{"id":11746,"date":"2018-02-26T14:00:02","date_gmt":"2018-02-26T11:00:02","guid":{"rendered":"https:\/\/eminozmert.com\/2022\/diabetische-retinopathie\/"},"modified":"2023-02-01T10:44:49","modified_gmt":"2023-02-01T07:44:49","slug":"diabetische-retinopathie","status":"publish","type":"post","link":"https:\/\/eminozmert.com\/de\/diabetische-retinopathie\/","title":{"rendered":"Diabetische Retinopathie"},"content":{"rendered":"<section class=\"l-section wpb_row height_custom width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1-3 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"w-menu layout_ver style_blocks us_menu_1\" style=\"--main-gap:0.5em;--main-ver-indent:0.8em;--main-hor-indent:0.8em;\"><ul id=\"menu-hastaliklar-almanca\" class=\"menu\"><li id=\"menu-item-11807\" class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-11807\"><a href=\"https:\/\/eminozmert.com\/de\/gelbfleckenkrankheit-senile-altersbedingte-makuladegeneration\/\">Gelbfleckenkrankheit (senile = altersbedingte Makuladegeneration)<\/a><\/li><li id=\"menu-item-11808\" class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-11808\"><a href=\"https:\/\/eminozmert.com\/de\/sehnervenerkrankungen\/\">Sehnervenerkrankungen<\/a><\/li><li id=\"menu-item-11809\" class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-11809\"><a href=\"https:\/\/eminozmert.com\/de\/gefasverschlusse-der-netzhaut\/\">Gef\u00e4\u00dfverschl\u00fcsse der Netzhaut<\/a><\/li><li id=\"menu-item-11810\" class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-11810\"><a href=\"https:\/\/eminozmert.com\/de\/retinitis-pigmentosa-rp-huhnschwarz\/\">Retinitis pigmentosa (Rp) (Huhnschwarz)<\/a><\/li><li id=\"menu-item-11811\" class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-11811\"><a href=\"https:\/\/eminozmert.com\/de\/netzhautablosung\/\">Netzhautabl\u00f6sung<\/a><\/li><li id=\"menu-item-11812\" class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-11812\"><a href=\"https:\/\/eminozmert.com\/de\/diabetische-retinopathie\/\">Diabetische Retinopathie<\/a><\/li><li id=\"menu-item-11813\" class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-11813\"><a href=\"https:\/\/eminozmert.com\/de\/katarakt\/\">Katarakt<\/a><\/li><li id=\"menu-item-11814\" class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-11814\"><a href=\"https:\/\/eminozmert.com\/de\/augenblutdruck-schwarzwasserkrankheit\/\">Augenblutdruck = Schwarzwasserkrankheit<\/a><\/li><\/ul><style>.us_menu_1 .menu>li>a{background:rgba(0,0,0,0.1)}.us_menu_1 .menu>li>a{color:inherit}.us_menu_1 .menu>.current-menu-item>a{color:var(--color-header-middle-text-hover)}@media ( max-width:600px ){.us_menu_1 .menu{display:block!important}.us_menu_1 .menu>li{margin:0 0 var(--main-gap,0.5em)!important}}<\/style><\/div><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p><strong>D\u0130YABET\u0130K RET\u0130NOPAT\u0130<\/strong><strong><br \/>\n(\u015eEKER HASTALI\u011eINA BA\u011eLI KANAMALAR)<\/strong><\/p>\n<p style=\"font-weight: 400;\"><a href=\"https:\/\/www.youtube.com\/watch?v=fOTz9FbCSO4\">INTRAVITREAL ANTIVEGF\/OZURDEX INJECTIONS<\/a>\u00a0\u2013\u00a0<a href=\"https:\/\/www.youtube.com\/watch?v=qohmTnOARdU&amp;feature=youtu.be\">MICROPULSE LASER PHOTOCOAGULATION<\/a>,\u00a0<a href=\"https:\/\/www.youtube.com\/watch?v=RM12VAcFVuA\">PRP GROWTH FACTOR INJECTIONS<\/a>\u00a0AND\u00a0<a href=\"http:\/\/magnovision.net\/\">MAGNOVISION THERAPY<\/a><\/p>\n<p style=\"font-weight: 400;\">G\u00f6z k\u00fcresi \u00f6nden arkaya do\u011fru, \u0131\u015f\u0131\u011f\u0131 retinaya odaklayacak k\u0131r\u0131c\u0131 ortamlardan olu\u015fur. En \u00f6nde kornea ve arkas\u0131ndaki lens \u0131\u015f\u0131\u011f\u0131n, retinan\u0131n keskin g\u00f6rmeyi sa\u011flayan b\u00f6lgesi olan mak\u00fclaya (sar\u0131 noktaya) odaklanmas\u0131n\u0131 sa\u011flar.<\/p>\n<p style=\"font-weight: 400;\">G\u00f6z k\u00fcresi i\u00e7ten d\u0131\u015fa do\u011fru 3 katmandan olu\u015fur: en i\u00e7te retina, ortada damar tabaka ve en d\u0131\u015fta ise g\u00f6z k\u00fcresine sertli\u011fini veren g\u00f6z ak\u0131 bulunur.<\/p>\n<p style=\"font-weight: 400;\">Cisimlerin g\u00f6r\u00fclebilmesi, cisimlerden gelen \u0131\u015f\u0131nlar\u0131n mak\u00fclaya (sar\u0131 noktaya) odaklanmas\u0131 ile ba\u015flar. Retinada \u0131\u015f\u0131k enerjisini, elektrik enerjisine \u00e7evirip beyine ileten h\u00fccreler vard\u0131r.<\/p>\n<p style=\"font-weight: 400;\">Retina milyonlarca sinir h\u00fccresinden olu\u015fur. Bu h\u00fccreleri besleyen ve oksijenlenmesini sa\u011flayan yayg\u0131n bir damar a\u011f\u0131 mevcuttur.<\/p>\n<p style=\"font-weight: 400;\">\u015eeker hastal\u0131\u011f\u0131 yani diyabetes mellitus, y\u0131llar i\u00e7inde \u00f6zellikle k\u00fc\u00e7\u00fck damarlar\u0131n yap\u0131s\u0131n\u0131 bozmakta ve bu damarlar\u0131n t\u0131kanmas\u0131na yol a\u00e7maktad\u0131r.<\/p>\n<p style=\"font-weight: 400;\">G\u00f6zde retina,\u00a0 b\u00f6breklerde glomer\u00fcller ve ayak damarlar\u0131 en \u00e7abuk t\u0131kanan damarlard\u0131r. Diyabet kontol alt\u0131nda tutulamazsa 5 y\u0131l i\u00e7inde, retina kanamalar\u0131 ve k\u00f6rl\u00fck, b\u00f6rek yetmezli\u011fi ve diyaliz ba\u011f\u0131ml\u0131l\u0131\u011f\u0131, ayaklarda iyile\u015fmeyen yaralar ve gangrene neden olabilir.<\/p>\n<p style=\"font-weight: 400;\">\u0130yi bir metabolik kontrol, sadece \u015fekerin de\u011fil, hipertansiyon ve kan ya\u011flar\u0131\/kolesterol\u00fcn de birlikte kontrol alt\u0131nda tutulmas\u0131yla sa\u011flan\u0131r. Bu kan de\u011ferlerinin\u00a0 birlikte kontrol\u00fc, g\u00f6z damarlar\u0131nda t\u0131kanma riskini en aza indirir.<\/p>\n<p style=\"font-weight: 400;\">Kan \u015fekeri iyi kontrol ediliyor olsa bile, 10 y\u0131ldan fazla s\u00fcredir diyabetes mellitusu olanlar\u0131n, hi\u00e7 bir \u015fikayeti olmasa bile en az 6 ayda bir g\u00f6z dibi kontrol\u00fc yapt\u0131rmalar\u0131, erken te\u015fhis i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n<p style=\"font-weight: 400;\">\u015eeker hastal\u0131\u011f\u0131 kontrol alt\u0131nda tutulmay\u0131p ilerledik\u00e7e s\u0131ras\u0131yla:<\/p>\n<ul>\n<li style=\"font-weight: 400;\">Retinadaki k\u0131lcal damarlarda bozulma,<\/li>\n<li style=\"font-weight: 400;\">Mikroanevrizma denilen baloncukla\u015fma ,<\/li>\n<li style=\"font-weight: 400;\">Sert ex\u00fcda denilen serum ve ya\u011f s\u0131z\u0131nt\u0131lar\u0131,<\/li>\n<li style=\"font-weight: 400;\">Retina i\u00e7ine kanamalar,<\/li>\n<li style=\"font-weight: 400;\">Mak\u00fcla yani sar\u0131 noktada \u00f6dem ve g\u00f6rme azalmas\u0131,<\/li>\n<li style=\"font-weight: 400;\">Kanamaya m\u00fcsait yeni damar olu\u015fumlar\u0131,<\/li>\n<li style=\"font-weight: 400;\">Yeni olu\u015fan damarlar\u0131n kanamas\u0131, g\u00f6z i\u00e7inde bantlar\/membranlar olu\u015fturarak \u00a0retinada \u00a0\u00e7ekinti ve y\u0131rt\u0131klar olu\u015fturmas\u0131.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><b><strong><em>\u00a0t\u00fcm bu s\u00fcre\u00e7ler sonucunda kal\u0131c\u0131 g\u00f6rme azalmas\u0131 ya da k\u00f6rl\u00fck meydana gelir!!!<\/em><\/strong><\/b><\/p>\n<p style=\"font-weight: 400;\">Retina damarlar\u0131ndan olan kanama ve s\u0131z\u0131nt\u0131lara ba\u011fl\u0131 olarak\u00a0 hastan\u0131n g\u00f6rme kalitesi \u00e7ok d\u00fc\u015fer.<b><strong>\u00a0\u00a0<\/strong><\/b><\/p>\n<p style=\"font-weight: 400;\">Kanama ve s\u0131z\u0131nt\u0131lara ba\u011fl\u0131 yamal\u0131 g\u00f6r\u00fcnt\u00fcler olu\u015fur.<\/p>\n<p style=\"font-weight: 400;\">Hem kanama hem mak\u00fcla \u00f6demi birlikteyse, bak\u0131lan cisimlerde k\u0131r\u0131lma ve yamal\u0131 g\u00f6r\u00fcnt\u00fcler olu\u015fur.<\/p>\n<p style=\"font-weight: 400;\">Bazen kanama olmadan sadece mak\u00fcla \u00f6demi olu\u015fur, cisimler k\u0131r\u0131k\/\u00e7arp\u0131k\u00a0 ya da \u00a0b\u00fcy\u00fck-k\u00fc\u00e7\u00fck g\u00f6r\u00fclebilir.<\/p>\n<p style=\"font-weight: 400;\"><b><strong><u>Y\u00f6netim ve tedavi:<\/u><\/strong><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><u>Metabolik kontrol\u00fcn iyi sa\u011flanmas\u0131<\/u><\/li>\n<li style=\"font-weight: 400;\">Hastan\u0131n dahiliye veya endokrinoloji uzman\u0131 taraf\u0131ndan s\u0131k\u0131 takip edilerek ila\u00e7 veya ins\u00fclin dozlar\u0131n\u0131n ayarlanmas\u0131; anemi ve uyku apne sendromunun ara\u015ft\u0131r\u0131lmas\u0131,<\/li>\n<li style=\"font-weight: 400;\">Hipertansiyon ve kan ya\u011flar\u0131\/kolesterol\u00fcn kontrol alt\u0131nda tutulmas\u0131,<\/li>\n<li style=\"font-weight: 400;\">Ergenlik \u00e7a\u011f\u0131ndaki ve gebe \u015feker hastalar\u0131n\u0131n \u00f6zellikli takibi,<\/li>\n<li style=\"font-weight: 400;\">Diyetisyen taraf\u0131ndan g\u00fcnl\u00fck-haftal\u0131k-ayl\u0131k diyet listesinin d\u00fczenlenmesi<\/li>\n<li style=\"font-weight: 400;\">Sigara i\u00e7enlerin sigaray\u0131 b\u0131rakt\u0131rma polikliniklerine y\u00f6nlendirilmesi \u00a0ve<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Alkolden uzak durulmas\u0131<\/p>\n<ul>\n<li style=\"font-weight: 400;\">G\u00fcnde 30 dakika y\u00fcr\u00fcy\u00fc\u015f<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><b><strong><em>\u0130yi bir metabolik kontrol sa\u011flanmadan, g\u00f6z hekiminin \u00e7abalar\u0131 iyi sonu\u00e7 veremez !!!<\/em><\/strong><\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\">G\u00f6rmeyi bozmayan erken evrelerde , 3-4 ayda bir g\u00f6z dibi kontrol\u00fc ve gerekli retina\u00a0 g\u00f6r\u00fcnt\u00fcleme analizleri yap\u0131l\u0131r. Mikrokanama ve s\u0131z\u0131nt\u0131 evresinde retinan\u0131n \u00a0beslenmesi bozulmam\u0131\u015fsa, g\u00f6z\u00fcn d\u0131\u015f\u0131na growth fakt\u00f6r (b\u00fcy\u00fcme fakt\u00f6r\u00fc) enjeksiyonlar\u0131 yap\u0131labilir (prp) \u00a0ve gerekirse magnovizyon ile birlikte uygulanabilir.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">3) mak\u00fcla \u00f6demi geli\u015fmi\u015fse veya g\u00f6rmeyi tehdit edecek d\u00fczeyde ise, beslenmesi bozulan retina alanlar\u0131na yan\u0131k yapmayan mikropulse laser yap\u0131l\u0131r; mak\u00fcla\u00a0 \u00f6demini \u00a0\u00e7\u00f6zmek i\u00e7in de,\u00a0 g\u00f6z i\u00e7ine anti-vegf veya uzun \/ yava\u015f sal\u0131n\u0131ml\u0131 steroid\u00a0 enjeksiyonlar\u0131 uygulan\u0131r. Mikropulse laser, retinay\u0131 onarmak \u00a0ve retinal damarlar\u0131\u00a0 kuvvetlendirmek i\u00e7in gerekli \u00a0olan b\u00fcy\u00fcme fakt\u00f6rlerinin dokulardan\u00a0 salg\u0131lanmas\u0131n\u0131 sa\u011flar.<\/p>\n<p style=\"font-weight: 400;\">4)proliferatif kanamaya m\u00fcsait yeni damar olu\u015fumlar\u0131 geli\u015fmi\u015fse, bu evre k\u00f6rl\u00fcklerin geli\u015fmesine neden olabilecek en kritik evredir. Bu damar yumaklar\u0131 retina\/vitreus kanamalar\u0131 ile retinada \u00e7ekinti ve y\u0131rt\u0131klara neden olabilece\u011finden, retinan\u0131n merkezi korunarak t\u00fcm \u00e7evresine laser uygulan\u0131r (panretinal laser fotokoag\u00fclasyonu).<\/p>\n<p style=\"font-weight: 400;\">Yeni damar olu\u015fumu evresinde; g\u00f6z i\u00e7i enjeksiyonlar, kanama ve \u00e7ekinti riski yaratan damarlar\u0131n kurutulmas\u0131 i\u00e7in laserle birlikte uygulan\u0131r.<\/p>\n<p style=\"font-weight: 400;\">Yeni damar olu\u015fumlar\u0131 evresi kontrol alt\u0131na al\u0131namazsa, retinada ciddi kanamalar, \u00e7ekintiler ve y\u0131rt\u0131klar olu\u015fur.<\/p>\n<p style=\"font-weight: 400;\">G\u00f6zi\u00e7i kanamalar\u0131, retinada olu\u015fan \u00e7ekinti dekolmanlar\u0131 \u00a0vitrektomi ameliyat\u0131 ile onar\u0131l\u0131r.\u00a0 Ancak bu a\u015famada retinada ciddi hasarlar ve h\u00fccre \u00f6l\u00fcmleri meydana gelmi\u015ftir. Bu a\u015famalara gelmeden hastal\u0131\u011f\u0131 durdurmak g\u00f6rsel sonucu olumlu etkiler.<\/p>\n<p style=\"font-weight: 400;\">Vitrektomi ameliyat\u0131ndan sonra \u00a0retinan\u0131n onar\u0131m\u0131na katk\u0131 \u00a0i\u00e7in, g\u00f6z d\u0131\u015f\u0131na b\u00fcy\u00fcme fakt\u00f6rlerinin enjeksiyonu (prp)\u00a0 ile \u00a0birlikte magnovizyon deste\u011fi gerekebilir.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Gelbfleckenkrankheit (senile = altersbedingte Makuladegeneration)SehnervenerkrankungenGef\u00e4\u00dfverschl\u00fcsse der NetzhautRetinitis pigmentosa (Rp) (Huhnschwarz)Netzhautabl\u00f6sungDiabetische RetinopathieKataraktAugenblutdruck = SchwarzwasserkrankheitD\u0130YABET\u0130K RET\u0130NOPAT\u0130 (\u015eEKER HASTALI\u011eINA BA\u011eLI KANAMALAR) INTRAVITREAL ANTIVEGF\/OZURDEX INJECTIONS\u00a0\u2013\u00a0MICROPULSE LASER PHOTOCOAGULATION,\u00a0PRP GROWTH FACTOR INJECTIONS\u00a0AND\u00a0MAGNOVISION THERAPY G\u00f6z k\u00fcresi \u00f6nden arkaya do\u011fru, \u0131\u015f\u0131\u011f\u0131 retinaya odaklayacak k\u0131r\u0131c\u0131 ortamlardan olu\u015fur. En \u00f6nde kornea ve arkas\u0131ndaki lens \u0131\u015f\u0131\u011f\u0131n, retinan\u0131n keskin g\u00f6rmeyi sa\u011flayan b\u00f6lgesi olan mak\u00fclaya (sar\u0131 noktaya) odaklanmas\u0131n\u0131...","protected":false},"author":1,"featured_media":10096,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[109,108],"tags":[],"class_list":["post-11746","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-krankheiten-de","category-krankheiten"],"acf":[],"_links":{"self":[{"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/posts\/11746","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/comments?post=11746"}],"version-history":[{"count":1,"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/posts\/11746\/revisions"}],"predecessor-version":[{"id":11751,"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/posts\/11746\/revisions\/11751"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/media\/10096"}],"wp:attachment":[{"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/media?parent=11746"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/categories?post=11746"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eminozmert.com\/de\/wp-json\/wp\/v2\/tags?post=11746"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}