{"id":499,"date":"2009-08-26T12:06:44","date_gmt":"2009-08-26T13:06:44","guid":{"rendered":"https:\/\/turanuslu.net\/?p=499"},"modified":"2022-01-14T09:08:59","modified_gmt":"2022-01-14T09:08:59","slug":"polimiyalji-romatika-ve-dev-hucreli-arterit","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/es\/polimiyalji-romatika-ve-dev-hucreli-arterit\/","title":{"rendered":"Polimiyalji Romatika ve Dev H\u00fccreli Arterit"},"content":{"rendered":"

Polimiyalji Romatika ve Dev H\u00fccreli Arterit<\/h2>\n

Birbiri ile yak\u0131ndan ili\u015fkili bu iki hastal\u0131\u011f\u0131 baz\u0131 uzmanlar ayn\u0131 hastal\u0131\u011f\u0131n iki farkl\u0131 g\u00f6r\u00fcn\u00fcm\u00fc olarak kabul etmektedir. Polimiyalji romatikal\u0131 hastalar\u0131n % 10-15’inde dev h\u00fccreli arterit, dev h\u00fccreli arterit bulunan hastalar\u0131n % 40’\u0131nda polimiyalji romatika g\u00f6r\u00fcl\u00fcr. POL\u0130M\u0130YALJ\u0130 ROMAT\u0130KA <\/strong><\/p>\n

Omuz ve kal\u00e7a ku\u015fa\u011f\u0131nda a\u011fr\u0131 ve tutukluk yapan ve \u00e7o\u011fu zaman g\u00f6zden ka\u00e7an bir hastal\u0131kt\u0131r. Kad\u0131nlarda daha s\u0131k g\u00f6r\u00fcl\u00fcr. Toplumun % 0.1-0.5 kadar\u0131nda g\u00f6r\u00fcl\u00fcr. Erken d\u00f6nemde romatoit artrite benzer belirtiler g\u00f6sterir.<\/div>\n


\n\"\"<\/p>\n

Belirtiler: Sabahlar\u0131 boyun, kal\u00e7a ve omuzlarda a\u011fr\u0131 ve tutukluk olur. A\u011fr\u0131 v\u00fccudun her iki yan\u0131nda simetrik olarak hissedilir. Hareket a\u011fr\u0131y\u0131 art\u0131r\u0131r. Kilo kayb\u0131, yorgunluk, isteksizlik, ba\u015fa\u011fr\u0131lar\u0131 ve bitkinlik olabilir. Ayr\u0131ca; hafif ate\u015f, gece terlemesi ve ruhsal \u00e7\u00f6k\u00fcnt\u00fc g\u00f6r\u00fclebilir.<\/div>\n
Te\u015fhis: Hastan\u0131n ya\u015f\u0131 50 nin \u00fczerindeyse, romatoit fakt\u00f6r yoksa, antin\u00fckleer antikorlar negatif \u00e7\u0131km\u0131\u015fsa ve a\u015fa\u011f\u0131daki belirtilerin en az \u00fc\u00e7\u00fc varsa bu hastal\u0131k akla gelmelidir:<\/div>\n
    \n
  • Boyun, omuz ve kal\u00e7a ku\u015fa\u011f\u0131nda a\u011fr\u0131<\/li>\n
  • Eklemlerde bir saatten uzun s\u00fcren sabah tutuklu\u011fu<\/li>\n
  • Saatte 40 milimetreyi ge\u00e7en y\u00fcksek sedimentasyon h\u0131z\u0131 (sedimentasyon h\u0131z\u0131 hastalar\u0131n yakla\u015f\u0131k % 13’\u00fcnde normaldir.)<\/li>\n
  • Verilen tek doz prednizolona (kortikosteroit) h\u0131zl\u0131 cevap<\/li>\n<\/ul>\n
    Bir\u00e7ok hastan\u0131n sedimentasyon h\u0131z\u0131 100 milimetreyi a\u015farken, hafif anemi (kans\u0131zl\u0131k) ve trombosit say\u0131s\u0131nda y\u00fckselme g\u00f6r\u00fcl\u00fcr. Polimiyalji romatikal\u0131 hastalar\u0131n yakla\u015f\u0131k \u00fc\u00e7te birinde karaci\u011fer fonksiyon testlerinde k\u00fc\u00e7\u00fck sapmalar g\u00f6r\u00fclebilir.<\/div>\n

    Tedavi:<\/strong><\/p>\n

    Antiromatizmal ila\u00e7lar \u00e7o\u011fu zaman hastal\u0131\u011f\u0131 kontrole yetmedi\u011finden, kortikosteroitler hemen hemen her zaman gereklidir. Tedavi genellikle bir-\u00fc\u00e7 y\u0131l s\u00fcrer; ama bazen daha da uzayabilir.<\/div>\n

    DEV H\u00dcCREL\u0130 ARTER\u0130T(TEMPORAL ARTER\u0130T) <\/strong><\/p>\n

    Baz\u0131 kan damarlar\u0131n\u0131n iltihaplanmas\u0131yla belirlenen bu hastal\u0131k ve polimiyalji romatika aras\u0131nda tam anla\u015f\u0131lamam\u0131\u015f bir ba\u011flant\u0131 vard\u0131r. Polimiyalji romatika s\u0131ras\u0131nda, \u00f6ncesinde ya da sonras\u0131nda geli\u015febilen dev h\u00fccreli arterit, t\u0131pk\u0131 bu hastal\u0131kta oldu\u011fu gibi 50 ya\u015f\u0131n \u00fcst\u00fcnde, b\u00fcy\u00fck \u00f6l\u00e7\u00fcde kad\u0131nlar\u0131 etkiler. Kad\u0131nlar aras\u0131nda bu hastal\u0131k erkeklere g\u00f6re \u00fc\u00e7 kat fazla g\u00f6r\u00fclmektedir. Dev h\u00fccreli arteritin polimiyalji romatikadan en b\u00fcy\u00fck fark\u0131 k\u00f6rl\u00fc\u011fe yol a\u00e7ma riskidir. Ayr\u0131ca polimiyalji romatika d\u00fc\u015f\u00fck doz kortizona cevap verirken, dev h\u00fccreli arteritte y\u00fcksek dozlar gerekir.<\/div>\n

    Belirtiler :<\/strong><\/p>\n

    Belirtiler aras\u0131nda halsizlik, \u015fiddetli ba\u015f a\u011fr\u0131s\u0131, i\u015fitme zorlu\u011fu, eklem a\u011fr\u0131s\u0131 ve sa\u00e7l\u0131 deride basmakla a\u011fr\u0131 ve hassasiyet say\u0131labilir. Bulan\u0131k yada \u00e7ift g\u00f6rme ve hatta bazen g\u00f6rme kayb\u0131 geli\u015febilir. Baz\u0131 hastalarda atardamarlar\u0131n kal\u0131n ve hassas olmas\u0131na kar\u015f\u0131n nab\u0131z zay\u0131ft\u0131r. Dev h\u00fccreli arterit tedavi edilmezse k\u00f6rl\u00fc\u011fe, felce yada kalp krizine yol a\u00e7abilir.<\/div>\n

    Tan\u0131 :<\/strong><\/p>\n

    Sedimentasyon h\u0131z\u0131, tam kan say\u0131m\u0131 ve karaci\u011fer fonksiyon testleri yapt\u0131r\u0131l\u0131r. Sedimentasyon normalden y\u00fcksek \u00e7\u0131kar. Temporal arter biyopsisi gerekebilir. Bu k\u00fc\u00e7\u00fck m\u00fcdahalede kula\u011f\u0131n \u00f6n\u00fcnde \u015fakaktan \u00e7ok k\u00fc\u00e7\u00fck bir atardamar par\u00e7as\u0131 al\u0131n\u0131r ve mikroskop alt\u0131nda incelenir. Ama bu hastal\u0131\u011fa yakalanan ki\u015filerden y\u00fczde 10-20’sinin s\u00f6z konusu damar b\u00f6lgesinde iltihaba rastlanmamaktad\u0131r.<\/div>\n

    Tedavi :<\/strong><\/p>\n

    Standart tedavi y\u00fcksek doz kortikosteroitlerdir.<\/div>","protected":false},"excerpt":{"rendered":"

    Polimiyalji Romatika ve Dev H\u00fccreli Arterit Birbiri ile yak\u0131ndan ili\u015fkili […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[400],"tags":[492,493,494,495],"class_list":["post-499","post","type-post","status-publish","format-standard","hentry","category-romatizmal-hastaliklar","tag-dev-hucreli-arterit","tag-dev-hucreli-arterit-tedavisi","tag-polimiyalji-romatika","tag-polimiyalji-romatika-tedavisi"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/499","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/comments?post=499"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/499\/revisions"}],"predecessor-version":[{"id":10748,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/499\/revisions\/10748"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/media?parent=499"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/categories?post=499"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/tags?post=499"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}