{"id":673,"date":"2019-09-29T23:28:44","date_gmt":"2019-09-29T20:28:44","guid":{"rendered":"http:\/\/www.celalsalcini.com\/?p=673"},"modified":"2019-11-05T14:09:52","modified_gmt":"2019-11-05T11:09:52","slug":"migren","status":"publish","type":"post","link":"https:\/\/www.celalsalcini.com\/index.php\/2019\/09\/29\/migren\/","title":{"rendered":"Migren"},"content":{"rendered":"\n<p>Migren; genelde \u015fiddetli, s\u0131kl\u0131\u011f\u0131, a\u011fr\u0131 b\u00f6lgesi ve devam etme s\u00fcresi de\u011fi\u015fken olan bir ba\u015fa\u011fr\u0131s\u0131 tipidir. S\u0131kl\u0131kla bulant\u0131, kusma e\u015flik eder. Ataklar esnas\u0131nda hastalar\u0131n bir k\u0131sm\u0131 sesten ve \u0131\u015f\u0131ktan rahats\u0131z olabilir. Gerilim tipi ba\u015f a\u011fr\u0131s\u0131ndan sonra g\u00f6r\u00fclen en s\u0131k ba\u015f a\u011fr\u0131s\u0131d\u0131r. Ayr\u0131ca gerilim tipi ba\u015f a\u011fr\u0131s\u0131na s\u0131kl\u0131kla e\u015flik eder. Migren kad\u0131nl\u0131k hormonu \u00f6strojen ile ili\u015fkili oldu\u011fundan kad\u0131nlarda erkeklere g\u00f6re daha s\u0131k g\u00f6r\u00fcl\u00fcr. Bundan \u00f6t\u00fcr\u00fc \u00f6zellikle menstr\u00fcel d\u00f6nemde baz\u0131 hastalarda var olan a\u011fr\u0131lar\u0131n \u015fiddetlenmesi, baz\u0131 hastalarda da tam tersi olarak azalmas\u0131 g\u00f6r\u00fclmektedir. S\u0131kl\u0131kla yar\u0131m ba\u015f a\u011fr\u0131s\u0131 \u015feklindedir. \u015eiddeti, a\u011fr\u0131 s\u00fcresi ve a\u011fr\u0131n\u0131n b\u00f6lgesi bireyden bireye de\u011fi\u015fkenlik g\u00f6sterebildi\u011fi gibi ayn\u0131 bireyde de zaman zaman farkl\u0131klar g\u00f6sterebilir. Ataklar en fazla \u00fc\u00e7 g\u00fcn s\u00fcrer. N\u00f6rolojik veya mide-ba\u011f\u0131rsak sistemi ile ilgili sorunlar e\u015flik edebilir. Atak \u00f6ncesine \u201caura\u201d dedi\u011fimiz 5-20 dakikada geli\u015fen ve 60 dakikada s\u00fcrebilen n\u00f6rolojik belirtiler olabilir. Her zaman g\u00f6r\u00fclmeyen bu belirtiler basit \u0131\u015f\u0131k \u00e7akmalar\u0131, noktalanmalar, geometrik \u015fekiller ve karanl\u0131k alan gibi s\u0131kl\u0131kla g\u00f6rme ile ilgili belirtilerdir. Baz\u0131 hastalar a\u011fr\u0131 ba\u015flamadan \u00f6nce alg\u0131lamada azalma, huzursuzluk esneme, tatl\u0131 yiyeceklere d\u00fc\u015fk\u00fcnl\u00fck gibi uyar\u0131c\u0131 belirtiler ya\u015fayabilirler. Ayr\u0131ca ataklar\u0131 baz\u0131 fakt\u00f6rlerden tetikleyebilir. Bunlar; stres, d\u0131\u015ftan gelen parlak uyar\u0131lar, so\u011fuk ve lodos, ba\u015fa gelen ani travma ve sars\u0131nt\u0131lar, menstruasyon, uykusuzluk, a\u00e7l\u0131k, baz\u0131 yiyecekler ve i\u00e7ecekler (s\u0131kl\u0131kla \u00e7ikolata, peynir, ya\u011fl\u0131 yiyecekler, f\u0131nd\u0131k, salam, sosis, alkol, \u015farap v.s.), egzersiz, do\u011fum kontrol haplar\u0131, so\u011fuk g\u0131dalar, baz\u0131 damar geni\u015fletici ila\u00e7lar, y\u00fckseklik ve bir\u00e7ok sayamad\u0131\u011f\u0131m\u0131z etkenler s\u0131kl\u0131kla migren ata\u011f\u0131n\u0131 tetikleyebilir. Bir\u00e7ok tetikleyici fakt\u00f6r olabilece\u011finden \u00f6t\u00fcr\u00fc \u00f6nemli olan hastan\u0131n bu tetikleyici fakt\u00f6rleri erken d\u00f6nemde tan\u0131mas\u0131 ve olabildi\u011fince uzak durmas\u0131d\u0131r. Ba\u015f a\u011fr\u0131s\u0131 ba\u015fka bir hastal\u0131\u011f\u0131n belirtisi olabildi\u011finde ve \u00e7al\u0131\u015fan bireylerde ciddi i\u015f g\u00fcc\u00fc kayb\u0131na yol a\u00e7t\u0131\u011f\u0131ndan mutlaka bir doktor taraf\u0131ndan tan\u0131 konulmas\u0131, takip ve tedavi edilmesi gereklidir. Bu nedenle ba\u015f a\u011fr\u0131s\u0131 hastalar\u0131n\u0131n doktor muayenesinden ge\u00e7mesi ve gerekli g\u00f6r\u00fcld\u00fc\u011f\u00fc takdirde baz\u0131 g\u00f6r\u00fcnt\u00fcleme ve laboratuvar tetkiklerinin yap\u0131lmas\u0131 tedavinin ba\u015far\u0131s\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemlidir.  Migren tedavisi iki \u00e7e\u015fit olmaktad\u0131r. Birinci ataklar esnas\u0131nda kullan\u0131lan ila\u00e7larla ataklar\u0131 \u00f6nlemek ve ikincisi bizim \u201cprofilaksi\u201d dedi\u011fimiz atak olsun olmas\u0131n her g\u00fcn kullanaca\u011f\u0131 ila\u00e7larla ataklar\u0131n s\u0131kl\u0131\u011f\u0131n\u0131 ve \u015fiddetini azalt\u0131c\u0131 ila\u00e7 ba\u015flamakt\u0131r. Bu tedaviler tek ba\u015f\u0131na veya her ikisi beraber uygulanabilir. Genelde atak tedavisinde en basit a\u011fr\u0131 kesicilerden, migrene \u00f6zel ila\u00e7lara kadar olan ila\u00e7lar basamakl\u0131 bir \u015fekilde ba\u015flan\u0131yor. Profilaksi ama\u00e7l\u0131 olarak genelde antidepresanlar, baz\u0131 hipertansiyon veya n\u00f6rolojik ila\u00e7lar kullan\u0131lmaktad\u0131r. Son zamanlarda tedaviye diren\u00e7li migren ataklar\u0131nda botulinum toksini veya di\u011fer ad\u0131yla botoks kullan\u0131labilmekte ve diren\u00e7li vakalarda ba\u015far\u0131l\u0131 oldu\u011fu bilinmektedir. <\/p>\n\n\n\n<p><strong>Dr. Celal \u015eal\u00e7ini<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"731\" src=\"http:\/\/www.celalsalcini.com\/wp-content\/uploads\/2019\/08\/NP_Beyin_Hast_Logo-1024x731.png\" alt=\"\" class=\"wp-image-470\" srcset=\"https:\/\/www.celalsalcini.com\/wp-content\/uploads\/2019\/08\/NP_Beyin_Hast_Logo-1024x731.png 1024w, https:\/\/www.celalsalcini.com\/wp-content\/uploads\/2019\/08\/NP_Beyin_Hast_Logo-300x214.png 300w, https:\/\/www.celalsalcini.com\/wp-content\/uploads\/2019\/08\/NP_Beyin_Hast_Logo-768x549.png 768w, https:\/\/www.celalsalcini.com\/wp-content\/uploads\/2019\/08\/NP_Beyin_Hast_Logo-560x400.png 560w, https:\/\/www.celalsalcini.com\/wp-content\/uploads\/2019\/08\/NP_Beyin_Hast_Logo-434x310.png 434w, https:\/\/www.celalsalcini.com\/wp-content\/uploads\/2019\/08\/NP_Beyin_Hast_Logo-267x191.png 267w, https:\/\/www.celalsalcini.com\/wp-content\/uploads\/2019\/08\/NP_Beyin_Hast_Logo.png 1984w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Migren; genelde \u015fiddetli, s\u0131kl\u0131\u011f\u0131, a\u011fr\u0131 b\u00f6lgesi ve devam etme s\u00fcresi de\u011fi\u015fken olan bir ba\u015fa\u011fr\u0131s\u0131 tipidir. S\u0131kl\u0131kla bulant\u0131, kusma e\u015flik eder. Ataklar esnas\u0131nda hastalar\u0131n bir k\u0131sm\u0131 sesten ve \u0131\u015f\u0131ktan rahats\u0131z olabilir. Gerilim tipi ba\u015f a\u011fr\u0131s\u0131ndan sonra g\u00f6r\u00fclen en s\u0131k ba\u015f a\u011fr\u0131s\u0131d\u0131r. Ayr\u0131ca gerilim tipi ba\u015f a\u011fr\u0131s\u0131na s\u0131kl\u0131kla e\u015flik eder. Migren kad\u0131nl\u0131k hormonu \u00f6strojen ile ili\u015fkili oldu\u011fundan&hellip; <br \/> <a class=\"read-more\" href=\"https:\/\/www.celalsalcini.com\/index.php\/2019\/09\/29\/migren\/\">Devam\u0131<\/a><\/p>\n","protected":false},"author":1,"featured_media":757,"comment_status":"open","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"_mi_skip_tracking":false},"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/posts\/673"}],"collection":[{"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/comments?post=673"}],"version-history":[{"count":3,"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/posts\/673\/revisions"}],"predecessor-version":[{"id":811,"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/posts\/673\/revisions\/811"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/media\/757"}],"wp:attachment":[{"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/media?parent=673"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/categories?post=673"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.celalsalcini.com\/index.php\/wp-json\/wp\/v2\/tags?post=673"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}