{"id":5810,"date":"2024-09-03T15:36:06","date_gmt":"2024-09-03T12:36:06","guid":{"rendered":"https:\/\/kirsehirsondakika.com.tr\/?p=5810"},"modified":"2024-09-03T15:36:06","modified_gmt":"2024-09-03T12:36:06","slug":"ipek-yolu-ile-gelen-hastalik-behcet","status":"publish","type":"post","link":"https:\/\/kirsehirsondakika.com.tr\/index.php\/2024\/09\/03\/ipek-yolu-ile-gelen-hastalik-behcet\/","title":{"rendered":"\u0130pek Yolu ile gelen hastal\u0131k; Beh\u00e7et"},"content":{"rendered":"<p><strong>Beh\u00e7et hastal\u0131\u011f\u0131 bedende bir\u00e7ok sistemi tutan ve ender g\u00f6r\u00fclen bir hastal\u0131k. Birinci olarak 1937\u2019de T\u00fcrk dermatolog Prof. Dr. Hulusi Beh\u00e7et taraf\u0131ndan, a\u011f\u0131zda aft, genital \u00fclser ve \u00fcveit (g\u00f6z\u00fcn iltihabi hastal\u0131\u011f\u0131) birlikteli\u011fi olan bir sendrom olarak tan\u0131mland\u0131\u011f\u0131 i\u00e7in onun ismi ile an\u0131l\u0131yor. T\u00fcrk Oftalmoloji Derne\u011fi, Beh\u00e7et hastal\u0131\u011f\u0131n\u0131n en \u00e7ok g\u00f6r\u00fcld\u00fc\u011f\u00fc \u00fclkelerden birinin T\u00fcrkiye oldu\u011funun alt\u0131n\u0131 \u00e7izerek ikazlarda bulundu.<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>T\u00fcrk Oftalmoloji Derne\u011fi Uvea-Beh\u00e7et \u00dcnitesi Lideri Prof. Dr. F. Nil\u00fcfer Yal\u00e7\u0131nda\u011f, \u201cBeh\u00e7et hastal\u0131\u011f\u0131n\u0131n tarihi \u0130pek Yolu boyunca yayg\u0131nla\u015ft\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcyor. Tarihi \u0130pek Yolu, Akdeniz\u2019in do\u011fu k\u0131y\u0131lar\u0131ndan ba\u015flay\u0131p Hazar Denizi\u2019nin g\u00fcneyinden ge\u00e7erek, Orta Do\u011fu \u00fclkelerinde sonlanmaktad\u0131r. G\u00fcn\u00fcm\u00fczde hastal\u0131\u011f\u0131n en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc \u00fclkeler; T\u00fcrkiye, Uzak Do\u011fu ve Orta Do\u011fu \u00fclkeleridir. Bu \u00fclkeler ortas\u0131nda da en s\u0131k \u00fclkemizde g\u00f6r\u00fclmektedir. Hastal\u0131k bayan ve erkekleri e\u015fit oranda tutuyor ve en s\u0131k 20-40 ortas\u0131 ya\u015flarda kar\u015f\u0131m\u0131za \u00e7\u0131k\u0131yor. Gen\u00e7 n\u00fcfusu etkilemesi nedeniyle de\u011ferli bir hastal\u0131k. \u201d dedi.\u00a0<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Beh\u00e7et hastal\u0131\u011f\u0131n\u0131n esas tutulum yerlerinden biri de g\u00f6zler<\/strong><\/p>\n<p>Yal\u00e7\u0131nda\u011f kelamlar\u0131na s\u00f6yle devam etti: \u201cHastal\u0131\u011f\u0131n kesin sebebi bilinmemekle birlikte, genetik bir tabanda, \u00e7evresel fakt\u00f6rlerin de tesiriyle geli\u015fti\u011fi d\u00fc\u015f\u00fcn\u00fcl\u00fcyor. Beh\u00e7et hastal\u0131\u011f\u0131n\u0131n s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc \u00fclkelerden daha ender olarak g\u00f6r\u00fcld\u00fc\u011f\u00fc \u00fclkelere g\u00f6\u00e7 edenlerde, Beh\u00e7et g\u00f6r\u00fclme oran\u0131 d\u00fc\u015fmektedir. Bu da \u00e7evresel fakt\u00f6rlerin Beh\u00e7et hastal\u0131\u011f\u0131nda k\u0131ymetli bir yer ald\u0131\u011f\u0131n\u0131 destekliyor. Beh\u00e7et hastal\u0131\u011f\u0131 a\u011f\u0131zda aftlar, genital \u00fclserler, \u00fcveit ve kimi deri bulgular\u0131 ile karakterizedir. Bunlar d\u0131\u015f\u0131nda eklemler, mide ba\u011f\u0131rsak sistemi, damarlar ve beyin de tutulabilmektedir. Beh\u00e7et hastal\u0131\u011f\u0131 i\u00e7in te\u015fhis koydurucu bir laboratuar bulgusu yok. Te\u015fhis klinik bulgular\u0131n k\u0131ymetlendirilmesi ile konuluyor. Deri ve mukoza bulgular\u0131 en s\u0131k g\u00f6r\u00fclen bulgular ve hastalar\u0131n b\u00fcy\u00fck k\u0131sm\u0131nda sistem tutulumlar\u0131ndan evvel \u00e7\u0131kar. Deri ve mukoza bulgular\u0131 d\u0131\u015f\u0131nda hastal\u0131\u011f\u0131n esas tutulum yerlerinden biri de g\u00f6zlerdir. Beh\u00e7et hastal\u0131\u011f\u0131nda g\u00f6z tutulumu, klinik \u00e7al\u0131\u015fmalarda \u00a0y\u00fczde 50-70, epidemiyolojik \u00e7al\u0131\u015fmalarda \u00a0y\u00fczde 20 civar\u0131nda bildirilmektedir. \u00dclkemizde yapt\u0131\u011f\u0131m\u0131z \u00e7ok merkezli bir \u00e7al\u0131\u015fman\u0131n sonu\u00e7lar\u0131na nazaran, t\u00fcm \u00fcveit hastalar\u0131m\u0131z\u0131n \u00a0y\u00fczde 25\u2019ini Beh\u00e7et \u00fcveiti olan hastalar olu\u015fturmaktad\u0131r.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Genellikle her iki g\u00f6z\u00fc etkiler<\/strong><\/p>\n<p>Erkeklerde g\u00f6z tutulumu bayanlardan daha s\u0131kt\u0131r ve daha a\u011f\u0131r seyreder. Erkek hastalar\u0131n yakla\u015f\u0131k olarak 2\/3\u2019\u00fcnde g\u00f6z tutulumu meydana gelir. G\u00f6z tutulumu ekseriyetle hastal\u0131k ba\u015flang\u0131c\u0131ndan sonraki 2 ile 4 y\u0131l i\u00e7inde meydana gelir. Fakat Beh\u00e7et hastal\u0131\u011f\u0131 tan\u0131s\u0131 bazen g\u00f6z hastal\u0131\u011f\u0131n\u0131n ba\u015flamas\u0131 ile birlikte konulur. Bunun sebebi daha evvelce mevcut olan a\u011f\u0131zda aft \u00fczere bulgular\u0131n hastalar taraf\u0131ndan \u00f6nemsenmeyip, tabibe ba\u015fvurmamalar\u0131d\u0131r.\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>Beh\u00e7et hastal\u0131\u011f\u0131 be\u011fenilen \u00fcveit denilen, tekrarlayan ataklar ve g\u00fczelle\u015fme devirleri ile seyreden g\u00f6z i\u00e7i iltihab\u0131 yapmaktad\u0131r. \u00dcveit epey geni\u015f kapsaml\u0131 bir kavram olup, \u00e7ok \u00e7e\u015fitli hastal\u0131klarla ba\u011fl\u0131 olabilir. Beh\u00e7et hastal\u0131\u011f\u0131na ba\u011fl\u0131 \u00fcveiti \u00f6b\u00fcr \u00fcveitlerden ay\u0131rt etmemizi sa\u011flayan karakteristik g\u00f6z bulgular\u0131 vard\u0131r. Beh\u00e7et \u00fcveiti, iltihabi bulgular\u0131n ani olarak ba\u015flamas\u0131, takiben uygunla\u015fmas\u0131 ve tekrar n\u00fcksetmesi bi\u00e7iminde tipik bir seyir g\u00f6stermektedir. Lakin bu ataklar\u0131n her biri be\u011fenilen az ya da \u00e7ok bir hasar b\u0131rakabilmekte ve g\u00f6rmeyi tehdit eden komplikasyonlar geli\u015febilmektedir. Hastalar ekseriyetle be\u011fenilen k\u0131zar\u0131kl\u0131k, bulan\u0131k g\u00f6rme yahut g\u00f6rme kayb\u0131, u\u00e7u\u015fmalar, be\u011fenilen ve g\u00f6z etraf\u0131nda a\u011fr\u0131 \u015fikayetleri ile ba\u015fvururlar. G\u00f6z\u00fcn art k\u0131sm\u0131n\u0131 tutan \u00fcveitte ise be\u011fenilen k\u0131zar\u0131kl\u0131k olmadan a\u011fr\u0131s\u0131z g\u00f6rme azalmas\u0131 ve u\u00e7u\u015fmalar olur.\u00a0<\/p>\n<p>Beh\u00e7et hastalar\u0131n\u0131n g\u00f6z\u00fcnden \u015fikayeti olmasa dahi 6 ayda bir g\u00f6z muayenesi yapt\u0131rmas\u0131 \u00f6nerilir. \u015eayet g\u00f6z \u015fikayeti olursa derhal doktora ba\u015fvurmal\u0131d\u0131r. \u00dcveit tan\u0131s\u0131 konmu\u015f olan hastalar\u0131n denetim muayenelerinin s\u0131kl\u0131\u011f\u0131 ise hastal\u0131\u011f\u0131n aktivitesine ve kullan\u0131lan ila\u00e7lara ba\u011fl\u0131 olarak de\u011fi\u015fir. \u00a0<\/p>\n<p>\u00a0<\/p>\n<p>\u00dcveitli hastalarda iltihap belirtilerinin s\u00fcratli bir halde bask\u0131lanmas\u0131 ve kal\u0131c\u0131 yap\u0131sal de\u011fi\u015fikliklerin olu\u015fmas\u0131n\u0131n \u00f6nlenmesi i\u00e7in tedavinin derhal ba\u015flanmas\u0131 gereklidir. Tedavinin bir \u00f6b\u00fcr gayesi da ataklar\u0131n s\u0131kl\u0131\u011f\u0131n\u0131 ve \u015fiddetini azaltmak ve sonu\u00e7ta hastan\u0131n g\u00f6rmesini korumakt\u0131r. Sistemli aral\u0131klarla yap\u0131lan takip muayeneleri; hem hastal\u0131k belirtilerinin kaybolup kaybolmad\u0131\u011f\u0131, rastgele bir komplikasyon geli\u015fip geli\u015fmedi\u011fi hem de ila\u00e7 tedavisinin halinin, dozunun ve yan tesirlerinin belirlenmesi a\u00e7\u0131s\u0131ndan de\u011fer ta\u015f\u0131r.\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>Stres, \u00e7ok yorgunluk ve ate\u015fli hastal\u0131klar \u00fcveit ataklar\u0131n\u0131 uyarabilir. Bilhassa ila\u00e7lar\u0131n \u00f6nerildi\u011fi formda ve nizaml\u0131 olarak kullan\u0131lmamas\u0131 hastal\u0131\u011f\u0131n alevlenmesine yol a\u00e7abilir. Olay\u0131n bu boyutu g\u00f6z \u00f6n\u00fcne al\u0131narak tedavinin d\u00fczg\u00fcn olarak yap\u0131lmas\u0131 ve hekimin \u00f6nerisi d\u0131\u015f\u0131nda kesilmemesi gerekmektedir. Tedavi edilmeyen \u00fcveit ataklar\u0131 sonucu g\u00f6z\u00fcn bilhassa art katmanlar\u0131nda meydana gelen hasar nedeni ile kal\u0131c\u0131 g\u00f6rme kay\u0131plar\u0131 olu\u015fabilir. \u00a0Ancak erken te\u015fhis ve tedavi ile hastalar\u0131n bir\u00e7oklar\u0131nda g\u00f6rme yeterli seviyede korunabilmektedir. Son y\u0131llarda yeni tedavi se\u00e7eneklerinin kullan\u0131ma girmesi ile g\u00f6rme sonu\u00e7lar\u0131 ge\u00e7mi\u015fe oranla daha g\u00fczel olmaktad\u0131r\u201d.\u00a0<\/p>\n<p>Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00fcrk Oftalmoloji Derne\u011fi Uvea-Beh\u00e7et \u00dcnitesi Lideri Prof. Dr. F. Nil\u00fcfer Yal\u00e7\u0131nda\u011f, \u201cBeh\u00e7et hastal\u0131\u011f\u0131n\u0131n tarihi \u0130pek Yolu boyunca yayg\u0131nla\u015ft\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcyor.<\/p>\n","protected":false},"author":1,"featured_media":5811,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[2393,1306,208,1307,715],"class_list":["post-5810","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-behcet-hastaligi","tag-gorme","tag-goz","tag-sik","tag-uveit"],"_links":{"self":[{"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/5810"}],"collection":[{"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=5810"}],"version-history":[{"count":1,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/5810\/revisions"}],"predecessor-version":[{"id":5812,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/5810\/revisions\/5812"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media\/5811"}],"wp:attachment":[{"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=5810"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=5810"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kirsehirsondakika.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=5810"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}