{"id":738,"date":"2022-07-20T13:54:33","date_gmt":"2022-07-20T10:54:33","guid":{"rendered":"https:\/\/omerkaradag.com\/?p=738"},"modified":"2022-07-28T12:41:14","modified_gmt":"2022-07-28T09:41:14","slug":"iltihapli-romatizma-icin-check-up-tetkikleri","status":"publish","type":"post","link":"https:\/\/omerkaradag.com\/en\/iltihapli-romatizma-icin-check-up-tetkikleri\/","title":{"rendered":"\u0130ltihapl\u0131 Romatizma \u0130\u00e7in Check Up Tetkikleri Var M\u0131d\u0131r?"},"content":{"rendered":"
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\u0130ltihapl\u0131 Romatizma \u0130\u00e7in Check Up Tetkikleri Var M\u0131d\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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\u0130ltihapl\u0131 romatizma i\u00e7in \u00e7ekap (CHECK UP) tetkikleri var m\u0131d\u0131r? \u0130ltihapl\u0131 romatizmal hastal\u0131klarda erken tan\u0131 konulmas\u0131 i\u00e7in neler yap\u0131yorsunuz?<\/strong><\/h3>

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

Romatizmal hastal\u0131klarda check-up denilince akl\u0131m\u0131za ilk olarak tetkikler gelmemelidir. Hastalar\u0131n \u015fikayetlerinin g\u00f6zden ge\u00e7irilmesi sonras\u0131 gerekiyorsa duruma \u00f6zel tetkikleri<\/strong> istenmelidir.<\/p>

Laboratuvar tetkikleri ger\u00e7ekte hastal\u0131k belirtisi olmadan da pozitif \u00e7\u0131kabilmektedir. Bu duruma \u2018Yalanc\u0131 pozitiflik\u2019<\/strong> diyoruz. Ger\u00e7ekte ki\u015fi i\u00e7in bir \u00f6nemi bulunmayan durumdur.<\/strong><\/p>

Laboratuvar tetkiklerinin geli\u015fig\u00fczel istenmesi, ek tetkiklere ve psikolojik olarak ki\u015filerde stresi artt\u0131rabilmektedir.<\/p>

Bu a\u00e7\u0131dan en gereksiz istenen tetkiklere \u00f6rnek olarak ASO<\/strong> (A<\/strong>nti-S<\/strong>treptolisin O<\/strong> antikoru) verilebilir. Bir ki\u015fi bo\u011faz enfeksiyonu ge\u00e7irdikten sonra 6 ay kadar pozitif olarak kalabilir. \u0130ltihapl\u0131 romatizmal hastal\u0131klarda tarama testi olarak KULLANILMAZ.<\/strong><\/p>

Di\u011fer taraftan hastal\u0131k belirtileri olan ki\u015filerde tetkikler negatif de \u00e7\u0131kabilmektedir. Bu duruma \u2018Yalanc\u0131 negatiflik\u2019<\/strong> diyoruz. Bu durumda hekim taraf\u0131ndan gerekli de\u011ferlendirmeler \u0131\u015f\u0131\u011f\u0131nda karar verilmektedir<\/strong>.<\/p>

Ailesel akdeniz ate\u015fi hastalar\u0131nda genetik test, hastalar\u0131n %80-90\u2019\u0131nda pozitif saptan\u0131r. \u00c7\u00fcnk\u00fc tarama testi olarak en s\u0131k g\u00f6r\u00fclen mutasyonlar kullan\u0131l\u0131r. %10-20 hastada ise bu en s\u0131k mutasyonlar negatif \u00e7\u0131kabilir \u00e7\u00fcnk\u00fc bu hastalar tarama testinde yer almayan mutasyonlara sahip olabilirler. Bu nedenle de\u011ferlendiren hekimce, klinik bulgular ve di\u011fer laboratuvar tetkikleri uyumluysa tan\u0131 konulur.<\/p>

Di\u011fer taraftan bu genetik tetkikler, toplumumuzda klinik olarak anlam\u0131 olmadan, %10-20 oran\u0131nda pozitif olabilir. Bu nedenle TARAMA testi olarak kullan\u0131lmaz.<\/p>

Bu nedenlerle check-up ad\u0131 alt\u0131nda \u00e7e\u015fitli tetkiklerin istenmesi \u00d6NER\u0130LEN bir yakla\u015f\u0131m DE\u011e\u0130LD\u0130R.<\/strong><\/p>

\u0130ltihapl\u0131 romatizmal hastal\u0131klarda erken tan\u0131 konulmas\u0131 i\u00e7in neler yap\u0131yorsunuz?<\/strong><\/h3>

Nas\u0131l ki \u015feker hastalar\u0131n\u0131n baz\u0131lar\u0131nda kalp damar hastal\u0131klar\u0131 g\u00f6r\u00fclebiliyor, baz\u0131lar\u0131nda b\u00f6brek yetmezli\u011fi olabiliyorsa iltihapl\u0131 romatizmal hastalarda da tutulumlar hastadan hastaya farkl\u0131l\u0131k g\u00f6sterebilir.<\/p>

Tan\u0131da gecikme \u00e7ok say\u0131da doku ve organ\u0131n tutulumuna ve hayati tehdit edici durumlara kadar ilerleyebilir.<\/p>

Bu nedenlerle iltihapl\u0131 romatizmal hastal\u0131k belirtileri; aile hekimleri, i\u00e7 hastal\u0131klar\u0131 uzmanlar\u0131 ve dermatoloji gibi bir\u00e7ok bran\u015f uzmanlar\u0131nca ak\u0131lda tutularak erken tan\u0131 i\u00e7in GEREKEN durumlarda tarama tetkikleri istenerek de\u011ferlendirmeler yap\u0131lmaktad\u0131r.<\/p>

Organ bozuklu\u011fu (\u00f6rne\u011fin b\u00f6brek yetmezli\u011fi) veya hayati tehdit edici durumlarda olan hastalar, ileri basamak hastanelere sevk edilmektedir.<\/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":"

\u0130ltihapl\u0131 Romatizma \u0130\u00e7in Check Up Tetkikleri Var M\u0131d\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. \u0130ltihapl\u0131 romatizma i\u00e7in \u00e7ekap (CHECK UP) tetkikleri var m\u0131d\u0131r?…<\/p>","protected":false},"author":1,"featured_media":739,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-738","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\/738","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=738"}],"version-history":[{"count":5,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts\/738\/revisions"}],"predecessor-version":[{"id":894,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts\/738\/revisions\/894"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/media\/739"}],"wp:attachment":[{"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/media?parent=738"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/categories?post=738"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/tags?post=738"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}