T\u0131bbi literat\u00fcrde romatizma tek bir hastal\u0131k de\u011fildir. Eklemleri, kaslar\u0131 ve ba\u011f dokular\u0131n\u0131 tutan; ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin kendi dokular\u0131na sald\u0131rd\u0131\u011f\u0131 \u201cotoimm\u00fcn\u201d tablolardan, k\u0131k\u0131rdak y\u0131k\u0131m\u0131na dayal\u0131 \u201cdejeneratif\u201d (kire\u00e7lenme) s\u00fcre\u00e7lere kadar uzanan geni\u015f bir yelpazedir. Dr. Torun\u2019a g\u00f6re bu geni\u015f spektrum, romatizmay\u0131 t\u0131p d\u00fcnyas\u0131n\u0131n \u201cb\u00fcy\u00fck taklit\u00e7isi\u201d haline getirmektedir.<\/p>\n\n\n\n
Klinik pratikte romatizmal hastal\u0131klar en \u00e7ok \u015fu rahats\u0131zl\u0131klarla kar\u0131\u015ft\u0131r\u0131lmakta veya onlarla birlikte seyretmektedir:<\/p>\n\n\n\n
\u2022 Mekanik ve N\u00f6rolojik Sorunlar:<\/strong> Bel\/boyun f\u0131t\u0131\u011f\u0131 ve fibromiyalji (yumu\u015fak doku romatizmas\u0131).<\/p>\n\n\n\n \u2022 Enfeksiyonlar ve Metabolik Hastal\u0131klar:<\/strong> Brusella, Hepatit, tiroid bozukluklar\u0131 ve diyabet.<\/p>\n\n\n\n \u2022 Onkolojik Tablolar:<\/strong> Bazen nedeni a\u00e7\u0131klanamayan semptomlar y\u00fcz\u00fcnden kanser \u015f\u00fcphesi.<\/p>\n\n\n\n Dr. Torun, romatoloji kliniklerine yap\u0131lan sevklerin en b\u00fcy\u00fck nedenlerinden birinin, sebebi bulunamayan \u201cAkut Faz Reaktan\u0131\u201d y\u00fckseklikleri oldu\u011funu belirtiyor. Kanda iltihap d\u00fczeyini g\u00f6steren CRP (C-reaktif protein)<\/strong> ve ESH (Eritrosit sedimentasyon h\u0131z\u0131)<\/strong> gibi belirte\u00e7lerin kronik y\u00fcksekli\u011fi, altta yatan bir otoimm\u00fcn ba\u011f dokusu hastal\u0131\u011f\u0131n\u0131n veya vask\u00fclitin (damar iltihab\u0131) en net biyokimyasal sinyalidir.<\/p>\n\n\n\n Eklem a\u011fr\u0131s\u0131 ile romatizmal a\u011fr\u0131y\u0131 ay\u0131ran \u00e7ok net biyomekanik ve klinik farklar bulunmaktad\u0131r. Bir hastada romatoid artrit, ankilozan spondilit veya ps\u00f6riatik artrit gibi iltihapl\u0131 romatizma \u015f\u00fcphesi do\u011fmas\u0131 i\u00e7in \u015fu kriterler aran\u0131r:<\/p>\n\n\n\n \u2022 A\u011fr\u0131n\u0131n istirahat halindeyken artmas\u0131, hareket ettik\u00e7e (\u0131s\u0131nd\u0131k\u00e7a) hafiflemesi.<\/p>\n\n\n\n \u2022 Eklemlerde g\u00f6zle g\u00f6r\u00fcl\u00fcr \u015fi\u015flik, k\u0131zar\u0131kl\u0131k ve \u0131s\u0131 art\u0131\u015f\u0131.<\/p>\n\n\n\n \u2022 Sabah uyan\u0131ld\u0131\u011f\u0131nda yar\u0131m saatten uzun s\u00fcren \u201csabah tutuklu\u011fu\u201d (morning stiffness).<\/p>\n\n\n\n Ate\u015f ve Kilo Kayb\u0131na Dikkat:<\/strong> Eklem a\u011fr\u0131s\u0131 olmasa dahi; nedeni a\u00e7\u0131klanamayan ate\u015f, ciddi kilo kayb\u0131, gece terlemesi ve i\u015ftahs\u0131zl\u0131k gibi (kanser veya enfeksiyon d\u0131\u015fland\u0131ktan sonra devam eden) belirtiler; Sistemik Lupus Eritematozus (SLE), Eri\u015fkin Ba\u015flang\u0131\u00e7l\u0131 Still Hastal\u0131\u011f\u0131 (AOSD) veya damar iltihab\u0131 (Vask\u00fclit) gibi a\u011f\u0131r romatizmal tablolar\u0131n habercisi olabilir.<\/p>\n\n\n\n Sadece tahlil sonucuna bakarak romatizma tan\u0131s\u0131 konulamayaca\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen uzmanlar, \u00f6zellikle 40-50 ya\u015f sonras\u0131 sa\u011fl\u0131kl\u0131 bireylerde \u201cRomatoid Fakt\u00f6r\u201d gibi testlerin ya\u015fa ba\u011fl\u0131 pozitif \u00e7\u0131kabilece\u011fini belirtiyor. Te\u015fhis alan hastalar\u0131n ya\u015fam kalitesini korumas\u0131 i\u00e7in ise kesin kurallar mevcut:<\/p>\n\n\n\n \u2022 Dejeneratif Romatizma (Kire\u00e7lenme\/Osteoartrit):<\/strong> Eklemlere binen mekanik y\u00fck\u00fc azaltmak i\u00e7in kilo kontrol\u00fc \u015fartt\u0131r. D\u00fczenli y\u00fcr\u00fcy\u00fc\u015f, y\u00fczme ve \u201ckapl\u0131ca tedavileri\u201d (s\u0131cak su) bu gruptaki hastalar\u0131 rahatlat\u0131r.<\/p>\n\n\n\n \u2022 \u0130ltihapl\u0131 Romatizma (Romatoid Artrit, Ankilozan Spondilit):<\/strong> Omurga post\u00fcr\u00fcn\u00fc korumak i\u00e7in y\u00fczme elzemdir. Ancak bu hastalar kapl\u0131cadan (s\u0131cak, iltihab\u0131 alevlendirir) kesinlikle uzak durmal\u0131<\/strong> ve a\u015f\u0131r\u0131 g\u00fcne\u015fe \u00e7\u0131kmamal\u0131d\u0131r.<\/p>\n\n\n\n \u2022 Lupus (SLE) ve Dermatomiyozit:<\/strong> G\u00fcne\u015f \u0131\u015f\u0131nlar\u0131 hastal\u0131\u011f\u0131 \u015fiddetle tetikler. Y\u00fcksek fakt\u00f6rl\u00fc g\u00fcne\u015f kremi zorunludur. Kad\u0131n hastalar gebelik veya hormon ilac\u0131 kullan\u0131m\u0131 \u00f6ncesi kesinlikle romatolog onay\u0131 almal\u0131d\u0131r.<\/p>\n\n\n\n \u2022 Sekonder Raynaud Fenomeni:<\/strong> So\u011fuk ve stresle tetiklenen, uzuv u\u00e7lar\u0131ndaki damarlar\u0131n daralmas\u0131 (kan ak\u0131\u015f\u0131 k\u0131s\u0131tlanmas\u0131) durumudur. Bu hastalar so\u011fuk su kullan\u0131m\u0131n\u0131 s\u0131n\u0131rlamal\u0131 ve eldivensiz d\u0131\u015far\u0131 \u00e7\u0131kmamal\u0131d\u0131r.<\/p>\n\n\n\n \u2022 \u0130mm\u00fcnosupresif (Ba\u011f\u0131\u015f\u0131kl\u0131k Bask\u0131lay\u0131c\u0131) \u0130la\u00e7 Kullan\u0131m\u0131:<\/strong> Bu ila\u00e7lar\u0131 kullanan t\u00fcm romatizma hastalar\u0131, di\u015f tedavisi veya herhangi bir cerrahi i\u015flem \u00f6ncesi a\u011f\u0131r enfeksiyon riskine kar\u015f\u0131 mutlaka romatologlar\u0131ndan onay almal\u0131d\u0131r.<\/p>\n\n\n\n Edit\u00f6r Notu: Bu i\u00e7erik, toplumu bilgilendirme amac\u0131yla akademik bir \u00e7al\u0131\u015fma kapsam\u0131nda yeniden derlenmi\u015ftir.<\/p>\n\n\n\nHer A\u011fr\u0131 Romatizma De\u011fildir: \u201c\u0130nflamatuar A\u011fr\u0131\u201d Kriteri<\/strong><\/h3>\n\n\n\n
Yanl\u0131\u015f Pozitiflik Tuza\u011f\u0131 ve Ya\u015fam Tarz\u0131 Re\u00e7etesi<\/strong><\/h3>\n\n\n\n
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