{"id":14265,"date":"2023-04-01T06:46:28","date_gmt":"2023-04-01T06:46:28","guid":{"rendered":"https:\/\/www.euegeajans.com\/?p=14265"},"modified":"2023-04-01T06:46:29","modified_gmt":"2023-04-01T06:46:29","slug":"doc-dr-sezen-kose-otizmde-erken-tani-ve-tedavi-oldukca-onemli","status":"publish","type":"post","link":"https:\/\/www.euegeajans.com\/index.php\/2023\/04\/01\/doc-dr-sezen-kose-otizmde-erken-tani-ve-tedavi-oldukca-onemli\/","title":{"rendered":"Do\u00e7. Dr. Sezen K\u00f6se \u201cOtizmde erken tan\u0131 ve tedavi olduk\u00e7a \u00f6nemli\u201d<\/strong>"},"content":{"rendered":"

36 \u00e7ocuktan 1\u2019inde otizm spektrum bozuklu\u011fu g\u00f6r\u00fcl\u00fcyor<\/p>\n

Do\u00e7. Dr. Sezen K\u00f6se \u201cOtizmde erken tan\u0131 ve tedavi olduk\u00e7a \u00f6nemli\u201d<\/b>\u00a0<\/b><\/p>\n

Otizme dikkat \u00e7ekmek ve fark\u0131ndal\u0131k yaratmak amac\u0131yla, Birle\u015fmi\u015f Milletler taraf\u0131ndan 2008 y\u0131l\u0131ndan itibaren 2 Nisan, \u201cD\u00fcnya Otizm Fark\u0131ndal\u0131k G\u00fcn\u00fc\u201d\u00a0 kapsam\u0131nda \u00e7e\u015fitli etkinlikler ve fark\u0131ndal\u0131k \u00e7al\u0131\u015fmalar\u0131 d\u00fczenleniyor.\u00a0 Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi \u00c7ocuk ve Ergen Psikiyatrisi Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi ve Geli\u015fimsel Yetersizlikler ve Otizm \u0130zlem Birimi Sorumlusu Do\u00e7. Dr. Sezen K\u00f6se, Otizm Spektrum Bozuklu\u011fu (OSB) hakk\u0131nda bilgiler verdi.<\/p>\n

\"\"Otizm spektrum bozuklu\u011funun tan\u0131m\u0131 belirtileri ve s\u0131kl\u0131\u011f\u0131 ile ilgili a\u00e7\u0131klamalarda bulunan Do\u00e7. Dr. K\u00f6se,\u00a0\u201c<\/b>Otizm Spektrum Bozuklu\u011fu ki\u015filerin ba\u015fkalar\u0131yla ve d\u00fcnyayla nas\u0131l etkile\u015fime girdi\u011fini etkileyen ve belirtileri ya\u015fam\u0131n ilk y\u0131llar\u0131nda ba\u015flayan n\u00f6rogeli\u015fimsel bir tablodur. \u00d6zellikle sosyal ili\u015fkiler ve ileti\u015fim becerileri olmak \u00fczere hayat\u0131n pek \u00e7ok alan\u0131ndaki i\u015flevselli\u011fe yans\u0131yan beyin geli\u015fimi, ba\u011flant\u0131lar\u0131 ve i\u015fleyi\u015finin etkilendi\u011fi bir bozukluktur. Yani beyin geli\u015fiminde ya\u015fam\u0131n erken d\u00f6neminde ortaya \u00e7\u0131kan farkl\u0131l\u0131klardan kaynaklan\u0131r. Ayr\u0131ca tekrarlay\u0131c\u0131 ve tak\u0131nt\u0131l\u0131 davran\u0131\u015flar, ilgi alanlar\u0131, duyusal hassasiyetler yani ses duyarl\u0131l\u0131\u011f\u0131, koku, tat, dokunma duyarl\u0131l\u0131\u011f\u0131 gibi farkl\u0131l\u0131klar da tan\u0131 kriterleri aras\u0131nda yer al\u0131r. G\u00fcn\u00fcm\u00fczde 4 ya\u015f\u0131ndaki \u00e7ocuklar\u0131n y\u00fczde 2,1\u2019inde, 8 ya\u015f\u0131ndaki \u00e7ocuklar\u0131n ise y\u00fczde 2,7\u2019sinde yani 36 \u00e7ocuktan 1\u2019inde OSB saptand\u0131\u011f\u0131 bildiriliyor. Yani \u00e7ocuklar\u0131n yakla\u015f\u0131k olarak y\u00fczde\u00a02\u2019sini\u00a0etkiliyor\u201d dedi.<\/p>\n

\u201cOSB\u2019nin belirtileri her \u00e7ocukta farkl\u0131 olabilir\u201d<\/b><\/p>\n

Otizm belirtilerinin genel olarak bir ya\u015f civar\u0131 anla\u015f\u0131labildi\u011fini ifade eden Do\u00e7. Dr. K\u00f6se, \u201cHatta ileriki d\u00f6nemde otizm tan\u0131s\u0131 alm\u0131\u015f olan bebeklerin 6-10 ayl\u0131k iken kar\u015f\u0131s\u0131ndaki y\u00fczlere bak\u0131\u015f s\u00fcresi ve beyin yan\u0131tlar\u0131n\u0131n yetersiz oldu\u011fu, 6 ayl\u0131k bebekken bile y\u00fczlere bakma s\u00fcrelerinin daha k\u0131sa oldu\u011fu saptanm\u0131\u015ft\u0131r. Ge\u00e7 ba\u015flang\u0131\u00e7l\u0131 baz\u0131 olgular\u0131n belirtilerinin ise 18-24 ay aras\u0131nda g\u00f6r\u00fclmeye ba\u015flayabilece\u011fi belirtilmektedir. Otizm belirtilerinin hafiften a\u011f\u0131ra do\u011fru bir yelpazede yer ald\u0131\u011f\u0131n\u0131 ve zaman i\u00e7inde baz\u0131 de\u011fi\u015fimler g\u00f6r\u00fclebilece\u011fini, belirtilerin ya\u015f d\u00f6nemine ve \u00e7ocu\u011fun geli\u015fimsel d\u00fczeyine g\u00f6re g\u00f6r\u00fcn\u00fcmlerinin farkl\u0131la\u015fabildi\u011fini bilmekteyiz, bu nedenle tablo otizm spektrumu olarak ifade edilmektedir\u201d diye konu\u015ftu.<\/p>\n

OSB\u2019nin belirtilerinin her \u00e7ocukta farkl\u0131l\u0131k g\u00f6sterdi\u011fini s\u00f6yleyen Do\u00e7. Dr. K\u00f6se, \u201cBaz\u0131 \u00e7ocuklarda zihinsel yetersizlik, dil-konu\u015fma becerileri ve \u00f6z bak\u0131m becerilerinde belirgin gerilikler, sosyal ileti\u015fim ve etkile\u015fime hi\u00e7 girmeme, ka\u00e7\u0131nma, g\u00f6z temas\u0131 kurmama, ad\u0131na yan\u0131t vermeme, ba\u015f\u0131na buyruk davran\u0131\u015flar g\u00f6r\u00fclebilirken; baz\u0131 \u00e7ocuklar\u0131n ise zihinsel i\u015flevselli\u011fi, dil ve konu\u015fma becerileri ve akademik ba\u015far\u0131s\u0131 normal olabilir. Olgular\u0131n yakla\u015f\u0131k y\u00fczde 60\u2019inda zihinsel yetersizlik yoktur.\u00a0OSB\u2019li baz\u0131 olgular\u00a0sosyal ili\u015fkiye istekli ve aktif olabilirler ancak davran\u0131\u015flar\u0131n\u0131 ortama uygun \u015fekilde ayarlama, empati ve duygu d\u00fczenleme sorunlar\u0131 nedeniyle akranlar\u0131 taraf\u0131ndan tuhaf kar\u015f\u0131lan\u0131p d\u0131\u015flanmaya, zorbal\u0131\u011fa maruz kalabilirler. Baz\u0131 OSB\u2019li \u00e7ocuklar ise \u00f6zel bir alanda \u00e7ok yetenekli olabilmektedirler. Yani, OSB belirtileri, \u00e7ocu\u011fun geli\u015fimsel d\u00fczeyine ve geli\u015fimsel d\u00f6nemlere g\u00f6re, her \u00e7ocukta farkl\u0131 seyredebilir. E\u011fer \u00e7ocu\u011funuzun sosyal, ileti\u015fimsel yetersizlikleri oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyor ve tak\u0131nt\u0131l\u0131, tekrarlay\u0131c\u0131 davran\u0131\u015flar ya da ilgi ve meraklar\u0131 konusunda endi\u015feliyseniz mutlaka OSB konusunda deneyimli bir \u00c7ocuk ve Ergen Psikiyatrisi uzman\u0131na ba\u015fvurulmal\u0131d\u0131r\u201d dedi.<\/p>\n

\u201cAnne ve baban\u0131n davran\u0131\u015flar\u0131 ve ilgi yetersizli\u011fi otizme neden olmaz\u201d<\/b><\/p>\n

Otizmin olu\u015fumunda etkili olan fakt\u00f6rlerden de bahseden Do\u00e7. Dr. K\u00f6se,\u00a0\u201c<\/b>Otizm Spektrum Bozuklu\u011funun, \u00e7o\u011ful genetik fakt\u00f6rler ve gen ile \u00e7evre etkile\u015fimi sonucu beyin geli\u015fimi, ba\u011flant\u0131lar\u0131 ve i\u015flevselli\u011finin etkilenmesi ile ortaya\u00a0\u00e7\u0131kt\u0131\u011f\u0131 kabul edilmektedir.<\/span>\u00a0<\/span>Yani beyin geli\u015fiminde ya\u015fam\u0131n erken d\u00f6neminde ortaya \u00e7\u0131kan farkl\u0131l\u0131klardan kaynaklan\u0131r.\u00a0\u00d6zellikle belirtmeliyiz ki\u00a0anne baban\u0131n davran\u0131\u015flar\u0131 ve ilgi yetersizli\u011fi otizme neden olmaz. A\u015f\u0131lar k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, kabakulak a\u015f\u0131s\u0131 dahil besinler ve a\u011f\u0131r metaller ile otizm aras\u0131nda hi\u00e7bir ba\u011flant\u0131 bulunamam\u0131\u015ft\u0131r\u201d dedi.<\/p>\n

Otizmin tedavi edilebilen bir bozukluk oldu\u011funu da ifade eden Do\u00e7. Dr. K\u00f6se, \u201cOtizmin bilinen, bilimsel dayanakl\u0131 en yayg\u0131n m\u00fcdahale y\u00f6ntemi iyi yap\u0131land\u0131r\u0131lm\u0131\u015f bireysel ve grup \u00f6zel e\u011fitim uygulamalar\u0131d\u0131r. Erken tan\u0131 ve uygun m\u00fcdahale, tedavi yan\u0131t\u0131nda \u00e7ok \u00f6nemlidir. 2,5 ya\u015f\u0131ndan \u00f6nce tan\u0131 alm\u0131\u015f ve tedaviye ba\u015flayan grupta sosyal belirtilerde iyile\u015fme oranlar\u0131n\u0131n y\u00fczde 65\u2019e vard\u0131\u011f\u0131 bildirilmi\u015ftir. Yani erken tan\u0131 ve erken ba\u015flayan uygun, bireyselle\u015ftirilmi\u015f \u00f6zel e\u011fitim uygulamalar\u0131 seyirde \u00e7ok \u00f6nemlidir. OSB\u2019li her \u00e7ocuk ayn\u0131 olmad\u0131\u011f\u0131 i\u00e7in e\u011fitim ihtiya\u00e7lar\u0131 ve e\u011fitime cevap s\u00fcreleri de de\u011fi\u015fmektedir. Ancak her \u00e7ocuk farkl\u0131 h\u0131z ve d\u00fczeylerde de olsa \u00f6zel e\u011fitimden faydalan\u0131r\u201d dedi.<\/p>\n

Otizm tedavisinde aile e\u011fitimi \u00e7ok \u00f6nemli<\/b><\/p>\n

Otizmin tedavisinde aile e\u011fitiminin \u00e7ok \u00f6nemli oldu\u011funu vurgulayan Do\u00e7. Dr. K\u00f6se, \u201cBireysel ve grup \u00f6zel e\u011fitimin yan\u0131 s\u0131ra ailelere y\u00f6nelik e\u011fitim programlar\u0131, duyular\u0131n d\u00fczenlenmesi ve bedensel aktivitelere y\u00f6nelik e\u011fitsel yakla\u015f\u0131mlar da tedavi programlar\u0131n\u0131n i\u00e7inde yer almaktad\u0131r.\u00a0 Tipik geli\u015fim s\u00fcrecinde de \u00e7ocu\u011fun prososyal davran\u0131\u015flar\u0131n\u0131n geli\u015fimi kademeli ve komplekstir, hem kal\u0131t\u0131mdan hem \u00e7evreden etkilenir. Tipik \u00e7evresel fakt\u00f6rlerin ba\u015f\u0131nda aile atmosferi, \u00f6\u011fretmen-\u00e7ocuk ili\u015fkisi ve ya\u015f\u0131t ili\u015fkileri gelmektedir. Ebeveynlerin kabullenici, s\u0131cak, olumlu, cesaretlendirici, zorlay\u0131c\u0131 olmayan disiplin ve rehberlik sa\u011flayabilmelerinin de \u00f6nemli oldu\u011funu g\u00f6rmekteyiz. Bu noktada ebeveynlerin kendi fiziksel ve ruhsal sa\u011fl\u0131klar\u0131n\u0131 da ihmal etmemeleri \u00f6nemli olmaktad\u0131r. Otizmde ila\u00e7 tedavileri, \u00e7ocu\u011fun geli\u015fimsel ilerlemesini, g\u00fcnl\u00fck i\u015flevselli\u011fini ve e\u011fitim almas\u0131n\u0131 engelleyen e\u015flik eden \u015fiddetli ve uyum bozucu olan davran\u0131\u015f sorunlar\u0131n\u0131n y\u00f6netiminde ve e\u015flik eden mevcut psikiyatrik tablolar\u0131 tedavi etmek ve i\u015flevselli\u011fi artt\u0131rmak i\u00e7in kullan\u0131lmaktad\u0131r\u201d dedi.<\/p>\n

Do\u00e7. Dr. K\u00f6se, \u201cSonu\u00e7 olarak, otizm belirtileri her bireyde farkl\u0131 d\u00fczeyde g\u00f6r\u00fcnebilmektedir. Erken d\u00f6nemdeki en \u00f6nemli belirtiler g\u00f6z temas\u0131nda yetersizlik, ad\u0131na tepki vermeme, ortakla\u015fa dikkat olu\u015fturmama, parmakla i\u015faret etmeme, sevin\u00e7lerini payla\u015fmama, uyku, beslenme sorunlar\u0131 ve dil geli\u015fiminde gerilikler olarak kendini g\u00f6sterebilmektedir. Otizmli bireylerin farkl\u0131 i\u015flevsellik d\u00fczeyi ve e\u015flik eden farkl\u0131 durumlar\u0131 nedeniyle farkl\u0131 ihtiya\u00e7lar\u0131 bulunmaktad\u0131r. Bu nedenle bireysel ve b\u00fct\u00fcnc\u00fcl \u00e7ok y\u00f6nl\u00fc tedavi programlar\u0131 haz\u0131rlanmal\u0131d\u0131r. Erken tan\u0131 ve uygun \u00f6zel e\u011fitim m\u00fcdahalelerinin tedavi ba\u015far\u0131s\u0131 y\u00fcksektir. Tedavinin \u00e7ocu\u011fun d\u00f6nemsel ve geli\u015fimsel ihtiya\u00e7lar\u0131n\u0131 kar\u015f\u0131layacak \u015fekilde dinamik, kademeli ve bireyselle\u015ftirilmi\u015f olarak sunulmas\u0131 \u00f6nemlidir.\u00a0 Tedaviye ailenin kat\u0131l\u0131m\u0131 ve i\u015f birli\u011finin \u00e7ok \u00f6nemli oldu\u011fu unutulmamal\u0131d\u0131r\u201d diye konu\u015ftu.<\/p>\n

\u201c<\/b>Otizme \u00c7ok Y\u00f6nl\u00fc Bak\u0131\u015f\u201d ba\u015fl\u0131kl\u0131 sempozyum d\u00fczenlenecek<\/b><\/p>\n

Do\u00e7. Dr. K\u00f6se, \u201cBu y\u0131l E\u00dcTF \u00c7ocuk ve Ergen Psikiyatrisi Anabilim Dal\u0131 olarak 14 Nisan\u2019da \u2018Otizme \u00c7ok Y\u00f6nl\u00fc Bak\u0131\u015f\u2019 ba\u015fl\u0131kl\u0131 bir sempozyum d\u00fczenleyece\u011fiz. \u00c7ok de\u011ferli hocalar\u0131m\u0131zdan otizmin klinik, n\u00f6rolojik, genetik y\u00f6n\u00fcn\u00fc,\u00a0bilimsel kan\u0131tlanm\u0131\u015f\u00a0\u00f6zel e\u011fitim uygulamalar\u0131n\u0131, \u00f6\u011fretim kat\u0131l\u0131m hakk\u0131 ve kapsay\u0131c\u0131 e\u011fitim uygulamalar\u0131n\u0131 ve bu alanlardaki son verileri dinleyece\u011fiz. \u0130lgilenen herkesi sempozyumumuza bekleriz, halk\u0131m\u0131za a\u00e7\u0131kt\u0131r ve kat\u0131l\u0131m \u00fccretsizdir. Program\u0131n ayr\u0131nt\u0131lar\u0131na\u00a0farkindayim.org<\/a>\u00a0sitesinden ula\u015fabilirsiniz\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"

36 \u00e7ocuktan 1\u2019inde otizm spektrum bozuklu\u011fu g\u00f6r\u00fcl\u00fcyor Do\u00e7. Dr. Sezen K\u00f6se \u201cOtizmde erken tan\u0131 ve…<\/p>\n","protected":false},"author":2,"featured_media":14266,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[99,1,70,68],"tags":[],"class_list":["post-14265","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-egitim","category-gncl","category-kampus","category-saglik"],"featured_image_urls":{"full":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3.jpg",1500,1000,false],"thumbnail":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3-150x150.jpg",150,150,true],"medium":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3-300x200.jpg",300,200,true],"medium_large":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3-768x512.jpg",640,427,true],"large":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3-1024x683.jpg",640,427,true],"1536x1536":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3.jpg",1500,1000,false],"2048x2048":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3.jpg",1500,1000,false],"newsphere-slider-full":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3-1280x720.jpg",1280,720,true],"newsphere-featured":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3-1024x683.jpg",1024,683,true],"newsphere-medium":["https:\/\/www.euegeajans.com\/wp-content\/uploads\/2023\/04\/Doc-Dr-Sezen-Kose-3-720x380.jpg",720,380,true]},"author_info":{"display_name":"Editor","author_link":"https:\/\/www.euegeajans.com\/index.php\/author\/editor\/"},"category_info":"E\u011fitim<\/a> G\u00fcncel<\/a> Kamp\u00fcs<\/a> Sa\u011fl\u0131k<\/a>","tag_info":"Sa\u011fl\u0131k","comment_count":"0","_links":{"self":[{"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/posts\/14265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/comments?post=14265"}],"version-history":[{"count":1,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/posts\/14265\/revisions"}],"predecessor-version":[{"id":14268,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/posts\/14265\/revisions\/14268"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/media\/14266"}],"wp:attachment":[{"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/media?parent=14265"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/categories?post=14265"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.euegeajans.com\/index.php\/wp-json\/wp\/v2\/tags?post=14265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}