Dokuz Eyl\u00fcl \u00dcniversitesi T\u0131p Fak\u00fcltesi \u0130\u00e7 Hastal\u0131klar\u0131 AB \u0130mm\u00fcnoloji-Romatoloji BD \u00d6\u011fr.\u00dcyesi Prof. Dr. Nurullah Akko\u00e7, T\u00fcrkiye\u2019de bel a\u011fr\u0131s\u0131 g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n y\u00fczde 80 oldu\u011funu belirterek,\u201c Bir ki\u015finin yak\u0131n\u0131nda sanat\u00e7\u0131 Suna Pekuysal hastal\u0131\u011f\u0131 diye bilinen hastal\u0131k(ankilozan spondilit) yoksa, bel a\u011fr\u0131s\u0131 oldu\u011fu zaman romatolo\u011fa gitmek akl\u0131na gelmiyor\u201d dedi.<\/p>\n

T\u00fcrkiye Romatoloji Derne\u011fi taraf\u0131ndan d\u00fczenlenen XVI. Ulusal Romatoloji Kongresi, Antalya Belek\u2019te devam ediyor.<\/p>\n

Kongre kapsam\u0131ndan d\u00fczenlenen bas\u0131n toplant\u0131s\u0131nda konu\u015fan Kongre Ba\u015fkan\u0131 Prof. Dr. Sedat Kiraz, sayg\u0131n bilim insanlar\u0131n\u0131n kat\u0131ld\u0131\u011f\u0131 kongrede, romatoid artrit, Beh\u00e7et hastal\u0131\u011f\u0131, ailevi Akdeniz ate\u015fi, Gut, \u00e7ocukluk \u00e7a\u011f\u0131nda ba\u015flayan romatizmal hastal\u0131klar, romatolojik hastal\u0131klarda genetik modelleme, skleroderma\u201d gibi \u00f6ne \u00e7\u0131kan konularda g\u00f6r\u00fc\u015f al\u0131\u015fveri\u015finde bulunuldu\u011funu s\u00f6yledi.<\/p>\n

178 konu\u015fmac\u0131, 790\u2019\u0131 a\u015fk\u0131n kat\u0131l\u0131mc\u0131 ile kongrenin ger\u00e7ekle\u015ftirildi\u011fini kaydeden Prof. Dr. Kiraz, kongre kapsam\u0131nda 4 kurs, 23 bilimsel oturum, 10 uydu sempozyumu, 8 uzman\u0131na dan\u0131\u015f oturumu, 5 s\u00f6zl\u00fc bildiri oturumu ve 6 poster turu oturumunun yan\u0131 s\u0131ra 33 hem\u015firelik oturumu, 4 hem\u015firelik uzman\u0131na dan\u0131\u015f oturumu ve 2 hem\u015firelik pratik uygulama oturumu yer ald\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n

\u0130stanbul \u00dcniversitesi \u0130stanbul T\u0131p Fak\u00fcltesi \u0130\u00e7 Hastal\u0131klar\u0131 AB, Romatoloji BD \u00d6\u011fr.\u00dcyesi Prof. Dr. Ahmet G\u00fcl, ad\u0131 romatizma olarak an\u0131lan yakla\u015f\u0131k 200 kadar hastal\u0131\u011f\u0131n oldu\u011funu belirterek, bu hastal\u0131klar\u0131n baz\u0131lar\u0131n\u0131n T\u00fcrkiye\u2019de olduk\u00e7a s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc aktard\u0131.<\/p>\n

Ailesel Akdeniz Ate\u015fi\u2019nin (AAA) \u00e7ekinik olarak ge\u00e7en \u0131rsi bir hastal\u0131k oldu\u011funun alt\u0131n\u0131 \u00e7izen Prof.Dr. Ahmet G\u00fcl, \u201cT\u00fcrkiye\u2019de hastal\u0131\u011fa neden olan mutasyonlar\u0131n ta\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131 y\u00fczde 10 ile 20 aras\u0131ndad\u0131r. Olduk\u00e7a y\u00fcksek bir oran. Hastal\u0131k \u00e7ekinik ge\u00e7iyor. Hasta olmak i\u00e7in hem anneden hem babadan mutasyonlar\u0131n ge\u00e7mesi gerekiyor. Bu kadar \u00e7ok ta\u015f\u0131y\u0131c\u0131 olmas\u0131na ra\u011fmen g\u00f6r\u00fclen hasta say\u0131s\u0131 ortalama T\u00fcrkiye i\u00e7in bin 1 seviyelerindedir. T\u00fcrkiye i\u00e7inde daha \u00e7ok hastal\u0131\u011f\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fc alanlarda var. \u00d6zellikle T\u00fcrkiye\u2019nin kuzeyi. \u0130sminin tam aksine AAA\u2019n\u0131n s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc b\u00f6lgeler. AAA denildi\u011fi zaman Akdeniz\u2019in do\u011fusundaki \u00fclkeler, bunun i\u00e7ine T\u00fcrkiye, Orta Do\u011fu, Kuzey Afrika, \u00f6zellikle Yahudi, Ermeni, Arap\u2019larda s\u0131k g\u00f6r\u00fcl\u00fcyor\u201d dedi.<\/p>\n

Hastal\u0131\u011f\u0131n belirtileri hakk\u0131nda payla\u015f\u0131mlarda bulunan Prof. Dr Ahmet G\u00fcl, \u201c \u00c7ocukluk d\u00f6nemimde ba\u015flayan ve yakla\u015f\u0131k 1-3 g\u00fcn s\u00fcren, v\u00fccudun belirli yerlerinde olu\u015fan iltihap ve ate\u015fle seyreden ataklara neden olur. Bu ate\u015fli ataklar de\u011fi\u015fen s\u0131kl\u0131kta tekrarlar. V\u00fccutta kendili\u011finden tekrarlayan ataklar tedavi edilmedi\u011finde amiloidoz denen ve \u00e7\u00f6z\u00fcnmeyen bir proteinin birikmesi sonucu b\u00f6brekler ba\u015fta olmak \u00fczere, \u00e7ok say\u0131da organda yetersizli\u011fe neden olabilen bir hastal\u0131\u011f\u0131n geli\u015fme olas\u0131l\u0131\u011f\u0131 artmaktad\u0131r. Hastal\u0131\u011f\u0131n bilinirli\u011finin artmas\u0131na ve genetik tan\u0131 olas\u0131l\u0131klar\u0131n\u0131n geli\u015ftirilmesine kar\u015f\u0131n, \u00fclkemizde olduk\u00e7a s\u0131k g\u00f6r\u00fclen ve olduk\u00e7a \u00f6nemli klinik sonu\u00e7lara yol a\u00e7an bu hastal\u0131\u011f\u0131n tan\u0131s\u0131nda hala hat\u0131r\u0131 say\u0131l\u0131r (7-10 y\u0131l) bir gecikme ve tedavi karar\u0131 ile ilgili olarak \u00f6nemli sorunlar g\u00f6zlenmektedir\u201d diye konu\u015ftu.<\/p>\n

\u201cHastal\u0131k y\u00fczde 85 hastada 20 ya\u015f \u00f6ncesi ba\u015flar\u201d diyen Prof. Dr. Ahmet G\u00fcl, \u201c Daha ileri ya\u015flarda, \u00f6zellikle 40 ya\u015f sonras\u0131 ba\u015flamas\u0131 \u00e7ok \u00e7ok nadirdir. Atak s\u0131ras\u0131nda yap\u0131lan kan incelemelerinde iltihap testlerinde y\u00fckselmeler tan\u0131ya yard\u0131mc\u0131 olur. Ataklar genellikle 12-72 saat s\u00fcrer. Artrit ataklar\u0131 ise biraz daha uzun olabilir ve sonlanmas\u0131 1 hafta-10 g\u00fcn\u00fc bulabilir. A\u015f\u0131r\u0131 fiziksel aktivite, emosyonel stres, adet d\u00f6nemleri ata\u011f\u0131 tetikleyebilir. Ataklar \u015fiddetli belirtilere neden olasa da kendili\u011finden sonlan\u0131r. Hastal\u0131k tan\u0131s\u0131 ge\u00e7 konulan ya da tan\u0131 konuldu\u011fu halde d\u00fczenli ve etkin tedavi edilmeyen hastalarda korkulan komplikasyon artm\u0131\u015f sekonder amiloidoz riskidir. Bu hastalarda amiloid proteininin b\u00f6brekler, karaci\u011fer, damarlar, ba\u011f\u0131rsaklar, kalp vb. organlarda birikmesi, bu organlar\u0131n normal i\u015flevlerinin bozulmas\u0131na sebep olur. En s\u0131k olarak g\u00f6zlenen sonu\u00e7 b\u00f6brek yetersizli\u011fidir. \u00d6nce idrarla protein ka\u00e7a\u011f\u0131, ard\u0131ndan diyaliz ihtiyac\u0131 ortaya \u00e7\u0131kar\u201d ifadelerine yer verdi.<\/p>\n

\u201cTEDAV\u0130DE KOL\u015e\u0130S\u0130N B\u0130TK\u0130SEL \u0130LACI\u201d<\/p>\n

Hastal\u0131\u011f\u0131n tedavisinde g\u00fcz \u00e7i\u011fdeminden elde edilen kol\u015fisin ad\u0131 verilen bitkisel bir ilac\u0131n kullan\u0131ld\u0131\u011f\u0131n\u0131 kaydeden Prof.Dr. G\u00fcl, \u201cKol\u015fisin ilac\u0131 yeterli dozda ve d\u00fczenli kullan\u0131l\u0131rsa hem ataklar\u0131n tekrarlamas\u0131n\u0131, hem de amiloidoz geli\u015fmesini \u00f6nler. Kol\u015fisin tedavisi ile hastalar\u0131n y\u00fczde 65 kadar\u0131nda belirtilen tama yak\u0131n, y\u00fczde 30 kadar\u0131nda ise k\u0131smen kontrol alt\u0131na al\u0131nabilmektedir. Hastalar\u0131n %5 kadar\u0131nda ise kol\u015fisine yan\u0131t al\u0131namamaktad\u0131r. Kol\u015fisin tedavisi \u00f6m\u00fcr boyu s\u00fcrd\u00fcr\u00fclmelidir. \u0130la\u00e7 gebelik ve s\u00fct verme d\u00f6nemlerinde de g\u00fcvenli kabul edilmektedir. Kol\u015fisin tedavisine yan\u0131t al\u0131namayan hastalarda, iltihaba neden olan as\u0131l etken olan IL-1 sitokinini engelleyen biyolojik ila\u00e7lar ile olduk\u00e7a ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nabilmektedir\u201d \u015feklinde konu\u015ftu.<\/p>\n

\u0130stanbul \u00dcniversitesi Cerrahpa\u015fa T\u0131p Fak\u00fcltesi \u0130\u00e7 Hastal\u0131klar\u0131 AB, Romatoloji BD \u00d6\u011fretim \u00dcyesi Prof. Dr. Vedat Hamuryudan, T\u00fcrkler denince akla ikinci gelen romatizmal hastal\u0131\u011f\u0131n Beh\u00e7et oldu\u011funu aktard\u0131.<\/p>\n

Beh\u00e7et hastal\u0131\u011f\u0131n\u0131n nedeninin tam olarak bilinemedi\u011fini ifade eden Prof. Dr. Hamuryudan, \u201c Beh\u00e7et hastal\u0131\u011f\u0131 bir \u00e7ok sistemi ayn\u0131 anda tutabiliyor. Renkli bir hastal\u0131k. Beh\u00e7et denilince akla tekrarlayan a\u011f\u0131z yaralar\u0131 akla geliyor. Her a\u011f\u0131z yaras\u0131 da Beh\u00e7et hastal\u0131\u011f\u0131 olarak d\u00fc\u015f\u00fcn\u00fclmemelidir. \u0130kinci bulgu ise cinsel b\u00f6lgede \u00e7\u0131kan yaralard\u0131r. En s\u0131k bacak \u00f6n y\u00fcz\u00fcnde \u00e7\u0131kan cilt alt\u0131nda, a\u011fr\u0131l\u0131 k\u0131rm\u0131z\u0131 \u015fi\u015flikler (eritema nodosum) bu bulgular\u0131n en belirgin olanlar\u0131d\u0131r. Ancak a\u011f\u0131z yaralar\u0131na yol a\u00e7abilecek ba\u015fka pek \u00e7ok hastal\u0131\u011f\u0131n da olabilece\u011fi unutulmamal\u0131d\u0131r. Tek ba\u015f\u0131na a\u011f\u0131z yaralar\u0131n\u0131n varl\u0131\u011f\u0131 Beh\u00e7et hastal\u0131\u011f\u0131 tan\u0131s\u0131 koydurmaz\u201d diye konu\u015ftu.<\/p>\n

\u201cBEH\u00c7ET, HAM\u0130LEL\u0130\u011eE ENGEL DE\u011e\u0130LD\u0130R\u201d<\/p>\n

Beh\u00e7et tedavisinde temel tedavinin ila\u00e7lar yoluyla yap\u0131ld\u0131\u011f\u0131n\u0131 dile getiren Prof. Dr. Hamuryudan, hastal\u0131\u011f\u0131n bula\u015f\u0131c\u0131 olmad\u0131\u011f\u0131n\u0131 hasta anne ve babadan olan \u00e7ocuklar\u0131n Beh\u00e7et hastal\u0131\u011f\u0131na yakalanma oran\u0131n\u0131n d\u00fc\u015f\u00fck oldu\u011funu bildirdi.<\/p>\n

Beh\u00e7et hastal\u0131\u011f\u0131n\u0131n gebe kalmaya engel olmad\u0131\u011f\u0131n\u0131 a\u00e7\u0131klayan Prof. Dr. Hamuryudan, gebe kal\u0131nd\u0131ktan sonra doktor kontrol\u00fcnde ilerlenilmesi gerekti\u011fini vurgulad\u0131.<\/p>\n

Kongre Ba\u015fkan\u0131 Prof. Dr. Sedat Kiraz, Gut hastal\u0131\u011f\u0131 \u00fcrik asit denilen v\u00fccuttaki proteinlerin y\u0131k\u0131m \u00fcr\u00fcn\u00fc olan maddenin kanda d\u00fczeyinin artmas\u0131 sonras\u0131 eklemlerde \u00fcrik asit kristallerinin \u00e7\u00f6kmesiyle eklemde k\u0131zar\u0131kl\u0131k,\u015fi\u015flik ve a\u011fr\u0131n\u0131n olu\u015fmas\u0131yla ortaya \u00e7\u0131kan bir hastal\u0131k oldu\u011funu kaydetti.<\/p>\n

Gut hastal\u0131\u011f\u0131 ve \u00fcrik asit y\u00fcksekli\u011finin son zamanlarda s\u0131kl\u0131\u011f\u0131nda art\u0131\u015f ya\u015fand\u0131\u011f\u0131na dikkati \u00e7eken Prof.Dr. Kiraz, \u201c Bununda en \u00f6nemli nedenlerinden biri obezitenin artmas\u0131, beslenme \u015fekli, ortalama ya\u015fam s\u00fcresinin uzamas\u0131, a\u015f\u0131r\u0131 alkol al\u0131m\u0131d\u0131r. \u00dcrik asit y\u00fcksekli\u011fi eklem \u015fikayetine neden olmuyor. Hipertansiyona, erken \u00f6l\u00fcmlere sebep olabiliyor. \u0130lk atak olduktan sonra hi\u00e7bir \u015fey yap\u0131lmazsa ki\u015fi 7-10 g\u00fcn i\u00e7inde iyile\u015fiyor. \u0130kinci ata\u011f\u0131n ne zaman gelece\u011fini \u00f6ng\u00f6rmek zor. \u00dcrik asit y\u00fcksekse ikinci atak gelmesi y\u00fcksek. 2 y\u0131l i\u00e7inde hastalar\u0131n y\u00fczde 97\u2019si ikinci atakla kar\u015f\u0131la\u015f\u0131yor\u201d ifadelerini kulland\u0131.<\/p>\n

Gut\u2019un tedavisinde beslenme \u015feklinin de\u011fi\u015ftirilmesinin \u00f6nemli oldu\u011funa vurgu yapan Prof. Dr. Kiraz, \u201c Proteinden fakir g\u0131dalar almak gerekir. Alkol al\u0131m\u0131 k\u0131s\u0131tlanmal\u0131d\u0131r\u201d dedi.<\/p>\n

Bel a\u011fr\u0131s\u0131n\u0131n \u00e7ok \u00e7e\u015fidinin oldu\u011funa de\u011finen Prof.Dr. Akko\u00e7, \u201c Belinde a\u011fr\u0131yla doktora giden ki\u015fiye hemen MR \u00e7ekilir. Bu ba\u015fvuran ki\u015filerin \u00fc\u00e7te biri bel f\u0131t\u0131\u011f\u0131 te\u015fhisi al\u0131yor. Sokaktan 100 ki\u015fiyi \u00e7ekseniz, bunlar\u0131n hi\u00e7 bel a\u011fr\u0131s\u0131 olmasa bile \u00e7ekilen MR\u2019da 30\u2019unun bel f\u0131t\u0131\u011f\u0131n\u0131 g\u00f6rebilirsiniz. Bu bizim i\u00e7in zorluk. Bizim hastalar\u0131m\u0131zda bel a\u011fr\u0131s\u0131 oldu\u011fu zaman MR\u2019lar\u0131ndaki tan\u0131yla bel f\u0131t\u0131\u011f\u0131 tan\u0131s\u0131 al\u0131yorlar. Bir k\u0131sm\u0131 ameliyatta olabiliyor\u201d dedi.<\/p>\n

Yapt\u0131klar\u0131 bir \u00e7al\u0131\u015fmadan da \u00f6rnekler sunan Prof. Dr. Akko\u00e7, \u201c T\u00fcrkiye \u00e7ap\u0131nda 450 Ankilozan spondilit(AS)(omurga hareketlerinin azalmas\u0131n\u0131 ya da yok olmas\u0131) tan\u0131s\u0131 alan hastalara, ilk ald\u0131\u011f\u0131n\u0131z te\u015fhis neydi diye sorduk. Yakla\u015f\u0131k y\u00fczde 33 bel f\u0131t\u0131\u011f\u0131 te\u015fhisi alm\u0131\u015flar. Bunlar\u0131n y\u00fczde 7\u2019side bel f\u0131t\u0131\u011f\u0131 ameliyat\u0131 ge\u00e7irmi\u015f. Yanl\u0131\u015f diye s\u00f6yleyemeyiz. Dikkat \u00e7ekicidir. Hastal\u0131k T\u00fcrkiye\u2019de Suna Pekuysal hastal\u0131\u011f\u0131 olarak bilinir. Bir ki\u015finin yak\u0131n\u0131nda Suna Pekuysal hastal\u0131\u011f\u0131 diye bilinen hastal\u0131k yoksa bel a\u011fr\u0131s\u0131 oldu\u011fu zaman bir romatolo\u011fa gitmek akl\u0131na gelmiyor. Bel f\u0131t\u0131\u011f\u0131n\u0131n AS\u2019deki bel a\u011fr\u0131s\u0131 ile temel farklar\u0131 vard\u0131r\u201d diye konu\u015ftu.<\/p>\n

\u201cBEL FITI\u011eI A\u011eRISI B\u0130R HAREKET YAPARKEN AN\u0130DEN ORTAYA \u00c7IKAR\u201d<\/p>\n

Bel f\u0131t\u0131\u011f\u0131 a\u011fr\u0131s\u0131n\u0131n bir hareket yaparken aniden ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 i\u015faret eden Prof. Dr. Akko\u00e7, \u201c Yoruldu\u011funuz zaman ortaya \u00e7\u0131kar. Fakat romatizmal a\u011fr\u0131larda ise hasta sabah yataktan a\u011fr\u0131yla kalkar. Yataktan tutuk kalkar. Kimi ki\u015fi, \u2018Kendimi kaz\u0131k gibi hissediyorum\u2019 der. Bele kaz\u0131k koymu\u015flar gibi olur. Bunlar\u0131 bile sorgulamak hastal\u0131\u011f\u0131n tan\u0131s\u0131n\u0131 koymak a\u00e7\u0131s\u0131ndan \u00e7ok faydal\u0131d\u0131r\u201d dedi.<\/p>\n

Prof.Dr. Akko\u00e7, T\u00fcrkiye\u2019de yakla\u015f\u0131k 200 bin ki\u015fiyi etkileyen ciddi bir hastal\u0131k olan AS hastalar\u0131n\u0131n y\u00fczde 50\u2019sinin i\u015f kayb\u0131 ya\u015fayabildi\u011fini belirtti.<\/p>\n

AS hastalar\u0131n\u0131n y\u00fczde 40\u2019\u0131n\u0131n hangi doktora gidece\u011fini bilmedi\u011fini dile getiren Prof. Dr. Akko\u00e7, \u201cBu hastalara romatoloji uzmanlar\u0131 bakmaktad\u0131r. T\u00fcrkiye\u2019de AS tan\u0131s\u0131, hastalar\u0131n doktora ilk ba\u015fvurduklar\u0131 tarihten ortalama 8 y\u0131l sonra konabilmekte fakat hastalar\u0131n ba\u015fvurdu\u011fu ilk hekimin romatolog olmas\u0131 halinde bu s\u00fcre k\u0131salabilmektedir. Fakat bunlar\u0131n say\u0131s\u0131 T\u00fcrkiye\u2019de 250\u2019yi ge\u00e7memekte, bu nedenle hastalar\u0131n doktora eri\u015fiminde s\u0131k\u0131nt\u0131lar ya\u015fanmaktad\u0131r\u201d\u015feklinde konu\u015ftu.<\/p>\n

\u201cHER 3 AS HASTASINDAN B\u0130R\u0130 FITIK TE\u015eH\u0130S\u0130 ALIYOR\u201d<\/p>\n

AS\u2019nin erkeklerde kad\u0131nlardan daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc kaydeden Prof.Dr. Akko\u00e7, \u201c Hastal\u0131\u011f\u0131n son a\u015famas\u0131nda baz\u0131 hastalarda toplum aras\u0131nda \u2019kamburluk\u2018 olarak bilinen s\u0131rt ve boyun deformasyonu g\u00f6r\u00fclebilir. AS\u2019nin bel f\u0131t\u0131\u011f\u0131ndaki a\u011fr\u0131dan en \u00f6nemli fark\u0131, a\u011fr\u0131n\u0131n istirahat halinde artmas\u0131 ve aktiviteyle azalmas\u0131d\u0131r. Her 100 ankilozan spondilit hastas\u0131ndan 7\u2019sinin \u00f6yk\u00fcs\u00fcnde bel f\u0131t\u0131\u011f\u0131 ameliyat\u0131na rastlanmaktad\u0131r. Ankilozan spondilit en \u00e7ok bel f\u0131t\u0131\u011f\u0131yla kar\u0131\u015fmakta, her 3 ankilozan spondilit hastas\u0131ndan biri en ba\u015fta bel f\u0131t\u0131\u011f\u0131 tan\u0131s\u0131 almaktad\u0131r\u201d diye konu\u015ftu.<\/p>\n

Kongre Genel Sekreteri Do\u00e7. Dr. \u00d6mer Karada\u011f, Vask\u00fclit\u2019in genel olarak atardamarlar\u0131n iltihab\u0131 anlam\u0131na geldi\u011fini aktararak, toplumda nadir olarak g\u00f6r\u00fclse de tan\u0131da gecikme olmas\u0131 durumunda hayati tehdit edici sorunlara yol a\u00e7abildi\u011fini a\u00e7\u0131klad\u0131.<\/p>\n

Prof. Dr. Karada\u011f, Vask\u00fclitler uzun s\u00fcreli yani kronik hastal\u0131klar olsa bile erken tan\u0131 ve etkin tedavi ile ba\u015far\u0131l\u0131 sonu\u00e7lar elde edilebildi\u011fini kaydetti.<\/p>\n

YA\u015eLA B\u0130RL\u0130KTE ARTR\u0130T G\u00d6R\u00dcLME ORANI ARTAR\u201d<\/p>\n

T\u00fcrkiye Romatoloji Derne\u011fi Y\u00f6netim Kurulu Ba\u015fkan\u0131 Prof. Dr. \u0130hsan Ertenli Artritin (arthritis) eklemdeki yang\u0131l\u0131 (inflamasyon) durumu oldu\u011funu belirterek, artritin; yang\u0131, a\u011fr\u0131, sertlik, k\u0131zar\u0131kl\u0131k ve \u015fi\u015fli\u011fi bir arada bulunduran t\u0131bbi bir terim oldu\u011funu s\u00f6yledi.<\/p>\n

Artritin, \u00e7ocuklar da dahil olmak \u00fczere her ya\u015ftan insan\u0131 etkileyebildi\u011fini kaydeden Prof.Dr. Ertenli, \u201c Ya\u015fla birlikte artritin g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 da artmaktad\u0131r, her 5 hastadan yakla\u015f\u0131k 3\u2019\u00fc 65 ya\u015f\u0131n alt\u0131ndad\u0131r. Eklem, kemiklerimizin birle\u015fti\u011fi, \u00e7o\u011fu oynar b\u00f6lgelere verilen isimdir. Baz\u0131 eklemlerimiz \u00e7ok hareketlidir (\u00f6rnek; dirsek, diz, parmak, ayak bile\u011fi eklemleri); baz\u0131 eklemlerimiz ise, sadece kemiklerin birle\u015fmesini sa\u011flar (kafatas\u0131m\u0131zdaki eklemler). Omurgam\u0131zda da boyun ve belimizi hareket ettirmemizi sa\u011flayan eklemler vard\u0131r. Eklemlerde bulunan k\u0131k\u0131rdak dokusu kemiklerin birbirine s\u00fcrt\u00fcnmesini engeller. Doktor hastas\u0131na artrit oldu\u011funu belirtirse, eklem ya da eklemlerinizde iltihap oldu\u011fu kan\u0131s\u0131na varm\u0131\u015ft\u0131r. Artrit, \u00f6n planda, hareketli eklemlerin hastal\u0131\u011f\u0131d\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n

Artritin a\u011fr\u0131, \u015fi\u015flik, k\u0131zar\u0131kl\u0131k, s\u0131cakl\u0131k ve eklemin normal hareketlerini yapamamas\u0131 gibi belirtileri oldu\u011funu i\u015faret eden Prof.Dr. Ertenli, \u201c A\u011fr\u0131, eklemin hareket etmesiyle, istirahatte ve bazen de gece meydana gelebilir. Hasta eklem b\u00f6lgesinde, \u00f6zellikle sabahlar\u0131 ve istirahat sonras\u0131 tutukluk (eklemin hareketlerinde g\u00fc\u00e7l\u00fck) daha belirgindir. Bu hastal\u0131klarda sadece eklemler de\u011fil eklemin \u00e7evresindeki kaslar, yumu\u015fak dokular ve ba\u011flar da etkilenebilir.Uzun s\u00fcren artritler eklemlerde \u015fekil bozuklu\u011funa ve eklemin hi\u00e7 hareket edememesine yol a\u00e7abilirler. Halsizlik ve yorgunluk, artritli hastalarda di\u011fer belirtilere s\u0131kl\u0131kla e\u015flik eder\u201d dedi.

\n\t\t\t

\n\t\t\t\tBel A\u011fr\u0131s\u0131, Sanat\u00e7\u0131 Suna Pekuysal Hastal\u0131\u011f\u0131 Denilince \u00d6nemseniyor<\/a>\n\t\t\t<\/div><\/figure>

\n\t\t\t

\n\t\t\t\t Bel A\u011fr\u0131s\u0131, Sanat\u00e7\u0131 Suna Pekuysal Hastal\u0131\u011f\u0131 Denilince \u00d6nemseniyor<\/a>\n\t\t\t<\/div><\/figure>

\n\t\t\t

\n\t\t\t\t Bel A\u011fr\u0131s\u0131, Sanat\u00e7\u0131 Suna Pekuysal Hastal\u0131\u011f\u0131 Denilince \u00d6nemseniyor<\/a>\n\t\t\t<\/div><\/figure>

\n\t\t\t

\n\t\t\t\t Bel A\u011fr\u0131s\u0131, Sanat\u00e7\u0131 Suna Pekuysal Hastal\u0131\u011f\u0131 Denilince \u00d6nemseniyor<\/a>\n\t\t\t<\/div><\/figure>

\n\t\t\t

\n\t\t\t\t Bel A\u011fr\u0131s\u0131, Sanat\u00e7\u0131 Suna Pekuysal Hastal\u0131\u011f\u0131 Denilince \u00d6nemseniyor<\/a>\n\t\t\t<\/div><\/figure>

\n\t\t\t

\n\t\t\t\t Bel A\u011fr\u0131s\u0131, Sanat\u00e7\u0131 Suna Pekuysal Hastal\u0131\u011f\u0131 Denilince \u00d6nemseniyor<\/a>\n\t\t\t<\/div><\/figure>

\n\t\t\t

\n\t\t\t\t Bel A\u011fr\u0131s\u0131, Sanat\u00e7\u0131 Suna Pekuysal Hastal\u0131\u011f\u0131 Denilince \u00d6nemseniyor<\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"

DOKUZ EYL\u00dcL \u00dcN\u0130VERS\u0130TES\u0130 TIP FAK\u00dcLTES\u0130 \u0130\u00c7 HASTALIKLARI ANAB\u0130L\u0130M DALI \u0130MM\u00dcNOLOJ\u0130-ROMATOLOJ\u0130 BD \u00d6\u011eRET\u0130M \u00dcYES\u0130 PROF. DR. NURULLAH AKKO\u00c7 (FOTO\u011eRAFTA), BEL A\u011eRISI OLU\u015eAN H\u0130\u00c7K\u0130MSEN\u0130N ROMATOLO\u011eA G\u0130TMED\u0130\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[18953,12768,18956,15732,18957,18955,6781,18954],"class_list":["post-110177","post","type-post","status-publish","format-standard","hentry","category-saglik","tag-agrisi","tag-bel","tag-denilince","tag-hastaligi","tag-onemseniyor","tag-pekuysal","tag-sanatci","tag-suna"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/110177","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=110177"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/110177\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=110177"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=110177"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=110177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}