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\u00c7ukurova \u00dcniversitesi Adli T\u0131p Anabilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Mete G\u00fclmen, kendilerine 12 ya\u015f\u0131nda bir k\u0131z \u00e7ocuk vakas\u0131n\u0131n geldi\u011fini ve Adana\u2019da uyu\u015fturucu kullan\u0131m ya\u015f\u0131n\u0131n bu orana kadar d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/p>\n
Do\u011fu Akdeniz Farmakoloji Toplulu\u011fu\u2019nun (DAFT) 12. toplant\u0131s\u0131 \u00c7ukurova \u00dcniversitesi\u2019nin ev sahipli\u011finde ger\u00e7ekle\u015ftirildi. \u00c7ukurova \u00dcniversitesi T\u0131p Fak\u00fcltesi Farmakoloji Anabilim Dal\u0131, Adli T\u0131p Anabilim Dal\u0131 ve Eczac\u0131l\u0131k Fak\u00fcltesi\u2019nin deste\u011fi ile b\u00f6lge \u00fcniversite ve kurumlar\u0131n\u0131n ilgili kat\u0131l\u0131mc\u0131lar\u0131 ile ger\u00e7ekle\u015fen toplant\u0131da \u201cbonzai\u201d ele al\u0131nd\u0131. Toplant\u0131n\u0131n a\u00e7\u0131l\u0131\u015f konu\u015fmas\u0131n\u0131 Do\u011fu Akdeniz Farmakoloji Toplulu\u011fu Kurucu Ba\u015fkan\u0131 ve \u00c7\u00dc T\u0131bbi Farmakoloji Anabilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Ergin \u015eingirik yapt\u0131.<\/p>\n
\u201c15-30 YA\u015e ARASINDA BA\u011eIMLILIK OLU\u015eTURUYOR\u201d<\/p>\n
Prof. Dr. Atilla Karaalp, son 10 y\u0131l i\u00e7inde ortaya \u00e7\u0131kan ve t\u00fcm d\u00fcnyada salg\u0131n halinde toplumlar\u0131 etkileyen sentetik kannabinoidler ya da \u00fclkemizde bilinen yayg\u0131n ad\u0131yla \u201cBonzai\u201dnin \u00f6zellikle 15-30 ya\u015f aras\u0131 ki\u015filerde ba\u011f\u0131ml\u0131l\u0131k olu\u015fturdu\u011funu ifade ederek, \u201cBonzai t\u00fcm d\u00fcnyada oldu\u011fu gibi \u00fclkemizde de \u00f6zellikle 15-30 ya\u015f aras\u0131nda ve daha \u00e7ok erkeklerde g\u00f6r\u00fcl\u00fcyor. Bunun arkas\u0131nda sosyok\u00fclt\u00fcrel bir\u00e7ok etken bulunuyor. \u00d6rne\u011fin ergenlik, b\u00fcy\u00fcme arzusu, ya\u015fanan sosyal veya psikolojik de\u011fi\u015fiklikler, travmalar, arkada\u015f ortam\u0131, s\u0131nav stresi bunlar aras\u0131nda say\u0131labilir\u201d dedi.<\/p>\n
D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn yay\u0131nlad\u0131\u011f\u0131 2014 Uyu\u015fturucu Raporu\u2019na g\u00f6re, y\u0131llar i\u00e7inde saptanan sentetik kannabinoidlerin say\u0131s\u0131n\u0131n giderek artt\u0131\u011f\u0131na dikkat \u00e7eken Prof. Dr. Karaalp, 4-5 sene gibi \u00e7ok k\u0131sa bir s\u00fcrede toplam sentetik uyu\u015fturucu say\u0131s\u0131n\u0131n 350\u2019ye ula\u015ft\u0131\u011f\u0131na dikkat \u00e7ekti.<\/p>\n
BONZA\u0130 KULLANANLARDAK\u0130 BEL\u0130RT\u0130LER<\/p>\n
Bu maddeleri kullananlardaki belirtilerin fark edilmesine y\u00f6nelik ip u\u00e7ar\u0131 da veren Prof. Dr. Karaalp \u015funlar\u0131 kaydetti:<\/p>\n
\u201cEskiye g\u00f6re daha fazla para talep etmesi, yeni arkada\u015fl\u0131klar veya yeni ortamlara merak salm\u0131\u015f olmas\u0131 gibi belirtiler, ki\u015finin sentetik uyu\u015fturucunun tuza\u011f\u0131na d\u00fc\u015fmesinden \u015f\u00fcphelenilebilir. Ayr\u0131ca uzun d\u00f6nem sentetik kannabinoid kullan\u0131m\u0131na ba\u011fl\u0131 \u015fizofreniye benzer psikoz geli\u015fir ve bu ki\u015filerde g\u00f6rsel ve i\u015fitsel hal\u00fcsinasyonlar, paranoiddel\u00fczyonlar, d\u00fc\u015f\u00fcnce kilitlenmeleri, konu\u015fma bozukluklar\u0131, anksiyete, uykusuzluk, s\u00fcrekli a\u011f\u0131r ve derin uyku ile intihar d\u00fc\u015f\u00fcnceleri gibi etkiler g\u00f6r\u00fcl\u00fcr. E\u011fer bonzai kullanan bir ki\u015fi akut etki alt\u0131ndayken \u00f6lmezse uzun d\u00f6nemde \u015fizofreni benzeri bir tablonun ba\u015f\u0131na gelece\u011fi s\u00f6ylenebilir. Bunun i\u00e7in de, bu belirtilerden baz\u0131lar\u0131n\u0131n g\u00f6r\u00fclmesi durumunda ki\u015finin derhal bir sa\u011fl\u0131k kurulu\u015funa g\u00f6t\u00fcr\u00fclmesi gerekir.\u201d<\/p>\n
\u201cSADECE T\u00dcRK\u0130YE\u2019N\u0130N DE\u011e\u0130L D\u00dcNYANIN SORUNU\u201d<\/p>\n
\u00c7ukurova \u00dcniversitesi Adli T\u0131p Anabilim Dal\u0131 Ba\u015fkan\u0131 Prof. Dr. Mete G\u00fclmen ise, uyu\u015fturucunun sadece T\u00fcrkiye\u2019nin de\u011fil D\u00fcnyan\u0131n sorunu oldu\u011funa vurgu yaparak, 15-24 ya\u015f aras\u0131 uyu\u015fturucu maddeyi en az bir kere deneme oran\u0131n\u0131n AB ortalamas\u0131n\u0131n y\u00fczde 29.7, Romanya ortalamas\u0131n\u0131n y\u00fczde 3.0, \u00c7ek Cumhuriyeti oran\u0131n\u0131n y\u00fczde 52.2 ve T\u00fcrkiye ortalamas\u0131n\u0131n ise y\u00fczde 2.7 oldu\u011funu s\u00f6yledi.<\/p>\n
T\u00fcrkiye ve d\u00fcnyada en \u00e7ok kullan\u0131lan uyu\u015fturucu madenin ba\u015f\u0131nda esrar\u0131n geldi\u011fini ifade eden Prof. Dr. G\u00fclmen, 15- 64 ya\u015f aras\u0131 esrar kullan\u0131m oran\u0131n\u0131n ise \u00fclkelere g\u00f6re da\u011f\u0131l\u0131m\u0131n\u0131n, T\u00fcrkiye 1,90, Arnavutluk 1,80, Yunanistan 1,70, Malezya 1,60, Tayland 1,20, Polonya 1,10, Meksika 1,03, Moldova 0,90, Makedonya 0,63, Endonezya 0,50, Japonya 0,31, Suudi Arabistan 0,30, Romanya 0,30, Kore 0,29 ve Karada\u011f\u2019\u0131n 0,23 oldu\u011funu bildirdi.<\/p>\n
\u201cUYU\u015eTURUCU KULLANIM YA\u015eI 12\u2019YE KADAR D\u00dc\u015eT\u00dc\u201d<\/p>\n
T\u00fcrkiye\u2019de uyu\u015fturucu ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 sebebiyle yatarak tedavi g\u00f6ren ki\u015fi say\u0131s\u0131n\u0131n y\u0131llara g\u00f6re da\u011f\u0131l\u0131m\u0131n\u0131 da a\u00e7\u0131klayan Prof. Dr. Mete G\u00fclmen, 2004 y\u0131l\u0131nda bin 417 ki\u015fi yatarak tedavi g\u00f6r\u00fcrken 2013 y\u0131l\u0131nda bu say\u0131n\u0131n 11 bin 262\u2019ye y\u00fckseldi\u011fini vurgulad\u0131. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 verilerine g\u00f6re T\u00fcrkiye\u2019de ikamet ettikleri illere g\u00f6re yatarak tedavi g\u00f6ren ki\u015fi say\u0131lar\u0131 hakk\u0131nda da bilgi veren Prof. Dr. G\u00fclmen, 2 bin 54 hasta ile \u0130stanbul\u2019un ilk s\u0131rada, bin 57 hasta ile Adana\u2019n\u0131n ikinci s\u0131rada yer ald\u0131\u011f\u0131n\u0131 belirtti. Uyu\u015fturucu kullan\u0131m ya\u015f\u0131na da dikkat \u00e7eken Prof. Dr. G\u00fclmen, kendilerine 12 ya\u015f\u0131nda bir k\u0131z \u00e7ocuk vakas\u0131n\u0131n geldi\u011fini ve Adana\u2019da uyu\u015fturucu kullan\u0131m ya\u015f\u0131n\u0131n bu orana kadar d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc s\u00f6yledi.<\/p>\n
Do\u00e7. Dr. Nebile Da\u011fl\u0131o\u011flu da kat\u0131l\u0131mc\u0131lara \u201cSentetik Kannabinoidlere Y\u00f6nelik Analitik Yakla\u015f\u0131m\u201d ba\u015fl\u0131kl\u0131 bir sunum ger\u00e7ekle\u015ftirdi. Da\u011fl\u0131o\u011flu, bu maddelerin T\u00fcrkiye\u2019de ilk defa 2010 y\u0131l\u0131nda \u2018Bonzai\u2019 sokak ismiyle g\u00f6r\u00fclmeye ba\u015flad\u0131\u011f\u0131n\u0131 kaydetti.