{"id":3207,"date":"2022-01-26T13:14:30","date_gmt":"2022-01-26T10:14:30","guid":{"rendered":"https:\/\/www.petyasam.com\/blog\/kopeklerde-cushing-hastaligi-tedavisi\/"},"modified":"2022-01-26T13:14:30","modified_gmt":"2022-01-26T10:14:30","slug":"kopeklerde-cushing-hastaligi-tedavisi","status":"publish","type":"post","link":"https:\/\/www.petyasam.com\/blog\/kopeklerde-cushing-hastaligi-tedavisi\/","title":{"rendered":"K\u00f6peklerde Cushing Hastal\u0131\u011f\u0131 Tedavisi"},"content":{"rendered":"<p><strong>K\u00f6peklerde cushing hastal\u0131\u011f\u0131 <\/strong>hiperadrenokortisizm olarak da bilinen hormonal bir rahats\u0131zl\u0131kt\u0131r. Hastal\u0131\u011f\u0131n tan\u0131s\u0131 zor oldu\u011fu i\u00e7in klinik belirtileri dikkate al\u0131nmal\u0131d\u0131r. Cushing hastal\u0131\u011f\u0131, glukortikoid hormonlar\u0131n\u0131n kanda a\u015f\u0131r\u0131 \u015fekilde salg\u0131lamas\u0131 ile endokrin sistemin bozulmas\u0131d\u0131r. Kortizol k\u00f6peklerde salg\u0131lanan en \u00f6nemli glikokortikoiddir. Kortizol; kan \u015fekeri, kan bas\u0131nc\u0131, metabolizma olaylar\u0131 ve ba\u011f\u0131\u015f\u0131kl\u0131k tepkisini d\u00fczenler. Ayn\u0131 zamanda stres durumunun da a\u015f\u0131r\u0131 salg\u0131lan\u0131r. Cushing hastal\u0131\u011f\u0131 kedilerde, k\u00f6peklerde, insanlarda ve hatta atlarda g\u00f6r\u00fcl\u00fcr. Cushing hastal\u0131\u011f\u0131 ortalama 10 ila 11 ya\u015f\u0131ndaki k\u00f6peklerde meydana gelir. Dachshund, Boston Terrier, Poodle ve Beagle gibi \u0131rklarda cushing hastal\u0131\u011f\u0131n\u0131n g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 fazlad\u0131r. Cushing hastal\u0131\u011f\u0131n\u0131n k\u00f6peklerde g\u00f6r\u00fclen 3 formu; hipofize ba\u011f\u0131ml\u0131 form, adrenal bezlere ba\u011f\u0131ml\u0131 form ve iyatrojenik cushing form.<\/p>\n<h2><strong>K\u00f6peklerde Cushing Hastal\u0131\u011f\u0131 Nedenleri<\/strong><\/h2>\n<ul>\n<li><strong>Hipofiz Bezi T\u00fcm\u00f6r\u00fc: <\/strong>Hipofize ba\u011f\u0131ml\u0131 cushing hastal\u0131\u011f\u0131n\u0131n en s\u0131k g\u00f6r\u00fclen formudur. Olgular\u0131n %85 kadar\u0131n\u0131 olu\u015ftururlar. Hipofiz bezi t\u00fcm\u00f6rleri iyi huyludur ve a\u015f\u0131r\u0131 miktarda ACHT \u00fcretilmesi ile adrenal bezleri kortizol \u00fcretebilmesi i\u00e7in uyar\u0131rlar. Adrenal bezlerde b\u00fcy\u00fcmeye neden olurlar.<\/li>\n<li><strong>Adrenal Bez T\u00fcm\u00f6r\u00fc: <\/strong>Adrenal bez t\u00fcm\u00f6rlerinin %50\u2019si iyi huylu, %50\u2019si ise k\u00f6t\u00fc huyludur. K\u00f6t\u00fc huylu t\u00fcm\u00f6rler h\u0131zl\u0131 yay\u0131lmaya ve b\u00fcy\u00fcmeye yatk\u0131nl\u0131k g\u00f6sterir. A\u015f\u0131r\u0131 miktarda kortizol hormonu salg\u0131lar ve adrenal bezlerin a\u015f\u0131r\u0131 k\u00fc\u00e7\u00fclmesine neden olurlar.<\/li>\n<li><strong>Uzun S\u00fcreli Steroid Kullan\u0131m\u0131: <\/strong>Uzun s\u00fcreli steroid tedaviler, adrenal bezleri olumsuz etkileyebilir ve iyatrojenik cushing hastal\u0131\u011f\u0131na neden olabilir.<\/li>\n<\/ul>\n<h3><strong>K\u00f6peklerde Cushing Hastal\u0131\u011f\u0131 Belirtileri<\/strong><\/h3>\n<p>K\u00f6peklerde g\u00f6r\u00fclen cushing hastal\u0131\u011f\u0131, orta ve ileri ya\u015flarda etkisini g\u00f6sterir. Belirtilerini fark etmek ve anlamland\u0131rmak her zaman kolay de\u011fildir.<\/p>\n<ul>\n<li>K\u00f6peklerde her zamankinden fazla susama<\/li>\n<li>K\u00f6peklerde aniden olu\u015fan i\u015ftah art\u0131\u015f\u0131<\/li>\n<li>Deride incelme<\/li>\n<li>Evde idrar kazalar\u0131, idrar yama s\u0131kl\u0131\u011f\u0131nda art\u0131\u015f olmas\u0131<\/li>\n<li>Hareketsizlik ve yorgunluk<\/li>\n<li>Kas g\u00fc\u00e7s\u00fczl\u00fc\u011f\u00fc<\/li>\n<li>Ge\u00e7 iyile\u015fen yaralar<\/li>\n<li>Deride sert plakalar olu\u015fmas\u0131<\/li>\n<li>Hipofize ba\u011fl\u0131 geli\u015fen formunda n\u00f6rolojik belirtiler<\/li>\n<li>T\u00fcylerin yava\u015f uzamas\u0131 ve d\u00f6k\u00fclmesi<\/li>\n<li>H\u0131zl\u0131 nefes al\u0131p verme<\/li>\n<li>\u00c7e\u015fitli cilt enfeksiyonlar\u0131<\/li>\n<\/ul>\n<p><strong>K\u00f6peklerde cushing hastal\u0131\u011f\u0131<\/strong> belli ba\u015fl\u0131 sorunlara neden olmaktad\u0131r;<\/p>\n<ul>\n<li>\u015eeker hastal\u0131\u011f\u0131<\/li>\n<li>Karaci\u011fer hasar\u0131<\/li>\n<li>Y\u00fcksek kan bas\u0131nc\u0131<\/li>\n<li>Deri ve bo\u015falt\u0131m sisteminde enfeksiyonlar<\/li>\n<li>\u0130drar kesesinde ta\u015f olu\u015fumu<\/li>\n<li>Nadiren de olsa Pulmoner Emboli<\/li>\n<\/ul>\n<h3><strong>K\u00f6peklerde Cushing Hastal\u0131\u011f\u0131 Te\u015fhisi<\/strong><\/h3>\n<p>Veteriner hekiminiz k\u00f6pe\u011finizin \u015fikayetlerini sizden dinlemek ister ve kapsaml\u0131 fizik muayenesine ba\u015flar. K\u00f6pe\u011finizin detayl\u0131 laboratuvar testleri istenir. Biyokimya, idrar tahlili ve tam kan say\u0131m\u0131 sonu\u00e7lar\u0131 de\u011ferlendirilir. Tam kan say\u0131m\u0131nda a\u015f\u0131r\u0131 kortizol \u00e7\u0131kmas\u0131na ba\u011fl\u0131 akyuvarlarda \u00e7e\u015fitli farkl\u0131l\u0131klar g\u00f6ze \u00e7arpar. Biyokimya analizinde ise karaci\u011fer enzimleri, kan \u015fekeri ve kolesterol seviyesi tespit eder. \u0130drar sonucunda idrar konsantrasyonu d\u00fc\u015f\u00fck olur. Bu testlerde g\u00f6r\u00fclen anormallikler cushing hastal\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fcr\u00fcr ve ek testler istenir.<\/p>\n<ul>\n<li>ACTH stim\u00fclasyon testi, hipofize ba\u011fl\u0131 geli\u015fen form ve adrenal beze ba\u011fl\u0131 geli\u015fen formlar i\u00e7in do\u011fru sonu\u00e7lar vermektedir. Kortizol d\u00fczeyine bak\u0131ld\u0131ktan sonra ACTH enfeksiyonu yap\u0131lmaktad\u0131r. Y\u00fcksek \u00e7\u0131kmas\u0131 cushing hastal\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fcrmektedir.<\/li>\n<li>LDDST testi, hipofize ve adrenal beze ba\u011fl\u0131 geli\u015fen formlarda sonu\u00e7 verir. Kortizol seviyesinin \u00f6l\u00e7\u00fclmesi ile sonu\u00e7lan\u0131r. Cushing hastal\u0131\u011f\u0131na sahip k\u00f6peklerde kortizol bask\u0131lanmas\u0131 g\u00f6r\u00fclmez.<\/li>\n<li>\u0130drar kortizol kreatinin oran\u0131 i\u00e7in evde idrar \u00f6rne\u011fi al\u0131nmal\u0131d\u0131r. Cushing hastas\u0131 olan k\u00f6peklerde idrarda kortizol d\u00fczeyi y\u00fcksek \u00e7\u0131kar.<\/li>\n<\/ul>\n<h3><strong>K\u00f6peklerde Cushing Hastal\u0131\u011f\u0131 Tedavisi<\/strong><\/h3>\n<p><strong>K\u00f6peklerde cushing hastal\u0131\u011f\u0131 <\/strong>tedavisinde ama\u00e7, hastal\u0131\u011f\u0131n nedenini belirlemek, belirtileri kontrol alt\u0131na almak ve tedavinin yan etkilerini \u00f6nlemektir. Cushing hastal\u0131\u011f\u0131n\u0131n tedavi y\u00f6ntemleri hastal\u0131\u011f\u0131n nedenine g\u00f6re de\u011fi\u015fir. Tedavinin bireysel olarak planlanmas\u0131 ve laboratuvar tahlilleri ile klinik bulgular\u0131n g\u00f6z \u00f6n\u00fcnde bulundurulmas\u0131 gerekir. Hipofize ba\u011f\u0131ml\u0131 cushing hastal\u0131\u011f\u0131nda, tedaviye yan\u0131t al\u0131namayabilir. Destekleyici bir tedavi yolu uygulanmal\u0131 ve ikincil hastal\u0131klar dikkate al\u0131nmal\u0131. Semptomlar k\u00f6pe\u011fin hayat\u0131n\u0131 etkiliyorsa tedavi uygulanmas\u0131 gerekir. Vetoryl ad\u0131 verilen bir ila\u00e7, kortizol \u00fcretiminde bulunan enzimleri inhibe etmektedir. B\u00f6ylece kortizol \u00fcretimi engellenir. Bu nedenle hipofize ba\u011f\u0131ml\u0131 formunda s\u0131kl\u0131kla re\u00e7ete edilmektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>K\u00f6peklerde cushing hastal\u0131\u011f\u0131 hiperadrenokortisizm olarak da bilinen hormonal bir rahats\u0131zl\u0131kt\u0131r. Hastal\u0131\u011f\u0131n tan\u0131s\u0131 zor oldu\u011fu i\u00e7in klinik belirtileri dikkate al\u0131nmal\u0131d\u0131r. Cushing hastal\u0131\u011f\u0131, glukortikoid hormonlar\u0131n\u0131n kanda a\u015f\u0131r\u0131 \u015fekilde salg\u0131lamas\u0131 ile endokrin sistemin bozulmas\u0131d\u0131r. Kortizol k\u00f6peklerde salg\u0131lanan en \u00f6nemli glikokortikoiddir. Kortizol; kan \u015fekeri, kan bas\u0131nc\u0131, metabolizma olaylar\u0131 ve ba\u011f\u0131\u015f\u0131kl\u0131k tepkisini d\u00fczenler. Ayn\u0131 zamanda stres durumunun da a\u015f\u0131r\u0131 salg\u0131lan\u0131r. &#8230; <a title=\"K\u00f6peklerde Cushing Hastal\u0131\u011f\u0131 Tedavisi\" class=\"read-more\" href=\"https:\/\/www.petyasam.com\/blog\/kopeklerde-cushing-hastaligi-tedavisi\/\" aria-label=\"Read more about K\u00f6peklerde Cushing Hastal\u0131\u011f\u0131 Tedavisi\">Devam\u0131n\u0131 oku<\/a><\/p>\n","protected":false},"author":1,"featured_media":3208,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-3207","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kopek"],"_links":{"self":[{"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/posts\/3207","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/comments?post=3207"}],"version-history":[{"count":0,"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/posts\/3207\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/media\/3208"}],"wp:attachment":[{"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/media?parent=3207"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/categories?post=3207"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.petyasam.com\/blog\/wp-json\/wp\/v2\/tags?post=3207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}