{"id":319,"date":"2024-09-26T11:35:28","date_gmt":"2024-09-26T11:35:28","guid":{"rendered":"https:\/\/saatall.com\/?p=319"},"modified":"2025-07-09T12:52:02","modified_gmt":"2025-07-09T12:52:02","slug":"sac-hastaliklari-ve-dokulme-tedavileri","status":"publish","type":"post","link":"https:\/\/drfatmaerden.com\/sac-hastaliklari-ve-dokulme-tedavileri\/","title":{"rendered":"Sa\u00e7 Hastal\u0131klar\u0131 Ve D\u00f6k\u00fclme Tedavileri"},"content":{"rendered":"

SA\u00c7 HASTALIKLARI<\/strong><\/h4>\n
Sa\u00e7 d\u00f6k\u00fclmesi her ya\u015ftan erkek ve kad\u0131n\u0131 etkileyebilen ve s\u0131kl\u0131kla \u00f6nemli psikososyal problemlere yol a\u00e7abilen bir dermatolojik hastal\u0131kt\u0131r. Sa\u00e7\u0131n, bir kad\u0131n\u0131n en b\u00fcy\u00fck aksesuar\u0131 oldu\u011funu s\u00f6ylersek e\u011fer yanl\u0131\u015f bir tabir olmaz. G\u00fcn\u00fcm\u00fczde erkeklerin sa\u00e7 kayb\u0131na y\u00f6nelik sa\u00e7 ekimine kadar giden i\u015flemler yapt\u0131rmas\u0131, asl\u0131nda sadece kad\u0131nlar\u0131n de\u011fil erkek cinsiyetin de dikkat etti\u011fi bir yap\u0131 oldu\u011funu g\u00f6sterir.<\/div>\n

KIL GEL\u0130\u015e\u0130M EVRES\u0130 GENEL B\u0130LG\u0130LER<\/strong><\/h4>\n
Her bir k\u0131l, bulbus denen so\u011fan benzeri bir yap\u0131 ile deriye g\u00f6m\u00fcl\u00fcd\u00fcr. Her biri destek dokusu, sinir ve damar yap\u0131s\u0131 ile bir \u00fcnite yap\u0131s\u0131 olu\u015fturur. Bu bilgi, bize k\u0131l\u0131n da bir organ gibi birtak\u0131m ihtiya\u00e7lar\u0131 oldu\u011funu g\u00f6steriyor.<\/div>\n

Temel olarak \u00fc\u00e7 tip k\u0131l yap\u0131s\u0131 vard\u0131r:<\/strong><\/h4>\n
\u2013 Lanugo k\u0131l, yenido\u011fan bebeklerde g\u00f6rd\u00fc\u011f\u00fcm\u00fcz birka\u00e7 ay sonra kaybedilen k\u0131l tipidir.<\/div>\n
\u2013 Terminal k\u0131l, ergenlikle birlikte belirginle\u015fen kal\u0131n koyu k\u0131llar<\/div>\n
\u2013 Vellus tipi k\u0131l ise el ve ayak taban\u0131 hari\u00e7 sa\u011fl\u0131kl\u0131 bir v\u00fccutta bulunan hormonal k\u0131llar d\u0131\u015f\u0131nda kalan ayva t\u00fcy\u00fc k\u0131llard\u0131r.<\/div>\n

KILLARIN GEL\u0130\u015e\u0130M EVRES\u0130:<\/u><\/strong><\/h4>\n
K\u0131l\u0131n b\u00fcy\u00fcme ve geli\u015fmesinin oldu\u011fu d\u00f6nem, aktif d\u00f6nemdir ve %85-90\u2019\u0131 bu evrededir. Aktif d\u00f6nemdeki k\u0131llar ge\u00e7i\u015f evresinde bekler ve daha sonra at\u0131l\u0131rlar. Bu at\u0131lma s\u00fcreci de t\u00fcm k\u0131llarda ayn\u0131 anda olmaz yani asenkronizedir.<\/div>\n
K\u0131l\u0131n b\u00fcy\u00fcme h\u0131z\u0131, s\u00fcresi, b\u00fcy\u00fcme geli\u015fme evresindeki k\u0131l oran\u0131, k\u0131l yo\u011funlu\u011fu k\u0131llar\u0131n yerle\u015fim yerine g\u00f6re farkl\u0131l\u0131klar g\u00f6sterir. \u00d6rne\u011fin; Sa\u011fl\u0131kl\u0131 bir bireyde 100 sa\u00e7 k\u0131l kayb\u0131 normal kabul edilir.<\/div>\n
Bu k\u0131l d\u00f6ng\u00fcs\u00fcn\u00fc do\u011frudan veya dolayl\u0131 yollardan etkileyen hastal\u0131klar; sa\u00e7 veya k\u0131l kayb\u0131na sebep olurlar.<\/div>\n
Sa\u00e7 d\u00f6k\u00fclmesi hastalar\u0131m\u0131z\u0131n s\u0131k ba\u015fvuru nedenlerinden biri. Sa\u011fl\u0131kl\u0131 bir sa\u00e7 i\u00e7in; sadece k\u0131l\u0131n kendisi de\u011fil, ayn\u0131 zamanda k\u0131l\u0131 do\u011furan, b\u00fcy\u00fcme ve geli\u015fmesini sa\u011flayan topra\u011f\u0131 yani, sa\u011flam bir sa\u00e7l\u0131 deriye de ihtiya\u00e7 vard\u0131r.<\/div>\n

EN SIK G\u00d6R\u00dcLEN SA\u00c7 HASTALIKLARI<\/strong><\/h4>\n
\u2022\u00a0Alopesi Areata<\/div>\n
\u2022\u00a0Telojen Effluvium<\/div>\n
\u2022\u00a0Travmatik Alopesi (Traksiyonel yani \u00e7ekme ile geli\u015fen)<\/div>\n
\u2022\u00a0Trikotillomani<\/div>\n
\u2022\u00a0Androjenik Alopesi<\/div>\n
\u2022\u00a0K\u0131l \u015eaft Anomalileri<\/div>\n
\u2022\u00a0Skatrisyel yani kal\u0131c\u0131 k\u0131l kayb\u0131n\u0131n geli\u015fti\u011fi sa\u00e7 kay\u0131plar\u0131<\/div>\n

SA\u00c7 D\u00d6K\u00dcLMES\u0130 YAPAB\u0130LEN NEDENLER;<\/strong><\/h4>\n
Kullan\u0131lan ila\u00e7lar<\/div>\n
Ge\u00e7irilmi\u015f hastal\u0131klar, operasyonlar (4 ay \u00f6ncesinden itibaren)<\/div>\n
Sa\u00e7 bak\u0131m\u0131 ve sa\u00e7 kozmetikleri kullan\u0131m\u0131<\/div>\n
Diyet; yetersiz protein al\u0131m\u0131, h\u0131zl\u0131 kilo kay\u0131plar\u0131<\/div>\n
Hormonal bozukluklar gebelik, menapozal durum, tiroid bezi bozukluklar\u0131 ve hastal\u0131klar\u0131<\/div>\n
Enfeksiyonlar (mantar, frengi, covid gibi)<\/div>\n
Sistemik hastal\u0131klar (lupus gibi)<\/div>\n

SA\u00c7 D\u00d6K\u00dcLMES\u0130NDE TE\u015eH\u0130SE Y\u00d6NEL\u0130K B\u0130ZLER NELER\u0130 DE\u011eERLEND\u0130R\u0130YORUZ?<\/u><\/strong><\/h4>\n
Sa\u00e7 d\u00f6k\u00fclmesi nedenini saptamak, tedavi edilebilir bir tablo olup olmayaca\u011f\u0131n\u0131 ortaya koymak ve tedavi plan\u0131 olu\u015fturabilmek i\u00e7in baz\u0131 de\u011ferlendirmelere ihtiya\u00e7 vard\u0131r.<\/div>\n
Peki biz dermatoloji hekimleri sa\u00e7 d\u00f6k\u00fclmesi \u015fikayeti ile gelen hastalarda neler yap\u0131yoruz?<\/div>\n
    \n
  • Sa\u00e7 k\u0131l\u0131 yap\u0131s\u0131: hem \u00e7\u0131plak g\u00f6zle hem de dermatoskop cihaz\u0131 ile bak\u0131 yap\u0131yoruz. Gerekli durumlarda k\u0131l \u00f6rne\u011fi al\u0131p mikroskobik bak\u0131 yapabiliyoruz (mantar hastal\u0131klar\u0131 veya k\u0131l \u015faft\u0131 bozukluklar\u0131)<\/li>\n
  • D\u00f6k\u00fclme miktar\u0131 ve da\u011f\u0131l\u0131m\u0131: Hastan\u0131n cinsiyetine g\u00f6re da\u011f\u0131l\u0131m\u0131 ya da tipi nas\u0131l? \u00c7ekme testi yapt\u0131\u011f\u0131m\u0131zda elimize sa\u00e7 geliyor mu?<\/li>\n
  • Sa\u00e7l\u0131 deri sa\u011fl\u0131kl\u0131 m\u0131? Folik\u00fcl dedi\u011fimiz yap\u0131lar sa\u011flam m\u0131? \u00c7\u00fcnk\u00fc, bu yap\u0131lar yoksa do\u011furgan k\u0131s\u0131m yok demektir. \u00d6zellikle bu t\u00fcr tutulumlarda amac\u0131m\u0131z k\u0131llar\u0131n geri gelmesi de\u011fil, k\u0131l kayb\u0131n\u0131n ilerleyi\u015fini azaltmak veya engellemek.<\/li>\n
  • Kad\u0131n hastalar\u0131m\u0131z i\u00e7in, hormonal bozuklu\u011fa i\u015faret eden akne veya k\u0131llanma var m\u0131?<\/li>\n<\/ul>\n

    SA\u00c7 HASTALIKLARINDA KAN TETK\u0130KLER\u0130<\/strong><\/h4>\n
    Her sa\u00e7 hastal\u0131\u011f\u0131nda laboratuvar testlerine ihtiya\u00e7 olmaz. Sa\u00e7 d\u00f6k\u00fclmesi tipi, \u015fekli ve hastan\u0131n cinsiyetine g\u00f6re testler istenebilir. Skar yani kal\u0131c\u0131 k\u0131l kayb\u0131n\u0131n e\u015flik edebildi\u011fi baz\u0131 hastal\u0131klarda, erken d\u00f6nemde deri biyopsisi gerekebilmektedir.<\/div>\n

    SA\u00c7 D\u00d6K\u00dcLMES\u0130 \u015e\u0130KAYET\u0130 OLAN HASTALAR DE\u011eERLEND\u0130RMEYE NASIL GELMEL\u0130D\u0130R?<\/u><\/strong><\/h4>\n
    Sa\u00e7lar taranmamal\u0131 ve en az 5 g\u00fcn y\u0131kanmamal\u0131d\u0131r.<\/div>\n
    Sa\u00e7 kremi, spreyi gibi sa\u00e7 kozmetikleri ve d\u00fczle\u015ftirme, boyama gibi i\u015flemler de\u011ferlendirmeden 2 hafta \u00f6nce b\u0131rak\u0131lmal\u0131d\u0131r.<\/div>\n

    SA\u00c7 D\u00d6K\u00dcLMES\u0130NDE TEDAV\u0130<\/strong><\/h4>\n
    D\u00f6k\u00fclme tipine, \u015fiddetine ve e\u015flik eden hastal\u0131klara ba\u011fl\u0131 de\u011fi\u015fir.<\/div>\n
    Alopesi areata, totalis gibi otoimm\u00fcn hastal\u0131klarda \u015fikayetin geni\u015fli\u011fi ve \u015fiddetine ba\u011fl\u0131 kortizonlu losyon, d\u00f6k\u00fclen alana kortizonlu enjeksiyonlar, sa\u00e7 k\u0131l\u0131na kar\u015f\u0131 sava\u015f\u0131 bast\u0131rmak i\u00e7in ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131 d\u00fczenleyici ila\u00e7lar (kortizon haplar\u0131), katranl\u0131 kar\u0131\u015f\u0131m kremler, difensipron immunoterapisi uygulanabilmektedir. Tedavi yan\u0131t\u0131, ailesel, \u015fiddetli olan bireylerde d\u00fc\u015f\u00fck olabilmektedir.<\/div>\n
    Sa\u00e7l\u0131 deriyi etkileyen organik bir hastal\u0131k yoksa; mezoterapi, bireyin kendi kan\u0131ndan elde edilen plateletten zengin plazma, eksozom, nanofat gibi ya\u011f enjeksiyonlar\u0131 veya mikro greft enjeksiyonlar\u0131 ile desteklenebilir.<\/div>\n
    Sistemik hastal\u0131klara ba\u011fl\u0131 olan d\u00f6k\u00fclmelerde ise hem sistemik hastal\u0131k tedavisi hem de yukar\u0131da ifade edilen uygulamalar ile sa\u00e7l\u0131 deri sa\u011flam ise erken d\u00f6nemde g\u00fczel sonu\u00e7lar al\u0131nabilmektedir. Hastal\u0131klar\u0131n ge\u00e7 d\u00f6nemlerinde maalesef kal\u0131c\u0131 kay\u0131plar geli\u015fir.<\/div>\n

    Sa\u00e7 D\u00f6k\u00fclmesi \u015eikayeti ile Hastalar\u0131m\u0131zdan S\u0131k Gelen Sorular<\/u><\/strong><\/h4>\n
      \n
    • Soru 1: \u00c7ocu\u011fumda sa\u00e7 d\u00f6k\u00fclmesi, c\u0131l\u0131z sa\u00e7lar, y\u00fcns\u00fc sa\u00e7lar veya dola\u015f\u0131k sa\u00e7lar\u0131 var. Uzam\u0131yor veya Taranm\u0131yor?<\/strong><\/li>\n
    • Bu problem tek ba\u015f\u0131na olabilece\u011fi gibi, birtak\u0131m hastal\u0131klara da e\u015flik edebilece\u011fi unutulmamal\u0131d\u0131r. \u00d6zellikle bu tarz \u015fikayetleri olan \u00e7ocuklar\u0131n, k\u0131l yap\u0131s\u0131n\u0131n yan\u0131nda ka\u015f, kirpik, di\u015f ve t\u0131rnak gibi deri eki yap\u0131lar\u0131n\u0131n da de\u011ferlendirilmesi \u00f6nemlidir.<\/li>\n
    • Soru 2: \u00c7ocu\u011fumun sa\u00e7\u0131na ustura yapsam olur mu?<\/strong><\/li>\n
    • Muayeneye getirilen \u00e7ocuklar\u0131n ruhsal y\u00f6nden etkilendi\u011fini ve \u00fcz\u00fcld\u00fc\u011f\u00fcn\u00fc g\u00f6zlemliyorum. Tabi ki yan\u0131t\u0131m hay\u0131r. \u00c7\u00fcnk\u00fc, bilimsel bir anlam\u0131 yok.<\/li>\n
    • Soru 3: Sa\u00e7lar\u0131m d\u00f6k\u00fcl\u00fcyor, Taramaya korkuyorum?<\/strong><\/li>\n
    • Sa\u00e7 taramak da asl\u0131nda sa\u00e7 ve sa\u00e7l\u0131 deri i\u00e7in bir nevi masaj, rahatlama durumudur. Zorlay\u0131c\u0131 olmadan taramaya devam etmek gerekir.<\/li>\n
    • Soru 4: Sa\u00e7 diplerim \u00e7ok a\u011fr\u0131yor?<\/strong><\/li>\n
    • \u00d6zellikle baz\u0131 bireylerde sa\u00e7 d\u00f6k\u00fclmesi \u00f6ncesi trikodini ad\u0131n\u0131 verdi\u011fimiz k\u0131l dibi a\u011fr\u0131s\u0131 olur. Sa\u00e7l\u0131 deri dokunmakla hassast\u0131r. Bu nedenle sa\u00e7 d\u00f6k\u00fclmesine e\u015flik\u00e7i olabilen bir \u015fikayettir.<\/li>\n
    • Soru 5: Berberim\/kom\u015fum\/akrabam sar\u0131msakl\u0131 k\u00fcr ile sa\u00e7lar\u0131 g\u00fcrle\u015fti. Ben de kullansam olur mu?<\/strong><\/li>\n
    • S\u0131kl\u0131kla yap\u0131lan kar\u0131\u015f\u0131mlar o b\u00f6lgede yanma, ka\u015f\u0131nt\u0131, k\u0131zar\u0131kl\u0131k gibi bizim inflamasyon ve ekzematizasyon dedi\u011fimiz bir tablo yarat\u0131r. \u00d6zellikle alopesi areata gibi sa\u00e7 k\u0131ran hastal\u0131\u011f\u0131nda bizim de kulland\u0131\u011f\u0131m\u0131z bir y\u00f6ntemdir. Fakat, biz hekimler bilinmeyen i\u00e7erikler de\u011fil t\u0131bbi onayl\u0131 ve ruhsatl\u0131 \u00fcr\u00fcnler kullan\u0131yor ve \u00f6neriyoruz.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

      SA\u00c7 HASTALIKLARI Sa\u00e7 d\u00f6k\u00fclmesi her ya\u015ftan erkek ve kad\u0131n\u0131 etkileyebilen ve s\u0131kl\u0131kla \u00f6nemli psikososyal problemlere yol a\u00e7abilen bir dermatolojik hastal\u0131kt\u0131r. Sa\u00e7\u0131n, bir kad\u0131n\u0131n en b\u00fcy\u00fck aksesuar\u0131 oldu\u011funu s\u00f6ylersek e\u011fer yanl\u0131\u015f bir tabir olmaz. G\u00fcn\u00fcm\u00fczde erkeklerin sa\u00e7 kayb\u0131na y\u00f6nelik sa\u00e7 ekimine kadar giden i\u015flemler yapt\u0131rmas\u0131, asl\u0131nda sadece kad\u0131nlar\u0131n de\u011fil erkek cinsiyetin de dikkat etti\u011fi bir yap\u0131 […]<\/p>\n","protected":false},"author":1,"featured_media":320,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-319","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dermatolojik-tedaviler"],"yoast_head":"\nSa\u00e7 Hastal\u0131klar\u0131 Ve D\u00f6k\u00fclme Tedavileri - Uzm.Dr. Fatma Erden<\/title>\n<meta name=\"description\" content=\"Sa\u00e7 hastal\u0131klar\u0131 ve d\u00f6k\u00fclme tedavileri ile sa\u00e7 sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 geri kazan\u0131n. 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