{"id":184016,"date":"2015-12-07T10:48:37","date_gmt":"2015-12-07T08:48:37","guid":{"rendered":"http:\/\/www.erzurumflas.com\/vertigoda-oncelikle-altta-yatan-hastalik-tedavi-edilmeli\/"},"modified":"2015-12-07T10:48:39","modified_gmt":"2015-12-07T08:48:39","slug":"vertigoda-oncelikle-altta-yatan-hastalik-tedavi-edilmeli","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=184016","title":{"rendered":"Vertigoda \u00d6ncelikle Altta Yatan Hastal\u0131k Tedavi Edilmeli"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/vertigoda-oncelikle-altta-yatan-hastalik-tedavi-edilmeli_76ce894.jpg\" width=\"600\">Vertigo sadece bir bulgu oldu\u011fundan \u00f6ncelikle altta yatan hastal\u0131\u011f\u0131n tedavi edilmesi gerekiyor.<\/p>\n<p>Kulak Burun Bo\u011faz &amp; Ba\u015f ve Boyun Cerrahisi Uzman\u0131 Prof. Dr. Mehmet Yavuz S\u00fctbeyaz, vertigo tan\u0131s\u0131nda \u00f6ncelikle KBB hekimi taraf\u0131ndan fizik muayene ile her iki d\u0131\u015fkulak yolu, kulak zar\u0131 ve orta kula\u011f\u0131n de\u011ferlendirildi\u011fini s\u00f6yledi.<\/p>\n<p>Vertigo tan\u0131s\u0131 i\u00e7in baz\u0131 testlerin yap\u0131lmas\u0131 gerekti\u011fini belirten Prof. Dr. Mehmet Yavuz S\u00fctbeyaz, \u201c\u0130\u015fitme problemi varsa odyometri (i\u015fitme testi) ve stapes refleks testi, dolgunluk hissi varsa timpanometri (orta kulak bas\u0131n\u00e7 testi) yap\u0131labilir. \u0130\u00e7 kulaktaki patolojileri saptamak i\u00e7in \u00f6zellikle vertigonun en s\u0131k sebebi olan BPPV (kristal kaymas\u0131) tespiti ve tedavisinin y\u00f6nlendirilmesi i\u00e7in mutlaka VNG (videonistagmografi) yap\u0131lmal\u0131d\u0131r\u201d dedi.<\/p>\n<p>VERT\u0130GODA TEDAV\u0130<\/p>\n<p>Hastaya kameras\u0131 olan \u00f6zel bir g\u00f6zl\u00fck tak\u0131ld\u0131ktan sonra sedyede  ba\u015f ve g\u00f6vdeye pozisyonlar verilerek g\u00f6z hareketleri incelenerek kaydedildi\u011fini anlatan Prof. Dr. Mehmet Yavuz S\u00fctbeyaz, daha sonra \u015funlar\u0131 kaydetti: \u201cG\u00f6zlerdeki kaymalar (nistagmus) incelenerek i\u00e7 kulak kanallar\u0131ndaki kristalciklerde kayma varm\u0131 (BPPV) varsa hangi kanalda oldu\u011fu tespit edilir.<\/p>\n<p>Vertigo sadece bir bulgu oldu\u011fundan \u00f6ncelikle altta yatan hastal\u0131k tedavi edilmelidir. Videonistagmografi testi ile e\u011fer i\u00e7 kulaktaki kristallerle ilgili problem saptan\u0131rsa (BPPV), \u00f6zel manevralar (Epley, Semont, Barbeque, Gufoni ) veya \u00f6zel egzersizler (Brandt-Daroff) yapt\u0131r\u0131larak kanallarda kristallerin stabilizasyonu sa\u011flan\u0131r. Tecr\u00fcbeli ellerde yap\u0131lan test ve manevralarla hastalar bir seansta bile y\u0131llardan beri \u00e7ekti\u011fi vertigo \u015fikayetinden kurtulabilmektedirler. E\u011fer ba\u015f d\u00f6nmesi Meniere hastal\u0131\u011f\u0131na ba\u011fl\u0131 ise, tuz k\u0131s\u0131tlamas\u0131, sigara yasa\u011f\u0131, stresten uzak durma ve gerekirse psikolojik tedavi, allerjen g\u0131dalardan uzak durma ve baz\u0131 ila\u00e7lar ile ba\u015f d\u00f6nmesi ataklar\u0131n\u0131n s\u0131kl\u0131\u011f\u0131 ve ataklar\u0131n s\u00fcresi azalt\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r. Kriz d\u00f6nemlerinde gerekirse hasta yat\u0131r\u0131larak tedavi edilir. Migren\u00f6z vertigolarda tedavi migren ba\u015fa\u011fr\u0131lar\u0131nda oldu\u011fu gibidir. Vestib\u00fcler n\u00f6rinit ba\u015flang\u0131\u00e7 d\u00f6neminde yatak istirahati \u00f6nerdi\u011fimiz, her g\u00fcn \u015fikayetleri biraz daha azalarak 15-30 g\u00fcn i\u00e7erisinde kendili\u011finden d\u00fczelen, denge organ\u0131n\u0131n bir t\u00fcr nezlesidir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PROF. DR. MEHMET YAVUZ S\u00dcTBEYAZ&#8230;<\/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":[33025,15621,12559,33024,6926,33023,33026],"class_list":["post-184016","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-altta","tag-edilmeli","tag-hastalik","tag-oncelikle","tag-tedavi","tag-vertigoda","tag-yatan"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/184016","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=184016"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/184016\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=184016"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=184016"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=184016"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}