{"id":21832,"date":"2020-01-13T13:58:49","date_gmt":"2020-01-13T13:58:49","guid":{"rendered":"https:\/\/www.kaskaloglu.com\/sari-nokta-hastaligi-tedavisi\/"},"modified":"2026-11-04T13:47:44","modified_gmt":"2026-11-04T10:47:44","slug":"%d0%bb%d0%b5%d1%87%d0%b5%d0%bd%d0%b8%d0%b5-%d0%b4%d0%b5%d0%b3%d0%b5%d0%bd%d0%b5%d1%80%d0%b0%d1%86%d0%b8%d0%b8-%d0%b6%d0%b5%d0%bb%d1%82%d0%be%d0%b3%d0%be-%d0%bf%d1%8f%d1%82%d0%bd%d0%b0","status":"publish","type":"page","link":"https:\/\/www.kaskaloglu.com\/ru\/%d0%bb%d0%b5%d1%87%d0%b5%d0%bd%d0%b8%d0%b5-%d0%b4%d0%b5%d0%b3%d0%b5%d0%bd%d0%b5%d1%80%d0%b0%d1%86%d0%b8%d0%b8-%d0%b6%d0%b5%d0%bb%d1%82%d0%be%d0%b3%d0%be-%d0%bf%d1%8f%d1%82%d0%bd%d0%b0\/","title":{"rendered":"\u041b\u0435\u0447\u0435\u043d\u0438\u0435 \u0434\u0435\u0433\u0435\u043d\u0435\u0440\u0430\u0446\u0438\u0438 \u0436\u0435\u043b\u0442\u043e\u0433\u043e \u043f\u044f\u0442\u043d\u0430"},"content":{"rendered":"\t\t
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Makula Dejeneresans\u0131
(Sar\u0131 Nokta Hastal\u0131\u011f\u0131)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Youtube videolar\u0131 i\u00e7in t\u0131klay\u0131n\u0131z: Sar\u0131 nokta hastal\u0131\u011f\u0131<\/a><\/p>

Epiretinal membran (g\u00f6zde zar olu\u015fumuyla ilgili videolar i\u00e7in buray\u0131 t\u0131klay\u0131n\u0131z.<\/a><\/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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Tedavi se\u00e7enekleri ila\u00e7, g\u00f6zi\u00e7i i\u011fne<\/strong> ve ameliyat hastal\u0131\u011f\u0131n cinsine g\u00f6re de\u011fi\u015fir. Teleskopik mercekler d\u00fcrb\u00fcn g\u00f6zl\u00fck \u015feklinde olabilece\u011fi gibi ameliyatla g\u00f6zi\u00e7ine yerle\u015ftirilebilir. Kuru tip sar\u0131 nokta hastal\u0131\u011f\u0131nda yeni bir tedavi olan Valeda \u0131\u015f\u0131k sistemi hakk\u0131nda bilgi i\u00e7in buray\u0131 t\u0131klay\u0131n\u0131z<\/a>.<\/p>\n

Halk aras\u0131nda sar\u0131 nokta hastal\u0131\u011f\u0131 olarak bilinen ya\u015fa ba\u011fl\u0131 makula dejeneresans\u0131<\/a><\/strong> 50 ya\u015f \u00fczeri g\u00f6rme kay\u0131plar\u0131n\u0131n en \u00f6nemli sebebidir. Hastal\u0131\u011f\u0131n ortaya \u00e7\u0131k\u0131\u015f nedeni ya\u015fla beraber g\u00f6z\u00fcn en i\u00e7 tabakas\u0131 olan retina tabakas\u0131nda metabolik art\u0131klar\u0131n birikmesi ve bu sebeple ortaya \u00e7\u0131kan dola\u015f\u0131m problemi nedeni ile yeni damarlar\u0131n olu\u015fmas\u0131d\u0131r. Kuru ve ya\u015f olmak \u00fczere iki tipi vard\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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Hastal\u0131k Ka\u00e7 Tipe Ayr\u0131l\u0131r?<\/h4>\n

Hastal\u0131\u011f\u0131n ya\u015f ve kuru tip olmak \u00fczere 2 tipi vard\u0131r. Kuru tipte prognoz iyidir ve yava\u015f seyreder. %90 kuru tip hastal\u0131k vard\u0131r. Ya\u015f tipte ise hastal\u0131k daha h\u0131zl\u0131 ilerler. Sar\u0131 nokta hastal\u0131\u011f\u0131n\u0131n belirtileri aras\u0131nda k\u0131r\u0131k veya dalgal\u0131 g\u00f6rme, okuma g\u00fc\u00e7l\u00fc\u011f\u00fc, renkleri mat g\u00f6rmek, bakt\u0131\u011f\u0131 noktay\u0131 bulan\u0131k g\u00f6r\u00fcp etraf\u0131n\u0131 daha net g\u00f6rme vard\u0131r. En \u00f6nemli risk fakt\u00f6rleri ya\u015f ve genetik yatk\u0131nl\u0131kt\u0131r. Bunlar\u0131n yan\u0131 s\u0131ra g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131, sigara kullan\u0131m\u0131, kolesterol y\u00fcksekli\u011fi, obezite ve hipertansiyonun varl\u0131\u011f\u0131 da etkilidir. S\u0130GARA BIRAKILMALIDIR. Kuru tip sar\u0131 nokta hastal\u0131\u011f\u0131nda yeni bir tedavi alternatifi olan VALEDA i\u00e7in  buray\u0131 <\/a>t\u0131klay\u0131n\u0131z.<\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Tan\u0131da g\u00f6zdibi muayenesi ,fundus floressein g\u00f6z anjiyografisi ve g\u00f6z tomografisi kullan\u0131l\u0131r.\u00a0G\u00f6z anjiyografisinde\u00a0kol damarlar\u0131ndan boya i\u00e7eren ila\u00e7 verilir ve g\u00f6z damarlar\u0131ndan ge\u00e7erken foto\u011fraflar al\u0131n\u0131r. Bu ge\u00e7i\u015f esnas\u0131nda damar d\u0131\u015f\u0131na boya s\u0131zmas\u0131 olursa veya yeni damar tespit edilirse hastal\u0131k ya\u015f tip olarak s\u0131n\u0131flan\u0131r. Ancak g\u00fcn\u00fcm\u00fczde koldan i\u011fne yap\u0131larak g\u00f6z anjiografisi eskiye g\u00f6re \u00e7ok daha az kullan\u0131lmaktad\u0131r \u00e7\u00fcnk\u00fc OCTA adl\u0131 y\u00f6ntemle \u00f6zel OCT cihaz\u0131yla koldan i\u011fne yap\u0131lmadan da tan\u0131 i\u00e7in yeterli sonu\u00e7lar elde edilmektedir. Hastanemizde i\u011fne yap\u0131larak anjiografi art\u0131k \u00e7ok ender kullan\u0131lmaktad\u0131r.\u00a0 \u00a0Yine OCT g\u00f6z tomografisinde\u00a0retina katlar\u0131 i\u00e7inde s\u0131v\u0131 tespit edilmesi ya\u015f tip lehinedir. Tedavi de kuru tip hastal\u0131\u011f\u0131 i\u00e7in vitamin deste\u011fi ve ultraviyoleden korunmak gibi koruyucu tedbirlerle hastal\u0131\u011f\u0131n seyri yava\u015flat\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r.<\/p>

Akdeniz diyeti uygulanmas\u0131 da damar sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan iyi olacakt\u0131r. Ya\u015f tip hastal\u0131\u011f\u0131n tedavisinde ise, yeni olu\u015fan damarlar\u0131 yok etmek ama\u00e7l\u0131 \u00e7e\u015fitli lazer uygulamalar\u0131 yan\u0131 s\u0131ra g\u00fcn\u00fcm\u00fczde en s\u0131k olarak \u00e7e\u015fitli g\u00f6z i\u00e7i ila\u00e7 enjeksiyonlar\u0131 uygulanmaktad\u0131r. Bu tedavilerle \u00f6ncelikle var olan g\u00f6rme korunmaya \u00e7al\u0131\u015f\u0131l\u0131r hatta bazen g\u00f6rmede hafif art\u0131\u015flarda beklenebilir. Tedavinin ba\u015far\u0131l\u0131 olmas\u0131 i\u00e7in\u00a0d\u00fczenli olarak kontrollerin yap\u0131lmas\u0131 gerekir.<\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tSar\u0131 Nokta Hastal\u0131\u011f\u0131 (Makula dejeneresans\u0131) nas\u0131l tedavi edilir?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Kuru tip makula dejeneresans\u0131 (sar\u0131 nokta) hastal\u0131\u011f\u0131 yava\u015f ilerleyen bir hastal\u0131kt\u0131r. Kuru tipte fazla bir tedavi se\u00e7ene\u011fi yoktur. Vitamin ve mineral i\u00e7eren haplar\u0131n ilerlemeyi yava\u015flatt\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnden kullan\u0131labilir. Kuru tip sar\u0131 nokta hastal\u0131\u011f\u0131nda yeni bir tedavi alternatifi Valeda I\u015f\u0131k tedavisi sunulmaktad\u0131r. Bu tedavi hastal\u0131\u011f\u0131n ilerlemesini durdurmak ve bir miktar d\u00fczelme sa\u011flamaktad\u0131r. Valeda tedavisi i\u00e7in\u00a0buray\u0131 t\u0131klay\u0131n\u0131z<\/a>. bilgi i\u00e7in\u00a0<\/p>

Kuru tipten ya\u015f tipe ge\u00e7mi\u015f sar\u0131 nokta hastal\u0131\u011f\u0131 acil tedavi gerektiren bir durumdur. G\u00fcn\u00fcm\u00fczde\u00a0 ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda g\u00f6zi\u00e7i i\u011fne olarak adland\u0131r\u0131lan anti VGEF tedavisi yap\u0131l\u0131r. Bug\u00fcn 3\u00a0 farkl\u0131 ila\u00e7 vard\u0131r Eylea, Lucentis ve Avastin.<\/p>

Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda<\/strong>\u00a0tedavide ama\u00e7, hastal\u0131\u011fa neden olan tabakalar aras\u0131ndaki istenmeyen damar tomurcuklar\u0131n\u0131n, s\u0131v\u0131 s\u0131z\u0131nt\u0131lar\u0131n\u0131n ve kanamalar\u0131n kurutulmas\u0131d\u0131r.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tSar\u0131 nokta hastal\u0131\u011f\u0131 nas\u0131l anla\u015f\u0131l\u0131r?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Sar\u0131 nokta hastal\u0131\u011f\u0131n\u0131n erken safhalar\u0131nda belirti olmayabilir. \u0130lerledik\u00e7e g\u00f6rme kalitesinde d\u00fc\u015fme , d\u00fcz \u00e7izgilerde k\u0131r\u0131kl\u0131k, g\u00f6rmenin azalmas\u0131, ayr\u0131nt\u0131lar\u0131 g\u00f6rememe gibi \u015fikayetler ortaya \u00e7\u0131kar.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Ailede sar\u0131 nokta hastal\u0131\u011f\u0131 olanlarda ayn\u0131 hastal\u0131k olma olas\u0131l\u0131\u011f\u0131 daha fazlad\u0131r ancak birebir ge\u00e7mez.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Damar Geli\u015fimini \u00d6nleyici Tedavi
(Anti-VEGF tedavi) G\u00f6ze i\u011fne tedavisi<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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G\u00fcn\u00fcm\u00fczde ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda en etkin g\u00f6r\u00fcnen ve en g\u00fcncel tedavi y\u00f6ntemidir.
Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda, g\u00f6z\u00fcn arka duvar\u0131n\u0131 olu\u015fturan tabakalar aras\u0131nda istenmeyen damar tomurcuklar\u0131 olu\u015fmaktad\u0131r (bak\u0131n\u0131z Sar\u0131 Nokta Hastal\u0131\u011f\u0131 nedir?<\/a>).<\/p>

Bu damar tomurcuklar\u0131n\u0131n olu\u015fumunda, o b\u00f6lgeye etki eden damar b\u00fcy\u00fcme fakt\u00f6rleri rol oynamaktad\u0131r. Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda damar geli\u015fimini \u00f6nleyici tedavi ile bu b\u00fcy\u00fcme fakt\u00f6rleri etkisiz hale getirilmekte ve olu\u015fan damar tomurcu\u011fu ortadan kald\u0131r\u0131lmakta, s\u0131z\u0131nt\u0131 ve kanama \u00f6nlenmektedir.<\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Bu tedavide ila\u00e7lar, g\u00f6ze do\u011frudan enjekte edilmek suretiyle verilir. Halk aras\u0131nda \u201cg\u00f6ze i\u011fne yap\u0131lmas\u0131\u201d olarak bilinir. Bu tedavi ile ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda 1 y\u0131ll\u0131k s\u00fcrede mevcut g\u00f6rmeyi koruyabilme oran\u0131, %90 \u0131n \u00fczerindedir. Yine ayn\u0131 s\u00fcrede g\u00f6rme art\u0131\u015f\u0131 sa\u011flayabilme oran\u0131 %30 civar\u0131ndad\u0131r. G\u00f6rme kayb\u0131n\u0131n \u00f6nlenmesi ve hatta g\u00f6rme art\u0131\u015f\u0131 sa\u011flanabilmesi i\u00e7in, yap\u0131lan bu enjeksiyonlar belli aral\u0131klarla tekrarlan\u0131r. Sar\u0131 nokta hastal\u0131\u011f\u0131 ilerleyici bir hastal\u0131kt\u0131r. Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda g\u00f6zi\u00e7i i\u011fne Anti vgef tedavisi d\u0131\u015f\u0131nda bir tedavi yoktur. Ancak ila\u00e7lar\u0131n etkisi ge\u00e7i oldu\u011fundan fazdal\u0131 oldu\u011fu s\u00fcrece tedaviye devam edilmelidir. Bu konuda bir\u00e7ok \u00e7al\u0131\u015fma yap\u0131lmaktad\u0131r. Yeni \u00e7\u0131kmas\u0131 beklenen ila\u00e7lar\u0131n \u00f6zellikleri hem daha etkili hem de daha uzun s\u00fcre etkili olmalar\u0131d\u0131r. Sar\u0131 nokta hastalar\u0131n\u0131n b\u0131kmadan doktor uygun g\u00f6rd\u00fc\u011f\u00fc s\u00fcre tedaviye devam etmeleri \u00f6nerilir.<\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Di\u011fer tedaviler:<\/h4>\n

Lazer Tedavisi<\/strong><\/p>\n

Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda uygulanan en eski tedavi y\u00f6ntemidir. Lazer tedavisi<\/strong> uygulanabilen durumlar bug\u00fcn i\u00e7in s\u0131n\u0131rl\u0131d\u0131r. T\u00fcm ya\u015f tip sar\u0131 nokta<\/strong> hastalar\u0131n\u0131n yakla\u015f\u0131k %15i standart laser tedavisine m\u00fcsaittir. Lazer tedavisi<\/strong> uygulanan hastalarda %50 oran\u0131nda damar tomurcu\u011fu yeniden aktive olabilmektedir.<\/p>\n

Fotodinamik Tedavi (PDT)(<\/strong>Ancak 2023 itibariyle Visudyne adl\u0131 ila\u00e7 bulunmad\u0131\u011f\u0131ndan uygulanamamaktad\u0131r.)<\/span><\/p>\n

Standart lazer tedavisinden sonra geli\u015ftirilen ve yakla\u015f\u0131k 10 senedir uygulanan bir tedavi y\u00f6ntemidir. PDT de verteporfin (Visudyn) denilen bir madde koldan i\u011fneyle verilerek bu ilac\u0131n g\u00f6zde hasarl\u0131 dokuya ba\u011flanmas\u0131 sa\u011flan\u0131r. Ard\u0131ndan \u00f6zellikli bir laser tedavisi<\/strong> 83 saniye boyunca g\u00f6ze uygulan\u0131r. Ya\u015f tip sar\u0131 nokta<\/strong> hastal\u0131\u011f\u0131n\u0131n baz\u0131 tiplerinde etkilidir. Genellikle g\u00f6rme art\u0131\u015f\u0131 sa\u011flamaz, 1 y\u0131ll\u0131k tedavi s\u00fcresinde mevcut g\u00f6rmeyi koruma oran\u0131 yakla\u015f\u0131k %50-60 t\u0131r. \u0130lerleyen y\u0131llarda bu oran d\u00fc\u015fer. G\u00fcn\u00fcm\u00fczde sadece uygun vakalarda olmak \u00fczere nadiren tek ba\u015f\u0131na kullan\u0131l\u0131r. Bunun d\u0131\u015f\u0131nda a\u015fa\u011f\u0131daki b\u00f6l\u00fcmde bahsedilen, g\u00f6z\u00fcn i\u00e7ine enjeksiyon (zerk) yoluyla verilen yeni ila\u00e7lar ile birlikte kombine kullan\u0131labilir. ANCAK G\u00dcN\u00dcM\u00dcZDE FOTOD\u0130NAM\u0130K TEDAV\u0130 \u0130\u00c7\u0130N \u0130LA\u00c7 BULUNMAMAKTADIR.<\/p>\n

G\u00f6zi\u00e7i teleskopik mercekler<\/strong><\/p>\n

Yukar\u0131daki tedaviler hastal\u0131\u011f\u0131 durdurmak amac\u0131yla yap\u0131l\u0131r. teleskopik merceklerin amac\u0131 ise g\u00f6rmeyi art\u0131rmakt\u0131r. Teleskopik mercekler LVA ad\u0131 verilen az g\u00f6renlere yard\u0131m olarak bilinen d\u00fcrb\u00fcn g\u00f6zl\u00fckler \u015feklinde olabilece\u011fi gibi  g\u00f6zi\u00e7ine yerle\u015ftirilen teleskopik mercekler de vard\u0131r.  Teleskopik mercekler hastalarda bir miktar g\u00f6rme art\u0131\u015f\u0131 sa\u011flarlar ancak g\u00f6rme alan\u0131nda daralma oldu\u011fundan her hastada ayn\u0131 memnuniyet olmayabilir. Teleskopik mercek ler kuru ve ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda kullan\u0131labilirler. Ancak uygun olup olmad\u0131\u011f\u0131n\u0131za doktorunuz karar verecektir.<\/p>\n

Takipte neler yap\u0131lmal\u0131d\u0131r?<\/strong>
Sar\u0131 nokta hastal\u0131\u011f\u0131, ister kuru tip, ister ya\u015f tip olsun, d\u00fczenli takip gerektiren bir hastal\u0131kt\u0131r. Te\u015fhis a\u015famas\u0131nda ve takipte mutlaka g\u00f6z anjiyosu (FFA- fundus fluorescein angiography) ve retina tomografisi (OCT- optic coherence tomography) \u00e7ekilmelidir.<\/p>\n

Sar\u0131 nokta hastal\u0131\u011f\u0131nda i\u011fne fiyatlar\u0131: <\/strong>Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda g\u00fcn\u00fcm\u00fczde g\u00f6z i\u00e7i i\u011fne yani ila\u00e7 tedavisinden ba\u015fka bir tedavi yoktur. Sar\u0131 nokta hastal\u0131\u011f\u0131nda i\u011fne fiyatlar\u0131 kullan\u0131l\u0131n ilaca g\u00f6re de\u011fi\u015fmektedir.<\/p>\n

Sar\u0131 nokta hastal\u0131\u011f\u0131 tedavisi yapan hastaneler: <\/b>G\u00f6z doktoru olan t\u00fcm hastaneler sar\u0131 nokta hastal\u0131\u011f\u0131nda ila\u00e7 ve i\u011fne tedavisi yapabilirler.<\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t

Son G\u00fcncelleme 4 \u043d\u043e\u044f\u0431\u0440\u044f 2026 Saat 13:47 \u043f\u043f<\/p>","protected":false},"excerpt":{"rendered":"

Makula Dejeneresans\u0131 (Sar\u0131 Nokta Hastal\u0131\u011f\u0131) Youtube videolar\u0131 i\u00e7in t\u0131klay\u0131n\u0131z: Sar\u0131 nokta hastal\u0131\u011f\u0131 Epiretinal membran (g\u00f6zde zar olu\u015fumuyla ilgili videolar i\u00e7in buray\u0131 t\u0131klay\u0131n\u0131z. Tedavi se\u00e7enekleri ila\u00e7,\u00a0g\u00f6zi\u00e7i i\u011fne ve ameliyat hastal\u0131\u011f\u0131n cinsine g\u00f6re de\u011fi\u015fir. Teleskopik mercekler d\u00fcrb\u00fcn g\u00f6zl\u00fck \u015feklinde olabilece\u011fi gibi ameliyatla g\u00f6zi\u00e7ine yerle\u015ftirilebilir. Kuru tip sar\u0131 nokta hastal\u0131\u011f\u0131nda yeni bir tedavi olan Valeda \u0131\u015f\u0131k sistemi hakk\u0131nda bilgi i\u00e7in\u00a0buray\u0131 t\u0131klay\u0131n\u0131z. Halk aras\u0131nda\u00a0sar\u0131 nokta hastal\u0131\u011f\u0131\u00a0olarak bilinen ya\u015fa ba\u011fl\u0131\u00a0makula dejeneresans\u0131\u00a050 ya\u015f \u00fczeri g\u00f6rme kay\u0131plar\u0131n\u0131n en \u00f6nemli sebebidir. Hastal\u0131\u011f\u0131n ortaya \u00e7\u0131k\u0131\u015f nedeni ya\u015fla beraber g\u00f6z\u00fcn en i\u00e7 tabakas\u0131 olan retina tabakas\u0131nda metabolik art\u0131klar\u0131n birikmesi ve bu sebeple ortaya \u00e7\u0131kan dola\u015f\u0131m problemi nedeni ile yeni damarlar\u0131n olu\u015fmas\u0131d\u0131r. Kuru ve ya\u015f olmak \u00fczere iki tipi vard\u0131r. Hastal\u0131k Ka\u00e7 Tipe Ayr\u0131l\u0131r? Hastal\u0131\u011f\u0131n\u00a0ya\u015f ve kuru tip olmak\u00a0\u00fczere 2 tipi vard\u0131r.\u00a0Kuru tipte\u00a0prognoz iyidir ve yava\u015f seyreder. %90 kuru tip hastal\u0131k vard\u0131r. Ya\u015f tipte ise hastal\u0131k daha h\u0131zl\u0131 ilerler. Sar\u0131 nokta hastal\u0131\u011f\u0131n\u0131n belirtileri aras\u0131nda k\u0131r\u0131k veya dalgal\u0131 g\u00f6rme, okuma g\u00fc\u00e7l\u00fc\u011f\u00fc, renkleri mat g\u00f6rmek, bakt\u0131\u011f\u0131 noktay\u0131 bulan\u0131k g\u00f6r\u00fcp etraf\u0131n\u0131 daha net g\u00f6rme vard\u0131r. En \u00f6nemli risk fakt\u00f6rleri ya\u015f ve genetik yatk\u0131nl\u0131kt\u0131r. Bunlar\u0131n yan\u0131 s\u0131ra g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131, sigara kullan\u0131m\u0131, kolesterol y\u00fcksekli\u011fi, obezite ve hipertansiyonun varl\u0131\u011f\u0131 da etkilidir. S\u0130GARA BIRAKILMALIDIR. Kuru tip sar\u0131 nokta hastal\u0131\u011f\u0131nda yeni bir tedavi alternatifi olan VALEDA i\u00e7in\u00a0 buray\u0131 t\u0131klay\u0131n\u0131z. Tan\u0131da g\u00f6zdibi muayenesi ,fundus floressein g\u00f6z anjiyografisi ve g\u00f6z tomografisi kullan\u0131l\u0131r.\u00a0G\u00f6z anjiyografisinde\u00a0kol damarlar\u0131ndan boya i\u00e7eren ila\u00e7 verilir ve g\u00f6z damarlar\u0131ndan ge\u00e7erken foto\u011fraflar al\u0131n\u0131r. Bu ge\u00e7i\u015f esnas\u0131nda damar d\u0131\u015f\u0131na boya s\u0131zmas\u0131 olursa veya yeni damar tespit edilirse hastal\u0131k ya\u015f tip olarak s\u0131n\u0131flan\u0131r. Ancak g\u00fcn\u00fcm\u00fczde koldan i\u011fne yap\u0131larak g\u00f6z anjiografisi eskiye g\u00f6re \u00e7ok daha az kullan\u0131lmaktad\u0131r \u00e7\u00fcnk\u00fc OCTA adl\u0131 y\u00f6ntemle \u00f6zel OCT cihaz\u0131yla koldan i\u011fne yap\u0131lmadan da tan\u0131 i\u00e7in yeterli sonu\u00e7lar elde edilmektedir. Hastanemizde i\u011fne yap\u0131larak anjiografi art\u0131k \u00e7ok ender kullan\u0131lmaktad\u0131r.\u00a0 \u00a0Yine OCT g\u00f6z tomografisinde\u00a0retina katlar\u0131 i\u00e7inde s\u0131v\u0131 tespit edilmesi ya\u015f tip lehinedir. Tedavi de kuru tip hastal\u0131\u011f\u0131 i\u00e7in vitamin deste\u011fi ve ultraviyoleden korunmak gibi koruyucu tedbirlerle hastal\u0131\u011f\u0131n seyri yava\u015flat\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r. Akdeniz diyeti uygulanmas\u0131 da damar sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan iyi olacakt\u0131r. Ya\u015f tip hastal\u0131\u011f\u0131n tedavisinde ise, yeni olu\u015fan damarlar\u0131 yok etmek ama\u00e7l\u0131 \u00e7e\u015fitli lazer uygulamalar\u0131 yan\u0131 s\u0131ra g\u00fcn\u00fcm\u00fczde en s\u0131k olarak \u00e7e\u015fitli g\u00f6z i\u00e7i ila\u00e7 enjeksiyonlar\u0131 uygulanmaktad\u0131r. Bu tedavilerle \u00f6ncelikle var olan g\u00f6rme korunmaya \u00e7al\u0131\u015f\u0131l\u0131r hatta bazen g\u00f6rmede hafif art\u0131\u015flarda beklenebilir. Tedavinin ba\u015far\u0131l\u0131 olmas\u0131 i\u00e7in\u00a0d\u00fczenli olarak kontrollerin yap\u0131lmas\u0131 gerekir. Sar\u0131 Nokta Hastal\u0131\u011f\u0131 (Makula dejeneresans\u0131) nas\u0131l tedavi edilir? Kuru tip makula dejeneresans\u0131 (sar\u0131 nokta) hastal\u0131\u011f\u0131 yava\u015f ilerleyen bir hastal\u0131kt\u0131r. Kuru tipte fazla bir tedavi se\u00e7ene\u011fi yoktur. Vitamin ve mineral i\u00e7eren haplar\u0131n ilerlemeyi yava\u015flatt\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnden kullan\u0131labilir. Kuru tip sar\u0131 nokta hastal\u0131\u011f\u0131nda yeni bir tedavi alternatifi Valeda I\u015f\u0131k tedavisi sunulmaktad\u0131r. Bu tedavi hastal\u0131\u011f\u0131n ilerlemesini durdurmak ve bir miktar d\u00fczelme sa\u011flamaktad\u0131r. Valeda tedavisi i\u00e7in\u00a0buray\u0131 t\u0131klay\u0131n\u0131z. bilgi i\u00e7in Kuru tipten ya\u015f tipe ge\u00e7mi\u015f sar\u0131 nokta hastal\u0131\u011f\u0131 acil tedavi gerektiren bir durumdur. G\u00fcn\u00fcm\u00fczde\u00a0 ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda g\u00f6zi\u00e7i i\u011fne olarak adland\u0131r\u0131lan anti VGEF tedavisi yap\u0131l\u0131r. Bug\u00fcn 3\u00a0 farkl\u0131 ila\u00e7 vard\u0131r Eylea, Lucentis ve Avastin. Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda\u00a0tedavide ama\u00e7, hastal\u0131\u011fa neden olan tabakalar aras\u0131ndaki istenmeyen damar tomurcuklar\u0131n\u0131n, s\u0131v\u0131 s\u0131z\u0131nt\u0131lar\u0131n\u0131n ve kanamalar\u0131n kurutulmas\u0131d\u0131r. Sar\u0131 nokta hastal\u0131\u011f\u0131 nas\u0131l anla\u015f\u0131l\u0131r? Sar\u0131 nokta hastal\u0131\u011f\u0131n\u0131n erken safhalar\u0131nda belirti olmayabilir. \u0130lerledik\u00e7e g\u00f6rme kalitesinde d\u00fc\u015fme , d\u00fcz \u00e7izgilerde k\u0131r\u0131kl\u0131k, g\u00f6rmenin azalmas\u0131, ayr\u0131nt\u0131lar\u0131 g\u00f6rememe gibi \u015fikayetler ortaya \u00e7\u0131kar. Sar\u0131 nokta hastal\u0131\u011f\u0131 genetik midir? Ailede sar\u0131 nokta hastal\u0131\u011f\u0131 olanlarda ayn\u0131 hastal\u0131k olma olas\u0131l\u0131\u011f\u0131 daha fazlad\u0131r ancak birebir ge\u00e7mez. https:\/\/www.youtube.com\/watch?v=-L2V_TQ3Og4https:\/\/www.youtube.com\/watch?v=5G62g9itGighttps:\/\/www.youtube.com\/watch?v=iLYHAcdUBIAhttps:\/\/www.youtube.com\/watch?v=wnZrUEL8Hrg Damar Geli\u015fimini \u00d6nleyici Tedavi (Anti-VEGF tedavi) G\u00f6ze i\u011fne tedavisi G\u00fcn\u00fcm\u00fczde ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda en etkin g\u00f6r\u00fcnen ve en g\u00fcncel tedavi y\u00f6ntemidir. Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda, g\u00f6z\u00fcn arka duvar\u0131n\u0131 olu\u015fturan tabakalar aras\u0131nda istenmeyen damar tomurcuklar\u0131 olu\u015fmaktad\u0131r (bak\u0131n\u0131z Sar\u0131 Nokta Hastal\u0131\u011f\u0131 nedir?). Bu damar tomurcuklar\u0131n\u0131n olu\u015fumunda, o b\u00f6lgeye etki eden damar b\u00fcy\u00fcme fakt\u00f6rleri rol oynamaktad\u0131r. Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda damar geli\u015fimini \u00f6nleyici tedavi ile bu b\u00fcy\u00fcme fakt\u00f6rleri etkisiz hale getirilmekte ve olu\u015fan damar tomurcu\u011fu ortadan kald\u0131r\u0131lmakta, s\u0131z\u0131nt\u0131 ve kanama \u00f6nlenmektedir. Bu tedavide ila\u00e7lar, g\u00f6ze do\u011frudan enjekte edilmek suretiyle verilir. Halk aras\u0131nda \u201cg\u00f6ze i\u011fne yap\u0131lmas\u0131\u201d olarak bilinir. Bu tedavi ile ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda 1 y\u0131ll\u0131k s\u00fcrede mevcut g\u00f6rmeyi koruyabilme oran\u0131, %90 \u0131n \u00fczerindedir. Yine ayn\u0131 s\u00fcrede g\u00f6rme art\u0131\u015f\u0131 sa\u011flayabilme oran\u0131 %30 civar\u0131ndad\u0131r. G\u00f6rme kayb\u0131n\u0131n \u00f6nlenmesi ve hatta g\u00f6rme art\u0131\u015f\u0131 sa\u011flanabilmesi i\u00e7in, yap\u0131lan bu enjeksiyonlar belli aral\u0131klarla tekrarlan\u0131r. Sar\u0131 nokta hastal\u0131\u011f\u0131 ilerleyici bir hastal\u0131kt\u0131r. Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda g\u00f6zi\u00e7i i\u011fne Anti vgef tedavisi d\u0131\u015f\u0131nda bir tedavi yoktur. Ancak ila\u00e7lar\u0131n etkisi ge\u00e7i oldu\u011fundan fazdal\u0131 oldu\u011fu s\u00fcrece tedaviye devam edilmelidir. Bu konuda bir\u00e7ok \u00e7al\u0131\u015fma yap\u0131lmaktad\u0131r. Yeni \u00e7\u0131kmas\u0131 beklenen ila\u00e7lar\u0131n \u00f6zellikleri hem daha etkili hem de daha uzun s\u00fcre etkili olmalar\u0131d\u0131r. Sar\u0131 nokta hastalar\u0131n\u0131n b\u0131kmadan doktor uygun g\u00f6rd\u00fc\u011f\u00fc s\u00fcre tedaviye devam etmeleri \u00f6nerilir. Di\u011fer tedaviler: Lazer Tedavisi Ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda uygulanan en eski tedavi y\u00f6ntemidir. Lazer tedavisi\u00a0uygulanabilen durumlar bug\u00fcn i\u00e7in s\u0131n\u0131rl\u0131d\u0131r. T\u00fcm ya\u015f tip\u00a0sar\u0131 nokta\u00a0hastalar\u0131n\u0131n yakla\u015f\u0131k %15i standart laser tedavisine m\u00fcsaittir.\u00a0Lazer tedavisi\u00a0uygulanan hastalarda %50 oran\u0131nda damar tomurcu\u011fu yeniden aktive olabilmektedir. Fotodinamik Tedavi (PDT)(Ancak 2023 itibariyle Visudyne adl\u0131 ila\u00e7 bulunmad\u0131\u011f\u0131ndan uygulanamamaktad\u0131r.) Standart lazer tedavisinden sonra geli\u015ftirilen ve yakla\u015f\u0131k 10 senedir uygulanan bir tedavi y\u00f6ntemidir. PDT de verteporfin (Visudyn) denilen bir madde koldan i\u011fneyle verilerek bu ilac\u0131n g\u00f6zde hasarl\u0131 dokuya ba\u011flanmas\u0131 sa\u011flan\u0131r. Ard\u0131ndan \u00f6zellikli bir\u00a0laser tedavisi\u00a083 saniye boyunca g\u00f6ze uygulan\u0131r.\u00a0Ya\u015f tip sar\u0131 nokta\u00a0hastal\u0131\u011f\u0131n\u0131n baz\u0131 tiplerinde etkilidir. Genellikle g\u00f6rme art\u0131\u015f\u0131 sa\u011flamaz, 1 y\u0131ll\u0131k tedavi s\u00fcresinde mevcut g\u00f6rmeyi koruma oran\u0131 yakla\u015f\u0131k %50-60 t\u0131r. \u0130lerleyen y\u0131llarda bu oran d\u00fc\u015fer. G\u00fcn\u00fcm\u00fczde sadece uygun vakalarda olmak \u00fczere nadiren tek ba\u015f\u0131na kullan\u0131l\u0131r. Bunun d\u0131\u015f\u0131nda a\u015fa\u011f\u0131daki b\u00f6l\u00fcmde bahsedilen, g\u00f6z\u00fcn i\u00e7ine enjeksiyon (zerk) yoluyla verilen yeni ila\u00e7lar ile birlikte kombine kullan\u0131labilir. ANCAK G\u00dcN\u00dcM\u00dcZDE FOTOD\u0130NAM\u0130K TEDAV\u0130 \u0130\u00c7\u0130N \u0130LA\u00c7 BULUNMAMAKTADIR. G\u00f6zi\u00e7i teleskopik mercekler Yukar\u0131daki tedaviler hastal\u0131\u011f\u0131 durdurmak amac\u0131yla yap\u0131l\u0131r. teleskopik merceklerin amac\u0131 ise g\u00f6rmeyi art\u0131rmakt\u0131r. Teleskopik mercekler LVA ad\u0131 verilen az g\u00f6renlere yard\u0131m olarak bilinen d\u00fcrb\u00fcn g\u00f6zl\u00fckler \u015feklinde olabilece\u011fi gibi \u00a0g\u00f6zi\u00e7ine yerle\u015ftirilen teleskopik mercekler de vard\u0131r. \u00a0Teleskopik mercekler hastalarda bir miktar g\u00f6rme art\u0131\u015f\u0131 sa\u011flarlar ancak g\u00f6rme alan\u0131nda daralma oldu\u011fundan her hastada ayn\u0131 memnuniyet olmayabilir. Teleskopik mercek ler kuru ve ya\u015f tip sar\u0131 nokta hastal\u0131\u011f\u0131nda kullan\u0131labilirler. Ancak uygun olup olmad\u0131\u011f\u0131n\u0131za doktorunuz karar verecektir. Takipte neler yap\u0131lmal\u0131d\u0131r? Sar\u0131 nokta hastal\u0131\u011f\u0131, ister kuru tip, ister ya\u015f tip olsun, d\u00fczenli takip gerektiren bir hastal\u0131kt\u0131r. Te\u015fhis a\u015famas\u0131nda ve takipte mutlaka g\u00f6z anjiyosu (FFA- fundus fluorescein angiography) ve retina tomografisi (OCT- optic coherence tomography) \u00e7ekilmelidir. Sar\u0131 nokta hastal\u0131\u011f\u0131nda i\u011fne fiyatlar\u0131:\u00a0Ya\u015f tip sar\u0131<\/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-21832","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.kaskaloglu.com\/ru\/wp-json\/wp\/v2\/pages\/21832","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kaskaloglu.com\/ru\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.kaskaloglu.com\/ru\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.kaskaloglu.com\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kaskaloglu.com\/ru\/wp-json\/wp\/v2\/comments?post=21832"}],"version-history":[{"count":3,"href":"https:\/\/www.kaskaloglu.com\/ru\/wp-json\/wp\/v2\/pages\/21832\/revisions"}],"predecessor-version":[{"id":27645,"href":"https:\/\/www.kaskaloglu.com\/ru\/wp-json\/wp\/v2\/pages\/21832\/revisions\/27645"}],"wp:attachment":[{"href":"https:\/\/www.kaskaloglu.com\/ru\/wp-json\/wp\/v2\/media?parent=21832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}