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Temporal Arterit (Ya\u015fl\u0131larda G\u00f6r\u00fclen Ba\u015f A\u011fr\u0131s\u0131) ,Temporal<\/strong> arterit, temporal atardamarlar\u0131n (\u015fakak atardamar\u0131) iltihaplanmas\u0131 sonucu olu\u015fan hastal\u0131kt\u0131r. Dev h\u00fccreli arterit olarak da bilinir. Bu durumdan genelde en \u00e7ok temporal atardamarlar etkilenmekle birlikte, v\u00fccuttaki di\u011fer damarlar\u0131 da etkileyebilir. Kad\u0131nlarda d\u00f6rt kat daha fazla g\u00f6r\u00fcl\u00fcr<\/strong>. 60 ya\u015f\u0131n \u00fczerinde g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artar.<\/p>\nBir ba\u011f\u0131\u015f\u0131kl\u0131k sistemi hastal\u0131\u011f\u0131 olan temporal arterit, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin arter h\u00fccrelerini hedef se\u00e7mesi sonucu ortaya \u00e7\u0131kar, bunun sonucunda atardamarlarda (arter) iltihaplanma olu\u015fur. Bu hastal\u0131k genelde \u015faka\u011fa, g\u00f6z \u00e7evresine yak\u0131n damarlar\u0131 hedef alsa da, v\u00fccuttaki herhangi bir b\u00f6lgeyi de etkileyebilir. Beyne kan pompalanmas\u0131n\u0131 etkiledi\u011fi i\u00e7in, semptomlar\u0131 g\u00f6zler, y\u00fcz ve ba\u015f k\u0131sm\u0131 ba\u015fta olmak \u00fczere v\u00fccudun di\u011fer b\u00f6lgelerini de etkileyebilir.<\/p>\n
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Temporal arterit \u00e7ok yayg\u0131n olmasa da, kan damarlar\u0131n\u0131n iltihaplanmas\u0131na sebep olan vask\u00fclitlerin (damar iltihab\u0131) en s\u0131k g\u00f6r\u00fclenlerinden biridir.<\/p>\n
Temporal arterit tedavisi m\u00fcmk\u00fcnd\u00fcr, fakat tedaviye erken safhalarda ba\u015flanmazsa fel\u00e7 ve k\u00f6rl\u00fc\u011fe varabilecek ciddi problemlere yol a\u00e7abilir.<\/p>\n
Temporal arterittakibindesedimantasyonve CRP d\u00fczeyleriyayg\u0131nolarakkullan\u0131lmaktad\u0131r.<\/p>\n
Temporal Arterit Nedenleri ve Risk Fakt\u00f6rleri<\/h3>\n
Bu hastal\u0131\u011f\u0131n belirli bir nedeni yoktur. Yine de, bu hastal\u0131\u011fa yakalananlar\u0131n b\u00fcy\u00fck k\u0131sm\u0131 50 ya\u015f ve \u00fczerinde oldu\u011fu i\u00e7in, sebebinin ya\u015flanma oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p>\n
Risk Factors<\/h3>\n
A\u015fa\u011f\u0131daki durumlar temporal arterit olma riskinizi artt\u0131rabilir:<\/p>\n
- \n
- Ya\u015fl\u0131l\u0131k<\/li>\n
- Ailede temporal arterit hastas\u0131 bir yak\u0131n\u0131n\u0131z\u0131n olmas\u0131<\/li>\n
- Romatizmalpolimiyalji (polimiyaljiaromatika)<\/li>\n
- Kad\u0131n olmak<\/li>\n<\/ul>\n
Ba\u015fl\u0131ca \u015fikayetler;<\/h3>\n
Kafan\u0131n arkas\u0131nda veya bir b\u00f6lgesinde s\u0131zlama ve kafa derisinin dokunmaya kar\u015f\u0131 hassasla\u015fmas\u0131 belirtileri temporal arteritin belirleyici belirtileridir.<\/p>\n
- \n
- A\u015f\u0131r\u0131 terleme<\/strong><\/li>\n
- Ate\u015fin y\u00fckselmesi<\/li>\n
- Nedeni bilinmeyen ate\u015f<\/li>\n
- \u00c7i\u011fneme<\/strong> s\u0131ras\u0131nda \u00e7enede kesintili ac\u0131, \u00e7i\u011fneme a\u011fr\u0131s\u0131<\/li>\n
- \u0130\u015ftah kayb\u0131<\/li>\n
- Kas a\u011fr\u0131s\u0131<\/li>\n
- Kal\u00e7alarda, boyunda, omuzlarda ve kollarda tutukluk ve a\u011fr\u0131, omuz ve kal\u00e7a<\/strong> ku\u015fa\u011f\u0131nda a\u011fr\u0131. Hastal\u0131k \u00e7o\u011fu zaman polimiyaljia romatika ile birlikte seyreder<\/li>\n
- A\u015f\u0131r\u0131 yorgunluk<\/strong> ve zay\u0131fl\u0131k hissi<\/li>\n
- \u00c7ift g\u00f6rme<\/li>\n
- Bulan\u0131k g\u00f6rme<\/li>\n
- G\u00f6zlerin birinde veya ikisinde g\u00f6rme kayb\u0131<\/li>\n
- Di\u015f etlerinde kanama<\/li>\n
- Duyma kayb\u0131<\/strong><\/li>\n
- Eklemlerde tutulma<\/li>\n
- Y\u00fcz b\u00f6lgesinde ac\u0131<\/li>\n<\/ul>\n
Komplikasyonlar<\/h3>\n
G\u00f6rme kayb\u0131 dev h\u00fccreli arteritin en s\u0131k ve ciddi iskemik komplikasyonu olup, en \u00f6nemli nedeni gecikmi\u015f te\u015fhis ve tedavidir. Temporal arterit tan\u0131l\u0131 hastalar\u0131n %35'inde kal\u0131c\u0131 g\u00f6rme kayb\u0131ndan yakla\u015f\u0131k 10 ay \u00f6nce sistemik hastal\u0131k semptomlar\u0131n\u0131n ba\u015flad\u0131\u011f\u0131 bildirilmi\u015ftir. Temporal arterit zaman\u0131nda tedavi edilmezse komplikasyonlar ortaya \u00e7\u0131kabilir;<\/p>\n
- \n
- V\u00fccudun di\u011fer b\u00f6lgelerindeki damarlar\u0131n\u0131n zarar g\u00f6rmesi ve iltihaplanmas\u0131<\/li>\n
- Damar geni\u015flemesi<\/strong>, \u00f6zellikle aort damar\u0131nda<\/li>\n
- G\u00f6rme kayb\u0131<\/li>\n
- G\u00f6z kaslar\u0131n\u0131n zay\u0131flamas\u0131<\/li>\n
- Fel\u00e7<\/strong><\/li>\n
- K\u00f6rl\u00fck<\/li>\n<\/ul>\n
Yine de, risk b\u00f6lgesinde bulunan insanlar\u0131n hastal\u0131\u011fa hi\u00e7 yakalanmama \u015fans\u0131 da mevcuttur.<\/p>\n
Temporal Arterit Tedavisi<\/h3>\n
Temporal arteritin ideal bir tedavisi yoktur. Dolay\u0131s\u0131yla, tedavinin \u00f6ncelikli amac\u0131 d\u00fczensiz kan ak\u0131\u015f\u0131 sonucu dokularda meydana gelen zarar\u0131 gidermektir.
\nKortikosteroid tedavisi; her ne kadar ciddi yan etkileri olsa da TA ve PMR i\u00e7in en uygun tedavi yeterli dozda yap\u0131lacak kortikosteroid tedavisidir.<\/p>\n![\"\"](\"https:\/\/turanuslu.net\/wp-content\/uploads\/2010\/04\/abone-olun.jpg\")
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- A\u015f\u0131r\u0131 terleme<\/strong><\/li>\n