{"id":243,"date":"2024-09-25T20:49:34","date_gmt":"2024-09-25T20:49:34","guid":{"rendered":"https:\/\/saatall.com\/?p=243"},"modified":"2025-07-09T12:19:03","modified_gmt":"2025-07-09T12:19:03","slug":"terleme-tedavisi","status":"publish","type":"post","link":"https:\/\/drfatmaerden.com\/terleme-tedavisi\/","title":{"rendered":"Terleme Tedavisi"},"content":{"rendered":"
A\u015f\u0131r\u0131 Terleme (Hiperhidrozis); \u0131s\u0131 kayb\u0131 ve termoreg\u00fclasyonu d\u00fczenleyen normal fizyolojik bir olay olan ter \u00fcretiminin organizman\u0131n gereksinimlerinin \u00f6tesinde olmas\u0131 durumudur. Bu tablo, ya\u015fam kalitesini ciddi anlamda etkileyebilmekle birlikte, fiziksel, psikolojik ve emosyonel stresin eklenmesiyle de k\u0131s\u0131r bir d\u00f6ng\u00fcye girer.<\/div>\n
A\u015f\u0131r\u0131 Terleme Problemi Kimlerde G\u00f6r\u00fcl\u00fcr?<\/strong><\/div>\n
Genellikle gen\u00e7lerde, \u00e7o\u011funlukla da el avu\u00e7 i\u00e7i, ayak taban\u0131 ve kol alt\u0131nda, yayg\u0131n g\u00f6r\u00fcl\u00fcr.<\/div>\n
A\u015f\u0131r\u0131 Terleme Problemi Herhangi Bir Hastal\u0131\u011fa Ba\u011fl\u0131 Meydana Gelebilir Mi?<\/strong><\/div>\n
Bireyin sahip oldu\u011fu hastal\u0131klara ba\u011fl\u0131 olabilece\u011fi gibi, herhangi bir neden olmaks\u0131z\u0131n da g\u00f6r\u00fclebilir.<\/div>\n
A\u015f\u0131r\u0131 Terleme Problemi Tan\u0131s\u0131 Nas\u0131l Konur?<\/strong><\/div>\n
Hiperhidroz tan\u0131s\u0131n\u0131 koymak i\u00e7in asl\u0131nda rutin olarak kabul edilmi\u015f bir laboratuvar testi yoktur. Bu t\u00fcr hastalara yakla\u015f\u0131mda en \u00f6nemli \u015fey altta yatan neden varsa, ayr\u0131m\u0131n\u0131 yapmakt\u0131r. Bunun i\u00e7in hastalardan al\u0131nacak ayr\u0131nt\u0131l\u0131 bir anamnez (hikaye) tan\u0131ya y\u00f6nelik en b\u00fcy\u00fck yard\u0131mc\u0131m\u0131z olacakt\u0131r. \u00c7\u00fcnk\u00fc, yap\u0131sal vakalarda, ara\u015ft\u0131rmaya y\u00f6nelik tetkiklere genellikle ihtiya\u00e7 olmaz.<\/div>\n
Bu \u015fikayetlerle gelen bireylerde ayd\u0131nlat\u0131lmas\u0131 gereken sorular vard\u0131r. Bunlar;<\/div>\n
    \n
  • \u015eikayetlerin ba\u015flang\u0131\u00e7 ya\u015f\u0131<\/li>\n
  • A\u015f\u0131r\u0131 terlemenin oldu\u011fu b\u00f6lge<\/li>\n
  • Terlemenin zaman\u0131<\/li>\n
  • Terlemeyi tetikleyen fakt\u00f6rler; s\u0131cakl\u0131k, baharatl\u0131 g\u0131dalar\u0131n al\u0131m\u0131, ate\u015f, egzersiz gibi nedenlerle tetiklenebilir.<\/li>\n<\/ul>\n
    A\u015f\u0131r\u0131 terlemeye e\u015flik eden semptomlar:<\/strong><\/div>\n
      \n
    • Hastada i\u015ftah art\u0131\u015f\u0131na ra\u011fmen kilo kayb\u0131,<\/li>\n
    • Sinirlilik,<\/li>\n
    • Huzursuzluk,<\/li>\n
    • S\u0131cak tolere edememesi,<\/li>\n
    • \u0130la\u00e7 kullan\u0131m\u0131,<\/li>\n
    • \u00d6zge\u00e7mi\u015finde ge\u00e7irilmi\u015f travma veya cerrahi ameliyatlar,<\/li>\n
    • Ailesel hastal\u0131klar e\u015flik eder.<\/li>\n<\/ul>\n
      Yukar\u0131daki sorular\u0131 yan\u0131tlad\u0131ktan sonra altta yatan bir neden yoksa bireye uygun bir tedavi planlan\u0131yoruz.<\/div>\n
      Tedavi se\u00e7enekleri:<\/strong><\/div>\n
      Geleneksel (antiperspirant tedaviler, iyontoforez, ila\u00e7lar) yakla\u015f\u0131mlar, botulinum toksin enjeksiyonu, lazerler ve cerrahi tedavilerdir.<\/div>\n
      Tedavi tamamen bireye uygun ve ortak verilmelidir. Peki bu tedaviler neler;<\/div>\n
      Klasik tedaviler<\/strong><\/div>\n
      Al\u00fcminyum i\u00e7erikli antiperspirantlar, roll-on, kremler<\/strong><\/div>\n
      Al\u00fcminyum tuzlar\u0131;<\/strong>\u00a0k\u00fc\u00e7\u00fck alanlarda, tedavi olarak olduk\u00e7a geni\u015f yer bulan bir tedavi se\u00e7ene\u011fidir. Zaten normal ya\u015fant\u0131m\u0131zda kulland\u0131\u011f\u0131m\u0131z \u00e7o\u011fu antiperspirant \u00fcr\u00fcn\u00fcn i\u00e7inde de bulunmaktad\u0131r. %10, 15 ve 20 oran\u0131ndaki konsantrasyonlar\u0131n t\u00fcm\u00fcnde terleme azalt\u0131c\u0131 etki g\u00f6zlenmi\u015ftir. El ayak b\u00f6lgesinde, daha iyi sonu\u00e7 elde etmek i\u00e7in %20-25 gibi daha y\u00fcksek konsantrasyonlarda kullanmak gerekir. Ama, unutmamak gerekir ki konsantrasyon artt\u0131k\u00e7a tahri\u015f ve yan etkiler artmaktad\u0131r. Gece uyumadan hemen \u00f6nce terlemenin azald\u0131\u011f\u0131 saatlerde uygulan\u0131r.<\/div>\n
      Yanma gibi tahri\u015f bulgular\u0131 en s\u0131k g\u00f6r\u00fclen yan etkileridir.<\/div>\n
      Topikal uygulamalar\u0131n etkisi de yan etkileri de k\u0131sa s\u00fcrelidir.<\/div>\n
      Topikal al\u00fcminyum tuzlar\u0131n\u0131n uzun s\u00fcreli kullan\u0131m\u0131n\u0131n; meme kanseri ve n\u00f6rotoksisiteye ba\u011fl\u0131 Alzheimer hastal\u0131\u011f\u0131 gibi n\u00f6rodejeneratif hastal\u0131klar\u0131 tetikledi\u011fi ile ili\u015fkili tart\u0131\u015fmalar da hala devam etmektedir.<\/div>\n
      \u0130yontoforez y\u00f6ntemi<\/strong><\/div>\n
      \u0130yontoferez<\/strong>; 1952 y\u0131l\u0131nda geli\u015ftirilen iyontoforez, el-ayak terlemesi i\u00e7in tercih edilen geleneksel bir tedavi y\u00f6ntemidir. Mekanizmas\u0131 net olarak bilinmemekle birlikte, direkt elektrik ak\u0131m\u0131 ile iyon kanallar\u0131n\u0131 tersine \u00e7evirerek ter bezlerinin t\u0131kanmas\u0131na neden olur. %81\u2019e varan oranlarda ba\u015far\u0131 oranlar\u0131 bildirilmi\u015ftir. Gebelerde ve kalp pili olan hastalar uygulanmas\u0131 \u00f6nerilmemektedir. A\u011fr\u0131, kuruluk, \u00e7atlama ve yan\u0131k gibi yan etkilere sebep olabilir.<\/div>\n
      Hastalar taraf\u0131ndan sosyal nedenlerden dolay\u0131 (zaman al\u0131c\u0131 olmas\u0131) pek tercih edilmemektedir.<\/div>\n
      Antikolinerjik veya antiadrenerjik ila\u00e7lar<\/strong><\/div>\n
      Oral Antikolinerjikler:<\/strong>\u00a0Terleme tedavisinde olduk\u00e7a etkin ila\u00e7lard\u0131r. Etkisini, ter bezlerinin resept\u00f6rlerini bloke ederek g\u00f6sterir. Bu resept\u00f6rler mesane, g\u00f6z, ba\u011f\u0131rsak, kalp, santral sinir sistemi ve t\u00fck\u00fcr\u00fck bezlerinde de oldu\u011fu i\u00e7in a\u011f\u0131z ve g\u00f6z kurulu\u011fu, idrar \u00e7\u0131karamama, kab\u0131zl\u0131k ve ritim problemleri gibi birtak\u0131m istenmeyen etkilere yol a\u00e7abilir. Ya\u015fl\u0131 hastalar, g\u00f6z tansiyonu olan bireylerde, gebelik ve emzirmede kullan\u0131m\u0131n\u0131 tercih etmiyoruz.<\/div>\n
      Oksibutinin<\/strong>: En s\u0131k kullan\u0131lan, benim de klini\u011fimde s\u0131k tercih etti\u011fim antikolinerjik ila\u00e7t\u0131r.<\/div>\n
      Yukar\u0131da de\u011findi\u011fimiz tedaviler, bireyin uyumunu gerektiren ve \u00e7o\u011fu zaman sadece kullan\u0131m s\u00fcresince terleme \u015fikayetini azaltan tedavilerdir.<\/div>\n
        \n
      • Botulinum Toksini,<\/strong>\u00a0bir bakteri taraf\u0131ndan \u00fcretilen bu toksin, ilk olarak \u015fa\u015f\u0131l\u0131k tedavisinde uygulanmaya ba\u015flanm\u0131\u015ft\u0131r. G\u00fcn\u00fcm\u00fczde; k\u0131r\u0131\u015f\u0131kl\u0131k tedavisinde, di\u015f s\u0131kma problemi olan ki\u015filerde, masseter kas\u0131 kal\u0131nla\u015fm\u0131\u015f Asya tipi y\u00fcz \u015fekline sahip kimselerde, a\u015f\u0131r\u0131 terleme \u015fikayeti olan hastalarda ve daha bir\u00e7ok dermatolojik hastal\u0131kta kullan\u0131lmaktad\u0131r. 2004 y\u0131l\u0131nda FDA taraf\u0131ndan kol alt\u0131 terleme tedavisinde kullan\u0131m\u0131 onaylanm\u0131\u015ft\u0131r. Bu uygulama, do\u011fru doz ve uygulamalarda etkin ve g\u00fcvenilir bir uygulamad\u0131r. Uygulamadan sonra 7-10 g\u00fcn i\u00e7erisinde terleme azalt\u0131c\u0131 etki ba\u015flar, ortalama etki s\u00fcresi 4-10 ay aras\u0131nda de\u011fi\u015fir.<\/li>\n
      • Cerrahi:<\/strong>\u00a0A\u00e7\u0131k ve kapal\u0131 \u015fekilde yap\u0131labilmektedir. Ama ad\u0131 \u00fczerinde cerrahi olunca genellikle tercihi az olan uygulamalardand\u0131r. Genellikle g\u00fcnl\u00fck ya\u015fam\u0131n ciddi etkilendi\u011fi ve yukar\u0131da ifade edilen medikal tedavilere yan\u0131t vermeyen hastalarda tercih edilebilir. Bu ba\u015fl\u0131k alt\u0131nda torakal sempatektomi, aksiller doku eksizyonu ve aksillan\u0131n subkutan suction k\u00fcretaj\u0131 yer almaktad\u0131r.<\/li>\n
      • Yeni tedaviler<\/strong>; \u00e7e\u015fitli lazer sistemleri bu ama\u00e7la uygulanabilmektedir.<\/li>\n
      • Son d\u00f6nemlerde yap\u0131lan \u00e7al\u0131\u015fmalarla etkin ve g\u00fcvenilir oldu\u011fu ifade edilen tedavilerdendir. Etki mekanizmas\u0131n\u0131n ter bezlerinde do\u011frudan meydana gelen termal hasara ba\u011fl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir.<\/li>\n<\/ul>\n
        1064 nm Neodynium: Yttrium-Aluminum-Garnet (Nd: YAG) lazer,<\/strong><\/div>\n
        Diode lazerler, Lazer lipoliz<\/strong><\/div>\n
        Fotodinamik tedavi, Mikro \u0130\u011fneli Radyofrekans lazerleri<\/strong><\/div>\n
        Terleme Tedavisi ile \u0130lgili Bilinen Yanl\u0131\u015flar<\/strong><\/div>\n
          \n
        • A\u015f\u0131r\u0131 terlemeyi tedavi etmek v\u00fccutta zararl\u0131 maddelerin birikimine sebep olur?<\/strong><\/li>\n<\/ul>\n
          V\u00fccut sistemimiz \u00e7ok m\u00fckemmel dizayn edilmi\u015f. Evet, v\u00fccudun en b\u00fcy\u00fck hacme sahip organ\u0131 olan deri, az da olsa baz\u0131 zararl\u0131 maddelerin v\u00fccuttan uzakla\u015ft\u0131r\u0131lmas\u0131 i\u00e7in kullan\u0131lan sistemlerden. Fakat kol alt\u0131, avu\u00e7 i\u00e7i veya t\u00fcm v\u00fccut terlemesi olan bireylere verdi\u011fimiz tedavilerle a\u015f\u0131r\u0131 terleme tedavi edildi\u011fi zaman, v\u00fccut ba\u015fka bir b\u00f6lgeden veya organ arac\u0131l\u0131\u011f\u0131yla yine ayn\u0131 g\u00f6revini yapmaya devam eder. \u00dcstelik a\u015f\u0131r\u0131 terleme tedavisinde amac\u0131m\u0131z normal oranlarda deriden terlemenin sa\u011flanmas\u0131d\u0131r.<\/div>\n
            \n
          • A\u015f\u0131r\u0131 terleme tedavi edilmesi gereken bir bozukluk de\u011fil, yap\u0131sal bir durum mudur?<\/strong><\/li>\n<\/ul>\n
            Asl\u0131nda \u00fcretildi\u011finde steril ve kokusuz olan ter s\u0131v\u0131s\u0131, a\u015f\u0131r\u0131 terleme \u015fikayeti olan bireylerde baz\u0131 bakteri veya mantarlar\u0131n etkisiyle kokulu hale gelir ve yap\u0131s\u0131 de\u011fi\u015fir. Hem de birtak\u0131m hastal\u0131klara zemin haz\u0131rlar; hem de ki\u015finin feromonu yani bireysel kokusu haline gelir. Bu nedenle tedavi edilmesi gereklidir.<\/div>\n","protected":false},"excerpt":{"rendered":"

            A\u015f\u0131r\u0131 Terleme (Hiperhidrozis); \u0131s\u0131 kayb\u0131 ve termoreg\u00fclasyonu d\u00fczenleyen normal fizyolojik bir olay olan ter \u00fcretiminin organizman\u0131n gereksinimlerinin \u00f6tesinde olmas\u0131 durumudur. Bu tablo, ya\u015fam kalitesini ciddi anlamda etkileyebilmekle birlikte, fiziksel, psikolojik ve emosyonel stresin eklenmesiyle de k\u0131s\u0131r bir d\u00f6ng\u00fcye girer. A\u015f\u0131r\u0131 Terleme Problemi Kimlerde G\u00f6r\u00fcl\u00fcr? Genellikle gen\u00e7lerde, \u00e7o\u011funlukla da el avu\u00e7 i\u00e7i, ayak taban\u0131 ve kol […]<\/p>\n","protected":false},"author":1,"featured_media":276,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-243","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kozmetik-dermatoloji"],"yoast_head":"\nTerleme Tedavisi Fiyatlar\u0131 Ankara 2024 - Uzm.Dr. Fatma Erden<\/title>\n<meta name=\"description\" content=\"Terleme tedavisi ile a\u015f\u0131r\u0131 terlemeye son verin. 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