![](\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/migren-tedavi-edilebilir-bir-hastalik_1915a81.jpg\")
N\u00f6roloji Uzman\u0131 Dr. Ufuk Sand\u0131k\u00e7\u0131, migrenin tedavi edilebilir bir hastal\u0131k oldu\u011funu s\u00f6yledi.<\/p>\nN\u00f6roloji Uzman\u0131 Dr. Ufuk Sand\u0131k\u00e7\u0131, migrenin tedavi edilebilir bir hastal\u0131k oldu\u011funu s\u00f6yledi.<\/p>\n
Migren ki\u015finin g\u00fcnl\u00fck ya\u015fam aktivitesini, i\u015f hayat\u0131n\u0131 ve konsantrasyonunu \u00f6nemli \u00f6l\u00e7\u00fcde bozacak \u015fiddette olabilen \u015fiddetli bir ba\u015f a\u011fr\u0131s\u0131 tipidir. T\u00fcrkiye\u2019de yap\u0131lan bir \u00e7al\u0131\u015fmada her 100 ki\u015fiden 16\u2019s\u0131n\u0131n migren ba\u015f a\u011fr\u0131s\u0131 \u00e7ekti\u011fi ve kad\u0131nlarda hormonal de\u011fi\u015fikliklere ba\u011fl\u0131 olarak erkeklerden 3 kat fazla g\u00f6r\u00fcld\u00fc\u011f\u00fc biliniyor.<\/p>\n
Medical Park Samsun Hastanesi N\u00f6roloji Klini\u011finden Uzm. Dr. Ufuk Sand\u0131k\u00e7\u0131 \u201cmigren\u201d hakk\u0131nda bilgi verdi. Dr. Sand\u0131k\u00e7\u0131 \u201cMigren \u015fiddetli ba\u015f a\u011fr\u0131s\u0131n\u0131n izlendi\u011fi n\u00f6rolojik bir hastal\u0131k olup s\u0131kl\u0131kla a\u011fr\u0131 tek tarafl\u0131 ve zonklay\u0131c\u0131 tarzdad\u0131r. Pek \u00e7ok ba\u015f a\u011fr\u0131s\u0131 \u00e7e\u015fidi i\u00e7inden migreni ay\u0131rmak \u00f6nemlidir. Migren a\u011fr\u0131s\u0131 tipik olarak n\u00f6betler halinde gelir, ba\u015flang\u0131c\u0131nda tedavi edilmezse 1-2 saat i\u00e7inde en \u015fiddetli halini al\u0131r, 4 ila 72 saat kadar s\u00fcrer ve biter. Migren tipi ba\u015f a\u011fr\u0131lar\u0131 g\u00fcn\u00fcn her saatinde ba\u015flayabilirse de s\u0131kl\u0131kla sabahlar\u0131 ba\u015flar. Hastada ayn\u0131 zamanda g\u00f6rme bulgular\u0131 olu\u015fmakta ve bulant\u0131, ses ve \u0131\u015f\u0131k duyarl\u0131l\u0131\u011f\u0131 ve kol bacaklarda kar\u0131ncalanma ve di\u011fer semptomlar ortaya \u00e7\u0131kmaktad\u0131r. Migren ba\u015f a\u011fr\u0131lar\u0131 \u00f6zellikle ba\u015f\u0131n bir taraf\u0131nda toplanarak ba\u015flar. Zonklay\u0131c\u0131 tarzda olabilir, giderek geni\u015fleyip kafa yar\u0131s\u0131ndan daha fazlas\u0131 alan\u0131 da etkileyebilir. Atak s\u0131kl\u0131\u011f\u0131 haftada birka\u00e7 kez olacak s\u0131kl\u0131kta vakalar s\u00f6z konusu olabildi\u011fi gibi ayda birka\u00e7 atak \u015feklinde de olabilmektedir. Beraberinde ve \u00f6ncesinde bulant\u0131, kusma \u0131\u015f\u0131k, g\u00fcr\u00fclt\u00fc ve sesten rahats\u0131z olma \u015feklinde rahats\u0131zl\u0131k verebilir. Bu durumda hastalar sessiz, hafif lo\u015f, ortamda dinlenmekten fayda g\u00f6r\u00fcrler\u201d dedi.<\/p>\n
Migrenin bir\u00e7ok tipi olmas\u0131na ra\u011fmen en s\u0131k g\u00f6r\u00fclen iki tipi oldu\u011funu vurgulayan Dr. Ufuk Sand\u0131k\u00e7\u0131 \u201cAural\u0131 migren; ba\u015far\u0131s\u0131ndan \u00f6nce aura safhas\u0131 (ba\u015flang\u0131\u00e7 belirtileri) vard\u0131r. Ki\u015fi aura dedi\u011fimiz 20-30 dakika ila 1 saat kadar s\u00fcren bu belirtileri hissedince migren krizi gelece\u011fini anlar. Bunlar genellikle g\u00f6rmeyle ilgilidir, nadiren sinir sistemi belirtileri vard\u0131r. G\u00f6zlerinin \u00f6n\u00fcnde sinek u\u00e7u\u015fu gibi siyah lekeler, parlak zikzak \u00e7izgiler, yan\u0131p s\u00f6nen \u0131\u015f\u0131k gibi parlakl\u0131klar, k\u00fc\u00e7\u00fck veya b\u00fcy\u00fck g\u00f6rme, olmayan \u015feyleri g\u00f6rme, g\u00f6z belirtilerinin en \u00e7ok g\u00f6r\u00fclenleridir. Sinir sistemiyle ilgili belirtilerse, denge bozuklu\u011fu, ba\u015f d\u00f6nmesi, bayg\u0131nl\u0131k, a\u015f\u0131r\u0131 koku alma, kol ve bacaklarda uyu\u015fukluk nadiren v\u00fccut yar\u0131s\u0131 fel\u00e7leridir\u201d a\u00e7\u0131klamas\u0131nda bulundu.<\/p>\n
Auras\u0131z (yayg\u0131n) migren hakk\u0131nda da bilgi veren Uzm. Dr. Sand\u0131k\u00e7\u0131 \u201cAural\u0131 migrende g\u00f6r\u00fclen \u00f6nc\u00fc bulgular bu tipte g\u00f6r\u00fclmez. Ba\u015f a\u011fr\u0131s\u0131na e\u015flik eden belirtiler her iki tipte de g\u00f6r\u00fcl\u00fcr. Bunlar s\u0131kl\u0131k s\u0131ras\u0131na g\u00f6re: Bulant\u0131, \u0131\u015f\u0131ktan rahats\u0131z olma, ba\u015f d\u00f6nmesine ba\u011fl\u0131 sersemleme, kafa derisinde hassasiyet, kusma, g\u00f6z belirtileri, uyu\u015fukluk, huzursuzluk, konu\u015fma bozukluklar\u0131, i\u015ftahs\u0131zl\u0131k, g\u00f6z ya\u015farmas\u0131, a\u015f\u0131r\u0131 terleme, burun akmas\u0131, s\u0131k idrara \u00e7\u0131kma, kar\u0131nda gerilme ve ishaldir\u201d diye konu\u015ftu.<\/p>\n
Migren krizini tetikleyen fakt\u00f6rlere de de\u011finen Uzm. Dr. Ufuk Sand\u0131k\u00e7\u0131 \u201cBunlar stres (s\u0131k\u0131nt\u0131), a\u015f\u0131r\u0131 heyecanlar, uykusuzluk, a\u00e7l\u0131k, ani iklim de\u011fi\u015fikli\u011fi, baz\u0131 g\u00f6rme-ses-koku uyaranlar\u0131 (mesela televizyon seyretme, yan\u0131p s\u00f6nen \u0131\u015f\u0131klar, a\u015f\u0131r\u0131 g\u00fcr\u00fclt\u00fc, a\u015f\u0131r\u0131 kokular), adet zaman\u0131, do\u011fum kontrol haplar\u0131, a\u015f\u0131r\u0131 yorgunluk, kafa travmalar\u0131, baz\u0131 yiyecekler ve ila\u00e7lar. Yiyecekler aras\u0131nda; alkoll\u00fc i\u00e7kiler (bira dahil), \u00e7ikolata-kakao-kahve, peynirler, turun\u00e7giller (portakal, mandalina, limon, greyfrut) say\u0131labilir\u201d \u015feklinde konu\u015ftu.<\/p>\n
Uzm. Dr. Ufuk Sand\u0131k\u00e7\u0131 \u015fu bilgileri verdi: \u201cMigren testi, tan\u0131ya yard\u0131mc\u0131 ve hastan\u0131n kendisinin uygulayabilece\u011fi bir testtir. E\u011fer son \u00fc\u00e7 ay i\u00e7inde iki veya daha fazla ba\u015f a\u011fr\u0131s\u0131 \u00e7ektiyseniz bu testi uygulayabilirsiniz. Sorulardan iki veya \u00fc\u00e7\u00fcne evet diyorsan\u0131z migren olma olas\u0131l\u0131\u011f\u0131n\u0131z y\u00fczde 90\u2019\u0131n\u0131n \u00fczerinde kabul edilebilir. Ba\u015f a\u011fr\u0131n\u0131z s\u0131ras\u0131nda hi\u00e7 midenizde bulant\u0131 hissettiniz mi? Ba\u015f a\u011fr\u0131s\u0131 s\u0131ras\u0131nda \u0131\u015f\u0131k sizi rahats\u0131z etti mi? Son 3 ay i\u00e7inde ba\u015f a\u011fr\u0131s\u0131ndan dolay\u0131 g\u00fcnl\u00fck hayat\u0131n\u0131z\u0131 s\u00fcrd\u00fcremedi\u011finiz oldu mu? (i\u015fe gidememek, ders dinleyememek vb). Migren tarama testi denen ve \u00fclkemizde de ge\u00e7erlili\u011fi birka\u00e7 \u00e7al\u0131\u015fma ile ortaya konulan bu test pozitif oldu\u011fu halde tan\u0131 h\u00e2l\u00e2 migren olmayabilir ama bu d\u00fc\u015f\u00fck bir olas\u0131l\u0131kt\u0131r. Veya test negatif, yani t\u00fcm yan\u0131tlar hay\u0131r veya sadece bir yan\u0131t evet oldu\u011funda, ki\u015fi yine de migrenli olabilir ama olas\u0131l\u0131k yine d\u00fc\u015f\u00fckt\u00fcr. Hemen hepimiz ba\u015f\u0131m\u0131z a\u011fr\u0131d\u0131\u011f\u0131nda \u00e7\u00f6z\u00fcm\u00fc a\u011fr\u0131 kesicilerde buluyoruz. Bilin\u00e7siz a\u011fr\u0131 kesici kullan\u0131m\u0131 migren a\u011fr\u0131lar\u0131n\u0131n daha da \u015fiddetlenmesinin yan\u0131 s\u0131ra atak s\u0131kl\u0131\u011f\u0131n\u0131 da artt\u0131rarak inat\u00e7\u0131 bir ba\u015f a\u011fr\u0131s\u0131na d\u00f6n\u00fc\u015ft\u00fcrmektedir. Bu nedenle yap\u0131lmas\u0131 gereken geli\u015fig\u00fczel a\u011fr\u0131 kesici kullanmak yerine hastal\u0131\u011f\u0131m\u0131z\u0131 ciddiye alarak bir N\u00f6roloji uzman\u0131na ba\u015fvurmalar\u0131d\u0131r.\u201d<\/p>\n
Migrenin tedavi edilebilir bir hastal\u0131k oldu\u011funu vurgulayan Dr. Sand\u0131k\u00e7\u0131 a\u00e7\u0131klamas\u0131n\u0131 \u015f\u00f6yle tamamlad\u0131: \u201cMigren tedavisinde 3 temel prensip s\u00f6z konusudur. Atak olu\u015fumuna sebep olacak etkenlerden uzak durmak, a\u011fr\u0131n\u0131n ortadan kald\u0131r\u0131lmas\u0131 ve yeni atak olu\u015fumunu engellemektir. Akut migren dedi\u011fimiz a\u015famada yani hasta ayda 1 veya 2 kez \u00e7e\u015fitli nedenlerle migren ata\u011f\u0131 ge\u00e7iriyorsa genellikle profilaktik dedi\u011fimiz koruyucu tedavi yerine migren ila\u00e7lar\u0131 ile ataklar\u0131 \u00f6nlemeye \u00e7al\u0131\u015f\u0131lmaktad\u0131r. Ancak migren ataklar\u0131 ayda 4-5 kez olarak ortaya \u00e7\u0131k\u0131yorsa profilaktik (koruyucu) tedavi uygulanmaktad\u0131r. Tedavi her hastaya g\u00f6re farkl\u0131l\u0131k g\u00f6sterir. Burada \u00f6nemli olan ki\u015fisel \u00f6zellikler, \u00f6rne\u011fin ki\u015finin tansiyonu veya \u015fekeri varsa bu do\u011frultuda tedavi uygulan\u0131r, ayn\u0131 \u015fekilde obez ya da \u00e7ok zay\u0131f ise; gergin ya da panik bir yap\u0131s\u0131 varsa, yo\u011fun g\u00fcnl\u00fck program\u0131 varsa gibi kriterler do\u011frultusunda tedavi planlan\u0131r. Standart bir tedavi s\u00f6z konusu de\u011fil ki\u015finin metabolizmas\u0131na ve ki\u015fisel \u00f6zelliklerine g\u00f6re tedavi uygulanmaktad\u0131r. Profilaktif tedaviye ra\u011fmen hastan\u0131n ataklar\u0131 devam ediyorsa ve s\u0131kla\u015f\u0131yorsa kronik migren tedavisine ge\u00e7ilir. Kronik migren tedavisinin etkili ve g\u00fcncel tedaviler klini\u011fimizde de uygulanan oksipital sinir blokaj\u0131 ve botoks tedavisidir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
UZM. DR. UFUK SANDIK\u00c7I.<\/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":[13083,26712,12559,36978,6926],"class_list":["post-213889","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-bir","tag-edilebilir","tag-hastalik","tag-migren","tag-tedavi"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/213889","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=213889"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/213889\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=213889"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=213889"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=213889"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}