{"id":1628,"date":"2019-09-18T12:21:40","date_gmt":"2019-09-18T09:21:40","guid":{"rendered":"http:\/\/cinargoz.com\/?p=1628"},"modified":"2023-09-08T16:41:47","modified_gmt":"2023-09-08T13:41:47","slug":"6-ayda-bir-muayene-ve-kan-sekeri-kontrolu-gozunuzu-korur","status":"publish","type":"post","link":"https:\/\/www.bursagoz.com\/en\/6-ayda-bir-muayene-ve-kan-sekeri-kontrolu-gozunuzu-korur\/","title":{"rendered":"6 ayda bir muayene ve kan \u015fekeri kontrol\u00fc g\u00f6z\u00fcn\u00fcz\u00fc korur"},"content":{"rendered":"

G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Tar\u0131k BOZCA, diyabet tan\u0131s\u0131 alan hastalar\u0131n, g\u00f6rmede hi\u00e7bir \u015fikayetin olu\u015fmas\u0131n\u0131 beklemeden g\u00f6z kontrollerine ba\u015flamas\u0131 gerekti\u011fini s\u00f6yl\u00fcyor.<\/strong><\/p>\n

<\/p>\n

Diyabet hastas\u0131n\u0131n kan \u015fekerinin kontrols\u00fcz seyretmesi, g\u00f6rme yetene\u011finde de geri d\u00f6n\u00fc\u015f\u00fc olmayan hasarlar olu\u015fturabiliyor. \u00d6yle ki geli\u015fmi\u015f \u00fclkelerde sonradan meydana gelen k\u00f6rl\u00fck sebeplerinden birincisi diyabet.<\/p>\n

Bursa G\u00f6z Merkezi G\u00f6z Doktoru<\/figcaption><\/figure>\n

Elbette, \u015feker hastal\u0131\u011f\u0131nda da uzun y\u0131llar boyunca g\u00f6z sa\u011fl\u0131\u011f\u0131n\u0131 korumak m\u00fcmk\u00fcn. Bunun da ilk \u015fart\u0131, diyabet tan\u0131s\u0131 konulduktan hemen sonra
\nd\u00fczenli g\u00f6z kontrollerini aksatmamak ve kan \u015fekerini istenen seviyelerde tutmak.
\nBursa G\u00f6z Merkezi G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Tar\u0131k BOZCA, sorular\u0131m\u0131z\u0131 yan\u0131tlad\u0131.<\/p>\n

-\u015eeker hastal\u0131\u011f\u0131 g\u00f6zleri nas\u0131l etkiliyor? <\/strong>
\n\u015eeker hastal\u0131\u011f\u0131, g\u00f6z\u00fcn \u00f6n ve arka yap\u0131lar\u0131n\u0131n tamam\u0131n\u0131 etkileyebiliyor. Bu etkilenme, numara de\u011fi\u015fikli\u011finden ba\u015flar, katarakt olu\u015fumuna, g\u00f6z\u00fcn arkas\u0131nda kanamalar ve t\u0131kan\u0131kl\u0131klar meydana gelmesine kadar de\u011fi\u015fen bir sistemin i\u00e7erisinde devam eder. \u015eekerin mutlaka dikkate al\u0131nmas\u0131 gerekir. \u00c7\u00fcnk\u00fc ilerleyen zamanlarda g\u00f6zde kal\u0131c\u0131 g\u00f6rme kay\u0131plar\u0131na, hatta k\u00f6rl\u00fc\u011fe kadar giden s\u00fcre\u00e7ler meydana getirebilir.<\/p>\n

-\u015eeker hastalar\u0131 g\u00f6z muayenesi i\u00e7in g\u00f6rme \u015fikayetleri ya\u015famay\u0131 beklemeli mi? <\/strong>
\nKesinlikle beklememek gerekir. \u015eeker hastal\u0131\u011f\u0131 te\u015fhisi konulduktan hemen sonra hastalar\u0131n dahiliye doktorlar\u0131 taraf\u0131ndan bilgilendirilip muhakkak bir g\u00f6z doktoru taraf\u0131ndan g\u00f6r\u00fclmesini sa\u011flamak gerekir.<\/p>\n

-D\u00fczenli takip mi \u00f6neriyorsunuz? <\/strong>
\nHerhangi bir problemi olmasa dahi 6 ayda bir d\u00fczenli takip \u00f6neriyoruz. Bu \u00e7ok \u00f6nemli. Hastalar\u0131m\u0131z bunun bilincinde olmal\u0131lar. Dahiliye doktoru, g\u00f6z doktoruna ba\u015fvurmalar\u0131n\u0131 bir kez s\u00f6yler, ondan sonras\u0131 hastan\u0131n kendisine aittir. Dolay\u0131s\u0131yla hastalar da 6 ayda bir g\u00f6z hekimine gitme konusunda kendilerini sorumlu hissetmeliler.<\/p>\n

-\u015eeker hastalar\u0131n\u0131n g\u00f6z muayenesi nas\u0131l yap\u0131l\u0131yor? <\/strong>
\nDamlal\u0131 muayene yap\u0131l\u0131yor. Yani yap\u0131lan, bir g\u00f6zl\u00fck muayenesi de\u011fil. Tabii ki beraberinde g\u00f6zl\u00fck muayenesi yap\u0131lacakt\u0131r ama damlal\u0131 muayene bizim i\u00e7in \u00e7ok \u00f6nemli. Damlal\u0131 muayene i\u00e7in de hastalar\u0131m\u0131zdan istedi\u011fimiz baz\u0131 \u015fartlar var. \u00d6rne\u011fin ara\u00e7la gelmesinler muayeneye. Bu \u00f6nemli bir ayr\u0131nt\u0131, \u00e7\u00fcnk\u00fc damlal\u0131 muayeneden sonra birka\u00e7 saat ara\u00e7 kullanamazlar. Gen\u00e7 hastalar yaln\u0131z gelebilirler ama ileri ya\u015ftaki hastalar\u0131 yaln\u0131z b\u0131rakmamak laz\u0131m. \u0130\u015flem yakla\u015f\u0131k 45 dakika s\u00fcrer. \u00c7\u00fcnk\u00fc damlay\u0131 damlatt\u0131ktan sonra bekleme s\u00fcresi var. \u00d6zel bir muayene \u015fekli de\u011fil ancak sonras\u0131nda ara\u00e7 kullan\u0131m\u0131nda s\u0131k\u0131nt\u0131 ve yak\u0131n okumada problem olabiliyor. \u00d6rne\u011fin \u00e7al\u0131\u015fan hastalar\u0131m\u0131z, sabahtan muayeneye geldiklerinde \u00f6\u011fleden sonra birka\u00e7 saat \u00e7al\u0131\u015fma g\u00fc\u00e7l\u00fc\u011f\u00fc \u00e7ekebilirler. Bundan korkmas\u0131nlar, bu damlan\u0131n ge\u00e7ici etkisidir.<\/p>\n

-Damla g\u00f6ze zarar verir mi? <\/strong>
\nDamla zarar vermez. Muayene i\u00e7in kullan\u0131yoruz. Hastan\u0131n \u00e7ok \u00f6zel bir g\u00f6z tansiyonu yoksa g\u00f6z bebe\u011fini b\u00fcy\u00fct\u00fcc\u00fc damlalara kar\u015f\u0131 \u00f6zel bir alerjisi, \u00f6zel bir tip glokomu yoksa damla g\u00f6ze zarar vermez.
\n-D\u00fczenli g\u00f6z kontrollerine gelmekten ba\u015fka g\u00f6z sa\u011fl\u0131\u011f\u0131n\u0131 korumak ad\u0131na ne yapabilir \u015feker hastas\u0131? <\/strong>
\nKan \u015fekerine \u00e7ok dikkat etmesi laz\u0131m. Hastal\u0131\u011f\u0131n\u0131n takibini yapan doktorun \u00f6nerilerine dikkat etmesi gerekiyor. \u0130kincisi, \u00f6zellikle hap kullan\u0131m\u0131ndan ins\u00fclin kullan\u0131m\u0131na yeni ge\u00e7mi\u015f hastalar dikkatli olmak zorunda. \u0130la\u00e7tan ins\u00fcline ge\u00e7ti\u011finiz zaman \u015fekerinizin seyri ilk ba\u015flarda hafif dalgal\u0131 olabilir, \u00e7\u00fcnk\u00fc ins\u00fclin dozlar\u0131 ayarlanacak. O a\u015famalarda \u00f6zellikle dikkat etmenizde ve g\u00f6z doktorunuza kontrole gitmenizde fayda var. Bu s\u00fcre\u00e7te 6 ay\u0131 beklemek zorunda de\u011filsiniz. Hatta “Ben yeni ins\u00fcline ge\u00e7tim” diye doktorlar\u0131na belirtsinler.<\/p>\n


\n-\u015eeker ka\u00e7\u0131 ge\u00e7ti\u011finde g\u00f6z i\u00e7in bir tehdit olu\u015fturur? <\/strong>
\n\u015eeker hastal\u0131\u011f\u0131 tan\u0131s\u0131 konduktan sonra g\u00f6z\u00fcm\u00fcz\u00fcn tehdit alt\u0131nda oldu\u011fu bilmek zorunday\u0131z. Ka\u00e7\u0131 ge\u00e7tikten sonra diye bir \u015fey yok. \u015eeker d\u00fc\u015f\u00fck gibi g\u00f6r\u00fcn\u00fcyordur ama geceleri \u00e7ok y\u00fckseliyordur. Sizin g\u00fcnl\u00fck olarak \u00f6l\u00e7t\u00fc\u011f\u00fcn\u00fcz \u015feker d\u00fc\u015f\u00fckt\u00fcr ama Hemoglobin a1C de\u011feriniz 11’leri bulmu\u015ftur. Bu y\u00fczden 6 ayl\u0131k kontroller ve d\u00fczenli \u015feker takibi \u00e7ok \u00f6nemli.
\n-\u015eeker hastalar\u0131nda g\u00f6z sa\u011fl\u0131\u011f\u0131n\u0131n \u00e7ok hassas oldu\u011fu ve d\u00fczenli g\u00f6z muayenesi yapt\u0131rma konusunda bilin\u00e7 yeni mi yerle\u015fiyor? <\/strong>
\nMaalesef. \u015eeker hastas\u0131 olan \u00e7ok ki\u015fi var. Ne yaz\u0131k ki \u015fu tip diyaloglara da \u015fahit oluyoruz: “Yak\u0131nlar\u0131m\u0131z \u015fekerden g\u00f6z\u00fcn\u00fc kaybetti, bana da \u015feker te\u015fhisi konuldu. 10 y\u0131ld\u0131r doktora gitmiyorum…” Bu i\u015fte kara mizah gibi bir \u015fey var. Yak\u0131nlar\u0131n\u0131z bu hastal\u0131ktan g\u00f6z\u00fcn\u00fc kaybetmi\u015f, beklememeniz gerekiyor… Dolay\u0131s\u0131yla tan\u0131 konduktan sonra takip \u015fart. Hemoglobin A1C’si y\u00fcksektir, b\u00f6brek problemi vard\u0131r, \u015feker d\u00fc\u015f\u00fck gibi seyrediyordur ama beraberindeki b\u00f6brek problemi, arka taraftaki g\u00f6zle ilgili her t\u00fcrl\u00fc problemi tetikler veya hastan\u0131n safra kesesi ta\u015f\u0131 vard\u0131r. Oradaki iltihabi alan devaml\u0131 tetikler \u015fekeri. \u015eeker normal gibi g\u00f6r\u00fcn\u00fcyordur ama arada \u00e7ok y\u00fckseliyordur. Bunu tam olarak bilmek m\u00fcmk\u00fcn de\u011fil. “110 iken bo\u015f ver de 120 iken doktora git” denemez bu y\u00fczden.
\n-Ge\u00e7 kalm\u0131\u015f hastalar i\u00e7in yap\u0131labilecek bir \u015fey var m\u0131? Diyelim ki\u015fi 10 y\u0131ld\u0131r \u015feker hastas\u0131 ve hi\u00e7 muayene olmam\u0131\u015f… <\/strong>
\n\u00d6ncelikle primer muayeneye gelmek durumunda. Damlal\u0131 muayenesi yap\u0131lacak. Damlal\u0131 muayenesi yap\u0131ld\u0131ktan sonra g\u00f6z bebekleri b\u00fcy\u00fct\u00fclecek, arka taraftaki problem tespit edilecek… Ge\u00e7 kalm\u0131\u015fl\u0131k birka\u00e7 a\u015famada olabilir. \u00d6rne\u011fin katarakt hastas\u0131 da ge\u00e7 kalm\u0131\u015f bir hastad\u0131r asl\u0131nda. \u015eekerdeki katarakt geli\u015fimini de \u015fekeri d\u00fczenleyerek geciktirebiliyoruz. E\u011fer \u015fekerdeki reg\u00fclasyon \u00e7ok bozuksa farz edelim hastada \u00fc\u00e7 y\u0131l i\u00e7inde katarakt geli\u015fimi s\u00f6z konusu olur, \u015fekeri reg\u00fcle edebilirseniz o hastada 10 y\u0131l sonra katarakt meydana gelir.
\n\u0130kincisi g\u00f6z arkas\u0131nda damar t\u0131kan\u0131kl\u0131klar\u0131 olabiliyor. Bu damar t\u0131kan\u0131kl\u0131klar\u0131 \u00e7ok m\u00fchim. Bu t\u0131kan\u0131kl\u0131klar bazen lazer y\u00f6ntemiyle bazen g\u00f6z i\u00e7ine enjeksiyonlar yapmak yoluyla d\u00fczeltilebiliyor. Bir sonraki a\u015famam\u0131z var. damar t\u0131kan\u0131kl\u0131klar\u0131n\u0131n \u00fczerine yeni ve b\u00fcy\u00fck kanamalar meydana gelebilir.
\nDurum, retinan\u0131n ayr\u0131lmas\u0131na kadar giden ve maalesef k\u00f6rl\u00fckle sonu\u00e7lanan durumlara gidebilir. Mikro kanama yakaland\u0131\u011f\u0131 anda diyelim hastan\u0131n \u015fekeri 110. Tedavisi yap\u0131l\u0131r ve biter. Ama retina dekolman\u0131 oldu\u011funuzda ileri d\u00fczey cerrahi gerekiyor. Bu cerrahinin yap\u0131lmas\u0131 gerekli ve mutlak. Ama hastan\u0131n ald\u0131\u011f\u0131 riskler, ba\u015flang\u0131\u00e7ta alaca\u011f\u0131 riskten belki 20 kat fazla. O noktaya getirmemek laz\u0131m. O noktadan da geri d\u00f6n\u00fcl\u00fcr, g\u00f6z\u00fcn anatomik b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc de sa\u011flars\u0131n\u0131z ama ba\u015flang\u0131\u00e7ta 10 olan g\u00f6rme potansiyeli 2’lere d\u00fc\u015fm\u00fc\u015ft\u00fcr ve ancak o noktada tutulabilir. Zaman \u00e7ok aleyhte i\u015fleyen bir durum burada maalesef ve o noktaya geldi\u011finizde yap\u0131lan sadece mevcudu korumaya \u00e7al\u0131\u015fmak. Yap\u0131lmas\u0131 gereken en ba\u015f\u0131ndan tedbir almak. Dolay\u0131s\u0131yla diyabeti tedavi eden doktor, g\u00f6z doktoru ve hastan\u0131n iyi bir i\u015fbirli\u011fi sa\u011flamas\u0131 halinde g\u00f6z sa\u011fl\u0131\u011f\u0131n\u0131 korumak m\u00fcmk\u00fcn.<\/p>\n

“Tip 2 diyabet, kendimize yapt\u0131\u011f\u0131m\u0131z k\u00f6t\u00fcl\u00fckt\u00fcr!” <\/strong>
\n-Toplumda \u015feker hastal\u0131\u011f\u0131 \u00e7ok yayg\u0131n ve art\u0131k insanlar daha gen\u00e7 ya\u015flarda Tip 2 diyabet tan\u0131s\u0131 al\u0131yor. G\u00f6zle ilgili sorunlar\u0131n da hep ileri ya\u015flarda ya\u015fanaca\u011f\u0131 alg\u0131s\u0131 var. Bu do\u011fru bir yakla\u015f\u0131m m\u0131? <\/strong>
\nAsl\u0131nda tam tersi. Obezite artt\u0131, \u00e7\u00fcnk\u00fc \u00e7ok fazla rafine karbonhidrat t\u00fcketiyoruz. Siz ne kadar rafine karbohidrat t\u00fcketirseniz, pankreas\u0131n\u0131z o kadar \u00e7ok ins\u00fclin salg\u0131lar. Ne kadar \u00e7ok ins\u00fclin salg\u0131lan\u0131rsa o kadar \u00e7ok ac\u0131k\u0131rs\u0131n\u0131z. O kadar ac\u0131k\u0131nca bir daha yersiniz ve bunu \u00f6zellikle karbonhidratla bast\u0131rmaya \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131zda ins\u00fclin seviyeniz \u00e7ok h\u0131zl\u0131 dalgalan\u0131r.
\nBu ins\u00fclin piklerini ne kadar art\u0131r\u0131rsan\u0131z, diyabete yatk\u0131nl\u0131k da o derece artar.
\nBu, v\u00fccudu hor kullanmak demektir. Diyelim 10 birim ins\u00fclininiz var, kulland\u0131n\u0131z ve bitti. 30-35’inizde diyabetsiniz, bu 10 birim ins\u00fclini idareli kullan\u0131rsan\u0131z, hayat\u0131n\u0131z\u0131n sonuna kadar diyabet hastas\u0131 olmazs\u0131n\u0131z. Tip 2 diyabet budur: ins\u00fclin rezervindeki azalma. Tip 2 diyabet tamamen bizim kendimize yapt\u0131\u011f\u0131m\u0131z k\u00f6t\u00fcl\u00fckt\u00fcr.<\/p>\n

\u015eekerde dalgalanma g\u00f6z numaras\u0131n\u0131 de\u011fi\u015ftiriyor <\/strong>
\nG\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Tar\u0131k BOZCA, diyabet hastalar\u0131n\u0131 \u015feker seviyeleri \u00e7ok oynarken g\u00f6zl\u00fck almamalar\u0131 gerekti\u011fi konusunda uyar\u0131yor: “G\u00f6z merce\u011fimizin belirli bir ayar\u0131 var ve maalesf \u015fekerden bu da etkileniyor. Dolay\u0131s\u0131yla g\u00f6z, \u015feker y\u00fcksekken farkl\u0131, d\u00fc\u015f\u00fckken farkl\u0131 bir numara veriyor. 450 \u015fekerle gitti\u011finizde ald\u0131\u011f\u0131n\u0131z g\u00f6zl\u00fckle, 110 \u015fekeriniz varken ald\u0131\u011f\u0131n\u0131z g\u00f6zl\u00fck tamamen farkl\u0131 olacat\u0131r. Bunu bilelim ve b\u00f6yle zamanlarda doktorumuzdan g\u00f6zl\u00fck talep etmeyelim. \u015eekerinizin d\u00fczenli hale geldikten sonra g\u00f6zl\u00fck alabilirsiniz. 120-160 aral\u0131\u011f\u0131nda gezinen \u015fekere g\u00f6zl\u00fck verilebilir ama 250-300 \u015fekere g\u00f6zl\u00fck verdi\u011finiz zaman 110’a d\u00fc\u015ft\u00fc\u011f\u00fcnde numaras\u0131 de\u011fi\u015fecektir hastan\u0131n.”<\/p>","protected":false},"excerpt":{"rendered":"

G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Op. Dr. Tar\u0131k BOZCA, diyabet tan\u0131s\u0131 alan hastalar\u0131n, g\u00f6rmede hi\u00e7bir \u015fikayetin olu\u015fmas\u0131n\u0131 beklemeden g\u00f6z kontrollerine ba\u015flamas\u0131 gerekti\u011fini s\u00f6yl\u00fcyor.<\/p>","protected":false},"author":1,"featured_media":1629,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[34,35,33],"class_list":["post-1628","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-goz-sagligi","tag-bursada-goz-doktoru","tag-diyabetik-goz","tag-goz-seker-hastaligi"],"yoast_head":"\n6 ayda bir muayene ve kan \u015fekeri kontrol\u00fc g\u00f6z\u00fcn\u00fcz\u00fc korur - Bursa G\u00f6z Merkezi Y\u0131ld\u0131r\u0131m G\u00f6z Hastal\u0131klar\u0131 Hastanesi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bursagoz.com\/en\/6-ayda-bir-muayene-ve-kan-sekeri-kontrolu-gozunuzu-korur\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"6 ayda bir muayene ve kan \u015fekeri kontrol\u00fc g\u00f6z\u00fcn\u00fcz\u00fc korur\" \/>\n<meta property=\"og:description\" content=\"G\u00f6z Hastal\u0131klar\u0131 Uzman\u0131 Op. 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