Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi \u00c7ocuk ve Ergen Psikiyatri Anabilim Dal\u0131 Uzman\u0131 Dr. Yeliz Engindereli, ya\u015fam\u0131n ilk \u00fc\u00e7 y\u0131l\u0131nda saptanabilen otizm spektrum bozuklu\u011funun, duygusal, sosyal geli\u015fmede, s\u00f6zel veya s\u00f6zel olmayan ileti\u015fimin geli\u015fiminde gecikme ya da sapma olarak g\u00f6r\u00fclebilece\u011fi gibi tekrarlay\u0131c\u0131 davran\u0131\u015f ve k\u0131s\u0131tl\u0131 ilgi alanlar\u0131 ile kendini g\u00f6steren n\u00f6rogeli\u015fimsel bir bozukluk oldu\u011funu belirtti.<\/p>\n
“D\u00fcnyada her 68 \u00e7ocuktan biri Otistik”<\/p>\n
Geli\u015fim a\u00e7\u0131s\u0131ndan erken tan\u0131n\u0131n \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131 otizmin te\u015fhisi i\u00e7in herhangi bir test bulunmamas\u0131na ra\u011fmen tan\u0131n\u0131n klinik muayene ile konulabilce\u011fini ifade eden Uzm. Dr. Yeliz Engindereli, d\u00fcnyada her 68 \u00e7ocuktan birinin otizm tan\u0131s\u0131 ald\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
Erkek \u00e7ocuklardaki yayg\u0131nl\u0131\u011f\u0131n k\u0131zlara oranla d\u00f6rt kat daha fazla oldu\u011funu kaydeden Uzm. Dr. Yeliz Engindereli \u015f\u00f6yle devam etti: \u201cGenetik temeli oldu\u011funa ili\u015fkin bulgular olmas\u0131na ra\u011fmen nedeni ve hangi gen ya da genlerin sorumlu oldu\u011fu tam olarak bilinmeyen otizm i\u00e7in \u00e7evresel fakt\u00f6rlerin ve \u00f6zellikle ileri baba ya\u015f\u0131n\u0131n etkisi ise olduk\u00e7a tart\u0131\u015fmal\u0131 bir konudur. Otizme her \u00e7e\u015fit toplumda, farkl\u0131 co\u011frafyalarda, \u0131rkta ve ailede rastlanmaktad\u0131r.\u201d<\/p>\n
Bebeklerin ileti\u015fim kurma becerisi ve sosyalle\u015fme ihtiyac\u0131 ile do\u011fdu\u011funu ve sa\u011fl\u0131kl\u0131 bir bebe\u011fin d\u0131\u015f d\u00fcnyaya tepki verdi\u011fini hat\u0131rlatan Uzm. Dr. Yeliz Engindereli, bu nedenle ebeveynlerin bebeklerinin normal geli\u015fim s\u00fcrecine uyum sa\u011flay\u0131p sa\u011flayamad\u0131\u011f\u0131n\u0131 dikkatle g\u00f6zlemlemesi gerekti\u011fini s\u00f6yledi.<\/p>\n
Otizmin Belirtileri<\/p>\n
Otizmli bebeklerin geli\u015fim basamaklar\u0131nda aksama g\u00f6zlendi\u011fini, becerilerinden baz\u0131lar\u0131n\u0131 hi\u00e7 geli\u015ftirememi\u015f olabilece\u011fi gibi kimi zaman kazan\u0131lan becerilerde gerileme ya da kay\u0131plar\u0131n ger\u00e7ekle\u015febilece\u011fini de kaydeden Uzm. Dr. Yeliz Engindereli, \u00e7evreye ilgisizli\u011fin g\u00f6zlendi\u011fi otizm belirtileri ile ilgili a\u00e7\u0131klamalar\u0131na \u015f\u00f6yle devam etti; \u201cOtizmli bebeklerde g\u00f6z temas\u0131 k\u0131s\u0131tl\u0131d\u0131r. \u0130smi \u00e7a\u011fr\u0131ld\u0131\u011f\u0131nda tepkisiz kal\u0131rlar, g\u00fcld\u00fcr\u00fclmeye \u00e7al\u0131\u015f\u0131ld\u0131\u011f\u0131nda g\u00fclmezler, oyuncaklar\u0131 ile amac\u0131na uygun oynamazlar, el sallamaz, \u00f6p\u00fcc\u00fck g\u00f6ndermezler ve ayn\u0131 ya\u015f grubundaki \u00e7ocuklar gibi taklit becerileri geli\u015fmez. Geli\u015fimsel aksamaya ek olarak anlams\u0131z el \u00e7\u0131rpma, sallanma, d\u00f6nme gibi tekrarlay\u0131c\u0131 hareketler de g\u00f6zlenebilir. Bebekler alt\u0131 ayl\u0131k oldu\u011fu halde anne babas\u0131n\u0131 tan\u0131m\u0131yor, g\u00fcl\u00fcmsemiyor, 1 ya\u015f\u0131n\u0131 ge\u00e7ti\u011fi halde i\u015faret ile g\u00f6steremiyor, oyunlar oynam\u0131yor, anlaml\u0131 birka\u00e7 kelime s\u00f6ylemiyor, ad\u0131 ile seslenildi\u011finde bakm\u0131yor, g\u00f6z temas\u0131 kurmuyorsa, iki ya\u015f\u0131n\u0131 ge\u00e7ti\u011fi halde oyuncaklarla amaca uygun \u015fekilde oynam\u0131yor sadece belli ba\u015fl\u0131 par\u00e7alar\u0131 ile ilgileniyorsa, taklide veya oyun kurmaya y\u00f6nelik oynam\u0131yor hayali oyunlar kurmuyor, \u00e7evresinde olup bitenle ilgisiz g\u00f6r\u00fcn\u00fcyor, ya\u015f\u0131tlar\u0131na kar\u015f\u0131 ilgisiz kal\u0131yor, kar\u015f\u0131l\u0131kl\u0131 oyun oynam\u0131yor, kendi halinde bir k\u00f6\u015fede oynuyorsa geli\u015fim basamaklar\u0131nda bir sorun ya\u015fand\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnmek gerekir\u201d dedi.<\/p>\n
\u201c\u00c7ocu\u011funuzu sa\u011fl\u0131kl\u0131 geli\u015fim g\u00f6steren ya\u015f\u0131tlar\u0131yla ayn\u0131 seviyeye getirmek m\u00fcmk\u00fcn\u201d<\/p>\n
\u00c7ocuklar\u0131n\u0131n geli\u015fimi ile ilgili bir farkl\u0131l\u0131k g\u00f6zlemleyen ya da belirtilerden herhangi birinin \u00e7ocuklar\u0131nda bulundu\u011funu d\u00fc\u015f\u00fcnen ebeveynlerin hangi ya\u015fta olursa olsun zaman kaybetmeden bir \u00e7ocuk ve ergen psikiyatrisi uzman\u0131na ba\u015fvurmas\u0131 gerekti\u011fini ifade eden Uzm. Dr. Yeliz Engindereli, otizmde erken tan\u0131n\u0131n, uygun m\u00fcdahale ve d\u00fczenli psikiyatrik takip ile tedavi sonucunu etkileyen en \u00f6nemli fakt\u00f6r oldu\u011funu belirtti.<\/p>\n
Otizmin g\u00fcn\u00fcm\u00fczde bilinen tek tedavisinin, erken tan\u0131 ile yo\u011fun, s\u00fcrekli \u00f6zel e\u011fitim oldu\u011funu s\u00f6yleyen Uzm. Dr. Yeliz Engindereli, erken tan\u0131 ve ard\u0131ndan haftada en az 20 saat \u00f6zel e\u011fitimle otizmli \u00e7ocuklar\u0131n hayatlar\u0131nda b\u00fcy\u00fck fark olu\u015fturman\u0131n, ya\u015fam kalitesini art\u0131rman\u0131n, sa\u011fl\u0131kl\u0131 geli\u015fim g\u00f6steren ya\u015f\u0131tlar\u0131yla birlikte ayn\u0131 okulda okuyacak seviyeye getirmenin m\u00fcmk\u00fcn olabilece\u011fini kaydetti.<\/p>\n","protected":false},"excerpt":{"rendered":"
YAKIN DO\u011eU \u00dcN\u0130VERS\u0130TES\u0130 HASTANES\u0130 \u00c7OCUK VE ERGEN PS\u0130K\u0130YATR\u0130 ANAB\u0130L\u0130M DALI UZMANI DR. YEL\u0130Z ENG\u0130NDEREL\u0130, YA\u015eAMIN \u0130LK \u00dc\u00c7 YILINDA SAPTANAB\u0130LEN OT\u0130ZM SPEKTRUM BOZUKLU\u011eUNUN, DUYGUSAL, SOSYAL GEL\u0130\u015eMEDE, S\u00d6ZEL VEYA S\u00d6ZEL OLMAYAN \u0130LET\u0130\u015e\u0130M\u0130N GEL\u0130\u015e\u0130M\u0130NDE GEC\u0130KME YA DA SAPMA OLARAK G\u00d6R\u00dcLEB\u0130LECE\u011e\u0130 G\u0130B\u0130 TEKRARLAYICI DAVRANI\u015e VE KISITLI \u0130LG\u0130 ALANLARI \u0130LE KEND\u0130N\u0130 G\u00d6STEREN N\u00d6ROGEL\u0130\u015e\u0130MSEL B\u0130R BOZUKLUK OLDU\u011eUNU BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[8773,20045,57335,14000,12863,13282],"class_list":["post-1333048","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-erken","tag-etkisi","tag-otizme","tag-tani","tag-tedavinin","tag-yogun"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1333048","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=1333048"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/1333048\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1333048"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1333048"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1333048"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}