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Programın devamında telefon, televizyon ve bilgisayar bağımlılığı gibi konuların ele alınacağı belirtilmektedir."]},"endTime":2502,"title":"Çocuk Psikiyatrisi ve Dikkat Eksikliği ve Hiperaktivite Bozukluğu Bilgilendirme Programı","beginTime":0}],"fullResult":[{"index":0,"title":"Çocuk Psikiyatrisi Branşına Giriş","list":{"type":"unordered","items":["Çocuk psikiyatrisi, Türkiye'de son 25-30 yıldır hayatımıza giren ve Siirt için son 3-4 yıldır görünen yeni bir tıp dalıdır.","Yunus Kıllı, Adanalı bir çocuk psikiyatristi olarak 2010 yılında Çukurova Üniversitesi'nden mezun olmuş, Mersin Üniversitesi'nde uzmanlık eğitimini tamamlamış ve yaklaşık 4 aydır Siirt Devlet Hastanesi'nde görev yapmaktadır.","Çocuk psikiyatrisi uzmanı olmak için tıp fakültesi eğitiminden sonra Tıpta Uzmanlık Sınavı'na girip, 4 yıllık çocuk psikiyatrisi eğitimi almaya gerek vardır."]},"beginTime":9,"endTime":143,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=9&ask_summarization=1"},{"index":1,"title":"Çocuk Psikiyatrisi Branşının Kapsamı","list":{"type":"unordered","items":["Çocuk psikiyatrisi uzmanları 0-18 yaş arası hastaları takip eder, 18 yaşından sonra hastalar erişkin psikiyatriye devredilir.","En sık karşılaşılan bozukluklar arasında dikkat eksikliği ve hiperaktivite bozukluğu, karşı karşı gelme bozukluğu, davranış bozuklukları, anksiyete, depresyon, takıntı rahatsızlığı, opsikontis bozukluğu, otizm ve zihinsel gerilikler bulunmaktadır.","Branşın danışmanlık yönü de vardır ve özellikle 0-6 yaş arası çocukların gelişimine dair bilgilendirme sunulur."]},"beginTime":143,"endTime":286,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=143&ask_summarization=1"},{"index":2,"title":"Karşı Karşı Gelme Bozukluğu","list":{"type":"unordered","items":["Karşı karşı gelme bozukluğu, psikiyatri kılavuzlarında (DSM) tanımlanmış bir rahatsızlıktır.","Eskiden yıkıcı davranış bozukluğu olarak adlandırılan bu rahatsızlık, dikkat eksikliği ve davranış bozukluğu ile birlikte ayrılmıştır.","Karşı karşı gelme bozukluğu genellikle kızgın, çabuk kızdırılabilen, öfkeli ve gözdağı veren davranışlarla karakterize olur ve genellikle başka bir rahatsızlıkla birlikte görülür."]},"beginTime":286,"endTime":417,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=286&ask_summarization=1"},{"index":3,"title":"Dikkat Eksikliği ve Hiperaktivite Bozukluğu","list":{"type":"unordered","items":["Dikkat eksikliği ve hiperaktivite bozukluğu (DEHB), çocukluk çağında en sık görülen ruhsal bozukluktur ve dikkat süresinin kısalığı, aşırı hareketlilik ve dürtüsellik semptomlarıyla karakterize olur.","DEHB, nörogelişimsel bir bozukluktur ve beyin gelişim sürecindeki hafif aksaklıklara bağlı olarak ortaya çıkar.","DEHB sadece çocukluk çağına has bir bozukluk değildir; çocukların üçte biri erişkinliğe kadar ağırlaşır, üçte biri devam ederken, üçte birinde semptomlar azalır."]},"beginTime":417,"endTime":537,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=417&ask_summarization=1"},{"index":4,"title":"DEHB'li Çocukların Yaşamında Görüntüsü","list":{"type":"unordered","items":["Hiperaktivite, çocuk karnındayken bile belirgin olabilir; bu çocuklar diğer çocuklara göre daha fazla tekmeliyorlar.","1 yaş civarında yürümeye başladıklarında hiperaktivitenin belirtileri görülebilir.","2-3 yaş arası çocuklar yaşıtlarına göre daha hareketli, hırçın, öfkeli olurlar, kurallara uymada zorlanırlar ve kreşte faaliyetleri tamamlamazlar."]},"beginTime":537,"endTime":607,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=537&ask_summarization=1"},{"index":5,"title":"Dikkat Eksikliği Bozukluğu ve Okul Çağının Önemi","list":{"type":"unordered","items":["Dikkat eksikliği bozukluğu (DB) genellikle okul çağıyla birlikte belirginleşir ve şikayetler arttığı için aileler başvurur.","DB'de dikkat dağınıklığı, aşırı hareketlilik ve öğrenme güçlükleri görülür, bu durum zeka seviyesiyle ilgili değildir.","Dikkat eksikliği yoğun olduğunda çocuk öğrenemeyeceği için zekası geriymiş gibi algılanabilir ve yanıltıcı olabilir."]},"beginTime":618,"endTime":670,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=618&ask_summarization=1"},{"index":6,"title":"Dikkat Eksikliği Bozukluğunun Özellikleri","list":{"type":"unordered","items":["Dikkat eksikliği olan bireyler zihinsel performans gerektiren işleri yapmaktan kaçınır, odaklanamaz ve öğrenme güçlükleri yaşar.","Bu çocuklar daha unutkan olurlar, eşyalarını kaybederler ve ödevlerini unuturlar.","Okul başlangıcında, arkadaşları okuma yazmayı öğrenirken hala harfleri tanımaya çalışan çocuklar ailelerin kuşku duymasına neden olur."]},"beginTime":670,"endTime":736,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=670&ask_summarization=1"},{"index":7,"title":"Dikkat Eksikliği Bozukluğunun Biyolojik Temeli","list":{"type":"unordered","items":["Dikkat eksikliği bozukluğu (DB) biyolojik bir rahatsızlıktır ve beyindeki prefrontal korteks bölgesinde görülen bir sorundur.","Prefrontal korteks, neden-sonuç ilişkisi kurma, problem çözme, odaklanma, dikkat, hafıza ve duyguların kontrolü için önemli bir alandır.","Bu rahatsızlıkta beyinde dopamin adlı hormonun seviyesinin düşük olduğu gözlemlenmiştir."]},"beginTime":736,"endTime":810,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=736&ask_summarization=1"},{"index":8,"title":"Toplumsal Görüş ve Etiketleme Sorunu","list":{"type":"unordered","items":["Toplumda dikkat eksikliği olan çocuklara \"yaramaz\" veya \"geri zekalı\" gibi etiketlerle yaklaşılması yaygındır.","Bu etiketler çocuklara olumsuz etki yapar ve durumu daha da kötüleştirir.","Dikkat eksikliği bozukluğunun varlığı bilindiğinde, öğretmenler ve ebeveynlerin başvurması durumunu olumlu etkiler."]},"beginTime":810,"endTime":861,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=810&ask_summarization=1"},{"index":9,"title":"Dikkat Eksikliği Bozukluğunun Türleri","list":{"type":"unordered","items":["Dikkat eksikliği bozukluğu üç şekilde görülebilir: bileşik tip (hem dikkat eksikliği hem hiperaktivite), yalnızca dikkat eksikliği ve yalnızca hiperaktivite dürtüsellik.","Erkek çocuklarda hiperaktivite daha sık görülürken, kız çocuklarda dikkat eksikliği daha ön plandadır.","En sık görülen tip, ikisinin birlikte olduğu bileşik tipdir."]},"beginTime":861,"endTime":900,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=861&ask_summarization=1"},{"index":10,"title":"Tedavi ve Psikolojik Etkiler","list":{"type":"unordered","items":["Dikkat eksikliği bozukluğu olan çocuklarda %70-80'e varan oranlarda başka psikiyatrik bozukluklar da gelişebilir.","Bu çocukların zeka seviyeleri normal olsa da öğrenme güçlükleri yaşayınca özgüven eksikliği ve depresyon riski artar.","Tedavi edilmezse durum daha ciddi sorunlara neden olabilir."]},"beginTime":900,"endTime":962,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=900&ask_summarization=1"},{"index":11,"title":"Tanı ve Tedavi Süreci","list":{"type":"unordered","items":["Dikkat eksikliği bozukluğu tanısı, çocuk ve ergen psikiyatri uzmanının klinik gözlemiyle konulabilir.","Tanı için aile bilgisi, çocuk gözlemi ve öğretmen formu gibi bilgiler değerlendirilir.","Tedavi aşamasında farmakolojik (ilaç) ve non-farmakolojik (ilaçsız) tedaviler uygulanabilir."]},"beginTime":962,"endTime":1053,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=962&ask_summarization=1"},{"index":12,"title":"İlaç Tedavisinin Önemi","list":{"type":"unordered","items":["Dikkat eksikliği bozukluğunun tedavisi ilaç tedavisidir ve bu tüm dünyada kabul edilen bir yöntemdir.","Bu rahatsızlıkta çocuğun beyninde eksik olan bir madde vardır ve bu madde dışarıdan verilmedikçe durum düzelmez.","İlaçlar, eksik olan maddenin seviyesini normal haline getirerek dikkat ve hareket kontrolü alanındaki etkinliği yükseltir."]},"beginTime":1053,"endTime":1104,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1053&ask_summarization=1"},{"index":13,"title":"Dikkat Eksikliği ve Hiperaktivite Bozukluğunun Özellikleri","list":{"type":"unordered","items":["Bu bozuklukta çocukların dikkat süresi kısa olduğu için ödev yaparken başlamak istemiyor, erteliyor ve zaman sıkıştığında çalışmak zorunda kalıyor.","Öğretmenlerin bu çocukların dikkat sürelerini bilmesi, onlara parça parça ödev vermesi ve ön sıralara oturtması gerekiyor.","Bu çocukların hareketli olduğu için, enerjisini atması için tahta silme gibi görevler verilebilir."]},"beginTime":1124,"endTime":1262,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1124&ask_summarization=1"},{"index":14,"title":"Tedavi Kararı Alırken Dikkat Edilmesi Gereken Alanlar","list":{"type":"unordered","items":["Tedavi kararı alırken iki alan incelenir: akademik performans ve sosyal uyum.","Akademik performans alanında, çocuk okul başarısında geri kalıyorsa zaman kaybetmeden tedavi edilmelidir.","Sosyal uyum alanında, çocukların öfkeli, hareketli ve dürtüsellik (düşünmeden ani hareket etme) özellikleri nedeniyle arkadaş ilişkilerinde sorun yaşayabiliyorlar."]},"beginTime":1262,"endTime":1434,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1262&ask_summarization=1"},{"index":15,"title":"Bozukluğun Şiddeti ve Risk Faktörleri","list":{"type":"unordered","items":["Bozukluğun şiddeti beyin devrelerindeki aksamalarla ilgilidir; ne kadar fazla etkilenmişse o kadar fazla negatif sonuç olacaktır.","Bu rahatsızlık genetik geçişi olan bir hastalıktır; kardeşlerden birinde varsa diğerinde olma ihtimali yüksektir.","Gebeyken anne sigara içmiş olma, alkol kullanmış olma, ruhsal hastalıklar, düşük doğum ağırlığı ve doğum sonrası dönemde enfeksiyon gibi faktörler risk faktörleridir."]},"beginTime":1434,"endTime":1560,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1434&ask_summarization=1"},{"index":16,"title":"İlaç Dışı Tedavi Yöntemleri","list":{"type":"unordered","items":["İlaç dışı tedavide sosyal uyum arttırılabilir ve öğretmen desteği sağlanabilir.","Sınavlarda bu kişilere ek süre tanınabilir.","Hiperaktivite ve dürtüselliği ön planda olan kişiler daha çok spora yönlendirilebilir."]},"beginTime":1560,"endTime":1593,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1560&ask_summarization=1"},{"index":17,"title":"Dikkat Eksikliği ve Hiperaktivite Bozukluğu","list":{"type":"unordered","items":["Dikkat eksikliği ve hiperaktivite bozukluğu tedavisinde psikiyatri uzmanı, çocuk psikiyatri uzmanı, öğretmen, aile, çocuk, psikolog ve yaşam koçu çok yönlü bir süreç oluşturur.","Ergenlik döneminde dürtüsellik (ani karar verme, öfke nöbetleri) tekrar bir pik yapar ve bu durum izinsiz araç kullanma, trafik kazaları, cinsel yolla bulaşan hastalıklar ve madde kullanımı gibi riskli davranışlara neden olabilir.","Yapılan çalışmalarda madde bağımlılığı olan kişilerin yaklaşık %80-90'ında çocukluğunda dikkat eksikliği bozukluğu olduğu görülmüş, bu nedenle ailelerin ve toplumun bu duruma bilinçli olması gerekiyor."]},"beginTime":1605,"endTime":1830,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1605&ask_summarization=1"},{"index":18,"title":"Öğretmenlerin Rolü ve İlaç Tedavisi","list":{"type":"unordered","items":["Okul çağı (6-18 yaş) grubunda bulunan dikkat eksikliği ve hiperaktivite semptomları için öğretmenlerin bilinçli olması ve bu konuda eğitilmeleri gerekiyor.","İlaç tedavisinde yan etkiler olabilir ancak bunlar genellikle ilk 2-3 hafta içinde geçer ve ilaca alışma sürecinde görülen mide bulantısı, karın ağrısı, baş ağrısı, uykusuzluk ve iştahsızlık gibi semptomlar zamanla toparlanır.","İlaçlar bağımlılık yapmaz, beynine zarar vermez ve çocuk gelişimini bozmaz; aksine tedavi edilmezse çocuklar ileride madde bağımlılığı riskiyle karşı karşıya kalabilir."]},"beginTime":1830,"endTime":2110,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1830&ask_summarization=1"},{"index":19,"title":"Dikkat Bozukluğu ve Nedenleri","list":{"type":"unordered","items":["Son yıllarda dikkat bozukluğu (DV) vakalarında ciddi bir artış gözlemleniyor ve bunun nedenleri araştırılıyor.","Genlerin değişmediği için çevresel etkilerin değiştiği düşünülüyor; gebeliğin sigara ve alkol kullanımının artması, folat ve demir eksikliği gibi beslenme bozuklukları neden olabilir.","Demir, beyin ve zeka gelişimine önemli etkileri olduğu gibi, dopamin sentezi için de gerekli olan bir elementdir; demir eksikliği dopamin üretimini engelleyerek dikkat bozukluğu gibi sorunlara yol açabilir."]},"beginTime":2117,"endTime":2167,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2117&ask_summarization=1"},{"index":20,"title":"Tedavi Yaklaşımı ve Kontroller","list":{"type":"unordered","items":["Omega yağ asitleri gibi besin takviyeleri tedaviye yardımcı olabilir ancak ilaç kadar etkili değildir; ilaç tedavisi başlarken takviye olarak kullanılabilir.","Demir eksikliği gibi beslenme sorunları tedavi başarısını düşürebilir; bu nedenle kan tahlili, EKG ve tiroid fonksiyonları gibi kontroller önemlidir.","İlaçların kalp atışlarını hızlandırabileceği için EKG kontrolü yapılır; mevcut ritim bozukluğu olan çocuklara bu ilaçlar verilmez."]},"beginTime":2167,"endTime":2287,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2167&ask_summarization=1"},{"index":21,"title":"Siirt'te Dikkat Bozukluğu Sıklığı","list":{"type":"unordered","items":["Dikkat eksikliği ve hiperaktivite bozukluğu sıklığı dünyada %3 ile %13 arasında değişirken, İzmir'de yapılan bir çalışmada %12,5 çıkmıştır.","Konuşmacı, Siirt'te bu bozukluğun sıklığının ülkenin ve dünyanın ortalama oranının 2-3 katı kadar yüksek olduğunu gözlemlemektedir.","Siirt'te bu bozukluğun daha fazla görüldüğünün nedeni olarak sosyo-kültürel ve sosyo-ekonomik düzeyin kısıtlı olması, uyaran eksikliği ve çocuk sayısının fazla olması gösterilmektedir."]},"beginTime":2287,"endTime":2474,"href":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2287&ask_summarization=1"}],"linkTemplate":"/video/preview/15185317436797955168?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"24.02.2016 Tarihli Kanal56 tv Sağlıklı Günler Adlı Programda Çocuk Psikiyatri Uzmanı Dr. Yunus 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Devlet Hastanesi Çocuk ve Ergen Ruh Sağlığı Uzmanı Dr Yunus Kıllı Kanal56 TV de yayınlanan Sağlıklı Günler Programında İnternet bağımlılığı, otizm ve madde bağımlılığı hakkında bilgi veriyor.","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/924554/b55439ac17e271d54aefe0f2f50858ad/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/ydm3igAAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"1","reqid":"1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL","summary":{"isFull":true,"fullTextUrl":"/video/result?ask_summarization=1&numdoc=1&noreask=1&nomisspell=1&parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=videoid:5763140156207709911","teaser":[{"list":{"type":"unordered","items":["\"Sağlıklı Günler\" programında Siirt Devlet Hastanesi Çocuk Psikiyatristi Uzman Doktor Yunus Kıllı ile yapılan röportaj formatında bir bilgilendirme videosu sunulmaktadır.","Video, çocuklarda görülen bağımlılık türleri (sigara, alkol, uyuşturucu, internet) ve otizm spektrum bozukluğu konularını ele almaktadır. İlk bölümde bağımlılık türleri ve psikiyatrik rahatsızlıklar arasındaki ilişki anlatılırken, devamında internet bağımlılığının tanımı, belirtileri ve tedavi yöntemleri detaylandırılmaktadır. Son bölümde ise otizm spektrum bozukluğu, belirtileri, erken tanı ve tedavi yöntemleri hakkında kapsamlı bilgiler verilmektedir.","Programda ayrıca çocukların medya kullanımı, günlük aktiviteleri ve sosyal yaşamına etkileri, otizm şüphesi durumunda erken müdahale ve özel eğitim önemi gibi konular da ele alınmaktadır. Dr. Yunus Kıllı, ailelere çocuklarının bağımlılığa karşı nasıl dikkatli olabileceklerini ve otizm şüphesi durumunda uzmana başvurmanın önemini vurgulamaktadır."]},"endTime":3337,"title":"Çocuk Sağlığı, Bağımlılık ve Otizm Üzerine Bilgilendirici Program","beginTime":0}],"fullResult":[{"index":0,"title":"Bağımlılık Konusuna Giriş","list":{"type":"unordered","items":["Program, geçen hafta çocuk psikiyatristi Dr. Yunus Kıllı'nın konuk olduğu ve bağımlılıkla ilgili konuşulduğu bir programın devamı olarak başlıyor.","Bağımlılık konusu, sigara, alkol, uyuşturucu ve son zamanlarda internet bağımlılığı olarak ele alınacak.","Geçmişte bağımlılık büyük yaştaki insanları ilgilendirirken, günümüzde bu sorun çok daha küçük yaşlara kadar inmeye başlamış."]},"beginTime":10,"endTime":132,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=10&ask_summarization=1"},{"index":1,"title":"Uyuşturucu Bağımlılığının Tehlikesi","list":{"type":"unordered","items":["Uyuşturucu artık kapıya çalan değil, içeri giren bir tehlike haline gelmiş.","Siirt'te 2015 yılı verilerine göre 200 civarında kişi uyuşturucu tedavisi görmüş, bunların yaklaşık %30'u 18 yaşından küçük.","Uyuşturucu tacirleri piyasayı genişletmek için çaba gösteriyor, özellikle ilkokulda sigara ve uyarıcı ilaçlar okul önlerinde satılıyor."]},"beginTime":132,"endTime":286,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=132&ask_summarization=1"},{"index":2,"title":"Bağımlılık ve Psikiyatri Arasındaki İlişki","list":{"type":"unordered","items":["Psikiyatri rahatsızlığı olan kişilerin madde bağımlılığına evrilebileceği gibi, madde bağımlılığı olan kişilerde de farklı psikiyatrik rahatsızlıklar görülebiliyor.","Dikkat eksikliği bozukluğu, davranış bozukluğu, antisosyal kişilik özellikleri, depresyon ve kaygı bozuklukları gibi psikiyatrik bozukluklar varsa, sosyal desteğin az olması durumunda çözümü maddede aramak mümkün.","Ergenlikte akran etkisi, bağımsız davranışlar ve kimlik arayışı gibi faktörler bağımlılığın artmasına neden oluyor."]},"beginTime":286,"endTime":371,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=286&ask_summarization=1"},{"index":3,"title":"Çocukların Bağımlılığa Maruz Kalma Riski","list":{"type":"unordered","items":["Sigaraya başlama yaşı 8-10, uyuşturucuya başlama yaşı 14-15 yaşlarına kadar inmiş durumda.","Okul önlerinde uyuşturucu hapları 5 liraya satılabiliyor ve uyuşturucu tacirleri sorgu sual olmadan herkese satıyor.","Anne babaların çocukların bağımlılığa maruz kalma riskini fark etmesi için okul başarısında düşme, huyda değişiklik, yalnızlaşma, arkadaş ilişkilerinde bozulma gibi belirtilere dikkat etmeleri gerekiyor."]},"beginTime":371,"endTime":440,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=371&ask_summarization=1"},{"index":4,"title":"Çocuklarla İletişim ve Bağımlılık Önleme","list":{"type":"unordered","items":["Ergen veya çocukla anlaşmanın en iyi yolu onun arkadaşı olmaktır, sürekli baskı uygulama, yargılamak yerine iletişim kapısını açık tutmak gerekir.","Çocuğunuz madde kullanıyorsa bile size bunu anlatması için güven vermek önemlidir, aksi takdirde çok geç fark edilebilir veya fark edilemez.","Bağımlılık şüphesi durumunda yargılamadan, korkutmadan hemen bir uzmana danışmak gerekiyor."]},"beginTime":440,"endTime":613,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=440&ask_summarization=1"},{"index":5,"title":"Teknoloji 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devreye girmesiyle 1990'lı yıllarda World Wide Web (WWW) ortaya çıkmıştır.","1995'li yıllarda arama motorları (Yahoo, Google) ortaya çıkmış, Türkiye'de ise 1993 Nisan ayında ODTÜ'de ilk internet erişimi sağlanmış, bir yıl sonra Ege Üniversitesi'nde de internete erişim sağlanmıştır."]},"beginTime":673,"endTime":796,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=673&ask_summarization=1"},{"index":7,"title":"İnternetin Olumlu ve Olumsuz Etkileri","list":{"type":"unordered","items":["İnternet, kitap okuma, bilgi edinme, gazete okuma, banka işlemleri ve fatura ödemeleri gibi günlük hayatımızı kolaylaştıran bir araçtır.","Problemli internet kullanımı, günlük hayatınızı olumsuz etkilemeye başladığında, mesleki sorumluluklarınızı yerine getirmeyi engellediğinde veya akademik performansınızı düşürdüğünde ortaya çıkar.","İnternet bağımlılığı, internetten ayrıldığında mutsuz hissetmek, giderek daha fazla internette vakit geçirmek, günlük aktivitelerden kaçıp internetle ilgilenmek gibi belirtileri olan bir durumdur."]},"beginTime":796,"endTime":993,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=796&ask_summarization=1"},{"index":8,"title":"İnternet Bağımlılığının Etkileri","list":{"type":"unordered","items":["İnternet bağımlılığı ile psikiyatrik rahatsızlıklar arasında bir ilişki vardır; hem internet bağımlılığından dolayı psikiyatrik sorunlar ortaya çıkabilir, hem de psikiyatrik sorunlara sekonder olarak internet bağımlılığı gelişebilir.","Türk İstatistik Kurumu'nun çalışmalarına göre, 2007'de %25 olan internet kullanım oranı 2012'de %50'ye çıkmış, en çok internet kullanan yaş grubunun 16-24 yaş aralığındaki gençler olduğu görülmüştür.","İnternet bağımlılığı, fiziksel sağlık sorunlarına (bel ağrıları, görme sorunları, karpal tünel sendromu) neden olabilir ve bazı durumlarda kan pıhtısı gibi ciddi sağlık sorunlarına yol açabilir."]},"beginTime":993,"endTime":1148,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=993&ask_summarization=1"},{"index":9,"title":"İnternet Bağımlılığı ve Psikiyatrik Bozukluklar","list":{"type":"unordered","items":["Obsesif kompulsif bozukluğu olan çocuk ve ergenlerde tedavi sonrası internet kullanımında ciddi oranda azalma gözlemlenmiştir.","Bilimsel çalışmalara göre birçok psikiyatrik bozuklukta tedavi sonrası internet kullanımında azalma görülmüştür.","İnternet bağımlılığı, sadece fiziksel ve psikolojik sağlık sorunlarına değil, aile ilişkilerini de olumsuz etkileyebilir; bağımlı kişiler aile bireylerine, özellikle bebeklerine ilgi göstermeyebilir."]},"beginTime":1148,"endTime":1276,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1148&ask_summarization=1"},{"index":10,"title":"Bağımlılık Tedavisi ve Aile Davranışları","list":{"type":"unordered","items":["Bağımlılık tedavisi genellikle eğitimle başlar; bireyler bağımlılık hakkında bilgilendirilir ve bağımlılığın nedenleri araştırılır.","Tedavi sürecinde aile de dahil edilmeli, çünkü sosyal desteği az, yalnız ve depresif kişiler bağımlılığa daha meyilli olurlar.","Bağımlılık tedavisinde psikiyatrik rahatsızlıklar araştırılmalı ve gerekirse farmakolojik tedaviler uygulanmalıdır."]},"beginTime":1279,"endTime":1360,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1279&ask_summarization=1"},{"index":11,"title":"İnternet Bağımlılığının Etkileri","list":{"type":"unordered","items":["Sosyal çekingenlik yaşayan bireyler internet üzerinden kolayca arkadaş edinme imkanı bulur ve sanal alemde sosyal ortam kurabilirler.","Sanal alemde kurulan yanlış sosyal ilişkiler, gerçek hayata döndüğünde kişinin yalnızlığını artırabilir ve daha depresif olmasına neden olabilir.","Dikkat eksikliği bozukluğu, davranış bozukluğu ve dürtü kontrol bozukluğu olan bireyler bağımlılığa daha yatkındır."]},"beginTime":1360,"endTime":1433,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1360&ask_summarization=1"},{"index":12,"title":"Bağımlılık Tedavisi Yöntemleri","list":{"type":"unordered","items":["Bağımlılık tedavisinde bilişsel davranışçı terapiler uygulanabilir, bu terapi yöntemleri uzman bir terapist eşliğinde seans seans yapılır.","Bağımlılığı tedavi etmek için sosyal faaliyetler sunulmalıdır; çocuklara daha cazip seçenekler sunmak önemlidir.","Çocukları bilgisayarın başından kaldırmak için kalabalık halinde yapılan kurslar veya spor gibi aktiviteler önerilebilir."]},"beginTime":1433,"endTime":1498,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1433&ask_summarization=1"},{"index":13,"title":"İnternet Kullanımının Sınırları","list":{"type":"unordered","items":["İnternet kullanımı, günlük aktiviteleri engellemeyip, sosyal yaşamı etkilemeyen ve sorumlulukları yerine getirilen kişiler için günde birkaç saat makul olabilir.","Yaş yaşa göre internet kullanımının sınırları değişir, özellikle eksi üç yaş grubu için yoğun medya maruziyeti tehlikelidir.","Eksi üç yaş grubunda yoğun medya maruziyeti, otizm, zihinsel gerilik veya dikkat eksikliği bozukluğu gibi sorunlara yol açabilir."]},"beginTime":1498,"endTime":1667,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1498&ask_summarization=1"},{"index":14,"title":"Anne Babaların Rolü ve Danışmanlık","list":{"type":"unordered","items":["Anne babaların çocukların başında olmaları ve onlara uygun aktiviteler sunmaları önemlidir.","Çocuklar günde iki-üç saat internet kullanabilir, ancak sosyal uyumlarını bozmadığı sürece.","Sorunlar başlarsa hemen uzmana başvurulmalı, ancak danışmanlık için de uzmana başvurmak gerekir, sorun çıkmadan önlem almak önemlidir."]},"beginTime":1667,"endTime":1918,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1667&ask_summarization=1"},{"index":15,"title":"Bilgisayar ve Televizyon Kullanımının Beyin Üzerindeki Etkileri","list":{"type":"unordered","items":["Üç-dört saatin üzerinde bilgisayar, televizyon veya oyun oynayan yetişkinlerde nöronal hasar başladığı görülmüş.","Beyindeki nöron hücreleri kendini yenileyemeyen özel hücrelerdir ve hasarlandığında geri dönüşü olmayabilir.","Bilgisayar, televizyon ve akıllı telefon kullanımı sosyalleşme sürecini engelleyerek asosyalleşmeye neden olabilir."]},"beginTime":1923,"endTime":2010,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=1923&ask_summarization=1"},{"index":16,"title":"Otizm ve Nörogelişimsel Bozukluklar","list":{"type":"unordered","items":["Otizm, nörogelişimsel bir bozukluktur ve çocukluk çağında başlayan, beyin gelişim sürecinde ortaya çıkan iletişim ve sosyal etkileşimde kısıtlılıklarla karakterize bir durumdur.","Otizm 1943 yılında Leo Connor tarafından tanımlanmış ve daha önce şizofreni türü olarak düşünülmüştü.","Otizmde genetik faktörlerin etkisi çok yüksektir; tek yumurta ikizlerinde %90'a varan yatkınlık görülmüşken, çift yumurta ikizlerinde %5'tir."]},"beginTime":2010,"endTime":2109,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2010&ask_summarization=1"},{"index":17,"title":"Otizmle İlgili Yanlış Bilgiler ve Risk Faktörleri","list":{"type":"unordered","items":["Aşıların otizme neden olduğu iddiası yanlış bir mittir, hiçbir aşı otizme neden olmaz.","Civa ve ağır metaller gibi çevre faktörleriyle otizm arasında ilişki kurulamamıştır.","Şu an için bilinen tek önemli risk faktörü ileri baba yaşıdır; baba yaşı ilerledikçe çocukta otizm görülme ihtimali artmaktadır."]},"beginTime":2109,"endTime":2141,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2109&ask_summarization=1"},{"index":18,"title":"Otizm Spektrumu ve İlk Belirtiler","list":{"type":"unordered","items":["Otizm, otistik spektrum bozukluğu olarak geçer ve atipik otizm, Asperger bozukluğu gibi çeşitli seyreden durumları kapsar.","Çocuklarda sosyal gelişimde ilk belirtiler, bir ay civarında gülümsememeyi, göz kontağı kuramamayı ve konuşurken göz bakışını vermeyi içerir.","Anneler genellikle çocuğunda bir gariplik olduğunu hissederler ve bu hissi \"çocuğumuzda bir gariplik olduğunu hissetmiştik\" şeklinde ifade ederler."]},"beginTime":2141,"endTime":2216,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2141&ask_summarization=1"},{"index":19,"title":"Çocukların Dil Gelişimi","list":{"type":"unordered","items":["Altı aylıkken babıldamaya, dokuz aylıkken anlamsız ve anlamlı hecelere başlar, bir yaş civarında tek kelimeler söylemeye başlar.","Onsekiz- yirmidört ay arası iki kelimelik cümleler kurmaya başlar, üç-dört yaş civarında kendisini anlatabilecek düzeye gelir, altı yaş civarında normal erişkin konuşmaya yaklaşır.","Dil gelişiminde herhangi bir sorun varsa aile uyanık olmalı."]},"beginTime":2226,"endTime":2270,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2226&ask_summarization=1"},{"index":20,"title":"Sosyal Gelişimi","list":{"type":"unordered","items":["Bir aylık çocuk göz teması kurar, altı-dokuz aylıkken sosyal etkileşime girmeye başlar, dokuz aylıkken yabancı kaygısı başlar.","Bir yaş civarında sosyal taklit başlar, iki yaş civarında paralel oyunlar oynar, üç yaş civarında karşılıklı oyunlar başlar.","Dört yaş civarında empati yeteneği gelişir, arkadaş ilişkileri başlar."]},"beginTime":2270,"endTime":2335,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2270&ask_summarization=1"},{"index":21,"title":"Otizm ve Beyin Gelişimi","list":{"type":"unordered","items":["Otizmde \"Theory of Mind\" (karşındakinin niyetini anlama) ve empati yeteneği sıkıntılıdır.","Otizmde beyinde bazı alanlarda sinaptik bağlantıların fazla olması ve bazı alanlarda azalması gerekirken, bu tam tersi gelişir.","İlk iki yaş civarında beyin hacmi büyümeye başlar, ancak kontrolsüz bağlantılar oluşur."]},"beginTime":2335,"endTime":2385,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2335&ask_summarization=1"},{"index":22,"title":"Otizm Belirtileri","list":{"type":"unordered","items":["Hem dil alanında hem de sosyal etkileşim iletişim alanında gerilik varsa otizmden şüphelenilmeli.","En sık başvuru iki-üç yaş arası olur ve konuşma gecikmesi nedeniyle yapılır.","Otizmde çocuk göz teması kurmaz, konuşmaya başlamaz, sanki kendi dünyasında gibi davranır, seslenildiğinde dönüp bakmaz."]},"beginTime":2385,"endTime":2461,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2385&ask_summarization=1"},{"index":23,"title":"Otizmde Diğer Belirtiler","list":{"type":"unordered","items":["Tekrarlayıcı davranışlar vardır: kendi etrafında dönmek, el çırpmak, kanat çırpmak, elleri ovuşturmak, gözlerinin önüne ellerini getirip incelemek.","Ritüellere bağlılık vardır: her gün aynı masada yemek yemek, okula aynı yoldan gitmek, çatalı aynı tutmak gibi.","Değişme direnci vardır, değişiklikler yapıldığında çocuk huzursuz, mutsuz olur."]},"beginTime":2461,"endTime":2624,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2461&ask_summarization=1"},{"index":24,"title":"Otizm Tanı ve Tedavi","list":{"type":"unordered","items":["Otizmin üç çekirdek alanında dil gelişimi geri kalır veya yaşıtlarından geride kalır.","İkinci alan dilin haricindeki iletişimdir: göz teması kurma, jest ve mimikleri kullanma, ortak ilgi kurma.","Konuşma gecikmesi otizm değildir, ancak konuşma gecikmesi varsa tetkik gerekir."]},"beginTime":2624,"endTime":2764,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2624&ask_summarization=1"},{"index":25,"title":"Otizmin Tedavisi","list":{"type":"unordered","items":["Otizmin şu an için bilinen bir ilaç tedavisi yoktur.","Otizmin tedavisi erken tanıdır, erken tanı koyup çocuk özel eğitime başlatabilirsiniz.","Otizmin tedavisi eğitimdir, ne kadar erken başlarsa çocuk toparlama ihtimali o kadar yüksektir."]},"beginTime":2764,"endTime":2800,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2764&ask_summarization=1"},{"index":26,"title":"Otistik Spektrum Bozukluğu ve Zeka Geriliği","list":{"type":"unordered","items":["Otistik spektrum bozukluğu olan çocukların üçte ikisinde yaklaşık yüzde yetmişinde zeka geriliği görülmektedir.","Zeka geriliği eşlik ediyorsa otizme tedavisi daha zor ve daha yavaş ilerler.","Yüksek işlevli otizm ve Asperger bozukluğunda zeka normal olur ve erken tanı ve özel eğitime erken başlama durumunda toparlama ihtimali yüksektir."]},"beginTime":2807,"endTime":2900,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2807&ask_summarization=1"},{"index":27,"title":"Otizmin Tedavisi ve Eğitim İhtiyaçları","list":{"type":"unordered","items":["Otizmin tedavisinde direkt ilaç tedavisi yoktur, ancak eşlik eden psikiyatrik bozukluklar tedavi edilmelidir.","Zeka geriliği eşlik eden klasik otizmli çocuklar otizmlilerin okuluna gitmelidir.","Zeka seviyesi normal veya iyi olan ve Asperger bozukluğuna sahip çocuklar normal okula gölge öğretmen eşliğinde gitmelidir."]},"beginTime":2900,"endTime":2957,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2900&ask_summarization=1"},{"index":28,"title":"Otizmin Çeşitliliği ve Ergenlik Dönemi","list":{"type":"unordered","items":["Otizm geniş bir yelpazede değişkenlik gösterir; bir tarafta ağır zeka geriliği olan vakalar, diğer tarafta zeka geriliği eşlik etmeyen, nörolojik hastalıkların olmadığı, atipik otizm veya Asperger gibi daha hafif seyreden vakalar vardır.","Otizmin tedavisinde en önemli faktör erken tanı koymak ve özel eğitimi bir an önce başlatmaktır.","Ergenlik döneminde zeka geriliği olmayan otistikler (atipik otizmli, yüksek işlevli otistikler ve Aspergerliler) farklı olduklarını fark edince hüzün ve depresyon başlayabilir, yüzde kırk oranında intihar girişiminde bulunabilirler."]},"beginTime":2957,"endTime":3105,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=2957&ask_summarization=1"},{"index":29,"title":"Asperger Bozukluğu ve Önemli Uyarılar","list":{"type":"unordered","items":["Asperger'de dil gelişiminde sorun olmaz, zeka normal olur ancak espri, mecaz ve ironiyi anlamada zorlanırlar.","Aspergerlilerde özel ilgi alanları vardır ve bu alanlarda ileri derecede yetenekli olabilirler.","Ergenlik dönemi otizmliler için riskli bir dönemdir, ciddi depresyon ve intihar riski vardır."]},"beginTime":3105,"endTime":3214,"href":"/video/preview/5763140156207709911?parent-reqid=1765328395274207-12827525336454011200-balancer-l7leveler-kubr-yp-sas-200-BAL&text=DrGunskilldR&t=3105&ask_summarization=1"},{"index":30,"title":"Programın Kapanışı ve Son Uyarılar","list":{"type":"unordered","items":["Aileler otizm şüphesi durumunda korkmaktan ziyade uzmana başvurmalıdır.","Çocuğun gelişimsel özelliklerini bilmek ve aksama olduğunda hemen başvurmak önemlidir.","Siirt Devlet Hastanesi'nde uzmanlar hem hastalık için hem de danışmanlık için aileleri 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