{"id":5598,"date":"2018-07-05T11:22:12","date_gmt":"2018-07-05T08:22:12","guid":{"rendered":"https:\/\/iletim.istanbul.edu.tr\/?p=5598"},"modified":"2019-05-10T14:05:59","modified_gmt":"2019-05-10T11:05:59","slug":"sedef-hastaligi-baska-hastaliklarla-iliskili-olabilir","status":"publish","type":"post","link":"https:\/\/iletim.istanbul.edu.tr\/index.php\/2018\/07\/05\/sedef-hastaligi-baska-hastaliklarla-iliskili-olabilir\/","title":{"rendered":"Sedef Hastal\u0131\u011f\u0131 Ba\u015fka Hastal\u0131klarla \u0130li\u015fkili Olabilir"},"content":{"rendered":"<p><strong>Neslihan KALKAN<\/strong><\/p>\n<p>Sedef hastal\u0131\u011f\u0131n\u0131, belirtilerini tedavi y\u00f6ntemleriyle Cerrahpa\u015fa T\u0131p Fak\u00fcltesi Deri ve Z\u00fchrevi Hastal\u0131klar\u0131 Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Burhan Engin de\u011ferlendirdi.<\/p>\n<p>Sedef hastal\u0131\u011f\u0131; v\u00fccudun belli b\u00f6lgelerinde g\u00f6r\u00fclebildi\u011fi gibi t\u00fcm v\u00fccutta da g\u00f6r\u00fclebilme potansiyeline sahip, deri y\u00fczeyinde kepekli, sedefli, k\u0131zar\u0131k alanlar \u015feklinde seyreden bir deri hastal\u0131\u011f\u0131 olarak tan\u0131mlan\u0131yor. Hastal\u0131\u011f\u0131n hem lokal hem de genel seyredebildi\u011fini s\u00f6yleyen Prof. Dr. Engin, \u201cSedef hastal\u0131\u011f\u0131na klinik olarak bakt\u0131\u011f\u0131m\u0131z zaman v\u00fccudun belirli b\u00f6lgelerine yerle\u015fmi\u015f eritemli, k\u0131zar\u0131k ve kepekli alanlar g\u00f6r\u00fcr\u00fcz\u201d dedi. Bu alanlar\u0131 diz, dirsek, sakral b\u00f6lge, temporal b\u00f6lge gibi alanlar olarak tan\u0131mlad\u0131ktan sonra sedef hastal\u0131\u011f\u0131yla alakal\u0131 \u201cBu b\u00f6lgelere yerle\u015fmi\u015f \u00fczerinde kirli beyaz, g\u00fcm\u00fc\u015f rengi sukuamlarla seyreden tipik bir hastal\u0131kt\u0131r\u201d ifadelerine yer verdi. Prof. Dr. Engin, tamamen genetik yap\u0131l\u0131 bir hastal\u0131k olmamakla birlikte, genetik yatk\u0131nl\u0131\u011f\u0131 olan ki\u015filerde \u00e7evresel fakt\u00f6rlerin etkisiyle ortaya \u00e7\u0131kabilen bir hastal\u0131k olan sedef hastal\u0131\u011f\u0131 i\u00e7in \u201cObezite, stres, sigara i\u00e7me gibi unsurlar hastal\u0131\u011f\u0131 tetikliyor\u201d dedi.<\/p>\n<figure id=\"attachment_5604\" aria-describedby=\"caption-attachment-5604\" style=\"width: 702px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"wp-image-5604 size-large\" src=\"https:\/\/iletim.istanbul.edu.tr\/wp-content\/uploads\/DSC_0030-2-1024x680.jpg\" alt=\"\" width=\"702\" height=\"466\" srcset=\"https:\/\/iletim.istanbul.edu.tr\/wp-content\/uploads\/DSC_0030-2-1024x680.jpg 1024w, https:\/\/iletim.istanbul.edu.tr\/wp-content\/uploads\/DSC_0030-2-300x199.jpg 300w, https:\/\/iletim.istanbul.edu.tr\/wp-content\/uploads\/DSC_0030-2-768x510.jpg 768w\" sizes=\"(max-width: 702px) 100vw, 702px\" \/><figcaption id=\"caption-attachment-5604\" class=\"wp-caption-text\">Prof. Dr. Burhan Engin<\/figcaption><\/figure>\n<p><strong>Hastal\u0131k Sosyal \u0130zolasyona Neden Olur<\/strong><\/p>\n<p>Toplumda hastal\u0131\u011f\u0131n bula\u015f\u0131c\u0131 oldu\u011fu y\u00f6n\u00fcnde bir alg\u0131 bulundu\u011funa dikkat \u00e7eken Prof. Dr. Engin, \u201cBu durum ki\u015finin kendini toplumdan hatta ailesinden bile soyutlayabilmesi sonucunu beraberinde getirir\u201d dedi. Sedef hastal\u0131\u011f\u0131n\u0131n avu\u00e7 i\u00e7i, sa\u00e7 derisi ve t\u0131rnak gibi alanlarda g\u00f6r\u00fclebildi\u011fini kaydeden Prof. Dr. Engin, hastal\u0131\u011f\u0131n baz\u0131 durumlarda eklem tutulmalar\u0131na da yol a\u00e7\u0131p kal\u0131c\u0131 hasar verebilece\u011fini belirtti. Hastal\u0131\u011f\u0131n \u00f6zel bir ya\u015f grubuna ait olmad\u0131\u011f\u0131n\u0131 vurgulayan Prof. Dr. Engin, \u201ckad\u0131n- erkek, \u00e7ocuk, yeti\u015fkin gibi bir ayr\u0131m s\u00f6z konusu de\u011fildir\u201d \u015feklinde konu\u015ftu. \u00dclkemizde sedef hastal\u0131\u011f\u0131n\u0131n g\u00f6r\u00fclme oran\u0131n\u0131n %1 ve %2 oldu\u011funu aktaran Prof. Dr. Engin, \u201cBurada \u00f6nemli olan hastal\u0131\u011f\u0131n ki\u015fiyi ve sosyal ya\u015fam\u0131n\u0131 ne kadar etkiledi\u011fi ve v\u00fccudun ne kadar\u0131na yay\u0131ld\u0131\u011f\u0131d\u0131r\u201d ifadesine yer verdi.<\/p>\n<p>Prof. Dr. Engin, sedef hastal\u0131\u011f\u0131na e\u015flik edebilecek en \u00f6nemli rahats\u0131zl\u0131\u011f\u0131n eklem romatizmas\u0131 oldu\u011funu vurgularken, bunun d\u0131\u015f\u0131nda obezite, hipertansiyon, ins\u00fclin direnci gibi hastal\u0131klar\u0131n da sedefle birlikte g\u00f6r\u00fclebilece\u011fini aktard\u0131. Bir arada g\u00f6r\u00fclebilen bu hastal\u0131klar\u0131n hangisinin sebep hangisinin sonu\u00e7 oldu\u011funun ise belli olamayaca\u011f\u0131n\u0131 belirtirken, \u201c\u00d6rne\u011fin sigara i\u00e7en ki\u015filerde sedef artabilir, sedefin artmas\u0131yla da sigara t\u00fcketimi s\u0131kla\u015fabilir\u201d diye konu\u015ftu. Hastal\u0131\u011f\u0131n tedavi y\u00f6ntemlerinden bahseden Prof. Dr. Engin, \u201cTedaviye karar verirken sedefin ki\u015finin v\u00fccudunda ne kadar bir alan kaplad\u0131\u011f\u0131n\u0131 ve hastay\u0131 ne kadar etkiledi\u011fini g\u00f6z \u00f6n\u00fcnde bulundurarak s\u00fcreci ba\u015flat\u0131yoruz. Hastal\u0131\u011f\u0131n v\u00fccudun y\u00fczde ka\u00e7\u0131n\u0131 etkiledi\u011fine dair bir skorlama yapt\u0131ktan sonra bu skorun sonucuna g\u00f6re tedavi \u015feklimizi belirliyoruz\u201d diyen Prof. Dr. Engin, hastan\u0131n hangi t\u00fcr ila\u00e7 kullanaca\u011f\u0131n\u0131 da bu \u015fekilde belirlediklerini kaydetti.<\/p>\n<p><a href=\"https:\/\/iletim.istanbul.edu.tr\/wp-content\/uploads\/DSC_0018-3.jpg\"><img decoding=\"async\" class=\"alignnone wp-image-5602 size-large\" src=\"https:\/\/iletim.istanbul.edu.tr\/wp-content\/uploads\/DSC_0018-3-1024x680.jpg\" alt=\"\" width=\"702\" height=\"466\" srcset=\"https:\/\/iletim.istanbul.edu.tr\/wp-content\/uploads\/DSC_0018-3-1024x680.jpg 1024w, https:\/\/iletim.istanbul.edu.tr\/wp-content\/uploads\/DSC_0018-3-300x199.jpg 300w, https:\/\/iletim.istanbul.edu.tr\/wp-content\/uploads\/DSC_0018-3-768x510.jpg 768w\" sizes=\"(max-width: 702px) 100vw, 702px\" \/><\/a><\/p>\n<p><strong>Sedef Hastal\u0131\u011f\u0131nda I\u015f\u0131k Tedavisi <\/strong><\/p>\n<p>Prof. Dr. Engin, \u201cSedef hastal\u0131\u011f\u0131 metabolik sendrom dedi\u011fimiz ins\u00fclin direnci, obezite, hipertansiyon gibi hastal\u0131klara e\u015flik ediyorsa tedavide ilk basamak olarak fototerapi olarak bilinen \u0131\u015f\u0131k tedavisini uyguluyoruz\u201d dedi. Bu tedavinin y\u00f6nteminden bahsederken hastan\u0131n haftan\u0131n belli g\u00fcnlerinde g\u00f6z\u00fcn\u00fc ve v\u00fccudunun belli alanlar\u0131n\u0131 koruyarak bir kabine girerek tedavi oldu\u011funu s\u00f6yledi. Prof. Dr. Engin, bu y\u00f6ntemin sonu\u00e7 vermedi\u011fi durumlarda enjeksiyon ve hap kullanma yoluna gidildi\u011fini ifade etti.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sedef hastal\u0131\u011f\u0131n\u0131, belirtilerini tedavi y\u00f6ntemleriyle Cerrahpa\u015fa T\u0131p Fak\u00fcltesi Deri ve Z\u00fchrevi Hastal\u0131klar\u0131 Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Burhan Engin de\u011ferlendirdi.<\/p>\n<p>Sedef hastal\u0131\u011f\u0131; v\u00fccudun belli b\u00f6lgelerinde g\u00f6r\u00fclebildi\u011fi gibi t\u00fcm v\u00fccutta da g\u00f6r\u00fclebilme potansiyeline sahip, deri y\u00fczeyinde kepekli, sedefli, k\u0131zar\u0131k alanlar \u015feklinde seyreden bir deri hastal\u0131\u011f\u0131 olarak tan\u0131mlan\u0131yor. Hastal\u0131\u011f\u0131n hem lokal hem de genel seyredebildi\u011fini s\u00f6yleyen Prof. Dr. Engin, \u201cSedef hastal\u0131\u011f\u0131na klinik olarak bakt\u0131\u011f\u0131m\u0131z zaman v\u00fccudun belirli b\u00f6lgelerine yerle\u015fmi\u015f eritemli, k\u0131zar\u0131k ve kepekli alanlar g\u00f6r\u00fcr\u00fcz\u201d dedi.<\/p>\n","protected":false},"author":14,"featured_media":5599,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":[],"jnews_primary_category":[],"jnews_social_meta":[],"jnews_override_counter":[],"footnotes":""},"categories":[32],"tags":[480,479],"class_list":["post-5598","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-prof-dr-burhan-engin","tag-sedef-hastaligi"],"_links":{"self":[{"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/posts\/5598","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/comments?post=5598"}],"version-history":[{"count":0,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/posts\/5598\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/media\/5599"}],"wp:attachment":[{"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/media?parent=5598"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/categories?post=5598"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/tags?post=5598"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}