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Önemli bilgiler veren Doç. Dr Giray Ersöz retinitis Pigmentosa on kesin bir tedavisinin şu anda olmadığını belirterek erken teşhis...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/2340052/2cd2c7048761b3767f17fcd14f21492f/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/kg9pIQIAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"3","reqid":"1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=videoid:17540118424640784905","teaser":[{"list":{"type":"unordered","items":["Bu video, Bruni Üniversitesi Hastanesi göz hastalıkları uzmanı Doç. Dr. Giray Ersöz'ün tavuk karası (retinitis pigmentoza) hastalığı hakkında yaptığı açıklamaları içermektedir.","Video, tavuk karası hastalığının genetik bir hastalık olduğu, erken teşhisin önemi, hastalığın belirtileri, tanı yöntemleri ve mevcut tedavi seçenekleri hakkında detaylı bilgiler sunmaktadır. Doç. Dr. Ersöz, hastalığın ilerleyişini yavaşlatabilecek PRP tedavisi, gen terapisi ve kök hücre tedavisi gibi mevcut tedavi yöntemlerini anlatırken, hastaların sigara içmemesi, Akdeniz tipi beslenme yapması ve antioksidan vitaminlerden zengin gıdalar tüketmesi gibi önleyici önerileri de paylaşmaktadır."]},"endTime":414,"title":"Tavuk Karası Hastalığı Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Tavuk Karası Hastalığı Hakkında Genel Bilgiler","list":{"type":"unordered","items":["Tavuk karası (retinitis pigmentoza) genetik bir hastalık olduğu için tamamen ortadan kaldıracak bir tedavi yoktur.","Erken tanı konan hastalarda kayıp fazla olmadan kalan hücrelerin ölümü yavaşlatılabilir, durdurulabilir ve uyku halindeki hücreler uyandırılabilir.","Tavuk karası, karanlıkta görmeyi sağlayan roth hücrelerinin bir hastalığıdır ve karanlıkta görmeyi sağlayan rot hücrelerindeki genetik bozukluk sonucu ortaya çıkar."]},"beginTime":37,"endTime":117,"href":"/video/preview/17540118424640784905?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=37&ask_summarization=1"},{"index":1,"title":"Hastalığın Özellikleri","list":{"type":"unordered","items":["Hastalığın ilk bulgusu genellikle gece körlüğüdür, ilerleyen evrelerde tünel görüşüne ve periferal görme kaybına, son evresinde ise merkezi görme kaybına neden olur.","Olguların yarısından çoğu kalıtsaldır, genetik bozukluk ebeveynden aktarılmıştır; kalan hastalarda ise genetik bozukluk ilk defa bireyin kendisinde oluşur.","Hastalık kalıtımsal olabileceği için akraba evlilikleri riski arttırmaktadır ve erkeklerde kadınlardan daha fazla görülür."]},"beginTime":117,"endTime":182,"href":"/video/preview/17540118424640784905?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=117&ask_summarization=1"},{"index":2,"title":"Hastalığın Belirtileri ve Tanı","list":{"type":"unordered","items":["Hastaların önemli yakınması gece körlüğüdür, loş ortamlarda bir yere çarpıp düşebilirler ve aydınlıktan karanlığa geçmekte zorlanırlar.","Hastalık önce çevresel görmede bozukluğa neden olur ve zamanla görme alanında şiddetli daralma oluşur, daha ileri durumlarda renk görmede bozukluk ve merkezi görmede kayıp ortaya çıkar.","Tavuk karası tanısı için rutin göz muayenesi, damlalı göz dibi muayenesi, optik koherens tomografisi (OCT) ve elektrofizyolojik testler (ERG, multifokal ERG, EG) uygulanır, ayrıca genetik testlerle de tanı konulabilmektedir."]},"beginTime":182,"endTime":278,"href":"/video/preview/17540118424640784905?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=182&ask_summarization=1"},{"index":3,"title":"Tedavi Yöntemleri","list":{"type":"unordered","items":["Tavuk karası hastalığının tüm tipleri için halihazırda etkinliği insanlarda gösterilmiş ve kullanımda olan tedavilerinden biri PRP (trombositten zengin plazma) tedavisidir.","PRP'nin içindeki büyüme faktörleri hastalığın ilerleyişini yavaşlatabilir, hasarlanmış ama ölmemiş hücrelerin fonksiyonunu iyileştirip görme alanı ve görme düzeyinde artış sağlayabilir.","Kök hücre tedavisinin etkinliği halen araştırma aşamasındadır, ancak tedavi aralıklarının daha uzun olması avantajı vardır; PRP'nin maliyetinin kök hücre tedavisine göre çok düşük olması ise büyük bir avantajıdır."]},"beginTime":278,"endTime":350,"href":"/video/preview/17540118424640784905?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=278&ask_summarization=1"},{"index":4,"title":"Önleme ve Yaşam Tarzı Önerileri","list":{"type":"unordered","items":["415-455 nanometre dalga boyundaki mavi-mor ışığı filtre eden gözlükler, hücre ölümü hızını %25 oranında azaltmaktadır ve özellikle bilgisayar kullanıcıları için kullanılması önerilmektedir.","Antioksidan vitamin A, lutein, karoten, B12, B6, B1, folik asit ve omega-3 içeren yüksek gıdalar ve gıda takviyeleri hastaların ilerleyişini yavaşlatabilir.","Hastaların özellikle sigara içmemesi ve olabildiğince Akdeniz tipi beslenmeye uygun gıdalar tüketmesi önerilmektedir, A vitamininden zengin besinler (kavun, ıspanak, havuç) hastalığın ilerlemesini yavaşlatabilir."]},"beginTime":350,"endTime":410,"href":"/video/preview/17540118424640784905?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=350&ask_summarization=1"}],"linkTemplate":"/video/preview/17540118424640784905?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Doç.dr. giray ersöz makalesi - retinitis pigmentosa hakkında önemli bilgiler","related_orig_text":"Doç. 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Ardından katarakt ameliyat türleri (fako emülsifikasyon, lazer ve ekstra kapsüller katarakt ameliyatı) anlatılıyor. Ameliyatın nasıl yapıldığı, mercek türleri (tek odaklı, monofokal plus, akıllı mercekler) ve ameliyat sonrası bakım detayları paylaşılıyor. 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Dr. Ersöz, 2020 Kasım ayından beri dünya çapında vida ilacının üretimi konusundaki sorunları, Türkiye'ye yılda 50-60 adet paket ilaçın gelmesi ve hastaların bu ilacı temin etme çabalarını açıklıyor. Ayrıca, ilacın karaborsada satılmaması gerektiği, hastaların kullanmaması gereken ilaçlar (steroidler, bitkisel ilaçlar, bazı burun spreyleri, performans arttırıcı ilaçlar) ve ilacı gelen hastaların ilacı devretme süreci hakkında bilgiler veriyor."]},"endTime":362,"title":"SSR Hastalığında Vida İlacının Temini ve Kullanımı","beginTime":0}],"fullResult":[{"index":0,"title":"SSR Hastalığı ve Tedavisi","list":{"type":"unordered","items":["Doçent Dr. Giray Ersöz, SSR hastalığında kullanılan ilacın temini konusunda soruları cevaplayacak.","SSR hastalığının en etkin tedavisi fotodinamik tedavi (soğuk lazer) olup, bu tedavi için vida damar yolundan verilen bir ilaç gerekiyor.","Kasım 2020'den beri tüm dünyada vida üretimi konusunda sıkıntı yaşanıyor ve Türkiye'ye yılda sadece 50-60 paket ilaç gelebiliyor."]},"beginTime":1,"endTime":52,"href":"/video/preview/17389824837382975027?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=1&ask_summarization=1"},{"index":1,"title":"İlaç Temini Sorunları","list":{"type":"unordered","items":["Hastalar yurtdışındaki akrabaları vasıtasıyla ilacı alıp getirmeye çalışıyor ancak çoğu ilaç alamıyor.","Yurt dışından ilaç temin edenlerin gümrükte ilaçlarına el konuluyor ve karaborsaya düşmüş durumda.","Karaborsadaki ilaçların güvenilirliği çok önemli olmadığı için kesinlikle alınmamalı."]},"beginTime":52,"endTime":98,"href":"/video/preview/17389824837382975027?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=52&ask_summarization=1"},{"index":2,"title":"İlaç Temini Süreci","list":{"type":"unordered","items":["En son altı ay önce ilaç gelmiş ve hastaların bazıları ilaç temin etmişti.","O dönemde ilacı getiren distribütör firma üzerinden başvuru yapılıyordu ve ilaç geldiğinde sıraya göre hastalar aranıyordu.","İlaç gelene kadar eşik altı lazer uygulanmış ve iyileşen hastalar ilaçlarını devretmek istemişlerdi."]},"beginTime":98,"endTime":190,"href":"/video/preview/17389824837382975027?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=98&ask_summarization=1"},{"index":3,"title":"Güncel Başvuru Süreci","list":{"type":"unordered","items":["Şu anki başvuru süreci distribütör firma üzerinden değil, direkt Türkiye Eczacılar Birliği üzerinden yapılıyor.","Başvuru sürecinde öncelikle SSR konusunda uzman bir doktor tarafından hastanın ilacına ihtiyaç olduğuna dair rapor çıkarılıyor.","İlaçın ihracat ücretini hastalar yatırıyor, sıraya giriyor ve beklemeye başlıyorlar."]},"beginTime":190,"endTime":260,"href":"/video/preview/17389824837382975027?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=190&ask_summarization=1"},{"index":4,"title":"SSR Hastalarının Kullanmaması Gereken İlaçlar","list":{"type":"unordered","items":["SSR hastalarının steroid (kortizon) içeren hiçbir ilacı kullanmaması gerekiyor, cilt kremi, burun spreyi, hap veya damardan verilecek ilaç şeklinde olursa da.","Hastaların ne olduğunu bilmedikleri hiçbir ilacı, özellikle eczaneden alınmamış bitkisel ilaçları veya ilaç benzeri takviyeleri kullanmamaları öneriliyor.","Kortizonlu burun spreyleri dışında diğer burun açıcı spreylerin de kullanılması tehlikeli olabiliyor, sadece okyanus suyu benzeri serum veya fizyolojik benzeri burun spreyleri kullanılabilir."]},"beginTime":260,"endTime":341,"href":"/video/preview/17389824837382975027?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=260&ask_summarization=1"}],"linkTemplate":"/video/preview/17389824837382975027?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Visudyne (Fotodinamik tedavi ilacı, SSR ilacı) Nasıl Temin Edilir?","related_orig_text":"Doç. 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Hastalığın özellikle genç-orta yaş erkeklerde görüldüğü, steroid kullanımı, stresli kişilik yapısı, hipermetropi, gebelik ve sigara kullanımı gibi risk faktörleri olduğu anlatılmaktadır. Tedavi yöntemleri arasında fotodinamik tedavi, eşik altı lazerler ve göz içi enjeksiyonlar gibi seçenekler ele alınmakta, ayrıca hastaların stresten uzak durması ve kortizonlu ilaç kullanımından kaçınması önerilmektedir."]},"endTime":401,"title":"Santral Retinopati (SSR) Hastalığı Hakkında Bilgilendirme","beginTime":0}],"fullResult":[{"index":0,"title":"Santral Retinopati Hastalığı Nedir?","list":{"type":"unordered","items":["Santral retinopati hastalığı (SSR), retinanın altındaki koroid dokusundan retinanın altına sıvı sızması sonucu oluşan bir hastalıktır.","Bu hastalık halk arasında \"strese bağlı görme noktasında ödem\" olarak da bilinmektedir.","SSR hastalığı genellikle genç-orta yaş erkek hastalarda görülür ve erkeklerde kadınlara göre üç kat daha fazla görülmektedir."]},"beginTime":1,"endTime":69,"href":"/video/preview/8966529081349949722?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=1&ask_summarization=1"},{"index":1,"title":"SSR Hastalığının Risk Faktörleri","list":{"type":"unordered","items":["Steroid içerikli ilaç kullanmak (burun spreyleri, hap, burundan alınan ilaçlar) SSR hastalığının en önemli risk faktörlerindendir.","Stresli ve mükemmelliyetçi kişilik yapısı, hipermetrop olmak, kadınlarda gebelik ve sigara kullanımı da risk faktörleridir.","Uykusuzluk, gece çalışmaları ve kafein tüketimi de hastalık riskini arttıran faktörlerdir."]},"beginTime":69,"endTime":124,"href":"/video/preview/8966529081349949722?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=69&ask_summarization=1"},{"index":2,"title":"SSR Hastalığının Neden Oluştuğu ve Tehlikeleri","list":{"type":"unordered","items":["SSR hastalığı, dışarıdan kortizon alımına bağlı veya stresli kişilerde vücuttaki kortizon üretiminin fazla olmasına bağlı koroid dokusundan retina altına sıvı sızdırılması sonucu ortaya çıkar.","İlk atak sırasında yüzde elli oranında kendiliğinden iyileşebilen bir hastalıktır ve kendiliğinden iyileşen hastalarda genelde görme kaybı yaratmaz.","Hastalığın kronikleştiği veya nükslerle kronikleştiği hastalarda ciddi görme kayıpları oluşabilir."]},"beginTime":124,"endTime":197,"href":"/video/preview/8966529081349949722?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=124&ask_summarization=1"},{"index":3,"title":"SSR Hastalığının Tedavisi","list":{"type":"unordered","items":["Hastalık ilk atak esnasında kendinden iyileşebilmektedir ve sıvının seviyesine göre bir ay, iki ay veya üç ay sıvının geçmesi beklenebilir.","Etkisi kanıtlanmış en etkin tedavi yöntemi fotodinamik tedavidir; damardan vertoporfrin enjekte edildikten sonra fotodinamik lazer tedavisi uygulanır ve etkinliği yüzde doksanbeş civarındadır.","2020 yılından beri vertapur frin etken maddeli ilacın üretiminde ciddi bir sıkıntı yaşanmaktadır ve üretimi durma aşamasına gelmiştir."]},"beginTime":197,"endTime":272,"href":"/video/preview/8966529081349949722?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=197&ask_summarization=1"},{"index":4,"title":"Alternatif Tedavi Yöntemleri","list":{"type":"unordered","items":["Fotodinamik tedavi uygulanamayan hastalara ikinci sırada eşik altı lazerler (micropass lazer, liminal lazer, sub-threshold lazer) uygulanabilir.","Eşik altı lazerler dokuya zarar vermeden sızıntı alanındaki sızıntının azalmasına ve retina pigment epital hücrelerinin sıvıyı çekmesine yarayan bir tedavi yöntemidir.","Damla ve hap tedavileri, göz içi enjeksiyonları da uygulanabilir ancak etkinliklerinin kanıt düzeyi orta düzeydedir ve hastalığın tedavisinde yüzde yüz etkin değildir."]},"beginTime":272,"endTime":360,"href":"/video/preview/8966529081349949722?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=272&ask_summarization=1"},{"index":5,"title":"SSR Hastalarına Öneriler","list":{"type":"unordered","items":["SSR hastalarına stresten uzak durmaları önerilmektedir.","İlk atak sırasında hastalara on gün kadar bulundukları ortamdan uzaklaşmaları ve tatil yapmaları tavsiye edilmektedir.","Kortizonlu ilaç kullanımından (steroid içeren burun damlası, hap) uzak durmaları önerilmektedir."]},"beginTime":360,"endTime":395,"href":"/video/preview/8966529081349949722?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=360&ask_summarization=1"}],"linkTemplate":"/video/preview/8966529081349949722?parent-reqid=1765375300538687-9927562246207785963-balancer-l7leveler-kubr-yp-klg-167-BAL&text=Do%C3%A7.+Dr.+M.+Giray+Ers%C3%B6z&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Santral Seröz Retinopati (Santral Seröz Koryoretinopati-SSKR) Nedir? 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