{"id":3562,"date":"2019-02-18T22:52:49","date_gmt":"2019-02-18T19:52:49","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=3562"},"modified":"2019-02-18T22:52:49","modified_gmt":"2019-02-18T19:52:49","slug":"damarlarin-kabusu-buerger-hastaligi","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/damarlarin-kabusu-buerger-hastaligi\/","title":{"rendered":"Damarlar\u0131n Kabusu: Buerger Hastal\u0131\u011f\u0131"},"content":{"rendered":"<p><strong>Buerger hastal\u0131\u011f\u0131<\/strong>, ilk kez 1879 y\u0131l\u0131nda Avusturya\u2019da Felix von Winiwarter taraf\u0131ndan bildirilmi\u015ftir. Hastal\u0131\u011f\u0131n ilk olarak literat\u00fcre girmesi ise 1908 y\u0131l\u0131nda\u00a0Dr. Leo Buerger\u00a0taraf\u0131ndan 11 hastan\u0131n verilerinin incelenmesi sonucunda ger\u00e7ekle\u015fmi\u015ftir.<\/p>\n<p>Buerger hastal\u0131\u011f\u0131 nedir?<br \/>\nBuerger hastal\u0131\u011f\u0131, seyrek g\u00f6zlenen ve damarlar\u0131 tutan bir hastal\u0131kt\u0131r. Daha s\u0131kl\u0131kla atardamarlarda ve bacak damarlar\u0131nda g\u00f6r\u00fclmekle birlikte kol damarlar\u0131n\u0131 ve toplardamarlar\u0131 da etkileyebilmektedir. Buerger Hastal\u0131\u011f\u0131ndaki patolojik s\u00fcre\u00e7 etkilenen damarlarda inflamasyon (iltihabi s\u00fcre\u00e7) ve mikrotromb\u00fcs (k\u00fc\u00e7\u00fck p\u0131ht\u0131 olu\u015fumu) geli\u015fiminden ibarettir. Bu de\u011fi\u015fiklikler sonucunda damarlarda \u00f6nce daralma ve ilerleyen d\u00f6nemlerde tam t\u0131kanmalar meydana gelir. Hastalar bu s\u00fcre\u00e7lerin sonunda ciddi bacak atardamar t\u0131kan\u0131kl\u0131klar\u0131 ve buna ba\u011fl\u0131 geli\u015fen \u015fikayetlerle seyrederler.<\/p>\n<p><strong>Buerger hastal\u0131\u011f\u0131 erkelerde, kad\u0131nlara oranla daha s\u0131k g\u00f6r\u00fclmektedir<\/strong><br \/>\nBununla birlikte 40 ya\u015f\u0131n alt\u0131nda g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 belirgin derecede y\u00fcksektir. Hastalar\u0131n hemen tamam\u0131ndaki ortak \u00f6zellik sigara kullan\u0131m\u0131d\u0131r. Buerger Hastalar\u0131n\u0131n ortak \u00f6zelli\u011fi olan sigara kullan\u0131m\u0131, hastal\u0131\u011f\u0131n ba\u015flamas\u0131 ve ilerlemesi a\u00e7\u0131s\u0131ndan en \u00f6nemli risk fakt\u00f6r\u00fcd\u00fcr. T\u00fct\u00fcn \u00e7i\u011fnenmesi de sigara kullan\u0131m\u0131na benzer \u015fekilde riski artt\u0131rmaktad\u0131r. Genetik ge\u00e7i\u015f ve ailesel \u00f6zellikler Buerger hastal\u0131\u011f\u0131n\u0131n tipik \u00f6zelliklerindendir.<\/p>\n<p><strong>Belirtileri nelerdir?<\/strong><br \/>\nHastalarda meydana gelen ilk belirtiler atardamar t\u0131kan\u0131kl\u0131klar\u0131ndaki \u015fikayetlerle hemen ayn\u0131d\u0131r. \u00d6nce y\u00fcr\u00fcme s\u0131ras\u0131nda gelen a\u011fr\u0131lar belirgindir. Dinlenmekle ge\u00e7en ve y\u00fcr\u00fcmekle ortaya \u00e7\u0131kan bacak a\u011fr\u0131lar\u0131 hastal\u0131\u011f\u0131n ilerleyen d\u00f6nemlerinde daha k\u0131sa mesafe y\u00fcr\u00fcmekle hatta dinlenme s\u0131ras\u0131nda belirmeye ba\u015flar. Etkilenen uzuvlarda so\u011fuma ve solukluk tipiktir. Hastal\u0131k \u00f6ncelikle ayaklarda ve ellerde ba\u015flay\u0131p daha sonra bacak ve kollara yay\u0131ld\u0131\u011f\u0131ndan \u015fikayetler de \u00f6ncelikle el ve ayaklarda ba\u015flar. \u0130lerleyen d\u00f6nemlerde uzuvlarda morluklar olu\u015fmaya ba\u015flayabilir. Hastal\u0131\u011f\u0131n daha da ileri d\u00f6nemlerinde, beslenmenin tamamen bozulmas\u0131na ba\u011fl\u0131 beslenme bozuklu\u011funa ba\u011fl\u0131 yaralar (\u00fclser) ve kangren olu\u015fumu g\u00f6r\u00fclebilmektedir.<\/p>\n<p><strong>Buerger hastal\u0131\u011f\u0131 tan\u0131s\u0131 nas\u0131l konur?<\/strong><br \/>\nBuerger Hastal\u0131\u011f\u0131 tan\u0131s\u0131, di\u011fer atardamar t\u0131kan\u0131kl\u0131klar\u0131ndaki ile ayn\u0131d\u0131r. Gen\u00e7 ve erkek hasta olmas\u0131 tan\u0131 a\u00e7\u0131s\u0131ndan de\u011ferlidir. Fizik muayenede bacaklardaki solukluk, so\u011fukluk ve nabz\u0131n olmay\u0131\u015f\u0131 tipiktir. \u0130leri d\u00f6nem hastalarda yaralar \u015f\u00fcphe uyand\u0131r\u0131c\u0131d\u0131r. Bununla birlikte atardamarlara y\u00f6nelik doppler ultrasonografiler ilk basamak tetkik olarak de\u011ferlidir. Ancak kesin tan\u0131 i\u00e7in ila\u00e7l\u0131 tomografi veya anjiyografi mutlaka yap\u0131lmal\u0131d\u0131r. Kesin tan\u0131 anjiyografide Buerger Hastal\u0131\u011f\u0131na ait bulgular\u0131n saptanmas\u0131 ile konur.<\/p>\n<p><strong>Tedavi y\u00f6ntemleri nelerdir?<\/strong><br \/>\nTedavide temel, \u00f6ncelikle neden olan fakt\u00f6rlerin kesilmesidir. Bu nedenle t\u00fct\u00fcn ve t\u00fct\u00fcn \u00fcr\u00fcnleri mutlak suretle b\u0131rak\u0131lmal\u0131d\u0131r. Sigaray\u0131 azaltmak hastal\u0131\u011f\u0131n seyrini yava\u015flatmaz. Sigaran\u0131n tamamen b\u0131rak\u0131lmas\u0131 hatta sigara i\u00e7ilen ortamlarda dahi bulunulmamas\u0131 gerekir. Bu nedenle tedavinin b\u00fcy\u00fck bir b\u00f6l\u00fcm\u00fcn\u00fc sigaray\u0131 b\u0131rakma tedavileri olu\u015fturmaktad\u0131r. Nikotin yamas\u0131 gibi nikotin i\u00e7erikli y\u00f6ntemler, hastal\u0131\u011f\u0131n seyrini etkilediklerinden kullan\u0131lamamal\u0131d\u0131r.<\/p>\n<p>Bununla birlikte azalm\u0131\u015f kan ak\u0131m\u0131n\u0131 artt\u0131rmaya y\u00f6nelik baz\u0131 tedavi y\u00f6ntemleri de kullan\u0131lmaktad\u0131r. Kan damar\u0131n\u0131 geni\u015fleten ve p\u0131ht\u0131lar\u0131n erimesini sa\u011flay\u0131p kan\u0131 ak\u0131\u015fkan hale getiren baz\u0131 ila\u00e7lar ilk basamak tedavide akla gelmelidir. Hiperbarik oksijen tedavisi, lokal kan ak\u0131m\u0131n\u0131 artt\u0131rd\u0131\u011f\u0131 ve kandaki oksijenin dokulara ula\u015fmas\u0131n\u0131 kolayla\u015ft\u0131rd\u0131\u011f\u0131 i\u00e7in etkilidir. G\u00fcn\u00fcm\u00fczde k\u00f6k h\u00fccre tedavi denemeleri ba\u015flam\u0131\u015ft\u0131r. \u0130leri d\u00f6nem hastalarda \u00fclser ve kangrene y\u00f6nelik giri\u015fimler de gerekmektedir.<\/p>\n<p>Sa\u011fl\u0131kl\u0131 bir hafta dilerim.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Buerger hastal\u0131\u011f\u0131, ilk kez 1879 y\u0131l\u0131nda Avusturya\u2019da Felix von Winiwarter taraf\u0131ndan bildirilmi\u015ftir. Hastal\u0131\u011f\u0131n ilk olarak literat\u00fcre girmesi ise 1908 y\u0131l\u0131nda\u00a0Dr. Leo Buerger\u00a0taraf\u0131ndan 11 hastan\u0131n verilerinin incelenmesi sonucunda ger\u00e7ekle\u015fmi\u015ftir. Buerger hastal\u0131\u011f\u0131 nedir? Buerger hastal\u0131\u011f\u0131, seyrek g\u00f6zlenen ve damarlar\u0131 tutan bir hastal\u0131kt\u0131r. Daha s\u0131kl\u0131kla atardamarlarda ve bacak damarlar\u0131nda g\u00f6r\u00fclmekle birlikte kol damarlar\u0131n\u0131 ve toplardamarlar\u0131 da etkileyebilmektedir. Buerger [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":3563,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[7],"tags":[2792,2793,2794],"class_list":{"0":"post-3562","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saglik","8":"tag-buerger-hastaligi","9":"tag-buerger-hastaligi-nedir","10":"tag-hastalik-belirtileri"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2019\/02\/buerger-hastaligi-nedir.png.jpg?fit=660%2C320&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/3562","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=3562"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/3562\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/3563"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=3562"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=3562"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=3562"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}