmaktad\u0131r.<\/p>

      \u00a0<\/p>

      Ataklar kontrol alt\u0131na al\u0131nmadan<\/strong> \u00fcrik asit d\u00fczeyini etkileyici m\u00fcdahaleler yap\u0131lmamal\u0131d\u0131r. Atak kontrol alt\u0131na al\u0131nd\u0131ktan sonra \u00fcrik asit d\u00fczeyine ait planlamalar hekiminizce yap\u0131lacakt\u0131r. \u00a0<\/p>

      Gut hastalar\u0131n\u0131n et-bal\u0131k ve bakliyat gibi \u00fcr\u00fcnleri hi\u00e7 yemeyece\u011fi anlam\u0131 \u00e7\u0131kar\u0131lmamal\u0131d\u0131r<\/strong>. Genel olarak Akdeniz diyeti \u00f6nerilmektedir. Akdeniz diyetini uygulamas\u0131na ra\u011fmen \u00fcrik asit de\u011feri y\u00fcksek olan hastalarda \u00fcrik asit d\u00fczeyini kontrol alt\u0131na almak i\u00e7in ila\u00e7lar \u00f6nerilebilmektedir.<\/p>

      \u00a0<\/p>

      Ba\u015fka neler yapabilirsiniz?<\/strong><\/p>

      • Hekiminizce \u00f6nerilen ila\u00e7lar\u0131 belirtilen \u015fekilde ve dozlarda al\u0131n\u0131z.<\/li>
      • Kilolu veya \u015fi\u015fmansan\u0131z, kademeli olarak kilo vermeniz iyi olacakt\u0131r. H\u0131zl\u0131 kilo vermeyi ama\u00e7larken a\u00e7 kal\u0131nmas\u0131 ata\u011f\u0131 tetikleyebilir. Haftada yar\u0131m ile 1 kg vermeniz uygun olabilir.<\/li>
      • D\u00fczenli su i\u00e7meye dikkat ediniz.<\/li>
      • Alkol al\u0131m\u0131 s\u0131n\u0131rlanmal\u0131d\u0131r.<\/li>
      • Akdeniz diyeti genel olarak tercih edilmelidir.<\/li>
      • D\u00fczenli egzersiz yap\u0131n\u0131z.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

        Kristal Artritleri – Gut Hastal\u0131\u011f\u0131, Yalanc\u0131 Gut (Ps\u00f6dogut) Nedir? Kimlerde G\u00f6r\u00fcl\u00fcr? Nas\u0131l Tedavi Edilir? Prof. Dr. \u00d6mer Karada\u011f taraf\u0131ndan yaz\u0131lm\u0131\u015ft\u0131r. Bu yaz\u0131y\u0131 a\u015fa\u011f\u0131daki butonlar\u0131 kullanarak ba\u015fkalar\u0131yla payla\u015fabilirsiniz. Genel olarak kristal artritleri, eklem…<\/p>","protected":false},"author":1,"featured_media":1203,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1202","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hastaliklar"],"_links":{"self":[{"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts\/1202","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/comments?post=1202"}],"version-history":[{"count":5,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts\/1202\/revisions"}],"predecessor-version":[{"id":1218,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts\/1202\/revisions\/1218"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/media\/1203"}],"wp:attachment":[{"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/media?parent=1202"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/categories?post=1202"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/tags?post=1202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}