{"id":8483,"date":"2026-02-23T14:35:28","date_gmt":"2026-02-23T11:35:28","guid":{"rendered":"https:\/\/www.merceknet.com\/tr\/?p=8483"},"modified":"2026-02-23T14:36:00","modified_gmt":"2026-02-23T11:36:00","slug":"psikiyatrik-hastaliklarda-oruc-karari-hekimle-verilmeli","status":"publish","type":"post","link":"https:\/\/www.merceknet.com\/tr\/2026\/02\/23\/psikiyatrik-hastaliklarda-oruc-karari-hekimle-verilmeli\/","title":{"rendered":"Psikiyatrik Hastal\u0131klarda Oru\u00e7 Karar\u0131 Hekimle Verilmeli"},"content":{"rendered":"

Ramazan ay\u0131 bir\u00e7ok ki\u015fi i\u00e7in manevi a\u00e7\u0131dan \u00f6zel bir d\u00f6nem olsa da uzmanlar, psikiyatrik rahats\u0131zl\u0131\u011f\u0131 olan bireylerde \u201csa\u011fl\u0131k\u201d ba\u015fl\u0131\u011f\u0131n\u0131n \u00f6ncelikli de\u011ferlendirilmesi gerekti\u011fini vurguluyor. \u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Psikiyatri Uzman\u0131 Dr. G\u00fcnay Hajiyeva<\/strong>, psikiyatrik hastal\u0131\u011f\u0131 bulunan ki\u015filerin oru\u00e7 tutup tutmama karar\u0131n\u0131 \u201cgenel\u201d kurallarla de\u011fil, bireysel klinik durum<\/strong> \u00fczerinden ve mutlaka hekimle birlikte vermesi gerekti\u011fini ifade etti.<\/p>\n

\u201cNiyet tek ba\u015f\u0131na yeterli de\u011fildir\u201d<\/h3>\n

Dr. Hajiyeva, oru\u00e7 karar\u0131n\u0131n t\u0131bbi a\u00e7\u0131dan ki\u015fiye \u00f6zel ele al\u0131nmas\u0131 gerekti\u011fini belirterek, \u201cRamazan\u2019da oru\u00e7 tutma karar\u0131 bireysel, dikkatli ve mutlaka hekim de\u011ferlendirmesiyle verilmelidir.\u201d dedi. Uzun s\u00fcreli a\u00e7l\u0131k ve susuzluk, uyku d\u00fczenindeki de\u011fi\u015fiklikler ve ila\u00e7 saatlerinin kaymas\u0131n\u0131n baz\u0131 hastalarda klinik tabloyu olumsuz etkileyebilece\u011fini aktard\u0131.<\/p>\n

Alevlenme riskinin artt\u0131\u011f\u0131 durumlar<\/h3>\n

Hajiyeva, \u00f6zellikle \u015fu ko\u015fullarda daha dikkatli olunmas\u0131 gerekti\u011fini vurgulad\u0131: Hastal\u0131\u011f\u0131n aktif d\u00f6nemde olmas\u0131, son 6 ay i\u00e7inde atak ge\u00e7irilmesi, ila\u00e7 dozlar\u0131n\u0131n yeni ayarlanm\u0131\u015f olmas\u0131, son bir y\u0131l i\u00e7inde hastaneye yat\u0131\u015f \u00f6yk\u00fcs\u00fc bulunmas\u0131, intihar veya ba\u015fkalar\u0131na zarar verme riskinin varl\u0131\u011f\u0131. Bu tablolarda oru\u00e7 tutman\u0131n alevlenme riskini y\u00fckseltebilece\u011fini s\u00f6yledi.<\/p>\n

Biyolojik ritim bozulursa tablo a\u011f\u0131rla\u015fabiliyor<\/h3>\n

\u201cBeyin ritmi sever\u201d diyen Dr. Hajiyeva, sirkadiyen d\u00fczenin bozulmas\u0131n\u0131n baz\u0131 hastal\u0131klarda klinik tabloya do\u011frudan yans\u0131yabilece\u011fini belirtti.<\/p>\n

    \n
  • \n

    Bipolar bozuklukta<\/strong> uyku d\u00fczeninin bozulmas\u0131n\u0131n mani veya depresyon ata\u011f\u0131n\u0131 tetikleyebilece\u011fini,<\/p>\n<\/li>\n

  • \n

    Maj\u00f6r depresyonda<\/strong> a\u00e7l\u0131k ve kan \u015fekeri dalgalanmalar\u0131n\u0131n \u00e7\u00f6kk\u00fcnl\u00fc\u011f\u00fc art\u0131rabilece\u011fini,<\/p>\n<\/li>\n

  • \n

    Psikotik bozukluklarda<\/strong> tedaviye uyumun bozulmas\u0131n\u0131n belirtilerin geri d\u00f6nmesine yol a\u00e7abilece\u011fini,<\/p>\n<\/li>\n

  • \n

    Anksiyete ve panik bozukluklar\u0131nda<\/strong> a\u00e7l\u0131k-susuzlu\u011fa ba\u011fl\u0131 bedensel belirtilerin kayg\u0131y\u0131 art\u0131rabilece\u011fini,<\/p>\n<\/li>\n

  • \n

    Yeme bozukluklar\u0131nda<\/strong> oru\u00e7 s\u00fcrecinin yeme davran\u0131\u015f\u0131 \u00fczerinde kontrol\u00fc olumsuz etkileyebilece\u011fini ifade etti.<\/p>\n<\/li>\n<\/ul>\n

    \u201c\u0130la\u00e7 kesilmemeli, d\u00fczen hekimle planlanmal\u0131\u201d<\/h3>\n

    Oru\u00e7 d\u00f6neminde en kritik konunun ila\u00e7lar\u0131n kesilmemesi oldu\u011funu vurgulayan Dr. Hajiyeva, doz ve saat d\u00fczeninin mutlaka hekim kontrol\u00fcnde planlanmas\u0131 gerekti\u011fini s\u00f6yledi. \u0130la\u00e7lar\u0131n yar\u0131 \u00f6mr\u00fc, etki s\u00fcresi ve kan d\u00fczeyi dengesinin dikkate al\u0131nmadan yap\u0131lan de\u011fi\u015fikliklerin tedavi etkinli\u011fini azaltabilece\u011fine i\u015faret etti.
    \u00d6zellikle lityum<\/strong> kullanan hastalarda susuz kalman\u0131n kan d\u00fczeyini y\u00fckselterek toksisite riskini art\u0131rabilece\u011fini; baz\u0131 antipsikotiklerin tansiyon d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc yapabilece\u011fini ve uzun a\u00e7l\u0131\u011f\u0131n bu etkiyi art\u0131rabilece\u011fini belirtti.<\/p>\n

    \u201cPsikiyatrik ila\u00e7lar \u2018iyile\u015fince b\u0131rak\u0131lan\u2019 ila\u00e7lar de\u011fil\u201d<\/h3>\n

    Dr. Hajiyeva, psikiyatrik ila\u00e7lar\u0131n \u00e7o\u011fu zaman stabil iyilik hali sa\u011fland\u0131ktan sonra dahi ancak hekim kontrol\u00fcnde ve kademeli azalt\u0131larak kesilebilece\u011fini vurgulad\u0131. Ani ila\u00e7 kesilmesinin mani, a\u011f\u0131r depresyon ata\u011f\u0131, psikotik belirtilerin geri d\u00f6nmesi, intihar riskinde art\u0131\u015f ve yoksunluk sendromu gibi ciddi sonu\u00e7lara yol a\u00e7abilece\u011fini ifade ederek, Ramazan\u2019da \u201coru\u00e7 tutabilmek i\u00e7in\u201d ilac\u0131n\u0131 aniden b\u0131rakan ve k\u0131sa s\u00fcrede a\u011f\u0131r atakla ba\u015fvuran hastalarla kar\u015f\u0131la\u015f\u0131labildi\u011fini s\u00f6yledi.<\/p>\n","protected":false},"excerpt":{"rendered":"

    \u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Psikiyatri Uzman\u0131 Dr. G\u00fcnay Hajiyeva, Ramazan\u2019da oru\u00e7 tutma karar\u0131n\u0131n psikiyatrik hastalarda mutlaka bireysel klinik de\u011ferlendirme ve hekim g\u00f6r\u00fc\u015f\u00fcyle verilmesi gerekti\u011fini belirterek; a\u00e7l\u0131k, susuzluk, uyku-ila\u00e7 saatlerindeki kaymalar\u0131n baz\u0131 hastalarda tabloyu a\u011f\u0131rla\u015ft\u0131rabilece\u011fini s\u00f6yledi.<\/p>\n","protected":false},"author":6,"featured_media":8484,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[2732,2733,1302,157,2118],"class_list":["post-8483","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-anksiyete","tag-ilackullanimi","tag-psikiyatri","tag-ramazan","tag-uskudaruniversitesi"],"yoast_head":"\nPsikiyatrik Hastal\u0131klarda Oru\u00e7 Karar\u0131 Hekimle 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