\u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Psikiyatri Uzman\u0131 Dr. G\u00fcnay Hajiyeva, psikiyatrik rahats\u0131zl\u0131\u011f\u0131 olanlar\u0131n Ramazan\u2019da oru\u00e7 tutma karar\u0131n\u0131 nas\u0131l vermesi gerekti\u011fi ve ila\u00e7lar\u0131n\u0131n kullan\u0131m\u0131n\u0131 nas\u0131l planlamas\u0131 gerekti\u011fi hakk\u0131nda a\u00e7\u0131klamalarda bulundu.<\/p>\n
Oru\u00e7 karar\u0131 hekim de\u011ferlendirmesiyle verilmeli!\u00a0<\/strong><\/p>\n Ramazan ay\u0131n\u0131n, bir\u00e7ok ki\u015fi i\u00e7in manevi a\u00e7\u0131dan son derece k\u0131ymetli bir d\u00f6nem oldu\u011funu ifade eden Dr. G\u00fcnay Hajiyeva, \u201cAncak s\u00f6z konusu sa\u011fl\u0131k oldu\u011funda niyet tek ba\u015f\u0131na yeterli de\u011fildir.\u00a0Bu nedenle Ramazan\u2019da oru\u00e7 tutma karar\u0131 bireysel, dikkatli ve mutlaka hekim de\u011ferlendirmesiyle verilmelidir.\u201d dedi.<\/p>\n T\u0131bbi a\u00e7\u0131dan riskli durumlarda ki\u015finin kendini korumas\u0131n\u0131n hem dini hem de insani a\u00e7\u0131dan en do\u011fru yakla\u015f\u0131m oldu\u011funu aktaran\u00a0Dr. Hajiyeva, \u201cPsikiyatrik rahats\u0131zl\u0131\u011f\u0131 olanlar\u0131n oru\u00e7 tutup tutamayaca\u011f\u0131 konusunda do\u011fru bir yan\u0131t yok. Her hasta kendi klinik durumu, hastal\u0131\u011f\u0131n \u015fiddeti, kullan\u0131lan ila\u00e7lar ve son d\u00f6nem seyri a\u00e7\u0131s\u0131ndan ayr\u0131 ayr\u0131 de\u011ferlendirilmeli. Uzun s\u00fcreli a\u00e7l\u0131k, susuzluk, uyku d\u00fczenindeki de\u011fi\u015fiklikler ve ila\u00e7 saatlerinin kaymas\u0131 baz\u0131 hastalarda klinik tabloyu olumsuz etkileyebilir.\u201d \u015feklinde konu\u015ftu.<\/p>\n Oru\u00e7, baz\u0131 psikiyatrik hastalarda alevlenme riskini art\u0131rabilir!\u00a0<\/strong><\/p>\n \u00d6zellikle baz\u0131 durumlarda daha dikkatli olunmas\u0131 gerekti\u011fine vurgu yapan Dr. G\u00fcnay Hajiyeva, \u201cHastal\u0131k aktif d\u00f6nemdeyse, son 6 ay i\u00e7inde atak ge\u00e7irilmi\u015fse, ila\u00e7 dozlar\u0131 yeni ayarlanm\u0131\u015fsa, \u00f6zellikle son bir y\u0131lda hastaneye yat\u0131\u015f \u00f6yk\u00fcs\u00fc varsa, intihar ve ba\u015fkalar\u0131na zarar verme riski mevcutsa, oru\u00e7 tutmak hastal\u0131\u011f\u0131n alevlenme riskini art\u0131rabilir.\u201d dedi.<\/p>\n Baz\u0131 psikiyatrik hastal\u0131klarda d\u00fczenli biyolojik ritmin hayati \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131na dikkat \u00e7eken\u00a0Dr. Hajiyeva, \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cBeyin ritmi sever; sirkadiyen d\u00fczen s\u0131k de\u011fi\u015fti\u011finde ise bu biyolojik istikrars\u0131zl\u0131k klinik tabloya yans\u0131yabilir.\u00a0Uyku d\u00fczenindeki bozulma ve biyolojik ritmin kaymas\u0131 bipolar bozukluktaki mani ya da depresyon ata\u011f\u0131n\u0131 tetikleyebilir. \u00d6zellikle ge\u00e7mi\u015fte mevsimsel atak \u00f6yk\u00fcs\u00fc olan hastalarda dikkatli olunmal\u0131d\u0131r. Maj\u00f6r depresyonda uzun s\u00fcren a\u00e7l\u0131k, enerji d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc ve kan \u015fekeri dalgalanmalar\u0131 baz\u0131 hastalarda \u00e7\u00f6kk\u00fcnl\u00fc\u011f\u00fc art\u0131rabilir. Zaten d\u00fc\u015f\u00fck seyreden bir enerji d\u00fczeyine fizyolojik stres eklemek tabloyu a\u011f\u0131rla\u015ft\u0131rabilir.\u00a0Psikotik bozukluklarda tedaviye uyumun bozulmas\u0131 veya ila\u00e7 saatlerinin kaymas\u0131 belirtilerin tekrar ortaya \u00e7\u0131kmas\u0131na neden olabilir. Anksiyete bozukluklar\u0131 ve panik bozukluklarda a\u00e7l\u0131k ve susuzlu\u011fa ba\u011fl\u0131 \u00e7arp\u0131nt\u0131, titreme gibi bedensel belirtiler anksiyete belirtilerini art\u0131rabilir.\u00a0Beden alarm verdi\u011finde, zihin bunu genellikle \u2018tehlike var\u2019 \u015feklinde yorumlar.\u00a0Yeme bozukluklar\u0131nda oru\u00e7 s\u00fcreci, baz\u0131 hastalarda yeme davran\u0131\u015f\u0131 \u00fczerindeki kontrol\u00fc olumsuz etkileyebilir.\u201d<\/p>\n Oru\u00e7 tutarken ila\u00e7 kesilmemeli ve doz d\u00fczeni hekim kontrol\u00fcnde planlanmal\u0131!<\/strong><\/p>\n Oru\u00e7 tutarken en kritik konunun, ilac\u0131n kesilmemesi ve doz d\u00fczeninin hekim kontrol\u00fcnde planlanmas\u0131 oldu\u011funu kaydeden\u00a0Dr. G\u00fcnay Hajiyeva, \u201c\u0130lac\u0131n farmakokinetik \u00f6zellikleri (yar\u0131 \u00f6mr\u00fc, etki s\u00fcresi, kan d\u00fczeyi dengesi) dikkate al\u0131nmadan yap\u0131lan de\u011fi\u015fiklikler tedavi etkinli\u011fini azaltabilir.\u201d dedi.<\/p>\n Bir\u00e7ok psikiyatrik ilac\u0131n g\u00fcnde bir veya iki doz \u015feklinde kullan\u0131ld\u0131\u011f\u0131n\u0131 hat\u0131rlatan\u00a0Dr. Hajiyeva, \u201cG\u00fcnde tek doz kullan\u0131lan ila\u00e7lar, uygun g\u00f6r\u00fcl\u00fcrse iftar sonras\u0131na kayd\u0131r\u0131labilir. Ancak\u00a0g\u00fcnde \u00fc\u00e7 doz kullan\u0131lan, k\u0131sa yar\u0131 \u00f6m\u00fcrl\u00fc veya kan d\u00fczeyi izlem gerektiren ila\u00e7lar ise bireysel ve ayr\u0131nt\u0131l\u0131 bir klinik de\u011ferlendirme yap\u0131lmadan d\u00fczenlenmemeli. \u00d6rne\u011fin lityum kullanan hastalarda dehidrate kalmak kan d\u00fczeyini y\u00fckselterek toksisite riskini art\u0131rabilir. Benzer \u015fekilde baz\u0131 antipsikotikler tansiyon d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcne yol a\u00e7abilir; uzun s\u00fcreli a\u00e7l\u0131k bu etkiyi art\u0131rabilir.\u201d uyar\u0131s\u0131nda bulundu.<\/p>\n Psikiyatrik ila\u00e7lar \u2018iyile\u015fince b\u0131rak\u0131lan\u2019 ila\u00e7lar de\u011fil!<\/strong><\/p>\n Psikiyatrik ila\u00e7lar\u0131n \u2018iyile\u015fince b\u0131rak\u0131lan\u2019 ila\u00e7lar olmad\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen\u00a0Dr. G\u00fcnay Hajiyeva, \u201c\u00c7o\u011fu zaman belirli bir s\u00fcre stabil iyilik hali sa\u011fland\u0131ktan sonra, yine hekim kontrol\u00fcnde ve kademeli azalt\u0131larak kesilir.\u201d dedi.<\/p>\n Ani ila\u00e7 kesilmesinin do\u011furabilece\u011fi risklere i\u015faret eden\u00a0Dr. Hajiyeva, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n \u201cHastal\u0131\u011f\u0131n alevlenmesi, mani veya a\u011f\u0131r depresyon ata\u011f\u0131, psikotik belirtilerin geri d\u00f6nmesi, intihar riskinde art\u0131\u015f ve yoksunluk sendromu gibi durumlar g\u00f6r\u00fclebilir. Klinik prati\u011fimizde Ramazan ay\u0131nda \u2018oru\u00e7 tutabilmek i\u00e7in\u2019 ilac\u0131n\u0131 aniden b\u0131rakan ve birka\u00e7 hafta i\u00e7inde a\u011f\u0131r atakla ba\u015fvuran hastalarla kar\u015f\u0131la\u015fabiliyoruz. Bu durum hem hasta hem ailesi i\u00e7in ciddi bir y\u00fckt\u00fcr.\u201d<\/p>\n \u00a0<\/p>\n \u00a0<\/p>\n Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n \u00a0<\/p>\n","protected":false},"excerpt":{"rendered":" \u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Psikiyatri Uzman\u0131 Dr. G\u00fcnay Hajiyeva, psikiyatrik rahats\u0131zl\u0131\u011f\u0131 olanlar\u0131n Ramazan\u2019da oru\u00e7 tutma karar\u0131n\u0131 nas\u0131l vermesi gerekti\u011fi ve ila\u00e7lar\u0131n\u0131n kullan\u0131m\u0131n\u0131 nas\u0131l planlamas\u0131 gerekti\u011fi hakk\u0131nda a\u00e7\u0131klamalarda bulundu.<\/p>\n","protected":false},"author":1,"featured_media":44721,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[1478,467,2860,591,1710],"class_list":["post-44720","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-duzen","tag-hasta","tag-ilaclar","tag-oruc","tag-psikiyatri"],"_links":{"self":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/44720","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/comments?post=44720"}],"version-history":[{"count":1,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/44720\/revisions"}],"predecessor-version":[{"id":44722,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/44720\/revisions\/44722"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media\/44721"}],"wp:attachment":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media?parent=44720"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/categories?post=44720"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/tags?post=44720"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}