{"id":71410,"date":"2024-06-05T08:20:05","date_gmt":"2024-06-05T08:20:05","guid":{"rendered":"https:\/\/meditravelist.com\/sasilik\/"},"modified":"2024-12-10T22:37:20","modified_gmt":"2024-12-10T22:37:20","slug":"sasilik","status":"publish","type":"page","link":"https:\/\/meditravelist.com\/fr\/sasilik\/","title":{"rendered":"\u015ea\u015f\u0131l\u0131k"},"content":{"rendered":"\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\u015fa\u015f\u0131l\u0131k\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\u00c7apraz g\u00f6zler, ambliyopi veya tembel g\u00f6z olarak da bilinen \u015fa\u015f\u0131l\u0131k, g\u00f6zlerin yanl\u0131\u015f hizalanmas\u0131 veya farkl\u0131 y\u00f6nlerine i\u015faret edilmesidir. G\u00f6z kaslar\u0131n\u0131n zay\u0131fl\u0131\u011f\u0131ndan kaynaklan\u0131r. Bir veya iki g\u00f6zde g\u00f6r\u00fcl\u00fcr.<\/p>

Aile \u00f6yk\u00fcs\u00fc, \u015fiddetli kafa travmas\u0131 gibi bir\u00e7ok farkl\u0131 nedene ra\u011fmen \u015fa\u015f\u0131l\u0131\u011f\u0131n \u00f6nde gelen nedenlerinden biridir.<\/p>

\u00a0<\/p>

\u015ea\u015f\u0131l\u0131k i\u00e7in, g\u00f6zl\u00fck veya kontakt lensler, g\u00f6z damlalar\u0131, ameliyat ve daha iyi g\u00f6ren g\u00f6z\u00fcn kapat\u0131lmas\u0131 gibi \u00e7e\u015fitli tedavi se\u00e7enekleri vard\u0131r.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tWhatsapp Destek i\u00e7in T\u0131klay\u0131n\u0131z<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\u015ea\u015f\u0131l\u0131k (G\u00f6z Kaymas\u0131) Nedir?<\/span><\/h2>

G\u00f6rme i\u015flevini yerine getiren g\u00f6zler, insan v\u00fccudundaki en \u00f6nemli organlardan biridir. G\u00f6z fonksiyonlar\u0131n\u0131n \u00e7e\u015fitli nedenlerle bozulmas\u0131, bireylerin ya\u015fam kalitesini \u00f6nemli \u00f6l\u00e7\u00fcde etkileyebilir. \u0130ki g\u00f6z aras\u0131nda geli\u015fen a\u00e7\u0131sal uyum bozuklu\u011fu yani \u015fa\u015f\u0131l\u0131k, en yayg\u0131n g\u00f6r\u00fclen g\u00f6z hastal\u0131klar\u0131ndan biridir. \u015ea\u015f\u0131l\u0131k bireylerin d\u0131\u015f g\u00f6r\u00fcn\u00fcm\u00fcn\u00fc olumsuz y\u00f6nde etkiledi\u011fi gibi g\u00f6r\u00fc\u015f kalitesinin de \u00f6nemli \u00f6l\u00e7\u00fcde azalmas\u0131na neden oldu\u011fu i\u00e7in tedavi edilmesi bir zorunluluktur.<\/span><\/p>

Sa\u011fl\u0131kl\u0131 bireylerin her iki g\u00f6z\u00fc, birbirine paralel ve uyumlu bir \u015fekilde \u00e7al\u0131\u015f\u0131r. G\u00f6zler aras\u0131ndaki paralelli\u011fin \u00e7e\u015fitli nedenlerle bozulmas\u0131 durumu \u015fa\u015f\u0131l\u0131k olarak adland\u0131r\u0131l\u0131r. \u015ea\u015f\u0131l\u0131k sorunu olan bireylerde g\u00f6zlerden biri d\u00fcz bakarken di\u011fer i\u00e7e, d\u0131\u015fa, a\u015fa\u011f\u0131ya ya da yukar\u0131ya do\u011fru kayar. Di\u011fer bir deyi\u015fle, g\u00f6zler ayn\u0131 hizada olmay\u0131p bir g\u00f6z di\u011fer bir g\u00f6zden farkl\u0131 bir y\u00f6ne \u00e7evrili olur. G\u00f6z hareketlerinin kontrol\u00fc ile ilgili sorunlar olmas\u0131 nedeniyle, bireylerin normal g\u00f6z pozisyonunu korumas\u0131 s\u00f6z konusu olmaz. \u015ea\u015f\u0131l\u0131\u011f\u0131n nedenine ba\u011fl\u0131 olarak de\u011fi\u015fiklik g\u00f6sterebilmekle birlikte bu kaymalar\u0131n ge\u00e7ici ya da s\u00fcrekli olmas\u0131 m\u00fcmk\u00fcnd\u00fcr.<\/span><\/p>

\u015ea\u015f\u0131l\u0131k Neden Olur?<\/span><\/h2>

Her iki g\u00f6z\u00fcn d\u0131\u015f k\u0131sm\u0131na yap\u0131\u015f\u0131k olup g\u00f6z\u00fcn sa\u011fa, sola, a\u015fa\u011f\u0131 ve yukar\u0131 hareket ettirilmesini sa\u011flayan alt\u0131l\u0131 kas gruplar\u0131n\u0131n birinde ya da birka\u00e7\u0131nda kuvvetin azalmas\u0131 ya da artmas\u0131 nedeniyle kaslar aras\u0131ndaki uyum bozulabilir. Bu durum, \u015fa\u015f\u0131l\u0131\u011fa neden olan fakt\u00f6rlerden biridir. Bunun yan\u0131 s\u0131ra \u015fa\u015f\u0131l\u0131\u011f\u0131n bilinen di\u011fer nedenleri \u015fu \u015fekilde s\u0131ralanabilir:<\/span><\/p>

  • Genetik yatk\u0131nl\u0131k,\u00a0<\/span><\/li>
  • Down sendromu ve di\u011fer kal\u0131t\u0131msal kromozom bozukluklar\u0131,<\/span><\/li>
  • Beyin t\u00fcm\u00f6rleri,<\/span><\/li>
  • Hipertansiyon,<\/span><\/li>
  • Diyabet,<\/span><\/li>
  • Serebral palsi (beyin felci),<\/span><\/li>
  • \u00c7ocukluk d\u00f6neminde ge\u00e7irilen ate\u015fli hastal\u0131k, travma ve kaza,<\/span><\/li>
  • Hidrosefali.<\/span><\/li><\/ul>

    \u015ea\u015f\u0131l\u0131k Belirtileri Nelerdir?<\/span><\/h2>

    \u015ea\u015f\u0131l\u0131\u011f\u0131n en s\u0131k rastlanan belirtileri a\u015fa\u011f\u0131da s\u0131ralanm\u0131\u015ft\u0131r:<\/span><\/p>

    • G\u00f6zlerin birbirinden farkl\u0131 y\u00f6nlere bakmas\u0131<\/span><\/li>
    • Bulan\u0131k g\u00f6rme<\/span><\/li>
    • G\u00f6z sulanmas\u0131<\/span><\/li>
    • Ba\u015f a\u011fr\u0131s\u0131<\/span><\/li>
    • \u00dc\u00e7 boyutlu g\u00f6r\u00fcnt\u00fcn\u00fcn kaybolmas\u0131<\/span><\/li>
    • Ba\u015f ya da y\u00fcz\u00fcn bir yana do\u011fru d\u00f6n\u00fck olmas\u0131<\/span><\/li>
    • A\u011fr\u0131<\/span><\/li>
    • \u00c7ift g\u00f6rme<\/span><\/li><\/ul>

      Bunlar\u0131n yan\u0131 s\u0131ra g\u00fcne\u015fli ortamlarda g\u00f6zlerden birini ya da g\u00f6zleri birlikte kullanmak i\u00e7in ba\u015f\u0131n bir yana e\u011filmesi ya da y\u00fcz\u00fcn bir yana \u00e7evrilip bak\u0131lmas\u0131 da \u015fa\u015f\u0131l\u0131k belirtileri aras\u0131nda say\u0131labilir. \u00c7ocuklar\u0131n g\u00f6rme geli\u015fimi a\u00e7\u0131s\u0131ndan en \u00f6nemli konulardan biri, \u00e7ocuklar\u0131n ilk 3 ya\u015f i\u00e7erisinde g\u00f6z doktoru taraf\u0131ndan muayene edilmesidir. Bununla birlikte, ailede \u015fa\u015f\u0131l\u0131k ya da g\u00f6z tembelli\u011fi \u00f6yk\u00fcs\u00fc olmas\u0131 h\u00e2linde bu muayene 3 ya\u015f\u0131ndan \u00f6nce yap\u0131lmal\u0131d\u0131r.<\/span><\/p>

      Eri\u015fkinlerde \u00e7ocukluktan beri iyi tedavi edilmemi\u015f \u015fa\u015f\u0131l\u0131k varsa, kozmetik kayg\u0131lar\u0131n yan\u0131 s\u0131ra g\u00f6rme sorunu ve g\u00f6rme tembelli\u011fi de g\u00f6r\u00fclebilir. \u015ea\u015f\u0131l\u0131\u011f\u0131n ileri ya\u015flarda olu\u015ftu\u011fu durumlarda ise en s\u0131k kar\u015f\u0131la\u015f\u0131lan belirti, \u00e7ift g\u00f6rmedir. Baz\u0131 eri\u015fkinlerde ba\u015f\u0131 s\u00fcrekli e\u011fik tutmak, ba\u015f a\u011fr\u0131s\u0131 ve g\u00f6zde a\u011fr\u0131 gibi belirtiler de g\u00f6r\u00fclebilir.<\/span><\/p>

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

      \u015ea\u015f\u0131l\u0131k, d\u00f6nen ya da yanl\u0131\u015f hizalanm\u0131\u015f g\u00f6z\u00fcn y\u00f6n\u00fcne ba\u011fl\u0131 olarak a\u015fa\u011f\u0131daki \u015fekillerde kategorize edilebilmektedir:<\/span><\/p>

      • \u0130\u00e7e d\u00f6n\u00fc\u015f (ezotropya)<\/span><\/li>
      • D\u0131\u015fa d\u00f6n\u00fc\u015f (ekzotropya)<\/span><\/li>
      • Yukar\u0131 d\u00f6n\u00fc\u015f (hipertropi)<\/span><\/li>
      • A\u015fa\u011f\u0131 d\u00f6n\u00fc\u015f (hipotropi)<\/span><\/li><\/ul>

        Uyum sa\u011flayan ezotropya, genellikle d\u00fczeltilmemi\u015f ileri g\u00f6r\u00fc\u015fl\u00fcl\u00fck ve g\u00f6zlerin i\u00e7e d\u00f6nmesi i\u00e7in genetik yatk\u0131nl\u0131k oldu\u011fu durumlarda ortaya \u00e7\u0131kan bir \u015fa\u015f\u0131l\u0131k t\u00fcr\u00fcd\u00fcr. Odaklanma yetene\u011fi g\u00f6zlerin bakt\u0131\u011f\u0131 yere ba\u011fl\u0131 oldu\u011fu i\u00e7in uzaktaki nesneleri uzakta tutmak i\u00e7in ekstra odaklanma \u00e7abas\u0131na gereksinim duyulur. Bu \u015fa\u015f\u0131l\u0131k t\u00fcr\u00fcn\u00fcn belirtileri aras\u0131nda \u00e7ift g\u00f6rme, yak\u0131ndaki bir nesneye bakarken bir g\u00f6r\u00fc kapatma ya da ba\u015f\u0131 \u00e7evirme veya e\u011fme yer alabilir. Ya\u015fam\u0131n ilk birka\u00e7 y\u0131l\u0131nda ba\u015flayan bu \u015fa\u015f\u0131l\u0131k t\u00fcr\u00fc genellikle g\u00f6zl\u00fck ile tedavi edilebilir. Ayn\u0131 zamanda bir ya da iki g\u00f6z\u00fcn kaslar\u0131nda ameliyat ya da g\u00f6z band\u0131 kullan\u0131m\u0131 gereklili\u011fi do\u011fabilir.<\/span><\/p>

        Aral\u0131kl\u0131 ekzotropya t\u00fcr\u00fc \u015fa\u015f\u0131l\u0131kta g\u00f6z bir hedefe odaklan\u0131rken di\u011fer g\u00f6z d\u0131\u015far\u0131 bakar. \u00c7ift g\u00f6rme, okuma g\u00fc\u00e7l\u00fc\u011f\u00fc, ba\u015f a\u011fr\u0131s\u0131, okuma g\u00fc\u00e7l\u00fc\u011f\u00fc, uzaktaki nesnelere bakarken ya da parlak \u0131\u015f\u0131kta bir g\u00f6z\u00fcn kapanmas\u0131 gibi belirtileri vard\u0131r. Ok\u00fcler deviasyon ba\u015fkalar\u0131 taraf\u0131ndan fark edilirken, hastalarda herhangi bir belirti olmayabilir. Di\u011fer yandan aral\u0131kl\u0131 ekzotopya her ya\u015fta g\u00f6r\u00fclebilir. Bir ya da iki g\u00f6z\u00fcn kaslar\u0131nda ameliyat, g\u00f6z band\u0131, g\u00f6z egzersizleri ve g\u00f6zl\u00fck ile tedavi edilebilir.<\/span><\/p>

        \u015ea\u015f\u0131l\u0131\u011f\u0131n di\u011fer bir t\u00fcr\u00fc olan infantil ezotropya, alt\u0131 ayl\u0131ktan \u00f6nce ba\u015flamas\u0131 ve bebeklerde her iki g\u00f6z\u00fcn b\u00fcy\u00fck miktarda i\u00e7e d\u00f6nmesiyle karakterizedir. Genellikle \u00f6nemli miktarda miyom bulunmaz ve g\u00f6zl\u00fcklerle ge\u00e7i\u015f d\u00fczelmez. \u0130\u00e7e d\u00f6n\u00fc\u015f d\u00fczensiz bir \u015fekilde ba\u015flayabilse de, do\u011fas\u0131 gere\u011fi k\u0131sa s\u00fcrede sabitlenir. \u00c7ocuk uza\u011fa ve yak\u0131na bakt\u0131\u011f\u0131nda g\u00f6r\u00fclen bu t\u00fcr \u015fa\u015f\u0131l\u0131\u011f\u0131n tedavisi, hizalamay\u0131 d\u00fczeltmek i\u00e7in bir ya da iki g\u00f6z\u00fcn kaslar\u0131n\u0131n ameliyat edilmesi ile olur.<\/span><\/p>

        \u015ea\u015f\u0131l\u0131k, yeti\u015fkinlerde de g\u00f6r\u00fclebilen bir sorundur. S\u0131kl\u0131kla, yeti\u015fkinlerde ok\u00fcler yanl\u0131\u015f hizalama felce ba\u011fl\u0131 geli\u015fir. Fiziksel travma ya da daha \u00f6nce tedavi edilmemi\u015f ya da n\u00fcks etmi\u015f veya ilerlemi\u015f bir \u00e7ocukluk \u015fa\u015f\u0131l\u0131\u011f\u0131na da dayanabilir. Yeti\u015fkinlerde \u015fa\u015f\u0131l\u0131k tedavisi i\u00e7in g\u00f6zlem, yama, prizma g\u00f6zl\u00fck ve\/veya \u015fa\u015f\u0131l\u0131k cerrahisi gibi prosed\u00fcrler uygulanabilir.<\/span><\/p>

        Ameliyats\u0131z G\u00f6z Kaymas\u0131 Tedavisi<\/span><\/h2>

        Yeti\u015fkinlerde ameliyats\u0131z g\u00f6z kaymas\u0131 tedavisi uygulanmas\u0131 i\u00e7in kayma miktar\u0131 \u00e7ok az olmal\u0131d\u0131r. Kayma miktar\u0131 az oldu\u011fu durumlarda, g\u00f6z kaymas\u0131 prizmatik camlar ile tedavi edilebilir. Felce ya da travmaya ba\u011fl\u0131 olarak olu\u015fan g\u00f6z kaymas\u0131 i\u00e7in i\u011fne tedavisi de uygulanabilir. G\u00f6z kaymas\u0131 tedavisinin ba\u015far\u0131s\u0131 i\u00e7in erken te\u015fhisin \u00e7ok \u00f6nemli oldu\u011fu unutulmamal\u0131d\u0131r.<\/span><\/p>

        \u015ea\u015f\u0131l\u0131k Tedavi Y\u00f6ntemleri Nelerdir?<\/span><\/h2>

        \u015ea\u015f\u0131l\u0131k tedavisi; \u015fa\u015f\u0131l\u0131k t\u00fcr\u00fc, derecesi, hastan\u0131n ya\u015f\u0131 ve genel sa\u011fl\u0131k durumu gibi fakt\u00f6rlere g\u00f6re de\u011fi\u015fiklik g\u00f6sterebilir. G\u00f6zl\u00fck, ok\u00fcloplastik cerrahi, botoks enjeksiyonu ya da g\u00f6z kaslar\u0131n\u0131 d\u00fczeltilmesi i\u00e7in cerrahi prosed\u00fcr uygulanmas\u0131 gibi y\u00f6ntemler \u015fa\u015f\u0131l\u0131k tedavisi amac\u0131yla uygulanabilir. Hastan\u0131n bireysel durumuna g\u00f6re hangi tedavinin uygun oldu\u011fu belirlenir ve uygulan\u0131r. \u015ea\u015f\u0131l\u0131k tedavisi amac\u0131yla kullan\u0131lan belli ba\u015fl\u0131 y\u00f6ntemler \u015fu \u015fekilde s\u0131ralanabilir:<\/span><\/p>

        Hafif \u015fa\u015f\u0131l\u0131k durumlar\u0131n\u0131 d\u00fczeltmek i\u00e7in g\u00f6zl\u00fck kullan\u0131m\u0131 yeterli olabilir. G\u00f6zl\u00fck kullan\u0131m\u0131 ile g\u00f6z kaymas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilebilir ve \u015fa\u015f\u0131 g\u00f6z di\u011fer g\u00f6zle ayn\u0131 hizada tutulabilir.<\/span><\/p>

        G\u00f6z egzersizleri ile g\u00f6z\u00fcn hareketi d\u00fczeltilebilir. Kas kontrolleri ile beyin ve g\u00f6z aras\u0131ndaki koordinasyonu d\u00fczeltmeye yarayan g\u00f6z egzersizleri sayesinde g\u00f6zlerin do\u011fru \u015fekilde bakmas\u0131 m\u00fcmk\u00fcn olabilir. Bu egzersizler, g\u00f6z doktoru rehberli\u011finde yap\u0131ld\u0131\u011f\u0131 ve d\u00fczenli uyguland\u0131\u011f\u0131 takdirde olumlu sonu\u00e7lar sa\u011flayabilir.<\/span><\/p>

        Baz\u0131 \u015fa\u015f\u0131l\u0131k vakalar\u0131nda ise g\u00f6z kapaklar\u0131na ve g\u00f6z \u00e7evresine cerrahi m\u00fcdahale uygulamas\u0131 yani ok\u00fcloplastik cerrahi gereklili\u011fi do\u011fabilir. Bu i\u015flem kapsam\u0131nda, g\u00f6z kapaklar\u0131 ya da g\u00f6z \u00e7evresindeki kaslar d\u00fczeltilir.<\/span><\/p>

        Botoks enjeksiyonu ile g\u00f6z kaslar\u0131n\u0131n kontrol\u00fc ge\u00e7ici olarak azalt\u0131larak \u015fa\u015f\u0131l\u0131k d\u00fczeltilebilir. Cerrahi m\u00fcdahaleye uygun olmayan hastalarda ya da cerrahi m\u00fcdahaleye haz\u0131rl\u0131k a\u015famas\u0131nda uygulanabilen bir y\u00f6ntemdir.<\/span><\/p>

        \u015ea\u015f\u0131l\u0131k tedavisi amac\u0131yla en s\u0131k uygulanan y\u00f6ntemlerden biri cerrahi m\u00fcdahaledir. Cerrahi m\u00fcdahale ile g\u00f6z kaslar\u0131n\u0131n cerrahi olarak d\u00fczeltilmesi hedeflenir. G\u00f6z kaslar\u0131 zay\u0131flat\u0131larak ya da g\u00fc\u00e7lendirilerek \u015fa\u015f\u0131l\u0131\u011f\u0131n d\u00fczeltilmesi sa\u011flan\u0131r.\u00a0<\/span><\/p>

        \u015ea\u015f\u0131l\u0131k; \u00e7ift g\u00f6rme, okuma g\u00fc\u00e7l\u00fc\u011f\u00fc, ba\u015f a\u011fr\u0131s\u0131 hatta ileri vakalarda g\u00f6rme kay\u0131plar\u0131na neden olan bir sa\u011fl\u0131k sorunudur. Erken tan\u0131 ve tedavi ile bu belirtilerin ortaya \u00e7\u0131kmas\u0131n\u0131 \u00f6nlemek ya da minimize etmek m\u00fcmk\u00fcnd\u00fcr. Bu nedenle, \u00e7ocuklar 2 ila 5 ya\u015f\u0131ndan sonra d\u00fczenli olarak g\u00f6z muayenesinden ge\u00e7melidir.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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        \u00c7al\u0131\u015fma Saatlerimiz<\/b><\/h3>

        Pazartesi: 09:00 – 18:00<\/p>

        Sal\u0131: 09:00 – 18:00<\/p>

        \u00c7ar\u015famba: 09:00 – 18:00<\/p>

        Per\u015fembe: 09:00 – 18:00<\/p>

        Cuma: 09:00 – 18:00<\/p>

        Cumartesi: 09:00 – 18:00<\/p>

        Pazar: Kapal\u0131<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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