{"id":9136,"date":"2023-03-10T13:06:38","date_gmt":"2023-03-10T13:06:38","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=9136"},"modified":"2023-03-10T13:46:34","modified_gmt":"2023-03-10T13:46:34","slug":"sma-hastaligi-spinal-muskuler-atrofi-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/sma-hastaligi-spinal-muskuler-atrofi-nedir\/","title":{"rendered":"SMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi) Nedir?"},"content":{"rendered":"

SMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi)<\/a> Nedir?<\/strong><\/h2>\n

SMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi), omurilikte bulunan \u00f6n boynuz sinir motor h\u00fccrelerinin etkileyerek hareket kabiliyetini k\u0131s\u0131tlayan kal\u0131tsal bir kas hastal\u0131\u011f\u0131d\u0131r.<\/p>\n

\u00c7o\u011funlukla bebek ve \u00e7ocuklarda g\u00f6r\u00fclen SMA hastal\u0131\u011f\u0131 ile \u00e7ocuklar\u0131n kaslar\u0131 zay\u0131flar ve k\u00fc\u00e7\u00fcl\u00fcr. Buna ba\u011fl\u0131 olarak yard\u0131m almadan ba\u015f hareketlerini kontrol etmekte, oturmakta ve hatta y\u00fcr\u00fcmekte bile zorlanabilir, hastal\u0131k k\u00f6t\u00fcle\u015ftik\u00e7e yutma ve nefes alma konusunda sorun ya\u015fayabilirler.<\/p>\n

D\u00f6rt t\u00fcr\u00fc olan SMA\u2019n\u0131n baz\u0131 t\u00fcrleri daha erken ya\u015fta ortaya \u00e7\u0131kar ve di\u011ferlerinden daha \u015fiddetlidir. SMA\u2019n\u0131n kesin bir tedavisi hen\u00fcz olmasa da baz\u0131 semptomlar\u0131 iyile\u015ftirilebilir ve daha uzun ya\u015fam \u015fans\u0131 elde edilebilir. Bu nedenle her t\u00fcr SMA\u2019n\u0131n bir t\u0131bbi bak\u0131m ekibi taraf\u0131ndan s\u00fcrekli tedaviye ihtiyac\u0131 vard\u0131r.<\/p>\n

G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 d\u00fcnya genelinde 1\/10.000, T\u00fcrkiye\u2019de 1\/6.000\u2019dir. SMA\u2019ya sahip her \u00e7ocuk veya yeti\u015fkin farkl\u0131 bir deneyim ya\u015famaktad\u0131r. Hastal\u0131kta her ne kadar hareket etmek s\u0131n\u0131rl\u0131 da olsa g\u00f6rme ve i\u015fitme duyular\u0131 hastal\u0131ktan etkilenmez. Zek\u00e2 ise normal veya normalin \u00fczerindedir.<\/p>\n

SMA <\/strong>(Spinal Musk\u00fcler Atrofi) <\/strong>Taramas\u0131 Nedir?<\/strong><\/h3>\n

SMA (Spinal M\u00fcsk\u00fcler Atrofi) genetik ge\u00e7i\u015fli bir hastal\u0131k oldu\u011fundan ebeveynlerin \u00e7ocuklar\u0131n\u0131n bu hastal\u0131k riskiyle do\u011fmas\u0131n\u0131 \u00f6nlemek i\u00e7in bu mutasyonu ta\u015f\u0131y\u0131p ta\u015f\u0131mad\u0131klar\u0131n\u0131 basit bir kan testi ile \u00f6\u011frenmeleri m\u00fcmk\u00fcn olabilmektedir. %95\u2019 den fazla g\u00f6r\u00fclen mutasyonlar incelendikten sonra sonu\u00e7lar genetik dan\u0131\u015fmanl\u0131k e\u015fli\u011finde payla\u015f\u0131lmaktad\u0131r. Gereken durumlarda ilave testlerle nadir g\u00f6r\u00fclen di\u011fer mutasyonlar da incelenebilmektedir. Sonu\u00e7 belirlendikten sonra ki\u015fi e\u011fer ta\u015f\u0131y\u0131c\u0131 ise ilgili uzmanlara y\u00f6nlendirilmekte ve bu hastal\u0131kla ilgili risklere kar\u015f\u0131 bir yol haritas\u0131 \u00e7\u0131kar\u0131lmaktad\u0131r. B\u00f6ylece, ailelere bebe\u011fin hasta do\u011fabilece\u011fi anlat\u0131larak do\u011fum \u00f6ncesinde tedbir al\u0131nmas\u0131 sa\u011flanabiliyor.<\/p>\n

SMA <\/strong>(Spinal Musk\u00fcler Atrofi) <\/strong>Tarama Testi Kimlere Yap\u0131l\u0131r?<\/strong><\/h3>\n

Spinal Musk\u00fcler Atrofi ta\u015f\u0131y\u0131c\u0131 taramas\u0131 evlilikten evvel sa\u011fl\u0131k raporu almak i\u00e7in ba\u015fvuru yapan ki\u015filer ve hala evli olan ki\u015filer i\u00e7in uygulanacakt\u0131r.<\/p>\n

SMA <\/strong>(Spinal Musk\u00fcler Atrofi) <\/strong>Testinde Neye Bak\u0131l\u0131r?<\/strong><\/h3>\n

D\u00fcnyada yayg\u0131n rastlanan SMA rahats\u0131zl\u0131\u011f\u0131 ile alakal\u0131 SMA testi gebelik s\u00fcresince fetustan al\u0131nmakta olan amniyotik s\u0131v\u0131dan DNA numunesi al\u0131nmas\u0131 ile uygulanmaktad\u0131r. Bu test sonucunda genlerde belirli bir mutasyon varsa test ile belli olacakt\u0131r.<\/p>\n

SMA Tarama Testine Bakt\u0131rmadan Gebe Kald\u0131ysan\u0131z!<\/strong><\/h4>\n
    \n
  • Gebeli\u011fin 12 haftas\u0131nda Anne Karn\u0131ndan CVS (Koryonik Villus Materyali) al\u0131narak bebe\u011finizin SMA l\u0131 olup olmad\u0131\u011f\u0131n\u0131\u00a010 g\u00fcn\u00a0i\u00e7inde \u00f6\u011frenebilirsiniz.<\/li>\n
  • Gebeli\u011fin 16. Haftas\u0131nda anne karn\u0131nda AS (Amniyon Sentez) S\u0131v\u0131s\u0131 al\u0131narak bebe\u011finizin SMA l\u0131 olup olmad\u0131\u011f\u0131n\u0131\u00a010 g\u00fcn\u00a0i\u00e7inde \u00f6\u011frenebilirsiniz.<\/li>\n
  • Gebeli\u011finizin 20. Haftas\u0131nda anne karn\u0131ndan kordosentez (kordon kan\u0131) al\u0131narak bebe\u011finizin SMA l\u0131 olup olmad\u0131\u011f\u0131n\u0131\u00a010 g\u00fcn i\u00e7inde \u00f6\u011frenebilirsiniz.<\/li>\n<\/ul>\n

    SMA<\/strong> Hastal\u0131\u011f\u0131na <\/strong>(Spinal Musk\u00fcler Atrofi) <\/strong>\u00a0Hangi Neden Sebep Olur?<\/strong><\/h3>\n

    SMA, ‘hayatta kalma motor n\u00f6ron 1’ ( SMN1 ) ad\u0131 verilen bir gendeki de\u011fi\u015fikli\u011fin neden oldu\u011fu genetik bir durumdur. Herkes, her bir ebeveynden miras kalan SMN1 geninin iki kopyas\u0131na sahiptir . SMA’l\u0131 ki\u015filerde SMN1 geninin her iki kopyas\u0131nda da gen de\u011fi\u015fikli\u011fi olur. Bu\u00a0durum ‘otozomal resesif kal\u0131t\u0131m\u2019\u00a0<\/strong>olarak adland\u0131r\u0131l\u0131r.\u00a0 SMA’l\u0131 bir ki\u015finin ebeveynlerinin her biri, de\u011fi\u015ftirilmi\u015f SMN1 geninin bir kopyas\u0131n\u0131 ta\u015f\u0131r ve ‘ta\u015f\u0131y\u0131c\u0131lar’ olarak bilinir. Bu ki\u015filerde SMA hastal\u0131\u011f\u0131n\u0131n belirti ve semptomlar\u0131 g\u00f6r\u00fclmez. Her iki ebeveyn de ta\u015f\u0131y\u0131c\u0131ysa, \u00e7ocu\u011fun SMA hastas\u0131 olma olas\u0131l\u0131\u011f\u0131 (d\u00f6rtte bir) y\u00fczde 25\u2019tir. Her 40 ki\u015fiden biri, SMA’ya neden olan gen varyasyonunun ta\u015f\u0131y\u0131c\u0131s\u0131d\u0131r.<\/p>\n

    SMA Hastal\u0131\u011f\u0131n\u0131n (Spinal Musk\u00fcler Atrofi) <\/strong>Belirtileri Nelerdir?<\/strong><\/h3>\n

    SMA hastal\u0131\u011f\u0131nda g\u00f6r\u00fclen belirtiler, hastal\u0131\u011f\u0131n tipine ve ortaya \u00e7\u0131kma zaman\u0131na g\u00f6re farkl\u0131l\u0131k g\u00f6sterir.<\/p>\n

    Spinal Musk\u00fcler Atrofi\u00a0<\/strong> Tip 1\u2019de G\u00f6r\u00fclen Semptomlar<\/strong>:<\/strong><\/h4>\n
      \n
    • Kol ve bacaklarda g\u00fc\u00e7s\u00fczl\u00fck, gev\u015feklik (hipotoni)<\/li>\n
    • Zay\u0131f, g\u00fc\u00e7s\u00fcz a\u011flama<\/li>\n
    • Hareket etme, yutma ve nefes al\u0131p vermede zorluk<\/li>\n
    • Kafay\u0131 tutmada veya desteksiz oturmada g\u00fc\u00e7l\u00fck \u00e7ekme olarak s\u0131ralanabilir.<\/li>\n<\/ul>\n

      SMA Tip 2\u2019de ortaya \u00e7\u0131kan belirtiler<\/strong>, Tip 1\u2019e g\u00f6re daha hafif olma e\u011filimindedir.<\/p>\n

      SMA Tip 2\u2019de\u00a0 <\/strong>G\u00f6r\u00fclen Belirtiler:<\/strong><\/h4>\n
        \n
      • Kendi ba\u015f\u0131na aya\u011fa kalkmada zorluk<\/li>\n
      • Kol ve bacaklarda g\u00fc\u00e7s\u00fczl\u00fck<\/li>\n
      • El ve parmaklarda titreme<\/li>\n
      • Skolyoz (Omurgada S veya C \u015feklinde e\u011frilik)<\/li>\n
      • Solunum kaslar\u0131nda zay\u0131flama<\/li>\n
      • \u00d6ks\u00fcrmede zorluk \u00e7ekme \u015feklinde say\u0131labilir.<\/li>\n<\/ul>\n

        SMA Tip 3 hastalar\u0131 : <\/strong>Kendi ba\u015f\u0131na aya\u011fa kalk\u0131p y\u00fcr\u00fcyebilir. Ancak hastalar zaman i\u00e7erisinde bu yetilerini kaybedebilir.<\/p>\n

        Hastalarda Bunlara Ek Olarak G\u00f6r\u00fclen Semptomlar<\/strong>:<\/strong><\/h4>\n
          \n
        • Oturur pozisyondan aya\u011fa kalkmada g\u00fc\u00e7l\u00fck ya\u015fama<\/li>\n
        • Denge problemleri<\/li>\n
        • Merdiven \u00e7\u0131kma ve ko\u015fmada zorluk<\/li>\n
        • Skolyoz olarak s\u0131ralanabilir.<\/li>\n<\/ul>\n

          SMA Tip 4\u2019te G\u00f6r\u00fclen Belirtiler<\/strong>:<\/strong><\/h4>\n
            \n
          • El ve ayaklarda g\u00fc\u00e7s\u00fczl\u00fck<\/li>\n
          • Y\u00fcr\u00fcmede zorluk<\/li>\n
          • Kaslarda titreme ve se\u011firme \u015feklindedir.<\/li>\n<\/ul>\n

            SMA Hastal\u0131\u011f\u0131n\u0131n (Spinal Musk\u00fcler Atrofi) <\/strong>\u00c7e\u015fitleri Nelerdir?<\/strong><\/h3>\n
              \n
            1. \n

              Tip I SMA (Werdnig-Hoffmann)<\/strong><\/h4>\n<\/li>\n<\/ol>\n

              Spinal m\u00fcsk\u00fcler atrofi tipinin en a\u011f\u0131r ilerleyen hastal\u0131\u011f\u0131d\u0131r. Hastal\u0131k do\u011fum \u00f6ncesi d\u00f6nemde ve hayat\u0131n ilk 6 ayl\u0131k d\u00f6neminde ba\u015flar. TipI SMA hastal\u0131\u011f\u0131 olan do\u011fum \u00f6ncesi bebeklerin anneleri hamileliklerinin son d\u00f6nemlerinde bebek hareketlerinin azalma oldu\u011funu fark edebilirler ve bebekler do\u011fduklar\u0131nda hi\u00e7bir destek olmadan oturamazlar, ba\u015flar\u0131n\u0131 kald\u0131ramazlar, emmede ve yutmada zorluk \u00e7ekerler, solunum kaslar\u0131n\u0131n hastal\u0131ktan etkilenmesi nedeniyle \u00f6ks\u00fcrmede g\u00fc\u00e7l\u00fck \u00e7ekerler ve solunum yolu enfeksiyonlar\u0131 sebebiyle iki y\u0131ldan fazla ya\u015fayamazlar. B\u00fct\u00fcn bunlardan ayr\u0131 olarak, TipI SMA hastas\u0131 bebeklerin y\u00fcz refleksleri, harekeleri normal, bak\u0131\u015flar\u0131 canl\u0131 ve g\u00f6z konta\u011f\u0131 kurarlar. Beyin fonksiyonlar\u0131 etkilenmedi\u011fi i\u00e7in \u00e7evreye olan dikkatlerinde bir bozulma yoktur. \u0130leti\u015fim becerileri g\u00fc\u00e7l\u00fcd\u00fcr.<\/p>\n

                \n
              1. \n

                T\u0130P II SMA (Ara form, \u0130ntermediate form)<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                Tip II SMA 6. aydan sonraki evrede, emekleyebilen ama y\u00fcr\u00fcyemeyen \u00e7ocuklarda 1,5 ya\u015f\u0131na kadar g\u00f6r\u00fclen SMA tipidir. 6. Aya kadar olan d\u00f6nemde bebeklerin geli\u015fimi normaldir. Bu hastalarda TipI SMA\u2019 dan farkl\u0131 olarak ba\u015f kontrolleri vard\u0131r ve desteksiz oturabilirler. Bu tipteki SMA hastalar\u0131n\u0131n \u00e7o\u011fu yard\u0131m olmadan ayakta durmay\u0131 ve y\u00fcr\u00fcmeyi ba\u015faramaz, desteksiz yatma pozisyonundan oturma pozisyonuna ge\u00e7emezler, solunum yolu enfeksiyonlar\u0131na kar\u015f\u0131 diren\u00e7li de\u011fillerdir.<\/p>\n

                  \n
                1. \n

                  T\u0130P III SMA (Kugelberg-Walender)<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                  Bu grupta olan hastalarda belirtiler 18. aydan sonra ba\u015flar ve daha hafif seyirlidir. Hastalar kendi ba\u015flar\u0131na yard\u0131ms\u0131z y\u00fcr\u00fcyebilir ama merdiven \u00e7\u0131kma gibi eylemlerde zorluk \u00e7ekerler. Hastalar\u0131n \u00e7o\u011fu ya\u015fam\u0131n ilerleyen zamanlar\u0131nda tekerlekli sandalyeye ihtiya\u00e7 duyar.<\/p>\n

                  \u0130lk belirtiler \u00e7ok hafif oldu\u011fu i\u00e7in genellikle hastal\u0131k g\u00f6zden ka\u00e7abilir. \u00c7ocuklar ya\u015f\u0131tlar\u0131yla benzer fiziksel aktiviteleri g\u00f6steremez. Hastalar\u0131n y\u00fcr\u00fcyebilmesine kar\u015f\u0131n kaslar\u0131 \u00e7ok g\u00fc\u00e7s\u00fczd\u00fcr. Hastal\u0131k ilerledik\u00e7e bacak ve kal\u00e7a kaslar\u0131ndaki kuvvetsizlik ko\u015fmay\u0131 engeller dolay\u0131s\u0131yla d\u00fc\u015fmeler s\u0131k olarak g\u00f6r\u00fcl\u00fcr, y\u00fcr\u00fcme g\u00fc\u00e7le\u015fir.<\/p>\n

                    \n
                  1. \n

                    T\u0130P IV SMA (Eri\u015fkin Tip SMA)<\/strong><\/h4>\n<\/li>\n<\/ol>\n

                    Tip-4 SMA yeti\u015fkinlikte ortaya \u00e7\u0131kar. Hastal\u0131\u011f\u0131n ba\u015flang\u0131c\u0131 ve ilerlemesi yava\u015ft\u0131r, duraklamalar da g\u00f6r\u00fclebilir. Tip IV eri\u015fkin SMA hastalar\u0131 genellikle y\u00fcr\u00fcyebilir; az say\u0131daki eri\u015fkin tip SMA hastas\u0131 tekerlekli sandalyeye ihtiya\u00e7 duyar. Kollar ve bacaklarda seyirme, kuvvetsizlik, titreme, skolyoz g\u00f6r\u00fcl\u00fcr. Solunum ve yutkunma fonksiyonlar\u0131nda kullan\u0131lan kaslar, tip 4 hastalar\u0131nda ender olarak etkilenir. Kaslarda meydana gelen erime ve kuvvetsizlik sonucu hastalar g\u00fcnl\u00fck ya\u015famlar\u0131n\u0131 s\u00fcrd\u00fcrmekte zorlan\u0131r.<\/p>\n

                    SMA<\/strong> Hastal\u0131\u011f\u0131 <\/strong>(Spinal Musk\u00fcler Atrofi) <\/strong>Nas\u0131l Te\u015fhis Edilir?<\/strong><\/h3>\n

                    Doktorlar normalde bebekleri SMA a\u00e7\u0131s\u0131ndan test etmezler. Ebeveynlerin SMA ta\u015f\u0131y\u0131c\u0131s\u0131 oldu\u011funun bilinme\u011fi veya do\u011fumdan hemen sonraki d\u00f6nemde bebekte \u00f6nemli kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc, nefes alma veya beslenmede zorluklar\u0131 g\u00f6zlenmedik\u00e7e SMA hastal\u0131\u011f\u0131 genellikle erken te\u015fhis edilmeyebilir.<\/p>\n

                    Genellikle, doktorlar \u00e7ocu\u011fun SMA’ya sahip oldu\u011funu ancak \u00e7ocu\u011fun ba\u015f\u0131n\u0131 dik tutabilme veya yard\u0131m almadan ayakta durabilme gibi belirli geli\u015fimsel a\u015famalar\u0131 ka\u00e7\u0131rd\u0131\u011f\u0131nda fark edebilir.<\/p>\n

                    \u00c7o\u011fu durumda, ilerleyen kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc, atrofi, ebeveyn endi\u015feleri ve solunum problemleri nedeniyle artan doktor ziyaretleri sonucunda ger\u00e7ekle\u015ftirilen ek testler sonucunda SMA hastal\u0131\u011f\u0131n\u0131n tan\u0131s\u0131 koyulur.<\/p>\n

                    Te\u015fhis genellikle benzer semptomlara neden olan di\u011fer hastal\u0131klar\u0131n ekarte edilmesini sa\u011flayan birka\u00e7 testten sonra konulur.<\/p>\n

                    Bu testler genellikle \u015funlar\u0131 i\u00e7ermektedir:<\/strong><\/h4>\n
                      \n
                    • Elektromiyogram (EMG) gibi sinir iletim testleri<\/li>\n
                    • Bilgisayarl\u0131 tomografi (CT) taramas\u0131<\/li>\n
                    • Manyetik rezonans g\u00f6r\u00fcnt\u00fcleme teknikleri (MRI)<\/li>\n
                    • Kas dokusu biyopsisi<\/li>\n<\/ul>\n

                      SMA te\u015fhisini do\u011frulamak i\u00e7in, doktor genellikle hastan\u0131n genlerine bak\u0131lmas\u0131n\u0131 sa\u011flayan bir kan testi \u00f6nerir. SMN1 geninin eksik veya kusurluysa olmas\u0131 SMA te\u015fhisini do\u011frulayacakt\u0131r. Doktor ayr\u0131ca, hi\u00e7bir belirti g\u00f6stermemi\u015f olsalar bile, ebeveynlerin ve di\u011fer \u00fcyelerin hastal\u0131k i\u00e7in taranmas\u0131n\u0131 \u00f6nerecektir<\/p>\n

                      SMA ile Birlikte Ortaya \u00c7\u0131kan Semptomlar Nelerdir?<\/strong><\/h3>\n

                      SMA hastalar\u0131nda solunum sistemi enfeksiyonlar\u0131na yatk\u0131nl\u0131k olabilir. \u00d6zellikle alt solunum yollar\u0131n\u0131 etkileyen zat\u00fcrre (pn\u00f6moni) hastalar\u0131nda ciddi problemlere yol a\u00e7abilir.<\/p>\n

                      Zat\u00fcrre olan hastalarda ; <\/strong><\/h4>\n
                        \n
                      • \u00d6ks\u00fcr\u00fck,<\/li>\n
                      • Ate\u015f,<\/li>\n
                      • Nefes Darl\u0131\u011f\u0131,<\/li>\n
                      • H\u0131r\u0131lt\u0131l\u0131 Solunum,<\/li>\n
                      • Bulant\u0131,<\/li>\n
                      • Kusma gibi belirtilerin ortaya \u00e7\u0131kmas\u0131na neden olur.<\/li>\n<\/ul>\n

                        SMA Hastal\u0131\u011f\u0131 <\/strong>(Spinal Musk\u00fcler Atrofi)<\/strong>\u00a0Nas\u0131l Tedavi Edilir?<\/strong><\/h3>\n

                        ‘SMA hastal\u0131\u011f\u0131\u00a0nas\u0131l tedavi edilir?’ sorusu s\u0131k\u00e7a sorulmaktad\u0131r.\u00a0<\/strong>SMA hastal\u0131\u011f\u0131 i\u00e7in bilinen kesin bir tedavi y\u00f6ntemi yoktur. SMA’dan etkilenen \u00e7ocuklar\u0131n tedavi a\u015famalar\u0131nda; hastal\u0131\u011f\u0131n yol a\u00e7t\u0131\u011f\u0131 semptomlar\u0131 y\u00f6netmeye, komplikasyonlar\u0131 \u00f6nlemeye ve hastalar\u0131n ya\u015fam kalitelerini iyile\u015ftirmeye odaklan\u0131l\u0131r. Doktorunuz \u00e7ocu\u011funuz i\u00e7in SMA tipine, durumun ciddiyetine ve \u00e7ocu\u011fun ya\u015f\u0131na g\u00f6re SMA hastal\u0131\u011f\u0131n\u0131n tedavisi i\u00e7in en iyi se\u00e7enekleri belirleyecektir.<\/p>\n

                        \u00d6rne\u011fin, SMA Tip 1’li \u00e7ocuklar solunum yolu enfeksiyonlar\u0131na ve zat\u00fcrreye yatk\u0131n olduklar\u0131ndan, tedavi akci\u011fer fonksiyonlar\u0131n\u0131 korumaya odaklanabilir. Buna kar\u015f\u0131n, SMA Tip 3 veya 4 olan bir \u00e7ocu\u011fun veya yeti\u015fkinin bak\u0131m\u0131, kas g\u00fcc\u00fcn\u00fc ve hareketlili\u011fini s\u00fcrd\u00fcrmeye yard\u0131mc\u0131 olmak i\u00e7in fizyoterapiye odaklanabilir.<\/p>\n

                        Tip 1 SMA hastalar\u0131 i\u00e7in tedaviler, beslenme t\u00fcplerini, ventilat\u00f6rleri ve di\u011fer solunum yard\u0131m\u0131 y\u00f6ntemlerini i\u00e7erebilir. Fizik tedavi, Tip 1 SMA hastalar\u0131na da fayda sa\u011flayabilir. Bu t\u00fcr spinal musk\u00fcler atrofiye sahip bir\u00e7ok hasta, hayatlar\u0131n\u0131n \u00e7o\u011funu hastanede ge\u00e7irebilir.<\/p>\n

                        Tip 2 ve Tip 3 SMA hastalar\u0131 i\u00e7in tedaviler ortopedik di\u015f telleri, tekerlekli sandalyeler ve fiziksel ve mesleki terapileri i\u00e7erebilir.<\/p>\n

                        Spinal musk\u00fcler atrofisi hastalar\u0131n\u0131n beyinlerinin normal \u015fekilde geli\u015fti\u011fini bilmek \u00f6nemlidir. SMA’l\u0131 bir\u00e7ok hasta olduk\u00e7a zeki ve sosyaldir. Onlarla konu\u015fmak, oyun oynamak ve di\u011fer zihinsel uyar\u0131m bi\u00e7imlerini sa\u011flamak, bu \u00e7ocuklar\u0131n duygusal ve fiziksel ya\u015famlar\u0131na olumlu y\u00f6nde katk\u0131da bulunur.<\/p>\n

                        Hastal\u0131\u011f\u0131n neden oldu\u011fu semptomlar\u0131 y\u00f6netmek ve komplikasyonlar\u0131 \u00f6nlemek i\u00e7in uygulanan tedavi se\u00e7enekleri \u00f6zetle \u015funlar\u0131 i\u00e7erir:<\/strong><\/h4>\n
                          \n
                        • \n

                          Palyatif Bak\u0131m:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                          Hastal\u0131\u011f\u0131n neden oldu\u011fu semptomlar ve stresten kurtulmaya odaklanan, hem hastan\u0131n hem de ailesinin ya\u015fam kalitesini iyile\u015ftirmeyi ama\u00e7lar.<\/p>\n

                            \n
                          • \n

                            Fizik Tedavi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                            Baz\u0131 SMA formlar\u0131nda post\u00fcr\u00fc iyile\u015ftirmeye, eklem hareketsizli\u011fini \u00f6nlemeye, kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fcn\u00fc ve atrofiyi yava\u015flatmaya yard\u0131mc\u0131 olur.<\/p>\n

                              \n
                            • \n

                              Mesleki Terapi:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                              Ya\u015fam kalitesini iyile\u015ftirmek amac\u0131yla hastalar\u0131n g\u00fcnl\u00fck ya\u015famlar\u0131n\u0131 y\u00f6netmelerine yard\u0131mc\u0131 olabilecek ayarlamalara odaklan\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

                              SMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi) Nedir? SMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi), omurilikte bulunan \u00f6n boynuz sinir motor h\u00fccrelerinin etkileyerek hareket kabiliyetini k\u0131s\u0131tlayan kal\u0131tsal bir kas hastal\u0131\u011f\u0131d\u0131r. \u00c7o\u011funlukla bebek ve \u00e7ocuklarda g\u00f6r\u00fclen SMA hastal\u0131\u011f\u0131 ile \u00e7ocuklar\u0131n kaslar\u0131 zay\u0131flar ve k\u00fc\u00e7\u00fcl\u00fcr. Buna ba\u011fl\u0131 olarak yard\u0131m almadan ba\u015f hareketlerini kontrol etmekte, oturmakta ve hatta y\u00fcr\u00fcmekte bile zorlanabilir, hastal\u0131k […]<\/p>\n","protected":false},"author":3,"featured_media":9130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,2208],"tags":[2245,2247,2246,2248],"yoast_head":"\nSMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi) Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"SMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi), omurilikte bulunan \u00f6n boynuz sinir motor h\u00fccrelerinin etkileyerek hareket kabiliyetini k\u0131s\u0131tlayan\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/turkeyistanbulmedical.com\/tr\/sma-hastaligi-spinal-muskuler-atrofi-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi) Nedir?\" \/>\n<meta property=\"og:description\" content=\"SMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi), omurilikte bulunan \u00f6n boynuz sinir motor h\u00fccrelerinin etkileyerek hareket kabiliyetini k\u0131s\u0131tlayan\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/sma-hastaligi-spinal-muskuler-atrofi-nedir\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2023-03-10T13:06:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-10T13:46:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/03\/Spinal-muscular-atrophy.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"512\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Turkey Istanbul Medical\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Organization\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\",\"name\":\"Turkey Istanbul Medical\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"sameAs\":[],\"logo\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"width\":394,\"height\":324,\"caption\":\"Turkey Istanbul Medical\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\"}},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"name\":\"Turkey Istanbul Medical\",\"description\":\"Healthcare consulting - Best Doctors and Hospital Istanbul\",\"publisher\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/turkeyistanbulmedical.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"tr-TR\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/sma-hastaligi-spinal-muskuler-atrofi-nedir\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/03\/Spinal-muscular-atrophy.jpg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/03\/Spinal-muscular-atrophy.jpg\",\"width\":1024,\"height\":512,\"caption\":\"Spinal muscular atrophy\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/sma-hastaligi-spinal-muskuler-atrofi-nedir\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/sma-hastaligi-spinal-muskuler-atrofi-nedir\/\",\"name\":\"SMA Hastal\u0131\u011f\u0131 (Spinal Musk\u00fcler Atrofi) Nedir? 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