Ge\u00e7en aylarda zay\u0131flama amac\u0131yla yapt\u0131rd\u0131klar\u0131 mide botoksu sonras\u0131 yo\u011fun bak\u0131ml\u0131k olan hatta hayat\u0131n\u0131 kaybeden hastalarla g\u00fcndeme gelen \u2018botulismus\u2019 yani botoks zehirlenmesi, \u00f6zellikle yaz aylar\u0131nda terleme, k\u0131r\u0131\u015f\u0131kl\u0131k giderme ya da di\u011fer ama\u00e7larla yapt\u0131r\u0131lan kozmetik ama\u00e7l\u0131 botoks sonras\u0131 da geli\u015febiliyor. Bunun en b\u00fcy\u00fck nedeni ise ya kullan\u0131lan botoksun ka\u00e7ak olmas\u0131 ya da g\u00fczellik merkezi hatta kuaf\u00f6r salonlar\u0131 gibi hekim d\u0131\u015f\u0131 uygulamalarda ya\u015fanan art\u0131\u015f olarak g\u00f6steriliyor.<\/p>\n
Sancaktepe Prof. Dr. \u0130lhan Varank E\u011fitim ve Ara\u015ft\u0131rma Hastanesi N\u00f6roloji Klinik \u015eefi Do\u00e7. Dr. Serkan Demir, botoks zehirlenmesine ba\u011fl\u0131 son 1,5 y\u0131lda 7 hasta yat\u0131rd\u0131klar\u0131n\u0131 ve bunlardan ikisinin mide botoksu di\u011ferlerinin terleme veya di\u011fer kozmetik sebeplerle botoks yat\u0131ran hastalar oldu\u011funu s\u00f6yledi.<\/p>\n
Do\u00e7. Dr. Demir, \u201cBotulismus, n\u00f6rolojik acillerin ba\u015f\u0131nda gelen bir tablo. 20 y\u0131ll\u0131k meslek hayat\u0131mda son 1.5 y\u0131lda g\u00f6rd\u00fc\u011f\u00fcm kadar botoks zehirlenmesi vakas\u0131 g\u00f6rmedim. Bu art\u0131\u015f\u0131n merdiven alt\u0131 dedi\u011fimiz hekim olmayan, botoks sertifikas\u0131 olmayan ki\u015filerce yap\u0131l\u0131yor olmas\u0131na ba\u011fl\u0131 oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorum. Asla ehil olmayan ellerde yap\u0131lmamas\u0131 gerekiyor. Klinik ortam\u0131nda, sertifikal\u0131 bir hekim taraf\u0131ndan ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019ndan onayl\u0131 \u00fcr\u00fcnlerle yap\u0131lmal\u0131\u201d dedi.<\/p>\n
\u201cBAZILARINA PANZEH\u0130R\u0130 VERMEK ZORUNDA KALDIK\u201d<\/strong><\/p>\n Do\u00e7. Dr. Demir, \u201c\u00d6zellikle yaz aylar\u0131nda a\u015f\u0131r\u0131 terlemeden rahats\u0131z olanlarda \u2018botulinum toksin\u2019 yani botoks uygulamas\u0131 art\u0131yor. Asl\u0131nda bir tedavi metodu botoks. Spastisite dedi\u011fimiz kas sertliklerinde, inme sonras\u0131 ya da serebral palsi\u2019li \u00e7ocuklarda, istemsiz y\u00fcz kas\u0131lmalar\u0131nda, g\u00f6z kas\u0131lmalar\u0131nda, migrende, \u015fa\u015f\u0131l\u0131kta, di\u015f s\u0131kma dedi\u011fimiz rahats\u0131zl\u0131kta, a\u015f\u0131r\u0131 t\u00fck\u00fcr\u00fck salg\u0131latan hastal\u0131klarda (t\u00fck\u00fcr\u00fck bezlerine) botoks uygulamas\u0131 yap\u0131l\u0131yor. Bunun d\u0131\u015f\u0131nda kozmetik alanda kullan\u0131lanlar\u0131 hepimiz biliyoruz, k\u0131r\u0131\u015f\u0131kl\u0131k tedavisi gibi. Son d\u00f6nemlerde botoks uygulamalar\u0131na ba\u011fl\u0131 zehirlenme vakalar\u0131 s\u0131k\u00e7a bildirilmeye ba\u015fland\u0131. Bizim klini\u011fimizde de son 1.5 y\u0131ld\u0131r 7 hasta yatt\u0131 bu sebeple. Yak\u0131n takip ettik. Baz\u0131lar\u0131na botulinum toksin panzehiri gibi antitoksin tedavileri de uygulad\u0131k\u201d dedi.<\/p>\n \u201cDOZDAN BA\u011eIMSIZ ZEH\u0130RLENME DE G\u00d6R\u00dcLEB\u0130L\u0130YOR\u201d<\/strong><\/p>\n Botoks zehirlenmesinin n\u00f6rolojik acillerin ba\u015f\u0131nda geldi\u011fini de vurgulayan Do\u00e7. Dr. Demir, \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201c\u0130lerleyici kas zafiyetiyle solunum kaslar\u0131n\u0131n fel\u00e7 olmas\u0131na, \u00f6l\u00fcme kadar g\u00f6t\u00fcrebilecek bir tabloya yol a\u00e7abilir. Bu sebeple b\u00f6yle \u00f6nemli bir tedavi, b\u00f6yle \u00f6nemli bir toksin uygulamas\u0131n\u0131n merdiven alt\u0131 yerlerde yapt\u0131r\u0131lmamas\u0131 gerekir. G\u00fczellik merkezi gibi ehil olmayan ellerde, sertifikal\u0131 olmayan ellerde bu uygulamalar\u0131 yapt\u0131r\u0131rsan\u0131z, yan etki kar\u015f\u0131s\u0131nda muhatap bulamayabilirsiniz. 20 y\u0131la yak\u0131n hekimlik hayat\u0131mda 1. 5 sene \u00f6ncesine kadar sadece bir kez botoks zehirlenmesi vakas\u0131 g\u00f6rm\u00fc\u015ft\u00fcm. Son 1.5 y\u0131ld\u0131r 7 vaka g\u00f6rd\u00fcm. Bu da ehil olmayan ellerde, merdiven alt\u0131 diye tabir etti\u011fimiz yerlerde botoks uygulamas\u0131n\u0131n yap\u0131lmas\u0131yla ilgili gibi duruyor. Kozmetik ama\u00e7l\u0131 uygulanan botoks uygulamalar\u0131 sadece k\u0131r\u0131\u015f\u0131kl\u0131k i\u00e7in de\u011fil, koltuk alt\u0131 terlemesi, el terlemesi gibi bir\u00e7ok durumda da kullan\u0131l\u0131r. Bizim g\u00f6rd\u00fc\u011f\u00fcm\u00fcz vakalarda kimisi doz ili\u015fkili olsa da baz\u0131 vakalarda doz ili\u015fkili olmad\u0131\u011f\u0131n\u0131 da g\u00f6rd\u00fck. Bu vakalar\u0131n baz\u0131lar\u0131 mide botoksu gibi, herhangi bir tan\u0131 tedavi k\u0131lavuzunda olmayan, onay\u0131 bulunmayan, bir zay\u0131flama metodu olarak baz\u0131 ki\u015filerce ortaya at\u0131lan bu tedavi metodunu kullanm\u0131\u015flard\u0131r. Baz\u0131lar\u0131na yo\u011fun bak\u0131m takibi gerekti, hatta bu hastalardan baz\u0131lar\u0131n\u0131n da hayat\u0131n\u0131 kaybetti\u011fini \u00f6\u011frenmi\u015f bulunmaktay\u0131z ne yaz\u0131k ki.\u201d<\/p>\n \u201c\u00dcR\u00dcN\u00dcN MEN\u015eE\u0130 VE ONAYLI OLUP OLMAMASINA BAKIN\u201d<\/strong><\/p>\n Botoks kullan\u0131m\u0131n\u0131n \u00e7ok artmas\u0131na ba\u011fl\u0131 olarak piyasada \u00e7ok fazla \u00fcr\u00fcn\u00fcn de bulundu\u011funa i\u015faret eden Do\u00e7. Dr. Demir, botoks yapt\u0131rmadan \u00f6nce dikkat edilmesi gereken noktalar\u0131 ise \u015f\u00f6yle s\u0131ralad\u0131:<\/p>\n \u201c\u015eu anda piyasada bir\u00e7ok botulinum toksin i\u00e7eren \u00fcr\u00fcnler bulunmakta \u00a0Bunlar\u0131n kimi Amerikan men\u015feili, kimi Kore men\u015feili, kimi \u0130ran men\u015feili. \u00dcr\u00fcn\u00fcn men\u015feinin yan\u0131 s\u0131ra uygulayan ki\u015finin ehil olmas\u0131 \u00a0\u00e7ok \u00f6nemli. \u00a0Kozmetik ama\u00e7l\u0131 botoks uygulamas\u0131 yapt\u0131racaksan\u0131z ehil ellerde sertifikal\u0131 ellerde bu ki\u015finin uzmanlar\u0131na bu giri\u015fimleri yapt\u0131rman\u0131z\u0131 \u00f6neririz. Farkl\u0131 sebeplerden dolay\u0131 bir botoks uygulamas\u0131 yapt\u0131racaksan\u0131z doktorlardan hangi \u00fcr\u00fcn\u00fcn kulland\u0131\u011f\u0131 bilgisini mutlaka als\u0131nlar. FDA ya da EMA onayl\u0131 ya da Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 onayl\u0131 \u00fcr\u00fcnler kullan\u0131l\u0131yor mu diye mutlaka sorgulas\u0131nlar. E\u011fer onayl\u0131 \u00fcr\u00fcnler kullan\u0131l\u0131yorsa \u00e7ok da fazla korkmaya gerek yok. \u00a0Bu i\u015fin uzman\u0131 sertifikal\u0131 bir birey ise, yan etkilerin g\u00f6r\u00fclme oran\u0131 \u00e7ok d\u00fc\u015f\u00fck olabilir. \u201d<\/p>\n \u201cKAS HASTALI\u011eI VE SOLUNUM YETMEZL\u0130\u011e\u0130 OLANLAR \u00c7OK D\u0130KKATL\u0130 OLMALI\u201d<\/strong><\/p>\n Kozmetik ama\u00e7l\u0131 da olsa botoks uygulamalar\u0131n\u0131n bazen altta yatan (uyuyan) nadir baz\u0131 n\u00f6rolojik hastal\u0131klar\u0131 tetikleyebilece\u011fini ya da taklit edebilece\u011fini de kaydeden Do\u00e7. Dr. Demir, s\u00f6zlerini \u015f\u00f6yle noktalad\u0131:<\/p>\n \u201cBaz\u0131 kas hastal\u0131klar\u0131 olan ki\u015filer, solunum yetmezli\u011fi olanlar, bu tarz uygulamalar\u0131 yapt\u0131r\u0131rken \u00e7ok dikkatli olmal\u0131. Myestenia Gravis, Lambert Eaton Miyastenik Sendromu (kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc) gibi baz\u0131 nadir g\u00f6r\u00fclen n\u00f6rolojik hastal\u0131klar var. Bu hastal\u0131klara sahip ki\u015filerin botoks yapt\u0131rmamalar\u0131n\u0131 \u015fiddetle \u00f6neririz. \u00c7ok d\u00fc\u015f\u00fck dozlarda botoks uygulamas\u0131ndan sonra \u00e7ok \u015fiddetli botulismus tablolar\u0131 geli\u015fiyorsa, altta bu hastal\u0131klardan biri var m\u0131 diye de ara\u015ft\u0131r\u0131labilir. Botulismus yani botoks zehirlenmesinin bulgular\u0131ndan da bahsetmek laz\u0131m. Koltuk alt\u0131 botoksu uyguland\u0131ktan sonra, el terlemesi botoksu uyguland\u0131ktan sonra, \u00e7ok nadir oranda baz\u0131 hastalar botulismus olabilmekte. \u00c7ift g\u00f6rme, g\u00f6z kapaklar\u0131nda d\u00fc\u015f\u00fckl\u00fck, a\u011f\u0131z kurulu\u011fu, boyun kaslar\u0131n\u0131 tutamama, idrar tutamama gibi yayg\u0131n kas zafiyetleri \u015feklinde g\u00f6zlenir. Botoks uygulamas\u0131ndan sonra bu \u015fikayetler olursa, mutlaka bir n\u00f6roloji hekimine ba\u015fvurman\u0131z\u0131 \u00f6neririz\u201d (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":" Zay\u0131flama amac\u0131yla yapt\u0131rd\u0131klar\u0131 mide botoksu sonras\u0131 yo\u011fun bak\u0131ml\u0131k olan hatta hayat\u0131n\u0131 kaybeden hastalarla g\u00fcndeme gelen ‘botulismus’ yani botoks zehirlenmesinde art\u0131\u015f g\u00f6r\u00fcl\u00fcyor.<\/p>\n","protected":false},"author":1,"featured_media":112117,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[955,12713,13323,159,1137],"class_list":["post-112116","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-bazi","tag-botoks","tag-botoks-uygulamasi","tag-hasta","tag-kas"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/112116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=112116"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/112116\/revisions"}],"predecessor-version":[{"id":112118,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/112116\/revisions\/112118"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/112117"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=112116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=112116"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=112116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}