\u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Psikiyatri Uzman\u0131 Prof. Dr. Nesrin Dilbaz, ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n beyindeki \u00f6d\u00fcl sistemiyle ili\u015fkisi, \u00f6zellikle kumar ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ba\u015fta olmak \u00fczere geli\u015fim s\u00fcre\u00e7leri ve modern tedavi yakla\u015f\u0131mlar\u0131 hakk\u0131nda a\u00e7\u0131klamalarda bulundu.<\/p>\n
\u0130lk maruz kal\u0131nd\u0131\u011f\u0131 anda ba\u011f\u0131ml\u0131l\u0131k s\u00fcreci ba\u015flar!\u00a0<\/strong><\/p>\n Ba\u011f\u0131ml\u0131l\u0131k, madde veya davran\u0131\u015f kaynakl\u0131 olarak ortaya \u00e7\u0131kan ve beyin i\u015flevlerinde maladaptif de\u011fi\u015fikliklere neden olan bir hastal\u0131k oldu\u011funu dile getiren Prof. Dr. Nesrin Dilbaz, \u201c\u0130lk maruz kal\u0131nd\u0131\u011f\u0131 anda ba\u011f\u0131ml\u0131l\u0131k s\u00fcreci ba\u015flar ve bu s\u00fcre\u00e7, \u00f6zellikle beynin \u00f6d\u00fcl sistemi \u00fczerindeki etkileriyle ilerler.\u201d dedi.<\/p>\n \u00d6d\u00fcl sistemi aktivasyonu ile birlikte beyindeki kontrol mekanizmalar\u0131n\u0131n zay\u0131flayarak ba\u011f\u0131ml\u0131l\u0131k belirtilerinin ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade eden\u00a0Prof. Dr. Dilbaz, \u201cBu belirtiler aras\u0131nda artan kullan\u0131m miktar\u0131, kesme veya ara verme giri\u015fimlerinde ortaya \u00e7\u0131kan yo\u011fun istek ve yoksunluk belirtileri, yasal sorunlar, sosyal ve i\u015f hayat\u0131nda olumsuz etkiler yer al\u0131r. Ba\u011f\u0131ml\u0131l\u0131k geli\u015ftik\u00e7e bireyler \u00e7evreleri taraf\u0131ndan uyar\u0131lsalar dahi kullanmaya devam edebilir ve zarar g\u00f6rmelerine ra\u011fmen b\u0131rakmakta g\u00fc\u00e7l\u00fck \u00e7ekebilirler.\u201d \u015feklinde konu\u015ftu.<\/p>\n Ba\u011f\u0131ml\u0131l\u0131k tedavisinde zaman\u0131nda m\u00fcdahale b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor!\u00a0<\/strong><\/p>\n Ba\u011f\u0131ml\u0131l\u0131k tedavisinde zaman\u0131nda m\u00fcdahale b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131na vurgu yapan\u00a0Prof. Dr. Nesrin Dilbaz, \u201cHastalar genellikle ba\u011f\u0131ml\u0131l\u0131klar\u0131n\u0131 kontrol edebileceklerine inand\u0131klar\u0131n\u0131 ifade ederler ve bazen kullan\u0131m\u0131n azald\u0131\u011f\u0131n\u0131 veya belirli zaman aral\u0131klar\u0131nda ger\u00e7ekle\u015fti\u011fini iddia ederler. Ancak ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 tan\u0131mlarken yaln\u0131zca kullan\u0131m s\u0131kl\u0131\u011f\u0131 de\u011fil, ayn\u0131 zamanda miktar\u0131 da dikkate al\u0131nmal\u0131.\u201d dedi.<\/p>\n Tedavi s\u00fcrecinde \u00f6zelle\u015fmi\u015f merkezlere ba\u015fvurulmas\u0131 ve uzman sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 taraf\u0131ndan bireyselle\u015ftirilmi\u015f tedavi y\u00f6ntemlerinin uygulanmas\u0131 gerekti\u011fini kaydeden\u00a0Prof. Dr. Dilbaz, bu \u00e7er\u00e7evede ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n klinik ve tedaviye y\u00f6nelik boyutlar\u0131n\u0131n akademik olarak ele al\u0131nd\u0131\u011f\u0131n\u0131 aktard\u0131.<\/p>\n Sanal kumar eri\u015fiminin kolayla\u015fmas\u0131 gen\u00e7lerde kumar al\u0131\u015fkanl\u0131\u011f\u0131n\u0131 art\u0131r\u0131yor!\u00a0<\/strong><\/p>\n Kumar ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131 ise bireyin kontrol\u00fcn\u00fc kaybederek a\u015f\u0131r\u0131 ve obsesif bi\u00e7imde kumar oynama e\u011filimi g\u00f6stermesi olarak tan\u0131mlayan\u00a0Prof. Dr. Nesrin Dilbaz, \u201cKi\u015fi finansal kay\u0131plar ya\u015famas\u0131na, psikolojik ve sosyal sorunlarla kar\u015f\u0131la\u015fmas\u0131na ra\u011fmen kumar oynamaya devam eder.\u201d dedi.<\/p>\n Son y\u0131llarda kumar ba\u011f\u0131ml\u0131l\u0131\u011f\u0131na ili\u015fkin demografik yap\u0131da \u00f6nemli de\u011fi\u015fimler g\u00f6zlemlendi\u011fine i\u015faret eden\u00a0Prof. Dr. Dilbaz, \u015funlar\u0131 s\u00f6yledi:<\/p>\n \u201cGe\u00e7mi\u015fte at yar\u0131\u015flar\u0131 gibi fiziksel ortamlarda ger\u00e7ekle\u015fen kumar etkinlikleri veya yurt d\u0131\u015f\u0131ndaki gibi kumarhaneler daha yayg\u0131nken, g\u00fcn\u00fcm\u00fczde sanal kumar sitelerine eri\u015fimin kolayla\u015fmas\u0131 \u00f6zellikle gen\u00e7 ve gen\u00e7 yeti\u015fkinler aras\u0131nda kumar al\u0131\u015fkanl\u0131\u011f\u0131n\u0131n artmas\u0131na neden oldu. Teknolojik geli\u015fmeler ve sanal platformlar\u0131n yayg\u0131nla\u015fmas\u0131 bu art\u0131\u015fta \u00f6nemli bir rol oynuyor.<\/p>\n Kumar ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 \u00f6zellikle \u00fcniversite \u00f6\u011frencileri ve yeni mezun gen\u00e7 yeti\u015fkinler aras\u0131nda daha s\u0131k g\u00f6r\u00fcl\u00fcyor. Bu grupta erkek bireylerin oran\u0131 daha y\u00fcksek. Bireyler genellikle h\u0131zl\u0131 para kazanma arzusu ile internet \u00fczerinden eri\u015filen sanal kumar oyunlar\u0131na y\u00f6neliyor. Bu s\u00fcre\u00e7te internet ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ile sanal kumar ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 i\u00e7 i\u00e7e ge\u00e7ebiliyor. Gen\u00e7 yeti\u015fkinler \u00e7o\u011fu zaman spor m\u00fcsabakalar\u0131na ili\u015fkin verileri analiz ederek kazanma ihtimallerini art\u0131rabileceklerine inan\u0131yor, ancak zamanla ciddi finansal kay\u0131plar ya\u015fayabiliyorlar. \u2018Bu sefer kazanaca\u011f\u0131m\u2019 d\u00fc\u015f\u00fcncesi beyindeki \u00f6d\u00fcl sistemini aktive ederek davran\u0131\u015f\u0131 peki\u015ftiriyor. Prefrontal korteks olarak bilinen \u00f6n beyin kontrol mekanizmalar\u0131n\u0131n yeterince etkin \u00e7al\u0131\u015fmamas\u0131 da risk alma davran\u0131\u015f\u0131n\u0131 art\u0131rarak ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 g\u00fc\u00e7lendiriyor.\u201d<\/p>\n Ba\u011f\u0131ml\u0131l\u0131k bir kez geli\u015ftikten sonra b\u0131rakma s\u00fcreci zorla\u015f\u0131r ve ba\u015far\u0131 oranlar\u0131 d\u00fc\u015fer!\u00a0<\/strong><\/p>\n Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n kendi kendine ge\u00e7mesi genellikle m\u00fcmk\u00fcn olmad\u0131\u011f\u0131na dikkat \u00e7eken\u00a0Prof. Dr. Nesrin Dilbaz, \u201cBa\u011f\u0131ml\u0131l\u0131k bir kez geli\u015ftikten sonra b\u0131rakma s\u00fcreci zorla\u015f\u0131r ve ba\u015far\u0131 oranlar\u0131 d\u00fc\u015fer. \u00c7\u00fcnk\u00fc ba\u011f\u0131ml\u0131l\u0131k, \u00f6d\u00fcl peki\u015ftiren bir davran\u0131\u015f \u00f6r\u00fcnt\u00fcs\u00fcd\u00fcr ve beyinde kal\u0131c\u0131 n\u00f6roadaptif de\u011fi\u015fikliklere yol a\u00e7ar.\u201d dedi.<\/p>\n Ba\u015flang\u0131\u00e7ta kontrol edilebilen isteklerin zamanla artt\u0131\u011f\u0131n\u0131 ve kontrol mekanizmalar\u0131n\u0131n bu isteklerle ba\u015fa \u00e7\u0131kmakta zorland\u0131\u011f\u0131n\u0131 ifade eden\u00a0Prof. Dr. Dilbaz, bu nedenle ba\u011f\u0131ml\u0131l\u0131k geli\u015ftikten sonra profesyonel destek al\u0131nmas\u0131n\u0131n tedavi s\u00fcrecinin ba\u015far\u0131s\u0131 a\u00e7\u0131s\u0131ndan kritik \u00f6neme sahip oldu\u011funun alt\u0131n\u0131 \u00e7izdi.<\/p>\n Ba\u011f\u0131ml\u0131l\u0131k tedavisinde temel yakla\u015f\u0131m eri\u015fimin engellenmesi! \u00a0<\/strong><\/p>\n Ba\u011f\u0131ml\u0131l\u0131k tedavisinde temel yakla\u015f\u0131mlardan birinin ba\u011f\u0131ml\u0131l\u0131k yap\u0131c\u0131 madde veya davran\u0131\u015fa eri\u015fimin engellenmesi oldu\u011funa de\u011finen\u00a0Prof. Dr. Nesrin Dilbaz, \u201c\u00d6zellikle ak\u0131ll\u0131 telefonlar\u0131n yayg\u0131n kullan\u0131m\u0131, kumar gibi davran\u0131\u015flara eri\u015fimi kolayla\u015ft\u0131rd\u0131\u011f\u0131 i\u00e7in tedavi s\u00fcrecinde \u00f6nemli bir risk fakt\u00f6r\u00fc olarak de\u011ferlendirilir.\u201d dedi.<\/p>\n Baz\u0131 durumlarda bireylerin telefon kullan\u0131m\u0131n\u0131n s\u0131n\u0131rland\u0131r\u0131lmas\u0131 veya alternatif kontrol mekanizmalar\u0131n\u0131n uygulanmas\u0131n\u0131n gerekebilece\u011fini aktaran\u00a0Prof. Dr. Dilbaz, \u201cAyn\u0131 zamanda finansal riskleri azaltmak amac\u0131yla kredi kullan\u0131m\u0131 gibi davran\u0131\u015flar\u0131n \u00f6n\u00fcne ge\u00e7ilmesi de tedavi s\u00fcrecinin bir par\u00e7as\u0131d\u0131r. D\u0131\u015f kontrol mekanizmalar\u0131, bireyin i\u00e7 kontrol\u00fcn\u00fcn zay\u0131flad\u0131\u011f\u0131 durumlarda destekleyici rol oynar. Gerekli durumlarda ila\u00e7 tedavileri ve bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapiler gibi y\u00f6ntemler de kullan\u0131labilir. Bu yakla\u015f\u0131mlar ba\u011f\u0131ml\u0131l\u0131k davran\u0131\u015f\u0131n\u0131n de\u011fi\u015ftirilmesinde etkinli\u011fi kan\u0131tlanm\u0131\u015f y\u00f6ntemlerdir ve bireyin d\u00fcrt\u00fc kontrol\u00fcn\u00fc geli\u015ftirmesine yard\u0131mc\u0131 olur. Ba\u011f\u0131ml\u0131l\u0131k tedavisi multidisipliner bir s\u00fcre\u00e7tir ve eri\u015fimin k\u0131s\u0131tlanmas\u0131 tedavinin ba\u015far\u0131s\u0131n\u0131 art\u0131ran \u00f6nemli bir ad\u0131md\u0131r.\u201d a\u00e7\u0131klamas\u0131n\u0131 yapt\u0131.<\/p>\n Derin TMU, ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n beyindeki \u00f6d\u00fcl devrelerini hedef al\u0131yor\u00a0<\/strong><\/p>\n Son y\u0131llarda geli\u015ftirilen somatik tedavi y\u00f6ntemlerinden biri olan derin transkranial manyetik stim\u00fclasyonun (TMU), ba\u011f\u0131ml\u0131l\u0131k tedavisinde \u00f6ne \u00e7\u0131kan yenilik\u00e7i yakla\u015f\u0131mlardan biri oldu\u011funa i\u015faret eden\u00a0Prof. Dr. Nesrin Dilbaz, \u201cBu y\u00f6ntem, ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n beyindeki \u00f6d\u00fcl devreleri \u00fczerindeki etkilerini hedef al\u0131r. Tedavi s\u00fcrecinde bireyin ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 tetikleyen uyaranlara verdi\u011fi n\u00f6rolojik yan\u0131t incelenir.\u201d dedi.<\/p>\n Kumar ba\u011f\u0131ml\u0131l\u0131\u011f\u0131nda sanal bahis iste\u011fini art\u0131ran g\u00f6rsel uyaranlar, alkol ba\u011f\u0131ml\u0131l\u0131\u011f\u0131nda ise alkol t\u00fcketim ortamlar\u0131n\u0131n kullan\u0131labildi\u011fini dile getiren\u00a0Prof. Dr. Dilbaz, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131:<\/p>\n \u201cBu provokasyon s\u00fcreci s\u0131ras\u0131nda ilgili beyin b\u00f6lgeleri manyetik uyar\u0131m ile hedeflenir. Derin TMU uygulamas\u0131nda navigasyon sistemleri kullan\u0131larak belirlenen beyin b\u00f6lgelerine hassas manyetik alanlar g\u00f6nderilir. Bu uyar\u0131mlar, ba\u011f\u0131ml\u0131l\u0131kla ili\u015fkili a\u015f\u0131r\u0131 aktivitenin azalt\u0131lmas\u0131na y\u00f6nelik olarak tekrarlay\u0131c\u0131 \u015fekilde uygulan\u0131r. Sigara ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 gibi alanlarda ba\u015flayan \u00e7al\u0131\u015fmalar, y\u00f6ntemin di\u011fer ba\u011f\u0131ml\u0131l\u0131k t\u00fcrlerinde de etkili olabilece\u011fini g\u00f6steriyor. Derin transkranial manyetik stim\u00fclasyon, ila\u00e7 tedavileri ve psikoterapiye alternatif ya da tamamlay\u0131c\u0131 bir y\u00f6ntem olarak de\u011ferlendirilen ve bilimsel ara\u015ft\u0131rmalarla desteklenen bir tedavi se\u00e7ene\u011fidir.\u201d\u00a0<\/p>\n \u00a0<\/p>\n \u00a0<\/p>\n Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":" \u00dcsk\u00fcdar \u00dcniversitesi NP\u0130STANBUL Hastanesi Psikiyatri Uzman\u0131 Prof.<\/p>\n","protected":false},"author":1,"featured_media":6281,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[],"class_list":["post-6280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts\/6280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6280"}],"version-history":[{"count":1,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts\/6280\/revisions"}],"predecessor-version":[{"id":6282,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts\/6280\/revisions\/6282"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/media\/6281"}],"wp:attachment":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}