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<\/p>\nProf. Dr. Sibel Mercan<\/p>\n<\/div>\n
KADINLAR DEPRESYONA DAHA YATKIN<\/strong><\/p>\n D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc verilerine g\u00f6re depresyon en fazla i\u015flev yitimine yol a\u00e7an ilk be\u015f hastal\u0131k aras\u0131nda yer almaktad\u0131r. Yap\u0131lan ara\u015ft\u0131rmalarda ya\u015fam boyu depresyon g\u00f6r\u00fclme oran\u0131 kad\u0131nlarda y\u00fczde10-26 erkeklerde ise y\u00fczde 3-12 olarak rapor edilmektedir. Bir\u00e7ok ki\u015fi hastal\u0131\u011f\u0131 doktora ba\u015fvurmadan, ila\u00e7 kullanmadan atlatmaya \u00e7al\u0131\u015fmakta ve bu nedenle e\u015flik eden hastal\u0131klarda ve intihar oranlar\u0131nda art\u0131\u015f dikkati \u00e7ekmektedir. Tedavi edilmeyen depresyonun kendili\u011finden ortadan kalkmas\u0131 i\u00e7in 6-24 ay ge\u00e7mesi gerekir. Hastalar\u0131n y\u00fczde 10’unda ise bu s\u00fcre daha uzundur. Hastalar\u0131n b\u00fcy\u00fck k\u0131sm\u0131 da bedensel yak\u0131nmalarla psikiyatri d\u0131\u015f\u0131 hekimlere ba\u015fvurmakta ya da etraf\u0131ndaki ki\u015filerin ya da eczane \u00e7al\u0131\u015fanlar\u0131n\u0131n \u00f6nerisiyle yeterli psikiyatrik de\u011ferlendirme yap\u0131lmadan antidepresan kullanmaya ba\u015flamaktad\u0131r. Yap\u0131lan ara\u015ft\u0131rmalarda serotonerjik antidepresanlar\u0131n psikiyatristler re\u00e7ete etmeden kullan\u0131lma oran\u0131 y\u00fczde 92’dir.<\/p>\n Bir iki kutu kullan\u0131p kesmenin bir faydas\u0131 olmaz<\/b><\/p>\n Mutluluk hormonu (serotonin) salg\u0131lat\u0131yor d\u00fc\u015f\u00fcncesiyle ba\u015flanan antidepresanlar\u0131n yeterli de\u011ferlendirme yap\u0131lmadan kullan\u0131lmas\u0131 baz\u0131 sak\u0131ncalar\u0131 da beraberinde getirir. \u0130la\u00e7lar d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fc gibi mutluluk vermez, mutsuzlu\u011fu ortadan kald\u0131r\u0131r ancak normal duygu durumu de\u011fi\u015ftirmez. Bu ila\u00e7lar\u0131n etkisinin ortaya \u00e7\u0131kmas\u0131 belli bir dozda ve belli bir s\u00fcre kullan\u0131m\u0131 ile g\u00f6r\u00fcl\u00fcr. Nas\u0131l kullan\u0131laca\u011f\u0131na doktorla g\u00f6r\u00fc\u015ferek karar vermek gerekir. \u0130lac\u0131 ba\u015flamadan \u00f6nce uygun endikasyon olup olmad\u0131\u011f\u0131n\u0131n de\u011ferlendirilmesi \u00f6nemlidir. \u00c7\u00fcnk\u00fc bu ila\u00e7lar uzun s\u00fcre kullan\u0131lmas\u0131 gereken gruptad\u0131r. Bir iki kutu kullan\u0131p kesmenin hastaya faydas\u0131 olmayaca\u011f\u0131 gibi hastal\u0131\u011f\u0131n s\u00fcregenle\u015fmesi ve i\u015flev bozuklu\u011funun devam etmesi ya da intihar riskinin artmas\u0131 gibi sorunlar\u0131 da beraberinde getirece\u011finden bundan Depresyonun nedeni ba\u015fka hastal\u0131klar da olabilir<\/b><\/p>\n Antidepresanlar\u0131n yeterli de\u011ferlendirme yap\u0131lmadan al\u0131nmas\u0131 durumunda ba\u015fka hastal\u0131klar\u0131n zaman\u0131nda te\u015fhis edilmesi de zorla\u015f\u0131r. Ate\u015fi olan hastaya ate\u015f d\u00fc\u015f\u00fcr\u00fcc\u00fc verip nedenini ara\u015ft\u0131rmamak nas\u0131l uzun vadede ba\u015fka sorunlar ortaya \u00e7\u0131kar\u0131rsa yeterince de\u011ferlendirme yapmadan bu ila\u00e7lar\u0131 almak da \u00f6nemli baz\u0131 tan\u0131lar\u0131n atlanmas\u0131na yol a\u00e7ar. Depresyon, bir\u00e7ok hastal\u0131\u011f\u0131 taklit etti\u011fi gibi depresyon gibi gelen ama alt\u0131ndan ciddi bedensel hastal\u0131klar\u0131 \u00e7\u0131kan hastalara da s\u0131kl\u0131kla rastlanmaktad\u0131r. Hormonal d\u00fczensizlik, kans\u0131zl\u0131k ya da baz\u0131 t\u00fcm\u00f6rler depresyonla gelebilmektedir. \u00a0Yine benzer \u015fekilde di\u011fer hastal\u0131klar\u0131n tedavisinde kullan\u0131lan baz\u0131 tansiyon ila\u00e7lar\u0131, hormonlar, antibiyotikler ve alkol vb. \u00a0depresyona yol a\u00e7abilir. Altta yatan ba\u015fka hastal\u0131k olmas\u0131 durumunda bu hastal\u0131\u011fa m\u00fcdahale edilmedi\u011finde kullan\u0131lan depresyon ila\u00e7lar\u0131na yan\u0131t da d\u00fc\u015f\u00fck olmaktad\u0131r.<\/p>\n \u00d6nemli sorunlar ya\u015fanabilir<\/b><\/p>\n B\u00fct\u00fcn bunlardan \u00f6te antidepresan ba\u015fland\u0131ktan sonra yeterli takip yap\u0131lmamas\u0131\u00a0ilaca ba\u011fl\u0131 ortaya \u00e7\u0131kabilecek ba\u015fka baz\u0131 \u00f6nemli\u00a0sorunlar\u0131n da g\u00f6zden ka\u00e7mas\u0131na yol a\u00e7abilir. \u0130laca ba\u011fl\u0131 \u00f6zellikle ya\u015fl\u0131 hastalarda g\u00f6rd\u00fc\u011f\u00fcm\u00fcz sodyum d\u00fc\u015fmesi hayati risk do\u011furabilmektedir. Genetik yatk\u0131n ki\u015filerde antidepresanlar ailede var olan ancak o zamana kadar klinik bulgu vermeyen mani ya da hipomani gibi tablolar\u0131n ortaya \u00e7\u0131kmas\u0131na yol a\u00e7abilir. \u0130la\u00e7lar\u0131n g\u00fcvenlik aral\u0131\u011f\u0131 geni\u015f olmakla birlikte ba\u015fta \u015feker metabolizmas\u0131n\u0131 bozma ya da kalp ritmini etkileme gibi baz\u0131 yan etkileri olabilir. \u00d6zetle kullan\u0131rken hastan\u0131n genel t\u0131bbi durumunu g\u00f6zden ge\u00e7irmek ve ki\u015fiye uygun tedavi plan\u0131 yapmak ve ila\u00e7 se\u00e7mek uzun vadede olas\u0131 yan etkileri \u00f6nlemek a\u00e7\u0131s\u0131ndan \u00f6nemlidir. B\u00fct\u00fcn bu nedenlerle yetkin olmayan ki\u015filer taraf\u0131ndan \u00f6nerilen antidepresan kullan\u0131m\u0131ndan ka\u00e7\u0131nmak gerekir.<\/p>\n","protected":false},"excerpt":{"rendered":" Antidepresanlar\u0131n genellikle e\u015f-dost tavsiyesiyle kullan\u0131ld\u0131\u011f\u0131n\u0131 belirten Psikiyatri Uzman\u0131 Prof. Dr. Sibel Mercan, \u2018\u2018Ancak bu b\u00fcy\u00fck bir hata. \u00c7\u00fcnk\u00fc s\u00f6z konusu ila\u00e7lar hem ciddi yan etkilere yol a\u00e7abilir hem de altta yatan ba\u015fka hastal\u0131klar\u0131n te\u015fhisini zorla\u015ft\u0131rabilir\u2019\u2019 dedi.<\/p>\n","protected":false},"author":1,"featured_media":79726,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[3116,955,3115,181,10829],"class_list":["post-79725","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-antidepresan","tag-bazi","tag-depresyon","tag-hastalik","tag-ilaclar"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/79725","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=79725"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/79725\/revisions"}],"predecessor-version":[{"id":79727,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/79725\/revisions\/79727"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/79726"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=79725"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=79725"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=79725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
ka\u00e7\u0131nmak gerekir.<\/p>\n