{"id":11061,"date":"2025-08-27T22:29:43","date_gmt":"2025-08-27T19:29:43","guid":{"rendered":"https:\/\/dryavuzbesogul.com\/takayasu-arteriti\/"},"modified":"2025-08-12T16:14:38","modified_gmt":"2025-08-12T13:14:38","slug":"takayasu-arteriti","status":"publish","type":"post","link":"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/","title":{"rendered":"Takayasu Arteriti Nedir? Takayasu Arteriti Belirtileri Nelerdir?"},"content":{"rendered":"<p>Takayasu arteriti, b\u00fcy\u00fck damarlar\u0131 tutan kronik, inflamatuvar bir hastal\u0131kt\u0131r ve \u00f6zellikle aort ile ana dallar\u0131nda daralma, t\u0131kanma veya anevrizma geli\u015fmesine yol a\u00e7ar. Genellikle gen\u00e7 kad\u0131nlarda g\u00f6r\u00fcl\u00fcr ve nedeni tam olarak bilinmemekle birlikte otoimm\u00fcn mekanizmalar rol oynar.<\/p>\n<p>Takayasu arteriti belirtileri aras\u0131nda halsizlik, ate\u015f, kilo kayb\u0131 gibi sistemik semptomlar ile kol a\u011fr\u0131s\u0131, nab\u0131z zay\u0131fl\u0131\u011f\u0131, tansiyon fark\u0131 ve ba\u015f d\u00f6nmesi gibi damar tutulumu bulgular\u0131 yer al\u0131r. Hastal\u0131k ilerledik\u00e7e organlara giden kan ak\u0131\u015f\u0131 belirgin \u015fekilde azalabilir.<\/p>\n<p>Takayasu arteriti tan\u0131s\u0131nda manyetik rezonans anjiyografi, bilgisayarl\u0131 tomografi anjiyografi ve ultrasonografi gibi g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri kullan\u0131l\u0131r. Kan testlerinde inflamasyon belirte\u00e7leri (ESR, CRP) s\u0131kl\u0131kla y\u00fcksek bulunur.<\/p>\n<p>Takayasu arteriti tedavisinde kortikosteroidler ve imm\u00fcnosupresif ila\u00e7lar ile inflamasyon kontrol alt\u0131na al\u0131n\u0131r. Gerekli durumlarda anjiyoplasti veya cerrahi damar onar\u0131m\u0131 uygulanabilir. Erken tan\u0131, damar hasar\u0131n\u0131 ve komplikasyonlar\u0131 \u00f6nlemede kritik \u00f6neme sahiptir.<\/p>\n<table>\n<tbody>\n<tr>\n<td>T\u0131bbi Terim<\/td>\n<td>Takayasu Arteriti<\/td>\n<\/tr>\n<tr>\n<td>Tan\u0131m<\/td>\n<td>B\u00fcy\u00fck damarlar\u0131 (\u00f6zellikle aortu ve dallar\u0131n\u0131) tutan kronik, gran\u00fclomat\u00f6z, inflamatuar arterit<\/td>\n<\/tr>\n<tr>\n<td>S\u0131kl\u0131k<\/td>\n<td>Genellikle gen\u00e7 kad\u0131nlarda (20\u201340 ya\u015f), Asya k\u00f6kenli bireylerde daha yayg\u0131n<\/td>\n<\/tr>\n<tr>\n<td>Etkilenen Damarlar<\/td>\n<td>Aort ve maj\u00f6r dallar\u0131 (subklavyen, karotis, renal arterler vb.)<\/td>\n<\/tr>\n<tr>\n<td>Ba\u015flang\u0131\u00e7 Belirtileri<\/td>\n<td>Yorgunluk, ate\u015f, kilo kayb\u0131, kas-eklem a\u011fr\u0131s\u0131 (prodromal faz)<\/td>\n<\/tr>\n<tr>\n<td>Ge\u00e7 Belirtiler<\/td>\n<td>Nab\u0131zs\u0131zl\u0131k, kol ve bacaklarda g\u00fc\u00e7s\u00fczl\u00fck, tansiyon fark\u0131, ba\u015f d\u00f6nmesi, g\u00f6rme bozukluklar\u0131, hipertansiyon<\/td>\n<\/tr>\n<tr>\n<td>Tan\u0131 Y\u00f6ntemleri<\/td>\n<td>MR anjiyografi, BT anjiyografi, PET-CT, renkli Doppler USG, kan testlerinde y\u00fcksek CRP ve sedimantasyon<\/td>\n<\/tr>\n<tr>\n<td>Tan\u0131 Kriterleri<\/td>\n<td>Amerikan Romatoloji Derne\u011fi (ACR) kriterleri; ya\u015f, nab\u0131z fark\u0131, anjiyografik bulgular gibi parametreler<\/td>\n<\/tr>\n<tr>\n<td>Tedavi Y\u00f6ntemleri<\/td>\n<td>Kortikosteroidler (prednizon), imm\u00fcns\u00fcpresif ajanlar (metotreksat, azatiyoprin), biyolojik ajanlar (anti-TNF, tocilizumab)<\/td>\n<\/tr>\n<tr>\n<td>Komplikasyonlar<\/td>\n<td>Arter stenozlar\u0131, anevrizmalar, hipertansiyon, organ iskemisi<\/td>\n<\/tr>\n<tr>\n<td>Takip S\u00fcreci<\/td>\n<td>Klinik de\u011ferlendirme, inflamasyon belirte\u00e7leri, g\u00f6r\u00fcnt\u00fcleme ile izlem<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_nedir_ve_vucudumuzda_ne_yapar\" >Takayasu Arteriti nedir ve v\u00fccudumuzda ne yapar?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_hastaliginin_arkasindaki_nedenler_nelerdir\" >Takayasu Arteriti hastal\u0131\u011f\u0131n\u0131n arkas\u0131ndaki nedenler nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Vucudum_Takayasu_Arteriti_yuzunden_hangi_belirtileri_gosterebilir\" >V\u00fccudum Takayasu Arteriti y\u00fcz\u00fcnden hangi belirtileri g\u00f6sterebilir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_tanisi_icin_hangi_adimlar_izlenir\" >Takayasu Arteriti tan\u0131s\u0131 i\u00e7in hangi ad\u0131mlar izlenir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_teshisinde_hangi_goruntuleme_yontemleri_kullanilir\" >Takayasu Arteriti te\u015fhisinde hangi g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri kullan\u0131l\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_icin_uygulanan_ilac_tedavileri_nelerdir\" >Takayasu Arteriti i\u00e7in uygulanan ila\u00e7 tedavileri nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_ne_zaman_cerrahi_mudahale_gerektirir\" >Takayasu Arteriti ne zaman cerrahi m\u00fcdahale gerektirir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_icin_hangi_cerrahi_ve_endovaskuler_yontemler_uygulanir\" >Takayasu Arteriti i\u00e7in hangi cerrahi ve endovask\u00fcler y\u00f6ntemler uygulan\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_hastaliginin_olasi_ciddi_komplikasyonlari_nelerdir\" >Takayasu Arteriti hastal\u0131\u011f\u0131n\u0131n olas\u0131 ciddi komplikasyonlar\u0131 nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_hastalari_icin_uzun_vadedeki_beklentiler_nasildir\" >Takayasu Arteriti hastalar\u0131 i\u00e7in uzun vadedeki beklentiler nas\u0131ld\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_Arteriti_ile_saglikli_bir_yasam_surmek_icin_nelere_dikkat_edilmelidir\" >Takayasu Arteriti ile sa\u011fl\u0131kl\u0131 bir ya\u015fam s\u00fcrmek i\u00e7in nelere dikkat edilmelidir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Sikca_Sorulan_Sorular\" >S\u0131k\u00e7a Sorulan Sorular<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_arteriti_nedir\" >Takayasu arteriti nedir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Bu_hastalik_neden_olur\" >Bu hastal\u0131k neden olur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#En_sik_kimlerde_gorulur\" >En s\u0131k kimlerde g\u00f6r\u00fcl\u00fcr?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_arteriti_bulasici_midir\" >Takayasu arteriti bula\u015f\u0131c\u0131 m\u0131d\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Hangi_damarlar_etkilenir\" >Hangi damarlar etkilenir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Belirtileri_nelerdir\" >Belirtileri nelerdir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Bu_hastaligin_tanisi_nasil_konur\" >Bu hastal\u0131\u011f\u0131n tan\u0131s\u0131 nas\u0131l konur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Tedavisi_var_midir\" >Tedavisi var m\u0131d\u0131r?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Takayasu_arteriti_omur_boyu_surer_mi\" >Takayasu arteriti \u00f6m\u00fcr boyu s\u00fcrer mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Hamilelikte_Takayasu_arteriti_riskli_midir\" >Hamilelikte Takayasu arteriti riskli midir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Cerrahi_tedavi_gerekir_mi\" >Cerrahi tedavi gerekir mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Bu_hastalik_gormeyi_etkiler_mi\" >Bu hastal\u0131k g\u00f6rmeyi etkiler mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Egzersiz_yapmak_guvenli_mi\" >Egzersiz yapmak g\u00fcvenli mi?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Yasam_kalitesi_nasil_etkilenir\" >Ya\u015fam kalitesi nas\u0131l etkilenir?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/dryavuzbesogul.com\/en\/takayasu-arteriti\/#Hangi_uzmanlar_takip_eder\" >Hangi uzmanlar takip eder?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_nedir_ve_vucudumuzda_ne_yapar\"><\/span>Takayasu Arteriti nedir ve v\u00fccudumuzda ne yapar?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Takayasu Arteriti, s\u0131k\u00e7a &#8220;nab\u0131zs\u0131zl\u0131k hastal\u0131\u011f\u0131&#8221; olarak da bilinen, v\u00fccudun en b\u00fcy\u00fck atardamar\u0131 olan aort ve ondan ayr\u0131lan ana dallar\u0131 hedef alan, uzun s\u00fcreli (kronik) bir kan damar\u0131 iltihab\u0131d\u0131r. Bu durumu daha iyi anlamak i\u00e7in, aort damar\u0131n\u0131 v\u00fccudumuzun her yerine su ta\u015f\u0131yan ana boru hatt\u0131 gibi d\u00fc\u015f\u00fcnebiliriz. Kalpten \u00e7\u0131kan bu ana boru, beyne, kollara, bacaklara ve t\u00fcm i\u00e7 organlara kan ta\u015f\u0131yan daha k\u00fc\u00e7\u00fck dallara ayr\u0131l\u0131r.<\/p>\n<p>Takayasu Arteriti&#8217;nde olan \u015fey, v\u00fccudun kendi savunma sisteminin, yani ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bir t\u00fcr kafa kar\u0131\u015f\u0131kl\u0131\u011f\u0131 ya\u015famas\u0131d\u0131r. Normalde bizi mikroplara ve yabanc\u0131 tehditlere kar\u015f\u0131 korumas\u0131 gereken bu sistem, yanl\u0131\u015fl\u0131kla v\u00fccudun bu en \u00f6nemli damar duvarlar\u0131n\u0131 bir d\u00fc\u015fman olarak alg\u0131lar ve onlara sald\u0131rmaya ba\u015flar. Bu sald\u0131r\u0131, damar duvarlar\u0131nda s\u00fcrekli bir iltihaplanma (enflamasyon) durumu yarat\u0131r. \u0130ltihaplanan damar duvarlar\u0131 zamanla kal\u0131nla\u015f\u0131r, sertle\u015fir ve en \u00f6nemli \u00f6zellikleri olan esnekliklerini kaybeder; adeta paslanm\u0131\u015f ve kire\u00e7lenmi\u015f eski su borular\u0131na d\u00f6nerler.<\/p>\n<p>Bu hasar ilerledik\u00e7e, kan\u0131n damar i\u00e7indeki yolculu\u011fu ciddi \u015fekilde engellenir. Damarlar\u0131n i\u00e7indeki kanal daralabilir (stenoz), tamamen t\u0131kanabilir (okl\u00fczyon) veya daha tehlikelisi, iltihap nedeniyle zay\u0131flayan damar duvar\u0131 kan bas\u0131nc\u0131n\u0131n etkisiyle bir balon gibi d\u0131\u015far\u0131 do\u011fru \u015fi\u015febilir (anevrizma) ve hatta y\u0131rt\u0131labilir (diseksiyon). Sonu\u00e7 olarak etkilenen damar\u0131n besledi\u011fi organ veya uzuv yeterince kan alamaz. \u00d6rne\u011fin kollara giden damarlar darald\u0131\u011f\u0131nda o kolda nab\u0131z \u00e7ok zay\u0131f hissedilir veya hi\u00e7 hissedilemez. Hastal\u0131\u011f\u0131n halk aras\u0131nda &#8220;nab\u0131zs\u0131zl\u0131k hastal\u0131\u011f\u0131&#8221; olarak an\u0131lmas\u0131n\u0131n sebebi de budur.<\/p>\n<p>Bu hastal\u0131k, hedef ald\u0131\u011f\u0131 damarlar\u0131n \u00e7e\u015fitlili\u011fi nedeniyle \u00e7ok farkl\u0131 belirtilere yol a\u00e7abilir. Kimi hastada ba\u015f d\u00f6nmesi \u00f6n plandayken, kimisinde y\u00fcksek tansiyon, bir di\u011ferinde ise kol a\u011fr\u0131s\u0131 g\u00f6r\u00fclebilir. Hastal\u0131\u011f\u0131n en zorlu ve sinsi y\u00f6nlerinden biri, damarlardaki bu ciddi hasar\u0131n, hastan\u0131n fark edebilece\u011fi belirgin \u015fikayetler ortaya \u00e7\u0131kmadan y\u0131llarca sessizce ilerleyebilmesidir. Bu durum erken tan\u0131n\u0131n ne kadar zor ve ayn\u0131 zamanda ne kadar hayati oldu\u011funu a\u00e7\u0131k\u00e7a ortaya koymaktad\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_hastaliginin_arkasindaki_nedenler_nelerdir\"><\/span>Takayasu Arteriti hastal\u0131\u011f\u0131n\u0131n arkas\u0131ndaki nedenler nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Takayasu Arteriti&#8217;nin neden ortaya \u00e7\u0131kt\u0131\u011f\u0131 sorusunun hen\u00fcz net bir cevab\u0131 bulunmamaktad\u0131r. T\u0131p dilinde nedeni bilinmeyen durumlar i\u00e7in &#8220;idiyopatik&#8221; terimini kullan\u0131r\u0131z ve Takayasu Arteriti de bu gruba dahildir. Ancak g\u00fcn\u00fcm\u00fczde bilim d\u00fcnyas\u0131n\u0131n \u00fczerinde en \u00e7ok durdu\u011fu teori, bunun bir otoimm\u00fcn hastal\u0131k oldu\u011fudur. Yani v\u00fccudun ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin kendi dokular\u0131na kar\u015f\u0131 sava\u015f a\u00e7mas\u0131 durumudur.<\/p>\n<p>Bu hatal\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k yan\u0131t\u0131n\u0131 neyin tetikledi\u011fi ise bir s\u0131r perdesi arkas\u0131ndad\u0131r. Ara\u015ft\u0131rmac\u0131lar, genetik olarak bu hastal\u0131\u011fa yatk\u0131nl\u0131\u011f\u0131 olan ki\u015filerde, \u00e7ocuklukta veya gen\u00e7likte ge\u00e7irilmi\u015f bir vir\u00fcs enfeksiyonu gibi d\u0131\u015f bir fakt\u00f6r\u00fcn, ba\u011f\u0131\u015f\u0131kl\u0131k sistemini yanl\u0131\u015f bir \u015fekilde tetikleyerek bu s\u00fcreci ba\u015flatabilece\u011fini d\u00fc\u015f\u00fcnmektedir. Ancak bu hen\u00fcz kesin olarak kan\u0131tlanm\u0131\u015f bir teori de\u011fildir.<\/p>\n<p>Genetik fakt\u00f6rlerin \u00f6nemli bir rol oynad\u0131\u011f\u0131na dair ise \u00e7ok daha g\u00fc\u00e7l\u00fc kan\u0131tlar\u0131m\u0131z var. \u00d6zellikle \u0130nsan L\u00f6kosit Antijeni (HLA) ad\u0131 verilen ve ba\u011f\u0131\u015f\u0131kl\u0131k sistemimizin &#8220;dost&#8221; ile &#8220;d\u00fc\u015fman&#8221; ayr\u0131m\u0131n\u0131 yapmas\u0131n\u0131 sa\u011flayan gen ailesindeki baz\u0131 farkl\u0131l\u0131klar, hastal\u0131kla g\u00fc\u00e7l\u00fc bir \u015fekilde ili\u015fkilendirilmi\u015ftir. Farkl\u0131 milletlerden hastalarda yap\u0131lan \u00e7al\u0131\u015fmalarda, HLA-B\\52 ad\u0131 verilen bir genetik belirtecin Takayasu Arteriti riskini belirgin \u015fekilde art\u0131rd\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir. Bu genetik yatk\u0131nl\u0131k, hastal\u0131\u011f\u0131n neden baz\u0131 co\u011frafi b\u00f6lgelerde (\u00f6rne\u011fin Asya, Hindistan, G\u00fcney Amerika) daha s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ve \u00e7ok nadir de olsa ayn\u0131 aile i\u00e7inde birden fazla ki\u015fide ortaya \u00e7\u0131kabildi\u011fini a\u00e7\u0131klamaya yard\u0131mc\u0131 olabilir.<\/p>\n<p>Hastal\u0131\u011f\u0131n a\u011f\u0131rl\u0131kl\u0131 olarak 40 ya\u015f alt\u0131 gen\u00e7 kad\u0131nlar\u0131 etkilemesi (yakla\u015f\u0131k 9 kad\u0131na kar\u015f\u0131l\u0131k 1 erkek oran\u0131yla), hormonal fakt\u00f6rlerin de bu s\u00fcre\u00e7te bir rol\u00fc olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrmektedir, ancak bu konunun da daha fazla ara\u015ft\u0131r\u0131lmas\u0131 gerekmektedir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Vucudum_Takayasu_Arteriti_yuzunden_hangi_belirtileri_gosterebilir\"><\/span>V\u00fccudum Takayasu Arteriti y\u00fcz\u00fcnden hangi belirtileri g\u00f6sterebilir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Takayasu Arteriti&#8217;nin belirtileri genellikle iki farkl\u0131 a\u015famada kendini g\u00f6sterir. Bu a\u015famalar\u0131 bilmek, hastal\u0131\u011f\u0131n sinsi do\u011fas\u0131n\u0131 anlaman\u0131za yard\u0131mc\u0131 olabilir.<\/p>\n<p>Birinci A\u015fama: Erken D\u00f6nem (Sistemik) Belirtileri<\/p>\n<p>Bu ilk evre, v\u00fccuttaki genel iltihaplanmay\u0131 yans\u0131tan ve ba\u015fka bir\u00e7ok hastal\u0131kla kar\u0131\u015ft\u0131r\u0131labilecek belirsiz \u015fikayetlerle karakterizedir. Damar hasar\u0131 bu d\u00f6nemde sessizce ba\u015flar. Bu fazdaki yayg\u0131n belirtiler \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">A\u00e7\u0131klanamayan yorgunluk ve bitkinlik hali<\/li>\n<li aria-level=\"1\">\u0130stenmeyen kilo kayb\u0131<\/li>\n<li aria-level=\"1\">Yayg\u0131n kas ve eklem a\u011fr\u0131lar\u0131<\/li>\n<li aria-level=\"1\">Nedeni bilinmeyen hafif ate\u015f<\/li>\n<li aria-level=\"1\">\u00d6zellikle geceleri ortaya \u00e7\u0131kan terlemeler<\/li>\n<\/ul>\n<p>\u0130kinci A\u015fama: Ge\u00e7 D\u00f6nem (Vask\u00fcler) Belirtileri<\/p>\n<p>Hastal\u0131k ilerleyip damarlarda kal\u0131c\u0131 daralma veya t\u0131kan\u0131kl\u0131klar olu\u015ftu\u011funda, belirtiler daha belirgin hale gelir ve do\u011frudan etkilenen damar\u0131n besledi\u011fi b\u00f6lgeye g\u00f6re ortaya \u00e7\u0131kar. Bu durum hastal\u0131\u011f\u0131n neden &#8220;b\u00fcy\u00fck taklit\u00e7i&#8221; olarak adland\u0131r\u0131ld\u0131\u011f\u0131n\u0131 a\u00e7\u0131klar. Bu d\u00f6nemdeki belirtiler \u015funlar\u0131 i\u00e7erir:<\/p>\n<ul>\n<li aria-level=\"1\">Kollarda, \u00f6zellikle eforla (sa\u00e7 tarama, yaz\u0131 yazma gibi) ortaya \u00e7\u0131kan a\u011fr\u0131 ve \u00e7abuk yorulma<\/li>\n<li aria-level=\"1\">Bir veya iki kolda nabz\u0131n zay\u0131f al\u0131nmas\u0131 veya hi\u00e7 al\u0131namamas\u0131<\/li>\n<li aria-level=\"1\">\u0130ki kol aras\u0131nda \u00f6l\u00e7\u00fclen tansiyon de\u011ferinde belirgin fark olmas\u0131 (&gt;10 mmHg)<\/li>\n<li aria-level=\"1\">Ba\u015f d\u00f6nmesi veya sersemlik hissi<\/li>\n<li aria-level=\"1\">Aya\u011fa kalk\u0131nca g\u00f6z kararmas\u0131<\/li>\n<li aria-level=\"1\">Bay\u0131lma (senkop)<\/li>\n<li aria-level=\"1\">Bulan\u0131k g\u00f6rme, \u00e7ift g\u00f6rme veya ge\u00e7ici g\u00f6rme kayb\u0131<\/li>\n<li aria-level=\"1\">Eforla gelen g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 (anjina)<\/li>\n<li aria-level=\"1\">Nefes darl\u0131\u011f\u0131<\/li>\n<li aria-level=\"1\">\u00d6zellikle gen\u00e7 ya\u015fta ortaya \u00e7\u0131kan ve ila\u00e7lara zor yan\u0131t veren y\u00fcksek tansiyon<\/li>\n<li aria-level=\"1\">Yemeklerden sonra ortaya \u00e7\u0131kan kar\u0131n a\u011fr\u0131s\u0131<\/li>\n<\/ul>\n<p>Bu belirtilerden birka\u00e7\u0131, \u00f6zellikle de gen\u00e7 bir bireyde bir arada g\u00f6r\u00fcl\u00fcyorsa, mutlaka bir uzmana dan\u0131\u015f\u0131lmal\u0131d\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_tanisi_icin_hangi_adimlar_izlenir\"><\/span>Takayasu Arteriti tan\u0131s\u0131 i\u00e7in hangi ad\u0131mlar izlenir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Takayasu Arteriti tan\u0131s\u0131, bir yapbozun par\u00e7alar\u0131n\u0131 birle\u015ftirmek gibidir; tek bir testle de\u011fil bir dizi bulgunun bir araya getirilmesiyle konulur. S\u00fcre\u00e7 hastan\u0131n \u015fikayetlerinin dikkatle dinlenmesiyle ba\u015flar. Gen\u00e7 bir hastada yorgunluk, kilo kayb\u0131 gibi genel belirtilere kol a\u011fr\u0131s\u0131 veya kollar aras\u0131 tansiyon fark\u0131 gibi damarsal \u015fikayetlerin e\u015flik etmesi, hekimi bu hastal\u0131ktan \u015f\u00fcphelendirmelidir.<\/p>\n<p>Fizik muayene s\u0131ras\u0131nda, doktor stetoskopuyla boyun, koltuk alt\u0131 ve kar\u0131n gibi b\u00fcy\u00fck atardamarlar\u0131n ge\u00e7ti\u011fi b\u00f6lgeleri dinler. Daralm\u0131\u015f bir damardan ge\u00e7en kan\u0131n \u00e7\u0131kard\u0131\u011f\u0131 anormal, u\u011fultulu bir ses olan &#8220;\u00fcf\u00fcr\u00fcm&#8221; (bruit) duyulmas\u0131 \u00f6nemli bir ipucudur. Her iki koldan ve bacaktan nab\u0131zlar kontrol edilir ve tansiyon \u00f6l\u00e7\u00fcmleri yap\u0131l\u0131r.<\/p>\n<p>Kan testlerinde iltihap belirte\u00e7leri olan ESR ve CRP&#8217;nin y\u00fcksekli\u011fi hastal\u0131\u011f\u0131n aktif olabilece\u011fini d\u00fc\u015f\u00fcnd\u00fcrse de bu de\u011ferlerin normal olmas\u0131 hastal\u0131\u011f\u0131n olmad\u0131\u011f\u0131 anlam\u0131na gelmez. Kesin tan\u0131ya giden yolda en \u00f6nemli ad\u0131mlar g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleridir.<\/p>\n<p>Tan\u0131y\u0131 standartla\u015ft\u0131rmak ve kolayla\u015ft\u0131rmak i\u00e7in, Amerikan Romatoloji Koleji (ACR) taraf\u0131ndan belirlenen ve a\u015fa\u011f\u0131da listelenen 6 kriterden en az 3&#8217;\u00fcn\u00fcn hastada bulunmas\u0131, Takayasu Arteriti tan\u0131s\u0131n\u0131 b\u00fcy\u00fck \u00f6l\u00e7\u00fcde destekler:<\/p>\n<ul>\n<li aria-level=\"1\">Hastal\u0131k belirtilerinin 40 ya\u015f\u0131ndan \u00f6nce ba\u015flamas\u0131<\/li>\n<li aria-level=\"1\">Kollarda veya bacaklarda hareketle ortaya \u00e7\u0131kan yorgunluk ve a\u011fr\u0131 (kladikasyon)<\/li>\n<li aria-level=\"1\">Bir veya her iki kol atardamar\u0131nda nab\u0131z g\u00fcc\u00fcnde azalma<\/li>\n<li aria-level=\"1\">\u0130ki kol aras\u0131ndaki b\u00fcy\u00fck tansiyon de\u011feri aras\u0131nda 10 mmHg&#8217;den fazla fark olmas\u0131<\/li>\n<li aria-level=\"1\">B\u00fcy\u00fck atardamarlar (subklavyen arter veya aort) \u00fczerinde stetoskopla \u00fcf\u00fcr\u00fcm duyulmas\u0131<\/li>\n<li aria-level=\"1\">Anjiyografik g\u00f6r\u00fcnt\u00fclemede, ba\u015fka bir nedenle a\u00e7\u0131klanamayan damar daralmas\u0131 veya t\u0131kan\u0131kl\u0131\u011f\u0131 g\u00f6r\u00fclmesi<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_teshisinde_hangi_goruntuleme_yontemleri_kullanilir\"><\/span>Takayasu Arteriti te\u015fhisinde hangi g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri kullan\u0131l\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>G\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri, Takayasu Arteriti tan\u0131s\u0131n\u0131n bel kemi\u011fidir. Bu testler, hekimin damarlar\u0131n i\u00e7ine adeta bir kamerayla bakmas\u0131n\u0131 sa\u011flayarak duvardaki iltihab\u0131, kal\u0131nla\u015fmay\u0131, darl\u0131klar\u0131 ve anevrizmalar\u0131 do\u011frudan g\u00f6rmesine olanak tan\u0131r. G\u00fcn\u00fcm\u00fczde tan\u0131 ve takipte \u00f6ncelikli olarak v\u00fccuda herhangi bir m\u00fcdahale gerektirmeyen (non-invaziv) ve hasta i\u00e7in konforlu olan y\u00f6ntemler tercih edilmektedir.<\/p>\n<p>Tan\u0131da kullan\u0131lan ba\u015fl\u0131ca g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri \u015funlard\u0131r:<\/p>\n<ul>\n<li>Manyetik Rezonans Anjiyografi (MRA): G\u00fc\u00e7l\u00fc bir manyetik alan kullanarak damarlar\u0131n detayl\u0131 g\u00f6r\u00fcnt\u00fclerini olu\u015fturan, radyasyon i\u00e7ermeyen bir y\u00f6ntemdir. \u00d6zellikle gen\u00e7 hastalarda ve tekrarlayan takiplerde en s\u0131k tercih edilen y\u00f6ntemlerden biridir.<\/li>\n<li>Bilgisayarl\u0131 Tomografi Anjiyografi (BTA): X-\u0131\u015f\u0131nlar\u0131 ve damardan verilen kontrast madde kullan\u0131larak damarlar\u0131n \u00fc\u00e7 boyutlu haritas\u0131n\u0131 \u00e7\u0131karan h\u0131zl\u0131 ve etkili bir testtir. Damar duvar\u0131ndaki kal\u0131nla\u015fmay\u0131 ve kire\u00e7lenmeyi \u00e7ok net g\u00f6sterir.<\/li>\n<li>Doppler Ultrasonografi: Ses dalgalar\u0131 kullanarak kan ak\u0131\u015f\u0131n\u0131 de\u011ferlendiren ve damar duvar\u0131n\u0131 inceleyen, kolay ula\u015f\u0131labilir ve zarars\u0131z bir y\u00f6ntemdir. \u00d6zellikle boyun ve kol damarlar\u0131 gibi y\u00fczeye yak\u0131n damarlar\u0131n de\u011ferlendirilmesinde \u00e7ok kullan\u0131\u015fl\u0131d\u0131r.<\/li>\n<li>Pozitron Emisyon Tomografisi (PET): V\u00fccuda verilen radyoaktif bir \u015feker molek\u00fcl\u00fcn\u00fcn, iltihapl\u0131 h\u00fccreler taraf\u0131ndan normalden daha fazla tutulmas\u0131 prensibine dayanan bir n\u00fckleer t\u0131p y\u00f6ntemidir. Damar duvar\u0131ndaki aktif iltihab\u0131 &#8220;parlayan&#8221; alanlar olarak g\u00f6stererek, hastal\u0131\u011f\u0131n aktivitesini belirlemede ve tedaviye yan\u0131t\u0131 de\u011ferlendirmede \u00e7ok de\u011ferli bilgiler sunar.<\/li>\n<li>Konvansiyonel Anjiyografi: Ge\u00e7mi\u015fte alt\u0131n standart kabul edilen bu y\u00f6ntemde kas\u0131ktan bir kateterle girilerek damarlar\u0131n filmi \u00e7ekilir. G\u00fcn\u00fcm\u00fczde tan\u0131dan \u00e7ok, stentleme gibi tedavi edici i\u015flemler s\u0131ras\u0131nda kullan\u0131lmaktad\u0131r.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_icin_uygulanan_ilac_tedavileri_nelerdir\"><\/span>Takayasu Arteriti i\u00e7in uygulanan ila\u00e7 tedavileri nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Takayasu Arteriti&#8217;nin tedavisindeki temel hedef, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin damarlara y\u00f6nelik sald\u0131r\u0131s\u0131n\u0131 durdurmak, yani iltihab\u0131 bask\u0131layarak hastal\u0131\u011f\u0131 kontrol alt\u0131na almakt\u0131r. Bu sayede hem hastan\u0131n \u015fikayetleri giderilir hem de damarlarda daha fazla kal\u0131c\u0131 hasar olu\u015fmas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilir. Tedavi, genellikle birka\u00e7 farkl\u0131 ila\u00e7 grubunun bir arada kullan\u0131ld\u0131\u011f\u0131 uzun soluklu bir s\u00fcre\u00e7tir.<\/p>\n<p>Tedavide kullan\u0131lan ba\u015fl\u0131ca ila\u00e7 gruplar\u0131 \u015funlard\u0131r:<\/p>\n<ul>\n<li>Kortikosteroidler: Genellikle prednizon etken maddeli bu ila\u00e7lar, halk aras\u0131nda &#8220;kortizon&#8221; olarak bilinir ve tedavinin temel ta\u015f\u0131n\u0131 olu\u015fturur. G\u00fc\u00e7l\u00fc iltihap bask\u0131lay\u0131c\u0131 etkileri sayesinde hastal\u0131\u011f\u0131n alevli d\u00f6nemlerinde h\u0131zla rahatlama sa\u011flarlar. Ancak uzun s\u00fcreli ve y\u00fcksek dozda kullan\u0131mlar\u0131 ciddi yan etkilere (kilo al\u0131m\u0131, kemik erimesi, diyabet riski vb.) yol a\u00e7abildi\u011fi i\u00e7in, ama\u00e7 her zaman m\u00fcmk\u00fcn olan en d\u00fc\u015f\u00fck dozda ve en k\u0131sa s\u00fcreyle kullanmakt\u0131r.<\/li>\n<li>Geleneksel \u0130mm\u00fcns\u00fcpresifler: Bu ila\u00e7lar, kortizonun dozunu azaltmaya yard\u0131mc\u0131 olmak ve hastal\u0131\u011f\u0131n uzun d\u00f6nem kontrol\u00fcn\u00fc sa\u011flamak i\u00e7in tedaviye eklenirler. Adeta bir &#8220;steroid koruyucu&#8221; g\u00f6revi g\u00f6r\u00fcrler. Metotreksat, azatiyoprin ve mikofenolat mofetil bu grubun en s\u0131k kullan\u0131lan \u00fcyeleridir.<\/li>\n<li>Biyolojik Ajanlar (TNF \u0130nhibit\u00f6rleri): Standart tedavilere yan\u0131t vermeyen veya hastal\u0131\u011f\u0131 diren\u00e7li olan ki\u015filerde kullan\u0131lan hedefe y\u00f6nelik modern ila\u00e7lard\u0131r. \u0130ltihaplanma s\u00fcrecinde kilit rol oynayan T\u00fcm\u00f6r Nekroz Fakt\u00f6r\u00fc (TNF) adl\u0131 bir molek\u00fcl\u00fc hedef alarak bloke ederler. \u0130nfliksimab, etanersept ve adalimumab bu gruptaki ila\u00e7lard\u0131r.<\/li>\n<li>Biyolojik Ajanlar (IL-6 \u0130nhibit\u00f6rleri): Bu ila\u00e7lar da yine diren\u00e7li hastal\u0131kta kullan\u0131lan bir di\u011fer hedefe y\u00f6nelik tedavi se\u00e7ene\u011fidir. \u0130ltihaplanmay\u0131 tetikleyen bir ba\u015fka \u00f6nemli molek\u00fcl olan \u0130nterl\u00f6kin-6&#8217;n\u0131n (IL-6) etkisini engelleyerek \u00e7al\u0131\u015f\u0131rlar. Tosilizumab bu grubun en bilinen \u00f6rne\u011fidir ve \u00f6zellikle Takayasu Arteriti tedavisinde giderek daha fazla \u00f6nem kazanmaktad\u0131r.<\/li>\n<\/ul>\n<p>Tedavi se\u00e7imi ve takibi, mutlaka bu alanda deneyimli bir romatolog ve kalp ve damar cerrah\u0131n\u0131n i\u015f birli\u011fi i\u00e7inde, hasta \u00f6zelinde yap\u0131lmal\u0131d\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_ne_zaman_cerrahi_mudahale_gerektirir\"><\/span>Takayasu Arteriti ne zaman cerrahi m\u00fcdahale gerektirir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0130la\u00e7 tedavisi, Takayasu Arteriti&#8217;nin temelindeki iltihab\u0131 kontrol alt\u0131na alsa da ne yaz\u0131k ki \u00f6nceden olu\u015fmu\u015f kritik damar darl\u0131klar\u0131n\u0131, t\u0131kan\u0131kl\u0131klar\u0131n\u0131 veya anevrizmalar\u0131 geri d\u00f6nd\u00fcremez. \u0130\u015fte bu noktada kan ak\u0131\u015f\u0131n\u0131 fiziksel olarak yeniden sa\u011flamak ve organ hasar\u0131n\u0131 \u00f6nlemek i\u00e7in cerrahi veya endovask\u00fcler (damar i\u00e7i) tedaviler devreye girer. Bu m\u00fcdahaleler, bir &#8220;yang\u0131n&#8221; olan iltihap ila\u00e7larla s\u00f6nd\u00fcr\u00fcld\u00fckten sonra, &#8220;enkaz\u0131&#8221; temizlemek ve hasarl\u0131 &#8220;boru hatlar\u0131n\u0131&#8221; onarmak gibidir.<\/p>\n<p>Cerrahi m\u00fcdahale gerektiren ba\u015fl\u0131ca durumlar \u015funlard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">Beyne giden kan ak\u0131m\u0131n\u0131n kritik d\u00fczeyde azalmas\u0131na ba\u011fl\u0131 inme, ge\u00e7ici fel\u00e7 ataklar\u0131 veya \u015fiddetli n\u00f6rolojik belirtiler<\/li>\n<li aria-level=\"1\">Kalbi besleyen koroner damarlar\u0131n tutulumuna ba\u011fl\u0131 kalp krizi veya kontrol alt\u0131na al\u0131namayan g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131<\/li>\n<li aria-level=\"1\">B\u00f6brek damarlar\u0131ndaki darl\u0131k nedeniyle ila\u00e7larla kontrol edilemeyen ve organlara zarar veren y\u00fcksek tansiyon<\/li>\n<li aria-level=\"1\">Hastan\u0131n g\u00fcnl\u00fck ya\u015fam\u0131n\u0131 (y\u00fcr\u00fcme, kollar\u0131n\u0131 kullanma vb.) ileri derecede k\u0131s\u0131tlayan \u015fiddetli kol veya bacak a\u011fr\u0131lar\u0131<\/li>\n<li aria-level=\"1\">Damar duvar\u0131ndaki zay\u0131flamaya ba\u011fl\u0131 olu\u015fan anevrizmalar\u0131n (balonla\u015fma) tehlikeli boyutlara ula\u015fmas\u0131 veya y\u0131rt\u0131lma riski ta\u015f\u0131mas\u0131<\/li>\n<li aria-level=\"1\">Aort damar\u0131n\u0131n ba\u015flang\u0131\u00e7 k\u0131sm\u0131n\u0131n geni\u015flemesine ba\u011fl\u0131 olarak geli\u015fen ve kalp yetmezli\u011fine yol a\u00e7an ciddi aort kapak ka\u00e7a\u011f\u0131<\/li>\n<\/ul>\n<p>Bu giri\u015fimler i\u00e7in en ideal zamanlama, hastal\u0131\u011f\u0131n iltihabi olarak aktif olmad\u0131\u011f\u0131, yani sakin oldu\u011fu (remisyon) d\u00f6nemdir. \u00c7\u00fcnk\u00fc aktif iltihap, damar dokusunu \u00e7ok hassas ve k\u0131r\u0131lgan hale getirir. Ancak inme veya kalp krizi gibi acil durumlarda, hastal\u0131\u011f\u0131n aktivitesine bak\u0131lmaks\u0131z\u0131n hayat kurtarmak i\u00e7in acil m\u00fcdahale zorunlu olabilir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_icin_hangi_cerrahi_ve_endovaskuler_yontemler_uygulanir\"><\/span>Takayasu Arteriti i\u00e7in hangi cerrahi ve endovask\u00fcler y\u00f6ntemler uygulan\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hasarl\u0131 damarlardaki kan ak\u0131\u015f\u0131n\u0131 yeniden sa\u011flamak i\u00e7in uygulanan y\u00f6ntemler lezyonun yeri, uzunlu\u011fu ve hastan\u0131n genel durumuna g\u00f6re ki\u015fiye \u00f6zel olarak se\u00e7ilir. Temelde iki ana yakla\u015f\u0131m mevcuttur.<\/p>\n<p>Endovask\u00fcler Tedavi (Minimal \u0130nvaziv Y\u00f6ntemler)<\/p>\n<p>Bu y\u00f6ntemler genellikle kas\u0131k veya kol atardamar\u0131ndan ince teller ve kateterler arac\u0131l\u0131\u011f\u0131yla girilerek, b\u00fcy\u00fck bir ameliyat kesisi olmadan yap\u0131l\u0131r.<\/p>\n<ul>\n<li>Balon Anjiyoplasti ve Stentleme: En s\u0131k kullan\u0131lan y\u00f6ntemdir. Daralm\u0131\u015f damar segmentine bir balon ilerletilerek \u015fi\u015firilir ve darl\u0131k a\u00e7\u0131l\u0131r. Genellikle a\u00e7\u0131lan b\u00f6lgenin tekrar daralmas\u0131n\u0131 \u00f6nlemek i\u00e7in damar i\u00e7ine &#8220;stent&#8221; ad\u0131 verilen metal bir kafes yerle\u015ftirilir.<\/li>\n<\/ul>\n<p>A\u00e7\u0131k Cerrahi Tedavi (Geleneksel Y\u00f6ntemler)<\/p>\n<p>Bu y\u00f6ntemler \u00f6zellikle uzun, yayg\u0131n, tam t\u0131kal\u0131 veya birden fazla damar\u0131 i\u00e7eren karma\u015f\u0131k hasarlarda tercih edilir. Uzun d\u00f6nem sonu\u00e7lar\u0131 genellikle daha kal\u0131c\u0131d\u0131r.<\/p>\n<ul>\n<li>Bypass Greftleme: En yayg\u0131n uygulanan cerrahi y\u00f6ntemdir. Bu teknikte, t\u0131kal\u0131 veya daralm\u0131\u015f damar segmenti, adeta trafikte s\u0131k\u0131\u015fm\u0131\u015f bir yolu yan yollarla ge\u00e7mek gibi, atlan\u0131r. T\u0131kan\u0131kl\u0131\u011f\u0131n \u00f6ncesindeki sa\u011flam bir damar b\u00f6lgesinden, sonras\u0131ndaki sa\u011fl\u0131kl\u0131 bir b\u00f6lgeye, yapay bir damar (greft) veya hastan\u0131n kendi damar\u0131 kullan\u0131larak yeni bir kan yolu olu\u015fturulur.<\/li>\n<li>Aort Kapak ve K\u00f6k De\u011fi\u015fimi: Hastal\u0131k aort kapa\u011f\u0131n\u0131 ve aortun kalpten \u00e7\u0131kt\u0131\u011f\u0131 ba\u015flang\u0131\u00e7 k\u0131sm\u0131n\u0131 (aort k\u00f6k\u00fc) etkileyerek ciddi kapak yetmezli\u011fine yol a\u00e7t\u0131\u011f\u0131nda, hem kapa\u011f\u0131n hem de aort k\u00f6k\u00fcn\u00fcn birlikte de\u011fi\u015ftirildi\u011fi daha kapsaml\u0131 bir operasyon gerekebilir.<\/li>\n<\/ul>\n<p>Bu iki yakla\u015f\u0131mdan hangisinin se\u00e7ilece\u011fi, lezyonun yap\u0131s\u0131na, cerrah\u0131n tecr\u00fcbesine ve hastan\u0131n durumuna g\u00f6re multidisipliner bir ekip taraf\u0131ndan kararla\u015ft\u0131r\u0131l\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_hastaliginin_olasi_ciddi_komplikasyonlari_nelerdir\"><\/span>Takayasu Arteriti hastal\u0131\u011f\u0131n\u0131n olas\u0131 ciddi komplikasyonlar\u0131 nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Takayasu Arteriti, do\u011frudan v\u00fccudun ana damar sistemini hedef ald\u0131\u011f\u0131 i\u00e7in ciddi ve bazen hayat\u0131 tehdit eden komplikasyonlara yol a\u00e7abilir. Hastalar\u0131n sordu\u011fu &#8220;Takayasu arteriti \u00f6l\u00fcm riski var m\u0131?&#8221; veya &#8220;Takayasu hastal\u0131\u011f\u0131 \u00f6l\u00fcmc\u00fcl m\u00fcd\u00fcr?&#8221; gibi sorular\u0131n yan\u0131t\u0131, bu komplikasyonlar\u0131n ne kadar erken fark edildi\u011fi ve ne kadar etkin y\u00f6netildi\u011fi ile do\u011frudan ili\u015fkilidir. Modern tedaviler ve d\u00fczenli takip ile bu riskler b\u00fcy\u00fck \u00f6l\u00e7\u00fcde kontrol alt\u0131na al\u0131nabilse de potansiyel tehlikelerin fark\u0131nda olmak \u00f6nemlidir.<\/p>\n<p>Hastal\u0131\u011f\u0131n seyrinde ortaya \u00e7\u0131kabilecek ba\u015fl\u0131ca kardiyovask\u00fcler komplikasyonlar \u015funlard\u0131r:<\/p>\n<ul>\n<li>Y\u00fcksek Tansiyon (Hipertansiyon): En s\u0131k g\u00f6r\u00fclen komplikasyondur ve genellikle b\u00f6brek damarlar\u0131ndaki darl\u0131\u011fa ba\u011fl\u0131d\u0131r.<\/li>\n<li>Aort Anevrizmas\u0131: Aort duvar\u0131n\u0131n zay\u0131flayarak balonla\u015fmas\u0131d\u0131r. B\u00fcy\u00fcyerek y\u0131rt\u0131labilir ve \u00f6l\u00fcmc\u00fcl i\u00e7 kanamalara yol a\u00e7abilir.<\/li>\n<li>Aort Diseksiyonu: Aort duvar\u0131n\u0131n i\u00e7ten y\u0131rt\u0131larak katmanlar\u0131n\u0131n aras\u0131na kan s\u0131zmas\u0131d\u0131r. Son derece acil ve tehlikeli bir durumdur.<\/li>\n<li>Kalp Yetmezli\u011fi: Kontrols\u00fcz y\u00fcksek tansiyon, aort kapak ka\u00e7a\u011f\u0131 veya do\u011frudan kalp kas\u0131 iltihab\u0131 nedeniyle geli\u015febilir.<\/li>\n<li>Kalp Krizi (Miyokard Enfarkt\u00fcs\u00fc): Kalbi besleyen koroner damarlar\u0131n daralmas\u0131 veya t\u0131kanmas\u0131 sonucu olu\u015fur.<\/li>\n<li>\u0130nme (Fel\u00e7): Beyne kan ta\u015f\u0131yan karotis veya vertebral arterlerin etkilenmesi sonucu geli\u015febilir.<\/li>\n<li>Aort Kapak Yetmezli\u011fi: Aort k\u00f6k\u00fcn\u00fcn geni\u015flemesi nedeniyle aort kapa\u011f\u0131n\u0131n tam kapanamamas\u0131 ve kalbe kan\u0131n geri ka\u00e7mas\u0131 durumudur.<\/li>\n<\/ul>\n<p>Bu komplikasyonlar\u0131n \u00f6nlenmesi ve y\u00f6netimi, hastal\u0131\u011f\u0131n temelindeki iltihab\u0131n agresif bir \u015fekilde tedavi edilmesini ve gerekti\u011finde hasarl\u0131 damarlar\u0131n cerrahi olarak onar\u0131lmas\u0131n\u0131 gerektirir.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_hastalari_icin_uzun_vadedeki_beklentiler_nasildir\"><\/span>Takayasu Arteriti hastalar\u0131 i\u00e7in uzun vadedeki beklentiler nas\u0131ld\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Takayasu Arteriti, alevlenmeler ve sakin d\u00f6nemlerle seyreden, \u00f6m\u00fcr boyu devam eden kronik bir yol arkada\u015f\u0131 gibidir. Ancak bu umutsuz bir tablo anlam\u0131na gelmez. Erken tan\u0131, modern ila\u00e7 tedavileri, zaman\u0131nda yap\u0131lan m\u00fcdahaleler ve en \u00f6nemlisi d\u00fczenli takip ile hastalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlu\u011fu i\u00e7in uzun d\u00f6nemli sa\u011fkal\u0131m beklentisi olduk\u00e7a iyidir.<\/p>\n<p>Ge\u00e7mi\u015fte daha ciddi sonu\u00e7lar\u0131 olan bu hastal\u0131kta, g\u00fcn\u00fcm\u00fczdeki tedavi imkanlar\u0131 sayesinde sa\u011fkal\u0131m oranlar\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde artm\u0131\u015ft\u0131r. Geli\u015fmi\u015f \u00fclkelerdeki verilere g\u00f6re, 5 y\u0131ll\u0131k sa\u011fkal\u0131m oran\u0131 %97&#8217;nin, 15 y\u0131ll\u0131k sa\u011fkal\u0131m oran\u0131 ise %80&#8217;lerin \u00fczerindedir. Bu olumlu tablo hastal\u0131\u011f\u0131n daha erken tan\u0131nmas\u0131 ve iltihab\u0131 daha etkin bask\u0131layan biyolojik ajanlar gibi yeni tedavilerin kullan\u0131ma girmesi sayesindedir.<\/p>\n<p>Ancak sa\u011fkal\u0131m oranlar\u0131 y\u00fcksek olsa da hastal\u0131\u011f\u0131n ya\u015fam kalitesi \u00fczerinde etkileri olabilir. Hastalar\u0131n bir k\u0131sm\u0131, ya\u015fad\u0131klar\u0131 \u015fikayetler veya komplikasyonlar nedeniyle g\u00fcnl\u00fck aktivitelerinde veya i\u015f hayatlar\u0131nda baz\u0131 k\u0131s\u0131tlamalarla kar\u015f\u0131la\u015fabilirler.<\/p>\n<p>Hastal\u0131\u011f\u0131n seyrini olumsuz etkileyebilecek baz\u0131 risk fakt\u00f6rleri tan\u0131mlanm\u0131\u015ft\u0131r. Tan\u0131 an\u0131nda ciddi komplikasyonlar\u0131n (\u00f6rne\u011fin \u015fiddetli hipertansiyon, anevrizma varl\u0131\u011f\u0131) bulunmas\u0131 ve hastal\u0131\u011f\u0131n ilerleyici bir seyir g\u00f6stermesi, daha yak\u0131n bir takip ve daha agresif bir tedavi gerektirebilir. Bu nedenle d\u00fczenli doktor kontrollerini ve g\u00f6r\u00fcnt\u00fcleme testlerini aksatmamak, uzun ve sa\u011fl\u0131kl\u0131 bir ya\u015fam i\u00e7in en \u00f6nemli ad\u0131md\u0131r.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Takayasu_Arteriti_ile_saglikli_bir_yasam_surmek_icin_nelere_dikkat_edilmelidir\"><\/span>Takayasu Arteriti ile sa\u011fl\u0131kl\u0131 bir ya\u015fam s\u00fcrmek i\u00e7in nelere dikkat edilmelidir?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Takayasu Arteriti ile ya\u015famak, sadece ila\u00e7lar\u0131 d\u00fczenli kullanmaktan ibaret de\u011fildir. Bu ayn\u0131 zamanda hastan\u0131n kendi sa\u011fl\u0131\u011f\u0131na aktif olarak kat\u0131ld\u0131\u011f\u0131, bilin\u00e7li ya\u015fam tarz\u0131 se\u00e7imleri yapt\u0131\u011f\u0131 bir ortakl\u0131k s\u00fcrecidir. A\u015fa\u011f\u0131daki \u00f6neriler ya\u015fam kalitenizi art\u0131rmaya, tedavi yan etkilerini y\u00f6netmeye ve hastal\u0131\u011f\u0131n\u0131z\u0131n seyrini olumlu y\u00f6nde etkilemeye yard\u0131mc\u0131 olabilir.<\/p>\n<p>Beslenmenize \u00d6zen G\u00f6sterin<\/p>\n<p>Sa\u011fl\u0131kl\u0131 beslenme, hem genel sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 korur hem de ila\u00e7lar\u0131n olas\u0131 yan etkileriyle ba\u015fa \u00e7\u0131kman\u0131za yard\u0131mc\u0131 olur:<\/p>\n<ul>\n<li aria-level=\"1\">Bol taze sebze ve meyve<\/li>\n<li aria-level=\"1\">Tam tah\u0131ll\u0131 \u00fcr\u00fcnler (tam bu\u011fday ekme\u011fi, bulgur, yulaf)<\/li>\n<li aria-level=\"1\">Ya\u011fs\u0131z protein kaynaklar\u0131 (tavuk, bal\u0131k, baklagiller)<\/li>\n<li aria-level=\"1\">Sa\u011fl\u0131kl\u0131 ya\u011flar (zeytinya\u011f\u0131, avokado, ceviz)<\/li>\n<li aria-level=\"1\">Yeterli kalsiyum (s\u00fct \u00fcr\u00fcnleri, ye\u015fil yaprakl\u0131 sebzeler)<\/li>\n<li aria-level=\"1\">Yeterli D vitamini (gerekirse takviye olarak)<\/li>\n<\/ul>\n<p>Ayn\u0131 zamanda ka\u00e7\u0131nman\u0131z gerekenler de vard\u0131r:<\/p>\n<ul>\n<li aria-level=\"1\">\u0130\u015flenmi\u015f ve paketli g\u0131dalar<\/li>\n<li aria-level=\"1\">A\u015f\u0131r\u0131 tuz<\/li>\n<li aria-level=\"1\">A\u015f\u0131r\u0131 \u015feker<\/li>\n<li aria-level=\"1\">Doymu\u015f ve trans ya\u011flar<\/li>\n<li aria-level=\"1\">Aktif Kal\u0131n<\/li>\n<\/ul>\n<p>Doktorunuzun onaylad\u0131\u011f\u0131 \u00f6l\u00e7\u00fcde d\u00fczenli egzersiz yapmak \u00e7ok \u00f6nemlidir:<\/p>\n<ul>\n<li aria-level=\"1\">Tempolu y\u00fcr\u00fcy\u00fc\u015f<\/li>\n<li aria-level=\"1\">Y\u00fczme<\/li>\n<li aria-level=\"1\">Bisiklete binme<\/li>\n<li aria-level=\"1\">Hafif tempolu ko\u015fu<\/li>\n<li aria-level=\"1\">Yoga veya pilates<\/li>\n<\/ul>\n<p>Zararl\u0131 Al\u0131\u015fkanl\u0131klardan Uzak Durun<\/p>\n<ul>\n<li>T\u00fct\u00fcn\u00fc Tamamen B\u0131rak\u0131n: Sigara ve di\u011fer t\u00fct\u00fcn \u00fcr\u00fcnleri, damar duvarlar\u0131na do\u011frudan zarar vererek iltihab\u0131 ve daralmay\u0131 art\u0131r\u0131r. Bu mevcut hasar\u0131 daha da k\u00f6t\u00fcle\u015ftirmek anlam\u0131na gelir. Sigaray\u0131 b\u0131rakmak, yapabilece\u011finiz en \u00f6nemli iyiliktir.<\/li>\n<li>Alkol\u00fc S\u0131n\u0131rlay\u0131n: Alkol t\u00fcketimini doktorunuzun \u00f6nerdi\u011fi d\u00fczeyde s\u0131n\u0131rlay\u0131n veya tamamen b\u0131rak\u0131n.<\/li>\n<\/ul>\n<p>Genel Sa\u011fl\u0131k Kurallar\u0131na Uyun<\/p>\n<ul>\n<li>A\u015f\u0131lar\u0131n\u0131z\u0131 G\u00fcncel Tutun: Kulland\u0131\u011f\u0131n\u0131z ila\u00e7lar ba\u011f\u0131\u015f\u0131kl\u0131k sisteminizi zay\u0131flatabilir. Bu nedenle grip, zat\u00fcrre gibi \u00f6nlenebilir hastal\u0131klara kar\u015f\u0131 a\u015f\u0131lar\u0131n\u0131z\u0131 mutlaka yapt\u0131r\u0131n.<\/li>\n<li>Stresi Y\u00f6netin: Kronik hastal\u0131klarla ya\u015famak stresli olabilir. Meditasyon, hobi edinme veya sevdiklerinizle vakit ge\u00e7irme gibi stresle ba\u015fa \u00e7\u0131kma y\u00f6ntemleri bulun.<\/li>\n<li>Doktorunuzla \u0130leti\u015fimde Kal\u0131n: V\u00fccudunuzdaki herhangi bir yeni veya endi\u015fe verici de\u011fi\u015fikli\u011fi vakit kaybetmeden doktorunuza bildirin. D\u00fczenli kontrollerinizi asla aksatmay\u0131n.<\/li>\n<\/ul>\n<h2 class=\"accordion_title\"><span class=\"ez-toc-section\" id=\"Sikca_Sorulan_Sorular\"><\/span>S\u0131k\u00e7a Sorulan Sorular<span class=\"ez-toc-section-end\"><\/span><\/h2><div class=\"accordion\">\n\t<div id=\"accordion-3087254235\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3087254235-label\" class=\"accordion-title plain\" href=\"#accordion-item-takayasu-arteriti-nedir?\" aria-expanded=\"false\" aria-controls=\"accordion-3087254235-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Takayasu_arteriti_nedir\"><\/span>Takayasu arteriti nedir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3087254235-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3087254235-label\" >\n\t\t\t\n<p>B\u00fcy\u00fck damarlar\u0131, \u00f6zellikle aort ve dallar\u0131n\u0131 tutan kronik, iltihapl\u0131 bir damar hastal\u0131\u011f\u0131d\u0131r. Genellikle gen\u00e7 kad\u0131nlarda g\u00f6r\u00fcl\u00fcr.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3274347171\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3274347171-label\" class=\"accordion-title plain\" href=\"#accordion-item-bu-hastal\u0131k-neden-olur?\" aria-expanded=\"false\" aria-controls=\"accordion-3274347171-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Bu_hastalik_neden_olur\"><\/span>Bu hastal\u0131k neden olur?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3274347171-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3274347171-label\" >\n\t\t\t\n<p>Nedeni tam olarak bilinmez; otoimm\u00fcn mekanizmalar ve genetik yatk\u0131nl\u0131k \u00f6nemli rol oynar.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1345422075\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1345422075-label\" class=\"accordion-title plain\" href=\"#accordion-item-en-s\u0131k-kimlerde-g\u00f6r\u00fcl\u00fcr?\" aria-expanded=\"false\" aria-controls=\"accordion-1345422075-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"En_sik_kimlerde_gorulur\"><\/span>En s\u0131k kimlerde g\u00f6r\u00fcl\u00fcr?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1345422075-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1345422075-label\" >\n\t\t\t\n<p>40 ya\u015f alt\u0131 kad\u0131nlarda, \u00f6zellikle Asya k\u00f6kenli bireylerde daha yayg\u0131nd\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-767025084\" class=\"accordion-item\">\n\t\t<a id=\"accordion-767025084-label\" class=\"accordion-title plain\" href=\"#accordion-item-takayasu-arteriti-bula\u015f\u0131c\u0131-m\u0131d\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-767025084-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Takayasu_arteriti_bulasici_midir\"><\/span>Takayasu arteriti bula\u015f\u0131c\u0131 m\u0131d\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-767025084-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-767025084-label\" >\n\t\t\t\n<p>Hay\u0131r, bu hastal\u0131k bula\u015f\u0131c\u0131 de\u011fildir; ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin damarlar\u0131 hedef almas\u0131yla olu\u015fur.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4112967328\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4112967328-label\" class=\"accordion-title plain\" href=\"#accordion-item-hangi-damarlar-etkilenir?\" aria-expanded=\"false\" aria-controls=\"accordion-4112967328-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Hangi_damarlar_etkilenir\"><\/span>Hangi damarlar etkilenir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-4112967328-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4112967328-label\" >\n\t\t\t\n<p>Aort ve onun dallar\u0131 (subklavian, karotis, renal arterler) en s\u0131k etkilenen damarlard\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3738776844\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3738776844-label\" class=\"accordion-title plain\" href=\"#accordion-item-belirtileri-nelerdir?\" aria-expanded=\"false\" aria-controls=\"accordion-3738776844-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Belirtileri_nelerdir\"><\/span>Belirtileri nelerdir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3738776844-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3738776844-label\" >\n\t\t\t\n<p>Kol ve bacaklarda uyu\u015fma, yorgunluk, ba\u015f d\u00f6nmesi, tansiyon fark\u0131, nab\u0131zs\u0131zl\u0131k ve g\u00f6rme bozukluklar\u0131 g\u00f6r\u00fclebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-89222297\" class=\"accordion-item\">\n\t\t<a id=\"accordion-89222297-label\" class=\"accordion-title plain\" href=\"#accordion-item-bu-hastal\u0131\u011f\u0131n-tan\u0131s\u0131-nas\u0131l-konur?\" aria-expanded=\"false\" aria-controls=\"accordion-89222297-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Bu_hastaligin_tanisi_nasil_konur\"><\/span>Bu hastal\u0131\u011f\u0131n tan\u0131s\u0131 nas\u0131l konur?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-89222297-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-89222297-label\" >\n\t\t\t\n<p>Kan testleri (CRP, ESR), BT anjiyografi, MR anjiyografi ve PET-BT gibi g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri ile te\u015fhis edilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-326661574\" class=\"accordion-item\">\n\t\t<a id=\"accordion-326661574-label\" class=\"accordion-title plain\" href=\"#accordion-item-tedavisi-var-m\u0131d\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-326661574-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Tedavisi_var_midir\"><\/span>Tedavisi var m\u0131d\u0131r?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-326661574-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-326661574-label\" >\n\t\t\t\n<p>Evet, imm\u00fcnos\u00fcpresif ila\u00e7larla (kortizon, metotreksat vb.) iltihap bask\u0131lanabilir. Gerekirse damar a\u00e7\u0131c\u0131 cerrahiler yap\u0131l\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1472062376\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1472062376-label\" class=\"accordion-title plain\" href=\"#accordion-item-takayasu-arteriti-\u00f6m\u00fcr-boyu-s\u00fcrer-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-1472062376-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Takayasu_arteriti_omur_boyu_surer_mi\"><\/span>Takayasu arteriti \u00f6m\u00fcr boyu s\u00fcrer mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1472062376-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1472062376-label\" >\n\t\t\t\n<p>Kronik bir hastal\u0131kt\u0131r; remisyon ve alevlenme d\u00f6nemleriyle seyredebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2592506089\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2592506089-label\" class=\"accordion-title plain\" href=\"#accordion-item-hamilelikte-takayasu-arteriti-riskli-midir?\" aria-expanded=\"false\" aria-controls=\"accordion-2592506089-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Hamilelikte_Takayasu_arteriti_riskli_midir\"><\/span>Hamilelikte Takayasu arteriti riskli midir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2592506089-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2592506089-label\" >\n\t\t\t\n<p>Evet, kontrols\u00fcz hastal\u0131k annede ve bebekte komplikasyonlara yol a\u00e7abilir. Gebelik \u00f6ncesi planlama \u00f6nemlidir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1826358121\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1826358121-label\" class=\"accordion-title plain\" href=\"#accordion-item-cerrahi-tedavi-gerekir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-1826358121-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Cerrahi_tedavi_gerekir_mi\"><\/span>Cerrahi tedavi gerekir mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1826358121-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1826358121-label\" >\n\t\t\t\n<p>Damar t\u0131kan\u0131kl\u0131\u011f\u0131 ciddi ise bypass veya stent gibi cerrahi i\u015flemler gerekebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3974544959\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3974544959-label\" class=\"accordion-title plain\" href=\"#accordion-item-bu-hastal\u0131k-g\u00f6rmeyi-etkiler-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-3974544959-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Bu_hastalik_gormeyi_etkiler_mi\"><\/span>Bu hastal\u0131k g\u00f6rmeyi etkiler mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3974544959-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3974544959-label\" >\n\t\t\t\n<p>G\u00f6z damarlar\u0131n\u0131n tutulmas\u0131 sonucu g\u00f6rme kayb\u0131 geli\u015febilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-871009519\" class=\"accordion-item\">\n\t\t<a id=\"accordion-871009519-label\" class=\"accordion-title plain\" href=\"#accordion-item-egzersiz-yapmak-g\u00fcvenli-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-871009519-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Egzersiz_yapmak_guvenli_mi\"><\/span>Egzersiz yapmak g\u00fcvenli mi?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-871009519-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-871009519-label\" >\n\t\t\t\n<p>Hafif egzersizler faydal\u0131 olabilir; ancak alevlenme d\u00f6nemlerinde dinlenme gerekir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-776190547\" class=\"accordion-item\">\n\t\t<a id=\"accordion-776190547-label\" class=\"accordion-title plain\" href=\"#accordion-item-ya\u015fam-kalitesi-nas\u0131l-etkilenir?\" aria-expanded=\"false\" aria-controls=\"accordion-776190547-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Yasam_kalitesi_nasil_etkilenir\"><\/span>Ya\u015fam kalitesi nas\u0131l etkilenir?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-776190547-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-776190547-label\" >\n\t\t\t\n<p>Do\u011fru tedavi ve d\u00fczenli takip ile bir\u00e7ok hasta normal ya\u015fam s\u00fcrebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3048292780\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3048292780-label\" class=\"accordion-title plain\" href=\"#accordion-item-hangi-uzmanlar-takip-eder?\" aria-expanded=\"false\" aria-controls=\"accordion-3048292780-content\" >\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Hangi_uzmanlar_takip_eder\"><\/span>Hangi uzmanlar takip eder?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3048292780-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3048292780-label\" >\n\t\t\t\n<p>Romatoloji, kardiyoloji, damar cerrahisi ve n\u00f6roloji uzmanlar\u0131 birlikte \u00e7al\u0131\u015f\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Takayasu arteriti, b\u00fcy\u00fck damarlar\u0131 tutan kronik, inflamatuvar bir hastal\u0131kt\u0131r ve \u00f6zellikle aort ile ana dallar\u0131nda daralma, t\u0131kanma veya anevrizma geli\u015fmesine yol a\u00e7ar. Genellikle gen\u00e7 kad\u0131nlarda g\u00f6r\u00fcl\u00fcr ve nedeni tam olarak bilinmemekle birlikte otoimm\u00fcn mekanizmalar rol oynar. Takayasu arteriti belirtileri aras\u0131nda halsizlik, ate\u015f, kilo kayb\u0131 gibi sistemik semptomlar ile kol a\u011fr\u0131s\u0131, nab\u0131z zay\u0131fl\u0131\u011f\u0131, tansiyon fark\u0131 ve [&#8230;]\n","protected":false},"author":7,"featured_media":9603,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[234],"tags":[],"class_list":["post-11061","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11061","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/comments?post=11061"}],"version-history":[{"count":3,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11061\/revisions"}],"predecessor-version":[{"id":12795,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/11061\/revisions\/12795"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media\/9603"}],"wp:attachment":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media?parent=11061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/categories?post=11061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/tags?post=11061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}