{"id":1395,"date":"2017-05-04T11:21:50","date_gmt":"2017-05-04T08:21:50","guid":{"rendered":"http:\/\/www.bulentsekerel.com\/?page_id=1395"},"modified":"2017-05-04T11:22:23","modified_gmt":"2017-05-04T08:22:23","slug":"atopik-dermatit","status":"publish","type":"page","link":"https:\/\/bulentsekerel.com\/index.php\/atopik-dermatit\/","title":{"rendered":"Atopik Dermatit"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-7deb5ac993aa6f712da6843f147d896b\">\n#top .av-special-heading.av-av_heading-7deb5ac993aa6f712da6843f147d896b{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-7deb5ac993aa6f712da6843f147d896b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-7deb5ac993aa6f712da6843f147d896b .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-7deb5ac993aa6f712da6843f147d896b av-special-heading-h1  avia-builder-el-0  el_before_av_textblock  avia-builder-el-first '><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >Atopik Dermatit<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-av_textblock-0366cc7376be6c9e82a3e9cc8987b64f'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Atopik dermatit ve alerji:\u00a0<\/strong>Atopik dermatit bir alerjik hastal\u0131k olmas\u0131na kar\u015f\u0131n atopik dermatitli her \u00e7ocukta alerjik duyarl\u0131l\u0131k saptanmaz.\u00a0Alerjik duyarl\u0131l\u0131\u011fa en \u00e7ok orta ve a\u011f\u0131r \u015fiddetteki atopik dermatitli \u00e7ocuklarda rastlan\u0131r ( yakla\u015f\u0131k %50). Bu sebeple hafif atopik dermatitli \u00e7ocuklar\u0131n alerjen duyarl\u0131l\u0131\u011f\u0131 y\u00f6n\u00fcnden de\u011ferlendirmek \u015fart de\u011filse de hastal\u0131k \u015fiddeti artt\u0131k\u00e7a alerjiye rastlama olas\u0131l\u0131\u011f\u0131 artt\u0131\u011f\u0131ndan alerjik de\u011ferlendirme yapmak daha fazla \u00f6nem ta\u015f\u0131r. En s\u0131k rastlanan alerjiler besin alerjileridir. Bunlar\u0131 ba\u015fta ev tozu akar\u0131 olmak \u00fczere hayvan ve polen alerjileri izler.<\/p>\n<p><strong>Alevlendiren nedenler:\u00a0<\/strong>Deri lezyonlar\u0131n\u0131 artt\u0131ran nedenlerin ba\u015f\u0131nda alerjik olan madde ile kar\u015f\u0131la\u015fma, derinin irritasyonu, cilt kurulu\u011fu, deri enfeksiyonlar\u0131, mevsimsel\/\u00e7evresel \u00f6zellikler ve stresin neden oldu\u011fu ka\u015f\u0131nt\u0131 gelir.\u00a0Stres eri\u015fkin hastalarda \u00f6n plandad\u0131r ve stresten ka\u00e7\u0131nmak deyince \u00e7ocu\u011fa olmad\u0131k \u00f6d\u00fcnler verilmesi anla\u015f\u0131lmamal\u0131d\u0131r. \u00d6zet olarak\u00a0\u00e7ocukluk \u00e7a\u011f\u0131 atopik dermatit tedavisinin kritik basamaklar\u0131n\u0131 \u015funlar olu\u015fturur: Alerjik duyarl\u0131l\u0131\u011f\u0131n saptanmas\u0131 ve alerjenin elimine edilmesi; Derinin nemlendirilmesi; Ka\u015f\u0131nt\u0131n\u0131n ve deri tahri\u015finin durdurulmas\u0131; Enfeksiyonun tedavi edilmesi veya \u00f6nlenmesi.<\/p>\n<p><strong>Tedavi:\u00a0<\/strong>Atopik dermatitte k\u00fcr sa\u011flayacak bir tedavi yoktur. Ancak tedavi hastal\u0131\u011f\u0131n olu\u015fturaca\u011f\u0131 sorunlar\u0131 ve mutsuzlu\u011fu b\u00fcy\u00fck oranda ortadan kald\u0131rabilir. Hastan\u0131n sa\u011fl\u0131kl\u0131 ki\u015filer kadar ya\u015fam kalitesine sahip olmas\u0131na olanak tan\u0131r. \u00d6nceden ifade edildi\u011fi \u00fczere hastalar\u0131n yakla\u015f\u0131k yar\u0131s\u0131nda lezyonlar kaybolurken geri kalan hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funda cilt lezyonlar\u0131 hastan\u0131n ya\u015f\u0131 b\u00fcy\u00fcd\u00fck\u00e7e azalmaktad\u0131r. Aileler bu bilgiyi her zaman ak\u0131lda tutmal\u0131 ve gelecek i\u00e7in umutlu olmal\u0131d\u0131rlar. Deneyimli hekimler hastal\u0131\u011f\u0131n \u00f6zelliklerine bakarak bu konuda olduk\u00e7a g\u00fcvenilir \u00f6ng\u00f6r\u00fclerde bulunabilirler.\u00a0Ekzamat\u00f6z lezyonlar\u0131 erken d\u00f6nemde uygun ila\u00e7lar ile bask\u0131lamak gerekir. Bu hem hasta hem de ailenin ya\u015fam kalitesinin geri kazan\u0131m\u0131 i\u00e7in \u00e7ok \u00f6nemlidir. Bu ama\u00e7la kortizon (glukokortikoid) ve kortizon i\u00e7ermeyen\u00a0(pimekrolimus ve takrolimus gibi) ila\u00e7lar kullan\u0131l\u0131r.<\/p>\n<p><em>Kortizon <\/em>\u00a0i\u00e7eren krem ve merhemler k\u0131sa s\u00fcre kullan\u0131p kesilmelidir. Bu ama\u00e7la hastan\u0131n ya\u015f\u0131na uygun en g\u00fcvenilir ila\u00e7lar\u0131n se\u00e7imi gerekir. Bu ila\u00e7lar\u0131n olas\u0131 yan etkileri aras\u0131nda deride incelme, deri alt\u0131 damar geni\u015flemeleri, \u00e7atlama ve t\u00fcylenme say\u0131labilir. Ancak kortizonlu krem ve merhemlerin yan etkileri kullan\u0131lan ilac\u0131n g\u00fcc\u00fcne ve dozuna ba\u011fl\u0131d\u0131r. Kortizon yaln\u0131zca ekzeman\u0131n oldu\u011fu b\u00f6lgeye m\u00fcmk\u00fcn oldu\u011funca k\u0131sa s\u00fcreli olarak uygulamal\u0131d\u0131r.<\/p>\n<p>Ayr\u0131ca\u00a0ka\u015f\u0131nt\u0131y\u0131 ila\u00e7lar ile \u00f6nlemek ve durdurmak, derinin uygun nemlendirilmesi, duyarl\u0131l\u0131k bulunan\u00a0besin, akar, hayvan ve polen gibi alerjenlerden sak\u0131nmak; \u0131s\u0131 ve nemde ani de\u011fi\u015fikliklerden ka\u00e7\u0131nmak; terlemeyi \u00f6nlemek; deriyi tahri\u015f eden kal\u0131n ve sert giysilerden ka\u00e7\u0131narak daha \u00e7ok pamuk ve penyeli giyecekler kullanmak; \u00e7ama\u015f\u0131rlar\u0131 iyi durulamak ve \u00f6zel yumu\u015fat\u0131c\u0131lar kullanmak tedavide uygulanan di\u011fer basamaklard\u0131r.<\/p>\n<p><em>Takrolimus ve pimekrolimus<\/em>\u00a0gibi yeni ila\u00e7lar\u0131n kortizondan en \u00f6nemli farklar\u0131 kortizonun yan etkilerine yol a\u00e7mamalar\u0131d\u0131r. Ancak hem daha zay\u0131f etkilidirler hem de baz\u0131 hayvan modellerinde \u00e7ok y\u00fcksek dozlarda kanser riskini artt\u0131rd\u0131\u011f\u0131ndan yo\u011fun g\u00fcne\u015f g\u00f6ren b\u00f6lgelere uygulanmamalar\u0131 gerekir. Ayr\u0131ca ilk piyasaya \u00e7\u0131kt\u0131klar\u0131nda 6 aydan sonra kullan\u0131labilecekleri ifade edilmi\u015fse de \u00fcretici firma daha sonra bunun 2 ya\u015f \u00fcst\u00fc lacak \u015feklde de\u011fi\u015ftirmi\u015ftir.<\/p>\n<p><strong>Do\u011fal Seyri:<\/strong>\u00a0Atopik dermatit, hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funda 5 ya\u015f alt\u0131nda ba\u015flar. Atopik dermatit geli\u015fen bebeklerin yakla\u015f\u0131k yar\u0131s\u0131nda ilerleyen y\u0131llarda atopik dermatit d\u00f6k\u00fcnt\u00fc ve bulgular\u0131 hemen hemen tamamen kaybolmaktad\u0131r. Geri kalan hastalar\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fcnde ise lezyonlar \u00f6nemli oranda azalmakla birlikte devam edebilmektedir. Deneyimli hekimler hastal\u0131\u011f\u0131n ba\u015flang\u0131\u00e7taki \u00f6zelliklerine bakarak bu konuda (gelecek hakk\u0131nda) olduk\u00e7a g\u00fcvenilir \u00f6ng\u00f6r\u00fclerde bulunabilirler. Ancak\u00a0atopik dermatitli \u00e7ocuklarda sa\u011fl\u0131kl\u0131 \u00e7ocuklar ile k\u0131yasland\u0131\u011f\u0131nda daha fazla oranda ast\u0131m, alerjik nezle ve besin alerjisi gibi di\u011fer alerjik hastal\u0131klara rastlan\u0131r. Bu nedenle bu hastalar\u0131n mutlaka di\u011fer alerjik hastal\u0131klar y\u00f6n\u00fcnden hem de\u011ferlendirilmesi hem de geli\u015fimi y\u00f6n\u00fcnden yak\u0131n izlemi gerekir.<\/p>\n<p><em>Dikkat: Bu yaz\u0131 Dr B\u00fclent \u015eekerel taraf\u0131ndan haz\u0131rlanm\u0131\u015f olup kaynak g\u00f6sterilmeden kullan\u0131lamaz.<\/em><\/p>\n<p><em>Dikkat: Burada \u00e7ocukluk \u00e7a\u011f\u0131n\u0131n bir alerjik hastal\u0131\u011f\u0131 hakk\u0131nda Dr.B\u00fclent \u015eekerel taraf\u0131ndan size yard\u0131mc\u0131 olaca\u011f\u0131na inan\u0131larak derlenmi\u015f baz\u0131 bilgiler yer almaktad\u0131r. Bu nedenle bu bilgilerin, hekim olmayanlar taraf\u0131ndan tedavi amac\u0131yla kullan\u0131lmamalar\u0131 gerekir. L\u00fctfen daha ayr\u0131nt\u0131l\u0131 bilgi i\u00e7in hekiminize ba\u015fvurunuz.<\/em><\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Atopik Dermatit - Prof. Dr. B\u00fclent Enis \u015eekerel<\/title>\n<meta name=\"description\" content=\"Prof. Dr. B\u00fclent Enis \u015eekerel&#039;in haz\u0131rlad\u0131\u011f\u0131, &quot;atopik dermatit&quot; ile ilgili yaz\u0131\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bulentsekerel.com\/index.php\/atopik-dermatit\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Atopik Dermatit - Prof. Dr. B\u00fclent Enis \u015eekerel\" \/>\n<meta property=\"og:description\" content=\"Prof. Dr. B\u00fclent Enis \u015eekerel&#039;in haz\u0131rlad\u0131\u011f\u0131, &quot;atopik dermatit&quot; 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