{"id":1569,"date":"2022-02-16T18:21:19","date_gmt":"2022-02-16T18:21:19","guid":{"rendered":"https:\/\/uygarmicoogullari.com.tr\/?page_id=1569"},"modified":"2022-02-16T18:36:15","modified_gmt":"2022-02-16T18:36:15","slug":"asiri-aktif-mesane","status":"publish","type":"page","link":"https:\/\/uygarmicoogullari.com.tr\/en\/asiri-aktif-mesane\/","title":{"rendered":"Overactive Bladder"},"content":{"rendered":"
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Overactive Bladder<\/h1>\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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A\u015f\u0131r\u0131 Aktif Mesane\u200b Nedir?<\/h2>\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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A\u015f\u0131r\u0131 Aktif Mesane (AAM) Nedir?<\/b><\/h3>\n

Uluslararas\u0131 Kontinans Derne\u011fi\u2019nin (ICS) tan\u0131mlamas\u0131na g\u00f6re; altta yatan bir bozukluk olmaks\u0131z\u0131n ki\u015fide acil idrar yapma iste\u011fi (ani s\u0131k\u0131\u015fma), gece ve g\u00fcnd\u00fcz s\u0131k idrara \u00e7\u0131kma ve baz\u0131 hastalarda ani s\u0131k\u0131\u015fma hissiyle birlikte g\u00f6r\u00fclen idrar ka\u00e7\u0131rma sorunu ile seyreden bir rahats\u0131zl\u0131kt\u0131r. <\/p>\n

Toplumda G\u00f6r\u00fclme S\u0131kl\u0131\u011f\u0131 Nedir?<\/b><\/h3>\n

AAM semptomlar\u0131 toplumda %17 (%7-26) oran\u0131nda g\u00f6r\u00fclmektedir. Kad\u0131nlarda erkeklere oranla daha s\u0131k izlenen bu durumun g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 her iki cinste de ya\u015fla birlikte artmaktad\u0131r. <\/p>\n

A\u015f\u0131r\u0131 Aktif Mesane Neden \u00d6nemlidir?<\/b><\/h3>\n

AAM s\u0131k idrara \u00e7\u0131kma ve idrar ka\u00e7\u0131rma gibi fiziksel etkilerinin yan\u0131s\u0131ra ki\u015finin sosyal ve psikolojik durumunu da ciddi oranda etkileyen ve sa\u011fl\u0131k ekonomisine \u00f6nemli y\u00fck getiren bir bozukluktur. Bu hastalarda gece s\u0131k idrara \u00e7\u0131kma nedeniyle g\u00fcnd\u00fcz uyuklama, dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131, i\u015f veriminde azalma gibi problemler g\u00f6r\u00fclmektedir. \u0130drar ka\u00e7\u0131rma korkusu ve s\u0131k tuvalete \u00e7\u0131kma ihtiyac\u0131 ki\u015finin sosyal hayat\u0131n\u0131 k\u0131s\u0131tlay\u0131p ya\u015fam kalitesini olumsuz y\u00f6nde etkilemektedir.<\/p>\n

Neden Olu\u015fur?<\/b><\/h3>\n

Mesanede olu\u015fan istemsiz ve ani kas\u0131lmalar, mesane dolumunun daha hassas hissedilmesi, artan ya\u015fla gece idrar \u00fcretiminin artmas\u0131 ve k\u00fc\u00e7\u00fck mesane bu hastal\u0131\u011f\u0131n sebeplerini a\u00e7\u0131klamaya y\u00f6nelik hipotezlerdir.<\/p>\n

A\u015f\u0131r\u0131 Aktif Mesane Tan\u0131s\u0131<\/b><\/h3>\n

\u00d6ncelikle doktorunuz hastal\u0131k \u00f6yk\u00fcn\u00fcz\u00fc al\u0131p fizik muayenenizi yapacakt\u0131r. Ard\u0131ndan mesane g\u00fcnl\u00fc\u011f\u00fc doldurtup, gerek g\u00f6r\u00fcrse benzer bulgularla seyreden baz\u0131 hastal\u0131klar\u0131 d\u0131\u015flamak i\u00e7in ek tetkikler (idrar analizi, ultrasonografi, uroflovmetri, \u00fcrodinami, sistoskopi) isteyecektir.<\/p>\n

A\u015f\u0131r\u0131 Aktif Mesanede Tedavi Y\u00f6ntemleri Nelerdir?<\/h3>\n

Ya\u015fam Tarz\u0131 De\u011fi\u015fiklikleri<\/p>\n

S\u0131v\u0131 al\u0131m\u0131n\u0131n d\u00fczenlenmesi: yeterli miktarda (en az 1.5 lt\/g\u00fcn) ve d\u00fczenli s\u0131v\u0131 al\u0131m\u0131
Uzun seyahatler \u00f6ncesi ve gece yatmadan \u00f6nce s\u0131v\u0131 al\u0131m\u0131n\u0131n k\u0131s\u0131tlanmas\u0131
\u00c7ay, kahve ve alkol gibi di\u00fcretik etkisi olan i\u00e7eceklerin k\u0131s\u0131tlanmas\u0131
Mesane i\u00e7in iritan olan yapay tatland\u0131r\u0131c\u0131lar\u0131n (aspartam vs.), gazl\u0131 i\u00e7eceklerin ve baz\u0131 yiyeceklerin (a\u015f\u0131r\u0131 baharatl\u0131 g\u0131dalar, turun\u00e7giller, domates vb) diyetten \u00e7\u0131kar\u0131lmas\u0131
Kilo kontrol\u00fc \u00f6zellikle idrar ka\u00e7\u0131rma \u00fczerine etkilidir
Pelvik taban kaslar\u0131n\u0131 g\u00fc\u00e7lendirici egzersizler (Kegel Egzersizleri)<\/p>


\u0130la\u00e7 Tedavisi<\/h3><\/p>\n

\u0130la\u00e7 tedavisi ile mesane kaslar\u0131nda aniden ortaya \u00e7\u0131kan kas\u0131lmalar\u0131 \u00f6nlemek, mesane hacmini artt\u0131rmak ve sonu\u00e7 olarak s\u0131k idrara \u00e7\u0131kma ve acil idrara \u00e7\u0131kma iste\u011fini azaltmak ama\u00e7lanmaktad\u0131r.<\/p>\n

Muskarinik resept\u00f6r antagonistleri: darifenasin, fesoterodin, oksibutinin, propiverin, solifenasin, tolterodin, trospiumklorid
Beta-3 agonistleri: mirabegron<\/p>


Mesane \u0130\u00e7i Botoks Uygulamas\u0131<\/h3><\/p>\n

A\u015f\u0131r\u0131 aktif mesane ve n\u00f6rojen mesane tedavisinde kulland\u0131\u011f\u0131m\u0131z bir tedavi y\u00f6ntemidir. S\u0131kl\u0131kla lokal anestezi alt\u0131nda uygulad\u0131\u011f\u0131m\u0131z bu i\u015flemde mesanenin 20-30 noktas\u0131na \u00f6zel bir i\u011fne yard\u0131m\u0131yla botoks enjeksiyonu yap\u0131lmaktad\u0131r.<\/p>\n

Yakla\u015f\u0131k 6-12 ay s\u00fcren bir etkinli\u011fi olan bu i\u015flemde hastalar\u0131n istemsiz mesane kas\u0131lmalar\u0131n\u0131n azalt\u0131lmas\u0131 ve mesane kapasitesinin artt\u0131r\u0131lmas\u0131 ama\u00e7lanmakta; bu sayede s\u0131k idrara \u00e7\u0131kma ve idrar ka\u00e7\u0131rma gibi \u015fikayetlerinin d\u00fczelmesi sa\u011flanmaktad\u0131r.<\/p>\n

N\u00f6romod\u00fclasyon (Sinir Uyar\u0131lmas\u0131)<\/h3>\n

Mesaneyi kontrol eden sakral sinirleri uyarmak i\u00e7in elektrik ak\u0131m\u0131 kullan\u0131lan bir tedavidir. \u0130ki \u00e7e\u015fit sinir uyar\u0131lmas\u0131 vard\u0131r:<\/p>\n

Tibial Sinir Uyar\u0131lmas\u0131: Ayak bile\u011finin yak\u0131n\u0131na elektrik ak\u0131m\u0131 i\u00e7in bir i\u011fne yerle\u015ftirilir. \u0130\u011fne ciltten ge\u00e7er ve bile\u011fin i\u00e7 k\u0131sm\u0131ndan bacak boyunca sakral sinirlere dek uzanan tibial siniri uyar\u0131r. Tibial sinir uyar\u0131m\u0131 i\u00e7in tedavi genellikle 12 seans s\u00fcrer. Tedavi seans\u0131 30 dakikad\u0131r ve haftada1 kez uygulan\u0131r.<\/p>\n

Sakral N\u00f6romod\u00fclasyon (Mesane Pili): \u0130drar Ka\u00e7\u0131rma, \u0130drar Yapamama, Diren\u00e7li A\u015f\u0131r\u0131 Aktif Mesane ve A\u011fr\u0131l\u0131 Mesane Sendromu tedavisinde kullan\u0131lan bir y\u00f6ntemdir. Bu i\u015flemde sakrum kemi\u011fi i\u00e7erisine yerle\u015ftirilen elektrotlar bir pil yard\u0131m\u0131yla mesanenin fonksiyonlar\u0131n\u0131 sa\u011flayan sinirleri uyarmakta ve hastan\u0131n \u015fikayetlerinin giderilmesini sa\u011flamaktad\u0131r.<\/p>\n

Mesane B\u00fcy\u00fctme Ameliyat\u0131: Di\u011fer tedavi y\u00f6ntemlerinin ba\u015far\u0131s\u0131z oldu\u011fu ciddi ve diren\u00e7li olgularda \u00e7ok nadiren ba\u015fvurulan bir y\u00f6ntemdir.<\/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<\/div>","protected":false},"excerpt":{"rendered":"

A\u015f\u0131r\u0131 Aktif Mesane A\u015f\u0131r\u0131 Aktif Mesane\u200b Nedir? A\u015f\u0131r\u0131 Aktif Mesane (AAM) Nedir? Uluslararas\u0131 Kontinans Derne\u011fi\u2019nin (ICS) tan\u0131mlamas\u0131na g\u00f6re; altta yatan bir bozukluk olmaks\u0131z\u0131n ki\u015fide acil idrar yapma iste\u011fi (ani s\u0131k\u0131\u015fma), gece ve g\u00fcnd\u00fcz s\u0131k idrara \u00e7\u0131kma ve baz\u0131 hastalarda ani s\u0131k\u0131\u015fma hissiyle birlikte g\u00f6r\u00fclen idrar ka\u00e7\u0131rma sorunu ile seyreden bir rahats\u0131zl\u0131kt\u0131r. Toplumda G\u00f6r\u00fclme S\u0131kl\u0131\u011f\u0131 Nedir? […]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1569","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1569","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/comments?post=1569"}],"version-history":[{"count":0,"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/pages\/1569\/revisions"}],"wp:attachment":[{"href":"https:\/\/uygarmicoogullari.com.tr\/en\/wp-json\/wp\/v2\/media?parent=1569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}