{"id":341,"date":"2022-07-11T23:37:28","date_gmt":"2022-07-11T23:37:28","guid":{"rendered":"https:\/\/omerkaradag.com\/?p=341"},"modified":"2022-07-28T12:48:08","modified_gmt":"2022-07-28T09:48:08","slug":"romatoid-artrit","status":"publish","type":"post","link":"https:\/\/omerkaradag.com\/en\/romatoid-artrit\/","title":{"rendered":"Romatoid Artrit Nedir? Belirtileri Nelerdir? Bireysel Tedavi Nas\u0131l Uygulan\u0131r?"},"content":{"rendered":"
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Romatoid Artrit Nedir? Belirtileri Nelerdir? Bireysel Tedavi Nas\u0131l Uygulan\u0131r?<\/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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Romatoid artrit en s\u0131k g\u00f6r\u00fclen<\/strong> iltihapl\u0131 eklem hastal\u0131\u011f\u0131d\u0131r.<\/p>

  • Eklemlerde a\u011fr\u0131<\/strong>, \u015fi\u015flik<\/strong>, kat\u0131l\u0131k<\/strong> ve fonksiyon kayb\u0131na<\/strong> neden olabilen iltihabi bir hastal\u0131kt\u0131r<\/li>
  • Birka\u00e7 hafta<\/strong> ya da ay<\/strong> s\u00fcrebilece\u011fi gibi, \u00f6m\u00fcr boyu<\/strong> da devam edebilir<\/li>
  • Kad\u0131nlarda erkeklere oranla 3 kat<\/strong> daha s\u0131k<\/strong> g\u00f6r\u00fcl\u00fcr<\/li>
  • G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 20-50 ya\u015flar\u0131 aras\u0131nda en fazla olmakla beraber \u00e7ocuklarda ve gen\u00e7lerde de g\u00f6r\u00fclmektedir<\/li>
  • Eklemleri simetrik olarak tutabilir<\/strong>; yani bir diz veya el tutuldu\u011funda di\u011fer diz veya elin de tutulmas\u0131 beklenir.\u00a0<\/li>
  • Genelde el ve ayak bileklerini ve el-ayak parmak eklemlerini etkiler. Ancak eklemlerin yan\u0131nda v\u00fccudun di\u011fer b\u00f6l\u00fcmlerini de tutabilir.<\/li><\/ul>

    \u00a0<\/p>

    • En S\u0131k Etkiledi\u011fi Eklem D\u0131\u015f\u0131 B\u00f6lgeler: g\u00f6zya\u015f\u0131 kanallar\u0131, \u00fck\u00fcr\u00fck salg\u0131 bezleri ve ve akci\u011ferlerdir.<\/li><\/ul>

      \u00a0<\/p>

      Romatoid artrit, genellikle kronik bir durumdur. Yani s\u00fcreklidir ancak zaman zaman alevlenmeler olur. Bu zamanlarda semptomlar daha da belirginle\u015fir.<\/p>

      \u00a0<\/p>

      Romatoid Artrit Nas\u0131l Geli\u015fir ve \u0130lerler?<\/strong><\/h4>
      • Romatoid artrit de \u00e7ok say\u0131da romatizmal hastal\u0131k gibi bir otoimm\u00fcn<\/strong> hastal\u0131kt\u0131r (\u201coto\u201d \u00f6z anlam\u0131ndad\u0131r)\u00a0<\/li>
      • Bu hastal\u0131kta normalde v\u00fccudu mikrobik hastal\u0131klar ve di\u011fer hastal\u0131klara kar\u015f\u0131 korumas\u0131 beklenen ki\u015finin ba\u011f\u0131\u015f\u0131kl\u0131k sistemi bilinmeyen bir nedenle eklemlere kar\u015f\u0131 sava\u015f\u0131r<\/strong><\/li>
      • Beyaz kan h\u00fccreleri eklemleri olu\u015fturan kemikleri saran \u201csinovyum\u201d adl\u0131 zara g\u00f6\u00e7 eder ve \u0131s\u0131 art\u0131\u015f\u0131, k\u0131zar\u0131kl\u0131k, \u015fi\u015flik ve a\u011fr\u0131 ile belirlenen iltihaba neden olur (sinovit)\u00a0<\/li>
      • \u00a0<\/li>
      • \u0130ltihap s\u00fcrecinde, normalde ince olan sinovyum kal\u0131nla\u015f\u0131r ve eklemi \u015fi\u015f ve dokunmayla kabar\u0131k hissedilen hale getirir\u00a0<\/li>
      • \u00c7evredeki kas, tendon ve ba\u011flar zay\u0131flar\u00a0<\/li>
      • Romatoid artrit ayn\u0131 zamanda daha yayg\u0131n kemik kayb\u0131 ve sonu\u00e7ta osteoporoza (kemiklerin k\u0131r\u0131\u011fa daha yatk\u0131n olmalar\u0131) neden olabilir\u00a0<\/li>
      • Romatoid artrit ilerledik\u00e7e eklemi destekleyen ve dengede tutan kaslar, ba\u011flar\u00a0 ve tendonlar zay\u0131flar ve normal i\u015flev g\u00f6remez hale gelir<\/li>
      • Bu etkiler, romatoid artritte s\u0131k g\u00f6r\u00fclen a\u011fr\u0131 ve eklem hasar\u0131na yol a\u00e7ar<\/li>
      • Hastal\u0131\u011f\u0131n ileri evrelerinde, iki kemik birbirine do\u011fru yakla\u015f\u0131p eklemin yokolmas\u0131na neden olabilirler.<\/li><\/ul>
        • Hastal\u0131\u011f\u0131n ilk bir-iki y\u0131l i\u00e7inde kemiklerde hasara yol a\u00e7t\u0131\u011f\u0131na inan\u0131lmaktad\u0131r.\u00a0<\/li><\/ul>

          Bu nedenle hastal\u0131\u011f\u0131n erken tan\u0131 ve tedavisi<\/strong> b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r<\/p>

          \u00a0<\/p>

          • Kal\u0131c\u0131 (6 haftadan uzun s\u00fcre), s\u00fcrekli a\u011fr\u0131s\u0131 olan, eklem veya eklemlerinde \u015fi\u015flik ve sabahlar\u0131 yar\u0131m saatten uzun s\u00fcreli tutuklu\u011fu olan ki\u015filer romatoid artrit taramas\u0131 i\u00e7in mutlaka hekime ba\u015fvurmal\u0131d\u0131r.<\/li><\/ul>

            \u00a0<\/p>

            En s\u0131k belirtiler,<\/p>

            • S\u0131kl\u0131kla el \u2013ayak bilekleri ve parmak eklemlerinde iltihap<\/li>
            • Yorgunluk, nadiren ate\u015f, genel olarak kendini iyi hissetmeme durumu<\/li>
            • Sabahlar\u0131 veya uzun s\u00fcreli istirahat sonras\u0131 30 dakika veya daha uzun s\u00fcreli kat\u0131l\u0131k<\/li><\/ul>

              Ancak hastal\u0131\u011fa sahip ki\u015filer aras\u0131nda belirtilerin de\u011fi\u015fken olabilece\u011fi ak\u0131lda tutulmal\u0131d\u0131r.<\/p>

              \u00a0<\/p>

              Romatoid Artrit Tan\u0131s\u0131 Nas\u0131l Konulur?<\/strong><\/h4>
              • RA tan\u0131s\u0131n\u0131n konmas\u0131n\u0131 sa\u011flayan tek bir test bulunmamaktad\u0131r<\/li>
              • Tan\u0131, eklem iltihab\u0131 varl\u0131\u011f\u0131nda olas\u0131 di\u011fer nedenlerin olmad\u0131\u011f\u0131n\u0131n g\u00f6sterilmesiyle konur.<\/li><\/ul>

                \u00a0<\/strong><\/p>

                • T\u0131bbi hikaye al\u0131nmas\u0131<\/li>
                • Fizik muayene<\/li>
                • Laboratuvar testleri<\/li>
                • R\u00f6ntgen, ultrason ve MR<\/li>
                • Gerekiyorsa eklem s\u0131v\u0131s\u0131 ve doku \u00f6rnekleri al\u0131narak incelenmesi<\/li><\/ul>

                  \u00a0<\/p>

                  • Laboratuvar tetkiklerinde, artm\u0131\u015f akut faz (Sedim ve CRP\u2019de art\u0131\u015f), otoantikorlarda pozitiflik (Romatoid fakt\u00f6r, CCP), kans\u0131zl\u0131k e\u015flik edebilir.<\/li><\/ul>

                    \u00a0<\/p>

                    G\u00fcn\u00fcm\u00fczde RA tedavisine yakla\u015f\u0131m<\/strong><\/h4>

                    \u00a0<\/p>

                    Erken tan\u0131 ve etkin tedavi ile hastal\u0131k aktivitesinin kontrol\u00fc, hasar olu\u015fumunun \u00a0engellenip yap\u0131sal b\u00fct\u00fcnl\u00fc\u011f\u00fcn devam\u0131 ama\u00e7lan\u0131r.<\/p>

                    T\u0131bbi terim olarak Remisyon (hastal\u0131k belirtilerinin tamamen kontrol alt\u0131na al\u0131nmas\u0131) hedeflenir.<\/p>

                    \u00a0<\/p>

                    Olmazsa olmazlar;\u00a0 istirahat ve kademeli olarak egzersiz yap\u0131lmas\u0131, sigara i\u00e7ilmemesi (i\u00e7iliyorsa b\u0131rak\u0131lmas\u0131) ve Akdeniz diyeti benzeri beslenmedir. Hastalar\u0131n t\u0131pk\u0131 diyabet ve hipertansiyon hastalar\u0131nda oldu\u011fu gibi d\u00fczenli kontrollerle ila\u00e7 tedavisinin g\u00f6zden ge\u00e7irilmesi gerekmektedir.<\/p>

                    Hastal\u0131\u011f\u0131n aktif<\/strong> oldu\u011fu d\u00f6nemlerde daha fazla istirahat<\/strong><\/p>

                    Hastal\u0131\u011f\u0131n daha iyi<\/strong> oldu\u011fu d\u00f6nemlerde daha fazla egzersiz \u00f6nerilir.<\/strong><\/p>

                    \u00a0<\/p>

                    Hastal\u0131k seyrini de\u011fi\u015ftiren ila\u00e7lar: <\/strong>\u0130ltihab\u0131 azaltmak ve hastal\u0131\u011f\u0131n ilerlemesini \u00f6nlemek en az\u0131ndan yava\u015flatmak i\u00e7in kullan\u0131l\u0131rlar.\u00a0Semptom giderici etkilerinin ortaya \u00e7\u0131kmas\u0131 uzun s\u00fcrebilece\u011finden genellikle k\u0131sa s\u00fcreli a\u011fr\u0131 kesici ve d\u00fc\u015f\u00fck doz kortizonla birlikte kullan\u0131l\u0131rlar<\/p>

                    \u00a0<\/p>

                    Hastalar\u0131m\u0131z\u0131n ila\u00e7 tedavisi bireyselle\u015ftirilmi\u015f tedavi kapsam\u0131nda belirlendi\u011finden ila\u00e7lar hakk\u0131nda bu sayfada ek bilgi verilmeyecektir.<\/p>

                    \u00a0<\/p>

                    Romatoid Artritle Ya\u015famak:<\/strong><\/p>

                    • D\u00fczenli t\u0131bbi bak\u0131m, hastal\u0131\u011f\u0131n durumunu takip etmek, ila\u00e7lar\u0131n etkinli\u011fini ve olas\u0131 olumsuz etkilerini de\u011ferlendirmek ve gerekti\u011finde tedavileri de\u011fi\u015ftirmek i\u00e7in \u00f6nemlidir.<\/li>
                    • Kemik erimesi, tansiyon ve \u015feker kontrol\u00fc yap\u0131l\u0131r.<\/li>
                    • Takipte d\u00fczenli doktor ziyareti \u00f6nemlidir.\u00a0<\/li>
                    • Ayn\u0131 zamanda kan, idrar ve di\u011fer laboratuvar testleri yap\u0131labilir ve grafiler \u00e7ekilebilir.<\/li><\/ul>

                      \u00a0<\/p>

                      Bug\u00fcn i\u00e7in Romatoid artrit hastalar\u0131m\u0131zda da di\u011fer hastalar\u0131m\u0131zda oldu\u011fu gibi Ki\u015fiselle\u015ftirilmi\u015f (bireyselle\u015ftirilmi\u015f) tedavi uygulamaktay\u0131z.<\/p>

                      Yani kendi klinik prati\u011fimde hastalar\u0131m\u0131z\u0131n kas iskelet sistemini y\u00fcksek teknoloji \u00fcr\u00fcn\u00fc ultrasonografi ile eklem ve iltihap durumunu de\u011ferlendirip hastal\u0131\u011f\u0131 aktif devam edenlere etkili ila\u00e7lar\u0131 kullanmaktay\u0131m.<\/p>

                      Biyolojik ve hedefe y\u00f6nelik ak\u0131ll\u0131 ila\u00e7lar\u0131n yan etkileri de olabilece\u011finden; hastal\u0131k aktivitesi devam etmeyen hastalar\u0131m\u0131za bu ila\u00e7lardan ziyade destekleyici \u00f6nerilerle bulunulmaktad\u0131r.<\/p>

                      \u00a0<\/p>

                      Hastal\u0131\u011f\u0131 ileri d\u00f6nemde olan belli eklemlere cerrahi g\u00fcndeme gelebilir.<\/p>\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":"

                      Romatoid Artrit Nedir? Belirtileri Nelerdir? Bireysel Tedavi Nas\u0131l Uygulan\u0131r? 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. Romatoid artrit en s\u0131k g\u00f6r\u00fclen iltihapl\u0131 eklem hastal\u0131\u011f\u0131d\u0131r.…<\/p>","protected":false},"author":1,"featured_media":500,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-341","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\/341","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=341"}],"version-history":[{"count":5,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts\/341\/revisions"}],"predecessor-version":[{"id":912,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts\/341\/revisions\/912"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/media\/500"}],"wp:attachment":[{"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/media?parent=341"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/categories?post=341"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/tags?post=341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}