{"id":694,"date":"2020-01-26T14:32:26","date_gmt":"2020-01-26T11:32:26","guid":{"rendered":"http:\/\/www.damartedavileri.com\/?p=694"},"modified":"2020-02-13T00:05:30","modified_gmt":"2020-02-12T21:05:30","slug":"romatoid-artrit-nedir","status":"publish","type":"post","link":"https:\/\/www.damartedavileri.com\/en\/2020\/01\/romatoid-artrit-nedir\/","title":{"rendered":"Romatoid Artrit Nedir?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-695\" src=\"http:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/romatoid-artrit01.jpg\" alt=\"Romatoid Artrit\" width=\"273\" height=\"233\" \/>Halk aras\u0131nda &#8220;iltihapl\u0131 eklem romatizmas\u0131&#8221; olarak bilinen romatoid artrit, \u00f6ncelikle el eklemleri, el bile\u011fi ve ayak eklemleri gibi daha \u00e7ok k\u00fc\u00e7\u00fck eklemlerin simetrik yani kar\u015f\u0131l\u0131kl\u0131 tutuldu\u011fu, kronik seyirli iltihapl\u0131 bir romatizmad\u0131r<\/p>\n<p>Sadece k\u00fc\u00e7\u00fck eklem tutulumu ile kalmay\u0131p diz, kal\u00e7a, omuz gibi b\u00fcy\u00fck eklemleri de tutabilen ve tuttu\u011fu eklemde sakatl\u0131\u011fa bile neden olan y\u0131llarca s\u00fcren kronik bir eklem hastal\u0131\u011f\u0131d\u0131r. K\u0131k\u0131rdak, kemik ve eklem yap\u0131lar\u0131na zarar verir. Her 100 ki\u015fiden birinde hayat\u0131n\u0131n bir d\u00f6neminde g\u00f6r\u00fclen romatoid artrit, kad\u0131nlarda erkeklere oranla 3 kat daha fazla g\u00f6r\u00fcl\u00fcr.<\/p>\n<p>Romatoid artrit eklem iltihab\u0131n\u0131n s\u0131k g\u00f6r\u00fclen formudur ve eklemlerin i\u00e7indeki zarda veya di\u011fer i\u00e7 organlarda iltihaba yol a\u00e7ar. Eklem hatt\u0131 kal\u0131nla\u015f\u0131r ve eklemde \u0131s\u0131 art\u0131\u015f\u0131, \u015fi\u015fme ve a\u011fr\u0131ya yol a\u00e7abilir.<\/p>\n<h2><strong>Romatoid Artrit Neden Olur?<\/strong><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-696 size-full\" src=\"http:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/romatoid-artrit02.jpg\" alt=\"Romatoid Artrit Neden Olur\" width=\"223\" height=\"223\" srcset=\"https:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/romatoid-artrit02.jpg 223w, https:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/romatoid-artrit02-150x150.jpg 150w\" sizes=\"auto, (max-width: 223px) 100vw, 223px\" \/>Romatoid artrite neyin sebep oldu\u011fu tam olarak bilinmemekle beraber ki\u015finin genetik yap\u0131s\u0131, sigara ve ge\u00e7irilen baz\u0131 enfeksiyonlar gibi \u00e7evresel ve hormonal fakt\u00f6rlerin de buna yol a\u00e7abilece\u011fi d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n<p>Ba\u011f\u0131\u015f\u0131kl\u0131k sistemi yani savunma sistemi d\u00fczg\u00fcn \u00e7al\u0131\u015ft\u0131\u011f\u0131nda v\u00fccut savunmas\u0131 bakteri, vir\u00fcs ve di\u011fer yabanc\u0131 h\u00fccrelere kar\u015f\u0131 sava\u015f\u0131r. Romatoid artritte ba\u011f\u0131\u015f\u0131kl\u0131k sistemi d\u00fczg\u00fcn \u00e7al\u0131\u015fmaz ve v\u00fccut kendi eklemleri ile di\u011fer organlara da sald\u0131r\u0131r. Romatoid artritte akyuvarlar kandan eklem dokular\u0131na do\u011fru hareket eder ve eklemlere sald\u0131r\u0131rlar. Eklem s\u0131v\u0131s\u0131 artar ve eklemde \u015fi\u015flik meydana gelir. Eklem dokusundaki iltihap h\u00fccreleri eklemi etkileyip hasara neden olur.<\/p>\n<table style=\"width: 100%; border-collapse: collapse;\">\n<tbody>\n<tr>\n<td style=\"width: 100%;\">\n<blockquote>\n<p align=\"justify\"><strong>HER 100 K\u0130\u015e\u0130DEN B\u0130R\u0130NDE HAYATININ B\u0130R D\u00d6NEM\u0130NDE G\u00d6R\u00dcLEN ROMATO\u0130D ARTR\u0130T, KADINLARDA ERKEKLERE ORANLA 3 KAT DAHA FAZLA G\u00d6R\u00dcL\u00dcR.<\/strong><\/p>\n<\/blockquote>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><\/p>\n<p><!--more--><\/p>\n<h2><strong>Romatoid Artrit Belirtileri Nelerdir?<\/strong><\/h2>\n<p style=\"text-align: justify;\">Romatoid artritin belirtileri eklemlerde \u0131s\u0131nma, s\u0131cakl\u0131k, \u015fi\u015flik, hassasiyet, a\u011fr\u0131, hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131, kat\u0131l\u0131k ve halsizlik olarak s\u0131ralanabilir. Genel olarak haftalar veya aylar i\u00e7inde yava\u015f, sinsi bir \u015fekilde ba\u015flar. Tipik olarak hastalar elde, parmak eklemlerinde, el bileklerinde, dirseklerinde olan a\u011fr\u0131, \u015fi\u015flik ve el parmaklar\u0131nda sabahlar\u0131 uyan\u0131nca, ellerini kullanmada zorluk \u015feklinde olan tutukluk ile ba\u015fvururlar.<\/p>\n<p style=\"text-align: justify;\">Eklem iltihab\u0131 (artrit) belirtileri eklem zarlar\u0131n\u0131n (sinovyum) iltihab\u0131ndan kaynaklan\u0131r. Ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin eklem zar\u0131na giren iltihap h\u00fccreleri iltihab\u0131 devam ettirir ve doku hasar\u0131na sebep olur. E\u011fer bu iltihap devam ederse veya tedavi edilmezse k\u0131k\u0131rdak, kemik, tendon ve eklem ba\u011flar\u0131nda kal\u0131c\u0131 hasara sebep olur. Bu da \u00e7o\u011funlukla eklemde sakatl\u0131\u011fa neden olur. Nadiren deri, sinirler ve di\u011fer organlarda iltihaba yol a\u00e7an damar duvar\u0131 iltihab\u0131 (romatoid vask\u00fclit) geli\u015febilir.<\/p>\n<p><strong>Romatoid Artrit Di\u011fer Romatizma \u00c7e\u015fitlerinden Nas\u0131l Ayr\u0131l\u0131r?<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-697\" src=\"http:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/romatoid-artrit03.jpg\" alt=\"Romatoid Artrit\" width=\"202\" height=\"184\" \/>Romatoid artriti di\u011fer artrit formlar\u0131ndan ay\u0131rman\u0131n \u00f6nemli bir yolu eklem tutulumunun \u00f6zelli\u011fidir. \u00d6rne\u011fin, Romatoid artrit el bile\u011fini ve pek \u00e7ok el k\u00fc\u00e7\u00fck eklemlerini etkiler. Genellikle t\u0131rnaklara yak\u0131n eklemleri etkilemez. Osteroartrit yani kire\u00e7lenme tam tersi olarak elin daha \u00e7ok t\u0131rna\u011fa yak\u0131n eklemlerini tutar. Romatoid artritde en \u00e7ok tutulan di\u011fer eklemler dirsekler, omuz, boyun, \u00e7ene, kal\u00e7a, diz, ayak bilekleri ve ayak parmak eklemleridir. Romatoid artritte omurga eklemleri genellikle tutulmaz. Bazen boyun omurlar\u0131 tutularak ense ve boyun a\u011fr\u0131s\u0131 yapabilir.<\/p>\n<p style=\"text-align: justify;\">Romatoid artritli bir insanda eklemler genellikle simetrik tutulur yani her iki taraf eklemi tutulma e\u011filimdedir ( her iki diz veya her iki el bile\u011finin tutulmas\u0131 gibi). Yani e\u011fer sa\u011f elin parmak eklemleri \u015fi\u015fmi\u015fse s\u0131kl\u0131kla sol elin parmak eklemleri de \u015fi\u015fer. \u015ei\u015fen eklemlerin yerleri ve baz\u0131 kan testleri romatoid artriti di\u011fer romatizmal hastal\u0131klardan ay\u0131rt etmede \u00f6nemli rol oynar.<\/p>\n<p><strong>Romatoid Artritin Te\u015fhisinde Uygulanan Testler ve Tan\u0131: <\/strong><\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-698\" src=\"http:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/aso-300x160.jpg\" alt=\"\" width=\"300\" height=\"160\" srcset=\"https:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/aso-300x160.jpg 300w, https:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/aso.jpg 620w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Tan\u0131 i\u00e7in klinik, fizik muayene, kan tetkikleri ( tam kan say\u0131m\u0131, sedim, CRP, RF, anti CCP) ve radyolojik incelemelerden yararlan\u0131l\u0131r. Hastal\u0131\u011fa erken tan\u0131 konmas\u0131, eklemlerdeki kal\u0131c\u0131 \u015fekil bozukluklar\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilerek, tedavinin daha etkili olmas\u0131n\u0131 sa\u011flar. Doktor muayenede hastaya halsizlik, yorgunluk, sabah kat\u0131l\u0131\u011f\u0131 (sabah uyand\u0131\u011f\u0131n\u0131zda hissetti\u011finiz hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131, tutukluk hissi) gibi romatoid artrit ile ilgili bulgular\u0131n olup olmad\u0131\u011f\u0131n\u0131 sorar. Tutulan eklemlerin \u00f6zelli\u011fi romatoid artriti di\u011fer romatizmal hastal\u0131klardan ay\u0131rmada temel esast\u0131r.<\/p>\n<p style=\"text-align: justify;\">S\u0131kl\u0131kla bak\u0131lan ASO testi asla bir romatizma testi de\u011fildir ve \u00f6zellikle ba\u015fta RA olmak \u00fczere romatizmal hastal\u0131klarda ASO testi kesinlikle bak\u0131lmaz ve kullan\u0131lmaz. Romatoloji polikliniklerinde ASO testi sadece akut eklem romatizmas\u0131 \u015f\u00fcphesinde kullan\u0131l\u0131r.<\/p>\n<p style=\"text-align: justify;\">Hastal\u0131\u011f\u0131n\u0131z\u0131n \u015fiddetini, alevlenme durumunu g\u00f6zlemleme ve hastal\u0131\u011f\u0131n takibi a\u00e7\u0131s\u0131ndan sedimentasyon (ESR) ve CRP testleri de bak\u0131lmaktad\u0131r. Bu testler v\u00fccutta iltihap varl\u0131\u011f\u0131 durumlar\u0131nda y\u00fckselir. Hastal\u0131\u011fa ba\u011fl\u0131 iltihap durumunun takibinde olduk\u00e7a faydal\u0131 ve tedavinin d\u00fczenlenmesinde \u00e7ok yararl\u0131 testlerdir.<\/p>\n<p><strong>Romatoid Artrit Egzersizleri<\/strong><\/p>\n<p style=\"text-align: justify;\">ROM (Eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131 koruyucu) egzersizleri: Eklem hareketlili\u011fi korumak i\u00e7in uygulan\u0131r ve a\u011f\u0131rl\u0131k olmadan yap\u0131l\u0131r. Bu egzersizle eklem kat\u0131l\u0131\u011f\u0131n\u0131 azalt\u0131p eklem esnekli\u011fini korumaya yard\u0131m ettiklerinden dolay\u0131 yararl\u0131d\u0131r.<\/p>\n<p style=\"text-align: justify;\">Bu egzersizler eklemlerinize hareket yapt\u0131rmad\u0131\u011f\u0131ndan dolay\u0131 eklem iltihab\u0131 mevcutken bile rahatl\u0131kla uygulanabilir. Alevlenme d\u00f6nemlerinde suda egzersizlere devam edebilir. \u00c7\u00fcnk\u00fc suyun kald\u0131rma g\u00fcc\u00fc eklemlerinizi korumaya yard\u0131m eder ve hareketlerin daha kolay yap\u0131lmas\u0131n\u0131 sa\u011flar. Kardiyovask\u00fcler (kalbi \u00e7al\u0131\u015ft\u0131r\u0131c\u0131) egzersizler t\u00fcm sa\u011fl\u0131\u011f\u0131n\u0131z, kilo kontrol\u00fc, kas g\u00fc\u00e7l\u00fcl\u00fc\u011f\u00fc ve enerji d\u00fczeyiniz i\u00e7in \u00f6nemlidir. D\u00fc\u015f\u00fck etkili kondisyon programlar\u0131 (y\u00fcr\u00fcy\u00fc\u015f veya sabit bisiklet s\u00fcrme gibi) genellikle iyi se\u00e7eneklerdir.<\/p>\n<p><strong>Romatoid Artrit Tedavisi<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-700\" src=\"http:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/romatoid-artrit04.jpg\" alt=\"Romatoid Artrit\" width=\"196\" height=\"155\" \/>Bilinen bir tedavisi olmayan romatoid artritte g\u00fcncel tedavi metotlar\u0131 ile a\u011fr\u0131y\u0131 rahatlatma, iltihab\u0131 azaltma, eklem hasar\u0131n\u0131 \u00f6nleme ve hastal\u0131\u011f\u0131n ilerlemesini yava\u015flatma hedeflenir. Bug\u00fcne kadar, romatoid artritte tedavinin amac\u0131 eklem iltihab\u0131n\u0131 ve a\u011fr\u0131s\u0131n\u0131 azaltmak ve eklem tahribat\u0131n\u0131 \u00f6nlemekten ibarettir.<\/p>\n<p style=\"text-align: justify;\">Romatoid artritin tedavisi olmamas\u0131na ra\u011fmen, ya\u015fam tarz\u0131 de\u011fi\u015fiklikleri, ila\u00e7lar, destekleyici tedaviler ve romatoid ameliyat\u0131 gibi erken tedavi ve destek, eklem hasar\u0131 riskini azaltabilmekte ve durumun etkisini s\u0131n\u0131rland\u0131rabilmektedir.<\/p>\n<p style=\"text-align: justify;\">Erken a\u015famalarda, hafif egzersiz yapmak daha ciddi iltihaplanmalar\u0131n ba\u015flamas\u0131n\u0131 geciktirmeye yard\u0131mc\u0131 olabilir. Di\u011fer durumlarda ise fizik tedavi yan\u0131nda dinlenmek tavsiye edilir. \u00c7ok ileri deformiteleri geli\u015fmi\u015f baz\u0131 olgularda d\u00fczeltici ameliyatlar; ortopedi (kal\u00e7a ve diz protezleri gibi) ve el cerrahisi taraf\u0131ndan yap\u0131labilir. Ayr\u0131ca beslenmeye dikkat edilmesi ve sigara ve i\u00e7ki gibi sa\u011fl\u0131ks\u0131z al\u0131\u015fkanl\u0131klara son verilmesi di\u011fer \u00f6neriler aras\u0131ndad\u0131r. Modern tedaviler romatoid artritli hastalar\u0131n hayat kalitesini artt\u0131rmada \u00f6nemlidir.<\/p>\n<p style=\"text-align: justify;\">Hastay\u0131 m\u00fcmk\u00fcn oldu\u011funca aktif tutmak gerekir. D\u00fczenli egzersizlerle hem eklem a\u00e7\u0131kl\u0131\u011f\u0131 hem de kas g\u00fcc\u00fc korunmal\u0131d\u0131r. Bir fizyoterapist e\u015fli\u011finde, kendi kendine yapabilece\u011fi egzersizler \u00f6\u011frenilmeli ve hasta ba\u011f\u0131ms\u0131z olarak yapabilmelidir. \u00c7ok ileri deformiteleri geli\u015fmi\u015f baz\u0131 olgularda d\u00fczeltici ameliyatlar; ortopedi (kal\u00e7a ve diz protezleri gibi) ve el cerrahisi taraf\u0131ndan yap\u0131labilir. Son d\u00f6nemde Avrupayla birlikte \u00fclkemizde de uygulanan d\u00fc\u015f\u00fck enerjili lazer tedavisi de (LLLT) bu hastal\u0131\u011f\u0131n tedavisinde \u00f6nemli bir alternatif tedavi olarak yerini almaktad\u0131r.<\/p>\n<p><strong>Romatoit Artritte Lllt\u2019nin Etki Mekanizmas\u0131<\/strong><\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-717\" src=\"http:\/\/www.damartedavileri.com\/wp-content\/uploads\/2020\/01\/lllt5.png\" alt=\"E:\\Web Siteleri\\caferabbasoglu\\Siteler- 180221\\varistedavim.com\\varistedavim.com\\images\" width=\"276\" height=\"173\" \/>Kan dola\u015f\u0131m\u0131n\u0131 art\u0131rarak etki etti\u011fi doku ve h\u00fccrelerin daha fazla oksijen ile beslenmesine yol a\u00e7ar b\u00f6ylece hasarl\u0131 k\u0131s\u0131mlar\u0131n iyile\u015fmesinin h\u0131zland\u0131r\u0131r. Tedavi ama\u00e7l\u0131 b\u00f6lgelerde fibroblast ad\u0131 verilen kolajen salg\u0131layan h\u00fccrelerin aktive olmas\u0131 sonucunda, hasarl\u0131 dokular\u0131n iyile\u015fmesinde \u00f6nemli rol oynayan ve dokular\u0131n elastikiyetini sa\u011flayan bu proteinin \u00fcretimini art\u0131rarak doku ve h\u00fccre iyile\u015fmesine \u00f6nemli katk\u0131da bulunur.<\/p>\n<p style=\"text-align: justify;\">H\u00fccresel d\u00fczeyde enerji depolanmas\u0131n\u0131 ve ta\u015f\u0131nmas\u0131n\u0131 sa\u011flayan ATP\u2019nin \u00fcretimini art\u0131r\u0131r. ATP art\u0131\u015f\u0131 h\u00fccrelerin metabolik at\u0131klardan kurtulmalar\u0131n\u0131 ve normal fonksiyonlar\u0131na d\u00f6nmelerini sa\u011flayan en \u00f6nemli etkendir. H\u00fccrelerin \u00e7o\u011falmas\u0131 yenilenmesi ve normal fonksiyon g\u00f6rebilmesi i\u00e7in gerekli olan RNA ve DNA n\u0131n \u00fcretimini artt\u0131rarak hasta ve hasarl\u0131 h\u00fccrelerin k\u0131sa s\u00fcrede d\u00fczelmesini ya da yeni h\u00fccrelerle de\u011fi\u015fmesini sa\u011flar H\u00fccrelerin \u00e7o\u011falmas\u0131 yenilenmesi ve normal fonksiyon g\u00f6rebilmesi i\u00e7in gerekli olan RNA ve DNA n\u0131n \u00fcretimini art\u0131rarak hasta ve hasarl\u0131 h\u00fccrelerin k\u0131sa s\u00fcrede d\u00fczelmesini yada yeni h\u00fccrelerle de\u011fi\u015fmesini sa\u011flar. I\u015f\u0131k enerjisini ta\u015f\u0131yan par\u00e7ac\u0131klar doku ve h\u00fccrelere negatif y\u00fckl\u00fc iyonlar halinde giri\u015f yapar. Bu etkile\u015fimde v\u00fccutta tedavi g\u00f6ren b\u00f6lgelere kalsiyum gibi pozitif iyonlar\u0131n ak\u0131\u015f\u0131n\u0131 sa\u011flar. Bu de\u011fi\u015fimlerin a\u011fr\u0131 duyusunu ta\u015f\u0131yan sinirler \u00fczerindeki etkileri ile a\u011fr\u0131n\u0131n \u00f6nemli \u00f6l\u00e7\u00fcde azalmas\u0131 sa\u011flan\u0131r.I\u015f\u0131nlar doku ve h\u00fccrelerde olu\u015fturduklar\u0131 foto kimyasal reaksiyonlar sonucunda h\u00fccrenin \u0131s\u0131 derecesinin y\u00fckselmesini fagositoz ad\u0131 verilen ve hasarl\u0131 h\u00fccreleri saptayarak yok eden fonksiyonu aktive eder. Bu etki hastal\u0131klar\u0131n ba\u015flang\u0131\u00e7 safhas\u0131ndaki tedavinin ba\u015far\u0131 oran\u0131n\u0131 en \u00e7ok etkileyen ad\u0131md\u0131r. Beyindeki endorfin ve ensefalin seviyelerini etkileyerek a\u011fr\u0131 ve ac\u0131 duymay\u0131 azalt\u0131r. Kaslar\u0131n gev\u015femesini ve rahatlamas\u0131n\u0131 sa\u011flar.<\/p>\n<p><strong>\u00d6zetle D\u00fc\u015f\u00fck Enerjili Lazer Tedavisi<\/strong><\/p>\n<p style=\"text-align: justify;\">&#8211; Hastaya damar yolundan ince bir katater yard\u0131m\u0131yla verilen lazer \u0131\u015f\u0131n\u0131 kan dola\u015f\u0131m\u0131n\u0131 artt\u0131r\u0131p h\u00fccrenin daha fazla oksijen ile beslenmesini sa\u011flayarak hasarl\u0131 k\u0131s\u0131mlar\u0131n iyile\u015fmesini h\u0131zland\u0131r\u0131r.<\/p>\n<p>&#8211; Kolajen salg\u0131layan h\u00fccreleri aktive eder.<\/p>\n<p style=\"text-align: justify;\">&#8211; H\u00fccrede enerjinin depolan\u0131p ta\u015f\u0131nmas\u0131n\u0131 sa\u011flayan ATP \u00fcretimini sa\u011flad\u0131\u011f\u0131nda h\u00fccreler metabolik at\u0131klardan kurtulup normal fonksiyonlar\u0131na d\u00f6ner.<\/p>\n<p style=\"text-align: justify;\">&#8211; Lenfatik sistemin \u00e7al\u0131\u015fmas\u0131n\u0131 aktive ederek dokulardaki \u015fi\u015fmenin yani \u00f6demin d\u00fczelmesine yard\u0131mc\u0131 olur.<\/p>\n<blockquote>\n<p align=\"justify\">Romatoid Artritte LLLT\u2019nin Uygulan\u0131\u015f\u0131 D\u00fc\u015f\u00fck enerjili lazer tedavisi hastane yat\u0131\u015f\u0131 olmadan ayakta uygulanan bir tedavi y\u00f6ntemidir. G\u00fcnl\u00fck ortalama 1 saat s\u00fcren seanslar \u015feklinde uygulan\u0131r. Hastal\u0131\u011f\u0131n dercesine g\u00f6re hekim taraf\u0131ndan farkl\u0131 dalga boyu ve \u0131\u015f\u0131n rengi (k\u0131rm\u0131z\u0131- mavi-ye\u015fil) se\u00e7ilerek hasta tedavi edilir. \u00dclkemizde belli kliniklerde uygulanan LLLT\u2019nin iyile\u015ftirici etkisi k\u0131sa s\u00fcrede g\u00f6r\u00fclmektedir.<\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Halk aras\u0131nda &#8220;iltihapl\u0131 eklem romatizmas\u0131&#8221; olarak bilinen romatoid artrit, \u00f6ncelikle el eklemleri, el bile\u011fi ve ayak eklemleri gibi daha \u00e7ok k\u00fc\u00e7\u00fck eklemlerin simetrik yani kar\u015f\u0131l\u0131kl\u0131 tutuldu\u011fu, kronik seyirli iltihapl\u0131 bir romatizmad\u0131r Sadece k\u00fc\u00e7\u00fck eklem tutulumu ile kalmay\u0131p diz, kal\u00e7a, omuz gibi b\u00fcy\u00fck eklemleri de tutabilen ve tuttu\u011fu eklemde sakatl\u0131\u011fa bile neden olan y\u0131llarca s\u00fcren kronik [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-694","post","type-post","status-publish","format-standard","hentry","category-general"],"translation":{"provider":"WPGlobus","version":"3.0.0","language":"en","enabled_languages":["tr","en"],"languages":{"tr":{"title":true,"content":true,"excerpt":false},"en":{"title":false,"content":false,"excerpt":false}}},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Romatoid Artrit Nedir? 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