{"id":493,"date":"2018-03-09T07:11:46","date_gmt":"2018-03-09T07:11:46","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=493"},"modified":"2018-03-09T07:11:46","modified_gmt":"2018-03-09T07:11:46","slug":"bebeklerde-glokom-kalici-gorme-kaybina-oluyor","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/bebeklerde-glokom-kalici-gorme-kaybina-oluyor\/","title":{"rendered":"Bebeklerde glokom kal\u0131c\u0131 g\u00f6rme kayb\u0131na neden oluyor!"},"content":{"rendered":"<p>Glokom s\u0131kl\u0131kla g\u00f6z i\u00e7i bas\u0131n\u00e7 y\u00fcksekli\u011finin e\u015flik etti\u011fi, genellikle sessiz seyreden ve erken m\u00fcdahale edilmedi\u011finde kal\u0131c\u0131 g\u00f6rme kayb\u0131na, hatta k\u00f6rl\u00fc\u011fe yol a\u00e7an ciddi bir sorun. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 topluma ve ya\u015fa ba\u011fl\u0131 olarak de\u011fi\u015fkenlik g\u00f6sterse de, 40 ya\u015f sonras\u0131 pop\u00fclasyonda, t\u00fcm <strong>glokom<\/strong> tipleri g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda her 100 ki\u015fiden 3\u2019\u00fcnde glokom oldu\u011fu belirtiliyor.\u00a0<strong>\u00a0G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Erbil Ulus Duman\u00a0<\/strong>toplumdaki yayg\u0131n inan\u0131\u015f\u0131n aksine,<strong>\u00a0<\/strong>bu hastal\u0131\u011f\u0131n ender de olsa, bebeklerde de g\u00f6r\u00fclebildi\u011fine i\u015faret ediyor. Eri\u015fkinlerde \u00e7o\u011funlukla sessiz ilerleyen glokomun bebeklerde ise genellikle belirti verdi\u011fine dikkat \u00e7eken\u00a0<strong>G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Erbil Ulus Duman,<\/strong>\u00a0\u201cBebeklerde glokomun klasik \u00fc\u00e7l\u00fc bulgusu; g\u00f6z ya\u015farmas\u0131, \u0131\u015f\u0131k hassasiyeti ve g\u00f6z k\u0131smad\u0131r. Bu belirtilerin oldu\u011fu bebeklerin h\u0131zl\u0131ca g\u00f6z muayenesinden ge\u00e7meleri \u00e7ok \u00f6nemli. Ayr\u0131ca hi\u00e7bir sorun olmasa bile her bebek 6. aydan itibaren okul \u00e7a\u011f\u0131na kadar 2 y\u0131l aral\u0131klarla detayl\u0131 g\u00f6z muayenesinden ge\u00e7meli\u201d diyor.<\/p>\n<p><strong>BEBEKLERDE GENELL\u0130KLE BEL\u0130RT\u0130 VER\u0130YOR<\/strong><\/p>\n<p>G\u00fcn\u00fcm\u00fczde yenido\u011fan her 10 bin bebekten 1\u2019inde do\u011fumsal glokom tespit ediliyor. Bu olgular\u0131n y\u00fczde 80\u2019i ilk ya\u015f i\u00e7inde ortaya \u00e7\u0131k\u0131yor ve infantil<strong>\u00a0<\/strong>glokom olarak adland\u0131r\u0131l\u0131yor. 3 ya\u015f\u0131ndan sonra ba\u015flayan formu da juvenil glokom olarak ifade ediliyor.\u00a0<strong>G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Erbil Ulus Duman\u00a0<\/strong>eri\u015fkinlerdeki glokomun aksine bebeklerde geli\u015fen glokomun genellikle belirti\u011fi verdi\u011fine dikkat \u00e7ekerek, \u201cBebeklerde glokomun klasik \u00fc\u00e7l\u00fc bulgusu g\u00f6z ya\u015farmas\u0131, \u0131\u015f\u0131k hassasiyeti ve g\u00f6z k\u0131smad\u0131r. Baz\u0131<strong>\u00a0<\/strong>bebeklerde iri g\u00f6z, yani g\u00f6z k\u00fcresinin ve \u00f6n\u00fcndeki saydam kornea dokusunun b\u00fcy\u00fck olmas\u0131 ve yine baz\u0131 bebeklerde d\u0131\u015far\u0131dan fark edilebilecek derecede geli\u015fen kornea bulan\u0131kl\u0131\u011f\u0131, do\u011fumsal glokoma e\u015flik edebiliyor. Bu bulgular\u0131n oldu\u011fu bebeklerin h\u0131zl\u0131ca g\u00f6z muayenesinden ge\u00e7meleri gerekiyor\u201d diyor. \u00c7\u00fcnk\u00fc tedavide ge\u00e7 kal\u0131nd\u0131\u011f\u0131nda bu tablo kal\u0131c\u0131 g\u00f6rme kayb\u0131yla sonu\u00e7lan\u0131yor.<strong>\u00a0<\/strong>Do\u011fumsal glokoma s\u0131kl\u0131kla a\u00e7\u0131 anomalileri de e\u015flik etti\u011fi i\u00e7in ila\u00e7 tedavisine genellikle diren\u00e7 geli\u015fiyor. Bu nedenle ilk tedavi basama\u011f\u0131 cerrahi y\u00f6ntem oluyor. Cerrahi sonras\u0131nda g\u00f6z i\u00e7i bas\u0131n\u00e7 durumuna g\u00f6re ila\u00e7la devam etmek gerekebiliyor.<\/p>\n<p><strong>ER\u0130\u015eK\u0130NLERDE \u00c7O\u011eUNLUKLA S\u0130NS\u0130 \u0130LERL\u0130YOR<\/strong><\/p>\n<p>Glokom hastal\u0131\u011f\u0131n\u0131n \u00e7ok say\u0131da tipleri var: Bunlar a\u00e7\u0131k a\u00e7\u0131l\u0131 ve kapal\u0131 a\u00e7\u0131l\u0131 olmak \u00fczere 2 ana s\u0131n\u0131fta toplanabilir. G\u00f6z i\u00e7inde \u00fcretilen s\u0131v\u0131n\u0131n g\u00f6z d\u0131\u015f\u0131na \u00e7\u0131k\u0131\u015f yeri olan drenaj a\u00e7\u0131s\u0131n\u0131n (trabek\u00fcker a\u011f) a\u00e7\u0131k veya kapal\u0131 olma durumu, s\u0131n\u0131fland\u0131rman\u0131n temelini olu\u015fturuyor. \u00dclkemizde ve d\u00fcnya toplumlar\u0131n\u0131n \u00e7o\u011funda a\u00e7\u0131k a\u00e7\u0131l\u0131 glokom, g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan y\u00fczde 90 gibi bir oranla birinci s\u0131rada yer al\u0131yor.<\/p>\n<p><strong>Kal\u0131c\u0131 g\u00f6rme kayb\u0131na yol a\u00e7\u0131yor<\/strong><\/p>\n<p>A\u00e7\u0131k a\u00e7\u0131l\u0131 glokom \u00e7o\u011funlukla sessiz ve yava\u015f bir seyir izliyor ve genellikle iki g\u00f6z\u00fc birden etkiliyor. \u201cGlokom hastada kal\u0131c\u0131 g\u00f6rme kayb\u0131na yol a\u00e7\u0131yor, ancak bunu son a\u015famalara kadar hastaya hissettirmiyor\u201d diyen\u00a0<strong>G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Erbil Ulus Duman\u00a0<\/strong>s\u00f6zlerine \u015f\u00f6yle devam ediyor:<\/p>\n<p>\u201cOptik sinir hasar\u0131yla birlikte \u00f6nce \u00e7evre g\u00f6r\u00fc\u015f\u00fc etkileniyor. Aylar, y\u0131llar i\u00e7inde \u00e7evre g\u00f6r\u00fc\u015f\u00fc iyice daralarak, hastada t\u00fcnel g\u00f6r\u00fc\u015f\u00fc ortaya \u00e7\u0131k\u0131yor ve hasta genelde durumu bu a\u015famada fark ediyor. Fark etti\u011finde de glokom genellikle son a\u015famada, yani d\u00f6n\u00fc\u015fs\u00fcz bir noktada oluyor. Daha sonra var olan t\u00fcnel g\u00f6r\u00fc\u015f\u00fc de kaybolarak k\u00f6rl\u00fck geli\u015febiliyor\u201d A\u00e7\u0131k a\u00e7\u0131l\u0131 glokom \u00e7ok az bir oranda belirti veriyor. Bu durumda hastan\u0131n \u00f6zellikle sabahlar\u0131 hafif g\u00f6rme bulan\u0131kl\u0131\u011f\u0131 ve \u0131\u015f\u0131k kaynaklar\u0131n\u0131n etraf\u0131nda hale g\u00f6rme \u015fikayeti olabiliyor. \u00dclkemizde az g\u00f6r\u00fclen dar a\u00e7\u0131l\u0131 glokom ise genellikle akut ve semptomatik \u00f6zelli\u011fe sahip oluyor. Ata\u011f\u0131n \u015fiddetli a\u011fr\u0131, g\u00f6rme bulan\u0131kl\u0131\u011f\u0131 ve g\u00f6z k\u0131zarmas\u0131yla ba\u015flad\u0131\u011f\u0131na i\u015faret eden\u00a0<strong>Dr. Erbil Ulus Duman<\/strong>\u00a0\u015fikayetlerin hastay\u0131 acile y\u00f6nlendirecek kadar dramatik geli\u015fti\u011fini ve h\u0131zl\u0131 g\u00f6rme kayb\u0131yla sonu\u00e7land\u0131\u011f\u0131 i\u00e7in acil m\u00fcdahale gerektirdi\u011fini s\u00f6zlerine ekliyor.<\/p>\n<p><strong>Tedavide ama\u00e7 ilerlemesini yava\u015flatmak<\/strong><\/p>\n<p>Glokom hastal\u0131\u011f\u0131nda g\u00fcn\u00fcm\u00fczde etkili tan\u0131 ve tedavi y\u00f6ntemleri mevcut ve bu y\u00f6ntemler giderek geli\u015fiyor.\u00a0<strong>G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Erbil Ulus Duman\u00a0<\/strong>\u201cprimer a\u00e7\u0131k a\u00e7\u0131l\u0131\u201d glokomda genellikle ilk tedavi basama\u011f\u0131n\u0131 g\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131 d\u00fc\u015f\u00fcren ve veya optik sinir koruyucu etki yapan ila\u00e7lar olu\u015fturdu\u011funu belirterek \u015fu bilgileri veriyor: \u201cGlokom tedavisinde ama\u00e7 tan\u0131 konuldu\u011fu andaki durumu korumak ve daha k\u00f6t\u00fcye gidi\u015fi durdurmak. \u0130la\u00e7lara ra\u011fmen g\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131n yeterince d\u00fc\u015f\u00fcr\u00fclemedi\u011fi veya ila\u00e7lar\u0131 tolere edemeyen hastalarda cerrahi y\u00f6ntemlere ba\u015fvurmak gerekiyor.<\/p>\n<p><strong>Hi\u00e7bir yak\u0131nma olmasa da muayene \u015fart!<\/strong><\/p>\n<p>Hastal\u0131\u011f\u0131n genellikle sessiz ve yava\u015f seyretmesi, t\u00fcnel g\u00f6r\u00fc\u015f\u00fc olu\u015fana kadar hastan\u0131n g\u00f6rmesinin iyi oldu\u011funu sanmas\u0131, glokomda doktora ba\u015fvuruyu geciktiriyor.\u00a0<strong>G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Erbil Ulus Duman<\/strong>\u00a0erken tan\u0131n\u0131n kal\u0131c\u0131 g\u00f6rme kayb\u0131n\u0131 \u00f6nledi\u011fine dikkat \u00e7ekerek, \u201cBu nedenle hi\u00e7bir yak\u0131nmas\u0131 olmasa bile herkesin rutin g\u00f6z muayenesinden ge\u00e7meyi ihmal etmemeleri gerekiyor\u201d diyor. Aile \u00f6yk\u00fcs\u00fc olan ki\u015filerin 20-30 ya\u015f aral\u0131\u011f\u0131nda en az 3 y\u0131lda bir, 30-40 ya\u015f aral\u0131\u011f\u0131nda en az 2 y\u0131lda bir, glokom a\u00e7\u0131s\u0131ndan g\u00f6z muayenesi olmalar\u0131 \u00e7ok \u00f6nemli. Risk fakt\u00f6r\u00fc olmasa da 40-60 ya\u015f aras\u0131ndaki ki\u015filerin de en az 2 y\u0131lda bir, 60 ya\u015f \u00fcst\u00fcnde de en az y\u0131lda bir, glokom a\u00e7\u0131s\u0131ndan muayene olmalar\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Glokom s\u0131kl\u0131kla g\u00f6z i\u00e7i bas\u0131n\u00e7 y\u00fcksekli\u011finin e\u015flik etti\u011fi, genellikle sessiz seyreden ve erken m\u00fcdahale edilmedi\u011finde kal\u0131c\u0131 g\u00f6rme kayb\u0131na, hatta k\u00f6rl\u00fc\u011fe yol a\u00e7an ciddi bir sorun. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 topluma ve ya\u015fa ba\u011fl\u0131 olarak de\u011fi\u015fkenlik g\u00f6sterse de, 40 ya\u015f sonras\u0131 pop\u00fclasyonda, t\u00fcm glokom tipleri g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda her 100 ki\u015fiden 3\u2019\u00fcnde glokom oldu\u011fu belirtiliyor.\u00a0\u00a0G\u00f6z Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 [&hellip;]<\/p>\n","protected":false},"author":80,"featured_media":494,"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":[29,135,138,136,137],"class_list":{"0":"post-493","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saglik","8":"tag-bebek","9":"tag-glokom","10":"tag-goz-doktoru","11":"tag-goz-hastaliklari","12":"tag-goz-sagligi"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/03\/glokom-bebek.jpg?fit=1000%2C639&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/493","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\/80"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=493"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/493\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/494"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=493"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=493"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}