{"id":1361,"date":"2020-08-30T10:15:25","date_gmt":"2020-08-30T10:15:25","guid":{"rendered":"http:\/\/healthtourismcenterturkey.com\/?page_id=1361"},"modified":"2020-09-12T16:59:09","modified_gmt":"2020-09-12T16:59:09","slug":"sasilik","status":"publish","type":"page","link":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/goz-ameliyatlari\/goz-hastaliklari\/sasilik\/","title":{"rendered":"\u015ea\u015f\u0131l\u0131k"},"content":{"rendered":"
\n
\n

\u015eA\u015eILIK TEDAV\u0130S\u0130<\/span><\/h1>\n

G\u00f6z, g\u00f6rme organ\u0131m\u0131z olmakla birlikte v\u00fccudumuzun geneline bak\u0131ld\u0131\u011f\u0131nda daha karma\u015f\u0131k bir a\u011f, damar ve kas yap\u0131s\u0131n\u0131 sahiptir. G\u00f6z d\u0131\u015f\u0131nda her g\u00f6z i\u00e7in bulunan 6 kas g\u00f6z\u00fcm\u00fcz\u00fcn yatay ve dikey eksende hareketi sa\u011flamaktad\u0131r.<\/span><\/p>\n

\u015ea\u015f\u0131l\u0131k ise, iki g\u00f6z\u00fcn d\u00fczlemsel olarak farkl\u0131 noktada olan, paralel durumda olmad\u0131klar\u0131 durum olarak ifade edilebilmektedir. Sebebi ise, her iki g\u00f6zde de yer alan g\u00f6z\u00fcn d\u0131\u015f k\u0131sm\u0131nda g\u00f6z\u00fc kontrol eden kaslar\u0131n mekanik olarak kuvvetin az ya da fazla olmas\u0131d\u0131r.<\/span><\/p>\n

Halk aras\u0131nda \u00e7arp\u0131k g\u00f6z olarak da bilinen \u015ea\u015f\u0131l\u0131k, latince de Strabismus olarak ifade edilmektedir.<\/span><\/p>\n

Anatomik Olarak \u015ea\u015f\u0131l\u0131k S\u0131n\u0131fland\u0131rmas\u0131<\/span><\/h2>\n

\u015ea\u015f\u0131l\u0131k baz\u0131 durumlarda ge\u00e7ici oldu\u011fu gibi, baz\u0131 durumlarda da kal\u0131c\u0131 sonu\u00e7lara neden olmaktad\u0131r. Bazen bir g\u00f6z \u015fa\u015f\u0131l\u0131k problemi ya\u015farken, bazen de her iki g\u00f6z de g\u00f6zlemlenebilmektedir. Anatomik olarak tek g\u00f6z\u00fcn referans g\u00f6z olarak al\u0131nd\u0131\u011f\u0131 s\u0131n\u0131fland\u0131rmada,<\/span><\/p>\n

    \n
  • \u00a0\u0130\u00e7eri do\u011fru kayma latincede Ezotropya, bir g\u00f6z\u00fcn di\u011ferine g\u00f6re daha i\u00e7eri do\u011fru kaymas\u0131d\u0131r.<\/span><\/li>\n
  • \u00a0D\u0131\u015far\u0131 do\u011fru kayma latince Ekzotropya, bir g\u00f6z\u00fcn di\u011ferine g\u00f6re daha d\u0131\u015far\u0131da g\u00f6r\u00fclmesidir.<\/span><\/li>\n
  • \u00a0Latincede hipotropya olarak ifade edilen a\u015fa\u011f\u0131 kaymada, referans g\u00f6ze g\u00f6re di\u011fer g\u00f6z daha a\u015fa\u011f\u0131da g\u00f6r\u00fclmektedir.<\/span><\/li>\n
  • \u00a0Latincede hipertropya olarak ifade edilen yukar\u0131 kaymada, referans g\u00f6ze g\u00f6re di\u011fer g\u00f6z daha yukar\u0131da konumlanmaktad\u0131r.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n
    <\/div>\n
    \"\"<\/div>\n
    \n

    \u015ea\u015f\u0131l\u0131k Neden Olu\u015fur, Sebepleri Nelerdir?<\/span><\/h2>\n

    \u015ea\u015f\u0131l\u0131k sadece bir sebepten olu\u015fmamakta, birden fazla sebeple olu\u015fabilmektedir. Sebeplerden k\u0131saca bahsedecek olursak;<\/h3>\n
      \n
    • \u00a0Do\u011fum \u00f6ncesi hamilelik d\u00f6neminde ya\u015fanan problemler, do\u011fumda sorunlar\u0131n olu\u015fu<\/span><\/li>\n
    • \u00a0Ailesel t\u0131bbi \u00f6yk\u00fcn\u00fcn varl\u0131\u011f\u0131 ( ailesel genetik yatk\u0131nl\u0131k)<\/span><\/li>\n
    • \u00a0\u00c7ocuk geli\u015fiminde \u00e7ocu\u011fun ya\u015fad\u0131\u011f\u0131 rahats\u0131zl\u0131klar<\/span><\/li>\n
    • \u00a02-3 ya\u015f ve \u00fczeri \u00e7ocuklarda g\u00f6r\u00fclen \u015fa\u015f\u0131l\u0131k durumlar\u0131nda, g\u00f6z bozukluklar\u0131 kontrol edilmelidir. Ayr\u0131ca ate\u015fli bir rahats\u0131zl\u0131\u011f\u0131n ge\u00e7irilmi\u015f olmas\u0131 ya da d\u00fc\u015fme, ameliyatlar ya da herhangi bir kaza durumu sonras\u0131 \u015fa\u015f\u0131l\u0131k olu\u015fabilmektedir.<\/span><\/li>\n
    • \u00a0Kazalar ve kafa travmas\u0131 sonucu g\u00f6z kaslar\u0131n\u0131n hareketini y\u00f6neten beynin merkezinde yer alan optik merkezde herhangi bir fel\u00e7 durumunun geli\u015fmi\u015f olmas\u0131 ile g\u00f6z kaslar\u0131n\u0131n etkilenmesi sonucu<\/span><\/li>\n
    • \u00a0Hipertansiyon hastalar\u0131nda y\u00fcksek tansiyon, \u015feker hastalar\u0131nda \u015feker d\u00fczeyinin kontrol edilemeyi\u015fi sonras\u0131n beynin optik merkezinde olu\u015fabilecek hasarlar sonucu olu\u015fabilmektedir<\/span><\/li>\n<\/ul>\n

      \u00a0\u015ea\u015f\u0131l\u0131k Belirtileri Nelerdir?<\/span><\/h2>\n
        \n
      • \u00a0\u015ea\u015f\u0131l\u0131\u011f\u0131n semptom olarak g\u00f6sterdi\u011fi, hastalar\u0131n doktorlarla konu\u015ftuklar\u0131nda en \u00e7ok ifade ettikleri belirtilere g\u00f6z atacak olursak;<\/span><\/li>\n
      • \u00a0\u0130ki g\u00f6z i\u00e7in, g\u00f6zler aras\u0131 varolan simetrinin (yatary ve dikey eksende paralelli\u011fin) bozulmas\u0131 ve bu durumun fiziksel olarak farkedilmesi<\/span><\/li>\n
      • \u00a0S\u0131kl\u0131kla ya da d\u00fczensiz aral\u0131klarla g\u00f6zlerin sulanmas\u0131<\/span><\/li>\n
      • \u00a0G\u00f6zde a\u011fr\u0131 olu\u015fumu ve beyinde a\u011fr\u0131 olu\u015fumu<\/span><\/li>\n
      • \u00a0Genel olarak nesneleri \u00e7ift g\u00f6rme durumunun olu\u015fmas\u0131 ya da 3D (\u00fc\u00e7 boyutlu) g\u00f6rme \u00f6zelli\u011finin azalmas\u0131 veya yok olmas\u0131<\/span><\/li>\n
      • \u00a0Nesneleri ve bireyleri flu ve bulan\u0131k g\u00f6rme \u015fa\u015f\u0131l\u0131k belirtileri aras\u0131nda en s\u0131k rastlanan belirtilerdir<\/span><\/li>\n<\/ul>\n

        \u015ea\u015f\u0131l\u0131k \u00c7e\u015fitleri Nelerdir?<\/span><\/h2>\n

        Toplumda g\u00f6r\u00fclen \u015fa\u015f\u0131l\u0131k \u00e7e\u015fitlerine genel olarak bak\u0131ld\u0131\u011f\u0131nda en s\u0131k g\u00f6r\u00fclenleri, Do\u011fumsal nedenlerle G\u00f6z kaymalar\u0131, Gizli \u015ea\u015f\u0131l\u0131k Durumu, G\u00f6zde k\u0131rma kusurlar\u0131na ba\u011fl\u0131 olarak geli\u015fen \u015fa\u015f\u0131l\u0131k, Fel\u00e7 geli\u015fimine ba\u011fl\u0131 ortaya \u00e7\u0131kan \u015ea\u015f\u0131l\u0131k, Yeti\u015fkin bireylerde g\u00f6r\u00fclen \u015ea\u015f\u0131l\u0131k ve \u00d6zel \u015ea\u015f\u0131l\u0131k olgular\u0131 olarak s\u0131n\u0131fland\u0131r\u0131labilmektedir.<\/span><\/p>\n

        Do\u011fumsal (Konjenital) G\u00f6z Kaymas\u0131<\/span><\/h2>\n

        Genellikle do\u011fumun ilk aylar\u0131 ile ba\u015flay\u0131p, bir y\u0131la kadar belirgin \u00f6zellik kazanan G\u00f6z kaymalar\u0131 \u015ea\u015f\u0131l\u0131k \u00e7e\u015fitleri aras\u0131nda yer almaktad\u0131r. D\u00fczenli g\u00f6z hekimi kontrol\u00fc gerekti\u011finde tedavisi a\u00e7\u0131s\u0131ndan ve erken te\u015fhis a\u00e7\u0131s\u0131ndan \u00f6nem kazanmaktad\u0131r. Do\u011fum sonras\u0131 ilk aylarda g\u00f6z doktorunun detayl\u0131 g\u00f6z muayenesi ile Do\u011fumsal G\u00f6z Kaymalar\u0131 te\u015fhis edilebilmekte ve belirli aral\u0131klarla kontrol\u00fc istenebilmektedir.<\/span><\/p>\n

        Bebeklerde genel olarak d\u00fc\u015f\u00fck ve orta d\u00fczeyde hipermetropi g\u00f6zlemlenebilece\u011finden, ailelerin \u015fa\u015f\u0131l\u0131k durumunu fiziksel olarak farkettiklerinde g\u00f6z sa\u011fl\u0131\u011f\u0131 i\u00e7in g\u00f6z doktoru kontrol\u00fcn\u00fc \u00f6ncelikler s\u0131ralamalar\u0131nda \u00f6ne almalar\u0131n\u0131 tavsiye ediyoruz.<\/span><\/p>\n

        G\u00f6zde K\u0131rma Kusurlar\u0131na Ba\u011fl\u0131 Olarak Olu\u015fan \u015ea\u015f\u0131l\u0131k<\/span><\/h2>\n

        Genel olarak g\u00f6zde olu\u015fan k\u0131rma kusuruna ba\u011fl\u0131 olarak 1-2 ya\u015flar\u0131nda ba\u015flamaktad\u0131r. \u0130leri derece hipermetrop olan \u00e7ocuklarda s\u0131k g\u00f6r\u00fclen ve belirtilerinde benzer \u00f6yk\u00fclerle anlat\u0131lan \u015ea\u015f\u0131l\u0131k t\u00fcr\u00fcd\u00fcr. Bu rahats\u0131zl\u0131kta \u015fa\u015f\u0131l\u0131k sorunu tam anlam\u0131yla ya da k\u0131smi olarak \u00e7\u00f6z\u00fcmlenebilmektedir. \u015ea\u015f\u0131l\u0131k aniden ba\u015flayabilmektedir. D\u00fc\u015fme ya da aniden y\u00fckselen ate\u015f vb. durumlardan \u015ea\u015f\u0131l\u0131k olu\u015fabilmektedir.<\/span><\/p>\n

        Gizli \u015ea\u015f\u0131l\u0131k Nedir?<\/span><\/h2>\n

        G\u00f6zlerden birinin kapat\u0131lmas\u0131 sonucu fiziksel olarak d\u0131\u015far\u0131dan g\u00f6zlemlenebilen \u015fa\u015f\u0131l\u0131k t\u00fcr\u00fcd\u00fcr. \u00dclkemizde insidans\u0131 olduk\u00e7a y\u00fcksek olan yani s\u0131kl\u0131kla g\u00f6zlemlebilen bir \u015fa\u015f\u0131l\u0131k t\u00fcr\u00fcd\u00fcr. Mekanik i\u015flevsellik dolay\u0131s\u0131 ile her iki g\u00f6z\u00fcn ayn\u0131 anda a\u00e7\u0131k oldu\u011fu durumlarda ay\u0131rt edilmesi ancak bir g\u00f6z hekimi taraf\u0131ndan ger\u00e7ekle\u015ftirilebilmektedir. Gizli \u015fa\u015f\u0131l\u0131k durumu olan hastalarda ayr\u0131ca k\u0131rma kusuru da varsa, \u015fikayetler daha \u00e7ok artmaktad\u0131r. \u00d6zellikle gizli \u015fa\u015f\u0131l\u0131k hastalar\u0131n\u0131n en \u00e7ok belirtti\u011fi durum kitap okuma s\u00fcresince olu\u015fan ba\u015f a\u011fr\u0131s\u0131 durumudur.<\/span><\/p>\n

        Fel\u00e7 Durumuna Ba\u011fl\u0131 G\u00f6z Kaslar\u0131n\u0131n Etkilenmesi \u0130le Olu\u015fan \u015ea\u015f\u0131l\u0131k<\/span><\/h2>\n

        Bebeklik d\u00f6neminde ya\u015fanan travma durumu, zor do\u011fum ve y\u00fcksek ate\u015f; sistemik rahats\u0131zl\u0131klardan Multipl skleroz hastal\u0131\u011f\u0131 vb. sinir sistemini etkileyen rahats\u0131zl\u0131klar\u0131 olanlar, kafa i\u00e7i t\u00fcm\u00f6rleri ve kistleri vb. durumlarda olu\u015fabilen \u015fa\u015f\u0131l\u0131k durumudur. Beyinde optik merkezi hask\u0131layan bu tip durumlarda hastalar genel olarak \u00e7ift g\u00f6rme probleminden \u015fikayet etmektedirler. K\u00fc\u00e7\u00fck ya\u015flarda ge\u00e7ici olan Fel\u00e7 durumuna ba\u011fl\u0131 olarak olu\u015fan \u015ea\u015f\u0131l\u0131k ge\u00e7ici olmakla birlikte, ergenlik ve yeti\u015fkinlik d\u00f6nemlerinde kal\u0131c\u0131 olabilmektedir.<\/span><\/p>\n

        Yeti\u015fkinlerde G\u00f6z Kaymas\u0131<\/span><\/h2>\n

        Daha \u00e7ok ergenlik ve yeti\u015fkinlik d\u00f6neminde g\u00f6r\u00fclen g\u00f6z kaymalar\u0131, genel olarak d\u0131\u015far\u0131 do\u011fru kayma (ekzotropya) olarak g\u00f6zlemlenmektedir. G\u00f6z i\u00e7ini hareket ettiren d\u0131\u015f kaslar\u0131n fazla \u00e7al\u0131\u015fmas\u0131 ya da i\u00e7 hareketi sa\u011flayan kaslar\u0131n az \u00e7al\u0131\u015fmas\u0131 sebebi ile olu\u015flabilmektedir.<\/span><\/p>\n

        \u00d6zel \u015ea\u015f\u0131l\u0131k T\u00fcrleri<\/span><\/h2>\n

        Baz\u0131 zamanlarda do\u011fum ile birlikte kaslarda i\u015flevsel (fonksiyonel) bozukluklara rastlanabilmektedir. Fonksiyonel sebeplerde olu\u015fan \u015fa\u015f\u0131l\u0131kta g\u00f6z tembelli\u011fi dikkat edilmesi gereken bir konudur.<\/span><\/p>\n<\/div>\n

        <\/br><\/br><\/p>\n","protected":false},"excerpt":{"rendered":"

        \u015eA\u015eILIK TEDAV\u0130S\u0130 G\u00f6z, g\u00f6rme organ\u0131m\u0131z olmakla birlikte v\u00fccudumuzun geneline bak\u0131ld\u0131\u011f\u0131nda daha karma\u015f\u0131k bir a\u011f, damar ve kas yap\u0131s\u0131n\u0131 sahiptir. G\u00f6z d\u0131\u015f\u0131nda her g\u00f6z i\u00e7in bulunan 6 kas g\u00f6z\u00fcm\u00fcz\u00fcn yatay ve dikey eksende hareketi sa\u011flamaktad\u0131r. \u015ea\u015f\u0131l\u0131k ise, iki g\u00f6z\u00fcn d\u00fczlemsel olarak farkl\u0131 noktada olan, paralel durumda olmad\u0131klar\u0131 durum olarak ifade edilebilmektedir. Sebebi ise, her iki g\u00f6zde […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":1292,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1361","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/pages\/1361"}],"collection":[{"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/comments?post=1361"}],"version-history":[{"count":6,"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/pages\/1361\/revisions"}],"predecessor-version":[{"id":1853,"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/pages\/1361\/revisions\/1853"}],"up":[{"embeddable":true,"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/pages\/1292"}],"wp:attachment":[{"href":"https:\/\/healthtourismcenterturkey.com\/tr_tr\/wp-json\/wp\/v2\/media?parent=1361"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}