{"id":13784,"date":"2025-07-04T12:17:31","date_gmt":"2025-07-04T10:17:31","guid":{"rendered":"https:\/\/ivrt.de\/?p=13784"},"modified":"2026-04-29T09:57:24","modified_gmt":"2026-04-29T07:57:24","slug":"aile-hekimliginde-bas-doenmesi-oenleyici-ilaclar-zayif-kanita-ragmen-yueksek-recete-oranlari","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/anti-vertigo-medikamente-in-der-hausarztpraxis-hohe-verordnungsraten-trotz-schwacher-evidenz\/","title":{"rendered":"Aile hekimli\u011finde vertigo \u00f6nleyici ila\u00e7lar: Zay\u0131f kan\u0131tlara ra\u011fmen y\u00fcksek re\u00e7ete oranlar\u0131"},"content":{"rendered":"<p><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p>Betahistin gibi anti-vertigo ila\u00e7lar\u0131 (AVM), s\u0131n\u0131rl\u0131 etkinlik kan\u0131tlar\u0131na ra\u011fmen genel t\u0131pta yayg\u0131n olarak kullan\u0131lmaktad\u0131r. \u00d6zellikle sorunlu olan husus, re\u00e7etelerin \u00f6nemli bir k\u0131sm\u0131n\u0131n a\u00e7\u0131k bir gerek\u00e7e olmaks\u0131z\u0131n uzun vadeli olarak yap\u0131lmas\u0131d\u0131r. <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\">vestib\u00fcler tan\u0131lama<\/a>. Hollanda'dan yap\u0131lan g\u00fcncel bir ara\u015ft\u0131rma, aile hekimli\u011fi hizmetlerinde g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 ve re\u00e7ete s\u00fcresine ili\u015fkin ilk kez sistematik veriler sunmaktad\u0131r.<\/p>\n\n\n\n<p>\ud83d\udd17 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40550632\/\"><strong>PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/strong><\/a><\/p>\n\n\n\n<p><strong>\u00c7al\u0131\u015fma tasar\u0131m\u0131:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tasar\u0131m<\/strong>Retrospektif kohort \u00e7al\u0131\u015fmas\u0131 (Rutin veri analizi)<\/li>\n\n\n\n<li><strong>Veritaban\u0131<\/strong>: 269 aile hekimli\u011fi muayenehanesinden &gt;1,2 milyon hasta (NL, 2018\u20132021)<\/li>\n\n\n\n<li><strong>Dahil etme<\/strong>Vestib\u00fcler semptomlar\u0131 ve\/oder AVM re\u00e7eteleri olan yeti\u015fkinler<\/li>\n\n\n\n<li><strong>Ana hedef b\u00fcy\u00fckl\u00fckleri<\/strong>AVM re\u00e7etelerinin s\u0131kl\u0131\u011f\u0131 ve s\u00fcresi, uzun s\u00fcreli tedavi i\u00e7in belirleyiciler<\/li>\n<\/ul>\n\n\n\n<p><strong>Temel Bulgular<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vestib\u00fcler yak\u0131nmalar\u0131 olan 73.650 hastan\u0131n 6.172'si (<strong>9,2\u202f%<\/strong>) bir <strong>Al\u0131\u015fveri\u015f Merkezi Y\u00f6netmeli\u011fi<\/strong>.<\/li>\n\n\n\n<li>Bunlardand\u0131 <strong>32\u202f% uzun vadede<\/strong> re\u00e7ete edilmi\u015f.<\/li>\n\n\n\n<li>Tedavi g\u00f6renlerin \u202f%\u2019si hi\u00e7bir sorunu yoktu <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/meniere-hastaligi\/\" data-type=\"post\" data-id=\"7403\">Meniere Hastal\u0131\u011f\u0131<\/a>, yine de <strong>Uzun s\u00fcreli re\u00e7ete ile ili\u015fkili Meniere<\/strong>.<\/li>\n\n\n\n<li><strong>\u0130leri ya\u015f<\/strong> olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131rd\u0131 <strong>uzun s\u00fcreli AVM tedavisi<\/strong>.<\/li>\n\n\n\n<li>\u015eu hastalar: <strong><a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\">benign paroksismal pozisyonel vertij<\/a> (BPLS) <\/strong>veya spesifik olmayan ba\u015f d\u00f6nmesi \u015fikayeti ald\u0131lar <strong>nadir uzun s\u00fcreli re\u00e7eteler<\/strong>.<\/li>\n\n\n\n<li>Kent merkezindeki aile hekimli\u011fi muayeneleri daha nadiren d\u00fczenli olarak re\u00e7ete yazmaktad\u0131r.<\/li>\n<\/ul>\n\n\n\n<p><strong>Klinik uygulama i\u00e7in sonu\u00e7<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>AVM, Betahistin gibi olmak <strong>\u00e7o\u011funlukla endikasyon d\u0131\u015f\u0131 ve kan\u0131tlanm\u0131\u015f bir endikasyon olmaks\u0131z\u0131n re\u00e7ete edilmektedir<\/strong>.<\/li>\n\n\n\n<li>Der <strong>uzun s\u00fcreli re\u00e7etelerin y\u00fcksek oran\u0131<\/strong> i\u015faret ediyor <strong>yap\u0131sal a\u015f\u0131r\u0131 tedavi<\/strong> \u2013 \u00f6zellikle non-spesifik ba\u015f d\u00f6nmesi veya BPPV durumunda.<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\">Vestib\u00fcler Tan\u0131<\/a><\/strong> ve <strong>hedeflenen <\/strong><a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\"><strong>vestib\u00fcler rehabilitasyon<\/strong> <\/a>aile hekimli\u011finde bug\u00fcne kadar <strong>neredeyse hi\u00e7 kullan\u0131lmam\u0131\u015f<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p><strong>\ud83d\udc49 Kapsaml\u0131 bir ileri e\u011fitime ilgi duyuyorsunuz: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon tedavisi<\/a> ve bunlar\u0131n en iyi \u015fekilde nas\u0131l uygulanaca\u011f\u0131n\u0131?<\/strong><br>G\u00fcncel e\u011fitim tekliflerini \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\">IVRT E\u011fitim Arama<\/a>.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Hastalar i\u00e7in \u2013 basit\u00e7e a\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p><strong>Ba\u015f d\u00f6nmesine kar\u015f\u0131 ila\u00e7lar uzun vadede kullan\u0131l\u0131r m\u0131?<\/strong> <strong>Neden bunun yard\u0131mc\u0131 olmad\u0131\u011f\u0131 ve neyi daha iyi yapabilece\u011finiz<\/strong><\/p>\n\n\n\n<p>Ba\u015f d\u00f6nmesi \u015fikayeti olan bir\u00e7ok ki\u015fiye aile hekimi taraf\u0131ndan \u00f6rne\u011fin betahistin gibi ba\u015f d\u00f6nmesi \u00f6nleyici ila\u00e7lar verilir. Hollanda'da yap\u0131lan yeni bir ara\u015ft\u0131rma, bu ila\u00e7lar\u0131n ne s\u0131kl\u0131kta re\u00e7ete edildi\u011fini ve ger\u00e7ekten mant\u0131kl\u0131 olup olmad\u0131\u011f\u0131n\u0131 inceledi.<\/p>\n\n\n\n<p>\ud83d\udcc4 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40550632\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orijinal \u00e7al\u0131\u015fmaya<\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Ne sonu\u00e7 \u00e7\u0131kt\u0131?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u015eikayeti ba\u015f d\u00f6nmesi olan 73.000'den fazla hastan\u0131n yakla\u015f\u0131k 6.000'ine ba\u015f d\u00f6nmesi ilki verildi.<\/li>\n\n\n\n<li><strong>Bunun \u00fc\u00e7te biri<\/strong> Ald\u0131 <strong>kal\u0131c\u0131 <\/strong>bir \u2013 s\u0131k s\u0131k <strong>net bir te\u015fhis olmadan<\/strong> nas\u0131l<a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/meniere-hastaligi\/\" data-type=\"post\" data-id=\"7403\" target=\"_blank\" rel=\"noreferrer noopener\"> Meniere Hastal\u0131\u011f\u0131<\/a>.<\/li>\n\n\n\n<li>\u00d6zellikle <strong>ya\u015fl\u0131 insanlar<\/strong> ald\u0131lar <strong>daha s\u0131k uzun s\u00fcreli<\/strong> Ba\u015f d\u00f6nmesi ila\u00e7lar\u0131.<\/li>\n\n\n\n<li>Yaln\u0131zca kim <strong>hafif veya <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\" target=\"_blank\" rel=\"noreferrer noopener\">pozisyonel vertigo<\/a><\/strong> sahikti, ald\u0131 <strong>nadiren uzun vadeli<\/strong> \u0130la\u00e7lar.<\/li>\n\n\n\n<li>B\u00fcy\u00fck \u015fehirlerde daha temkinli re\u00e7ete yaz\u0131ld\u0131.<\/li>\n<\/ul>\n\n\n\n<p><strong>Neden bunun sorunlu olabilece\u011fi<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bu ila\u00e7lar\u0131n bir\u00e7o\u011fu i\u00e7in \u2013\u00f6rne\u011fin betahistin\u2013 <strong>kesin bir etkinlik kan\u0131t\u0131 yok<\/strong>.<\/li>\n\n\n\n<li>Yapabilirsiniz <strong>Yan etkiler <\/strong>sahip olmak ve <strong>As\u0131l neden genellikle fark edilmiyor<\/strong> veya i\u015flenir.<\/li>\n\n\n\n<li>\u00d6zellikle iyi huylu pozisyonel vertigoda veya denge bozukluklar\u0131nda <strong>kurtarma manevras\u0131 <\/strong>ve hedefe y\u00f6nelik hareket terapisi (\u201e<strong><a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestib\u00fcler rehabilitasyon<\/a><\/strong>\u201c) ilk tercih edilen y\u00f6ntemdir.<\/li>\n<\/ul>\n\n\n\n<p><strong>Neler yapabilirsiniz<\/strong><\/p>\n\n\n\n<p>D\u00fczenli olarak ba\u015f d\u00f6nmesi i\u00e7in bir ila\u00e7 al\u0131yor musunuz?<\/p>\n\n\n\n<p>Tedavinin hala gerekli olup olmad\u0131\u011f\u0131n\u0131 doktorunuza sorun.<\/p>\n\n\n\n<p>B\u0131rak\u0131n <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Ba\u015f d\u00f6nmesini hedefe y\u00f6nelik incelemek<\/strong><\/a> \u2013 muhtemelen tedavi edilebilir bir neden, \u00f6rne\u011fin bir <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\" target=\"_blank\" rel=\"noreferrer noopener\">iyi huylu pozisyonel ba\u015f d\u00f6nmesi<\/a> \u0130leri.<\/p>\n\n\n\n<p>Bu t\u00fcr \u015fikayetler i\u00e7in \u00f6zel olarak e\u011fitilmi\u015f terapistler var <strong>ila\u00e7s\u0131z<\/strong> ba\u015fa \u00e7\u0131kabilmek.<\/p>\n\n\n\n<p>E\u011fer hakk\u0131nda daha fazla <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestib\u00fcler rehabilitasyon<\/a> ve vestib\u00fcler rahats\u0131zl\u0131klar hakk\u0131nda bilgi edinmek istiyorsan, \u015funa da g\u00f6z at <a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/hasta-egitimi\/\" data-type=\"page\" data-id=\"99\" target=\"_blank\" rel=\"noreferrer noopener\">Hasta Bilgileri <\/a>buna ek olarak.<\/p>\n\n\n\n<p>Bu tedavi \u00f6nlemleri bizim taraf\u0131m\u0131zdan <strong>IVRT\u00ae Ba\u015f D\u00f6nmesi ve Vestib\u00fcler Terapistleri<\/strong> teklif edildi.<\/p>\n\n\n\n<p><strong>Sonu\u00e7<\/strong><\/p>\n\n\n\n<p>Ba\u015f d\u00f6nmesine kar\u015f\u0131 ila\u00e7lar yayg\u0131n olarak kullan\u0131lmaktad\u0131r \u2014 <strong>ancak genellikle gerekli de\u011fil<\/strong>. Kesin bir te\u015fhis ve <strong>Hedefe y\u00f6nelik antrenmanlar bir\u00e7ok durumda ila\u00e7lardan daha fazla iyile\u015fme sa\u011flar.<\/strong>. G\u00fcvenli ve etkili bir tedavi i\u00e7in uzman ki\u015filerden tavsiye al\u0131n.<\/p>\n\n\n\n<p>\ud83c\udfaf <strong>\u00d6zel olarak e\u011fitilmi\u015f t\u00fcm IVRT\u00ae Ba\u015f D\u00f6nmesi ve Vestib\u00fcler Terapistleri<\/strong> bizim \u00fczerimizden bulun <strong><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT Terapist Arama<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Anti-Vertigo-Medikamente (AVM) wie Betahistin sind trotz begrenzter Wirksamkeitsnachweise in der Allgemeinmedizin weit verbreitet. Besonders problematisch: Ein erheblicher Teil der Verordnungen erfolgt langfristig \u2013 auch ohne klare vestibul\u00e4re Diagnose. Eine aktuelle Studie aus den Niederlanden liefert nun erstmals systematische Daten zur H\u00e4ufigkeit und Verordnungsdauer in der haus\u00e4rztlichen Versorgung. \ud83d\udd17 Originalstudie auf PubMed Studiendesign: Zentrale [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18006,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":308,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-13784","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13784","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=13784"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13784\/revisions"}],"predecessor-version":[{"id":17488,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13784\/revisions\/17488"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/18006"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=13784"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=13784"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=13784"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}