{"id":21837,"date":"2020-01-13T14:49:10","date_gmt":"2020-01-13T14:49:10","guid":{"rendered":"https:\/\/www.kaskaloglu.com\/glokom-goz-tansiyonu\/"},"modified":"2026-09-27T18:20:59","modified_gmt":"2026-09-27T15:20:59","slug":"glokom-goz-tansiyonu","status":"publish","type":"page","link":"https:\/\/www.kaskaloglu.com\/de\/glokom-goz-tansiyonu\/","title":{"rendered":"Glokom – G\u00f6z Tansiyonu"},"content":{"rendered":"\t\t
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Glokom – G\u00f6z Tansiyonu Cerrahisi<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Ka\u015fkalo\u011flu \u0130zmir G\u00f6z Hastanesi<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Glokom – G\u00f6z Tansiyonu<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Glokom (G\u00f6z Tansiyonu) Nedir?<\/h1>

Glokom, halk aras\u0131nda g\u00f6z tansiyonu<\/strong> olarak bilinen, g\u00f6rme sinirinde kal\u0131c\u0131 hasara yol a\u00e7abilen kronik bir g\u00f6z hastal\u0131\u011f\u0131d\u0131r. Tedavi edilmedi\u011finde g\u00f6rme alan\u0131 giderek daral\u0131r ve ileri evrelerde kal\u0131c\u0131 g\u00f6rme kayb\u0131na, hatta k\u00f6rl\u00fc\u011fe neden olabilir.<\/p>

En \u00f6nemli \u00f6zelli\u011fi ise hastal\u0131\u011f\u0131n uzun y\u0131llar hi\u00e7bir belirti vermeden ilerleyebilmesidir. Bu nedenle glokom, d\u00fcnyada „sessiz g\u00f6rme h\u0131rs\u0131z\u0131“ (Silent Thief of Sight)<\/strong> olarak tan\u0131mlanmaktad\u0131r.<\/p>

G\u00fcn\u00fcm\u00fczde glokom tamamen ortadan kald\u0131r\u0131labilen bir hastal\u0131k de\u011fildir. Ancak erken tan\u0131, d\u00fczenli takip ve uygun tedavi ile hastal\u0131\u011f\u0131n ilerlemesi b\u00fcy\u00fck \u00f6l\u00e7\u00fcde durdurulabilir ve hastalar\u0131n ya\u015fam boyu g\u00f6rmeleri korunabilir.<\/p>

G\u00f6z Tansiyonu ile Glokom Ayn\u0131 \u015eey midir?<\/h2>

Hay\u0131r.<\/p>

Bu iki kavram s\u0131k\u00e7a birbirine kar\u0131\u015ft\u0131r\u0131l\u0131r.<\/p>

G\u00f6z tansiyonu<\/strong>, g\u00f6z i\u00e7indeki s\u0131v\u0131n\u0131n olu\u015fturdu\u011fu bas\u0131nc\u0131 ifade eder.<\/p>

Glokom<\/strong> ise bu bas\u0131nc\u0131n veya ba\u015fka nedenlerin g\u00f6rme sinirine zarar vermesi sonucu ortaya \u00e7\u0131kan bir hastal\u0131kt\u0131r.<\/p>

Yani;<\/p>

  • G\u00f6z tansiyonu y\u00fcksek olup glokom olmayan ki\u015filer bulunabilir.<\/p><\/li>

  • G\u00f6z tansiyonu normal olmas\u0131na ra\u011fmen glokom geli\u015fen hastalar da vard\u0131r.<\/p><\/li><\/ul>

    Bu nedenle yaln\u0131zca g\u00f6z tansiyonunun \u00f6l\u00e7\u00fclmesi glokom tan\u0131s\u0131 koymak i\u00e7in yeterli de\u011fildir.<\/p>

    Glokom Nas\u0131l Olu\u015fur?<\/h2>

    G\u00f6z\u00fcn i\u00e7inde s\u00fcrekli olarak \u00fcretilen ve dola\u015fan saydam bir s\u0131v\u0131 bulunur. Bu s\u0131v\u0131 g\u00f6z\u00fcn beslenmesini sa\u011flar ve belirli kanallar arac\u0131l\u0131\u011f\u0131yla d\u0131\u015far\u0131 at\u0131l\u0131r.<\/p>

    Bu denge bozuldu\u011funda g\u00f6z i\u00e7i bas\u0131nc\u0131 y\u00fckselebilir.<\/p>

    Artan bas\u0131n\u00e7 zaman i\u00e7inde g\u00f6rme sinirine zarar verebilir.<\/p>

    Baz\u0131 hastalarda ise g\u00f6z i\u00e7i bas\u0131nc\u0131 normal olmas\u0131na ra\u011fmen g\u00f6rme siniri daha hassas oldu\u011fu i\u00e7in glokom geli\u015febilir.<\/p>

    Sonu\u00e7ta ortak nokta, g\u00f6rme sinirindeki hasard\u0131r.<\/p>

    G\u00f6rme Siniri Neden Bu Kadar \u00d6nemlidir?<\/h2>

    G\u00f6rme siniri, g\u00f6z ile beyin aras\u0131ndaki bilgi ta\u015f\u0131yan kablo gibidir.<\/p>

    Retinada olu\u015fan g\u00f6r\u00fcnt\u00fc, g\u00f6rme siniri arac\u0131l\u0131\u011f\u0131yla beyne iletilir ve g\u00f6rme ger\u00e7ekle\u015fir.<\/p>

    Glokomda hasar g\u00f6ren yap\u0131 i\u015fte bu sinirdir.<\/p>

    Ne yaz\u0131k ki g\u00f6rme sinirinde olu\u015fan hasar g\u00fcn\u00fcm\u00fczde geri d\u00f6nd\u00fcr\u00fclememektedir.<\/p>

    Bu nedenle glokom tedavisinin amac\u0131 kaybedilen g\u00f6rmeyi geri getirmek de\u011fil, mevcut g\u00f6rmeyi korumakt\u0131r.<\/strong><\/p>

    Glokom Kimlerde Daha S\u0131k G\u00f6r\u00fcl\u00fcr?<\/h2>

    Glokom her ya\u015fta g\u00f6r\u00fclebilir ancak baz\u0131 ki\u015filerde risk daha y\u00fcksektir.<\/p>

    Risk fakt\u00f6rleri \u015funlard\u0131r:<\/p>

    • 40 ya\u015f\u0131n \u00fczerinde olmak<\/p><\/li>

    • Ailede glokom bulunmas\u0131<\/p><\/li>

    • G\u00f6z tansiyonunun y\u00fcksek olmas\u0131<\/p><\/li>

    • Diyabet<\/p><\/li>

    • Y\u00fcksek miyopi<\/p><\/li>

    • Hipermetropi (\u00f6zellikle dar a\u00e7\u0131l\u0131 glokomda)<\/p><\/li>

    • Uzun s\u00fcre kortizon kullan\u0131m\u0131<\/p><\/li>

    • \u0130nce kornea yap\u0131s\u0131<\/p><\/li>

    • Daha \u00f6nce g\u00f6z travmas\u0131 ge\u00e7irmek<\/p><\/li>

    • Damar hastal\u0131klar\u0131<\/p><\/li><\/ul>

      Bu risk fakt\u00f6rlerinden bir veya birka\u00e7\u0131na sahip ki\u015filerin d\u00fczenli g\u00f6z muayenesi yapt\u0131rmalar\u0131 \u00f6nerilir.<\/p>

      Glokomun Belirtileri Nelerdir?<\/h2>

      Glokomun belirtileri hastal\u0131\u011f\u0131n tipine g\u00f6re de\u011fi\u015febilir.<\/p>

      A\u00e7\u0131k A\u00e7\u0131l\u0131 Glokom<\/h3>

      En s\u0131k g\u00f6r\u00fclen glokom t\u00fcr\u00fcd\u00fcr.<\/p>

      Erken d\u00f6nemde genellikle hi\u00e7bir belirti vermez.<\/p>

      Hastal\u0131k ilerledik\u00e7e;<\/p>

      • Yan g\u00f6rmede azalma<\/p><\/li>

      • G\u00f6rme alan\u0131nda daralma<\/p><\/li>

      • \u0130leri evrede t\u00fcnel \u015feklinde g\u00f6rme<\/p><\/li><\/ul>

        ortaya \u00e7\u0131kabilir.<\/p>

        Merkezi g\u00f6rme uzun s\u00fcre korunabildi\u011fi i\u00e7in bir\u00e7ok hasta hastal\u0131\u011f\u0131n\u0131 ge\u00e7 fark eder.<\/p>

        Akut Dar A\u00e7\u0131l\u0131 Glokom<\/h3>

        Bu durum g\u00f6z hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan acil m\u00fcdahale gerektirir.<\/p>

        Belirtileri \u015funlard\u0131r:<\/p>

        • Ani ba\u015flayan \u015fiddetli g\u00f6z a\u011fr\u0131s\u0131<\/p><\/li>

        • Bulan\u0131k g\u00f6rme<\/p><\/li>

        • I\u015f\u0131klar\u0131n etraf\u0131nda renkli halkalar g\u00f6rme<\/p><\/li>

        • Ba\u015f a\u011fr\u0131s\u0131<\/p><\/li>

        • Bulant\u0131 ve kusma<\/p><\/li>

        • G\u00f6zde k\u0131zar\u0131kl\u0131k<\/p><\/li><\/ul>

          Bu belirtiler geli\u015fti\u011finde zaman kaybetmeden g\u00f6z doktoruna ba\u015fvurulmal\u0131d\u0131r.<\/p>

          Glokom K\u00f6rl\u00fck Yapar m\u0131?<\/h2>

          Tedavi edilmeyen glokom, d\u00fcnyada \u00f6nlenebilir k\u00f6rl\u00fck nedenlerinin ba\u015f\u0131nda gelir.<\/p>

          Ancak g\u00fcn\u00fcm\u00fczde erken tan\u0131 ve d\u00fczenli tedavi sayesinde hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funda g\u00f6rme uzun y\u0131llar korunabilmektedir.<\/p>

          Bu nedenle glokomda en \u00f6nemli tedavi erken te\u015fhistir.<\/strong><\/p>

          Glokom Nas\u0131l Te\u015fhis Edilir?<\/h2>

          Glokom tan\u0131s\u0131 yaln\u0131zca g\u00f6z tansiyonu \u00f6l\u00e7\u00fclerek konulamaz.<\/p>

          Ayr\u0131nt\u0131l\u0131 bir glokom de\u011ferlendirmesinde genellikle \u015fu incelemeler yap\u0131l\u0131r:<\/p>

          • G\u00f6z tansiyonu \u00f6l\u00e7\u00fcm\u00fc (Tonometri)<\/p><\/li>

          • Kornea kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc (Pakimetri)<\/p><\/li>

          • G\u00f6rme sinirinin de\u011ferlendirilmesi<\/p><\/li>

          • OCT (Optik Koherens Tomografi)<\/p><\/li>

          • Bilgisayarl\u0131 g\u00f6rme alan\u0131 testi<\/p><\/li>

          • Gonyoskopi (G\u00f6z a\u00e7\u0131s\u0131n\u0131n de\u011ferlendirilmesi)<\/p><\/li><\/ul>

            Bu testler birlikte de\u011ferlendirilerek glokom tan\u0131s\u0131 konur ve hastal\u0131\u011f\u0131n evresi belirlenir.<\/p>

            Neden D\u00fczenli Kontrol Gereklidir?<\/h2>

            Glokom kronik ve \u00f6m\u00fcr boyu takip gerektiren bir hastal\u0131kt\u0131r.<\/p>

            Hastal\u0131\u011f\u0131n ilerleyip ilerlemedi\u011fi yaln\u0131zca g\u00f6z tansiyonuna bak\u0131larak anla\u015f\u0131lamaz.<\/p>

            Bu nedenle d\u00fczenli aral\u0131klarla;<\/p>

            • OCT,<\/p><\/li>

            • G\u00f6rme alan\u0131,<\/p><\/li>

            • G\u00f6z tansiyonu \u00f6l\u00e7\u00fcm\u00fc,<\/p><\/li>

            • G\u00f6rme siniri muayenesi<\/p><\/li><\/ul>

              tekrarlanmal\u0131d\u0131r.<\/p>

              Ama\u00e7, olu\u015fabilecek de\u011fi\u015fiklikleri hen\u00fcz hasta fark etmeden saptamak ve tedaviyi buna g\u00f6re d\u00fczenlemektir.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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              Glokom (G\u00f6z Tansiyonu) \u00c7e\u015fitleri<\/h1>

              Glokom tek bir hastal\u0131k de\u011fildir. G\u00f6rme sinirine zarar veren farkl\u0131 mekanizmalar sonucu ortaya \u00e7\u0131kan bir\u00e7ok glokom t\u00fcr\u00fc vard\u0131r. Tedavi plan\u0131, glokomun tipine, hastal\u0131\u011f\u0131n evresine, hastan\u0131n ya\u015f\u0131na ve g\u00f6z\u00fcn yap\u0131s\u0131na g\u00f6re de\u011fi\u015fir.<\/p>

              En s\u0131k g\u00f6r\u00fclen glokom \u00e7e\u015fitleri \u015funlard\u0131r.<\/p>

              Primer A\u00e7\u0131k A\u00e7\u0131l\u0131 Glokom<\/h1>

              Primer a\u00e7\u0131k a\u00e7\u0131l\u0131 glokom, en s\u0131k g\u00f6r\u00fclen glokom t\u00fcr\u00fcd\u00fcr ve t\u00fcm glokom hastalar\u0131n\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fcn\u00fc olu\u015fturur.<\/p>

              Bu hastal\u0131kta g\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131n d\u0131\u015far\u0131 ak\u0131\u015f\u0131n\u0131 sa\u011flayan kanallar zamanla yeterince \u00e7al\u0131\u015famaz. Sonu\u00e7 olarak g\u00f6z i\u00e7i bas\u0131nc\u0131 yava\u015f yava\u015f y\u00fckselir ve y\u0131llar i\u00e7inde g\u00f6rme sinirinde hasar olu\u015fur.<\/p>

              En \u00f6nemli \u00f6zelli\u011fi hastal\u0131\u011f\u0131n \u00e7ok yava\u015f ilerlemesi ve uzun s\u00fcre hi\u00e7bir belirti vermemesidir.<\/p>

              Hastalar \u00e7o\u011fu zaman;<\/p>

              • G\u00f6rmelerinin normal oldu\u011funu d\u00fc\u015f\u00fcn\u00fcr,<\/p><\/li>

              • A\u011fr\u0131 hissetmez,<\/p><\/li>

              • G\u00fcnl\u00fck ya\u015famlar\u0131na sorunsuz devam eder.<\/p><\/li><\/ul>

                Ancak hastal\u0131k ilerledik\u00e7e \u00f6nce \u00e7evresel (yan) g\u00f6rme kaybolur. Merkezi g\u00f6rme uzun s\u00fcre korundu\u011fu i\u00e7in glokom ileri evreye ula\u015f\u0131ncaya kadar fark edilmeyebilir.<\/p>

                Bu nedenle \u00f6zellikle 40 ya\u015f\u0131ndan sonra d\u00fczenli g\u00f6z muayenesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.<\/p>

                Dar A\u00e7\u0131l\u0131 Glokom<\/h1>

                Dar a\u00e7\u0131l\u0131 glokom, g\u00f6z\u00fcn s\u0131v\u0131 bo\u015falt\u0131m a\u00e7\u0131s\u0131n\u0131n anatomik olarak dar olmas\u0131 sonucu geli\u015fir.<\/p>

                Baz\u0131 ki\u015filerde bu a\u00e7\u0131 zamanla tamamen kapanabilir ve g\u00f6z i\u00e7i bas\u0131nc\u0131 \u00e7ok k\u0131sa s\u00fcrede tehlikeli seviyelere y\u00fckselebilir.<\/p>

                Bu durum akut a\u00e7\u0131 kapanmas\u0131 glokomu<\/strong> olarak adland\u0131r\u0131l\u0131r ve acil tedavi gerektirir.<\/p>

                Belirtileri \u015funlard\u0131r:<\/p>

                • \u015eiddetli g\u00f6z a\u011fr\u0131s\u0131<\/p><\/li>

                • Ani g\u00f6rme azalmas\u0131<\/p><\/li>

                • I\u015f\u0131klar\u0131n etraf\u0131nda renkli halkalar g\u00f6r\u00fclmesi<\/p><\/li>

                • Bulant\u0131 ve kusma<\/p><\/li>

                • Ba\u015f a\u011fr\u0131s\u0131<\/p><\/li>

                • G\u00f6zde k\u0131zar\u0131kl\u0131k<\/p><\/li><\/ul>

                  Tedavi gecikirse birka\u00e7 saat i\u00e7inde kal\u0131c\u0131 g\u00f6rme kayb\u0131 geli\u015febilir.<\/p>

                  Risk ta\u015f\u0131yan hastalarda lazer iridotomi ile akut glokom ata\u011f\u0131 olu\u015fmadan koruyucu tedavi uygulanabilir.<\/p>

                  Normal Bas\u0131n\u00e7l\u0131 Glokom<\/h1>

                  Baz\u0131 hastalarda g\u00f6z tansiyonu normal s\u0131n\u0131rlar i\u00e7inde olmas\u0131na ra\u011fmen g\u00f6rme sinirinde glokoma ba\u011fl\u0131 hasar geli\u015febilir.<\/p>

                  Bu tabloya normal bas\u0131n\u00e7l\u0131 glokom<\/strong> denir.<\/p>

                  Bu hastalarda;<\/p>

                  • G\u00f6rme siniri normal bas\u0131nca kar\u015f\u0131 daha hassas olabilir.<\/p><\/li>

                  • G\u00f6z sinirinin kan dola\u015f\u0131m\u0131 daha zay\u0131f olabilir.<\/p><\/li>

                  • Damar hastal\u0131klar\u0131 rol oynayabilir.<\/p><\/li><\/ul>

                    Tan\u0131 ancak ayr\u0131nt\u0131l\u0131 glokom muayenesi, OCT ve g\u00f6rme alan\u0131 testleri ile konulabilir.<\/p>

                    Bu nedenle yaln\u0131zca g\u00f6z tansiyonunun normal olmas\u0131 glokom olmad\u0131\u011f\u0131 anlam\u0131na gelmez.<\/p>

                    Ok\u00fcler Hipertansiyon<\/h1>

                    Ok\u00fcler hipertansiyon, g\u00f6z tansiyonunun normalden y\u00fcksek olmas\u0131na ra\u011fmen hen\u00fcz g\u00f6rme sinirinde hasar geli\u015fmemi\u015f olmas\u0131d\u0131r.<\/p>

                    Bu ki\u015filer glokom hastas\u0131 de\u011fildir.<\/p>

                    Ancak gelecekte glokom geli\u015fme riski normal topluma g\u00f6re daha y\u00fcksektir.<\/p>

                    Bu nedenle d\u00fczenli takip gerekir.<\/p>

                    Her ok\u00fcler hipertansiyon hastas\u0131n\u0131n ila\u00e7 kullanmas\u0131 gerekmez.<\/p>

                    Tedavi karar\u0131;<\/p>

                    • G\u00f6z tansiyonu d\u00fczeyi,<\/p><\/li>

                    • Kornea kal\u0131nl\u0131\u011f\u0131,<\/p><\/li>

                    • Ya\u015f,<\/p><\/li>

                    • Aile \u00f6yk\u00fcs\u00fc,<\/p><\/li>

                    • G\u00f6rme sinirinin durumu<\/p><\/li><\/ul>

                      de\u011ferlendirilerek verilir.<\/p>

                      Do\u011fumsal Glokom<\/h1>

                      Do\u011fumsal glokom, bebeklerde ve k\u00fc\u00e7\u00fck \u00e7ocuklarda g\u00f6r\u00fclen nadir ancak ciddi bir glokom t\u00fcr\u00fcd\u00fcr.<\/p>

                      G\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131n d\u0131\u015far\u0131 ak\u0131\u015f\u0131n\u0131 sa\u011flayan yap\u0131lar\u0131n do\u011fu\u015ftan yeterince geli\u015fmemesi sonucu olu\u015fur.<\/p>

                      Belirtileri aras\u0131nda:<\/p>

                      • S\u00fcrekli g\u00f6z ya\u015farmas\u0131<\/p><\/li>

                      • I\u015f\u0131ktan rahats\u0131z olma<\/p><\/li>

                      • G\u00f6z kapa\u011f\u0131n\u0131 a\u00e7amama<\/p><\/li>

                      • Korneada matla\u015fma<\/p><\/li>

                      • G\u00f6z\u00fcn normalden b\u00fcy\u00fck g\u00f6r\u00fcnmesi<\/p><\/li><\/ul>

                        yer alabilir.<\/p>

                        Erken tan\u0131 ve cerrahi tedavi g\u00f6rmenin korunmas\u0131 a\u00e7\u0131s\u0131ndan son derece \u00f6nemlidir.<\/p>

                        Sekonder (\u0130kincil) Glokom<\/h1>

                        Sekonder glokom, ba\u015fka bir g\u00f6z hastal\u0131\u011f\u0131 veya sistemik hastal\u0131k sonucu geli\u015fen glokomdur.<\/p>

                        Ba\u015fl\u0131ca nedenleri \u015funlard\u0131r:<\/p>

                        • G\u00f6z travmalar\u0131<\/p><\/li>

                        • \u00dcveit (g\u00f6z i\u00e7i iltihab\u0131)<\/p><\/li>

                        • Diyabetik g\u00f6z hastal\u0131klar\u0131<\/p><\/li>

                        • Retina damar t\u0131kan\u0131kl\u0131klar\u0131<\/p><\/li>

                        • Uzun s\u00fcreli kortizon kullan\u0131m\u0131<\/p><\/li>

                        • \u0130leri katarakt<\/p><\/li>

                        • G\u00f6z ameliyatlar\u0131 sonras\u0131 geli\u015fen komplikasyonlar<\/p><\/li>

                        • Ps\u00f6doeksfoliasyon sendromu<\/p><\/li>

                        • Pigment dispersiyon sendromu<\/p><\/li><\/ul>

                          Bu hastalarda yaln\u0131zca g\u00f6z tansiyonunu d\u00fc\u015f\u00fcrmek yeterli de\u011fildir. Altta yatan hastal\u0131\u011f\u0131n da tedavi edilmesi gerekir.<\/p>

                          \u00c7ocukluk \u00c7a\u011f\u0131 Glokomu<\/h1>

                          Her ne kadar nadir g\u00f6r\u00fclse de \u00e7ocukluk \u00e7a\u011f\u0131nda geli\u015fen glokom erken tan\u0131nmad\u0131\u011f\u0131nda kal\u0131c\u0131 g\u00f6rme kayb\u0131na neden olabilir.<\/p>

                          Bebeklerde;<\/p>

                          • S\u00fcrekli sulanma,<\/p><\/li>

                          • G\u00f6zleri ovu\u015fturma,<\/p><\/li>

                          • I\u015f\u0131\u011fa bakamama,<\/p><\/li>

                          • Kornean\u0131n b\u00fcy\u00fcmesi<\/p><\/li><\/ul>

                            gibi belirtiler mutlaka ciddiye al\u0131nmal\u0131d\u0131r.<\/p>

                            \u015e\u00fcpheli durumlarda \u00e7ocuk g\u00f6z hastal\u0131klar\u0131 konusunda deneyimli bir merkezde de\u011ferlendirme yap\u0131lmal\u0131d\u0131r.<\/p>

                            Hangi Glokom T\u00fcr\u00fc Sizde Var?<\/h1>

                            Glokom tedavisinde en \u00f6nemli ad\u0131m do\u011fru tan\u0131d\u0131r.<\/p>

                            \u00c7\u00fcnk\u00fc her glokom hastas\u0131n\u0131n tedavisi ayn\u0131 de\u011fildir.<\/p>

                            Baz\u0131 hastalarda yaln\u0131zca damla tedavisi yeterli olurken, baz\u0131 hastalarda lazer tedavisi, baz\u0131 hastalarda ise cerrahi m\u00fcdahale gerekebilir.<\/p>

                            Bu nedenle glokomun tipi; ayr\u0131nt\u0131l\u0131 g\u00f6z muayenesi, g\u00f6z tansiyonu \u00f6l\u00e7\u00fcm\u00fc, OCT, g\u00f6rme alan\u0131 testi ve gonyoskopi birlikte de\u011ferlendirilerek belirlenir.<\/p>

                            Sonu\u00e7<\/h1>

                            Glokomun bir\u00e7ok farkl\u0131 tipi vard\u0131r ve her biri farkl\u0131 \u015fekilde seyreder. En s\u0131k g\u00f6r\u00fclen a\u00e7\u0131k a\u00e7\u0131l\u0131 glokom y\u0131llarca belirti vermeden ilerlerken, dar a\u00e7\u0131l\u0131 glokom ani belirtilerle ortaya \u00e7\u0131kabilir ve acil tedavi gerektirir. Glokomun do\u011fru \u015fekilde s\u0131n\u0131fland\u0131r\u0131lmas\u0131, en uygun tedavi y\u00f6nteminin se\u00e7ilmesi ve g\u00f6rmenin korunmas\u0131 a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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                            Glokom (G\u00f6z Tansiyonu) Tedavisi<\/h1>

                            Glokom tedavisinin amac\u0131 kaybedilen g\u00f6rmeyi geri getirmek de\u011fil, mevcut g\u00f6rmeyi korumakt\u0131r.<\/strong> G\u00f6rme sinirinde olu\u015fan hasar g\u00fcn\u00fcm\u00fczde geri d\u00f6nd\u00fcr\u00fclememektedir. Bu nedenle erken tan\u0131 ve zaman\u0131nda tedavi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.<\/p>

                            Tedavi plan\u0131 her hasta i\u00e7in farkl\u0131d\u0131r. Glokomun tipi, hastal\u0131\u011f\u0131n evresi, hastan\u0131n ya\u015f\u0131, g\u00f6z i\u00e7i bas\u0131nc\u0131, g\u00f6rme sinirinin durumu ve ya\u015fam tarz\u0131 birlikte de\u011ferlendirilerek ki\u015fiye \u00f6zel bir tedavi program\u0131 olu\u015fturulur.<\/p>

                            G\u00fcn\u00fcm\u00fczde glokom tedavisinde ila\u00e7lar, lazer uygulamalar\u0131 ve cerrahi y\u00f6ntemler ba\u015far\u0131yla kullan\u0131lmaktad\u0131r.<\/p>

                            Glokom Damlalar\u0131 (\u0130la\u00e7 Tedavisi)<\/h1>

                            Glokom tedavisinde ilk se\u00e7enek \u00e7o\u011fu zaman g\u00f6z damlalar\u0131d\u0131r.<\/p>

                            Bu ila\u00e7lar;<\/p>

                            • G\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131n \u00fcretimini azalt\u0131r,<\/p><\/li>

                            • S\u0131v\u0131n\u0131n g\u00f6z d\u0131\u015f\u0131na ak\u0131\u015f\u0131n\u0131 art\u0131r\u0131r,<\/p><\/li>

                            • B\u00f6ylece g\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131 d\u00fc\u015f\u00fcr\u00fcr.<\/p><\/li><\/ul>

                              Tedavinin ba\u015far\u0131l\u0131 olabilmesi i\u00e7in damlalar\u0131n doktorun \u00f6nerdi\u011fi saatlerde ve d\u00fczenli olarak kullan\u0131lmas\u0131 gerekir.<\/strong><\/p>

                              Glokom damlalar\u0131 yaln\u0131zca kullan\u0131ld\u0131klar\u0131 s\u00fcrece etkilidir. Hastal\u0131k belirti vermese bile tedavinin aksat\u0131lmamas\u0131 gerekir.<\/p>

                              Baz\u0131 hastalarda tek damla yeterli olurken, baz\u0131 hastalarda birden fazla ila\u00e7 kombinasyonu gerekebilir.<\/p>

                              Glokom Tedavisinde Lazer Uygulamalar\u0131<\/h1>

                              Son y\u0131llarda lazer tedavileri glokom tedavisinde giderek daha \u00f6nemli hale gelmi\u015ftir.<\/p>

                              Baz\u0131 hastalarda damla tedavisine ba\u015flamadan \u00f6nce, baz\u0131 hastalarda ise damlalara ek olarak uygulanabilir.<\/p>

                              Lazer tedavileri poliklinik \u015fartlar\u0131nda ger\u00e7ekle\u015ftirilir ve genellikle hastanede yat\u0131\u015f gerektirmez.<\/p>

                              Selektif Lazer Trabek\u00fcloplasti (SLT)<\/h1>

                              SLT, a\u00e7\u0131k a\u00e7\u0131l\u0131 glokom tedavisinde en s\u0131k uygulanan lazer y\u00f6ntemlerinden biridir.<\/p>

                              Bu i\u015flemde g\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131n d\u0131\u015far\u0131 ak\u0131\u015f\u0131n\u0131 sa\u011flayan do\u011fal drenaj sistemi lazer ile uyar\u0131l\u0131r ve s\u0131v\u0131n\u0131n daha kolay d\u0131\u015far\u0131 \u00e7\u0131kmas\u0131 ama\u00e7lan\u0131r.<\/p>

                              SLT’nin avantajlar\u0131:<\/p>

                              • A\u011fr\u0131s\u0131zd\u0131r.<\/p><\/li>

                              • \u0130\u015flem birka\u00e7 dakika s\u00fcrer.<\/p><\/li>

                              • Diki\u015f gerektirmez.<\/p><\/li>

                              • G\u00fcnl\u00fck ya\u015fama h\u0131zl\u0131 d\u00f6n\u00fc\u015f sa\u011flan\u0131r.<\/p><\/li>

                              • Gerekti\u011finde tekrar uygulanabilir.<\/p><\/li>

                              • Baz\u0131 hastalarda damla ihtiyac\u0131n\u0131 azaltabilir.<\/p><\/li><\/ul>

                                SLT her glokom hastas\u0131 i\u00e7in uygun de\u011fildir. Hangi hastalar\u0131n fayda g\u00f6rece\u011fi ayr\u0131nt\u0131l\u0131 muayene sonras\u0131nda belirlenir.<\/p>

                                MicroPulse\u00ae Transscleral Laser Therapy (TLT)<\/h1>

                                MicroPulse TLT, \u00f6zellikle ila\u00e7larla yeterince kontrol alt\u0131na al\u0131namayan veya cerrahi gerektiren baz\u0131 glokom hastalar\u0131nda uygulanabilen modern bir lazer tedavisidir.<\/p>

                                Bu y\u00f6ntemde lazer enerjisi g\u00f6z\u00fcn s\u0131v\u0131 \u00fcreten dokusuna kontroll\u00fc ve aral\u0131kl\u0131 (mikropuls) \u015fekilde uygulan\u0131r. Ama\u00e7 g\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131 d\u00fc\u015f\u00fcr\u00fcrken \u00e7evre dokulara verilen \u0131s\u0131 hasar\u0131n\u0131 en aza indirmektir.<\/p>

                                MicroPulse TLT’nin avantajlar\u0131:<\/p>

                                • G\u00f6z a\u00e7\u0131lmadan uygulan\u0131r.<\/p><\/li>

                                • Diki\u015f gerektirmez.<\/p><\/li>

                                • \u0130yile\u015fme s\u00fcresi genellikle k\u0131sad\u0131r.<\/p><\/li>

                                • Gerekti\u011finde tekrarlanabilir.<\/p><\/li>

                                • Baz\u0131 hastalarda cerrahiyi geciktirebilir veya cerrahiye alternatif olabilir.<\/p><\/li><\/ul>

                                  Bu y\u00f6ntem her glokom hastas\u0131 i\u00e7in uygun de\u011fildir ve tedavi karar\u0131 g\u00f6z\u00fcn durumuna g\u00f6re verilir.<\/p>

                                  Endoskopik Siklofotokoag\u00fclasyon (ECP)<\/h1>

                                  Endoskopik Siklofotokoag\u00fclasyon (ECP), g\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131 \u00fcreten siliyer cisim dokusuna do\u011frudan endoskop yard\u0131m\u0131yla lazer uygulanmas\u0131 esas\u0131na dayan\u0131r.<\/p>

                                  Bu y\u00f6ntem sayesinde s\u0131v\u0131 \u00fcretimi azalt\u0131larak g\u00f6z i\u00e7i bas\u0131nc\u0131 d\u00fc\u015f\u00fcr\u00fclebilir.<\/p>

                                  ECP;<\/p>

                                  • Katarakt ameliyat\u0131 ile ayn\u0131 seansta uygulanabilir.<\/p><\/li>

                                  • Baz\u0131 glokom hastalar\u0131nda ek bir tedavi se\u00e7ene\u011fi olabilir.<\/p><\/li>

                                  • Se\u00e7ilmi\u015f hastalarda ila\u00e7 ihtiyac\u0131n\u0131 azaltabilir.<\/p><\/li><\/ul>

                                    Hangi hastalar\u0131n bu tedaviden fayda g\u00f6rece\u011fi ayr\u0131nt\u0131l\u0131 muayene sonras\u0131nda belirlenir.<\/p>

                                    Glokom Ameliyat\u0131 Ne Zaman Gerekir?<\/h1>

                                    Her glokom hastas\u0131n\u0131n ameliyat olmas\u0131 gerekmez.<\/p>

                                    Ancak;<\/p>

                                    • \u0130la\u00e7larla g\u00f6z tansiyonu kontrol alt\u0131na al\u0131nam\u0131yorsa,<\/p><\/li>

                                    • G\u00f6rme siniri hasar\u0131 ilerliyorsa,<\/p><\/li>

                                    • Lazer tedavileri yeterli olmuyorsa,<\/p><\/li>

                                    • Hastal\u0131k h\u0131zla ilerliyorsa,<\/p><\/li><\/ul>

                                      cerrahi tedavi \u00f6nerilebilir.<\/p>

                                      Ameliyat karar\u0131 tamamen hastan\u0131n klinik durumuna g\u00f6re verilir.<\/p>

                                      Trabek\u00fclektomi<\/h1>

                                      Trabek\u00fclektomi, uzun y\u0131llard\u0131r uygulanan ve en ba\u015far\u0131l\u0131 glokom ameliyatlar\u0131ndan biridir.<\/p>

                                      Bu ameliyatta g\u00f6z i\u00e7indeki s\u0131v\u0131n\u0131n d\u0131\u015far\u0131 \u00e7\u0131kabilece\u011fi yeni bir drenaj yolu olu\u015fturulur.<\/p>

                                      B\u00f6ylece g\u00f6z i\u00e7i bas\u0131nc\u0131 kal\u0131c\u0131 olarak d\u00fc\u015f\u00fcr\u00fclmeye \u00e7al\u0131\u015f\u0131l\u0131r.<\/p>

                                      Baz\u0131 hastalarda ameliyat sonras\u0131nda da damla kullan\u0131m\u0131 gerekebilir.<\/p>

                                      Glokom Drenaj \u0130mplantlar\u0131 (T\u00fcp Ameliyatlar\u0131)<\/h1>

                                      Baz\u0131 ileri glokom hastalar\u0131nda veya daha \u00f6nce ba\u015far\u0131s\u0131z cerrahi ge\u00e7iren ki\u015filerde g\u00f6z i\u00e7ine \u00f6zel t\u00fcp implantlar\u0131 yerle\u015ftirilebilir.<\/p>

                                      Bu implantlar g\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131 kontroll\u00fc \u015fekilde d\u0131\u015far\u0131 aktararak g\u00f6z tansiyonunun d\u00fc\u015fmesine yard\u0131mc\u0131 olur.<\/p>

                                      En s\u0131k kullan\u0131lan t\u00fcp implantlar\u0131 aras\u0131nda Ahmed ve Baerveldt implantlar\u0131 bulunmaktad\u0131r.<\/p>

                                      Minimal \u0130nvaziv Glokom Cerrahisi (MIGS)<\/h1>

                                      Son y\u0131llarda geli\u015ftirilen Minimal \u0130nvaziv Glokom Cerrahisi (MIGS), se\u00e7ilmi\u015f glokom hastalar\u0131nda uygulanabilen daha k\u00fc\u00e7\u00fck giri\u015fimli cerrahi y\u00f6ntemleri kapsar.<\/p>

                                      Bu tekniklerde ama\u00e7;<\/p>

                                      • Daha k\u00fc\u00e7\u00fck cerrahi giri\u015fimler yapmak,<\/p><\/li>

                                      • Daha h\u0131zl\u0131 iyile\u015fme sa\u011flamak,<\/p><\/li>

                                      • G\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131 d\u00fc\u015f\u00fcrmek,<\/p><\/li>

                                      • \u0130la\u00e7 ihtiyac\u0131n\u0131 azaltmakt\u0131r.<\/p><\/li><\/ul>

                                        MIGS y\u00f6ntemleri \u00f6zellikle hafif ve orta evre a\u00e7\u0131k a\u00e7\u0131l\u0131 glokom hastalar\u0131nda, bazen katarakt ameliyat\u0131 ile birlikte uygulanabilir.<\/p>

                                        Tedaviden Sonra Takip Neden \u00d6nemlidir?<\/h1>

                                        Glokom tedavisi \u00f6m\u00fcr boyu devam eden bir s\u00fcre\u00e7tir.<\/p>

                                        Ba\u015far\u0131l\u0131 bir tedavi i\u00e7in yaln\u0131zca g\u00f6z tansiyonunun \u00f6l\u00e7\u00fclmesi yeterli de\u011fildir.<\/p>

                                        Belirli aral\u0131klarla;<\/p>

                                        • OCT (Optik Koherens Tomografi),<\/p><\/li>

                                        • Bilgisayarl\u0131 g\u00f6rme alan\u0131,<\/p><\/li>

                                        • G\u00f6z tansiyonu \u00f6l\u00e7\u00fcm\u00fc,<\/p><\/li>

                                        • G\u00f6rme siniri de\u011ferlendirmesi<\/p><\/li><\/ul>

                                          tekrarlanmal\u0131d\u0131r.<\/p>

                                          Gerekirse tedavi plan\u0131 zaman i\u00e7inde yeniden d\u00fczenlenebilir.<\/p>

                                          Tedavi Edilmeyen Glokom Ne Olur?<\/h1>

                                          Glokom tedavi edilmezse g\u00f6rme sinirindeki hasar ilerlemeye devam eder.<\/p>

                                          \u00d6nce \u00e7evresel g\u00f6rme kaybolur.<\/p>

                                          Daha sonra merkezi g\u00f6rme etkilenebilir ve ileri evrelerde kal\u0131c\u0131 k\u00f6rl\u00fck geli\u015febilir.<\/p>

                                          Bu nedenle glokom tedavisinde ama\u00e7, hastal\u0131\u011f\u0131n ilerlemesini m\u00fcmk\u00fcn oldu\u011funca erken durdurmakt\u0131r.<\/p>

                                          S\u0131k Sorulan Sorular<\/strong><\/p>

                                          • G\u00f6z tansiyonu ka\u00e7 olmal\u0131?
                                            • Tek bir g\u00f6z tansiyonu de\u011feri herkes i\u00e7in g\u00fcvenli kabul edilemez. Y\u00fcksek bas\u0131nc\u0131 olup glokomu olmayan ki\u015filer de, \u00f6l\u00e7\u00fcm\u00fc normal aral\u0131kta oldu\u011fu h\u00e2lde glokomu bulunan ki\u015filer de vard\u0131r. Sonu\u00e7, g\u00f6rme siniri ve di\u011fer testlerle birlikte de\u011ferlendirilir.<\/li><\/ul><\/li>
                                            • Glokom tamamen iyile\u015fir mi?
                                              • Te\u015fhis do\u011fruysa hayat boyu tedavi \u00a0ve kontrol gerekir.<\/li><\/ul><\/li>
                                              • Glokom k\u00f6rl\u00fck yapar m\u0131?
                                                • Tedavi d\u00fczg\u00fcn yap\u0131lmay ise k\u00f6rl\u00fc\u011fe neden olur.<\/li><\/ul><\/li>
                                                • Glokom kal\u0131tsal m\u0131d\u0131r?
                                                  • Kal\u0131tsal fakt\u00f6rler \u00a0vard\u0131r.<\/li><\/ul><\/li>
                                                  • G\u00f6z damlas\u0131n\u0131 \u00f6m\u00fcr boyu kullanacak m\u0131y\u0131m?
                                                    • Damla veya di\u011fer tedaviler s\u00fcreklidir.<\/li><\/ul><\/li>
                                                    • Glokom ameliyat\u0131 kesin \u00e7\u00f6z\u00fcm m\u00fcd\u00fcr?
                                                      • De\u011fildir.<\/li><\/ul><\/li>
                                                      • Glokom lazerle d\u00fczelir mi?
                                                        • SLT veya di\u011fer lazer tedavileri vard\u0131r<\/li><\/ul><\/li>
                                                        • Katarakt ameliyat\u0131 glokomu d\u00fczeltir mi?
                                                          • Katarakt ameliyat\u0131 genellikle glokomu olumlu etkiler ancak etkisi glokomun t\u00fcr\u00fcne ve g\u00f6z\u00fcn yap\u0131s\u0131na g\u00f6re de\u011fi\u015fir; glokom tedavisinin yerine ge\u00e7mez<\/strong>.<\/li><\/ul><\/li><\/ul>
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                                                              Son G\u00fcncelleme 27 September 2026 Saat 18:20 p.m.<\/p>","protected":false},"excerpt":{"rendered":"

                                                              Ka\u015fkalo\u011flu \u0130zmir G\u00f6z Hastanesi Glokom (G\u00f6z Tansiyonu) Nedir? Glokom, halk aras\u0131nda g\u00f6z tansiyonu olarak bilinen, g\u00f6rme sinirinde kal\u0131c\u0131 hasara yol a\u00e7abilen kronik bir g\u00f6z hastal\u0131\u011f\u0131d\u0131r. Tedavi edilmedi\u011finde g\u00f6rme alan\u0131 giderek daral\u0131r ve ileri evrelerde kal\u0131c\u0131 g\u00f6rme kayb\u0131na, hatta k\u00f6rl\u00fc\u011fe neden olabilir. En \u00f6nemli \u00f6zelli\u011fi ise hastal\u0131\u011f\u0131n uzun y\u0131llar hi\u00e7bir belirti vermeden ilerleyebilmesidir. Bu nedenle glokom, d\u00fcnyada „sessiz g\u00f6rme h\u0131rs\u0131z\u0131“ (Silent Thief of Sight) olarak tan\u0131mlanmaktad\u0131r. G\u00fcn\u00fcm\u00fczde glokom tamamen ortadan kald\u0131r\u0131labilen bir hastal\u0131k de\u011fildir. Ancak erken tan\u0131, d\u00fczenli takip ve uygun tedavi ile hastal\u0131\u011f\u0131n ilerlemesi b\u00fcy\u00fck \u00f6l\u00e7\u00fcde durdurulabilir ve hastalar\u0131n ya\u015fam boyu g\u00f6rmeleri korunabilir. G\u00f6z Tansiyonu ile Glokom Ayn\u0131 \u015eey midir? Hay\u0131r. Bu iki kavram s\u0131k\u00e7a birbirine kar\u0131\u015ft\u0131r\u0131l\u0131r. G\u00f6z tansiyonu, g\u00f6z i\u00e7indeki s\u0131v\u0131n\u0131n olu\u015fturdu\u011fu bas\u0131nc\u0131 ifade eder. Glokom ise bu bas\u0131nc\u0131n veya ba\u015fka nedenlerin g\u00f6rme sinirine zarar vermesi sonucu ortaya \u00e7\u0131kan bir hastal\u0131kt\u0131r. Yani; G\u00f6z tansiyonu y\u00fcksek olup glokom olmayan ki\u015filer bulunabilir. G\u00f6z tansiyonu normal olmas\u0131na ra\u011fmen glokom geli\u015fen hastalar da vard\u0131r. Bu nedenle yaln\u0131zca g\u00f6z tansiyonunun \u00f6l\u00e7\u00fclmesi glokom tan\u0131s\u0131 koymak i\u00e7in yeterli de\u011fildir. Glokom Nas\u0131l Olu\u015fur? G\u00f6z\u00fcn i\u00e7inde s\u00fcrekli olarak \u00fcretilen ve dola\u015fan saydam bir s\u0131v\u0131 bulunur. Bu s\u0131v\u0131 g\u00f6z\u00fcn beslenmesini sa\u011flar ve belirli kanallar arac\u0131l\u0131\u011f\u0131yla d\u0131\u015far\u0131 at\u0131l\u0131r. Bu denge bozuldu\u011funda g\u00f6z i\u00e7i bas\u0131nc\u0131 y\u00fckselebilir. Artan bas\u0131n\u00e7 zaman i\u00e7inde g\u00f6rme sinirine zarar verebilir. Baz\u0131 hastalarda ise g\u00f6z i\u00e7i bas\u0131nc\u0131 normal olmas\u0131na ra\u011fmen g\u00f6rme siniri daha hassas oldu\u011fu i\u00e7in glokom geli\u015febilir. Sonu\u00e7ta ortak nokta, g\u00f6rme sinirindeki hasard\u0131r. G\u00f6rme Siniri Neden Bu Kadar \u00d6nemlidir? G\u00f6rme siniri, g\u00f6z ile beyin aras\u0131ndaki bilgi ta\u015f\u0131yan kablo gibidir. Retinada olu\u015fan g\u00f6r\u00fcnt\u00fc, g\u00f6rme siniri arac\u0131l\u0131\u011f\u0131yla beyne iletilir ve g\u00f6rme ger\u00e7ekle\u015fir. Glokomda hasar g\u00f6ren yap\u0131 i\u015fte bu sinirdir. Ne yaz\u0131k ki g\u00f6rme sinirinde olu\u015fan hasar g\u00fcn\u00fcm\u00fczde geri d\u00f6nd\u00fcr\u00fclememektedir. Bu nedenle glokom tedavisinin amac\u0131 kaybedilen g\u00f6rmeyi geri getirmek de\u011fil, mevcut g\u00f6rmeyi korumakt\u0131r. Glokom Kimlerde Daha S\u0131k G\u00f6r\u00fcl\u00fcr? Glokom her ya\u015fta g\u00f6r\u00fclebilir ancak baz\u0131 ki\u015filerde risk daha y\u00fcksektir. Risk fakt\u00f6rleri \u015funlard\u0131r: 40 ya\u015f\u0131n \u00fczerinde olmak Ailede glokom bulunmas\u0131 G\u00f6z tansiyonunun y\u00fcksek olmas\u0131 Diyabet Y\u00fcksek miyopi Hipermetropi (\u00f6zellikle dar a\u00e7\u0131l\u0131 glokomda) Uzun s\u00fcre kortizon kullan\u0131m\u0131 \u0130nce kornea yap\u0131s\u0131 Daha \u00f6nce g\u00f6z travmas\u0131 ge\u00e7irmek Damar hastal\u0131klar\u0131 Bu risk fakt\u00f6rlerinden bir veya birka\u00e7\u0131na sahip ki\u015filerin d\u00fczenli g\u00f6z muayenesi yapt\u0131rmalar\u0131 \u00f6nerilir. Glokomun Belirtileri Nelerdir? Glokomun belirtileri hastal\u0131\u011f\u0131n tipine g\u00f6re de\u011fi\u015febilir. A\u00e7\u0131k A\u00e7\u0131l\u0131 Glokom En s\u0131k g\u00f6r\u00fclen glokom t\u00fcr\u00fcd\u00fcr. Erken d\u00f6nemde genellikle hi\u00e7bir belirti vermez. Hastal\u0131k ilerledik\u00e7e; Yan g\u00f6rmede azalma G\u00f6rme alan\u0131nda daralma \u0130leri evrede t\u00fcnel \u015feklinde g\u00f6rme ortaya \u00e7\u0131kabilir. Merkezi g\u00f6rme uzun s\u00fcre korunabildi\u011fi i\u00e7in bir\u00e7ok hasta hastal\u0131\u011f\u0131n\u0131 ge\u00e7 fark eder. Akut Dar A\u00e7\u0131l\u0131 Glokom Bu durum g\u00f6z hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan acil m\u00fcdahale gerektirir. Belirtileri \u015funlard\u0131r: Ani ba\u015flayan \u015fiddetli g\u00f6z a\u011fr\u0131s\u0131 Bulan\u0131k g\u00f6rme I\u015f\u0131klar\u0131n etraf\u0131nda renkli halkalar g\u00f6rme Ba\u015f a\u011fr\u0131s\u0131 Bulant\u0131 ve kusma G\u00f6zde k\u0131zar\u0131kl\u0131k Bu belirtiler geli\u015fti\u011finde zaman kaybetmeden g\u00f6z doktoruna ba\u015fvurulmal\u0131d\u0131r. Glokom K\u00f6rl\u00fck Yapar m\u0131? Tedavi edilmeyen glokom, d\u00fcnyada \u00f6nlenebilir k\u00f6rl\u00fck nedenlerinin ba\u015f\u0131nda gelir. Ancak g\u00fcn\u00fcm\u00fczde erken tan\u0131 ve d\u00fczenli tedavi sayesinde hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011funda g\u00f6rme uzun y\u0131llar korunabilmektedir. Bu nedenle glokomda en \u00f6nemli tedavi erken te\u015fhistir. Glokom Nas\u0131l Te\u015fhis Edilir? Glokom tan\u0131s\u0131 yaln\u0131zca g\u00f6z tansiyonu \u00f6l\u00e7\u00fclerek konulamaz. Ayr\u0131nt\u0131l\u0131 bir glokom de\u011ferlendirmesinde genellikle \u015fu incelemeler yap\u0131l\u0131r: G\u00f6z tansiyonu \u00f6l\u00e7\u00fcm\u00fc (Tonometri) Kornea kal\u0131nl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc (Pakimetri) G\u00f6rme sinirinin de\u011ferlendirilmesi OCT (Optik Koherens Tomografi) Bilgisayarl\u0131 g\u00f6rme alan\u0131 testi Gonyoskopi (G\u00f6z a\u00e7\u0131s\u0131n\u0131n de\u011ferlendirilmesi) Bu testler birlikte de\u011ferlendirilerek glokom tan\u0131s\u0131 konur ve hastal\u0131\u011f\u0131n evresi belirlenir. Neden D\u00fczenli Kontrol Gereklidir? Glokom kronik ve \u00f6m\u00fcr boyu takip gerektiren bir hastal\u0131kt\u0131r. Hastal\u0131\u011f\u0131n ilerleyip ilerlemedi\u011fi yaln\u0131zca g\u00f6z tansiyonuna bak\u0131larak anla\u015f\u0131lamaz. Bu nedenle d\u00fczenli aral\u0131klarla; OCT, G\u00f6rme alan\u0131, G\u00f6z tansiyonu \u00f6l\u00e7\u00fcm\u00fc, G\u00f6rme siniri muayenesi tekrarlanmal\u0131d\u0131r. Ama\u00e7, olu\u015fabilecek de\u011fi\u015fiklikleri hen\u00fcz hasta fark etmeden saptamak ve tedaviyi buna g\u00f6re d\u00fczenlemektir. Glokom (G\u00f6z Tansiyonu) \u00c7e\u015fitleri Glokom tek bir hastal\u0131k de\u011fildir. G\u00f6rme sinirine zarar veren farkl\u0131 mekanizmalar sonucu ortaya \u00e7\u0131kan bir\u00e7ok glokom t\u00fcr\u00fc vard\u0131r. Tedavi plan\u0131, glokomun tipine, hastal\u0131\u011f\u0131n evresine, hastan\u0131n ya\u015f\u0131na ve g\u00f6z\u00fcn yap\u0131s\u0131na g\u00f6re de\u011fi\u015fir. En s\u0131k g\u00f6r\u00fclen glokom \u00e7e\u015fitleri \u015funlard\u0131r. Primer A\u00e7\u0131k A\u00e7\u0131l\u0131 Glokom Primer a\u00e7\u0131k a\u00e7\u0131l\u0131 glokom, en s\u0131k g\u00f6r\u00fclen glokom t\u00fcr\u00fcd\u00fcr ve t\u00fcm glokom hastalar\u0131n\u0131n b\u00fcy\u00fck b\u00f6l\u00fcm\u00fcn\u00fc olu\u015fturur. Bu hastal\u0131kta g\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131n d\u0131\u015far\u0131 ak\u0131\u015f\u0131n\u0131 sa\u011flayan kanallar zamanla yeterince \u00e7al\u0131\u015famaz. Sonu\u00e7 olarak g\u00f6z i\u00e7i bas\u0131nc\u0131 yava\u015f yava\u015f y\u00fckselir ve y\u0131llar i\u00e7inde g\u00f6rme sinirinde hasar olu\u015fur. En \u00f6nemli \u00f6zelli\u011fi hastal\u0131\u011f\u0131n \u00e7ok yava\u015f ilerlemesi ve uzun s\u00fcre hi\u00e7bir belirti vermemesidir. Hastalar \u00e7o\u011fu zaman; G\u00f6rmelerinin normal oldu\u011funu d\u00fc\u015f\u00fcn\u00fcr, A\u011fr\u0131 hissetmez, G\u00fcnl\u00fck ya\u015famlar\u0131na sorunsuz devam eder. Ancak hastal\u0131k ilerledik\u00e7e \u00f6nce \u00e7evresel (yan) g\u00f6rme kaybolur. Merkezi g\u00f6rme uzun s\u00fcre korundu\u011fu i\u00e7in glokom ileri evreye ula\u015f\u0131ncaya kadar fark edilmeyebilir. Bu nedenle \u00f6zellikle 40 ya\u015f\u0131ndan sonra d\u00fczenli g\u00f6z muayenesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r. Dar A\u00e7\u0131l\u0131 Glokom Dar a\u00e7\u0131l\u0131 glokom, g\u00f6z\u00fcn s\u0131v\u0131 bo\u015falt\u0131m a\u00e7\u0131s\u0131n\u0131n anatomik olarak dar olmas\u0131 sonucu geli\u015fir. Baz\u0131 ki\u015filerde bu a\u00e7\u0131 zamanla tamamen kapanabilir ve g\u00f6z i\u00e7i bas\u0131nc\u0131 \u00e7ok k\u0131sa s\u00fcrede tehlikeli seviyelere y\u00fckselebilir. Bu durum akut a\u00e7\u0131 kapanmas\u0131 glokomu olarak adland\u0131r\u0131l\u0131r ve acil tedavi gerektirir. Belirtileri \u015funlard\u0131r: \u015eiddetli g\u00f6z a\u011fr\u0131s\u0131 Ani g\u00f6rme azalmas\u0131 I\u015f\u0131klar\u0131n etraf\u0131nda renkli halkalar g\u00f6r\u00fclmesi Bulant\u0131 ve kusma Ba\u015f a\u011fr\u0131s\u0131 G\u00f6zde k\u0131zar\u0131kl\u0131k Tedavi gecikirse birka\u00e7 saat i\u00e7inde kal\u0131c\u0131 g\u00f6rme kayb\u0131 geli\u015febilir. Risk ta\u015f\u0131yan hastalarda lazer iridotomi ile akut glokom ata\u011f\u0131 olu\u015fmadan koruyucu tedavi uygulanabilir. Normal Bas\u0131n\u00e7l\u0131 Glokom Baz\u0131 hastalarda g\u00f6z tansiyonu normal s\u0131n\u0131rlar i\u00e7inde olmas\u0131na ra\u011fmen g\u00f6rme sinirinde glokoma ba\u011fl\u0131 hasar geli\u015febilir. Bu tabloya normal bas\u0131n\u00e7l\u0131 glokom denir. Bu hastalarda; G\u00f6rme siniri normal bas\u0131nca kar\u015f\u0131 daha hassas olabilir. G\u00f6z sinirinin kan dola\u015f\u0131m\u0131 daha zay\u0131f olabilir. Damar hastal\u0131klar\u0131 rol oynayabilir. Tan\u0131 ancak ayr\u0131nt\u0131l\u0131 glokom muayenesi, OCT ve g\u00f6rme alan\u0131 testleri ile konulabilir. Bu nedenle yaln\u0131zca g\u00f6z tansiyonunun normal olmas\u0131 glokom olmad\u0131\u011f\u0131 anlam\u0131na gelmez. Ok\u00fcler Hipertansiyon Ok\u00fcler hipertansiyon, g\u00f6z tansiyonunun normalden y\u00fcksek olmas\u0131na ra\u011fmen hen\u00fcz g\u00f6rme sinirinde hasar geli\u015fmemi\u015f olmas\u0131d\u0131r. Bu ki\u015filer glokom hastas\u0131 de\u011fildir. Ancak gelecekte glokom geli\u015fme riski normal topluma g\u00f6re daha y\u00fcksektir. Bu nedenle d\u00fczenli takip gerekir. Her ok\u00fcler hipertansiyon hastas\u0131n\u0131n ila\u00e7 kullanmas\u0131 gerekmez. Tedavi karar\u0131; G\u00f6z tansiyonu d\u00fczeyi, Kornea kal\u0131nl\u0131\u011f\u0131, Ya\u015f, Aile \u00f6yk\u00fcs\u00fc, G\u00f6rme sinirinin durumu de\u011ferlendirilerek verilir. Do\u011fumsal Glokom Do\u011fumsal glokom, bebeklerde ve k\u00fc\u00e7\u00fck \u00e7ocuklarda g\u00f6r\u00fclen nadir ancak ciddi bir glokom t\u00fcr\u00fcd\u00fcr. G\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131n d\u0131\u015far\u0131 ak\u0131\u015f\u0131n\u0131 sa\u011flayan yap\u0131lar\u0131n do\u011fu\u015ftan yeterince geli\u015fmemesi sonucu olu\u015fur. Belirtileri aras\u0131nda: S\u00fcrekli g\u00f6z ya\u015farmas\u0131 I\u015f\u0131ktan rahats\u0131z olma G\u00f6z kapa\u011f\u0131n\u0131 a\u00e7amama Korneada matla\u015fma G\u00f6z\u00fcn normalden b\u00fcy\u00fck g\u00f6r\u00fcnmesi yer alabilir. Erken tan\u0131 ve cerrahi tedavi g\u00f6rmenin korunmas\u0131 a\u00e7\u0131s\u0131ndan son derece \u00f6nemlidir. Sekonder (\u0130kincil) Glokom Sekonder glokom, ba\u015fka<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-21837","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.kaskaloglu.com\/de\/wp-json\/wp\/v2\/pages\/21837","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kaskaloglu.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kaskaloglu.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kaskaloglu.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kaskaloglu.com\/de\/wp-json\/wp\/v2\/comments?post=21837"}],"version-history":[{"count":24,"href":"https:\/\/www.kaskaloglu.com\/de\/wp-json\/wp\/v2\/pages\/21837\/revisions"}],"predecessor-version":[{"id":27136,"href":"https:\/\/www.kaskaloglu.com\/de\/wp-json\/wp\/v2\/pages\/21837\/revisions\/27136"}],"wp:attachment":[{"href":"https:\/\/www.kaskaloglu.com\/de\/wp-json\/wp\/v2\/media?parent=21837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}