{"id":760,"date":"2018-12-25T11:36:55","date_gmt":"2018-12-25T09:36:55","guid":{"rendered":"http:\/\/sektorturk.com\/?p=760"},"modified":"2018-12-25T12:29:24","modified_gmt":"2018-12-25T10:29:24","slug":"bas-agriniz-agri-kesiciyle-bile-gecmiyorsa","status":"publish","type":"post","link":"https:\/\/tr.sektorturk.com\/?p=760","title":{"rendered":"Ba\u015f A\u011fr\u0131n\u0131z A\u011fr\u0131 Kesiciyle Bile Ge\u00e7miyorsa\u2026"},"content":{"rendered":"

Makaleyi Yazan:<\/b>\u00a0Prof. Dr. Meliha Tan<\/a><\/p>\n

Makale Tarihi:<\/b>\u00a015 Ekim 2018<\/p>\n

A\u011eRI KES\u0130C\u0130Y\u0130 10 G\u00dcNDEN FAZLA KULLANIRSANIZ\u2026<\/strong>
\nBirincil ba\u015f a\u011fr\u0131lar\u0131 i\u00e7inde en s\u0131k kar\u015f\u0131la\u015f\u0131lanlar migren ve gerilim tipi ba\u015f a\u011fr\u0131lar\u0131d\u0131r. Bunlarla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda \u00e7ok daha seyrek olmakla birlikte (2 bin ki\u015fide bir veya daha ender) \u00e7ok \u015fiddetli, s\u0131k ba\u015f a\u011fr\u0131lar\u0131na neden olmalar\u0131, geleneksel a\u011fr\u0131 kesicilere yan\u0131t vermemeleri ve farkl\u0131 tedaviler gerektirmeleri nedeniyle k\u00fcme ba\u015f a\u011fr\u0131s\u0131, tekrarlay\u0131c\u0131 yar\u0131m ba\u015f a\u011fr\u0131s\u0131 \u00f6nemli bir birincil ba\u015f a\u011fr\u0131s\u0131 hastal\u0131\u011f\u0131 grubunu olu\u015fturur. \u00c7o\u011fu kez bu hastalar, do\u011fru tan\u0131 alana kadar, y\u0131llarca \u015fiddetli a\u011fr\u0131lar \u00e7ekebilir. \u015eu an i\u00e7in d\u00fcnyada en s\u0131k \u00fc\u00e7\u00fcnc\u00fc ba\u015f a\u011fr\u0131s\u0131 tipi ise a\u015f\u0131r\u0131 a\u011fr\u0131 kesici kullan\u0131m ba\u015f a\u011fr\u0131s\u0131d\u0131r. Bu nedenle tedavi i\u00e7in kullan\u0131lan a\u011fr\u0131 kesicilerin ayda 10 g\u00fcnden fazla al\u0131nmas\u0131n\u0131n kendi ba\u015f\u0131na kronik bir ba\u015f a\u011fr\u0131s\u0131 nedeni oldu\u011fu konusunda hastalar mutlaka en ba\u015ftan uyar\u0131lmal\u0131d\u0131r.<\/p>\n

\u0130NSANLIK TAR\u0130H\u0130 KADAR ESK\u0130 HASTALIK: M\u0130GREN<\/strong><\/p>\n

Migren, t\u00fcm ba\u015f a\u011fr\u0131s\u0131 hastal\u0131klar\u0131 i\u00e7inde doktora en fazla ba\u015fvuru nedeni olan durumdur. Migren tan\u0131s\u0131 i\u00e7in \u00f6zel bir laboratuvar testi veya radyolojik inceleme yoktur. \u0130nsanl\u0131k tarihi kadar eski bir hastal\u0131k olan migren toplum i\u00e7in olduk\u00e7a \u00f6nemli bir sa\u011fl\u0131k sorunudur. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc taraf\u0131ndan en \u00e7ok k\u0131s\u0131tl\u0131l\u0131k yapan hastal\u0131klar aras\u0131nda ele al\u0131nm\u0131\u015ft\u0131r. Kad\u0131nlar\u0131n yakla\u015f\u0131k y\u00fczde20\u2019sinin, erkeklerin ise y\u00fczde 8\u2019inin migrenli oldu\u011fu biliniyor. Atak s\u0131ras\u0131ndaki olumsuz etkileri d\u0131\u015f\u0131nda da okul ve i\u015f performans\u0131nda d\u00fc\u015fme ve sosyal problemler gibi kronik etkileri
\nvard\u0131r. Migrenin neden kaynakland\u0131\u011f\u0131 tam olarak bilinmemekle birlikte yap\u0131lan ara\u015ft\u0131rmalar baz\u0131 fakt\u00f6rlerin tetiklenmesi sonucunda beyinde anormal bir dalgalanman\u0131n meydana geldi\u011fini g\u00f6steriyor. Bunun ard\u0131ndan beyin zar\u0131nda ve damarlar\u0131nda iltihabi tepkiye yol a\u00e7an birtak\u0131m maddeler sal\u0131n\u0131r ve bunlar\u0131n sonucunda ba\u015f a\u011fr\u0131s\u0131 olu\u015fur.\u00a0Migrenin karakteristik \u00f6zellikleri; tekrarlay\u0131c\u0131 olmas\u0131, ata\u011f\u0131n ila\u00e7s\u0131z olarak d\u00f6rt saatten fazla s\u00fcrmesi (ve \u00fc\u00e7 g\u00fcnden az), tek yanl\u0131 olu\u015fu (y\u00fczde 80 hastada), zonklay\u0131c\u0131 olmas\u0131, atak s\u0131ras\u0131nda s\u0131kl\u0131kla \u0131\u015f\u0131ktan ve sesten rahats\u0131zl\u0131k, merdiven \u00e7\u0131kma gibi fiziksel eylemlerde a\u011fr\u0131da art\u0131\u015f, a\u011fr\u0131ya s\u0131kl\u0131kla bulant\u0131 veya kusman\u0131n e\u015flik etmesi, a\u011fr\u0131n\u0131n orta \u015fiddette veya \u015fiddetli olmas\u0131d\u0131r.<\/p>\n

SIK KULLANILAN \u0130LA\u00c7LAR FAYDASIZ\u2026<\/strong><\/p>\n

Migren ataklar\u0131 \u00e7oklukla tekrarlay\u0131c\u0131 ataklar \u015feklinde gelirken, en az \u00fc\u00e7 ay her g\u00fcn veya g\u00fcna\u015f\u0131r\u0131 olacak \u015fekilde kronikle\u015fmi\u015f olarak da g\u00f6r\u00fc- lebilir. Bu durumun en b\u00fcy\u00fck nedeni a\u011fr\u0131 kesici ila\u00e7lar\u0131n a\u015f\u0131r\u0131 kullan\u0131m\u0131d\u0131r. B\u00f6yle bir durumda a\u011fr\u0131 kesicilere en az iki ay gibi bir s\u00fcre ara verilmeden a\u011fr\u0131lar\u0131n kontrol\u00fc m\u00fcmk\u00fcn de\u011fildir ve a\u011fr\u0131 kesiciler a\u015f\u0131r\u0131 kullan\u0131ld\u0131\u011f\u0131 s\u00fcrede verilen a\u011fr\u0131n\u0131n gelmesini engelleyici ila\u00e7lar da \u00e7o\u011fu kez yararl\u0131 olmaz.<\/p>\n

M\u0130GREN TEDAV\u0130S\u0130<\/strong><\/p>\n

Migrende ila\u00e7 tedavisi ataklardan korunmaya y\u00f6nelik \u201cprofilaktik\u201d yani \u00f6nleyici\/koruyucu tedavi ve ata\u011f\u0131n a\u011fr\u0131, bulant\u0131, kusma gibi yak\u0131nmalar\u0131n\u0131n giderilmesine y\u00f6nelik \u201catak (akut\/a\u011fr\u0131) tedavisi\u201d olarak iki \u015fekilde yap\u0131l\u0131r. \u00d6nleyici tedavi belirli bir s\u00fcre boyunca d\u00fczenli ila\u00e7 kullanarak a\u011fr\u0131 s\u0131kl\u0131\u011f\u0131n\u0131 ve \u015fiddetini azaltmaya y\u00f6neliktir.<\/p>\n

HASTALI\u011eI TET\u0130KLEYEN FAKT\u00d6RLERDEN UZAKLA\u015eIN<\/strong><\/p>\n

Atak tedavisinde olgular\u0131n bir k\u0131sm\u0131nda a\u011f\u0131z yolu ile al\u0131nan a\u011fr\u0131 kesiciler kullan\u0131l\u0131r. Karanl\u0131k ve sakin bir odada, buz paketi koyarak dinlenmek a\u011fr\u0131n\u0131n giderilmesini kolayla\u015ft\u0131r\u0131r. E\u011fer hasta uyuyabilirse genellikle a\u011fr\u0131dan kurtulmu\u015f olarak uyan\u0131r. S\u0131k atakl\u0131 olgularda (ayda be\u015ften fazla) a\u011fr\u0131 kesici kullan\u0131m s\u0131n\u0131rlar\u0131 belirlenmeli ve hasta a\u015f\u0131r\u0131 ila\u00e7 ba\u015f a\u011fr\u0131s\u0131 konusunda uyar\u0131lmal\u0131d\u0131r. Hastal\u0131\u011f\u0131 tetikleyen fakt\u00f6rlerden ka\u00e7\u0131nma \u00e7ok \u00f6nemlidir. A\u00e7 kalmaktan ka\u00e7\u0131nma ve d\u00fczensiz uyku gibi tetikleyici fakt\u00f6rlerden ka\u00e7\u0131nmak, a\u011fr\u0131n\u0131n s\u0131kl\u0131\u011f\u0131n\u0131 azaltabilir.<\/p>\n

KADINLARDA DAHA SIK G\u00d6R\u00dcL\u00dcYOR<\/strong><\/p>\n

Birincil ba\u015f a\u011fr\u0131lar\u0131 i\u00e7inde en s\u0131k kar\u015f\u0131la\u015f\u0131lan tip gerilim tipi ba\u015f a\u011fr\u0131lar\u0131 (GTB)\u2019d\u0131r. GTB\u2019ler migrenden daha s\u0131k g\u00f6r\u00fclmekle birlikte g\u00f6rece daha hafif ba\u015f a\u011fr\u0131lar\u0131na neden olduklar\u0131ndan hekime ba\u015fvuruda daha geri plandad\u0131r. S\u0131kl\u0131kla 20 ya\u015f civar\u0131nda ba\u015flar, her ya\u015fta g\u00f6r\u00fclebilir. Kad\u0131nlarda biraz daha s\u0131k g\u00f6r\u00fclmekle birlikte aradaki fark migrende oldu\u011fu kadar \u00e7arp\u0131c\u0131 de\u011fildir. S\u0131kl\u0131kla iki yanl\u0131 bir ba\u015f a\u011fr\u0131s\u0131na neden olur, zonklay\u0131c\u0131 de\u011fildir, hareketle artmaz, atak s\u0131ras\u0131nda bulant\u0131 olmaz ve \u0131\u015f\u0131\u011f\u0131n rahats\u0131zl\u0131k yapmamas\u0131 karakteristik \u00f6zelli\u011fidir. Ataklar \u015feklinde gelebildi\u011fi gibi, \u00fc\u00e7 aydan daha uzun s\u00fcrede g\u00fcnl\u00fck veya g\u00fcna\u015f\u0131r\u0131 ba\u015f a\u011fr\u0131s\u0131n\u0131n oldu\u011fu kronikle\u015fmi\u015f halde de g\u00f6r\u00fclebilir. Bu kronik form doktora daha s\u0131k ba\u015fvuru nedenidir.<\/p>\n

STRES BA\u015e A\u011eRISI NEDEN\u0130!<\/strong><\/p>\n

Gerilim tipi ba\u015f a\u011fr\u0131lar\u0131n\u0131n yeri ve belirtileri hastaya g\u00f6re de\u011fi\u015fkenlik g\u00f6sterir. Yo\u011fun bir ya\u015fam\u0131n getirdi\u011fi stres ve s\u0131k\u0131nt\u0131lar\u0131n, bast\u0131r\u0131lm\u0131\u015f \u00f6fke gibi durumlar\u0131n neden oldu\u011fu ba\u015f, boyun b\u00f6lgesindeki kaslar\u0131n kas\u0131lmas\u0131 sonucu ortaya \u00e7\u0131kt\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcr. GTB\u2019li olgular\u0131n y\u00fczde 10 kadar\u0131nda ba\u015f a\u011fr\u0131s\u0131 zonklay\u0131c\u0131 gibi hissedilebilir ve bazen de tek yanl\u0131 a\u011fr\u0131 olabilir. Tedavisi migrene benzer. Atak s\u0131ras\u0131nda genelde a\u011fr\u0131 kesici ila\u00e7lar yeterlidir. Kronik gerilim tipi ba\u015f a\u011fr\u0131lar\u0131nda ise antidepresan ila\u00e7lar kullan\u0131l\u0131r.<\/p>\n

ERKEKLERDE KADINLARA G\u00d6RE BE\u015e KAT DAHA FAZLA\u2026<\/strong><\/p>\n

K\u00fcme ba\u015f a\u011fr\u0131s\u0131 her zaman tek tarafl\u0131, g\u00f6z \u00e7evresinde olan, \u00e7ok \u015fiddetli, g\u00f6zde ya\u015farma, k\u0131zarma, \u015fi\u015fme, burunda t\u0131kanma veya ak\u0131nt\u0131, al\u0131nda veya y\u00fczde terleme gibi bulgular\u0131n e\u015flik etti\u011fi bir ba\u015f a\u011fr\u0131s\u0131 t\u00fcr\u00fcd\u00fcr. Hastal\u0131k erkeklerde kad\u0131nlara g\u00f6re 5 kat daha s\u0131kt\u0131r. Genellikle geceleri tekrarlayan, bazen hep ayn\u0131 saatte ortaya \u00e7\u0131kan, g\u00f6z \u00fczerinde, al\u0131n veya yana\u011fa yay\u0131lan, \u015fiddetli a\u011fr\u0131l\u0131 bir durumdur. A\u011fr\u0131 15 dakika ile 3 saat kadar s\u00fcrebilir, sonra ge\u00e7er. Ancak bu ataklar ayn\u0131 g\u00fcn ve takip eden haftalar i\u00e7inde tekrar eder. A\u011fr\u0131 s\u0131ras\u0131nda hastalar huzursuz olur ve s\u00fcrekli gezinmek isterler. Bu durum karanl\u0131k ve sessizlik arayan migren hastalar\u0131ndan ay\u0131rt edilmesinde olduk\u00e7a \u00f6nemlidir. Hastal\u0131\u011f\u0131n ad\u0131ndaki k\u00fcme kelimesi, ba\u015f a\u011fr\u0131lar\u0131n\u0131n zaman i\u00e7inde k\u00fcmelenmesinden gelir ve bu d\u00f6nemler s\u0131kl\u0131kla 1-3 ay s\u00fcrer. K\u00fcme d\u00f6nemleri i\u00e7inde hastalar\u0131n tekrarlayan \u015fiddetli ba\u015f a\u011fr\u0131lar\u0131 olduktan sonra aylarca s\u00fcren ba\u015fa\u011fr\u0131s\u0131z d\u00f6nemleri olur. Ya\u015fam\u0131 olumsuz y\u00f6nde etkileyen k\u00fcme ba\u015f a\u011fr\u0131lar\u0131n\u0131n da \u00e7e\u015fitli tedavi se\u00e7enekleri mevcuttur.<\/p>\n

BA\u015eINIZ HER A\u011eRIDI\u011eINDA \u0130LA\u00c7 \u0130\u00c7\u0130YORSANIZ\u2026<\/strong>
\nA\u015f\u0131r\u0131 ila\u00e7 kullanmaya ba\u011fl\u0131 ba\u015f a\u011fr\u0131s\u0131 (\u0130AKB), a\u011fr\u0131 kesicilerin ayda 10- 15 g\u00fcnden fazla al\u0131nmas\u0131na ba\u011fl\u0131 olarak geli\u015fen sekonder nitelikte ba\u015f a\u011fr\u0131s\u0131d\u0131r. Tipik bir klinik tablosu yoktur, genelde altta migren gibi bir ba\u015f a\u011fr\u0131s\u0131 vard\u0131r. T\u00fcm ba\u015fta g\u00f6r\u00fclebilen, k\u00fcnt, s\u0131k\u0131\u015ft\u0131r\u0131c\u0131 veya zonklay\u0131c\u0131 olabilir. Genelde hafif ve devaml\u0131 bir a\u011fr\u0131d\u0131r ama zaman zaman \u015fiddetlenebilir.<\/p>\n

Kaynak Avc\u0131lar Hosp\u0131tal Sa\u011fl\u0131k B\u00fclteni<\/p>\n

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

Makaleyi Yazan:\u00a0Prof. Dr. Meliha Tan Makale Tarihi:\u00a015 Ekim 2018 A\u011eRI KES\u0130C\u0130Y\u0130 10 G\u00dcNDEN FAZLA KULLANIRSANIZ\u2026 Birincil ba\u015f a\u011fr\u0131lar\u0131 i\u00e7inde en s\u0131k kar\u015f\u0131la\u015f\u0131lanlar migren ve gerilim tipi ba\u015f a\u011fr\u0131lar\u0131d\u0131r. Bunlarla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda \u00e7ok daha seyrek olmakla birlikte (2 bin ki\u015fide bir veya daha ender) \u00e7ok \u015fiddetli, s\u0131k ba\u015f a\u011fr\u0131lar\u0131na neden olmalar\u0131, geleneksel a\u011fr\u0131 kesicilere yan\u0131t vermemeleri ve farkl\u0131 tedaviler gerektirmeleri nedeniyle k\u00fcme ba\u015f a\u011fr\u0131s\u0131, tekrarlay\u0131c\u0131 yar\u0131m ba\u015f a\u011fr\u0131s\u0131 \u00f6nemli bir birincil ba\u015f a\u011fr\u0131s\u0131 hastal\u0131\u011f\u0131 grubunu olu\u015fturur. \u00c7o\u011fu kez bu hastalar, do\u011fru tan\u0131 alana kadar, y\u0131llarca \u015fiddetli a\u011fr\u0131lar \u00e7ekebilir. \u015eu an i\u00e7in d\u00fcnyada en s\u0131k \u00fc\u00e7\u00fcnc\u00fc ba\u015f a\u011fr\u0131s\u0131 tipi ise a\u015f\u0131r\u0131 a\u011fr\u0131 kesici kullan\u0131m ba\u015f a\u011fr\u0131s\u0131d\u0131r. Bu nedenle tedavi i\u00e7in kullan\u0131lan a\u011fr\u0131 kesicilerin ayda 10 g\u00fcnden fazla al\u0131nmas\u0131n\u0131n kendi ba\u015f\u0131na kronik bir ba\u015f a\u011fr\u0131s\u0131 nedeni oldu\u011fu konusunda hastalar mutlaka en ba\u015ftan uyar\u0131lmal\u0131d\u0131r. \u0130NSANLIK TAR\u0130H\u0130 KADAR ESK\u0130 HASTALIK: M\u0130GREN Migren, t\u00fcm ba\u015f a\u011fr\u0131s\u0131 hastal\u0131klar\u0131 i\u00e7inde doktora en fazla ba\u015fvuru nedeni olan durumdur. Migren tan\u0131s\u0131 i\u00e7in \u00f6zel bir laboratuvar testi veya radyolojik inceleme yoktur. \u0130nsanl\u0131k tarihi kadar eski bir hastal\u0131k olan migren toplum i\u00e7in olduk\u00e7a \u00f6nemli bir sa\u011fl\u0131k sorunudur. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc taraf\u0131ndan en \u00e7ok k\u0131s\u0131tl\u0131l\u0131k yapan hastal\u0131klar aras\u0131nda ele al\u0131nm\u0131\u015ft\u0131r. Kad\u0131nlar\u0131n yakla\u015f\u0131k y\u00fczde20\u2019sinin, erkeklerin ise y\u00fczde 8\u2019inin migrenli oldu\u011fu biliniyor. Atak s\u0131ras\u0131ndaki olumsuz etkileri d\u0131\u015f\u0131nda da okul ve i\u015f performans\u0131nda d\u00fc\u015fme ve sosyal problemler gibi kronik etkileri vard\u0131r. Migrenin neden kaynakland\u0131\u011f\u0131 tam olarak bilinmemekle birlikte yap\u0131lan ara\u015ft\u0131rmalar baz\u0131 fakt\u00f6rlerin tetiklenmesi sonucunda beyinde anormal bir dalgalanman\u0131n meydana geldi\u011fini g\u00f6steriyor. Bunun ard\u0131ndan beyin zar\u0131nda ve damarlar\u0131nda iltihabi tepkiye yol a\u00e7an birtak\u0131m maddeler sal\u0131n\u0131r ve bunlar\u0131n sonucunda ba\u015f a\u011fr\u0131s\u0131 olu\u015fur.\u00a0Migrenin karakteristik \u00f6zellikleri; tekrarlay\u0131c\u0131 olmas\u0131, ata\u011f\u0131n ila\u00e7s\u0131z olarak d\u00f6rt saatten fazla s\u00fcrmesi (ve \u00fc\u00e7 g\u00fcnden az), tek yanl\u0131 olu\u015fu (y\u00fczde 80 hastada), zonklay\u0131c\u0131 olmas\u0131, atak s\u0131ras\u0131nda s\u0131kl\u0131kla \u0131\u015f\u0131ktan ve sesten rahats\u0131zl\u0131k, merdiven \u00e7\u0131kma gibi fiziksel eylemlerde a\u011fr\u0131da art\u0131\u015f, a\u011fr\u0131ya s\u0131kl\u0131kla bulant\u0131 veya kusman\u0131n e\u015flik etmesi, a\u011fr\u0131n\u0131n orta \u015fiddette veya \u015fiddetli olmas\u0131d\u0131r. SIK KULLANILAN \u0130LA\u00c7LAR FAYDASIZ\u2026 Migren ataklar\u0131 \u00e7oklukla tekrarlay\u0131c\u0131 ataklar \u015feklinde gelirken, en az \u00fc\u00e7 ay her g\u00fcn veya g\u00fcna\u015f\u0131r\u0131 olacak \u015fekilde kronikle\u015fmi\u015f olarak da g\u00f6r\u00fc- lebilir. Bu durumun en b\u00fcy\u00fck nedeni a\u011fr\u0131 kesici ila\u00e7lar\u0131n a\u015f\u0131r\u0131 kullan\u0131m\u0131d\u0131r. B\u00f6yle bir durumda a\u011fr\u0131 kesicilere en az iki ay gibi bir s\u00fcre ara verilmeden a\u011fr\u0131lar\u0131n kontrol\u00fc m\u00fcmk\u00fcn de\u011fildir ve a\u011fr\u0131 kesiciler a\u015f\u0131r\u0131 kullan\u0131ld\u0131\u011f\u0131 s\u00fcrede verilen a\u011fr\u0131n\u0131n gelmesini engelleyici ila\u00e7lar da \u00e7o\u011fu kez yararl\u0131 olmaz. M\u0130GREN TEDAV\u0130S\u0130 Migrende ila\u00e7 tedavisi ataklardan korunmaya y\u00f6nelik \u201cprofilaktik\u201d yani \u00f6nleyici\/koruyucu tedavi ve ata\u011f\u0131n a\u011fr\u0131, bulant\u0131, kusma gibi yak\u0131nmalar\u0131n\u0131n giderilmesine y\u00f6nelik \u201catak (akut\/a\u011fr\u0131) tedavisi\u201d olarak iki \u015fekilde yap\u0131l\u0131r. \u00d6nleyici tedavi belirli bir s\u00fcre boyunca d\u00fczenli ila\u00e7 kullanarak a\u011fr\u0131 s\u0131kl\u0131\u011f\u0131n\u0131 ve \u015fiddetini azaltmaya y\u00f6neliktir. HASTALI\u011eI TET\u0130KLEYEN FAKT\u00d6RLERDEN UZAKLA\u015eIN Atak tedavisinde olgular\u0131n bir k\u0131sm\u0131nda a\u011f\u0131z yolu ile al\u0131nan a\u011fr\u0131 kesiciler kullan\u0131l\u0131r. Karanl\u0131k ve sakin bir odada, buz paketi koyarak dinlenmek a\u011fr\u0131n\u0131n giderilmesini kolayla\u015ft\u0131r\u0131r. E\u011fer hasta uyuyabilirse genellikle a\u011fr\u0131dan kurtulmu\u015f olarak uyan\u0131r. S\u0131k atakl\u0131 olgularda (ayda be\u015ften fazla) a\u011fr\u0131 kesici kullan\u0131m s\u0131n\u0131rlar\u0131 belirlenmeli ve hasta a\u015f\u0131r\u0131 ila\u00e7 ba\u015f a\u011fr\u0131s\u0131 konusunda uyar\u0131lmal\u0131d\u0131r. Hastal\u0131\u011f\u0131 tetikleyen fakt\u00f6rlerden ka\u00e7\u0131nma \u00e7ok \u00f6nemlidir. A\u00e7 kalmaktan ka\u00e7\u0131nma ve d\u00fczensiz uyku gibi tetikleyici fakt\u00f6rlerden ka\u00e7\u0131nmak, a\u011fr\u0131n\u0131n s\u0131kl\u0131\u011f\u0131n\u0131 azaltabilir. KADINLARDA DAHA SIK G\u00d6R\u00dcL\u00dcYOR Birincil ba\u015f a\u011fr\u0131lar\u0131 i\u00e7inde en s\u0131k kar\u015f\u0131la\u015f\u0131lan tip gerilim tipi ba\u015f a\u011fr\u0131lar\u0131 (GTB)\u2019d\u0131r. GTB\u2019ler migrenden daha s\u0131k g\u00f6r\u00fclmekle birlikte g\u00f6rece daha hafif ba\u015f a\u011fr\u0131lar\u0131na neden olduklar\u0131ndan hekime ba\u015fvuruda daha geri plandad\u0131r. S\u0131kl\u0131kla 20 ya\u015f civar\u0131nda ba\u015flar, her…<\/p>\n","protected":false},"author":2,"featured_media":773,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[64],"tags":[],"class_list":["post-760","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=\/wp\/v2\/posts\/760","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=760"}],"version-history":[{"count":2,"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=\/wp\/v2\/posts\/760\/revisions"}],"predecessor-version":[{"id":774,"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=\/wp\/v2\/posts\/760\/revisions\/774"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=\/wp\/v2\/media\/773"}],"wp:attachment":[{"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=760"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=760"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tr.sektorturk.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=760"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}