{"id":302,"date":"2024-09-26T11:16:06","date_gmt":"2024-09-26T11:16:06","guid":{"rendered":"https:\/\/saatall.com\/?p=302"},"modified":"2025-07-09T12:15:17","modified_gmt":"2025-07-09T12:15:17","slug":"mantar-hastaliklari","status":"publish","type":"post","link":"https:\/\/drfatmaerden.com\/mantar-hastaliklari\/","title":{"rendered":"Mantar Hastal\u0131klar\u0131"},"content":{"rendered":"
DER\u0130 VE DER\u0130 EK\u0130 (YAN\u0130 SA\u00c7, TIRNAK) YAPILARININ MANTAR HASTALIKLARI<\/strong><\/div>\n
Mantar hastal\u0131klar\u0131 deri floras\u0131nda ya\u015fayan mantar etkenlerinden ya da hayvanlardan, topraktan bula\u015f yoluyla meydana gelen dermatolojik olarak s\u0131k g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Sa\u00e7l\u0131 deri, t\u0131rnak, t\u00fcm v\u00fccut y\u00fczeyi d\u0131\u015f\u0131nda dudak, a\u011f\u0131z i\u00e7i, genital b\u00f6lge dedi\u011fimiz k\u0131rm\u0131z\u0131, pembemsi alan yani mukozalar\u0131 da tutarak birtak\u0131m \u015fikayetlere sebep olmaktad\u0131r.<\/div>\n
MANTAR HASTALIKLARI NEDEN OLU\u015eUR?<\/strong><\/div>\n
Mantar etkenlerinin temas sonras\u0131 hastal\u0131k olu\u015fturabilmeleri i\u00e7in elbette birtak\u0131m \u015fartlara gereksinim vard\u0131r:<\/div>\n
    \n
  • Ki\u015finin ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131,<\/li>\n
  • Deri b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fcn sa\u011flam olmas\u0131,<\/li>\n
  • A\u015f\u0131r\u0131 terlemeye sebep olan fakt\u00f6rler; iklim, egzersiz, yap\u0131sal nedenler (ya\u011fl\u0131 deri\/ ya\u011fl\u0131 egzamas\u0131 olanlar), kakao ya\u011f\u0131 kullan\u0131m\u0131<\/li>\n
  • Sistemik hastal\u0131klar (obezite, \u015feker hastal\u0131\u011f\u0131, gebelik, cushing sendromu ve guatr hastal\u0131klar\u0131),<\/li>\n
  • S\u0131cak ve nem,<\/li>\n
  • Kapal\u0131 ayakkab\u0131 giyme, dar s\u0131k\u0131 k\u0131yafet tercihi,<\/li>\n
  • Ortak e\u015fya kullan\u0131m\u0131 (tarak, terlik, havlu, hijyenik olmayan ortamlarda kullan\u0131lan e\u015fyalar (kuaf\u00f6r, berber, hamam, sauna gibi),<\/li>\n
  • Erkek cinsiyet,<\/li>\n
  • Kortizon gibi ba\u011f\u0131\u015f\u0131k yan\u0131t\u0131 d\u00fc\u015f\u00fcren ila\u00e7lar\u0131n kullan\u0131m\u0131, ya da floray\u0131 bozan antibiyotik kullan\u0131m\u0131<\/li>\n
  • K\u00f6t\u00fc v\u00fccut, a\u011f\u0131z ve di\u015f hijyeni,<\/li>\n
  • A\u011f\u0131z kurulu\u011fu tablosunun varl\u0131\u011f\u0131<\/li>\n
  • Hayvan temas\u0131 veya mesleki olarak hayvanc\u0131l\u0131kla u\u011fra\u015fmak bu nedenlerin hepsi bu hastal\u0131klar\u0131n olu\u015fumunda rol oynayan temel durumlard\u0131r.<\/li>\n<\/ul>\n
    MANTAR HASTALIKLARI K\u0130MLERDE SIK G\u00d6R\u00dcL\u00dcR?<\/strong><\/div>\n
    Sa\u00e7l\u0131 deri tutulumlu mantar hastal\u0131klar\u0131; \u00f6zellikle ergenlik \u00f6ncesi en s\u0131k 5-10 ya\u015flar\u0131nda ya da ciddi bak\u0131m yetersizli\u011fi, ba\u011f\u0131\u015f\u0131k yan\u0131t d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc olan bireylerde g\u00f6r\u00fcl\u00fcr. Bu durumlar d\u0131\u015f\u0131nda g\u00f6zlenmez.<\/div>\n
    Di\u011fer mantar hastal\u0131klar\u0131 ise; hayat\u0131m\u0131z\u0131n her d\u00f6neminde yukar\u0131da say\u0131lan durumlar\u0131n ortaya \u00e7\u0131kmas\u0131 durumunda g\u00f6zlenebilir.<\/div>\n
    MANTAR HASTALI\u011eI T\u0130PLER\u0130 NELERD\u0130R? HANG\u0130 BULGULARLA KAR\u015eIMIZA \u00c7IKAR?<\/strong><\/div>\n
    Sa\u00e7l\u0131 deri mantarlar\u0131; sa\u00e7 d\u00f6k\u00fclmesinden kepeklenmeye, irinli derin \u00e7\u0131ban gibi olu\u015fumlardan \u015fiddetli a\u011fr\u0131 ve v\u00fccut d\u00f6k\u00fcnt\u00fcs\u00fc yapacak k\u0131zar\u0131kl\u0131klara sebep olabilmektedir.<\/div>\n
    Ayak mantarlar\u0131; genellikle herhangi bir \u015fikayet yapmaz. Ama; ka\u015f\u0131nt\u0131, a\u011fr\u0131 veya bakteriyel enfeksiyon eklenmesine ba\u011fl\u0131 \u015fikayet verebilir. Beraberinde t\u0131rnak mantar\u0131 da eklenmi\u015f olabilir. Ayak mantar hastal\u0131\u011f\u0131 da farkl\u0131 \u015fekillerde kar\u015f\u0131m\u0131za \u00e7\u0131kabilmektedir:<\/div>\n
    Kuru tip ayak mantar\u0131; genellikle 4-5. Parmak aralar\u0131nda g\u00f6zlenen kuru, kepekli g\u00f6r\u00fcnt\u00fcye sebep olur.<\/div>\n
    Islak tip ayak mantar\u0131; 4-5.parmak aralar\u0131nda beyaz nemli bir g\u00f6r\u00fcnt\u00fc yapar. Beraberinde bakteriyel enfeksiyonun eklenmesiyle k\u00f6t\u00fc koku ve ye\u015filimsi-mavimsi renk de\u011fi\u015fikli\u011fi geli\u015febilir (s\u0131kl\u0131kla pseudomonas veya korinebakteri bakterileri eklenebilmektedir). Enfeksiyon di\u011fer parmaklara yay\u0131labilir.<\/div>\n
    Mokasen tip ayak mantar\u0131; aya\u011f\u0131n topuk ve yan k\u0131s\u0131mlar\u0131n\u0131 tutan, bu b\u00f6lgede deri kal\u0131nla\u015fmas\u0131 yapan tip ve s\u0131kl\u0131kla her iki aya\u011f\u0131 tutar. Topuk \u00e7atlaklar\u0131yla kar\u0131\u015fabilir. Mantar testi i\u00e7in derin kaz\u0131nt\u0131 \u00f6rne\u011fi al\u0131nmal\u0131d\u0131r.<\/div>\n
    Enflamatuar\/b\u00fcll\u00f6z tip ayak mantar\u0131; i\u00e7i berrak vezik\u00fcl\/b\u00fcl dedi\u011fimiz kabar\u0131kl\u0131klar yapar. \u00c7ok ka\u015f\u0131nt\u0131l\u0131d\u0131r; aya\u011f\u0131n \u00fczeri, parmak aralar\u0131 ve tabanlar\u0131 tutabilir. \u0130d reaksiyonu denen ellerde, v\u00fccutta kabar\u0131k d\u00f6k\u00fcnt\u00fcler yapabilir.<\/div>\n
    \u00dclseratif tip ayak mantar\u0131; parmak aras\u0131 mantar\u0131n ayak taban\u0131 ve ayak yan k\u0131s\u0131mlar\u0131na yay\u0131l\u0131p \u00fczerine enfeksiyon tablosunun eklenmesiyle meydana gelir. Bu hastalar daha \u00e7ok \u015feker hastal\u0131\u011f\u0131, dola\u015f\u0131m problemi, kronik b\u00f6brek yetmezli\u011fi gibi hastal\u0131klar\u0131 olan bireylerdir. Tedavi edilmedi\u011fi takdirde; erizipel, sel\u00fclit gibi deri veya osteomyelit denen ilerleyici kemik enfeksiyonuna neden olur.<\/div>\n
    Pityriasis (Tinea) Versicolor veya Samyeli Mantar\u0131, <\/u>genellikle a\u015f\u0131r\u0131 terleme ile ili\u015fkili bu tip mantar enfeksiyonunda; keskin s\u0131n\u0131rl\u0131 ince kepekli, a\u00e7\u0131k kahve veya pembemsi renkte, s\u0131kl\u0131kla \u00fcst g\u00f6vde \u00fczerinde lezyonlara sebep olur. Bula\u015f\u0131c\u0131 de\u011fildir.<\/div>\n
    Koyu cilt tipine sahip bireylerde tam tersi beyaz alanlar \u015feklinde olur. Ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131 d\u00fc\u015f\u00fck bireylerde, ola\u011fan g\u00f6r\u00fcnt\u00fcs\u00fcnden \u00e7ok daha farkl\u0131 \u015fiddette g\u00f6zlenebilir. \u00c7ocuklarda y\u00fcz b\u00f6lgesi tutulabilir. Hastalar, di\u011fer v\u00fccut alanlar\u0131na k\u0131yasla, d\u00f6k\u00fcnt\u00fc noktalar\u0131n\u0131n g\u00fcne\u015ften yanmad\u0131\u011f\u0131n\u0131 fark eder.<\/div>\n
    CAND\u0130DA MANTAR HASTALI\u011eI<\/strong><\/div>\n
    \u00d6zellikle yanak mukozas\u0131, dil, yumu\u015fak damak ve di\u015f etinde beyaz s\u00fct kal\u0131nt\u0131s\u0131 \u015feklinde lezyonlar yapar. \u00dczerindeki beyaz katman kaz\u0131nd\u0131\u011f\u0131nda alt\u0131nda kalan dokuda k\u0131zar\u0131kl\u0131k ve erozyon, kanama ortaya \u00e7\u0131kar. Klinik tablo uzad\u0131k\u00e7a dil s\u0131rt\u0131nda yar\u0131klara, siyahla\u015fmaya ve atrofi dedi\u011fimiz dil yap\u0131s\u0131nda bozulmaya sebep olur.<\/div>\n
    Ka\u015f\u0131nt\u0131, yanma, a\u011fr\u0131 ve tat duyusunda bozukluk en emel kar\u015f\u0131la\u015f\u0131lan problemlerdir. \u015eiddetli tablolarda, yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, yutkunma da a\u011fr\u0131 \u015fikayeti yemek borusunun etkilenmesine ba\u011fl\u0131 eklenebilmektedir.<\/div>\n
    KASIK MANTARI<\/strong><\/div>\n
    Genellikle hi\u00e7bir \u015fikayet yaratmadan ya da ka\u015f\u0131nt\u0131, yanma, k\u0131zar\u0131kl\u0131k, renk de\u011fi\u015fikli\u011fi gibi \u015fikayetler yaratarak seyreder. Ka\u015f\u0131nt\u0131, ba\u015flang\u0131\u00e7 d\u00f6neminde \u015fiddetli olabilir. Erkek cinsiyette ve hijyen bozuklu\u011funa ba\u011fl\u0131 g\u00f6zlenme ihtimali y\u00fcksektir.<\/div>\n
    Kas\u0131k mantar\u0131; en s\u0131k uylu\u011fun \u00fcst ve i\u00e7 yan k\u0131sm\u0131ndan ba\u015flar. Ka\u015f\u0131nt\u0131 ve k\u0131zar\u0131kl\u0131k \u00e7o\u011funlukla iki tarafl\u0131 olur. Bazen tek tarafl\u0131 da g\u00f6r\u00fclebilir. Tedavi edilmedi\u011finde hastal\u0131k g\u00f6bek alt k\u0131sm\u0131, makat, kal\u00e7a yan taraflar\u0131na do\u011fru yay\u0131labilir. Ancak, hastal\u0131\u011f\u0131n genital organlarda yerle\u015fmesi olduk\u00e7a seyrektir<\/div>\n
    Kas\u0131klarda; s\u0131kl\u0131kla yar\u0131m ay \u015feklinde keskin s\u0131n\u0131rl\u0131, kenarlar\u0131 kepekli, k\u0131zar\u0131k, deriden kabar\u0131k, girintili \u00e7\u0131k\u0131nt\u0131l\u0131 d\u00f6k\u00fcnt\u00fcler yapar. Belirtiler \u00e7evreye do\u011fru yava\u015f\u00e7a yay\u0131larak dev boyutlara ula\u015fabilir, bu s\u0131rada merkezde k\u0131smi iyile\u015fme olabilir.<\/div>\n
    \u015eiddetli durumlarda kenar k\u0131s\u0131mlarda k\u00fc\u00e7\u00fck sulu kabarc\u0131klar veya iltihabi kabarc\u0131klar ortaya \u00e7\u0131kabilir. Hastal\u0131\u011f\u0131n uzun s\u00fcrmesi durumunda ka\u015f\u0131nt\u0131ya ba\u011fl\u0131 deride kal\u0131nla\u015fmalar g\u00f6r\u00fclebilir. Hastalar\u0131n \u00e7o\u011funda birlikte ayakta da mantar enfeksiyonu bulunur.<\/div>\n
    TIRNAK MANTARLARI<\/strong><\/div>\n
    T\u0131rnak mantar hastal\u0131\u011f\u0131, t\u0131rnaklarda renk de\u011fi\u015fikli\u011fi, kal\u0131nla\u015fma, k\u0131r\u0131lmalara ve t\u0131rnak kay\u0131plar\u0131na sebep olan bir hastal\u0131kt\u0131r. Ayak mantar\u0131 olu\u015fumuna sebep olan hastal\u0131klar\u0131n veya durumlar\u0131n uzun s\u00fcreli devam etmesi, beraberinde t\u0131rnak hastal\u0131\u011f\u0131n\u0131 getirir. Ayr\u0131ca, kal\u0131n keratinize bir doku oldu\u011fu i\u00e7in, t\u0131rnaklar\u0131n mantar hastal\u0131\u011f\u0131n\u0131n tedavisi de biraz uzun solukludur.<\/div>\n
    TANI NASIL KONULUR?<\/u><\/strong><\/div>\n
    Tan\u0131 dermatoloji hekimleri taraf\u0131ndan konur. Klinik uyumluluk d\u00fc\u015f\u00fcn\u00fclen vakalarda, lezyonlardan al\u0131nan kaz\u0131nt\u0131 \u00f6rne\u011finin mikroskobik incelemesinde mantar elemanlar\u0131n\u0131n g\u00f6zlenmesiyle desteklenmi\u015f olur. Ayr\u0131ca; wood lambas\u0131 denen mor \u0131\u015f\u0131k de\u011ferlendirmesi veya k\u00fclt\u00fcr \u00f6rnekleri, etkene y\u00f6nelik do\u011fru tedavinin ba\u015flanmas\u0131 veya bakteriyel enfeksiyonun eklendi\u011fi d\u00fc\u015f\u00fcn\u00fclen vakalarda yap\u0131lmal\u0131d\u0131r.<\/div>\n
    TEDAV\u0130<\/u><\/strong><\/div>\n
    Ayak ve t\u0131rnak mantar\u0131 tedavisinde;<\/div>\n
    \u00c7o\u011funlukla \u015fikayet yaratm\u0131yorsa hastalar taraf\u0131ndan tedavi talebi olmaz.<\/div>\n
    Tedavide, klinik tabloya uygun mantar krem ve hap tedavilerini se\u00e7ebiliyoruz. \u00d6zellikle kal\u0131n tabakal\u0131 mantarlarda ya da t\u0131rnak mantar\u0131n\u0131n eklendi\u011fi tablolarda tedavinin yava\u015f yava\u015f gerileyece\u011fi bilinmelidir (t\u0131rnak mantar\u0131nda 3 veya 6 ay gibi). Ayak taban\u0131nda nas\u0131rla\u015fma ile seyreden mantarlarda salisilik asit i\u00e7erikli kremler ile kal\u0131n tabaka yumu\u015fat\u0131l\u0131p temizlenerek tedavi h\u0131zland\u0131r\u0131labilir.<\/div>\n
    Mantar hap\u0131 kullanamayan hastalarda, t\u0131rnak mantar\u0131nda QS ND: YAG lazer uygulamas\u0131 eklenebilir.<\/div>\n
    V\u00fccut ve kas\u0131k mantar\u0131nda;<\/div>\n
    Selenyum s\u00fclfit i\u00e7erikli \u015fampuanlar, \u00e7ay a\u011fac\u0131 ya\u011f\u0131 i\u00e7erikli \u015fampuanlar<\/div>\n
    Mantar krem\/spreyleri veya haplar\u0131 kullan\u0131labilmektedir.<\/div>\n
    Samyeli mantar\u0131nda; hipopigmentasyon denen beyazl\u0131klar \u015feklinde olan tablolarda, bu maya mantar\u0131n\u0131n pigment \u00fcretiminde g\u00f6revli tirozinaz enzimini engellemi\u015f olmas\u0131 nedeniyle beyazl\u0131klar ge\u00e7 d\u00fczelebilir veya d\u00fczelmeyece\u011fi unutulmamal\u0131d\u0131r.<\/div>\n
    Candida Mantar\u0131nda;<\/div>\n
    Di\u015f sa\u011fl\u0131\u011f\u0131 ve a\u011f\u0131z hijyenine dikkat edilmesi, yumu\u015fak f\u0131r\u00e7a ile dil f\u0131r\u00e7alama,<\/div>\n
    A\u011f\u0131z i\u00e7in uygun antiseptik gargaralar\u0131n kullan\u0131m\u0131,<\/div>\n
    Klinik \u015fiddetine ba\u011fl\u0131 olarak verilecek topikal ve sistemik mantar engelleyici gargara veya haplar ile tedavi sa\u011flanabilir.<\/div>\n
    Sa\u00e7 mantar\u0131nda; \u00f6zellikle kal\u0131c\u0131 kellik yaratabilece\u011fi i\u00e7in \u00e7ok dikkatli olunmas\u0131 ve tedavinin aksat\u0131lmamas\u0131 gerekmektedir. Tablonun \u015fiddetine ba\u011fl\u0131 olarak mantar haplar\u0131, antibiyotik, kortizon tedavileri, mantar kremleri, \u0131slak pansumanlar ve tutulan k\u0131llar\u0131n c\u0131mb\u0131z ile temizlenmesi \u00f6nemlidir.<\/div>\n
    K\u0131l folik\u00fcl\u00fc gibi derin yerle\u015fimli mantarlarda tekrar etme e\u011filimi oldu\u011fu i\u00e7in uzun s\u00fcreli koruyucu tedavi \u00f6nerilebilir.<\/div>\n
    \u00d6NER\u0130LER<\/strong><\/div>\n
    Tedavinin yan\u0131 s\u0131ra \u00f6zellikle tetikleyici fakt\u00f6rlerin devam\u0131 veya sistemik hastal\u0131klar\u0131n k\u00f6t\u00fc kontrol\u00fc, takipsizli\u011fi maalesef tekrarlamay\u0131 kolayla\u015ft\u0131r\u0131r.<\/div>\n
    \u00d6zellikle, aya\u011f\u0131n terlemesini \u00f6nleyici ayakkab\u0131 ve \u00e7oraplar\u0131n se\u00e7imi, ayaklar\u0131n iyi kurulanmas\u0131, a\u015f\u0131r\u0131 terleme problemi varsa tedavi deste\u011fi al\u0131nmas\u0131 tekrarlamas\u0131n\u0131 azaltacakt\u0131r. Ayr\u0131ca; geriatrik pop\u00fclasyonda t\u0131rnak mantar\u0131 g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n artt\u0131\u011f\u0131; dolay\u0131s\u0131yla, di\u011fer alanlardaki mantar enfeksiyonlar\u0131n\u0131n da artabilece\u011fi ak\u0131lda tutulmal\u0131d\u0131r.<\/div>\n
    Kronik dola\u015f\u0131m bozuklu\u011fu, diyabet, b\u00f6brek yetmezlikleri gibi hastal\u0131klara sahip veya geriatrik pop\u00fclasyon gibi bireysel bak\u0131m\u0131n azald\u0131\u011f\u0131 bireylerde, ayak bak\u0131m konusunda e\u011fitim alm\u0131\u015f bak\u0131c\u0131lar ile desteklenmeli veya bu hizmeti alabilece\u011fi merkezlere ba\u015fvurmas\u0131 \u00f6nerilir. T\u0131pk\u0131 cilt bak\u0131m\u0131 gibi.<\/div>\n
    Son d\u00f6nemlerde tedavi yan\u0131ts\u0131zl\u0131\u011f\u0131 ve direnci, t\u00fcm \u00f6nerilere veya tedavi uygulamalar\u0131na ba\u011fl\u0131 g\u00f6zlenebilmektedir. Farkl\u0131 mantar tiplerinin de \u00fclkemizde g\u00f6zlenmesine ba\u011fl\u0131 tedavinin planlanandan daha uzun s\u00fcreli veya daha y\u00fcksek dozlar gerektirebilece\u011fi unutulmamal\u0131 ve hekim kontrolleri ihmal edilmemelidir. Tedavi yan\u0131ts\u0131zl\u0131\u011f\u0131 ya da direnci olan bireylerde, resveratrol i\u00e7erikli molek\u00fcl takviyesinin de tedaviye destek oldu\u011funa dair \u00e7al\u0131\u015fmalar mevcuttur.<\/div>\n","protected":false},"excerpt":{"rendered":"

    DER\u0130 VE DER\u0130 EK\u0130 (YAN\u0130 SA\u00c7, TIRNAK) YAPILARININ MANTAR HASTALIKLARI Mantar hastal\u0131klar\u0131 deri floras\u0131nda ya\u015fayan mantar etkenlerinden ya da hayvanlardan, topraktan bula\u015f yoluyla meydana gelen dermatolojik olarak s\u0131k g\u00f6r\u00fclen bir hastal\u0131kt\u0131r. Sa\u00e7l\u0131 deri, t\u0131rnak, t\u00fcm v\u00fccut y\u00fczeyi d\u0131\u015f\u0131nda dudak, a\u011f\u0131z i\u00e7i, genital b\u00f6lge dedi\u011fimiz k\u0131rm\u0131z\u0131, pembemsi alan yani mukozalar\u0131 da tutarak birtak\u0131m \u015fikayetlere sebep olmaktad\u0131r. […]<\/p>\n","protected":false},"author":1,"featured_media":303,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-302","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dermatolojik-tedaviler"],"yoast_head":"\nMantar Hastal\u0131klar\u0131 - Uzm.Dr. Fatma Erden<\/title>\n<meta name=\"description\" content=\"Mantar hastal\u0131klar\u0131 tedavisi ile cildinizi koruyun. 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