{"id":13313,"date":"2014-04-13T02:00:08","date_gmt":"2014-04-12T23:00:08","guid":{"rendered":"http:\/\/www.gncz.net\/migrene-tms-tedavisi.html"},"modified":"2014-04-13T02:00:08","modified_gmt":"2014-04-12T23:00:08","slug":"migrene-tms-tedavisi","status":"publish","type":"post","link":"https:\/\/gncz.net\/index.php\/migrene-tms-tedavisi.html","title":{"rendered":"Migren&#8217;e Tms Tedavisi"},"content":{"rendered":"\n<p>Transkranial Manyetik Stim\u00fclasyonun (TMS) migren a\u011fr\u0131s\u0131ndan sorumlu olan n\u00f6ronal a\u015f\u0131r\u0131 duyarl\u0131l\u0131\u011f\u0131 ortadan kald\u0131rd\u0131\u011f\u0131 b\u00f6ylece migren krizlerine son verdi\u011fi belirlendi.<\/p>\n<p>\nMigren\u2019in de\u011fi\u015fen aral\u0131klarla gelen ve \u015fiddetli a\u011fr\u0131larla karekterize bir ba\u015f a\u011fr\u0131s\u0131 hastal\u0131\u011f\u0131 oldu\u011funu belirten uzmanlar, \u201cBa\u015f a\u011fr\u0131s\u0131 bazen \u00fc\u00e7 G\u00fcn kadar s\u00fcrebilir. Migrenin gerek \u00fclkemizde gerekse di\u011fer \u00fclkelerde meydana getirdi\u011fi i\u015f g\u00fcc\u00fc kayb\u0131n\u0131n ekonomik faturas\u0131 milyarlarca dolard\u0131r. Migren a\u011fr\u0131s\u0131ndan \u00e7e\u015fitli mekanizmalar sorumlu olmakla beraber bug\u00fcn art\u0131k, n\u00f6ronlarda ki a\u015f\u0131r\u0131 hassasiyetin ba\u015fl\u0131ca sebep oldu\u011fu bilinmektedir. Transkranial Manyetik Stim\u00fclasyonun (TMS) migren a\u011fr\u0131s\u0131ndan sorumlu olan n\u00f6ronal a\u015f\u0131r\u0131 duyarl\u0131l\u0131\u011f\u0131 ortadan kald\u0131rd\u0131\u011f\u0131 b\u00f6ylece migren krizlerine son verdi\u011fi son zamanlarda yap\u0131lan bir \u00e7ok bilimsel ara\u015ft\u0131rma ile g\u00f6sterilmi\u015ftir\u201d dedi.<\/p>\n<p>TMS uygulamas\u0131n\u0131n, kriz esnas\u0131nda a\u011fr\u0131y\u0131 ge\u00e7irdi\u011fi gibi aral\u0131klarla uyguland\u0131\u011f\u0131nda a\u011fr\u0131 n\u00f6betlerinin gelmesini de \u00f6nledi\u011fini dile getiren uzmanlar \u015funlar\u0131 kaydettiler; <\/p>\n<p>\u201cMigren ataklar\u0131n\u0131n tedavisinde \u015fimdilerde en \u00e7ok triptanlar kullan\u0131lmaktad\u0131r. Halbuki triptanlar, migrenli hastalar\u0131n y\u00fczde 40 da etkisiz kalmaktad\u0131r. Ayr\u0131ca bu ila\u00e7lar\u0131n kardiovask\u00fcler yan etkileri de mevcuttur. TMS tedavisi bu alanda \u00e7ok g\u00fcvenilir ve yan etkisi olmayan bir uygulamad\u0131r. V\u00fccuda verdi\u011fi manyetik enerji \u00e7ok d\u00fc\u015f\u00fck olup, MRI \u00e7ekimlerinin binde biri kadard\u0131r. Migren hastal\u0131\u011f\u0131, en \u00e7ok aral\u0131klarla gelen gerilim ba\u015f a\u011fr\u0131s\u0131 tablolar\u0131 ile kar\u0131\u015fmaktad\u0131r. Gerilim ba\u015f a\u011fr\u0131lar\u0131nda gerek triptanlar\u0131n gerekse di\u011fer atak \u00f6nleyici ila\u00e7lar\u0131n hi\u00e7bir etkisi olmaz ve i\u015fe yaramazlar. Halbuki TMS hem migren den hem de gerilim ba\u015f a\u011fr\u0131s\u0131ndan kaynaklanan a\u011fr\u0131 ataklar\u0131n\u0131n her ikisini de ortadan kald\u0131rmaktad\u0131r. Di\u011fer taraftan migren a\u011fr\u0131s\u0131 iyice yerle\u015fti\u011fi ve artt\u0131\u011f\u0131 durumlarda atak \u00f6nleyici ila\u00e7lar\u0131n pek faydas\u0131 olmamakta, ki\u015fi a\u011fr\u0131n\u0131n dinmesini b\u00fcy\u00fck \u0131st\u0131raplar i\u00e7inde g\u00fcnlerce beklemektedir. \u0130la\u00e7lara cevap vermeyen b\u00f6yle migren a\u011fr\u0131lar\u0131nda da TMS, a\u011fr\u0131lar\u0131 yat\u0131\u015ft\u0131r\u0131c\u0131 rol oynamaktad\u0131r. Ba\u015fda Ohio olmak \u00fczere pek \u00e7ok \u00fcniversite de TMS\u2019nin migren \u00fczerinde ki etkilerini ara\u015ft\u0131ran \u00e7al\u0131\u015fmalar yap\u0131lm\u0131\u015f ve yukarda anlatt\u0131\u011f\u0131m\u0131z konular\u0131 destekleyen sonu\u00e7lar elde edilmi\u015ftir. Ayr\u0131ca daha \u00f6nce Depresyon tedavisinde FDA onay\u0131 alan TMS tedavisi, 2007 senesinde migren tedavisi i\u00e7in de FDA onay\u0131 alm\u0131\u015ft\u0131r.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Transkranial Manyetik Stim\u00fclasyonun (TMS) migren a\u011fr\u0131s\u0131ndan sorumlu olan n\u00f6ronal a\u015f\u0131r\u0131 duyarl\u0131l\u0131\u011f\u0131 ortadan kald\u0131rd\u0131\u011f\u0131 b\u00f6ylece migren krizlerine son verdi\u011fi belirlendi. Migren\u2019in de\u011fi\u015fen aral\u0131klarla gelen ve \u015fiddetli a\u011fr\u0131larla karekterize bir ba\u015f a\u011fr\u0131s\u0131 hastal\u0131\u011f\u0131 oldu\u011funu belirten uzmanlar, \u201cBa\u015f a\u011fr\u0131s\u0131 bazen \u00fc\u00e7 G\u00fcn kadar s\u00fcrebilir. Migrenin gerek \u00fclkemizde gerekse di\u011fer \u00fclkelerde meydana getirdi\u011fi i\u015f g\u00fcc\u00fc kayb\u0131n\u0131n ekonomik faturas\u0131 milyarlarca dolard\u0131r. Migren a\u011fr\u0131s\u0131ndan \u00e7e\u015fitli mekanizmalar<a class=\"more-link\" href=\"https:\/\/gncz.net\/index.php\/migrene-tms-tedavisi.html\">[Devam\u0131n\u0131 Oku&#8230;]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[22524],"tags":[23402],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13313"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=13313"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13313\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13313"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13313"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}