{"id":9281,"date":"2023-04-17T14:17:04","date_gmt":"2023-04-17T14:17:04","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=9281"},"modified":"2023-04-17T14:17:04","modified_gmt":"2023-04-17T14:17:04","slug":"glokom-goz-tansiyonu-nedir","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/glokom-goz-tansiyonu-nedir\/","title":{"rendered":"Glokom (G\u00f6z Tansiyonu) Nedir?"},"content":{"rendered":"

Glokom (G\u00f6z Tansiyonu) <\/strong><\/a>Nedir?<\/strong><\/h2>\n

Glokom, halk aras\u0131nda g\u00f6z tansiyonu olarak bilinen bu hastal\u0131k, g\u00f6z sinirinde tahribata yol a\u00e7arak kal\u0131c\u0131 g\u00f6rme kayb\u0131na neden olur. Sinsi bir hastal\u0131kt\u0131r ve yava\u015f ilerler. G\u00f6zi\u00e7i bas\u0131nc\u0131 y\u00fckseldi\u011finde g\u00f6z\u00fcn a\u011f tabakas\u0131ndan beyine sinyaller ta\u015f\u0131yan g\u00f6z siniri h\u00fccreleri hasarlan\u0131r.<\/p>\n

Glokom nedeniyle olu\u015fan bu tahribat \u00f6nlenebilir g\u00f6rme kay\u0131plar\u0131n\u0131n en \u00f6nemli nedenlerinden biridir. Tedavisiz kalan g\u00f6zlerde vakit ge\u00e7tik\u00e7e beyine sinyal ta\u015f\u0131yan h\u00fccre \u00f6l\u00fcm\u00fc artar, h\u00fccreler g\u00f6rme i\u015flevini ger\u00e7ekle\u015ftiremez ve beynimize bilgi ta\u015f\u0131yamaz.<\/p>\n

G\u00f6r\u00fclmeyen alanlar erken d\u00f6nemde \u00e7evresel g\u00f6rmeyi etkiledi\u011fi i\u00e7in \u015fikayet yaratmaz. Hastalar g\u00f6rme merkezde etkilenene kadar g\u00f6rme kayb\u0131n\u0131 fark etmez ve bu nedenle g\u00f6z doktoruna ancak ge\u00e7 d\u00f6nemde ba\u015fvururlar.<\/p>\n

Glokom (G\u00f6z Tansiyonu) Nedenleri Nelerdir?<\/strong><\/h3>\n

G\u00f6z i\u00e7i dokular\u0131n\u0131n beslenmesi i\u00e7in g\u00f6z i\u00e7erisinde s\u00fcrekli olarak bir s\u0131v\u0131 yap\u0131l\u0131r ve bu g\u00f6z i\u00e7i s\u0131v\u0131s\u0131 ayn\u0131 zamanda s\u00fcrekli olarak da baz\u0131 k\u00fc\u00e7\u00fck kanallarla g\u00f6z\u00fc terk eder. Glokom, g\u00f6z i\u00e7i s\u0131v\u0131s\u0131n\u0131 d\u0131\u015far\u0131 bo\u015faltan kanallarda yap\u0131sal olarak t\u0131kan\u0131kl\u0131k olu\u015fmas\u0131 nedeniyle s\u0131v\u0131n\u0131n yeterli bo\u015falmamas\u0131 ve buna ba\u011fl\u0131 olarak g\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131n artmas\u0131 sonucu olu\u015fur. Y\u00fckselen g\u00f6z i\u00e7i bas\u0131nc\u0131 g\u00f6rme sinirine zarar vererek sinirin \u00f6lmesine neden olur. Baz\u0131 hastalarda ise g\u00f6z i\u00e7i bas\u0131nc\u0131 normal oldu\u011fu halde g\u00f6rme sinirindeki kan ak\u0131m\u0131n\u0131n bozuk olmas\u0131 nedeniyle g\u00f6rme siniri ayn\u0131 \u015fekilde tahrip olur. G\u00f6z tansiyonu, kol tansiyonunda oldu\u011fu gibi hayat al\u0131\u015fkanl\u0131\u011f\u0131, yeme-i\u00e7me gibi durumlarla ilgili de\u011fildir. Ancak g\u00f6z tansiyonu riski daha y\u00fcksek olan baz\u0131 durumlar bilinmektedir.<\/p>\n

Glokom (G\u00f6z Tansiyonu) <\/strong>Belirtileri Nelerdir?<\/strong><\/h3>\n

Glokom \u00e7o\u011funlukla belirti vermez, d\u00fczenli g\u00f6z muayenesi s\u0131ras\u0131nda dikkatli bir de\u011ferlendirme sonucu te\u015fhis konulur. Bu sebeple rutin g\u00f6z kontrollerinde g\u00f6z tansiyonunun \u00f6l\u00e7\u00fclmesi de \u00f6nemlidir.<\/p>\n

Glokomun ba\u015fl\u0131ca belirtileri:<\/strong><\/h4>\n
    \n
  • G\u00f6rmede azalma<\/li>\n
  • I\u015f\u0131k hissinde azalma<\/li>\n
  • G\u00f6rme alan\u0131nda daralma<\/li>\n
  • G\u00f6z A\u011fr\u0131s\u0131<\/li>\n
  • Ba\u015f A\u011fr\u0131s\u0131<\/li>\n
  • G\u00f6zde Kanlanma<\/li>\n
  • Bulant\u0131<\/li>\n
  • Kusma<\/li>\n<\/ul>\n

    Glokom (G\u00f6z Tansiyonu) En \u00c7ok Kimlerde G\u00f6r\u00fcl\u00fcr?<\/strong><\/h3>\n

    G\u00f6z Tansiyonu\u2019nun kesin bir nedeni olmamakla birlikte g\u00f6z tansiyonu y\u00fckselen ki\u015filer ilk risk grubundad\u0131r.<\/p>\n

    Ancak herkeste, hatta g\u00f6z tansiyonu normal olan ki\u015filerde bile g\u00f6z tansiyonu g\u00f6z\u00fckebilir.<\/p>\n

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      Ya\u015f: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

      40 ya\u015f\u0131n\u0131n \u00fczerindeki ki\u015filerde g\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131n artma ihtimali \u00e7ok daha y\u00fcksektir. 40 ya\u015f\u0131ndan sonra g\u00f6z tansiyonunuzu d\u00fczenli olarak \u00f6l\u00e7t\u00fcrmek erken te\u015fhis i\u00e7in \u00e7ok \u00f6nemlidir.<\/p>\n

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        Kal\u0131tsal: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

        Ailenizde di\u011fer ki\u015filerde g\u00f6z i\u00e7i bas\u0131nc\u0131 y\u00fcksek bireyler varsa sizde de g\u00f6r\u00fcnme ihtimali y\u00fcksektir.<\/p>\n

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          Glokom\u2019u Tetikleyen Hastal\u0131klar: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

          Y\u00fcksek tansiyon, diyabet, kalp rahats\u0131zl\u0131klar\u0131, migren ve kan dola\u015f\u0131m bozukluklar\u0131 g\u00f6z i\u00e7i bas\u0131n\u00e7 riskini artt\u0131rmaktad\u0131r.<\/p>\n

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            G\u00f6z Bozukluklar\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

            Miyop, hipermetrop, astigmat rahats\u0131zl\u0131klar\u0131 olan hastalarda g\u00f6z tansiyonu geli\u015fmesi daha s\u0131k g\u00f6r\u00fcn\u00fcr.<\/p>\n

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              G\u00f6z Yaralanmalar\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

              Bir kaza sonucu g\u00f6ze al\u0131nan a\u011f\u0131r darbe sonucu g\u00f6zde s\u0131v\u0131 ak\u0131m\u0131 olumsuz etkilenerek g\u00f6z tansiyonu geli\u015fimini h\u0131zland\u0131rabilir.<\/p>\n

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                \u0130la\u00e7 kullan\u0131mlar\u0131: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                Uzun s\u00fcreli kortizon ya da oral steroid kullan\u0131m\u0131 g\u00f6z tansiyonunu tetikleyebilir.<\/p>\n

                Glokom (G\u00f6z Tansiyonu) Ka\u00e7 Olmal\u0131d\u0131r?<\/strong><\/h3>\n

                G\u00f6z tansiyonu normalde 21 mmHg alt\u0131nda olmal\u0131d\u0131r. Ancak bu durum kesin bir s\u0131n\u0131r de\u011fildir. Ki\u015finin kornea kal\u0131nl\u0131\u011f\u0131 g\u00f6z tansiyonu \u00f6l\u00e7\u00fcmlerini etkilemektedir. Bir ki\u015finin korneas\u0131 ne kadar kal\u0131n ise g\u00f6z tansiyon \u00f6l\u00e7\u00fcmleri de o derecede y\u00fcksek \u00e7\u0131kacakt\u0131r.<\/p>\n

                Tam tersi de do\u011frudur. Dolay\u0131s\u0131yla g\u00f6z tansiyonu \u00f6l\u00e7\u00fcm\u00fc yan\u0131nda ki\u015finin korneas\u0131n\u0131n kal\u0131nl\u0131\u011f\u0131 da birlikte de\u011ferlendirilmelidir. Kornea kal\u0131nl\u0131\u011f\u0131 480 olan bir ki\u015fi ile 620 mikron olan bir ki\u015fide g\u00f6z tansiyonunun 22 mmHg \u00e7\u0131kmas\u0131 birbirinden olduk\u00e7a farkl\u0131d\u0131r.<\/p>\n

                Kornea kal\u0131nl\u0131\u011f\u0131 etkisi bertaraf edildikten sonra \u2018g\u00f6z tansiyonu ka\u00e7 olmal\u0131d\u0131r?\u2019 sorusunda 21 mmHg\u2019n\u0131n alt\u0131nda olmas\u0131 normaldir \u015feklinde daha do\u011fru cevap verebiliriz. Ancak bazen g\u00f6z tansiyonu 21 mmHg\u2019n\u0131n alt\u0131nda olsa da glokom hastal\u0131\u011f\u0131 ortaya \u00e7\u0131kabilmektedir. Buna normotansif glokom yani normal bas\u0131n\u00e7l\u0131 glokom ad\u0131 verilmektedir.<\/p>\n

                Glokomun (G\u00f6z Tansiyonu) \u00a0\u00c7e\u015fitleri Nedir?<\/strong><\/h3>\n
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                  A\u00e7\u0131k A\u00e7\u0131l\u0131 Glokom:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                  En s\u0131k g\u00f6r\u00fclen glokom tipi olup daha \u00e7ok 40 ya\u015f\u0131ndan sonra g\u00f6r\u00fcl\u00fcr. G\u00f6z i\u00e7i bas\u0131nc\u0131 yava\u015f y\u00fckseldi\u011finde son ana kadar a\u011fr\u0131 olmaz ve hastal\u0131k fark edildi\u011finde geri d\u00f6n\u00fc\u015f\u00fcm\u00fc olmayan hasarlarla kar\u015f\u0131la\u015f\u0131l\u0131r. Bu hastal\u0131\u011f\u0131n nedeni trabek\u00fcler a\u011f dedi\u011fimiz bo\u015falt\u0131m kanallar\u0131nda nedenini tam bilemedi\u011fimiz bir diren\u00e7 ve t\u0131kan\u0131kl\u0131\u011f\u0131n meydana gelmesidir. Bu nedenle g\u00f6z i\u00e7inde \u00fcretilen g\u00f6z suyu d\u0131\u015far\u0131 at\u0131lamad\u0131\u011f\u0131ndan bir balon gibi g\u00f6z k\u00fcresini geni\u015fletip g\u00f6rme sinirinin ge\u00e7ti\u011fi kanalda darl\u0131\u011fa sebep olur. Bu darl\u0131k da g\u00f6z sinirine bas\u0131 yaparak s\u0131k\u0131\u015fmas\u0131na ve kurumas\u0131na neden olur.<\/p>\n

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                    Normotansif Glokom:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                    D\u00fc\u015f\u00fck tansiyonlu glokom (Low Tension Glokom) da dedi\u011fimiz bu durumda g\u00f6z tansiyonu normal olmas\u0131na ra\u011fmen g\u00f6rme sinirini besleyen damarlarda dola\u015f\u0131m bozuklu\u011funa ba\u011fl\u0131 hasar meydana gelir. Bu hastalarda g\u00f6z tansiyonu 21 mmHg ge\u00e7memektedir. Bu hastalarda g\u00f6z tansiyonu d\u0131\u015f\u0131nda baz\u0131 sistemik fakt\u00f6rlerde \u00f6nemlidir.<\/p>\n

                    \u00d6zellikle kans\u0131zl\u0131k( Anemi), Gece Tansiyon D\u00fc\u015f\u00fckl\u00fc\u011f\u00fc( Nokturnal Hipotansiyon), Vazospazm( Migren, So\u011fuk eller ya da Reynaud Hastal\u0131\u011f\u0131), Kan\u0131n Koyu Olmas\u0131(Hipervizkozite sendromlar\u0131) ve Kalp Hastal\u0131klar\u0131 y\u00f6n\u00fcnden ara\u015ft\u0131r\u0131lmal\u0131d\u0131rlar.<\/p>\n

                    Bu hastalarla tokala\u015f\u0131rken ellerin so\u011fuk hissedilmesi bile doktora te\u015fhis de yard\u0131mc\u0131 olur. Normotansif glokom da g\u00f6rme siniri ba\u015f\u0131nda kanama daha fazla olur ve Primer A\u00e7\u0131k A\u00e7\u0131l\u0131 Glokoma g\u00f6re daha yava\u015f ilerler. Bu hastalar\u0131n tedavisinde ilk ama\u00e7 damla ile g\u00f6z tansiyonunu % 30 d\u00fc\u015f\u00fcrmektir.<\/p>\n

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                      Ok\u00fcler Hipertansiyon:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                      Burada ise g\u00f6z tansiyonu y\u00fcksek olmas\u0131na ra\u011fmen g\u00f6rme sinirinde hasar olu\u015fmamaktad\u0131r. Ama bu hastalarda ileride glokom geli\u015fme riski oldu\u011fundan \u00e7ok yak\u0131n takip edilmelidir.<\/p>\n

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                        A\u00e7\u0131 Kapanmas\u0131 Glokom:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                        Kal\u0131tsal olabilir. Hipermetroplarda ve kad\u0131nlarda daha s\u0131k g\u00f6r\u00fcl\u00fcr. Bu ki\u015filerde \u00f6n kamera daha s\u0131\u011fd\u0131r ve bo\u015falt\u0131m kanallar\u0131n\u0131n bulundu\u011fu a\u00e7\u0131 dard\u0131r. Ya\u015f\u0131n ilerlemesi ve \u00f6zellikle uzun s\u00fcre karanl\u0131kta kalmaya ba\u011fl\u0131 olarak g\u00f6z bebe\u011finin b\u00fcy\u00fcmesi ani olarak a\u00e7\u0131y\u0131 kapat\u0131r ve glokom krizine neden olur. Bu durumda g\u00f6z tansiyonu 50-80mmHg\u2019 ya kadar y\u00fckselir.<\/p>\n

                        Kronik a\u00e7\u0131 kapanmas\u0131nda ise g\u00f6z tansiyonu 21mmHg\u2019n\u0131n \u00fcst\u00fcnde olup g\u00f6rme normal olabilir ve a\u011fr\u0131 da tabloya e\u015flik etmez.<\/p>\n

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                          Neovask\u00fcler Glokom:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                          Daha \u00e7ok retina tabakas\u0131nda hipoksiye (oksijensiz kalma) neden olan \u015feker hastal\u0131\u011f\u0131 (Diabetik Retinopati) ve damar t\u0131kan\u0131kl\u0131\u011f\u0131 gibi durumlarda iriste yeni damarlar olu\u015fur ve bu yeni damarlar \u00f6n kamerada a\u00e7\u0131y\u0131 kapatarak tansiyonu y\u00fckseltir. A\u011f\u0131r bir glokom t\u00fcr\u00fc olup tedavisi zor ve zaman al\u0131r. Bu hastal\u0131\u011f\u0131n tedavisinde erken te\u015fhis \u00e7ok \u00f6nemlidir. \u00d6zellikle iskemi tespit edilirse yap\u0131lacak ARGON LASER ve G\u00d6Z\u0130\u00c7\u0130 Anti-VGEF tedavisi \u00e7ok faydal\u0131 olmaktad\u0131r<\/p>\n

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                            Pigmenter Glokom:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                            30-50\u2019li ya\u015flarda ve miyop erkeklerde daha s\u0131k g\u00f6r\u00fcl\u00fcr. A\u00e7\u0131 a\u00e7\u0131kt\u0131r. Bu ki\u015filerde iris lense yak\u0131n olup fiziksel aktivite s\u0131ras\u0131nda iriste g\u00f6ze rengini veren pigmentler g\u00f6z suyuna d\u00f6k\u00fclerek d\u0131\u015fa ak\u0131m\u0131 zorla\u015ft\u0131r\u0131r. B\u00f6ylece g\u00f6z tansiyonu y\u00fckselir. Bu hastalarda \u00f6n kamera geni\u015f olup g\u00f6z tansiyonu 50mmHg\u2019ya kadar y\u00fckselir. Kornea endotelin de iris pigmentlerinin olu\u015fturdu\u011fu KRUKENBERG MEK\u0130\u011e\u0130 \u00e7ok tipiktir ve bu nedenle bu hastalar\u0131n kornealar\u0131 daha kal\u0131nd\u0131r. Tedaviye diren\u00e7 g\u00f6sterebilirler. Dikkatle takip edilmelidir.<\/p>\n

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                              Eksfoliatif Glokom:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                              Ps\u00f6doexfoliatif glokomda denir. Daha ileri ya\u015flarda g\u00f6r\u00fcl\u00fcr ve lens \u00fczerinde biriken metaryeller irisin hareketiyle bo\u015falt\u0131m kanallar\u0131n\u0131 t\u0131kar. Bu glokom t\u00fcr\u00fc katarakt ile birlikte seyreder ve tedaviye diren\u00e7lidir. Genellikle 60 ya\u015f\u0131ndan sonra g\u00f6r\u00fcl\u00fcr. V\u00fccut konumu ile g\u00f6zi\u00e7i bas\u0131nc\u0131 dalgalan\u0131r.<\/p>\n

                              Bu hastalarda kornea kal\u0131n oldu\u011fundan tansiyon \u00f6l\u00e7\u00fcm\u00fcnde dikkatli olunmal\u0131d\u0131r. Bu hastalar\u0131n tedavisinde medikal tedavi \u00f6zellikle prostoglandin analoglar\u0131 (damla tedavisi) \u00e7ok faydal\u0131d\u0131r. Ayr\u0131ca\u00a0LASER TRABEK\u00dcLOPLAST\u0130\u00a0de %80 ba\u015far\u0131 sa\u011flar. Bu hastalar\u0131n katarakt ameliyat\u0131 \u00e7ok zor olur ve bu nedenle mutlaka\u00a0FAKO\u00a0dedi\u011fimiz y\u00f6ntemle yap\u0131lmal\u0131d\u0131r.<\/p>\n

                              Lens \u00fcst\u00fcnde ortada yuvarlak eksfoliyatif materyal g\u00f6r\u00fcl\u00fcr ve bu bazen g\u00f6z ila\u00e7la b\u00fcy\u00fct\u00fclerek ancak g\u00f6r\u00fcl\u00fcr. Ayn\u0131 hastan\u0131n optik sinir g\u00f6r\u00fcn\u00fcm\u00fc de hastal\u0131\u011f\u0131n \u015fiddetli ve h\u0131zl\u0131 ilerledi\u011fini g\u00f6stermektedir.<\/p>\n

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                                Konjenital Glokom:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                \u00c7ocuk do\u011far do\u011fmaz var olan bu tansiyon t\u00fcr\u00fcnde 1-2 ay i\u00e7inde g\u00f6zde b\u00fcy\u00fcme ve a\u015f\u0131r\u0131 sulanma olur. K\u0131sa s\u00fcrede m\u00fcdahale edilmese k\u00f6rl\u00fckle sonu\u00e7lan\u0131r.<\/p>\n

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                                  Steroide Ba\u011fl\u0131 Glokom:\u00a0<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                  Steroide( kortizona) ba\u011fl\u0131 glokom her t\u00fcrl\u00fc steroid tedavisinde g\u00f6r\u00fclebilir. Kortizonlu g\u00f6z damlalar\u0131, kortizonlu haplar, Ast\u0131m hastalar\u0131n\u0131n kulland\u0131\u011f\u0131 inhaler steroidler, y\u00fcze ve g\u00f6z kapaklar\u0131na s\u00fcr\u00fclen kortizonlu losyon ve kremler ile g\u00f6z kenar\u0131na ya da i\u00e7ine yap\u0131lan kortizon enjeksiyonlar\u0131 glokoma neden olur. Steroidler g\u00f6z suyunun d\u0131\u015fa at\u0131ld\u0131\u011f\u0131 kanallarda diren\u00e7 olu\u015fturarak g\u00f6z tansiyonunda y\u00fckselmeye neden olur.<\/p>\n

                                  Gen\u00e7 hastalar, \u015eeker Hastal\u0131\u011f\u0131 olanlar ve Y\u00fcksek miyopisi olanlarda steroide ba\u011fl\u0131 glokom daha s\u0131k g\u00f6r\u00fcl\u00fcr. Toplumda da % 30-40 oran\u0131nda steroide duyarl\u0131l\u0131k mevcut olup bu konuda mutlaka dikkatli olunmal\u0131d\u0131r.<\/p>\n

                                  Glokom geli\u015fti\u011finde hemen kortizon tedavisi kesilmeli ve gerekirse anti-glokom damlalar\u0131 ile g\u00f6z tansiyonu d\u00fc\u015f\u00fcr\u00fclmelidir. Gerekirse nadiren laser ile de tansiyon d\u00fc\u015f\u00fcr\u00fclmelidir.<\/p>\n

                                  Glokom (G\u00f6z Tansiyonu)\u00a0Te\u015fhisi Nas\u0131l Ger\u00e7ekle\u015ftirilir?<\/strong><\/h3>\n

                                  G\u00f6z tansiyonu te\u015fhisi, kapsaml\u0131 ve \u00e7e\u015fitli tetkikler arac\u0131l\u0131\u011f\u0131yla koyulmaktad\u0131r. \u0130lk olarak hastan\u0131n, tonometri cihaz\u0131 ile glokom \u00f6l\u00e7\u00fcm\u00fc yap\u0131l\u0131r. Sonras\u0131nda optik sinirlerde bir hasar olup olmad\u0131\u011f\u0131n\u0131n tespiti i\u00e7in fundus muayenesi ger\u00e7ekle\u015ftirilir.<\/p>\n

                                  Bu noktadan sonra ilgili hekim taraf\u0131ndan gerekli g\u00f6r\u00fcl\u00fcrse glokoma y\u00f6nelik \u00e7oklu testler de uygulanabilir. Akut glokom krizlerinde ise hasta \u00e7ok daha belirgin semptomlar g\u00f6sterdi\u011fi i\u00e7in te\u015fhis \u00e7ok daha kolayd\u0131r. Bu tip durumlarda hastaya acil m\u00fcdahale yap\u0131lmaktad\u0131r.<\/p>\n

                                  \u00c7\u00fcnk\u00fc ne kadar ge\u00e7 m\u00fcdahale edilirse hastan\u0131n g\u00f6rme alan\u0131 kayb\u0131 o kadar \u00e7o\u011fal\u0131r.<\/p>\n

                                  Hastal\u0131\u011f\u0131n te\u015fhisinde uygulanan y\u00f6ntemler ve testler \u015funlard\u0131r:<\/strong><\/h4>\n
                                    \n
                                  • G\u00f6z \u0130\u00e7i Bas\u0131n\u00e7 \u00d6l\u00e7\u00fclmesi ve Drenaj A\u00e7\u0131s\u0131n\u0131n \u0130ncelenmesi,<\/li>\n
                                  • Optik Sinir Muayenesi (Oftalomoskopi),<\/li>\n
                                  • Bilgisayarl\u0131 G\u00f6rme Alan\u0131 Testi,<\/li>\n
                                  • OCT,<\/li>\n
                                  • HRT,<\/li>\n<\/ul>\n

                                    gibi testlerin bir k\u0131sm\u0131 veya tamam\u0131 uygulanarak glokom hastal\u0131\u011f\u0131na y\u00f6nelik te\u015fhis sa\u011flanabilmektedir.<\/p>\n

                                    Glokom (G\u00f6z Tansiyonu)\u00a0 Nas\u0131l Tedavi Edilir?<\/strong><\/h3>\n
                                      \n
                                    1. \n

                                      \u0130la\u00e7 Tedavisi<\/strong><\/h3>\n<\/li>\n<\/ol>\n

                                      \u0130la\u00e7 tedavisinde g\u00f6z i\u00e7i bas\u0131nc\u0131 d\u00fc\u015f\u00fcren damlalar kullan\u0131l\u0131r. Erken evrede tespit edilen glokom vakalar\u0131nda ila\u00e7 tedavisi tercih edilir. Damlan\u0131n doktorun belirtti\u011fi \u015fekilde ihmal edilmeden kullan\u0131lmas\u0131 tedavinin ba\u015far\u0131s\u0131nda etkilidir. Damla tedavisi ile g\u00f6z i\u00e7i bas\u0131n\u0131 normal \u015fekilde d\u00fczene girdiyse g\u00f6rme sinirinde herhangi bir hasar yoksa tedaviye \u00f6m\u00fcr boyu aksatmadan devam edilir. D\u00fczenli olarak g\u00f6z tansiyonu kontrolleri yap\u0131lmal\u0131d\u0131r.<\/p>\n

                                        \n
                                      1. \n

                                        Laser Tedavisi:<\/strong><\/h3>\n<\/li>\n<\/ol>\n

                                        \u0130la\u00e7 tedavisini kullanamayan ya da yan tesirlerden dolay\u0131 damlalar\u0131 tolere edemeyen hastalarda kullan\u0131lmaktad\u0131r. Son y\u0131llarda laser teknolojisinin geli\u015fmesi nedeniyle glokom tedavisinde de laserli tedavi y\u00f6ntemleri ba\u015far\u0131l\u0131 bir \u015fekilde uygulanmaktad\u0131r.<\/p>\n

                                          \n
                                        • \n

                                          Laser \u0130ridotomi: <\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                          Glokom tedavi prati\u011finde son derece kullan\u0131\u015fl\u0131 ve faydal\u0131 olan bu laser tedavisi \u00f6zellikle a\u00e7\u0131 kapanmas\u0131 ve akut glokom krizinde kullan\u0131larak olas\u0131 bir k\u00f6rl\u00fc\u011f\u00fcn \u00f6n\u00fcne ge\u00e7ilmi\u015f olur.<\/p>\n

                                          Tan\u0131 konulur konulmaz uygulanmal\u0131d\u0131r. Argon ya da YAG laser kullan\u0131larak 1-2 dakikada tamamlan\u0131r. Ama\u00e7 iris dokusunda g\u00f6z suyunun ge\u00e7ece\u011fi bir delik a\u00e7arak tansiyonu d\u00fc\u015f\u00fcrmektir.<\/p>\n

                                            \n
                                          • \n

                                            Laser \u0130ridoplasti:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                            Argon laser kullan\u0131larak uygulan\u0131r ve buda glokom krizinde kullan\u0131l\u0131r. \u0130riste b\u00fcz\u00fc\u015fmeye neden olur ve b\u00f6ylece \u00f6n kamera a\u00e7\u0131s\u0131 a\u00e7\u0131l\u0131r. Ayr\u0131ca Plato \u0130ris sendromunda da kullan\u0131l\u0131r. Ayr\u0131ca bu y\u00f6ntemle \u00f6zellikle tedaviye diren\u00e7li neovask\u00fcler glokomda \u00f6n kameradaki zararl\u0131 damarlar da yak\u0131larak tedavi edilmeye \u00e7al\u0131\u015f\u0131l\u0131r.<\/p>\n

                                              \n
                                            • \n

                                              ALT(Argon Laser Trabekuloplasti):<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                              Y\u0131llard\u0131r uygulanmakta olup damla ile yap\u0131lmaktad\u0131r. Bo\u015falt\u0131m kanallar\u0131na uygulanan laser ile t\u0131kal\u0131 olan kanallar a\u00e7\u0131lmaktad\u0131r. Genellikle a\u00e7\u0131k a\u00e7\u0131l\u0131 glokom olgular\u0131nda ve genellikle 40-60 ya\u015f\u0131ndan sonra uygulan\u0131r. 25 ya\u015f alt\u0131nda etkisizdir. Etkisi tam olarak 3 ay sonra ortaya \u00e7\u0131kar. A\u00e7\u0131n\u0131n g\u00f6r\u00fclemedi\u011fi her t\u00fcrl\u00fc durumda asla uygulanmamal\u0131d\u0131r.<\/p>\n

                                                \n
                                              • \n

                                                SLT(Selektif Laser Trabekuloplasti):<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                \u00d6zel bir laser kullan\u0131larak yap\u0131lan bu tedavide bo\u015falt\u0131m kanallar\u0131na hi\u00e7 zarar verilmemekte olup bir\u00e7ok kez g\u00fcvenle uygulanabilir. ALT ye g\u00f6re daha etkili olup en \u00f6nemli \u00f6zelli\u011fi ise uygulanan b\u00f6lgeye zarar vermemesidir. Bu i\u015flem s\u0131ras\u0131nda bir a\u011fr\u0131 olmaz ve i\u015flem 1 -2 dakika s\u00fcrer. %20 -30 oran\u0131nda tansiyon d\u00fc\u015f\u00fc\u015f\u00fc sa\u011flar. \u00d6zellikle ila\u00e7 kullanamayan ya da ilaca ra\u011fmen tansiyonu d\u00fc\u015f\u00fcr\u00fclemeyen hastalarda cerrahi tedaviye g\u00fcvenli bir alternatiftir.<\/p>\n

                                                  \n
                                                • \n

                                                  Laser Siklofotokoag\u00fclasyon:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                  Bu laser y\u00f6ntemi tedaviye diren\u00e7li olgularda kullan\u0131l\u0131r. YAG laser ya da D\u0130OD laser kullan\u0131larak ve g\u00f6z uyu\u015fturularak yap\u0131l\u0131r. Tedavinin amac\u0131 siliyer cismi( g\u00f6z suyunun \u00fcretildi\u011fi yer) etkileyerek g\u00f6z suyu yap\u0131m\u0131n\u0131 azaltmak ve tansiyonu d\u00fc\u015f\u00fcrmektir.<\/p>\n

                                                    \n
                                                  • \n

                                                    Transpupiller Siklofotokoag\u00fclasyon:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                    Bu y\u00f6ntem katarakt operasyonu olmu\u015f ya da merce\u011fi olmayan hastalarda uygulan\u0131r. Bu hastalarda g\u00f6z suyu \u00fcreten siliyer cisim direkt olarak g\u00f6r\u00fcl\u00fcr ve i\u015flem argon laser kullan\u0131larak \u00f6zel bir lens yard\u0131m\u0131 ile yap\u0131l\u0131r.<\/p>\n

                                                      \n
                                                    • \n

                                                      Endoskopik Siklofotokoag\u00fclasyon:<\/strong><\/h4>\n<\/li>\n<\/ul>\n

                                                      Burada ama\u00e7 g\u00f6z suyu yap\u0131m\u0131n\u0131 azaltmakt\u0131r ama bu i\u015flem g\u00f6z i\u00e7ine girilerek \u00f6zel bir prob sayesinde yap\u0131l\u0131r. Gen\u00e7lerde ba\u015far\u0131 oran\u0131 d\u00fc\u015f\u00fck olup %10 oran\u0131nda g\u00f6z\u00fcn tamamen s\u00f6nme ihtimali de( fitizis bulbi) vard\u0131r.<\/p>\n

                                                        \n
                                                      1. \n

                                                        Cerrahi Tedavi:<\/strong><\/h3>\n<\/li>\n<\/ol>\n

                                                        Cerrahi tedavide ama\u00e7 ; damla ya da laser tedavileri ile kontrol alt\u0131na al\u0131namayan tansiyonun cerrahi y\u00f6ntemlerle d\u00fc\u015f\u00fcr\u00fclerek g\u00f6rme sinirini korumakt\u0131r.<\/p>\n

                                                        Glokom cerrahisinde en s\u0131k uygulanan y\u00f6ntem\u00a0Trabek\u00fclektomi<\/strong>\u00a0dedi\u011fimiz y\u00f6ntemdir. Burada \u00f6n kamerada biriken ve d\u0131\u015far\u0131 at\u0131lamayan s\u0131v\u0131 ba\u015fka bir yol a\u00e7\u0131larak buradan d\u0131\u015far\u0131 \u00e7\u0131k\u0131\u015f\u0131 sa\u011flanarak tansiyon d\u00fc\u015f\u00fcr\u00fclmeye \u00e7al\u0131\u015f\u0131l\u0131r. Glokom cerrahisinin komplikasyon ve yan tesirleri fazlad\u0131r. Geli\u015fen medikal ve laser tedavileri ile cerrahiye olan ihtiya\u00e7 gittik\u00e7e azalmaktad\u0131r.<\/p>\n

                                                        Glokom (G\u00f6z Tansiyonu)\u00a0 <\/strong>\u00a0Hastalar\u0131 Nelere Dikkat Etmelidir?<\/strong><\/h3>\n
                                                          \n
                                                        • Damlalar\u0131n\u0131z mutlaka her g\u00fcn ayn\u0131 saatte ve g\u00f6z doktorunuzun belirledi\u011fi \u015fekilde al\u0131nmal\u0131d\u0131r.<\/li>\n
                                                        • E\u011fer ila\u00e7 kullan\u0131m\u0131ndan sonra g\u00f6zde kanlanma, yanma vb rahats\u0131zl\u0131klar g\u00f6r\u00fcl\u00fcrse ila\u00e7 kesilmemeli, doktor ile g\u00f6r\u00fc\u015f\u00fclmelidir.<\/li>\n
                                                        • E\u011fer iki ya da daha fazla damla kullan\u0131yorsan\u0131z, damlalar aras\u0131nda en az 5\u2019er dakikal\u0131k ara veriniz.<\/li>\n
                                                        • G\u00f6z doktorunuzun belirledi\u011fi kontrol muayenelerine muhakkak gidiniz.<\/li>\n
                                                        • Y\u00fcksek tansiyon, \u015feker ya da ast\u0131m gibi di\u011fer rahats\u0131zl\u0131klar\u0131n\u0131z\u0131 gidermek i\u00e7in de tedavi olmal\u0131s\u0131n\u0131z. Ayr\u0131ca sigara i\u00e7meme, d\u00fczenli y\u00fcr\u00fcy\u00fc\u015f ve egzersiz gibi sa\u011fl\u0131kl\u0131 ya\u015fam i\u00e7in \u00f6nem arz eden konulara \u00f6zen g\u00f6stermelisiniz.<\/li>\n
                                                        • Kulland\u0131\u011f\u0131n\u0131z ya da kullanaca\u011f\u0131n\u0131z di\u011fer hastal\u0131klarla alakal\u0131 ila\u00e7lar g\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131z\u0131 etkileyebilir. Bu nedenle di\u011fer ila\u00e7lar\u0131 almadan \u00f6nce mutlaka g\u00f6z doktorunuz ile konu\u015fmal\u0131s\u0131n\u0131z.<\/li>\n
                                                        • G\u00f6z doktoru d\u0131\u015f\u0131nda bir doktora gitti\u011finizde mutlaka g\u00f6z tansiyonu tedavisi g\u00f6rd\u00fc\u011f\u00fcn\u00fcz\u00fc ve kulland\u0131\u011f\u0131n\u0131z ila\u00e7lar\u0131 belirtiniz.<\/li>\n
                                                        • G\u00f6rme alan\u0131n\u0131zdaki azalmalar\u0131 fark etmeye \u00e7al\u0131\u015f\u0131n, bir\u00e7ok hasta %40 g\u00f6r\u00fc\u015f kayb\u0131 ya\u015fayana kadar bu hastal\u0131\u011fa sahip oldu\u011funun fark\u0131nda olmuyor.<\/li>\n
                                                        • Sadece g\u00f6z i\u00e7i bas\u0131nc\u0131n\u0131z\u0131 \u00f6l\u00e7t\u00fcrmek te\u015fhis i\u00e7in yeterli de\u011fildir, mutlaka yukar\u0131da bahsetti\u011fimiz ayr\u0131nt\u0131l\u0131 analizleri yapt\u0131r\u0131n.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

                                                          Glokom (G\u00f6z Tansiyonu) Nedir? Glokom, halk aras\u0131nda g\u00f6z tansiyonu olarak bilinen bu hastal\u0131k, g\u00f6z sinirinde tahribata yol a\u00e7arak kal\u0131c\u0131 g\u00f6rme kayb\u0131na neden olur. Sinsi bir hastal\u0131kt\u0131r ve yava\u015f ilerler. G\u00f6zi\u00e7i bas\u0131nc\u0131 y\u00fckseldi\u011finde g\u00f6z\u00fcn a\u011f tabakas\u0131ndan beyine sinyaller ta\u015f\u0131yan g\u00f6z siniri h\u00fccreleri hasarlan\u0131r. Glokom nedeniyle olu\u015fan bu tahribat \u00f6nlenebilir g\u00f6rme kay\u0131plar\u0131n\u0131n en \u00f6nemli nedenlerinden biridir. Tedavisiz […]<\/p>\n","protected":false},"author":3,"featured_media":9275,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[833,20],"tags":[2333,2334],"yoast_head":"\nGlokom (G\u00f6z Tansiyonu) Nedir? - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Glokom, halk aras\u0131nda g\u00f6z tansiyonu olarak bilinen bu hastal\u0131k, g\u00f6z sinirinde tahribata yol a\u00e7arak kal\u0131c\u0131 g\u00f6rme kayb\u0131na neden olur.\" \/>\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\/glokom-goz-tansiyonu-nedir\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Glokom (G\u00f6z Tansiyonu) Nedir?\" \/>\n<meta property=\"og:description\" content=\"Glokom, halk aras\u0131nda g\u00f6z tansiyonu olarak bilinen bu hastal\u0131k, g\u00f6z sinirinde tahribata yol a\u00e7arak kal\u0131c\u0131 g\u00f6rme kayb\u0131na neden olur.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/glokom-goz-tansiyonu-nedir\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-17T14:17:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/04\/Glaucoma.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"570\" \/>\n\t<meta property=\"og:image:height\" content=\"270\" \/>\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=\"12 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\/glokom-goz-tansiyonu-nedir\/#primaryimage\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/04\/Glaucoma.jpeg\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2023\/04\/Glaucoma.jpeg\",\"width\":570,\"height\":270,\"caption\":\"Glaucoma\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/tr\/glokom-goz-tansiyonu-nedir\/#webpage\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/tr\/glokom-goz-tansiyonu-nedir\/\",\"name\":\"Glokom (G\u00f6z Tansiyonu) Nedir? 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