Multiple Skleroz yani MS, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin bilinmeyen nedenlerle sinir\nsistemini yabanc\u0131 kabul ederek sald\u0131rmas\u0131 sonucunda meydana gelen hasar ile\nortaya \u00e7\u0131kan bir hastal\u0131kt\u0131r. T\u00fcrkiye\u2019de 40.000 civar\u0131nda MS hastas\u0131n\u0131n oldu\u011fu\ntahmin edilmektedir. MS ba\u011f\u0131\u015f\u0131kl\u0131k sistemi ile ilgili bir\nhastal\u0131k oldu\u011fu i\u00e7in, MS tan\u0131l\u0131 ki\u015filerde diyabet, tiroid hastal\u0131klar\u0131,\nankilozan spondilit, inflamatuar ba\u011f\u0131rsak hastal\u0131\u011f\u0131 gibi ba\u011f\u0131\u015f\u0131kl\u0131k sistemi ile\nilgili olan di\u011fer hastal\u0131klar da s\u0131k g\u00f6r\u00fclebilir. Elde-ayakta kar\u0131ncalanma, yorgunluk,\nuyku bozukluklar\u0131, kas sertli\u011fi, denge bozukluklar\u0131, ba\u015f d\u00f6nmesi, kulak\n\u00e7\u0131nlamas\u0131, g\u00f6rme sorunlar\u0131, uyu\u015fmalar ve ba\u015f a\u011fr\u0131s\u0131, ka\u015f\u0131nt\u0131, elektrik \u00e7arpmas\u0131\nhissi veya hastal\u0131\u011f\u0131n ilerleyi\u015fine ba\u011fl\u0131 olarak artan kuvvet kayb\u0131 gibi\nrahats\u0131zl\u0131klar belirtiler aras\u0131ndad\u0131r. <\/p>\n\n\n\n
Yap\u0131lan ara\u015ft\u0131rmalarda, hastal\u0131\u011fa daha \u00f6nce ge\u00e7irilmi\u015f vir\u00fcs kaynakl\u0131\nenfeksiyonlar, beslenme al\u0131\u015fkanl\u0131klar\u0131, co\u011frafi fakt\u00f6rler, v\u00fccudun savunma\nsistemindeki bozukluklar\u0131n neden olabilece\u011fi bilinse de nedeni kesin olarak tespit\nedilememi\u015ftir. Hastal\u0131\u011fa ki\u015finin genetik bir e\u011filimi oldu\u011fu, bunun \u00fczerine \u00e7evre\nko\u015fullar\u0131n\u0131n ve di\u011fer nedenlerin bu genetik fakt\u00f6r ile etkile\u015fmesi ile\nhastal\u0131\u011f\u0131n ortaya \u00e7\u0131kt\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmektedir.<\/p>\n\n\n\n
Tedavi olarak ila\u00e7 tedavisinin yan\u0131nda sa\u011fl\u0131kl\u0131\nbeslenmenin de hastal\u0131\u011f\u0131n seyri ile ilgili katk\u0131 sa\u011flayabilece\u011fi bilinmektedir.\nHastal\u0131\u011f\u0131n seyri i\u00e7in olumlu olabilecek beslenme bi\u00e7imi dengeli, diyet posas\u0131, \nsebze ve meyveler y\u00f6n\u00fcnden zengin, d\u00fc\u015f\u00fck ya\u011f oran\u0131na sahip bir diyettir. Basit\nkarbonhidratlar dedi\u011fimiz \u015feker ve \u015fekerli besinler, pilav, makarna, beyaz un\nve t\u00fcrevlerinden fakir bir beslenme tarz\u0131n\u0131n olumlu etkileri yap\u0131lan\n\u00e7al\u0131\u015fmalarda g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Ayr\u0131ca bu hastal\u0131kta ya\u011f metabolizmas\u0131nda\nde\u011fi\u015fiklikler oldu\u011fu ve doymu\u015f ya\u011f asitlerinin doymam\u0131\u015f ya\u011f asitlerine oran\u0131n\u0131n\nartt\u0131\u011f\u0131 saptanm\u0131\u015ft\u0131r. Ayr\u0131ca sinir h\u00fccrelerinin miyelin k\u0131l\u0131f hasar\u0131n\u0131n azalt\u0131lmas\u0131\ni\u00e7in de doymam\u0131\u015f ya\u011f asitlerinin kullan\u0131m\u0131 \u00f6nemlidir. Bu nedenle tereya\u011f\u0131, tam\nya\u011fl\u0131 s\u00fct ve peynir gibi doymu\u015f ya\u011flardan k\u0131s\u0131tl\u0131 beslenmek do\u011fru olacakt\u0131r. Bunlar\u0131n\nyerine keten tohumu ya\u011f\u0131 gibi bitkisel s\u0131v\u0131 ya\u011flar ve yar\u0131m ya\u011fl\u0131 s\u00fct \u00fcr\u00fcnleri\nkullan\u0131lmal\u0131d\u0131r. Bitkisel s\u0131v\u0131 ya\u011flar\u0131n hastal\u0131\u011f\u0131n ilerlemesini yava\u015flatt\u0131\u011f\u0131 ve\ndaha k\u0131sa s\u00fcrede iyile\u015fme g\u00f6r\u00fcld\u00fc\u011f\u00fc de belirtilmi\u015ftir. K\u0131rm\u0131z\u0131 et m\u00fcmk\u00fcn\noldu\u011funca azalt\u0131lmal\u0131d\u0131r. Bunun yerine haftada en az 1 defa, m\u00fcmk\u00fcnse 2-3 defa\nbal\u0131k t\u00fcketilmelidir. Omega-3 ya\u011f asitlerinden\nzengin bal\u0131k t\u00fcketimi veya omega-3 takviyesi kullan\u0131m\u0131 da sa\u011fl\u0131\u011f\u0131n\ngeli\u015ftirilmesinde olumlu etkilere sahiptir. <\/p>\n\n\n\n
Peki vitamin ve mineraller y\u00f6n\u00fcnden dikkat edilmesi gereken hususlar\nnelerdir? G\u00fcnl\u00fck kalsiyum al\u0131m\u0131 MS hastalar\u0131 i\u00e7in \u00f6nemlidir, s\u00fct, yo\u011furt,\npeynir g\u00fcnl\u00fck olarak t\u00fcketilmeli ancak az ya\u011fl\u0131 olanlar\u0131 tercih edilmelidir. D vitamini seviyesi d\u00fc\u015f\u00fck olanlarda MS ataklar\u0131 daha s\u0131k\ng\u00f6r\u00fclebilmektedir ve D vitamininin\nen g\u00fc\u00e7l\u00fc kayna\u011f\u0131 g\u00fcne\u015ftir. G\u00fcn i\u00e7inde, mevsime\nuygun taze meyveler t\u00fcketilmelidir. MS ataklar\u0131n\u0131n\ntedavisinde kortikosteroidler (halk aras\u0131nda bilinen ismiyle kortizon)\nkullan\u0131l\u0131r. Bu nedenle g\u00fcnl\u00fck tuz t\u00fcketimi s\u0131n\u0131rland\u0131r\u0131lmal\u0131d\u0131r. \u0130\u015flenmi\u015f\ng\u0131dalardan m\u00fcmk\u00fcn oldu\u011funca uzak durulmal\u0131d\u0131r. <\/p>\n\n\n\n
Sigara i\u00e7enlerde MS geli\u015fime riski i\u00e7meyenlere oranla yakla\u015f\u0131k\n1,5 kat artmaktad\u0131r. O nedenle alkol ve\nsigara t\u00fcketimi s\u0131n\u0131rland\u0131r\u0131lmal\u0131d\u0131r. \u00c7ay ve kahve s\u0131n\u0131rl\u0131 t\u00fcketilmeli, g\u00fcnde yakla\u015f\u0131k 3 litre su\nt\u00fcketilmelidir. Hekimin \u00f6nerdi\u011fi \u015fekilde uygun egzersizler yap\u0131lmal\u0131 ve e\u011fer\nki\u015fi olmas\u0131 gereken a\u011f\u0131rl\u0131\u011f\u0131n \u00fczerinde \nise uygun a\u011f\u0131rl\u0131\u011fa ula\u015f\u0131lmas\u0131 sa\u011flanmal\u0131d\u0131r. B\u00fct\u00fcn bu \u00f6nerilerin d\u0131\u015f\u0131nda\ne\u011fer ki\u015filerin e\u015flik eden farkl\u0131 bir hastal\u0131\u011f\u0131 varsa, o da g\u00f6z \u00f6n\u00fcnde\nbulundurularak beslenme ve ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri \u00f6nerilerinde bulunulur.<\/p>\n","protected":false},"excerpt":{"rendered":"