{"id":32666,"date":"2025-02-17T13:54:17","date_gmt":"2025-02-17T10:54:17","guid":{"rendered":"https:\/\/kilosorunum.com\/habercim\/wp-content\/uploads\/2025\/02\/1-123.jpg"},"modified":"2025-02-17T13:56:48","modified_gmt":"2025-02-17T10:56:48","slug":"1-2060","status":"inherit","type":"attachment","link":"https:\/\/adanaseshaber.com.tr\/habercim\/foto-galeri\/bas-ve-ense-agrisi\/attachment\/1-2060\/","title":{"rendered":"Ba\u015f ve Ense a\u011fr\u0131s\u0131"},"author":2,"comment_status":"open","ping_status":"closed","template":"","meta":[],"description":{"rendered":"<p class=\"attachment\"><a href='https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123.jpg'><img width=\"300\" height=\"169\" src=\"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-300x169.jpg\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-300x169.jpg 300w, https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-1024x576.jpg 1024w, https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-768x432.jpg 768w, https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123.jpg 1200w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n"},"caption":{"rendered":"<p>Bu rahats\u0131zl\u0131\u011f\u0131n, sokakta y\u00fcr\u00fcrken, \u0131k\u0131n\u0131rken, yemek yerken, stresli bir d\u00f6nemde ya da dinlenme an\u0131nda ani ve \u015fiddetli ba\u015f a\u011fr\u0131s\u0131yla kendini g\u00f6sterebilece\u011fini ifade eden Prof. Dr. \u015eekerci, &#8220;\u015eiddetli ve ani ba\u015f a\u011fr\u0131s\u0131na, bulant\u0131, kusma, bazen bilin\u00e7 kayb\u0131 e\u015flik edebilir. Bu t\u00fcr kanamalar\u0131n y\u00fczde 50\u2019ye yak\u0131n\u0131 hayati tehlikenin e\u015flik etti\u011fi, hemipleji, hemiparezi dedi\u011fimiz v\u00fccudun bir taraf\u0131n\u0131 tutan kal\u0131c\u0131 veya ge\u00e7ici g\u00fc\u00e7 kayb\u0131 ile sonu\u00e7lanabilir. Bu nedenle anevrizma veya AVM&#8217;ye ba\u011fl\u0131 olu\u015fan kanalamalar vakit kaybedilmeden tedavi edilmeli. Ancak her ba\u015f a\u011fr\u0131s\u0131 beyin kanamas\u0131n\u0131n belirtisi de\u011fildir. Bunun kronik ba\u015f a\u011fr\u0131lar\u0131ndan ayr\u0131m\u0131n\u0131n yap\u0131lmas\u0131 gereksiz tetkik ve tedavi uygulanmamas\u0131 a\u00e7\u0131s\u0131ndan gereklidir. AVM veya anevrizmaya ba\u011fl\u0131 beyin kanamalar\u0131nda ani \u015fiddetli ve dayan\u0131lmaz ba\u015f a\u011fr\u0131s\u0131na bulant\u0131, kusma, ense sertli\u011fi e\u015flik edebilir. Bu t\u00fcr \u015fikayetleriniz varsa zaman kaybetmeden mutlaka bir sa\u011fl\u0131k kurumuna ba\u015fvurulmal\u0131\u201d uyar\u0131s\u0131nda bulundu. Beyin damarlar\u0131ndaki bozuklu\u011fun genellikle do\u011fu\u015ftan oldu\u011funa i\u015faret eden Prof. Dr. \u015eekerci, \u015f\u00f6yle devam etti:<br \/>\n&#8220;Do\u011fu\u015ftan bozuklu\u011fu bulunan bu beyin damarlar\u0131 zaman i\u00e7erisinde y\u00fcksek tansiyon veya damar duvar\u0131n\u0131n zay\u0131flamas\u0131yla birlikte beklenmedik bir anda patl\u0131yor. Bazen beyin zar\u0131n\u0131n alt\u0131na bazen de beynin i\u00e7ine do\u011fru bir kanama g\u00f6r\u00fcl\u00fcyor. Anevrizmaya ba\u011fl\u0131 kanamalara hayati tehlikenin yan\u0131 s\u0131ra, konu\u015fma problemlerinden, ge\u00e7ici veya kal\u0131c\u0131 felce kadar geni\u015f bir tablo e\u015flik etmektedir. Ne yaz\u0131k ki b\u00f6yle bir durumda hastalar\u0131n y\u00fczde 30 ila 40\u2019\u0131 hastaneye ula\u015fam\u0131yor, ula\u015fsa da aylarca yo\u011fun bak\u0131mda kal\u0131yor ve hi\u00e7bir zaman normale d\u00f6nemiyor. Ama bir k\u0131sm\u0131 da kanamadan sonra ba\u015f a\u011fr\u0131s\u0131 ve ense sertli\u011fi \u015fikayetiyle ba\u015fvuruyor. Var olan anevrizmay\u0131 artt\u0131ran nedenler y\u00fcksek tansiyon, diyabet ve ya\u015fla birlikte artan damar sertli\u011fidir. Kad\u0131nlarda da erkeklerde de g\u00f6r\u00fclme oran\u0131 a\u015fa\u011f\u0131 yukar\u0131 ayn\u0131d\u0131r. Ortalama 40 ila 60 ya\u015f aras\u0131nda g\u00f6r\u00fcl\u00fcr. Fakat nadir de olsa \u00e7ocuklarda da bu tip beyin kanamalar\u0131yla kar\u015f\u0131la\u015fabiliyoruz.&#8221;<br \/>\nTedaviye ba\u015flamadan \u00f6nce beyin anjiyosu yap\u0131lmas\u0131 gerekti\u011fini belirten Prof. Dr. \u015eekerci &#8220;Kanayan yeri buldu\u011fumuzda, b\u00fcy\u00fck oranda cerrahi m\u00fcdahale uyguluyoruz. Cerrahi m\u00fcdahalede anevrizma klipleriyle ya da AVM dedi\u011fimiz damar yuma\u011f\u0131ysa mikro cerrahiyle tekrardan kanamas\u0131n\u0131 engelliyoruz. Ameliyat ba\u015far\u0131l\u0131 oldu\u011funda hastalar normale yak\u0131n ya\u015fant\u0131lar\u0131na yakla\u015f\u0131k 10 g\u00fcnde d\u00f6nebiliyorlar. Toplumda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 a\u015fa\u011f\u0131 yukar\u0131 y\u00fcz binde bir veya 2 olarak g\u00f6sterilse de bu oran 10\u2019lara kadar \u00e7\u0131kabilir. 100 bin ki\u015filik bir kasaba d\u00fc\u015f\u00fcn\u00fcrseniz bunlar\u0131n i\u00e7erisinden 10 ki\u015fide anevrizma veya AVM var gibi d\u00fc\u015f\u00fcn\u00fclebilir. Otopsi \u00e7al\u0131\u015fmalar\u0131 bu oran\u0131n daha y\u00fcksek oldu\u011funu g\u00f6steriyor. E\u011fer zaman\u0131nda m\u00fcdahale edilirse k\u00f6t\u00fc huylu bir hastal\u0131k olmaktan \u00e7\u0131kar ve tedavi ba\u015far\u0131s\u0131 olduk\u00e7a y\u00fcksektir. Bu t\u00fcr hastal\u0131klarda b\u00fcy\u00fck oranda cerrahi tedavi tercih edilmektedir. Ancak ameliyat\u0131 kald\u0131ramayacak kadar ileri ya\u015fta olanlar veya ameliyata uygun olmayan damar yap\u0131s\u0131 bulunan hastalar, kanayan b\u00f6lgenin endovask\u00fcler giri\u015fimle tamir edilmesi yoluna ba\u015fvurulabilir&#8221; \u015feklinde konu\u015ftu.<\/p>\n<p>&#8220;EZBERE A\u011eRI KES\u0130C\u0130 KULLANILMAMALI&#8221;<\/p>\n<p>&#8220;Ba\u015f a\u011fr\u0131s\u0131n\u0131n nedeninin mutlaka bulunmas\u0131 laz\u0131m. Stres ba\u015f a\u011fr\u0131s\u0131 m\u0131, gerilim ba\u015f a\u011fr\u0131s\u0131 m\u0131, atipik ba\u015f a\u011fr\u0131s\u0131 m\u0131 bunlar\u0131n hepsinin en az\u0131ndan bir n\u00f6roloji doktoruna ba\u015fvurularak belirlenmesi laz\u0131m. Ba\u015f\u0131 a\u011fr\u0131yan bir ki\u015finin kendi kendi karar\u0131yla nedenini bilmeden a\u011fr\u0131 kesici kullanmamas\u0131 gerekir. B\u00fct\u00fcn a\u011fr\u0131 kesicilerin k\u0131sa ve uzun vadede \u00e7ok ciddi yan etkileri vard\u0131r. Bu a\u011fr\u0131 kesicilerin uzun vadede mideye, b\u00f6bre\u011fe, kemik ili\u011fine ve alerjik olarak ciddi yan etkileri g\u00f6sterilmi\u015ftir. Bu nedenle bu kadar kuvvetli ila\u00e7lar\u0131n doktor tavsiyesi olmadan hi\u00e7bir \u015fekilde kullan\u0131lmamas\u0131 gerekiyor.&#8221;<br \/>\nKaynak : cumhuriyet.com.tr<br \/>\nNot : L\u00fctfen \u00f6nce doktorunuza dan\u0131\u015f\u0131n\u0131z<\/p>\n"},"alt_text":"","media_type":"image","mime_type":"image\/jpeg","media_details":{"width":1200,"height":675,"file":"2025\/02\/1-123.jpg","sizes":{"medium":{"file":"1-123-300x169.jpg","width":300,"height":169,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-300x169.jpg"},"large":{"file":"1-123-1024x576.jpg","width":1024,"height":576,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-1024x576.jpg"},"thumbnail":{"file":"1-123-150x150.jpg","width":150,"height":150,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-150x150.jpg"},"medium_large":{"file":"1-123-768x432.jpg","width":768,"height":432,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-768x432.jpg"},"kucukResim":{"file":"1-123-80x50.jpg","width":80,"height":50,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-80x50.jpg"},"sliderResim":{"file":"1-123-670x330.jpg","width":670,"height":330,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-670x330.jpg"},"resim1":{"file":"1-123-184x140.jpg","width":184,"height":140,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-184x140.jpg"},"resim2":{"file":"1-123-216x103.jpg","width":216,"height":103,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-216x103.jpg"},"resim3":{"file":"1-123-145x70.jpg","width":145,"height":70,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-145x70.jpg"},"sagSlider":{"file":"1-123-300x150.jpg","width":300,"height":150,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-300x150.jpg"},"yeniSlider":{"file":"1-123-500x290.jpg","width":500,"height":290,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123-500x290.jpg"},"full":{"file":"1-123.jpg","width":1200,"height":675,"mime_type":"image\/jpeg","source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123.jpg"}},"image_meta":{"aperture":"0","credit":"","camera":"","caption":"","created_timestamp":"0","copyright":"","focal_length":"0","iso":"0","shutter_speed":"0","title":"","orientation":"0","keywords":[]}},"post":32664,"source_url":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-content\/uploads\/2025\/02\/1-123.jpg","_links":{"self":[{"href":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-json\/wp\/v2\/media\/32666"}],"collection":[{"href":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-json\/wp\/v2\/media"}],"about":[{"href":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-json\/wp\/v2\/types\/attachment"}],"author":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/adanaseshaber.com.tr\/habercim\/wp-json\/wp\/v2\/comments?post=32666"}]}}