{"id":2465,"date":"2024-08-13T20:48:06","date_gmt":"2024-08-13T17:48:06","guid":{"rendered":"https:\/\/yalovasondakika.com.tr\/?p=2465"},"modified":"2024-08-13T20:48:06","modified_gmt":"2024-08-13T17:48:06","slug":"psikiyatrik-ilaclarin-dozu-yaz-aylarinda-duzenlenmeli","status":"publish","type":"post","link":"https:\/\/yalovasondakika.com.tr\/index.php\/2024\/08\/13\/psikiyatrik-ilaclarin-dozu-yaz-aylarinda-duzenlenmeli\/","title":{"rendered":"Psikiyatrik ila\u00e7lar\u0131n dozu yaz aylar\u0131nda d\u00fczenlenmeli!"},"content":{"rendered":"

Ak\u0131l hastal\u0131klar\u0131 bulunanlar\u0131n s\u0131cak havalarda mevt ve hastal\u0131k a\u00e7\u0131s\u0131ndan \u00f6nemli bir risk alt\u0131nda oldu\u011funu belirten\u00a0Psikiyatri Uzman\u0131 Dr. \u00d6\u011fr.\u00a0\u00dcyesi\u00a0Elvan\u00a0\u00c7ift\u00e7i, \u201cAlzheimer, demans, psikoz, \u015fizofreni ve geli\u015fimsel yetersizlikleri bulunan hastalar, \u00e7evresel fark\u0131ndal\u0131k, s\u0131v\u0131 al\u0131m\u0131, g\u00fcnl\u00fck aktivitelerin uygun bi\u00e7imde planlanmas\u0131 yahut uygun k\u0131yafetlerin giyilmesi \u00fczere ahenk sa\u011flayan davran\u0131\u015flar\u0131 ba\u015flatma maharetinden mahrum olabiliyor.\u201d dedi.\u00a0Baz\u0131 psikiyatrik ila\u00e7lar\u0131n terlemeyi bozarak, \u0131s\u0131 at\u0131l\u0131m\u0131n\u0131 azaltt\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izen\u00a0Dr. \u00d6\u011fr.\u00a0\u00dcyesi\u00a0Elvan\u00a0\u00c7ift\u00e7i, \u201cSusuzluk alg\u0131s\u0131, d\u00fczenleme sisteminin \u00e7e\u015fitli d\u00fczeylerindeki ila\u00e7lar taraf\u0131ndan bozulabilir, bu da dehidrasyonun geli\u015fmesine katk\u0131da bulunur. Psikiyatrik ila\u00e7lar\u0131n yaz periyodunda d\u00fczenlenmesinde, psikiyatri hekiminiz ile i\u015f birli\u011finde olman\u0131z gerekir.\u201d uyar\u0131s\u0131nda bulundu.<\/strong><\/p>\n

\u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Psikiyatri Uzman\u0131 Dr. \u00d6\u011fr.\u00a0\u00dcyesi\u00a0Elvan\u00a0\u00c7ift\u00e7i, s\u0131cak havalar\u0131n psikiyatrik sorun ya\u015fayan bireyleri nas\u0131l etkiledi\u011fini anlatt\u0131 ve psikiyatrik ila\u00e7 kullanan bireylerin s\u0131cak havalarda dikkat etmesi gerekenlere de\u011findi.<\/p>\n

Y\u00fcksek s\u0131cakl\u0131klar, psikiyatrik problemler nedeniyle hastaneye m\u00fcracaat say\u0131s\u0131n\u0131 art\u0131r\u0131yor<\/strong><\/p>\n

\u0130klim de\u011fi\u015fikli\u011finin ruh s\u0131hhati \u00fczerindeki tesirlerine ait ara\u015ft\u0131rmalar\u0131n son birka\u00e7 y\u0131lda de\u011ferli \u00f6l\u00e7\u00fcde artt\u0131\u011f\u0131n\u0131 belirten Psikiyatri Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi Elvan \u00c7ift\u00e7i, \u201cIs\u0131ya ba\u011fl\u0131 hastal\u0131k ile psikiyatrik bozukluklar\u0131n geli\u015fme riski ortas\u0131ndaki ba\u011flant\u0131n\u0131n ara\u015ft\u0131r\u0131ld\u0131\u011f\u0131 bir \u00e7al\u0131\u015fmada, psikiyatrik bozukluklar\u0131n olu\u015fma riskinin 4 kata yak\u0131n artt\u0131\u011f\u0131 tespit edildi. \u015eizofreniform bozukluklar, travma sonras\u0131 gerilim bozukluklar\u0131 ve akut gerilim bozuklu\u011fu d\u0131\u015f\u0131ndaki psikiyatrik bozukluklar\u0131n geli\u015fimi ile ba\u011flant\u0131l\u0131yd\u0131. S\u0131cakl\u0131k, psikiyatrik bozukluklar\u0131n artmas\u0131 \u00fczerinde potansiyel bir tehlike olabilece\u011fi sonucuna var\u0131ld\u0131.\u201d dedi.<\/p>\n

1993-2006\u00a0y\u0131llar\u0131 ortas\u0131nda, G\u00fcney Avustralya’da s\u0131cak hava dalgalar\u0131n\u0131n, hastaneye m\u00fcracaatlar ve zihinsel, davran\u0131\u015fsal ve bili\u015fsel bozukluklara atfedilen vefatlar \u00fczerindeki tesirinin ara\u015ft\u0131r\u0131ld\u0131\u011f\u0131 bir \u00f6b\u00fcr ara\u015ft\u0131rmadan bahseden\u00a0Dr. \u00d6\u011fr.\u00a0\u00dcyesi\u00a0Elvan\u00a0\u00c7ift\u00e7i \u015funlar\u0131 s\u00f6yledi:<\/p>\n

\u201cT\u00fcm ak\u0131l hastal\u0131klar\u0131 i\u00e7in 26,7 derecelik ortam s\u0131cakl\u0131\u011f\u0131 e\u015fi\u011finin \u00fczerinde hastaneye m\u00fcracaatlarda y\u00fczde 7,3’l\u00fck bir art\u0131\u015f oldu\u011fu bildirildi. Y\u00fcksek hava s\u0131cakl\u0131klar\u0131n\u0131n demans, ruh hali duygusal bozukluklar\u0131, nevrotik, gerilime ba\u011fl\u0131 ve somatoform bozukluklar, ruhsal geli\u015fim bozukluklar\u0131 ve ya\u015fl\u0131l\u0131k \u00fczere organik hastal\u0131klara ba\u011fl\u0131 hastaneye m\u00fcracaat oranlar\u0131 \u00fczerinde k\u0131ymetli bir tesire sahip oldu\u011fu g\u00f6r\u00fcld\u00fc.<\/p>\n

Ayr\u0131ca ara\u015ft\u0131rmac\u0131lar 65-74 ya\u015f k\u00fcmesindeki \u015fah\u0131slarda ve \u015fizofreni, \u015fizotipal ve sanr\u0131sal bozukluk hastalar\u0131nda ruhsal bozukluklara atfedilen \u00f6l\u00fcmlerde bir art\u0131\u015f g\u00f6zlemlemi\u015ftir. Emsal bi\u00e7imde, Toronto, Kanada’da, y\u00fcksek s\u0131cakl\u0131klar ile zihinsel ve davran\u0131\u015fsal hastal\u0131klarla ba\u011fl\u0131 acil servis ziyaretleri ortas\u0131nda \u015fizofreni, duygudurum ve nevrotik bozukluklara y\u00f6nelik k\u0131ymetli e\u011filimler ile bir m\u00fcnasebet oldu\u011fu rapor edilmi\u015ftir.\u201d<\/p>\n

Psikiyatrik ila\u00e7lar\u0131n yaz periyodunda d\u00fczenlenmesi gerekebilir<\/strong><\/p>\n

Psikiyatri ila\u00e7lar\u0131 kullanan bireylerin yaz mevsiminde doz ayarlamas\u0131 yapmas\u0131 gerekebilece\u011fini lisana getiren\u00a0Psikiyatri Uzman\u0131 Dr. \u00d6\u011fr.\u00a0\u00dcyesi\u00a0Elvan\u00a0\u00c7ift\u00e7i, bu konuda yap\u0131lm\u0131\u015f ara\u015ft\u0131rmalara de\u011findi:<\/p>\n

\u201c1950’den 1984’e kadar New York Eyaleti psikiyatri hastanesindeki vefat datalar\u0131n\u0131 tahlil eden ara\u015ft\u0131rmac\u0131lar, bu periyotta psikiyatri hastalar\u0131n\u0131n s\u0131cak hava dalgas\u0131 s\u0131ras\u0131nda \u00f6lme riskinin genel n\u00fcfusa nazaran iki kat daha fazla oldu\u011funu belirtti. Ayr\u0131yeten, antipsikotik ila\u00e7lar\u0131n geni\u015f \u00e7apta kullan\u0131ma sunulmas\u0131ndan evvel, 1950’lerde vefat riskinin 1980’lere nazaran daha y\u00fcksek oldu\u011funu da g\u00f6zlemledi. Hem psikiyatrik hastal\u0131\u011f\u0131n hem de antipsikotik ila\u00e7 kullan\u0131m\u0131n\u0131n s\u0131cak hava dalgalar\u0131 s\u0131ras\u0131nda artan vefat riskine katk\u0131da bulundu\u011fu sonucuna var\u0131ld\u0131.\u201d<\/p>\n

Antidepresanlar ve antipsikotik ila\u00e7lar\u0131n, monoaminlerin d\u00fczeylerini direkt etkiledi\u011fine dikkat \u00e7eken\u00a0Psikiyatri Uzman\u0131 Dr. \u00d6\u011fr.\u00a0\u00dcyesi\u00a0Elvan\u00a0\u00c7ift\u00e7i, \u201cS\u0131cak hava dalgalar\u0131 s\u0131ras\u0131nda antipsikotik ila\u00e7lar uyumsuz tesirler olu\u015fturabilir. Antikolinerjik ila\u00e7lar yahut antikolinerjik tesirleri olan ila\u00e7lar terlemeyi bozar, \u0131s\u0131 at\u0131l\u0131m\u0131n\u0131 azalt\u0131r, b\u00f6ylelikle kullan\u0131c\u0131lar\u0131n\u0131n s\u0131cak hava dalgalar\u0131na kar\u015f\u0131 savunmas\u0131zl\u0131\u011f\u0131n\u0131 art\u0131r\u0131r. Kimi ila\u00e7lar derideki kan ak\u0131\u015f\u0131n\u0131n azalmas\u0131na, m\u00fcnasebetiyle hipertermiye yani s\u0131cak \u00e7arpmas\u0131na neden olabilir. Antikolinerjik tesirler d\u0131\u015f\u0131nda \u00f6b\u00fcr h\u00fccresel yans\u0131malar ile de \u0131s\u0131 istikrar\u0131 de\u011fi\u015febilir.\u00a0\u00d6zellikle antrenman yapan \u015fah\u0131slarda beden s\u0131cakl\u0131\u011f\u0131n\u0131 de\u011ferli \u00f6l\u00e7\u00fcde art\u0131rabilir. Susuzluk alg\u0131s\u0131, d\u00fczenleme sisteminin \u00e7e\u015fitli d\u00fczeylerindeki ila\u00e7lar taraf\u0131ndan bozulabilir, bu da dehidrasyonun geli\u015fmesine katk\u0131da bulunur. Psikiyatrik ila\u00e7lar\u0131n yaz devrinde d\u00fczenlenmesinde, psikiyatri hekiminiz ile i\u015f birli\u011finde olman\u0131z gerekir.\u201d bi\u00e7iminde konu\u015ftu.<\/p>\n

Alzheimer, demans ve \u015fizofreni hastalar\u0131 s\u0131ca\u011fa kar\u015f\u0131 daha savunmas\u0131z<\/strong><\/p>\n

Genel n\u00fcfusla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, ruh s\u0131hhati hastalar\u0131 ekseriyetle daha makus bir genel s\u0131hhat durumuna sahip oldu\u011funu ve genel olarak berbata gidi\u015f ve vefat oranlar\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 lisana getiren\u00a0Psikiyatri Uzman\u0131 Dr. \u00d6\u011fr. \u00dcyesi Elvan \u00c7ift\u00e7i,\u00a0\u201cAk\u0131l hastal\u0131klar\u0131 olanlar\u0131n s\u0131cak hava dalgalar\u0131 s\u0131ras\u0131nda vefat ve hastal\u0131k a\u00e7\u0131s\u0131ndan \u00f6nemli bir risk alt\u0131nda oldu\u011fu tespit edilmi\u015ftir. Bunun alt\u0131nda yatan nedenler ortas\u0131nda, Alzheimer, demans, psikoz, \u015fizofreni ve geli\u015fimsel yetersizlikler \u00fczere hastalarda, \u00e7evresel fark\u0131ndal\u0131k, s\u0131v\u0131 al\u0131m\u0131, g\u00fcnl\u00fck aktivitelerin uygun bi\u00e7imde planlanmas\u0131 yahut uygun k\u0131yafetlerin giyilmesi \u00fczere ahenk sa\u011flayan davran\u0131\u015flar\u0131 ba\u015flatma marifetinin yetersiz olmas\u0131 g\u00f6steriliyor.\u201d dedi.<\/p>\n

Psikiyatrik ila\u00e7 kullananlar s\u0131cak havalarda bunlara dikkat etmeli!<\/strong><\/p>\n

Ciddi ak\u0131l ve ruh hastal\u0131\u011f\u0131 olan bireylerin \u00e7ok s\u0131ca\u011fa kar\u015f\u0131 savunmas\u0131z olduklar\u0131n\u0131 hat\u0131rlatan\u00a0Dr. \u00d6\u011fr.\u00a0\u00dcyesi\u00a0Elvan\u00a0\u00c7ift\u00e7i, \u201cBir toplum ruh s\u0131hhati merkezinde tedavi g\u00f6ren bireylerde, \u0131s\u0131ya kar\u015f\u0131 hassasiyetle mek\u00e2nsal alaka yayg\u0131nl\u0131\u011f\u0131 inceldi\u011finde, \u0131s\u0131ya kar\u015f\u0131 hassasl\u0131\u011f\u0131n y\u00fcksek oldu\u011fu n\u00fcfus b\u00f6lgelerinde ya\u015fama olas\u0131l\u0131klar\u0131n\u0131n daha y\u00fcksek oldu\u011funu g\u00f6steriyor. Is\u0131 haritalama stratejileri ile hastal\u0131k alevlenmesini \u00f6nlemek ve intihar te\u015febb\u00fcslerini azaltmak i\u00e7in erken ikaz sistemleri kurmak, risk alt\u0131ndaki pop\u00fclasyonlar\u0131n izlenmesi mahall\u00ee \u00f6l\u00e7ekte riskin iletilmesine ve kaynaklar\u0131n hedeflenmesine yard\u0131mc\u0131 olabilir.\u201d dedi.<\/p>\n

Bununla birlikte psikiyatrik ila\u00e7 kullanan \u015fah\u0131slar\u0131n s\u0131cak havalarda dikkat etmesi gerekenlere de\u011finen Psikiyatri Uzman\u0131 Dr. \u00d6\u011fr.\u00a0\u00dcyesi\u00a0Elvan\u00a0\u00c7ift\u00e7i s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n

\u201cPsikiyatrik ila\u00e7 kullanan \u015fah\u0131slar m\u00fcmk\u00fcnse g\u00fcne\u015fin dorukta oldu\u011fu saatlerde d\u0131\u015far\u0131 \u00e7\u0131kmamal\u0131. Su t\u00fcketmek i\u00e7in susuzluk hissi olu\u015fmas\u0131n\u0131 beklememeliler ve s\u0131v\u0131 al\u0131m\u0131na ihtimam g\u00f6stermeliler. S\u0131cak havalarda bilhassa d\u0131\u015f yer aktivitelerinden ve a\u011f\u0131r idmandan ka\u00e7\u0131nmal\u0131lar. D\u0131\u015far\u0131da vakit ge\u00e7irmek i\u00e7in serin ortamlar\u0131 tercih etmeliler. Psikiyatrik ila\u00e7lar\u0131n kendilerini olumsuz etkiledi\u011fini d\u00fc\u015f\u00fcnerek doz azaltma yahut atlama \u00fczere prosed\u00fcrlere ba\u015fvurmamal\u0131lar ve kesinlikle doz ayarlamas\u0131n\u0131 hekimlerine dan\u0131\u015farak yapmal\u0131lar.\u201d<\/p>\n

Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"

Y\u00fcksek s\u0131cakl\u0131klar\u0131n ruh s\u0131hhati \u00fczerinde olumsuz tesirleri oldu\u011funa dikkat \u00e7eken uzmanlar, s\u0131cak havalarda psikiyatrik bozukluklar\u0131n olu\u015fma riskinin yakla\u015f\u0131k 4 kat artt\u0131\u011f\u0131 s\u00f6yl\u00fcyor.<\/p>\n","protected":false},"author":1,"featured_media":2466,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[194,1289,1291,1288,1290],"class_list":["post-2465","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-hastalik","tag-ilaclar","tag-olum","tag-psikiyatrik","tag-risk"],"_links":{"self":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/2465"}],"collection":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=2465"}],"version-history":[{"count":1,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/2465\/revisions"}],"predecessor-version":[{"id":2467,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/2465\/revisions\/2467"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media\/2466"}],"wp:attachment":[{"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=2465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=2465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yalovasondakika.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=2465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}