{"id":5950,"date":"2020-01-15T20:29:30","date_gmt":"2020-01-15T17:29:30","guid":{"rendered":"https:\/\/blog.annebebekkulubu.com\/?p=5950"},"modified":"2020-01-15T20:29:30","modified_gmt":"2020-01-15T17:29:30","slug":"surekli-basiniz-agriyorsa-dikkat","status":"publish","type":"post","link":"https:\/\/annebebekkulubu.com\/blog\/surekli-basiniz-agriyorsa-dikkat\/","title":{"rendered":"S\u00fcrekli ba\u015f\u0131n\u0131z a\u011fr\u0131yorsa dikkat!"},"content":{"rendered":"

Migren kendini 4-72 saat s\u00fcren ataklarla g\u00f6steren idiopatik (sebebi tam olarak bilinmeyen), yineleyici bir ba\u015f a\u011fr\u0131s\u0131 bozuklu\u011fudur. Migren patogenezinde beyindeki serotonin ve nitrik oksit adl\u0131 maddeler sorumlu tutulmaktad\u0131r. Migren a\u011fr\u0131s\u0131<\/strong> beyindeki damarlar\u0131n vazodilatasyonu (geni\u015flemesi) ile ili\u015fkilidir. Migrenin toplumda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 kad\u0131nlarda %16, erkeklerde %5\u2019tir. \u00c7ocukluk \u00e7a\u011f\u0131 migreni ise k\u0131z ve erkeklerde e\u015fit oranda g\u00f6r\u00fcl\u00fcr.<\/p>\n

Migren belirtisi nas\u0131l olur?
\n<\/strong>
\nMigren ba\u015f a\u011fr\u0131s\u0131n\u0131n tipik \u00f6zellikleri \u015funlard\u0131r;<\/strong><\/p>\n

1)Tek tarafl\u0131 yerle\u015fim (%60-70)<\/p>\n

2)Zonklay\u0131c\u0131<\/p>\n

3)Orta-a\u011f\u0131r \u015fiddette<\/p>\n

4)Fizik aktivite ile k\u00f6t\u00fcle\u015fme<\/p>\n

5)Bulant\u0131 (kusma)<\/p>\n

Fotofobi-fonofobi (\u0131\u015f\u0131k ve sesten rahats\u0131z olma)<\/p>\n

Her bir migren ata\u011f\u0131 zamansal olarak d\u00f6rt d\u00f6neme ayr\u0131l\u0131r ve bu d\u00f6rt d\u00f6nem toplamda 1 haftadan uzun s\u00fcrebilir. Bu d\u00f6nemler;<\/p>\n

1)Prodrom d\u00f6nemi (i\u015ftah art\u0131\u015f\u0131, yorgunluk, kas a\u011fr\u0131lar\u0131, v\u00fccutta \u00f6dem, odaklanma g\u00fc\u00e7l\u00fc\u011f\u00fc)<\/p>\n

2)Aura\u00a0 (%10-30)<\/p>\n

3)Ba\u015f a\u011fr\u0131s\u0131 d\u00f6nemi (s\u0131kl\u0131kla 24-48 saat)<\/p>\n

4)Rezol\u00fcsyon \/ \u00c7\u00f6z\u00fclme (i\u015ftahs\u0131zl\u0131k, yorgunluk, sersemlik, s\u0131k idrara \u00e7\u0131kma)<\/p>\n

Migren auras\u0131 her migren hastas\u0131nda g\u00f6r\u00fclmez ancak migren te\u015fhisi<\/strong> y\u00f6n\u00fcnden olduk\u00e7a anlaml\u0131 belirtilerdir. Migren auras\u0131; 15-20 dak i\u00e7inde a\u015famal\u0131 geli\u015fen ve tipik olarak 20-30 dak. s\u00fcren fokal n\u00f6rolojik\u00a0 semptomlard\u0131r. Aura semptomlar\u0131n\u0131n biti\u015fi ile ba\u015f a\u011fr\u0131s\u0131n\u0131n ba\u015flang\u0131c\u0131 aras\u0131nda en fazla 1 saat vard\u0131r. Aura en s\u0131k g\u00f6rseldir (yar\u0131m g\u00f6rme alan\u0131nda parlak zigzaglar ve g\u00f6rme alan\u0131 defekti). Aura nadiren duyusald\u0131r (tek kolda ve y\u00fcz\u00fcn bir yar\u0131s\u0131nda a\u015famal\u0131 geli\u015fen uyu\u015fma, kar\u0131ncalanma)<\/p>\n

Migren tipik olarak \u00e7ocukluk ve ergenlik s\u0131ras\u0131nda ba\u015flar. \u0130lk ata\u011f\u0131n 50 ya\u015f\u0131ndan sonra ge\u00e7irilmesi beklenmez. \u00c7ocukluk \u00e7a\u011f\u0131ndaki migren ataklar\u0131<\/strong> ba\u015f a\u011fr\u0131s\u0131n\u0131n d\u0131\u015f\u0131nda ba\u015f d\u00f6nmesi, sebebi bulunamayan kar\u0131n a\u011fr\u0131s\u0131 ve bulant\u0131 n\u00f6betleri \u015feklinde kendini g\u00f6sterebilir. Hatta sebebi bulunmayan bu a\u011fr\u0131 ve kusma ataklar\u0131 \u00e7o\u011fu defa hatal\u0131 bir \u015fekilde psikolojik olarak yorumlanabilir.<\/p>\n

Migren a\u011fr\u0131lar\u0131n\u0131 tetikleyen baz\u0131 fakt\u00f6rler vard\u0131r. Bunlar:<\/strong><\/p>\n

1)Yetersiz beslenme<\/p>\n

2)Spesifik g\u0131dalar (peynir,\u00e7ikolata, alkol, nitrit i\u00e7eren\u00a0 haz\u0131r g\u0131dalar)<\/p>\n

3)Uykusuzluk veya a\u015f\u0131r\u0131 uyku<\/p>\n

4)Ba\u015f boyun a\u011fr\u0131lar\u0131<\/p>\n

5)A\u015f\u0131r\u0131 efor \/ egzersiz \/ seyahat<\/p>\n

6)\u0130klim de\u011fi\u015fikli\u011fi\u00a0 (lodos)<\/p>\n

7)Parlak \u0131\u015f\u0131k ve g\u00fc\u00e7l\u00fc kokular<\/p>\n

8)Menstr\u00fcasyon<\/p>\n

9)Oral kontraseptifler (do\u011fum kontrol ila\u00e7lar\u0131)<\/p>\n

10)Gebelik (\u00f6zellikle ilk trimester)<\/p>\n

Migren tan\u0131s\u0131<\/strong> anamnez (hastay\u0131 dinlemek) ve n\u00f6rolojik muayene ile konulur. Tetkikler yaln\u0131zca ba\u015f a\u011fr\u0131s\u0131n\u0131n ikincil\u00a0 nedenlerini d\u0131\u015flamak i\u00e7in kullan\u0131l\u0131r. \u00c7o\u011fu zaman beyin MR\u2019\u0131 \u00e7ekmek gereksizdir.<\/p>\n

Migren tedavisi akut a\u011fr\u0131 tedavisi ve a\u011fr\u0131 ataklar\u0131n\u0131n \u00f6nlenmesini ama\u00e7layan profilaktik tedavi \u015feklinde iki a\u015famadan olu\u015fur. Akut a\u011fr\u0131 tedavisinde basit a\u011fr\u0131 kesiciler, bulant\u0131 kesiciler ve triptan t\u00fcrevi dedi\u011fimiz migrene \u00f6zel a\u011fr\u0131 kesiciler kullan\u0131l\u0131r. Profilaktik yani koruyucu tedavinin temelini migreni tetikleyen fakt\u00f6rlerden ka\u00e7\u0131nma olu\u015fturur Profilaktik tedavinin ila\u00e7 k\u0131sm\u0131nda ise beta bloker, kalsiyum kanal blokeri, antidepresan ve antiepileptik t\u00fcr\u00fc ila\u00e7lar yer al\u0131r.<\/p>\n

Gebelik ve emzirme d\u00f6neminde ise migren tedavisi<\/strong> parasetamol t\u00fcrevi basit a\u011fr\u0131 kesiciler ve metoklopramid t\u00fcrevi bulant\u0131 kesiciler ile s\u0131n\u0131rl\u0131d\u0131r.<\/p>\n

Migren tedavisinde son y\u0131llarda klini\u011fimizde de uygulad\u0131\u011f\u0131m\u0131z botoks tedavisi, mezoterapi ve akupunktur<\/strong> gibi alternatif tedavi y\u00f6ntemleri ile ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nmakta ve ila\u00e7 tedavisinden fayda g\u00f6rmeyen hastalara umut kayna\u011f\u0131 olmaktad\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Migren kendini 4-72 saat s\u00fcren ataklarla g\u00f6steren idiopatik (sebebi tam olarak bilinmeyen), yineleyici bir ba\u015f a\u011fr\u0131s\u0131 bozuklu\u011fudur. Migren patogenezinde beyindeki serotonin ve nitrik oksit adl\u0131 maddeler sorumlu tutulmaktad\u0131r. Migren a\u011fr\u0131s\u0131 beyindeki damarlar\u0131n vazodilatasyonu (geni\u015flemesi) ile ili\u015fkilidir. Migrenin toplumda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 kad\u0131nlarda %16, erkeklerde %5\u2019tir. \u00c7ocukluk \u00e7a\u011f\u0131 migreni ise k\u0131z ve erkeklerde e\u015fit oranda g\u00f6r\u00fcl\u00fcr. Migren […]<\/p>\n","protected":false},"author":77,"featured_media":1143,"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":[4236,4233,1534,4234,4235],"class_list":{"0":"post-5950","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saglik","8":"tag-kronik-migren-belirtileri","9":"tag-migren-agrisi","10":"tag-migren-belirtileri","11":"tag-migren-nasil-gecer","12":"tag-sinuzit-migren-belirtileri"},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/i0.wp.com\/annebebekkulubu.com\/blog\/wp-content\/uploads\/2018\/04\/kadin-stres-bas-agrisi.jpg?fit=625%2C417&ssl=1","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/5950","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\/77"}],"replies":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/comments?post=5950"}],"version-history":[{"count":0,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/posts\/5950\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media\/1143"}],"wp:attachment":[{"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/media?parent=5950"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/categories?post=5950"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/annebebekkulubu.com\/blog\/wp-json\/wp\/v2\/tags?post=5950"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}