{"id":60672,"date":"2026-03-05T03:54:05","date_gmt":"2026-03-05T03:54:05","guid":{"rendered":"https:\/\/bihavadis.com\/?p=60672"},"modified":"2026-03-05T03:54:05","modified_gmt":"2026-03-05T03:54:05","slug":"ergenlikte-baslayan-ani-ve-belirgin-degisikliklere-dikkat","status":"publish","type":"post","link":"https:\/\/bihavadis.com\/index.php\/2026\/03\/05\/ergenlikte-baslayan-ani-ve-belirgin-degisikliklere-dikkat\/","title":{"rendered":"Ergenlikte ba\u015flayan ani ve belirgin de\u011fi\u015fikliklere dikkat!"},"content":{"rendered":"<p><span><span><span><b><span>Madde kullan\u0131m bozuklu\u011funun \u00e7o\u011fu zaman davran\u0131\u015f de\u011fi\u015fiklikleriyle kendini g\u00f6sterdi\u011fini belirten \u0130stanbul Atlas \u00dcniversitesi T\u0131p Fak\u00fcltesi Ruh Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. H\u00fclya Ensari, ani arkada\u015f \u00e7evresi de\u011fi\u015fikli\u011fi, akademik performansta d\u00fc\u015f\u00fc\u015f, uyku ve i\u015ftah d\u00fczensizli\u011fi, a\u015f\u0131r\u0131 para harcama veya ihtiyac\u0131nda art\u0131\u015f gibi belirtilerin mutlaka dikkate al\u0131nmas\u0131 gerekti\u011fini s\u00f6yledi. \u0130\u00e7e kapanma veya irritabilite (\u00e7abuk sinirlenme) art\u0131\u015f\u0131, g\u00f6z k\u0131zar\u0131kl\u0131\u011f\u0131, kilo de\u011fi\u015fimi gibi fiziksel belirtilerin de \u00f6nemli bir i\u015faret oldu\u011funu s\u00f6yleyen Prof. Dr. H\u00fclya Ensari, \u201cAileler \u00f6zellikle ergenlik d\u00f6neminde ba\u015flayan ani ve belirgin de\u011fi\u015fikliklere dikkat etmelidir. Mutlaka ruh sa\u011fl\u0131\u011f\u0131 ve hastal\u0131klar\u0131 uzman\u0131na dan\u0131\u015f\u0131lmal\u0131d\u0131r\u201d dedi.<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>\u0130stanbul Atlas \u00dcniversitesi T\u0131p Fak\u00fcltesi Ruh Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. H\u00fclya Ensari, Ye\u015filay Haftas\u0131 kapsam\u0131nda madde ve alkol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131, tedavi y\u00f6ntemleri ve ba\u011f\u0131ml\u0131l\u0131kla m\u00fccadele konusunda bilgiler verdi. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131, ruhsal bir bozukluktur<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Madde kullan\u0131m\u0131n\u0131n bir ruhsal bozukluk oldu\u011funu belirten Prof. Dr. H\u00fclya Ensari, \u201cEn son uluslararas\u0131 kabul edilen Ruhsal Bozukluklar\u0131n Tan\u0131sal ve \u0130statistiksel El Kitab\u0131na g\u00f6re (DSM-5), \u201ck\u00f6t\u00fcye kullan\u0131m\u201d ve \u201cba\u011f\u0131ml\u0131l\u0131k\u201d ayr\u0131m\u0131 kald\u0131r\u0131lm\u0131\u015f; bunlar tek bir ba\u015fl\u0131k alt\u0131nda, hafif, orta ve a\u011f\u0131r d\u00fczey olarak s\u0131n\u0131fland\u0131r\u0131lm\u0131\u015ft\u0131r. Madde kullan\u0131m bozuklu\u011fu, klinik olarak belirgin bozulmaya veya s\u0131k\u0131nt\u0131ya yol a\u00e7an, sorunlu bir madde kullan\u0131m \u00f6r\u00fcnt\u00fcs\u00fc ile karakterize bir ruhsal bozukluktur. Bu bozukluk; bili\u015fsel, davran\u0131\u015fsal ve fizyolojik belirtilerle seyreder ve ki\u015finin madde kullan\u0131m\u0131n\u0131 kontrol etme kapasitesinde azalma ile tan\u0131mlan\u0131r\u201d dedi.<\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n kriterleri var<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Halk aras\u0131ndaki bilinir haliyle madde (uyu\u015fturucu) ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 diyebilmek i\u00e7in baz\u0131 kriterlerin bulundu\u011funu ifade eden Prof. Dr. H\u00fclya Ensari, \u201cBa\u011f\u0131ml\u0131l\u0131k yap\u0131c\u0131 bir maddenin planlanandan daha fazla ya da uzun s\u00fcreli kullan\u0131m\u0131, maddeyi b\u0131rakma veya azaltma giri\u015fimlerine ra\u011fmen ba\u015far\u0131s\u0131z olunmas\u0131, madde temini ve kullan\u0131m\u0131na a\u015f\u0131r\u0131 zaman ayr\u0131lmas\u0131 tan\u0131 kriterlerinin ba\u015f\u0131nda gelmektedir. Madde kullan\u0131m\u0131na kar\u015f\u0131 \u015fiddetli istek (craving) duyulmas\u0131, i\u015f, okul ve aile sorumluluklar\u0131nda aksamaya neden olmas\u0131 ve ya\u015fan\u0131lan sosyal sorunlara ra\u011fmen kullan\u0131m\u0131 s\u00fcrd\u00fcrme \u00e7abas\u0131n\u0131n olmas\u0131 tan\u0131 konulmas\u0131nda \u00f6nemli kriterler aras\u0131nda yer almaktad\u0131r\u201d dedi. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Son bir y\u0131l i\u00e7inde en az ikisi varsa ba\u011f\u0131ml\u0131l\u0131k tan\u0131s\u0131 konulabilir<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Prof. Dr. H\u00fclya Ensari, madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 tan\u0131 kriterleri aras\u0131nda her ge\u00e7en g\u00fcn daha fazla madde al\u0131m\u0131na ihtiya\u00e7 g\u00f6stermek yani tolerans geli\u015fimi olmas\u0131 ve maddenin al\u0131nmad\u0131\u011f\u0131 zamanlarda maddeye \u00f6zel yoksunluk belirtileri ya\u015fanmas\u0131n\u0131n da yer ald\u0131\u011f\u0131n\u0131 belirterek \u201cSon bir y\u0131l i\u00e7inde t\u00fcm bu say\u0131lanlardan en az ikisi bile bulunuyorsa madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 tan\u0131s\u0131 i\u00e7in yeterli olmaktad\u0131r\u201d diye konu\u015ftu. Prof. Dr. H\u00fclya Ensari, tan\u0131 koyarken de belirtilerin \u015fiddetine g\u00f6re hafif, orta ve a\u011f\u0131r d\u00fczeyde ba\u011f\u0131ml\u0131l\u0131k \u015feklinde s\u0131n\u0131fland\u0131rma yap\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yledi. \u00a0 \u00a0 <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Ba\u011f\u0131ml\u0131l\u0131k, n\u00f6robiyolojik de\u011fi\u015fimlerle seyreden bir hastal\u0131k<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n yaln\u0131zca davran\u0131\u015fsal de\u011fil, n\u00f6robiyolojik de\u011fi\u015fimlerle seyreden bir beyin hastal\u0131\u011f\u0131 oldu\u011funu s\u00f6yleyen Prof. Dr. H\u00fclya Ensari, \u201cBa\u011f\u0131ml\u0131l\u0131kta \u00f6zellikle mezolimbik dopamin sistemi etkilenmekte, tekrar eden kullan\u0131m n\u00f6roadaptasyona ve kompulsif davran\u0131\u015f \u00f6r\u00fcnt\u00fcs\u00fcne yol a\u00e7maktad\u0131r\u201d dedi. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Ba\u011f\u0131ml\u0131l\u0131k yap\u0131c\u0131 maddeler<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Prof. Dr. H\u00fclya Ensari, DSM-5\u2019e g\u00f6re madde kullan\u0131m bozukluklar\u0131n\u0131n farkl\u0131 farmakolojik gruplar alt\u0131nda s\u0131n\u0131fland\u0131r\u0131ld\u0131\u011f\u0131n\u0131 belirterek bunlar\u0131 \u015f\u00f6yle s\u0131ralad\u0131:<\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>1. T\u00fct\u00fcn (Nikotin<\/span><\/b><span>): Y\u00fcksek ba\u011f\u0131ml\u0131l\u0131k potansiyeline sahiptir. Dopamin sal\u0131n\u0131m\u0131n\u0131 art\u0131r\u0131r ve yoksunluk belirtileri belirgindir. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>2. Alkol:<\/span><\/b><span> GABAerjik sistemi g\u00fc\u00e7lendirir, glutamaterjik sistemi bask\u0131lar. Tolerans ve yoksunluk geli\u015fir. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>3. Opiyatlar (Opioidler):<\/span><\/b><span> Morfin, eroin, kodein, metadon vb. \u00b5-opioid resept\u00f6r agonistleridir. Y\u00fcksek ba\u011f\u0131ml\u0131l\u0131k ve ciddi yoksunluk riski ta\u015f\u0131r. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>4. Uyar\u0131c\u0131lar (Stim\u00fclanlar<\/span><\/b><span>): Amfetamin, kokain, MDMA; dopamin ve noradrenalin art\u0131\u015f\u0131 yapar. Psikotik belirtiler geli\u015febilir. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>5. Sedatif-Hipnotikler<\/span><\/b><span>: Barbit\u00fcratlar, benzodiazepinler; GABA \u00fczerinden etki eder. Ani kesilme n\u00f6bet riski olu\u015fturabilir. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>6. Hal\u00fcsinojenler<\/span><\/b><span>: LSD, psilosibin vb.; serotonerjik sistem \u00fczerinden alg\u0131 de\u011fi\u015fikliklerine yol a\u00e7ar. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>7. U\u00e7ucu Maddeler<\/span><\/b><span>: Tiner, benzen, yap\u0131\u015ft\u0131r\u0131c\u0131lar; \u00f6zellikle ergenlerde n\u00f6rotoksisite riski ta\u015f\u0131r. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>8. Kannabis:<\/span><\/b><span> THC i\u00e7eri\u011fi ile alg\u0131 ve bili\u015fsel i\u015flevleri etkiler; yatk\u0131n bireylerde psikoz riskini art\u0131rabilir. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>9. Di\u011fer Maddeler<\/span><\/b><span>: PCP, ketamin, GHB, anabolik steroidler ve nitritler farkl\u0131 mekanizmalarla ba\u011f\u0131ml\u0131l\u0131k riski ta\u015f\u0131r. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Alkol kullan\u0131m bozuklu\u011fu, ruhsal hastal\u0131klarla e\u015f zamanl\u0131 seyredebiliyor<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Alkol kullan\u0131m bozuklu\u011funun DSM-5\u2019e g\u00f6re; alkol\u00fcn problemli bir kullan\u0131m \u00f6r\u00fcnt\u00fcs\u00fc ile klinik olarak belirgin bozulma ya da s\u0131k\u0131nt\u0131ya yol a\u00e7mas\u0131 durumu oldu\u011funu belirten Prof. Dr. H\u00fclya Ensari, \u201cTan\u0131 \u00f6l\u00e7\u00fctleri madde kullan\u0131m bozuklu\u011fu ile paraleldir ve yine son 12 ayl\u0131k d\u00f6nem esas al\u0131n\u0131r. Alkol kullan\u0131m bozuklu\u011funda genetik yatk\u0131nl\u0131k, erken ya\u015fta ba\u015flama, erkek cinsiyet (epidemiyolojik olarak daha y\u00fcksek oran), e\u015flik eden psikiyatrik bozukluklar, travma \u00f6yk\u00fcs\u00fc, y\u00fcksek stres d\u00fczeyi risk fakt\u00f6rleri aras\u0131nda say\u0131labilir. Alkol kullan\u0131m bozuklu\u011fu, s\u0131kl\u0131kla depresyon ve anksiyete bozukluklar\u0131 ile e\u015f zamanl\u0131 seyretmektedir\u201d dedi. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Aileler madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131nda bu belirtilere dikkat etmeli\u00a0 \u00a0 \u00a0 <\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Madde kullan\u0131m bozuklu\u011funun \u00e7o\u011fu zaman davran\u0131\u015f de\u011fi\u015fiklikleriyle kendini g\u00f6sterdi\u011fini belirten Prof. Dr. H\u00fclya Ensari, \u201cAni arkada\u015f \u00e7evresi de\u011fi\u015fikli\u011fi, akademik performansta d\u00fc\u015f\u00fc\u015f, uyku ve i\u015ftah d\u00fczensizli\u011fi, a\u015f\u0131r\u0131 para harcama veya ihtiyac\u0131nda art\u0131\u015f, son zamanlarda i\u00e7e kapanma veya irritabilite (\u00e7abuk sinirlenme) art\u0131\u015f\u0131, g\u00f6z k\u0131zar\u0131kl\u0131\u011f\u0131, kilo de\u011fi\u015fimi vb. fiziksel belirtiler g\u00f6r\u00fclmesi halinde ailelerin akl\u0131na madde kullan\u0131m\u0131 ihtimali gelmelidir. Aileler \u00f6zellikle ergenlik d\u00f6neminde ba\u015flayan ani ve belirgin de\u011fi\u015fikliklere dikkat etmelidir. Ancak kesin tan\u0131 klinik de\u011ferlendirme ile ruh sa\u011fl\u0131\u011f\u0131 ve hastal\u0131klar\u0131 uzman\u0131 taraf\u0131ndan konur. Su\u00e7lay\u0131c\u0131 de\u011fil destekleyici bir ileti\u015fim yakla\u015f\u0131m\u0131 erken m\u00fcdahale a\u00e7\u0131s\u0131ndan kritik \u00f6neme sahiptir\u201d diye konu\u015ftu. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Tedavi multidisipliner yakla\u015f\u0131m ile toplum temelli yakla\u015f\u0131m gerektiriyor<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Madde kullan\u0131m bozuklu\u011funun tedavi edilebilir bir hastal\u0131k oldu\u011funu kaydeden Prof. Dr. H\u00fclya Ensari, \u201cTedavi multidisipliner yakla\u015f\u0131m ile toplum temelli bir yakla\u015f\u0131m gerektirir. T\u0131bbi de\u011ferlendirme ve detoksifikasyon, farmakolojik tedaviler (maddeye \u00f6zg\u00fc), bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapiler, motivasyonel g\u00f6r\u00fc\u015fmeler, aile terapileri, grup terapileri, rehabilitasyon ve relaps \u00f6nleme programlar\u0131 ile bireyin ihtiyac\u0131na \u00f6zg\u00fc t\u0131bbi ve psikolojik takip, tedavi ve rehabilitasyon planlan\u0131r. Yine bireyin ihtiyac\u0131na \u00f6zel sosyal, ekonomik, bar\u0131nma ve i\u015f deste\u011fi kurumlararas\u0131 i\u015f birli\u011fi ile sa\u011flanarak madde kullan\u0131m bozuklu\u011fu olan bireyin damgalanmadan, toplumla b\u00fct\u00fcnle\u015fmesi hedef al\u0131n\u0131r. N\u00fcks g\u00f6r\u00fclebilir; bu durum tedavinin ba\u015far\u0131s\u0131z oldu\u011fu anlam\u0131na gelmez; hastal\u0131\u011f\u0131n kronik do\u011fas\u0131n\u0131n bir par\u00e7as\u0131 oldu\u011funu kabul edip; tedavi ve rehabilitasyon s\u00fcrecine devam edilir\u201d diye konu\u015ftu. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n \u00f6nlenmesinde ailelere \u00f6nemli g\u00f6revler d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc ifade eden Prof. Dr. H\u00fclya Ensari, \u201c\u00d6ncelikle aile i\u00e7inde a\u00e7\u0131k ve g\u00fcvenli ileti\u015fimin temelleri at\u0131lmal\u0131d\u0131r. \u00c7ocu\u011fun\/gencin kendisini ifade etmesine imk\u00e2n sa\u011flanmal\u0131d\u0131r. \u2018Hay\u0131r\u2019 diyebilme becerisinin geli\u015ftirilmesi \u00f6nemlidir. Bunlar\u0131n yan\u0131 s\u0131ra stres y\u00f6netimi, stresle sa\u011fl\u0131kl\u0131 ba\u015f etme y\u00f6ntemi olarak spor, sanat ve g\u00fcvenli sosyal etkinliklere y\u00f6nlendirme etkili y\u00f6ntemler aras\u0131nda yer almaktad\u0131r\u201d dedi. <\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Ya\u015fam becerileri erken ya\u015flardan itibaren kazand\u0131r\u0131lmal\u0131d\u0131r<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Erken ya\u015fta ya\u015fam becerileri e\u011fitiminin kazand\u0131r\u0131lmas\u0131n\u0131n da madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131n \u00f6nlenmesinde etkili oldu\u011funu kaydeden Prof. Dr. H\u00fclya Ensari, \u201c\u00d6zellikle ergenlik d\u00f6neminde yarg\u0131lay\u0131c\u0131, ele\u015ftirici yakla\u015f\u0131mdan uzak; a\u015f\u0131r\u0131 koruyucu kollay\u0131c\u0131 da olmadan, ili\u015fkilerde s\u0131n\u0131r koymas\u0131n\u0131 bilen, arkada\u015f se\u00e7imine \u00f6zen g\u00f6steren, \u00f6zg\u00fcvenli, aile ba\u011flar\u0131 g\u00fc\u00e7l\u00fc bireyler yeti\u015ftirmek ailelerin birincil g\u00f6revi olmal\u0131d\u0131r\u201d diye konu\u015ftu.<\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Aileden ba\u015flayarak topluma da \u00f6nemli g\u00f6revlerin d\u00fc\u015ft\u00fc\u011f\u00fcn\u00fc belirten Prof. Dr. H\u00fclya Ensari, \u201cToplum olarak iyi birer rol model olma sorumlulu\u011funu \u00fcstlenmemiz gerekiyor. Evde \u00f6nce aile, sonra okulda \u00f6\u011fretmenler bu rol\u00fc \u00fcstlenirken; art\u0131k sosyal medya kullan\u0131c\u0131s\u0131 olarak hepimiz ve \u00f6zellikle de medya ileti\u015fim kanallar\u0131nda ba\u011f\u0131ml\u0131l\u0131k yap\u0131c\u0131 maddeleri \u00f6zendirici reklam, tutum ve davran\u0131\u015flardan uzak olmak gerekiyor. Madde ve alkol kullan\u0131m bozukluklar\u0131; biyolojik, psikolojik ve sosyal etmenlerin etkile\u015fimi ile ortaya \u00e7\u0131kan kronik beyin hastal\u0131klar\u0131d\u0131r. Erken tan\u0131, damgalaman\u0131n azalt\u0131lmas\u0131, \u00f6nleyici toplum temelli programlar ve eri\u015filebilir ruh sa\u011fl\u0131\u011f\u0131 hizmetleri ba\u011f\u0131ml\u0131l\u0131kla m\u00fccadelede temel stratejilerdir\u201d dedi.<\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><b><span>Ba\u011f\u0131ml\u0131l\u0131kla topyek\u00fbn m\u00fccadele gerekiyor<\/span><\/b><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>Uyu\u015fturucu madde ve alkol kullan\u0131m bozuklu\u011fu ile m\u00fccadelede toplumsal deste\u011fin \u00f6nemini vurgulayan Prof. Dr. H\u00fclya Ensari, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/span><\/span><\/span><\/span><\/p>\n<p><span><span><span><span>\u201cKoruyucu \u00f6nlemlerden sonra erken m\u00fcdahale i\u00e7in damgalama ile m\u00fccadele, ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n irade sorunu olmaktan \u00e7\u0131k\u0131p; kronik bir beyin hastal\u0131\u011f\u0131 oldu\u011fu bilincinin topluma yay\u0131lmas\u0131 son derece \u00f6nemlidir. Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n her t\u00fcrl\u00fcs\u00fcn\u00fcn tedavi edilebilir bir durum oldu\u011fu bilinci ile topyek\u00fbn m\u00fccadele yap\u0131lmal\u0131d\u0131r. Bunun i\u00e7in Alo 191 Uyu\u015fturucu ile M\u00fccadele Dan\u0131\u015fma ve Destek Hatt\u0131, aile hekimlikleri, sa\u011fl\u0131kl\u0131 ya\u015fam merkezleri, en yak\u0131n devlet hastanesindeki ruh sa\u011fl\u0131\u011f\u0131 ve hastal\u0131klar\u0131 uzman\u0131 poliklinikleri, AMATEM, \u00c7EMATEM, YEDAM (Ye\u015filay Dan\u0131\u015fmanl\u0131k Merkezi)\u2019ne ba\u015fvurabilir; dan\u0131\u015fmanl\u0131k ve destek alabilirsiniz.\u201d<\/span><\/span><\/span><\/span><\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Madde kullan\u0131m bozuklu\u011funun \u00e7o\u011fu zaman davran\u0131\u015f de\u011fi\u015fiklikleriyle kendini g\u00f6sterdi\u011fini belirten \u0130stanbul Atlas \u00dcniversitesi T\u0131p Fak\u00fcltesi Ruh Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. H\u00fclya Ensari, ani arkada\u015f \u00e7evresi de\u011fi\u015fikli\u011fi, akademik performansta d\u00fc\u015f\u00fc\u015f, uyku ve i\u015ftah d\u00fczensizli\u011fi, a\u015f\u0131r\u0131 para harcama veya ihtiyac\u0131nda art\u0131\u015f gibi belirtilerin mutlaka dikkate al\u0131nmas\u0131 gerekti\u011fini s\u00f6yledi.<\/p>\n","protected":false},"author":1,"featured_media":60673,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[250,3345,746,7180,1122],"class_list":["post-60672","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-aile","tag-bagimlilik","tag-madde","tag-prof-dr-hulya-ensari","tag-tani"],"_links":{"self":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/60672","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=60672"}],"version-history":[{"count":1,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/60672\/revisions"}],"predecessor-version":[{"id":60674,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/60672\/revisions\/60674"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media\/60673"}],"wp:attachment":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media?parent=60672"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/categories?post=60672"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/tags?post=60672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}