{"id":933,"date":"2022-07-29T15:49:23","date_gmt":"2022-07-29T12:49:23","guid":{"rendered":"https:\/\/omerkaradag.com\/?p=933"},"modified":"2023-04-04T22:35:31","modified_gmt":"2023-04-04T19:35:31","slug":"sjogren-sendromu","status":"publish","type":"post","link":"https:\/\/omerkaradag.com\/en\/sjogren-sendromu\/","title":{"rendered":"Sj\u00f6gren Sendromu Nas\u0131l Bir Hastal\u0131kt\u0131r? T\u00fck\u00fcr\u00fck Bezleri D\u0131\u015f\u0131nda Hangi Dokular\u0131 Tutar? Nas\u0131l Tedavi Edilir?"},"content":{"rendered":"
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t
<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Sj\u00f6gren Sendromu Nas\u0131l Bir Hastal\u0131kt\u0131r? T\u00fck\u00fcr\u00fck Bezleri D\u0131\u015f\u0131nda Hangi Dokular\u0131 Tutar? Nas\u0131l Tedavi Edilir?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t
<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"sj\u00f6gren\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

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

\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

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
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

<\/i>Share<\/span><\/span><\/span><\/span><\/a><\/div>
<\/i>Tweet<\/span><\/span><\/span><\/span><\/a><\/div>
<\/i>Share<\/span><\/span><\/span><\/span><\/a><\/div>
<\/i>Pin<\/span><\/span><\/span><\/span><\/a><\/div><\/div><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Sj\u00f6gren sendromu, eri\u015fkin kad\u0131nlarda erkeklere g\u00f6re daha fazla g\u00f6r\u00fclen t\u00fck\u00fcr\u00fck bezlerinin iltihapl\u0131 romatizmas\u0131d\u0131r.<\/p>

\u00a0<\/p>

V\u00fccudumuzda belli ba\u015fl\u0131 t\u00fck\u00fcr\u00fck bezleri<\/strong> denildi\u011finde;<\/p>

  • kulak alt k\u0131s\u0131mlar\u0131nda (Parotis),<\/li>
  • \u00e7ene altlar\u0131nda (submandibuler) ile<\/li>
  • ayn\u0131 doku yap\u0131s\u0131nda olan g\u00f6z ya\u015f\u0131 bezleri (lakrimal bez) say\u0131lmaktad\u0131r.\u00a0<\/li>
  • bunlar\u0131n yan\u0131 s\u0131ra dudak alt\u0131 a\u011f\u0131z i\u00e7 k\u0131s\u0131mlar\u0131nda \u00e7ok say\u0131da k\u00fc\u00e7\u00fck (min\u00f6r) t\u00fck\u00fcr\u00fck bezi yer al\u0131r.<\/li><\/ul>

    \u00a0<\/p>

    Sj\u00f6gren sendromunda, t\u00fck\u00fcr\u00fck bezlerinin tutulmas\u0131 nedeniyle hastalarda a\u011f\u0131z kurulu\u011fu ve g\u00f6z kurulu\u011fu<\/strong> farkl\u0131 derecelerde olabilir. Hastalar\u0131m\u0131z g\u00f6zlerine toz ka\u00e7ma hissi, kuruluktan \u015fikayet\u00e7i olabilirler. Konu\u015furken t\u00fck\u00fcr\u00fcklerinin bitti\u011fini hissetme, yan\u0131nda s\u00fcrekli su ta\u015f\u0131ma gerekti\u011fini ifade edebilirler. Bazen parotis bezlerinde \u015fi\u015flik ve hassasiyetten \u015fik\u00e2yet edebilirler.<\/p>

    \u00a0<\/p>

    T\u00fck\u00fcr\u00fck bezleri d\u0131\u015f\u0131nda hangi dokular\u0131 tutar?<\/strong><\/h4>

    \u00a0<\/p>

    T\u00fcm iltihapl\u0131 romatizma hastalar\u0131nda olabildi\u011fi gibi el, ayak ve diz gibi \u00e7e\u015fitli eklemlerde a\u011fr\u0131 ve \u015fi\u015flik olabilir.<\/p>

    Ciltte kuruluk, kad\u0131n hastalarda \u00f6zel b\u00f6lgelerinde kuruluk olabilmektedir.<\/p>

    Nadir olarak akci\u011fer, beyin ve sinir sistemi de tutulabilmektedir.<\/p>

    Hastalarda lenf bezlerinde b\u00fcy\u00fcme saptanabilir. Bu nedenle d\u00fczenli takiplerde lenf bezlerinin muayenesi de yer almaktad\u0131r.<\/p>

    \u00a0<\/p>

    \u00a0<\/p>

    Hastalarda e\u015flik eden Romatoid artrit veya SLE (Lupus) gibi ba\u015fka bir romatizmal hastal\u0131k olmas\u0131 durumunda Sekonder Sj\u00f6gren sendromu olarak adland\u0131r\u0131l\u0131r. Bu tarz ba\u015fka bir hastal\u0131k yoksa Primer Sj\u00f6gren sendromu olarak tan\u0131mlan\u0131r.<\/p>

    \u00a0<\/p>

    Bir iltihapl\u0131 romatizmal hastal\u0131\u011f\u0131 olan hastada ba\u015fka bir iltihapl\u0131 romatizmal hastal\u0131k olma ihtimali y\u00fcksektir. Sj\u00f6gren sendromu olan hastalarda Hashimoto tiroiditi veya Celiac hastal\u0131\u011f\u0131 gibi hastal\u0131klar e\u015flik edebilir.<\/p>

    \u00a0<\/p>

    Sj\u00f6gren sendromunda tan\u0131 nas\u0131l konulur?<\/strong><\/h4>

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

    Genel olarak kas-iskelet yak\u0131nmas\u0131 olan hastalarda d\u00fczenli olarak yapt\u0131\u011f\u0131m\u0131z sorgulamada a\u011f\u0131z ve g\u00f6z kurulu\u011fu yer almaktad\u0131r.<\/p>

    Romatoid Fakt\u00f6r ve ANA, ENA gibi tetkiklerin pozitifli\u011fi tan\u0131da destekleyicidir. Ancak bu tetkikler tarama testi olarak kullan\u0131lmamal\u0131d\u0131r.<\/p>

    Hastalarda iltihap tetkiklerinin y\u00fcksekli\u011fi ve hafif anemi g\u00f6r\u00fclebilir.<\/p>

    \u00a0<\/p>

    G\u00f6z ya\u015f\u0131n\u0131n miktar\u0131n\u0131n \u00f6l\u00e7\u00fclmesi (Schirmer testi), s\u0131kl\u0131kla ba\u015fvurulan bir y\u00f6ntemdir.<\/p>

    Tan\u0131n\u0131n konulabilmesi i\u00e7in dudak i\u00e7 k\u0131sm\u0131ndan lokal olarak uyu\u015fturularak ald\u0131\u011f\u0131m\u0131z t\u00fck\u00fcr\u00fck bezi biyopsileri de s\u0131kl\u0131kla kullan\u0131lmaktad\u0131r.<\/p>

    \u00a0<\/p>

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

    Sj\u00f6gren sendromu tedavisi nas\u0131l planlan\u0131r?<\/strong><\/h4>

    \u00a0<\/p>

    Hastal\u0131k y\u00f6netiminde tamamen tutulan doku ve hastal\u0131\u011f\u0131n yayg\u0131nl\u0131\u011f\u0131na g\u00f6re planlama<\/strong> yap\u0131lmaktad\u0131r.<\/p>

    \u00a0<\/strong>Hastalar\u0131n a\u011f\u0131z ve g\u00f6z kurulu\u011fu \u015fikayetlerini gidermeye y\u00f6nelik lokal suni g\u00f6z ya\u015f\u0131 damlalar\u0131, siklosporin gibi \u00e7e\u015fitli imm\u00fcnsupresif ila\u00e7lar\u0131n damlalar\u0131 kullan\u0131labilmektedir.<\/p>

    Kas-iskelet semptomlar\u0131 ve halsizlik\/yorgunlu\u011fa y\u00f6nelik hidroksiklorokin ve d\u00fc\u015f\u00fck doz kortizon tedavileri g\u00fcndeme gelebilmektedir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\t\t\t
    <\/div>\n\t\t<\/div>\n\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":"

    Sj\u00f6gren Sendromu Nas\u0131l Bir Hastal\u0131kt\u0131r? T\u00fck\u00fcr\u00fck Bezleri D\u0131\u015f\u0131nda Hangi Dokular\u0131 Tutar? 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. Sj\u00f6gren sendromu, eri\u015fkin…<\/p>","protected":false},"author":1,"featured_media":1132,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-933","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\/933","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=933"}],"version-history":[{"count":5,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts\/933\/revisions"}],"predecessor-version":[{"id":1136,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/posts\/933\/revisions\/1136"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/media\/1132"}],"wp:attachment":[{"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/media?parent=933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/categories?post=933"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/omerkaradag.com\/en\/wp-json\/wp\/v2\/tags?post=933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}